Document:

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                                                                    EXHIBIT 10.2

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                         AGREEMENT OF PURCHASE AND SALE

                                 BY AND BETWEEN

                      THE REALTY ASSOCIATES FUND VI, L.P.,

                                   AS SELLER,

                                       AND

                         CENTENE MANAGEMENT CORPORATION,

                                  AS PURCHASER

                        Date:      April 24, 2003

                        Property:  7711 Carondelet Avenue
                                   Clayton, Missouri

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                         AGREEMENT OF PURCHASE AND SALE

         THIS AGREEMENT OF PURCHASE AND SALE (this "AGREEMENT") is made and
entered into as of this 24th day of April, 2003 (the "EFFECTIVE DATE") by and
between THE REALTY ASSOCIATES FUND VI, L.P., a Delaware limited partnership
("SELLER"), whose principal place of business is located at c/o TA Associates
Realty, 28 State Street, 10th Floor, Boston, Massachusetts 02109, and CENTENE
MANAGEMENT CORPORATION, a Wisconsin corporation, or its permitted assigns
("PURCHASER"), whose principal place of business is located at 7711 Carondelet
Avenue, Suite 800, St. Louis, Missouri 63105.

         In consideration of the mutual promises, covenants and agreements
hereinafter set forth and of other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, Seller and Purchaser agree as
follows:

                                   ARTICLE I.

                                SALE OF PROPERTY

         1.1.     SALE OF PROPERTY. Seller hereby agrees to sell, assign and
convey to Purchaser and Purchaser agrees to purchase from Seller, all of
Seller's right, title and interest in and to, the following:

                  1.1.1    LAND AND IMPROVEMENTS. Those certain parcels of real
property, more particularly described, on Exhibit A attached hereto and
incorporated herein by reference thereto (the "LAND"), together with all
improvements located thereon (the "IMPROVEMENTS").

                  1.1.2    REAL PROPERTY. All rights, privileges and easements
appurtenant to Seller's interest in the Land and the Improvements, if any,
including, without limitation, all of Seller's right, title and interest, if
any, in and to all mineral and water rights and all easements, licenses,
covenants and other rights-of-way or other appurtenances used in connection with
the beneficial use and enjoyment of the Land and the Improvements (the Land, the
Improvements and all such easements and appurtenances are sometimes collectively
referred to herein as the "REAL PROPERTY").

                  1.1.3    LEASES. All leases, subleases, licenses and other
occupancy agreements, together with any and all amendments, modifications or
supplements thereto, are hereafter referred to collectively as the "Leases"
being more particularly described on Exhibit E attached hereto.

                  1.1.4    PERSONAL PROPERTY. All personal property (including
equipment), if any, owned by Seller and located on the Real Property, and all
fixtures (if any) owned by Seller and located on the Real Property as of the
date hereof (the "PERSONAL PROPERTY").

                  1.1.5    INTANGIBLE PROPERTY. All non-exclusive trademarks and
trade names, if any, used or useful in connection with the Real Property, but
only to the extent that the same are not trademarks or trade names of Seller or
any of Seller's affiliated companies (collectively, the "TRADE NAMES"), together
with the Seller's interest, if any, in and to all guarantees, licenses,

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approvals, certificates, permits and warranties relating to the Real Property,
to the extent assignable (collectively, the "INTANGIBLE PROPERTY").

                  1.1.6    SERVICE AGREEMENTS. All assignable contracts and
agreements executed by or on Seller's behalf (collectively, the "SERVICE
AGREEMENTS") relating to the upkeep, repair, maintenance or operation of the
Property. At Closing, Seller agrees to deliver written notice terminating all
Service Agreements which Seller has the right to terminate, without cause or
penalty, on thirty (30) or less days notice. All other Service Agreements will
be assumed by Purchaser at Closing. The Service Agreements exclude any property
management agreements entered into by Seller, which agreements Seller agrees to
terminate at Closing.

         1.2.     PROPERTY. The Real Property, the Leases, the Personal
Property, the Trade Names, the Service Agreements and the Intangible Property
are sometimes collectively hereinafter referred to as the "PROPERTY"). It is
hereby acknowledged by the parties that Seller shall not convey to Purchaser any
(a) claims relating to any real property tax refunds or rebates, (b) existing
insurance claims, and/or (c) existing claims against any tenants of the Property
that are applicable to the period prior to the Closing (as hereinafter defined),
all of which claims shall be reserved by Seller.

                                  ARTICLE II.

                                 PURCHASE PRICE

         2.1.     PURCHASE PRICE. The purchase price for the Property shall be
TWELVE MILLION FIVE HUNDRED THOUSAND AND NO/100 DOLLARS ($12,500,000.00) (the
"PURCHASE PRICE"). The Purchase Price, as adjusted by all prorations as provided
for herein, shall be paid to Seller by Purchaser at Closing, by wire transfer of
immediately available federal funds.

                                  ARTICLE III.

                            DEPOSITS AND ESCROW AGENT

         3.1.     DEPOSIT. Within two (2) business day following the Effective
Date, as defined in Section 16.4 of this Agreement and as a condition precedent
to the formation of this Agreement, Purchaser shall deposit TWO HUNDRED FIFTY
THOUSAND AND NO/100 DOLLARS ($250,000.00) (the "INITIAL DEPOSIT") with Chicago
Title Insurance Company, Suite 1700, 2001 Bryan Street, Dallas, Texas, 75201,
Attention: Ellen Schwab ("ESCROW AGENT" and "TITLE COMPANY") in immediately
available federal funds, the receipt of which is hereby acknowledged by Escrow
Agent's execution hereof. If Purchaser shall fail to deposit the Initial Deposit
within the time period provided for above, Seller may at any time prior to the
deposit of the Initial Deposit, terminate this Agreement, in which case this
Agreement shall be null and void ab initio and in such event Escrow Agent shall
immediately deliver to Seller all copies of this Agreement in its possession,
and thereafter neither party shall have any further rights or obligations to the
other hereunder, except for the Surviving Termination Obligations (as
hereinafter defined). The

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Initial Deposit, together with all interest accrued thereon shall be referred to
herein, collectively, as the "DEPOSIT".

         3.2.     APPLICATION UPON DEFAULT. If the Closing occurs, the Deposit
shall be paid to Seller and credited against the Purchase Price at Closing. If
the Closing does not occur, the Deposit shall be held and delivered as
hereinafter provided.

         3.3.     INTEREST BEARING. The Deposit shall (a) be held in an
interest-bearing escrow account by Escrow Agent in an institution as directed by
Purchaser and reasonably acceptable to Seller, and (b) include any interest
earned thereon. To allow the interest bearing account to be opened, Purchaser's
and Seller's tax identification numbers are set forth herein below their
signatures.

         3.4.     ESCROW AGENT. Escrow Agent is executing this Agreement to
acknowledge Escrow Agent's responsibilities and rights hereunder. Any amendment
to this Agreement which alters Escrow Agent's responsibilities and/or rights
hereunder not executed by Escrow Agent shall be effective as to the parties
thereto, but shall not be binding upon Escrow Agent. Escrow Agent shall accept
the Deposit with the understanding of the parties that Escrow Agent is not a
party to this Agreement except to the extent of its specific responsibilities
and rights hereunder, and does not assume or have any liability for the
performance or non-performance of Purchaser or Seller hereunder. Additional
provisions with respect to the Escrow Agent are set forth in Article XVI.

                                  ARTICLE IV.

                      CLOSING, PRORATIONS AND CLOSING COSTS

         4.1.     CLOSING. The closing of the purchase and sale of the Property
shall occur at 10:00 a.m. (local time at the Property) on a date designated by
Purchaser in written notice delivered to Seller at least five (5) business days
prior to the date designated by Purchaser; provided, however, in no event shall
such designated date be later than the thirtieth (30th) day following the last
day of the Inspection Period or such earlier date as may be agreed to by Seller
and Purchaser and shall be held through escrow at the offices of the Escrow
Agent, or at such other place agreed to by Seller and Purchaser. "CLOSING" shall
be deemed to have occurred when the Title Company has been instructed by both
parties to record the Deed. Time is hereby made of the essence. The date of
Closing is referred to in this Agreement as the "CLOSING DATE."

         4.2.     PRORATIONS. All matters involving prorations or adjustments to
be made in connection with Closing and not specifically provided for in some
other provision of this Agreement shall be adjusted in accordance with this
Section 4.2. Except as otherwise set forth herein, all items to be prorated
pursuant to this Section 4.2 shall be prorated as of midnight of the day
immediately preceding the Closing Date, with Purchaser to be treated as the
owner of the Property, for purposes of prorations of income and expenses, on and
after the Closing Date. The provisions of this Section 4.2 shall survive the
Closing.

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                  4.2.1    TAXES. Except to the extent payable by the tenants to
the applicable taxing authorities, real estate and personal property taxes and
special assessments, if any, shall be prorated as of the Closing Date. Seller
shall pay all real estate and personal property taxes and special assessments
payable during the calendar year of the Closing and attributable to the Property
to, but not including, the Closing Date. If the real estate and/or personal
property tax rate and assessments have not been set for the taxes and
assessments payable during the year in which the Closing occurs, then the
proration of such taxes shall be based upon the rate and assessments for the
preceding tax year and such proration shall be adjusted in cash between Seller
and Purchaser upon presentation of written evidence that the actual taxes paid
for the year in which the Closing occurs, differ from the amounts used in the
Closing in accordance with the provisions of Section 4.2.5 hereof. All taxes
imposed due to a change of use of the Property after the Closing Date shall be
paid by the Purchaser. If any taxes which have been apportioned shall
subsequently be reduced by abatement, the amount of such abatement, less the
cost of obtaining the same and after deduction of sums payable to tenants under
Leases or expired or terminated Leases, shall be prorated as of the Closing
Date.

                  4.2.2    INSURANCE. There shall be no proration of Seller's
insurance premiums or assignment of Seller's insurance policies. Purchaser shall
be obligated (at its own election) to obtain any insurance coverage deemed
necessary or appropriate by Purchaser.

                  4.2.3    UTILITIES. Except to the extent paid directly by the
tenants to the applicable utility company or service provider, the amounts of
all telephone, electric, sewer, water and other utility bills, trash removal
bills, janitorial and maintenance service bills and all other operating expenses
relating to the Property and allocable to the period prior to the Closing Date
shall be determined and paid by Seller before Closing, if possible, or shall be
paid thereafter by Seller or adjusted between Purchaser and Seller immediately
after the same have been determined. Purchaser shall cause all utility services
to be placed in Purchaser's name as of the Closing Date.

                  4.2.4    RENTS. Rents (including, without limitation,
estimated pass-through payments, payments for common area maintenance
reconciliations and all additional charges payable by tenants under the Leases,
(collectively, "RENTS")) actually collected by Seller prior to Closing shall be
prorated as of the Closing Date. Seller will receive a credit for any Rents due
under the Lease with Centene Corporation ("CENTENE") for the period prior to
Closing to the extent same remains unpaid as of the Closing Date. During the
period after Closing, Purchaser shall, within ten (10) business days following
receipt, deliver to Seller any and all Rents accrued but uncollected as of the
Closing Date to the extent subsequently collected by Purchaser; provided,
however, (a) Purchaser shall apply Rents received after Closing first to payment
of Rent due for the month of Closing, then to current Rent then due, and
thereafter to delinquent Rents in order of maturity (i.e., "oldest"
delinquencies paid first); and (b) "true up" payments received from tenants
attributable to a year-end reconciliation of actual and budgeted pass-through
payments shall not be subject to such priority allocation (as long as
identifiable as such a payment and not as a payment of base rent) and instead
shall be allocated, upon receipt, among Seller and Purchaser pro rata in
accordance with their respective period of ownership as set forth in Section
4.2.5 below. Seller shall have the right, after Closing, to proceed against
tenants for Rents allocable to the period of Seller's ownership of the Property,
provided that Seller shall have no right to commence eviction or similar
proceedings against any tenant. Purchaser shall use commercially reasonable
efforts to collect all pass-through rents payable by tenants and any

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delinquent Rents (provided, however, that Purchaser shall have no obligation to
institute legal proceedings, including an action for unlawful detainer, against
a tenant owing delinquent Rents). The amount of any unapplied security deposits
under the Leases held by Seller in cash at the time of Closing shall be credited
against the Purchase Price; accordingly, Seller shall retain the actual cash
deposits. If any security deposits are in the form of a letter of credit, Seller
shall assign its interest in the letter of credit to Purchaser and deliver the
original letter of credit to Purchaser at Closing. All costs to assign such
letter of credit shall, unless payable by the tenant, be borne by Purchaser.

                  4.2.5    CALCULATIONS. For purposes of calculating prorations,
Purchaser shall be deemed to be in title to the Property, and, therefore
entitled to the income therefrom and responsible for the expenses thereof for
the entire day upon which the Closing occurs. All such prorations shall be made
on the basis of the actual number of days of the month which shall have elapsed
as of the day of the Closing and based upon the actual number of days in the
month and a three hundred sixty five (365) day year. The amount of such
prorations shall be initially performed at Closing but shall be subject to
adjustment in cash after the Closing as and when complete and accurate
information becomes available, if such information is not available at the
Closing. Seller and Purchaser agree to cooperate and use their best efforts to
make such adjustments no later than sixty (60) days after the Closing or as soon
thereafter as may be practicable, with respect to common area maintenance and
other additional rent charges (including pass-throughs for real estate and
personal property taxes and special assessments) payable by tenants under
Leases. Except as set forth in this Section 4.2, all items of income and expense
which accrue for the period prior to the Closing will be for the account of
Seller and all items of income and expense which accrue for the period on and
after the Closing will be for the account of Purchaser.

                  4.2.6    LEASING COMMISSIONS AND LEASING COSTS. Seller shall
be responsible for all leasing commissions and other leasing costs due and
payable prior to the Effective Date with respect to Leases executed prior to the
Effective Date. Purchaser shall be responsible for all leasing commissions and
other leasing costs attributable to any new leases or the renewal or expansion
of any existing Lease after the Effective Date and/or due and payable with
respect to any existing Lease (including the Lease with Centene) after the
Closing. If Seller has, prior to the Closing, paid any leasing commissions or
other leasing costs which are Purchaser's responsibility hereunder, Seller will
receive a credit for same from Purchaser at the Closing.

                  4.2.7    PREPAID ITEMS. Any prepaid items, including, without
limitation, fees for licenses which are transferred to the Purchaser at the
Closing and annual permit and inspection fees shall be prorated as of the
Closing.

                  4.2.8    DECLARATION ASSESSMENTS. Any assessments payable
under any declaration or similar instrument affecting the Property shall be
prorated as of the Closing Date.

         4.3.     CLOSING COSTS. Seller shall pay (a) the fees of any counsel
representing Seller in connection with this transaction; (b) one-half (1/2) of
the escrow fee charged by Escrow Agent; and (c) the cost of the Survey.
Purchaser shall pay (i) the fees of any counsel representing Purchaser in
connection with this transaction; (ii) the cost of the Title Policy, including
any endorsements requested by Purchaser to the Title Policy; (iii) the cost of
any changes requested

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by Purchaser or its lender to the Survey; (iv) the fees for recording the deed
conveying the Real Property to Purchaser; and (v) one-half (1/2) of the escrow
fee charged by Escrow Agent. Any other costs or expenses incident to this
transaction and the closing thereof not expressly provided for above shall be
allocated between and paid by the parties in accordance with custom and practice
in Clayton, Missouri.

                                   ARTICLE V.

               PURCHASER'S RIGHT OF INSPECTION; INSPECTION PERIOD

         5.1.     RIGHT TO EVALUATE. From the Effective Date until 5:00 p.m.
(local time at the Property) on Monday, June 9, 2003, i.e., the forty-fifth
(45th) day following the Effective Date (the "INSPECTION PERIOD"), Purchaser and
its agents shall have the right during business hours (with reasonable advance
notice to Seller and subject to the rights of the tenants in possession), at
Purchaser's sole cost and expense and at Purchaser's and its agents' sole risk,
to perform inspections and tests of the Property and to perform such other
analyses, inquiries and investigations as Purchaser shall deem necessary or
appropriate; provided, however, that in no event shall (a) such inspections or
tests unreasonably disrupt or disturb the on-going operation of the Property or
the rights of the tenants at the Property, or (b) Purchaser or its agents or
representatives conduct any physical testing, drilling, boring, sampling or
removal of, on or through the surface of the Property (or any part or portion
thereof) including, without limitation, any ground borings or invasive testing
of the Improvements (collectively, "PHYSICAL TESTING"), without Seller's prior
written consent, which consent may be given or withheld in Seller's sole and
absolute discretion. In the event Purchaser desires to conduct Physical Testing
of the Property, then Purchaser shall submit to Seller, for Seller's approval, a
written detailed description of the scope and extent of the proposed Physical
Testing, which approval may be given or withheld in Seller's sole and absolute
discretion. If Seller does not approve the Physical Testing or approves only a
portion thereof, Purchaser may, at its option, by sending written notice to
Seller, elect to, either (i) terminate this Agreement or (ii) conduct during the
Inspection Period that portion of the Physical Testing approved by Seller, if
any, or if Seller disapproves the entire proposed Physical Testing,
affirmatively agree to forego any Physical Testing of the Property. In the event
Purchaser terminates this Agreement as aforesaid, the Deposit shall be
immediately refunded to Purchaser and this Agreement shall terminate and be of
no further force and effect other than the Surviving Termination Obligations. In
no event shall Seller be obligated as a condition of this transaction to perform
or pay for any environmental remediation of the Property recommended by any
Physical Testing. After making such tests and inspections, Purchaser agrees to
promptly restore the Property to its condition prior to such tests and
inspections (which obligation shall survive the Closing or any termination of
this Agreement). Prior to Purchaser entering the Property to conduct the
inspections and tests described above, Purchaser shall obtain and maintain, at
Purchaser's sole cost and expense, and shall deliver to Seller evidence of, the
following insurance coverage, and shall cause each of its agents and contractors
to obtain and maintain, and, upon request of Seller, shall deliver to Seller
evidence of, the following insurance coverage: commercial liability insurance,
from an insurer reasonably acceptable to Seller, in the amount of One Million
and No/100 Dollars ($1,000,000.00) combined single limit for personal injury and
property damage per occurrence ($2,000,000, in the aggregate), together with
umbrella coverage of at least Five Million and No/100 Dollars

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($5,000,000.00), such policy to name Seller as an additional insured party,
which insurance shall provide coverage against any claim for personal liability
or property damage caused by Purchaser or its agents, employees or contractors
in connection with such inspections and tests. Seller shall have the right, in
its discretion, to accompany Purchaser and/or its agents during any inspection
or tenant interview.

         5.2      INSPECTION OBLIGATIONS AND INDEMNITY. Purchaser and its
contractors shall: (a) not unreasonably disturb the tenants of the Improvements
or interfere with their use of the Real Property pursuant to their respective
Leases; (b) not interfere with the operation and maintenance of the Real
Property; (c) not damage any part of the Property or any personal property owned
or held by any tenant; (d) not injure or otherwise cause bodily harm to Seller,
its agents, contractors and employees or any tenant; (e) promptly pay when due
the costs of all tests, investigations and examinations done with regard to the
Property; (f) not permit any liens to attach to the Property by reason of the
exercise of its rights hereunder; (g) restore the Improvements and the surface
of the Real Property to the condition in which the same was found before any
such inspection or tests were undertaken; (h) not interview any tenant, except
if accompanied by Seller or one of its representatives; and (i) not reveal or
disclose any information obtained during the Inspection Period concerning the
Property to anyone outside Purchaser's organization other than its agents,
consultants and representatives. Purchaser shall, at its sole cost and expense,
comply with all applicable federal, state and local laws, statutes, rules,
regulations, ordinances or policies in conducting its inspection of the Property
and Physical Testing. Purchaser shall, and does hereby agree to indemnify,
defend and hold the Seller, its partners, agents and their respective successors
and assigns, harmless from and against any and all claims, demands, suits,
obligations, payments, damages, losses, penalties, liabilities, costs and
expenses (including but not limited to attorneys' fees) to the extent arising
out of Purchaser's or Purchaser's agents' actions taken in, on or about the
Property in the exercise of the inspection right granted pursuant to Section
5.1, including, without limitation, (a) claims made by any tenant against Seller
for Purchaser's entry into such tenant's premises or any interference with any
tenant's use or damage to its premises or property in connection with
Purchaser's review of the Property, and (b) Purchaser's obligations pursuant to
this Section 5.2. This Section 5.2 shall survive the Closing and/or any
termination of this Agreement.

         5.3.     SELLER DELIVERIES. To the extent not previously delivered to
Purchaser, Seller shall deliver to Purchaser all of the items specified on
Exhibit B attached hereto (the "DOCUMENTS"), within five (5) business days after
the Effective Date to the extent such items are in Seller's possession. Except
as otherwise expressly set forth in Section 7.1, Seller makes no representations
or warranties of any kind regarding the accuracy, thoroughness or completeness
of or conclusions drawn in the information contained in the Documents, if any,
relating to the Property. Seller has no obligation to deliver or make available
to Purchaser Seller's internal memoranda, attorney-client privileged materials,
structural and physical inspection reports, internal appraisals, economic
evaluations of the Property, nor any reports regarding the Property prepared by
Seller or its affiliates solely for internal use or for the information of the
investors in Seller. Purchaser acknowledges that any and all of the Documents
that are not otherwise known by or available to the public are proprietary and
confidential in nature and will be delivered to Purchaser solely to assist
Purchaser in determining the feasibility of purchasing the Property. Purchaser
agrees not to disclose such non-public Documents, or any of the provisions,
terms or conditions thereof, to any party outside of Purchaser's organization
other than its agents,

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consultants and representatives. Purchaser shall return all of the Documents, on
or before three (3) business days after the first to occur of (a) such time as
Purchaser notifies Seller in writing that it shall not acquire the Property, or
(b) such time as this Agreement is terminated for any reason other than Seller's
default. This Section 5.3 shall survive any termination of this Agreement.

         5.4.     INDEPENDENT EXAMINATION. Purchaser hereby acknowledges that,
except as provided in Section 7.1, Purchaser is relying upon its own independent
examination of the Property and all matters relating thereto and not upon the
Documents and/or any statements of Seller or of any officer, director, employee,
agent, broker, manager or attorney of Seller with respect to acquiring the
Property. Seller shall not, except as otherwise expressly provided in Section
7.1, be deemed to have represented or warranted the completeness or accuracy of
any studies, investigations and reports heretofore or hereafter furnished to
Purchaser. The provisions of this Section 5.4 shall survive Closing and/or
termination of this Agreement.

         5.5.     TERMINATION RIGHT. In the event that Purchaser determines, in
Purchaser's sole and absolute discretion, that it does not desire, for any or no
reason, to acquire the Property, Purchaser shall provide written notice to
Seller before the end of the Inspection Period, and, subject to the Surviving
Termination Obligations, this Agreement shall terminate, the Deposit shall be
delivered to Purchaser and thereupon neither party shall have any further rights
or obligations to the other hereunder. If Purchaser shall fail to timely notify
Seller in writing of its election to terminate this Agreement on or before the
expiration of the Inspection Period, time being of the essence, the termination
right described in this Section 5.5 shall be immediately null and void and of no
further force or effect. Purchaser's failure to provide such notice on or before
the end of the Inspection Period shall constitute Purchaser's waiver of the
herein-described termination right. Notwithstanding any provision of this
Agreement, this is an "all or none" transaction and Purchaser has no right to
terminate this Agreement as to any part of the Property.

         5.6.     COPIES OF REPORTS. As additional consideration for the
transaction contemplated herein, Purchaser agrees that it will provide to
Seller, within five (5) days following a written request therefor, copies of any
and all third (3rd) party reports, tests or studies relating to the Property
obtained by Purchaser, including but not limited to those involving
environmental matters. Notwithstanding any provision of this Agreement, no
termination of this Agreement shall terminate Purchaser's obligations pursuant
to the foregoing sentence.

                                  ARTICLE VI.

                            TITLE AND SURVEY MATTERS

         6.1.     TITLE. Seller shall provide Purchaser with a title insurance
commitment (the "COMMITMENT") for an Owner's Policy of Title Insurance from
Chicago Title Insurance Company (the "TITLE COMPANY"), covering the Real
Property, together with a copy of all instruments reflected as exceptions set
forth therein, within ten (10) days of the Effective Date. Purchaser shall
notify Seller no later than the expiration of the Inspection Period in writing
of any title exceptions, exclusions from coverage or other matters identified in
the Commitment which Purchaser disapproves (the "TITLE OBJECTIONS"). Any
exception, exclusion from coverage

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or other matter shown in the Commitment as of the end of the Inspection Period
or otherwise not disapproved in writing within said time period shall be deemed
approved by Purchaser and shall constitute a "PERMITTED EXCEPTION" hereunder.
Purchaser and Seller hereby agree that (i) all non-delinquent property taxes as
of the Closing, (ii) the rights of the Tenant under the Lease and Approved New
Leases, (iii) all matters created by or on behalf of Purchaser, including,
without limitation, any documents or instruments to be recorded as part of any
financing for the acquisition of the Property by Purchaser and (iv) the
exceptions to title identified on Exhibit D attached hereto, shall constitute
"PERMITTED EXCEPTIONS". Without Seller's prior written consent, Purchaser shall
not make any application to any governmental agency for any permit, approval,
license or other entitlement for the Property or the use or development thereof.

         6.2.     SURVEY. Seller has provided Purchaser with a copy of that
certain survey of the Property dated August 7, 2002 prepared by Volz
Incorporated (the "SURVEY"). Purchaser shall have the right to request changes
to the Survey during the Inspection Period. If the Survey discloses any matters
which are unacceptable to Purchaser, in Purchaser's sole and absolute
discretion, Purchaser shall notify Seller in writing no later than the
expiration of the Inspection Period. Any survey matter shown on the Survey not
disapproved in writing within said time period (or otherwise shown on the Survey
as of the last day of the Inspection Period) shall be deemed approved by
Purchaser and shall constitute a Permitted Exception hereunder. Seller may, at
its sole election, on or before the Closing Date, have any Survey matters to
which Purchaser has objected removed; provided, however, in no event will Seller
be obligated to do so or otherwise incur costs with respect thereto.

                                  ARTICLE VII.

                  REPRESENTATIONS AND WARRANTIES OF THE SELLER

         7.1.     SELLER'S REPRESENTATIONS. Seller represents and warrants that
the following matters are true and correct as of the Effective Date and the
Closing Date.

                  7.1.1    AUTHORITY. Seller is a limited partnership, duly
organized, validly existing and in good standing under the laws of the State of
Delaware and, to the extent necessary, is qualified to conduct business in the
State in which the Property is located. This Agreement has been duly authorized,
executed and delivered by Seller, is the legal, valid and binding obligation of
Seller, and does not violate any provision of any agreement or judicial order to
which Seller is a party or to which Seller is subject. All documents to be
executed by Seller which are to be delivered at Closing, will, at the time of
Closing, (a) be duly authorized, executed and delivered by Seller, (b) be legal,
valid and binding obligations of Seller, and (c) not violate any provision of
any agreement or judicial order to which Seller is a party or to which Seller is
subject.

                  7.1.2    9/11 DEALINGS. Neither Seller nor any of its
affiliates, nor any of their respective partners, members, shareholders or other
equity owners, and none of their respective employees, officers, directors,
representatives or agents, is a person or entity with whom U.S. persons or
entities are restricted from doing business under regulations of the Office of
Foreign Asset Control ("OFAC") of the Department of the Treasury (including
those named on OFAC's Specially Designated and Blocked Persons List) or under
any statute, executive order (including

                                      - 9 -

<PAGE>

the September 24, 2001, Executive Order Blocking Property and Prohibiting
Transactions with Persons Who Commit, Threaten to Commit, or Support Terrorism),
or other governmental action.

                  7.1.3    COMPLIANCE WITH ZONING AND RELATED MATTERS. Except as
set forth on Exhibit K:

                                    (i)      Seller has received no written
notice from any governmental authority that the Improvements fail to comply with
any applicable laws, statutes, ordinances, codes, covenants, conditions and
restrictions of any kind or nature.

                                    (ii)     Seller has not received any written
notice from any governmental authority of any proposed change in the zoning for
the Property.

                                    (iii)    There are no pending litigation
proceedings, claims, condemnations or sales in lieu thereof asserted against
Seller with respect to Seller's interest in the Property.

                                    (iv)     Seller has received no written
notice from any governmental authority of any pending public improvements, liens
or special assessments to be made in respect of, or assessed against, the
Property by any governmental authority.

                  7.1.4    SERVICE AGREEMENTS. The Service Agreements listed on
Exhibit L which is attached hereto and made a part hereof are, to the best of
Seller's knowledge, all of the agreements concerning the operation and
maintenance of the Property which will affect the Property after the Closing.

         7.2.     SELLER'S KNOWLEDGE. For purposes of this Agreement and any
document delivered at Closing, whenever the phrases "to the best of Seller's
knowledge", or the "knowledge" of Seller or words of similar import are used,
they shall be deemed to refer to the current, actual, conscious knowledge only,
and not any implied, imputed or constructive knowledge, without any independent
investigation having been made or any implied duty to investigate, of James P.
Raisides and Deborah Tirone and Seller represents that the foregoing are the
individuals with the primary responsibility for overseeing the operation and
sale of the Property. Such individuals shall have no personal liability
hereunder.

         7.3.     CHANGE IN REPRESENTATION/WAIVER. Notwithstanding anything to
the contrary contained herein, Purchaser acknowledges that it shall not be
entitled to rely on any representation or warranty made by Seller in this
ARTICLE VII to the extent, prior to or at Closing, Purchaser shall have or
obtain current, actual, conscious knowledge (and not any implied, imputed or
constructive knowledge) of facts contradictory to such representation or
warranty; provided, however, if Purchaser determines prior to Closing that there
is a breach of any of the representations and warranties made by Seller above,
then Purchaser may, at its option, by sending to Seller written notice of its
election either (a) terminate this Agreement, or (b) waive such breach and
proceed to Closing with no adjustment in the Purchase Price and Seller shall
have no further liability as to such matter thereafter, except for liens
resulting from Seller's acts. In the event Purchaser terminates this Agreement
for the reasons set forth above, the Deposit shall be immediately refunded to
Purchaser and neither Purchaser nor Seller shall

                                     - 10 -

<PAGE>

thereafter have any other rights or remedies hereunder other than the Surviving
Termination Obligations. In furtherance thereof, Seller shall have no liability
with respect to any of the foregoing representations and warranties or any
representations and warranties made in any other document executed and delivered
by Seller to Purchaser to the extent that, prior to Closing, Purchaser discovers
or learns of facts (from whatever source, including, without limitation the
property manager, the Tenant Estoppel Certificates (as hereinafter defined), as
a result of Purchaser's due diligence tests, investigations and inspections of
the Property, as a result of Purchaser or Purchaser's affiliate having leased
space within the Improvements or disclosure by Seller or Seller's agents and
employees) that contradicts any such representations and warranties, or renders
any such representations and warranties untrue or incorrect, and Purchaser
nevertheless consummates the transaction contemplated by this Agreement.

         7.4.     SURVIVAL. The express representations and warranties of Seller
made in this Agreement shall not merge into any instrument or conveyance
delivered at the Closing; provided, however, that any action, suit or proceeding
with respect to the truth, accuracy or completeness of such representations and
warranties shall be commenced, if at all, on or before the date which is six (6)
months after the date of the Closing and, if not commenced on or before such
date, thereafter such representations and warranties shall be void and of no
force or effect.

                                 ARTICLE VIII.

                   REPRESENTATIONS AND WARRANTIES OF PURCHASER

         8.1.     Purchaser represents and warrants to Seller that the following
matters are true and correct as of the Effective Date and the Closing Date.

                  8.1.1    AUTHORITY. Purchaser is a corporation, duly
organized, validly existing and in good standing under the laws of the State of
Wisconsin, and to the extent necessary, is qualified to conduct business in the
State in which the Property is located. This Agreement has been duly authorized,
executed and delivered by Purchaser, is the legal, valid and binding obligation
of Purchaser, and does not, to the best of Purchaser's knowledge, violate any
provision of any agreement or judicial order to which Purchaser is a party or to
which Purchaser is subject. All documents to be executed by Purchaser which are
to be delivered at Closing, at the time of Closing will be duly authorized,
executed and delivered by Purchaser, at the time of Closing will be legal, valid
and binding obligations of Purchaser, and at the time of Closing will not, to
the best of Purchaser's knowledge, violate any provision of any agreement or
judicial order to which Purchaser is a party or to which Purchaser is subject.

                  8.1.2    ERISA COMPLIANCE. To the best of Purchaser's
knowledge, Purchaser is not (a) a "plan" nor a plan "fiduciary" nor an entity
holding "plan assets" (as those terms are defined under the Employee Retirement
Income Security Act of 1974, as amended, and its applicable regulations as
issued by the Department of Labor and the Internal Revenue Service, "ERISA")
nor, to the best of Purchaser's knowledge, an entity whose assets are deemed to
be plan assets under ERISA, Purchaser is acquiring the Property for Purchaser's
own personal account and, to the best of Purchaser's knowledge, that the
Property shall not constitute plan assets subject to ERISA upon conveyance of
the Property by Seller and the closing of this

                                     - 11 -

<PAGE>

Agreement between Purchaser and Seller. Seller shall not have any obligation to
close the transaction contemplated by this Agreement if the transaction for any
reason constitutes a prohibited transaction under ERISA or if Purchaser's
representation is found to be false or misleading in any respect. The foregoing
representation and warranty shall survive the Closing.

                  8.1.3    NO FINANCING CONTINGENCY. It is expressly
acknowledged by Purchaser that this transaction is not subject to any financing
contingency, and no financing for this transaction shall be provided by Seller.

                  8.1.4    9/11 DEALINGS. Neither Purchaser nor any of its
affiliates, nor any of their respective partners, members, shareholders or other
equity owners, and none of their respective employees, officers, directors,
representatives or agents, is a person or entity with whom U.S. persons or
entities are restricted from doing business under regulations of the OFAC
(including those named on OFAC's Specially Designated and Blocked Persons List)
or under any statute, executive order (including the September 24, 2001,
Executive Order Blocking Property and Prohibiting Transactions with Persons Who
Commit, Threaten to Commit, or Support Terrorism), or other governmental action.

