Document:

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Exhibit 10.14

                                                               Loan No. 99-407

                           THIRD AMENDED AND RESTATED
                             SUBORDINATION AGREEMENT

            THIS THIRD AMENDED AND RESTATED SUBORDINATION AGREEMENT (this
"Agreement") is made as of March 7, 2001, by and among the entities listed on
Exhibit A hereto, each a Delaware corporation (collectively, "Borrowers"),
BALANCED CARE CORPORATION, a Delaware corporation ("BCC"), the entities listed
on Exhibit D hereto, each a Delaware corporation, which are direct or indirect
subsidiaries of BCC and shareholders of one or more of the Borrowers
(collectively "BCC Subs", and collectively with BCC, "Pledgor"), FRR Investments
Limited, a Cayman Islands corporation ("FRR"), IPC Advisors, S.a.r.l., a
Luxembourg corporation ("IPC"), HR Investments Limited, a Cayman Islands
corporation ("HR"), RH Investments Limited, a Cayman Islands corporation ("RH"),
VXM Investments Limited, a Cayman Islands corporation ("VXM") (FRR, IPC, RH, HR
and VXM, together with any successors or assigns in such capacity, are
collectively referred to herein as the "Junior Lender"), and HELLER HEALTHCARE
FINANCE, INC., a Delaware corporation, (together with any successors or assigns
in such capacity, "Senior Creditor").

                             W I T N E S S E T H:

            WHEREAS, the Borrowers, BCC, the BCC Subs, FRR, IPC and the Senior
Creditor are parties to that certain Amended and Restated Subordination
Agreement dated as of November 6, 2000 (the "Original Amended and Restated
Subordination Agreement"), which was amended and restated pursuant to that
certain Second Amended and Restated Subordination Agreement dated as of February
9, 2001 (the "Second Amended and Restated Subordination Agreement");

            WHEREAS, the Borrowers have executed and delivered a Second Amended
and Restated Promissory Note A in the principal amount of Thirty Million Six
Hundred Thousand and No/100 Dollars ($30,600,000.00) in favor of the Senior
Creditor (the "Senior Note A"), a Second Amended and Restated Subordinated
Promissory Note B in the principal amount of Six Million Four Hundred Thousand
and No/100 Dollars ($6,400,000.00) in favor of the Senior Creditor (the "Senior
Note B"; Senior Note A and Senior Note B being referred to herein collectively
as the "Senior Notes"), and a Promissory Note C in the principal amount of Five
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Million and No/100 Dollars ($5,000,000.00) in favor of the Senior Creditor
("Note C");

            WHEREAS, in connection with the execution and delivery of the
Original Amended and Restated Subordination Agreement, (i) a reserve account
originally funded with some of the proceeds of Note C was disbursed to the
Senior Creditor to repay, in part, Note C, (ii) Note C was repaid in its
entirety, and (iii) a Third Amendment to Loan Documents dated as of November 6,
2000 (the "Third Amendment") was entered into among the Borrowers, BCC, the
Senior Creditor and certain affiliates of BCC and the Borrowers;

            WHEREAS, all amounts owed by the Borrowers to the Senior Creditor
under the Senior Notes or otherwise under the Senior Security Documents (as
defined below) and all amounts owed by the BCC Borrowers (as defined in the
Third Amendment) to the Senior Creditor pursuant to the Revolving Credit
Facility Loan Documents (as defined in (and amended by) the Third Amendment) or
otherwise are being hereinafter referred to collectively as the "Senior Debt;"

            WHEREAS, the Senior Debt is secured by, among other things, those
certain mortgages and deeds of trust, each dated December 30, 1999 listed on
Exhibit B hereto, as each has been amended (together with the Revolving Credit
Facility Mortgages (as defined in (and amended by) the Third Amendment),
collectively, the "Senior Mortgages"), covering certain real property including
the real property more particularly described on Exhibit C attached hereto and
incorporated herein by reference (together with the properties encumbered by the
Revolving Credit Facility Mortgages, collectively, the "Properties");

            WHEREAS, (i) FRR agreed to loan an amount not to exceed Seven
Million and No/100 Dollars ($7,000,000.00) to BCC, which loan was evidenced by a
Series One 1999 BCC Discount Note dated December 29, 1999, executed by BCC in
favor of FRR, and which loan was subsequently repaid in full, and (ii) BCC has
executed and delivered in favor of IPC that certain Indemnification, Defense,
Hold Harmless and Reimbursement Agreement dated as of December 29, 1999 (the
"Indemnification Agreement");

            WHEREAS, some or all of the Junior Lenders have loaned BCC (through
one or more disbursements, made on one or more dates and evidenced by one or
more notes) an amount not to exceed Nine Million Six Hundred Thousand and No/100
Dollars ($9,600,000.00) in aggregate (the note(s) evidencing such loan being
referred to (collectively) as the "Junior Note");

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            WHEREAS, the indebtedness and other obligations of BCC to each
Junior Lender under the Indemnification Agreement, and the indebtedness and
other obligations of the Borrowers to each Junior Lender pursuant to the Junior
Note, is hereinafter referred to collectively as the "Junior Debt";

            WHEREAS, the Junior Debt is secured by a Pledge Agreement pursuant
to which Pledgor is pledging the capital stock of the Borrowers (the "Stock") to
the Junior Lender as security for the Junior Debt (as amended from time to time,
the "Pledge Agreement", and together with the Junior Note and Indemnification
Agreement, the "Junior Loan Documents");

            WHEREAS, the Junior Lender has agreed to fully subordinate the
Junior Debt and the Junior Loan Documents to the Senior Debt and Senior Security
Documents;

            WHEREAS, that certain Loan Agreement dated December 30, 1999 among
the Senior Creditor and the Borrowers, as amended to date, including by the
Third Amendment (the "Loan Agreement"), the Senior Mortgages, the Senior Notes
and all other documents evidencing, securing or otherwise executed in connection
with the Senior Notes or the Senior Debt (other than this Agreement), together
with the Revolving Credit Facility Loan Documents are referred to herein as the
"Senior Security Documents;"

            WHEREAS, all capitalized terms used herein and not defined herein
shall have the meanings as signed to them in the Loan Agreement; and

            WHEREAS, the parties intend that the Second Amended and Restated
Subordination Agreement is hereby amended and restated in its entirety to read
as provided in this Agreement.

            NOW, THEREFORE, in consideration of the premises, and for other good
and valuable consideration, the parties agree as follows:

            1. The Junior Loan Documents and the Junior Debt and the liens,
security interests and assignments created thereunder (including without
limitation the Pledge Agreement and any liens created thereby) are and shall
continue to be expressly subject and subordinate to (a) the Senior Debt and the
liens, security interests and assignments created by the Senior Security
Documents (regardless of the relative times and method of attachment or
perfection thereof or the order of filing, of financing statements, mortgages,
deeds of trust, assignments or other security agreements or documents, or
anything in the Junior

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Loan Documents or this Agreement to the contrary); (b) all the terms, covenants
and conditions contained in the Senior Security Documents and any extensions,
replacements, consolidation, modifications and supplements thereto, including
without limitation any and all advances (whether or not obligatory), in whatever
amounts and whenever made, with interest thereon, and to any expenses, charges
and fees incurred thereby, including any and all advances, interest, expenses,
charges and fees which may increase the indebtedness secured by the Senior
Security Documents above the original principal amount thereof and any
post-petition interest which accrues, or would have accrued but for such filing,
after the commencement of any case under the Federal Bankruptcy Code, to the
full extent of all of the foregoing; and (c) any amounts advanced or incurred,
in the sole judgment of the Senior Creditor whether or not in accordance with
the Senior Security Documents, for the benefit of the Properties or for costs
and expenses associated with the Senior Debt or otherwise. In foreclosing on the
Senior Creditor's security interests and liens, the Senior Creditor may proceed
to foreclose on its security interests and liens in any manner which the Senior
Creditor, in its sole discretion, chooses, even though a higher price might have
been realized if the Senior Creditor had proceeded to foreclose on its security
interests and liens in another manner. Notwithstanding the foregoing to the
contrary, nothing in this Agreement shall be construed to prevent the Junior
Lender from receiving (i) payment of the obligations under the Indemnification
Agreement at any time from BCC, (ii) so long as no Event of Default has occurred
and is continuing under (and as defined in) any of the Senior Security
Documents, regularly scheduled interest payments under the Junior Note may be
made from BCC, and (iii) so long as (1) BCC obtains new funds to repay the
Junior Note from either (A) an equity contribution (without an increase in BCC's
liabilities as would be the case, for example, if convertible debt were issued,
as opposed to common or preferred stock) or (B) new debt incurred by BCC which
debt is consented to by the Senior Creditor (whose consent will not be
unreasonably withheld), and which new debt is subject to a complete standstill
and subordination in favor of the Senior Creditor by the holder of such debt,
pursuant to a written agreement in substantially the form of this Agreement, and
(2) no Event of Default has occurred and is continuing under (and as defined in)
any of the Senior Security Documents, payment due under the Junior Note upon
maturity (as the maturity date may be extended from time to time) (the payments
described in clauses (i), (ii) and (iii) of this sentence being referred to
collectively as the "Permitted Payments").

