Document:

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                                                                    Exhibit 10.9

                                                                  EXECUTION COPY

                          EXCESS STOCK TRUST AGREEMENT

                                  BY AND AMONG

                            VENCOR, INC., as Settlor,

                                  VENTAS, INC.

                                       AND

                    STATE STREET BANK AND TRUST COMPANY, N.A.
                                   as Trustee

                                 April 20, 2001
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                                TABLE OF CONTENTS
                                   (continued)

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ARTICLE I        DEFINITIONS...................................................................  2

   Section 1.1.  Definitions...................................................................  2

ARTICLE II       ESTABLISHMENT OF TRUST........................................................  3

   Section 2.1.  Establishment of the Trust....................................................  3

   Section 2.2.  Trustee Powers and Distributions from the Trust...............................  4

   Section 2.3.  Trustee Owner of Trust Assets.................................................  4

   Section 2.4.  Costs and Expenses of the Trustee.............................................  4

   Section 2.5.  Filing of Agreements..........................................................  4

   Section 2.6.  Notification of Occurrence of Effective Date..................................  4

ARTICLE III      INTERESTS.....................................................................  5

   Section 3.1.  Designation of Beneficiary....................................................  5

   Section 3.2.  Records Relating to Beneficiary and Interests.................................  5

   Section 3.3.  Joint Beneficiaries...........................................................  5

   Section 3.4.  Act of Beneficiary............................................................  5

ARTICLE IV       VOTING AND TRANSFER OF TRUST ASSETS...........................................  6

   Section 4.1.  Voting........................................................................  6

   Section 4.2.  Transfer of Trust Assets......................................................  7

   Section 4.3.  NYSE Transactions.............................................................  7

   Section 4.4.  Restricted Securities.........................................................  7

   Section 4.5.  Distribution of Shares........................................................  8

ARTICLE V        POWERS AND DUTIES OF THE TRUSTEE..............................................  8

   Section 5.1.  Limits on Trustee's Powers....................................................  8

   Section 5.2.  Execution by Trustee..........................................................  8

   Section 5.3.  Tax Returns and Reports.......................................................  8

   Section 5.4.  Reporting and Other Informational Requirements; Tax Indemnification...........  9

ARTICLE VI       DIVIDENDS AND DISTRIBUTIONS................................................... 10

   Section 6.1.  Dividends and Distributions................................................... 10

   Section 6.2.  Dividends Other Than Liquidating Distributions................................ 10

   Section 6.3.  Liquidating Distributions and Sale Proceeds................................... 10
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                                      (i)
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                              TABLE OF CONTENTS
                                  (continued)

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ARTICLE VII      THE TRUSTEE..................................................................  11

   Section 7.1.  Qualifications of Trustee....................................................  11

   Section 7.2.  Expenses.....................................................................  11

   Section 7.3.  Compensation.................................................................  11

   Section 7.4.  Ventas and Vencor Loans to the Trust.........................................  11

   Section 7.5.  Resignation and Removal of Trustee; Appointment of Successor Trustee.........  11

   Section 7.6.  Acceptance of Appointment by Successor.......................................  12

   Section 7.7.  Merger, Conversion, Consolidation or Succession to Business..................  12

   Section 7.8.  Collection of Claims by Trust................................................  13

   Section 7.9.  No Liability of Beneficiary..................................................  13

   Section 7.10. Liability of the Trustee.....................................................  13

   Section 7.11. Responsibilities of Trustee..................................................  14

ARTICLE VIII     TERMINATION..................................................................  15

   Section 8.1.  Termination of the Trust.....................................................  15

   Section 8.2.  Actions of Trustee upon Termination..........................................  15

   Section 8.3.  Termination of Obligations of the Trustee....................................  15

ARTICLE IX       AMENDMENT....................................................................  16

   Section 9.1.  Amendments...................................................................  16

   Section 9.2.  Trustee Not Required to Enter into Any Amendments............................  16

ARTICLE X        ACCOUNTING...................................................................  16

   Section 10.1. Accounting...................................................................  16

   Section 10.2. Lost Beneficiary.............................................................  17

ARTICLE XI       MISCELLANEOUS................................................................  17

   Section 11.1. Successors and Assigns; Third Party Beneficiaries; Limitation on Liability...  17

   Section 11.2. Payment of Costs for Frivolous Claims........................................  18

   Section 11.3. Notices......................................................................  18

   Section 11.4. Mailing to Beneficiary.......................................................  19

   Section 11.5. Governing Law................................................................  19

   Section 11.6. Waivers......................................................................  19
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                                      (ii)
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                               TABLE OF CONTENTS
                                  (continued)

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   Section 11.7.  Reproduction of Documents....................................................  20

   Section 11.8.  Dispute Resolution...........................................................  20

   Section 11.9.  Consent to Jurisdiction and Service..........................................  20

   Section 11.10. Waiver of Jury Trial.........................................................  20

   Section 11.11. Force Majeure................................................................  21

   Section 11.12. Counterparts.................................................................  21

   Section 11.13. Entire Agreement.............................................................  21

   Section 11.14. Descriptive Headings.........................................................  21

   Section 11.15. Severability.................................................................  21
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                                     (iii)
<PAGE>

                          EXCESS STOCK TRUST AGREEMENT

           THIS EXCESS STOCK TRUST AGREEMENT, dated as of April 20, 2001, is
made and entered into by and among Vencor, Inc. (to be renamed "Kindred
Healthcare, Inc."), a Delaware corporation ("Vencor" or "Settlor"), Ventas,
Inc., a Delaware corporation ("Ventas"), State Street Bank and Trust Company,
N.A., a national banking association, as trustee and any Transfer Agent that may
from time to time become a party to this Agreement.

                                   WITNESSETH:

           WHEREAS, as of the date hereof, Tenet Healthcare Corporation
("Tenet") beneficially owns over nine percent (9%), in number of shares or
value, of the outstanding common stock (the "Ventas Common Stock"), par value
$.25 per share, of Ventas, which has elected to be treated as a real estate
investment trust (a "REIT') under Subchapter M of the Internal Revenue Code of
1986, as amended (the "Code"), and Tenet has the right, subject to certain
limitations and conditions, under the Certificate of Incorporation, as amended,
of Ventas (the "Ventas Charter") to exceed the beneficial ownership limitations
set forth in the Ventas Charter without any action on the part of the board of
directors of Ventas, and, as such, Tenet is an "Existing Holder" within the
meaning of Article Tenth of the Vencor Amended and Restated Certificate of
Incorporation (the "Vencor Charter");

           WHEREAS, under the Code, Ventas is deemed to be the beneficial owner
of a portion of the outstanding shares of common stock, par value $ 01 per
share, of Vencor (the "Vencor Common Stock");

           WHEREAS, Article Tenth of the Vencor Charter provides that upon any
purported transfer or other event that under the Code would, if such transfer or
event were effective, result in Tenet beneficially owning any shares of Vencor
capital stock that would exceed certain limitations when combined with shares of
Vencor capital stock beneficially owned by Ventas, the shares of Vencor capital
stock beneficially owned by Tenet (the "Subject Shares") shall automatically be
designated as Excess Stock and transferred to a trustee, as trustee for a trust,
irrespective of any action or inaction by the board of directors of Vencor; and

           WHEREAS, Settlor wishes to engage the Trustee to act, and the Trustee
is willing to act, as Trustee hereunder and, in that capacity, to hold,
administer and distribute the shares deposited in trust hereunder in accordance
with, and subject to, the terms of this Agreement;

           WHEREAS, this Trust is intended to constitute the trust provided for
in Article Tenth of the Vencor charter.

           NOW, THEREFORE, in consideration of the premises, the mutual
covenants and agreements contained herein and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto agree as follows:
<PAGE>

                                   ARTICLE I
                                  DEFINITIONS

           Section 1.1. Definitions. As used in this Agreement, the following
terms have the meanings set forth below. Capitalized terms that are used but not
defined herein should have the meaning assigned to such terms in the Vencor
Charter as in effect on the date hereof, a copy of which is attached hereto as
Exhibit A.

           "Act" means the act of a Beneficiary as described in Section 3.4(a).

           "Agreement" means this Excess Stock Trust Agreement, as amended in
accordance with Article IX.

           "Beneficiary" means any Person or Persons that beneficially own an
Interest in the Trust hereunder, as shown on the records of the Trustee, and
that meet the criteria described in Sections 170(b)(1)(A) and 170(c) of the
Code, as established by a written confirmation thereof provided to the Trustee
by Settlor.

           "Business Day" means a day, other than a Saturday or a Sunday, on
which commercial banks are not required or authorized to close in the City of
New York.

           "Code" has the meaning set forth in the recitals of this
Agreement.

           "Effective Date" means the effective date of the designation of
shares of Vencor capital stock as shares of Excess Stock under Section A.(3) of
Article Tenth of the Vencor Charter.

           "Indemnified Party" means the Trustee and any affiliate,
director, officer employee, agent or advisor of the Trustee.

           "Interest" means an interest in the Trust Assets beneficially owned
by the Beneficiary. An Interest entitles the Beneficiary to certain rights,
including the right to: (i) receive distributions of income earned on the Trust
Assets and to receive the principal of the Trust on termination thereof as
provided in this Agreement; and (ii) instruct the Trustee to vote such Trust
Assets on certain matters, each as further described in and limited by the terms
of this Agreement.

           "Vencor" has the meaning set forth in the recitals of this Agreement.

           "Vencor Charter" has the meaning set forth in the recitals of this
Agreement.

           "Vencor Common Stock" has the meaning set forth in the recitals of
this Agreement.

           "Person" means an individual, corporation, limited liability company,
joint venture, partnership, association, trust, trustee, unincorporated entity,
organization or government (including its departments or agencies).

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           "REIT" has the meaning set forth in the recitals of this Agreement.

           "Settlor" has the meaning set forth in the first paragraph of this
Agreement.

           "Subject Shares" has the meaning set forth in the recitals hereto.

           "Tenet" has the meaning set forth in the recitals of this Agreement.

           "Transfer" means a sale, assignment, contribution, distribution,
encumbrance, pledge, hypothecation or other disposition.

           "Transfer Agent" means any party retained by Ventas or Vencor to
monitor the outstanding shares of Vencor capital stock and any transfers thereof

           "Trust" means the trust established under this Agreement to hold the
Trust Assets for the exclusive benefit of the Beneficiary.

           "Trust Assets" means the assets of the Trust, including, but not
limited to, the Trust's interest in (a) the Subject Shares, (b) any property or
other securities issued in exchange for or with respect to such Subject Shares
and held in the Trust as contemplated in Article VI, (c) any other assets
acquired by the Trust, and (d) any income or distributions earned on or with
respect to property held by the Trust.

           "Trustee" means the trustee of the Trust designated by the board of
directors of Vencor. The initial Trustee is State Street Bank and Trust Company,
N.A.

           "Ventas" has the meaning set forth in the recitals of this Agreement.

           "Ventas Charter" has the meaning set forth in the recitals of this
Agreement.

           "Ventas Common Stock" has the meaning set forth in the recitals of
this Agreement.

                                   ARTICLE II
                             ESTABLISHMENT OF TRUST

           Section 2.1. Establishment of the Trust.

           (a)  Settlor hereby irrevocably grants, conveys, deposits, transfers
      and assigns to the Trustee, in trust for the benefit of the Beneficiary
      the following:

                (i)   effective as of the date hereof, cash in the amount of
                      $4,010; and

                (ii)  effective as of the Effective Date, the Subject Shares.

           (b) The Trust created hereby is formed under the law of New York, and
      the Trustee shall make filings, if any, required by applicable law to
      continue the existence and validity of the Trust.

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           Section 2.2. Trustee Powers and Distributions from the Trust.

           (a) The Trustee shall have no power to (i) Transfer the Subject
      Shares, (ii) vary the Trust Assets of the Trust in order to seek to take
      advantage of variations in the market, or (iii) engage in any other
      activity with respect to the Trust Assets expressly as provided in this
      Agreement, and except for (x) Transfers of the Subject Shares permitted by
      Section 4.2, (y) distributions of the Trust Assets permitted by Article
      VI, and (z) investment of cash in the Trustee's Janus Government Money
      Market Fund (#882), or in demand and time deposits in banks or savings
      institutions, short-term certificates of deposit or Treasury bills as the
      Trustee shall determine in its discretion ("Temporary Cash Investments");
      provided that no investment shall be required if the cash balance of the
      Trust Assets is less than $100.

           (b) The Trustee shall distribute any dividends, distributions or
      other property received with respect to the Trust Assets to the
      Beneficiary and the Purported Record Transferee as provided in Article VI.

           (c) The Trustee shall have no liability for any investment losses
      suffered, including without limitation any market loss on any investment
      liquidated prior to maturity in order to make a payment required
      hereunder. Any earnings received on any such investment shall be added to
      and shall become part of the Trust Assets.

           Section 2.3. Trustee Owner of Trust Assets. Except to the extent
expressly provided in this Agreement, the Trustee on behalf of the Trust shall
be considered the sole owner or holder of the Trust Assets for all purposes,
including, but not limited to, the payment of dividends and other distributions
with respect to the Trust Assets and the giving of any vote assent or consent as
owner of the Trust Assets. The Beneficiary shall not have legal title part of
the assets of the Trust. Legal title to the Trust Assets of the Trust and all
other assets of the Trust shall be vested in the Trustee.

           Section 2.4. Costs and Expenses of the Trustee. The Trust shall pay
or reimburse the Trustee directly for all costs and expenses relating to the
Trust, including, but not limited to, the fees and expenses of the Trustee as
provided in Article VII.

           Section 2.5. Filing of Agreements. The Trustee shall file copies of
this Agreement with appropriate governmental entities to the extent required
under applicable law, as specifically instructed by Settlor in writing.

           Section 2.6. Notification of Occurrence of Effective Date. (a) Vencor
and the Transfer Agent shall notify the Trustee and Ventas, and (b) Ventas shall
notify Vencor and the Trustee, of the occurrence of the Effective Date by
telecopy in accordance with Section 11.3 in each case within one Business Day of
such party becoming aware of such occurrence. Each such notice shall, to the
extent known, specify the Effective Date and the number of shares of Vencor
capital stock that have been designated as Excess Stock. The Trustee may
conclusively rely on any such notification.

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                                  ARTICLE III
                                   INTERESTS

           Section 3.1. Designation of Beneficiary. The board of directors of
Vencor may name the Beneficiary or Beneficiaries of the Trust pursuant to the
terms of the Vencor Charter. If a Beneficiary of the Trust has not been so
named, and a designation of Vencor capital stock as Excess Stock under the
Vencor Charter is subsequently discovered, the Beneficiary of the Trust shall
automatically be the United States Treasury Department of the United States
government, irrespective of any action or inaction on the part of the Trustee or
the board of directors of Vencor; provided, however, that the absence of a
Beneficiary shall not affect the designation of shares of Vencor capital stock
as Excess Stock or Settlor's grant, conveyance, deposit, transfer and assignment
of the Excess Stock to the Trustee hereunder.

           Section 3.2. Records Relating to Beneficiary and Interests. The
Trustee shall keep correct books of account of all transactions of the Trust
relating to the Interests, and to the extent the Trustee has received written
notification of the same, including a record of the name and address of the
Beneficiary and the Beneficiary's Interests. The Trustee shall promptly record
all transactions relating to the Interests. Absent manifest error, ownership of
the Beneficiary's Interests shall be as shown on, and the transfer of the
ownership thereof will be effected only through, records maintained by the
Trustee in accordance with this Agreement and the Trustee's customary practices.

           Section 3.3. Joint Beneficiaries. If multiple Persons constitute a
single Beneficiary, payments made to such Beneficiary pursuant to this Agreement
shall be distributed by the Trustee jointly to or on behalf of those Persons in
accordance with the Trustee's customary practices.

           Section 3.4. Act of Beneficiary.

           (a) Any request, demand, authorization, direction, notice, consent,
      assent, waiver or other action provided by this Agreement to be given or
      taken by the Beneficiary may be embodied in and evidenced by one or more
      instruments of substantially similar tenor signed by the Beneficiary in
      person or by an agent duly appointed in writing. Except as otherwise
      expressly provided herein, such action shall become effective when such
      instrument or instruments are delivered to the Trustee. Such instrument or
      instruments (and the action embodied therein and evidenced thereby) are
      herein sometimes referred to as the "Act" of the Beneficiary signing such
      instrument or instruments. Proof of execution of any such instrument or of
      a writing appointing any such agent shall be sufficient for any purpose of
      this Agreement and conclusive in favor of the Trustee, if made in the
      manner provided in this Section 3.4.

           (b) The fact and date of the execution by any Person of any such
      instrument or writing may be proved by the affidavit of a witness of such
      execution or by the certificate of any notary public or other officer
      authorized by law to take acknowledgments of deeds, certifying that the
      individual signing such instrument or writing acknowledged to such Person
      the execution thereof or by other instruments or certificates utilized by
      the Trustee in its customary practices. Where such execution is by an
      officer of a corporation

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      or a member of a partnership on behalf of such corporation or partnership
      (or a Person having similar authority in any other entity), such
      certificate or affidavit shall also constitute sufficient proof of that
      Person's authority.

           (c) Notwithstanding the foregoing, the Trustee shall not be required
      to accept any request, demand, authorization, direction, notice, consent,
      assent, waiver or other action provided by this Agreement in any form
      other than as expressly provided in this Agreement; any such request,
      demand, authorization, direction, notice, consent, assent, waiver or other
      action shall become effective only upon acceptance.

                                   ARTICLE IV
                       VOTING AND TRANSFER OF TRUST ASSETS

           Section 4.1. Voting.

           (a) The Trustee shall have the exclusive and absolute right in
      respect of the Trust Assets to vote, assent or consent the Trust Assets on
      behalf of the Beneficiary at all times during the term of the Trust,
      including, but not limited to, the right to vote at any election of
      directors and in favor of or in opposition to any resolution for any
      dissolution, liquidation, merger or consolidation of Vencor, any sale of
      all or substantially all of Vencor's assets, any issuance or authorization
      of securities, or any action of any character whatsoever which may be
      presented at any meeting or require the consent of stockholders of Vencor.
      Subject to the Delaware General Corporation Law, any vote cast by a
      Purported Record Transferee with respect to the Trust Assets prior to the
      discovery by Vencor that the shares of Excess Stock were held in trust
      will be rescinded ab initio; provided, however, that if Vencor has already
      taken irreversible action with respect to the matter voted on or consented
      to by the Vencor stockholders, then the vote cast by the Purported Record
      Transferee shall not be rescinded. The Purported Record Transferee shall
      be deemed to have given an irrevocable proxy to the Trustee to vote the
      Trust Assets for the benefit of the Beneficiary. The Trustee's exercise of
      its right to vote, assent or consent the Trust Assets on behalf of the
      Beneficiary shall be governed by this Section 4.1.

           (b) On all matters the Trustee shall vote, assent or consent the
      Trust Assets in favor of or in opposition to such matter, or abstain from
      voting on such matter, in accordance with the instructions received from
      the Beneficiary providing direction to the Trustee or, if no such
      instructions are received from the Beneficiary at least three Business
      Days prior to the date of such vote, as determined by the Trustee in its
      sole discretion.

           (c) The Trustee shall mail all proxy and related materials received
      by the Trustee relating to a vote of the Trust Assets to the Beneficiary
      as of the record date for the vote to the address of the Beneficiary as it
      appears on the records of the Trustee, as soon as reasonably practicable
      after receiving such materials. The Trustee shall not be required to mail
      the materials until the Trustee has received sufficient quantities of the
      materials to be mailed to each Beneficiary (in the case of multiple
      Beneficiaries) and

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      payment of all of its fees and expenses for the mailing from the Person
      that has requested such vote.

           (d) All materials sent to the Beneficiary pursuant to this Section
      direct the Beneficiary to return the voting instructions to the Trustee.
      If the Trustee shall have received more than one instruction from the
      Beneficiary, the last valid received shall control.

           (e) Beneficiary shall be entitled to direct the Trustee as provided
      in this Section 4.1 only if it is listed as such on the Trustee's records
      on the record date for a proposed stockholder vote. When interests are
      held jointly by several Beneficiaries, any one of them may direct the
      Trustee as provided in this Section 4.1, but if more than one of them
      shall do so, the last valid instruction received shall control.

           (f) The Trustee may vote, assent or consent with respect to all Trust
      Assets in person or by such person or persons as it may from time to time
      select as its proxy, provided that the Trustee shall vote at all times in
      conformity with the provisions of this Section 4.1.

           Section 4.2. Transfer of Trust Assets. The Trustee shall have no
authority to Transfer the Trust Assets, except for:

           (a) Temporary Cash Investments permitted by Section 2.2;

           (b) Transfers of the Subject Shares, which the Trustee is hereby
      directed to use commercially reasonable efforts to effect within 45 days
      after the Trustee receives notice of the occurrence of the Effective Date
      pursuant to Section 2.6 hereof through the use of the Trustee's affiliated
      brokerage service or otherwise as the Trustee shall in its discretion
      determine, either (i) through the facilities of the New York Stock
      Exchange or other national securities exchange or (ii) in a private sale
      to a Person or Persons (in each case, as defined in the Vencor Charter)
      that provide a written certification to the Trustee that their Beneficial
      Ownership of such shares shall not cause Tenet to be treated as a
      Beneficial Owner of any of such shares. The Trustee shall have no
      obligation to obtain the highest possible price in connection with such a
      Transfer of Subject Shares; and

           (c) Transfers permitted by Article VI.

           Section 4.3. NYSE Transactions. Nothing in this Agreement shall
preclude the settlement of any transaction entered into through the facilities
of the New York Stock Exchange or other national securities exchange. The fact
that the settlement of any transaction occurs or takes place shall not negate
the effect of any other provision of this Agreement and any transferee in such a
transaction shall be subject to all of the provisions and limitations set forth
in this Agreement.

           Section 4.4. Restricted Securities. Settlor and Ventas agree that
they shall be solely responsible for providing, at the cost and expense of
Settlor and Ventas (which costs and expenses shall be shared by Settlor and
Ventas equally), any certification, opinion of counsel or other instrument or
document necessary to comply with or satisfy any transfer restrictions to

                                       7
<PAGE>

which the Trust Assets are subject, including without limitation any opinion of
counsel required to be delivered pursuant to any restrictive legend appearing on
any certificate evidencing the Trust Assets in connection with any distribution
of Trust Assets to be made by the Trustee under or pursuant to this Agreement.
Any such opinion of counsel shall include the Trustee as an addressee or shall
expressly consent to the Trustee's reliance thereon.

           Section 4.5. Distribution of Shares. Any distribution of all or a
portion of any stock held by the Trustee as Trust Assets to any one or more of
the Beneficiaries or otherwise shall be made by delivery of the stock
certificate held by the Trustee representing the Trust Assets to Vencor's
transfer agent, endorsed for transfer, with instruction to Vencor's transfer
agent to transfer and issue aggregate number of shares being distributed,
allocated among the Trust Beneficiaries based upon his or her pro rata share of
the Interests according to the percentages set forth on the records kept by the
Trustee (as nearly as practicable), in each case by issuing to each such
Beneficiary a stock certificate representing such allocated shares, registered
in his or her name set forth on the records kept by the Trustee and mailed by
first class mail to such Beneficiary's address set forth on the records kept by
the Trustee (or such other address such as Beneficiary may have previously
instructed the Trustee in writing); and, if less than all the then remaining
shares are to be so distributed and transferred, the Trustee shall instruct
Vencor's transfer agent to issue and return to the Trustee (or its nominee, if
the Trustee shall so instruct) a stock certificate representing the remaining
shares. The Trustee shall have no liability for the actions or omissions of, or
any delay on the part of, Vencor's transfer agent in connection with the
foregoing.

                                   ARTICLE V
                        POWERS AND DUTIES OF THE TRUSTEE

           Section 5.1. Limits on Trustee's Powers. The Trustee shall have only
the powers set forth in this Agreement. It is expressly understood and agreed by
the parties hereto that under no circumstances shall the Trustee be personally
liable for the payment of any expenses of this Agreement except as set forth in
Section 7.10, or be liable for the breach or failure of any obligation
undertaken by the Trustee under this Agreement, except as set forth in Section
7.10.

           Section 5.2. Execution by Trustee. All documents executed by the
Trustee in its capacity as trustee shall be executed as follows:

                                  State Street Bank and Trust Company, N.A.,
                                  not in its individual capacity, but solely
                                  as Trustee

                                  By:________________________________________

           Section 5.3. Tax Returns and Reports. The Trustee shall prepare and
file or cause to be prepared and filed all United States federal, state and
local tax returns required to be filed by or in respect of the Trust; the Trust
shall reimburse the Trustee for the costs and expenses of preparing and filing
such returns. In this regard, the Trustee shall (a) prepare and

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<PAGE>

file (or cause to be prepared and filed) the appropriate Internal Revenue
Service form, if any, required to be filed in respect of the Trust in each
taxable year of the Trust and (b) prepare, file and mail (or cause to be
prepared, filed and mailed) all information reports required under United States
federal, state and local tax law in respect of the Beneficiary. The Trustee
shall comply with applicable United States federal, state and local withholding
and backup withholding tax laws and information reporting requirements with
respect to any payments to the Beneficiary under this Agreement (with any such
withholding to be treated as a distribution to the Beneficiary). Settlor and the
Beneficiary agree to cooperate with all reasonable requests for information made
by the Trustee in connection with the performance of its duties relating to all
such reporting requirements set forth herein.

           Section 5.4. Reporting and Other Informational Requirements; Tax
Indemnification.

           (a) As soon as practicable after the end of each fiscal year of the
      Trust and after the termination of the Trust, the Trustee shall prepare
      and mail to the Beneficiaries a statement and all required tax
      information, reports and returns relating to the status of the Trust
      Assets of the Trust and any dividends, interest and gains or losses and
      distributions, it has received on or in respect of the Trust Assets of the
      Trust.

           (b) The Trustee's statement specified in paragraph (a) above shall be
      accompanied by instructions as to how the Beneficiary may notify the
      Trustee of any discrepancies or errors with respect to such statement. The
      Trustee shall use reasonable efforts to resolve any errors and
      discrepancies with the Beneficiary as soon as reasonably practicable after
      any such notice has been received. The information contained in such
      statement shall be binding with respect to the Beneficiary if the
      Beneficiary has not notified the Trustee of any errors or discrepancies
      within thirty days from the date of mailing of such statement pursuant to
      such instructions.

           (c) Settlor agrees to request each Beneficiary to provide the Trustee
      with a certified tax identification number by signing and returning a Form
      W-9 (or Form W-8 BEN, in case of non-U.S. persons) to the Trustee. In the
      event its tax identification number is not certified to the Trustee, the
      Internal Revenue Code, as amended from time to time, may require
      withholding of a portion of any interest or other income earned on the
      investment of the Trust Assets.

           (d) Settlor agrees (i) to assume any and all obligations imposed now
      or hereafter by any applicable tax law with respect to any payment or
      distribution of the Trust Assets or performance of other activities under
      this Agreement, and (ii) to indemnify and hold the Trustee harmless from
      any liability or obligation on account of taxes, assessments, additions
      for late payment, interest, penalties, expenses and other governmental
      charges that may be assessed or asserted against the Trustee in connection
      with, on account of or relating to the Trust Assets, any payment or
      distribution of or from the Trust Assets pursuant to the terms hereof or
      other activities performed under the terms of this Agreement, including
      without limitation any liability for the withholding or deduction of (or
      the failure to withhold or deduct) the same, and any liability for failure
      to obtain proper certifications or to report properly to governmental
      authorities in

                                       9
<PAGE>

      connection with this Agreement, including costs and expenses (including
      reasonable legal fees and expenses), interest and penalties other than any
      such liability or obligation arising out of the gross negligence or
      willful misconduct of the Trustee. The foregoing indemnification and
      agreement to hold harmless shall survive the termination of this
      Agreement.

                                   ARTICLE VI
                           DIVIDENDS AND DISTRIBUTIONS

           Section 6.1. Dividends and Distributions. The Trustee shall promptly
distribute distributions, dividends, interest and sale proceeds received in
respect of the Trust Assets to the Beneficiary and the Purported Record
Transferee in accordance with this Article VI.

           Section 6.2. Dividends Other Than Liquidating Distributions. The
Trustee shall promptly distribute to the Beneficiary any dividends (whether
taxable as a dividend, a return of capital or otherwise) on the Subject Shares
(other than liquidating distributions so identified to the Trustee
simultaneously with its receipt thereof), after repaying in full the principal
of and accrued and unpaid interest on any loan made by Ventas and Vencor to the
Trust pursuant to Section 7.4.

           Section 6.3. Liquidating Distributions and Sale Proceeds. Upon a
Transfer of Subject Shares pursuant to Section 4.2 or any voluntary or
involuntary liquidation, dissolution or winding up of Vencor, the Trustee shall
first repay in full the principal of and accrued and unpaid interest on any loan
made by Ventas and Vencor to the Trust pursuant to Section 7.4 and then shall
distribute to the Beneficiary and the Purported Record Transferee any net
proceeds with respect to the Subject Shares as follows:

           (a) The Trustee shall promptly distribute to the Purported Record
      Transferee the lesser of: (A) the proceeds pro rated equally per Subject
      Share and (B) the price paid by the Purported Record Transferee as
      notified in writing to the Trustee by Vencor, which may rely on a
      certificate requested by Vencor from the Purported Record Transferee to
      establish such price for the Subject Shares or, if the Purported Record
      Transferee did not give value for the Subject Shares or fails to provide
      such certificate within 30 days of a request therefor by Vencor, the
      Market Price of the Subject Shares on the day of the event causing the
      Subject Shares to be held in trust. Any such dividend or distribution, or
      any such proceeds from any transfer of Subject Shares, paid to the
      Purported Record Transferee in excess of the amount provided for in the
      immediately preceding sentence prior to the receipt by the Trustee of
      written notification that the shares of capital stock with respect to
      which the dividend, distribution or proceeds were paid, had been
      designated as Excess Stock shall be repaid by the Purported Record
      Transferee upon demand to the Trust for the benefit of the Beneficiary.

           (b) The Trustee shall promptly distribute the balance to the
      Beneficiaries pro rata in accordance with their Interests.

                                       10
<PAGE>

                                   ARTICLE VII
                                   THE TRUSTEE

           Section 7.1. Qualifications of Trustee. There shall at all times be a
Trustee hereunder with respect to the Trust. The Trustee shall be an institution
duly authorized to act as such a trustee in the State of New York that has and
maintains a combined capital and surplus of at least $2.5 million. The combined
capital and surplus of the Trustee shall be deemed to be its combined capital
and surplus as set forth in its most recent report of condition published. The
Trustee shall be a Person that is unaffiliated with Vencor, any Purported
Beneficial Transferee and any Purported Record Transferee. If at any time the
Trustee shall cease to be eligible in accordance with this Section 7.1, it shall
resign immediately in the manner and with the effect specified in this
Agreement.

           Section 7.2. Expenses. The Trust shall bear the out-of-pocket
expenses Trustee incurred by the Trustee in the performance of its duties under
this Agreement, including, but not limited to, taxes, fees, commissions and
other expenses relating to (i) the issuance of the Trust Assets to the Trust,
(ii) the mailing of notices, forms of election and information to the
Beneficiary and other Persons hereunder, (iii) the making of distribution
payments to the Beneficiary, (iv) all filings of United States federal, state
and local tax returns required to be filed by the Trust or the Trustee, and (v)
all other expenses as the Trustee may deem reasonably necessary and proper for
administering the Trust and this Agreement (including customary and reasonable
fees of legal counsel).

           Section 7.3. Compensation. The Trustee shall be entitled to
reasonable fees and expenses for its services as Trustee hereunder as provided
in a separate fee agreement among proceeds Ventas, Vencor and the Trustee, which
is subject to change by the Trustee on an annual basis upon thirty days' prior
written notice.

           Section 7.4. Ventas and Vencor Loans to the Trust. To the extent that
the cash available to the Trust is insufficient at any point in time for such
Trust to pay its expenses and other obligations hereunder as they become due,
Ventas and Vencor will make loans to the Trust in equal principal amounts,
payable solely out of the Trust Assets, which loans shall bear interest at the
applicable federal rate in effect on the date of each advance in respect of such
advance and shall be repayable in full prior to any distributions being made to
the Beneficiary of the Trust.

           Section 7.5. Resignation and Removal of Trustee; Appointment of
Successor Trustee

           (a) No resignation or removal of the Trustee and no appointment of a
      successor Trustee pursuant to this Article VII shall become effective
      until the acceptance of appointment by a successor Trustee in accordance
      with the applicable requirements of Section 7.6

           (b) Subject to paragraph (a) above, the Trustee may resign at any
      time by giving thirty days' advance written to Vencor and Settlor. If the
      instrument of acceptance by the successor Trustee required by Section 7.6
      shall not have been delivered to the

                                       11
<PAGE>

      Trustee within 30 days after the giving of such notice of resignation, the
      Trustee may petition, at the expense of the Trust, any court of competent
      jurisdiction of the State of New York for the appointment of a successor
      Trustee.

           (c) If the Trustee shall resign, the board of directors of Vencor
      shall promptly appoint a successor Trustee meeting the requirements of
      Section 7.1; provided, however, that no such Trustee may be related or
      subordinate to Settlor within the meaning of Section 672(c) of the Code or
      any successor provision thereto. The retiring Trustee shall comply with
      the applicable requirements of this Article VII.

           Section 7.6. Acceptance of Appointment by Successor.

           (a) In case of the appointment hereunder of a successor Trustee, the
      successor Trustee so appointed shall execute, acknowledge and deliver to
      each of the Trust, the retiring Trustee, Vencor, Ventas and the
      Beneficiary an instrument accepting such appointment and agreeing to serve
      as successor Trustee in accordance with the terms and conditions of this
      Agreement, arid thereupon the resignation or removal of the retiring
      Trustee shall become effective and such successor Trustee, without any
      further act, deed or conveyance, shall become vested with all the rights,
      powers, trusts and duties of the retiring Trustee. On the request of
      Vencor or the successor Trustee, the retiring Trustee shall, upon payment
      of all amounts owed it hereunder, execute and deliver any and all
      instruments transferring to such successor Trustee all the rights, powers,
      trusts and duties of the retiring Trustee and all property and money held
      by the retiring Trustee under this Agreement.

           (b) Upon request of any such successor Trustee, the retiring Trustee
      shall execute and deliver any and all instruments reasonably requested of
      it for more fully and certainly vesting in and confirming to such
      successor Trustee all such rights, powers, trusts and duties under this
      Agreement.

           (c) No institution shall be appointed as successor Trustee unless at
      the time of its appointment such institution shall be qualified and
      eligible under Section 7.1 and this Section 7.6.

           (d) Notice of the successor Trustee's appointment pursuant to this
      Article VII shall be contained in the statement mailed to the Beneficiary
      pursuant to Section 5.4.

           Section 7.7. Merger, Conversion, Consolidation or Succession to
Business. Any corporation into which the Trustee may be merged or converted or
with which it may be consolidated and any corporation resulting from any merger,
conversion or consolidation to which the Trustee shall be a party, or any
corporation succeeding to all or substantially all the corporate trust business
of the Trustee, shall be the successor of the Trustee hereunder, provided such
corporation shall be otherwise qualified and eligible under Sections 7.1 and
7.6, without the execution or filing of any paper or any further act on the part
of any of the parties to this Agreement.

                                       12
<PAGE>

           Section 7.8. Collection of Claims by Trust.

           (a) In the event that the pendency of any receivership, insolvency,
      liquidation, bankruptcy, reorganization, rehabilitation, arrangement,
      adjustment, composition or other similar judicial proceeding affects the
      Trust Assets, the Trustee shall be entitled and empowered (but not
      obligated), to the fullest extent permitted by law, by intervention in
      such proceeding or otherwise:

                (i)  to file and prove a claim for the whole amount of any
                     assets of the Trust, including, but not limited to, any
                     income or distributions owing and unpaid in respect of the
                     Trust Assets, and to file such other papers or documents as
                     may be necessary or advisable in order to have the claims
                     of the Trustee, including any claim for the reasonable
                     compensation, expenses, disbursements and advances of the
                     Trustee, its agents and counsel, and of the Beneficiary,
                     allowed in the judicial proceeding, and

                (ii) to collect and receive any moneys or other property payable
                     or deliverable on any such claims and to distribute the
                     same in accordance with Section 6.3;

      and any custodian, receiver, assignee, trustee, liquidator, sequestrator,
      rehabilitator or other similar official in any such judicial proceeding is
      hereby authorized by the Beneficiary to make such payments to the Trustee
      and, in the event the Trustee shall consent to the making of such payments
      directly to the Beneficiary, to pay to the Trustee any amount due it for
      the reasonable compensation, expenses, disbursements and advances of the
      Trustee, its agents and counsel, and any other amounts due the Trustee.

           (b) Nothing herein contained shall be deemed to authorize the Trustee
      to authorize or consent to or accept or adopt on behalf of the Beneficiary
      any plan of reorganization, rehabilitation, arrangement, adjustment or
      composition affecting the Trust Assets or the rights of the Beneficiary or
      to authorize the Trustee to vote in respect of the claim of the
      Beneficiary in any such proceeding.

           Section 7.9. No Liability of Beneficiary. The Beneficiary shall not
be obligated or liable for any liability, cost or expense of the Trust or the
Trustee, all of which liabilities, costs or expenses shall be paid solely out of
the Trust Assets, including without limitation loans made to the Trust by Ventas
and Vencor pursuant to Section 7.4.

           Section 7.10. Liability of the Trustee.

           (a) The Trustee shall not be liable for any act or omission
      undertaken in connection with its powers and duties under this Agreement,
      except for any willful misconduct or gross negligence by the Trustee. No
      Trustee shall be liable for actions or omissions of its predecessor
      Trustee, any successor Trustee or any custodian appointed by the Trustee
      under this Agreement. The Trustee shall not be liable in acting on any
      notice, request, consent, certificate, instruction or other paper or
      document or signature reasonably believed to be genuine and to have been
      signed by the proper party. The

                                       13
<PAGE>

      Trustee may consult with legal counsel, chosen with reasonable care, and
      any act or omission undertaken in good faith in accordance with the
      opinion of such legal counsel shall not result in any liability of the
      Trustee.

           (b) The Trust will indemnify and hold harmless each Indemnified
      Party, without duplication, from and against any and all claims, damages,
      losses, liability, obligations, actions, suits, costs, disbursements and
      expenses (including, but not limited to, reasonable fees and expenses of
      counsel) incurred by any Indemnified Party, in any way relating to or
      arising out of or in connection with or by reason of any investigation,
      litigation or proceeding arising out of this Agreement, the Trust Assets,
      the administration of this Agreement or the action or omission of the
      Trustee hereunder, except to the extent such claim, damage, loss,
      liability, obligation, action, suit, cost, disbursement or expense results
      from such Indemnified Party's gross negligence or willful misconduct. The
      foregoing indemnification and agreement to hold harmless shall survive the
      termination of this Agreement.

           Section 7.11. Responsibilities of Trustee.

           (a) Settlor and each Beneficiary acknowledges and agrees that the
      Trustee (i) shall not be responsible for any of the agreements referred to
      or described herein, or for determining or compelling compliance
      therewith, and shall not otherwise be bound thereby, (ii) shall be
      obligated only for the performance of such duties as are expressly and
      specifically set forth in this Agreement on its part to be performed, and
      no implied duties or obligations of any kind shall be read into this
      Agreement against or on the part of the Trustee, (iii) shall not be
      obligated to take any legal or other action hereunder which might in its
      judgment involve or cause it to incur any expense or liability unless it
      shall have been furnished with acceptable indemnification, (iv) may rely
      on and shall be protected in acting or refraining from acting upon any
      written notice, instruction (including, without limitation, wire transfer
      instructions, whether incorporated herein or provided in a separate
      written instruction), instrument, statement, certificate, request or other
      document furnished to it hereunder and reasonably believed by it to be
      genuine and to have been signed or presented by the proper person, and
      shall have no responsibility to make inquiry as to or to determine the
      genuineness, accuracy or validity thereof (or any signature appearing
      thereon), or of the authority of the person signing or presenting the
      same, and (v) may consult counsel satisfactory to it, including in-house
      counsel, and the opinion or advice of such counsel in any instance shall
      be full and complete authorization and protection in respect of any action
      taken, suffered or omitted by it hereunder in good faith and in accordance
      with the opinion or advice of such counsel.

           (b) The Trustee shall not be liable to anyone for any action taken or
      omitted to be taken by it hereunder except in the case of the Trustee's
      gross negligence or willful misconduct. In no event shall the Trustee be
      liable for indirect, punitive, special or consequential damage or loss
      (including but not limited to lost profits) whatsoever, even if the
      Trustee has been informed of the likelihood of such loss or damage and
      regardless of the form of action.

                                       14
<PAGE>

           (c) The Trustee shall have no more or less responsibility or
      liability on account of any action or omission of any book-entry
      depository, securities intermediary or other subescrow agent employed by
      the Trustee than any such book-entry depository, securities intermediary
      or other subescrow agent has to the Trustee, except to the extent that
      such action or omission of any book-entry depository, securities
      intermediary or other subescrow agent was caused by the Trustee's own
      gross negligence or willful misconduct.

           (d) The Trustee is hereby authorized, in making or disposing of any
      investment permitted by this Agreement, or in carrying out any sale of the
      Trust Assets permitted by this Agreement, to deal with itself (in its
      individual capacity) or with any one or more of its affiliates, whether it
      or such affiliate is acting as a subagent of the Trustee or for any third
      person or dealing as principal for its own account.

           (e) Notwithstanding any term appearing in this Agreement to the
      contrary, in no instance shall the Trustee be required or obligated to
      distribute any Trust Assets (or take other action that may be called for
      hereunder to be taken by the Trustee) sooner than two (2) Business Days
      after (i) it has received the applicable documents required under this
      Agreement in good form, or (ii) passage of the applicable time period (or
      both, as applicable under the terms of this Agreement), as the case may
      be.

           (f) All payments to the Trustee hereunder shall be in U.S. dollars.

                                  ARTICLE VIII
                                   TERMINATION

           Section 8.1. Termination of the Trust. The Trust shall be terminated
on the date that Vencor certifies to the Trustee, in writing, that Article Tenth
of the Vencor Charter has terminated according to its terms.

           Section 8.2. Actions of Trustee upon Termination. Upon termination of
the Trust, the Trustee shall take such actions as may be necessary to wind up
the Trust and distribute the Trust Assets to the Beneficiary and the Purported
Record Transferee in accordance with Section 6.3.

           Section 8.3. Termination of Obligations of the Trustee. The
obligations and responsibilities of the Trustee shall terminate upon the last to
occur of the following: (a) the distribution by the Trustee to the Beneficiary
and the Purported Record Transferee, of all amounts and other properties
required to be distributed upon termination; (b) the payment of all expenses of
the Trust and the repayment of all loans made by Ventas and Vencor to the Trust,
including accrued and unpaid interest thereon; (c) the discharge of all
administrative duties of the Trustee, including the performance of any tax
reporting obligations with respect to the Trust and the Beneficiary; and (d) the
completion of the final accounting of the Trust pursuant to Section 10.1.

                                       15
<PAGE>

                                   ARTICLE IX
                                    AMENDMENT

           Section 9.1. Amendments. This Agreement may be amended from time to
time by the Trustee, without the consent of the Beneficiary, (a) to cure any
ambiguity, correct or supplement any provision herein that may be inconsistent
with any other provision herein, or to make any other provisions with respect to
matters or questions arising under this Agreement, which shall not be
inconsistent with the other provisions of this Agreement, provided, however,
that such action shall not adversely affect the interests of the Beneficiary;
and (b) to add a "Transfer Agent" as a party to this agreement; (c) at such
times as there are no Subject Shares, with the consent of Vencor and Ventas;
provided, however, that the Trustee shall not amend (i) any provision to which,
by the explicit terms thereof, a third party beneficiary specifically identified
in such provision or in Section 11.1(b) is a party without such third party
beneficiary's prior written consent or (ii) any provision to designate a
Beneficiary that does not meet the criteria described in Sections 170(b)(l)(A)
and 170(c) of the Code. In making determinations as the to the effect on or
qualifications of any Beneficiary hereunder of any proposed amendment of or
designation under this Agreement, the Trustee shall be entitled to conclusively
rely on an opinion of counsel to the effect that such action shall not adversely
affect the interests of the Beneficiary or that the proposed Beneficiary meets
the foregoing criteria.

           Section 9.2. Trustee Not Required to Enter into Any Amendments. The
Trustee shall not be required to enter into any amendment of this Agreement that
adversely affects its rights, duties or immunities under this Agreement. The
Trustee shall be entitled to receive and rely conclusively upon an opinion of
nationally recognized counsel, which may be counsel to Settlor or the Trustee,
and a certificate of an officer of Settlor stating that the execution of any
amendment of this Agreement pursuant to this Article IX is authorized and
permitted by this Agreement.

                                   ARTICLE X
                                   ACCOUNTING

           Section 10.1. Accounting.

           (a) In connection with the termination of the Trust pursuant to
      Article VIII, the Trustee shall perform an accounting for the Trust,
      whereby, under applicable law, the Trustee shall produce a full account of
      the receipts and disbursements incurred during the entire term of the
      Trust and provide appropriate notice to Settlor, the Beneficiary, the
      Purported Record Transferee and Ventas. If said accounting is a
      non-judicial accounting unless the Beneficiary, or its legal
      representatives, shall deliver written objections to the Trustee within 30
      days after receipt of the accounting, the accounting shall be final and
      conclusive with respect to transactions disclosed in the accounting as to
      the Beneficiary and the Purported Record Transferee. After settlement of
      all objections set forth in a written objection, or after expiration of
      the 30 day period without written objection, the Trustee shall no longer
      be liable to the Purported Record Transferee or the Beneficiary with
      respect to transactions disclosed in the accounting. The Trustee shall
      also provide to Ventas such information relating to the Trust, the
      Beneficiary and the Purported Record

                                       16
<PAGE>

      Transferee and the parties' compliance with the terms of this Agreement as
      may be in the possession of the Trustee and which Ventas informs the
      Trustee in writing is reasonably relevant to Ventas's qualification as a
      REIT under the Code.

           (b) Except as provided in this Section 10 1, the Trustee shall not
      have any duty to account for the Trust judicially, contractually or
      otherwise, and neither the Beneficiary nor the Purported Record Transferee
      shall have any right to compel the Trustee to account for the Trust.

           Section 10.2. Lost Beneficiary. The Trustee shall not have any duty
to determine the proper address of the Beneficiary if its address is
unavailable, its address, as shown on the records of the Trustee, is an address
at which mail to the Beneficiary is undeliverable, or it has, for any other
reason, failed to exercise dominion or control over or assert a right of
ownership with respect to its Interests or any dividends, distributions or
interest payable with respect to those Interests. The Trustee shall use its
reasonable efforts to determine the proper address of the Beneficiary, which, in
the reasonable judgment of the Trustee, are consistent with industry standards.
Any Trust Assets that the Trustee is unable to distribute to the Beneficiary
shall be paid to the United States Treasury Department of the United States
government.