         8.2.     PURCHASER'S ACKNOWLEDGMENT. Purchaser or its affiliate
currently leases space within the Improvements and, as a result, is somewhat
familiar with the condition of the Property. Purchaser further acknowledges and
agrees that, except as expressly provided in Section 7.1 of this Agreement,
Seller has not made, does not make and specifically disclaims any
representations, warranties, promises, covenants, agreements or guaranties of
any kind or character whatsoever, whether express or implied, oral or written,
past, present or future, of, as to, concerning or with respect to (a) the
nature, quality or condition of the Property, including, without limitation, the
water, soil and geology, (b) the income to be derived from the Property, (c) the
suitability of the Property for any and all activities and uses which Purchaser
may conduct thereon, (d) the compliance of or by the Property or its operation
with any laws, rules, ordinances or regulations of any applicable governmental
authority or body, including, without limitation, the Americans with
Disabilities Act and any rules and regulations promulgated thereunder or in
connection therewith, (e) the habitability, merchantability or fitness for a
particular purpose of the Property, or (f) any other matter with respect to the
Property, and except as expressly set forth in Section 7.1 of this Agreement or
in any closing document, specifically that Seller has not made, does not make
and specifically disclaims any representations regarding solid waste, as defined
by the U.S. Environmental Protection Agency regulations at 40 C.F.R., Part 261,
or the disposal or existence, in or on the Property, of any hazardous substance
or hazardous waste, as defined by the Comprehensive Environmental Response
Compensation and Liability Act of 1980, as amended, and other applicable state
laws, and regulations promulgated thereunder. Purchaser further acknowledges and
agrees that, except as expressly provided in Section 7.1, having been given the
opportunity to inspect the Property, Purchaser is relying solely on its own
investigation of the Property and not on any information provided or to be
provided by Seller. Purchaser further acknowledges and agrees that, except as
expressly set forth in Section 7.1, any information provided or to be provided
with respect to the Property was obtained from a variety of sources and that
Seller has not made any independent investigation or verification of such
information. PURCHASER FURTHER ACKNOWLEDGES AND AGREES THAT, EXCEPT AS EXPRESSLY
PROVIDED IN SECTION 7.1 OF THIS AGREEMENT, AND AS A MATERIAL INDUCEMENT TO THE
EXECUTION AND DELIVERY OF THIS AGREEMENT BY SELLER, THE SALE OF THE PROPERTY AS
PROVIDED FOR HEREIN IS MADE

                                     - 12 -

<PAGE>

ON AN "AS IS, WHERE IS" CONDITION AND BASIS "WITH ALL FAULTS." Purchaser
acknowledges, represents and warrants that Purchaser is not in a significantly
disparate bargaining position with respect to Seller in connection with the
transaction contemplated by this Agreement; that Purchaser freely and fairly
agreed to this acknowledgment as part of the negotiations for the transaction
contemplated by this Agreement. NOTWITHSTANDING ANYTHING HEREIN TO THE CONTRARY,
SELLER SHALL IN NO EVENT HAVE ANY LIABILITY FOR BREACH OF ANY REPRESENTATION,
WARRANTY, INDEMNITY OR COVENANT SET FORTH IN THIS AGREEMENT OR IN ANY CLOSING
DOCUMENT IN EXCESS OF FIVE HUNDRED THOUSAND AND NO/100 DOLLARS ($500,000.00), IN
THE AGGREGATE.

         8.3.     PURCHASER'S RELEASE. Purchaser on behalf of itself and its
successors and assigns waives its right to recover from, and forever releases
and discharges, Seller, Seller's partners, each of their respective members,
trustees, employees and agents of each of them, and their respective heirs,
successors, personal representatives and assigns from any and all demands,
claims, legal or administrative proceedings, losses, liabilities, damages,
penalties, fines, liens, judgments, costs or expenses known or unknown, foreseen
or unforeseen, that may arise on account of or in any way be connected with (i)
the physical condition of the Property, (ii) the condition of title to the
Property, (iii) the presence on, under or about the Property of any mold or
hazardous or regulated substance, (iv) the Property's compliance with any
applicable federal, state or local law, rule or regulation, or (v) any other
aspect of the Property; provided, however, the foregoing release (a) does not
release Seller for liability for any breach of the representations and
warranties of Seller set forth in Section 7.1 of this Agreement; (b) does not
release Seller from any liability under the special warranty of title set forth
in the Deed; and (c) apply to the existing Lease between Seller, as landlord and
Centene, as tenant. The terms and provisions of this Section 8.3 shall survive
Closing and/or termination of this Agreement.

         8.4      SURVIVAL. The express representations and warranties of
Purchaser made in this Agreement shall not merge into any instrument or
conveyance delivered at the Closing; provided, however, that any action suit or
proceeding with respect to the truth, accuracy or completeness of such
representations and warranties shall be commences, if at all, on or before the
date which is six (6) months after the date of the Closing and, if not commenced
on or before such date, thereafter such representations and warranties shall be
void and of no force or effect.

                                  ARTICLE IX.

                      SELLER'S INTERIM OPERATING COVENANTS.

         9.1.     OPERATIONS. Seller shall continue to operate, manage and
maintain the Improvements through the Closing Date in the ordinary course of
Seller's business and substantially in accordance with Seller's present
practice, subject to ordinary wear and tear and further subject to Article XII
of this Agreement.

         9.2.     MAINTAIN INSURANCE. Seller shall maintain until the Closing
Date fire and extended coverage insurance on the Property which is at least
equivalent in all material respects

                                     - 13 -

<PAGE>

to the insurance policies covering the Real Property and the Improvements as of
the Effective Date.

         9.3.     PERSONAL PROPERTY. Seller shall not transfer or remove any
Personal Property from the Improvements after the Effective Date except for
repair or replacement thereof. Any items of Personal Property replaced after the
Effective Date shall be promptly installed prior to Closing and shall be of
substantially similar quality to the item of Personal Property being replaced.

         9.4.     NO SALES. Except for the execution of tenant Leases pursuant
to Section 9.5, Seller shall not convey any interest in the Property to any
third party.

         9.5.     TENANT LEASES. Seller shall not, from and after the last day
of the Inspection Period, (i) grant any consent or waive any material rights
under the Leases, (ii) terminate any Lease, or (iii) enter into a new lease,
modify an existing Lease or renew, extend or expand an existing Lease in each
case without the prior written approval of Purchaser (an "APPROVED NEW LEASE"),
which in each case shall not be unreasonably withheld, conditioned or delayed,
and which shall be deemed granted if Purchaser fails to respond to a request for
approval within five (5) business days after receipt of the request therefor
together with a summary of lease terms and credit information of the proposed
tenant. Purchaser has no right to review and approve any Approved New Lease
during the Inspection Period, but Seller agrees to furnish Purchaser copies of
any Approved New Lease signed during the Inspection Period promptly following
receipt thereof. Seller also agrees to promptly furnish Purchaser with copies of
any new lease, renewal and expansion proposals given or received by Seller
during the Inspection Period. If, during the Inspection Period, Seller receives
an offer (the "OFFER") to lease any currently vacant space within the
Improvements which Seller is willing to accept, Seller agrees to provide written
notice (the "OFFER NOTICE") to Centene setting forth the terms of the Offer,
including the space covered thereby (the "OFFER SPACE"), and providing Centene
with the right of first refusal (the "ROFR") to lease the Offer Space on the
same terms as set forth in the Offer, but not otherwise. Centene shall have five
(5) business days following the date of the Offer Notice within which to elect
to exercise the ROFR as to such Offer Space. If Centene exercises the ROFR and
unconditionally accepts the Offer within such five (5) business day period, the
existing Centene Lease will be deemed automatically amended to expand Centene's
existing premises to include the Offer Space on the terms set forth in the Offer
Notice and, if requested by either Seller or Centene, the parties shall promptly
execute and deliver an amendment to the existing Centene Lease expanding
Centene's premises to include the Offer Space on the terms set forth in the
Offer. If Seller fails to receive written notice from Centene exercising the
ROFR and unconditionally accepting the Offer within such five (5) business day
period, Centene will be deemed to have rejected the Offer and Seller will be
free to lease the Offer Space on the terms set forth in the Offer or such other
terms as Seller may deem acceptable, as long as the base rental rate is no less
than that set forth in the Offer Notice. If Centene fails to exercise the ROFR
and Seller thereafter desires to lease the Offer Space at a rental rate less
than that set forth in the Offer Notice, Seller agrees to provide Centene with
an additional Offer Notice (the "REVISED OFFER NOTICE") offering to lease the
Offer Space to Centene at such reduced rental rate, which must be
unconditionally accepted (or otherwise be deemed rejected) by Centene within two
(2) business days following the date of the Revised Offer Notice. THE ROFR DOES
NOT COVER OR INCLUDE ANY SPACE WITHIN THE IMPROVEMENTS CURRENTLY LEASED OR OVER
WHICH ANY EXISTING TENANT HAS ANY

                                     - 14 -

<PAGE>

EXPANSION OR OTHER RIGHT WITH RESPECT THERETO. FURTHER, THE ROFR SHALL NOT BE
CONSIDERED A PART OF THE CENTENE LEASE AND SHALL AUTOMATICALLY EXPIRE AND BE OF
NO FURTHER EFFECT FROM AND AFTER THE DATE THIS AGREEMENT TERMINATES OR OTHERWISE
EXPIRES BY ITS TERMS.

                                   ARTICLE X.

                               CLOSING CONDITIONS.

         10.1.    CONDITIONS TO OBLIGATIONS OF SELLER. The obligations of Seller
under this Agreement to sell the Property and consummate the other transactions
contemplated hereby shall be subject to the satisfaction of the following
conditions on or before the Closing Date except to the extent that any of such
conditions may be waived by Seller in writing at Closing.

                  10.1.1   REPRESENTATIONS, WARRANTIES AND COVENANTS OF
PURCHASER. All representations and warranties of Purchaser in this Agreement
shall be true and correct in all material respects as of the Closing Date, with
the same force and effect as if such representations and warranties were made
anew as of the Closing Date. Any changes to such representations disclosed by
Purchaser shall be acceptable to Seller, and Purchaser shall have performed and
complied in all material respects with all covenants and agreements required by
this Agreement to be performed or complied with by Purchaser prior to the
Closing Date.

         10.2.    CONDITIONS TO OBLIGATIONS OF PURCHASER. The obligations of
Purchaser under this Agreement to purchase the Property and consummate the other
transactions contemplated hereby shall be subject to the satisfaction of the
following conditions on or before the Closing Date, except as otherwise provided
below or to the extent that any of such conditions may be waived by Purchaser in
writing at Closing.

                  10.2.1   REPRESENTATIONS, WARRANTIES AND COVENANTS OF SELLER.
All representations and warranties of Seller in this Agreement shall be true and
correct in all material respects as of the Closing Date, with the same force and
effect as if such representations and warranties were made anew as of the
Closing Date. Any changes to such representations disclosed by Seller shall be
acceptable to Purchaser, and Seller shall have performed and complied in all
material respects with all covenants and agreement required by this Agreement to
be performed or complied with by Seller prior to the Closing Date.

                  10.2.2   TENANT ESTOPPELS. Purchaser shall have received
Tenant estoppel certificates in substantially the form attached hereto as
Exhibit C (or, if different, the form required by the applicable Lease or
delivered to Seller prior to Seller's acquisition of the Property) from tenants
who lease, in the aggregate, at least eighty-five percent (85%) of the leased
space (inclusive of the space leased by Centene Corporation) in the Property in
substantially the same form as Seller received from such tenants when Seller
acquired the Property (the "TENANT ESTOPPEL CERTIFICATES"). Purchaser
acknowledges that Seller has no obligation to obtain a Tenant Estoppel
Certificate from Centene Corporation and the threshold set forth above includes
the space leased by such tenant. Seller shall provide Purchaser with

                                     - 15 -

<PAGE>

copies of the Tenant Estoppel Certificates prepared by Seller for Purchaser's
review and comment before delivering the completed Tenant Estoppel Certificates
to the Tenants and the completed Tenant Estoppel Certificates shall be deemed
approved by Purchaser on the expiration of three (3) business days following
such delivery unless Purchaser provides Seller in writing any comments to, or
objections concerning the substance of the completed Tenant Estoppel Certificate
to be delivered to the Tenants under the Leases. Notwithstanding the foregoing,
Seller may provide its own estoppel ("SELLER'S ESTOPPEL") in the form attached
as Exhibit J to Purchaser in satisfaction of the foregoing requirements but
Seller may not deliver a Seller Estoppel for more than fifteen percent (15%) of
the leased space. In the event that, after the Closing, Seller delivers to
Purchaser a Tenant Estoppel Certificate from a tenant for whom Seller executed a
Seller's Estoppel at the Closing and such Tenant Estoppel Certificate contains
no information which is contradictory to or inconsistent with the information
contained in the Seller's Estoppel, then Seller thereafter shall be released
from all liability relating to Seller's Estoppel with respect to such Seller's
Estoppel. In no event shall Seller be obligated to deliver updates to any of the
Tenant Estoppel Certificates. Seller will deliver Purchaser copies of the signed
Tenant Estoppel Certificates promptly following Seller's receipt thereof.
Purchaser agrees not to unreasonably object to or withhold Purchaser's consent
to any alternate estoppel form or changes made by any tenant to the form
attached hereto. In particular, Purchaser agrees to accept for each tenant the
same form of Tenant Estoppel Certificate signed by such tenant which Seller
received prior to Seller's acquisition of the Property as long as such Tenant
Estoppel Certificate is revised to show Purchaser as the prospective buyer. If
Purchaser fails to furnish Seller with a written notice of disapproval (which
notice, in order to be effective, must include Purchaser's specific objections),
within five (5) business days from the date of Seller's delivery thereof, such
Tenant Estoppel Certificate will be deemed approved by Purchaser.

                  10.2.3   TITLE POLICY. Upon recordation of the Deed and
payment of the title insurance premiums, Title Company shall be committed to
issue the Title Policy to Purchaser.

                  10.2.4   POSSESSION OF THE PROPERTY. Delivery by Seller of
possession of the Property, subject to the Permitted Exceptions and the rights
of tenants under the Leases and Approved New Leases.

                                  ARTICLE XI.

                                    CLOSING

         11.1.    PURCHASER'S CLOSING OBLIGATIONS. Purchaser, at its sole cost
and expense, shall deliver or cause to be delivered to Seller at Closing the
following:

                  11.1.1   The Purchase Price, after all adjustments are made at
the Closing as herein provided, by wire transfer or other immediately available
federal funds, which amount shall be received in escrow by the Title Company at
or before 11:00 a.m. St. Louis, Missouri time.

                                     - 16 -

<PAGE>

                  11.1.2   A general assignment substantially in the form
attached hereto as Exhibit G (the "GENERAL ASSIGNMENT").

                  11.1.3   Written notice addressed to the tenants in
substantially the form attached as Exhibit H (the "TENANT NOTICE").

                  11.1.4   Such other documents as may be reasonably necessary
or appropriate to effect the consummation of the transactions which are the
subject of this Agreement, including, without limitation, any certificate of
value or similar instrument required under applicable law.

         11.2.    SELLER'S CLOSING OBLIGATIONS. Seller, at its sole cost and
expense, shall deliver or cause to be delivered to Purchaser the following:

                  11.2.1   A Special Warranty Deed (the "Deed"), in the form
attached hereto as Exhibit F.

                  11.2.2   The General Assignment.

                  11.2.3   The Tenant Notice.

                  11.2.4   A certificate substantially in the form attached
hereto as Exhibit I ("NON-FOREIGN ENTITY CERTIFICATION") certifying that Seller
is not a "foreign person" as defined in Section 1445 of the Internal Revenue
Code of 1986, as amended.

                  11.2.5   To the extent necessary to remove any exception to
the Title Policy for mechanic's liens and general rights of parties in
possession, an affidavit in a form acceptable to the Escrow Agent and Seller
allowing Escrow Agent to issue the Title Policy to Purchaser without such
exception.

                  11.2.6   A closing statement.

                  11.2.7   The following items, to the extent in Seller's
possession (which need not be delivered at the Closing, but may, instead, be
delivered in the Property's management office): (a) all keys for all entrance
door and spaces which may be locked (whether occupied or not) in the
Improvements; (b) all original books, records, tenant files, operating reports,
plans and specifications and other materials reasonably necessary to the
continuity of operation of the Property; and (c) the originals (or copies where
originals are not available and copies of the Leases will be certified) of the
Leases and the Approved Contracts.

                  11.2.8   Such other documents as may be reasonably necessary
or appropriate to effect the consummation of the transactions which are the
subject of this Agreement.

                                  ARTICLE XII.

                                  RISK OF LOSS.

                                     - 17 -

<PAGE>

         12.1.    CONDEMNATION AND CASUALTY. If, prior to the Closing Date, all
or any portion of the Property is taken by condemnation or eminent domain, or is
the subject of a pending taking which has not been consummated, or is destroyed
or damaged by fire or other casualty, Seller shall notify Purchaser of such fact
promptly after Seller obtains knowledge thereof. If such condemnation or
casualty is "MATERIAL" (as hereinafter defined), Purchaser shall have the option
to terminate this Agreement upon notice to Seller given not later than fifteen
(15) days after receipt of Seller's notice, or the Closing Date, whichever is
earlier. If this Agreement is terminated, the Deposit shall be returned to
Purchaser and thereafter neither Seller nor Purchaser shall have any further
rights or obligations to the other hereunder except with respect to the
Surviving Termination Obligations. If this Agreement is not terminated, Seller
shall not be obligated to repair any damage or destruction but (a) Seller shall
assign, without recourse, and turn over to Purchaser all of the insurance
proceeds or condemnation proceeds, as applicable, (or, if such have not been
awarded, all of its right, title and interest therein) payable with respect to
such fire or other casualty or condemnation, and (b) the parties shall proceed
to Closing pursuant to the terms hereof without abatement of the Purchase Price
except for a Purchase Price credit in the amount of the applicable insurance
deductible.

         12.2.    CONDEMNATION NOT MATERIAL. If the condemnation is not
Material, then the Closing shall occur without abatement of the Purchase Price
and Seller shall assign, without recourse, all awards or any rights to collect
awards to Purchaser on the Closing Date.

         12.3.    CASUALTY NOT MATERIAL. If the Casualty is not Material, then
the Closing shall occur without abatement of the Purchase Price except for a
Purchase Price credit in the amount of the applicable deductible and any damage
from such Casualty not covered by the insurance proceeds and Seller shall not be
obligated to repair such damage or destruction and Seller shall assign, without
recourse, and turn over to Purchaser all of the insurance proceeds net of any
reasonable (a) costs of repairs, and (b) collection costs (or, if such have not
been awarded, all of its right, title and interest therein) payable with respect
to such casualty and credit the Purchase Price with the amount of any applicable
insurance deductible.

         12.4.    MATERIALITY. For purposes of this Article XII (a) with respect
to a taking by eminent domain, the term "MATERIAL" shall mean any taking
whatsoever, regardless of the amount of the award or the amount of the Property
taken, excluding, however, any taking solely of subsurface rights or takings for
utility easements or right of way easements, if the surface of the Property,
after such taking, may be used in substantially the same manner as though such
rights had not been taken, and (b) with respect to a casualty, the term
"MATERIAL" shall mean any casualty such that the cost of repair, as reasonably
estimated by Seller's engineer, is in excess of Six Hundred Twenty-Five Thousand
and No/100 Dollars ($625,000.00).

                                  ARTICLE XIII.

                                     DEFAULT

         13.1.    DEFAULT BY SELLER. In the event the Closing and the
transactions contemplated hereby do not occur as provided herein by reason of
the default of Seller, Purchaser may elect, as the sole and exclusive remedy of
Purchaser, to (a) terminate this Agreement and receive the

                                     - 18 -

<PAGE>

Deposit from the Escrow Agent, and in such event Seller shall not have any
liability whatsoever to Purchaser hereunder other than with respect to the
Surviving Termination Obligations, or (b) enforce specific performance of
Seller's obligation to convey the Property, without adjustment to, or credit
against, the Purchase Price. Purchaser shall be deemed to have elected to
terminate this Agreement (as provided in subsection (a) above) if Purchaser
fails to deliver to Seller written notice of its intent to file a cause of
action for specific performance against Seller on or before fifteen (15)
business days after the originally scheduled Closing Date, or having given
Seller notice, fails to file a lawsuit asserting such cause of action within
ninety (90) days after the originally scheduled Closing Date. Notwithstanding
the foregoing, nothing contained herein shall limit Purchaser's remedies at law
or in equity, as to the Surviving Termination Obligations.

         13.2.    DEFAULT BY PURCHASER. IN THE EVENT THE CLOSING AND THE
TRANSACTIONS CONTEMPLATED HEREBY DO NOT OCCUR AS PROVIDED HEREIN BY REASON OF
ANY DEFAULT OF PURCHASER, PURCHASER AND SELLER AGREE IT WOULD BE IMPRACTICAL AND
EXTREMELY DIFFICULT TO FIX THE DAMAGES WHICH SELLER MAY SUFFER. THEREFORE,
PURCHASER AND SELLER HEREBY AGREE A REASONABLE ESTIMATE OF THE TOTAL NET
DETRIMENT SELLER WOULD SUFFER IN THE EVENT PURCHASER DEFAULTS AND FAILS TO
COMPLETE THE PURCHASE OF THE PROPERTY IS AND SHALL BE, AS SELLER'S SOLE AND
EXCLUSIVE REMEDY (WHETHER AT LAW OR IN EQUITY), A SUM EQUAL TO THE DEPOSIT. UPON
SUCH DEFAULT BY PURCHASER, SELLER SHALL HAVE THE RIGHT TO RECEIVE THE DEPOSIT
FROM THE ESCROW AGENT AS ITS SOLE AND EXCLUSIVE REMEDY AND THEREUPON THIS
AGREEMENT SHALL BE TERMINATED AND NEITHER SELLER NOR PURCHASER SHALL HAVE ANY
FURTHER RIGHTS OR OBLIGATIONS HEREUNDER EXCEPT WITH RESPECT TO THE SURVIVING
TERMINATION OBLIGATIONS. NOTWITHSTANDING THE FOREGOING, NOTHING CONTAINED HEREIN
SHALL LIMIT SELLER'S REMEDIES AT LAW OR IN EQUITY AS TO THE SURVIVING
TERMINATION OBLIGATIONS.

                                  ARTICLE XIV.

                                    BROKERS

         14.1.    BROKERS. Purchaser and Seller each represents and warrants to
the other that it has not dealt with any person or entity entitled to a
brokerage commission, finder's fee or other compensation with respect to the
transaction contemplated hereby. Purchaser hereby agrees to indemnify, defend,
and hold Seller harmless from and against any losses, damages, costs and
expenses (including, but not limited to, attorneys' fees and costs) incurred by
Seller by reason of any breach or inaccuracy of the Purchaser's (or its
nominee's) representations and warranties contained in this Article XIV. Seller
hereby agrees to indemnify, defend, and hold Purchaser harmless from and against
any losses, damages, costs and expenses (including, but not limited to,
attorneys' fees and costs) incurred by Purchaser by reason of any breach or
inaccuracy of Seller's representations and warranties contained in this Article
XIV. Seller and Purchaser agree that it is their specific intent that no broker
shall be a party to or a third party beneficiary of this Agreement or the
Deposit, that no broker shall have any rights or cause of action hereunder, and
further that the consent of a broker shall not be necessary to any agreement,
amendment, or

                                     - 19 -

<PAGE>

document with respect to the transaction contemplated by this Agreement. The
provisions of this Article XIV shall survive the Closing and/or termination of
this Agreement.

                                   ARTICLE XV.

                                 CONFIDENTIALITY

         15.1.    CONFIDENTIALITY. Purchaser expressly acknowledges and agrees
that the transactions contemplated by this Agreement, the Documents that are not
otherwise known by or readily available to the public and the terms, conditions
and negotiations concerning the same shall be held in the strictest confidence
by Purchaser and shall not be disclosed by Purchaser except to its legal
counsel, lenders, investors, surveyor, title company, broker, accountants,
consultants, officers, partners, directors and shareholders (the "AUTHORIZED
REPRESENTATIVES"), and except and only to the extent that such disclosure may be
necessary for its performance hereunder. Purchaser agrees that it shall instruct
(and will be responsible for the compliance of) each of its Authorized
Representatives to maintain the confidentiality of such information. Purchaser
further acknowledges and agrees that, unless and until the Closing occurs, all
information and materials obtained by Purchaser in connection with the Property
that are not otherwise known by or readily available to the public will not be
disclosed by Purchaser to any third persons (other than to its Authorized
Representatives) without the prior written consent of Seller. If the transaction
contemplated by this Agreement does not occur for any reason whatsoever,
Purchaser shall promptly return to Seller, and shall instruct its Authorized
Representatives to return to Seller, all copies and originals of all documents
and information provided to Purchaser. Nothing contained in this Section 15.1
shall preclude or limit either party from disclosing or accessing any
information otherwise deemed confidential under this Section 15.1 in connection
with the party's enforcement of its rights following a disagreement hereunder or
in response to lawful process or subpoena or other valid or enforceable order of
a court of competent jurisdiction or any filings with Authorities required by
reason of the transactions provided for herein. The provisions of this Section
15.1 shall survive any termination of this Agreement.

         15.2.    POST CLOSING PUBLICATION. Notwithstanding the foregoing,
following Closing, Purchaser and Seller shall have each have the right to
announce the sale and acquisition of the Property in newspapers and real estate
trade publications (including "tombstones") publicizing the purchase or as
otherwise required by law, in each instance only in a form which has been
approved by Purchaser and Seller. The provisions of this Section 15.2 shall
survive Closing and/or any termination of this Agreement.

                                  ARTICLE XVI.

                                  MISCELLANEOUS

         16.1.    NOTICES. Any and all notices, requests, demands or other
communications hereunder shall be deemed to have been duly given if in writing
and if transmitted by hand delivery with receipt therefor, by facsimile delivery
(with confirmation by hard copy), by

                                     - 20 -

<PAGE>

overnight courier, or by registered or certified mail, return receipt requested,
first class postage prepaid addressed as follows (or to such new address as the
addressee of such a communication may have notified the sender thereof) (the
date of such notice shall be the date of actual delivery to the recipient
thereof):

         To Purchaser:     Centene Corporation
                           7711 Carondelet Avenue
                           Suite 800
                           St. Louis, Missouri 63105
                           Attn: James Reh, Vice President of Facilities
                                 Management
                           Phone No.: (314) 725-4477
                           Fax No.: (314) 725-2065
                           Email: jreh@centene.com

         With a copy to:   Armstrong Teasdale LLP
                           One Metropolitan Square, Suite 2600
                           St. Louis, MO 63102
                           Attn: Michael A. Chivell
                           Phone No.: (314) 342-8082
                           Fax No.: (314) 612-2232
                           Email: mchivell@armstrongteasdale.com

         To Seller:        c/o TA Associates Realty
                           28 State Street, 10th Floor
                           Boston, Massachusetts 02109
                           Attn: James P. Raisides
                           Phone No.: (617) 476-2726
                           Fax No.: (617) 476-2799
                           Email: jraisides@tarealty.com

         With a copy to:   Stutzman, Bromberg, Esserman & Plifka,
                           A Professional Corporation
                           2323 Bryan Street, Suite 2200
                           Dallas, Texas 75201
                           Attn: Kenneth F. Plifka
                           Phone No.: (214) 969-4900
                           Fax No.: (214) 969-4999
                           Email: plifka@sbep-law.com

         To Escrow Agent:  Chicago Title Insurance Company
                           2001 Bryan Street, Suite 1700
                           Dallas, Texas 75201-3005
                           Attn: Ellen Schwab
                           Phone No.: (214) 965-1670
                           Fax No.: (214) 965-1629
                           Email: schwabe@ctt.com

                                     - 21 -

<PAGE>

         16.2.    GOVERNING LAW. This Agreement shall be governed by and
construed in accordance with the internal, substantive laws in which the
Property is located, without regard to the conflict of laws principles thereof.

         16.3.    HEADINGS. The captions and headings herein are for convenience
and reference only and in no way define or limit the scope or content of this
Agreement or in any way affect its provisions.

         16.4.    EFFECTIVE DATE. This Agreement shall be effective upon
delivery of this Agreement fully executed by Seller and Purchaser, which date
shall be deemed the Effective Date hereof. Either party may request that the
other party promptly execute a memorandum specifying the Effective Date.

         16.5.    BUSINESS DAYS. If any date herein set forth for the
performance of any obligations of Seller or Purchaser or for the delivery of any
instrument or notice as herein provided should be on a Saturday, Sunday or legal
holiday, the compliance with such obligations or delivery shall be deemed
acceptable on the next business day following such Saturday, Sunday or legal
holiday. As used herein, the term "legal holiday" means any state or Federal
holiday for which financial institutions or post offices are generally closed in
the state where the Property is located.

         16.6.    COUNTERPART COPIES. This Agreement may be executed in two or
more counterpart copies, all of which counterparts shall have the same force and
effect as if all parties hereto had executed a single copy of this Agreement.

         16.7.    BINDING EFFECT. This Agreement shall be binding upon, and
inure to the benefit of, the parties hereto and their respective successors and
assigns.

         16.8.    ASSIGNMENT. Purchaser shall not have the right to assign the
Agreement without Seller's prior written consent, which consent may be given or
withheld in Seller's sole and absolute discretion; provided, however, Purchaser
may assign this Agreement to another entity without Seller's consent (a) as long
as (i) such assignee is controlled by Centene; and (ii) Purchaser provides
Seller with the name and organizational documents for such assignee and all
members thereof at least five (5) business days in advance of the Closing Date;
and (b) as part of a sale-leaseback transaction in which Centene or a wholly
owned affiliate is the tenant. Purchaser shall in no event be released from any
of its obligations or liabilities hereunder as a result of any assignment. The
respective obligations of Seller and Purchaser under this Section 16.8 shall
survive the Closing and shall not be merged therein. Whenever reference is made
in this Agreement to Seller or Purchaser, such reference shall include the
successors and assigns of such party under this Agreement.

         16.9.    INTERPRETATION. This Agreement shall not be construed more
strictly against one party than against the other merely by virtue of the fact
that it may have been prepared by counsel for one of the parties, it being
recognized that both Seller and Purchaser have contributed substantially and
materially to the preparation of this Agreement.

         16.10.   ENTIRE AGREEMENT. This Agreement and the Exhibits attached
hereto contain the final and entire agreement between the parties hereto with
respect to the sale and purchase of the

                                     - 22 -

<PAGE>

Property and are intended to be an integration of all prior negotiations and
understandings. Purchaser, Seller and their agents shall not be bound by any
terms, conditions, statements, warranties or representations, oral or written,
not contained herein. No change or modifications to this Agreement shall be
valid unless the same is in writing and signed by the parties hereto. Each party
reserves the right to waive any of the terms or conditions of this Agreement
which are for their respective benefit and to consummate the transaction
contemplated by this Agreement in accordance with the terms and conditions of
this Agreement which have not been so waived. Any such waiver must be in writing
signed by the party for whose benefit the provision is being waived.

         16.11.   SEVERABILITY. If any one or more of the provisions hereof
shall for any reason be held to be invalid, illegal or unenforceable in any
respect, such invalidity, illegality or unenforceability shall not affect any
other provision hereof, and this Agreement shall be construed as if such
invalid, illegal or unenforceable provision had never been contained herein.

         16.12.   SURVIVAL. Except as otherwise specifically provided for herein
or in any closing document (collectively, the "SURVIVING TERMINATION
OBLIGATIONS"), the provisions of this Agreement and the representations and
warranties herein shall not survive after the conveyance of title and payment of
the Purchase Price but be merged therein.

         16.13.   EXHIBITS. Exhibits A through L attached hereto are
incorporated herein by reference.

         16.14.   TIME. Time is of the essence in the performance of each of the
parties' respective obligations contained herein.

         16.15.   LIMITATION OF LIABILITY. The obligations of Seller are binding
only on Seller's interest in the Property and shall not be personally binding
upon, nor shall any resort be had to, any other assets of Seller nor the private
properties of any of the partners, officers, directors, shareholders or
beneficiaries of Seller, or of any partners, officers, directors, shareholders
or beneficiaries of any partners of Seller, or of any of Seller's employees or
agents. All documents executed by Seller shall be deemed to contain (even if not
expressly stated) the foregoing exculpation.

         16.16.   PREVAILING PARTY. Should either party employ an attorney to
enforce any of the provisions hereof, (whether before or after Closing, and
including any claims or actions involving amounts held in escrow), the
non-prevailing party in any final judgment agrees to pay the other party's
reasonable expenses, including reasonable attorneys' fees and expenses in or out
of litigation and, if in litigation, trial, appellate, bankruptcy or other
proceedings, expended or incurred in connection therewith, as determined by a
court of competent jurisdiction. The provisions of this Section 16.16 shall
survive Closing and/or any termination of this Agreement.

         16.17.   ESCROW AGREEMENT.

                  16.17.1  INSTRUCTIONS. Purchaser and Seller each shall
promptly deposit a copy of this Agreement executed by such party (or either of
them shall deposit a copy executed by both Purchaser and Seller) with Escrow
Agent, and, upon receipt of the Deposit from Purchaser, Escrow Agent shall
immediately execute this Agreement where provided below and

                                     - 23 -

<PAGE>

send copies to Purchaser and Seller. This Agreement, together with such further
instructions, if any, as the parties shall provide to Escrow Agent by written
agreement, shall constitute the escrow instructions. If any requirements
relating to the duties or obligations of Escrow Agent hereunder are not
acceptable to Escrow Agent, or if Escrow Agent requires additional instructions,
the parties hereto agree to make such deletions, substitutions and additions
hereto as counsel for Purchaser and Seller shall mutually approve, which
additional instructions shall not substantially alter the terms of this
Agreement unless otherwise expressly agreed to by Seller and Purchaser.

                  16.17.2  REAL ESTATE REPORTING PERSON. Escrow Agent is hereby
designated the "real estate reporting person" for purposes of Section 6045 of
Title 26 of the United States Code and Treasury Regulation 1.6045-4 and any
instructions or settlement statement prepared by Escrow Agent shall so provide.
Upon the consummation of the transaction contemplated by this Agreement, Escrow
Agent shall file Form 1099 information return and send the statement to Seller,
with a copy to Purchaser, as required under the aforementioned statute and
regulation. Seller and Purchaser shall promptly furnish their federal tax
identification numbers to Escrow Agent and shall otherwise reasonably cooperate
with Escrow Agent in connection with Escrow Agent's duties as real estate
reporting person.

                  16.17.3  LIABILITY OF ESCROW AGENT. Any notice sent by Seller
or Purchaser (the "NOTIFYING PARTY") to the Escrow Agent shall be sent
simultaneously to the other noticed parties pursuant to Section 16.1 herein (the
"NOTICE PARTIES"). If the Notice Parties do not object to the Notifying Party's
notice to the Escrow Agent within ten (10) days after the Notice Parties'
receipt of the Notifying Party's certificate to the Escrow Agent, the Escrow
Agent shall be able to rely on the same. If the Notice Parties send, within such
ten (10) days, written notice to the Escrow Agent disputing the Notifying
Party's certificate, a dispute shall exist and the Escrow Agent shall hold the
Deposit as hereinafter provided. The parties hereto hereby acknowledge that
Escrow Agent shall have no liability to any party on account of Escrow Agent's
failure to disburse the Deposit if a dispute shall have arisen with respect to
the propriety of such disbursement and, in the event of any dispute as to who is
entitled to receive the Deposit, disburse them in accordance with the final
order of a court of competent jurisdiction, or to deposit or interplead such
funds into a court of competent jurisdiction pending a final decision of such
controversy. The parties hereto further agree that Escrow Agent shall not be
liable for failure to any depository and shall not be otherwise liable except in
the event of Escrow Agent's gross negligence or willful misconduct. The Escrow
Agent shall be reimbursed on an equal basis by Purchaser and Seller for any
reasonable expenses incurred by the Escrow Agent arising from a dispute with
respect to the Deposit. The obligations of Seller with respect to the Escrow
Agent are intended to be binding only on Seller and Seller's assets and shall
not be personally binding upon, nor shall any resort be had to, the private
properties of any of the partners, officers, directors, shareholders or
beneficiaries of Seller, or of any partners, officers, directors, shareholders
or beneficiaries of any partners of Seller, or of any of Seller's employees or
agents.