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            2. (a) Until the Senior Debt has been satisfied in full, the Junior
Lender shall not be entitled to receive or retain any payment made by BCC, any
of the BCC Borrowers, any of the Borrowers or any of the BCC Subs with respect
to the Junior Debt or under the Junior Loan Documents, except for the Permitted
Payments. The BCC Subs, BCC, the BCC Borrowers and the Borrowers agree that they
shall not, directly or indirectly, make any payments (whether of principal,
interest or otherwise) on account of the Junior Debt (other than the Permitted
Payments) or redeem, purchase or otherwise acquire, directly or indirectly, any
Junior Debt, and the Junior Lender agrees that it will not accept any such
payment (other than the Permitted Payments) or payment from any other source
including, without limitation, proceeds of insurance or any condemnation award
or participate in any such redemption, purchase or other acquisition.

                  (b) Until the Senior Debt has been satisfied in full, the
Junior Lender agrees that it shall not exercise any remedies whatsoever under
the Junior Loan Documents, including without limitation, any remedies with
respect to the capital shares of any of the Borrowers or of any of the Pledgors
(or if applicable at any time hereafter, any of the BCC Borrowers), whether
under the Junior Loan Documents or otherwise.

                  (c) Until the Senior Debt has been satisfied in full, the
Junior Lender shall not take, require or accept from BCC, any BCC Borrower, any
Borrower or any BCC Sub any security or collateral for the Junior Debt or any
guaranty of the Junior Debt (except for pledges of shares by the Pledgor and
other security granted by the Pledgor under the Pledge Agreement).

            3. At all times during which the Senior Debt is outstanding, the
Junior Lender agrees that it shall not (i) vote for any plan of reorganization
of the BCC Borrowers, the Borrowers or Pledgor without the written consent of
the Senior Creditor; (ii) commence or join with any other creditor or creditors
of the BCC Borrowers, the Borrowers or Pledgor in commencing any bankruptcy,
reorganization or insolvency proceeding against the BCC Borrowers, the Borrowers
or Pledgor; (iii) object to any motion filed in any bankruptcy proceeding that
rents from the Properties, or any of them, shall constitute cash collateral of
the Senior Creditor; (iv) oppose any motion filed by the Senior Creditor to lift
the automatic stay in a bankruptcy proceeding; or (v) take any action to appoint
a receiver for Pledgor, the Borrowers, the BCC Borrowers or any of the
Properties.

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            4. Nothing contained in this Agreement is intended to or shall
impair the obligations of the Borrowers, BCC and the BCC Borrowers, which are
absolute and unconditional, to pay to the Senior Creditor the principal or the
prepayment premium, if any, and the interest on the Senior Debt as and when the
same shall become due and payable in accordance with its terms, or to affect the
relative rights of the Senior Creditor and creditors of the BCC Borrowers, the
Borrowers or Pledgor, other than the Junior Lender.

            5. Should any payment on account of, or any stock as collateral (or
other collateral) for any part of, the Junior Debt be paid to the Junior Lender
in violation of the terms of this Agreement, such payment or collateral shall be
delivered forthwith to the Senior Creditor by the recipient for application to
the Senior Debt, in the form received. The Senior Creditor is irrevocably
authorized to supply any required endorsement or assignment which may have been
omitted. Until so delivered, any such payment or collateral shall be held by the
Junior Lender in trust for the Senior Creditor and shall not be commingled with
other funds or property of the Junior Lender.

            6. Each of FRR, IPC, HR, RH and VXM represents that it has not
transferred or assigned its rights under the Junior Note, in the case of HR, RH
and VXM, and the Indemnification Agreement, in the case of IPC, and no part
thereof has been subordinated in favor of anyone except the Senior Creditor. The
Junior Lender may not sell, assign or transfer its collateral interest in the
Stock or its interest in the Junior Note or any of the Junior Loan Documents
without the Senior Creditor's consent.

            7. The rights in favor of the Senior Creditor created hereunder are
solely for its benefit and protection and for the benefit and protection of its
participants, successors and assigns. Nothing herein contained shall impose on
the Senior Creditor any duties with respect to any property of the BCC
Borrowers, the Borrowers, Pledgor or the Junior Lender.

            8. The Senior Creditor is hereby authorized to demand specific
performance of this Agreement, whether or not the BCC Borrowers, the Borrowers
or Pledgor shall have complied with the provisions hereof applicable to it, at
any time when the Junior Lender shall have failed to comply with any provision
hereof applicable to it. The Junior Lender hereby irrevocably waives any defense
based on the adequacy of a remedy at law which might be asserted as a bar to the
remedy of specific performance hereof in any action brought therefor by the
Senior Creditor. The Junior Lender consents that, without the necessity of any

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reservation of rights against the Junior Lender, and without notice to or
further assent by the Junior Lender:

            (a) any demand for payment of any Senior Debt may be rescinded in
whole or in part, and any Senior Debt may continue;

            (b) the Senior Debt, or the liability of BCC, the BCC Borrowers, the
Borrowers or any other party upon or for any part thereof, or any collateral
security therefor or guaranty thereof or right of offset with respect thereto,
may, from time to time, in whole or in part, be renewed, increased, extended,
modified, compromised, waived, surrendered or released;

            (c) the Senior Notes and any other agreement or instrument
evidencing the Senior Debt or governing the terms of the Senior Debt, and any
collateral security documents or guaranties or documents signed in connection
therewith, and the Revolving Credit Facility Loan Documents, may be amended,
modified, supplemented or terminated, in whole or in part, as the Senior
Creditor may deem advisable from time to time; and

            (d) any collateral security at any time held by the Senior Creditor
for the payment of any of the Senior Debt may be sold, waived, surrendered or
released, and the Senior Creditor may take any other action it deems desirable
with respect to the collateral for the Senior Debt.

            9. The Junior Lender shall execute and deliver to the Senior
Creditor such further instruments and shall take such further action as the
Senior Creditor may reasonably request from time to time in order to carry out
the provisions and intent of this Agreement or to enable the Senior Creditor to
exercise and enforce its rights and remedies hereunder.

            10. The Junior Lender and the Senior Creditor agree to provide to
each other estoppel certificates current to the date of such request within
thirty (30) business days of the request of the other party, but not more
frequently than three times per year, which estoppel certificate shall provide
that the Junior Debt or Senior Debt (as the case may be) is in full force and
effect, that, to the affirming party's knowledge, no defaults have occurred and
are continuing thereunder, and as to any other matters reasonably requested by
the requesting party.

            11. The Junior Lender agrees that in the event of a casualty to one
or more of the Properties or a condemnation or taking under a power of eminent
domain of all or any portion of one or more of the Properties, or a threat of
such a condemnation

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or taking, all adjustments of insurance claims, condemnation claims and
settlements in anticipation of such a condemnation or taking shall be
prosecuted, at the Senior Creditor's election, by the Senior Creditor or at the
Senior Creditor's direction pursuant to the terms and provisions of the Senior
Security Documents, and all payments and settlements of insurance claims or
condemnation awards or payments in anticipation of condemnation or a taking
shall be paid to the Senior Creditor or at the Senior Creditor's direction for
use and application pursuant to the terms and provisions of the Senior Security
Documents. The Junior Lender irrevocably assigns to the Senior Creditor all of
its interest, if any, in any such claims, settlements or awards and irrevocably
grants to the Senior Creditor authorization to execute any and all documents on
the Junior Lender's behalf necessary in connection with the prosecution or
settlement of such claims, awards and payments.