                                   ARTICLE XI
                                  MISCELLANEOUS

           Section 11.1. Successors and Assigns; Third Party Beneficiaries;
Limitation on Liability.

           (a) This Agreement shall bind and inure to the benefit of each of the
      parties hereto and each and all of their respective successors and
      assigns.

           (b) The Purported Record Transferee is an intended third party
      beneficiary of, and may enforce (subject to Sections 11.1(c) and 11.2
      hereof), the provisions of Sections 6.3, 10.1 and 11.3. Except as provided
      in the immediately preceding sentence, this Agreement shall not confer any
      rights or remedies upon any person or entity other than the parties hereto
      and their respective permitted successors and assigns.

           (c) Notwithstanding the foregoing, neither Vencor (including its
      affiliates, subsidiaries, estates in bankruptcy, and all successors in
      interest thereof), nor any present or former director, officer,
      shareholder, employee, agent or representative thereof, shall have any
      liability whatsoever to any Person for monetary damages (in law or equity,
      and including but not limited to directly or indirectly, derivatively,
      jointly or severally, by action for indemnity or contribution, or in any
      other way) to Ventas or any director, officer, shareholder, employee,
      agent, representative or creditor thereof) for any acts or omissions, with
      respect to the terms of this Agreement, which acts (or omissions) are
      taken in good faith in accordance with the provisions of this Agreement
      and Article Tenth of the Vencor Charter

                                       17
<PAGE>

           Section 11.2. Payment of Costs for Frivolous Claims. If any claim,
counterclaim or cross-claim brought by the Trustee, Vencor, Ventas, the
Purported Record Transferee, the Transfer Agent or the Beneficiary in any legal
proceeding related to this Agreement shall be found by the tribunal or court to
be frivolous, such party shall pay the costs, including reasonable attorneys'
fees and disbursements, of defending such frivolous claim, counterclaim or
cross-claim. No party to this Agreement shall have any liability for either (a)
any punitive, exemplary, consequential or similar damages or (b) any action
taken in good faith in accordance with the provisions of this Agreement.

           Section 11.3. Notices. All notices and other communications given or
made pursuant to this Agreement shall be in writing (including telecopy, telex
or similar writing) and shall be deemed to have been duly given or made (i) if
given by telecopy, when such telecopy is transmitted to the telecopy number
specified in this Section 11.3 (receipt electronically confirmed by the sender's
telecopy machine) if during normal business hours of the recipient, otherwise on
the next Business Day, or (ii) if given by any other means, as of the date
delivered if delivered personally or by overnight courier or two (2) business
days after being mailed if mailed by registered or certified mail (postage
prepaid, return receipt requested) to the parties or the Beneficiary at the
following addresses (or at such other address for a party as shall be specified
by written notice to the other parties which shall be effective upon receipt):

           (a) If to the Beneficiary, to the addresses of such Beneficiary as
      shown on the records of the Trustee,

           (b) If to the Trustee:

               .    by first class mail, to:

                    State Street Bank and Trust Company, N.A.
                    Corporate Trust, 6th Floor
                    2 Avenue de Lafayette
                    Boston, Massachusetts 02111-1724
                    Attention:  Vencor Trust

               .    if by fax, addressed
                    as above and sent to
                    the following telecopy number:
                    Fax:  617-662-1466

                .   if by hand, certified or
                    registered mail or overnight courier
                    or delivery, to:

                                      18
<PAGE>

                    State Street Bank and Trust Company, N.A.
                    Global Investors Services Group
                    Corporate Trust,
                    P.O. Box 778
                    Boston, Massachusetts 02102-0778
                    Attention:  Vencor Trust

           (c) If to Vencor:

                    Vencor, Inc.
                    One Vencor Place
                    680 South Fourth Street
                    Louisville, Kentucky 40202-2412
                    Attention:  Edward L. Kuntz
                    Telephone:  502-596-4141
                    Telecopy:  502-596-7340

           (d)      If to Ventas:

                    Ventas, Inc.
                    4360 Brownsboro Road, Suite 115
                    Louisville, Kentucky 40207-1642
                    Attention:  T. Richard Riney
                    Telephone:  502-357-9000
                    Telecopy:  502-357-9001

           Section 11.4. Mailing to Beneficiary. Notices and other
communications to be mailed to the Beneficiary under this Agreement may be sent
by telecopy, telex or similar writing, first class mail, Federal Express, UPS or
other nationally recognized courier service or, if the Beneficiary has consented
to distribution through electronic media, by e-mail or other electronic means.
Any materials required or permitted to be mailed to the Beneficiary under this
Agreement may be mailed together with any other materials, notices or other
communications to be sent to the Beneficiary hereunder.

           Section 11.5. Governing Law. THIS AGREEMENT SHALL BE GOVERNED BY AND
CONSTRUED IN ACCORDANCE WITH THE LAW OF THE STATE OF NEW YORK WITHOUT GIVING
EFFECT TO ITS PRINCIPLES OR RULES OF CONFLICTS OF LAWS TO THE EXTENT SUCH
PRINCIPLES OR RULES WOULD REQUIRE OR PERMIT THE APPLICATION OF THE LAWS OF
ANOTHER STATE.

           Section 11.6. Waivers. No course of conduct shall constitute a waiver
of any of the terms and conditions of this Agreement, unless such waiver is
specified in writing, and then only to the extent so specified. A waiver of any
of the terms and conditions of this Agreement on one occasion shall not
constitute a waiver of the other terms of this Agreement, or of such terms and
conditions on any other occasion. Notwithstanding any other provision hereof,
consent to an alteration or modification of this Agreement may not be signed by
means of an e-mail address.

                                      19
<PAGE>

           Section 11.7. Reproduction of Documents. This Agreement and all
documents thereto, including, without limitation, (a) consents, waivers and
modifications which may hereafter be executed, and (b) certificates and other
information previously or hereafter maybe reproduced by any photographic,
photostatic, microfilm, optical disk, microcard, miniature photographic or other
similar process. The parties agree that any such reproduction shall be
admissible in evidence as the original itself in any judicial or administrative
proceeding, whether or not the original is in existence and whether or not such
reproduction was made by a party in the regular course of business, and that any
enlargement, facsimile or further reproduction of such reproduction shall
likewise be admissible in evidence.

           Section 11.8. Dispute Resolution. It is understood and agreed that,
should any dispute arise with respect to the delivery, ownership, right of
possession, and/or disposition of the Trust Assets, or should any claim be made
upon the Trustee or the Trust Assets by a third party, the Trustee upon receipt
of notice of such dispute or claim is authorized and shall be entitled (at its
sole option and election) to retain in its possession without liability to
anyone, all or any of said Trust Assets until such dispute shall have been
settled either by the mutual written agreement of the parties involved or by a
final order, decree or judgment of a court in the United States of America, the
time for perfection of an appeal of such order, decree or judgment having
expired. The Trustee may, but shall be under no duty whatsoever to, institute or
defend any legal proceedings which relate to the Trust Assets.

           Section 11.9. Consent to Jurisdiction and Service.

           (a) In connection with any action or proceeding to which the Trustee
      is a party (other than an action or proceeding in the nature of an
      interpleader action in which the Trustee is acting solely as a
      stakeholder), each of the parties hereto hereby absolutely and irrevocably
      consents and submits to the jurisdiction of the courts located in the
      Commonwealth of Massachusetts, and of any Federal court located in said
      Commonwealth in connection with any actions or proceedings arising out of
      or relating to this Agreement.

           (b) In connection with any action or proceeding other than those
      described in paragraph (a), each of the parties hereto hereby absolutely
      and irrevocably consents and submits to the jurisdiction of the courts
      located in the State of New York, and of any Federal court located in said
      State in connection with any actions or proceedings arising out of or
      relating to this Agreement.

           (c) In such action or proceeding, the parties hereto each hereby
      absolutely and irrevocably (i) waives any objection to jurisdiction or
      venue specified in this Section, (ii) waives personal service of any
      summons, complaint, declaration or other process, and (iii) agrees that
      the service thereof may be made by certified or registered first-class
      mail directed to such party, as the case may be at their respective
      addresses set forth in Section 11.3, or in the case of the Beneficiary in
      accordance with the records maintained by the Trustee.

           Section 11.10. Waiver of Jury Trial. THE TRUSTEE AND SETTLOR AND EACH
BENEFICIARY HEREBY WAIVE A TRIAL BY JURY OF ANY AND ALL ISSUES

                                       20
<PAGE>

ARISING IN ANY ACTION OR PROCEEDING BETWEEN THEM OR THEIR SUCCESSORS OR ASSIGNS,
UNDER OR IN CONNECTION WITH THIS AGREEMENT OR ANY OF ITS PROVISIONS OR ANY
NEGOTIATIONS IN CONNECTION HEREWITH.

           Section 11.11. Force Majeure. The Trustee shall not be responsible
for delays or failures in performance beyond its control. Such acts shall
include but not be limited to acts resulting from acts of God, strikes,
lockouts, riots, acts of war, epidemics, governmental regulations superimposed
after the fact, fire, communication line failures, computer viruses, power
failures, earthquakes or other disasters.

           Section 11.12. Counterparts. This Agreement may be executed in two or
more counterparts, each of which shall be deemed an original, but all of which
together shall constitute one and the same instrument.

           Section 11.13. Entire Agreement. This Agreement contains the entire
agreement among the parties hereto regarding the subject matter of this
Agreement. This Agreement supersedes all prior agreements, representations,
warranties, statements, promises, information, arrangements and understandings,
whether oral or written, express or implied, with respect to the subject matter,
all of which are specifically integrated into this Agreement. No party hereto
shall be bound by or charged with any oral or written agreements,
representations, warranties, statements, promises, information, arrangements or
understandings, express or implied, not specifically set forth herein; and the
parties hereto further acknowledge and agree that in entering into this
Agreement they have not in any way relied and will not rely in any way on any of
the foregoing not specifically set forth herein.

           Section 11.14. Descriptive Headings. The descriptive headings of the
several sections of this Agreement are inserted for convenience only and shall
not control or affect the meaning or construction of any of the provisions
hereof.

           Section 11.15. Severability. In the event that any one or more of the
provisions contained in this Agreement or in any other instrument referred to
herein, shall, for any reason, be held to be invalid, illegal or unenforceable
in any respect, then to the maximum extent permitted by law, such invalidity,
illegality or unenforceability shall not affect any other provision of this
Agreement or any other such instrument. Furthermore, in lieu of any such invalid
or unenforceable term or provision, the parties hereto intend that there shall
be added as a part of this Agreement a provision as similar in terms to such
invalid or unenforceable provision as may be possible and be valid and
enforceable.

                                       21
<PAGE>

           IN WITNESS WHEREOF, the parties hereto have caused this Agreements to
be executed as of the date first written above.

                    VENCOR, INC.

                    By:  /s/ Richard A. Schweinhart
                         --------------------------------------------------
                         Name: Richard A. Schweinhart
                         Title: Senior Vice President & Chief Financial Officer

                    VENTAS, INC.

                    By:   /s/ T. Richard Riney
                          -------------------------------------------------
                          Name: T. Richard Riney
                          Title: Executive Vice President and General Counsel

                    STATE STREET BANK AND TRUST
                    COMPANY, N.A., not in its individual capacity but
                    solely as Trustee

                    By:    /s/ Arthur J. MacDonald
                           --------------------------------------------------
                           Name: Arthur J. MacDonald
                           Title: Vice President

                                       22
<PAGE>

COMMONWEALTH OF KENTUCKY   )

                  :ss.:

COUNTY OF          Jefferson),

           On the 20/th/ day of April , 2001, before me personally appeared
                  ------        -----
Richard A. Schweinhart , personally own to me or proved to me on the basis of
----------------------
satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that she/he executed the same in
her/his capacity and that by her/his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed
the instrument, and that such individual made such appearance before the
undersigned in the City of Louisville, Commonwealth of Kentucky.

                                             /s/ Peggy Black
                                             ----------------------------------
                                             Notary Public
                                             My Commission expires 8/22/2003

                                       23
<PAGE>

COMMONWEALTH OF KENTUCKY   )

                  :ss.:

COUNTY OF        Jefferson),

           On the 20/th/ day of April , 2001, before me personally appeared T.
                  ------        -----                                       --
Richard Kiney , personally own to me or proved to me on the basis of
-------------
satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that she/he executed the same in
her/his capacity and that by her/his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed
the instrument, and that such individual made such appearance before the
undersigned in the City of Louisville, Commonwealth of Kentucky.

                                         /s/ Kimberly Toben
                                         ----------------------------------
                                         Notary Public
                                         Notary Public, State at Large, KY
                                         My Commission expires June 2, 2001
<PAGE>

COMMONWEALTH OF KENTUCKY   )

                  :ss.:

COUNTY OF        SUFFOLK          ),

           On the 20/th/ day of April , 2001, before me personally appeared
                  ------        -----
Arthur J. MacDonald , personally own to me or proved to me on the basis of
-------------------
satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that she/he executed the same in
her/his capacity and that by her/his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed
the instrument, and that such individual made such appearance before the
undersigned in the City of Louisville, Commonwealth of Kentucky.

                                          /s/ Andrea Muller
                                          -------------------------------------
                                          Notary Public
                                          My Commission Expires April 12, 2002<PAGE>

                                                                   Exhibit 10.11
================================================================================

                                 MASTER LEASE

                     HEALTH CARE PROPERTY INVESTORS, INC.
                                      and
                        HEALTH CARE PROPERTY PARTNERS,

                            collectively, as Lessor

                                      AND

                     KINDRED NURSING CENTERS EAST, L.L.C.,
                     KINDRED NURSING CENTERS WEST, L.L.C.
                                      and
                 KINDRED NURSING CENTERS LIMITED PARTNERSHIP,

                            collectively, as Lessee

                           Dated as of May 16, 2001

================================================================================
<PAGE>

                               TABLE OF CONTENTS
                               -----------------

<TABLE>
<CAPTION>
                                                                            Page
                                                                            ----
<S>                                                                         <C>
ARTICLE I.................................................................     1
     1.   Leased Property; Term...........................................     1

ARTICLE II................................................................     2
     2.   Definitions.....................................................     2

ARTICLE III...............................................................    13
     3.1  Rent............................................................    13
     3.2  Additional Charges..............................................    15
     3.3  Late Payment of Rent............................................    16
     3.4  Net Lease.......................................................    16

ARTICLE IV................................................................    16
     4.1  Payment of Impositions..........................................    16
     4.2  Notice of Impositions...........................................    17
     4.3  Adjustment of Impositions.......................................    17
     4.4  Utility Charges.................................................    18
     4.5  Insurance Premiums..............................................    18

ARTICLE V.................................................................    18
     5.1  No Termination, Abatement, etc..................................    18
     5.2  Abatement Procedures............................................    18

ARTICLE VI................................................................    19
     6.1  Ownership of the Leased Property................................    19
     6.2  Lessee's Personal Property......................................    19
     6.3  Transfer of Capital Additions to Lessor.........................    19
     6.4  Option to Purchase Lessee's Personal Property...................    20

ARTICLE VII...............................................................    20
     7.1  Condition of the Leased Property of each Facility...............    20
     7.2  Use of the Leased Property......................................    21
     7.3  Lessor to Grant Easements, etc..................................    25
     7.4  Preservation of Facility Values.................................    25
     7.5  No Guarantee by Lessee of Profitability of Value................    26

ARTICLE VIII..............................................................    26
     8.1  Compliance with Legal and Insurance Requirements, Instruments,
          etc.............................................................    26

ARTICLE IX................................................................    26
     9.1  Maintenance and Repair..........................................    26
</TABLE>

                                       i
<PAGE>

<TABLE>
     <S>                                                                     <C>
     9.2   Encroachments, Restrictions, etc...............................   28
     9.3   Repairs and Refurbishment......................................   28
     9.4   Capital Allowance for Oshkosh, WI Facility.....................   28

ARTICLE X.................................................................   29
     10.1  Construction of Capital Additions and Other Alterations to the
           Leased Property................................................   29
     10.2  Requirements for Alterations and Capital Additions.............   30

ARTICLE XI................................................................   31
     11.   Liens..........................................................   31

ARTICLE XII...............................................................   31
     12.   Permitted Contests.............................................   31

ARTICLE XIII..............................................................   32
     13.1  General Insurance Requirements.................................   32
     13.2  Replacement Cost...............................................   34
     13.3  Additional Insurance...........................................   34
     13.4  Waiver of Subrogation..........................................   34
     13.5  Form Satisfactory, etc.........................................   35
     13.6  Increase in Limits.............................................   35
     13.7  Blanket Policy.................................................   35
     13.8  No Separate Insurance..........................................   36

ARTICLE XIV...............................................................   36
     14.1  Insurance Proceeds.............................................   36
     14.2  Reconstruction in the Event of Damage or Destruction Covered
           by Insurance...................................................   36
     14.3  Reconstruction in the Event of Damage or Destruction Not
           Covered by Insurance...........................................   38
     14.4  Lessee's Property..............................................   38
     14.5  Restoration of Lessee's Property...............................   38
     14.6  Abatement of Rent..............................................   38
     14.7  Waiver.........................................................   38

ARTICLE XV................................................................   38
     15.   Condemnation...................................................   38
     15.1  Parties' Rights and Obligations................................   38
     15.2  Total Taking...................................................   38
     15.3  Partial Taking.................................................   39
     15.4  Restoration; No Effect on Other Facilities.....................   39
     15.5  Award - Distribution...........................................   39
     15.6  Temporary Taking...............................................   39
</TABLE>

                                      ii
<PAGE>

<TABLE>
<S>                                                                          <C>
ARTICLE XVI................................................................  40
     16.1  Events of Default...............................................  40
     16.2  Certain Remedies................................................  42
     16.3  Damages.........................................................  43
     16.4  Lessee's Obligation to Purchase.................................  44
     16.5  Waiver..........................................................  44
     16.6  Application of Funds............................................  45
     16.7  [Intentionally Omitted].........................................  45
     16.8  [Intentionally Omitted].........................................  45

ARTICLE XVII...............................................................  45
     17.   Lessor's Right to Cure Lessee's Default.........................  45

ARTICLE XVIII..............................................................  45
     18.   Provisions Relating to Purchase of Leased Property..............  45

ARTICLE XIX................................................................  46
     19.1  Renewal Terms...................................................  46
     19.2  Lessor's Rights of Short-Term Renewal...........................  48
     19.3  Early Termination of a Facility by Reason of Economic
           Discontinuance on the Leased Property...........................  50

ARTICLE XX.................................................................  51
     20.   Holding Over....................................................  51

ARTICLE XXI................................................................  51
     21.   Memorandum of Lease.............................................  51

ARTICLE XXII...............................................................  52
     22.   Sale of Real Estate Assets......................................  52

ARTICLE XXIII..............................................................  52
     23.   Risk of Loss....................................................  52

ARTICLE XXIV...............................................................  52
     24.   General Indemnification.........................................  52

ARTICLE XXV................................................................  53
     25.   Transfers.......................................................  53
     25.1  Prohibition.....................................................  53
     25.2  Consent.........................................................  54
     25.3  Attornment and Related Matters..................................  54
     25.4  Assignment of Lessee's Rights Against Occupant Under a Master
           Sublease........................................................  55
     25.5  Costs...........................................................  55
     25.6  No Release of Lessee's or Guarantor's Obligations...............  56
     25.7  REIT Protection.................................................  56
</TABLE>

                                      iii
<PAGE>

<TABLE>
<S>                                                                          <C>
     25.8  [Intentionally Omitted].........................................  56
     25.9  Public Offering/Public Trading..................................  56
     25.10 Reasonable Consents for Master Subleases under Certain
           Circumstances...................................................  57
     25.11 Certain Permitted Transfers.....................................  57

ARTICLE XXVI...............................................................  59
     26.   Officer's Certificates and Financial Statements.................  59
     26.1  Officer's Certificate...........................................  59
     26.2  Statements......................................................  60

ARTICLE XXVII..............................................................  62
     27.   Lessor's Right to Inspect.......................................  62

ARTICLE XXVIII.............................................................  62
     28.   No Waiver.......................................................  62

ARTICLE XXIX...............................................................  62
     29.   Remedies Cumulative.............................................  62

ARTICLE XXX................................................................  62
     30.   Acceptance of Surrender.........................................  62

ARTICLE XXXI...............................................................  62
     31.   No Merger of Title..............................................  62

ARTICLE XXXII..............................................................  63
     32.1  Conveyance by Lessor............................................  63
     32.2  New Lease.......................................................  63

ARTICLE XXXIII.............................................................  64
     33.   Quiet Enjoyment.................................................  64

ARTICLE XXXIV..............................................................  65
     34.   Notices.........................................................  65

ARTICLE XXXV...............................................................  66
     35.   Appraisers......................................................  66

ARTICLE XXXVI..............................................................  67
     36.   Attorneys' Fees.................................................  67

ARTICLE XXXVII.............................................................  67
     37.   Hazardous Substances............................................  67
     37.1  Prohibition.....................................................  67
     37.2  Notices.........................................................  67
     37.3  Remediation.....................................................  68
     37.4  Environmental Inspection........................................  68
</TABLE>

                                      iv
<PAGE>

<TABLE>
<S>                                                                          <C>
ARTICLE XXXVIII............................................................  68
     38.1  Lessor May Grant Liens..........................................  68
     38.2  Lessee's Right to Cure..........................................  69
     38.3  Breach by Lessor................................................  69

ARTICLE XXXIX..............................................................  70
     39.   Submission to Arbitration.......................................  70
     39.1  General Provisions..............................................  70
     39.2  Exceptions......................................................  70

ARTICLE XL.................................................................  71
     40.   Miscellaneous...................................................  71
     40.1  Authority.......................................................  71
     40.2  Brokers.........................................................  71
     40.3  Survival........................................................  71
     40.4  Severability....................................................  72
     40.5  Non-Recourse....................................................  72
     40.6  Transition of Operations........................................  72
     40.7  Successors and Assigns..........................................  74
     40.8  Termination Date................................................  74
     40.9  Governing Law...................................................  75
     40.10 Waiver of Trial by Jury.........................................  75
     40.11 Lessee Counterclaim and Equitable Remedies......................  76
     40.12 Entire Agreement................................................  76
     40.13 Headings........................................................  77
     40.14 Counterparts....................................................  77
     40.15 Joint and Several...............................................  77
     40.16 Interpretation..................................................  77
     40.17 Time of Essence.................................................  77

ARTICLE XLI................................................................  77
     41.   Replacement Lease and Termination of Old Leases.................  77

ARTICLE XLII...............................................................  78
     42.   Provisions Relating to Master Lease.............................  78

ARTICLE XLIII..............................................................  78
     43.1  Letters of Credit...............................................  78
     43.2  Times for Obtaining Letters of Credit...........................  79
     43.3  Amounts for Letters of Credit...................................  79
     43.4  Uses of Letters of Credit.......................................  79
     43.5  Release of Letter of Credit.....................................  80
</TABLE>

                                       v
<PAGE>

                               LIST OF EXHIBITS
                               ----------------

Exhibit A-1     -   Legal Description of the Land of the Bolivar, Tennessee
                    Facility (Facility No. 0171)
Exhibit A-2     -   Legal Description of the Land of the Camden, Tennessee
                    Facility (Facility No. 0174)
Exhibit A-3     -   Legal Description of the Land of the Jefferson City,
                    Tennessee Facility (Facility No. 0175)
Exhibit A-4     -   Legal Description of the Land of the Loudon, Tennessee
                    Facility (Facility No. 0177)
Exhibit A-5     -   Legal Description of the Land of the Memphis, Tennessee
                    Facility (Facility No. 0178)
Exhibit A-6     -   Legal Description of the Land of the Huntingdon, Tennessee
                    Facility (Facility No. 0179)
Exhibit A-7     -   Legal Description of the Land of the Ripley, Tennessee
                    Facility (Facility No. 0183)
Exhibit A-8     -   Legal Description of the Land of the Blountville Tennessee
                    Facility (Facility No. 0184)
Exhibit A-9     -   Legal Description of the Land of the Maryville, Tennessee
                    Facility (Facility No. 0187)
Exhibit A-10    -   Legal Description of the Land of the Maryville, Tennessee
                    Facility (Facility No. 0189)
Exhibit A-11    -   Legal Description of the Land of the Newark, Ohio Facility
                    (Facility No. 0237)
Exhibit A-12    -   Legal Description of the Land of the Vincennes, Indiana
                    Facility (Facility No. 0287)
Exhibit A-13    -   Legal Description of the Land of the Mayfield, Kentucky
                    Facility (Facility No. 0271)
Exhibit A-14    -   Legal Description of the Land of the Whitehouse, Ohio
                    Facility (Facility No. 0295)
Exhibit A-15    -   Legal Description of the Land of the Marion, Ohio Facility
                    (Facility No. 0870)
Exhibit A-16    -   Legal Description of the Land of the Kansas City, Missouri
                    Facility (Facility No. 0861)
Exhibit A-17    -   Legal Description of the Land of the Denver, Colorado
                    Facility (Facility No. 0849)
Exhibit A-18    -   Legal Description of the Land of the Fairhaven,
                    Massachusetts Facility (Facility No. 0531)
Exhibit A-19    -   Legal Description of the Land of the West Roxbury,
                    Massachusetts Facility (Facility No. 0540)
Exhibit A-20    -   Legal Description of the Land of the Livermore, California
                    Facility (Facility No. 0205)
Exhibit A-21    -   Legal Description of the Land of the Oshkosh, Wisconsin
                    Facility (Facility No. 0197)
Exhibit A-22    -   Legal Description of the Land of the Westborough,
                    Massachusetts Facility (Facility No. 0541)
Exhibit B       -   List of Facilities, Facility Groups, Number of Licensed and
                    Operating Beds for Each Facility and Initial Annual and
                    Monthly Allocated Minimum Rent for the Facilities
Exhibit C       -   Form of Guaranty of Obligations
Exhibit D-1     -   Description of Building Condition Reports for Each Facility
Exhibit D-2     -   Certain Repair/Refurbishment Work Previously Completed or
                    Which Need Not be Completed Prior to the Refurbishment
                    Completion Date
Exhibit E       -   Form of Irrevocable Standby Letter of Credit

                                      vi
<PAGE>

MASTER LEASE

          THIS MASTER LEASE ("Lease") is dated as of the 16/th/ day of May, 2001
(the "Effective Date"), and is between HEALTH CARE PROPERTY INVESTORS, INC., a
Maryland corporation ("HCPI"), and HEALTH CARE PROPERTY PARTNERS, a California
general partnership ("HCPP") (collectively and jointly and severally, "Lessor"),
and KINDRED NURSING CENTERS EAST, L.L.C., a Delaware limited liability company,
KINDRED NURSING CENTERS WEST, L.L.C., a Delaware limited liability company,
KINDRED NURSING CENTERS LIMITED PARTNERSHIP, a Delaware limited partnership
(collectively, and jointly and severally, "Lessee").

                                  ARTICLE I.

          1.   Leased Property; Term.
               ---------------------

          Upon and subject to the terms and conditions hereinafter set forth,
including satisfaction of the condition set forth in Article XLIII below, Lessor
leases to Lessee and Lessee rents from Lessor all of Lessor's rights and
interest in and to the following with respect to each Facility (as defined
below) (collectively, and together with any future Capital Additions whether
paid for or financed by Lessor or Lessee, the "Leased Property"):

               (i)   the real property described in Exhibit A attached hereto
                                                    ---------
     and incorporated herein by this reference of each such Facility (the
     "Land"),

               (ii)  all buildings, structures, Fixtures (as hereinafter
     defined) and other improvements of every kind including all alleyways and
     connecting tunnels, sidewalks, utility pipes, conduits and lines (on-site
     and off-site to the extent Lessor has obtained any interest in the same),
     parking areas and roadways appurtenant to such buildings and structures
     presently situated upon the Land of each such Facility (collectively, the
     "Leased Improvements"),

               (iii) all easements, rights and appurtenances relating to the
     Land and the Leased Improvements of each such Facility (with respect to
     each such Facility, collectively, the "Related Rights"), and

               (iv)  all permanently affixed equipment, machinery, fixtures, and
     other items of real and/or personal property, including all components
     thereof, now and hereafter located in, on or used in connection with, and
     permanently affixed to or incorporated into the Leased Improvements of each
     such Facility, including all furnaces, boilers, heaters, electrical
     equipment, heating, plumbing, lighting, ventilating, refrigerating,
     incineration, air and water pollution control, waste disposal, air-cooling
     and air-conditioning systems and apparatus, sprinkler systems and fire and
     theft protection equipment, and built-in oxygen and vacuum systems, all of
     which to the greatest extent permitted by law are hereby deemed by the
     parties hereto to constitute real estate, together with all replacements,
     modifications, alterations and additions thereto, but

                                       1
<PAGE>

     specifically excluding all items included within the category of Lessee's
     Personal Property as defined below (collectively the "Fixtures").

          SUBJECT, HOWEVER, to the easements, encumbrances, covenants,
conditions and restrictions and other matters which affect the Leased Property
of each Facility as of the date hereof or the Commencement Date (as defined
below) or which are created thereafter as permitted hereunder (collectively with
respect to the Leased Property of each Facility, the "Permitted Exceptions"), to
have and to hold for (1) a fixed term (the "Fixed Term") commencing on the
Commencement Date (as defined below) and ending at midnight on the applicable
Expiration Date (as defined below), and (2) the Extended Terms provided for in
Article XIX, unless this Lease is earlier terminated as hereinafter provided.

                                  ARTICLE II.

          2.   Definitions.  For all purposes of this Lease, except as otherwise
expressly provided or unless the context otherwise requires, (i) the terms
defined in this Article have the meanings assigned to them in this Article and
include the plural as well as the singular; (ii) all accounting terms not
otherwise defined herein have the meanings assigned to them in accordance with
GAAP as at the time applicable; (iii) all references in this Lease to designated
"Articles," "Sections" and other subdivisions are to the designated Articles,
Sections and other subdivisions of this Lease; (iv) the word "including" shall
have the same meaning as the phrase "including, without limitation," and other
similar phrases; and (v) the words "herein," "hereof" and "hereunder" and other
words of similar import refer to this Lease as a whole and not to any particular
Article, Section or other subdivision:

          AAA:  As defined in Article XXXIX.

          Additional Charges:  As defined in Article III.

          Affiliate:  Any Person which, directly or indirectly (including
through one or more intermediaries), Controls or is Controlled By or is Under
Common Control With any other Person, including any Subsidiary of a Person.
Without limiting the generality of the foregoing, when used with respect to any
corporation, the term "Affiliate" shall also include (i) any Person which owns,
directly or indirectly (including through one or more intermediaries), Fifty
Percent (50%) or more of any class of voting security or equity interests of
such corporation, (ii) any Subsidiary of such corporation and (iii) any
Subsidiary of a Person described in clause (i).

          Aggregate Allowed Costs of the HVAC Improvements:  As defined in
Section 9.4.

          Allocated Minimum Rent:  With respect to each Facility, the amount of
Minimum Rent allocated to such Facility as determined by Section 3.1 and Exhibit
B attached hereto (or any replacement to Exhibit B for any applicable Extended
Term as provided in Section 3.1(b) below), as the same shall be increased each
applicable Lease Year by the Minimum Rent Increase Amount pursuant to Section
3.1(c) below.

                                       2
<PAGE>

          Award:  All compensation, sums or anything of value awarded, paid or
received on a total or partial Condemnation.

          Bankruptcy Code:  The United Stated Bankruptcy Code (11 U.S.C. (S) 101
et seq.), and any successor statute or legislation thereto.

          Bankruptcy Plan:  That certain Fourth Amended Joint Plan Of
Reorganization of Vencor, Inc. And Affiliated Debtors Under Chapter 11 Of The
Bankruptcy Code dated as of December 14, 2000, filed on December 14, 2000 at
docket no. 4031 in the United States Bankruptcy Court for the District of
Delaware in the cases known as In re: Vencor, Inc., et al., Case Nos. 99-3199
(MFW) through 99-3327 (MFW), as confirmed by such Bankruptcy Court by Order
dated March 16, 2001, filed on March 16, 2001 at docket no. 5975.

          BLS:  Bureau of Labor Statistics, U.S. Department of Labor.

          Building Condition Reports:  With respect to each Facility, the
Building Condition Report for such Facility described on Exhibit D-1 attached
hereto and incorporated herein by this reference.

          Business Day:  Each Monday, Tuesday, Wednesday, Thursday and Friday
which is not a day on which national banks in the City of New York, New York are
authorized, or obligated, by law or executive order, to close.

          Capital Additions:  With respect to any Facility, one or more new
buildings, or one or more additional structures annexed to any portion of any of
the Leased Improvements of such Facility, which are constructed on any parcel or
portion of the Land of such Facility, during the Term, including the
construction of a new wing or new story, or the repair, replacement,
restoration, remodeling or rebuilding of the existing Leased Improvements of
such Facility or any portion thereof where the purpose and effect of such work
is to provide a functionally new facility in order to provide services not
previously offered in the Leased Improvements of such Facility.

          Capital Allowance:  As defined in Section 9.4.

          Change of Control:  With respect to any Person other than Kindred
Healthcare, Inc., (i) any sale, conveyance, assignment, transfer or disposition
of any stock or partnership, membership or other interests (whether equity or
otherwise) in such Person, (ii) any dissolution, merger or consolidation of such
Person with any other Person, or (iii) any other transaction involving such
Person, which in the case of any such transaction described in clauses (i)
through (iii) above following consummation thereof results in a change of
Control of such Person; provided, however, that a Change of Control of Lessee
shall not be deemed to have occurred if Kindred Healthcare, Inc. shall remain
the ultimate Controlling Person of Lessee.

          Change of Control of Kindred Healthcare, Inc.:  With respect to
Kindred Healthcare, Inc. (only) and notwithstanding the definition of "Change of
Control" set forth above, any transaction resulting in the acquisition of the
beneficial ownership (within the meaning of Rule 13d-3 promulgated by the United
States Securities and Exchange Commission

                                       3
<PAGE>

under the Securities Exchange Act) of more than Fifty Percent (50%) of the
outstanding shares of common stock of Kindred Healthcare, Inc. by any Person or
group of Persons (within the meaning of Section 13 or 14 of said Act) (other
than by any Person which has acquired or will acquire shares of common stock of
Kindred Healthcare, Inc. pursuant to the Bankruptcy Plan (an "Excluded Person")
or any group of Persons of which Excluded Persons have majority interest); or,
during any period of twenty-four (24) consecutive calendar months, a change in
the members of the board of directors of Kindred Healthcare, Inc. such that
individuals who were members of such board on the first (1/st/) day of such
period (together with any new directors whose election or appointment by such
members or whose nomination for election by the shareholders of Kindred
Healthcare, Inc. was approved by a vote of a majority of the directors then
still in office who were either directors at the beginning of such period or
whose election or nomination for election was previously so approved) shall
cease to constitute a majority of such board.

          Code:  The Internal Revenue Code of 1986, as amended.

          Commencement Date:  August 1, 2001.

          Commercial Occupancy Arrangement:  Any commercial (as opposed to
resident or patient) Occupancy Arrangement.

          Condemnation:  The exercise of any governmental power, whether by
legal proceedings or otherwise, by a Condemnor or a voluntary sale or transfer
by Lessor to any Condemnor, either under threat of Condemnation or while legal
proceedings for Condemnation are pending.

          Condemnor:  Any public or quasi-public authority, or private
corporation or individual, having the power of Condemnation.

          Consolidated Financials:  For any fiscal year or other accounting
period for any Person and its consolidated Subsidiaries, statements of earnings
and retained earnings and of changes in financial position for such period and
for the period from the beginning of the respective fiscal year to the end of
such period and the related balance sheet as of the end of such period, together
with the notes thereto, all in reasonable detail and setting forth in
comparative form the corresponding figures for the corresponding period in the
preceding fiscal year, and prepared in accordance with GAAP.

          Consolidated Net Worth:  At any time, (i) with respect to any Person
that is a corporation, the consolidated shareholders' equity of such Person and
its consolidated Subsidiaries, and (ii) with respect to any other form of
business entity, the partners' or members' capital/equity or equivalent of such
Person and its consolidated Subsidiaries, in each case determined on a
consolidated basis determined in accordance with GAAP.

          Control, Controlled By or Under Common Control With:  With respect to
any Person, shall mean the possession, directly or indirectly (including through
one or more intermediaries), of the power to direct or cause the direction of
the management and policies of

                                       4
<PAGE>

such Person, through the ownership or control of voting securities, partnership
interests or other equity interests or otherwise.

          Controlling Person:  Any (i) Person(s) which, directly or indirectly
(including through one or more intermediaries), Controls Lessee and would be
deemed an Affiliate of Lessee, including any partners, shareholders, principals,
members, trustees and/or beneficiaries of any such Person(s) to the extent the
same Control Lessee and would be deemed an Affiliate of Lessee, and (ii)
Person(s) which Controls, directly or indirectly (including through one or more
intermediaries), any other Controlling Person(s) and which would be deemed an
Affiliate of any such Controlling Person(s), in each case excluding any
Controlling Person(s) of Kindred Healthcare, Inc.

          Cost of Living Index:  The Consumer Price Index for All Urban
Consumers, U.S. City Average (1982-1984 = 100), published by the BLS, or such
other renamed index.  If the BLS changes the publication frequency of the Cost
of Living Index so that a Cost of Living Index is not available to make a cost-
of-living adjustment as specified herein, the cost-of-living adjustment shall be
based on the percentage difference between the Cost of Living Index for the
closest preceding month for which a Cost of Living Index is available and the
Cost of Living Index for the comparison month as required by this Lease.  If the
BLS changes the base reference period for the Cost of Living Index from 1982-84
= 100, the cost-of-living adjustment shall be determined with the use of such
conversion formula or table as may be published by the BLS.  If the BLS
otherwise substantially revises, or ceases publication of the Cost of Living
Index, then a substitute index for determining cost-of-living adjustments,
issued by the BLS or by a reliable governmental or other nonpartisan
publication, shall be reasonably selected by Lessor and Lessee.

          CPR:  As defined in Article XXXIX.

          Date of Taking:  The date the Condemnor has the right to possession of
the property being Condemned.

          Debt:  With respect to any Person at any time, the total debt of such
Person as determined in accordance with GAAP and reflected in such Person's then
current consolidated balance sheet, plus the product of (i) eight (8), times
(ii) the annual rent expense under all leases which are NOT required to be
capitalized in accordance with GAAP to which such Person or its consolidated
Subsidiaries are a party for the immediately prior twelve (12) month period.
For purposes of the foregoing, the term "rent expense" shall mean and include
all base rent, minimum rent and other rent expense under any such lease other
than rent in the nature of Impositions or Additional Charges (as such terms are
defined and used in this Lease) or in the nature of common area or similar
maintenance or operating expenses.

          Debt Ratio:  With respect to any Person for any period, the ratio of
Debt to EBITDAR of such Person for such period; provided, however, that with
respect to any newly formed Person, Debt and EBITDAR for purposes of calculating
Debt Ratio shall be determined on the basis of historical proforma financial
statements prepared in accordance with GAAP.

                                       5
<PAGE>

          Deemed Approved Permitted Exceptions:  With respect to the Leased
Property of any Facility, all Permitted Exceptions with respect to such Facility
which were either (i) in effect as of the date that Lessor or its Affiliate
first acquired title to such Facility or (ii) created, suffered or consented to
by Lessee, any prior lessee of such Facility under the applicable Old Lease with
respect thereto, or any Affiliate of either.

          Deferral Period:  As defined in Article III.

          Deferred Rent:  As defined in Article III.

          EBITDAR:  With respect to any Person at any time, such Person's
earnings before interest, taxes, depreciation, amortization and rents for the
immediately prior twelve (12) month period, as determined in accordance with the
customary methods, procedures and accounting principles from time to time used
in the health care industry.

          Economic Termination Purchase Date:  As defined in Section 19.3.

          Effective Date:  As defined in the Preamble of this Lease.

          Environmental Laws:  Environmental Laws shall mean any and all
federal, state, municipal and local laws, statutes, ordinances, rules,
regulations, guidances, policies, orders, decrees, judgments, whether statutory
or common law, as amended from time to time, now or hereafter in effect, or
promulgated, pertaining to the environment, public health and safety and
industrial hygiene, including the use, generation, manufacture, production,
storage, release, discharge, disposal, handling, treatment, removal,
decontamination, clean-up, transportation or regulation of  any Hazardous
Substance, including the Clean Air Act, the Clean Water Act, the Toxic
Substances Control Act, the Comprehensive Environmental Response Compensation
and Liability Act, the Resource Conservation and Recovery Act, the Federal
Insecticide, Fungicide, and Rodenticide Act, the Safe Drinking Water Act and the
Occupational Safety and Health Act.

          Event of Default:  As defined in Article XVI.

          Expiration Date:  Subject to extension as provided in Section 19.1
below, the following:  (i) with respect to the Group 1 Facilities, July 31 2010;
(ii) with respect to the Group 2 Facilities, July 31, 2011; and (iii) with
respect to the Group 3 Facilities, July 31, 2012.

          Extended Terms:  As defined in Section 19.1.

          Facilities:  Each skilled nursing care facility currently being
operated on the applicable portion of the Leased Property as more particularly
described on Exhibit B attached hereto and incorporated herein by this reference
(each, a "Facility").

          Facility Mortgage:  As defined in Article XIII.

          Facility Mortgagee:  As defined in Article XIII.

          Facility Termination:  As defined in Section 40.6.

                                       6
<PAGE>

          Fair Market Rental:  With respect to each Facility, the fair market
rental value of the Leased Property of such Facility for the time period in
question determined in accordance with the appraisal procedures set forth in
Article XXXV or in such other manner as shall be mutually acceptable to Lessor
and Lessee.

          Fair Market Value:  With respect to each Facility, the fair market
value of the Leased Property of such Facility, including all Capital Additions,
and (a) assuming the same is unencumbered by this Lease, (b) determined in
accordance with the appraisal procedures set forth in Article XXXV or in such
other manner as shall be mutually acceptable to Lessor and Lessee, and (c) not
taking into account any reduction in value resulting from any indebtedness to
which the Leased Property of such Facility is subject except as expressly
provided hereinbelow.  In determining such Fair Market Value of the Leased
Property of each Facility the positive or negative effect on the value of the
Leased Property of such Facility attributable to the interest rate, amortization
schedule, maturity date, prepayment penalty and other terms and conditions of
any Fee Encumbrance which is not removed at or prior to the closing of the
transaction as to which such Fair Market Value determination is being made shall
be taken into account.

          Fair Market Value Midpoint Rental:  With respect to each Facility for
the first (1/st/) Lease Year of each Extended Term, that amount equal to the sum
of (i) the monthly Allocated Minimum Rent payable for such Facility for the last
Lease Year of the immediately preceding Term plus (ii) Fifty Percent (50%) of
the positive amount (if any) by which the then current monthly Fair Market
Rental for such Facility for the first (1/st/) Lease Year of such Extended Term
exceeds the monthly Allocated Minimum Rent payable for such Facility for the
last Lease Year of the immediately preceding Term.

          Fair Market Value Purchase Price:  At any given time, the Fair Market
Value of the Leased Property of a Facility.

          Fee Encumbrance:  As defined in Article XXXVIII.

          Fixed Term:  As defined in Article I.

          Fixtures:  As defined in Article I.

          GAAP:  Generally accepted accounting principles.

          Group 1 Facilities:  Each of those Facilities identified as a Group 1
Facility on Exhibit B attached hereto and incorporated herein by this reference.

          Group 2 Facilities:  Each of those Facilities identified as a Group 2
Facility on Exhibit B attached hereto and incorporated herein by this reference.

          Group 3 Facilities:  Each of those Facilities identified as a Group 3
Facility on Exhibit B attached hereto and incorporated herein by this reference.

          Guarantors:  Kindred Healthcare, Inc. and Kindred Operating, Inc., a
Delaware corporation (individually, a "Guarantor").

                                       7
<PAGE>

          Guaranty:  That certain Guaranty of Obligations in the form attached
hereto as Exhibit C to be executed and delivered by Guarantors concurrent with
Lessee's execution and delivery of this Lease.

          Hazardous Substances:  Collectively, any petroleum, petroleum product
or byproduct or any substance, material or waste regulated or listed pursuant to
any Environmental Law.

          HCPI:  Health Care Property Investors, Inc., a Maryland corporation,
and its successors and assigns.

          HCPP:  Health Care Property Partners, a California general
partnership, and its successors and assigns.

          HVAC:  As defined in Section 9.4.

          Impositions:  Collectively all taxes (including all capital stock and
franchise taxes of Lessor, all ad valorem, sales and use, single business, gross
receipts, transaction privileges, rent or similar taxes), assessments (including
all assessments for public improvements or benefits, whether or not commenced or
completed prior to the date hereof and whether or not to be completed within the
Term), ground rents, water, sewer or other rents and charges, excise tax levies,
fees (including license, permit, inspection, authorization and similar fees),
and all other governmental charges, in each case whether general or special,
ordinary or extraordinary, or foreseen or unforeseen, of every character in
respect of the Leased Property of any Facility and/or the Rent (including all
interest and penalties thereon due to any failure in payment by Lessee), which
at any time prior to, during or in respect of the Term hereof may be assessed or
imposed on or in respect of or be a lien upon (a) Lessor or Lessor's interest in
the Leased Property of any Facility, (b) the Leased Property or any part thereof
of any Facility or any rent therefrom or any estate, right, title or interest
therein, or (c) any occupancy, operation, use or possession of, or sales from,
or activity conducted on, or in connection with the Leased Property of any
Facility or the leasing or use of the Leased Property or any part thereof of any
Facility; provided, however, nothing contained in this Lease shall be construed
to require Lessee to pay (1) any tax based on net income (whether denominated as
a franchise or capital stock or other tax) imposed on Lessor or any other Person
or (2) any transfer, or net revenue tax of Lessor or any other Person except
Lessee and its permitted successors and assigns or (3) any tax imposed with
respect to the sale, exchange or other disposition by Lessor of any Leased
Property of any Facility or the proceeds thereof, or (4), except as expressly
provided elsewhere in this Lease, any principal or interest on any indebtedness
on the Leased Property of any Facility for which Lessor is the obligor or any
ground rents under any Fee Encumbrances imposed by Lessor after the Commencement
Date pursuant to Section 38.1, except to the extent that any tax, assessment,
tax levy or charge of the type described in clauses (1), (2), (3) or (4) above
is levied, assessed or imposed in lieu of or as a substitute for any tax,
assessment, tax levy or charge which is otherwise included in the definition of
"Impositions."

                                       8
<PAGE>

          Insurance Requirements:  All terms of any insurance policy required by
this Lease and all requirements of the issuer of any such policy and of any
insurance board, association, organization or company necessary for the
maintenance of any such policy.

          Initial Letter of Credit Delivery Date:  As defined in Article XLIII.

          Kindred Healthcare, Inc.:  Kindred Healthcare, Inc., a Delaware
corporation.

          Land:  With respect to each Facility, as defined in Article I.

          Lease:  As defined in the Preamble.