         16.18.   NO RECORDING. Neither this Agreement nor any memorandum or
short form hereof shall be recorded or filed in any public land or other public
records of any jurisdiction, by either party and any attempt to do so may be
treated by the other party as a breach of this Agreement.

                                     - 24 -
<PAGE>

         16.19.   WAIVER OF TRIAL BY JURY. The respective parties hereto shall
and hereby do waive trial by jury in any action, proceeding or counterclaim
brought by either of the parties hereto against the other on any matters
whatsoever arising out of or in any way connected with this Agreement, or for
the enforcement of any remedy under any statute, emergency or otherwise.

                         [SIGNATURES ON FOLLOWING PAGES]

                                     - 25 -
<PAGE>

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement
under seal on the date set forth above.

                                        SELLER:

                                        THE REALTY ASSOCIATES FUND VI, L.P.,
                                        a Delaware limited partnership

                                        By: Realty Associates Fund VI, LLC,
                                            its general partner

                                            By: Realty Associates Advisors, LLC,
                                                its manager

                                                By: Realty Associates
                                                    Advisors Trust,
                                                    its sole member

                                                    By:_________________________
                                                    Name:
                                                    Title:

                                     - 26 -
<PAGE>

                                        PURCHASER:

                                        CENTENE MANAGEMENT CORPORATION,
                                        a Wisconsin corporation

                                        By:_____________________________________
                                        Name:
                                        Title:

                                     - 27 -
<PAGE>

                              ESCROW AGENT JOINDER

         Escrow Agent hereby executes this Agreement for the sole purpose of
acknowledging receipt of the Initial Deposit and its responsibilities hereunder
and to evidence its consent to serve as Escrow Agent in accordance with the
terms of this Agreement.

                                        ESCROW AGENT:

                                        CHICAGO TITLE INSURANCE COMPANY

                                        By:_____________________________________
                                        Name:
                                        Title:

                                        Date:  April ____, 2003

                                     - 28 -
<PAGE>

                                LIST OF EXHIBITS

EXHIBITS

Exhibit A         -        Legal Description

Exhibit B         -        Due Diligence Documents to be Delivered by Seller

Exhibit C         -        Form of Tenant Estoppel Certificate

Exhibit D         -        Permitted Exceptions

Exhibit E         -        Lease Schedule

Exhibit F         -        Form of Special Warranty Deed

Exhibit G         -        Form of General Assignment

Exhibit H         -        Form of Notice Letter to Tenants

Exhibit I         -        Form of Non-Foreign Entity Certificate

Exhibit J         -        Form of Seller Estoppel

Exhibit K         -        Disclosure Schedule

Exhibit L         -        List of Service Agreements

                                     - 29 -
<PAGE>

                                    EXHIBIT A
                                LEGAL DESCRIPTION

Centene Place

Lots 8, 9 and 10 in Block 13 of the Town (now City) of Clayton according to the
plat thereof recorded in Plat Book 1, Page 11 (now Page 7) of the St. Louis
County Records.

                             EXHIBIT A - PAGE 1 OF 1

<PAGE>

                                    EXHIBIT B
                             DUE DILIGENCE DOCUMENTS
                            TO BE DELIVERED BY SELLER

Tenant Information

1.       A current rent roll for the Property in the form currently maintained
         by Seller.

2.       All Leases and amendments thereto, including all subleases and Lease
         guaranties.

3.       All leasing commission/brokerage agreements

4.       All certificates of insurance or other evidence of insurance delivered
         by existing tenants of the Property

Operating Information

1.       All service, maintenance, equipment and/or supply contracts.

2.       Real estate tax bills (including special assessments) for the prior two
         (2) years.

3.       Year-to-date 2003 operating statements.

4.       Year-end 2002 Lease occupancy expense reconciliations.

Other

1.       Seller's most current title policy and any title report or commitment
         for the Property.

2.       Seller's most recent survey of the Property.

3.       Any maintenance or repair records relating to the Property from October
         1, 2002 to the present - to be made available at the property manager's
         office, to the extent in Seller's possession or control.

4.       Any "as built" plans and specifications for the Improvements and any
         site engineering plans and environmental reports relating to the
         Property - to be made available at the property manager's office, to
         the extent in Seller's possession or control.

5.       All marketing and leasing materials related to the Property - to be
         made available at the property manager's office, to the extent in
         Seller's possession or control.

6.       True and complete copies of all governmental documents and/or approvals
         for tax abatement, development, zoning, platting and/or utility
         services for the Property, including any reassessment notices from any
         taxing authority or assessors office for 2003 - to be made available at
         the property manager's office, to the extent in Seller's possession or
         control.

                             EXHIBIT B - PAGE 1 OF 1

<PAGE>

7.       True and complete copies of any certificates of occupancy for the
         Improvements - to be made available at the property manager's office,
         to the extent in Seller's possession or control.

8.       A list of the Personal Property - to be made available at the property
         manager's office, to the extent in Seller's possession or control.

                                      - 2 -

<PAGE>

                                    EXHIBIT C

                           TENANT ESTOPPEL CERTIFICATE

         _____________________________________ (the "Tenant") hereby certifies
to The Realty Associates Fund VI, a Delaware limited partnership (the "Owner")
and Centene Corporation, its successors or assigns ("Purchaser") as follows:

         1.       Pursuant to that certain Lease dated ____________, ______ (the
                  "Lease"), Tenant leases _______________ square feet of space
                  (the "Premises"). The Lease, as amended, modified and
                  supplemented, is in full force and effect, and represents the
                  entire agreement between Tenant and Owner for the Property.
                  There are no amendments, modifications or supplements to the
                  Lease, whether oral or written, except as follows (include the
                  date of each amendment, modification or supplement):
                  ________________________________
                  _____________________________________. A true and correct copy
                  of the Lease, as amended, modified and supplemented, is
                  attached hereto as Exhibit A.

         2.       The term of the Lease began on ____________________, ______
                  and will end on ____________________, 20____. Tenant has
                  accepted the Premises, is in occupancy, and is paying rent
                  under the Lease.

         3.       The Lease does/does not provide for an option to extend the
                  term of the Lease for ________________ years. Except as
                  expressly provided in the Lease, Tenant does not have any
                  right or option to renew or extend the term of the Lease, to
                  lease other space at the Property, nor any preferential right
                  to purchase all or any part of the Premises or the Property.

         4.       The Lease is presently in full force and effect and neither
                  Owner nor Tenant is in default thereunder. There exist no
                  facts that would constitute a basis for any such default upon
                  the lapse of time or the giving of notice or both.

         5.       Tenant is currently paying [Base Monthly] Rent under the Lease
                  in the amount of $__________________ and estimated monthly
                  pass throughs in the amount of __________________. As of the
                  date of this certificate, to the knowledge of Tenant, there
                  exist no offsets, counterclaims, or defenses of Tenant under
                  the Lease against Owner, and there exist no events that would
                  constitute a basis for any such offset, counterclaim, or
                  defense against Owner upon the lapse of time or the giving of
                  notice or both, except the following (if left blank, there
                  shall be deemed to be none):__________________

         6.       There are no concessions, bonuses, free rental periods,
                  rebates, advance rental payments, or other matters affecting
                  the rental payable by Tenant under the Lease except as
                  described in the attached Lease

         7.       A cash security deposit in the amount of $__________________
                  has been paid to Owner under the Lease, and Tenant has not
                  given Owner any other security or similar deposit.

                             EXHIBIT C - PAGE 1 OF 2

<PAGE>

         8.       All improvements or repairs required under the terms of the
                  Lease to be made by Owner through the date hereof have been
                  satisfactorily completed. All allowances and other payments
                  due to Tenant by Owner under the terms of the Lease have been
                  paid in full, except the following (if left blank, there shall
                  be deemed to be none):_______________________________________
                  ____________.

         9.       Tenant acknowledges that: (a) Purchaser will rely on the
                  statements of Tenant in Purchaser's decision to purchase the
                  Property from Owner, and (b) Owner may assign its interest in
                  the Lease to Purchaser and agrees, upon receipt of notice of
                  such assignment from Owner and Purchaser, to attorn to
                  Purchaser and to perform all of Tenant's obligations as the
                  tenant under the Lease, including, without limitation, the
                  payment of rent, directly to Purchaser, or its agent, as the
                  landlord under the Lease, from and after the date of such
                  notice.

         Dated this _______ day of ______________, 2003.

                                        [NAME OF TENANT]

                                        By:_____________________________________
                                        Name:
                                        Title:

                             EXHIBIT C - PAGE 2 OF 2

<PAGE>

                                    EXHIBIT D

                              PERMITTED EXCEPTIONS

         1.       Real estate taxes and all general and special assessments
                  applicable to the year of Closing (to the extent not fully
                  paid at Closing) and subsequent calendar years.

         2.       Rights of tenants under the Leases.

         3.       Local, state and federal laws, ordinances or governmental
                  regulations, including, but not limited to, building and
                  zoning laws, ordinances and regulations, now or hereafter in
                  effect relating to the Property.

                             EXHIBIT D - PAGE 1 OF 1

<PAGE>

                                    EXHIBIT E

                                 LEASE SCHEDULE

                     [Please see rent roll attached hereto]

NOTE:    THE RENT ROLL HAS BEEN ATTACHED FOR REFERENCE PURPOSES ONLY AND SELLER
         DOES NOT REPRESENT THE ACCURACY THEREOF.

                             EXHIBIT E - PAGE 1 OF 1

<PAGE>

                                    EXHIBIT F

AFTER RECORDING RETURN TO:
_________________________
_________________________
_________________________
_________________________

                              SPECIAL WARRANTY DEED

THE STATE OF___________  Section
                         Section        KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF _____________  Section

         THAT, ______________________, ____________________ ("Grantor"), for and
in consideration of the sum of Ten and No/100 Dollars ($10.00) and other good
and valuable consideration in hand paid to Grantor by_______________________
("Grantee"), whose mailing address is _________________,_______________________,
Attention: ___________________, the receipt and sufficiency of such
consideration being hereby acknowledged, has GRANTED, SOLD AND CONVEYED, and by
these presents does GRANT, SELL AND CONVEY unto Grantee that certain real
property being more particularly described in Exhibit A attached hereto and made
a part hereof for all purposes, together with all improvements, structures and
fixtures situated thereon (collectively, the "Property"); subject, however, to
those matters more particularly described in Exhibit B attached hereto and made
a part hereof for all purposes (collectively, the "Permitted Exceptions").

         TO HAVE AND TO HOLD the Property, together with all and singular the
rights, and appurtenances thereto in anywise belonging, unto Grantee, its
successors and assigns forever, subject to the Permitted Exceptions; and Grantor
does hereby bind itself and its successors to WARRANT AND FOREVER DEFEND all and
singular the Property, subject to the Permitted Exceptions, unto Grantee, its
successors and assigns, against every person whomsoever lawfully claiming, or
claim the same, or any part thereof, by, through, or under Grantor, but not
otherwise.

         IN WITNESS WHEREOF, this instrument has been executed as of (but not
necessarily on) this _____ day of ____________________, 2003.

                                        GRANTOR:

                                        ________________________________

                                        By:_____________________________________
                                        Name:
                                        Title:

THE STATE OF _____________ Section

                             EXHIBIT F - PAGE 1 OF 2

<PAGE>

                          Section
COUNTY OF _______________ Section

         This instrument was acknowledged before me on ___________________,
2003, by ____________________________________, a ________________________, on
behalf of such ___________________.

My Commission Expires:                  ____________________________________

                                        Notary Public, State of_____________

                                        ____________________________________

                                        Notary's name printed:

                                        ________________________________________

NOTE:    THIS FORM WILL BE MODIFIED, AS APPROPRIATE, TO COMPLY WITH APPLICABLE
         MISSOURI REQUIREMENTS.

                             EXHIBIT F - PAGE 2 OF 2

<PAGE>

                                    EXHIBIT G

                               GENERAL ASSIGNMENT

         THIS GENERAL ASSIGNMENT (the "General Assignment") is made as of the
______ day of _____________, 2003 by: (i) _____________________ ("Seller"), and
(ii) __________________________________, a _________________________
("Purchaser").

         KNOW ALL MEN BY THESE PRESENTS:

         Concurrently with the execution and delivery hereof, pursuant to a
certain Agreement of Purchase and Sale dated ________, 2003 (the "Agreement")
between Seller and Purchaser, Seller is conveying to Purchaser all of Seller's
right, title and interest in and to the real property described on Exhibit A
attached hereto and made a part hereof (the "Land") and in and to the building,
parking areas and other structures and improvements located on the Land
(collectively, the "Improvements") located in Clayton, Missouri. The Land and
the Improvements are hereinafter sometimes collectively referred to as the
"Property."

         It is the desire of Seller to hereby sell, assign, transfer, convey,
set-over and deliver to Purchaser all of Seller's right, title and interest in
and to the Assigned Property (as hereinafter defined).

         1.       Bill of Sale and Assignment.

                  Seller does hereby sell, assign, transfer, set-over and
deliver unto Purchaser, its successors and assigns, with special warranty of
title and subject to the limitations contained in Section 8.2 of the Agreement,
all right, title and interest of Seller in and to:

                  a.       All personal property (including equipment), if any,
                           owned by Seller and located on the Property as of the
                           date hereof, all inventory located on the Property on
                           the date hereof, and all fixtures (if any) owned by
                           Seller and located on the Property as of the date
                           hereof (the "Personal Property"); and

                  b.       All non-exclusive trademarks and trade names, if any,
                           used in connection with the Property, but only to the
                           extent that the same are not trademarks or trade
                           names of Seller or any of Seller's affiliated
                           companies (collectively, the "Trade Names");

                  c.       Seller's interest, if any, in and to the service,
                           equipment, supply and maintenance contracts (the
                           "Contracts") listed on Schedule 1 attached hereto,
                           and guarantees, licenses, approvals, certificates,
                           permits and warranties relating to the Property, to
                           the extent assignable (collectively, the "Intangible
                           Property"); and

                  d.       The leases, subleases, licenses and other occupancy
                           agreements, together with any and all amendments,
                           modifications or supplements thereto (the "Leases")
                           demising space in or otherwise similarly affecting or
                           relating to the

                             EXHIBIT G - PAGE 1 OF 3

<PAGE>

                           Property listed on Schedule 2 attached hereto;
                           subject, however to the rights of Seller set forth in
                           the Agreement to rents under the leases assigned
                           hereby attributable to the period prior to the date
                           hereof.

                           TO HAVE AND TO HOLD the Personal Property, the Trade
Names, the Intangible Property and the Leases (collectively, the "Assigned
Property") unto Purchaser, its successors and assigns, forever.

         2.       Assumption/Indemnity.

                  Purchaser accepts the foregoing assignment and assumes and
agrees to be bound by and to perform and observe all of the obligations,
covenants, terms and conditions to be performed or observed under the Assigned
Property arising on or after the date hereof. Purchaser further agrees to
indemnify Seller and hold Seller harmless from and against any and all claims,
liens, damages, demands, causes of action, liabilities, lawsuits, judgments,
losses, costs and expenses (including, without limitation, attorneys' fees and
expenses) (collectively, the "Losses") asserted against or incurred by Seller by
reason of or arising out of any failure by Purchaser to perform or observe the
obligations, covenants, terms and conditions assumed by Purchaser hereunder
arising in connection with the Assigned Property and related to the period on or
after the date hereof. Seller agrees to indemnify Purchaser and hold Purchaser
harmless from and against any all Losses asserted against or incurred by
Purchaser by reason of or arising out of any failure by Seller to perform or
observe the obligations, covenants, terms and conditions arising in connection
with or under the Assigned Property and related to the period prior to the date
hereof and during Seller's period of ownership.

         3.       Exclusions from Personal Property.

                  It is hereby acknowledged by the parties that the Assigned
Property shall not include claims relating to any real property tax refunds or
rebates for periods accruing prior to the date hereof, existing insurance claims
and any existing claims against tenants of the Property, which claims are hereby
reserved by Seller; provided, however, Seller shall have no right to terminate
the lease, evict or otherwise dispossess any tenant or require Purchaser to
declare a default under the lease of any tenant.

         4.       Counterpart Copies.

                  This General Assignment may be executed in two or more
counterpart copies, all of which counterparts shall have the same force and
effect as if all parties hereto had executed a single copy of this General
Assignment.

                             EXHIBIT G - PAGE 2 OF 3

<PAGE>

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

                                          SELLER:

                                          _________________________________

                                          By: __________________________________
                                          Name:
                                          Title:

                                          PURCHASER:

                                          ______________________________________
                                          a ____________________________________

                                          By: __________________________________
                                          Name:
                                          Title:

                             EXHIBIT G - PAGE 3 OF 3

<PAGE>

                                    EXHIBIT H

                            NOTICE LETTER TO TENANTS

                              ________________, 2003

CERTIFIED MAIL,
RETURN RECEIPT REQUESTED

Dear Tenant:

         We are pleased to advise you that the building in which your premises
are located at ___________________________________________________, has been
sold by _____________________ to _________________________________ (the
"Purchaser") effective as of the date set forth above. Your lease agreement has
been assigned to and accepted by Purchaser and Purchaser has agreed to assume
all responsibility for security deposits currently held under your lease.

         All future correspondence relating to your tenancy, as well as rent
checks and other charges, should be made payable and mailed to ___________ c/o
________.

         The Purchaser looks forward to working with you in the operation of
this Property.

                                          Very truly yours,

                                          SELLER:

                                          ______________________________________

                                          By: __________________________________
                                          Name:
                                          Title:

                                          PURCHASER:

                                          ______________________________________
                                          a ____________________________________

                                          By: __________________________________
                                          Name:
                                          Title:

                             EXHIBIT H - PAGE 1 OF 1

<PAGE>

                                    EXHIBIT I

                         NON-FOREIGN ENTITY CERTIFICATE

         Section 1445 of the Internal Revenue Code provides that a transferee of
a U.S. real property interest must withhold tax if the transferor is a foreign
person. To inform the transferee that withholding of tax is not required upon
the disposition of a U.S. real property interest by __________________________
("Transferor"), the undersigned hereby certifies on behalf of Transferor:

         1.       Transferor is not a foreign corporation, foreign partnership,
                  foreign trust or foreign estate (as those terms are defined in
                  the Internal Revenue Code and Income Tax Regulations);

         2.       Transferor's U.S. employer identification number is
                  04-3216723; and

         3.       Transferor's office address is:

                  c/o TA Realty Associates
                  28 State Street, 10th Floor
                  Boston, Massachusetts 02109

         Transferor understands that this certification may be disclosed to the
Internal Revenue Service and that any false statement made within this
certification could be punished by fine, imprisonment, or both.

         Under penalties of perjury the undersigned declares that he has
examined this certification and that to the best of his knowledge and belief it
is true, correct and complete, and the undersigned further declares that he has
the authority to sign this document on behalf of the Transferor.

         Dated: _________________, 2003

                                          TRANSFEROR:

                                          ______________________________________

                                          By: __________________________________
                                          Name:
                                          Title:

                             EXHIBIT I - PAGE 1 OF 2

<PAGE>

                                    EXHIBIT J

                          SELLER'S ESTOPPEL CERTIFICATE

         THE REALTY ASSOCIATES FUND VI, L.P. (the "Seller") hereby certifies to
____________________________________, its successors or assigns ("Purchaser") as
follows, to its current, actual, conscious knowledge:

         1.       Pursuant to that certain Lease dated ____________, _____ (the
"Lease") with _______________________________________ (the "Tenant"), Tenant
leases approximately _____________ square feet of space (the "Premises"). A true
and correct copy of the Lease, as amended, modified or supplemented, is attached
hereto as Exhibited A.

         2.       Seller has neither sent nor received any notice of default
under the Lease which remains uncured except as follows:
_______________________________________________________________________________
_______________________________________________________________________________

         3.       As of the date of this Certificate, to Seller's knowledge,
there exist no offsets, counterclaims, or defenses of Tenant under the Lease
against Seller, and there exist no events that would constitute a basis for any
such offset, counterclaim, or defenses against Seller, upon the lapse of time or
the giving of notice or both, except the following (if left blank, there shall
deemed to be none):______________________________________.

         4.       All improvements or repairs required under the terms of the
Lease to be made by Seller through the date hereof have, to Seller's knowledge,
been satisfactorily completed. All allowances and other payments due to Tenant
by Seller under the terms of the Lease have, to Seller's knowledge, been paid in
full, except the following (if left blank, there shall be deemed to be none):__
_________________________________.

         The obligations of Seller are intended to be binding only on Seller and
Seller's assets and shall not be personally binding upon, nor shall any resort
be had to, the private properties of any of the partners, officers, directors,
shareholders or beneficiaries of Seller, or of any partners, officers,
directors, shareholders or beneficiaries of any partners of Seller, or of any of
Seller's employees or agents. Any action, suit or proceeding with respect to the
truth, accuracy or completeness of the foregoing representations and warranties
shall be commenced, if at all, on or before December 31, 2003 and, if not
commenced on or before such date, thereafter such representations and warranties
shall be void and of no force or effect.

         By its acceptance hereof, Purchaser hereby agrees that if, after the
date hereof, Seller delivers to Purchaser a tenant estoppel certificate from
Tenant and such tenant estoppel certificate contains no information which is
contradictory to the information contained herein, then Seller thereafter shall
be released from all liability hereunder relating to such non-contradictory
information.

         Dated:  _________________, 2003

                             EXHIBIT J - PAGE 1 OF 2

<PAGE>

                                    SELLER:

                                    THE REALTY ASSOCIATES FUND VI, L.P.,
                                    a Delaware limited partnership

                                    By: Realty Associates Fund VI, LLC,
                                        its general partner

                                        By: Realty Associates Advisors, LLC,
                                            its manager

                                            By: Realty Associates
                                                Advisors Trust,
                                                its sole member

                                                By: ____________________________
                                                Name:
                                                Title:

                             EXHIBIT J - PAGE 2 OF 2

<PAGE>

                                    EXHIBIT K

                               DISCLOSURE SCHEDULE

         None

                             EXHIBIT K - PAGE 1 OF 1

<PAGE>

                                    EXHIBIT L

                           LIST OF SERVICE AGREEMENTS

                  Please see list attached behind this exhibit

                             EXHIBIT L - PAGE 1 OF 1<PAGE>
                                                                     EXHIBIT 4.1

===============================================================================

                                MANOR CARE, INC.,

                    THE SUBSIDIARY GUARANTORS PARTIES HERETO,

                                       AND

                               NATIONAL CITY BANK,
                                   AS TRUSTEE

                           6.25% Senior Notes due 2013

                             =====================

                                    INDENTURE

                           Dated as of April 15, 2003

                             =====================

================================================================================

<PAGE>
                                TABLE OF CONTENTS
<TABLE>
<CAPTION>
                                                                                                                PAGE
                                                                                                                ----

                                                         ARTICLE I
                                         DEFINITIONS AND INCORPORATION BY REFERENCE
<S>                                                                                                            <C>
         SECTION 1.1. Definitions.................................................................................1
         SECTION 1.2. Other Definitions..........................................................................10
         SECTION 1.3. Incorporation by Reference of Trust Indenture Act..........................................12
         SECTION 1.4. Rules of Construction......................................................................12

                                                         ARTICLE II
                                                       THE SECURITIES

         SECTION 2.1. Form, Dating and Terms.....................................................................13
         SECTION 2.2. Execution and Authentication...............................................................20
         SECTION 2.3. Registrar and Paying Agent.................................................................21
         SECTION 2.4. Paying Agent to Hold Money in Trust........................................................22
         SECTION 2.5. Securityholder Lists.......................................................................22
         SECTION 2.6. Transfer and Exchange......................................................................23
         SECTION 2.7. [RESERVED].................................................................................25
         SECTION 2.8. Form of Certificate to be Delivered in Connection with Transfers to Institutional
                      Accredited Investors.......................................................................26
         SECTION 2.9. Form of Certificate to be Delivered in Connection with Transfers Pursuant to
                      Regulation S...............................................................................27
         SECTION 2.10. Mutilated, Destroyed, Lost or Stolen Securities...........................................28
         SECTION 2.11. Outstanding Securities....................................................................29
         SECTION 2.12. Temporary Securities......................................................................30
         SECTION 2.13. Cancellation..............................................................................30
         SECTION 2.14. Payment of Interest; Defaulted Interest...................................................30
         SECTION 2.15. Computation of Interest...................................................................31
         SECTION 2.16. CUSIP and ISIN Numbers....................................................................32

                                                        ARTICLE III
                                                         COVENANTS

         SECTION 3.1. Payment of Securities......................................................................32
         SECTION 3.2. [RESERVED].................................................................................32
         SECTION 3.3. Limitation on Liens........................................................................32
         SECTION 3.4. Limitation on Sale and Lease-Back Transactions.............................................34
         SECTION 3.5. Limitation on Affiliate Transactions.......................................................34
         SECTION 3.6. Change of Control..........................................................................34
         SECTION 3.7. Financial Statements.......................................................................36
         SECTION 3.8. Future Subsidiary Guarantors; Release of Guarantees........................................37
         SECTION 3.9. Maintenance of Office or Agency............................................................37
         SECTION 3.10. Corporate Existence.......................................................................38
</TABLE>

                                       ii
<PAGE>
<TABLE>
<CAPTION>
                                                                                                                Page
                                                                                                                ----
<S>                                                                                                             <C>
         SECTION 3.11. Payment of Taxes and Other Claims.........................................................38
         SECTION 3.12. Payments for Consent......................................................................39
         SECTION 3.13. Compliance Certificate....................................................................39
         SECTION 3.14. Further Instruments and Acts..............................................................39
         SECTION 3.15. Statement by Officers as to Default.......................................................39

                                                        ARTICLE IV
                                                     SUCCESSOR COMPANY

         SECTION 4.1. Consolidation, Merger and Sale of Assets...................................................39

                                                        ARTICLE V
                                                 REDEMPTION OF SECURITIES

         SECTION 5.1. Optional Redemption........................................................................41
         SECTION 5.2. Applicability of Article...................................................................41
         SECTION 5.3. Election to Redeem; Notice to Trustee......................................................41
         SECTION 5.4. Selection by Trustee of Securities to Be Redeemed..........................................41
         SECTION 5.5. Notice of Redemption.......................................................................42
         SECTION 5.6. Deposit of Redemption Price................................................................43
         SECTION 5.7. Securities Payable on Redemption Date......................................................43
         SECTION 5.8. Securities Redeemed in Part................................................................43

                                                      ARTICLE VI
                                                 DEFAULTS AND REMEDIES

         SECTION 6.1. Events of Default..........................................................................43
         SECTION 6.2. Acceleration...............................................................................46
         SECTION 6.3. Other Remedies.............................................................................46
         SECTION 6.4. Waiver of Past Defaults....................................................................46
         SECTION 6.5. Control by Majority........................................................................46
         SECTION 6.6. Limitation on Suits........................................................................47
         SECTION 6.7. Rights of Holders to Receive Payment.......................................................47
         SECTION 6.8. Collection Suit by Trustee.................................................................47
         SECTION 6.9. Trustee May File Proofs of Claim...........................................................47
         SECTION 6.10. Priorities................................................................................48
         SECTION 6.11. Undertaking for Costs.....................................................................48

                                                        ARTICLE VII
                                                          TRUSTEE

         SECTION 7.1. Duties of Trustee..........................................................................48
         SECTION 7.2. Rights of Trustee..........................................................................50
         SECTION 7.3. Individual Rights of Trustee...............................................................50
         SECTION 7.4. Trustee's Disclaimer.......................................................................50
         SECTION 7.5. Notice of Defaults.........................................................................51
         SECTION 7.6. Reports by Trustee to Holders..............................................................51

</TABLE>

                                      iii
<PAGE>

<TABLE>
<CAPTION>
                                                                                                                Page
                                                                                                                ----
<S>                                                                                                             <C>
         SECTION 7.7. Compensation and Indemnity.................................................................51
         SECTION 7.8. Replacement of Trustee.....................................................................52
         SECTION 7.9. Successor Trustee by Merger................................................................53
         SECTION 7.10. Eligibility; Disqualification.............................................................53
         SECTION 7.11. Preferential Collection of Claims Against Company.........................................53
         SECTION 7.12. Trustee's Application for Instruction from the Company....................................53

                                                       ARTICLE VIII
                                             DISCHARGE OF INDENTURE; DEFEASANCE

         SECTION 8.1. Discharge of Liability on Securities; Defeasance...........................................54
         SECTION 8.2. Conditions to Defeasance...................................................................55
         SECTION 8.3. Application of Trust Money.................................................................56
         SECTION 8.4. Repayment to Company.......................................................................56
         SECTION 8.5. Indemnity for U.S. Government Securities...................................................57
         SECTION 8.6. Reinstatement..............................................................................57

                                                         ARTICLE IX
                                                         AMENDMENTS

         SECTION 9.1. Without Consent of Holders.................................................................57
         SECTION 9.2. With Consent of Holders....................................................................58
         SECTION 9.3. Compliance with Trust Indenture Act........................................................59
         SECTION 9.4. Revocation and Effect of Consents and Waivers..............................................59
         SECTION 9.5. Notation on or Exchange of Securities......................................................59
         SECTION 9.6. Trustee To Sign Amendments.................................................................59

                                                         ARTICLE X
                                                   SUBSIDIARY GUARANTEE

         SECTION 10.1. Subsidiary Guarantee......................................................................60
         SECTION 10.2. Limitation on Liability; Termination, Release and Discharge...............................61
         SECTION 10.3. Right of Contribution.....................................................................62
         SECTION 10.4. No Subrogation............................................................................63

                                                       ARTICLE XI
                                                      MISCELLANEOUS

         SECTION 11.1. Trust Indenture Act Controls..............................................................63
         SECTION 11.2. Notices...................................................................................63
         SECTION 11.3. Communication by Holders with other Holders...............................................64
         SECTION 11.4. Certificate and Opinion as to Conditions Precedent........................................64
         SECTION 11.5. Statements Required in Certificate or Opinion.............................................65
         SECTION 11.6. When Securities Disregarded...............................................................65
         SECTION 11.7. Rules by Trustee, Paying Agent and Registrar..............................................65
         SECTION 11.8. Legal Holidays............................................................................65
         SECTION 11.9. GOVERNING LAW.............................................................................65

</TABLE>

                                       iv
<PAGE>

<TABLE>
<CAPTION>
                                                                                                                Page
                                                                                                                ----
<S>                                                                                                             <C>
         SECTION 11.10. No Recourse Against Others...............................................................66
         SECTION 11.11. Successors...............................................................................66
         SECTION 11.12. Multiple Originals.......................................................................66
         SECTION 11.13. Qualification of Indenture...............................................................66
         SECTION 11.14. Table of Contents; Headings..............................................................66

EXHIBIT A  Form of the Series A Note                                                                            A-1
EXHIBIT B  Form of the Series B Note                                                                            B-1
EXHIBIT C  Form of Indenture Supplement to Add Subsidiary Guarantors

</TABLE>

<PAGE>

                              CROSS-REFERENCE TABLE

<TABLE>
<CAPTION>
TIA                                                                                                 Indenture
Section                                                                                             Section
-------                                                                                             ---------
<S>                                                                                                 <C>
310(a)(1)                      .............................................................         7.10
   (a)(2)                      .............................................................         7.10
   (a)(3)                      .............................................................         N.A.
   (a)(4)                      .............................................................         N.A.
   (a)(5)                      .............................................................         7.10
   (b)                         .............................................................         7.8; 7.10
   (c)                         .............................................................         N.A.
311(a)                         .............................................................         7.11
   (b)                         .............................................................         7.11
   (c)                         .............................................................         N.A.
312(a)                         .............................................................         2.5
   (b)                         .............................................................        11.3
   (c)                         .............................................................        11.3
313(a)                         .............................................................         7.6
   (b)(1)                      .............................................................         N.A.
   (b)(2)                      .............................................................         7.6
   (c)                         .............................................................         7.6
   (d)                         .............................................................         7.6
314(a)                         .............................................................         3.7; 3.13; 11.5
   (b)                         .............................................................         N.A.
   (c)(1)                      .............................................................        11.4
   (c)(2)                      .............................................................        11.4
   (c)(3)                      .............................................................         N.A.
   (d)                         .............................................................         N.A.
   (e)                         .............................................................        11.5
315(a)                         .............................................................         7.1
   (b)                         .............................................................         7.5; 11.2
   (c)                         .............................................................         7.1
   (d)                         .............................................................         7.1
   (e)                         .............................................................         6.11
316(a)(last sentence)          .............................................................        11.6
   (a)(1)(A)                   .............................................................         6.5
   (a)(1)(B)                   .............................................................         6.4
   (a)(2)                      .............................................................         N.A.
   (b)                         .............................................................         6.7
   (c)                         .............................................................         6.5
317(a)(1)                      .............................................................         6.8
   (a)(2)                      .............................................................         6.9
   (b)                         .............................................................         2.4
318(a)                         .............................................................        11.1

</TABLE>
         N.A. means Not Applicable.

<PAGE>

Note: This Cross-Reference Table shall not, for any purpose, be deemed to be
part of this Indenture.

<PAGE>

         INDENTURE dated as of April 15, 2003, among MANOR CARE, INC., a
Delaware corporation (the "Company"), THE SUBSIDIARY GUARANTORS (as defined) and
NATIONAL CITY Bank, a national banking association (the "Trustee"), as Trustee.

         Each party agrees as follows for the benefit of the other parties and
for the equal and ratable benefit of the Holders of (i) the Company's 6.25%
Senior Notes, Series A, due 2013, issued on the date hereof and the guarantees
thereof by certain of the Company's subsidiaries (the "Initial Securities"),
(ii) if and when issued, an unlimited principal amount of additional 6.25%
Senior Notes, Series A, due 2013 in a non-registered offering or 6.25% Senior
Notes, Series B, due 2013 in a registered offering of the Company that may be
offered from time to time subsequent to the Issue Date (the "Additional
Securities") and (iii) if and when issued, the Company's 6.25% Senior Notes,
Series B, due 2013 and the guarantees thereof by certain of the Company's
subsidiaries that may be issued from time to time in exchange for Initial
Securities or any Additional Securities in an offer registered under the
Securities Act as provided in the Registration Rights Agreement (as hereinafter
defined the "Exchange Securities," and together with the Initial Securities and
Additional Securities, the "Securities").