            12. The execution of this Agreement shall not create or be construed
as creating a partnership, joint venture or other joint enterprise between the
Senior Creditor and the Junior Lender, and shall not be construed as creating
any special relationship between the Senior Creditor and the Junior Lender.
Except as provided in Sections 5 and 15, nothing in this Agreement shall be
construed to constitute the Senior Creditor or the Junior Lender as trustee or
other fiduciary for the other or to impose on either of them any duty,
responsibility or obligation other than those expressly provided for herein,
including, without limitation, any duty of good faith and fair dealing. Each of
the Senior Creditor and the Junior Lender has, independently and without
reliance on the other and based on such documents and information as it has
deemed appropriate, made its own credit analysis of the BCC Borrowers, the
Borrowers and/or Pledgor, as applicable, and agrees that it will, independently
and without reliance upon the other, and based on such documents and information
as it shall deem appropriate at the time, continue to make its own independent
analysis and decisions in taking or not taking action under this Agreement, the
Senior Security Documents or the Junior Loan Documents, respectively.

            13. In the event there exists a conflict between the terms and
provisions of the Senior Security Documents, the Junior Loan Documents and this
Agreement, the terms and provisions of this Agreement will prevail. The Senior
Lender hereby consents to, and waives any default under the Senior Security
Documents in connection with, the execution and delivery of the Junior Loan
Documents, and the performance thereunder of the parties thereto, subject to the
terms and conditions of this Agreement.

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            14. If the Junior Lender shall acquire by subrogation or otherwise,
any lien, estate, right, or other interest in the Properties which is or may be
prior in right to the Senior Creditor, including, but not limited to, advances
made by the Junior Lender for real estate taxes and assessments, such lien,
estate, right or other interest shall be subordinate to the Senior Security
Documents and the Junior Lender shall not exercise any such subrogation or other
rights until all amounts due under the Senior Security Documents are paid in
full and all obligations thereunder are fully satisfied.

            15. Upon any distribution of the assets of one or more of BCC, the
BCC Borrowers or the Borrowers in connection with any dissolution, winding up,
liquidation or reorganization of one or more of BCC, the BCC Borrowers or the
Borrowers (whether in bankruptcy proceedings or upon an assignment for the
benefit of creditors or any other marshaling of the assets and liabilities of
BCC, a BCC Borrower or a Borrower or otherwise), or the distribution of
insurance proceeds or condemnation awards received with respect to one or more
of the Properties in the event of a casualty or condemnation, the Senior
Creditor shall first be entitled to receive payment in full of all the Senior
Creditor claims which claims shall include, without limitation, the right to
payment in full of the Senior Debt (the "Senior Claims") before the Junior
Lender shall be entitled to receive any payment from such proceeds in respect of
the claims of the Junior Lender (the "Junior Claims"). Upon any such
dissolution, winding up, liquidation or reorganization, any payment or
distribution of assets of BCC, a BCC Borrower or a Borrower of any kind or
character, whether in cash, property or securities, to which the Senior Creditor
is entitled shall be made directly to the Senior Creditor by the liquidating
trustee or agent or other persons making such payment or distribution (whether a
trustee in bankruptcy, a receiver or liquidating trustee or otherwise) (a
"Paying Party"). If the aggregate amount of such payments or distributions on
the Senior Claims is insufficient to pay the Senior Claims in full, then the
Junior Lender hereby irrevocably authorizes the Paying Party to remit promptly
to the Senior Creditor, and the Junior Lender hereby assigns to the Senior
Creditor, the lesser of the proceeds the Junior Lender is entitled to receive by
reason of any payment or distribution on the Junior Claims, or the difference
between the aggregate amount of the Senior Claims and the proceeds the Senior
Creditor receives by reason of any payment on distribution on the Senior Claims.
In furtherance of the foregoing, but not by way of limitation thereof, if one or
more of BCC, the BCC Borrowers or the Borrowers are subject to any proceeding,
with the result that

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BCC, such BCC Borrower or BCC Borrowers or such Borrower or Borrowers, as
applicable, are excused from the obligation to pay all or part of the interest
otherwise payable in respect of the Senior Claims during the period subsequent
to the commencement of any such Proceedings, the Junior Lender agrees that such
interest (calculated at the rate of interest set forth in the Senior Security
Documents) shall be payable out of payments or distributions made by the Paying
Party in respect of the Junior Claims.

            If any payment or distribution of assets of BCC, a BCC Borrower or a
Borrower of any kind or character (including any distribution of insurance
proceeds or condemnation awards received with respect to the Property owned by
BCC, such BCC Borrower or such Borrower in the event of a casualty or
condemnation), whether in cash, property or securities, and whether or not
pursuant to any dissolution, winding up, liquidation or reorganization, not
permitted by or in accordance with the provisions of this Agreement shall be
received by the Junior Lender in connection with the Junior Claims, such payment
or distribution to the Junior Lender shall be held in trust for the benefit of,
and shall be paid over or delivered to, the Senior Creditor, or to its
representative, in precisely the form received (except for the endorsement or
assignment of the Junior Lender where necessary). In the event of any failure by
the Junior Lender to make any such endorsement or assignment, the Senior
Creditor is hereby irrevocably authorized to make same.

            16. This Agreement shall be binding upon the parties hereto until
all of the Senior Debt shall have been paid and fully satisfied.

            17. The Junior Lender agrees that: (a) the Senior Creditor shall be
entitled to manage and supervise the Senior Debt and its relationship to the
Borrowers, the BCC Borrowers and BCC as it deems appropriate under the
circumstances; (b) the Senior Creditor shall not have any responsibility to the
Junior Lender to advise it of information known to the Senior Creditor regarding
the financial condition of the BCC Borrowers, the Borrowers or Pledgor or of any
circumstances bearing upon the risk of nonpayment of the Senior Debt or any
other indebtedness of the BCC Borrowers, the Borrowers or Pledgor; and (c) the
Senior Creditor shall have the right at all times to determine the order in
which any or all of the collateral for the Senior Debt shall be subjected to the
remedies provided by the Senior Security Documents. In any event, the Senior
Creditor shall not have any liability to the Junior Lender for, and the Junior
Lender hereby waives any claim which it may now or hereafter have

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against the Senior Creditor arising out of any amendment to, waiver or departure
from, any term of the Senior Security Documents and any and all actions to which
the Senior Creditor, takes or omits to take with respect to the BCC Borrowers,
the Borrowers, Pledgor, the Senior Security Documents or any collateral
(including, without limitation, (i) actions with respect to the taking,
perfection or release of liens or security interests in any other collateral,
(ii) actions with respect to the foreclosure upon sale of, release of or failure
to realize upon, any collateral or to the collection of the Senior Debt or the
valuation, use or protection of any collateral, and (iii) actions under any
guaranty of the Senior Debt.)

            18. All notices or other written communications hereunder shall be
deemed to have been properly given (i) upon delivery, if delivered in person or
by facsimile transmission with receipt acknowledged by the recipient thereof,
(ii) one (1) Business Day (defined below) after having been deposited for
overnight delivery with any reputable overnight courier service, or (iii) three
(3) Business Days after having been deposited in any post office or mail
depository regularly maintained by the U.S. Postal Service and sent by
registered or certified mail, postage prepaid, return receipt requested,
addressed as follows:

            If to the Senior Creditor:  Heller Healthcare Finance, Inc.
                                        Loan No. 99-407
                                        2 Wisconsin Circle
                                        Suite 400
                                        Chevy Chase, Maryland 20815
                                        Attn:  Manager, Portfolio
                                                  Administration Group
                                        Facsimile No. (301) 664-9866

            with a copy to:             Heller Healthcare Finance, Inc.
                                        Loan No. 99-407
                                        816 Congress Avenue
                                        Suite 1900
                                        Austin, Texas  78701
                                        Attn:Diana Pennington,
                                              V.P. and Chief Counsel
                                              Senior Living Group
                                        Facsimile No. (512) 505-5487

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<PAGE>   12
            with a copy to:             Heller Healthcare Finance, Inc.
                                        Loan No. 99-407
                                        500 West Monroe Street
                                        Chicago, Illinois  60661
                                        Attn:Kevin McMeen,
                                              Senior Vice President
                                        Facsimile No. (312) 441-7119