          Lease Year:  Each period of twelve (12) full calendar months from and
after the Commencement Date; provided, however, that the last Lease Year during
the Term may be a period of less than twelve (12) full calendar months and shall
end on the last day of the Term with respect to each Facility.

          Leased Improvements; Leased Property:  With respect to each Facility,
as defined in Article I.

          Legal Requirements:  With respect to each Facility:  (i) All federal,
state, county, municipal and other governmental statutes, laws (including common
law and Environmental Laws), rules, orders, regulations, ordinances, judgments,
decrees and injunctions affecting the Leased Property of such Facility, Lessee's
Personal Property or the construction, use or alteration thereof, whether now or
hereafter enacted and in force, including any which may (A) require repairs,
modifications or alterations in or to the Leased Property of such Facility, (B)
in any way adversely affect the use and enjoyment thereof, or (C) regulate the
transport, handling, use, storage or disposal or require the cleanup or other
treatment of any Hazardous Substance, (ii) all Permitted Exceptions (other than
Fee Encumbrances of Lessor) at any time in force affecting the Leased Property
of such Facility, and (iii) all permits, licenses and authorizations and
regulations relating thereto.

          Lessee:  Collectively, Kindred Nursing Care Centers East, L.L.C., a
Delaware limited liability company, Kindred Nursing Centers West, L.L.C., a
Delaware limited liability company, and Kindred Nursing Centers Limited
Partnership, a Delaware limited partnership, jointly and severally, and their
permitted successors and assigns.

          Lessee's Personal Property:  With respect to each Facility, all
machinery, equipment, furniture, furnishings, movable walls or partitions,
computers or trade fixtures or other personal property, and consumable inventory
and supplies, used or useful in Lessee's business on the Leased Property of such
Facility, including all items of furniture, furnishings, equipment, supplies and
inventory, except items, if any, included within the definition of Fixtures.

          Lessor:  Collectively, HCPI and HCPP, as their interests may appear.

          Letter of Credit Date:  As defined in Article XLIII.

                                       9
<PAGE>

          Master Management Engagement:  As defined in Article XXV.

          Master Sublease:  As defined in Article XXV.

          Material Asset Transfer:  With respect to any Person, (a) any sale,
conveyance, assignment or other transfer of all or substantially all the assets
of such Person or (b) any sale, conveyance, assignment or other transfer of any
assets of such Person if in the case of this clause (b), (i) the Consolidated
Net Worth of such Person immediately following such transaction is not at least
equal to Ninety Percent (90%) of the average Consolidated Net Worth of such
Person for the twelve (12) month period immediately prior to such transaction
and (ii) the Debt Ratio of such Person immediately following such transaction is
not equal to or less than the average Debt Ratio of such Person for the twelve
(12) month period immediately prior to such transaction.

          Medicaid:  A state program of medical aid established under Title XVII
of the Social Security Act of 1965, as amended, and any successor statute
thereof and any successor or replacement programs thereto or therefor.

          Medicare:  The federal program of medical care benefits provided under
Title XVII of the Social Security Act of 1965, as amended, and any successor
statute thereof and any successor or replacement programs thereto or therefor.

          Minimum Rent:  As defined in Article III (including all Deferred
Rent).

          Minimum Rent Increase Amount:  As defined in Article III.

          Minimum Repurchase Price:  With respect to the Leased Property of each
Facility as of any applicable date, that amount equal to nine (9) times the then
current annualized monthly Allocated Minimum Rent for such Facility; provided,
however, that (i) for purposes of Article XIV (only), the "Minimum Repurchase
Price" for the Leased Property of any Facility as of any applicable date shall
be that amount equal to eight (8) times the then current annualized monthly
Allocated Minimum Rent for such Facility and (ii) for purposes of Section 19.3
(only), the "Minimum Repurchase Price" for the Leased Property of any Facility
as of any applicable date shall be that amount equal to ten (10) times the then
current annualized monthly Allocated Minimum Rent for such Facility.

          New Lease:  As defined in Section 32.2

          New Lease Effective Date:  As defined in Section 32.2

          Occupancy Arrangement:  With respect to any Facility, any sublease,
license or other arrangement with a Person for the right to use, occupy or
possess any portion of the Leased Property of such Facility.

          Officer's Certificate:  A certificate of Lessee or Lessor, as the case
may be, signed by an officer authorized to so sign by its board of directors,
by-laws or other organizational documents.

                                      10
<PAGE>

          Old Leases:  As defined in Article XLI.

          Overdue Rate:  On any date, a rate equal to 2% above the Prime Rate,
but in no event greater than the maximum rate then permitted under applicable
law.

          Payment Date:  Any due date for the payment of the installments of
Minimum Rent or any other sums payable under this Lease.

          Permitted Exceptions:  With respect to the Leased Property of each
Facility, as defined in Article I.

          Person:  Any individual, corporation, partnership, joint venture,
association, joint stock company, limited liability company, trust,
unincorporated organization, government or any agency or political subdivision
thereof or any other form of entity.

          Primary Intended Use:  As defined in Section 7.2.2.

          Prime Rate:  On any date, a rate equal to the annual rate on such date
announced by the Bank of New York to be its prime, base or reference rate for
90-day unsecured loans to its corporate borrowers of the highest credit standing
but in no event greater than the maximum rate then permitted under applicable
law.  If the Bank of New York discontinues its use of such prime, base or
reference rate or ceases to exist, Lessor shall designate the prime, base or
reference rate of another state or federally chartered bank based in New York to
be used for the purpose of calculating the Prime Rate hereunder.

          Put Event:  With respect to any Facility, an Event of Default
hereunder (i.e., after any applicable notice and cure period provided for in
Section 16.1) arising out of any of the following at any time during the Term:

          (i)   Subject to Section 7.2.6 below, Lessee's failure to obtain and
maintain all licenses, authorizations, certifications and approvals needed to
use and operate the Leased Property of such Facility and all Capital Additions
thereon, for such Facility's Primary Intended Use in accordance with all Legal
Requirements and all Insurance Requirements including obtaining and maintaining
all applicable health care licenses, certificates of need and Medicare and/or
Medicaid certifications;

          (ii)  Subject to Section 7.2.6 below, Lessee's failure to use and
continuously operate or cause to be used and continuously operated the Leased
Property of such Facility and all improvements thereon for its Primary Intended
Use; and/or

          (iii) Lessee's failure to cure any material violation of any Legal
Requirements relating to any Hazardous Substances in, on, under or about the
Leased Property of such Facility or to effect any repair, closure,
detoxification, decontamination or other remediation required by any applicable
Legal Requirements with respect to any Hazardous Substances in, on, under or
about the Leased Property of such Facility.

                                      11
<PAGE>

Notwithstanding that Lessor and Lessee have specifically defined a "Put Event"
for the limited purpose of setting forth the circumstances under which Lessor
shall be entitled to the remedy set forth in Section 16.4 with respect to any
Facility, in no event shall this definition derogate the materiality of any
other Event of Default (including any Event of Default which does not constitute
a Put Event) or otherwise limit Lessor's rights and remedies upon the occurrence
of any such Event of Default, including those rights and remedies set forth in
Sections 16.2 or 16.3.

          Qualified Successor Operator:  As defined in Section 40.6.

          Refurbishment Work:  With respect to each Facility, as defined in
Section 9.3.

          Related Rights:  With respect to each Facility, as defined in Article
II.

          Renewal Groups:  Each of the Group 1 Facilities, the Group 2
Facilities and the Group 3 Facilities.

          Rent:  Collectively, the Minimum Rent (including all Deferred Rent)
and Additional Charges, all as defined in Article III.

          Responsible Lease Party:  As defined in Section 25.1.11.

          SEC:  Securities and Exchange Commission.

          Securities Act:  The Securities Act of 1933, as amended.

          Separated Property, Separated Properties:  As defined in Section 32.2.

          State:  With respect to each Facility, the State or Commonwealth in
which the Leased Property of such Facility is located.

          Subsidiaries:  Corporations, partnerships, limited liability
companies, business trusts or other legal entities with respect to which a
Person owns, directly or indirectly (including through one or more
intermediaries), more than Fifty Percent (50%) of the voting stock or
partnership, membership or other equity interest, respectively.

          Term:  Collectively, with respect to each Facility, the applicable
Fixed Term and any Extended Terms for such Facility, as the context may require,
unless earlier terminated pursuant to the provisions hereof.

          Title Problem:  As defined in Section 7.1.2.

          Unavoidable Delays:  Delays due to strikes, lockouts, inability to
procure materials, power failure, acts of God, governmental restrictions, enemy
action, civil commotion, fire, unavoidable casualty or other causes beyond the
control of the party responsible for performing an obligation hereunder,
provided that lack of funds shall not be deemed a cause beyond the control of
either party hereto unless such lack of funds is caused by the failure of the
other party hereto.

                                      12
<PAGE>

          Unsuitable for Its Primary Intended Use: With respect to each
Facility, a state or condition of such Facility such that by reason of damage or
destruction, or Condemnation, in the good faith judgment of Lessee, reasonably
exercised, such Facility cannot be operated on a commercially practicable basis
for its Primary Intended Use taking into account, among other relevant factors,
the number of usable beds affected by such damage or destruction or
Condemnation.

          WARN Act:  The Worker Adjustment and Retraining Notification Act, or
any similar State law, applicable to Lessee's employees at any given Facility.

                                 ARTICLE III.

          3.1  Rent. During the Term, Lessee shall pay to Lessor in lawful money
of the United States of America which shall be legal tender for the payment of
public and private debts, without offset or deduction, the amounts determined by
this Section 3.1 as monthly "Minimum Rent." Payments of monthly Minimum Rent
shall be paid in advance on or before the first (1st) day of each calendar month
and shall be made either (i) via wire transfer to an account as Lessor may from
time to time designate in writing or (ii) via Lessee's check therefor made
payable to Lessor (or such other Person as Lessor may direct from time to time
in writing) and delivered to Lessor's address for notices as provided in Article
XXXIV (or such other address as Lessor may designate from time to time in
writing).

               (a)  Commencing on the Commencement Date and continuing through
     the expiration of the first (1st) Lease Year of the Fixed Term, Lessee
     shall pay to Lessor as monthly "Minimum Rent" for each Facility the amounts
     allocated to and set forth opposite such Facility on Exhibit B attached
     hereto and incorporated herein by this reference. The first installment of
     monthly Minimum Rent for each Facility shall be paid on or before the
     Commencement Date.

               (b)  The monthly "Minimum Rent" payable during the first (1/st/)
     Lease Year of each Extended Term, if any, for each Facility shall be the
     greater of (i) the then current monthly Fair Market Value Midpoint Rental
     for such Facility and (ii) the monthly Allocated Minimum Rent payable for
     such Facility for the last Lease Year of the immediately preceding Term.
     Following the commencement of each Extended Term, the parties shall execute
     an amendment to this Lease confirming the monthly Allocated Minimum Rent
     payable for each Facility during the first (1/st/) Lease Year of such
     Extended Term and replacing the schedule set forth on Exhibit B with a new
     schedule Exhibit B. Notwithstanding the foregoing, the failure of Lessor to
     prepare or the failure of Lessee to so execute and deliver any such
     amendment shall not affect Lessor's determination of the matters to be
     confirmed thereby.

               (c)  Commencing upon the expiration of the first (1st) Lease Year
     of the Fixed Term and upon the expiration of the first (1st) Lease Year of
     each Extended Term and continuing upon the expiration of each Lease Year
     thereafter during the Fixed Term and each Extended Term, as applicable, the
     then current monthly Allocated Minimum Rent for each Facility for such
     Lease Year shall be adjusted by the percentage

                                      13
<PAGE>

     increase (rounded to two (2) decimal places), if any, in the Cost of Living
     Index (as hereinafter defined) published for the month preceding the
     commencement of the applicable Lease Year over the applicable "base";
     provided, however, that in no event shall the monthly Allocated Minimum
     Rent for any Facility after any such adjustment be less than One Hundred
     One and One-Half Percent (101.5%) nor more than One Hundred Three and One-
     Half Percent (103.5%) of the monthly Allocated Minimum Rent for such
     Facility in effect immediately prior to such adjustment, notwithstanding
     the actual percentage change in the applicable Cost of Living Index. The
     amount of the monthly increase in the Allocated Minimum Rent for each
     applicable Lease Year and for each Facility shall be referred to herein as
     the "Minimum Rent Increase Amount."

               The Cost of Living Index published for the month prior to the
     Commencement Date shall be considered the initial "base," and each
     comparison Cost of Living Index used pursuant to the preceding paragraph
     shall thereafter be the new "base" for the next succeeding adjustment
     during the applicable Term.

               If any adjustment provided for in this subparagraph (c) shall not
     have been made at the commencement of the Lease Year for which applicable
     for any Facility, Lessee shall continue to pay monthly Allocated Minimum
     Rent for such applicable Facility for which such monthly Allocated Minimum
     Rent has not been determined at the last rate applicable until Lessee
     receives Lessor's written notice as to such adjustment.  Within ten (10)
     days after Lessee's receipt of Lessor's notice, Lessee shall pay to Lessor
     an amount equal to the new monthly Allocated Minimum Rent (i.e., taking
     into account the applicable Minimum Rent Increase Amount) for each such
     applicable Facility times the number of months from the commencement of the
     then current Lease Year to the date of receipt of Lessor's notice, less the
     aggregate amount paid by Lessee on account of monthly Allocated Minimum
     Rent for such applicable Facility for the same period.  Thereafter, Lessee
     shall pay monthly Allocated Minimum Rent for such applicable Facility for
     the applicable Lease Year at the new rate set forth in Lessor's notice.

               (d)  (i)  Notwithstanding anything to the contrary in this Lease,
     provided that no Event of Default has occurred and is continuing, then for
     the period from the commencement of the second (2/nd/) Lease Year through
     the expiration of the fourth (4/th/) Lease Year (the "Deferral Period"),
     Lessee may defer payment to Lessor of the applicable monthly Minimum Rent
     Increase Amount with respect to any one or more or all Facilities.  Any
     amounts so deferred pursuant to this Section 3.1(d) shall be referred to
     herein as the "Deferred Rent."  All Deferred Rent shall accrue interest at
     the rate of Six Percent (6%) per annum from the date of deferral until the
     date of payment thereof in full.  All accrued and unpaid interest on such
     Deferred Rent shall be added monthly to the then outstanding total Deferred
     Rent and such amount shall thereafter accrue interest at the foregoing
     interest rate.  All Deferred Rent, together with all accrued and unpaid
     interest thereon, shall be due and payable on the first (1/st/) day of the
     fifth (5/th/) Lease Year of the Fixed Term.  From and after the expiration
     of the Deferral Period, the applicable monthly Minimum Rent Increase Amount
     with respect to each Facility shall be paid as and when due pursuant to
     Section 3.1(c) above.

                                      14
<PAGE>

                    (ii)  Notwithstanding the provisions of clause (i) above,
     the entire then unpaid balance of the Deferred Rent with respect to each
     Facility shall be due and payable in full upon the first to occur of:

                          (A)  Any early termination of this Lease with respect
     to any such Facility, provided that such Deferred Rent shall only be due
     with respect to those Facilities as to which this Lease has been
     terminated. Upon any termination of this Lease with respect to any such
     Facility pursuant to Articles XIV or XV, Lessor shall have the right to
     seek recovery of such unpaid balance of the Deferred Rent for such Facility
     against any insurance proceeds or Condemnation Award payable to Lessee with
     respect to such Facility, and Lessee hereby assigns its interest in such
     proceeds or Award to Lessor up to the full amount of such proceeds or Award
     or the unpaid balance of the Deferred Rent with respect to such Facility,
     whichever is the lesser. Exhaustion of such proceeds shall not limit or
     defeat Lessee's liability to pay to Lessor any remaining balance of such
     Deferred Rent with respect to such Facility.

                          (B)  Upon the occurrence of an Event of Default,
     Lessor may seek to recover the unpaid balance of the Deferred Rent with
     respect to any Facility (including all, if applicable) as to which Lessor
     has elected to pursue its remedies pursuant to Article XVI in any unlawful
     detainer or other action instituted by Lessor upon such an Event of
     Default. Such balance shall be deemed due and payable in full upon the
     occurrence of such an Event of Default and may be recovered in such action
     as Minimum Rent whether or not included in any notice given by Lessor to
     Lessee prior to or as a condition to the institution of such action.

                          (C)  Failure of Lessee to pay any amount due pursuant
     to clause (i) above when due shall be deemed an Event of Default pursuant
     to this Lease, to the same extent as if such amount were Minimum Rent
     pursuant to this Lease. In such event, such unpaid amount shall bear
     interest at the Overdue Rate from the Payment Date therefor until payment
     of such amount in full.

                          (D)  The early termination of this Lease with respect
     to any Facility shall not defeat or diminish the obligation of Lessee to
     pay to Lessor the Deferred Rent with respect to such Facility. In such
     event, the entire unpaid balance of the Deferred Rent with respect to such
     Facility shall be paid in full within ten (10) days after such expiration
     or earlier termination of the Term with respect to such Facility and, if
     not paid within such ten (10) day period, such unpaid balance of the
     Deferred Rent with respect to such Facility shall thereafter bear interest
     at the Overdue Rate until payment in full.

               3.2  Additional Charges.  In addition to the Minimum Rent
(including all Deferred Rent), (1) Lessee will also pay and discharge as and
when due and payable all other amounts, liabilities, obligations and Impositions
which Lessee assumes or agrees to pay under this Lease, and (2) in the event of
any failure on the part of Lessee to pay any of those items referred to in
clause (1) above, Lessee will also promptly pay and discharge every fine,
penalty, interest and cost which may be added for non-payment or late payment of
such items (the items

                                      15
<PAGE>

referred to in clauses (1) and (2) above being referred to herein collectively
as the "Additional Charges"), and Lessor shall have all legal, equitable and
contractual rights, powers and remedies provided either in this Lease or by
statute or otherwise in the case of non-payment of the Additional Charges as in
the case of non-payment of the Minimum Rent (including any Deferred Rent).

               3.3  Late Payment of Rent.  Lessee hereby acknowledges that late
payment by Lessee to Lessor of Rent will cause Lessor to incur costs not
contemplated hereunder, the exact amount of which is presently anticipated to be
extremely difficult to ascertain. Such costs may include processing and
accounting charges and late charges which may be imposed on Lessor by the terms
of any loan agreement and other expenses of a similar or dissimilar nature. If
any installment of monthly Minimum Rent or Additional Charges (but only as to
those Additional Charges which are payable directly to Lessor) shall not be paid
within five (5) Business Days after its due date, Lessee will pay Lessor on
demand, as Additional Charges, a late charge (to the extent permitted by law)
computed at the Overdue Rate (or at the maximum rate permitted by law, whichever
is the lesser) on the amount of such installment, from the due date of such
installment to the date of payment thereof. To the extent that Lessee pays any
Additional Charges to Lessor pursuant to any requirement of this Lease, Lessee
shall be relieved of its obligation to pay such Additional Charges to the Person
to which they would otherwise be due. The payment of such interest shall not
constitute waiver of, nor excuse or cure, any Event of Default under this Lease,
nor prevent Lessor from exercising any other rights and remedies available to
Lessor.

               3.4  Net Lease.  The Rent shall be paid absolutely net to Lessor,
so that this Lease shall yield to Lessor the full amount of the installments of
monthly Minimum Rent and Additional Charges throughout the Term, all as more
fully set forth in Article V and subject to any other provisions of this Lease
which expressly provide for adjustment or abatement of Rent or other charges.

                                  ARTICLE IV.

               4.1  Payment of Impositions. Subject to Article XII relating to
permitted contests, Lessee will pay, or cause to be paid, all Impositions before
any fine, penalty, interest or cost may be added for non-payment, such payments
to be made directly to the taxing authorities where feasible, and will promptly,
upon request, furnish to Lessor copies of official receipts or other
satisfactory proof evidencing such payments. Lessee's obligation to pay such
Impositions shall be deemed absolutely fixed upon the date such Impositions
become a lien upon the Leased Property of any Facility or any part thereof. If
any such Imposition may, at the option of the taxpayer, lawfully be paid in
installments (whether or not interest shall accrue on the unpaid balance of such
Imposition), Lessee may exercise the option to pay the same (and any accrued
interest on the unpaid balance of such Imposition) in installments and in such
event, shall pay such installments during the Term hereof (subject to Lessee's
right of contest pursuant to the provisions of Article XII) as the same
respectively become due and before any fine, penalty, premium, further interest
or cost may be added thereto. Lessor, at its expense, shall, to the extent
permitted by applicable law, prepare and file all tax returns and reports as may
be required by governmental authorities in respect of Lessor's net income, gross
receipts, franchise taxes and

                                      16
<PAGE>

taxes on its capital stock, and Lessee, at its expense, shall, to the extent
permitted by applicable laws and regulations, prepare and file all other tax
returns and reports in respect of any Imposition as may be required by
governmental authorities. If any refund shall be due from any taxing authority
in respect of any Imposition paid by Lessee, the same shall be paid over to or
retained by Lessee if no Event of Default shall have occurred hereunder and be
continuing. Any such funds retained by Lessor due to an Event of Default shall
be applied as provided in Article XVI. Lessor and Lessee shall, upon request of
the other, provide such data as is maintained by the party to whom the request
is made with respect to the Leased Property of any Facility as may be necessary
to prepare any required returns and reports. In the event governmental
authorities classify any property covered by this Lease as personal property,
Lessee shall file all personal property tax returns in such jurisdictions where
it may legally so file. Lessor, to the extent it possesses the same, and Lessee,
to the extent it possesses the same, will provide the other party, upon request,
with cost and depreciation records necessary for filing returns for any property
so classified as personal property. Where Lessor is legally required to file
personal property tax returns, Lessee will be provided with copies of assessment
notices indicating a value in excess of the reported value in sufficient time
for Lessee to file a protest. Lessee may, upon notice to Lessor, at Lessee's
option and at Lessee's sole cost and expense, protest, appeal, or institute such
other proceedings as Lessee may deem appropriate to effect a reduction of real
estate or personal property assessments and Lessor, at Lessee's expense as
aforesaid, shall fully cooperate with Lessee in such protest, appeal, or other
action. Billings for reimbursement by Lessee to Lessor of personal property
taxes shall be accompanied by copies of a bill therefor and payments thereof
which identify the personal property with respect to which such payments are
made.

               4.2  Notice of Impositions.  Lessor shall give prompt notice
to Lessee of all Impositions payable by Lessee hereunder of which Lessor at any
time has knowledge, but Lessor's failure to give any such notice shall in no way
diminish Lessee's obligations hereunder to pay such Impositions.

               4.3  Adjustment of Impositions.  Impositions imposed in respect
of the tax fiscal period during which the Term terminates with respect to any
Facility shall be adjusted and prorated between Lessor and Lessee with respect
to such Facility, whether or not such Imposition is imposed before or after such
termination, and Lessee's obligation to pay its prorated share thereof shall
survive such termination with respect to such Facility. There shall be no such
adjustment for any tax fiscal period prior to the Commencement Date, it being
understood that Lessee shall be solely responsible for all such Impositions.

               4.4  Utility Charges.  Lessee will pay or cause to be paid all
charges for electricity, power, gas, oil, water and other utilities used in the
Leased Property of each Facility during the Term.

               4.5  Insurance Premiums.  Lessee will pay or cause to be paid all
premiums for the insurance coverage required to be maintained by Lessee under
this Lease.

                                      17
<PAGE>

                                  ARTICLE V.

               5.1  No Termination, Abatement, etc.  Except as otherwise
specifically provided in this Lease, Lessee, to the extent permitted by law,
shall remain bound by this Lease in accordance with its terms and shall neither
take any action without the consent of Lessor to modify, surrender or terminate
the same, nor seek nor be entitled to any abatement, deduction, deferment or
reduction of Rent, or set-off against the Rent, nor shall the respective
obligations of Lessor and Lessee be otherwise affected by reason of (a) any
damage to, or destruction of, the Leased Property of any Facility or any portion
thereof from whatever cause or any taking by Condemnation of the Leased Property
of such Facility or any portion thereof, (b) the lawful or unlawful prohibition
of, or restriction upon, Lessee's use of the Leased Property of any Facility, or
any portion thereof, the interference with such use by any Person or by reason
of eviction by paramount title; (c) any claim which Lessee has or might have
against Lessor or by reason of any default or breach of any warranty by Lessor
under this Lease or any other agreement between Lessor and Lessee, or to which
Lessor and Lessee are parties, (d) any bankruptcy, insolvency, reorganization,
composition, readjustment, liquidation, dissolution, winding up or other
proceedings affecting Lessor or any assignee or transferee of Lessor, or (e) for
any other cause whether similar or dissimilar to any of the foregoing other than
a discharge of Lessee from any such obligations as a matter of law. Lessee
hereby specifically waives all rights, arising from any occurrence whatsoever,
which may now or hereafter be conferred upon it by law to (i) modify, surrender
or terminate this Lease or quit or surrender the Leased Property of any Facility
or any portion thereof, or (ii) entitle Lessee to any abatement, reduction,
suspension or deferment of the Rent or other sums payable by Lessee hereunder,
except as otherwise specifically provided in this Lease. The obligations of
Lessor and Lessee hereunder shall be separate and independent covenants and
agreements and the Rent and all other sums payable by Lessee hereunder shall
continue to be payable in all events unless the obligations to pay the same
shall be terminated pursuant to the express provisions of this Lease or by
termination of this Lease other than by reason of an Event of Default.

               5.2  Abatement Procedures.  In the event of a partial taking by
Condemnation as described in Section 15.3, temporary taking by Condemnation as
described in Section 15.6, or damage to or destruction of the Leased Property of
any Facility which remains for the period provided and as described in Section
14.6, which taking by Condemnation or damage or destruction does not render the
Leased Property of such Facility Unsuitable for its Primary Intended Use, the
Lease shall not terminate with respect to the Leased Property of such Facility,
but the monthly Allocated Minimum Rent for such Facility shall be abated in the
manner and to the extent that is fair, just and equitable to both Lessee and
Lessor, taking into consideration, among other relevant factors, the number of
usable beds affected by such partial taking by Condemnation or by such damage or
destruction. If Lessor and Lessee are unable to agree upon the amount of such
abatement within thirty (30) day's after (i) such partial taking by
Condemnation, or (ii) the expiration of twelve (12) months after such damage or
destruction, the matter shall be referred to arbitration as provided in Article
XXXIX below.

                                      18
<PAGE>

                                  ARTICLE VI.

               6.1  Ownership of the Leased Property. Lessee acknowledges that
the Leased Property of each Facility is the property of Lessor and that Lessee
has only the right to the exclusive possession and use of the Leased Property of
each such Facility upon the terms and conditions of this Lease.

               6.2  Lessee's Personal Property. Lessee may (and shall as
provided hereinbelow), at is expense, install, affix or assemble or place on any
parcels of the Land or in any of the Leased Improvements of each Facility, any
items of Lessee's Personal Property, and Lessee may, subject to the conditions
,set forth below, remove the same upon the expiration or any prior termination
of the Term. Lessee shall provide and maintain during the entire Term all such
Lessee's Personal Property as shall be necessary in order to operate each such
Facility in compliance with all licensure and certification requirements, in
compliance with all applicable Legal Requirements and Insurance Requirements and
otherwise in accordance with customary practice in the industry for the Primary
Intended Use.

               6.3  Transfer of Capital Additions to Lessor.  Upon the
expiration or earlier termination of this Lease with respect to each Facility,
all Capital Additions not owned by Lessor with respect to such Facility shall
become the property of Lessor with respect to such Facility, free of any
encumbrance (excluding, however, any Fee Encumbrances imposed by Lessor, any
Permitted Exceptions and any other non-monetary encumbrances to which Lessor
consents) and Lessee shall execute all documents and take any actions reasonably
necessary to evidence such ownership and discharge any encumbrance.
Notwithstanding anything to the contrary in this Lease, upon the expiration or
earlier termination of this Lease with respect to each Facility, Lessor shall
not be obligated to reimburse Lessee for any replacements, rebuildings,
alterations, additions, substitutions, and/or improvements that are surrendered
as part of or with the Leased Property of such Facility or any Capital Additions
with respect thereto.

               6.4  Option to Purchase Lessee's Personal Property.
Notwithstanding anything to the contrary in this Lease, Lessor shall have the
option, exercisable by written notice to the Lessee, not less than thirty (30)
days prior to the end of the Term with respect to each Facility or within thirty
(30) days after the earlier termination of this Lease with respect to such
Facility, to purchase all or any portion of Lessee's Personal Property with
respect to such Facility at the then net book value of each such item of
Lessee's Personal Property as reflected on Lessee's books and records maintained
in accordance with GAAP; provided, however, that if upon the expiration of the
applicable Term (but not upon any earlier termination of this Lease) the net
book value for any item of Lessee's Personal Property is zero (-0-) because
depreciation of the cost of such item was accelerated under GAAP faster than the
ordinary depreciation schedule for such item based upon the useful life thereof
also as determined by GAAP, then for purposes of the foregoing, the net book
value of such item shall be the net book value such item would have had on
Lessee's books had such item been depreciated based upon its useful life
determined in accordance with GAAP, rather than on such an accelerated
depreciation basis.  Upon payment of the purchase price therefor, Lessee shall
convey such Lessee's Personal Property free of any encumbrance and shall execute
all documents and take any other actions reasonably necessary to evidence the

                                      19
<PAGE>

transfer and conveyance of ownership of the Lessee's Personal Property to Lessor
and the discharge of any encumbrance thereon.

                                 ARTICLE VII.

               7.1  Condition of the Leased Property of each Facility.
                    -------------------------------------------------

                    7.1.1   Except as expressly provided in Section 7.1.2 below,
Lessee acknowledges receipt and delivery of possession of the Leased Property of
each Facility and that Lessee has examined and otherwise has knowledge of the
condition of the Leased Property of each such Facility prior to the execution
and delivery of this Lease and has found the same to be in good order and
repair, free from Hazardous Substances not in compliance with Legal
Requirements, and satisfactory for its purposes hereunder. Regardless, however,
of any inspection made by Lessee of the Leased Property of any Facility and
whether or not any patent or latent defect or condition was revealed or
discovered thereby Lessee is leasing the Leased Property of each such Facility
"AS IS" in its present condition. Lessee waives any claim or action against
Lessor in respect of the condition of the Leased Property of each such Facility
including any defects or adverse conditions not discovered or otherwise known by
Lessee as of the date hereof. LESSOR MAKES NO WARRANTY OR REPRESENTATION EXPRESS
OR IMPLIED, IN RESPECT OF THE LEASED PROPERTY OF ANY FACILITY OR ANY PART
THEREOF, EITHER AS TO ITS FITNESS FOR USE, DESIGN OR CONDITION FOR ANY
                          ---------------
PARTICULAR USE OR PURPOSE OR OTHERWISE, OR AS TO THE NATURE OR QUALITY OF THE
MATERIAL OR WORKMANSHIP THEREIN, OR THE EXISTENCE OF ANY HAZARDOUS WASTE,
BUILDING MATERIAL OR OTHER FORM OF HAZARDOUS SUBSTANCES IT BEING AGREED THAT ALL
SUCH RISKS LATENT OR PATENT ARE TO BE BORNE SOLELY BY LESSEE INCLUDING ALL
RESPONSIBILITY AND LIABILITY FOR ANY ENVIRONMENTAL REMEDIATION AND COMPLIANCE
WITH ALL ENVIRONMENTAL LAWS.

                    7.1.2   Notwithstanding anything to the contrary contained
in Section 7.1.1 above, Lessor acknowledges that Lessee intends to order and
review title searches for the Leased Property of each Facility from a national
title insurance company.  In such event, Lessee shall be solely responsible for
any and all costs or fees payable to such title insurance company in connection
with any such title searches and/or any policies of title insurance issued at
the request of Lessee for the Leased Property of any such Facility.  Lessee
agrees to deliver to Lessor without charge therefor copies of  all such title
searches and copies of any title policies obtained by Lessee with respect to the
Leased Property of any Facility promptly upon receipt of the same.  In the event
that any such title searches for the Leased Property of any Facility show a
Permitted Exception with respect to a Facility other than a Deemed Approved
Permitted Exception which materially interferes, or during the Term hereof is
reasonably likely to materially interfere, with Lessee's use of such Facility
for its Primary Intended Use (herein, a "Title Problem"), and such Title Problem
did not arise as a result of the acts or omissions of Lessee, any Affiliate of
Lessee or any subtenant, licensee or other third party for whom Lessee is
responsible, then so long as Lessee shall have provided written notice of such
Title Problem to Lessor along with the basis for requesting removal thereof in
reasonable detail within 180 days following the Effective Date, Lessor shall use
commercially reasonable efforts at its expense to cause any such Title Problem

                                      20
<PAGE>

to be removed as a matter affecting title to the Leased Property of such
Facility as soon as practicable following Lessor's receipt of Lessee's notice;
provided, however, that in no event shall Lessor be required to remove any
Deemed Approved Permitted Exception.

               7.2  Use of the Leased Property.
                    --------------------------

                    7.2.1   Subject to Section 7.2.6, Lessee covenants that
during the entire Term Lessee will proceed with all due diligence and will
exercise Lessee's best efforts to obtain and maintain all authorizations and
approvals needed to use and operate the Leased Property of each Facility, and
all Capital Additions thereon, for such Facility's Primary Intended Use in
accordance with all Legal Requirements and all Insurance Requirements including
obtaining and maintaining all applicable licenses, permits, and Medicare and/or
Medicaid certifications.

                    7.2.2   After the Commencement Date and during the entire
Term, Lessee shall use or cause to be used the Leased Property of each Facility
and all improvements thereon as a long-term skilled nursing care facility having
the number of licensed and operating beds set forth on Exhibit B attached hereto
                                                       ---------
and incorporated herein by this reference with respect to such Facility and such
other uses as may be necessary, incidental or ancillary to such use (such
foregoing use and any other use of a Facility approved by Lessor in writing in
accordance with the provisions of this Lease being referred to herein as the
applicable Facility's "Primary Intended Use"). Except as provided in Section
7.2.6 below or as hereafter consented to by Lessor in its sole and absolute
discretion, Lessee shall not use the Leased Property of any Facility or any
portion thereof for any other use other than the Primary Intended Use without
the prior written consent of Lessor, which consent may be given or withheld in
Lessor's sole and absolute discretion. No use shall be made or permitted to be
made of the Leased Property of any Facility, and no acts shall be done, which
will cause the cancellation of any insurance policy covering the Leased Property
of any Facility or any part thereof, nor shall Lessee sell or otherwise provide
to residents or patients therein, or permit to be kept, used or sold in or about
the Leased Property of any Facility any article which may be prohibited by law
or by the standard form of fire insurance policies, or any other insurance
policies required to be carried hereunder, or fire underwriters regulations.
Lessee shall, at its sole cost, comply with all of the requirements pertaining
to the Leased Property of each Facility or other improvements of any insurance
board, association, organization or company necessary for the maintenance of
insurance, as herein provided, covering the Leased Property of such Facility and
Lessee's Personal Property thereon.

                    7.2.3   Lessee covenants and agrees that during the Term
Lessee shall use its best efforts to operate continuously the Leased Property of
each Facility in accordance with all applicable Legal Requirements as a provider
of health care services in accordance with its Primary Intended Use and, except
as otherwise expressly permitted by Section 7.2.6 below, to maintain its
certifications for reimbursement and licensure and its accreditation, if
compliance with accreditation standards is required to maintain the operations
of such Facility and if a failure to comply would adversely affect operations.
Except as provided in Section 7.2.6 below, Lessee shall not (i) reduce or
otherwise "bank" the number of beds of any Facility from those licensed or
certified as of the date hereof and as set forth on Exhibit B attached hereto or
                                                    ---------
(ii) otherwise

                                      21
<PAGE>

modify the services offered or take any other affirmative action at any Facility
which materially reduces the Fair Market Value of such Facility.

               7.2.4  Lessee shall not commit or suffer to be committed any
waste on the Leased Property of any Facility, or such Facility itself, nor shall
Lessee cause or permit any nuisance thereon.

               7.2.5  Lessee shall neither suffer nor permit the Leased Property
of any Facility or any portion thereof, including any Capital Addition whether
or not financed by Lessor, or Lessee's Personal Property thereon, to be used in
such a manner as (i) might reasonably tend to impair Lessor's (or Lessee's, as
the case may be) title thereto or to any portion thereof, or (ii) may reasonably
make possible a claim or claims of adverse usage or adverse possession by the
public, as such, or of implied dedication of the Leased Property of such
Facility or any portion thereof.

               7.2.6  Notwithstanding anything to the contrary in this Section
7.2, Lessor shall not unreasonably withheld its consent to any of the following:

                      (a) a change in the Primary Intended Use of any Facility
     to another long-term health care related purposes (including an assisted
     living facility, but expressly excluding independent living care); or

                      (b) a voluntary (i) withdrawal from the Medicaid program,
     and voluntarily deactivating its certification for participation therein as
     the same applies to any Facility or (ii) reduction of the number of beds at
     any Facility as to which a certification for reimbursement under the
     Medicaid program is applicable (but without affecting Lessee's
     certification for participation in the Medicaid program as to any such
     Facility and without reducing the number of beds at any such Facility as to
     which a certification for participation in the Medicaid program is
     applicable below any legally required minimum number of beds or otherwise
     reducing the number of licensed beds of such Facility, except as expressly
     permitted pursuant to subsection (c) below), or (iii) withdrawal from the
     Medicare program applicable at any Facility, and voluntarily deactivating
     its certification for participation therein as the same applies to any
     Facility, or (iv) reduction of the number of beds at any Facility as to
     which a certification for reimbursement under the Medicare program is
     applicable (but without affecting Lessee's certification for participation
     in the Medicaid program as to any such Facility and without reducing the
     number of beds at any such Facility as to which a certification for
     participation in the Medicare program is applicable below any legally
     required minimum number of beds or otherwise reducing the number of
     licensed beds of such Facility, except as expressly permitted pursuant to
     subsection (c) below), if and only so long as, in accordance with the Legal
     Requirements applicable to participation in the Medicaid or Medicare
     program, as applicable, and certifications or otherwise applicable to such
     Facility, Lessee (or any successor operator of such Facility) may at any
     time, as applicable depending upon whether subsection (i), (ii), (iii) or
     (iv) applies, (A) promptly rejoin the Medicaid and/or Medicare program, at
     any such Facility and or (B) promptly re-activate its certification for
     participation in the Medicaid program and/or Medicare program as to

                                      22
<PAGE>

     any beds as to which a voluntary reduction is applicable. At the time, and
     as a condition to Lessor's consent to any such voluntary withdrawal and de-
     activation, or voluntary reduction by Lessee and thereafter within twenty
     (20) days after receipt of written request therefor from Lessor from time
     to time (but not more often than quarterly, except in the event of a change
     in Legal Requirements or Lessor has reasonable cause to believe that Lessee
     is not in compliance with this clause (b) in which case Lessor shall be
     entitled to additional requests), Lessee shall deliver to Lessor an
     Officer's Certificate of Lessee, in form reasonably satisfactory to Lessor,
     certifying that (i) there are no express Legal Requirements granting to any
     governmental authority the right to exercise any discretionary approval or
     requiring Lessee to obtain additional authorizations (other than routine
     governmental re-inspections of a Facility and ministerial approvals or
     other authorizations) in connection with rejoining the Medicaid and/or
     Medicare programs or in connection with reactivation of certification for
     participation in the Medicaid program and/or Medicare program as to any
     beds as to which a voluntary reduction is applicable, (ii) to the best
     knowledge of Lessee that there is no practice or policy in place by any
     governmental authority to exercise discretionary approval or which would
     require Lessee to obtain additional authorizations (other than routine
     governmental re-inspections of a Facility and an ministerial approvals or
     other authorizations) in connection with rejoining the Medicaid and/or
     Medicare programs or in connection with reactivation of certification for
     participation in the Medicaid program and/or Medicare program as to any
     beds as to which a voluntary reduction is applicable, and (iii) Lessee is
     otherwise in compliance with the provisions of this clause (b) and all
     applicable Legal Requirements in connection with such voluntary withdrawal
     and de-activation and/or voluntary reduction, and that the foregoing has
     been confirmed through diligent inquiry relative to the applicable Legal
     Requirements and consultation with Lessee's legal counsel;

                    (c)  a voluntary reduction of the number of licensed beds at
     any Facility of no more than Ten Percent (10%) in the aggregate of the
     total number of licensed beds for such Facility set forth on Exhibit B
                                                                  ---------
     attached hereto with respect to such Facility, including the loss of any
     previously banked beds, less the total number of licensed beds
                             ----
     involuntarily removed by government action; provided, however, that in no
     event shall the number of licensed beds at any Facility be reduced below
     the legally required minimum number of beds in order to maintain all
     necessary licenses, authorizations and certifications to use and operate
     such Facility for its Primary Intended Use; or

                    (d)  a voluntary removal from service (so-called "bed
     banking") of not more than Twenty Percent (20%) of the total number of
     licensed beds for any Facility from that number set forth on Exhibit B
                                                                  ---------
     attached hereto with respect to such Facility, less the total number of
                                                    ----
     licensed beds voluntarily removed pursuant to clause (c) above or
     involuntarily removed by government action or both, if and only so long as
     (i) any such banked beds are removed from service in accordance with all
     applicable Legal Requirements and, if required, with the approval of the
     applicable governmental authorities, (ii) such banked beds continue to be
     "licensed beds" by such applicable governmental authorities, and (iii) in
     accordance with the Legal Requirements applicable to such Facility, Lessee
     (or any successor operator of such Facility) may at any time

                                      23
<PAGE>

     reintroduce (i.e., put back into service) any such banked beds. At the
     time, and as a condition to Lessor's consent to any such bed banking and
     thereafter within twenty (20) days after receipt of written request
     therefor from Lessor from time to time (but not more often than quarterly,
     except in the event of a change in Legal Requirements or Lessor has
     reasonable cause to believe that Lessee is not in compliance with this
     clause (d) in which case Lessor shall be entitled to additional requests),
     Lessee shall deliver to Lessor an Officer's Certificate of Lessee, in form
     reasonably satisfactory to Lessor, certifying (i) there are no express
     Legal Requirements granting to any governmental authority the right to
     exercise any discretionary approval or requiring Lessee to obtain
     additional authorizations (other than routine governmental re-inspections
     of a Facility and ministerial approvals or other authorizations) in
     connection with reintroducing any such banked beds, (ii) to the best
     knowledge of Lessee that there is no practice or policy in place by any
     governmental authority to exercise discretionary approval or which would
     require Lessee to obtain additional authorizations (other than routine
     governmental re-inspections of a Facility and an ministerial approvals or
     other authorizations) in connection with reintroducing any such banked
     beds, and (iii) that Lessee is otherwise in compliance with the provisions
     of this clause (d) and all applicable Legal Requirements in connection with
     any such banked beds, and that the foregoing has been confirmed through
     diligent inquiry relative to the applicable Legal Requirements and
     consultation with Lessee's legal counsel.

                    In exercising its reasonable consent rights with respect to
     any of the foregoing, Lessor shall be entitled to take into account such
     facts or factors as Lessor deems relevant to such decision. Without
     limiting the generality of the preceding sentence, in no event shall Lessor
     be required to consent to any of the foregoing with respect to any Facility
     if Lessor in its reasonable business judgment determines that the same
     (either individually or in the aggregate) would have a material adverse
     effect on the Fair Market Value of such Facility or an Event of Default
     shall have occurred and is continuing under this Lease.

                    Notwithstanding anything to the contrary in this Section
     7.2.6, unless Lessee is permitted to wind-up and terminate the operations
     of a Facility upon the expiration or earlier termination of this Lease
     pursuant to Section 40.6(b), if upon any change of ownership/control of
     such Facility to a new operator (whether upon the expiration or early
     termination of this Lease with respect to such Facility or otherwise) any
     previous voluntary withdrawal and de-activation from the Medicaid and/or
     Medicare programs applicable to such Facility and/or voluntary reduction of
     number of beds as to which a certification for reimbursement under the
     Medicaid and/or Medicare programs is applicable pursuant to clause (b)
     above or any banked beds pursuant to clause (d) above would become
     permanent (i.e., the new operator would likely not be able to rejoin any
     such programs, recertify any such beds under such programs or reintroduce
     such banked beds, as the case may be) or Lessee is unable to make the
     certifications upon such change in ownership/control specified in any of
     subclauses (i), (ii) or (iii) of either of clauses (b) or (d) above, then
     prior to Lessee turning over operations to any new operator Lessee shall,
     as applicable, promptly rejoin any such programs, recertify any such beds
     or reintroduce such banked beds, as applicable.

                                      24
<PAGE>

          7.3  Lessor to Grant Easements, etc. Lessor will, from time to time so
               -------------------------------
long as no Event of Default has occurred and is continuing, at the request of
Lessee and at Lessee's cost and expense (but subject to the approval of Lessor,
which approval shall not he unreasonably withheld or delayed, and provided,
however, that if Lessor has not responded to any such request of Lessee within
30 days after receipt thereof, such request shall be deemed approved), (i) grant
easements and other rights in the nature of easements, (ii) release existing
easements or other rights in the nature of easements which are for the benefit
of the Leased Property of any Facility, (iii) dedicate or transfer unimproved
portions of the Leased Property of any Facility for road, highway or other
public purposes, (iv) execute petitions to have the Leased Property of any
Facility annexed to any municipal corporation or utility district, (v) execute
amendments to any covenants and restrictions affecting the Leased Property of
any Facility and (vi) execute and deliver to any Person any instrument
appropriate to confirm or effect such grants, releases, dedications and
transfers (to the extent of its interests in the Leased Property of any such
Facility), but only upon delivery to Lessor of an Officer's Certificate of
Lessee stating that such grant, release, dedication, transfer, petition or
amendment is not detrimental to the proper conduct of the business of Lessee on
the Leased Property of such Facility and does not materially reduce the value of
such Facility. Lessor does hereby irrevocably appoint Lessee the attorney-in-
fact of Lessor during the Term of this Lease to execute any documents relating
to the above matters which have been approved or are deemed to have been
approved by Lessor as provided above.

          7.4  Preservation of Facility Values. Except as required for
               -------------------------------
medically appropriate reasons or for the welfare of a resident or the other
residents in a Facility and subsequent to the legal rights of a patient and
other residents, during the Term and after the expiration or earlier termination
of this Lease, Lessee shall not recommend or solicit the removal or transfer of
any resident or patient from any Facility to any other facility or institution
owned, operated or managed by Lessee or any Affiliate of Lessee or in which
Lessee or any such Affiliate has any direct or indirect economic interest.

          7.5  No Guarantee by Lessee of Profitability of Value. Lessor
               ------------------------------------------------
acknowledges that Lessee is not guaranteeing the profitability or value of any
Facility, which profitability or value may fluctuate based upon factors outside
the control of Lessee and notwithstanding Lessee's compliance with its operating
covenants and agreements contained in this Lease, including fluctuations based
upon general market conditions, census levels and the mix of third-party payors
at any given Facility. The foregoing acknowledgment by Lessor shall in no way,
however, be deemed or construed to relieve Lessee from complying with all of its
duties, covenants and obligations pursuant to this Lease (including its
operating covenants pursuant to this Article VII).