                                   ARTICLE I
                   DEFINITIONS AND INCORPORATION BY REFERENCE

         SECTION 1.1. Definitions.

         "2006 Notes" means MCA's $150.0 million principal amount of 7 1/2%
Senior Notes due 2006.

         "2008 Notes" means the Company's $200.0 million principal amount of 8%
Senior Notes due 2008.

         "Affiliate" of any specified Person means any other Person directly or
indirectly controlling, controlled by or under direct or indirect common control
with such specified Person. For the purposes of this definition, "control" when
used with respect to any specified Person means the power to direct the
management and policies of such Person, directly or indirectly, whether through
the ownership of voting securities, by contract or otherwise; and the terms
"controlling" and "controlled" have meanings correlative to the foregoing;
provided, however, that the existence of a management contract by the Company or
an Affiliate of the Company to manage another entity shall not be deemed to be
control.

         "Applicable Percentage" means (i) 15%, if the aggregate principal
amount of Securities and debt securities issued under other indentures or fiscal
agency agreements or other similar instruments (collectively, "Debt Securities")
then outstanding exceeds $100,000,000, (ii) 20%, if the aggregate principal
amount of Debt Securities then outstanding exceeds $50,000,000 but is less than
or equal to $100,000,000 or (iii) 25%, if the aggregate principal amount of Debt
Securities outstanding is less than or equal to $50,000,000.

<PAGE>

         "Attributable Debt" in respect of a Sale and Lease-Back Transaction
means, as at the time of determination, the present value (discounted at the
interest rate borne by the Securities, compounded semi-annually) of the total
obligations of the lessee for rental payments during the remaining term of the
lease included in such Sale and Lease-Back Transaction (including any period for
which such lease has been extended).

         "Bank Debt" means any and all amounts, whether outstanding on the Issue
Date or Incurred after the Issue Date, payable by the Company under or in
respect of the Senior Credit Agreement and any related notes, collateral
documents, letters of credit and guarantees and any Interest Rate Agreement
entered into in connection with the Senior Credit Agreement, including
principal, premium, if any, interest (including interest accruing on or after
the filing of any petition in bankruptcy or for reorganization relating to the
Company at the rate specified therein whether or not a claim for post filing
interest is allowed in such proceedings), fees, charges, expenses, reimbursement
obligations, guarantees and all other amounts payable thereunder or in respect
thereof.

         "Bankruptcy Law" means Title 11 of the United States Code or any
similar federal or state law for the relief of debtors.

         "Board of Directors" means, as to any Person, the board of directors of
such Person or any duly authorized committee thereof.

         "Business Day" means each day that is not a Saturday, Sunday or other
day on which banking institutions in New York, New York and Cleveland, Ohio are
authorized or required by law to close.

         "Capital Stock" of any Person means any and all shares, interests,
rights to purchase, warrants, options, participations or other equivalents of or
interests in (however designated) equity of such Person, including any Preferred
Stock, but excluding any debt securities convertible into such equity.

         "Capitalized Lease Obligations" means an obligation that is required to
be classified and accounted for as a capitalized lease for financial reporting
purposes in accordance with GAAP, and the amount of Debt represented by such
obligation will be the capitalized amount of such obligation at the time any
determination thereof is to be made as determined in accordance with GAAP, and
the Stated Maturity thereof will be the date of the last payment of rent or any
other amount due under such lease prior to the first date such lease may be
terminated without penalty.

         "Change of Control" means:

         (1)      any "person" or "group" of related persons (as such terms are
                  used in Sections 13(d) and 14(d) of the Exchange Act) is or
                  becomes the beneficial owner (as defined in Rules 13d-3 and
                  13d-5 under the Exchange Act, except that such person or group
                  shall be deemed to have "beneficial ownership" of all shares
                  that any such person or group has the right to acquire,
                  whether such right is exercisable immediately or only after
                  the passage of time), directly or indirectly, of more than 50%
                  of the total

                                       2
<PAGE>

                  voting power of the Voting Stock of the Company (or its
                  successor by merger, consolidation or purchase of all or
                  substantially all of its assets) (for the purposes of this
                  clause, such person or group shall be deemed to beneficially
                  own any Voting Stock of the Company held by a parent entity,
                  if such person or group "beneficially owns" (as defined
                  above), directly or indirectly, more than 50% of the voting
                  power of the Voting Stock of such parent entity); or

         (2)      the first day on which a majority of the members of the Board
                  of Directors of the Company are not Continuing Directors; or

         (3)      the sale, lease, transfer, conveyance or other disposition
                  (other than by way of merger or consolidation), in one or a
                  series of related transactions, of all or substantially all of
                  the assets of the Company and its Subsidiaries taken as a
                  whole to any "person" (as such term is used in Sections 13(d)
                  and 14(d) of the Exchange Act); or

         (4)      the adoption by the stockholders of the Company of a plan or
                  proposal for the liquidation or dissolution of the Company.

         "Change of Control Triggering Event" means the occurrence of a Change
of Control accompanied by a Rating Decline.

         "Clearstream" means Clearstream Banking, societe anonyme, or any
successor securities clearing agency.

         "Code" means the Internal Revenue Code of 1986, as amended.

         "Company" means Manor Care, Inc. or its successors and assigns.

         "Consolidated Net Assets" means, with respect to any Person as of any
date of determination, the total assets of such Person and its subsidiaries on a
consolidated basis less current liabilities of such Person and its subsidiaries
on a consolidated basis as of such date, all determined in accordance with GAAP.

         "Continuing Directors" means, as of any date of determination, any
member of the Board of Directors of the Company who (1) was a member of such
Board of Directors on the date of this Indenture; or (2) was nominated for
election or elected to such Board of Directors with the approval of a majority
of the Continuing Directors who were members of such Board at the time of such
nomination or election.

         "Convertible Notes" means the Company's $90.0 million principal amount
of 2.125% Convertible Senior Notes due 2023 (which may be increased to $100.0
million principal amount of such notes if the option of the initial purchasers
of such notes to purchase additional notes is exercised in full).

         "Custodian" means any receiver, trustee, assignee, liquidator,
custodian or similar official under any Bankruptcy Law.

                                       3
<PAGE>

         "Debt" means, with respect to any Person on any date of determination
(without duplication):

         (1)      the principal of and premium (if any) in respect of
                  indebtedness of such Person for borrowed money;

         (2)      the principal of and premium (if any) in respect of
                  obligations of such Person evidenced by bonds, debentures,
                  notes or other similar instruments;

         (3)      the principal component of all obligations of such Person in
                  respect of letters of credit, bankers' acceptances or other
                  similar instruments (including reimbursement obligations with
                  respect thereto except to the extent such reimbursement
                  obligation relates to a trade payable and such obligation is
                  satisfied within 30 days of Incurrence);

         (4)      the principal component of all obligations of such Person to
                  pay the deferred and unpaid purchase price of property (except
                  trade payables), which purchase price is due more than six
                  months after the date of placing such property in service or
                  taking delivery and title thereto;

         (5)      Capitalized Lease Obligations and all Attributable Debt of
                  such Person; and

         (6)      the principal component of Debt of other Persons to the extent
                  Guaranteed by such Person.

         The amount of Debt of any Person at any date will be the outstanding
balance at such date of all unconditional obligations as described above and the
maximum liability, upon the occurrence of the contingency giving rise to the
obligation, of any contingent obligations at such date.

         "Default" means any event which is, or after notice or passage of time
or both would be, an Event of Default.

         "Definitive Securities" means certificated Securities.

         "DTC" means The Depository Trust Company, its nominees and their
respective successors and assigns, or such other depository institution
hereinafter appointed by the Company.

         "Euroclear" means Euroclear Bank S.A./N.V. or any successor securities
clearing agency.

         "Exchange Act" means the Securities Exchange Act of 1934, as amended,
and the rules and regulations of the SEC promulgated thereunder.

         "Exchange Securities" has the meaning ascribed to it in the second
introductory paragraph of this Indenture.

                                       4
<PAGE>

         "Existing Liens" mean Liens on property or assets of the Company or any
Subsidiary existing on the Issue Date.

         "Fiscal Year" means the fiscal year of the Company ending on December
31 of each year.

         "Foreign Subsidiary" of the Company shall mean any Subsidiary which is
incorporated or organized in a jurisdiction outside the United States and any
Subsidiary of such a Subsidiary.

         "GAAP" means generally accepted accounting principles set forth in the
opinions and pronouncements of the Accounting Principles Board of the American
Institute of Certified Public Accountants and statements and pronouncements of
the Financial Accounting Standards Board or in such other statements by such
other entity as may be approved by a significant segment of the accounting
profession as in effect from time to time.

         "Guarantee" means any obligation, contingent or otherwise, of any
Person directly or indirectly guaranteeing any Debt of any other Person and any
obligation, direct or indirect, contingent or otherwise, of such Person:

         (1)      to purchase or pay (or advance or supply funds for the
                  purchase or payment of) such Debt of such other Person
                  (whether arising by virtue of partnership arrangements, or by
                  agreement to keep-well, to purchase assets, goods, securities
                  or services, to take-or-pay, or to maintain financial
                  statement conditions or otherwise); or

         (2)      entered into for purposes of assuring in any other manner the
                  obligee of such Debt of the payment thereof or to protect such
                  obligee against loss in respect thereof (in whole or in part);

provided, however, that the term "Guarantee" will not include endorsements for
collection or deposit in the ordinary course of business. The term "Guarantee"
used as a verb has a corresponding meaning.

         "Holder or Securityholder" means the Person in whose name a Security is
registered in the Securities Register.

         "IAI" means an institutional "accredited investor" as described in Rule
501(a)(1), (2), (3) or (7) under the Securities Act.

         "Incur" means issue, create, assume, Guarantee, incur or otherwise
become liable for; and the terms "Incurred" and "Incurrence" have meanings
correlative to the foregoing.

         "Indenture" means this Indenture as amended or supplemented from time
to time.

         "Initial Purchasers" means, collectively, J.P. Morgan Securities, Inc.,
Merrill Lynch, Pierce, Fenner & Smith Incorporated, UBS Warburg LLC, Banc of
America Securities LLC, BNY Capital Markets, Inc., NatCity Investments, Inc. and
SunTrust Capital Markets, Inc.

                                       5
<PAGE>
with respect to the Initial Securities and financial institutions with respect
to future issuances of Securities.

         "Initial Securities" has the meaning ascribed to it in the second
introductory paragraph of this Indenture.

         "Interest Rate Agreement" means with respect to any Person any interest
rate protection agreement, interest rate future agreement, interest rate option
agreement, interest rate swap agreement, interest rate cap agreement, interest
rate collar agreement, interest rate hedge agreement or other similar agreement
or arrangement as to which such Person is party or a beneficiary.

         "Issue Date" means April 15, 2003.

         "Legal Holiday" has the meaning ascribed to it in Section 11.8.

         "Lien" means any mortgage, pledge, security interest, encumbrance, lien
or charge of any kind (including any conditional sale or other title retention
agreement or lease in the nature thereof).

         "MCA" means Manor Care of America, Inc., a Delaware corporation and a
wholly owned subsidiary of the Company, or any of its successors and assigns.

         "Moody's" means Moody's Investors Service, Inc. or, if Moody's
Investors Service, Inc. shall cease rating debt securities having a maturity at
original issuance of at least one year and such ratings business shall have been
transferred to a successor Person, such successor Person; provided, however,
that if there is no successor Person, then "Moody's" shall mean any other
nationally recognized rating agency, other than S&P, that rates debt securities
having a maturity at original issuance of at least one year and that shall have
been designated by the Company.

         "Non-Recourse Debt" means Debt or that portion of Debt (i) as to which
neither the Company nor its Subsidiaries (other than a Non-Recourse Subsidiary)
(A) provides credit support (including any undertaking, agreement or instrument
which would constitute Debt), (B) is directly or indirectly liable or (C)
constitute the lender and (ii) in respect of which a default (including any
rights which the holders thereof may have to take enforcement action against a
Non-Recourse Subsidiary) would not permit (upon notice, lapse of time or both)
any holder of any other Debt of the Company or its Subsidiaries (including any
Non-Recourse Subsidiary) to declare a default on such other Debt or cause a
payment thereof to be accelerated or payable prior to its Stated Maturity.

         "Non-Recourse Subsidiary" means a Subsidiary which (i) has not acquired
any assets (other than cash) directly or indirectly from the Company or any
Subsidiary, (ii) only owns assets acquired after the Issue Date or assets
acquired prior to the date such entity becomes a Subsidiary and (iii) has no
Debt other than Non-Recourse Debt.

         "Non-U.S. Person" means a Person who is not a U.S. Person (as defined
in Regulation S).

                                       6
<PAGE>

         "Offering Memorandum" means the offering memorandum, dated April 10,
2003, relating to the offering by the Company of $200.0 million of the 6.25%
Senior Notes due 2013 and any future offering memoranda relating to Additional
Securities.

         "Officer" means the Chairman of the Board, the Chief Executive Officer,
the President, the Chief Financial Officer, any Vice President, the Treasurer or
the Secretary of the Company. The term Officer of any Subsidiary Guarantor has a
correlative meaning.

         "Officers' Certificate" means a certificate signed by two Officers or
attorneys-in-fact or by an Officer and either an Assistant Treasurer or an
Assistant Secretary of the Company or the Subsidiary Guarantors, as applicable.

         "Opinion of Counsel" means a written opinion from legal counsel who is
acceptable to the Trustee. The counsel may be an employee of or counsel to the
Company or the Trustee.

         "Person" means any individual, corporation, partnership, joint venture,
association, joint-stock company, trust, unincorporated organization, limited
liability company, government or any agency or political subdivision hereof or
any other entity.

         "Preferred Stock", as applied to the Capital Stock of any corporation,
means Capital Stock of any class or classes (however designated) which is
preferred as to the payment of dividends, or as to the distribution of assets
upon any voluntary or involuntary liquidation or dissolution of such
corporation, over shares of Capital Stock of any other class of such
corporation.

         "QIB" means any "qualified institutional buyer" as such term is defined
in Rule 144A.

         "Rating Agencies" mean Moody's and S&P.

         "Rating Date" means the earlier of the date of public notice of (i) the
occurrence of a Change of Control or (ii) the intention of the Company to effect
a Change of Control.

         "Rating Decline" shall be deemed to have occurred if, no later than 90
days after the Rating Date (which period shall be extended so long as the rating
of the Securities is under publicly announced consideration for possible
downgrade by either of the Rating Agencies), either of the Rating Agencies
assigns a rating to the Securities that is lower than the applicable rating of
the Securities on the Rating Date. A downgrade within rating categories, as well
as between rating categories, will be considered a Rating Decline.

         "Receivables Securitization" means a public or private transfer of or
creation of an interest in receivables in the ordinary course of business of the
Company and its Subsidiaries and by which the Company or any such Subsidiary
directly or indirectly securitizes a pool of receivables, including but not
limited to any such transaction involving the sale of or creation of an interest
in specified receivables to a special purpose entity.

                                       7
<PAGE>

         "Redemption Date" means, with respect to any redemption of Securities,
the date of redemption with respect thereto.

         "Registered Exchange Offer" shall have the meaning set forth in the
Registration Rights Agreement.

         "Registration Rights Agreement" means that certain registration rights
agreement dated as of the Issue Date by and among the Company, the Subsidiary
Guarantors and the Initial Purchasers and future registration rights agreements
with respect to Additional Securities.

         "Regulation S" means Regulation S under the Securities Act.

         "Restricted Period", with respect to any Securities, means the period
of 40 consecutive days beginning on and including the later of (A) the day on
which the Securities are first offered to Persons other than distributors (as
defined in Regulation S), notice of which day shall be promptly given by the
Company to the Trustee, and (B) the issue date with respect to such Securities.

         "Restricted Securities Legend" means the Private Placement Legend set
forth in clause (1) of Section 2.1(c) or the Regulation S Legend set forth in
clause (2) of Section 2.1(c), as applicable.

         "Rule 144A" means Rule 144A under the Securities Act.

         "S&P" means Standard & Poor's Ratings Service, a division of The
McGraw-Hill Companies, Inc. or, if Standard & Poor's Ratings Service shall cease
rating debt securities having a maturity at original issuance of at least one
year and such ratings business shall have been transferred to a successor
Person, such successor Person; provided, however, that if there is no successor
Person, then "S&P" shall mean any other nationally recognized rating agency,
other than Moody's, that rates debt securities having a maturity at original
issuance of at least one year and that shall have been designated by the
Company.

         "Sale and Lease-Back Transaction" means any arrangement with any Person
providing for the leasing by the Company or its Subsidiaries of any property or
assets (other than any such arrangement involving (i) a lease for a term,
including renewal rights, of not more than 36 months, (ii) a lease of property
within 18 months from the acquisition or, in the case of the construction,
alteration or improvement of property, the later of the completion of the
construction, alteration or improvement of such property or the commencement of
commercial operation of the property, or (iii) leases between or among the
Company and a Subsidiary or Subsidiaries), which property or asset has been or
is to be sold or transferred by the Company or a Subsidiary to such Person.

         "SEC" means the United States Securities and Exchange Commission.

         "Securities" has the meaning ascribed to it in the second introductory
paragraph of this Indenture.

                                       8
<PAGE>

         "Securities Act" means the Securities Act of 1933 (15 U.S.C. Sections
77a-77aa), as amended, and the rules and regulations of the SEC promulgated
thereunder.

         "Securities Custodian" means the custodian with respect to the Global
Security (as appointed by DTC), or any successor Person thereto and shall
initially be the Trustee.

         "Securities Register" means the register of Securities, maintained by
the Registrar, pursuant to Section 2.3.

         "Senior Credit Agreement" means, with respect to the Company, one or
more debt facilities (including, without limitation, (i) the Credit Agreement,
dated as of September 25, 1998, among the Company, MCA, Bank of America, N.A.,
as Administrative Agent, and the lenders parties thereto from time to time, as
amended by the First Amendment to the Five Year Credit Agreement, dated as of
February 9, 2000, and by the Second Amendment to the Five Year Credit Agreement,
dated as of September 22, 2000, and as may be further amended from time to time
and (ii) the proposed three-year senior revolving credit facility which may be
among the Company, Bank of America, N.A., as Administrative Agent, JPMorgan
Chase Bank, as Syndication Agent, and the lenders parties thereto from time to
time, as may be amended or modified from time to time) or commercial paper
facilities with banks or other institutional lenders providing for revolving
credit loans, term loans or letters of credit, in each case, as amended,
restated, modified, renewed, refunded, replaced or refinanced in whole or in
part from time to time (and whether or not with the original administrative
agent and lenders or another administrative agent or agents or other lenders and
whether provided under the original Credit Agreement or any other credit or
other agreement or indenture).

         "Shelf Registration Statement" shall have the meaning set forth in the
Registration Rights Agreement.

         "Significant Subsidiary" means any Subsidiary that would be a
"Significant Subsidiary" of the Company within the meaning of Rule 1-02 under
Regulation S-X promulgated by the SEC.

         "Stated Maturity" means, with respect to any security, the date
specified in such security as the fixed date on which the payment of principal
of such security is due and payable, including pursuant to any mandatory
redemption provision, but shall not include any contingent obligations to repay,
redeem or repurchase any such principal prior to the date originally scheduled
for the payment thereof.

         "Subsidiary" of the Company means (i) a corporation a majority of whose
Capital Stock with voting power, under ordinary circumstances, to elect
directors is at the time, directly or indirectly, owned by the Company, by the
Company and one or more Subsidiaries of the Company or by one or more
Subsidiaries of the Company or (ii) any other Person (other than a corporation)
in which the Company, one or more Subsidiaries of the Company or the Company and
one or more Subsidiaries of the Company, directly or indirectly, at the date of
determination thereof, has greater than a 50% ownership interest.

         "Subsidiary Guarantee" means, individually, any Guarantee of payment of
the Securities by a Subsidiary Guarantor pursuant to the terms of this Indenture
and any

                                       9
<PAGE>

supplemental indenture hereto (including pursuant to Exhibit C), and,
collectively, all such Guarantees. Each such Subsidiary Guarantee will be in the
form prescribed by this Indenture.

         "Subsidiary Guarantor" means MCA and each Subsidiary of the Company
(other than a Subsidiary that does not guarantee obligations under the Senior
Credit Agreement, the 2006 Notes, the 2008 Notes or the Convertible Notes) in
existence on the Issue Date and any Subsidiary that is required to Guarantee the
Securities under the terms of this Indenture.

         "TIA" or "Trust Indenture Act" means the Trust Indenture Act of 1939
(15 U.S.C. Sections 77aaa-77bbbb), as in effect on the date of this Indenture.

         "Trustee" means the party named as such in this Indenture until a
successor replaces it and, thereafter, means the successor. "Trust Officer"
shall mean, when used with respect to the Trustee, any officer within the
corporate trust department of the Trustee, including any vice president,
assistant vice president, assistant secretary, assistant treasurer, trust
officer or any other officer of the Trustee who customarily performs functions
similar to those performed by the Persons who at the time shall be such
officers, respectively, or to whom any corporate trust matter is referred
because of such person's knowledge of and familiarity with the particular
subject and who shall have direct responsibility for the administration of this
Indenture.

         "U.S. Government Securities" mean securities that are (a) direct
obligations of the United States of America for the timely payment of which its
full faith and credit is pledged or (b) obligations of a Person controlled or
supervised by and acting as an agency or instrumentality of the United States of
America the timely payment of which is unconditionally guaranteed as a full
faith and credit obligation by the United States of America, which, in either
case, are not callable or redeemable at the option of the issuer thereof, and
shall also include a depository receipt issued by a bank (as defined in Section
3(a)(2) of the Securities Act), as custodian with respect to any such U.S.
Government Securities or a specific payment of principal of or interest on any
such U.S. Government Securities held by such custodian for the account of the
holder of such depository receipt; provided that (except as required by law)
such custodian is not authorized to make any deduction from the amount payable
to the holder of such depository receipt from any amount received by the
custodian in respect of the U.S. Government Securities or the specific payment
of principal of or interest on the U.S. Government Securities evidenced by such
depository receipt.

         "Voting Stock" of a corporation means all classes of Capital Stock of
such corporation then outstanding and normally entitled to vote in the election
of directors.

         SECTION 1.2. Other Definitions.

                                       10
<PAGE>

<TABLE>
<CAPTION>
                                                                      Defined in
Term                                                                    Section
----                                                                  -----------
<S>                                                                   <C>
"Additional Restricted Securities" ................................         2.1(b)
"Affiliate Transaction"............................................         3.5
"Agent"............................................................         3.9
"Agent Member".....................................................         2.1(e)
"Authenticating Agent".............................................         2.2
"Certificate of Destruction".......................................         2.13
"Change of Control Offer"..........................................         3.6
"Change of Control Payment"........................................         3.6
"Change of Control Payment Date"...................................         3.6
"Company Order"....................................................         2.2
"covenant defeasance option".......................................         8.1(b)
"cross acceleration provision".....................................         6.1(6)(b)
"Defaulted Interest"...............................................         2.14
"Event of Default".................................................         6.1
"Exchange Global Note".............................................         2.1(b)
"Global Securities"................................................         2.1(b)
"Institutional Accredited Investor Note"...........................         2.1(b)
"Institutional Accredited Investor Global Note"....................         2.1(b)
"judgment default provision".......................................         6.1(9)
"legal defeasance option"..........................................         8.1(b)
"Obligations".....................................................         10.1
"Payment Default" ................................................          6.1(6)(a)
"Paying Agent"....................................................          2.3
"Private Placement Legend"........................................          2.1(d)
"Registrar".......................................................          2.3
</TABLE>

                                       11
<PAGE>

<TABLE>
<CAPTION>
                                                                      Defined in
Term                                                                    Section
----                                                                  -----------
<S>                                                                   <C>
"Regulation S Global Note"........................................         2.1(b)
"Regulation S Legend".............................................         2.1(d)
"Regulation S Note"...............................................         2.1(b)
"Resale Restriction Termination Date".............................         2.6(a)
"Restricted Securities"...........................................         2.1(a)
"Rule 144A Global Note"...........................................         2.1(b)
"Rule 144A Note"..................................................         2.1(b)
"Special Interest Payment Date"...................................         2.14(a)
"Special Record Date".............................................         2.14(a)
"Successor Company"...............................................         4.1
</TABLE>

         SECTION 1.3. Incorporation by Reference of Trust Indenture Act. This
Indenture is subject to the mandatory provisions of the TIA which are
incorporated by reference in and made a part of this Indenture. The following
TIA terms have the following meanings:

         "Commission" means the SEC.

         "indenture securities" means the Securities.

         "indenture security holder" means a Securityholder.

         "indenture to be qualified" means this Indenture.

         "indenture trustee" or "institutional trustee" means the Trustee.

         "obligor" on the indenture securities means the Company and any other
obligor on the indenture securities.

         All other TIA terms used in this Indenture that are defined by the TIA,
defined in the TIA by reference to another statute or defined by SEC rule have
the meanings assigned to them by such definitions.

         SECTION 1.4. Rules of Construction. Unless the context otherwise
requires:

         (1) a term has the meaning assigned to it;

         (2) an accounting term not otherwise defined has the meaning assigned
to it in accordance with GAAP;

         (3) "or" is not exclusive;

                                       12
<PAGE>

         (4) "including" means including without limitation;

         (5) words in the singular include the plural and words in the plural
include the singular;

         (6) the principal amount of any noninterest bearing or other discount
security at any date shall be the principal amount thereof that would be shown
on a balance sheet of the issuer dated such date prepared in accordance with
GAAP; and

         (7) the principal amount of any Preferred Stock shall be (i) the
maximum liquidation value of such Preferred Stock or (ii) the maximum mandatory
redemption or mandatory repurchase price with respect to such Preferred Stock,
whichever is greater.

                                   ARTICLE II

                                 THE SECURITIES

         SECTION 2.1. Form, Dating and Terms.

         (a) The aggregate principal amount of Securities that may be
authenticated and delivered under this Indenture is unlimited. The Initial
Securities issued on the date hereof will be in an aggregate principal amount of
$200,000,000. In addition, the Company may issue, from time to time in
accordance with the provisions of this Indenture, Additional Securities and
Exchange Securities. Furthermore, Securities may be authenticated and delivered
upon registration or transfer, or in lieu of, other Securities pursuant to
Section 2.6, 2.10, 2.12 or 9.5 or in connection with a Change of Control Offer
pursuant to Section 3.6.

         The Initial Securities shall be known and designated as "6.25% Senior
Notes, Series A, due 2013" of the Company. Additional Securities issued as
securities bearing one of the restrictive legends described in Section 2.1(d)
("Restricted Securities") shall be known and designated as "6.25% Senior Notes,
Series A, due 2013" of the Company. Additional Securities issued other than as
Restricted Securities shall be known and designated as "6.25% Senior Notes,
Series B, due 2013" of the Company, and Exchange Securities shall be known and
designated as "6.25% Senior Notes, Series B, due 2013" of the Company.

         With respect to any Additional Securities, the Company shall set forth
in (a) a Board Resolution and (b) (i) an Officers' Certificate or (ii) one or
more indentures supplemental hereto, the following information:

          (1) the aggregate principal amount of such Additional Securities to be
     authenticated and delivered pursuant to this Indenture;

          (2) the issue price and the issue date of such Additional Securities,
     including the date from which interest shall accrue; and

          (3) whether such Additional Securities shall be Restricted Securities
     issued in the form of Exhibit A hereto and/or shall be issued in the form
     of Exhibit B hereto.

                                       13
<PAGE>

         The Initial Securities, the Additional Securities and the Exchange
Securities shall be considered collectively as a single class for all purposes
of this Indenture. Holders of the Initial Securities, the Additional Securities
and the Exchange Securities will vote and consent together on all matters to
which such Holders are entitled to vote or consent as one class, and none of the
Holders of the Initial Securities, the Additional Securities or the Exchange
Securities shall have the right to vote or consent as a separate class on any
matter to which such Holders are entitled to vote or consent.

         If any of the terms of any Additional Securities are established by
action taken pursuant to a Board Resolution, a copy of an appropriate record of
such action shall be certified by the Secretary or any Assistant Secretary of
the Company and delivered to the Trustee at or prior to the delivery of the
Officers' Certificate or the indenture supplemental hereto setting forth the
terms of the Additional Securities.

         (b) The Initial Securities are being offered and sold by the Company
pursuant to a Purchase Agreement, dated April 10, 2003, among the Company, the
Subsidiary Guarantors, J.P. Morgan Securities Inc. and the other initial
purchasers named therein. The Initial Securities and any Additional Securities
(if issued as Restricted Securities) (the "Additional Restricted Securities")
will be resold initially only to (A) QIBs in reliance on Rule 144A and (B)
Non-U.S. Persons in reliance on Regulation S. Such Initial Securities and
Additional Restricted Securities may thereafter be transferred to, among others,
QIBs, purchasers in reliance on Regulation S and IAIs in accordance with Rule
501 of the Securities Act, in each case, in accordance with the procedure
described herein. Additional Securities offered after the date hereof may be
offered and sold by the Company from time to time pursuant to one or more
purchase agreements in accordance with applicable law.

         Initial Securities and Additional Restricted Securities offered and
sold to QIBs in the United States of America in reliance on Rule 144A (the "Rule
144A Notes") shall be issued in the form of a permanent global Security, without
interest coupons, substantially in the form of Exhibit A, which is hereby
incorporated by reference and made a part of this Indenture, including
appropriate legends as set forth in Section 2.1(d) (the "Rule 144A Global
Note"), deposited with the Trustee, as custodian for DTC, duly executed by the
Company and authenticated by the Trustee as hereinafter provided. The Rule 144A
Global Note may be represented by more than one certificate, if so required by
DTC's rules regarding the maximum principal amount to be represented by a single
certificate. The aggregate principal amount of the Rule 144A Global Note may
from time to time be increased or decreased by adjustments made on the records
of the Trustee, as custodian for DTC or its nominee, as hereinafter provided.

         Initial Securities and Additional Securities offered and sold outside
the United States of America (the "Regulation S Notes") in reliance on
Regulation S shall initially be issued in the form of a permanent global
Security, without interest coupons, substantially in the form of Exhibit A
including appropriate legends as set forth in Section 2.1(d) (the "Regulation S
Global Note"). The Regulation S Global Note will be deposited upon issuance
with, or on behalf of, the Trustee as custodian for DTC in the manner described
in this Article II for credit to the respective accounts of the purchasers (or
to such other accounts as they may direct) at Euroclear or Clearstream. During
the Restricted Period, interests in the Regulation S Global Note may only be
held through Euroclear or Clearstream (as indirect participants in DTC) unless

                                       14
<PAGE>

exchanged for interests in a Global Security in accordance with the transfer and
certification requirements described herein.

         Investors may hold their interests in the Regulation S Global Note
directly through Euroclear or Clearstream, if they are participants in such
systems, or indirectly through organizations which are participants in such
systems. After the expiration of the Restricted Period (but not earlier),
investors may also hold such interests through organizations other than
Euroclear or Clearstream that are participants in DTC's system. Euroclear and
Clearstream will hold such interests in the Regulation S Global Note on behalf
of their participants through customers' securities accounts in their respective
names on the books of their respective depositaries. Such depositaries, in turn,
will hold such interests in the applicable Regulation S Global Note in
customers' securities accounts in the depositaries' names on the books of DTC.

         The Regulation S Global Note may be represented by more than one
certificate, if so required by DTC's rules regarding the maximum principal
amount to be represented by a single certificate. The aggregate principal amount
of the Regulation S Global Note may from time to time be increased or decreased
by adjustments made on the records of the Trustee, as custodian for DTC or its
nominee, as hereinafter provided.

         Initial Securities and Additional Securities resold to IAIs (the
"Institutional Accredited Investor Notes") in the United States of America shall
be issued in the form of a permanent global Security, without interest coupons,
substantially in the form of Exhibit A including appropriate legends as set
forth in Section 2.1(d) (the "Institutional Accredited Investor Global Note")
deposited with the Trustee, as custodian for DTC, duly executed by the Company
and authenticated by the Trustee as hereinafter provided. The Institutional
Accredited Investor Global Note may be represented by more than one certificate,
if so required by DTC's rules regarding the maximum principal amount to be
represented by a single certificate. The aggregate principal amount of the
Institutional Accredited Investor Global Note may from time to time be increased
or decreased by adjustments made on the records of the Trustee, as custodian for
DTC or its nominee, as hereinafter provided.

         Exchange Securities exchanged for interests in the Rule 144A Notes, the
Regulation S Notes and the Institutional Accredited Investor Notes will be
issued in the form of a permanent global Security, without interest coupons,
substantially in the form of Exhibit B, which is hereby incorporated by
reference and made a part of this Indenture, deposited with the Trustee as
hereinafter provided, including the appropriate legend set forth in Section
2.1(d) (the "Exchange Global Note"). The Exchange Global Note may be represented
by more than one certificate, if so required by DTC's rules regarding the
maximum principal amount to be represented by a single certificate.

         The Rule 144A Global Note, the Regulation S Global Note, the
Institutional Accredited Investor Global Note and the Exchange Global Note are
sometimes collectively herein referred to as the "Global Securities."

         The principal of (and premium, if any) and interest on the Securities
shall be payable at the office or agency of the Company maintained for such
purpose in The City of New York, or at such other office or agency of the
Company as may be maintained for such purpose

                                       15
<PAGE>

pursuant to Section 2.3; provided, however, that, at the option of the Company,
each installment of interest may be paid by (i) check mailed to addresses of the
Persons entitled thereto as such addresses shall appear on the Securities
Register or (ii) wire transfer to an account located in the United States
maintained by the payee. Payments in respect of Securities represented by a
Global Security (including principal, premium and interest) will be made by wire
transfer of immediately available funds to the accounts specified by DTC.
Payments in respect of Securities represented by Definitive Securities
(including principal, premium, if any, and interest) held by a Holder of at
least $1,000,000 aggregate principal amount of Securities represented by
Definitive Securities will be made by wire transfer to a U.S. dollar account
maintained by the payee with a bank in the United States if such Holder elects
payment by wire transfer by giving written notice to the Trustee or the Paying
Agent to such effect designating such account no later than 15 days immediately
preceding the relevant due date for payment (or such other date as the Trustee
may accept in its discretion).

         The Securities may have notations, legends or endorsements required by
law, stock exchange rule or usage, in addition to those set forth on Exhibit A
and Exhibit B and in Section 2.1(d). The Company and the Trustee shall approve
the forms of the Securities and any notation, endorsement or legend on them.
Each Security shall be dated the date of its authentication. The terms of the
Securities set forth in Exhibit A and Exhibit B are part of the terms of this
Indenture and, to the extent applicable, the Company and the Trustee, by their
execution and delivery of this Indenture, expressly agree to be bound by such
terms.