            If to the Junior Lender:    IPC Advisors S.a.r.l.
                                        28, rue Jean Baptiste Fresez
                                        Luxembourg L-1542
                                        Attn:J.B. Unsworth
                                        Facsimile No.:  (352) 2620-1713

            with a copy to:             FRR Investments Limited
                                        Walter House
                                        Mary Street
                                        George Town, Grand Cayman
                                        Attn:J.B. Unsworth
                                        Facsimile No.:  (3120) 623-2285

            and with copies to:         Goodman, Phillips & Vineberg
                                        250 Young Street, Suite 2400
                                        Toronto, Ontario M5B 2M6
                                        Attn:Stephen Pincus, Esq.
                                        Facsimile No.:  (416) 979-1234

                                        Alliance Finance B.V.
                                        Herengracht 483, 1017 BT
                                        Amsterdam, Netherlands
                                        Attn:J.B. Unsworth
                                        Facsimile No.:  (3120) 623-2285

            If to the Borrowers, BCC    Balanced Care Corporation
            or the BCC Subs:            1215 Manor Drive
                                        Mechanicsburg, Pennsylvania  17055
                                        Attn:Clint Fegan, Chief Financial
                                        Officer
                                        Telecopy:  (717) 796-6150

            with a copy to:             Balanced Care Corporation
                                        1215 Manor Drive
                                        Mechanicsburg, Pennsylvania  17055
                                        Attn:Robin L. Barber, Esq.
                                        Telecopy:  (717) 796-6294

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            with a copy to:             Kirkpatrick & Lockhart LLP
                                        1500 Oliver Building
                                        Pittsburgh, Pennsylvania  15222
                                        Attn: Steven J. Adelkoff, Esq.
                                        Telecopy:  (412) 355-6501

or addressed as such party may from time to time designate by written notice to
the other parties.

            Either party by notice to the other may designate additional or
different addresses for subsequent notices or communications.

            For purposes of this Section, "Business Day" shall mean a day on
which commercial banks are not authorized or required by law to close in
Chicago, Illinois, and a day which is not any of the first, second, seventh or
eighth day of Passover, the first or second day of Shavuoth, the first or second
day of Rosh Hashanah, Yom Kippur, the first or second day of Sukkoth, Shemini
Azerth or Simchas Torah.

            19. Time is of the essence with respect to the obligations contained
herein.

            20. The Agreement shall be binding upon BCC, the BCC Borrowers, the
BCC Subs, the Borrowers, the Senior Creditor, the Junior Lender and their
respective successors and assigns, and shall inure to the benefit of the Senior
Creditor and its successors and assigns. The terms "Borrowers", "BCC", "BCC
Subs" and "BCC Borrowers" as used herein shall also refer to their respective
successors and assigns, including, without limitation, a receiver, trustee,
custodian or debtor in possession.

            21. This Agreement may be executed in any number of counterparts,
but all such counterparts shall together constitute but one agreement. In making
proof of this Agreement, it shall not be necessary to produce or account for
more than one counterpart signed by each of the parties hereto.

            22. This Agreement and the rights and obligations of the parties
hereunder shall in all respects be construed, governed, applied and enforced in
accordance with the laws of the State of Illinois (without regard to conflicts
of laws principles) and the applicable laws of the United States of America.
PLEDGOR, THE BORROWERS, THE BCC BORROWERS AND THE JUNIOR LENDER HEREBY CONSENT
TO THE JURISDICTION OF ANY STATE OR FEDERAL COURT LOCATED WITHIN THE COUNTY OF
COOK, STATE OF ILLINOIS AND IRREVOCABLY AGREE THAT, SUBJECT TO THE SENIOR

                                     - 13 -
<PAGE>   14
CREDITOR'S ELECTION, ALL ACTIONS OR PROCEEDINGS ARISING OUT OF OR RELATING TO
THIS AGREEMENT SHALL BE LITIGATED IN SUCH COURTS. PLEDGOR, THE BORROWERS, THE
BCC BORROWERS AND THE JUNIOR LENDER EXPRESSLY SUBMIT AND CONSENT TO THE
JURISDICTION OF THE AFORESAID COURTS AND WAIVE ANY DEFENSE OF FORUM NON
CONVENIENS. PLEDGOR, THE BORROWERS, THE BCC BORROWERS AND THE JUNIOR LENDER
HEREBY WAIVE PERSONAL SERVICE OF ANY AND ALL PROCESS AND AGREE THAT ALL SUCH
SERVICE OF PROCESS MAY BE MADE UPON PLEDGOR, THE BORROWERS, THE BCC BORROWERS
AND THE JUNIOR LENDER BY CERTIFIED OR REGISTERED MAIL, RETURN RECEIPT REQUESTED,
ADDRESSED TO PLEDGOR, THE BORROWERS, THE BCC BORROWERS AND THE JUNIOR LENDER, AT
THE ADDRESSES SET FORTH IN THIS AGREEMENT AND SERVICE SO MADE SHALL BE COMPLETE
TEN (10) DAYS AFTER THE SAME HAS BEEN POSTED.

            23. Pledgor, the BCC Borrowers and the Borrowers are executing this
Agreement for the sole purpose of evidencing their consent to the terms hereof
and the agreements made between the Senior Creditor and the Junior Lender
evidenced hereby; however, none of Pledgor, the BCC Borrowers or the Borrowers
shall be entitled to enforce any of the provisions of this Agreement, but
nonetheless are permitted to rely on (i) the consent by the Senior Creditor to
the pledge to the Junior Lender of the stock owned by Pledgor in the Borrowers,
and (ii) the waiver of any default under any Senior Security Document as a
result of entering into the Pledge Agreement and making the Junior Debt. There
are no third party beneficiaries to this Agreement.

            24. Notwithstanding any other provision of this Agreement which may
be to the contrary: (i) any debt or obligation which is or becomes secured by
the Pledge Agreement shall automatically and without further documentation
irrevocably become part of the Junior Debt for all purposes of this Agreement
and all documents, notes, debentures, agreements or other instruments evidencing
or securing such debt or obligations shall automatically and without further
documentation irrevocably become Junior Loan Documents for all purposes of this
Agreement; provided, however, nothing in this clause (i) shall be deemed to
constitute the consent of the Senior Creditor to any debt incurred hereafter by
BCC (other than the debt evidenced (or to be evidenced) by the Junior Note as
defined above), the Borrowers, the BCC Subs or the BCC Borrowers, when such
consent is required under the terms of the Senior Security Documents; (ii) the
Junior Lender and their affiliates will not make additional loans or provide
other financial assistance (other than the debt evidenced (or to be evidenced)
by the Junior Note as defined above), without regard to how they are documented
(as notes, convertible securities or otherwise), to BCC, the Borrowers, the BCC
Subs, the BCC Borrowers or their affiliates,

                                     - 14 -
<PAGE>   15
if doing so would cause a default under any of the Senior Security Documents,
without in each instance obtaining the prior written consent of the Senior
Creditor; (iii) the Junior Lender and their affiliates will not take additional
security to secure any existing or future debt or obligations of BCC, the
Borrowers, the BCC Subs, the BCC Borrowers or their affiliates, if doing so
would cause a default under any of the Senior Security Documents, without in
each instance obtaining the prior written consent of the Senior Creditor; (iv)
if the Senior Creditor consents to any debt or other financial assistance
described in clause (ii) above, in the exercise of the Senior Creditor's
reasonable discretion, the Senior Creditor may require as a condition to its
consent, that such debt or other financial assistance become part of the Junior
Debt for all purposes of this Agreement and, if required as a condition to the
Senior Creditor's consent, all documents, notes, debentures, agreements or other
instruments evidencing or securing such debt or other financial assistance shall
automatically and without further documentation irrevocably become part of the
Junior Loan Documents and subject to the provisions of this Agreement; and (v)
if the Senior Creditor consents to any security described in clause (iii) above,
all documents, notes, debentures, agreements or other instruments evidencing
such security interests shall automatically and without further documentation
irrevocably become Junior Loan Documents for all purposes of this Agreement. The
Junior Lender shall give the Senior Creditor prompt written notice as to any
debts or obligations which become secured by the Pledge Agreement.

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

                              JUNIOR LENDER:
                              IPC Advisors, S.a.r.l.