                                 ARTICLE VIII.

          8.1  Compliance with Legal and Insurance Requirements,
               -------------------------------------------------
Instruments, etc Subject to Article XII regarding permitted contests, Lessee, at
----------------
its expense, shall promptly (i) comply with all Legal Requirements and Insurance
Requirements regarding the use, operation, maintenance, repair and restoration
of the Leased Property, Lessee's Personal Property and all Capital Additions
whether or not compliance therewith may require structural changes in any of

                                      25
<PAGE>

the Leased Improvements or any Capital Additions or interfere with the use and
enjoyment of the Leased Property and (ii) procure, maintain and comply with all
licenses, certificates of need, and other authorizations required for the use of
the Leased Property, Lessee's Personal Property and all Capital Additions for
the Primary Intended Use and any other use of the Leased Property, Lessee's
Personal Property and all Capital Additions then being made, and for the proper
erection, installation, operation and maintenance of the Leased Property,
Lessee's Personal Property and all Capital Additions. Lessor may, but shall not
be obligated to, enter upon the Leased Property and all Capital Additions and
take such actions and incur such costs and expenses to effect such compliance as
it deems advisable to protect its interest in the Leased Property and all
Capital Additions, and Lessee shall reimburse Lessor for all reasonable costs
and expenses incurred by Lessor in connection with such actions; provided,
however, that Lessor shall not take any such actions if and for so long as
Lessee is pursuing a permitted contest in accordance with and pursuant to the
terms of Article XII. Lessee covenants and agrees that the Leased Property,
Lessee's Personal Property and all Capital Additions shall not be used for any
unlawful purpose.

                                  ARTICLE IX.

          9.1  Maintenance and Repair.
               -----------------------

               9.1.1 Lessee, at its expense, will keep the Leased Property of
each Facility and Lessee's Personal Property thereon and all private roadways,
sidewalks and curbs appurtenant thereto and which are under Lessee's control in
good order and repair (whether or not the need for such repairs occurs as a
result of Lessee's use, any prior use, the elements or the age of the Leased
Property of such Facility, or any portion thereof), and, except as otherwise
provided in Article XIV, with reasonable promptness, 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). All repairs shall, to the extent
reasonably achievable, be at least equivalent in quality to the original work.
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 Property of
any Facility or any part thereof for its Primary Intended Use.

               9.1.2 Lessor shall not under any circumstances be required to
build or rebuild any improvements on the Leased Property of any Facility, or to
make any repairs, replacements, alterations, restorations or renewals of any
nature or description to the Leased Property of any Facility, whether ordinary
or extraordinary, structural or non-structural, foreseen or unforeseen, or to
make any expenditure whatsoever with respect thereto, in connection with this
Lease, or to maintain the Leased Property of any Facility in any way. Lessee
hereby waives, to the extent permitted by law, the right to make repairs at the
expense of Lessor pursuant to any law in effect at the time of the execution of
this Lease or hereafter enacted.

               9.1.3 Nothing contained in this Lease and no action or inaction
by Lessor shall be construed as (i) constituting the consent or request of
Lessor, expressed or implied, to any contractor, subcontractor, laborer,
materialman or vendor to or for the performance of any

                                      26
<PAGE>

labor or services or the furnishing of any materials or other property for the
construction, alteration, addition, repair or demolition of or to the Leased
Property of any Facility or any part thereof, or (ii) giving Lessee any right,
power or permission to contract for or permit the performance of any labor or
services or the furnishing of any materials or other property in such fashion as
would permit the making of any claim against Lessor in respect thereof or to
make any agreement that may create, or in any way be the basis for, any right,
title, interest, lien, claim or other encumbrance upon the estate of Lessor in
the Leased Property of any Facility, or any portion thereof. Notwithstanding the
foregoing, the mere contracting for or permission of Lessee to perform any such
labor or services or to furnish any materials or other property as would permit
the making of any such claim shall not be a basis for an Event of Default so
long as, subject to the provisions of Article XI and the provisions of Article
XII relating to permitted contests, no such claim is actually filed against
Lessor or becomes a right, title, lien, claim or other encumbrance upon the
estate of Lessor.

               9.1.4 Unless Lessor shall convey any of the Leased Property of a
Facility to Lessee pursuant to the provisions of this Lease, Lessee will, upon
the expiration or prior termination of the Term, vacate and surrender the Leased
Property of each Facility to Lessor in the condition in which the Leased
Property of such Facility existed following completion of the Refurbishment Work
(as defined below) with respect to such Facility, except as subsequently
repaired, rebuilt, restored, altered or added to as permitted or required by the
provisions of this Lease and except for ordinary wear and tear (subject to the
obligation of Lessee to maintain the Leased Property of such Facility in good
order and repair during the entire Term of the Lease), and with due
consideration being given to the age of the Leased Improvements of such Facility
at such time.

          9.2  Encroachments, Restrictions, etc. If any of the Leased
               --------------------------------
Improvements of any Facility shall, at any time, encroach upon any property,
street or right-of-way adjacent to the Leased Property of such Facility , or
shall violate the agreements or conditions contained in any lawful restrictive
covenant or other agreement affecting the Leased Property of such Facility, or
any part thereof, or shall impair the rights of others under any easement or
right-of-way to which the Leased Property of such Facility is subject, then
promptly upon the request of Lessor or at the behest of any person affected by
any such encroachment, violation or impairment, Lessee shall, at its expense,
subject to its right to contest the existence of any encroachment, violation or
impairment and in such case, in the event of an adverse final determination,
either (i) obtain valid and effective waivers or settlements of all claims,
liabilities and damages resulting from each such encroachment, violation or
impairment, whether the same shall affect Lessor or Lessee or (ii) make such
changes in the Leased Improvements of such Facility, and take such other
actions, as Lessee in the good faith exercise of its judgment deems reasonably
practicable, to remove such encroachment, and to end such violation or
impairment, including, if necessary, the alteration of any of the Leased
Improvements of such Facility, and in any event take all such actions as may be
necessary in order to be able to continue the operation of the Leased
Improvements of such Facility for its Primary Intended Use substantially in the
manner and to the extent the Leased Improvements of such Facility were operated
prior to the assertion of such violation or encroachment. Any such alteration
shall be made in conformity with the applicable requirements of Article X.
Lessee's obligations under this Section 9.2 shall be in addition to and shall in
no way discharge or diminish any obligation of any insurer under any policy of
title or other

                                      27
<PAGE>

insurance and Lessee shall be entitled to a credit for any sums recovered by
Lessor under any such policy of title or other insurance.

          9.3  Repairs and Refurbishment.  Without in any way limiting Lessee's
               -------------------------
obligations under this Article IX, Lessee shall, within one (1) year following
the Commencement Date (the "Refurbishment Completion Date"), make those repairs
to and perform the refurbishment work for each Facility which are recommended to
be completed in the first year pursuant to the applicable Building Condition
Report for each such Facility, except for those items of repair/refurbishment
summarized on Exhibit D-2, which items the parties acknowledge have either been
              -----------
previously performed or shall be performed as and when necessary in order to
comply with applicable Legal Requirements or with Lessee's obligations under
this Article IX. Lessor hereby approves all repair/refurbishment work described
in the Building Condition Reports. All such repairs/refurbishment shall,
however, be performed and completed in compliance with the applicable provisions
of this Lease, including the applicable provisions of Article X hereof. On or
before the Refurbishment Completion Date, Lessee shall furnish to Lessor
reasonable documentary evidence as to the completion of all repair/refurbishment
work required pursuant to this Section 9.3. Lessor and Lessee acknowledge and
agree that the cost estimates set forth in the Building Condition Reports and/or
Exhibit D-2 are estimates only and are not intended to serve as minimum
-----------
expenditure requirements.

          9.4  Capital Allowance for Oshkosh, WI Facility.
               ------------------------------------------

               9.4.1 Notwithstanding anything to the contrary in this Lease,
Lessor agrees to provide Lessee with a capital improvement allowance ("Capital
Allowance") equal to the lesser of (i) $270,000.00 or (ii) the Aggregate Allowed
Costs of the HVAC Improvements to the Facility in Oshkosh, Wisconsin performed
by Lessee within one (1) year following the Commencement Date in accordance with
the provisions of this Section 9.4 and the other applicable provisions of
Article X with respect thereto. For purposes of this Section 9.4, "Aggregate
Allowed Costs of the HVAC Improvements" shall mean all out-of-pocket costs
actually incurred by Lessee pursuant to the provisions of this Lease with
respect to the purchase and installation of a new heating, ventilating and air-
conditioning ("HVAC") system in the Oshkosh, Wisconsin Facility in accordance
with the plans and specifications approved by Lessor, which approval shall not
be unreasonably withheld.

               9.4.2 The Capital Allowance shall be disbursed to Lessee within
ten (10) days after the last to occur of: (i) delivery by Lessee to Lessor of
evidence reasonably satisfactory to Lessor that all of the work performed by
Lessee has been paid in full and that, subject to Lessee's right to contest as
provided in Article XII, no claim of any mechanic or materialman may become a
material lien (i.e., of $5,000.00 or more, either individually or in the
aggregate) on the Leased Property, or any portion thereof, (ii) delivery by
Lessee to Lessor of evidence satisfactory to Lessor as to the Aggregate Allowed
Costs of the HVAC Improvements and (iii) substantial completion of all work
relating thereto in accordance with the approved plans and specifications
therefor. In the event that Lessee shall be contesting any such mechanic or
materialman claim or lien as so provided in Article XII, Lessee shall
nevertheless be entitled to a disbursement of the Capital Allowance upon
satisfaction of the conditions set forth above, less that amount equal to One
Hundred Twenty-Five Percent (125%) of the amount of any such

                                      28
<PAGE>

contested claim or lien. Any remaining balance of such Capital Allowance shall
be disbursed upon resolution of such contest.

                                  ARTICLE X.

          10.1  Construction of Capital Additions and Other Alterations to
                ----------------------------------------------------------
the Leased Property. Without the prior written consent of Lessor, which consent
-------------------
may be given or withheld in Lessor's sole and absolute discretion, Lessee shall
not (a) make any Capital Additions on or structural alterations to the Leased
Property of any Facility, (b) enlarge or reduce the size of any Facility or
otherwise alter or affect any main systems of any Facility, including any main
plumbing, electrical or heating, ventilating and air conditioning systems of any
Facility (other than repairs to or replacements of any such existing systems
with systems of equal or better quality) and/or (c) make any Capital Additions
or other alterations which would tie in or connect with any improvements on
property adjacent to the Land of any Facility. Lessee may, without Lessor's
prior written consent, make any alterations, additions, or improvements
(collectively, "alterations") to the Leased Property of any Facility if such
alterations are not of the type described in either clause (a), (b) or (c)
above, so long as in each case: (i) the same do not (A) decrease the value of
the Leased Property of such Facility, (B) adversely affect the exterior
appearance of the Leased Property of such Facility, or (C) adversely affect the
structural components of the Leased Improvements of such Facility or the main
electrical, mechanical, plumbing or ventilating and air conditioning systems for
the Facility of such Facility, (ii) the same are consistent in terms of style,
quality and workmanship to the original Leased Improvements and Fixtures of such
Facility, (iii) the same are constructed and performed in accordance with the
provisions of Section 10.2 below and (iv) the cost thereof with respect to such
Facility does not exceed, in the aggregate, $150,000.00 for any twelve (12)
month period. Any other alterations (i.e., other than alterations described in
clauses (a), (b) or (c) above, and other than alterations which meet the
foregoing requirements of clauses (i), (ii), (iii) and (iv) above) shall be
subject to Lessor's prior written consent, which consent shall not be
unreasonably withheld. To the extent Lessor's prior written consent shall be
required in connection with any alterations or Capital Additions, Lessor may
impose such conditions thereon in connection with its approval thereof as Lessor
deems appropriate, including those set forth in Section 10.2 below.

          10.2  Requirements for Alterations and Capital Additions. For all
                --------------------------------------------------
alterations of the Leased Property (whether or not Lessor's approval is
required), the following shall apply (except to the extent Lessor reasonably
determines that, because of the nature or extent of the alteration, any such
requirement is not applicable):

                (a)      Such construction shall not commence until Lessee shall
     have procured and paid for all municipal and other governmental permits and
     authorizations required therefor. Lessor shall join in the application for
     any such permits or authorizations whenever such action is necessary;
     provided, however, that (i) any such joinder shall be at no cost or expense
     to Lessor; and (ii) any plans and specifications required to be filed in
     connection with any such application shall have been delivered to Lessor.

                                      29
<PAGE>

                (b)      Lessee shall have procured or caused to be procured a
     payment and performance bond for the full value of such construction, which
     bond shall name Lessor as an additional obligee and otherwise be in form
     and substance and issued by a Person reasonably satisfactory to Lessor. The
     foregoing requirement to procure a payment and performance bond shall be
     waived if either Lessee or Guarantor's Consolidated Net Worth equals or
     exceeds $150 Million.

                (c)      Such construction shall not, and a licensed architect
     or engineer selected by Lessee and approved by Lessor, shall certify to
     Lessor that such construction shall not, impair the structural strength of
     any component of such Facility or overburden the main electrical, water,
     plumbing, HVAC or other building systems of such Facility or any component
     thereof.

                (d)      Lessee's licensed architect or engineer approved by
     Lessor shall certify to Lessor that the detailed plans and specifications,
     if applicable, conform to and comply with all applicable building,
     subdivision and zoning codes, laws, ordinances, regulations and other Legal
     Requirements imposed by all governmental authorities having jurisdiction
     over the Leased Property of such Facility, all Insurance Requirements and
     all private covenants, conditions and restrictions affecting all or any
     portion of the Leased Property of such Facility.

                (e)      All work done in connection with such construction
     shall be done promptly and in a good and workmanlike manner using new
     materials and in conformity with all Legal Requirements.

                (f)      Following the completion of such construction, Lessee
     shall deliver to Lessor upon Lessor's request therefor, 'as built' drawings
     of such alteration (if applicable), certified as accurate by the licensed
     architect or engineer selected by Lessee and approved by Lessor to
     supervise such work.

                (g)      If by reason of the construction thereof, a new
     Certificate of Occupancy for any component of such Facility is required,
     Lessee shall obtain and furnish a copy of the same to Lessor promptly upon
     completion thereof.

          Notwithstanding the foregoing provisions of this Section 10.2, Lessee
shall not be required to (i) procure any bond pursuant to subsection (b) of this
Section 10.2, (ii) furnish any certificate of the architect or engineer pursuant
to subsections (c) or (d) of this Section 10.2, or (iii) provide 'as-built'
drawings pursuant to subsection (f) of this Section 10.2 with respect to any
alterations not requiring Lessor's consent pursuant to Section 10.1 above.

                                  ARTICLE XI.

          11.  Liens. Subject to the provision of Article XII relating to
               -----
permitted contests, Lessee will not directly or indirectly create or allow to
remain and will promptly discharge at its expense any lien, encumbrance,
attachment, title retention agreement or claim upon the Leased Property of any
Facility or any attachment, levy, claim or encumbrance in

                                      30
<PAGE>

respect of the Rent, not including, however, (a) this Lease, (b) the Permitted
Exceptions, (c) restrictions, liens and other encumbrances which are consented
to in writing by Lessor, or any easements granted pursuant to the provisions of
Section 7.3 of this Lease, (d) liens for those taxes of Lessor which Lessee is
not required to pay hereunder, (e) Master Subleases or other subleases not
constituting a Master Sublease permitted by Article XXV, (f) liens for
Impositions or for sums resulting from noncompliance with Legal Requirements so
long as (1) the same are not yet payable or are payable without the addition of
any fine or penalty or (2) such liens are in the process of being contested as
permitted by Article XII, (g) liens of mechanics, laborers, materialmen,
suppliers or vendors for sums either disputed or not yet due, provided that (1)
the payment of such sums shall not be postponed under any related contract for
more than sixty (60) days after the completion of the action giving rise to such
lien and such reserve or other appropriate provisions as shall be required by
law or generally accepted accounting principles shall have been made therefor or
(2) any such liens are in the process of being contested as permitted by Article
XII, and (h) any liens which are the responsibility of Lessor pursuant to the
provisions of Article XXXVIII of this Lease.

                                 ARTICLE XII.

          12.  Permitted Contests. Lessee, upon prior written notice to Lessor,
               ------------------
on its own or in Lessor's name, at Lessee's expense, may contest, by appropriate
legal proceedings conducted in good faith and with due diligence, the amount,
validity or application, in whole or in part, of any licensure or certification
decision, Imposition, Legal Requirement, Insurance Requirement, lien,
attachment, levy, encumbrance, charge or claim with respect to any Facility;
subject, however, to the further requirement that (i) in the case of an unpaid
Imposition, lien, attachment, levy, encumbrance, charge or claim, the
commencement and continuation of such proceedings shall suspend the collection
thereof from Lessor and from the Leased Property of such Facility; (ii) neither
the Leased Property of such Facility, the Rent therefrom nor any part or
interest in either thereof would be in any immediate danger of being sold,
forfeited, attached or lost pending the outcome of such proceedings; (iii) in
the case of a Legal Requirement, Lessor would not be in any immediate danger of
civil or criminal liability for failure to comply therewith pending the outcome
of such proceedings; (iv) if any such contest shall involve a sum of money or
potential loss in excess of Two Hundred Thousand Dollars ($200,000), Lessee
shall deliver to Lessor such other reasonable assurances as Lessor deems
necessary; (v) in the case of a Legal Requirement, Imposition, lien, encumbrance
or charge, if Lessee's and/or Guarantors' Consolidated Net Worth is less than
$150 Million Lessee shall give such reasonable security as may be required by
Lessor to insure ultimate payment of the same and to prevent any sale or
forfeiture of the Leased Property of such Facility or any other Facility or the
Rent by reason of such nonpayment or noncompliance; provided, however, the
provisions of this Article XII shall not be construed to permit Lessee to
contest the payment of Rent (except as to contests concerning the method of
computation or the basis of levy of any Imposition or the basis for the
assertion of any other claim) or any other sums payable by Lessee to Lessor
hereunder, and (vi) in the case of an Insurance Requirement, the coverage
required by Article XIII shall be maintained. If any such contest is finally
resolved against Lessor or Lessee, Lessee shall, as Additional Charges due
hereunder, promptly pay the amount required to be paid, together with all
interest and penalties accrued thereon, or comply with the applicable licensure
or certification decision, Legal Requirement or Insurance Requirement. Lessor,
at Lessee's expense, shall

                                      31
<PAGE>

execute and deliver to Lessee such authorizations and other documents as may
reasonably be required in any such contest, and, if reasonably requested by
Lessee or if Lessor so desires, Lessor shall join as a party therein. Lessee
shall indemnify, defend, protect and save Lessor harmless from and against any
liability, cost or expense of any kind that may be imposed upon Lessor in
connection with any such contest and any loss resulting therefrom.
Notwithstanding anything contained in Article XVI hereof, no Event of Default
shall occur in connection with a licensure or certification decision,
Imposition, Legal Requirement, Insurance Requirement, lien, attachment, levy,
encumbrance, charge or claim during the time Lessee is contesting by appropriate
legal proceedings conducted in good faith and with due diligence such licensure
or certification decision, Imposition, Legal Requirement, Insurance Requirement,
lien, attachment, levy, encumbrance, charge or claim in strict accordance with
this Article XII.

                                 ARTICLE XIII.

               13.1  General Insurance Requirements. During the Term, Lessee
                     ------------------------------
shall at all times keep the Leased Property of each Facility, and all property
located in or on the Leased Property of each such Facility, including all
Capital Additions, Fixtures and Lessee's Personal Property thereon, insured with
the kinds and amounts of insurance described below. This insurance shall be
written by companies authorized to do insurance business in the State in which
the Leased Property of each such Facility is located. All liability type
policies must name Lessor as an "additional insured"; provided, however, that
with respect to any medical professional liability policy, Lessee shall only be
required to name Lessor as an "additional insured" on such policy if such
coverage is available on commercially reasonable terms. All property, loss of
rental and business interruption type policies shall name Lessor as "loss
payee." Losses shall be payable to Lessor and/or Lessee as provided in Article
XIV. In addition, the policies, as appropriate, shall name as an "additional
insured" or "loss payee" the holder of any mortgage, deed of trust or other
security agreement ("Facility Mortgagee") securing any indebtedness or any other
Fee Encumbrance placed on the Leased Property of any Facility in accordance with
the provisions of Article XXXVI ("Facility Mortgage") by way of a standard form
of mortgagee's loss payable endorsement. Any loss adjustment in excess of One
Hundred Fifty Thousand Dollars ($150,000.00) shall require the written consent
of Lessor, Lessee, and each Facility Mortgagee. Evidence of insurance shall be
deposited with Lessor and, if requested, with any Facility Mortgagee(s). The
policies shall insure against the following risks with respect to each Facility:

                     13.1.1 Loss or damage by fire, vandalism and malicious
mischief, extended coverage perils commonly known as special form perils,
earthquake (including earth movement), sinkhole and windstorm in an amount not
less than the insurable value on a replacement cost basis (as defined below in
Section 13.2) and including a building ordinance coverage endorsement;

                     13.1.2 Loss or damage by explosion of steam boilers,
pressure vessels or similar apparatus, now or hereafter installed in such
Facility, in such limits with respect to any one accident as may be reasonably
requested by Lessor from time to time;

                                      32
<PAGE>

               13.1.3 Flood (when the Leased Property of such Facility is
located in whole or in part within a designated 100-year flood plain area) and
such other hazards and in such amounts as may be customary for comparable
properties in the area;

               13.1.4 Loss of rental value in an amount not less than twelve
(12) months' Rent payable hereunder or business interruption in an amount not
less than twelve (12) months of income and normal operating expenses including
payroll and Rent payable hereunder with an endorsement extending the period of
indemnity by at least ninety (90) days (Building Ordinance - Increased Period of
Restoration Endorsement) necessitated by the occurrence of any of the hazards
described in Sections 13.1.1, 13.1.2 or 13.1.3;

               13.1.5 Claims on an occurrence basis for bodily injury or
property damage under a policy of commercial general liability insurance
(including broad form property damage and broad form contractual liability) with
amounts not less than Five Million and No/100 Dollars ($5,000,000.00) per
occurrence, combined single limit and in the annual aggregate; and

               13.1.6 Medical professional liability with amounts not less Five
Million and No/100 Dollars ($5,000,000.00) per occurrence, combined single limit
and in the annual aggregate. With respect to the insurance referenced in this
Section 13.1.6 (medical professional liability), Lessee shall be permitted to
use a claims made policy form rather than an occurrence based policy form if an
occurrence based policy is not available on commercially reasonable terms;
provided, however, that any such claims made policy must include therein the
right to purchase a "tail" that insures against so-called "incurred but not
reported claims" for a period of not less than three (3) years following the
expiration of such claims made policy. Upon the expiration of any such claims
made policy, Lessee shall either (i) purchase a three (3) year "tail" policy
covering any so-called "incurred but not reported claims" during the prior
policy period or (ii) provide other insurance covering "incurred but not
reported claims" for such prior policy period for a period of not less than
three (3) years thereafter in form satisfactory to Lessor.

         13.2  Replacement Cost. The term "full replacement cost" as used
               ----------------
herein, shall mean the actual replacement cost thereof from time to time
including increased cost of construction endorsement, less exclusions provided
in the normal fire insurance policy. In the event either party believes that
full replacement cost (the then replacement cost less such exclusions) has
increased or decreased at any time during the Lease Term, it shall have the
right exercisable not more often than one (1) time during any consecutive
thirty-six (36) month period to have such full replacement cost redetermined
by the fire insurance company which is then carrying the largest amount of fire
insurance carried on the Leased Property of such Facility, hereinafter referred
to as "impartial appraiser." The party desiring to have the full replacement
cost so redetermined shall forthwith, on receipt of such determination by such
impartial appraiser, give written notice thereof to the other party hereto. The
determination of such impartial appraiser shall be final and binding on the
parties hereto, and Lessee shall forthwith increase, or may decrease, the amount
of the insurance carried pursuant to this Section, as the case may be, to the
amount so determined by the impartial appraiser. Each party shall pay one-half
(1/2) of the fee, if any, of the impartial appraiser. Notwithstanding the
foregoing, if Lessee shall have made material improvements to the Leased
Property of any Facility, Lessor may at its

                                      33
<PAGE>

own cost have such full replacement cost of such Facility redetermined at any
time after such improvements are made, regardless of when the full replacement
cost was last determined.

         13.3  Additional Insurance. In addition to the insurance described
               --------------------
above, Lessee shall maintain adequate worker's compensation insurance coverage
for all persons employed by Lessee on the Leased Property of each Facility. Such
worker's compensation insurance shall be in accordance with the requirements of
applicable local, state and federal law and any other Legal Requirements.

         13.4  Waiver of Subrogation. All insurance policies carried by either
               ---------------------
party covering the Leased Property of any Facility, the Fixtures, and/or
Lessee's Personal Property thereon including contents, fire and casualty
insurance, shall expressly waive any right of subrogation on the part of the
insurer against the other party. The parties thereto agree that their policies
will include such waiver clause or endorsement so long as the same are
obtainable without extra cost, and in the event of such an extra charge the
other party, at its election, may pay the same, but shall not be obligated to do
so.

         13.5  Form Satisfactory, etc. All of the policies of insurance referred
               ----------------------
to in this Section shall be written in form satisfactory to Lessor and by
insurance companies satisfactory to Lessor. Lessor agrees that it will not
unreasonably withhold its approval as to the form of the policies of insurance
or as to the insurance companies selected by Lessee. Lessee shall pay all of the
premiums therefor not later than the earlier of the date which is thirty (30)
days after Lessee's receipt of an invoice therefor or the due date of the
applicable premium, and shall deliver such policies or certificates thereof to
Lessor prior to their effective date (and, with respect to any renewal policy,
prior to the expiration of the existing policy), and in the event of the failure
of Lessee either to effect such insurance in the names herein called for or to
pay the premiums therefor, or to deliver such policies or certificates thereof
to Lessor and any Facility Mortgagee at the times required, Lessor shall be
entitled, but shall have no obligation, to effect such insurance and pay the
premiums therefor, which premiums shall be repayable to Lessor upon written
demand therefor, and failure to repay the same shall constitute an Event of
Default within the meaning of Section 16.1(b). Each insurer mentioned in this
Section shall agree, by endorsement on the policy or policies issued by it, or
by independent instrument furnished to Lessor, that it will give to Lessor ten
(10) days' written notice before the policy or policies in question shall be
materially altered, allowed to expire or cancelled.

         13.6  Increase in Limits. In the event that either party shall at any
               ------------------
time deem the limits of the personal injury or property damage public liability
insurance with respect to any Facility then carried to be either excessive or
insufficient, the parties shall endeavor to agree on the proper and reasonable
limits for such insurance to be carried; and such insurance shall thereafter be
carried with respect to such Facility with the limits thus agreed on until
further change pursuant to the provisions of this Section. If the parties shall
be unable to agree thereon, the proper and reasonable limits for such insurance
to be carried with respect to such Facility shall be determined by an impartial
third party selected by the parties and shall be based upon customary limits and
coverages maintained by other high quality operators of health care facilities
similar to the Facility and in the State in which such Facility is located.
Nothing herein

                                      34
<PAGE>

shall permit the amount of insurance with respect to any Facility to be reduced
below the amount or amounts set forth in this Lease.

         13.7  Blanket Policy. Notwithstanding anything to the contrary
               --------------
contained in this Section, Lessee's obligations to carry the insurance provided
for herein may be brought within the coverage of a so-called blanket policy or
policies of insurance carried and maintained by Lessee; provided, however, that
the coverage afforded Lessor will not be reduced or diminished or otherwise be
different from that which would exist under a separate policy meeting all other
requirements of this Lease by reason of the use of such blanket policy of
insurance, and provided further that the requirements of this Article XIII are
otherwise satisfied. For any liability policies covering one or more of the
Facilities or any other facilities in addition to the Facilities, Lessor may
require excess limits as Lessor reasonably determines.

         13.8  No Separate Insurance. Lessee shall not on Lessee's own
               ---------------------
initiative or pursuant to the request or requirement of any third party, take
out separate insurance concurrent in form or contributing in the event of loss
with that required in this Article, to be furnished by, or which may reasonably
be required to be furnished by, Lessee, or increase the amounts of any then
existing insurance by securing an additional policy or additional policies,
unless all parties having an insurable interest in the subject matter of the
insurance, including in all cases Lessor and all Facility Mortgagees, are
included therein as additional insureds (except with respect to any medical
professional liability policy unless otherwise required pursuant to Section
13.1.6 above), and the loss is payable under said insurance in the same manner
as losses are payable under Lease. Lessee shall immediately notify Lessor of the
takingout of any such separate insurance or of the increasing of any of the
amounts of the then existing insurance by securing an additional policy or
additional policies.

                                  ARTICLE XIV

         14.1  Insurance Proceeds. All proceeds payable by reason of any loss or
               ------------------
damage to the Leased Property of any Facility, or any portion thereof, and
insured under any policy of insurance required by Article XIII of this Lease
shall be paid to Lessor and held by Lessor in trust and shall be made available
for reconstruction or repair, as the case may be, of any damage to or
destruction of the Leased Property of such Facility, or any portion thereof, and
shall be paid out by Lessor from time to time for the reasonable costs of such
reconstruction or repair. Any excess proceeds of insurance remaining after the
completion of the restoration or reconstruction of the Leased Property of any
Facility (or in the event neither Lessor nor Lessee is required or elects to
repair and restore as expressly provided herein, all such insurance proceeds)
shall be retained by Lessor free and clear upon completion of any such repair
and restoration except as otherwise specifically provided below in this Article
XIV. All salvage resulting from any risk covered by insurance shall belong to
Lessor except that any salvage relating to Capital Additions paid for by Lessee
or to Lessee's Personal Property shall belong to Lessee.

                                      35
<PAGE>

         14.2 Reconstruction in the Event of Damage or Destruction Covered by
              ---------------------------------------------------------------
Insurance.
---------

              14.2.1 If during the Term, the Leased Property of any Facility is
totally or partially destroyed from a risk covered by the insurance described in
Article XIII and such Facility thereby is rendered Unsuitable for Its Primary
Intended Use, Lessee shall either (i) restore such Facility to substantially the
same condition as existed immediately before the damage or destruction, or (ii)
offer to acquire the Leased Property of such Facility from Lessor for a purchase
price equal to the greater of the Minimum Repurchase Price or the Fair Market
Value Purchase Price of the Leased Property of such Facility immediately prior
to such damage or destruction. In the event Lessor does not accept Lessee's
offer to so purchase the Leased Property of such damaged Facility, Lessee may
either (A) withdraw its offer to purchase the Leased Property of such damaged
Facility, in which event this Lease shall remain in full force and effect with
respect to such damaged Facility and each other Facility and Lessee shall
proceed to restore such damaged Facility as soon as reasonably practicable to
substantially the same condition as existed immediately before such damage or
destruction or (B) terminate this Lease with respect to such damaged Facility
(only) and upon such termination Lessor shall be entitled to retain the
insurance proceeds with respect thereto.

              14.2.2 If during the Lease Term, the Leased Improvements of any
Facility and the Fixtures thereon are totally or partially destroyed from a risk
covered by the insurance described in Article XIII, but such Facility is not
thereby rendered Unsuitable for its Primary Intended Use, Lessee shall restore
such Facility to substantially the same condition as existed immediately before
the damage or destruction. Such damage or destruction shall not terminate this
Lease with respect to such damaged Facility or any other Facility; provided,
however, if Lessee cannot within a reasonable time obtain all necessary
government approvals, including building permits, licenses, conditional use
permits and any certificates of need, after diligent efforts to do so, in order
to be able to perform all required repair and restoration work and to operate
such damaged Facility for its Primary Intended Use in substantially the same
manner immediately prior to such damage or destruction, Lessee may offer to
purchase the Leased Property of such damaged Facility for a purchase price equal
to the greater of the Minimum Repurchase Price or the Fair Market Value Purchase
Price of the Leased Property of such damaged Facility immediately prior to such
damage or destruction. If Lessee shall make such offer and Lessor does not
accept the same, Lessee may either (A) withdraw such offer, in which event this
Lease shall remain in full force and effect with respect to such damaged
Facility and each other Facility and Lessee shall proceed to restore such
damaged Facility as soon as reasonably practicable to substantially the same
condition as existed immediately before such damage or destruction, or (B)
terminate this Lease with respect to such damaged Facility (only), in which
event Lessor shall be entitled to retain the insurance proceeds.

              14.2.3 If the cost of the repair or restoration of any damaged
Facility exceeds the amount of proceeds received by Lessor from the insurance
required under Article XIII, Lessee shall be obligated to contribute any excess
amounts needed to restore such damaged Facility. Such difference shall be paid
by Lessee to Lessor to be held in trust together with any other insurance
proceeds for application to the cost of repair and restoration.

                                      36
<PAGE>

              14.2.4 In the event Lessor accepts Lessee's offer to purchase the
Leased Property of any damaged Facility this Lease shall terminate as to the
Leased Property of such damaged Facility upon payment of the purchase price
therefor and Lessor shall remit to Lessee all insurance proceeds pertaining to
the Leased Property of such damaged Facility being held in trust by Lessor. In
the event that this Lease shall terminate with respect to any damaged Facility
in accordance with the terms hereof, such termination shall not affect the Term
of this Lease with respect to the balance of the Facilities, and this Lease
shall continue in full force and effect with respect to such other Facilities,
except that the total monthly Minimum Rent payable hereunder shall be reduced by
the amount of monthly Allocated Minimum Rent with respect to such damaged
Facility as to which this Lease has so terminated.

         14.3 Reconstruction in the Event of Damage or Destruction Not Covered
              ----------------------------------------------------------------
by Insurance. If during the Term, any Facility is totally, materially or
------------
immaterially damaged or destroyed from a risk not covered by the insurance
described in Article XIII; whether or not such damage or destruction renders
such Facility Unsuitable for Its Primary Intended Use, Lessee shall restore such
Facility to substantially the same condition it was in immediately before such
damage or destruction and such damage or destruction shall not terminate this
Lease with respect to such damaged Facility.

         14.4 Lessee's Property. All insurance proceeds payable by reason of any
              -----------------
loss of or damage to any of Lessee's Personal Property or any Capital Additions
financed by Lessee shall be paid to Lessee, and Lessee shall hold such insurance
proceeds in trust to pay the cost of repairing or replacing damaged Lessee's
Personal Property or Capital Additions financed by Lessee.

         14.5 Restoration of Lessee's Property. If Lessee is required or elects
              --------------------------------
to restore any damaged Facility as provided in Section 14.2 or 14.3, Lessee
shall also restore all alterations and improvements made by Lessee, Lessee's
Personal Property and all Capital Additions financed by Lessee.

         14.6 Abatement of Rent. This Lease shall remain in full force and
              -----------------
effect and Lessee's obligation to make rental payments and to pay all other
charges required by this Lease shall remain unabated during the first twelve
(12) months of any period required for repair and restoration with respect to
any Facility. Thereafter, payments of Minimum Rent shall be abated as provided
in Section 5.2.

         14.7 Waiver. Lessee hereby waives any statutory rights of termination
              ------
which may arise by reason of any damage or destruction of the Facility which
Lessor is obligated to restore or may restore under any of the provisions of
this Lease.

                                      37
<PAGE>

                                  ARTICLE XV.

          15.  Condemnation.
               ------------

          15.1 Parties' Rights and Obligations. If during the Term there is any
               -------------------------------
taking of all or any part of the Leased Property of any Facility or any interest
in this Lease by Condemnation, the rights and obligations of the parties shall
be determined by this Article XV.

          15.2 Total Taking. If the Leased Property of any Facility is totally
               ------------
taken by Condemnation, this Lease as to the Leased Property of such Facility
shall terminate as of the day before the Date of Taking.

          15.3 Partial Taking. If a portion of the Leased Property of any
               --------------
Facility is taken by Condemnation, this Lease shall remain in effect with
respect to such Facility if such Facility is not thereby rendered Unsuitable for
Its Primary Intended Use, but if such Facility is thereby rendered Unsuitable
for its Primary Intended Use, this Lease shall terminate with respect to such
Facility on the Date of Taking. If as the result of any such partial taking by
Condemnation, this Lease is not terminated with respect to any such Facility as
provided above, Lessee shall be entitled to abatement of Minimum Rent with
respect to such Facility affected by such Condemnation as provided in Section
5.2.

          15.4 Restoration; No Effect on Other Facilities. If there is a partial
               ------------------------------------------
taking by Condemnation of the Leased Property of any Facility and this Lease
remains in full force and effect with respect to such Facility pursuant to
Section 15.3, Lessor shall make available to Lessee the portion of the Award
necessary and specifically identified for restoration of the Leased Property of
such Facility and any Capital Additions thereon and Lessee shall accomplish all
necessary restoration whether or not the amount provided by the Condemnor for
restoration is sufficient. Notwithstanding anything in this Lease to the
contrary, in the event that this Lease shall terminate with respect to any
Facility by reason of a taking by Condemnation as provided in this Article XV,
such termination shall not affect the Term of this Lease with respect to the
balance of the Facilities, and this Lease shall continue in full force and
effect with respect to such other Facilities, except that the total monthly
Minimum Rent payable hereunder shall be reduced by the amount of monthly
Allocated Minimum Rent with respect to such Facility as to which this Lease has
so terminated by reason of such Condemnation.

          15.5 Award - Distribution.  The entire Award shall belong to and be
               --------------------
paid to Lessor, except that, subject to the rights of the Facility Mortgagees,
Lessee shall be entitled to receive from the Award with respect to any Facility,
if and to the extent such Award specifically includes such item, lost profits
value and moving expenses, provided, that in any event Lessor shall receive from
the Award with respect to such Facility, subject to the rights of the Facility
Mortgagees, no less than the greater of (a) the Fair Market Value of the Leased
Property of such Facility prior to the institution of the Condemnation or (b)
the Minimum Repurchase Price with respect to such Facility.

          15.6 Temporary Taking. The taking of the Leased Property of any
               ----------------
Facility, or any part thereof, by military or other public authority shall
constitute a taking by Condemnation

                                      38
<PAGE>

only when the use and occupancy by the taking authority has continued for longer
than six (6) months. During any such six (6) month period all the provisions of
this Lease shall remain in full force and effect except that the monthly
Allocated Minimum Rent payable hereunder with respect to such Facility shall be
abated or reduced during such period of taking as provided in Section 5.2.

                                 ARTICLE XVI.

               16.1  Events of Default. Any one or more of the following shall
                     -----------------
constitute an "Event of Default":

                     (a) a default shall occur under any New Lease hereafter
     with or in favor of Lessor or any Affiliate of Lessor and made by or with
     Lessee or any Affiliate of Lessee where the default is not cured within any
     applicable grace period set forth therein, or

                     (b) Lessee shall fail to make payment of the Rent payable
     by Lessee under this Lease when the same becomes due and payable and such
     failure is not cured by Lessee or Guarantor within a period of twenty (20)
     days after receipt by Lessee of notice thereof from Lessor; provided,
     however, that such notice shall be in lieu of and not in addition to any
     notice required under applicable law, or

                     (c) Lessee shall fail to observe or perform any other term,
     covenant or condition of this Lease not specifically provided for in this
     Section 16.1 and such failure is not cured by Guarantor or Lessee within a
     period of thirty (30) days after receipt by Lessee of notice thereof from
     Lessor, unless such failure cannot with due diligence be cured within a
     period of thirty (30) days, in which case such failure shall not be deemed
     to continue if Lessee or Guarantor proceeds promptly and with due diligence
     to cure the failure and diligently completes the curing thereof; provided,
     however, that such notice shall be in lieu of and not in addition to any
     notice required under applicable law, or

                     (d) Lessee or Guarantor shall:

                         (i)     admit in writing its inability to pay its debts
          generally as they become due,

                         (ii)    file a petition in bankruptcy or a petition to
          take advantage of any insolvency act,

                         (iii)   make an assignment for the benefit of its
          creditors,

                         (iv)    consent to the appointment of a receiver of
          itself or of the whole or any substantial part of its property, or

                         (v)     file a petition or answer seeking
          reorganization or arrangement under the Federal bankruptcy laws or any
          other applicable law or statute of the United States of America or any
          State thereof.

                                      39
<PAGE>

           (e)   Lessee or Guarantor shall, on a petition in bankruptcy filed
     against it, be adjudicated a bankrupt or a court of competent jurisdiction
     shall enter an order or decree appointing, without the consent of the
     Lessee or Guarantor, as the case may be, a receiver of Lessee or Guarantor
     or of the whole or substantially all of its property, or approving a
     petition filed against it seeking reorganization or arrangement of the
     Lessee or Guarantor under the Federal bankruptcy laws or any other
     applicable law or statute of the United States of America or any State
     thereof, and such judgment, order or decree shall not be vacated or set
     aside or stayed within 60 days from the date of the entry thereof, or

           (f)   Lessee or Guarantor shall be liquidated or dissolved, or shall
     begin proceedings toward such liquidation or dissolution, or shall, in any
     manner, permit the sale or divestiture of substantially all its assets,
     unless otherwise expressly permitted or consented to by Lessor in
     accordance with the provisions of Article XXV, or

           (g)   the estate or interest of Lessee in the Leased Property or any
     part thereof shall be levied upon or attached in any proceeding and the
     same shall not be vacated or discharged within the later of ninety (90)
     days after commencement thereof or 30 days after receipt by Lessee of
     notice thereof from Lessor, (unless Lessee shall be contesting such lien or
     attachment in good faith in accordance with Article XII hereof), or

           (h)   the occurrence of any Transfer, unless otherwise expressly
     permitted or consented to by Lessor in accordance with the provisions of
     Article XXV, or

           (i)   if, except as expressly permitted pursuant to the terms of this
     Lease, Lessee ceases to operate the Leased Property of any Facility and all
     improvements thereon for any reason whatsoever for its Primary intended Use
     (i) for more than five (5) consecutive days during the last twenty-four
     (24) months of the Term at any time, and (ii) for more than thirty (30)
     consecutive days during any other period during the Term, unless such
     Facility cannot with due diligence and best efforts be reopened for
     operation in accordance with its Primary Intended Use within such thirty
     (30) day period, in which case such cessation during any such period shall
     not be deemed an Event of Default if Lessee or Guarantor proceed promptly
     and with due diligence and best efforts to reopen the same and in any event
     cause such Facility to be reopened for its Primary Intended Use on or
     before the earlier of (A) 180 days after the initial closure thereof and
     (B) twenty-four (24) months prior to the expiration of the then current
     Term, or

           (j)   there shall occur a final unappealable determination by any
     federal, state or local authority(ies) terminating or revoking Lessee's or
     any Facility's applicable licenses, authorizations, certifications (other
     than Medicare or Medicaid) or approvals needed to use and operate such
     Facility for its Primary Intended Use in accordance with all Legal
     Requirements and Insurance Requirements, including any applicable
     healthcare licenses or certificates of need, or

           (k)   except as provided in Section 7.2.6, Lessee shall voluntarily
     withdraw from the Medicaid or Medicare programs with respect to any
     Facility or shall

                                      40
<PAGE>

     otherwise voluntarily reduce the number of beds at any Facility as to which
     certification for reimbursement under the Medicaid or Medicare programs are
     available, or

           (l)   any federal, state or local authority(ies) at any time
     terminates, revokes or decertifies Lessee's or any Facility's applicable
     certification to operate as a Medicaid or Medicare provider and, within one
     hundred eighty (180) days following such action, but in no event later than
     one hundred eighty (180) days prior to the expiration of the applicable
     Term with respect to such Facility, Lessee fails to have such certification
     fully restored, or

           (m)   except as provided in Section 7.2.6. or in connection with a
     partial or total casualty or Condemnation of any Facility, (i) any local,
     state or federal agency having jurisdiction over any Facility removes Ten
     Percent (10%) or more of the patients or residents in such Facility, (ii)
     any local, state or federal agency having jurisdiction over such Facility
     reduces the number of licensed beds for such Facility by more than Ten
     Percent (10%) in the aggregate from that number set forth on Exhibit B
                                                                  ---------
     attached hereto, less the total number of licensed beds voluntarily removed
                      ----
     pursuant to Section 7.2.6(c) above, (iii) Lessee voluntarily reduces the
     number of licensed beds for any Facility from that number set forth on
     Exhibit B attached hereto or (iv) Lessee voluntarily removes from service
     ---------
     (so-called "bed banking") any licensed beds for any Facility, or

           (n)   any default shall occur under any Guaranty.

          Lessee will, to the extent permitted by law, pay as Additional Charges
all costs and expenses incurred by or on behalf of Lessor, including, without
limitation, reasonable attorneys' fees and expenses, as a result of any Event of
Default hereunder.

          No Event of Default (other than a failure to make payment of money)
shall be deemed to exist under clause (c) during any time the curing thereof is
prevented by an Unavoidable Delay provided that upon the cessation of such
Unavoidable Delay, Lessee shall remedy such default without further delay. In
addition, no Event of Default shall be deemed to exist in connection with a
licensure or certification decision, Imposition, Legal Requirement, Insurance
Requirement, lien, attachment, levy, encumbrance, charge or claim during the
time Lessee is contesting by appropriate legal proceedings conducted in good
faith and with due diligence such licensure or certification decision,
Imposition, Legal Requirement, Insurance Requirement, lien, attachment, levy,
encumbrance, charge or claim in strict accordance with the provisions of Article
XII hereof.

          16.2 Certain Remedies. If an Event of Default shall have occurred,
               ----------------
Lessor may terminate this Lease with respect to any one or more (including all,
if so elected by Lessor) of the Facilities by giving Lessee notice of such
termination and the Term shall terminate and all rights of Lessee under this
Lease shall cease with respect to all such Facilities as to which Lessor has
elected to so terminate this Lease. Lessor shall have all rights at law and in
equity available to Lessor as a result of any Event of Default. Lessee shall pay
as Additional Charges all costs and expenses incurred by or on behalf of Lessor,
including reasonable attorneys' fees and expenses, as a result of any Event of
Default hereunder. If an Event of Default shall have
                                      41
<PAGE>

occurred and be continuing, whether or not this Lease has been terminated with
respect to any one or more (including all, if so elected by Lessor) of the
Facilities pursuant to this Section 16.2, Lessee shall, to the extent permitted
by law, if required by Lessor so to do, immediately surrender to Lessor
possession of the Leased Property of all of the Facilities and any Capital
Additions as to which Lessor has so elected to terminate this Lease and quit the
same and Lessor may enter upon and repossess the Leased Property of such
Facility(ies) and any Capital Additions by reasonable force, summary
proceedings, ejectment or otherwise, and may remove Lessee and all other Persons
and any of Lessee's Personal Property from the Leased Property of any such
Facility(ies) and any Capital Additions, subject, however, to rights of any
residents or patients under applicable Legal Requirements. Lessor shall use
reasonable, good faith efforts to relet the Leased Property of any such Facility
and to otherwise mitigate Lessor's damages.