         (c) Denominations. The Securities shall be issuable only in fully
registered form, without coupons, and only in denominations of $1,000 and any
integral multiple thereof.

         (d) Restrictive Legends. Unless and until (i) an Initial Security is
sold under an effective registration statement or (ii) an Initial Security is
exchanged for an Exchange Security in connection with an effective registration
statement, in each case pursuant to the Registration Rights Agreement or a
similar agreement,

         (A) the Rule 144A Global Note and the Institutional Accredited Investor
Global Note shall bear the following legend (the "Private Placement Legend") on
the face thereof:

     THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
     AMENDED (THE "SECURITIES ACT"), OR THE SECURITIES LAWS OF ANY STATE OR
     OTHER JURISDICTION. NEITHER THIS SECURITY NOR ANY INTEREST OR PARTICIPATION
     HEREIN MAY BE REOFFERED, SOLD, ASSIGNED, TRANSFERRED, PLEDGED, ENCUMBERED
     OR OTHERWISE DISPOSED OF IN THE ABSENCE OF SUCH REGISTRATION OR UNLESS SUCH
     TRANSACTION IS EXEMPT FROM, OR NOT SUBJECT TO, SUCH REGISTRATION. THE
     HOLDER OF THIS SECURITY, BY ITS ACCEPTANCE HEREOF, AGREES ON ITS OWN BEHALF
     AND ON BEHALF OF ANY INVESTOR ACCOUNT FOR WHICH IT HAS PURCHASED
     SECURITIES, TO OFFER, SELL OR OTHERWISE TRANSFER SUCH SECURITY, PRIOR TO
     THE DATE (THE "RESALE RESTRICTION TERMINATION DATE") THAT IS TWO YEARS
     AFTER THE LATER OF THE ORIGINAL ISSUE DATE HEREOF AND THE LAST DATE ON
     WHICH THE ISSUER OR ANY AFFILIATE OF THE ISSUER WAS THE

                                       16
<PAGE>

     OWNER OF THIS SECURITY (OR ANY PREDECESSOR OF SUCH SECURITY), ONLY (A) TO
     THE ISSUER, (B) PURSUANT TO A REGISTRATION STATEMENT THAT HAS BEEN DECLARED
     EFFECTIVE UNDER THE SECURITIES ACT, (C) FOR SO LONG AS THE SECURITIES ARE
     ELIGIBLE FOR RESALE PURSUANT TO RULE 144A UNDER THE SECURITIES ACT, TO A
     PERSON IT REASONABLY BELIEVES IS A "QUALIFIED INSTITUTIONAL BUYER" AS
     DEFINED IN RULE 144A UNDER THE SECURITIES ACT THAT PURCHASES FOR ITS OWN
     ACCOUNT OR FOR THE ACCOUNT OF A QUALIFIED INSTITUTIONAL BUYER TO WHOM
     NOTICE IS GIVEN THAT THE TRANSFER IS BEING MADE IN RELIANCE ON RULE 144A,
     (D) PURSUANT TO OFFERS AND SALES THAT OCCUR OUTSIDE THE UNITED STATES
     WITHIN THE MEANING OF REGULATION S UNDER THE SECURITIES ACT, (E) TO AN
     INSTITUTIONAL "ACCREDITED INVESTOR" WITHIN THE MEANING OF RULE 501(a)(1),
     (2), (3) OR (7) UNDER THE SECURITIES ACT THAT IS AN INSTITUTIONAL
     ACCREDITED INVESTOR ACQUIRING THE SECURITY FOR ITS OWN ACCOUNT OR FOR THE
     ACCOUNT OF SUCH AN INSTITUTIONAL ACCREDITED INVESTOR, IN EACH CASE IN A
     MINIMUM PRINCIPAL AMOUNT OF THE SECURITIES OF $250,000, FOR INVESTMENT
     PURPOSES AND NOT WITH A VIEW TO OR FOR OFFER OR SALE IN CONNECTION WITH ANY
     DISTRIBUTION IN VIOLATION OF THE SECURITIES ACT, OR (F) PURSUANT TO ANOTHER
     AVAILABLE EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES
     ACT, SUBJECT TO THE ISSUER'S AND THE TRUSTEE'S RIGHT PRIOR TO ANY SUCH
     OFFER, SALE OR TRANSFER PURSUANT TO CLAUSES (D), (E) OR (F) TO REQUIRE THE
     DELIVERY OF AN OPINION OF COUNSEL, CERTIFICATION AND/OR OTHER INFORMATION
     SATISFACTORY TO EACH OF THEM. THIS LEGEND WILL BE REMOVED UPON THE REQUEST
     OF THE HOLDER AFTER THE RESALE RESTRICTION TERMINATION DATE.

         (B) the Regulation S Global Note shall bear the following legend (the
"Regulation S Legend") on the face thereof:

     THIS SECURITY HAS NOT BEEN REGISTERED UNDER THE U.S. SECURITIES ACT OF
     1933, AS AMENDED (THE "SECURITIES ACT"), AND, ACCORDINGLY, MAY NOT BE
     OFFERED OR SOLD WITHIN THE UNITED STATES OR TO OR FOR THE ACCOUNT OR
     BENEFIT OF, U.S. PERSONS EXCEPT AS SET FORTH IN THE FOLLOWING SENTENCE. BY
     ITS ACQUISITION HEREOF, THE HOLDER (1) REPRESENTS THAT IT IS NOT A U.S.
     PERSON NOR IS IT PURCHASING FOR THE ACCOUNT OF A U.S. PERSON AND IS
     ACQUIRING THIS SECURITY IN AN OFFSHORE TRANSACTION IN ACCORDANCE WITH
     REGULATION S UNDER THE SECURITIES ACT ("REGULATION S"), (2) BY ITS
     ACCEPTANCE HEREOF AGREES ON ITS OWN BEHALF AND ON BEHALF OF ANY INVESTOR
     ACCOUNT FOR WHICH IT HAS PURCHASED SECURITIES TO OFFER, SELL OR OTHERWISE
     TRANSFER SUCH SECURITY, PRIOR TO THE DATE (THE "RESALE RESTRICTION
     TERMINATION DATE") THAT IS 40 DAYS AFTER THE LATER OF THE ORIGINAL ISSUE
     DATE HEREOF AND THE LAST DATE ON WHICH THE ISSUER OR ANY AFFILIATE OF THE
     ISSUER WAS THE

                                       17
<PAGE>

     OWNER OF THIS SECURITY (OR ANY PREDECESSOR OF SUCH SECURITY), ONLY (A) TO
     THE ISSUER, (B) PURSUANT TO A REGISTRATION STATEMENT THAT HAS BEEN DECLARED
     EFFECTIVE UNDER THE SECURITIES ACT, (C) FOR SO LONG AS THE SECURITIES ARE
     ELIGIBLE FOR RESALE PURSUANT TO RULE 144A UNDER THE SECURITIES ACT, TO A
     PERSON IT REASONABLY BELIEVES IS A "QUALIFIED INSTITUTIONAL BUYER" AS
     DEFINED IN RULE 144A UNDER THE SECURITIES ACT THAT PURCHASES FOR ITS OWN
     ACCOUNT OR FOR THE ACCOUNT OF A QUALIFIED INSTITUTIONAL BUYER TO WHOM
     NOTICE IS GIVEN THAT THE TRANSFER IS BEING MADE IN RELIANCE ON RULE 144A,
     (D) PURSUANT TO OFFERS AND SALES THAT OCCUR OUTSIDE THE UNITED STATES
     WITHIN THE MEANING OF REGULATION S UNDER THE SECURITIES ACT, (E) TO AN
     INSTITUTIONAL "ACCREDITED INVESTOR" WITHIN THE MEANING OF RULE 501(a)(1),
     (2), (3) OR (7) UNDER THE SECURITIES ACT THAT IS AN INSTITUTIONAL
     ACCREDITED INVESTOR ACQUIRING THE SECURITY FOR ITS OWN ACCOUNT OR FOR THE
     ACCOUNT OF SUCH AN INSTITUTIONAL ACCREDITED INVESTOR, IN EACH CASE IN A
     MINIMUM PRINCIPAL AMOUNT OF THE SECURITIES OF $250,000, FOR INVESTMENT
     PURPOSES AND NOT WITH A VIEW TO OR FOR OFFER OR SALE IN CONNECTION WITH ANY
     DISTRIBUTION IN VIOLATION OF THE SECURITIES ACT, OR (F) PURSUANT TO ANOTHER
     AVAILABLE EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES
     ACT, SUBJECT TO THE ISSUER'S AND THE TRUSTEE'S RIGHT PRIOR TO ANY SUCH
     OFFER, SALE OR TRANSFER PURSUANT TO CLAUSES (D), (E) OR (F) TO REQUIRE THE
     DELIVERY OF AN OPINION OF COUNSEL, CERTIFICATION AND/OR OTHER INFORMATION
     SATISFACTORY TO EACH OF THEM. THIS LEGEND WILL BE REMOVED AFTER 40
     CONSECUTIVE DAYS BEGINNING ON AND INCLUDING THE LATER OF (A) THE DAY ON
     WHICH THE SECURITIES ARE OFFERED TO PERSONS OTHER THAN DISTRIBUTORS (AS
     DEFINED IN REGULATION S) AND (B) THE DATE OF THE CLOSING OF THE ORIGINAL
     OFFERING. AS USED HEREIN, THE TERMS "OFFSHORE TRANSACTION," "UNITED STATES"
     AND "U.S. PERSON" HAVE THE MEANINGS GIVEN TO THEM BY REGULATION S UNDER THE
     SECURITIES ACT.

         (C) Each Global Security, whether or not an Initial Security, shall
bear the following legend on the face thereof:

     UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE
     DEPOSITORY TRUST COMPANY, A NEW YORK CORPORATION ("DTC"), NEW YORK, NEW
     YORK, TO THE COMPANY OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE OR
     PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO.
     OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF
     DTC (AND ANY PAYMENT IS MADE TO CEDE & CO. OR TO SUCH OTHER ENTITY AS IS
     REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE OR
     OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL

                                       18
<PAGE>

     INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST
     HEREIN.

     TRANSFERS OF THIS GLOBAL SECURITY SHALL BE LIMITED TO TRANSFERS IN WHOLE,
     BUT NOT IN PART, TO DTC, TO NOMINEES OF DTC OR TO A SUCCESSOR THEREOF OR
     SUCH SUCCESSOR'S NOMINEE AND TRANSFERS OF PORTIONS OF THIS GLOBAL SECURITY
     SHALL BE LIMITED TO TRANSFERS MADE IN ACCORDANCE WITH THE RESTRICTIONS SET
     FORTH IN THE INDENTURE REFERRED TO ON THE REVERSE HEREOF.

         (e) Book-Entry Provisions.

         (i) This Section 2.1(e) shall apply only to Global Securities deposited
with the Trustee, as custodian for DTC.

         (ii) Each Global Security initially shall (x) be registered in the name
of DTC for such Global Security or the nominee of DTC, (y) be delivered to the
Trustee as custodian for DTC and (z) bear legends as set forth in Section
2.1(d).

         (iii) Members of, or participants in, DTC ("Agent Members") shall have
no rights under this Indenture with respect to any Global Security held on their
behalf by DTC or by the Trustee as the custodian of DTC or under such Global
Security, and DTC may be treated by the Company, the Trustee and any agent of
the Company or the Trustee as the absolute owner of such Global Security for all
purposes whatsoever. Notwithstanding the foregoing, nothing herein shall prevent
the Company, the Trustee or any agent of the Company or the Trustee from giving
effect to any written certification, proxy or other authorization furnished by
DTC or impair, as between DTC and its Agent Members, the operation of customary
practices of DTC governing the exercise of the rights of a Holder of a
beneficial interest in any Global Security.

         (iv) In connection with any transfer of a portion of the beneficial
interest in a Global Security pursuant to subsection (f) of this Section 2.1 to
beneficial owners who are required to hold Definitive Securities, the Securities
Custodian shall reflect on its books and records the date and a decrease in the
principal amount of such Global Security in an amount equal to the principal
amount of the beneficial interest in the Global Security to be transferred, and
the Company shall execute, and the Trustee shall authenticate and deliver, one
or more Definitive Securities of like tenor and amount.

         (v) In connection with the transfer of an entire Global Security to
beneficial owners pursuant to subsection (f) of this Section 2.1, such Global
Security shall be deemed to be surrendered to the Trustee for cancellation, and
the Company shall execute, and the Trustee shall authenticate and deliver, to
each beneficial owner identified by DTC in exchange for its beneficial interest
in such Global Security, an equal aggregate principal amount of Definitive
Securities of authorized denominations.

         (vi) The registered Holder of a Global Security may grant proxies and
otherwise authorize any person, including Agent Members and persons that may
hold interests through Agent Members, to take any action which a Holder is
entitled to take under this Indenture or the Securities.

                                       19
<PAGE>

         (vii) Any Holder of a Global Security shall, by acceptance of such
Global Security, agree that transfers of beneficial interests in such Global
Security may be effected only through a book-entry system maintained by (a) the
Holder of such Global Security (or its agent) or (b) any Holder of a beneficial
interest in such Global Security, and that ownership of a beneficial interest in
such Global Security shall be required to be reflected in a book entry.

         (f) Definitive Securities. (i) Except as provided below, owners of
beneficial interests in Global Securities will not be entitled to receive
Definitive Securities. If required to do so pursuant to any applicable law or
regulation, beneficial owners may obtain Definitive Securities in exchange for
their beneficial interests in a Global Security upon written request in
accordance with DTC's and the Registrar's procedures. In addition, Definitive
Securities shall be transferred to all beneficial owners in exchange for their
beneficial interests in a Global Security if (A) DTC notifies the Company that
it is unwilling or unable to continue as depositary for such Global Security or
DTC ceases to be a clearing agency registered under the Exchange Act, at a time
when DTC is required to be so registered in order to act as depositary, and in
each case a successor depositary is not appointed by the Company within 90 days
of such notice or, (B) the Company in its sole discretion executes and delivers
to the Trustee and Registrar an Officers' Certificate stating that such Global
Security shall be so exchangeable or (C) an Event of Default has occurred and is
continuing and the Registrar has received a request from DTC. In the event of
the occurrence of any of the events specified in clause (A), (B) or (C) of the
preceding sentence, the Company shall promptly make available to the Trustee a
reasonable supply of Definitive Securities in fully registered form without
interest coupons.

         (ii) Any Definitive Security delivered in exchange for an interest in a
Global Security pursuant to Section 2.1(e)(iv) or (v) shall, except as otherwise
provided by Section 2.6(c), bear the applicable legend regarding transfer
restrictions applicable to the Definitive Security set forth in Section 2.1(d).

         (iii) In connection with the exchange of a portion of a Definitive
Security for a beneficial interest in a Global Security, the Trustee shall
cancel such Definitive Security, and the Company shall execute, and the Trustee
shall authenticate and deliver, to the transferring Holder a new Definitive
Security representing the principal amount not so transferred.

         SECTION 2.2. Execution and Authentication. One Officer shall sign the
Securities for the Company by manual or facsimile signature. If an Officer whose
signature is on a Security no longer holds that office at the time the Trustee
authenticates the Security, the Security shall be valid nevertheless.

         A Security shall not be valid until an authorized signatory of the
Trustee manually authenticates the Security. The signature of the Trustee on a
Security shall be conclusive evidence that such Security has been duly and
validly authenticated and issued under this Indenture. A Security shall be dated
the date of its authentication.

         At any time and from time to time after the execution and delivery of
this Indenture, the Trustee shall authenticate and make available for delivery:
(1) Initial Securities for original issue on the Issue Date in an aggregate
principal amount of $200,000,000, (2) subject to the terms of this Indenture,
Additional Securities for original issue in an unlimited principal

                                       20
<PAGE>

amount and (3) Exchange Securities for issue only in a Registered Exchange Offer
pursuant to the Registration Rights Agreement or upon resale under an effective
Shelf Registration Statement, and only in exchange for Initial Securities or
Additional Securities of an equal principal amount, in each case upon a written
order of the Company signed by two Officers (the "Company Order"). Such Company
Order shall specify the amount of the Securities to be authenticated and the
date on which the original issue of Securities is to be authenticated and
whether the Securities are to be Initial Securities, Additional Securities or
Exchange Securities. Notwithstanding anything to the contrary in this Indenture,
any issuance of Additional Securities after the Issue Date shall be in a
principal amount of at least $1.0 million, whether such Additional Securities
are of the same or a different series from the Initial Securities.

         The Trustee may appoint an agent (the "Authenticating Agent")
reasonably acceptable to the Company to authenticate the Securities. Any such
instrument shall be evidenced by an instrument signed by a Trust Officer, a copy
of which shall be furnished to the Company. Unless limited by the terms of such
appointment, any such Authenticating Agent may authenticate Securities whenever
the Trustee may do so. Each reference in this Indenture to authentication by the
Trustee includes authentication by the Authenticating Agent. An Authenticating
Agent has the same rights as any Registrar, Paying Agent or agent for service of
notices and demands.

         In case the Company or any Subsidiary Guarantor, pursuant to Article IV
or Section 10.2, shall be consolidated or merged with or into any other Person
or shall convey, transfer, lease or otherwise dispose of its properties and
assets substantially as an entirety to any Person, and the successor Person
resulting from such consolidation, or surviving such merger, or into which the
Company or any Subsidiary Guarantor shall have been merged, or the Person which
shall have received a conveyance, transfer, lease or other disposition as
aforesaid, shall have executed an indenture supplemental hereto with the Trustee
pursuant to Article IV, any of the Securities authenticated or delivered prior
to such consolidation, merger, conveyance, transfer, lease or other disposition
may, from time to time, at the request of the successor Person, be exchanged for
other Securities executed in the name of the successor Person with such changes
in phraseology and form as may be appropriate, but otherwise in substance of
like tenor as the Securities surrendered for such exchange and of like principal
amount; and the Trustee, upon Company Order of the successor Person, shall
authenticate and deliver Securities as specified in such order for the purpose
of such exchange. If Securities shall at any time be authenticated and delivered
in any new name of a successor Person pursuant to this Section 2.2 in exchange
or substitution for or upon registration of transfer of any Securities, such
successor Person, at the option of the Holders but without expense to them,
shall provide for the exchange of all Securities at the time outstanding for
Securities authenticated and delivered in such new name.

         SECTION 2.3. Registrar and Paying Agent. The Company shall maintain an
office or agency where Securities may be presented for registration of transfer
or for exchange (the "Registrar") and an office or agency where Securities may
be presented for payment (the "Paying Agent"). The Company shall cause each of
the Registrar and the Paying Agent to maintain an office or agency in the
Borough of Manhattan, The City of New York. The Registrar shall keep a register
of the Securities and of their transfer and exchange (the "Securities
Register"). The Company may have one or more co-registrars and one or more
additional paying

                                       21
<PAGE>
 agents. The term "Paying Agent" includes any additional paying agent and the
term "Registrar" includes any co-registrar.

         The Company shall enter into an appropriate agency agreement with any
Registrar or Paying Agent not a party to this Indenture, which shall incorporate
the terms of the TIA. The agreement shall implement the provisions of this
Indenture that relate to such agent. The Company shall notify the Trustee of the
name and address of each such agent. If the Company fails to maintain a
Registrar or Paying Agent, the Trustee shall act as such and shall be entitled
to appropriate compensation therefor pursuant to Section 7.7. The Company or any
of its domestically organized, wholly owned Subsidiaries may act as Paying
Agent, Registrar or transfer agent.

         The Company initially appoints the Trustee as Registrar and Paying
Agent for the Securities. The Company may remove any Registrar or Paying Agent
upon written notice to such Registrar or Paying Agent and to the Trustee;
provided, however, that no such removal shall become effective until (i)
acceptance of any appointment by a successor as evidenced by an appropriate
agreement entered into by the Company and such successor Registrar or Paying
Agent, as the case may be, and delivered to the Trustee or (ii) notification to
the Trustee that the Trustee shall serve as Registrar or Paying Agent until the
appointment of a successor in accordance with clause (i) above. The Registrar or
Paying Agent may resign at any time upon written notice to the Company and the
Trustee.

         SECTION 2.4. Paying Agent to Hold Money in Trust. By no later than
10:00 a.m. (New York City time) on the date on which any principal of or
interest on any Security is due and payable, the Company shall deposit with the
Paying Agent a sum sufficient in immediately available funds to pay such
principal or interest when due. The Company shall require each Paying Agent
(other than the Trustee) to agree in writing that such Paying Agent shall hold
in trust for the benefit of Securityholders or the Trustee all money held by
such Paying Agent for the payment of principal of or interest on the Securities
and shall notify the Trustee in writing of any default by the Company or any
Subsidiary Guarantor in making any such payment. If the Company or a Subsidiary
acts as Paying Agent, it shall segregate the money held by it as Paying Agent
and hold it as a separate trust fund. The Company at any time may require a
Paying Agent (other than the Trustee) to pay all money held by it to the Trustee
and to account for any funds disbursed by such Paying Agent. Upon complying with
this Section, the Paying Agent (if other than the Company or a Subsidiary) shall
have no further liability for the money delivered to the Trustee. Upon any
bankruptcy, reorganization or similar proceeding with respect to the Company,
the Trustee shall serve as Paying Agent for the Securities.

         SECTION 2.5. Securityholder Lists. The Trustee shall preserve in as
current a form as is reasonably practicable the most recent list available to it
of the names and addresses of Securityholders and shall otherwise comply with
TIA Section 312(a). If the Trustee is not the Registrar, or to the extent
otherwise required under the TIA, the Company, on its own behalf and on behalf
of each of the Subsidiary Guarantors, shall furnish or cause the Registrar to
furnish to the Trustee, in writing at least five Business Days before each
interest payment date and at such other times as the Trustee may request in
writing, a list in such form and as of such date as the Trustee may reasonably
require of the names and addresses of Securityholders and the Company shall
otherwise comply with TIA Section 312(a).

                                       22
<PAGE>

         SECTION 2.6. Transfer and Exchange.

         (a) The following provisions shall apply with respect to any proposed
transfer of a Rule 144A Note or an Institutional Accredited Investor Note prior
to the date which is two years after the later of the date of its original issue
and the last date on which the Company or any Affiliate of the Company was the
owner of such Securities (or any predecessor thereto) (the "Resale Restriction
Termination Date"):

          (i) a transfer of a Rule 144A Note or an Institutional Accredited
     Investor Note or a beneficial interest therein to a QIB shall be made upon
     the representation of the transferee in the form as set forth on the
     reverse of the Security that it is purchasing for its own account or an
     account with respect to which it exercises sole investment discretion and
     that it and any such account is a "qualified institutional buyer" within
     the meaning of Rule 144A, and is aware that the sale to it is being made in
     reliance on Rule 144A and acknowledges that it has received such
     information regarding the Company as the undersigned has requested pursuant
     to Rule 144A or has determined not to request such information and that it
     is aware that the transferor is relying upon its foregoing representations
     in order to claim the exemption from registration provided by Rule 144A;

          (ii) a transfer of a Rule 144A Note or an Institutional Accredited
     Investor Note or a beneficial interest therein to an IAI shall be made upon
     receipt by the Trustee or its agent of a certificate substantially in the
     form set forth in Section 2.8 from the proposed transferee and, if
     requested by the Company or the Trustee, the delivery of an opinion of
     counsel, certification and/or other information satisfactory to each of
     them; and

          (iii) a transfer of a Rule 144A Note or an Institutional Accredited
     Investor Note or a beneficial interest therein to a Non-U.S. Person shall
     be made upon receipt by the Trustee or its agent of a certificate
     substantially in the form set forth in Section 2.9 from the proposed
     transferee and, if requested by the Company or the Trustee, the delivery of
     an opinion of counsel, certification and/or other information satisfactory
     to each of them.

         (b) The following provisions shall apply with respect to any proposed
transfer of a Regulation S Note prior to the expiration of the Restricted
Period:

          (i) a transfer of a Regulation S Note or a beneficial interest therein
     to a QIB shall be made upon the representation of the transferee, in the
     form of assignment on the reverse of the certificate, that it is purchasing
     the Security for its own account or an account with respect to which it
     exercises sole investment discretion and that it and any such account is a
     "qualified institutional buyer" within the meaning of Rule 144A, and is
     aware that the sale to it is being made in reliance on Rule 144A and
     acknowledges that it has received such information regarding the Company as
     the undersigned has requested pursuant to Rule 144A or has determined not
     to request such information and that it is aware that the transferor is
     relying upon its foregoing representations in order to claim the exemption
     from registration provided by Rule 144A;

                                       23
<PAGE>

          (ii) a transfer of a Regulation S Note or a beneficial interest
     therein to an IAI shall be made upon receipt by the Trustee or its agent of
     a certificate substantially in the form set forth in Section 2.8 from the
     proposed transferee and, if requested by the Company or the Trustee, the
     delivery of an opinion of counsel, certification and/or other information
     satisfactory to each of them; and

          (iii) a transfer of a Regulation S Note or a beneficial interest
     therein to a Non-U.S. Person shall be made upon receipt by the Trustee or
     its agent of a certificate substantially in the form set forth in Section
     2.9 hereof from the proposed transferee and, if requested by the Company or
     the Trustee, receipt by the Trustee or its agent of an opinion of counsel,
     certification and/or other information satisfactory to each of them.

         After the expiration of the Restricted Period, interests in the
Regulation S Note may be transferred in accordance with applicable law without
requiring the certification set forth in Section 2.8, Section 2.9 or any
additional certification.

         (c) Restricted Securities Legend. Upon the transfer, exchange or
replacement of Securities not bearing a Restricted Securities Legend, the
Registrar shall deliver Securities that do not bear a Restricted Securities
Legend. Upon the transfer, exchange or replacement of Securities bearing a
Restricted Securities Legend, the Registrar shall deliver only Securities that
bear a Restricted Securities Legend unless (i) Initial Securities are being
exchanged for Exchange Securities in a Registered Exchange Offer in which case
the Exchange Securities shall not bear a Restricted Securities Legend, (ii) an
Initial Security is being transferred pursuant to an effective registration
statement or (iii) there is delivered to the Registrar an Opinion of Counsel to
the effect that neither such legend nor the related restrictions on transfer are
required in order to maintain compliance with the provisions of the Securities
Act. Any Additional Securities sold in a registered offering shall not be
required to bear the Restricted Securities Legend.

         (d) The Registrar shall retain copies of all letters, notices and other
written communications received pursuant to Section 2.1 or this Section 2.6. The
Company shall have the right to inspect and make copies of all such letters,
notices or other written communications at any reasonable time upon the giving
of reasonable prior written notice to the Registrar.

         (e) Obligations with Respect to Transfers and Exchanges of Securities.

          (i) To permit registrations of transfers and exchanges, the Company
     shall, subject to the other terms and conditions of this Article II,
     execute and the Trustee shall authenticate Definitive Securities and Global
     Securities at the Registrar's request.

          (ii) No service charge shall be made to a Holder for any registration
     of transfer or exchange, but the Company may require payment of a sum
     sufficient to cover any transfer tax, assessments, or similar governmental
     charge payable in connection therewith (other than any such transfer taxes,
     assessments or similar governmental charges payable upon exchange or
     transfer pursuant to Sections 3.6 or 9.5).

          (iii) The Registrar shall not be required to register the transfer of
     or exchange of any Security for a period beginning (1) 15 days before the
     mailing of a notice of an offer to repurchase or redeem Securities and
     ending at the close of business on the day of such

                                       24
<PAGE>

     mailing or (2) 15 days before an interest payment date and ending on such
     interest payment date.

          (iv) Prior to the due presentation for registration of transfer of any
     Security, the Company, the Trustee, the Paying Agent or the Registrar may
     deem and treat the person in whose name a Security is registered as the
     absolute owner of such Security for the purpose of receiving payment of
     principal of and interest on such Security and for all other purposes
     whatsoever, including without limitation the transfer or exchange of such
     Security, whether or not such Security is overdue, and none of the Company,
     the Trustee, the Paying Agent or the Registrar shall be affected by notice
     to the contrary.

          (v) Any Definitive Security delivered in exchange for an interest in a
     Global Security pursuant to Section 2.1(e) shall, except as otherwise
     provided by Section 2.6(c), bear the applicable legend regarding transfer
     restrictions applicable to the Definitive Security set forth in Section
     2.1(d).

          (vi) All Securities issued upon any transfer or exchange pursuant to
     the terms of this Indenture shall evidence the same debt and shall be
     entitled to the same benefits under this Indenture as the Securities
     surrendered upon such transfer or exchange.

         (f) No Obligation of the Trustee.

         (i) The Trustee shall have no responsibility or obligation to any
beneficial owner of a Global Security, a member of, or a participant in, DTC or
other Person with respect to the accuracy of the records of DTC or its nominee
or of any participant or member thereof, with respect to any ownership interest
in the Securities or with respect to the delivery to any participant, member,
beneficial owner or other Person (other than DTC) of any notice (including any
notice of redemption) or the payment of any amount or delivery of any Securities
(or other security or property) under or with respect to such Securities. All
notices and communications to be given to the Holders and all payments to be
made to Holders in respect of the Securities shall be given or made only to or
upon the order of the registered Holders (which shall be DTC or its nominee in
the case of a Global Security). The rights of beneficial owners in any Global
Security shall be exercised only through DTC subject to the applicable rules and
procedures of DTC. The Trustee may rely and shall be fully protected in relying
upon information furnished by DTC with respect to its members, participants and
any beneficial owners.

         (ii) The Trustee shall have no obligation or duty to monitor, determine
or inquire as to compliance with any restrictions on transfer imposed under this
Indenture or under applicable law with respect to any transfer of any interest
in any Security (including any transfers between or among DTC participants,
members or beneficial owners in any Global Security) other than to require
delivery of such certificates and other documentation or evidence as are
expressly required by, and to do so if and when expressly required by, the terms
of this Indenture, and to examine the same to determine substantial compliance
as to form with the express requirements hereof.

         SECTION 2.7. [RESERVED]

                                       25
<PAGE>

         SECTION 2.8. Form of Certificate to be Delivered in Connection with
Transfers to Institutional Accredited Investors.

                                                                       [Date]

Manor Care, Inc.
c/o National City Bank
4100 W. 150th Street, 3rd Floor
Cleveland, Ohio 44135-1385
Attention: Corporate Trust Operations
                  Locator 01-5352

Dear Sirs:

         This certificate is delivered to request a transfer of $[_________]
principal amount of the 6.25% Senior Notes due 2013 (the "Securities") of Manor
Care, Inc. (the "Company").

         Upon transfer, the Securities would be registered in the name of the
new beneficial owner as follows:

                  Name: ___________________________________

                  Address: ________________________________

                  Taxpayer ID Number: _____________________

                  The undersigned represents and warrants to you that:

         1. We are an institutional "accredited investor" (as defined in Rule
501(a)(1), (2), (3) or (7) under the Securities Act of 1933, as amended (the
"Securities Act")) purchasing for our own account or for the account of such an
institutional "accredited investor" at least $250,000 principal amount of the
Securities, and we are acquiring the Securities not with a view to, or for offer
or sale in connection with, any distribution in violation of the Securities Act.
We have such knowledge and experience in financial and business matters as to be
capable of evaluating the merits and risk of our investment in the Securities
and we invest in or purchase securities similar to the Securities in the normal
course of our business. We and any accounts for which we are acting are each
able to bear the economic risk of our or its investment.

         2. We understand that the Securities have not been registered under the
Securities Act and, unless so registered, may not be sold except as permitted in
the following sentence. We agree on our own behalf and on behalf of any investor
account for which we are purchasing Securities to offer, sell or otherwise
transfer such Securities prior to the date that is two years after the later of
the date of original issue and the last date on which the Company or any
affiliate of the Company was the owner of such Securities (or any predecessor
thereto) (the "Resale Restriction Termination Date") only (a) to the Company,
(b) pursuant to a registration statement which has been declared effective under
the Securities Act, (c) in a transaction complying with the requirements of Rule
144A under the Securities Act, to a person we reasonably believe is a qualified
institutional buyer under Rule 144A (a "QIB") that is purchasing for its own
account or for the account of a QIB and to whom notice is given that the
transfer is being made in reliance on Rule 144A, (d) pursuant to offers and
sales that occur

                                       26
<PAGE>

outside the United States within the meaning of Regulation S under the
Securities Act, (e) to an institutional "accredited investor" within the meaning
of Rule 501(a)(1), (2), (3) or (7) under the Securities Act that is purchasing
for its own account or for the account of such an institutional "accredited
investor," in each case in a minimum principal amount of Securities of $250,000
or (f) pursuant to any other available exemption from the registration
requirements of the Securities Act, subject in each of the foregoing cases to
any requirement of law that the disposition of our property or the property of
such investor account or accounts be at all times within our or their control
and in compliance with any applicable state securities laws. The foregoing
restrictions on resale will not apply subsequent to the Resale Restriction
Termination Date. If any resale or other transfer of the Securities is proposed
to be made pursuant to clause (e) above prior to the Resale Restriction
Termination Date, the transferor shall deliver a letter from the transferee
substantially in the form of this letter to the Company and the Trustee, which
shall provide, among other things, that the transferee is an institutional
"accredited investor" (within the meaning of Rule 501(a)(1), (2), (3) or (7)
under the Securities Act) and that it is acquiring such Securities for
investment purposes and not for distribution in violation of the Securities Act.
Each purchaser acknowledges that the Company and the Trustee reserve the right
prior to any offer, sale or other transfer prior to the Resale Termination Date
of the Securities pursuant to clauses (d), (e) or (f) above to require the
delivery of an opinion of counsel, certifications and/or other information
satisfactory to the Company and the Trustee.

                                  TRANSFEREE:___________________________________

                                  BY:___________________________________________

         SECTION 2.9. Form of Certificate to be Delivered in Connection with
Transfers Pursuant to Regulation S.

                                                                       [Date]

Manor Care, Inc.
c/o National City Bank
4100 W. 150th Street, 3rd Floor
Cleveland, Ohio 44135-1385
Attention: Corporate Trust Operations
                  Locator 01-5352

                  Re:            Manor Care, Inc.
                 6.25% Senior Notes due 2013 (the "Securities")

Ladies and Gentlemen:

         In connection with our proposed sale of $[________] aggregate principal
amount of the Securities, we confirm that such sale has been effected pursuant
to and in accordance with Regulation S under the United States Securities Act of
1933, as amended (the "Securities Act"), and, accordingly, we represent that:

         (a) the offer of the Securities was not made to a person in the United
States;

                                       27
<PAGE>

         (b) either (i) at the time the buy order was originated, the transferee
was outside the United States or we and any person acting on our behalf
reasonably believed that the transferee was outside the United States or (ii)
the transaction was executed in, on or through the facilities of a designated
off-shore securities market and neither we nor any person acting on our behalf
knows that the transaction has been pre-arranged with a buyer in the United
States;

         (c) no directed selling efforts have been made in the United States in
contravention of the requirements of Rule 903(a)(2) or Rule 904(a)(2) of
Regulation S, as applicable; and

         (d) the transaction is not part of a plan or scheme to evade the
registration requirements of the Securities Act.