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

                              FRR Investments Limited

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

                                     - 15 -
<PAGE>   16
                             HR Investments Limited

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

                             RH Investments Limited

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

                             VXM Investments Limited

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

                             SENIOR CREDITOR:

                             HELLER HEALTHCARE FINANCE, INC., a
                             Delaware corporation

                             By:/s/Anthony Romero
                             Name:Anthony Romero
                             Title:Vice President

                             BCC:

                             BALANCED CARE CORPORATION, a Delaware
                             corporation

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

                             BORROWERS:
                             BALANCED CARE REALTY AT STATE COLLEGE,
                             INC., a Delaware corporation

                             BALANCED CARE REALTY AT ALTOONA, INC.,

                                     - 16 -
<PAGE>   17
                             a Delaware corporation

                             BALANCED CARE REALTY AT ALTOONA, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT LEWISTON, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT READING, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT BERWICK, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT PECKVILLE, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT SCRANTON, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT MARTINSBURG, INC.,
                             a Delaware corporation

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

                             BORROWERS:

                             BALANCED CARE REALTY AT MAUMELLE, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT SHERWOOD, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT MOUNTAIN HOME, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY AT MANSFIELD, INC.,
                             a Delaware corporation

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

                                     - 17 -
<PAGE>   18
                             BCC SUBS:

                             BALANCED CARE REALTY I, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY II, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY III, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY IV, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY V, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY VI, INC.,
                             a Delaware corporation

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

                             BCC SUBS:

                             BALANCED CARE REALTY VII, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY VIII, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY IX, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY X, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY XI, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY XII, INC.,
                             a Delaware corporation

                             BALANCED CARE REALTY XIII, INC.,
                             a Delaware corporation

                                     - 18 -
<PAGE>   19
                              BALANCED CARE REALTY XIV, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XV, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XVI, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XVII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XVIII, INC., a
                              Delaware corporation

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

                              BCC SUBS:

                              BALANCED CARE REALTY XIX, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XX, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXI, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXIII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXIV, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXV, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXVI, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXVII, INC., a
                              Delaware corporation

                                     - 19 -
<PAGE>   20
                              BALANCED CARE REALTY XXVIII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXIX, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXX, INC., a
                              Delaware corporation

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

                              BCC SUBS:

                              BALANCED CARE REALTY XXXI, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXIII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXIV, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXV, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXVI, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXVII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXVIII, INC., a
                              Delaware corporation

                              BALANCED CARE REALTY XXXIX, INC., a
                              Delaware corporation

                              BCC AT HARRISBURG, INC., a Delaware
                              corporation

                              BALANCED CARE AT TALLAHASSEE, INC., a
                              Delaware corporation

                                     - 20 -
<PAGE>   21
                              BALANCED CARE AT PENSACOLA, INC., a
                              Delaware corporation

                              BALANCED CARE AT HILLIARD, INC., a
                              Delaware corporation

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

                              BCC SUBS:

                              BALANCED CARE AT AKRON, INC., a
                              Delaware corporation

                              BALANCED CARE AT YORK, INC., a
                              Delaware corporation

                              BALANCED CARE AT HAGERSTOWN, INC., a
                              Delaware corporation

                              BALANCED CARE AT BRISTOL, INC., a
                              Delaware corporation

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

                              BALANCED CARE AT MURFREESBORO, INC., a
                              Delaware corporation

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

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

                              BCC BORROWERS:

                              BCC AT DARLINGTON, INC.,
                              a Delaware corporation

                              BALANCED CARE AT EYERS GROVE, INC.,
                              a Delaware corporation

                              By/s/Robin L. Barber

                                     - 21 -
<PAGE>   22
                              Name:  Robin L. Barber
                              Title:     Vice President and Secretary

                              BCC BORROWERS:

                              BALANCED CARE AT BUTLER, INC.,
                              a Delaware corporation

                              BALANCED CARE AT SARVER, INC.,
                              a Delaware corporation

                              BALANCED CARE AT NORTH RIDGE, INC.,
                              a Delaware corporation

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

                                     - 22 -
<PAGE>   23
                                    EXHIBIT A

                                    Borrowers

1.    Balanced Care Realty at State College, Inc.
2.    Balanced Care Realty at Altoona, Inc.
3.    Balanced Care Realty at Lewiston, Inc.
4.    Balanced Care Realty at Reading, Inc.
5.    Balanced Care Realty at Berwick, Inc.
6.    Balanced Care Realty at Peckville, Inc.
7.    Balanced Care Realty at Scranton, Inc.
8.    Balanced Care Realty at Martinsburg, Inc.
9.    Balanced Care Realty at Maumelle, Inc.
10.   Balanced Care Realty at Sherwood, Inc.
11.   Balanced Care Realty at Mountain Home, Inc.
12.   Balanced Care Realty at Mansfield, Inc.
<PAGE>   24
                                    EXHIBIT D

                                    BCC Subs

1.    Balanced Care Realty I, Inc.
2.    Balanced Care Realty II, Inc.
3.    Balanced Care Realty III, Inc.
4.    Balanced Care Realty IV, Inc.
5.    Balanced Care Realty V, Inc.
6.    Balanced Care Realty VI, Inc.
7.    Balanced Care Realty VII, Inc.
8.    Balanced Care Realty VIII, Inc.
9.    Balanced Care Realty IX, Inc.
10.   Balanced Care Realty X, Inc.
11.   Balanced Care Realty XI, Inc.
12.   Balanced Care Realty XII, Inc.
13.   Balanced Care Realty XIII, Inc.
14.   Balanced Care Realty XIV, Inc.
15.   Balanced Care Realty XV, Inc.
16.   Balanced Care Realty XVI, Inc.
17.   Balanced Care Realty XVII, Inc.
18.   Balanced Care Realty XVIII, Inc.
19.   Balanced Care Realty XIX, Inc.
20.   Balanced Care Realty XX, Inc.
21.   Balanced Care Realty XXI, Inc.
22.   Balanced Care Realty XXII, Inc.
23.   Balanced Care Realty XXIII, Inc.
24.   Balanced Care Realty XXIV, Inc.
25.   Balanced Care Realty XXV, Inc.
26.   Balanced Care Realty XXVI, Inc.
27.   Balanced Care Realty XXVII, Inc.
28.   Balanced Care Realty XXVIII, Inc.
29.   Balanced Care Realty XXIX, Inc.
30.   Balanced Care Realty XXX, Inc.
31.   Balanced Care Realty XXXI, Inc.
32.   Balanced Care Realty XXXII, Inc.
33.   Balanced Care Realty XXXIII, Inc.
34.   Balanced Care Realty XXXIV, Inc.
35.   Balanced Care Realty XXXV, Inc.
36.   Balanced Care Realty XXXVI, Inc.
37.   Balanced Care Realty XXXVII, Inc.
38.   Balanced Care Realty XXXVIII, Inc.
39.   Balanced Care Realty XXXIX, Inc.
40.   BCC at Harrisburg, Inc.
41.   Balanced Care at Tallahassee, Inc.
42.   Balanced Care at Pensacola, Inc.
43.   Balanced Care at Lakemont Farms, Inc.
<PAGE>   25
44.   Balanced Care at Hilliard, Inc.
45.   Balanced Care at Akron, Inc.
46.   Balanced Care at York, Inc.
47.   Balanced Care at Hagerstown, Inc.
48.   Balanced Care at Bristol, Inc.
49.   Balanced Care at Johnson City, Inc.
50.   Balanced Care at Murfreesboro, Inc.
51.   Balanced Care at Teay's Valley, Inc.<PAGE>   1
Exhibit 10.15

                                    ANDERSON
                          OPERATIONS TRANSFER AGREEMENT

      THIS AGREEMENT is dated as of the 31st day of March, 2001, by and among
Assisted Care Operators of Anderson, LLC, a Delaware limited liability company
("Tenant"), Balanced Care at Anderson, Inc., a Delaware corporation ("Manager",
and together with Tenant, collectively, "Transferor") and Trilogy Health
Services, LLC, a Delaware limited liability company ("New Operator").

                                    RECITALS

      A. Tenant is the licensed operator of a 66-bed residential care facility
("RCF") commonly known as Outlook Pointe at Anderson and located at 1707 Bethany
Road, Anderson, Indiana 46012 ("Facility"), which Facility is leased pursuant to
the terms of a Lease and Security Agreement dated as of January 30, 1998, as
amended by a First Amendment to Lease and Security Agreement dated as of July 8,
1999 (collectively, the "Lease"), between Health Care Property Investors, Inc.,
a Maryland corporation and successor in interest to AHP of Indiana, Inc., an
Indiana corporation ("Owner"), as landlord, and Tenant, as tenant.

      B. Tenant and Manager have entered into that certain Management Agreement
dated as of January 30, 1998 ("Management Agreement"), whereby Tenant engaged
Manager as the exclusive manager and operator of the Facility.