          16.3 Damages. (i) The termination of this Lease with respect to any
               -------
one or more (including all, if so elected by Lessor) of the Facilities and any
Capital Additions; (ii) the repossession of the Leased Property of any one or
more (including all, if so elected by Lessor) of the Facilities and any Capital
Additions; (iii) the failure of Lessor, notwithstanding reasonable good faith
efforts, to relet the Leased Property of any Facility; (iv) the reletting of all
or any portion of the Leased Property of any Facility; or (v) the failure or
inability of Lessor to collect or receive any rentals due upon any such
reletting, shall not relieve Lessee of its liabilities and obligations
hereunder, all of which shall survive any such termination, repossession or
reletting. If any such termination occurs, Lessee shall forthwith pay to Lessor
all Rent (including all monthly Allocated Minimum Rent) due and payable with
respect to the Leased Property of each such Facility as to which this Lease has
terminated to and including the date of such termination. Thereafter, following
any such termination, Lessee shall forthwith pay to Lessor, at Lessor's option,
as and for liquidated and agreed current damages for an Event of Default by
Lessee with respect to each Facility (including all, if applicable) as to which
this Lease has been so terminated, the sum of:

               (a)  the worth at the time of award of the unpaid Rent (including
     all monthly Allocated Minimum Rent) which had been earned at the time of
     termination with respect to such Facility,

               (b)  the worth at the time of award of the amount by which the
     unpaid Rent (including all monthly Allocated Minimum Rent) which would have
     been earned after termination until the time of award exceeds the amount of
     such rental loss that Lessee proves could have been reasonably avoided with
     respect to such Facility,

               (c)  the worth at the time of award of the amount by which the
     unpaid Rent (including all monthly Allocated Minimum Rent) for the balance
     of the Term after the time of award exceeds the amount of such rental loss
     that Lessee proves could be reasonably avoided with respect to such
     Facility, plus

               (d)  any other amount necessary to compensate Lessor for all the
     detriment proximately caused by Lessee's failure to perform its obligations
     under this Lease or which in the ordinary course of things would be likely
     to result therefrom with respect to such Facility.

                                      42
<PAGE>

     As used in clauses (1) and (2) above, the "worth at the time of award"
     shall be computed by allowing interest at the Overdue Rate. As used in
     clause (3) above, the "worth at the time of award" shall be computed by
     discounting such amount at the discount rate of the Federal Reserve Bank of
     San Francisco at the time of award plus One Percent (1%).

          Alternatively, if Lessor does not elect to terminate this Lease with
respect to any one or more (including all, if applicable) Facilities, then
Lessee shall pay to Lessor, at Lessor's option, as and for agreed damages for
such Event of Default without termination of Lessee's right to possession of the
Leased Property of such Facility(ies), each installment of said Rent (including
the monthly Allocated Minimum Rent) and other sums payable by Lessee to Lessor
under this Lease as the same becomes due and payable with respect to the Leased
Property of each such Facility, together with interest at the Overdue Rate from
the date when due until paid, and Lessor may enforce, by action or otherwise,
any other term or covenant of this Lease.

          Notwithstanding anything in this Lease to the contrary, in the event
that this Lease shall be terminated by Lessor with respect to any Facility by
reason of an Event of Default, such termination shall not affect the applicable
Term of this Lease with respect to the balance of the Facilities not so
terminated by Lessor, and this Lease shall continue in full force and effect
with respect to each such other Facility, except that the total monthly
Allocated Minimum Rent payable hereunder shall be reduced by the amount of
monthly Allocated Minimum Rent as to which this Lease has so terminated,
subject, however, to Lessor's right to recover damages with respect to any such
Facility as to which this Lease has been so terminated as provided in this
Article XVI.

          16.4  Lessee's Obligation to Purchase. Upon the occurrence of a Put
                -------------------------------
Event with respect to any Facility, Lessor shall be entitled to require Lessee
to purchase the Leased Property of any such Facility on the first monthly
Minimum Rent Payment Date occurring not less than thirty (30) days after the
date specified in a notice from Lessor requiring such purchase for an amount
equal to the greater of (i) the Fair Market Value Purchase Price of such
Facility, or (ii) the Minimum Repurchase Price of such Facility, plus, in either
event, all Rent then due and payable (excluding the installment of monthly
Allocated Minimum Rent due on the purchase date) with respect to such Facility
as of the date of purchase. If Lessor exercises such right, Lessor shall convey
to Lessee the Leased Property of such Facility on the date fixed therefor in
accordance with the provisions of Article XVIII upon receipt of the purchase
price therefor and this Lease shall thereupon terminate with respect to the
Leased Property of such Facility. Any purchase by Lessee of the Leased Property
of a Facility pursuant to this Section shall be in lieu of the damages specified
in Section 16.3 with respect to such Facility.

          16.5  Waiver.  If Lessor initiates judicial proceedings or if this
                ------
Lease is terminated by Lessor pursuant to this Article with respect to any one
or more (including all, if applicable) of the Facilities, Lessee waives, to the
extent permitted by applicable law, (i) any right of redemption, re-entry or
repossession; and (ii) the benefit of any laws now or hereafter in force
exempting property from liability for rent or for debt.

          16.6  Application of Funds. Any payments received by Lessor under any
                --------------------
of the provisions of this Lease during the existence or continuance of any Event
of Default (and such

                                      43
<PAGE>

payment is made to Lessor rather than Lessee due to the existence of an Event of
Default) shall be applied to Lessee's obligations in the order which Lessor may
determine or as may be prescribed by the laws of the State.

          16.7  [Intentionally Omitted]
                -----------------------

          16.8  [Intentionally Omitted]
                -----------------------

                                 ARTICLE XVII.

          17.  Lessor's Right to Cure Lessee's Default. If Lessee shall fail to
               ---------------------------------------
make any payment or to perform any act required to be made or performed under
this Lease, and to cure the same within the relevant time periods provided in
Section 16.1, Lessor, after notice to and demand upon Lessee, and without
waiving or releasing any obligation or Default, may (but shall be under no
obligation to) at any time thereafter make such payment or perform such act for
the account and at the expense of Lessee, and may, to the extent permitted by
law, enter upon the Leased Property of any Facility for such purpose and take
all such action thereon as, in Lessor's opinion, may be necessary or appropriate
therefor. No such entry shall be deemed an eviction of Lessee. All sums so paid
by Lessor and all costs and expenses (including reasonable attorneys' fees and
expenses, in each case, to the extent permitted by law) so incurred, together
with a late charge thereon (to the extent permitted by law) at the Overdue Rate
from the date on which such sums or expenses are paid or incurred by Lessor,
shall be paid by Lessee to Lessor on demand. The obligations of Lessee and
rights of Lessor contained in this Article shall survive the expiration or
earlier termination of this Lease.

                                ARTICLE XVIII.

          18.  Provisions Relating to Purchase of Leased Property. In the event
               --------------------------------------------------
Lessee purchases the Leased Property of any Facility from Lessor pursuant to any
of the terms of this Lease, Lessor shall, upon receipt from Lessee of the
applicable purchase price therefor, together with full payment of any unpaid
Rent (including all monthly Allocated Minimum Rent) due and payable with respect
to such Facility for any period ending on or before the date of the purchase,
deliver to Lessee an appropriate special warranty deed or other similar
conveyance conveying the entire interest of Lessor in and to the Leased Property
of such Facility to Lessee free and clear of all encumbrances other than (i)
those that Lessee has agreed hereunder to pay or discharge, (ii) those mortgage
liens, if any, which Lessee has agreed in writing to accept and to take title
subject to, (iii) the Permitted Exceptions and (iv) any other Fee Encumbrances
permitted to be imposed on the Leased Property of such Facility under the
provisions of Section 38.1 which are assumable at no cost to Lessee or to which
Lessee may take subject without cost to Lessee. The difference between the
applicable purchase price and the total of any indebtedness of Lessor (including
any Fee Encumbrances created by Lessor) assumed or taken subject to shall be
paid in cash to Lessor or as Lessor may direct, in federal or other immediately
available funds except as otherwise mutually agreed by Lessor and Lessee.
Closing of any such sale shall be contingent upon and subject to Lessee
obtaining all required governmental consents and approvals for such transfer and
if such sale shall fail to be consummated by reason of the inability of Lessee
to obtain all such approvals and consents, any options to extend the Term of
this Lease which otherwise

                                      44
<PAGE>

would have expired during the escrow period to such proposed sale shall be
deemed to remain in effect for 30 days after termination of the escrow or other
arrangement covering the closing of such proposed sale. All expenses of such
conveyance, including recording fees, the cost of title examination or standard
coverage title insurance, if reasonably required under the circumstances then
existing, attorneys' fees incurred by Lessor in connection with such conveyance
and release, and transfer taxes, shall be split equally between Lessor and
Lessee, except that such expenses and charges shall be paid solely by Lessee in
the case of a sale pursuant to Section 16.4.

          Notwithstanding anything to the contrary in this Lease, in the event
that Lessee purchases the Leased Property of any Facility from Lessor pursuant
to any of the terms of this Lease, Lessor may elect to sell the Leased Property
of such Facility to Lessee in the form of a tax-deferred exchange pursuant to
Section 1031 of the Code ("1031 Exchange"), either as a simultaneous exchange or
a non-simultaneous (i.e., either a so-called "Starker deferred exchange" or a
"reverse Starker deferred exchange"). In the event that Lessor shall so elect,
Lessor shall give written notice to Lessee of such election. Lessee shall fully
cooperate with any such 1031 Exchange, including executing and delivering
additional documents requested or approved by Lessor; provided, that Lessee
shall not be required to incur any additional costs or liabilities or financial
obligation as a consequence of any of the foregoing exchange transactions nor
shall the same delay the closing.

                                 ARTICLE XIX.

          19.1  Renewal Terms. Provided that no Event of Default has occurred
                -------------
and is continuing, either at the date of exercise or upon the commencement of an
applicable Extended Term (as hereunder defined), then Lessee shall have the
right to renew this Lease with respect to the Leased Property of all (but not
less than all) of those Facilities within each Renewal Group then being leased
by Lessee hereunder for three (3) five-year renewal terms (each, an "Extended
Term"), upon (i) giving written notice to Lessor of such renewal not less than
twelve (12) months and not more than eighteen (18) months prior to the
expiration of the then current applicable Term for such Renewal Groups and (ii)
delivering to Lessor concurrent with such notice a reaffirmation of the
Guaranty(ies) executed by Guarantors stating, in substance, that Guarantor's(s')
obligations under the Guaranty(ies) shall extend to this Lease, as extended by
the applicable Extended Term. During each applicable Extended Term, all of the
terms and conditions of this Lease shall continue in full force and effect
except that the monthly Allocated Minimum Rent for each Facility for and during
the first (1/st/) Lease Year of such Extended Term shall be determined pursuant
to Section 3.1(b) hereof.

          Notwithstanding anything to the contrary in this Section 19.1 or
elsewhere in this Lease, the following shall apply:

               (a)  Lessor, in its sole discretion, may waive the condition to
     Lessee's right to renew this Lease with respect to any Renewal Group that
     no Event of Default has occurred and be continuing, and the same may not be
     used by Lessee as a means to negate the effectiveness of Lessee's exercise
     of its renewal right for any such Extended Term.

                                      45
<PAGE>

               (b)  If, following Lessee's exercise of a renewal option for an
     Extended Term with respect to any Renewal Group, Lessor and Lessee are
     unable to agree upon the monthly Allocated Minimum Rent payable for each
     Facility within such Renewal Group for the first (1/st/) Lease Year of such
     Extended Term, either Lessor or Lessee may cause the commencement of the
     appraisal procedures pursuant to Article XXXV for purposes of determining
     the monthly Fair Market Rental and the monthly Fair Market Midpoint Rental
     of each Facility within such Renewal Group for such Lease Year; provided,
     however, that in no event may either party commence such appraisal
     procedures more than fifteen (15) months prior to the expiration of the
     then applicable Term for such Renewal Group.

               (c)  In the event that Lessee timely and properly exercises a
     renewal option for a Renewal Group in accordance with the provisions of
     this Section 19.1 and the total monthly Fair Market Midpoint Rental for
     such Facilities within such Renewal Group for such Extended Term as
     determined by the appraisal procedures set forth in Article XXXV exceeds
     the total monthly Allocated Minimum Rent payable for such Facilities within
     such Renewal Group for the last Lease Year of the prior Term, then, in such
     event, Lessee shall have the option to revoke its exercise of such renewal
     option with respect to such Renewal Group. Such right of revocation with
     respect to any previously exercised renewal option shall be exercised, if
     at all, by written notice from Lessee to Lessor given at anytime within
     thirty (30) days following the date of final determination of the total
     monthly Allocated Minimum Rent for the applicable Renewal Group for the
     first Lease Year of the applicable Extended Term (pursuant to such
     appraisal procedure). Failure of Lessee to exercise such right of
     revocation within the time and in the manner herein provided shall be
     deemed an irrevocable waiver by Lessee of such revocation right with
     respect to such Renewal Group for the applicable Extended Term. In
     addition, in no event shall Lessee have the right to revoke the exercise of
     a renewal option for a Renewal Group if either (i) the total monthly
     Allocated Minimum Rent payable for the Facilities within such Renewal Group
     for the first (1/st/) Lease Year of such Extended Term is equal to the
     total monthly Allocated Minimum Rent payable for such Facilities within
     such Renewal Group for the last Lease Year of the prior Term or if Lessor
     and Lessee otherwise mutually agree upon the total monthly Allocated
     Minimum Rent payable for the Facilities within such Renewal Group for the
     first (1/st/) Lease Year of such Extension Term.

               (d)  In the event that Lessee shall be entitled to and shall
     exercise its right of revocation within the time and in the manner provided
     in subsection (c) above with respect to a renewal option for any Renewal
     Group, and such right of revocation is exercised less than one (1) year
     prior to the expiration of the then current Term for such Renewal Group,
     then upon exercise of such right of revocation the then current Term of the
     Lease with respect to such Renewal Group shall be automatically extended to
     midnight of the first (1/st/) anniversary of the effective date of Lessee's
     revocation of such renewal option for such Renewal Group.

               (e)  In the event that Lessee fails to exercise a renewal option
     for any Renewal Group within the time and manner herein provided or if,
     following a timely and

                                      46
<PAGE>

     proper exercise thereof, Lessee shall revoke and terminate the same
     pursuant to and in accordance with the provisions of subsection (c) above,
     then, in either such event, all of Lessee's remaining renewal option(s)
     with respect to such Renewal Group shall be deemed irrevocably waived and
     terminated.

          19.2  Lessor's Rights of Short-Term Renewal. In addition to any
                -------------------------------------
automatic extension of any applicable Term as provided in clause (d) of Section
19.1 above, in order to facilitate the transfer of the operations of any
Facility to a third party and/or to locate a replacement lessee, Lessor shall
have the one time right to extend the applicable Term of this Lease with respect
to any one or more (including all, if Lessor so elects) of the Facilities within
any Renewal Group for up to six (6) months. Such right of extension shall be
exercised by Lessor, if at all, by written notice from Lessor to Lessee given
not less than ninety (90) days prior to the expiration of the applicable Term
and stating the date through which Lessor is extending the Term of this Lease
with respect to any such applicable Facility(ies) (which date shall not be later
than six (6) months after the originally scheduled expiration date). In the
event that Lessor shall exercise such right of extension, all of the terms and
conditions of this Lease shall continue in full force and effect with respect to
each such Facility as to which Lessor has elected to so extend the applicable
Term pursuant to this Section 19.2 and Lessee shall continue to pay all Rent due
and payable with respect to each such Facility as provided hereunder, except
that during such extension period monthly Allocated Minimum Rent with respect to
each such Facility shall be equal to the following applicable percentages of the
month Allocated Minimum Rent in effect with respect to each such Facility upon
the expiration of the originally scheduled applicable Term (as the same may have
been extended pursuant to clause (d) of Section 19.1):

               (A) for the first (1/st/) month of any such extension period, One
          Hundred Percent (100%);

               (B) for the second (2/nd/) month of any such extension period,
          Ninety Percent (90%);

               (C) for the third (3/rd/) month of any such extension period,
          Eighty Percent (80%);

               (D) for the fourth (4/th/)  month of any such extension period,
          Seventy Percent (70%);

               (E) for the fifth (5/th/) month of any such extension period,
          Sixty Percent (60%); and

               (F) for the sixth (6/th/) month of any such extension period,
          Fifty Percent (50%).

Provided, however, that (i) in no event shall Lessee be required to pay monthly
Allocated Minimum Rent for any month during such extension period for any such
Facility in an amount which exceeds the monthly fixed rent which any replacement
operator, if any, has agreed (either in a written lease or in a signed letter of
intent or term sheet) to pay for such Facility upon

                                      47
<PAGE>

commencement of the term of such new proposed lease, and (ii) in the event that
with respect to any Facility the payment by Lessee to Lessor of the applicable
monthly Allocated Minimum Rent for such Facility as determined above for any
month during such extension period would cause Lessee to incur out-of-pocket
operating losses and expenses for such Facility, then the applicable monthly
Allocated Minimum Rent as determined above for such Facility for the applicable
month(s) shall be further reduced (but in no event less than zero (-0-)) to that
amount so that Lessee does not incur out-of-pocket operating losses or expenses
for such Facility, or if such monthly Allocated Minimum Rent for such Facility
has been reduced to zero (-0-) for any month, so as to minimize the out-of-
pocket funding by Lessee of such operating losses and expenses for such
Facility. In the event that Lessee determines in good faith that Lessee will
incur any operating losses and expenses with respect to any Facility at any time
prior to or during any such extension period, Lessee and Lessor shall agree in
good faith as to the estimated amount of monthly Allocated Minimum Rent, if any,
to be paid by Lessee for each month during such extension period. Promptly
following the termination of this Lease following any such extension period the
parties shall in good faith reconcile the amount paid by Lessee on account of
such monthly Allocated Minimum Rent during such period for each such Facility
with the actual amount owed on account thereof for such period. Any overpayment
shall be returned to Lessee by Lessor and any underpayment shall be paid by
Lessee to Lessor in either case within ten (10) days following the final
reconciliation of the same. In the event that Lessor has not entered into any
such new lease, letter of intent or term sheet with a replacement operator for
any such Facility as described in clause (i) above, then the foregoing
percentages set forth in clauses (A) through (F) above shall be applicable.

          Notwithstanding anything to the contrary herein, Lessor shall have the
right to terminate this Lease with respect to any such applicable Facility
during any such extension period upon not less than twenty (20) days prior
written notice to Lessee if Lessor has identified a Qualified Successor Operator
to take over the operations of such Facility and such Qualified Successor
Operator holds (or will hold upon Lessee's surrender and vacation of such
Facility) all necessary licenses, permits, authorizations and certifications
necessary to operate such Facility for its Primary Intended Use; provided
further, however, that if Lessor shall terminate any such extension period upon
less than seventy (70) days written notice to Lessee, then Lessor shall
reimburse Lessee for any and all actual costs and liabilities that are incurred
by Lessee in connection with the employment by Lessee of its employees by virtue
of Lessee's delayed compliance with the WARN Act. In the event that Lessor shall
terminate any such extension period upon not less than seventy (70) days written
notice, Lessor shall promptly (but in any event within three (3) Business Days
after Lessee's receipt of Lessor's notice of termination) serve upon its
employees any notice required under the WARN Act. In such event, this Lease, as
previously extended, shall terminate with respect to any such Facility upon the
date specified in Lessor's notice of termination.

          19.3  Early Termination of a Facility by Reason of Economic
                -----------------------------------------------------
Discontinuance on the Leased Property.
-------------------------------------

               (a)  If, in the good faith judgment of Lessee, the Leased
          Property of any Facility becomes uneconomic or Unsuitable for its
          Primary Intended Use and Lessee will discontinue such use within a
          period of six months after the date of

                                      48
<PAGE>

          the Officer's Certificate hereinafter referred to and will not use the
          Leased Property of such Facility for any of the purposes described in
          Section 7.2 within one year thereafter, all as set forth in an
          Officer's Certificate delivered to Lessor, Lessee, if no Event of
          Default shall have occurred and be continuing, may, at any time after
          the Commencement Date, give Lessor notice of termination of this Lease
          as to the Leased Property of such Facility accompanied by an offer to
          purchase the Leased Property on the first Minimum Rent Payment Date
          (the "Economic Termination Purchase Date") occurring not less than one
          hundred twenty (120) days after the date of such offer, for a purchase
          price equal to the greater of (i) the Fair Market Value Purchase Price
          for such Facility or (ii) the applicable Minimum Repurchase Price for
          such Facility.

               (b)  If Lessor accepts such offer, or fails to reject the same by
          written notice given not less than thirty (30) days prior to the
          Economic Termination Purchase Date, Lessor shall, upon receipt from
          Lessee of the purchase price provided for above and any Rent due and
          payable under this Lease (excluding the installment of the monthly
          Allocated Minimum Rent due for such Facility on the Economic
          Termination Purchase Date), convey the Leased Property of such
          Facility to Lessee on the Economic Termination Purchase Date in
          accordance with the provisions of Article XVIII and this Lease shall
          thereupon terminate with respect to the Leased Property of such
          Facility.

               (c)  If Lessor rejects Lessee's offer to purchase the Leased
          Property of such Facility by written notice given not less than thirty
          (30) days prior to the Economic Termination Purchase Date, and Lessee
          does not withdraw its offer to purchase the Leased Property within ten
          (10) days after Lessor so rejects Lessee's said offer, this Lease
          shall terminate as to the Leased Property of such Facility on the
          Economic Termination Purchase Date, provided, no Event of Default
          shall have occurred and be continuing.

               (d)  Upon completion of the purchase of the Leased Property of
          such Facility or the termination of the Lease as to the Leased
          Property of such Facility, as the case may be, no Rent shall
          thereafter accrue under this Lease with respect to the Leased Property
          of such Facility; provided, however, that no such purchase or
          termination shall affect the Term of this Lease with respect to the
          balance of the Facilities, and this Lease shall continue in full force
          and effect with respect to such other Facilities, except that the
          total monthly Minimum Rent payable hereunder shall be reduced by the
          amount of monthly Allocated Minimum Rent with respect to such Facility
          so purchased or as to which this Lease has so terminated.

                                  ARTICLE XX.

          20.  Holding Over. Except as provided in Section 19.2, if Lessee shall
               ------------
for any reason remain in possession of the Leased Property of any Facility after
the expiration of the Term or earlier termination of the Term hereof, such
possession shall be as a month-to-month

                                      49
<PAGE>

tenant during which time Lessee shall pay as rental each month, (i) One Hundred
Fifty Percent (150%) of the monthly Allocated Minimum Rent payable with respect
to such Facility with respect to the last Lease Year of the preceding Term; (ii)
all Additional Charges accruing during the month and (iii) all other sums, if
any, payable by Lessee pursuant to the provisions of this Lease with respect to
the Leased Property of such Facility; provided, however, during any period in
which Lessee shall remain in possession of the Leased Property of any Facility
at the express written request of Lessor (other than pursuant to Section 19.2
above) in order to continue operations thereon and to facilitate the orderly
transfer of operations of such Facility to a new operator pursuant to Section
40.6 or otherwise, clause (i) above shall not apply and in lieu thereof, Lessee
shall pay during such period the monthly Allocated Monthly Minimum Rent for such
Facility in such amounts as Lessor and Lessee may reasonably and in good faith
agree in writing. During such period of month-to-month tenancy, Lessee shall be
obligated to perform and observe all of the terms, covenants and conditions of
this Lease, but shall have no rights hereunder other than the right, to the
extent given by law to month-to-month tenancies, to continue its occupancy and
use of the Leased Property. Nothing contained herein shall constitute the
consent, express or implied, of Lessor to the holding over of Lessee after the
expiration or earlier termination of this Lease.

                                 ARTICLE XXI.

          21.  Memorandum of Lease. Lessor and Lessee shall, promptly upon the
               -------------------
request of either, enter into a short form memorandum of this Lease, in form
suitable for recording under the laws of each County and State. Lessee shall pay
all costs and expenses of recording any such memorandum and shall fully
cooperate with Lessor in removing from record any such memorandum upon the
expiration or earlier termination of the Term.

                                 ARTICLE XXII.

          22.  Sale of Real Estate Assets. Notwithstanding any other provision
               --------------------------
of this Lease, Lessor shall not be required to sell or transfer the Leased
Property of any Facility, or any portion thereof, which is a real estate asset
as defined in Section 856(c)(5)(B) of the Code, to Lessee if Lessor's counsel
advise Lessor that such sale or transfer may not be a sale of property described
in Section 857(b)(6)(C) of the Code. If Lessor determines not to sell such
property pursuant to the above sentence, Lessee's right, if any, to purchase any
or all of such property shall continue and be exercisable at such time as the
transaction, upon the advice of Lessor's counsel, would be a sale of property
described in Section 857(b)(6)(C) of the Code.

                                ARTICLE XXIII.

          23.  Risk of Loss. During the Term of this Lease, the risk of loss or
               ------------
of decrease in the enjoyment and beneficial use of the Leased Property of each
Facility in consequence of the damage or destruction thereof by fire, the
elements, casualties, thefts, riots, wars or otherwise, or in consequence of
foreclosures, attachments, levies or executions (other than by Lessor and those
claiming from, through or under Lessor) is assumed by Lessee, and, in the
absence of gross negligence, willful misconduct or breach of this Lease by
Lessor pursuant to Section 38.2, Lessor shall in no event be answerable or
accountable therefor nor shall any of the

                                      50
<PAGE>

events mentioned in this Section shall entitle Lessee to any abatement of Rent
except as specifically provided in this Lease.

                                 ARTICLE XXIV.

          24.  General Indemnification. Notwithstanding the existence of any
               -----------------------
insurance required to be maintained by Lessee hereunder or otherwise maintained
by Lessee, and without regard to the policy limits of any such insurance, Lessee
will protect, indemnify, save harmless and defend Lessor from and against all
liabilities, obligations, claims, damages, penalties, causes of action, costs
and expenses (including reasonable attorneys' fees and expenses), to the extent
permitted by law, imposed upon or incurred by or asserted against Lessor by
reason of: (a) any accident, injury to or death of persons or loss of or damage
to property occurring on or about the Leased Property of any Facility or
adjoining sidewalks, including any claims of malpractice, (b) any use, misuse,
non-use, condition, maintenance or repair by Lessee of the Leased Property of
any Facility, (c) any Impositions (which are the obligations of Lessee to pay
pursuant to the applicable provisions of this Lease), (d) any failure on the
part of Lessee to perform or comply with any of the terms of this Lease, and (e)
the non-performance of any of the terms and provisions of any and all existing
and future subleases of the Leased Property of any Facility to be performed by
the landlord (Lessee) thereunder. Any amounts which become payable by Lessee
under this Section shall be paid within ten (10) days after liability therefor
on the part of Lessee is determined by litigation or otherwise, and if not
timely paid, shall bear a late charge (to the extent permitted by law) at the
Overdue Rate from the date of such determination to the date of payment. Lessee,
at its expense, shall contest, resist and defend any such claim, action or
proceeding asserted or instituted against Lessor or may compromise or otherwise
dispose of the same as Lessee sees fit. Nothing herein shall be construed as
indemnifying Lessor against its own negligent acts or omissions or willful
misconduct. It is understood and agreed that payment shall not be a condition
precedent to enforcement of the foregoing indemnification obligations.

          Lessor shall indemnify, save harmless and defend Lessee from and
against all liabilities, obligations, claims, damages, penalties, causes of
action, costs and expenses imposed upon or incurred by or asserted against
Lessee as a result of the gross negligence or willful misconduct of Lessor.

          Lessee's or Lessor's liability for a breach of the provisions of this
Article arising during the Term hereof shall survive any termination of this
Lease.

                                 ARTICLE XXV.

          25.  Transfers.
               ---------

          25.1  Prohibition. Except as expressly provided in Sections 25.9,
                -----------
25.10 and 25.11 below, Lessee shall not, without Lessor's prior written consent,
which may be withheld in Lessor's sole and absolute discretion, either directly
or indirectly or through one or more step transactions or tiered transactions,
voluntarily or by operation of law, (i) assign, convey, sell, pledge, mortgage,
hypothecate or otherwise encumber, transfer or dispose of all or any part of
this Lease or Lessee's leasehold estate hereunder (other than Occupancy
Arrangements which are

                                      51
<PAGE>

not Master Subleases), (ii) Master Sublease all or any part of the Leased
Property of any Facility and/or any Capital Additions, or (iii) enter into a
Master Management Engagement for all or any part greater than Ten Percent (10%)
of the Leased Property of any Facility and/or any Capital Additions, (each of
the aforesaid acts referred to in clauses (i) through (iii) being referred to
herein as a "Transfer"). For purposes of this Lease, a "Transfer" shall also be
deemed to include, and, except as expressly provided in Sections 25.9, 25.10 and
25.11, Lessor's prior written consent shall be required in connection with,
which consent may be withheld in Lessor's sole and absolute discretion, (x) any
transaction which results, directly or indirectly or through one or more step
transactions or tiered transactions, voluntarily or by operation of law, in a
Change of Control of Lessee or any Controlling Person or any Change of Control
of Kindred Healthcare, Inc. or (y) any Material Asset Transfer involving Lessee,
any Controlling Person or Kindred Healthcare, Inc. Any Occupancy Arrangement
with respect to more than Ten Percent (10%) of any Facility in the aggregate to
any Person and/or its Affiliates, directly or indirectly, or through one or more
step transactions or tiered transactions, shall be deemed to be a "Master
Sublease" hereunder with respect to such Facility. Any engagement of the
services of any Person and/or its Affiliate for the management or operation of
more than Ten Percent (10%) of any Facility in the aggregate, whether directly
or indirectly, or through one or more tiered transactions, shall be deemed a
"Management Engagement" hereunder with respect to such Facility. For any
Occupancy Arrangement or management engagement transaction not requiring the
consent of Lessor hereunder (i.e., an Occupancy Arrangement not constituting a
Master Sublease or a management engagement not constituting a Master Management
Engagement, as the case may be), Lessee shall, within ten (10) days of entering
into any such Occupancy Arrangement or management engagement, notify Lessor of
the existence of such Occupancy Arrangement or management engagement, as the
case may be, and the identity of the Occupant or Person and supply Lessor with a
copy of the agreement relating to such Occupancy Arrangement or management
engagement, as the case may be, and any other related documentation, materials
or information reasonably requested by Lessor.

          25.2  Consent.
                -------

                25.2.1 Prior to any Transfer, Lessee shall first notify Lessor
of its desire to do so and shall submit in writing to Lessor: (i) the name of
the proposed Occupant, assignee, manager or other transferee. Lessor may, as a
condition to granting such consent, which consent may be given or withheld in
Lessor's sole and absolute discretion (except as provided in Sections 25.9,
25.10 and 25.11 below), and in addition to any other conditions imposed by
Lessor, require that the obligations of any Occupant, assignee, manager or other
transferee which is an Affiliate of another Person be guaranteed by its parent
or Controlling Person and that any Guaranty of this Lease be reaffirmed by any
Guarantor notwithstanding such Transfer.

                25.2.2 The consent by Lessor to any Transfer shall not
constitute a consent to any subsequent Transfer or to any subsequent or
successive Transfer. Any purported or attempted Transfer contrary to the
provisions of this Article shall be void and, at the option of Lessor, shall
terminate this Lease.

                                      52
<PAGE>

          25.3  Attornment and Related Matters. Any Occupancy Arrangement
                ------------------------------
(whether or not the same constitutes a Master Sublease) shall be expressly
subject and subordinate to all applicable terms and conditions of this Lease and
shall provide that Lessor, at its option and without any obligation to do so,
may require any Occupant to attorn to Lessor, in which event Lessor shall
undertake the obligations of Lessee, as sublessor, licensor or otherwise under
such Occupancy Arrangement from the time of the exercise of such option to the
termination of such Occupancy Arrangement and in such case Lessor shall not be
liable for any prepaid rents, fees or other charges or for any prepaid security
deposits paid by such Occupant to Lessee or for any other prior defaults of
Lessee under such Occupancy Arrangement. In the event that Lessor shall not
require such attornment with respect to any Occupancy Arrangement, then such
Occupancy Arrangement shall automatically terminate upon the expiration or
earlier termination of this Lease, including any early termination by mutual
agreement of Lessor and Lessee. In addition, any such Occupancy Arrangement
shall provide that in the event that the Occupant or other transferee receives a
written notice from Lessor stating that an Event of Default has occurred or that
an event or circumstance has occurred which with notice and/or passage of time
would constitute an Event of Default, such Occupant or other transferee
thereafter shall without further consent or instruction of Lessee pay all
rentals accruing under such Occupancy Arrangement directly to Lessor or as
Lessor may direct. Any such rentals collected from such Occupant or other
transferee by Lessor shall be credited against the amounts owing by Lessee under
this Lease in such order of priority as Lessor shall determine. Furthermore, any
Occupancy Arrangement or other agreement regarding a Transfer shall expressly
provide that the Occupant, assignee, manager or other transferee shall furnish
Lessor with such financial, operational and other information about the physical
condition of the applicable Facility, including the information required by
Section 25.2 herein, as Lessor may request from time to time. Any management
engagement (whether or not the same constitutes a Master Management Agreement)
shall also be expressly subject and subordinate to all applicable terms and
conditions of this Lease and shall automatically terminate upon the expiration
or earlier termination of this Lease, including a termination by mutual consent
of Lessor and Lessee.

          25.4  Assignment of Lessee's Rights Against Occupant Under a Master
                -------------------------------------------------------------
Sublease. If Lessor shall consent to a Master Sublease, then the written
--------
instrument of consent, executed and acknowledged by Lessor, Lessee and the
Occupant thereunder, shall contain a provision substantially similar to the
following:

                (a)  Lessee and such Occupant hereby agree that, if such
     Occupant shall be in default of any of its obligations under the Master
     Sublease, which default also constitutes an Event of Default by Lessee
     under this Lease, then Lessor shall be permitted to avail itself of all of
     the rights and remedies available to Lessee against such Occupant in
     connection therewith.

                (b)  Without limiting the generality of the foregoing, Lessor
     shall be permitted (by assignment of a cause of action or otherwise) to
     institute an action or proceeding against such Occupant in the name of
     Lessee in order to enforce Lessee's rights under the Master Sublease, and
     also shall be permitted to take all ancillary actions (e.g., serve default
     notices and demands) in the name of Lessee as Lessor reasonably shall
     determine to be necessary.

                                      53
<PAGE>

                (c)  Lessee agrees to cooperate with Lessor, and to execute such
     documents as shall be reasonably necessary, in connection with the
     implementation of the foregoing rights of Lessor.

                (d)  Lessee expressly acknowledges and agrees that the exercise
     by Lessor of any of the foregoing rights and remedies shall not constitute
     an election of remedies, and shall not in any way impair Lessor's
     entitlement to pursue other rights and remedies directly against Lessee.

          25.5  Costs.  Lessee shall reimburse Lessor for Lessor's reasonable
                -----
costs and expenses incurred in conjunction with the processing and documentation
of any request to Transfer, including attorneys', architects', engineers' or
other consultants' fees whether or not such Transfer is actually consummated.

          25.6  No Release of Lessee's or Guarantor's Obligations. No Transfer
                -------------------------------------------------
whether or not consented to by Lessor shall relieve Lessee of its obligation to
pay the Rent and to perform all of the other obligations to be performed by
Lessee hereunder or the obligations of Guarantor under the Guaranty. The
liability of Lessee named herein and any immediate and remote successor in
interest of Lessee (i.e., by means of any Transfer), and the due performance of
the obligations of this Lease on Lessee's part to be performed or observed,
shall not in any way be discharged, released or impaired by any (i) agreement
which modifies any of the rights or obligations of the parties under this Lease,
(ii) stipulation which extends the time within which an obligation under this
Lease is to be performed, (iii) waiver of the performance of an obligation
required under this Lease, or (iv) failure to enforce any of the obligations set
forth in this Lease. If any Occupant, assignee, manager or other transferee
defaults in any performance due hereunder, Lessor may proceed directly against
the Lessee named herein and/or any immediate and remote successor in interest of
Lessee without exhausting its remedies against such Occupant, assignee, manager
or other transferee.

          25.7  REIT Protection. Anything contained in this Lease to the
                ---------------
contrary notwithstanding, (i) no Transfer shall be consummated on any basis such
that the rental or other amounts to be paid by the Occupant, assignee, manager
or other transferee thereunder would be based, in whole or in part, on the
income or profits derived by the business activities of the Occupant, assignee,
manager or other transferee; (ii) Lessee shall not furnish or render any
services to an Occupant, assignee, manager or other transferee; (iii) Lessee
shall not consummate a Transfer with any Person in which Lessee or Lessor owns
an interest, directly or indirectly (by applying constructive ownership rules
set forth in Section 856(d)(5) of the Code); and (iv) Lessee shall not
consummate a Transfer with any Person or in any manner which could cause any
portion of the amounts received by Lessor pursuant to this Lease or any
Occupancy Arrangement to fail to qualify as "rents from real property" within
the meaning of Section 856(d) of the Code, or any similar or successor provision
thereto or which could cause any other income of Lessor to fail to qualify as
income described in Section 856(c)(2) of the Code.

          25.8  [Intentionally Omitted]
                -----------------------

                                      54
<PAGE>

          25.9   Public Offering/Public Trading. Notwithstanding anything to the
                 ------------------------------
contrary this Article XXV, Lessor's consent shall not be required in connection
with (a) any sale or other transfer of any stock of Lessee or any Controlling
Person(s) (including Kindred Healthcare Inc.) as a result of (i) a public
offering of Lessee's or such Controlling Person's (including Kindred Healthcare,
Inc.) stock pursuant to a firm commitment underwriting or a plan of distribution
registered under the Securities Act, (ii) any offering of Lessee's or any
Controlling Person's (including Kindred Healthcare, Inc.) stock pursuant to Rule
144 or Rule 144A of the Securities Act or (iii) any issuance of Lessee's or any
Controlling Person's (including Kindred Healthcare, Inc.) stock for the benefit
of employees or directors of such Persons pursuant to any formal employee stock
plan or other employee benefit plan arrangement or plan for reinvestment of
dividends of interest, in each case duly authorized by the Board of Directors of
such Person and in each case , except as permitted by Section 25.11 below, so
long as such sale or transfer of such stock does not result, directly or
indirectly, in a Change of Control of such Person (or with respect to Kindred
Healthcare, Inc., a Change in Control of Kindred Healthcare, Inc.). In addition,
to the extent that the stock of Lessee or any such Controlling Person(s)
(including Kindred Healthcare, Inc.) is listed for trading on any of the
American Stock Exchange, New York Stock Exchange or other national securities
exchange or the OTC Bulletin Board, or authorized for quotation on the NASDAQ
National Market, the transfer or exchange of such stock over such exchange or
market shall not be deemed a Transfer hereunder unless, except as permitted by
Section 25.11 below, the same (whether in one transaction or in any step or
series of transactions) results, directly or indirectly, in a Change of Control
of Lessee or any Controlling Person(s) or with respect to Kindred Healthcare,
Inc. a Change of Control of Kindred Healthcare, Inc. (including pursuant to a
tender or similar offer to acquire the outstanding and issued securities of
Lessee or such Controlling Person(s)).

          25.10  Reasonable Consents for Master Subleases under Certain
                 ------------------------------------------------------
Circumstances.  Notwithstanding anything to the contrary in this Lease, Lessor
-------------
shall not unreasonably withhold its consent to a proposed Master Sublease of the
Leased Property of one or more Facilities to a single Person (provided any other
proposed Transfer shall require Lessor's consent in its sole discretion as
provided in this Article XXV), so long as no more than five (5) Facilities
listed on Exhibit B have been or will be Master Subleased in the aggregate to
          ---------
any Persons that are not Affiliates of Lessee or Guarantor and so long as the
Occupant under such Master Sublease, as the case may be: (a) has a senior
unsecured credit rating of not less than B1 from Standard and Poors Corporation
or B+ from Moody's Investors Service; (b) has not less than four (4) years
experience in operating skilled nursing care facilities in each State in which
the Leased Property of the applicable Facility(ies) is located; (c) is a multi-
facility operator (i.e., not less than fifteen (15) other facilities); (d) has a
favorable operational reputation and neither such Occupant nor any of its
Affiliates have within the previous twelve (12) month period prior to the
effectiveness of such Master Sublease had any material healthcare licenses,
permits, approvals or other authorizations (including any certificate to operate
as a Medicare or Medicaid facility) material to the operation of a skilled
nursing care facility terminated or revoked.

          25.11  Certain Permitted Transfers.
                 ---------------------------

                 25.11.1.  Affiliate Transactions. Notwithstanding anything to
                           ----------------------
the contrary contained in this Article XXV, but subject to the provisions of
Section 25.7 above, Lessor's

                                      55
<PAGE>

consent shall not be required in connection with any Master Sublease of the
entire Leased Property of a Facility or an assignment of any Lessee's interest
in this Lease with respect to the entire Leased Property of a Facility in each
such case to an Affiliate of Kindred Healthcare, Inc., so long as in connection
therewith, each of the following conditions is met:

               (a)       In connection with such transaction, there is no change
     in the use of the Leased Property of such Facility from the Primary
     Intended Use, unless otherwise consented to by Lessor in accordance with
     the provisions of this Lease;

               (b)       Any Master Subletting shall be subject to the
     provisions of Section 25.3 above;

               (c)       In connection with any such assignment, such Affiliate-
     assignee shall assume the joint and several obligations of such Lessee
     hereunder pursuant to a written assumption agreement in form and substance
     reasonably acceptable to Lessor;

               (d)       Neither the original Lessee nor Guarantors shall be
     released from any of their respective obligations under this Lease and the
     Guaranty, whether occurring prior to or after the effective date of such
     transaction, and if requested by Lessor, shall execute a written
     reaffirmation of the same in a form reasonably satisfactory to Lessor;

               (e)       No Event of Default shall have occurred and be
     continuing hereunder as of the date that any such transaction is effective;
     and

               (f)       Within ten (10) days after the effectiveness of such
     transaction, Lessee shall notify Lessor in writing of the occurrence of
     such event, the effective date thereof, the facts placing the same within
     the provisions of this Section 25.11.1. and any other change in the address
     for billings and notices to the Lessee pursuant to this Lease, accompanied
     by an executed copy of any Master Sublease or written assumption agreement
     as required pursuant to subsection (c) above.

               25.11.2.  Certain Other Transactions. Notwithstanding anything to
                         --------------------------
the contrary in this Article XXV, but subject to the provisions of Section 25.7
above, Lessor's consent shall not be required in connection with (1) a Change of
Control of Lessee or of any Controlling Person or a Change in Control of Kindred
Healthcare, Inc., including by reason of (x) a sale or transfer of all or
substantially all of the outstanding capital stock of Kindred Healthcare, Inc.
or a Material Asset Transfer of Kindred Healthcare, Inc., or (y) a merger,
consolidation or stock exchange to which Kindred Healthcare, Inc. is a party,
(2) a Material Asset Transfer of Kindred Healthcare, Inc., other than its
interests (whether direct or indirect) in Lessee and which does not effect a
Change of Control of Lessee or (3) a spin-off transaction, i.e., a transaction,
whether by a Material Asset Transfer of Kindred Healthcare, Inc. or any
Controlling Person, or by sale of stock, partnership or membership interests,
recapitalization, reorganization or otherwise, in any such case of all (but not
less than all) of Kindred Healthcare, Inc.'s interests in Lessee, whether or not
the same effects a Change in Control of Lessee, so long as each of the following
conditions is met:

                                      56
<PAGE>

                (a)  Following consummation of any such transaction, the
     ultimate Control of all entities comprising Lessee under this Lease shall
     at all times remain vested in a single Person or group of Affiliated
     Persons.

                (b)  The Consolidated Net Worth of any Person which remains or
     becomes liable under this Lease, whether as the "Lessee" hereunder or as a
     Guarantor under the Guaranty (herein a "Responsible Lease Party"),
     following consummation of any transaction of the type described in this
     Section 25.11.3, as the case may be, shall be equal to or greater than (i)
     Seventy Percent (70%) of the average Consolidated Net Worth of Kindred
     Healthcare, Inc. for the twelve (12) month period immediately prior to the
     effectiveness of such transaction or (ii) $300 Million, whichever is
     greater, in each case as determined in accordance with GAAP; provided,
     however, that the foregoing Seventy Percent (70%) requirement shall be
     reduced to Fifty Percent (50%) so long as either (A) the resulting
     Consolidated Net Worth of any such Responsible Lease Party is equal to or
     greater than $450 Million, or (B) in the event the resulting Consolidated
     Net Worth of any such Responsible Lease Party is less than $450 Million,
     Lessee delivers or causes to be delivered concurrently with the closing of
     any such transaction a letter of credit meeting the requirements set forth
     in Article XLIII below; provided further, however, in no event shall the
     $300 Million requirement be reduced.

                (c)  The Debt Ratio of any such Responsible Lease Party
     following consummation of any transaction of the type described in this
     Section 25.11.3, as the case may be, shall be no less than 7:1.

                (d)  Except in the case of a transaction as to which a
     Responsible Lease Party assumes the obligations of Lessee under this Lease
     or Guarantor under the Guaranty as a matter of law, such Responsible Lease
     Party shall execute a written assumption of this Lease or Guaranty, as the
     case may be, in form and substance reasonably acceptable to Lessor and
     Lessor shall receive such legal opinions from counsel to such Responsible
     Lease Party as Lessor shall reasonably request.

                (e)  No Event of Default shall have occurred and be continuing
     hereunder.

                (f)  Not less than ten (10) days prior to any such transaction,
     Lessor shall receive the applicable information required by Section 25.2.1
     with respect to such transaction and the proposed Responsible Lease Party
     resulting therefrom.

                                 ARTICLE XXVI.

          26.   Officer's Certificates and Financial Statements.
                -----------------------------------------------

          26.1  Officer's Certificate. At any time and from time to time upon
                ---------------------
not less than twenty (20) days' prior written request by either Lessor or Lessee
(the "requesting party"), the other party (the "responding party") shall furnish
to the requesting party an Officer's Certificate

                                      57
<PAGE>

of the responding party certifying (i) that this Lease is unmodified and in full
force and effect, or that this Lease is in full force and effect as modified and
setting forth the modifications; (ii) the dates to which the Rent has been paid;
(iii) whether or not, to the actual knowledge of the responding party, the
requesting party is in default in the performance of any covenant, agreement or
condition contained in this Lease and, if so, specifying each such default of
which the responding party may have knowledge; and (iv) responses to such other
questions or statements of fact as the requesting party, any ground or
underlying lessor, any purchaser or any current or prospective Facility
Mortgagee shall reasonably request. The responding party's failure to deliver
such statement within such time shall constitute an acknowledgment by the
responding party that (x) this Lease is unmodified and in full force and effect
except as may be represented to the contrary by the requesting party; (y) the
requesting party is not in default in the performance of any covenant, agreement
or condition contained in this Lease; and (z) the other matters set forth in
such request, if any, are true and correct. Any such certificate furnished
pursuant to this Article may be relied upon by the requesting party and any
current or prospective Facility Mortgagee, ground or underlying lessor or
purchaser of the Leased Property of any Facility or any permitted assignee or
sublessee of the leasehold estate created hereby.