         In addition, if the sale is made during a restricted period and the
provisions of Rule 903(b)(2) or Rule 904(b)(1) of Regulation S are applicable
thereto, we confirm that such sale has been made in accordance with the
applicable provisions of Rule 903(b)(2) or Rule 904(b)(1), as the case may be.

         You and the Company are entitled to rely upon this letter and are
irrevocably authorized to produce this letter or a copy hereof to any interested
party in any administrative or legal proceedings or official inquiry with
respect to the matters covered hereby. Terms used in this certificate have the
meanings set forth in Regulation S.

                  Very truly yours,

                  [Name of Transferor]

                  By:____________________________
                           Authorized Signature

         SECTION 2.10. Mutilated, Destroyed, Lost or Stolen Securities. If a
mutilated Security is surrendered to the Registrar or if the Holder of a
Security claims that the Security has been lost, destroyed or wrongfully taken,
the Company shall issue and the Trustee shall authenticate a replacement
Security if the requirements of Section 8-405 of the Uniform Commercial Code are
met, such that the Securityholder (a) satisfies the Company or the Trustee
within a reasonable time after such Securityholder has notice of such loss,
destruction or wrongful taking and the Registrar has not registered a transfer
prior to receiving such notification, (b) makes such request to the Company or
Trustee prior to the Security being acquired by a protected purchaser as defined
in Section 8-303 of the Uniform Commercial Code (a "protected purchaser") and
(c) satisfies any other reasonable requirements of the Trustee. If required by
the Trustee or the Company, such Holder shall furnish an indemnity bond
sufficient in the judgment of the Company and the Trustee to protect the
Company, the Trustee, the Paying Agent and the Registrar from any loss which any
of them may suffer if a Security is replaced, and, in the absence of notice to
the Company, any Subsidiary Guarantor or the Trustee that such

                                       28
<PAGE>

Security has been acquired by a bona fide purchaser, the Company shall execute
and upon Company Order the Trustee shall authenticate and make available for
delivery, in exchange for any such mutilated Security or in lieu of any such
destroyed, lost or stolen Security, a new Security of like tenor and principal
amount, bearing a number not contemporaneously outstanding.

         In case any such mutilated, destroyed, lost or stolen Security has
become or is about to become due and payable, the Company in its discretion may,
instead of issuing a new Security, pay such Security.

         Upon the issuance of any new Security under this Section, the Company
may require the payment of a sum sufficient to cover any tax or other
governmental charge that may be imposed in relation thereto and any other
expenses (including the fees and expenses of the Trustee) in connection
therewith.

         Every new Security issued pursuant to this Section in lieu of any
mutilated, destroyed, lost or stolen Security shall constitute an original
additional contractual obligation of the Company, any Subsidiary Guarantor (if
applicable) and any other obligor upon the Securities, whether or not the
mutilated, destroyed, lost or stolen Security shall be at any time enforceable
by anyone, and shall be entitled to all benefits of this Indenture equally and
proportionately with any and all other Securities duly issued hereunder.

         The provisions of this Section are exclusive and shall preclude (to the
extent lawful) all other rights and remedies with respect to the replacement or
payment of mutilated, destroyed, lost or stolen Securities.

         SECTION 2.11. Outstanding Securities. Securities outstanding at any
time are all Securities authenticated by the Trustee except for those cancelled
by it, those delivered to it for cancellation and those described in this
Section as not outstanding. A Security does not cease to be outstanding in the
event the Company or a Subsidiary of the Company holds the Security, provided,
however, that (i) for purposes of determining which are outstanding for consent
or voting purposes hereunder, the provisions of Section 11.6 shall apply and
(ii) in determining whether the Trustee shall be protected in making a
determination whether the Holders of the requisite principal amount of
outstanding Securities are present at a meeting of Holders of Securities for
quorum purposes or have consented to or voted in favor of any request, demand,
authorization, direction, notice, consent, waiver, amendment or modification
hereunder, or relying upon any such quorum, consent or vote, only Securities
which a Trust Officer of the Trustee actually knows to be held by the Company or
an Affiliate of the Company shall not be considered outstanding.

         If a Security is replaced pursuant to Section 2.10, it ceases to be
outstanding unless the Trustee and the Company receive proof satisfactory to
them that the replaced Security is held by a bona fide purchaser.

         If the Paying Agent segregates and holds in trust, in accordance with
this Indenture, on a Redemption Date or maturity date money sufficient to pay
all principal and interest payable on that date with respect to the Securities
(or portions thereof) to be redeemed or

                                       29
<PAGE>

maturing, as the case may be, and the Paying Agent is not prohibited from paying
such money to the Securityholders on that date pursuant to the terms of this
Indenture, then on and after that date such Securities (or portions thereof)
cease to be outstanding and interest on them ceases to accrue.

         SECTION 2.12. Temporary Securities. In the event that Definitive
Securities are to be issued under the terms of this Indenture, until such
Definitive Securities are ready for delivery, the Company may prepare and the
Trustee shall authenticate temporary Securities. Temporary Securities shall be
substantially in the form of Definitive Securities but may have variations that
the Company considers appropriate for temporary Securities. Without unreasonable
delay, the Company shall prepare and the Trustee shall authenticate Definitive
Securities. After the preparation of Definitive Securities, the temporary
Securities shall be exchangeable for Definitive Securities upon surrender of the
temporary Securities at any office or agency maintained by the Company for that
purpose and such exchange shall be without charge to the Holder. Upon surrender
for cancellation of any one or more temporary Securities, the Company shall
execute, and the Trustee shall authenticate and make available for delivery in
exchange therefor, one or more Definitive Securities representing an equal
principal amount of Securities. Until so exchanged, the Holder of temporary
Securities shall in all respects be entitled to the same benefits under this
Indenture as a Holder of Definitive Securities.

         SECTION 2.13. Cancellation. The Company at any time may deliver
Securities to the Trustee for cancellation. The Registrar and the Paying Agent
shall forward to the Trustee any Securities surrendered to them for registration
of transfer, exchange or payment. The Trustee and no one else shall cancel all
Securities surrendered for registration of transfer, exchange, payment or
cancellation and destroy such Securities in accordance with its internal
policies and customary procedures including delivery of a certificate (a
"Certificate of Destruction") describing such Securities disposed (subject to
the record retention requirements of the Exchange Act) or deliver canceled
Securities to the Company pursuant to written direction by an Officer. The
Company may not issue new Securities to replace Securities it has paid or
delivered to the Trustee for cancellation for any reason other than in
connection with a transfer or exchange.

         At such time as all beneficial interests in a Global Security have
either been exchanged for Definitive Securities, transferred, redeemed,
repurchased or canceled, such Global Security shall be returned by DTC to the
Trustee for cancellation or retained and canceled by the Trustee. At any time
prior to such cancellation, if any beneficial interest in a Global Security is
exchanged for Definitive Securities, transferred in exchange for an interest in
another Global Security, redeemed, repurchased or canceled, the principal amount
of Securities represented by such Global Security shall be reduced and an
adjustment shall be made on the books and records of the Trustee (if it is then
the Securities Custodian for such Global Security) with respect to such Global
Security, by the Trustee or the Securities Custodian, to reflect such reduction.

         SECTION 2.14. Payment of Interest; Defaulted Interest. Interest on any
Security which is payable, and is punctually paid or duly provided for, on any
interest payment date shall be paid to the Person in whose name such Security
(or one or more predecessor Securities) is registered at the close of business
on the regular record date for such payment at the office or agency of the
Company maintained for such purpose pursuant to Section 2.3.

                                       30
<PAGE>

         Any interest on any Security which is payable, but is not paid when the
same becomes due and payable and such nonpayment continues for a period of 30
days shall forthwith cease to be payable to the Holder on the regular record
date, and such defaulted interest and (to the extent lawful) interest on such
defaulted interest at the rate borne by the Securities (such defaulted interest
and interest thereon herein collectively called "Defaulted Interest") shall be
paid by the Company, at its election in each case, as provided in clause (a) or
(b) below:

          (a) The Company may elect to make payment of any Defaulted Interest to
     the Persons in whose names the Securities (or their respective predecessor
     Securities) are registered at the close of business on a Special Record
     Date (as defined below) for the payment of such Defaulted Interest, which
     shall be fixed in the following manner. The Company shall notify the
     Trustee in writing of the amount of Defaulted Interest proposed to be paid
     on each Security and the date (not less than 30 days after such notice) of
     the proposed payment (the "Special Interest Payment Date"), and at the same
     time the Company shall deposit with the Trustee an amount of money equal to
     the aggregate amount proposed to be paid in respect of such Defaulted
     Interest or shall make arrangements satisfactory to the Trustee for such
     deposit prior to the date of the proposed payment, such money when
     deposited to be held in trust for the benefit of the Persons entitled to
     such Defaulted Interest as in this clause provided. Thereupon the Trustee
     shall fix a record date (the "Special Record Date") for the payment of such
     Defaulted Interest, which date shall be not more than 15 days and not less
     than 10 days prior to the Special Interest Payment Date and not less than
     10 days after the receipt by the Trustee of the notice of the proposed
     payment. The Trustee shall promptly notify the Company of such Special
     Record Date, and in the name and at the expense of the Company, shall cause
     notice of the proposed payment of such Defaulted Interest and the Special
     Record Date and Special Interest Payment Date therefor to be given in the
     manner provided for in Section 11.2, not less than 10 days prior to such
     Special Record Date. Notice of the proposed payment of such Defaulted
     Interest and the Special Record Date and Special Interest Payment Date
     therefor having been so given, such Defaulted Interest shall be paid on the
     Special Interest Payment Date to the Persons in whose names the Securities
     (or their respective predecessor Securities) are registered at the close of
     business on such Special Record Date and shall no longer be payable
     pursuant to the following clause (b).

          (b) The Company may make payment of any Defaulted Interest in any
     other lawful manner not inconsistent with the requirements of any
     securities exchange on which the Securities may be listed, and upon such
     notice as may be required by such exchange, if, after notice given by the
     Company to the Trustee of the proposed payment pursuant to this clause,
     such manner of payment shall be deemed practicable by the Trustee.

         Subject to the foregoing provisions of this Section, each Security
delivered under this Indenture upon registration of, transfer of or in exchange
for or in lieu of any other Security shall carry the rights to interest accrued
and unpaid, and to accrue, which were carried by such other Security.

         SECTION 2.15. Computation of Interest. Interest on the Securities shall
be computed on the basis of a 360-day year of twelve 30-day months.

                                       31
<PAGE>

         SECTION 2.16. CUSIP and ISIN Numbers. The Company in issuing the
Securities may use "CUSIP" and "ISIN" numbers (if then generally in use) and, if
so, the Trustee shall use "CUSIP" and "ISIN" numbers in notices of redemption as
a convenience to Holders; provided, however, that any such notice may state that
no representation is made as to the correctness of such numbers either as
printed on the Securities or as contained in any notice of a redemption and that
reliance may be placed only on the other identification numbers printed on the
Securities, and any such redemption shall not be affected by any defect in or
omission of such CUSIP or ISIN numbers. The Company shall promptly notify the
Trustee in writing of any change in the CUSIP and ISIN numbers.

                                  ARTICLE III

                                    COVENANTS

         SECTION 3.1. Payment of Securities. The Company shall promptly pay the
principal of and interest on the Securities on the dates and in the manner
provided in the Securities and in this Indenture. Principal and interest shall
be considered paid on the date due if on such date the Trustee or the Paying
Agent holds in accordance with this Indenture immediately available funds
sufficient to pay all principal and interest then due and the Trustee or the
Paying Agent, as the case may be, is not prohibited from paying such money to
the Securityholders on that date pursuant to the terms of this Indenture.

         The Company shall pay interest on overdue principal at the rate
specified therefor in the Securities, and it shall pay interest on overdue
installments of interest at the same rate to the extent lawful.

         Notwithstanding anything to the contrary contained in this Indenture,
the Company may, to the extent it is required to do so by law, deduct or
withhold income or other similar taxes imposed by the United States of America
from principal or interest payments hereunder.

         SECTION 3.2. [RESERVED]

         SECTION 3.3. Limitation on Liens. (a) Except as provided in Section
3.3(b), the Company shall not, and shall not permit any Subsidiary to, create,
Incur or assume any Lien on any property or assets of the Company or any
Subsidiary in order to secure any Debt of the Company or any Subsidiary, without
effectively providing that the Securities (together with, if the Company shall
so determine, any other Debt which is not subordinated to the Securities) shall
be secured equally and ratably with (or prior to) such Debt, so long as such
Debt shall be so secured.

         (b) The limitation set forth in Section 3.3(a) shall not apply to (i)
any Lien if, after giving effect thereto, the aggregate amount of all Debt of
the Company and its Subsidiaries secured by Liens existing at the time
(excluding any Debt secured by Liens permitted to be Incurred by clauses (ii)
through (xvii) below) would not exceed the Applicable Percentage of the
Consolidated Net Assets of the Company; (ii) any Lien if an amount of cash equal
to the net

                                       32
<PAGE>

proceeds of the Debt secured by such Lien is used within 12 months of such
creation, Incurrence or assumption to (x) acquire additional property or assets
(or to make investments in Persons who, after giving effect to such investments,
will become Subsidiaries) or (y) make an offer to purchase the Securities at
100% of the principal amount thereof plus accrued interest, if any, to the date
of purchase; (iii) Existing Liens and Liens created, Incurred or assumed after
the Issue Date on property or assets of the Company or of any Subsidiary that
were subject to an Existing Lien; (iv) Liens on property or assets of any Person
existing at the time such Person becomes a Subsidiary or merges into or
consolidates with the Company or a Subsidiary; (v) Liens on property or assets
existing at the time of acquisition thereof by the Company or any Subsidiary;
(vi) Liens to secure the financing of the acquisition, construction, alteration
or improvement of property or assets of the Company or any Subsidiary (or of any
Person who, after giving effect to such financing, will become Subsidiaries),
provided that such Liens are created not later than 18 months after such
acquisition or, in the case of construction, alteration or improvement of
property or assets, the later of the completion thereof or commencement of
commercial operation of such property or assets; (vii) Liens in favor of the
Company or any Subsidiary; (viii) Liens in favor of or required by federal,
state or local governmental authorities, including any department or
instrumentality thereof; (ix) Liens on property or assets of, or on any shares
of stock or other equity interest in, a Foreign Subsidiary to secure Debt of a
Foreign Subsidiary or, a Non-Recourse Subsidiary to secure Non-Recourse Debt;
(x) Liens to secure Debt of joint ventures in which the Company or a Subsidiary
has an interest, to the extent such Liens are on property or assets of or equity
interests in such joint ventures; (xi) Liens on current assets to secure Debt
Incurred for working capital purposes, provided that such Debt matures no later
than 18 months from the date of Incurrence; (xii) Liens on receivables in
connection with Receivables Securitizations; (xiii) Liens of carriers,
warehousemen, mechanics, materialmen and landlords Incurred in the ordinary
course of business for sums not overdue or being contested in good faith by
appropriate proceedings and for which adequate reserves shall have been set
aside on the Company's books; (xiv) Liens Incurred in the ordinary course of
business in connection with workmen's compensation, unemployment insurance or
other forms of governmental insurance or benefits, or to secure performance of
bids, tenders, trade contracts (other than for Debt), statutory obligations,
leases and contracts (other than for Debt) entered into in the ordinary course
of business or to secure obligations on surety or appeal bonds or performance
bonds; (xv) easements, restrictions and other minor defects of title which are
not, in the aggregate, material and which do not, individually or in the
aggregate, have a materially adverse effect; (xvi) leases or subleases granted
to others not interfering in any material respect with the business of the
Company or any Subsidiary, and any interest or title of a lessor under any lease
permitted under the Indenture; and (xvii) any extension, renewal or replacement,
as a whole or in part, of any Lien referred to in the foregoing clauses (i) to
(xvi), provided, however, that (a) such extension, renewal or replacement Lien
shall be limited to all or a part of the same property or assets that secured
the Lien being extended, renewed or replaced and (b) the principal amount of
Debt (or, if such Debt provides for an amount less than the principal amount
thereof to be due and payable upon a declaration of acceleration thereof, such
lesser amount) secured by such extended, renewed or replaced Lien does not
exceed the principal amount of Debt (or, if such Debt provides for an amount
less than the principal amount thereof to be due and payable upon a declaration
of acceleration thereof, such lesser amount) which was secured by the Lien being
extended, renewed or replaced.

                                       33
<PAGE>

         SECTION 3.4. Limitation on Sale and Lease-Back Transactions. The
Company will not, and will not permit any Subsidiary to, enter into any Sale and
Lease-Back Transaction unless (a) the Company or such Subsidiary would, at the
time of entering into a Sale and Lease-Back Transaction, be entitled to Incur
Debt secured by a Lien on the property or asset to be leased in an amount at
least equal to the Attributable Debt in respect of such transaction without
equally and ratably securing the Securities pursuant to Section 3.3, or (b) the
proceeds of the sale of the property or assets to be leased are at least equal
to their fair value (the fair value of such proceeds, if other than in cash, to
be determined by the chief financial or accounting officer of the Company whose
determination shall be conclusive) and an amount in cash equal to the net
proceeds is applied, within 12 months of the effective date of such transaction
to (i) acquire additional property or assets (or to make investments in entities
which, after giving effect to such investment, will become Subsidiaries), (ii)
to retire Debt which is pari passu with the Securities (provided that in
connection with any such retirement, any related loan commitment or the like
shall be reduced in an amount equal to the principal amount so retired) or (iii)
offer to purchase the Securities at 100% of the principal amount thereof, plus
accrued interest, if any, to the date of purchase.

         SECTION 3.5. Limitation on Affiliate Transactions. Neither the Company
nor any of its Subsidiaries shall sell, lease, transfer or otherwise dispose of
any of its properties or assets to or purchase any property or assets from, or
enter into any contract, agreement, understanding, loan, advance or guaranty
with, or for the benefit of, an Affiliate of the Company (other than a
Subsidiary) (an "Affiliate Transaction") having a value, or for consideration
having a value, in excess of $20,000,000 individually or in the aggregate unless
the Board of Directors of the Company shall determine that the terms of such
Affiliate Transaction are no less favorable to the Company or such Subsidiary
than those which might be obtained at the time of such Affiliate Transaction
from Persons who are not Affiliates. The restrictions of this Section 3.5 are
not applicable to the payment of reasonable and customary fees to directors of
the Company or a Subsidiary who are not employees, the payment of compensation
to officers of the Company or a Subsidiary and any transaction between or among
any of the Company and its Subsidiaries.

         SECTION 3.6. Change of Control. Upon the occurrence of a Change of
Control Triggering Event, each Holder will have the right to require the Company
to offer to repurchase all or any part (equal to $1,000 or an integral multiple
thereof) of such Holder's Securities at a purchase price in cash equal to 101%
of the principal amount of the Securities plus accrued and unpaid interest, if
any, to the date of purchase (subject to the right of Holders of record on the
relevant record date to receive interest due on the relevant interest payment
date).

         Within 30 days following any Change of Control Triggering Event, the
Company shall mail a notice (the "Change of Control Offer") to each Holder at
the address as it appears on the Securities Register, with a copy to the
Trustee, stating: (i) that a Change of Control Triggering Event has occurred and
that such Holder has the right to require the Company pursuant to this Section
3.6 to purchase such Holder's Securities at a purchase price in cash equal to
101% of the principal amount thereof plus accrued and unpaid interest, if any,
to the date of purchase (subject to the right of Holders of record on a record
date to receive interest on the relevant interest payment date) (the "Change of
Control Payment"); (ii) the repurchase date (which shall be a Business Day that
is no earlier than 30 days nor later than 60 days from the date that the Company
mails or causes to be mailed such notice to the Holders) (the "Change of

                                       34
<PAGE>

Control Payment Date"); (iii) that any Security not tendered shall continue to
accrue interest, if any; (iv) that, unless the Company defaults in the payment
of principal or interest, all Securities accepted for payment pursuant to the
Change of Control Offer shall cease to accrue interest, if any, after the Change
of Control Payment Date; (v) that Holders electing to have any Securities
purchased pursuant to a Change of Control Offer shall be required to surrender
the Securities to the Paying Agent at the address specified in the notice prior
to the close of business on the third Business Day preceding the date of
purchase for the Change of Control Payment Date; (vi) that Holders shall be
entitled to withdraw their election if the Paying Agent receives, not later than
the close of business on the second Business Day preceding the Change of Control
Payment Date, a telegram, telex, facsimile transmission or letter setting forth
the name of the Holder, the principal amount of Securities delivered for
purchase, and a statement that such Holder is withdrawing its election to have
the Securities purchased; (vii) that Holders whose Securities are being
purchased only in part shall be issued new Securities equal in principal amount
to the unpurchased portion of the Securities surrendered, which unpurchased
portion must be equal to $1,000 in principal amount or an integral multiple
thereof; and (viii) the procedures determined by the Company, consistent with
this Section 3.6, that a Holder must follow in order to have its Securities
repurchased.

         Prior to mailing a Change of Control Offer, and as a condition to such
mailing (i) the requisite holders of each issue of Debt issued under an
indenture or other agreement that may be violated by such payment shall have
consented to such Change of Control Offer being made and waived the event of
default, if any, caused by the Change of Control Triggering Event or (ii) the
Company will repay all outstanding Debt issued under an indenture or other
agreement that may be violated by a payment to the holders of Securities under a
Change of Control Offer or the Company must offer to repay all such Debt, and
make payment to the holders of such Debt that accept such offer and obtain
waivers of any event of default from the remaining holders of such Debt. The
Company will effect such repayment or obtain such consent and waiver within 30
days following any Change of Control Triggering Event, it being a Default of
this Section 3.6 if the Company fails to so comply with this Section 3.6 within
30 days after receipt of written notice from the Trustee or the Holders of at
least 25% in principal amount of the Securities.

         On the Change of Control Payment Date, the Company shall, to the extent
lawful, (i) accept for payment all Securities or portions thereof (equal to
$1,000 or an in integral multiple thereof) properly tendered pursuant to the
Change of Control Offer, (ii) deposit with the Paying Agent an amount equal to
the Change of Control Payment in respect of all the Securities or portions
thereof so tendered and (iii) deliver or cause to be delivered to the Trustee
the Securities so accepted together with an Officers' Certificate stating the
aggregate principal amount of such Securities or portions thereof being
purchased by the Company. The Paying Agent shall promptly mail to each Holder of
the Securities so tendered the Change of Control Payment for such Securities,
and the Trustee shall promptly authenticate and mail (or cause to be transferred
by book-entry) to each Holder a new Security equal in principal amount to any
unpurchased portion of the Securities surrendered, if any; provided that each
such new Security shall be in a principal amount of $1,000 or an integral
multiple thereof. The Company shall publicly announce the results of the Change
of Control Offer on or as soon as practicable after the Change of Control
Payment Date.

                                       35
<PAGE>

         If the Change of Control Payment Date is on or after an interest record
date and on or before the related interest payment date, any accrued and unpaid
interest, if any, will be paid to the Person in whose name a note is registered
at the close of business on such record date, and no additional interest will be
payable to holders who tender pursuant to the Change of Control Offer.

         The Company will not be required to make a Change of Control Offer upon
a Change of Control Triggering Event if a third party makes the Change of
Control Offer in the manner, at the times and otherwise in compliance with the
requirements set forth in this Section 3.6 applicable to a Change of Control
Offer made by the Company and purchases all Securities validly tendered and not
withdrawn under such Change of Control Offer.

         The Company will comply, to the extent applicable, with the
requirements of Section 14(e) of the Exchange Act and any other securities laws
or regulations in connection with the repurchase of Securities pursuant to this
Section 3.6. To the extent that the provisions of any securities laws or
regulations conflict with provisions of this Indenture, the Company will comply
with the applicable securities laws and regulations and shall not be deemed to
have breached its obligations described in this Indenture by virtue thereof.

         SECTION 3.7. Financial Statements. In the event and for so long as the
Company is not subject to Section 13 or 15(d) of the Exchange Act, it shall file
with the Trustee and mail to each Holder at such Holder's registered address the
following:

         (a) within 120 days after the end of each fiscal year, its consolidated
balance sheets as of the close of such fiscal year and the preceding fiscal year
and related consolidated statements of income and shareholders' equity and cash
flows, showing the financial condition of the Company and its consolidated
Subsidiaries as of the close of such fiscal year and the two preceding fiscal
years, all audited by an independent public accounting firm of recognized
national standing and accompanied by an opinion of such accounting firm to the
effect that such financial statements fairly present the financial condition and
results of operations of the Company and its consolidated Subsidiaries in
accordance with GAAP consistently applied, except as disclosed in the notes
thereto. Such balance sheets and related statements shall be substantially
comparable in detail to the audited balance sheets and related statements
included in the Company's Offering Memorandum and shall be accompanied by a
"Management's Discussion and Analysis of Financial Condition and Results of
Operations" ("MD&A") substantially comparable in detail to the MD&A included in
the Offering Memorandum with respect to the Company's fiscal years ended
December 31, 2000, 2001 and 2002; and

         (b) within 60 days after the end of each of the first three fiscal
quarters of each fiscal year, its consolidated balance sheets and related
consolidated statements of income and cash flows, stating the financial
condition of the Company and its consolidated Subsidiaries as of the close of
such fiscal quarter and as of the end of the preceding fiscal year (and the
corresponding quarter in the preceding fiscal year) and the then-elapsed portion
of such fiscal year (and the corresponding period in the preceding fiscal year).
Such balance sheets and related statements shall be prepared in accordance with
GAAP consistently applied except as disclosed in the notes thereto and shall be
accompanied by an MD&A substantially comparable in detail to the MD&A included
in the Offering Memorandum.

                                       36
<PAGE>

         (c) The Company shall deliver to the Holder, upon request of such
Holder, as many copies of the foregoing as may be reasonably requested by such
Holder.

         SECTION 3.8. Future Subsidiary Guarantors; Release of Guarantees. (a)
After the Issue Date, the Company will cause (i) each Subsidiary (other than a
Subsidiary that does not guarantee obligations under the Senior Credit
Agreement, the 2006 Notes, the 2008 Notes or the Convertible Notes) created or
acquired by the Company or one or more of its Subsidiaries to execute and
deliver to the Trustee a Subsidiary Guarantee pursuant to which such Subsidiary
Guarantor will unconditionally Guarantee, on a joint and several basis, the full
and prompt payment of the principal of, premium, if any, and interest on the
Securities on a senior basis; provided that (A) a Subsidiary Guarantee from any
Subsidiary (other than MCA so long as all or any portion of the 2006 Notes shall
remain outstanding) shall be released upon the release of such Subsidiary from
any liability under (x) the indentures relating to the 2006 Notes, the 2008
Notes and the Convertible Notes or any related guarantee or similar obligation
and (y) any Senior Credit Agreement and any guarantee or similar obligation in
respect thereof and (B) MCA shall be released from its obligations under its
Subsidiary Guarantee upon the repayment in full of the 2006 Notes (so long as no
default or event of default shall have occurred as a consequence thereof) and
the release of MCA from any liability under the indentures relating to the 2008
Notes and the Convertible Notes and any obligation it may have in respect of the
Senior Credit Agreement and any guarantee or similar obligation in respect
thereof; provided that such release of a Subsidiary Guarantor shall not occur in
the event such Subsidiary Guarantor is required to deliver a Subsidiary
Guarantee in accordance with the paragraph below and then such Subsidiary
Guarantee shall only be released in accordance with the paragraph below. Upon
notice by the Company to the Trustee of the occurrence of the events described
in either of the two preceding sentences, the Trustee shall execute any
documents reasonably required in order to evidence the release of any Subsidiary
Guarantor from its obligations under the Subsidiary Guarantee.

         (b) The Company will not permit any Subsidiary to Guarantee the payment
of any Debt of the Company unless (i) such Subsidiary simultaneously executes
and delivers a supplemental indenture to the Indenture providing for a Guarantee
of payment of the Securities by such Subsidiary; (ii) such Subsidiary waives and
will not in any manner whatsoever claim or take the benefit or advantage of, any
rights of reimbursement, indemnity or subrogation or any other rights against
the Company or any Subsidiary as a result of any payment by such Subsidiary
under its Subsidiary Guarantee; and (iii) such Subsidiary shall deliver to the
Trustee an Opinion of Counsel to the effect that (A) the supplemental indenture
has been duly executed and authorized and (B) the supplemental indenture
constitutes a valid, binding and enforceable obligation of such Subsidiary,
except insofar as enforcement thereof may be limited by bankruptcy, insolvency
or similar laws (including, without limitation, all laws relating to fraudulent
transfers) and except insofar as enforcement thereof is subject to general
principles of equity; provided that such Subsidiary Guarantee shall be released
upon the release of such Subsidiary from liability in respect of Guarantees of
Debt of the Company; and, provided, further, that any release of a Subsidiary
Guarantee under the preceding proviso will not impair the rights of the Holders
to receive Subsidiary Guarantees of the Securities in accordance with this
paragraph in the event future Debt of the Company is Guaranteed by such
Subsidiary.

         SECTION 3.9. Maintenance of Office or Agency. The Company will maintain
in The City of New York, an office or agency where the Securities may be
presented or

                                       37
<PAGE>

surrendered for payment, where, if applicable, the Securities may be surrendered
for registration of transfer or exchange and where notices and demands to or
upon the Company in respect of the Securities and this Indenture may be served.
The agency of National City Bank (the "Agent") currently located at National
City Bank c/o The Depository Trust Company, Transfer Agent Drop Service, 55
Water Street, Jeanette Park Entrance, New York, New York 10041 in the City of
New York shall be such office or agency of the Company, unless the Company shall
designate and maintain some other office or agency for one or more of such
purposes. The Company will give prompt written notice to the Trustee of any
change in the location of any such office or agency. If at any time the Company
shall fail to maintain any such required office or agency or shall fail to
furnish the Trustee with the address thereof, such presentations, surrenders,
notices and demands may be made or served at the Agent of the Trustee, and the
Company hereby appoints the Trustee as its agent to receive all such
presentations, surrenders, notices and demands.

         The Company may also from time to time designate one or more other
offices or agencies (in or outside of The City of New York) where the Securities
may be presented or surrendered for any or all such purposes and may from time
to time rescind any such designation; provided, however, that no such
designation or rescission shall in any manner relieve the Company of its
obligation to maintain an office or agency in The City of New York for such
purposes. The Company will give prompt written notice to the Trustee of any such
designation or rescission and any change in the location of any such other
office or agency.

         SECTION 3.10. Corporate Existence. Except as otherwise provided in
Article IV and Sections 4.1 and 10.2(b), the Company will do or cause to be done
all things necessary to preserve and keep in full force and effect its corporate
existence and the corporate, partnership, limited liability company or other
existence of each Significant Subsidiary or the respective corporate,
partnership, limited liability company or other existences of each member of any
group of Subsidiaries that taken together would constitute a Significant
Subsidiary of the Company and the rights (charter and statutory) licenses and
franchises of the Company and each Significant Subsidiary or each member of any
group of Subsidiaries that taken together would constitute a Significant
Subsidiary of the Company; provided, however, that the Company shall not be
required to preserve any such right, license or franchise or the corporate,
partnership, limited liability company or other existence of any Significant
Subsidiary or the respective corporate, partnership, limited liability company
or other existences of each member of any group of Subsidiaries that taken
together would constitute a Significant Subsidiary of the Company if the Board
of Directors of the Company shall determine that the preservation thereof is no
longer desirable in the conduct of the business of the Company and each of its
Subsidiaries, taken as a whole, and that the loss thereof is not, and will not
be, disadvantageous in any material respect to the Holders; provided, further,
that the Company shall not be required to preserve any such right, license or
franchise or the corporate, partnership, limited liability company or other
existence of a Subsidiary that is neither a Significant Subsidiary nor a member
of any group of Subsidiaries that taken together would constitute a Significant
Subsidiary of the Company.

         SECTION 3.11. Payment of Taxes and Other Claims. The Company shall pay
or discharge or cause to be paid or discharged, before the same shall become
delinquent, (i) all material taxes, assessments and governmental charges levied
or imposed upon the Company or any Subsidiary or upon the income, profits or
property of the Company or any Subsidiary and

                                       38
<PAGE>

(ii) all lawful claims for labor, materials and supplies, which, if unpaid,
might by law become a material liability or lien upon the property of the
Company or any Subsidiary; provided, however, that the Company shall not be
required to pay or discharge or cause to be paid or discharged any such tax,
assessment, charge or claim whose amount, applicability or validity is being
contested in good faith by appropriate proceedings and for which appropriate
reserves, if necessary (in the good faith judgment of management of the
Company), are being maintained in accordance with GAAP or where the failure to
effect such payment will not be disadvantageous to the Holders.

         SECTION 3.12. Payments for Consent. Neither the Company nor any of its
Subsidiaries will, directly or indirectly, pay or cause to be paid any
consideration, whether by way of interest, fees or otherwise, to any Holder of
any Securities for or as an inducement to any consent, waiver or amendment of
any of the terms or provisions of this Indenture or the Securities unless such
consideration is offered to be paid or is paid to all Holders of the Securities
that consent, waive or agree to amend in the time frame set forth in the
solicitation documents relating to such consent, waiver or amendment.

         SECTION 3.13. Compliance Certificate. The Company shall deliver to the
Trustee within 120 days after the end of each Fiscal Year of the Company an
Officers' Certificate stating that in the course of the performance by the
signers of their duties as Officers of the Company they would normally have
knowledge of any Default or Event of Default and whether or not the signers know
of any Default or Event of Default that occurred during such period. If they do,
the certificate shall describe the Default or Event of Default, its status and
the action the Company is taking or proposes to take with respect thereto. The
Company also shall comply with TIA Section 314(a)(4).

         SECTION 3.14. Further Instruments and Acts. Upon request of the
Trustee, the Company will execute and deliver such further instruments and do
such further acts as may be reasonably necessary or proper to carry out more
effectively the purpose of this Indenture.

         SECTION 3.15. Statement by Officers as to Default. The Company shall
deliver to the Trustee, as soon as possible and in any event within 30 days
after the Company becomes aware of the occurrence of any Event of Default or an
event which, with notice or the lapse of time or both, would constitute an Event
of Default, an Officers' Certificate setting forth the details of such Event of
Default or default, its status and the action which the Company proposes to take
with respect thereto.