      C. New Operator and Owner have agreed to enter into a Lease and Security
Agreement with respect to the Facility ("New Lease") to be effective on and as
of April 1, 2001 ("Takeover Date"), assuming receipt of approval for the change
in ownership from the Indiana Department of Health ("ISDH"). Assuming receipt of
ISDH approval, effective on and as of March 31, 2001, 11:59 p.m. E.S.T.
("Effective Date"), (i) Tenant and Owner will terminate all of Transferor's
right, title and interest under the Lease and (ii) Tenant and Manager will
terminate all of Manager's right, title and interest under the Management
Agreement.

      D. In order to facilitate an orderly transfer of Facility operations and
financial responsibility from Transferor to New
<PAGE>   2
Operator, Transferor and New Operator desire to document certain terms and
conditions relevant to the transfer of operational and financial responsibility
for the Facility.

      NOW, THEREFORE, in consideration of the mutual covenants, conditions and
agreements set forth herein, and intending to be legally bound hereby, New
Operator and Transferor hereby agree as follows.

                                    AGREEMENT

      1. Surrender. Immediately following the Effective Date, Transferor shall
surrender to New Operator possession of the Facility (including all resident
charts and records along with appropriate resident consents, if necessary) in AS
IS, WHERE IS condition.

      2.    Conveyance of Tenants' Personal Property, Inventory and Prepaid
Expenses; Excluded Assets.

            2.1. Transferor acknowledges that Owner owns all right, title and
interest in and to substantially all of the furniture, machinery, equipment,
appliances, fixtures and other personal property used in connection with the
Facility excluding the (i) the personal property listed on Schedule 1 that is
owned by Transferor (collectively, "Tenant's Personal Property") and (ii) the
personal property of the residents. Without any additional consideration,
immediately following the Effective Date, Transferor shall sell, transfer and
convey to New Operator all of Transferor's right, title and interest in and to
all Tenant's Personal Property except for the items set forth on Schedule 1 (the
"Excluded Personal Property"). It is understood and agreed that the presence of
the Tenant's Personal Property at the Facility (exclusive of the Excluded
Personal Property) on the Effective Date shall constitute delivery thereof.

            2.2 For and in partial consideration of the Transfer Consideration,
immediately following the Effective Date, Transferor shall sell, transfer and
convey to New Operator all consumable inventories of every kind and nature
whatsoever (specifically including, but not limited to, all pharmacy supplies,
medical supplies, office supplies, other supplies and foodstuffs) owned by
Transferor as of the Effective Date and located at the Facility (the
"Inventory"). Transferor shall have no obligation to deliver the Inventory to
any location other than the Facility, it being understood and agreed that the
presence of the Inventory at the Facility on the Effective Date
<PAGE>   3
shall constitute delivery thereof. New Operator shall pay any sales or use tax
which may be payable with respect to the sale of the Inventory to New Operator.

            2.3 For and in partial consideration of the Transfer Consideration,
immediately following the Effective Date, Transferor shall sell, transfer and
convey to New Operator all of Transferor's right, title and interest in and to
any prepaid expenses with respect to the Facility as of the Effective Date (the
"Prepaid Expenses").

            2.4 Transferor shall execute a Bill of Sale in form and substance
reasonably acceptable to Transferor and New Operator that confirms the
conveyance of Tenant's Personal Property (exclusive of the Excluded Personal
Property).

            2.4. Notwithstanding anything to the contrary contained herein,
Transferor shall not sell, transfer or convey to New Operator any of
Transferor's right, title and interest in and to the (i) technical systems,
methods, policies, processes, procedures and controls, and the information and
materials compiled or prepared in connection therewith or (ii) the trade or
service names, associated marks and other intellectual property, including
without limitation the name "Outlook Pointe," used by Transferor in connection
with the marketing and/or operation of the Facility (collectively, the
"Intangible Property").

            2.5 Notwithstanding anything to the contrary contained herein,
Transferor shall not sell, transfer or convey to New Operator any of
Transferor's right, title and interest in and to the petty cash maintained at
the Facility as of the Effective Date (the "Petty Cash") (hereinafter, the
Excluded Personal Property, the Intangible Property and the Petty Cash may be
collectively referred to as the "Excluded Assets").

      3.    Transfer Consideration.

            3.1 The total consideration (the "Transfer Consideration") to be
paid to Transferor by New Operator for the Tenant's Personal Property (exclusive
of the Excluded Personal Property), the Inventory and the Prepaid Expenses
(collectively, the "Transferred Assets") shall be an amount equal to: (A) the
net book value of the Transferred Assets as of the Effective Date as set forth
on the Closing Schedule attached hereto as Exhibit A (the "Closing Schedule")
less (B) the amount of certain accrued and unpaid liabilities of Transferor
through and
<PAGE>   4
including the Effective Date (the "Liabilities"). The unpaid trade accounts
payable as of the Effective Date will be paid by Transferor to the extent they
do not represent prepayment of expenses. The Closing Schedule sets forth in
reasonable detail Transferor's best estimate of the amount of the Liabilities
and the net book value of the Transferred Assets.

            3.2 From and after the Effective Date, Transferor shall allow New
Operator to have reasonable access to (upon reasonable prior notice and during
normal business hours) and/or copies of (at New Operator's own cost and expense)
the books and records and supporting material of the Facility relating to the
Transferred Assets and the Liabilities, to the extent reasonably necessary to
enable New Operator to verify the Transferred Assets and the Liabilities. The
Closing Schedule shall be deemed to be accepted by New Operator and shall be
final and binding for all purposes of this Agreement unless New Operator, within
thirty (30) days following the Effective Date, gives notice to Transferor
stating the items as to which New Operator takes exception ("Objections"). If an
Objection is disputed by Transferor, then the parties shall negotiate in good
faith to resolve such dispute. If after a period of thirty (30) days following
the date on which New Operator delivered the Objections, any Objection still
remains disputed, then Transferor or New Operator shall together choose an
independent, impartial firm of public accountants of nationally recognized
standing to resolve such remaining Objections. The accounting firm shall act as
an arbitrator and shall have the power and authority to determine those issues
still in dispute. The accounting firm shall use the following standards in the
evaluation of any Objection regarding a Transferred Asset: (i) existence, and
presence at or proper attribution to the Facility, of the Transferred Asset,
(ii) proper recording on the books of the appropriate entity of the Transferred
Asset, (iii) appropriate method and useful life used in depreciating the
Transferred Asset, and (iv) appropriate classification of the Transferred Asset
in one of the classifications included in the definition of "Transferred Asset."
The determination of the accounting firm shall be final and binding. The fees
and expenses of the accounting firm shall be paid equally by Transferor and New
Operator.

            3.3 Within ten (10) days following resolution of all Objections, (i)
if the Transfer Consideration is an amount greater than zero, then New Operator
shall pay the amount of the excess to Transferor, by wire transfer or certified
check or (ii) if the Transfer Consideration is an amount less than zero,
<PAGE>   5
then Transferor shall pay the amount of the deficiency to New Operator, by wire
transfer or certified check.

      4.    Resident Property.  Transferor hereby represents to New Operator
that there are no resident trust funds.

      5.    Employees.

            5.1 On or before the Effective Date, Transferor shall have delivered
to New Operator a schedule which reflects the following for the Facility: (i)
the names of all of Transferor's employees and (ii) such employees' positions
and rates of pay.

            5.2 On the Effective Date, New Operator shall have the right, in its
sole and absolute discretion, but not the obligation to offer to employ
Transferor's employees that work at the Facility. Transferor shall assist New
Operator in its efforts to employ any of Transferor's employees. On the
Effective Date, Transferor shall terminate the employment of all employees at
the Facility. New Operator agrees to cooperate with Transferor to provide
information concerning which employees, if any, are being offered employment by
New Operator (collectively, the "Retained Employees").

            5.3 Transferor shall remain liable for all Employee Liabilities (as
defined below) relating to all employees on or prior to the Effective Date,
including without limitation (i) payroll through the Effective Date, which will
be paid by Transferor on April 6, 2001 ("March Payroll") and (ii) any Employee
Liabilities relating to the termination of any employees on the Effective Date.
Transferor shall pay all earned or accrued vacation, holiday or sick pay as of
the Effective Date to all employees as part of the March Payroll. New Operator
shall be responsible for all Employee Liabilities relating to the Retained
Employees that arise or accrue after the Effective Date. For the purposes of
this Agreement, "Employee Liabilities" shall mean all wages, salaries,
commissions, earned or accrued vacation, holiday or sick pay, severance pay (if
any), any contributions required or costs associated with any employee welfare
benefit plan as defined by Section 3(1) of ERISA, any contributions required or
costs associated with any employee pension benefit plan as defined by Section
3(2) of ERISA, any contributions required or costs associated with any
non-qualified employee benefit plan, federal, state and/or local payroll taxes,
unemployment insurance costs, any contributions required or costs associated
<PAGE>   6
with workers' compensation liabilities, and any claims made by any employee
arising out of or connected with his or her employment or the termination
thereof.