          26.2  Statements. Lessee shall furnish the following statements
                ----------
to Lessor within thirty (30) days after Lessor's written request therefor,
except for the statements required by subsections (a), (c), (e), (f) and (g)
below, which shall be provided as and when required:

                (a)  within 120 days after the end of the fiscal year of each of
     the following Persons, as applicable, a copy of (i) the audited
     Consolidated Financials of Kindred Healthcare, Inc. and its consolidated
     Subsidiaries as of the end of the most recent ended fiscal year, and
     related audited consolidated statements of income, changes in common stock
     and other stockholders' equity and changes in the financial position of
     Kindred Healthcare, Inc. and its consolidated Subsidiaries for such fiscal
     year, prepared in accordance with GAAP, such Consolidated Financial
     statements to be certified by nationally recognized certified public
     accountants; and (ii) if prepared and made available to creditors of
     Kindred Healthcare, Inc. or any other Guarantor and/or Lessee, audited (or
     if prepared, but unaudited and made available to other creditors,
     unaudited) Consolidated Financials of any such other Guarantor, Lessee and
     any other material Subsidiary of Kindred Healthcare, Inc. (i.e., a
     Subsidiary of Kindred Healthcare, Inc. which generates Fifteen Percent
     (15%) or more of the consolidated revenues of Kindred Healthcare, Inc.) and
     each of their consolidated Subsidiaries as of the end of the most recently
     ended fiscal year, and related audited (if prepared, but unaudited,
     unaudited) consolidated statements income, changes in common stock or
     membership interests and other stockholders' or members' equity and changes
     in the financial position of any such other Guarantor, Lessee and/or such a
     material Subsidiary of Kindred Healthcare, Inc. and their consolidated
     Subsidiaries for such fiscal year, prepared in accordance with GAAP;

                (b)  an Officer's Certificate of Lessee stating that to the best
     of the signer's knowledge and belief after making due inquiry, Lessee is
     not in default in the performance or observance of any of the terms of this
     Lease, or if Lessee shall be in default, specifying all such defaults, the
     nature thereof, and the steps being taken to remedy the same;

                                      58
<PAGE>

               (c)  during the last eighteen (18) months of the Term, within
     thirty (30) days after the same are required to be submitted or delivered
     to the appropriate governmental agency for such Facility, all monthly
     consolidated financial reports Lessee produces for reporting purposes and
     detailed statements of income and detailed operational statistics regarding
     occupancy rates, patient and resident mix and patient and resident rates by
     type for each Facility; and during all other periods during the Term,
     within thirty (30) days after the same are required to be submitted or
     delivered to the appropriate governmental agency for such Facility, all
     quarterly consolidated financial reports Lessee produces for reporting
     purposes and detailed statements of income and detailed operational
     statistics regarding occupancy rates, patient and resident mix and patient
     and resident rates by type for each Facility for Lessee's most recently
     ended quarter;

               (d)  within thirty (30) days after the same are required to be
     submitted or delivered to the appropriate governmental agency for such
     Facility, copies of the then most recent cost report for each Facility
     which is required to be filed or submitted with the appropriate
     governmental agency for such Facility;

               (e)  within thirty (30) days after the same are required to be
     filed, copies of the most recent annual reports and of information,
     documents and other reports, or copies of such portions of any of the
     foregoing as the SEC may prescribe in connection therewith and which Lessee
     or Guarantor is required to file with the SEC pursuant to Section 13 or
     15(d) of the Securities Exchange Act of 1934;

               (f)  within thirty (30) days after receipt of the same, copies of
     all written communications received by Lessee from any regulatory agency
     relating to (i) surveys of any Facility for purposes of licensure, Medicare
     and Medicaid certification and accreditation (including plans of
     correction) and (ii) any proceeding, formal or informal, with respect to
     cited deficiencies with respect to services and activities provided and
     performed at any Facility, including patient and resident care, patient and
     resident activities, patient and resident therapy, dietary, medical
     records, drugs and medicines, supplies, housekeeping and maintenance, or
     the condition of any Facility. Within three (3) days of receipt of the
     same, copies of all written communications received by Lessee from any
     regulation agency and involving an actual warning, imposition of a fine or
     a penalty, or suspension, termination or revocation of any Facility's
     license to be operated in accordance with its Primary Intended Use;

               (g)  to the extent the same has not already been provided to
     Lessor, within thirty (30) days following the receipt of the same, copies
     of all claims, reports, complaints, notices, warnings or asserted
     violations relating in any way to the Leased Property of any Facility or
     Lessee's use thereof; and

               (h)  such other information respecting (i) the financial and
     operational condition and affairs of Lessee, any Guarantor and any
     Facility, (ii) the physical condition of the Leased Property of any
     Facility and any Capital Additions and (iii) any suspected assignment or
     deemed assignment of all or any portion of this Lease, including the then

                                      59
<PAGE>

     equity or voting ownership in Lessee or Guarantor, in each case as Lessor
     may reasonably request, in the form of a questionnaire or otherwise, from
     time to time.

                                 ARTICLE XXVII.

          27.  Lessor's Right to Inspect. Lessee shall permit Lessor and its
               -------------------------
authorized representatives to inspect the Leased Property of each Facility
during usual business hours subject to any security, health, safety or
confidentiality requirements of Lessee or any governmental agency or insurance
requirement relating to the Leased Property of such Facility, or imposed by law
or applicable regulations.

                                ARTICLE XXVIII.

          28.  No Waiver. No failure by Lessor or Lessee to insist upon the
               ---------
strict performance of any term hereof or to exercise any right, power or remedy
consequent upon a breach thereof, and no acceptance of full or partial payment
of Rent during the continuance of any such breach, shall constitute a waiver of
any such breach or of any such term. To the extent permitted by law, no waiver
of any breach shall affect or alter this Lease, which shall continue in full
force and effect with respect to any other then existing or subsequent breach.

                                 ARTICLE XXIX.

          29.  Remedies Cumulative. To the extent permitted by law, each legal,
               -------------------
equitable or contractual right, power and remedy of Lessor or Lessee now or
hereafter provided either in this Lease or by statute or otherwise shall be
cumulative and concurrent and shall be in addition to every other right, power
and remedy and the exercise or beginning of the exercise by Lessor or Lessee or
any one or more of such rights, powers and remedies shall not preclude the
simultaneous or subsequent exercise by Lessor or Lessee of any or all of such
other rights, powers and remedies.

                                 ARTICLE XXX.

          30.  Acceptance of Surrender. No surrender to Lessor of this Lease or
               -----------------------
of the Leased Property of any Facility or any part of any thereof, or of any
interest therein, shall be valid or effective unless agreed to and accepted in
writing by Lessor and no act by Lessor or any representative or agent of Lessor,
other than such a written acceptance by Lessor, shall constitute an acceptance
of any such surrender.

                                 ARTICLE XXXI.

          31.  No Merger of Title. There shall be no merger of this Lease or of
               ------------------
the leasehold estate created hereby by reason of the fact that the same person,
firm, corporation or other entity may acquire, own or hold, directly or
indirectly, (a) this Lease or the leasehold estate created hereby or any
interest in this Lease or such leasehold estate and (b) the fee estate in the
Leased Property of any Facility.

                                      60
<PAGE>

                                ARTICLE XXXII.

               32.1  Conveyance by Lessor. Lessor may, without the consent or
                     --------------------
approval of Lessee, sell, transfer, assign, convey or otherwise dispose of any
or all of the Leased Property of any or all of the Facilities. If Lessor or any
successor owner of the Leased Property of any Facility shall sell, transfer,
assign, convey or otherwise dispose of such Leased Property in accordance with
the terms hereof other than as security for a debt, and the purchaser, grantee,
assignee or transferee of such Leased Property shall expressly assume all
obligations of Lessor hereunder with respect to such Leased Property arising or
accruing from and after the date of such sale, conveyance, transfer, assignment
or other disposition and shall be reasonably capable of performing the
obligations of Lessor hereunder, Lessor or such successor owner, as the case may
be, shall thereupon be released from all future liabilities and obligations of
Lessor under this Lease with respect to such Leased Property arising or accruing
from and after the date of such sale, conveyance, transfer, assignment or other
disposition as to such Leased Property and all such future liabilities and
obligations with respect to such Leased Property shall thereupon be binding upon
such purchaser, grantee, assignee or transferee. In the event of any such sale,
transfer, assignment, conveyance or other disposition (other than as security
for a debt) of less than all of the Leased Property of all of the Facilities,
the provisions of Section 32.2 hereof shall apply.

               32.2  New Lease. Lessor shall have the right, at any time and
                     ---------
from time to time during the Term for any purpose, by written notice to Lessee,
to require Lessee to execute an amendment to this Lease whereby the Leased
Property of one or more Facilities (individually, a "Separated Property" or
collectively, the "Separated Properties") is separated and removed from this
Lease, and to simultaneously execute a substitute lease with respect to such
Separated Property(ies), in which case:

                     32.2.1  Lessor and Lessee shall execute a new lease (the
"New Lease") for such Separated Property(ies), effective as of the date
specified in Section 3.2.3 below (the "New Lease Effective Date"), in the same
form and substance as this Lease, but with such changes thereto as necessary to
reflect the separation of the Separated Property(ies) from the balance of the
Leased Property, including specifically the following:

                             (a)   The total monthly Minimum Rent payable under
     such New Lease shall be the total applicable monthly Allocated Minimum Rent
     with respect to such Separated Property(ies);

                             (b)   All Minimum Rent rental escalations under the
     New Lease shall be at the times and in the amounts set forth in this Lease
     for Minimum Rent increases;

                             (c)   To the extent there is any Deferred Rent
     under this Lease with respect to any such Separated Property(ies), then
     such Deferred Rent shall be Deferred Rent under the New Lease and shall be
     paid in the amounts and at the time provided for payment of Deferred Rent
     under this Lease; and

                                      61
<PAGE>

                              (d)   The New Lease shall provide that the lessee
     thereunder shall be responsible for the payment, performance and
     satisfaction of all duties, obligations and liabilities arising under this
     Lease, insofar as they relate to the Separated Property(ies), that were not
     paid, performed and satisfied in full prior to the effective date of the
     New Lease (and Lessee under this Lease shall also be responsible for the
     payment, performance and satisfaction of the aforesaid duties, obligations
     and liabilities not paid, performed and satisfied in full prior to the
     effective date of such New Lease).

                    32.2.2    Lessor and Lessee shall also execute an amendment
to this Lease effective as of the New Lease Effective Date reflecting the
separation of the Separated Property(ies) from the balance of the Leased
Property and making such modifications to this Lease as are necessitated
thereby.

                    32.2.3    In the case of any New Lease that is entered into
in accordance with this Section 32.2 such New Lease shall be effective on the
date which is the earlier of (i) the date the New Lease is fully executed and
delivered by the parties thereto and (ii) the date specified in the written
notice from Lessor to Lessee requiring a New Lease as described above, which
date shall be no sooner than ten (10) days after the date such notice is issued.

                    32.2.4    Lessee and Lessor shall take such actions and
execute and deliver such documents, including without limitation the New Lease
and an amendment to this Lease, as are reasonably necessary and appropriate to
effectuate the provisions and intent of this Section 32.2.

                    32.2.5    Each party shall bear its own costs and expenses
in connection with any New Lease entered into in accordance with this Section
32.2.

                                ARTICLE XXXIII.

               33.  Quiet Enjoyment. So long as Lessee shall pay all Rent as the
                    ---------------
same becomes due and shall fully comply with all of the terms of this Lease and
fully perform its obligations hereunder, Lessee shall peaceably and quietly
have, hold and enjoy the Leased Property for the Term hereof, free of any claim
or other action by Lessor or anyone claiming by, through or under Lessor, but
subject to the Permitted Exceptions. No failure by Lessor to comply with the
foregoing covenant shall give Lessee any right to cancel or terminate this Lease
or abate, reduce or make a deduction from or offset against the Rent or any
other sum payable under this Lease, or to fail to perform any other obligation
of Lessee hereunder. Notwithstanding the foregoing, Lessee shall have the right,
by separate and independent action to pursue any claim it may have against
Lessor as a result of a breach by Lessor of the covenant of quiet enjoyment
contained in this Section.

                                 ARTICLE XXXIV.

               34.  Notices. Any notice, consent, approval, demand or other
                    -------
communication required or permitted to be given hereunder (a "notice") must be
in writing and may be served personally or by U.S. Mail. If served by U.S. Mail,
it shall be addressed as follows:

                                      62
<PAGE>

               If to Lessor:       Health Care Property Investors, Inc.
                                   4675 MacArthur Court, Suite 900
                                   Newport Beach, California 92660
                                   Attn: Legal Department
                                   Fax: (949) 221-0607

               with a copy to:     Latham & Watkins
                                   650 Town Center Drive, Suite 2000
                                   Costa Mesa, California 92626
                                   Attn: David C. Meckler, Esq.
                                   Fax: (714) 755-8290

               If to Lessee:       Kindred Healthcare, Inc.
                                   680 South Fourth Avenue
                                   Louisville, KY 40202
                                   Attn: Chief Financial Officer
                                   Fax: (502) 596-4075

               and to:             Kindred Healthcare, Inc.
                                   680 South Fourth Avenue
                                   Louisville, KY 40202
                                   Attn: General Counsel
                                   Fax: (502) 596-4075

Any notice which is personally served shall be effective upon the date of
service; any notice given by U.S. Mail shall be deemed effectively given, if
deposited in the United States Mail, registered or certified with return receipt
requested, postage prepaid and addressed as provided above, on the date of
receipt, refusal or non-delivery indicated on the return receipt. In lieu of
notice by U.S. Mail, either party may send notices by facsimile or by a
nationally recognized overnight courier service which provides written proof of
delivery (such as U.P.S. or Federal Express). Any notice sent by facsimile shall
be effective upon confirmation of receipt in legible form, and any notice sent
by a nationally recognized overnight courier shall be effective on the date of
delivery to the party at its address specified above as set forth in the
courier's delivery receipt. Either party may, by notice to the other from time
to time in the manner herein provided, specify a different address for notice
purposes.

                                 ARTICLE XXXV.

          35.  Appraisers. In the event that it becomes necessary to determine
               ----------
the Fair Market Value, Fair Market Value Purchase Price or Fair Market Rental of
the Leased Property of any Facility, the party required or permitted to give
notice of such required determination shall include in the notice the name of a
person selected to act as appraiser on its behalf. Within 10 days after receipt
of any such notice, Lessor (or Lessee, as the case may be) shall by notice to
Lessee (or Lessor, as the case may be) appoint a second person as appraiser on
its behalf. The appraisers thus appointed, each of whom must be a member of the
American Institute of Real Estate Appraisers (or any successor organization
thereto), shall, within forty-five (45) days after

                                      63
<PAGE>

the date of the notice appointing the first appraiser, proceed to appraise the
Leased Property of such Facility to determine the Fair Market Value, Fair Market
Value Purchase Price or Fair Market Rental thereof, as the case may be, as of
the relevant date (giving effect to the impact, if any, of inflation from the
date of their decision to the relevant date); provided, however, that if only
one appraiser shall have been so appointed, or if two, appraisers shall have
been so appointed but only one such appraiser shall have made such determination
within fifty (50) days after the making of Lessee's or Lessor's request, then
the determination of such appraiser shall be final and binding upon the parties.
To the extent consistent with sound appraisal practice as then existing at the
time of any such appraisal, such appraisal shall be made on a basis consistent
with the basis on which the Leased Property of such Facility was appraised for
purposes of determining its Fair Market Value at the time the Leased Property of
such Facility was acquired by Lessor. If two appraisers shall have been
appointed and shall have made their determinations within the respective
requisite periods set forth above and if the difference between the amounts so
determined shall not exceed Ten Percent (10%) of the lesser of such amounts,
then the Fair Market Value, Fair Market Value Purchase Price or Fair Market
Rental, as the case may be, shall be an amount equal to Fifty Percent (50%) of
the sum of the amounts so determined. If the difference between the amounts so
determined shall exceed Ten Percent (10%) of the lesser of such amounts, then
such two appraisers shall have twenty (20) days to appoint a third appraiser,
but if such appraisers fail to do so, then either party may request the American
Arbitration Association or any successor organization thereto to appoint an
appraiser within twenty (20) days of such request, and both parties shall be
bound by any appointment so made within such twenty (20) day period. If no such
appraiser shall have been appointed within such twenty (20) days or within
ninety (90) days of the original request for a determination of Fair Market
Value, Fair Market Value Purchase Price or Fair Market Rental, as the case may
be, whichever is earlier, either Lessor or Lessee may apply to any court having
jurisdiction to have such appointment made by such court. Any appraiser
appointed by the original appraisers, by the American Arbitration Association or
by such court shall be instructed to determine the Fair Market Value, Fair
Market Value Purchase Price or Fair Market Rental, as the case may be, within 30
days after appointment of such Appraiser. The determination of the appraiser
which differs most in terms of dollar amount from the determinations of the
other two appraisers shall be excluded, and Fifty Percent (50%) of the sum of
the remaining two determinations shall be final and binding upon Lessor and
Lessee as the Fair Market Value, Fair Market Value Purchase Price or Fair Market
Rental, as the case may be, for such interest. This provision for determination
by appraisal shall be specifically enforceable to the extent such remedy is
available under applicable law, and any determination hereunder shall be final
and binding upon the parties except as otherwise provided by applicable law.
Lessor and Lessee shall each pay the fees and expenses of the appraiser
appointed by it and each shall pay one-half of the fees and expenses of the
third appraiser and one-half of all other cost and expenses incurred in
connection with each appraisal.

                                ARTICLE XXXVI.

          36.  Attorneys' Fees. If Lessor or Lessee brings an action or other
               ---------------
proceeding (including an arbitration pursuant to Article XXXIX) against the
other to enforce any of the terms, covenants or conditions hereof or any
instrument executed pursuant to this Lease, or by reason of any breach or
default hereunder or thereunder, the party prevailing in any such action or
proceeding and any appeal thereupon shall be paid all of its costs and
reasonable attorneys' fees

                                      64
<PAGE>

incurred therein. In addition to the foregoing and other provisions of this
Lease that specifically require Lessee to reimburse, pay or indemnify against
Lessor's attorneys' fees, Lessee shall pay, as Additional Charges, all of
Lessor's reasonable attorneys' fees incurred in connection with the
administration or enforcement of this Lease, including attorneys' fees incurred
in connection with the review of any letters of credit, the review, negotiation
or documentation of any subletting, assignment, or management arrangement or any
consent requested in connection therewith, and the collection of past due Rent.

                                ARTICLE XXXVII.

          37.   Hazardous Substances.
                --------------------

          37.1  Prohibition.  Lessee shall not allow any Hazardous Substance to
                -----------
be located in, on, under or about the Leased Property or incorporated in the
Facility; provided, however, that Hazardous Substances may be brought, kept,
used or disposed of or manufactured, handled, stored or distributed in, on, from
or about the Leased Property in quantities and for purposes similar to those
brought, kept, used or disposed of in, on or about similar facilities used for
purposes similar to the Primary Intended Use and which are brought, kept, used
and disposed of in strict compliance with Legal Requirements.

          37.2  Notices.  Lessee shall provide to Lessor promptly, and in any
                -------
event immediately upon Lessee's receipt or creation thereof, a copy of any
notice, notification or other information or reports with respect to any matter
relating to Hazardous Substances located or suspected to be located in, on, or
under or discharged from the Leased Property of any Facility or any adjacent
property thereto.

          37.3  Remediation.  If Lessee becomes aware of a violation of any
                -----------
Legal Requirement relating to any Hazardous Substance in, on, under or about the
Leased Property of any Facility or any adjacent property thereto, or if Lessee,
Lessor or the Leased Property becomes subject to any order of any federal, state
or local agency to repair, close, detoxify, decontaminate or otherwise remediate
the Leased Property of such Facility, Lessee shall immediately notify Lessor of
such event and, at its sole cost and expense, cure such violation or effect such
repair, closure, detoxification, decontamination or other remediation.

          37.4  Environmental Inspection.  Lessor's right of inspection pursuant
                ------------------------
to Article XXVII shall include the right, from time to time, and upon not less
than five (5) days' written notice to Lessee, except in the case of an emergency
in which event no notice shall be required, to conduct an inspection of the
Leased Property of any Facility to determine the existence or presence of
Hazardous Substances on or about the Leased Property of such Facility. Lessor
may, in its discretion, retain such experts to conduct the inspection, perform
the tests referred to herein, and to prepare a written report in connection
therewith.

                                ARTICLE XXXVIII.

          38.1  Lessor May Grant Liens.  Without the consent of Lessee, Lessor
                ----------------------
may, from time to time, directly or indirectly, create or otherwise cause to
exist any ground lease,

                                      65
<PAGE>

mortgage, trust deed, lien, encumbrance or title retention agreement
(collectively, a "Fee Encumbrance") upon the Leased Property of any Facility and
any Capital Additions or any part(s) or portion(s) thereof or interests therein.
This Lease is and at all times shall be subject and subordinate to any such Fee
Encumbrance which may now or hereafter affect the Leased Property of any
Facility and/or any such Capital Additions and to all renewals, modifications,
consolidations, replacements and extensions thereof; provided, however, that the
subjection and subordination of this Lease and Lessee's leasehold interest
hereunder to any Fee Encumbrance shall be conditioned upon the execution by the
holder of such Fee Encumbrance and delivery to Lessee of a non-disturbance and
attornment agreement which provides that so long as no Event of Default has
occurred and is continuing, the holder of such Fee Encumbrance (i) shall not
disturb either Lessee's leasehold interest or possession of the Leased Property
of such Facility in accordance with the terms hereof, or any of Lessee's rights,
privileges and options hereunder, (ii) shall permit application of all proceeds
of insurance and all Awards and payments in connection with a Condemnation for
all or any part of the Leased Property of such Facility, adjustment of losses
and determination of loss payee in accordance with the provisions of Articles
XIV and XV of this Lease and (iii) waives all rights or interests under any such
Fee Encumbrance document in and to any of Lessee's Personal Property. In
connection with the foregoing and at the request of Lessor, Lessee shall
promptly execute a reasonable subordination, non-disturbance and attornment
agreement which will incorporate the terms set forth in the preceding sentence.
Except for the documents described in the preceding sentences, this clause shall
be self-operative and no further instrument of subordination shall be required;
provided, however, that in confirmation of such subordination, Lessee shall
execute promptly any certificate or document that Lessor or any ground or
underlying lessor, mortgagee or beneficiary may request for such purposes. If,
in connection with obtaining financing or refinancing for the Leased Property of
any Facility and/or any such Capital Additions, a Facility Mortgagee or
prospective Facility Mortgagee shall request reasonable modifications to this
Lease as a condition to such financing or refinancing, Lessee shall not withhold
or delay its consent thereto; provided, however, that in no event shall any such
modifications increase Lessee's monetary obligations hereunder or decrease any
of Lessee's rights under this Lease nor shall any such modifications impose
escrow obligations on Lessee for Impositions or insurance premiums.

          38.2  Lessee's Right to Cure.  Subject to the provisions of Section
                ----------------------
38.3, if Lessor shall breach any covenant to be performed by it under this
Lease, Lessee, after notice to and demand upon Lessor, without waiving or
releasing any obligation hereunder, and in addition to all other remedies
available to Lessee, may (but shall be under no obligation at any time
thereafter to) make such payment or perform such act for the account and at the
expense of Lessor. All sums so paid by Lessee and all costs and expenses
(including, without limitation, reasonable attorneys fees) so incurred, together
with interest thereon (at the Overdue Rate) from the date on which such sums or
expenses are paid or incurred by Lessee, shall be paid by Lessor to Lessee on
demand. The rights of Lessee hereunder to cure and to secure payment from Lessor
in accordance with this Section 38.2 shall survive the termination of this Lease
with respect to the Leased Property.

          38.3  Breach by Lessor.  It shall be a breach of this Lease if Lessor
                ----------------
shall fail to observe or perform any term, covenant or condition of this Lease
on its part to performed and such failure shall continue for a period of thirty
(30) days after notice thereof from Lessee (or

                                      66
<PAGE>

such shorter time as may be required in order to protect the health or welfare
of any patients or other residents of the Leased Property), unless such failure
cannot with due diligence be cured within a period of thirty (30) days, in which
case such failure shall not be deemed to continue if Lessor, within said thirty
(30) day period, proceeds promptly and with due diligence to cure the failure
and diligently completes the curing thereof. The time within which Lessor shall
be obligated to cure any such failure shall also be subject to extension of time
due to the occurrence of any Unavoidable Delay. In the event Lessor fails to
cure any such breach within the grace period described above, Lessee, without
waiving or releasing any obligations hereunder, and in addition to all other
remedies available to Lessee at law or in equity, may purchase the Leased
Property of all (but not part) of the Facilities from Lessor for a purchase
price equal to the total Fair Market Value Purchase Prices of the Leased
Property of all such Facilities. In the event Lessee elects to purchase the
Leased Property it shall deliver a notice thereof to Lessor specifying a Payment
Date occurring not less than ninety (90) days subsequent to the date of such
notice on which it shall purchase the Leased Property, and the same shall be
thereupon conveyed in accordance with the provisions of Article XVIII.

                                ARTICLE XXXIX.

          39.   Submission to Arbitration.
                -------------------------

          39.1  General Provisions. Except as provided in Section 39.2 below,
                ------------------
any controversy, dispute or claim of whatsoever nature arising out of, in
connection with, or in relation to the interpretation, performance or breach of
this Lease, including any claim based on contract, tort or statute, shall be
determined by final and binding, confidential arbitration in accordance with the
then current CPR Institute for Dispute Resolution Rules for Non-Administered
Arbitration of Business Disputes ("CPR"), by a sole arbitrator selected from
among the CPR Panel of Distinguished Neutrals; provided, however, that if the
CPR (or any successor organization thereto) no longer exists, then such
arbitration shall be administered by the American Arbitration Association
("AAA") in accordance with its then-existing Commercial Arbitration Rules, and
the sole arbitrator shall be selected in accordance with such AAA rules. Any
arbitration hereunder shall be governed by the United States Arbitration Act, 9
U.S.C. 1-16 (or any successor legislation thereto), and judgment upon the award
rendered by the arbitrator may be entered by any state or federal court having
jurisdiction thereof. Neither Lessor, Lessee nor the arbitrator shall disclose
the existence, content or results of any arbitration hereunder without the prior
written consent of all parties; provided, however, that either party may
disclose the existence, content or results of any such arbitration to its
partners, officers, directors, employees, agents, attorneys and accountants and
to any other Person to whom disclosure is required by applicable Legal
Requirements, including pursuant to an order of a court of competent
jurisdiction. Unless otherwise agreed by the parties, any arbitration hereunder
shall be held at a neutral location selected by the arbitrator in the major
metropolitan area in the State closest in proximity to the Leased Property. The
cost of the arbitrator and the expenses relating to the arbitration (exclusive
of legal fees) shall be borne equally by Lessor and Lessee unless otherwise
specified in the award of the arbitrator. Such fees and costs paid or payable to
the arbitrator shall be included in "costs and reasonable attorneys' fees" for
purposes of Article XXXVI and the arbitrator shall specifically have the power
to award to the prevailing party

                                      67
<PAGE>

pursuant to such Article XXXVI such party's costs and expenses incurred in such
arbitration, including fees and costs paid to the arbitrator.

          39.2  Exceptions. The provisions of this Article XXXVI shall not apply
                ----------
to:

                39.2.1   Any unlawful detainer or other similar summary or
expedited proceeding for ejectment or recovery of possession of the Leased
Property of any Facility instituted by Lessor in accordance with applicable
Legal Requirements as the result of an Event of Default or alleged Event of
Default by Lessee pursuant to this Lease. In addition, if permitted by
applicable Legal Requirements, Lessor shall be entitled in connection with any
such proceeding to seek any damages to which it is entitled at law, including
those set forth in Article XXXIX.

                39.2.2   Any specific controversy, dispute, question or issue as
to which this Lease specifically provides another method of determining such
controversy, dispute, question or issue and provides that a determination
pursuant to such method is final and binding, unless both Lessor and Lessee
agree in writing to waive such procedure and proceed instead pursuant to this
Article XXXIX.

                39.2.3   Any request or application for an order or decree
granting any provisional or ancillary remedy (such as a temporary restraining
order or injunction) with respect to any right or obligation of either party to
this Lease, and any preliminary determination of the underlying controversy,
dispute, question or issue as is required to determine whether or not to grant
such relief. A final and binding determination of such underlying controversy,
dispute, question or issue shall be made by an arbitration conducted pursuant to
this Article XXXIX after an appropriate transfer or reference to the arbitrator
selected pursuant to this Article XXXIX upon motion or application of either
party hereto. Any ancillary or provisional relief which is granted pursuant to
this Section 39.2.3 shall continue in effect pending an arbitration
determination and entry of judgment thereon pursuant to this Article XXXIX.

                                  ARTICLE XL.

          40.   Miscellaneous.
                -------------

          40.1  Authority.  If Lessee is a corporation, trust, limited
                ---------
liability company or partnership, Lessee, and each individual executing this
Lease on behalf of Lessee, represent and warrant that each is duly authorized to
execute and deliver this Lease on behalf of Lessee and shall concurrently with
the execution and delivery of this Lease deliver to Lessor evidence of such
authority satisfactory to Lessor.

          40.2  Brokers.  Lessee warrants that it has not had any contact or
                -------
dealings with any Person or real estate broker which would give rise to the
payment of any fee or brokerage commission in connection with this Lease, and
Lessee shall indemnify, protect, hold harmless and defend Lessor from and
against any liability with respect to any fee or brokerage commission arising
out of any act or omission of Lessee. Lessor warrants that it has not had any
contact or dealings with any Person or real estate broker which would give rise
to the payment of any fee or

                                      68
<PAGE>

brokerage commission in connection with this Lease, and Lessor shall indemnify,
protect, hold harmless and defend Lessee from and against any liability with
respect to any fee or brokerage commission arising out of any act or omission of
Lessor.

          40.3  Survival.  Anything contained in this Lease to the contrary
                --------
notwithstanding, all claims against, and liabilities and indemnities of, Lessee
or Lessor arising prior to the expiration or earlier termination of the Term
shall survive such expiration or termination. In addition, all claims against,
and all liabilities and indemnities hereunder of Lessee shall continue in full
force and effect and in favor of the Lessor named herein and its successors and
assigns, notwithstanding any conveyance of the Leased Property to Lessee.

          40.4  Severability. If any term or provision of this Lease or any
                ------------
application thereof shall be held invalid or unenforceable, the remainder of
this Lease and any other application of such term or provision shall not be
affected thereby.

          40.5  Non-Recourse. Lessee specifically agrees to look solely to the
                ------------
Leased Property of the Facilities for recovery of any judgment from Lessor. It
is specifically agreed that no constituent partner in Lessor or officer,
director or employee of Lessor shall ever be personally liable for any such
judgment or for the payment of any monetary obligation to Lessee. The provision
contained in the foregoing sentence is not intended to, and shall not, limit any
right that Lessee might otherwise have to obtain injunctive relief against
Lessor, or any action not involving the personal liability of Lessor.
Furthermore, except as otherwise expressly provided herein, in no event shall
Lessor ever be liable to Lessee for any indirect or consequential damages
suffered by Lessee from whatever cause.

          40.6  Transition of Operations.
                ------------------------

                (a)   Subject to subsection (b) below, upon the expiration or
     earlier termination of the Term with respect to any Facility, Lessee shall
     use its best efforts to transfer to Lessor or Lessor's nominee a fully
     operational Facility and shall cooperate with Lessor or Lessor's designee
     or nominee in connection with the processing by Lessor or Lessor's designee
     or nominee of any applications for all licenses, operating permits and
     other governmental authorization, all contracts, including contracts with
     governmental or quasi-governmental entities, business records, data,
     patient and resident records, and patient and resident trust accounts,
     which may be necessary or useful for the operation of such Facility;
     provided that the costs and expenses of any such transfer or the processing
     of any such application shall be paid by Lessor or Lessor's designee or
     nominee. Lessee shall not commit any act or be remiss in the undertaking of
     any act that would jeopardize the licensure or certification of such
     Facility, and Lessee shall comply with all requests for an orderly transfer
     of the same upon the expiration or early termination of the Term. In
     addition, upon request, Lessee shall promptly deliver copies of all books
     and records relating to the Leased Property of such Facility and all
     Capital Additions and operations thereon to Lessor or Lessor's designee or
     nominee. Lessee shall indemnify, defend, protect and hold harmless Lessor
     from and against any loss, damage, cost or expense incurred by Lessor or
     Lessor's designee or nominee in connection with the correction of any and
     all deficiencies of a physical nature identified by any

                                      69
<PAGE>

     governmental authority responsible for licensing the Leased Property and
     all Capital Additions in the course of any change of ownership inspection
     and audit. Without limiting the generality of the foregoing, Lessee
     acknowledges and agrees that, subject to applicable Legal Requirements, the
     certificates of need issued for each Facility and all other licenses,
     authorizations, permits, approvals or certifications necessary to operate
     any Facility for its Primary Intended Use are appurtenant to such Facility,
     both during and following the expiration or any earlier termination of the
     Term of this Lease. In any jurisdictions where such certificates of need or
     such other licenses, authorizations, permits, approvals or certifications
     are issued to Lessee (or its subtenant or other occupant), as the Facility
     operator, Lessee agrees to cooperate with Lessor, in accordance with this
     Section 40.6, to turn over or transfer all of Lessee's rights and/or cause
     any such Facility operator to turn over or transfer all of its rights in
     connection with the same to Lessor or its designee upon any such the
     expiration or earlier termination of this Lease.

           (b)   Notwithstanding anything to the contrary contained in this
     Lease, Lessee shall not, prior to the ninetieth (90/th/) day preceding the
     expiration of the applicable Term of this Lease with respect to any
     Facility (as such Term may have been extended pursuant to clause (d) of
     Section 19.1 or Section 19.2), commence to wind up and terminate the
     operations of such Facility operated thereon by relocating the patients or
     occupants thereof to other health care facilities (a "Facility
     Termination"). If Lessor has not notified Lessee in writing prior to the
     ninetieth (90/th/) day preceding the expiration of the applicable Term of
     this Lease with respect to any such Facility (as such Term may have been
     extended pursuant to clause (d) of Section 19.1 or Section 19.2) that
     Lessor has procured a successor operator for such Facility who has
     submitted or will submit within fifteen (15) days thereafter all
     applications for the licenses, authorizations, permits, approvals or
     certifications necessary to operate such Facility for its Primary Intended
     Use required to assume the operations of such Facility (a "Qualified
     Successor Operator"), then Lessee may commence the Facility Termination
     and, upon the expiration of the applicable Term of this Lease with respect
     to any such Facility (as such Term may have been extended pursuant to
     clause (d) of Section 19.1 or Section 19.2), Lessee shall vacate the Leased
     Property of such facility and surrender possession thereof to Lessor in
     accordance with all of the applicable requirements of this Lease. If, prior
     to the ninetieth (90/th/) day preceding the expiration of the applicable
     Term of this Lease with respect to any such Facility (as such Term may have
     been extended pursuant to clause (d) of Section 19.1 or Section 19.2),
     Lessor notifies Lessee in writing that Lessor has procured a Qualified
     Successor Operator for such Facility, Lessee shall not commence the
     Facility Termination. In such event, Lessee shall thereafter operate such
     Facility in accordance with all of the requirements of this Lease until the
     earliest to occur of (i) the date (on or after the expiration of the
     applicable Term of this Lease with respect to any such Facility (as such
     Term may have been extended pursuant to clause (d) of Section 19.1 or
     Section 19.2)) on which such Qualified Successor Operator will assume the
     operation of such Facility, as specified in a written notice from Lessor to
     Lessee given not less than twenty (20) days prior to the date of such
     assumption, (ii) the date that is ninety (90) days after the expiration of
     the applicable Term of this Lease with respect to any such Facility (as
     such Term may have been extended pursuant to clause (d) of Section 19.1 or
     Section

                                      70
<PAGE>

     19.2)), and (iii) the date (on or after the expiration of the applicable
     Term of this Lease with respect to any such Facility (as such Term may have
     been extended pursuant to clause (d) of Section 19.1 or Section 19.2))
     which is ninety (90) days after Lessee receives written notice from Lessor
     that, notwithstanding the foregoing, Lessee may commence the Facility
     Termination, on which earliest date, Lessee shall vacate the Leased
     Property in question and surrender possession thereof to Lessor in
     accordance with all of the applicable requirements of this Lease.

          40.7  Successors and Assigns.  This Lease shall be binding upon Lessor
                ----------------------
and its successors and assigns and, subject to the provisions of Article XXV,
upon Lessee and its successors and assigns.

          40.8  Termination Date.  If this Lease is terminated by Lessor or
                ----------------
Lessee under any provision hereof with respect to any one or more (including
all, if applicable) of the Facilities, and upon the expiration of the applicable
Term with respect to any Facility (collectively, the "termination date"), the
following shall pertain:

                40.8.1   Subject to Lessee's obligations pursuant to Section
40.6 above, Lessee shall vacate and surrender the Leased Property of each such
Facility, any of Lessee's Personal Property with respect to such Facility which
Lessor has elected to purchase pursuant to Section 6.4 and all Capital Additions
with respect to such Facility to Lessor. Such Leased Property and Capital
Additions of such Facility shall upon such surrender be in the condition
required by Section 9.1.4. Prior to such vacation and surrender, Lessee shall
remove any items which Lessee is permitted or required to remove hereunder.
Lessee shall, at Lessee's cost, repair any damage to the Leased Property of such
Facility, any Lessee's Personal Property as to which Lessor has not exercised
its purchase option pursuant to Section 6.4 and any Capital Additions caused by
such vacation and/or removal of any items which Lessee is required or permitted
hereunder to remove. Any items which Lessee is permitted to remove but fails to
remove prior to the surrender shall be deemed abandoned by Lessee, and Lessor
may retain or dispose of the same as Lessor sees fit without claim by Lessee
thereto or to any proceeds thereof. If Lessor elects to remove and dispose of
any such items abandoned by Lessee, the cost of such removal and disposal shall
be an Additional Charge payable by Lessee to Lessor upon demand.

                40.8.2   Without limiting the provisions of Section 40.3 above,
upon any such termination of this Lease with respect to any Facility or upon
expiration of this Lease, the following shall pertain:

                         (a)  Lessee agrees to defend, protect, indemnify,
     defend and hold harmless Lessor from and against any and all claims, costs,
     losses, expenses, damages, actions, and causes of action for which Lessee
     is responsible under this Lease (including Lessee's indemnification
     obligations under Article XXIV) and which accrue or have accrued on or
     before the termination date.

                         (b)  Lessee shall remain liable for the cost of all
     utilities used in or at the Leased Property of such Facility(ies) and any
     Capital Additions through the termination date and accrued and unpaid,
     whether or not then billed, as of the termination

                                      71
<PAGE>

     date until full payment thereof by Lessee. Lessee shall obtain directly
     from the companies providing such services closing statements for all
     services rendered through the termination date and shall promptly pay the
     same. If any utility statement with respect to the Leased Property of such
     Facility(ies) and any Capital Additions includes charges for a period
     partially prior to and partially subsequent to the termination date, such
     charges shall be prorated as between Lessor and Lessee, with Lessee
     responsible for the portion thereof (based upon a fraction the numerator of
     which is the number of days of service on such statement through the
     termination date and the denominator of which is the total number of days
     of service on such statement) through the termination date and Lessor shall
     be responsible for the balance. The party receiving any such statement
     which requires proration hereunder shall promptly pay such statement and
     the other party shall, within ten (10) days after receipt of a copy of such
     statement, remit to the party paying the statement any amount for which
     such other party is responsible hereunder.

                    (c)  Lessee shall remain responsible for its pro rata share
     of any Impositions imposed in respect of the tax-fiscal period during which
     the Term terminates with respect to such Facility(ies) and for all such
     Impositions for all prior tax-fiscal periods as provided in Section 4.1.,
     and Lessee shall indemnify and hold Lessor harmless with respect to any
     claims for such Impositions or resulting from nonpayment thereof.

                    (d)  Lessee shall (y) execute all documents and take any
     actions reasonably necessary to (1) cause the transfer by Lessee to Lessor
     of all of Lessee's Personal Property as to which Lessor has exercised its
     purchase option as set forth in Section 6.4 and any Capital Additions not
     owned by Lessor to Lessor, in each case free of any encumbrance and (2)
     remove this Lease and/or any memorandum hereof as a matter affecting title
     to the Leased Property of such Facility(ies) as provided in Article XXI and
     (z) comply with its covenants set forth in Section 40.6.

          40.9   Governing Law.  THIS LEASE WAS NEGOTIATED IN THE STATE OF
                 -------------
CALIFORNIA, WHICH STATE THE PARTIES AGREE HAS A SUBSTANTIAL RELATIONSHIP TO THE
PARTIES AND TO THE UNDERLYING TRANSACTION EMBODIED HEREBY. ACCORDINGLY, IN ALL
RESPECTS THIS LEASE (AND ANY AGREEMENT FORMED PURSUANT TO THE TERMS HEREOF)
SHALL BE GOVERNED BY, AND CONSTRUED AND ENFORCED IN ACCORDANCE WITH, THE
INTERNAL LAWS OF THE STATE OF CALIFORNIA (WITHOUT REGARD OF PRINCIPLES OR
CONFLICTS OF LAW) AND ANY APPLICABLE LAWS OF THE UNITED STATES OF AMERICA,
EXCEPT THAT ALL PROVISIONS HEREOF RELATING TO THE CREATION OF THE LEASEHOLD
ESTATE AND ALL REMEDIES SET FORTH IN ARTICLE XVI RELATING TO RECOVERY OF
POSSESSION OF THE LEASED PROPERTY OF ANY FACILITY (SUCH AS AN ACTION FOR
UNLAWFUL DETAINER OR OTHER SIMILAR ACTION) SHALL BE CONSTRUED AND ENFORCED
ACCORDING TO, AND GOVERNED BY, THE LAWS OF THE STATE IN WHICH THE LEASED
PROPERTY OF SUCH FACILITY IS LOCATED.

          40.10  Waiver of Trial by Jury. EACH OF LESSOR AND LESSEE ACKNOWLEDGES
                 -----------------------
THAT IT HAS HAD THE ADVICE OF COUNSEL OF ITS CHOICE

                                      72
<PAGE>

WITH RESPECT TO ITS RIGHTS TO TRIAL BY JURY UNDER THE CONSTITUTION OF THE UNITED
STATES, THE STATE OF CALIFORNIA AND THE STATES IN WHICH THE LEASED PROPERTY OF
ANY OF THE FACILITIES IS LOCATED. EACH OF LESSOR AND LESSEE HEREBY EXPRESSLY
WAIVES ANY RIGHT TO TRIAL BY JURY OF ANY CLAIM, DEMAND, ACTION OR CAUSE OF
ACTION (i) ARISING UNDER THIS LEASE (OR ANY AGREEMENT FORMED PURSUANT TO THE
TERMS HEREOF) OR (ii) IN ANY MANNER CONNECTED WITH OR RELATED OR INCIDENTAL TO
THE DEALINGS OF LESSOR AND LESSEE WITH RESPECT TO THIS LEASE (OR ANY AGREEMENT
FORMED PURSUANT TO THE TERMS HEREOF) OR ANY OTHER INSTRUMENT, DOCUMENT OR
AGREEMENT EXECUTED OR DELIVERED IN CONNECTION HEREWITH, OR THE TRANSACTIONS
RELATED HERETO OR THERETO, IN EACH CASE WHETHER NOW EXISTING OR HEREINAFTER
ARISING, AND WHETHER SOUNDING IN CONTRACT OR TORT OR OTHERWISE; EACH OF LESSOR
AND LESSEE HEREBY AGREES AND CONSENTS THAT, SUBJECT TO ARTICLE XXXIX, ANY SUCH
CLAIM, DEMAND, ACTION OR CAUSE OF ACTION SHALL BE DECIDED BY A COURT TRIAL
WITHOUT A JURY, AND THAT EITHER PARTY MAY FILE A COPY OF THIS SECTION WITH ANY
COURT AS CONCLUSIVE EVIDENCE OF THE CONSENT OF EACH SUCH PARTY TO THE WAIVER OF
ITS RIGHT TO TRIAL BY JURY.

          LESSOR'S INITIALS:  /s/ JR
                              -----------

          LESSEE'S INITIALS:  /s/ JG
                              -----------

     40.11  Lessee Counterclaim and Equitable Remedies.  Lessee hereby waives
            ------------------------------------------
the right to interpose counterclaim in any summary proceeding instituted by
Lessor against Lessee or in any action instituted by Lessor for unpaid Rent
under this Lease. In the event that Lessee claims or asserts that Lessor has
violated or failed to perform a covenant of Lessor not to unreasonably withhold
or delay Lessor's consent or approval hereunder, or in any case where Lessor's
reasonableness in exercising its judgment is in issue, Lessee's sole remedy
shall be an action for specific performance, declaratory judgment or injunction,
and in no event shall (a) Lessee be entitled to any monetary damages for a
breach of such covenant, and (b) Lessee claim or assert any claims for monetary
damages in any action or by way of set-off defense or counterclaim, and Lessee
hereby specifically waives the right to any monetary damages or other remedies
in connection with any such claim or assertion; provided, however, that if
Lessee establishes in a Court of competent jurisdiction that Lessor has acted
maliciously or in bad faith in withholding its consent in any instance where
Lessor has agreed hereunder not to unreasonably withhold or delay its consent,
then the foregoing limitations with respect to Lessee's right to seek monetary
damages or other remedies do not apply and, subject to the provisions of Section
40.5 hereof, Lessee shall be entitled to seek any remedies available at law or
in equity by reason of Lessor's actions.

     40.12  Entire Agreement.  This Lease and the Exhibits hereto
            ----------------
constitutes the entire agreement of the parties with respect to the subject
matter hereof, and may not be changed or modified except by an agreement in
writing signed by the parties. Lessor and Lessee hereby

                                      73
<PAGE>

agree that all prior or contemporaneous oral understandings, agreements or
negotiations relative to the leasing of the Leased Property are merged into and
revoked by this Lease.

               40.13  Headings.  All titles and headings to sections,
                      --------
subsections, paragraphs or other divisions of this Lease are only for the
convenience of the parties and shall not be construed to have any effect or
meaning with respect to the other contents of such sections, subsections,
paragraphs or other divisions, such other content being controlling as to the
agreement among the parties hereto.

               40.14  Counterparts.  This Lease may be executed in any number
                      ------------
of counterparts, each of which shall be a valid and binding original, but all of
which together shall constitute one and the same instrument.

               40.15 Joint and Several.  If more than one Person is the
                     -----------------
Lessee or Lessor under this Lease, the liability of such Persons under this
Lease shall be joint and several.

               40.16  Interpretation. Both Lessor and Lessee have been
                      --------------
represented by counsel and this Lease and every provision hereof has been freely
and fairly negotiated. Consequently, all provisions of this Lease shall be
interpreted according to their fair meaning and shall not be strictly construed
against any party.

               40.17  Time of Essence.  Time is of the essence of this Lease and
                      ---------------
in which time of performance is established.