                                   ARTICLE IV

                               SUCCESSOR COMPANY

         SECTION 4.1. Consolidation, Merger and Sale of Assets. The Company
shall not consolidate with or merge with or into, or convey, transfer or lease
all or substantially all its assets to, any Person, unless:

                                       39
<PAGE>

         (a)      the resulting, surviving or transferee Person (the "Successor
                  Company") if not the Company shall be a corporation,
                  partnership, trust or limited liability company organized and
                  existing under the laws of the United States of America, any
                  State thereof or the District of Columbia and the Successor
                  Company (if not the Company) shall expressly assume, by
                  supplemental indenture, executed and delivered to the Trustee,
                  in form satisfactory to the Trustee, all the obligations of
                  the Company under the Securities, this Indenture and the
                  Registration Rights Agreement;

         (b)      immediately after giving effect to such transaction, no
                  Default or Event of Default shall have occurred and be
                  continuing;

         (c)      each Subsidiary Guarantor (unless it is the other party to the
                  transactions described above, in which case clause (a) and
                  Section 10.2 shall apply) shall have by supplemental indenture
                  confirmed that its Subsidiary Guarantee shall apply for such
                  Person's obligations in respect of this Indenture and the
                  Securities and its obligations under the Registration Rights
                  Agreement shall continue to be in effect; and

         (d)      the Company shall have delivered to the Trustee an Officers'
                  Certificate and an Opinion of Counsel, each stating that such
                  consolidation, merger or transfer and such supplemental
                  indenture, if any, comply with this Indenture.

         For purposes of this Section 4.1, the sale, lease, conveyance,
assignment, transfer, or other disposition of all or substantially all of the
properties and assets of one or more Subsidiaries of the Company, which
properties and assets, if held by the Company instead of such Subsidiaries,
would constitute all or substantially all of the properties and assets of the
Company on a consolidated basis, shall be deemed to be the transfer of all or
substantially all of the properties and assets of the Company.

         The Successor Company will succeed to, and be substituted for, and may
exercise every right and power of, the Company under this Indenture, but, in the
case of a lease of all or substantially all its assets, the Company will not be
released from the obligation to pay the principal of and interest on the
Securities.

         If, upon any consolidation or merger of the Company with or into any
other corporation, or upon any sale, conveyance or lease of all or substantially
all of its property and assets to any other corporation, any of the property of
the Company or of any Subsidiary would thereupon become subject to any Lien, the
Company will first secure the Securities equally and ratably with any other
obligations of the Company or any Subsidiary then entitled thereto by a direct
Lien on all such property prior to all Liens other than any theretofore existing
thereon.

                                       40
<PAGE>

                                   ARTICLE V

                            REDEMPTION OF SECURITIES

         SECTION 5.1. Optional Redemption. The Securities may be redeemed, as a
whole or from time to time in part, subject to the conditions and at the
redemption prices specified in paragraph 5 of the form of Securities set forth
in Exhibit A and Exhibit B hereto, which are hereby incorporated by reference
and made a part of this Indenture, together with accrued and unpaid interest to
the Redemption Date.

         SECTION 5.2. Applicability of Article. Redemption of Securities at the
election of the Company or otherwise, as permitted or required by any provision
of this Indenture, shall be made in accordance with such provision and this
Article.

         SECTION 5.3. Election to Redeem; Notice to Trustee. The election of the
Company to redeem any Securities pursuant to Section 5.1 shall be evidenced by a
Board Resolution. In case of any redemption at the election of the Company, the
Company shall, upon not later than the earlier of the date that is 30 days prior
to the Redemption Date fixed by the Company or the date on which notice is given
to the Holders (except as provided in Section 5.5 or unless a shorter notice
shall be satisfactory to the Trustee), notify the Trustee of such Redemption
Date and of the principal amount of Securities to be redeemed and shall deliver
to the Trustee such documentation and records as shall enable the Trustee to
select the Securities to be redeemed pursuant to Section 5.4. Any such notice
may be cancelled at any time prior to notice of such redemption being mailed to
any Holder and shall thereby be void and of no effect.

         SECTION 5.4. Selection by Trustee of Securities to Be Redeemed. If less
than all the Securities are to be redeemed at any time pursuant to an optional
redemption, the particular Securities to be redeemed shall be selected not more
than 60 days prior to the Redemption Date by the Trustee, from the outstanding
Securities not previously called for redemption, in compliance with the
requirements of the principal securities exchange, if any, on which such
Securities are listed, or, if such Securities are not so listed, on a pro rata
basis among the classes of Securities, by lot or by such other method as the
Trustee shall deem fair and appropriate (and in such manner as complies with
applicable legal requirements) and which may provide for the selection for
redemption of portions of the principal of the Securities; provided, however,
that no such partial redemption shall reduce the portion of the principal amount
of a Security not redeemed to less than $1,000.

         The Trustee shall promptly notify the Company in writing of the
Securities selected for redemption and, in the case of any Securities selected
for partial redemption, the method it has chosen for the selection of Securities
and the principal amount thereof to be redeemed.

         For all purposes of this Indenture, unless the context otherwise
requires, all provisions relating to redemption of Securities shall relate, in
the case of any Security redeemed or to be redeemed only in part, to the portion
of the principal amount of such Security which has been or is to be redeemed.

                                       41
<PAGE>

         SECTION 5.5. Notice of Redemption. Notice of redemption shall be given
in the manner provided for in Section 11.2 not less than 30 nor more than 60
days prior to the Redemption Date, to each Holder of Securities to be redeemed.
At the Company's request, the Trustee shall give notice of redemption in the
Company's name and at the Company's expense; provided, however, that the Company
shall deliver to the Trustee, at least 45 days prior to the Redemption Date, an
Officers' Certificate requesting that the Trustee give such notice at the
Company's expense and setting forth the information to be stated in such notice
as provided in the following items.

         All notices of redemption shall state:

         (1)      the Redemption Date,

         (2)      the redemption price and the amount of accrued interest to the
                  Redemption Date payable as provided in Section 5.7, if any,

         (3)      if less than all outstanding Securities are to be redeemed,
                  the identification of the particular Securities (or portion
                  thereof) to be redeemed, as well as the aggregate principal
                  amount of Securities to be redeemed and the aggregate
                  principal amount of Securities to be outstanding after such
                  partial redemption,

         (4)      in case any Security is to be redeemed in part only, the
                  notice which relates to such Security shall state that on and
                  after the Redemption Date, upon surrender of such Security,
                  the Holder will receive, without charge, a new Security or
                  Securities of authorized denominations for the principal
                  amount thereof remaining unredeemed,

         (5)      that on the Redemption Date the redemption price (and accrued
                  interest, if any, to the Redemption Date payable as provided
                  in Section 5.7) will become due and payable upon each such
                  Security, or the portion thereof, to be redeemed, and, unless
                  the Company defaults in making the redemption payment, that
                  interest on Securities called for redemption (or the portion
                  thereof) will cease to accrue on and after said date,

         (6)      the place or places where such Securities are to be
                  surrendered for payment of the redemption price and accrued
                  interest, if any,

         (7)      the name and address of the Paying Agent,

         (8)      that Securities called for redemption must be surrendered to
                  the Paying Agent to collect the redemption price,

         (9)      the CUSIP number, and that no representation is made as to the
                  accuracy or correctness of the CUSIP number, if any, listed in
                  such notice or printed on the Securities, and

                                       42
<PAGE>

         (10)     the paragraph of the Securities pursuant to which the
                  Securities are to be redeemed.

         SECTION 5.6. Deposit of Redemption Price. Prior to any Redemption Date,
the Company shall deposit with the Trustee or with a Paying Agent (or, if the
Company is acting as its own Paying Agent, segregate and hold in trust as
provided in Section 2.4) an amount of money sufficient to pay the redemption
price of, and accrued interest on, all the Securities which are to be redeemed
on that date, other than Securities or portions of Securities called for
redemption that are beneficially owned by the Company and have been delivered by
the Company to the Trustee for cancellation.

         SECTION 5.7. Securities Payable on Redemption Date. Notice of
redemption having been given as aforesaid, the Securities or portions of
Securities so to be redeemed shall, on the Redemption Date, become due and
payable at the redemption price therein specified (together with accrued
interest, if any, to the Redemption Date), and from and after such date (unless
the Company shall default in the payment of the redemption price and accrued
interest) such Securities shall cease to bear interest. Upon surrender of any
such Security for redemption in accordance with said notice, such Security shall
be paid by the Company at the redemption price, together with accrued interest,
if any, to the Redemption Date (subject to the rights of Holders of record on
the relevant record date to receive interest due on the relevant interest
payment date).

         If any Security called for redemption shall not be so paid upon
surrender thereof for redemption, the principal (and premium, if any) shall,
until paid, bear interest from the Redemption Date at the rate borne by the
Securities.

         SECTION 5.8. Securities Redeemed in Part. Any Security which is to be
redeemed only in part (pursuant to the provisions of this Article) shall be
surrendered at the office or agency of the Company maintained for such purpose
pursuant to Section 3.9 (with, if the Company or the Trustee so requires, due
endorsement by, or a written instrument of transfer in form satisfactory to the
Company and the Trustee duly executed by, the Holder thereof or such Holder's
attorney duly authorized in writing), and the Company shall execute, and the
Trustee shall authenticate and make available for delivery to the Holder of such
Security at the expense of the Company, a new Security or Securities, of any
authorized denomination as requested by such Holder, in an aggregate principal
amount equal to and in exchange for the unredeemed portion of the principal of
the Security so surrendered, provided, that each such new Security will be in a
principal amount of $1,000 or integral multiple thereof.

                                   ARTICLE VI

                              DEFAULTS AND REMEDIES

         SECTION 6.1. Events of Default. Each of the following is an "Event of
Default":

                                       43
<PAGE>

         (1) default in any payment of interest or additional interest (as
required by the Registration Rights Agreement) on any Security when the same
becomes due and payable, and such default continues for a period of 30 days;

         (2) default in the payment of principal of or premium, if any, on any
Security when the same becomes due and payable at its Stated Maturity, upon
optional redemption, upon required repurchase, upon declaration or otherwise;

         (3) failure by the Company or any Subsidiary Guarantor to comply with
its obligations under Article IV or Section 10.2;

         (4) failure by the Company to comply with any of its obligations under
Section 3.3, Section 3.4, Section 3.5, Section 3.6, Section 3.7, Section 3.8 or
Section 3.12, (in each case, other than a failure to purchase Securities when
required pursuant to Section 3.6, which failure shall constitute an Event of
Default under Section 6.1(2)) and such failure continues for 30 days after the
notice specified below;

         (5) the Company defaults in the performance of or a breach by the
Company of any other covenant or agreement in this Indenture or under the
Securities (other than those referred to in (1), (2), (3) or (4) above) and such
default continues for 60 days after the notice specified below;

         (6) default under any mortgage, indenture or instrument under which
there may be issued or by which there may be outstanding, or by which there may
be secured or evidenced any Debt for money borrowed by the Company or any of its
Subsidiaries (other than Non-Recourse Debt of a Non-Recourse Subsidiary),
whether such Debt now exists, or is created after the date of this Indenture,
which default:

         (a)      is caused by a failure to pay principal of, or interest or
                  premium, if any, on such Debt prior to the expiration of the
                  grace period provided in such Debt ("Payment Default") or

         (b)      results in the acceleration of such Debt prior to its maturity
                  (the "cross acceleration provision");

and, in each case, the principal amount of any such Debt, together with the
principal amount of any other such Debt under which there has been a Payment
Default or the maturity of which has been so accelerated, aggregates $20.0
million or more or its foreign currency equivalent at the time and such
acceleration shall not have been rescinded or annulled within 10 days after
written notice of such acceleration has been received by the Company or such
Subsidiary;

         (7) the Company pursuant to or within the meaning of any Bankruptcy
Law:

         (a)      commences a voluntary case or proceeding;

         (b)      consents to the entry of judgment, decree or order for relief
                  against it in an involuntary case or proceeding;

                                       44
<PAGE>

         (c)      consents to the appointment of a Custodian of it or for any
                  substantial part of its property;

         (d)      makes a general assignment for the benefit of its creditors;

         (e)      consents to or acquiesces in the institution of a bankruptcy
                  or an insolvency proceeding against it;

         (f)      takes any corporate action to authorize or effect any of the
                  foregoing; or

         (g)      takes any comparable action under any foreign laws relating to
                  insolvency; or

         (8) a court of competent jurisdiction enters an order or decree under
any Bankruptcy Law that:

         (a)      is for relief against the Company in an involuntary case;

         (b)      appoints a Custodian of the Company for all or substantially
                  all of the Company's property; or

         (c)      orders the winding up or liquidation of the Company; and

         (d)      in each case the order, decree or relief remains unstayed and
                  in effect for 90 days;

         (9) there has been entered in a court of competent jurisdiction a final
judgment for the payment of $20.0 million or more rendered against the Company
or any Subsidiary, which judgment is not fully covered by insurance or not
discharged or stayed within 90 days after (A) the date on which the right to
appeal thereof has expired if no such appeal has commenced, or (B) the date on
which all rights to appeal have been extinguished (the "judgment default
provision").

         The foregoing will constitute Events of Default whatever the reason for
any such Event of Default and whether it is voluntary or involuntary or is
effected by operation of law or pursuant to any judgment, decree or order of any
court or any order, rule or regulation of any administrative or governmental
body.

         Notwithstanding the foregoing, a Default under clauses (4) or (5) of
this Section 6.1 will not constitute an Event of Default until the Trustee or
the Holders of 25% or more in principal amount of the outstanding Securities
notify the Company of the Default in writing and the Company does not cure such
Default within the time specified in clauses (4) or (5) of this Section 6.1
after receipt of such notice.

         The Company shall deliver to the Trustee, within 30 days after the
occurrence thereof, written notice in the form of an Officers' Certificate of
any Default or Event of Default under clauses (3), (4), (5), (6), (7), (8) or
(9) of this Section 6.1, which such notice shall contain

                                       45
<PAGE>

the status thereof and a description of the action being taken or proposed to be
taken by the Company in respect thereof.

         SECTION 6.2. Acceleration. If an Event of Default occurs and is
continuing, the Trustee by notice to the Company, or the Holders of at least 25%
in principal amount of the outstanding Securities by notice to the Company and
the Trustee, may, and the Trustee at the request of such Holders shall, declare
the principal of, premium, if any, and accrued and unpaid interest, if any, on
all the Securities to be due and payable. Upon such a declaration, such
principal, premium and accrued and unpaid interest shall be due and payable
immediately.

         SECTION 6.3. Other Remedies. If an Event of Default occurs and is
continuing, the Trustee may pursue any available remedy to collect the payment
of principal of (or premium, if any) or interest on the Securities or to enforce
the performance of any provision of the Securities or this Indenture.

         The Trustee may maintain a proceeding even if it does not possess any
of the Securities or does not produce any of them in the proceeding. A delay or
omission by the Trustee or any Securityholder in exercising any right or remedy
accruing upon an Event of Default shall not impair the right or remedy or
constitute a waiver of or acquiescence in the Event of Default. No remedy is
exclusive of any other remedy. All available remedies are cumulative.

         SECTION 6.4. Waiver of Past Defaults. The Holders of a majority in
principal amount of the outstanding Securities by notice to the Trustee may (a)
waive, by their consent (including, without limitation consents obtained in
connection with a purchase of, or tender offer or exchange offer for,
Securities), an existing Default or Event of Default and its consequences except
(i) a Default or Event of Default in the payment of the principal of, or
premium, if any, or interest on a Security or (ii) a Default or Event of Default
in respect of a provision that under Section 9.2 cannot be amended without the
consent of each Securityholder affected and (b) rescind any such acceleration
with respect to the Securities and its consequences if (1) rescission would not
conflict with any judgment or decree of a court of competent jurisdiction and
(2) all existing Events of Default, other than the nonpayment of the principal
of, premium, if any, and interest on the Securities that have become due solely
by such declaration of acceleration, have been cured or waived. When a Default
or Event of Default is waived, it is deemed cured, but no such waiver shall
extend to any subsequent or other Default or Event of Default or impair any
consequent right.

         SECTION 6.5. Control by Majority. The Holders of a majority in
principal amount of the outstanding Securities may direct the time, method and
place of conducting any proceeding for any remedy available to the Trustee or of
exercising any trust or power conferred on the Trustee. However, the Trustee may
refuse to follow any direction that conflicts with law or this Indenture or,
subject to Sections 7.1 and 7.2, that the Trustee determines is unduly
prejudicial to the rights of other Securityholders or would involve the Trustee
in personal liability; provided, however, that the Trustee may take any other
action deemed proper by the Trustee that is not inconsistent with such
direction. Prior to taking any action hereunder, the Trustee shall be entitled
to indemnification satisfactory to it in its sole discretion against all losses
and expenses caused by taking or not taking such action.

                                       46
<PAGE>

         SECTION 6.6. Limitation on Suits. Subject to Section 6.7, a
Securityholder may not pursue any remedy with respect to this Indenture or the
Securities unless:

         (1)      such Holder has previously given to the Trustee written notice
                  stating that an Event of Default is continuing;

         (2)      Holders of at least 25% in principal amount of the outstanding
                  Securities have requested that the Trustee to pursue the
                  remedy;

         (3)      such Holders have offered to the Trustee reasonable security
                  or indemnity against any loss, liability or expense;

         (4)      the Trustee has not complied with such request within 60 days
                  after receipt of the request and the offer of security or
                  indemnity; and

         (5)      the Holders of a majority in principal amount of the
                  outstanding Securities have not given the Trustee a direction
                  that, in the opinion of the Trustee, is inconsistent with such
                  request during such 60-day period.

         A Securityholder may not use this Indenture to prejudice the rights of
another Securityholder or to obtain a preference or priority over another
Securityholder.

         SECTION 6.7. Rights of Holders to Receive Payment. Notwithstanding any
other provision of this Indenture (including, without limitation, Section 6.6),
the right of any Holder to receive payment of principal of, premium (if any) or
interest on the Securities held by such Holder, on or after the respective due
dates expressed in the Securities, or to bring suit for the enforcement of any
such payment on or after such respective dates, shall not be impaired or
affected without the consent of such Holder.

         SECTION 6.8. Collection Suit by Trustee. If an Event of Default
specified in clauses (1) or (2) of Section 6.1 occurs and is continuing, the
Trustee may recover judgment in its own name and as trustee of an express trust
against the Company for the whole amount then due and owing (together with
interest on any unpaid interest to the extent lawful) and the amounts provided
for in Section 7.7.

         SECTION 6.9. Trustee May File Proofs of Claim. The Trustee may file
such proofs of claim and 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 the Securityholders allowed in any judicial
proceedings relative to the Company, its Subsidiaries or its or their respective
creditors or properties and, unless prohibited by law or applicable regulations,
may be entitled and empowered to participate as a member of any official
committee of creditors appointed in such matter and may vote on behalf of the
Holders in any election of a trustee in bankruptcy or other Person performing
similar functions, and any Custodian in any such judicial proceeding is hereby
authorized by each Holder to make payments to the Trustee and, in the event that
the Trustee shall consent to the making of such payments directly to the
Holders, to pay to the Trustee any amount due it for the reasonable
compensation, expenses, disbursements

                                       47
<PAGE>

and advances of the Trustee, its agents and its counsel, and any other amounts
due the Trustee under Section 7.7.

         SECTION 6.10. Priorities. If the Trustee collects any money or property
pursuant to this Article VI, it shall pay out the money or property in the
following order:

          FIRST: to the Trustee for amounts due under Section 7.7;

          SECOND: to Securityholders for amounts due and unpaid on the
     Securities for principal, premium, if any, and interest, ratably, without
     preference or priority of any kind, according to the amounts due and
     payable on the Securities for principal and interest, respectively; and

          THIRD: to the Company.

         The Trustee may fix a record date and payment date for any payment to
Securityholders pursuant to this Section. At least 15 days before such record
date, the Company shall mail to each Securityholder and the Trustee a notice
that states the record date, the payment date and amount to be paid.

         SECTION 6.11. Undertaking for Costs. In any suit for the enforcement of
any right or remedy under this Indenture or in any suit against the Trustee for
any action taken or omitted by it as Trustee, a court in its discretion may
require the filing by any party litigant in the suit of an undertaking to pay
the costs of the suit, and the court in its discretion may assess reasonable
costs, including reasonable attorneys' fees, against any party litigant in the
suit, having due regard to the merits and good faith of the claims or defenses
made by the party litigant. This Section does not apply to a suit by the
Trustee, a suit by the Company, a suit by a Holder pursuant to Section 6.7 or a
suit by Holders of more than 10% in outstanding principal amount of the
Securities.

                                  ARTICLE VII

                                     TRUSTEE

         SECTION 7.1. Duties of Trustee. (a) If an Event of Default has occurred
and is continuing, the Trustee shall exercise the rights and powers vested in it
by this Indenture and use the same degree of care and skill in their exercise as
a prudent Person would exercise or use under the circumstances in the conduct of
such Person's own affairs; provided that if an Event of Default occurs and is
continuing, the Trustee will be under no obligation to exercise any of the
rights or powers under this Indenture at the request or direction of any of the
Holders unless such Holders have offered the Trustee reasonable indemnity or
security against loss, liability or expense.

         (b) Except during the continuance of an Event of Default:

                                       48
<PAGE>

         (1)      the Trustee undertakes to perform such duties and only such
                  duties as are specifically set forth in this Indenture and no
                  implied covenants or obligations shall be read into this
                  Indenture against the Trustee; and

         (2)      in the absence of bad faith on its part, the Trustee may
                  conclusively rely, as to the truth of the statements and the
                  correctness of the opinions expressed therein, upon
                  certificates, opinions or orders furnished to the Trustee and
                  conforming to the requirements of this Indenture. However, in
                  the case of any such certificates or opinions which by any
                  provisions hereof are specifically required to be furnished to
                  the Trustee, the Trustee shall examine such certificates and
                  opinions to determine whether or not they conform to the
                  requirements of this Indenture (but need not confirm or
                  investigate the accuracy of mathematical calculations or other
                  facts stated therein).

         (c) The Trustee may not be relieved from liability for its own
negligent action, its own negligent failure to act or its own willful
misconduct, except that:

         (1)      this paragraph does not limit the effect of paragraph (b) of
                  this Section;

         (2)      the Trustee shall not be liable for any error of judgment made
                  in good faith by a Trust Officer unless it is proved that the
                  Trustee was negligent in ascertaining the pertinent facts; and

         (3)      the Trustee shall not be liable with respect to any action it
                  takes or omits to take in good faith in accordance with a
                  direction received by it pursuant to Section 6.5.

         (d) Every provision of this Indenture that in any way relates to the
Trustee is subject to paragraphs (a), (b) and (c) of this Section.

         (e) The Trustee shall not be liable for interest on any money received
by it except as the Trustee may agree in writing with the Company.

         (f) Money held in trust by the Trustee need not be segregated from
other funds except to the extent required by law.

         (g) No provision of this Indenture shall require the Trustee to expend
or risk its own funds or otherwise incur financial liability in the performance
of any of its duties hereunder or in the exercise of any of its rights or
powers, if it shall have reasonable grounds to believe that repayment of such
funds or adequate indemnity against such risk or liability is not reasonably
assured to it.

         (h) Every provision of this Indenture relating to the conduct or
affecting the liability of or affording protection to the Trustee shall be
subject to the provisions of this Section and to the provisions of the TIA.

                                       49
<PAGE>

         (i) Unless otherwise specifically provided in this Indenture, any
demand, request, direction or notice from the Company shall be sufficient if
signed by an Officer of the Company.

         (j) The Trustee shall be under no obligation to exercise any of the
rights or powers vested in it by this Indenture at the request or direction of
any of the Holders unless such Holders shall have offered to the Trustee
reasonable security or indemnity satisfactory to it against the costs, expenses
(including reasonable attorneys' fees and expenses) and liabilities that might
be incurred by it in compliance with such request or direction.

         SECTION 7.2. Rights of Trustee. Subject to Section 7.1:

         (a) The Trustee may conclusively rely on any document (whether in its
original or facsimile form) reasonably believed by it to be genuine and to have
been signed or presented by the proper person. The Trustee need not investigate
any fact or matter stated in the document. The Trustee shall receive and retain
financial reports and statements of the Company as provided herein, but shall
have no duty to review or analyze such reports or statements to determine
compliance under covenants or other obligations of the Company.

         (b) Before the Trustee acts or refrains from acting, it may require an
Officers' Certificate and/or an Opinion of Counsel. The Trustee shall not be
liable for any action it takes or omits to take in good faith in reliance on an
Officers' Certificate or Opinion of Counsel.

         (c) The Trustee may act through its attorneys and agents and shall not
be responsible for the misconduct or negligence of any agent appointed with due
care.

         (d) The Trustee shall not be liable for any action it takes or omits to
take in good faith which it believes to be authorized or within its rights or
powers, unless the Trustee's conduct constitutes willful misconduct or
negligence.

         (e) The Trustee may consult with counsel of its selection, and the
advice or opinion of counsel with respect to legal matters relating to this
Indenture and the Securities shall be full and complete authorization and
protection from liability in respect of any action taken, omitted or suffered by
it hereunder in good faith and in accordance with the advice or opinion of such
counsel.

         SECTION 7.3. Individual Rights of Trustee. The Trustee in its
individual or any other capacity may become the owner or pledgee of Securities
and may otherwise deal with the Company or its Affiliates with the same rights
it would have if it were not Trustee. Any Paying Agent, Registrar, co-registrar
or co-paying agent may do the same with like rights. However, the Trustee must
comply with Sections 7.10 and 7.11. In addition, the Trustee shall be permitted
to engage in transactions with the Company; provided, however, that if the
Trustee acquires any conflicting interest the Trustee must (i) eliminate such
conflict within 90 days of acquiring such conflicting interest, (ii) apply to
the SEC for permission to continue acting as Trustee or (iii) resign.

         SECTION 7.4. Trustee's Disclaimer. The Trustee shall not be responsible
for and makes no representation as to the validity or adequacy of this Indenture
or the Securities, shall not be accountable for the Company's use of the
proceeds from the Securities, shall not be

                                       50
<PAGE>

responsible for the use or application of any money received by any Paying Agent
other than the Trustee and shall not be responsible for any statement of the
Company in this Indenture or in any document issued in connection with the sale
of the Securities or in the Securities other than the Trustee's certificate of
authentication.

         SECTION 7.5. Notice of Defaults. If a Default or Event of Default
occurs and is continuing and if a Trust Officer has actual knowledge thereof,
the Trustee shall mail by first class mail to each Securityholder at the address
set forth in the Securities Register notice of the Default or Event of Default
within 90 days after it occurs. Except in the case of a Default or Event of
Default in payment of principal of, premium (if any), or interest on any
Security (including payments pursuant to the optional redemption or required
repurchase provisions of such Security, if any), the Trustee may withhold the
notice if and so long as its board of directors, a committee of its board of
directors or a committee of its Trust Officers in good faith determines that
withholding the notice is in the interests of Securityholders.

         SECTION 7.6. Reports by Trustee to Holders. As promptly as practicable
after each May 15 beginning with the May 15 following the date of this
Indenture, and in any event prior to July 15 in each year, the Trustee shall
mail to each Securityholder a brief report dated as of such May 15 that complies
with TIA Section 313(a). The Trustee also shall comply with TIA Section 313(b).
The Trustee shall also transmit by mail all reports required by TIA Section
313(c).

         A copy of each report at the time of its mailing to Securityholders
shall be filed with the SEC and each stock exchange (if any) on which the
Securities are listed. The Company agrees to notify promptly the Trustee
whenever the Securities become listed on any stock exchange and of any delisting
thereof.

         SECTION 7.7. Compensation and Indemnity. The Company shall pay to the
Trustee from time to time reasonable compensation for its acceptance of this
Indenture and services hereunder as the Company and the Trustee shall from time
to time agree in writing. The Trustee's compensation shall not be limited by any
law on compensation of a trustee of an express trust. The Company shall
reimburse the Trustee upon request for all reasonable out-of-pocket expenses
incurred or made by it, including costs of collection, costs of preparing and
reviewing reports, certificates and other documents, costs of preparation and
mailing of notices to Securityholders and reasonable costs of counsel retained
by the Trustee in connection with the delivery of an Opinion of Counsel or
otherwise, in addition to the compensation for its services. Such expenses shall
include the reasonable compensation and expenses, disbursements and advances of
the Trustee's agents, counsel, accountants and experts. The Company shall
indemnify the Trustee against any and all loss, liability, damages, claims or
expense (including reasonable attorneys' fees and expenses) incurred by it
without negligence or bad faith on its part in connection with the
administration of this trust and the performance of its duties hereunder,
including the costs and expenses of enforcing this Indenture (including this
Section 7.7) and of defending itself against any claims (whether asserted by any
Securityholder, the Company or otherwise). The Trustee shall notify the Company
promptly of any claim for which it may seek indemnity. Failure by the Trustee to
so notify the Company shall not relieve the Company of its obligations
hereunder. The Company shall defend the claim and the Trustee shall provide
reasonable cooperation at the Company's expense in the defense. The Trustee may
have separate counsel and the Company shall pay the fees and expenses of such
counsel, provided that

                                       51
<PAGE>

the Company shall not be required to pay such fees and expenses if it assumes
the Trustee's defense, and, in the reasonable judgment of outside counsel to the
Trustee, there is no conflict of interest between the Company and the Trustee in
connection with such defense. The Company need not reimburse any expense or
indemnify against any loss, liability or expense incurred by the Trustee through
the Trustee's own willful misconduct, negligence or bad faith.

         To secure the Company's payment obligations in this Section, the
Trustee shall have a lien prior to the Securities on all money or property held
or collected by the Trustee other than money or property held in trust to pay
principal of and interest on particular Securities. Such lien shall survive the
satisfaction and discharge of this Indenture. The Trustee's right to receive
payment of any amounts due under this Section 7.7 shall not be subordinate to
any other liability or Debt of the Company.

         The Company's payment obligations pursuant to this Section shall
survive the discharge of this Indenture. When the Trustee incurs expenses after
the occurrence of a Default specified in clause (7) or clause (8) of Section 6.1
with respect to the Company, the expenses are intended to constitute expenses of
administration under any Bankruptcy Law.

         SECTION 7.8. Replacement of Trustee. The Trustee may resign at any time
by so notifying the Company. The Holders of a majority in principal amount of
the Securities may remove the Trustee by so notifying the Trustee and may
appoint a successor Trustee. The Company shall remove the Trustee if:

         (1)      the Trustee fails to comply with Section 7.10;

         (2)      the Trustee is adjudged bankrupt or insolvent;

         (3)      a receiver or other public officer takes charge of the Trustee
                  or its property; or

         (4)      the Trustee otherwise becomes incapable of acting.

         If the Trustee resigns or is removed by the Company or by the Holders
of a majority in principal amount of the Securities and such Holders do not
reasonably promptly appoint a successor Trustee, or if a vacancy exists in the
office of the Trustee for any reason (the Trustee in such event being referred
to herein as the retiring Trustee), the Company shall promptly appoint a
successor Trustee.

         A successor Trustee shall deliver a written acceptance of its
appointment to the retiring Trustee and to the Company. Thereupon the
resignation or removal of the retiring Trustee shall become effective, and the
successor Trustee shall have all the rights, powers and duties of the Trustee
under this Indenture. The successor Trustee shall mail a notice of its
succession to Securityholders. The retiring Trustee shall promptly transfer all
property held by it as Trustee to the successor Trustee, subject to the lien
provided for in Section 7.7.

         If a successor Trustee does not take office within 60 days after the
retiring Trustee resigns or is removed, the retiring Trustee or the Holders of
at least 10% in principal amount of the Securities may petition, at the
Company's expense, any court of competent jurisdiction for the appointment of a
successor Trustee.

                                       52
<PAGE>

         If the Trustee fails to comply with Section 7.10, unless the Trustee's
duty to resign is stayed as provided in TIA Section 310(b), any Securityholder
may petition any court of competent jurisdiction for the removal of the Trustee
and the appointment of a successor Trustee.

         Notwithstanding the replacement of the Trustee pursuant to this
Section, the Company's obligations under Section 7.7 shall continue for the
benefit of the retiring Trustee.

         SECTION 7.9. Successor Trustee by Merger. If the Trustee consolidates
with, merges or converts into, or transfers all or substantially all its
corporate trust business or assets to, another corporation or banking
association, the resulting, surviving or transferee corporation without any
further act shall be the successor Trustee.

         In case at the time such successor or successors by merger, conversion
or consolidation to the Trustee shall succeed to the trusts created by this
Indenture, any of the Securities shall have been authenticated but not
delivered, any such successor to the Trustee may adopt the certificate of
authentication of any predecessor trustee, and deliver such Securities so
authenticated; and in case at that time any of the Securities shall not have
been authenticated, any successor to the Trustee may authenticate such
Securities either in the name of any predecessor hereunder or in the name of the
successor to the Trustee; provided that the right to adopt the certificate of
authentication of any predecessor Trustee or authenticate Securities in the name
of any predecessor Trustee shall only apply to its successor or successors by
merger, consolidation or conversion.

         SECTION 7.10. Eligibility; Disqualification. The Trustee shall at all
times satisfy the requirements of TIA Section 310(a). The Trustee shall have a
combined capital and surplus of at least $100 million as set forth in its most
recent published annual report of condition. The Trustee shall comply with TIA
Section 310(b); provided, however, that there shall be excluded from the
operation of TIA Section 310(b)(1) any indenture or indentures under which other
securities or certificates of interest or participation in other securities of
the Company are outstanding if the requirements for such exclusion set forth in
TIA Section 310(b)(1) are met.

         SECTION 7.11. Preferential Collection of Claims Against Company. The
Trustee shall comply with TIA Section 311(a), excluding any creditor
relationship listed in TIA Section 311(b). A Trustee who has resigned or been
removed shall be subject to TIA Section 311(a) to the extent indicated.

         SECTION 7.12. Trustee's Application for Instruction from the Company.
Any application by the Trustee for written instructions from the Company may, at
the option of the Trustee, set forth in writing any action proposed to be taken
or omitted by the Trustee under this Indenture and the date on and/or after
which such action shall be taken or such omission shall be effective. The
Trustee shall not be liable for any action taken by, or omission of, the Trustee
in accordance with a proposal included in such application on or after the date
specified in such application (which date shall not be less than three Business
Days after the date any officer of the Company actually receives such
application, unless any such officer shall have consented in writing to any
earlier date) unless prior to taking any such action (or the effective date in
the case of an omission), the Trustee shall have received written instructions
in response to such application specifying the action to be taken or omitted.