            5.4 Transferor shall offer and provide, as appropriate, group health
plan continuation coverage pursuant to the requirements of Section 601, et seq.
of ERISA and Section 4980B of the Internal Revenue Code ("COBRA") to all of the
employees of the Facility to whom it is required to offer the same under
applicable law up through and including the Effective Date. New Operator agrees
to cooperate with Transferor in providing information concerning the Retained
Employees, if any, after the Effective Date, and the nature of the benefits
offered to each such employee. As of the Effective Date, all Retained Employees
shall be eligible for participation in a group health plan (as defined for
purposes of Internal Revenue Code Section 4980B) established and maintained by
New Operator for the general benefit of its employees and their dependents in
accordance with the terms and conditions of New Operator's policy.

      6.    Accounts Receivable.

            6.1 Transferor shall retain its right, title and interest in and to
all unpaid trade accounts receivable with respect to the Facility that relate to
the period up through and including the Effective Date. Within twenty (20) days
after the Effective Date, Transferor shall provide New Operator with a schedule
setting forth by resident its outstanding trade accounts receivable as of the
Effective Date.

            6.2 Payments received by New Operator or Transferor after the
Effective Date from third party payors and private pay residents shall be
handled as follows:

                  6.2.1 If such payments either specifically indicate on the
accompanying remittance advice, or if the parties agree, that they relate to the
period on or prior to the Effective Date, they shall be forwarded to Transferor,
along with the applicable remittance advice, in accordance with the provisions
of Section 6.2.4 below.

                  6.2.2 If such payments indicate on the accompanying remittance
advice, or if the parties agree, that they relate to the period after the
Effective Date, they shall be retained by New Operator.
<PAGE>   7
                  6.2.3 If such payments indicate on the accompanying remittance
advice, or if the parties agree, that they relate to periods for which both
parties are entitled to reimbursement under the terms hereof, the portion
thereof which relates to the period after the Effective Date shall be retained
by New Operator and the balance shall be remitted to Transferor in accordance
with the provisions of Section 6.2.4 below.

                  6.2.4 All amounts owing to Transferor under this Section 6.2
shall be settled within ten (10) days after the end of each month in which the
payment was received.

            6.3 In the event the parties mutually determine that any third party
payors or private pay residents are entitled to a refund of payments, the
portion thereof that relates to the period after the Effective Date shall be
paid by New Operator and the portion thereof that relates to the period on or
prior to the Effective Date shall be paid by Transferor to such third party
payor or private pay resident.

            6.4 In the event the parties mutually determine that any payment
hereunder was misapplied by the parties, the party which erroneously received
said payment shall remit the same to the other within fifteen (15) business days
after said determination is made.

            6.5 For the six (6) month period following the Effective Date or
until Transferor receives payment of all accounts receivable attributed to the
operation of the Facility prior to the Effective Date, whichever is sooner, New
Operator shall provide Transferor with an accounting by the 15th day of each
month setting forth all amounts received by New Operator during the preceding
month with respect to the accounts receivable of Transferor which are set forth
in the schedule provided by Transferor pursuant to Section 6.1. New Operator
shall deliver such accounting to the following address: Kathy Evans, Balanced
Care Corporation, 1215 Manor Drive, Mechanicsburg, PA 17055. Transferor shall
have the right to inspect all cash receipts of New Operator during weekday
business hours on reasonable prior notice in order to confirm New Operator's
compliance with the obligations imposed on it under this Section 6.

      7.    Prorations; Liabilities.

            7.1 As between New Operator and Transferor, revenues
<PAGE>   8
and expenses, utility charges for the billing period in which the Effective Date
occurs, real and personal property taxes, insurance premiums, liabilities under
the Assumed Contracts (as defined in Section 9 below), vendor payables for the
billing period in which the Effective Date occurs, prepaid expenses, entrance
fees and other related items of revenue or expense attributable to the Facility
shall be prorated between Transferor and New Operator as of the Effective Date.
In general, such prorations shall be made so that as between New Operator and
Transferor, Transferor shall be reimbursed for prepaid expense items to the
extent that the same are attributable to the periods after the Effective Date
and Transferor shall be charged for unpaid expenses to the extent that the same
are attributable to periods on or prior to the Effective Date. The intent of
this provision shall be implemented by New Operator remitting to Transferor any
invoices that describe goods or services provided to or expenses incurred by the
Facility on or prior to the Effective Date and by New Operator assuming
responsibility for the payment of any invoices that describe goods or services
provided to or expenses incurred by the Facility after the Effective Date.
Notwithstanding anything to the contrary contained herein, New Operator and
Transferor acknowledge and agree that (i) the 2000 assessments for real estate
and personal property taxes and (ii) the pro-rata portion of the 2001
assessments for real estate and personal property taxes shall be paid by
Transferor in accordance with the provisions of that certain Agreement for
Termination of Lease, Guaranties and Ancillary Documents of even date herewith
among Owner, Tenant, Transferor and the other parties named therein.

            7.2 All such prorations shall be made on the basis of actual days
elapsed in the relevant accounting or revenue period and shall be based on the
most recent information available to Transferor. Utility charges that are not
metered and read on the Effective Date shall be estimated based on prior
charges, and shall be re-prorated upon receipt of statements therefor.

            7.3 All amounts owing from one party hereto to the other party
hereto that require adjustment after the Effective Date shall be settled within
thirty (30) days after the Effective Date or, in the event the information
necessary for such adjustment is not available within said thirty (30) day
period, then as soon thereafter as practicable.

      8.    Access to Records.
<PAGE>   9
            8.1. From and after the Effective Date and for a period of five (5)
years thereafter, New Operator shall allow Transferor and its agents and
representatives to have reasonable access to (upon reasonable prior notice and
during normal business hours), and to make copies of, the books and records and
supporting material of the Facility relating to the period on or prior to the
Effective Date, to the extent reasonably necessary to enable Transferor to among
other things investigate and defend malpractice, employee or other claims, to
file or defend tax returns, to verify accounts receivable collections due
Transferor.

            8.3. Transferor shall be entitled to remove the originals of any
records delivered to New Operator, for purposes of litigation involving a
resident or employee to whom such record relates, if an officer of or counsel
for Transferor certifies that such original must be produced in order to comply
with applicable law or the order of a court of competent jurisdiction in
connection with such litigation. Any record so removed shall promptly be
returned to New Operator following its use, and nothing herein shall be
interpreted to prohibit New Operator from retaining copies of any such
documents.

            8.4. New Operator agrees to maintain such books, records and other
material comprising records of the Facility's operations that have been received
by New Operator from Transferor or otherwise, including, but not limited to,
resident records, to the extent required by law, but in no event less than three
(3) years, and shall, at Transferor's request, allow Transferor a reasonable
opportunity to remove such documents, at Transferor's expense, at such time
after such record retention period as may be required by law as New Operator
shall decide to dispose of such documents.

      9. Contracts. Immediately following the Effective Date, Transferor does
hereby agree to assign, and New Operator does hereby agree to assume and be
bound by all of the terms and conditions of, Transferor's interest and
obligations under the resident agreements, operating contracts and equipment
financing agreements identified in Schedule 2 hereto (collectively, the "Assumed
Contracts"). Transferor will cooperate with New Operator in obtaining any
required consent, waiver or approval in connection with the assignment to and
assumption by New Operator of Transferor's interests under the Assumed
Contracts. Nothing herein shall be construed as imposing any liability on New
Operator with respect to any obligations under Assumed Contracts which relate to
the period on or prior to the
<PAGE>   10
Effective Date even if the same are not payable until after the Effective Date,
it being specifically understood and agreed that New Operator's liability shall
be limited to its acts and omissions thereunder after the Effective Date.