                                  ARTICLE XLI.

          41.  Replacement Lease and Termination of Old Leases. This Lease is a
               -----------------------------------------------
replacement for each of those Operating Leases (collectively, the "Old Leases")
currently in effect between either (i) Lessors' Affiliate, Texas HCP Holding,
L.P. ("THCP"), as "Lessor," and Lessee, as "Lessee," or HCPP, as "Lessor," and
Lessee, as "Lessee," respectively covering the Leased Property of each Facility.
Lessor (and THCP, by its acknowledgement hereof) and Lessee acknowledge and
agree that: (i) the tenancies created by the Old Leases shall terminate as of
the Commencement Date; and (ii) from and after such Commencement Date, Lessee
shall continue to occupy the Leased Property of each Facility pursuant to this
Lease. Notwithstanding the termination of the Old Leases, the following
obligations of Lessee under the Old Leases shall be preserved and continue
subsequent to such termination:

               (a)  Lessee shall remain responsible for and shall indemnity and
hold Lessor and THCP harmless from and against any and all claims, liabilities,
damages, actions and causes of action, costs and expenses, including attorneys'
fees, for which Lessee is responsible pursuant to the Old Leases and which
accrue or have accrued on or before the date of termination of the Old Leases.

               (b)  Lessee shall remain responsible for all obligations of the
lessee under the Old Leases which have accrued on or before the date of
termination until full and complete payment and/or performance of the same.

                                      74
<PAGE>

                                 ARTICLE XLII.

          42.  Provisions Relating to Master Lease.
               -----------------------------------
          Lessor and Lessee hereby acknowledge and agree that, except as
otherwise expressly provided herein to the contrary, this Lease is and the
parties intend the same for all purposes to be treated as a single, integrated
and indivisible agreement. Lessee acknowledges that in order to induce Lessor to
lease the Leased Property of each Facility to Lessee and as a condition thereto,
Lessor insisted that the parties execute this Master Lease covering all of the
Facilities in a single, integrated and indivisible agreement.

                                 ARTICLE XLIII.

          43.1  Letters of Credit.  Commencing upon the date that Lessee is
                -----------------
required to deliver a letter(s) of credit pursuant to Section 25.11 (the
"Initial Letter of Credit Delivery Date"), if at all, and continuing for the
balance of the entire Term and for sixty (60) days after the expiration or
earlier termination of the Term, Lessee shall have obtained letters of credit
from a financial institution satisfactory to Lessor but in any event with (a)
not less than $100 Million in net current assets, (b) a financial rating of not
less than 60 as rated by Sheshonoff Information Services, Inc. (or any
equivalent rating thereto from any reasonably equivalent rating service) and
(c) an investment grade rating from either Standard and Poors Corporation or
Moody's Investors Service, naming Lessor as beneficiary to secure Lessee's
obligations hereunder and Lessee's and any Affiliate of Lessee's obligations
under any New Lease with Lessor or any Affiliate of Lessor, at the times, in the
amounts and for the purposes set forth below. Each letter of credit shall be in
substantially the form of Exhibit E hereto. Each letter of credit shall be for a
                          ---------
term of not less than one (1) year and irrevocable during that term. Each letter
of credit shall provide that it will be honored upon a signed statement by
Lessor that Lessor is entitled to draw upon any letter of credit under this
Lease, and shall require no signature or statement from any party other than
Lessor. No notice to Lessee shall be required to enable Lessor to draw upon the
letter of credit. Each letter of credit shall also provide that following the
honor of any drafts in an amount less than the aggregate amount of the letter of
credit, the financial institution shall return the original letter of credit to
Lessor and Lessor's rights as to the remaining amount of the letter of credit
will not be extinguished. In the event of a transfer of Lessor's interest in the
Leased Property of any Facility, Lessor shall have the right to transfer all or
a portion of the letter of credit to the transferee and thereupon shall, without
any further agreement between the parties, be released by Lessee from all
liability for the portion so transferred, and it is agreed that the provisions
hereof shall apply to every transfer or assignment of the letter of credit to a
new Lessor. The letter of credit may be assigned as security in connection with
a Facility Mortgage. If the financial institution from which Lessee has obtained
a letter of credit shall admit in writing its inability to pay its debts
generally as they become due, file a petition in bankruptcy or a petition to
take advantage of any insolvency act, make an assignment for the benefit of its
creditors consent to the appointment of a receiver of itself or of the whole or
any substantial part of its property, or file a petition or answer seeking
reorganization or arrangement under the Federal bankruptcy laws or any other
applicable law or statute of the United States of America or any state thereof,
then Lessee shall obtain a replacement letter of credit within thirty (30) days
of such act from another financial institution meeting the requirements of this
Section 43.1.

                                      75
<PAGE>

               43.2  Times for Obtaining Letters of Credit.  The initial letter
                     -------------------------------------
of credit shall be obtained and delivered to Lessor on the Initial Letter of
Credit Delivery Date. The letters of credit covering subsequent periods shall be
obtained and delivered to Lessor not less than thirty (30) days prior to the
expiration of the then existing letter of credit ("Letter of Credit Date"). The
term for each such letter of credit shall begin no later than the expiration
date of the previous letter of credit and shall comply with all requirements of
this Article XLIII.

               43.3  Amounts for Letters of Credit.  The letters of credit
                     -----------------------------
required hereunder for each Lease Year following the Initial Letter of Credit
Delivery Date shall be in an amount equal to the then total annual Minimum Rent
(inclusive of any Deferred Rent) payable by Lessee under this Lease.

               43.4  Uses of Letters of Credit.  Lessor shall have the right to
                     -------------------------
draw upon a letter of credit up to its full amount whenever (a) an Event of
Default hereunder has occurred and is continuing, (b) an event of default under
any other New Lease between Lessor or an Affiliate of Lessor and Lessee or an
Affiliate of Lessee has occurred and is continuing or (c) an event or
circumstance has occurred which with notice or passage of time , or both, would
constitute an Event of Default hereunder or an event of default under any such
other New Lease, but for Lessor's inability to deliver an such notice because
transmittal of such notice is barred by any applicable debtor relief law. For
purposes of the foregoing, the phrase "passage of time" shall mean with respect
to any default which Lessee has the right to cure under this Lease, that the
applicable cure period therefor has expired without such default having been
cured; provided, however, that for purposes of computing any such cure period,
the commencement of such cure period shall be the date that the initial default
or breach first occurred, rather than the date that Lessor shall have first
delivered notice of such default or breach to Lessee. In other words, if Lessor
shall be barred from delivering notice of a breach of default by applicable
debtor relief law, then any cure period which Lessee may have to cure the same
before such breach or default rises to an Event of Default under this Lease
shall be triggered immediately upon the occurrence of the event or circumstance
for which Lessor would have been entitled to deliver such notice. In addition,
if Lessee fails to obtain a satisfactory letter of credit prior to the
applicable Letter of Credit Date, Lessor may draw upon the full amount of the
then existing letter of credit without giving any notice or time to cure to
Lessee. No such draw shall (i) cure or constitute a waiver of an Event of
Default, (ii) be deemed to fix or determine the amounts to which Lessor is
entitled to recover under this Lease or otherwise, or (iii) be deemed to limit
or waive Lessor's right to pursue any remedies provided for in this Lease. If
all or any portion of a letter of credit is drawn against by Lessor and applied
by Lessor against any outstanding obligations owing by Lessee or an Affiliate of
Lessee to Lessor under this Lease or to Lessor or an Affiliate of Lessor under
any New Lease, Lessee shall, within two (2) business days after demand by
Lessor, cause the issuer of such letter of credit to issue Lessor, at Lessee's
expense, a replacement or supplementary letter of credit in substantially the
form attached hereto as Exhibit E such that at all times during the Term, Lessor
                        ---------
shall have the ability to draw on one or more letters of credit totaling, in the
aggregate, the amount required pursuant to Section 43.3.

               43.5  Release of Letter of Credit.  Notwithstanding anything to
                     ---------------------------
the contrary in this Article XLIII, so long as no Event of Default shall have
occurred and be continuing under this Lease, if for any twelve (12) consecutive
month period following delivery to Lessor of a

                                      76
<PAGE>

letter(s) of credit meeting the requirements of this Article XLVII, any
Responsible Lease Party's Consolidated Net Worth equals or exceeds $450 Million
and Debt Ratio is equal to or less than 7:1, in each case for each month during
such twelve (12) consecutive month period, then Lessor (or the party then
holding the letter(s) of credit) shall return all then outstanding letter(s) of
credit to Lessee or, at the request of Lessee to the financial institution(s)
issuing the same, for cancellation.

                            [Signature Page Follows]

                                      77
<PAGE>

          IN WITNESS WHEREOF, the parties have caused this Lease to be executed
and their respective corporate seals to be hereunto affixed and attested by
their respective officers thereunto duly authorized.

<TABLE>
<CAPTION>

                    "LESSOR"                                           "LESSEE"
<S>                                                      <C>
HEALTH CARE PROPERTY                                      KINDRED NURSING CENTERS EAST, L.L.C., a Delaware
INVESTORS, INC., a Maryland corporation                   limited liability company

By:  /s/ James Reynolds                                   By:  /s/ James H. Gillenwater, Jr.
     ------------------                                        ----------------------------
Its:  Executive Vice President                                Its:  Senior Vice President
      ------------------------                                ---------------------------

                     "HCPI"                                  By:  /s/ Joseph L. Landenwich
                                                             -----------------------------
                                                             Its:  Vice President of Corporation Legal
                                                             -----------------------------------------
                                                             Affairs
                                                             --------

HEALTH CARE PROPERTY PARTNERS, a California                  KINDRED NURSING CENTERS WEST, L.L.C., a Delaware
 general partnership                                         limited liability company

By:  HEALTH CARE PROPERTY
     INVESTORS, INC., a Maryland                             By:  /s/ James H. Gillenwater, Jr.
     corporation                                             ----------------------------------
                                                             Its:  Senior Vice President
                                                             ---------------------------
By:  /s/ James Reynolds                                      By:  /s/ Joseph L. Landenwich
     --------------------                                    ------------------------------
     Its: Executive Vice President                           Its:  Vice President of Corporation Legal
     --------------------------                              -----------------------------------------
                                                             Affairs
                     "HCPP"                                  -------

                                                             KINDRED NURSING CENTERS LIMITED PARTNERSHIP, a
                                                             Delaware limited partnership

                                                             By:  /s/ James H. Gillenwater, Jr.
                                                             ----------------------------------
                                                             Its:  Senior Vice President
                                                             ----------------------------------

                                                             By:  Joseph L. Landenwich
                                                             -------------------------
                                                             Its:  Vice President of Corporate Legal
                                                             ---------------------------------------
                                                             Affairs
                                                             -------

</TABLE>

                                      78
<PAGE>

                                     THE UNDERSIGNED HEREBY
                                     ACKNOWLEDGES AND AGREES TO THE
                                     PROVISIONS OF ARTICLE XLII AS
                                     ITS INTERESTS MAY APPEAR:

                                     TEXAS HCP HOLDING, L.P., a Delaware limited
                                     partnership

                                     By:  TEXAS HCP G.P., INC., a Delaware
                                          corporation

                                          By:   /s/ James Reynolds
                                               --------------------
                                               Its:  Executive Vice President
                                               ------------------------------

                                      79
<PAGE>

                                   EXHIBIT A-l

       Legal Description Of The Land Of The Bolivar, Tennessee Facility
                               (Facility No.0171)

[BOLIVAR, TN]

Situated in the 1st Civil District of Hardeman County, Tennessee.

BEGINNING at an iron pin in the east margin of Nuckolls Road (50 feet wide) at
the N.W. corner of a 6 acre tract deeded to the Health and Educational Board of
the City of Bolivar in 1973, for a hospital site and 1409.0 feet north of the
north margin of Tate Road, and runs thence N. 01 (degrees) 54' E. 256.55 feet to
an iron pin in the east margin of Nuckolls Road; thence N. 14 (degrees) 23' E.
101.50 feet to an iron pin in the margin of said road, corner of Lynn Jackson;
thence S. 86 (degrees) 15' E. 490.32 feet to an iron pin; thence S. 1 (degrees)
54' W. 339.80 feet to an iron pin, the N.E. corner of the Hospital lot; thence
N. 88 (degrees) 06' W. 512.00 feet to the beginning.

<PAGE>

                                  EXHIBIT A-2

        Legal Description Of The Land Of The Camden, Tennessee Facility
                               (Facility No.0174)

[CAMDEN, TN]

A tract or parcel of land lying and being situate in the 4th Civil District
(formerly 5th) of Benton County, Tennessee, and more particularly described as
follows:

BEGINNING at an iron pin in the center of a branch, being the southwest corner
of Benton County Hospital Property, and runs thence with said hospital, south
boundary, South 58 (degrees) 30' East 732 feet to a stake, being Benton County
Hospital southeast corner; thence South 4115' West 353 feet to an iron pin on
the dam of a small pond; thence South 16 degrees 30' West with center line of a
branch, 410 feet to a point; thence South 77 feet to a stake in the center line
of a creek; thence with said center line of creek, North 53 (degrees) 30' West
200 feet; thence North (58 degrees) 30' West 148 feet; thence North 1' East 100
feet; thence North 39 (degrees) 30' West 300 feet; thence North 39 (degrees) 30'
West 89 feet to the intersection of a ditch and the creek at the east end of a
box culver under Industrial Road; thence with center of said ditch, North 27
degrees East 604 feet to the Beginning, containing 11.2 acres, more or less.

<PAGE>

                                  EXHIBIT A-3

    Legal Description Of The Land Of The Jefferson City, Tennessee Facility
                               (Facility No.0175)

[JEFFERSON CITY, TN]

SITUATED in District No. Four (4) of Jefferson County, Tennessee, and being more
particularly bounded and described as follows:

BEGINNING on a 4-inch concrete monument set at the point of intersection of the
East right-of-way line of Universal Mine Road with the South right-of-way line
of U.S. 11-E, being the Northwest corner of the parcel of land here described;
thence with the South right-of-way line of U.S. Highway 11-E, North 73 deg. 30
min. East, 438.50 feet to a 4-inch concrete monument, corner with remaining
lands of the Milligan Heirs; thence a severance line with remaining lands of
Milligan Heirs, South 16 deg. 30 min. East, 423.62 feet to a 4-inch concrete
monument; thence a new severance line with the remaining lands of Milligan
Heirs, South 73 deg. 30 min. West, 306.20 feet to a stake, corner between the
lands of Charles Adams and wife and the remaining lands of Milligan Heirs;
thence with the line of the lands of Charles Adams and wife, South 73 deg. 30
min. West, 284.90 feet to a 4-inch concrete monument set in the East right-of-
way line of Universal Mine Road; thence with the East right-of-way line of
Universal Mine Road, North 03 deg. 22 min. East, 449.51 feet to the point of
BEGINNING, containing 5.0 acres, as shown by survey of Johnny E. Kerr,
Registered Surveyor, dated October 17, 1974.

<PAGE>

                                  EXHIBIT A-4

        Legal Description Of The Land Of The Loudon, Tennessee Facility
                              (Facility No.0177)

[LOUDON, TN]

SITUATED in District No. One (1) of Loudon County, Tennessee, within the
corporate limits of the City of Loudon, Tennessee, and being located on the
Westerly side of Tennessee State Highway No.72, more particularly bounded and
described as follows:

BEGINNING at an iron pin in the West line of the right-of-way of Tennessee State
Highway No.72 said iron pin being 600.0 feet, more or less, Southerly from the
intersection of the said West line of the right-of-way of Tennessee State
Highway No.72 and the South line of Barber Drive (50 feet wide); thence
Southwardly South 30 deg. 20 min. East along the said West right-of-way of
Tennessee Highway No.72 a distance of 500.0 feet, more or less, to an iron pin
at the corner of the property retained by the parties of the first part (Martha
D. Robinson of Loudon County, Tennessee, and Patricia R. Littleton of Hamilton
County, Tennessee); thence Westwardly along severance line South 59 deg. 40 min.
West a distance of 522.72 feet, more or less, to an iron pin at the corner of
the property of the parties of the first part; thence Northwardly along
severance line North 30 deg. 20 min. West a distance of 500.0 feet, more or
less, to an iron pin at the corner of the property of the parties of the first
part; thence Eastwardly along severance line North 59 deg. 40 min. East a
distance of 522.72 feet, more or less, to the iron pin at the point of
BEGINNING.
<PAGE>

                                  EXHIBIT A-5

       Legal Description Of The Land Of The Memphis, Tennessee Facility
                              (Facility No.0178)

[MEMPHIS. TN]

Care Inn Convalescent Home Addition, as shown on plat of record in Plat Book 82,
Page 18, in the Register's Office of Shelby County, Tennessee, more particularly
described as follows:

BEGINNING at an iron pin in the northwest line of Old Covington Pike, the Care
Inn southeast corner, being 34 feet west of the centerline of Old Covington
Pike, as measured at a right angle to said centerline, said point being 1361.22
feet northeast of the centerline of New Covington Pike, as measured along Old
Covington Pike; thence north 36 degrees 10 minutes 46 seconds east, 34 feet west
of and parallel to the centerline of Old Covington Pike, a distance of 400.26
(call 400.86) feet to an old iron pin, said point being 9.0 feet west of the
northeast corner of the Ural Brown 14.07 acres; thence north 55 degrees 42
minutes 06 seconds west along the Brown north line a distance of 358.83 feet to
an old iron pin; thence north 37 degrees 15 minutes 45 seconds east a distance
of 275.03 (call 275.01) feet to an old iron pin, the northeast corner of the
Rayford H. Dial 10.06 acres; thence north 55 degrees 29 minutes 58 seconds west
along the Dial north line a distance of 102.16 (call 102.98) feet to an old iron
pin in the southeast line of a Memphis Light, Gas and Water Division 100 foot
Power Line Easement; thence south 42 degrees 47 minutes 56 seconds west along
the southeast line of said 100 foot Power Line Easement a distance of 695.41
(call 695.67) feet to an old iron pin; thence south 47 degrees 12 minutes 04
seconds east a distance of 200.06 feet (call 200.26) feet to an old iron pin;
thence south 62 degrees 49 minutes 10 seconds east a distance of 341.18 feet to
the beginning.
<PAGE>

                                  EXHIBIT A-6

      Legal Description Of The Land Of The Huntingdon, Tennessee Facility
                              (Facility No.0179)

[HUNTINGDON, TN]

Lying and being situated in the 11/th/ Civil District, Carroll County,
Tennessee, and further described as follows:

BEGINNING at a point in the west line of High Street (State Highway No. 77) at
the Northeast corner of a 12.37 acre tract of land conveyed to Carroll County,
Tennessee, and recorded in Deed Book 121, page 553, Register's Office of Carroll
County, Tennessee; thence North 73 degrees - 00' West along the North line of
said 12.37 acre tract a distance of 497.82 feet to a point; thence North 17
degrees - 00' East a distance of 350.00 feet to a point; thence South 73 degrees
- 00' East a distance of 497.82 feet to a point in the west line of High Street;
thence South 17 degrees - 00' West along said west line of High Street a
distance of 350.00 feet to the point of beginning, containing 4.00 acres more or
less.
<PAGE>

                                 EXHIBIT A- 7

        Legal Description Of The Land Of The Ripley, Tennessee Facility
                              (Facility No.0183)

[RIPLEY, TN]

LYING IN THE SECOND CIVIL DISTRICT OF LAUDERDALE COUNTY, TENNESSEE: Beginning at
an iron pin (set) in the south R.O.W. of Halliburton Avenue (60' R.O.W,) 402 +/-
feet west of the west R.O.W. of U.S. Highway 51 (100' R.O.W.); thence run S
16(degrees) 26' 45" W, 500.37' to an iron pin (set); thence run N. 82(degrees)
30' 00" W, 402.19 feet to an iron pin (set) ; thence run N. 07(degrees) 30' 00"
E, 493.78' to an iron pin (set) in the south R.O.W. of Halliburton Avenue;
thence run along the south R.O.W. of Halliburton Avenue S. 82(degrees) 30' 00"
E, 412.50' to a point in the south R.O.W. of Halliburton Avenue; thence run with
the south R.O.W. of Halliburton Avenue S. 82(degrees) 55' 30" E , 67.50 feet to
the point of beginning.
<PAGE>

                                  EXHIBIT A-8

     Legal Description Of The Land Of The Blountville, Tennessee Facility
                              (Facility No.0184)

[BLOUNTVILLE, TN]

SITUATED within the 18/th/ Civil District of Sullivan County, Tennessee, more
particularly bounded and described as follows, to-wit:

TO FIND THE POINT OF BEGINNING, begin at a point in the intersection of the
Northwesterly line of Old Pike Road with the Southerly line of Dunlap Road;
thence proceed South 79 deg. 25 min. West a distance of 151.41 feet along the
Southerly line of Dunlap Road to a point; thence proceed along the Southerly
line of Dunlap Road by a curve to the left having a radius of 275.47 feet, an
arc distance of 207.62 feet to a point in what is now the Southwesterly line of
Dunlap Road; thence continuing along the Southwesterly line of Dunlap Road,
North 57 deg. 24 min. West a distance of 106.07 feet to an iron pin, the point
of the BEGINNING; thence South 32 deg. 36 min. West a distance of 342.09 feet to
an iron pin; thence North 54 deg. 40 min. West along a fence row a distance of
530.60 feet to an iron pin; thence North 32 deg. 36 min. East a distance of
316.79 feet to an iron pin in the Southwesterly line of Dunlap Road; thence
along the Southwesterly line of Dunlap Road, South 57 deg. 24 min. East a
distance of 530 feet to an iron pin, the point of the BEGINNING, and containing
4.008 acres, be the same, more or less, as shown by survey of said tract
prepared by East Tennessee Surveyors, dated 5-27-78, as revised February 24,
1979.
<PAGE>

                                  EXHIBIT A-9

      Legal Description or The Land or The Maryville, Tennessee Facility
                              (Facility No.0187)

[MARYVILLE (BLOUNT COUNTY), TN]

SITUATED in District No. Nine (9) of Blount County, Tennessee, and within the
6th Ward of the City of Maryville Tennessee, and being more fully described as
follows:

TO FIND THE POINT OF BEGINNING commence at an iron pin in the Northwesterly line
of Jefferson Avenue, said iron pin being a corner to property of Minge and being
located in a Southerly direction 58.67 feet from the point of intersection of
the Northwesterly line of Jefferson Avenue and the Southerly line of Fifth
Street; thence from said point with the Northwesterly line of Jefferson Avenue
South 35 deg. 26 min. West, 213.76 feet to an iron pin, corner to property of W.
R. Partnership; thence with the line of W. R. Partnership North 54 deg. 34 min.
West, 259.0 feet to an iron pin, the POINT OF BEGINNING herein; thence from said
POINT OF BEGINNING and continuing with W. R. Partnership, North 54 deg. 34 min.
West, 429.12 feet to an iron pin; thence North 46 deg. 57 min. East, 427.24 feet
to an iron pin in the Southerly line of Fifth Street; thence with the Southerly
line of Fifth Street South 40 deg. 56 min. East, 422.45 feet to an iron pin;
thence South 47 deg. 15 min. West, 325.97 feet to the POINT OF BEGINNING, as
surveyed by T. J. Hatmaker, dated June 21, 1984.
<PAGE>

                                 EXHIBIT A-I0

      Legal Description Of The Land Of The Maryville, Tennessee Facility
                              (Facility No.0189)

[MARYVILLE, TN]

SITUATE in District No. Nineteen (19) of Blount County, Tennessee, in the Fifth
(5th) Ward of the City of Maryville and being a tract containing approximately
11.043 acres (including a fifty-foot wide strip more than nine hundred feet long
which gives frontage and provides access for the main portion of the property to
and from Montvale Station Road), and described more particularly as follows:

BEGINNING on an iron pin in the northern line of Lot No.8 of the Montvue
Subdivision (approximately 45 feet west of the common corner of Lots Nos. 8 and.
9), as the same is shown in Map File 350A in the Register's Office for said
County, said Point of Beginning being S. 73-15-25 E. 903.44 feet from an iron
pin in the eastern right of way line of Montvale Station Road which marks the
northwesternmost corner of Lot No.1 in said Montvue Subdivision; thence running
from said Point of Beginning and leaving said northern line of said Montvue
Subdivision (1) N. 16-22-30 E. 150.00 feet to a point, a corner to said 50-foot
wide strip which contains the private driveway leading from the main portion of
the property conveyed hereby to and from said Montvale Station Road; thence (2)
N. 73-15-25 W. 907.83 feet (along the southerly edge of said strip) to a point
in the eastern right of way line of said Montvale Station Road; thence (3) N.
10-00-10 E. 50.35 feet along said eastern right of way line for said Road to a
point; thence leaving said right of way line for said Road (4) S. 73-15-25 E.
913.42 feet along the line of Brown and Taylor (and along the northerly edge of
said strip) to a point; thence leaving said strip (5) N. 16-22-30 E. 237.18 feet
along the line of Brown and Taylor to an iron pin, a corner to Brown and Taylor;
thence (6) S. 73-21-45 E. 990.03 feet along the line of Brown and Taylor to an
iron pin, a corner to Brown and Taylor, in line of McGill; thence (7) S. 14-40-
10 W. 437.10 feet along the line of McGill to an iron pipe marking the
northeasternmost corner of Lot No.16 in said Montvue Subdivision; thence (8) N.
73-22-55 W. 1002.04 feet along the northern line of said Montvue Subdivision to
the point of BEGINNING, and containing 11.043 acres, more or less, as surveyed
by Sterling Engineering, Inc., in July, 1983.
<PAGE>

                                 EXHIBIT A-11

          Legal Description Of The Land Of The Newark, Ohio Facility
                              (Facility No.0237)

[NEWARK. OH]

Page one of three

Parcel One

Situated in the County of Licking, City of Newark, and State of Ohio and bounded
and described as follows:

Beginning at a point in the centerline of West Main Street and in the Southeast
corner of Warner's Allotment to the said City of Newark as shown on the Plat of
said Allotment recorded in Vol. 4, at pages 95 and 108, of the Plat Records in
the Office of the Recorder of Licking County, Ohio, and being referenced by an
iron pin bearing North 4(degrees) 46' 30" East and being 31.98 feet from said
point; thence North 74(degrees) 30' East, along the center line of West Main
Street, 511.71 feet to the point; thence North 4(degrees) 46' 30" East, passing
through the Northerly right of way of said West Main Street, a distance of
547.68 feet to a point and the true point of beginning for the following
described parcel of land; thence North 85(degrees) 13' 30" West 480.00 feet to a
point in the Easterly line of said Warner's Allotment; thence North 4(degrees)
46' 30" East, along the Easterly line of said Warner's Allotment, 450.00 feet to
a point; thence South 85(degrees) 13' 30" East 480.00 feet to a point; thence
South 4(degrees) 46' 30" West 450.00 feet to the true point of beginning.

Containing 4.96 acres, more or less.

TOGETHER with a non-exclusive, perpetual right-of-way and easement over, under
and through the following described premises for the erection, construction,
operation, maintenance and repair of water, storm and sanitary sewer, gas,
electric and other utility lines to service the above-described tract of land of
4.96 acres, more or less, and for ingress and egress to and from said tract of
land and West Main Street:

Situated in the County of Licking, in the State of Ohio and in the City of
Newark and bounded and described as follows:

Beginning at a point in the centerline of West Main Street and in the Southeast
corner of Warner's Allotment to the said City of Newark as shown on the Plat of
said Allotment
<PAGE>

[NEWARK, OH]
Page two of three

recorded in Vol. 4, at pages 95 and 108, of the Plat Records in the Office of
the Recorder of Licking County, Ohio, and being referenced by an iron pin
bearing North 4(degrees) 46' 30" East and being 31.98 feet from said point;
thence North 74(degrees) 30" East, along the centerline of West Main Street,
511.71 feet to a point and the true point of beginning of the following
described parcel of land; thence North 4(degrees) 46' 30" East, passing through
the Northerly right of way of West Main Street and, also, passing along the
Easterly line of the 4.96 acre Nursing Home Site, a total distance of 1057.68
feet to a point; thence South 85(degrees) 13' 30" East, passing into the 50 feet
easement to the said City of Newark for storm sewer, sanitary sewer and water
lines, a total distance of 60.00 feet; thence South 4(degrees) 46' 30" West,
passing through said right of way for West Main Street, a total distance of
1035.52 feet to a point in the centerline of West Main Street; thence South
74(degrees) 30' West, along the centerline of West Main Street, 63.96 feet to
the true point of beginning.

Containing 1.44 acres, more or less

Parcel Two

Situated in the State of Ohio, County of Licking and City of Newark and being
part of Reserve A in Janmar Addition as per recorded plat thereof and more
particularly bounded and described as follows:

Being part of Reserve A in Janmar Addition as per recorded plat thereof and more
particularly bounded and described as follows:

Beginning at an iron pin in the northeast corner of said Reserve A and in the
southeast corner of The Newark Convalescent Inn property (deed reference, Volume
638, page 261, of said Deed Records), and in the westerly right of way line of
McMillen Drive;

Thence South 4(degrees) 46' 30" West, passing along the easterly line of said
Reserve A and the westerly right of way line of McMillen Drive, 180.00 feet to a
point;

Thence North 85(degrees)  13' 30" West, 180.00 feet to a point;

Thence South 4(degrees) 46' 30" West, 32.00 feet to a point;

Thence North 85(degrees) 13' 30" West, 299.59 feet to a point in the westerly
line of said Reserve A;
<PAGE>

[NEWARK, OH]
Page three of three

Thence North 4(degrees) 39' 55" East, passing along said westerly line of
Reserve A, 212.00 feet to an iron pin;

Thence South 85(degrees) 13' 30" East, passing along the northerly line of said
Reserve A and the southerly line of said Newark Convalescent Inn property,
480.00 feet to the place of beginning;

Containing 2.20 acres, more or less.

TOGETHER with the easements granted in that certain deed from The Newark Company
to Susan E. Brown Trustee, dated June 19, 1978 and recorded in Deed Book 778,
page 26, Recorder's Office, Licking County, Ohio.
<PAGE>

                                 EXHIBIT A-12

       Legal Description Of The Land Of The Vincennes, Indiana Facility
                              (Facility No.0287)

[VINCENNES, IN]

The land is located in the County of Knox, State of Indiana and described as
follows:

Part of Donations 2 and 23, Township 3 North, Range 10 West, Vincennes Township,
Knox County, Indiana, described as follows: Beginning at an iron pin in the
center of Second Street Road, 11.10 chains South 38 3/4 degrees East and 32
links South 51 1/4 degrees West of a stone, the west corner of said Donation 23;
thence North 47 degrees 10 minutes West 132.0 feet along said road; thence North
57 degrees 14 minutes West 128.7 feet along said road to the Vincennes and
Brucevi11e paved road; thence North 32 degrees 26 minutes East 791.3 feet along
the center of said road; thence South 57 degrees 34 minutes East 120.0 feet;
thence North 32 degrees 26 minutes East 100.0 feet; thence North 57 degrees 34
minutes West 120.0 feet to the center of said road; thence North 32 degrees 26
minutes East 108.6 feet along the center of said road to a road nail; thence
South 38 degrees 33 minutes East 582.1 feet; thence South 51 degrees 42 minutes
West 884.4 feet to the point of beginning.

Situated in the City of Vincennes and Vincennes Township, Knox County.
<PAGE>

                                 EXHIBIT A-13

       Legal Description Of The Land Of The Mayfield, Kentucky Facility
                               (Facility No.0271)

[MAYFIELD, KY]

BEING 5 ACRES OUT OF THE NORTHWEST QUARTER OF SECTION 11 TOWNSHIP, 3 RANGE 1,
EAST IN THE CITY OF MAYFIELD, KENTUCKY, AND BEING A PART OF THE PROPERTY
DESCRIBED IN DEED BOOK 90, PAGE 1, IN THE OFFICE OF THE GRAVES COUNTY COURT
CLERK, AND SAID 5 ACRES IS MORE PARTICULARLY DESCRIBED AS FOLLOWS :

BEGINNING AT A CONCRETE SURVEY MARKER ON THE SECTION LINE NEAR THE INTERSECTION
OF THE NORTH LINE OF INDIANA AVENUE WITH THE EAST LINE OF NORTH 4TH STREET, SAID
MARKER BEING LOCATED NORTH ALONG THE SECTION LINE 395 FEED FROM THE SOUTHWEST
CORNER OF THE NORTHWEST QUARTER OF SECTION 11, TOWNSHIP 3 RANGE 1 EAST, AND
RUNNING THENCE NORTH 2 DEGREES 30 MINUTES WEST ALONG THE SECTION LINE 506.14
FEET (CONCRETE SURVEY MARKER POINTER LOCATED S 2 DEGREES 30 MINUTES E 15 FEET);
THENCE NORTH 87 DEGREES 54 MINUTES 30 SECONDS EAST 433.85 FEET (CONCRETE SURVEY
MARKER POINTER LOCATED S 2 DEGREES 30 MINUTES E 15 FEET); THENCE SOUTH 2 DEGREES
30 MINUTES E, 497.93 FEET TO A CONCRETE SURVEY MARKER; THENCE SOUTH 86 DEGREES
49 MINUTES 30 SECONDS WEST 433.87 FEET TO THE POINT OF BEGINNING.

THERE IS ALSO INCLUDED IN THIS CONVEYANCE A RIGHT OF WAY AND EASEMENT ON AND
OVER A CERTAIN PIECE OF LAND IMMEDIATELY SOUTH OF AND ADJOINING THE REAL ESTATE
DESCRIBED AND MORE PARTICULARLY DESCRIBED AS A STRIP OF LAND 60 FEET WIDE LYING
JUST SOUTH OF AND ABUTTING THE 5 ACRE TRACT DESCRIBED ABOVE AND RUNNING BACK
EAST THE ENTIRE DISTANCE OF SAID TRACT, 744 FEET, MORE OR LESS.

IT IS FURTHER UNDERSTOOD THAT THE RIGHT OF WAY AND EASEMENT HEREIN PROVIDED
SHALL REMAIN A PRIVATE WAY FOR AND JOINT USE AND BENEFIT OF USHER AND GARDNER,
INC.., THEIR GRANTEE AND ITS OR THEIR AGENTS, SERVANTS, TENANTS, AND ALL OTHER
PERSONS FOR THEIR ADVANTAGE.
<PAGE>

                                  EXHIBIT A-14

         Legal Description Of The Land Of The Whitehouse, Ohio Facility
                               (Facility No.0295)

[WHITEHOUSE, OH]

Lots Number six (6) and seven (7) in HIBBS ADDITION, in the Village of
Whitehouse, Lucas County, Ohio, excepting therefrom that part of Lot Number six
(6) that lies easterly of the westerly line of Lot Number five (5) in said Hibbs
Addition extended southerly to the southeasterly line of said Lot Number six
(6).
<PAGE>

                                 EXHIBIT A-15

          Legal Description Of The Land Of The Marion, Ohio Facility
                              (Facility No.0870)

[MARION, OH]

Page one of three

PARCEL I:

Situated in the City of Marion, County of Marion, State of Ohio and being part
of Lot number forty-five (45), Professional Park Subdivision as shown in Plat
Book five (5), Pages eighty-nine (89) through ninety-five (95) and amended as
described in Plat Book five (5), Pages one hundred nineteen (119) and one
hundred twenty (120) and Plat Book six (6) Pages fifty-two (52) and fifty-four
(54), Recorder's Office, Marion County, Ohio, and further described as follows:

Beginning at an iron pin in the centerline of future Community Drive, said iron
pin being two hundred and zero hundredths (200.00) feet Easterly from the
intersection of the centerline of future Community Drive with the East line of
Delaware Avenue; thence South twenty (20) degrees, thirty-nine (39) minutes,
fifty-one (51) seconds East a distance of thirty (30) feet to an iron pin and
the place of beginning; thence North sixty-nine (69) degrees, twenty-one (21)
minutes, thirty-nine (39) seconds East along the North line of said Lot number
forty-five (45) a distance of one hundred forty-five and eleven hundredths
(145.11) feet to an iron pin, said point being also the Northeast corner of said
Lot number forty-five (45); thence South twenty (20) degrees, thirty-nine (39)
minutes, five (05) seconds East a distance of three hundred thirty-six (336)
feet to a point; thence South sixty-nine (69) degrees, twenty (20) minutes,
twenty-seven (27) seconds West a distance of one hundred forty-five and four
hundredths (145.04) feet to an iron pin, thence North twenty (20) degrees,
thirty-nine (39) minutes, fifty-one (51) seconds West a distance of three
hundred thirty-six and five hundredths ( 336.05 ) feet to an iron pin, the place
of beginning. Subject to all legal rights-of-way, easements and restrictions of
record, including a certain thirty (30) foot easement for sewer facilities,
dated May 23, 1969, recorded in Volume 447 at Page 230 of the Deed Records of
Marion County, Ohio, the East fifteen (15) feet of which, measured East and
West, lies along the West line of the above described parcel belonging to said
Professional Park, Inc., commencing at the North line of said future
<PAGE>

[MARION, OH]
Page two of three

Community Drive and extending to the South line of said parcel.

Reference is hereby had and made to a Survey of said premises recorded in Volume
6 at Page 48 of the Survey Records in the Office of the County Engineer of said
County.

PARCEL II:

Situated in the City of Marion, County of Marion and State of Ohio and bounded
and described as follows:

Known as being part of Lot number forty-five (45) in Professional Park Addition
to the City of Marion, Ohio;
Commencing at an iron pin set in the South line of Lot number forty-four (44),
seventy-five and forty hundredths (75.40) feet West of the Southeast corner of
Lot number forty-four (44);
Thence North sixty-nine (69) degrees, twenty (20) minutes, zero (00) seconds
East, a distance of one hundred eighty-one and seventy-five hundredths (181.75)
feet to a point;
Thence North twenty (20) degrees, forty (40) minutes, zero (00) seconds West, a
distance of fifty-three and seventy-three hundredths (53.73) feet to a point;
Thence South sixty-nine (69) degrees, twenty (20) minutes, zero (00) seconds
West, a distance of twenty-seven and sixty hundredths (27.60) feet to a point;
Thence North twenty (20) degrees, forty (40) minutes , zero (00) seconds West, a
distance of ninety-six and twenty-seven hundredths (96.27) feet to a point, the
place of beginning;
Thence North twenty (20) degrees, forty (40) minutes , zero ( 00) seconds West,
a distance of fifty and zero hundredths (50.00) feet to a point;
Thence North sixty-nine (69) degrees, twenty (20) minutes, zero (00) seconds
east, a distance of zero and eighty-five hundredths (0.85) feet to a point;
Thence North twenty (20) degrees, forty (40) minutes, zero (00) seconds West, a
distance of thirty-four (34) feet to a point;
Thence South sixty-nine (69) degrees, twenty (20) minutes, zero (00) seconds
west, a distance of one hundred forty-five (145) feet to a point;
Thence South twenty (20) degrees, forty (40) minutes, zero (00) seconds East, a
distance of eighty-four (84) feet to a point;
Thence North sixty-nine (69) degrees twenty (20) minutes, zero (00) seconds
East, a distance of one hundred
<PAGE>

(MARION, OH]
Page three of three

forty-four and fifteen hundredths (144.15) feet to the place of beginning; Said
parcel being zero and twenty-eight hundredths (0.28) acres, more or less.

PARCEL III:

Situated in the City of Marion, County of Marion and State of Ohio and bounded
and described as follows:

Known as being a two (2) acre tract of land located in the Northwest portion of
Lot number forty-six (46) in Professional Park Addition to the City of Marion,
as shown and delineated upon the Plat of Professional Park Addition recorded in
Plat Records Volume five (5), pages eighty-nine (89) to ninety-five (95)
inclusive, in the Recorder's Office of Marion County, State of Ohio, and which
tract is more specifically described as follows:
Beginning at the Northwest corner of the aforesaid Lot number forty-six (46),
said place of beginning also being the Northeast corner of Lot number forty-five
(45) in said Addition; thence South twenty (20) degrees, forty (40) minutes East
and along the East boundary line of Lot number forty-five (45) a distance of
three hundred seventy (370) feet to a point, which point is fifty (50) feet more
or less from the Southeast corner of said Lot number forty-five (45); thence
North sixty-nine (69) degrees, twenty (20) minutes East and parallel to the
North boundary line of Fairfax Road a distance of two hundred forty and eight
hundred sixty-five thousandths (240.865) feet to a point; thence North twenty
(20) degrees, forty (4o) minutes West and parallel to the East boundary line of
Lot number forty-five (45) a distance of three hundred seventy (370) feet to a
point; being located in the South Boundary line of Community Drive; thence along
the South Boundary line of Community Drive to the place of beginning.
<PAGE>

                                 EXHIBIT A-16

      Legal Description Of The Land Of The Kansas City, Missouri Facility
                              (Facility No.0861)

[KANSAS CITY, MO] Page one of three

TRACT I:

All that part of the Southwest 1/4 of the Southwest 1/4 of Section 17, Township
47, Range 33, Kansas City, Jackson County, Missouri, described as follows:
Commencing at the Southeast corner of said Southwest 1/4 of the Southwest 1/4;
thence North 41 degrees 52 minutes 55 seconds West, a distance of 70.46 feet to
a point 50.0 feet North of the centerline of Blue Ridge Boulevard and 50.0 feet
West of the East line of said Southwest 1/4 of the Southwest 1/4 as measured at
right angles to said lines, said point being the intersection of the North
right-of-way line of said Blue Ridge Boulevard, and the West right-of-way line
of Wornall Road, as now established; thence North 85 degrees 46 minutes 44
seconds West along said North right-of-way line of Blue Ridge Boulevard, and
parallel to the centerline of said Blue Ridge Boulevard, a distance of 390.0
feet; thence North 03 degrees 19 minutes 35 seconds East, a distance of 290.00
feet; thence North 25 degrees 42 minutes 52 seconds West, a distance of 61.75
feet; thence North 03 degrees 19 minutes 35 seconds East, a distance of 177.00
feet; thence South 85 degrees 37 minutes 24 seconds East and parallel to the
South line of said Southwest 1/4 of the Southwest 1/4, a distance of 420.00 feet
to a point on the West right-of-way line of Wornall Road; thence South 03
degrees 19 minutes 35 seconds West along said West right-of-way line and
parallel to the East line of said Southwest 1/4 of the Southwest 1/4, a distance
of 519.38 feet to the true point of beginning.

TRACT II:

All that part of the Southwest 1/4 of the Southwest 1/4 of Section 17, Township
47, Range 33, Kansas City, Jackson County, Missouri, including a portion of lot
129, KLAPMEYER ESTATES, a Subdivision, described as follows: Commencing at the
Southeast corner of said Southwest 1/4 of the Southwest 1/4; thence North 4l
degrees 52 minutes 55 seconds West, a distance of 70.46 feet to a point 50.00
feet North of the center line of Blue Ridge Boulevard and 50.0 feet West of the
East line of said Southwest 1/4 of the Southwest 1/4, as measured at right
angles to said lines, said point being the intersection of the North right-of-
way line of said Blue Ridge Boulevard and the West right-of-way line of Wornall
<PAGE>

[KANSAS CITY, MO]
Page two of three

Road, as now established; thence North 85 degrees 46 minutes 44 seconds west
along said North right-of-way line of Blue Ridge Boulevard and parallel to the
centerline of said Blue Ridge Boulevard, a distance of 390.00 feet to the true
point of beginning; thence North 03 degrees 19 minutes 35 seconds East a
distance of 290.00 feet; thence North 25 degrees 42 minutes 52 seconds West, a
distance of 61.75 feet; thence North 03 degrees 19 minutes 35 seconds East, a
distance of 177.00 feet; thence North 85 degrees 37 minutes 24 seconds West and
parallel to the South line of said Southwest 1/4 of the Southwest 1/4, a
distance of 135.00 feet; thence South 03 degrees 19 minutes 35 seconds West, a
distance of 250.65 feet; thence North 86 degrees 40 minutes 25 seconds West, a
distance of 15.02 feet; thence South 03 degrees 19 minutes 35 seconds West, a
distance of 270.00 feet to the North right-of-way line of said Blue Ridge
Boulevard; thence South 85 degrees 46 minutes 44 seconds East along said North
right-of-way line of Blue Ridge Boulevard and parallel to the centerline of said
Blue Ridge Boulevard, a distance of 180. 00 feet to the true point of beginning.

TRACT 3:

All that part of the Southwest 1/4 of the Southwest 1/4 of Section 17, Township
17, Range 33, Kansas City, Jackson County, Missouri, including a portion of Lots
127, 128, and 129, KLAPMEYER ESTATES, a subdivision, described as follows:
Commencing at the Southeast corner of said Southwest 1/4 of the Southwest 1/4;
thence North 4l degrees 52 minutes 55 seconds West a distance of 70.46 feet to a
point 50.00 feet North of the center line of Blue Ridge Boulevard, and 50.0 feet
West of the East line of said Southwest 1/4 of the Southwest 1/4 as measured at
right angles to said lines, said point being the intersection of the North
right-of-way line of said Blue Ridge Boulevard, and the West right-of-way line
of Wornall Road, as now established; thence North 85 degrees 46 minutes 44
seconds West along said North right-of-way line of Blue Ridge Boulevard, and
parallel to the center line of said Blue Ridge Boulevard, a distance of 570.00
feet; thence North 03 degrees 19 minutes 35 seconds East, a distance of 185.00
feet to the true point of beginning; thence North 40 degrees 15 minutes 25
seconds West, a distance of 421.57 feet to an angle point in the Easterly line
of BLUE HILLS SOUTH, a Subdivision; thence North 01 degrees 08 minutes 00
seconds East along laid Easterly line 154.07 feet; thence North 53 degrees 54
minutes 00 seconds East along said Easterly line, 133.38 feet; thence South 34
degrees 54 minutes 25 seconds East, 264.24 feet; thence South 85 degrees 37
minutes 24 seconds
<PAGE>

[KANSAS CITY, MO]
Page three of three

East and parallel to the South line of said Southwest 1/4 of the Southwest 1/4,
a distance of 45.00 feet; thence South 03 degrees 19 minutes 35 seconds West, a
distance of 250.65 feet; thence North 86 degrees 40 minutes 25 seconds West, a
distance of 15.02 feet; thence South 03 degrees 19 minutes 35 seconds West, a
distance of 85.00 feet to the true point of beginning.
<PAGE>

                                 EXHIBIT A-17

        Legal Description Of The Land Of The Denver, Colorado Facility
                              (Facility No.0849)

[DENVER, CO]

ALL OF THAT PART OF PLOT 43, UNIVERSITY ADDITION, LYING NORTH OF THE HIGH LINE
CANAL RIGHT OF WAY, EXCEPT THE NORTH 7 FEET OF SAID PLOT, CITY AND COUNTY OF
DENVER, STATE OF COLORADO.
<PAGE>

                                 EXHIBIT A-18

    Legal Description Of The Land Of The Fairhaven, Massachusetts, Facility
                              (Facility No.0531)

[FAIRHAVEN, MA]

That certain piece or parcel of land, together with all buildings and
improvements thereon, situated in the Town of Fairhaven, County of Bristol,
Commonwealth of Massachusetts, and bounded and described as follows:

PARCEL ONE:

Beginning at a point in the westerly line of North Main Street distant southerly
one hundred seventy and 67/100 (170.67) feet from the southerly line of Pilgrim
Avenue, and in line of land now or formerly of Ida M. Jenney, now Mable P.
Avery; thence Westerly in said southerly line of last named land three hundred
sixty-four (364 )feet, more or less, to the Acushnet River; thence Westerly in
the same course into said Acushnet River as far as private rights extend; thence
commencing again at the point of beginning, and running southerly in said west
line of North Main Street one hundred thirty and 35/100 (130.35) feet, more or
less, to land now or formerly of Marjorie F. Anderson; thence Westerly in line
of last named land one hundred thirty-two (132) feet; thence Northerly in line
of last named land five (5) feet; thence Westerly in line of last named land two
hundred ten (210) feet, more or less, to the Acushnet River as far as private
rights extend.

Containing one (1) acre, more or less.

Bounded northerly by land now or formerly of Mable P. Avery, easterly by North
Main Street, Southerly by land now or formerly of Marjorie F. Anderson and
westerly by the Acushnet River.

PARCEL TWO:

Beginning at the intersection of the south line of Pilgrim Avenue and the west
line of North Main Street at a stake at the northeast corner of the premises to
be conveyed and thence southerly in the said west line of North Main Street one
hundred seventy and 67/100 (170.67) feet to a stake; thence Westerly one hundred
twenty-five (125) feet to a nail in blacktop; thence Northerly in a line of a
contemplated future roadway one hundred seventy-one and 56/100 (171.56) feet to
the said south line of Pilgrim Avenue; thence Easterly in the said line of said
Pilgrim Avenue one hundred ten (110) feet to the point of beginning. Containing
twenty thousand (20,000) square feet, more or less.
<PAGE>

Said Parcel Two is shown as Lots 1 and 2 on Plan surveyed for Spiros K. Nichols
by Tibetts Engineering Corporation dated May 8, 1964 and recorded with Bristol
County (S.D.) Registry of Deeds, Plan Book 66, Page 54.

Said premises being known as and numbered 184 North Main Street, Fairhaven,
Massachusetts and being the same premises described in a deed dated December 3,
1970 recorded with Bristo1 County South District Registry of Deeds Book 1610,
Page 1092.

Being the same premises conveyed to the Grantor herein by deed from Nichols,
Inc. recorded in said Registry in Book 1881, Page 1091, and dated January 4,
1984.
<PAGE>

                                 EXHIBIT A-19

   Legal Description Of The Land Of The West Roxbury, Massachusetts Facility
                               (Facility No.0540)

[WEST ROXBURY, MA]

PARCEL ONE

The land in West Roxbury District of Boston, comprising 9,250 square feet + of
land, at the end of Baker Place and bounded and described as follows:

NORTHEASTERLY by Baker Place and an Estate of Alice E. Fowler, at al;
SOUTHEASTERLY by an Estate of Julia M. Monahan; and WESTERLY by Veterans of
Foreign Wars Parkway.

Also the following parcel:

PARCEL TWO

A certain parcel of land situated in that part of Boston called West Roxbury,
and bounded:

SOUTHEASTERLY by a lane (now called Baker Place) which runs southwesterly from
Baker Street, Eighty-five and Six-twelfths (85 6/12) feet; SOUTHWESTERLY by land
now or formerly of Thomas McLaughlin;
NORTHWESTERLY by land now or formerly of James Smith, Ninety-one and six-
twelfths (91 6/12) feet and
NORTHEASTERLY by land now or formerly of Thomas McLaughlin to said lane

PARCEL THREE

That certain parcel of land situated in Boston (W. Roxbury) in the County of
Suffolk and Commonwealth of Massachusetts, bounded and described as follows:

SOUTHWESTERLY by the northeasterly line of VFW Parkway, two hundred two and
15/100 (202.15) feet;
NORTHWESTERLY by lands of sundry adjoining owners and the end of Barnes Street,
one hundred fifty-four and 51/100 (154.51) feet;
NORTHEASTERLY by land now or formerly of Francis J. Moore et al, ninety- five
(95) feet,
SOUTHEASTERLY by Amesbury Street, thirty and 08/100 (30.08) feet; NORTHEASTERLY
by the end of Amesbury Street and by a Proposed Street, one hundred ninety-three
and 07/100 (193.07) feet; and
<PAGE>

SOUTHERLY by lands now or formerly of William H. Riddock et al and Isidore
Minkin, Trustee, one hundred seventy-five and 01/100 (175.01) ft

There is appurtenant to said land the right to use said Proposed Street for all
purposes of a public way, from locus to Amesbury Street, common with all those
lawfully entitled thereto.
<PAGE>

                                 EXHIBIT A-20

      Legal Description Of The Land Of The Livermore, California Facility
                              (Facility No.0205)

[LIVERMORE, CA]

 .

THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF
ALAMEDA, CITY OF LIVERMORE, DESCRIBED AS FOLLOWS:

PORTION OF THE PARCEL OF LAND CONVEYED BY FERDINARD HOLDENER, ET UX, TO THE
DUFFEL-SMOOT COMPANIES, A CORPORATION, BY DEED RECORDED JULY 2, 1965, ON REEL
1543, IMAGE 234, ALAMEDA COUNTY RECORDS, DESCRIBED AS FOLLOWS:

BEGINNING AT A POINT ON THE EASTERN LINE OF SAID PARCEL OF LAND, DISTANT THEREON
SOUTH 0 (degrees) 10' 10" WEST 554.40 FEET FROM THE SOUTHERN LINE OF EAST
STANLEY BOULEVARD; RUNNING THENCE NORTH 89 (degrees) 49' 50" WEST 209.618 FEET;
THENCE SOUTH 0 (degrees) 10' 10" WEST 225 FEET; THENCE SOUTH 89 (degrees) 49'
50" EAST 209.618 FEET TO SAID EASTERN LINE OF SAID PARCEL OF LAND; THENCE ALONG
THE LAST NAMED LINE, NORTH 0 (degrees) 10' 10" EAST 225 FEET TO THE POINT OF
BEGINNING.

<PAGE>

                                 EXHIBIT A-21

       Legal Description Of The Land Of The Oshkosh, Wisconsin Facility
                              (Facility No.0197)

[OSHKOSH, WI]

PARCEL I: That part of the Southwest 1/4 of the SOUTHEAST 1/4 of Section Twelve
(12) Township Eighteen (18) North, of Range Sixteen (16) East, in the Fifteenth
Ward, City of Oshkosh, lying east of the Easterly line of Bowen Street and South
of the South line of Mallard Avenue, as now located, excepting therefrom the two
(2) following described tracts of land, viz:

1. The South 130 feet thereof;
2. The North 503.5 feet thereof.

PARCEL II: That part of the Southeast 1/4 of the SOUTHEAST 1/4 of Section Twelve
(12) Township Eighteen (l8) North, or Range Sixteen (16) East, in the Fifteenth
Ward, City of Oshkosh, lying west of the West line of Evans Street, as now
located, and south of the south line of Mallard Avenue, as now located,
exception the Three (3) following described tracts of land, viz:

1. The South 30 feet thereof, which said 30 feet is located within the limits of
   Murdock Street.
2. The North 240 feet of the South 270 feet thereof.
3. The North 503.5 feet thereof.
<PAGE>

                                 EXHIBIT A-22

   Legal Description Of The Land Of The Westborough, Massachusetts Facility
                              (Facility No.0541)

[Westerborough, MA]

A certain parcel of land with the buildings and improvements thereon situated
off the easterly side of East Main Street and on the northerly side of Colonial
Drive, a private way, in Westborough, Worcester County, Massachusetts, the same
being shown as Lot #2 containing 5.0 acres on a plan by Guerard Survey Co. &
Associates dated November 4, 1969, recorded with said Deeds in Plan Book 331,
Plan 91, and being more particularly bounded and described as follows:

SOUTHWESTERLY:      by said Colonial Drive by two lines (the first being a
                    curved line with a radius of 60 feet) measuring respectively
                    23 feet and 117 feet;

NORTHWESTERLY:      by land now or formerly of Dorothy Hickox, Inc. 216.49 feet;

NORTHEASTERLY,
  EASTERLY,
  NORTHERLY, and
NORTHEASTERLY:      by land now or formerly of the Commonwealth of
                    Massachusetts, (Metropolitan District Commission) by four
                    lines measuring respectively 195 feet, 87.20 feet, 165.17
                    feet, and 408.30 feet;

SOUTHEASTERLY:      by land now or formerly of said Dorothy Hickox, Inc. 307.47
                    feet; and

SOUTHERLY,
SOUTHWESTERLY,
WESTERLY, and
SOUTHWESTERLY:      by land now or formerly of said Dorothy Hickox, Inc. by four
                    lines (the second being a curved line with a radius of 125
                    feet) measuring respectively 410.33 feet, 97.85 feet, 80.14
                    feet and 118.70 feet.

                    Being the same premises conveyed to the Grantor herein by
                    deed from Michael A. Minkin and Kenneth D. Minkin, Trustees
                    of the Minkin-Westborough Realty Trust, said deed dated
                    January 4, 1984 and recorded in said Registry in Book 8047,
                    Page 19.
<PAGE>

                                   EXHIBIT B

<TABLE>
<CAPTION>
-------------------------------------------------------------------------------------------------
                                                                        Initial          Initial
-------------------------------------------------------------------------------------------------
                                                                         Annual          Monthly
-------------------------------------------------------------------------------------------------
 Kindred                                        # of       # of        Allocated        Allocated
-------------------------------------------------------------------------------------------------
 Facility                                      Avail     Licensed       Minimum          Minimum
-------------------------------------------------------------------------------------------------
    #         City/St. Location      Group      Beds       Beds           Rent             Rent
-------------------------------------------------------------------------------------------------
<S>           <C>                    <C>        <C>        <C>       <C>              <C>

-------------------------------------------------------------------------------------------------
 Group 1
-------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------
   0171       Bolivar TN                 1       136        136         720,000         60,000.00
-------------------------------------------------------------------------------------------------
   0174       Camden TN                  1       185        189         500,000         41,666.67
-------------------------------------------------------------------------------------------------
   0175       Jefferson City TN          1       185        186       1,000,000         83,333.33
-------------------------------------------------------------------------------------------------
   0177       Loudon TN                  1       190        192         900,000         75,000.00
-------------------------------------------------------------------------------------------------
   0178       Memphis TN                 1       246        246       1,460,000        121,666.67
-------------------------------------------------------------------------------------------------
   0179       Huntingdon TN              1       196        196         575,000         47,916.67
-------------------------------------------------------------------------------------------------
   0183       Ripley TN                  1       182        182         625,000         52,083.33
-------------------------------------------------------------------------------------------------
   0184       Blountville TN             1       173        173         680,000         56,666.67
-------------------------------------------------------------------------------------------------
   0187       Maryville TN               1       187        189       1,100,000         91,666.67
-------------------------------------------------------------------------------------------------
   0189       Maryville TN               1        75         75         440,000         36,666.67
-------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------
 Group 2
-------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------
   0237       Newark OH                  2       300        300       1,775,000        147,916.67
-------------------------------------------------------------------------------------------------
   0287       Vincennes IN               2       205        216       1,100,000         91,666.67
-------------------------------------------------------------------------------------------------
   0271       Mayfield KY                2       100        100         585,000         48,750.00
-------------------------------------------------------------------------------------------------
   0295       Whitehouse OH              2        88         94         200,000         16,666.67
-------------------------------------------------------------------------------------------------
   0870       Marion OH                  2       110        110         380,000         31,666.67
-------------------------------------------------------------------------------------------------
   0861       Kansas City, MO            2       180        180         850,000         70,833.33
              (beds)
-------------------------------------------------------------------------------------------------
                        (units/beds)              96         96
-------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------
 Group 3
-------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------
   0849       Denver CO                  3       172        180       1,060,000         88,333.33
-------------------------------------------------------------------------------------------------
   0531       Fairhaven, MA              3       106        107         378,000         31,500.00
-------------------------------------------------------------------------------------------------
   0540       West Roxbury, MA           3       141        141         441,000         36,750.00
-------------------------------------------------------------------------------------------------
   0205       Livermore, CA              3        80         83         346,500         28,875.00
-------------------------------------------------------------------------------------------------
   0197       Oshkosh, WI                3       182        184         454,000         37,833.33
-------------------------------------------------------------------------------------------------
   0541       Westborough, MA            3       122        123         559,500         46,625.00
-------------------------------------------------------------------==============================

-------------------------------------------------------------------------------------------------
              Totals                                                 16,129,000      1,344,083.35
-------------------------------------------------------------------------------------------------
</TABLE>
<PAGE>

                                   EXHIBIT C

                            GUARANTY OF OBLIGATIONS

          The undersigned, KINDRED HEALTHCARE, INC., a Delaware corporation, and
KINDRED OPERATING, INC., a Delaware corporation (collectively and jointly and
severally "Guarantor"), as a material and necessary inducement to HEALTH CARE
PROPERTY INVESTORS, INC., a Maryland corporation ("HCPI") and HEALTH CARE
PROPERTY PARTNERS, a California general partnership ("HCPP," and together with
HCPI as their interests may appear, "Owners"), to enter into that certain Master
Lease of even date herewith (together with any future amendments or supplements
thereto or modifications thereof entered into from time to time, being referred
to herein, collectively, as the "Lease"), with KINDRED NURSING CENTERS EAST,
L.L.C., a Delaware limited liability company, KINDRED NURSING CENTERS WEST,
L.L.C., a Delaware limited liability company and KINDRED NURSING CENTERS LIMITED
PARTNERSHIP, a Delaware limited partnership (collectively and jointly and
severally "Lessee"), pursuant to which Owners, as Lessor, have agreed to lease
to Lessee, and Lessee has agreed to hire and let from Owners, as Lessee, certain
properties (collectively, the "Properties," and each a "Property") identified
and listed on Exhibit A attached hereto, in each case as more particularly
              ---------
described in the Lease, hereby agrees as follows:

          1.  Guarantor hereby unconditionally and irrevocably guarantees to
Owners:

              (a) the payment when due of all costs, expenses, fees, rents and
     other sums payable by Lessee under the Lease and the full, faithful and
     prompt performance when due of each and every one of the terms, conditions
     and covenants to be kept and performed by Lessee under the Lease (whether
     accruing prior to, on or after the date hereof), including, without
     limitation, (i) any and all indemnification and insurance obligations, (ii)
     all obligations to operate, repurchase, rebuild, restore or replace the
     Properties or any facilities or improvements now or hereafter constituting
     a portion of any Property and (iii) all obligations of the Lessee under the
     Lease resulting from the exercise of any renewal or extension option under
     such Lease; and

              (b) the payment, on demand, of any fees, costs and charges of
     enforcement of the Lease, and the preservation and protection of the
     Properties and collateral from Lessee, if any, which would be owing by
     Lessee under clause (a) above, but for the effect of the federal Bankruptcy
     Code or any other state or local debtor relief law.

The foregoing obligations are hereafter collectively referred to as the
"Guaranteed Obligations." In the event of the failure of Lessee to pay or
perform any of the Guaranteed Obligations when due, Guarantor shall forthwith
pay or perform the same, as applicable, and pay all damages that may result from
the non-payment or non-performance thereof to the full extent provided under the
Lease. Guarantor acknowledges that due to the effect of the federal Bankruptcy
Code or any other state or local debtor relief law, the Guaranteed Obligations
may exceed the payment or performance obligations of Lessee under the Lease.
Payment by Guarantor shall be made to Owners in immediately available federal
funds to an account designated by Owners.
<PAGE>

          2.   Guarantor represents, warrants and covenants that:
               --------------------------------------------------

               (a)  such Guarantor is duly organized/formed, validly existing
     and in good standing under the laws of its state of organization/formation,
     is qualified to do business and in good standing in each state in which any
     Property is located (except where the failure to do so would not have a
     material adverse effect on Guarantor), and has full power, authority and
     legal right to execute and to deliver and to perform and observe the
     obligations and provisions of this Guaranty;

                    (i)   this Guaranty has been duly authorized, executed and
          delivered by such Guarantor, and constitutes the valid and binding
          obligation of such Guarantor, enforceable against such Guarantor in
          accordance with its terms;

                    (ii)  such Guarantor is solvent, has timely and accurately
          filed all tax returns required to be filed by it and is not in default
          in the payment of any taxes levied or assessed against it or any of
          its assets, or subject to any judgment, audit, order, decree, rule or
          regulation of any governmental authority which would, in each case or
          in the aggregate, materially and adversely affect such Guarantor's
          condition, financial or otherwise, or such Guarantor's prospects;

                    (iii) no consent, approval or other authorization of, or
          registration, declaration or filing with, any governmental authority
          is required for the due execution and delivery by such Guarantor of
          this Guaranty, or for the performance by or the validity or
          enforceability hereof against such Guarantor;

                    (iv)  there are no actions, proceedings or investigations,
          including condemnation proceedings or tax audits, pending or
          threatened, against or affecting such Guarantor, seeking to enjoin,
          challenge or collect damages in connection with the transactions
          contemplated under the Lease or which could reasonably be expected to
          materially and adversely affect the financial condition or operations
          of such Guarantor or the ability of such Guarantor to carry out its
          obligations under this Guaranty; and

                    (v)   neither this Guaranty nor any certificate, statement
          or other document furnished or to be furnished to Owners by or on
          behalf of such Guarantor in connection with this Guaranty or the Lease
          contains or will contain any untrue statement of a material fact or
          omits or will omit to state a material fact necessary in order to make
          the statements contained herein or therein not misleading.

          3.   Guarantor hereby unconditionally and irrevocably indemnifies,
protects and agrees to defend and hold harmless Owners from and against any and
all loss, cost or expense, including costs and reasonable legal fees, arising
from the breach or violation of any representation or warranty of Guarantor
hereunder.
<PAGE>

          4.  Subject to the terms of the Lease, in such manner, upon such terms
and at such times as Owners in their sole discretion deem necessary or
expedient, and without notice to or consent by Guarantor, which notice and
consent are hereby expressly waived by Guarantor, Owners may alter, compromise,
accelerate, extend or change the time or manner for the payment or the
performance of any Guaranteed Obligation; extend, amend or terminate the Lease;
release Lessee or any other party to the Lease by consent to any assignment (or
otherwise) as to all or any portion of the Guaranteed Obligations; release,
substitute or add any one or more guarantors, lessees or sublessees (including
by consent to sublease or otherwise); accept additional or substituted security
for any Guaranteed Obligation; or release or subordinate any security for any
Guaranteed Obligation. No exercise or non-exercise by Owners of any right hereby
given Owners, no neglect or delay in connection with exercising any such right,
no dealing by Owners with Lessee, any other guarantor or any other person, and
no change, impairment, release or suspension of any right or remedy of Owners
against any person, including Lessee and any other guarantor or other person,
shall in any way affect any of the obligations of Guarantor hereunder or any
security furnished by Guarantor or give Guarantor any recourse or right of
offset against Owners. If Owners have exculpated Lessee or any other party to
the Lease from liability in whole or in part and/or agreed to look solely to the
Property, any security for the Guaranteed Obligations or any other asset for the
satisfaction of the Guaranteed Obligations, such exculpation and/or agreement
shall not affect the obligations of Guarantor hereunder, it being understood
that Guarantor's obligations hereunder are independent of the obligations of
Lessee, any other guarantor and any other party to the Lease, and are to be
construed as if no such exculpation or agreement had been given to Lessee, any
other guarantor or any other party to the Lease. It is further understood and
agreed that if any such exculpation or agreement has been or at any time
hereafter is given to Lessee, any other guarantor or any other party to the
Lease, Owners have done or will do so in reliance upon the agreement of
Guarantor expressed herein.

          5.  In addition to and without derogation of or limitation on any
rights of set-off given to Owners by law against any property of Lessee,
Guarantor and any other guarantor or other person, Owners shall have a right of
set-off against all property of Guarantor now or hereafter in the possession of
or under the control of Owners, whether held in a general or special account, on
deposit, held for safekeeping or otherwise in the possession of or under the
control of Owners. Each such right of set-off may be enforced or exercised
without demand upon or notice to Guarantor, shall continue in full force unless
specifically waived or released by Owners in writing and shall not be deemed
waived by any conduct of Owners, by any failure of Owners to exercise any such
right of set-off by any neglect or delay in so doing.

          6.  Guarantor hereby waives and relinquishes all rights and
remedies accorded by applicable law to sureties and/or guarantors or any other
accommodation parties, under any statutory provision, common law or any other
provision of law, custom or practice, and agrees not to assert or take advantage
of any such rights or remedies, including, without limitation, (a) any right to
require Owners to proceed against Lessee, any other guarantor or any other
person or to proceed against or exhaust any security held by Owners at any time
or to pursue any other remedy in Owners' power before proceeding against
Guarantor; (b) any defense that may arise by reason of the incapacity, lack of
authority, insolvency, bankruptcy, death or disability of any other guarantor or
other person or the failure of Owners to file or enforce a claim against the
estate (in administration, bankruptcy or any other proceeding) of any other
guarantor or other
<PAGE>

person; (c) notice of the existence, creation or incurring of any new or
additional indebtedness or obligation or of any action or non-action on the part
of Lessee or any other party to the Lease, or any creditor thereof, or on the
part of any other guarantor or other person under any other instrument in
connection with any obligation or evidence of indebtedness held by Owners or in
connection with any Guaranteed Obligation; (d) any defense based upon an
election of remedies by Owners which destroys or otherwise impairs any
subrogation rights of Guarantor or any right of Guarantor to proceed against
Lessee or any other party to the Lease for reimbursement, or both; (e) any
defense based upon any statute or rule of law which provides that the obligation
of a surety must be neither larger in amount nor in other respects more
burdensome than that of the principal; (f) any duty on the part of Owners to
disclose to Guarantor any facts Owners may now or hereafter know about Lessee or
any other party to the Lease, regardless of whether Owners have reason to
believe that any such fact materially increases the risk beyond that which
Guarantor intends to assume or has reason to believe that any such fact is
unknown to Guarantor or has a reasonable opportunity to communicate such fact to
Guarantor, it being understood and agreed that Guarantor is fully responsible
for being and keeping informed of the financial condition of Lessee and all
other parties to the Lease and of all circumstances bearing on the risk of non-
payment or non-performance of any Guaranteed Obligation; (g) any defense based
upon the validity or enforceability of, or change in, this Guaranty, or the
Lease; (h) any defense or rights arising under any appraisal, valuation, stay,
extension, marshaling of assets, redemption or similar law or requirement, which
may delay, prevent or otherwise affect the performance by Guarantor of any of
the Guaranteed Obligations; (i) diligence, presentment and demand; and (j) any
defense based on any borrowing or grant of a security interest under Section 364
of the federal Bankruptcy Code. Without limiting the generality of the foregoing
or any other provision hereof, Guarantor hereby expressly waives any and all
benefits which might otherwise be available to guarantors under the laws of the
State of California, including under California Civil Code Sections 2787 to
2855, inclusive, in each instance to the extent such laws, or any one of them,
are applicable to this Guaranty, any of the Documents or any of the Guaranteed
Obligations.

          7.  Until all of the Guaranteed Obligations have been satisfied and
discharged in full, Guarantor shall not exercise its right of subrogation and
Guarantor hereby waives any right to enforce any remedy which Owners now have or
may hereafter have against Lessee, any other guarantor or any other party to the
Lease and any benefit of, and any right to participate in, any security or other
assets now or hereafter held by Owners with respect to the Lease.

          8.  All existing and future indebtedness and other obligations to
Guarantor of Lessee and each other party to the Lease and the right of Guarantor
to withdraw any capital invested by Guarantor in Lessee are hereby subordinated
to the Guaranteed Obligations. From and after the occurrence of any event of
default under the Lease, no portion of such subordinated indebtedness or capital
shall be paid or withdrawn, nor will Guarantor accept any payment of or on
account of any such indebtedness or as a withdrawal of capital, without the
prior written consent of Owners. At Owners' request, Guarantor shall cause
Lessee or such other party to pay to Owners all or any part of such subordinated
indebtedness or capital which Guarantor is entitled to withdraw for application
by Owners to the Guaranteed Obligations as and when they are due. Any payment of
such subordinated indebtedness and any capital which Guarantor is entitled to
withdraw which is received by Guarantor after receipt of the above-referenced
request
<PAGE>

shall be received by Guarantor in trust for Owners, and Guarantor shall cause
the same to be paid immediately to Owners on account of the Guaranteed
Obligations as and when they are due.

          9.   With or without notice to Guarantor, Owners, in their sole
discretion and at any time and from time to time and in such manner and upon
such terms as Owners deem fit, may (a) apply any or all payments or recoveries
from Lessee or from any other guarantor or party to the Lease or realized from
any security, in such manner and order of priority as Owners may determine, to
any indebtedness or obligation of Lessee with respect to the Lease, whether or
not such indebtedness or obligation is a Guaranteed Obligation or is otherwise
secured or is due at the time of such application, and (b) refund to Lessee any
payment received by Owners under the Lease.

          10.  The amount of Guarantor's liability and all rights, powers and
remedies of Owners hereunder and under any other agreement now or at any time
hereafter in force between Owners and Guarantor, including, without limitation,
any other guaranty executed by Guarantor relating to any indebtedness or other
obligation of Lessee to Owners, shall be cumulative and not alternative, and
such rights, powers and remedies shall be in addition to all rights, powers and
remedies given to Owners by law. This Guaranty is in addition to and exclusive
of any other guaranty of the Guaranteed Obligations, including, without
limitation, any other guaranty.

          11.  The obligations of Guarantor hereunder are primary, direct and
independent of the obligations of Lessee and any other party to the Lease,
including, without limitation, any other guarantor, and, in the event of any
default under the Lease following the expiration of any grace period, a separate
action or actions may be brought and prosecuted against Guarantor, whether or
not Lessee or any other party to the Lease, including, without limitation, any
other guarantor, is joined therein or a separate action or actions are brought
against Lessee or any other party to the Lease, including, without limitation,
any other guarantor. Owners may maintain successive actions for other defaults.
Owners' rights hereunder shall not be exhausted by their exercise of any of
their rights or remedies or by any such action or by any number of successive
actions until and unless all Guaranteed Obligations have been paid in full in
cash or performed in full.

          12.  Guarantor shall pay to Owners reasonable attorneys' fees and all
costs and other expenses which Owners expend or incur in collecting or
compromising or enforcing payment or performance of the Guaranteed Obligations
or in enforcing this Guaranty, whether or not suit is filed, including, without
limitation, all reasonable attorneys' fees and all costs and other expenses
expended or incurred by Owners in connection with any insolvency, bankruptcy,
reorganization, arrangement or other similar proceedings involving Guarantor
which in any way affects the exercise by Owners of their rights and remedies
hereunder.

          13.  If any provision or portion of this Guaranty is declared or found
by a court of competent jurisdiction to be unenforceable or null and void, such
provision or portion hereof shall be deemed stricken and severed from this
Guaranty, and the remaining provisions and portions hereof shall continue in
full force and effect.
<PAGE>

          14. This Guaranty shall inure to the benefit of Owners, their
successors and assigns, including, without limitation, the assignees of any of
the Guaranteed Obligations, and any subsequent owners or encumbrancers of the
Properties, or any of them or any interest in any of them, and shall bind the
heirs, executors, administrators, personal representatives, successors and
assigns of Guarantor, whether by operation of law or otherwise; provided,
however, that except for Transfers (as defined in the Lease) expressly permitted
without Owner's consent, Guarantor may not, without Owners' prior written
consent, which such consent may be granted or withheld in Owners' sole
discretion, assign or transfer any of its rights, powers, duties or obligations
hereunder. This Guaranty may be assigned by Owners with respect to all or any
portion of the Guaranteed Obligations to any subsequent owners or encumbrancers
of the Properties, or any of them. When so assigned, Guarantor shall be liable
to the assignees under this Guaranty without in any manner affecting the
liability of Guarantor hereunder with respect to any of the Guaranteed
Obligations retained by Owners.

          15. No provision of this Guaranty or right of Owners hereunder can be
waived in whole or in part, nor can Guarantor be released from its obligations
hereunder, except by a writing duly executed by an authorized officer of Owners.

          16. When the context and construction so require, all words used in
the singular herein shall be deemed to have been used in the plural and the
masculine shall include the feminine and neuter and vice versa. The word
"person" as used herein shall include any individual, company, firm,
association, partnership, limited liability company, corporation, trust or other
legal entity of any kind whatsoever. The term "Lessee," as used herein, shall
mean the party herein so named and its respective successors and assigns,
whether by operation of law or otherwise, including, without limitation, a
debtor in possession under Chapter 11 of the federal Bankruptcy Code and any
other person at any time assuming or succeeding to all or substantially all of
the Guaranteed Obligations. If more than one person or entity is a Guarantor
hereunder, the obligations of all such persons and/or entities shall be joint
and several.

          17. Guarantor represents and warrants that the value of the
consideration received, and to be received, by Guarantor in connection with the
transactions contemplated under the Lease is worth at least as much as the
liabilities and obligations of Guarantor under this Guaranty, and that such
liabilities and obligations are expected to benefit Guarantor either directly or
indirectly.

          18. EXCEPT WHERE FEDERAL LAW IS APPLICABLE AND UNLESS OTHERWISE
EXPRESSLY PROVIDED HEREIN, THIS GUARANTY SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAWS OF CALIFORNIA. IN ADDITION, THE APPLICABLE ARBITRATION
PROVISIONS SET FORTH IN ARTICLE XXXIX OF THE LEASE ARE HEREBY INCORPORATED INTO
AND MADE PART OF THIS GUARANTY BY THIS REFERENCE AND SHALL GOVERN ANY
CONTROVERSY, DISPUTE OR CLAIM OF WHATSOEVER NATURE ARISING OUT OF, IN CONNECTION
WITH, OR IN RELATION TO THE INTERPRETATION, PERFORMANCE OR BREACH OF THIS
GUARANTY.
<PAGE>

          19.  GUARANTOR ACKNOWLEDGES THAT IT HAS HAD THE ADVICE OF COUNSEL OF
ITS CHOICE WITH RESPECT TO ITS RIGHTS TO TRIAL BY JURY UNDER THE CONSTITUTIONS
OF THE UNITED STATES AND THE STATE OF CALIFORNIA. EACH OF GUARANTOR AND OWNERS
(BY ITS ACCEPTANCE HEREOF) HEREBY EXPRESSLY WAIVES ANY RIGHT TO TRIAL BY JURY OF
ANY CLAIM, DEMAND, ACTION OR CAUSE OF ACTION (1) ARISING UNDER THIS GUARANTY OR
(2) IN ANY WAY CONNECTED WITH OR RELATED OR INCIDENTAL TO THE DEALINGS OF OWNERS
AND GUARANTOR WITH RESPECT TO THIS GUARANTY OR ANY OTHER INSTRUMENT, DOCUMENT OR
AGREEMENT EXECUTED OR DELIVERED IN CONNECTION HEREWITH, OR THE TRANSACTIONS
RELATED HERETO OR THERETO, IN EACH CASE WHETHER NOW EXISTING OR HEREAFTER
ARISING, AND WHETHER SOUNDING IN CONTRACT OR TORT OR OTHERWISE; AND EACH OF
GUARANTOR AND OWNERS (BY ITS ACCEPTANCE HEREOF) HEREBY AGREES AND CONSENTS THAT
ANY SUCH CLAIM, DEMAND, ACTION OR CAUSE OF ACTION SHALL BE DECIDED BY COURT
TRIAL WITHOUT A JURY, AND THAT EITHER MAY FILE A COPY OF THIS PARAGRAPH WITH ANY
COURT AS WRITTEN EVIDENCE OF THE CONSENT OF SUCH PARTY TO THE WAIVER OF ITS
RIGHT TO TRIAL BY JURY.

               Guarantor's Initials:  JG

          20.  Except as provided in any other written agreement now or at
any time hereafter in force between Owners and Guarantor, this Guaranty shall
constitute the entire agreement of Guarantor with Owners with respect to the
subject matter hereof, and no representation, understanding, promise or
condition concerning the subject matter hereof shall be binding upon Owners or
Guarantor unless expressed herein.

          21.  This Guaranty shall remain in full force and effect and continue
to be effective in the event any petition is filed by or against Lessee, any
other party to the Lease or Guarantor for liquidation or reorganization, in the
event Guarantor becomes insolvent or makes an assignment for the benefit of
creditors or in the event a receiver or trustee is appointed for all or any
significant part of the assets of Lessee, any other party to the Lease or
Guarantor, and shall continue to be effective or be reinstated, as the case may
be, if at any time payment or performance of the Guaranteed Obligations, or any
part thereof, is, pursuant to applicable law, rescinded or reduced in amount, or
must otherwise be restored or returned by Owners, whether as a "voidable
preference," "fraudulent conveyance" or otherwise, all as though such payment or
performance had not been made. In the event that any payment, or any part
thereof, is rescinded, reduced, restored or returned, the Guaranteed Obligations
shall be reinstated and deemed reduced only by such amount paid and not so
rescinded, reduced, restored or returned.

          22.  Guarantor will from time to time promptly execute and deliver all
further instruments and take all further action that may be necessary or
desirable, or that Owners may reasonably request, in order to enable Owners to
exercise and enforce their rights and remedies under this Guaranty or to carry
out the provisions and purposes hereof.
<PAGE>

          23.  Any notice, demand and other communication hereunder shall be
given in accordance with the provisions therefor set forth in the Lease, except
that for purposes of this Guaranty the address for notice for Guarantor is set
forth below its signature hereto.

          EXECUTED as of this 16/th/ day of May, 2001.

                                            "Guarantor"

                               KINDRED HEALTHCARE, INC., a Delaware
                               corporation

                               By:  /s/ James H. Gillenwater, Jr.
                                    --------------------------------------------

                               Its: Senior Vice President
                                    --------------------------------------------

                               By:  /s/ Joseph L. Landenwich
                                    --------------------------------------------

                               Its: Vice President of Corporate Legal Affairs/1/
                                    --------------------------------------------

                                            "Guarantor"

                               KINDRED HEALTHCARE, INC., a Delaware
                               corporation

                               By:  /s/ James H. Gillenwater, Jr.
                                    --------------------------------------------

                               Its: Senior Vice President
                                    --------------------------------------------

                               By:  /s/ Joseph L. Landenwich
                                    --------------------------------------------

                               Its:  Vice President of Corporate Legal Affairs
                                     -----------------------------------------

                               Address for Notices:

                               c/o Kindred Healthcare, Inc.
                               680 South Fourth Avenue
                               Louisville, Kentucky 40202
                               Attn:  Chief Financial Officer

                               with a copy to:

                               Kindred Healthcare, Inc.
                               680 South Fourth Avenue

______________________
/1/ The signature of two (2) authorized officers is required.
<PAGE>

                               Louisville, Kentucky 40202
                               Attn:  General Counsel
<PAGE>

                                   EXHIBIT A
                                   ---------

                                  Properties

         Bolivar, Tennessee (Facility No. 0171)
         Camden, Tennessee (Facility No. 0174)
         Jefferson City, Tennessee (Facility No. 0175)
         Loudon, Tennessee (Facility No. 0177)
         Memphis, Tennessee (Facility No. 0178)
         Huntingdon, Tennessee (Facility No. 0179)
         Ripley, Tennessee (Facility No. 0183)
         Blountville Tennessee (Facility No. 0184)
         Maryville, Tennessee (Facility No. 0187)
         Maryville, Tennessee (Facility No. 0189)
         Newark, Ohio (Facility No. 0237)
         Vincennes, Indiana (Facility No. 0287)
         Mayfield, Kentucky (Facility No. 0271)
         Whitehouse, Ohio (Facility No. 0295)
         Marion, Ohio (Facility No. 0870)
         Kansas City, Missouri (Facility No. 0861)
         Denver, Colorado (Facility No. 0849)
         Massachusetts (Facility No. 0531)
         West Roxbury, Massachusetts  (Facility No. 0540)
         Livermore, California (Facility No. 0205)
         Oshkosh, Wisconsin (Facility No. 0197)
         Westborough, Massachusetts (Facility No. 0541)
<PAGE>

                                  EXHIBIT D-1

                   Description Of Building Condition Reports
                               For Each Facility

         ---------------------------------------------------------------
           Facility             Facility                Date of Report
                                                             (1)
         ---------------------------------------------------------------
             171        Bolivar, TN                       1/31/2001
         ---------------------------------------------------------------
             174        Camden, TN                        1/31/2001
         ---------------------------------------------------------------
             175        Jefferson City, TN                1/31/2001
         ---------------------------------------------------------------
             177        Loudon, TN                        1/31/2001
         ---------------------------------------------------------------
             178        Memphis, TN                       1/31/2001
         ---------------------------------------------------------------
             179        Huntingdon, TN                    1/31/2001
         ---------------------------------------------------------------
             183        Ripley, TN                        1/31/2001
         ---------------------------------------------------------------
             184        Blountville, TN                   1/31/2001
         ---------------------------------------------------------------
             187        Maryville, TN                     1/31/2001
         ---------------------------------------------------------------
             189        Maryville, TN                     1/31/2001
         ---------------------------------------------------------------
             197        Oshkosh, WI                       3/15/2000
         ---------------------------------------------------------------
             205        Livermore, CA                     8/13/1997
         ---------------------------------------------------------------
             237        Newark, OH                        1/31/2001
         ---------------------------------------------------------------
             271        Mayfield, KY                      1/31/2001
         ---------------------------------------------------------------
             287        Vincennes, IN                     1/31/2001
         ---------------------------------------------------------------
             295        Whitehouse, OH                    1/31/2001
         ---------------------------------------------------------------
             531        Fairhaven MA                      4/30/1999
         ---------------------------------------------------------------
             540        West Roxbury, MA                  4/30/1999
         ---------------------------------------------------------------
             541        Westborough, MA                   6/24/1997
         ---------------------------------------------------------------
             849        Denver, CO                        1/31/2001
         ---------------------------------------------------------------
             861        Kansas City, MO                      (2)
         ---------------------------------------------------------------
             870        Marion, OH                        1/31/2001
         ---------------------------------------------------------------

(1)  All reports completed by The Breland Group, except Livermore, CA,
Westborough, MA, which were completed by Trans-Western Medical Facilitys, Inc.

(2)  Kansas City, MO, was completely refurbished recently.
<PAGE>

                                  EXHIBIT D-2

        Certain Repair/Refurbishment Work Previously Completed Or Which
        Need Not Be Completed Prior To The Refurbishment Completion Date

--------------------------------------------------------------------------------
 Facility       Facility      Deferred Maintenance (See Footnote)        Cost
 Number

--------------------------------------------------------------------------------
   171   Bolivar, TN        Establish Operations and Maintenance      $   750.00
                            plan ACM stippled ceilings
--------------------------------------------------------------------------------
   174   Camden, TN
--------------------------------------------------------------------------------
   175   Jefferson City, TN Replace wall panels at dishwashing        $ 3,000.00
--------------------------------------------------------------------------------
                            Renovate Decorative Pole Lights           $ 3,000.00
--------------------------------------------------------------------------------
                            Install drinking fountain to meet         $ 2,000.00
                            Compliance
--------------------------------------------------------------------------------
   177   Loudon, TN         Replace dining room ceiling.              $ 7,500.00
--------------------------------------------------------------------------------
   178   Memphis, TN
--------------------------------------------------------------------------------
   179   Huntingdon, TN
--------------------------------------------------------------------------------
   183   Ripley, TN
--------------------------------------------------------------------------------
   184   Blountville, TN    Establish Operations and Maintenance      $   750.00
                            plan ACM stippled ceilings
--------------------------------------------------------------------------------
   187   Maryville, TN
--------------------------------------------------------------------------------
   189   Maryville, TN
--------------------------------------------------------------------------------
   197   Oshkosh, WI        Install dumpster pads and enclosures      $ 3,250.00
--------------------------------------------------------------------------------
                            Construct suitable enclosures for smokers $ 5,000.00
--------------------------------------------------------------------------------
                            Replace two 110-lb dryers                 $ 8,400.00
--------------------------------------------------------------------------------
   205   Livermore, CA      Environmental issues--remove tiles        $68,475.00
                            containing asbestos
--------------------------------------------------------------------------------
   237   Newark, OH
--------------------------------------------------------------------------------
   271   Mayfield, KY       Install drinking fountain to meet         $ 1,300.00
                            compliance,.
--------------------------------------------------------------------------------
                            Create one public unisex restroom to      $ 6,500.00
                            meet compliance
--------------------------------------------------------------------------------
   287   Vincennes, IN
--------------------------------------------------------------------------------
   295   Whitehouse, OH     Install level-set door hardware at 4      $ 6,150.00
                            private resident room/restrooms and all
                            common area doors
--------------------------------------------------------------------------------
                            Insulate lavatory drain pipes and install $ 1,000.00
                            high-seat height toilets in the 5 resident
                            rooms.
--------------------------------------------------------------------------------
   531   Fairhaven MA       Reset Granite Stone at left entranceway   $   150.00
                            wall
--------------------------------------------------------------------------------
                            Replace wood framed storage building      $ 3,500.00
--------------------------------------------------------------------------------
<PAGE>

--------------------------------------------------------------------------------
                            Historically renovate wood exterior       $ 1,200.00
                            doors at Estate House rear porch
--------------------------------------------------------------------------------
                            Install public pay phones at lobby        $   450.00
--------------------------------------------------------------------------------
                            Provide containment provision for the     $   500.00
                            AST's.
--------------------------------------------------------------------------------
   540   West Roxbury, MA   Provide new screen enclosure and pad at   $ 1,800.00
                            dumpsters
--------------------------------------------------------------------------------
                            Replace original 8-ton rooftop A/C unit   $11,200.00
                            at 1972 building
--------------------------------------------------------------------------------
                            Install water softening system            $ 3,000.00
--------------------------------------------------------------------------------
                            Install drinking water fountain at lobby  $ 1,800.00
--------------------------------------------------------------------------------
                            Replace resident faucet sets with ADA     $ 1,000.00
                            accessible types at 10% of resident rooms
--------------------------------------------------------------------------------
                            Install public pay phone at main lobby    $   400.00
--------------------------------------------------------------------------------
   541   Westborough, MA    Grass reseeding, sod, and sprinkler       $ 1,500.00
                            system
--------------------------------------------------------------------------------
                            Facility sign                             $ 2,000.00
--------------------------------------------------------------------------------
                            Wallpaper corridors                       $13,000.00
--------------------------------------------------------------------------------
                            Resident room wooden strip                $ 2,200.00
--------------------------------------------------------------------------------
                            Install 4 public access bathrooms         $12,000.00
--------------------------------------------------------------------------------
                            Interior facility signage                 $ 5,000.00
--------------------------------------------------------------------------------
                            Resident bathrooms-10% ADA accessible     $ 2,500.00
--------------------------------------------------------------------------------
   849   Denver, CO         Consider preparation of an Operations     $   750.00
                            and Maintenance Plan to manage the ACM
                            in place
--------------------------------------------------------------------------------
   870   Marion, OH         Replace worn carpet                       $25,500.00
--------------------------------------------------------------------------------
                            Install drinking fountain to meet         $ 1,300.00
                            compliance
--------------------------------------------------------------------------------
                            Consider supply closet adjacent to        $ 6,500.00
                            public restroom to create unisex public
                            restroom to meet compliance
--------------------------------------------------------------------------------
                            Install lever set door hardware at 5      $ 6,650.00
                            resident rooms/toilets and all common
                            area doors
--------------------------------------------------------------------------------
                            Insulate lavatory drain pipes in          $   100.00
                             resident rooms
--------------------------------------------------------------------------------
                            Install a minimum of 1 grab bar in all    $ 2,500.00
                            restrooms
--------------------------------------------------------------------------------

Items already completed or not required to be completed, but included in
building condition reports. Costs noted in reports and exclusion list are
estimates only.
<PAGE>

                                   EXHIBIT E

                 Form Of Irrevocable Standby Letter Of Credit
                 --------------------------------------------

Health Care Property Investors, Inc. and
Health Care Property Partners
4675 MacArthur Court, Suite 900
Newport Beach, California 92660

Date: ______________          Letter of Credit No.: __________________
                              Expiration Date:      __________________

GENTLEMEN:

          We hereby establish our irrevocable letter of credit in your favor for
the account of _________________________ available by your draft(s) on us
payable at sight not to exceed a total of ______________________________________
________(______________________) when accompanied by this letter of credit and a
certificate purported to be executed by a representative of Health Care Property
Investors, Inc. or its successors or assigns ("Lessor") stating the amount for
which a draw under this letter of credit is made and that:

     1)   An Event of Default (as defined in the Master Lease) has occurred
          and is continuing under that certain Master Lease dated May 16, 2001
          between Kindred Nursing Centers East, L.L.C., Kindred Nursing Centers
          West, L.L.C., Kindred Nursing Centers Limited Partnership, or any
          permitted successor or assignee thereof (collectively and jointly and
          severally "Lessee"), as "Lessee," and Lessor, as "Lessor";

     2)   An event of default under any other New Lease (as defined in the
          Master Lease) between Lessor or an Affiliate of Lessor and Lessee or
          an Affiliate of Lessee has occurred and is continuing;

     3)   An event or circumstance has occurred which with notice or passage of
          time, or both, would constitute an Event of Default under the Master
          Lease or an event of default under any such other New Lease, but for
          Lessor's inability to deliver any such notice because transmittal of
          such notice is barred by applicable debtor relief law and that Lessor
          is entitled to draw under this instrument pursuant to Section 43.4 of
          the Master Lease; or

     4)   A replacement letter of credit for this instrument has not been
          supplied prior to thirty (30) days in advance of the expiration of
          this instrument for the account of Lessor.
<PAGE>

          Partial drawings are permitted, with the letter of credit being
reduced, without amendment, by the amount(s) drawn hereunder. Following any
partial draw, we shall return to you the original letter of credit.

          This letter of credit shall expire at 2:00 p.m. at the office of
_________________   on the expiration date._________________________

          This letter of credit may be transferred or assigned in whole or in
part by the beneficiary hereof to any successor or assign of all or any portion
of such beneficiary's interest in the Master Lease or any New Lease or to any
lender obtaining a lien or security interest in the property covered by any such
Master Lease or any New Lease. Each draft hereunder by any assignee or successor
shall be accompanied by a copy of the fully executed documents or judicial
orders evidencing such encumbrance, assignment or transfer.

Any draft drawn hereunder must bear the legend "Drawn under
___________________________ Letter of Credit Number ____________dated
_____________________." Except so far as otherwise expressly stated, this letter
of credit is subject to the "Uniform Customs and Practice for Documentary
Credits (1993 Revision), International Chamber of Commerce Brochure No. 500." We
hereby agree with you and all persons negotiating such drafts that all drafts
drawn and negotiated in compliance with the terms of this letter of credit will
be duly honored upon presentment and delivery of the documents specified above
by certified or registered mail to ____________________________ located at
____________________________________________________________________________ if
negotiated not later that 2:00 p.m. on or before the expiration date shown
above.

Very truly yours,

By  _____________________________________

Its _____________________________________

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