      10. Intentionally Deleted.

      11.   Representations and Warranties.  Each of New Operator and
Transferor represents and warrants as follows:

            11.1 New Operator has all necessary power and authority to enter
into this Agreement and to execute all documents and instruments referred to
herein or contemplated hereby and to consummate the transactions provided for
herein and all necessary action has been taken to authorize the individuals
executing this Agreement to do so. This Agreement has been duly and validly
executed and delivered by New Operator and is enforceable against New Operator
in accordance with its terms, except as such enforceability may be limited by
applicable bankruptcy laws and general principals of equity.

            11.2 Transferor hereby represents and warrants that Transferor has
all necessary power and authority to enter into this Agreement and to execute
all documents and instruments referred to herein or contemplated hereby and to
consummate the transactions provided for herein and all necessary action has
been taken to authorize the individuals executing this Agreement to do so. This
Agreement has been duly and validly executed and delivered by Transferor and is
enforceable against Transferor in accordance with its terms, except as such
enforceability may be limited by applicable bankruptcy laws and general
principals of equity. Transferor is not in default under any of the Assumed
Contracts.

      12.   Indemnification.

            12.1 Transferor hereby indemnifies and agrees to defend and hold
harmless New Operator and its directors, officers, employees, agents, successors
and assigns from and against any and all demands, claims, causes of action,
fines, penalties, damages (including consequential damages), losses, liabilities
(including strict liability), judgments, and expenses (including, without
limitation, reasonable attorneys' and other professionals' fees and court costs)
incurred in connection with or arising from: (i) a breach by Transferor of its
representations, warranties and obligations under this Agreement, (ii) the acts
or omissions of Transferor under the
<PAGE>   11
Assumed Contracts on or prior to the Effective Date, (iii) the occupancy or
operation of the Facility on or prior to the Effective Date, (iv) any acts,
omissions or negligence of Transferor or any person claiming under Transferor,
or the contractors, agents, employees, invitees or visitors of Transferor with
respect to the Facility on or prior to the Effective Date or (v) any failure by
Transferor to pay any liabilities [other than Rent (as defined in the Lease)] in
connection with the Facility attributable to periods on or before the Effective
Date.

            12.2 New Operator hereby indemnifies and agrees to defend and hold
harmless Transferor and its directors, officers, employees, agents, successors
and assigns from and against any and all demands, claims, causes of action,
fines, penalties, damages (including consequential damages), losses, liabilities
(including strict liability), judgments, and expenses (including, without
limitation, reasonable attorneys' and other professionals' fees and court costs)
incurred in connection with or arising from: (i) a breach by New Operator of its
representations, warranties and obligations under this Agreement, (ii) the acts
or omissions of New Operator under the Assumed Contracts after the Effective
Date, (iii) the occupancy or operation of the Facility after the Effective Date,
(iv) any acts, omissions or negligence of New Operator or any person claiming
under New Operator, or the contractors, agents, employees, invitees or visitors
of New Operator with respect to the Facility after the Effective Date or (v) any
failure by New Operator to pay any liabilities in connection with the Facility
attributable to periods after the Effective Date.

            12.3 The foregoing indemnification obligations shall survive this
Agreement. All matters arising from an indemnified party's negligence, gross
negligence or willful misconduct are excluded from the scope of the
indemnification of such party set forth in Sections 12.1 and 12.2.

      13.   Transfer of Licenses.

            13.1 New Operator shall use its commercially reasonable best efforts
to obtain all necessary licenses and certifications to operate the Facility as a
RCF as soon as is reasonably practicable, said licenses and certifications to be
effective on and as of the Takeover Date.

            13.2 Transferor agrees to cooperate fully with New Operators to
accomplish the transfer of such management and
<PAGE>   12
operation of the Facility upon the Takeover Date assuming prior execution of the
New Lease and New Operator obtaining a permission to occupy from the ISDH,
without materially interrupting the business or operation of the Facility.

      14. Further Assurances. Each of the parties hereto agrees to execute and
deliver any and all further agreements, documents or instruments necessary to
effectuate this Agreement and the transactions referred to herein or
contemplated hereby or reasonably requested by the other party to perfect or
evidence their rights hereunder.

      15. Notices and Demands. All notices and demands, requests, consents,
approvals, and other similar communications under this Agreement shall be in
writing and shall be sent by personal delivery or by either (a) United States
certified or registered mail, return receipt requested, postage prepaid, or (b)
Federal Express or similar generally recognized overnight carrier regularly
providing proof of delivery, addressed as follows:

            To Transferor:

            c/o Balanced Care Corporation
            1215 Manor Drive
            Mechanicsburg, PA  17055
            Attention:  Legal Department
            Facsimile:  (717) 796-6294

            With Copy To:

            Kirkpatrick & Lockhart, LLP
            Henry W. Oliver Building
            535 Smithfield Street
            Pittsburgh, PA  15222
            Attention:  Steven Adelkoff, Esq.
            Facsimile:  (412) 355-6501

            To New Operator:

            Trilogy Health Services, LLC
            9400 Williamsburg Plaza, Suite 300
            Louisville, KY 40223
            Attn: Randall J. Bufford, Manager
            Facsimile:   (502) 412-0407
<PAGE>   13
            With Copy To:

            Ogden Newell & Welch, PLLC
            Attn: Scot W. Brinkman, Esq.
            1700 PNC Plaza
            Louisville, KY 40202
            Facsimile:  502-581-9564

Any notice so given by mail shall be deemed to have been given as of the date of
delivery (whether accepted or refused) established by U.S. Post Office return
receipt or the overnight carrier's proof of delivery, as the case may be,
whether accepted or refused. Any such notice not so given shall deemed given
upon receipt of the same by the party to whom the same is to be given. Any party
hereto may designate a different address for itself by notice to the other party
in accordance with this Section 15.

      16. Payment of Expenses. Each party hereto shall bear its own legal,
accounting and other expenses incurred in connection with the preparation and
negotiation of this Agreement and the consummation of the transaction
contemplated hereby, whether or not the transaction is consummated.

      17. Entire Agreement; Amendment; Waiver. This Agreement, together with the
other agreements referred to herein, constitutes the entire understanding
between the parties with respect to the subject matter hereof, superseding all
negotiations, prior discussions and preliminary agreements. This Agreement may
not be modified or amended except in writing signed by the parties hereto. No
waiver of any term, provision or condition of this Agreement in any one or more
instances, shall be deemed to be or be construed as a further or continuing
waiver of any such term, provision or condition of this Agreement. No failure to
act shall be construed as a waiver of any term, provision, condition or rights
granted hereunder.

      18. Assignment. Neither this Agreement nor the rights, duties or
obligations arising hereunder shall be assignable or delegable by Transferor or
New Operator without the prior written consent of the other party, which may be
granted, denied or conditioned in such party's reasonable discretion. This
Agreement shall be binding upon, and inure to the benefit of, the respective
successors and assigns of Transferor and New Operator.
<PAGE>   14
      19. Joint Venture; Third Party Beneficiaries. Nothing contained herein
shall be construed as forming a joint venture or partnership between the parties
hereto with respect to the subject matter hereof. The parties hereto do not
intend that any third party shall have any rights under this Agreement.

      20. Announcements. The parties hereto acknowledge and agree that any
communications to the employees of the Facility regarding the terms of this
Agreement and the transactions contemplated hereunder shall be mutually
acceptable to the parties hereto unless required to made pursuant to court order
or law.

      21.   Captions.  The section headings contained herein are for
convenience only and shall not be considered or referred to in resolving
questions of interpretation.

      22.   Counterparts.  This Agreement may be executed and delivered via
facsimile and in one or more counterparts and all such counterparts taken
together shall constitute a single original Agreement.

      23.   Governing Law.  This Agreement shall be governed in accordance
with the laws of the Commonwealth of Pennsylvania without regard to the
conflict of rules of such State.

                       [SIGNATURES CONTINUED ON NEXT PAGE]
<PAGE>   15
      IN WITNESS WHEREOF, the parties hereby execute this Agreement as of the
day and year first set forth above.

                                    ASSISTED CARE OPERATORS OF  ANDERSON,
                                    LLC, a Delaware limited liability company

                                    By:   Balanced Care at Anderson, Inc., a
                                          Delaware corporation, its Manager

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

                                    BALANCED CARE AT ANDERSON, INC.,
                                    a Delaware corporation

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

                                    TRILOGY HEALTH SERVICES, LLC, a
                                    Delaware limited liability company

                                    By: /s/Randall J. Bufford
                                          Randall J. Bufford
                                          Manager

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