                                       53
<PAGE>

                                  ARTICLE VIII

                       DISCHARGE OF INDENTURE; DEFEASANCE

         SECTION 8.1. Discharge of Liability on Securities; Defeasance. (a)
Subject to Section 8.1(c), when (i)(x) the Company delivers to the Trustee all
outstanding Securities (other than Securities replaced pursuant to Section 2.10)
for cancellation or (y) all outstanding Securities not theretofore delivered for
cancellation have /become due and payable, whether at maturity or upon
redemption or will become due and payable within one year or are to be called
for redemption within one year under arrangements satisfactory to the Trustee
for the giving of notice of redemption pursuant to Article V hereof and the
Company or any Subsidiary Guarantor irrevocably deposits or causes to be
deposited with the Trustee as trust funds in trust solely for the benefit of the
Holders money in U.S. dollars, non-callable U.S. Government Securities, or a
combination thereof, in such amounts as will be sufficient without consideration
of any reinvestment of interest to pay and discharge the entire indebtedness on
such Securities not theretofore delivered to the Trustee for cancellation for
principal, premium, if any, and accrued interest to the date of maturity or
redemption; (ii) no Default or Event of Default shall have occurred and be
continuing on the date of such deposit or shall occur as a result of such
deposit and such deposit will not result in a breach or violation of, or
constitute a default under, any other instrument to which the Company or any
Subsidiary Guarantor is a party or by which the Company or any Subsidiary
Guarantor is bound; (iii) the Company or any Subsidiary Guarantor has paid or
caused to be paid all sums payable under this Indenture and the Securities; and
(iv) the Company has delivered irrevocable instructions to the Trustee under
this Indenture to apply the deposited money toward the payment of such
Securities at maturity or the Redemption Date, as the case may be, then the
Trustee shall acknowledge satisfaction and discharge of this Indenture on demand
of the Company (accompanied by an Officers' Certificate and an Opinion of
Counsel stating that all conditions precedent specified herein relating to the
satisfaction and discharge of this Indenture have been complied with) and at the
cost and expense of the Company.

         (b) Subject to Sections 8.1(c) and 8.2, the Company at any time may
terminate (i) all its obligations under the Securities and this Indenture
("legal defeasance option"), and after giving effect to such legal defeasance,
any omission to comply with such obligations shall no longer constitute a
Default or Event of Default or (ii) its obligations under Section 3.3, Section
3.4, Section 3.5, Section 3.6, Section 3.7, Section 3.8 and Section 3.12, and
the Company may omit to comply with and shall have no liability in respect of
any term, condition or limitation set forth in any such covenant, whether
directly or indirectly, by reason of any reference elsewhere herein to any such
covenant or by reason of any reference in any such covenant to any other
provision herein or in any other document and such omission to comply with such
covenants shall no longer constitute a Default or an Event of Default under
Section 6.1(4) and the operation of Section 6.1(5), Section 6.1(6), and Section
6.1(9), and the events specified in such Sections shall no longer constitute an
Event of Default (clause (ii) being referred to as the "covenant defeasance
option"), but except as specified above, the remainder of this Indenture and the
Securities shall be unaffected thereby. The Company may exercise its legal
defeasance option notwithstanding its prior exercise of its covenant defeasance
option. If the Company exercises its covenant defeasance option, the Company may
elect to have any Subsidiary Guarantees in effect at such time terminate.

                                       54
<PAGE>

         If the Company exercises its legal defeasance option, payment of the
Securities may not be accelerated because of an Event of Default, and the
Subsidiary Guarantees in effect at such time shall terminate. If the Company
exercises its covenant defeasance option, payment of the Securities may not be
accelerated because of an Event of Default specified in Section 6.1(4) (as such
Section relates to Section 3.3, Section 3.4, Section 3.5, Section 3.6, Section
3.7, Section 3.8, and Section 3.12), Section 6.1(5), Section 6.1(6), or Section
6.1(9).

         Upon satisfaction of the conditions set forth herein and upon request
of the Company, the Trustee shall acknowledge in writing the discharge of those
obligations that the Company terminates.

         (c) Notwithstanding the provisions of Sections 8.1(a) and (b), the
Company's obligations in Sections 2.2, 2.3, 2.4, 2.5, 2.6, 2.10, 2.11, 2.12,
2.13, 3.1, 3.9, 3.10, 3.11, 3.13, 3.14, 3.15, 6.7, 7.7 and 7.8 and in this
Article VIII shall survive until the Securities have been paid in full.
Thereafter, the Company's obligations in Sections 7.7, 8.4 and 8.5 shall
survive.

         SECTION 8.2. Conditions to Defeasance. The Company may exercise its
legal defeasance option or its covenant defeasance option only if:

          (1) the Company irrevocably deposits in trust with the Trustee for the
     benefit of the Holders money in U.S. dollars or U.S. Government Securities
     or a combination thereof, the principal of and interest (without
     reinvestment) on which will be sufficient, or a combination thereof
     sufficient, for the payment of principal, premium, if any, and interest on
     the Securities to maturity or redemption, as the case may be;

          (2) the Company delivers to the Trustee a certificate from a
     nationally recognized firm of independent accountants expressing their
     opinion that the payments of principal and interest when due and without
     reinvestment on the deposited U.S. Government Securities plus any deposited
     money without investment will provide cash at such times and in such
     amounts as will be sufficient to pay principal and interest when due on all
     the Securities to maturity or redemption, as the case may be;

          (3) no Default or Event of Default shall have occurred and be
     continuing on the date of such deposit or, with respect to certain
     bankruptcy or insolvency Events of Default, on the 91st day after such date
     of deposit;

          (4) such legal defeasance or covenant defeasance shall not result in a
     breach or violation of, or constitute a Default under, this Indenture or
     any other material agreement or instrument to which the Company or any of
     its Subsidiaries is a party or by which the Company or any of its
     Subsidiaries is bound;

          (5) the Company shall have delivered to the Trustee an Opinion of
     Counsel (subject to customary assumptions and exclusions) to the effect
     that (A) the Securities and (B) assuming no intervening bankruptcy of the
     Company between the date of deposit and the 91st day following the deposit
     and that no Holder of the Securities is an insider of the Company, after
     the 91st day following the deposit, the trust funds will not be subject to
     the effect of any applicable bankruptcy, insolvency, reorganization or
     similar laws affecting creditors' right generally;

                                       55
<PAGE>

          (6) the deposit does not constitute a default under any other
     agreement binding on the Company;

          (7) the Company delivers to the Trustee an Opinion of Counsel (subject
     to customary assumptions and exclusions) to the effect that the trust
     resulting from the deposit does not constitute, or is qualified as, a
     regulated investment company under the Investment Company Act of 1940;

          (8) in the case of the legal defeasance option, the Company shall have
     delivered to the Trustee an Opinion of Counsel (subject to customary
     assumptions and exclusions) in the United States stating that (i) the
     Company has received from, or there has been published by, the Internal
     Revenue Service a ruling, or (ii) since the date of this Indenture there
     has been a change in the applicable federal income tax law, in either case
     to the effect that, and based thereon such Opinion of Counsel shall confirm
     that, the Securityholders will not recognize income, gain or loss for
     federal income tax purposes as a result of such defeasance and will be
     subject to federal income tax on the same amounts, in the same manner and
     at the same times as would have been the case if such legal defeasance had
     not occurred;

          (9) in the case of the covenant defeasance option, the Company shall
     have delivered to the Trustee an Opinion of Counsel (subject to customary
     assumptions and exclusions) in the United States to the effect that the
     Securityholders will not recognize income, gain or loss for federal income
     tax purposes as a result of such deposit and covenant defeasance and will
     be subject to federal income tax on the same amount, in the same manner and
     at the same times as would have been the case if such deposit and covenant
     defeasance had not occurred; and

          (10) the Company delivers to the Trustee an Officers' Certificate and
     an Opinion of Counsel, each stating that all conditions precedent to the
     defeasance and discharge of the Securities and this Indenture as
     contemplated by this Article VIII have been complied with.

         SECTION 8.3. Application of Trust Money. The Trustee shall hold in
trust money or U.S. Government Securities deposited with it pursuant to this
Article VIII. It shall apply the deposited money and the money from U.S.
Government Securities through the Paying Agent and in accordance with this
Indenture to the payment of principal of and interest on the Securities.

         SECTION 8.4. Repayment to Company. The Trustee and the Paying Agent
shall promptly turn over to the Company upon request any excess money, U.S.
Government Securities or securities held by them upon payment of all the
obligations under this Indenture.

         Subject to any applicable abandoned property law, the Trustee and the
Paying Agent shall pay to the Company upon request any money held by them for
the payment of principal of or interest on the Securities that remains unclaimed
for two years, and, thereafter, Securityholders entitled to the money must look
to the Company for payment as general creditors.

                                       56
<PAGE>

         SECTION 8.5. Indemnity for U.S. Government Securities. The Company
shall pay and shall indemnify the Trustee against any tax, fee or other charge
imposed on or assessed against deposited U.S. Government Securities or the
principal and interest received on such U.S. Government Securities.

         SECTION 8.6. Reinstatement. If the Trustee or Paying Agent is unable to
apply any money or U.S. Government Securities in accordance with this Article
VIII by reason of any legal proceeding or by reason of any order or judgment of
any court or governmental authority enjoining, restraining or otherwise
prohibiting such application, the obligations of the Company under this
Indenture and the Securities shall be revived and reinstated as though no
deposit had occurred pursuant to this Article VIII until such time as the
Trustee or Paying Agent is permitted to apply all such money or U.S. Government
Securities in accordance with this Article VIII; provided, however, that, if the
Company has made any payment of interest on or principal of any Securities
because of the reinstatement of its obligations, the Company shall be subrogated
to the rights of the Holders of such Securities to receive such payment from the
money or U.S. Government Securities held by the Trustee or Paying Agent.

         The Trustee's rights under this Article VIII shall survive termination
of this Indenture.

                                   ARTICLE IX

                                   AMENDMENTS

         SECTION 9.1. Without Consent of Holders. The Company, the Subsidiary
Guarantors and the Trustee may amend this Indenture or the Securities without
notice to or consent of any Securityholder:

          (1) to cure any ambiguity, omission, defect or inconsistency;

          (2) to comply with Article IV in respect of the assumption by a
     Successor Company of an obligation of the Company under this Indenture;

          (3) to provide for uncertificated Securities in addition to or in
     place of certificated Securities; provided, however, that the
     uncertificated Securities are issued in registered form for purposes of
     Section 163(f) of the Code or in a manner such that the uncertificated
     Securities are described in Section 163(f)(2)(B) of the Code;

          (4) to add Guarantees with respect to the Securities;

          (5) to secure the Securities;

          (6) to add to the covenants of the Company for the benefit of the
     Holders or to surrender any right or power herein conferred upon the
     Company;

          (7) to comply with any requirement of the SEC in connection with the
     qualification of this Indenture under the TIA;

                                       57
<PAGE>

          (8) to make any change that does not materially adversely affect the
     rights of any Securityholder; or

          (9) to provide for the issuance of the Exchange Securities, which will
     have terms substantially identical in all material respects to the Initial
     Securities or the Additional Securities, as the case may be (except that
     the transfer restrictions contained in the Initial Securities or the
     Additional Securities, if any, will be modified or eliminated, as
     appropriate), and which will be treated, together with any outstanding
     Initial Securities or Additional Securities, as a single class of
     securities.

         After an amendment under this Section becomes effective, the Company
shall mail to Securityholders a notice briefly describing such amendment. The
failure to give such notice to all Securityholders, or any defect therein, shall
not impair or affect the validity of an amendment under this Section.

         SECTION 9.2. With Consent of Holders. The Company, the Subsidiary
Guarantors and the Trustee may amend this Indenture or the Securities without
notice to any Securityholder but with the written consent of the Holders of at
least a majority in principal amount of the Securities then outstanding
(including, without limitation, consents obtained in connection with a purchase
of, or tender offer or exchange offer for, Securities) and compliance with the
provisions of this Indenture may be waived with the written consent of the
Holders of at least a majority in principal amount of the Securities then
outstanding (including, without limitation, consents obtained in connection with
a purchase of, or tender offer or exchange offer for, Securities). However,
without the consent of each Securityholder affected, an amendment or waiver may
not:

          (1) reduce the amount of Securities whose Holders must consent to an
     amendment;

          (2) reduce the stated rate of or extend the stated time for payment of
     interest or additional interest on any Security;

          (3) reduce the principal of or extend the Stated Maturity of any
     Security;

          (4) reduce the premium payable upon the redemption or repurchase of
     any Security or change the time at which any Security may or shall be
     redeemed or repurchased as described under Section 3.6 (including an
     amendment to the definition of "Change of Control") or Article V or any
     similar provision, whether through an amendment or waiver of Section 3.6 or
     Article V, a definition or otherwise;

          (5) make any Security payable in money other than that stated in the
     Security or, other than in accordance with the provisions of this Indenture
     in effect on the Issue Date, eliminate any existing Guarantee of the
     Securities;

          (6) impair the right of any Holder to receive payment of, premium, if
     any, principal of and interest on such Holder's Securities on or after the
     due dates therefor or to institute suit for the enforcement of any payment
     on or with respect to such Holder's Securities; or

                                       58
<PAGE>

          (7) make any change to the amendment provisions which require each
     Holder's consent or to the waiver provisions.

         It shall not be necessary for the consent of the Holders under this
Section to approve the particular form of any proposed amendment or waiver, but
it shall be sufficient if such consent approves the substance thereof. A consent
to any amendment or waiver under this Indenture by any Holder of the Securities
given in connection with a tender or exchange of such Holder's Securities will
not be rendered invalid by such tender or exchange.

         After an amendment under this Section becomes effective, the Company
shall mail to Securityholders a notice briefly describing such amendment. The
failure to give such notice to all Securityholders, or any defect therein, shall
not impair or affect the validity of an amendment under this Section.

         SECTION 9.3. Compliance with Trust Indenture Act. Every amendment to
this Indenture or the Securities shall comply with the TIA as then in effect.

         SECTION 9.4. Revocation and Effect of Consents and Waivers. A consent
to an amendment or a waiver by a Holder of a Security shall bind the Holder and
every subsequent Holder of that Security or portion of the Security that
evidences the same debt as the consenting Holder's Security, even if notation of
the consent or waiver is not made on the Security. However, any such Holder or
subsequent Holder may revoke the consent or waiver as to such Holder's Security
or portion of the Security if the Trustee receives the notice of revocation
before the date the amendment or waiver becomes effective or otherwise in
accordance with any related solicitation documents. After an amendment or waiver
becomes effective, it shall bind every Securityholder. An amendment or waiver
shall become effective upon receipt by the Trustee of the requisite number of
written consents under Section 9.1 or 9.2 as applicable.

         The Company may, but shall not be obligated to, fix a record date for
the purpose of determining the Securityholders entitled to give their consent or
take any other action described above or required or permitted to be taken
pursuant to this Indenture. If a record date is fixed, then notwithstanding the
immediately preceding paragraph, those Persons who were Securityholders at such
record date (or their duly designated proxies), and only those Persons, shall be
entitled to give such consent or to revoke any consent previously given or to
take any such action, whether or not such Persons continue to be Holders after
such record date. No such consent shall become valid or effective more than 120
days after such record date.

         SECTION 9.5. Notation on or Exchange of Securities. If an amendment
changes the terms of a Security, the Trustee may require the Holder of the
Security to deliver it to the Trustee. The Trustee may place an appropriate
notation on the Security regarding the changed terms and return it to the
Holder. Alternatively, if the Company or the Trustee so determines, the Company
in exchange for the Security shall issue and the Trustee shall authenticate a
new Security that reflects the changed terms. Failure to make the appropriate
notation or to issue a new Security shall not affect the validity of such
amendment.

         SECTION 9.6. Trustee To Sign Amendments. The Trustee shall sign any
amendment authorized pursuant to this Article IX if the amendment does not
adversely affect the

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<PAGE>

rights, duties, liabilities or immunities of the Trustee. If it does, the
Trustee may but need not sign it. In signing such amendment the Trustee shall be
entitled to receive indemnity reasonably satisfactory to it and to receive, and
(subject to Sections 7.1 and 7.2) shall be fully protected in relying upon an
Officers' Certificate and an Opinion of Counsel stating that such amendment is
authorized or permitted by this Indenture and that such amendment is the legal,
valid and binding obligation of the Company and any Subsidiary Guarantors,
enforceable against them in accordance with its terms, subject to customary
exceptions, and complies with the provisions hereof (including Section 9.3).

                                   ARTICLE X

                              SUBSIDIARY GUARANTEE

         SECTION 10.1. Subsidiary Guarantee. Each Subsidiary Guarantor hereby
fully, unconditionally and irrevocably guarantees, as primary obligor and not
merely as surety, jointly and severally with each other Subsidiary Guarantor, to
each Holder of the Securities and the Trustee the full and punctual payment when
due, whether at maturity, by acceleration, by redemption or otherwise, of the
principal of, premium, if any, and interest on the Securities and all other
obligations and liabilities of the Company under this Indenture (including
without limitation interest accruing after the filing of any petition in
bankruptcy, or the commencement of any insolvency, reorganization or like
proceeding, relating to the Company or any Subsidiary Guarantor whether or not a
claim for post-filing or post-petition interest is allowed in such proceeding)
(all the foregoing being hereinafter collectively called the "Obligations").
Each Subsidiary Guarantor further agrees (to the extent permitted by law) that
the Obligations may be extended or renewed, in whole or in part, without notice
or further assent from it, and that it will remain bound under this Article X
notwithstanding any extension or renewal of any Obligation.

         Each Subsidiary Guarantor waives presentation to, demand of payment
from and protest to the Company of any of the Obligations and also waives notice
of protest for nonpayment. Each Subsidiary Guarantor waives notice of any
default under the Securities or the Obligations. The obligations of each
Subsidiary Guarantor hereunder shall not be affected by (a) the failure of any
Holder to assert any claim or demand or to enforce any right or remedy against
the Company or any other person under this Indenture, the Securities or any
other agreement or otherwise; (b) any extension or renewal of any thereof; (c)
any rescission, waiver, amendment or modification of any of the terms or
provisions of this Indenture, the Securities or any other agreement; (d) the
release of any security held by any Holder or the Trustee for the Obligations or
any of them; (e) the failure of any Holder to exercise any right or remedy
against any other Subsidiary Guarantor; or (f) any change in the ownership of
the Company.

         Each Subsidiary Guarantor further agrees that its Subsidiary Guarantee
herein constitutes a Guarantee of payment when due (and not a Guarantee of
collection) and waives any right to require that any resort be had by any Holder
to any security held for payment of the Obligations.

         The obligations of each Subsidiary Guarantor hereunder shall not be
subject to any reduction, limitation, impairment or termination for any reason
(other than payment of the

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<PAGE>

Obligations in full), including any claim of waiver, release, surrender,
alteration or compromise, and shall not be subject to any defense of setoff,
counterclaim, recoupment or termination whatsoever or by reason of the
invalidity, illegality or unenforceability of the Obligations or otherwise.
Without limiting the generality of the foregoing, the obligations of each
Subsidiary Guarantor herein shall not be discharged or impaired or otherwise
affected by the failure of any Holder to assert any claim or demand or to
enforce any remedy under this Indenture, the Securities or any other agreement,
by any waiver or modification of any thereof, by any default, failure or delay,
willful or otherwise, in the performance of the Obligations, or by any other act
or thing or omission or delay to do any other act or thing which may or might in
any manner or to any extent vary the risk of any Subsidiary Guarantor or would
otherwise operate as a discharge of such Subsidiary Guarantor as a matter of law
or equity.

         Subject to the provisions of Section 3.8, each Subsidiary Guarantor
agrees that its Subsidiary Guarantee herein shall remain in full force and
effect until payment in full of all the Obligations or such Subsidiary Guarantor
is released from its Subsidiary Guarantee upon the merger or the sale of all the
Capital Stock or assets of the Subsidiary Guarantor in compliance with Section
10.2. Each Subsidiary Guarantor further agrees that its Subsidiary Guarantee
herein shall continue to be effective or be reinstated, as the case may be, if
at any time payment, or any part thereof, of principal of or interest on any of
the Obligations is rescinded or must otherwise be restored by any Holder upon
the bankruptcy or reorganization of the Company or otherwise.

         In furtherance of the foregoing and not in limitation of any other
right which any Holder has at law or in equity against any Subsidiary Guarantor
by virtue hereof, upon the failure of the Company to pay any of the Obligations
when and as the same shall become due, whether at maturity, by acceleration, by
redemption or otherwise, each Subsidiary Guarantor hereby promises to and will,
upon receipt of written demand by the Trustee, forthwith pay, or cause to be
paid, in cash, to the Holders an amount equal to the sum of (i) the unpaid
amount of such Obligations then due and owing and (ii) accrued and unpaid
interest on such Obligations then due and owing (but only to the extent not
prohibited by law).

         Each Subsidiary Guarantor further agrees that, as between such
Subsidiary Guarantor, on the one hand, and the Holders, on the other hand, (x)
the maturity of the Obligations guaranteed hereby may be accelerated as provided
in this Indenture for the purposes of its Subsidiary Guarantee herein,
notwithstanding any stay, injunction or other prohibition preventing such
acceleration in respect of the Obligations guaranteed hereby and (y) in the
event of any such declaration of acceleration of such Obligations, such
Obligations (whether or not due and payable) shall forthwith become due and
payable by the Subsidiary Guarantor for the purposes of this Subsidiary
Guarantee.

         Each Subsidiary Guarantor also agrees to pay any and all reasonable
costs and expenses (including reasonable attorneys' fees) incurred by the
Trustee or the Holders in enforcing any rights under this Section.

         SECTION 10.2. Limitation on Liability; Termination, Release and
Discharge.

         (a) The obligations of each Subsidiary Guarantor hereunder will be
limited to the maximum amount as will, after giving effect to all other
contingent and fixed liabilities of

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<PAGE>

such Subsidiary Guarantor (including, without limitation, any guarantees under
the Senior Credit Agreement, the 2006 Notes, the 2008 Notes and the Convertible
Notes) and after giving effect to any collections from or payments made by or on
behalf of any other Subsidiary Guarantor in respect of the obligations of such
other Subsidiary Guarantor under its Subsidiary Guarantee or pursuant to its
contribution obligations under this Indenture, result in the obligations of such
Subsidiary Guarantor under its Subsidiary Guarantee not constituting a
fraudulent conveyance or fraudulent transfer under federal or state law and not
otherwise being void or voidable under any similar laws affecting the rights of
creditors generally.

         (b) Each Subsidiary Guarantor may consolidate with or merge into or
sell its assets to the Company or another Subsidiary Guarantor without
limitation. Subject to Article III and Article IV, each Subsidiary Guarantor may
consolidate with or merge into or sell all or substantially all its assets to a
corporation, partnership or trust other than the Company or another Subsidiary
Guarantor (whether or not affiliated with the Subsidiary Guarantor), except that
if the surviving corporation of any such merger or consolidation is a Subsidiary
of the Company, such merger, consolidation or sale shall not be permitted unless
(i) the Person formed by or surviving any such consolidation or merger assumes
all the obligations of such Subsidiary under the Subsidiary Guarantee pursuant
to a supplemental indenture in form and substance reasonably satisfactory to the
Trustee in respect of the Securities, this Indenture and the Subsidiary
Guarantee, (ii) immediately after giving effect to such transaction, no Default
or Event of Default exists; and (iii) the Company delivers to the Trustee an
Officers' Certificate and an Opinion of Counsel addressed to the Trustee with
respect to the foregoing matters. Upon the sale or disposition of a Subsidiary
Guarantor (by merger, consolidation, the sale of its Capital Stock or the sale
of all or substantially all of its assets (other than by lease)) and whether or
not the Subsidiary Guarantor is the surviving corporation in such transaction to
a Person (whether or not an Affiliate of the Subsidiary Guarantor) which is not
the Company or a Subsidiary of the Company, which sale or disposition is
otherwise in compliance with this Indenture, such Subsidiary Guarantor will be
released from all its obligations under this Indenture and its Subsidiary
Guarantee and such Subsidiary Guarantee will terminate; provided, however, that
any such termination will occur only to the extent that (x) with respect to each
Subsidiary Guarantor other than MCA, each such Subsidiary Guarantor will be
released from obligations under its Subsidiary Guarantee if all the obligations
of such Subsidiary Guarantor under the Senior Credit Agreement, the 2006 Notes,
the 2008 Notes, the Convertible Notes and related documentation terminate upon
consummation of such transaction and (y) with respect to MCA, MCA will be
released from its obligations under its Subsidiary Guarantee if the Company and
its remaining Subsidiaries are not liable with respect to any Debt of MCA.

         (c) Each Subsidiary Guarantor will be deemed released from all its
obligations under this Indenture, its Subsidiary Guarantee and the Registration
Rights Agreement and such Subsidiary Guarantee will terminate upon the legal
defeasance or covenant defeasance of the Securities pursuant to the provisions
of Article VIII hereof.

         SECTION 10.3. Right of Contribution. Each Subsidiary Guarantor hereby
agrees that to the extent that any Subsidiary Guarantor shall have paid more
than its proportionate share of any payment made on the obligations under the
Subsidiary Guarantees, such Subsidiary Guarantor shall be entitled to seek and
receive contribution from and against the Company or any other Subsidiary
Guarantor who has not paid its proportionate share of such

                                       62
<PAGE>

payment. The provisions of this Section 10.3 shall in no respect limit the
obligations and liabilities of each Subsidiary Guarantor to the Trustee and the
Holders and each Subsidiary Guarantor shall remain liable to the Trustee and the
Holders for the full amount guaranteed by such Subsidiary Guarantor hereunder.

         SECTION 10.4. No Subrogation. Notwithstanding any payment or payments
made by each Subsidiary Guarantor hereunder, no Subsidiary Guarantor shall be
entitled to be subrogated to any of the rights of the Trustee or any Holder
against the Company or any other Subsidiary Guarantor or any collateral security
or guarantee or right of offset held by the Trustee or any Holder for the
payment of the Obligations, nor shall any Subsidiary Guarantor seek or be
entitled to seek any contribution or reimbursement from the Company or any other
Subsidiary Guarantor in respect of payments made by such Subsidiary Guarantor
hereunder, until all amounts owing to the Trustee and the Holders by the Company
on account of the Obligations are paid in full. If any amount shall be paid to
any Subsidiary Guarantor on account of such subrogation rights at any time when
all of the Obligations shall not have been paid in full, such amount shall be
held by such Subsidiary Guarantor in trust for the Trustee and the Holders,
segregated from other funds of such Subsidiary Guarantor, and shall, forthwith
upon receipt by such Subsidiary Guarantor, be turned over to the Trustee in the
exact form received by such Subsidiary Guarantor (duly indorsed by such
Subsidiary Guarantor to the Trustee, if required), to be applied against the
Obligations.

                                   ARTICLE XI

                                  MISCELLANEOUS

         SECTION 11.1. Trust Indenture Act Controls. If any provision of this
Indenture limits, qualifies or conflicts with another provision which is
required to be included in this Indenture by the TIA, the provision required by
the TIA shall control. Each Subsidiary Guarantor in addition to performing its
obligations under its Subsidiary Guarantee shall perform such other obligations
as may be imposed upon it with respect to this Indenture under the TIA.

         SECTION 11.2. Notices. Any notice or communication shall be in writing
and delivered in person or mailed by first-class mail addressed as follows:

                           if to the Company:

                           Manor Care, Inc.
                           333 North Summit Street, 16th Floor
                           Toledo, OH 43699-0086
                           Attention: Paul Ormond
                                        Chief Executive Officer

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<PAGE>

                           with a copy to:

                           Latham & Watkins Illinois LLC
                           Sears Tower, Suite 5800
                           Chicago, IL 60606
                           Attention:  Michael Levin, Esq.

                           if to the Trustee:

                           National City Bank
                           629 Euclid Avenue
                           Cleveland, Ohio 44114-3484
                           Attention: Corporate Trust Department
                                             Locator 01-3116

         For purposes of Section 2.3 (with respect to presentation of Securities
for payment or for registrations of transfer or exchange) if to the Trustee:
National City Bank, c/o The Depository Trust Company, Transfer Agent Drop
Service, 55 Water Street, Jeanette Park Entrance, New York, New York 10041.

         The Company or the Trustee by notice to the other may designate
additional or different addresses for subsequent notices or communications.

         Any notice or communication mailed to a registered Securityholder shall
be mailed to the Securityholder at the Securityholder's address as it appears on
the registration books of the Registrar and shall be sufficiently given if so
mailed within the time prescribed.

         Failure to mail a notice or communication to a Securityholder or any
defect in it shall not affect its sufficiency with respect to other
Securityholders. If a notice or communication is mailed in the manner provided
above, it is duly given, whether or not the addressee receives it, except that
notices to the Trustee shall be effective only upon receipt.

         SECTION 11.3. Communication by Holders with other Holders.
Securityholders may communicate pursuant to TIA Section 312(b) with other
Securityholders with respect to their rights under this Indenture or the
Securities. The Company, the Trustee, the Registrar and anyone else shall have
the protection of TIA Section 312(c).

         SECTION 11.4. Certificate and Opinion as to Conditions Precedent. Upon
any request or application by the Company to the Trustee to take or refrain from
taking any action under this Indenture, the Company shall furnish to the
Trustee:

          (1) an Officers' Certificate in form and substance reasonably
     satisfactory to the Trustee stating that, in the opinion of the signers,
     all conditions precedent, if any, provided for in this Indenture relating
     to the proposed action have been complied with; and

                                       64
<PAGE>

          (2) an Opinion of Counsel in form and substance reasonably
     satisfactory to the Trustee stating that, in the opinion of such counsel,
     all such conditions precedent have been complied with.

         SECTION 11.5. Statements Required in Certificate or Opinion. Each
certificate or opinion with respect to compliance with a covenant or condition
provided for in this Indenture shall include:

          (1) a statement that the individual making such certificate or opinion
     has read such covenant or condition;

          (2) a brief statement as to the nature and scope of the examination or
     investigation upon which the statements or opinions contained in such
     certificate or opinion are based;

          (3) a statement that, in the opinion of such individual, he has made
     such examination or investigation as is necessary to enable him to express
     an informed opinion as to whether or not such covenant or condition has
     been complied with; and

          (4) a statement as to whether or not, in the opinion of such
     individual, such covenant or condition has been complied with.

         In giving such Opinion of Counsel, counsel may rely as to factual
matters on an Officers' Certificate or on certificates of public officials.

         SECTION 11.6. When Securities Disregarded. In determining whether the
Holders of the required principal amount of Securities have concurred in any
direction, waiver or consent, Securities owned by the Company or by any Person
directly or indirectly controlling or controlled by or under direct or indirect
common control with the Company shall be disregarded and deemed not to be
outstanding, except that, for the purpose of determining whether the Trustee
shall be protected in relying on any such direction, waiver or consent, only
Securities which the Trustee knows are so owned shall be so disregarded. Also,
subject to the foregoing, only Securities outstanding at the time shall be
considered in any such determination.

         SECTION 11.7. Rules by Trustee, Paying Agent and Registrar. The Trustee
may make reasonable rules for action by, or a meeting of, Securityholders. The
Registrar and the Paying Agent may make reasonable rules for their functions.

         SECTION 11.8. Legal Holidays. A "Legal Holiday" is a Saturday, a Sunday
or other day on which commercial banking institutions are authorized or required
to be closed in New York, New York or Cleveland, Ohio. If a payment date is a
Legal Holiday, payment shall be made on the next succeeding day that is not a
Legal Holiday, and no interest shall accrue for the intervening period. If a
regular record date is a Legal Holiday, the record date shall not be affected.

         SECTION 11.9. GOVERNING LAW. THIS INDENTURE AND THE SECURITIES SHALL BE
GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW
YORK.

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<PAGE>

         SECTION 11.10. No Recourse Against Others. An incorporator, director,
officer, employee, Affiliate or stockholder of the Company or any Subsidiary
Guarantor, solely by reason of this status, shall not have any liability for any
obligations of the Company or any Subsidiary Guarantor under the Securities,
this Indenture or the Subsidiary Guarantees or for any claim based on, in
respect of or by reason of such obligations or their creation. By accepting a
Security, each Securityholder shall waive and release all such liability. The
waiver and release shall be part of the consideration for the issue of the
Securities.

         SECTION 11.11. Successors. All agreements of the Company in this
Indenture and the Securities shall bind their respective successors. All
agreements of the Trustee in this Indenture shall bind its successors.

         SECTION 11.12. Multiple Originals. The parties may sign any number of
copies of this Indenture. Each signed copy shall be an original, but all of them
together represent the same agreement. One signed copy is enough to prove this
Indenture.

         SECTION 11.13. Qualification of Indenture. The Company shall qualify
this Indenture under the TIA in accordance with the terms and conditions of the
Registration Rights Agreement and shall pay all reasonable costs and expenses
(including attorneys' fees and expenses for the Company, the Trustee and the
Holders) incurred in connection therewith, including, but not limited to, costs
and expenses of qualification of this Indenture and the Securities and printing
this Indenture and the Securities. The Trustee shall be entitled to receive from
the Company any such Officers' Certificates, Opinions of Counsel or other
documentation as it may reasonably request in connection with any such
qualification of this Indenture under the TIA.

         SECTION 11.14. Table of Contents; Headings. The table of contents,
cross-reference sheet and headings of the Articles and Sections of this
Indenture have been inserted for convenience of reference only, are not intended
to be considered a part hereof and shall not modify or restrict any of the terms
or provisions hereof.

                                       66
<PAGE>

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

                MANOR CARE, INC.

                By: /s/ Geoffrey G. Meyers
                    ---------------------------------------------------
                    Name:  Geoffrey G. Meyers
                    Title: Executive Vice President and Chief
                           Financial Officer

                                       67

<PAGE>

                                   SUBSIDIARY GUARANTORS

                                   AMERICAN HOSPITAL BUILDING
                                   CORPORATION

                                   AMERICANA HEALTHCARE CENTER OF
                                   PALOS TOWNSHIP, INC.

                                   AMERICANA HEALTHCARE CORPORATION
                                   OF GEORGIA

                                   AMERICANA HEALTHCARE CORPORATION
                                   OF NAPLES

                                   ANCILLARY SERVICES MANAGEMENT, INC.

                                   BAILY NURSING HOME, INC.

                                   BIRCHWOOD MANOR, INC.

                                   BLUE RIDGE REHABILITATION SERVICES, INC.

                                   CANTERBURY VILLAGE, INC.

                                   CHARLES MANOR, INC.

                                   CHESAPEAKE MANOR, INC.

                                   DEKALB HEALTHCARE CORPORATION

                                   DEVON MANOR CORPORATION

                                   DISTCO, INC.

                                   DIVERSIFIED REHABILITATION SERVICES,
                                   INC.

                                   DONAHOE MANOR, INC.

                                   EAST MICHIGAN CARE CORPORATION

                                   EXECUTIVE ADVERTISING, INC.

                                   EYE-Q NETWORK, INC.

                                       68
<PAGE>

                                   FOUR SEASONS NURSING CENTERS, INC.

                                   GEORGIAN BLOOMFIELD, INC.

                                   GREENVIEW MANOR, INC.

                                   HCR HOME HEALTH CARE AND HOSPICE,
                                   INC.

                                   HCR HOSPITAL HOLDING COMPANY, INC.

                                   HCR INFORMATION CORPORATION

                                   HCR MANORCARE MEDICAL SERVICES OF
                                   FLORIDA, INC.

                                   HCR PHYSICIAN MANAGEMENT SERVICES,
                                   INC.

                                   HCR REHABILITATION CORP.

                                   HCRA OF TEXAS, INC.

                                   HCRC INC.

                                   HEALTH CARE AND RETIREMENT
                                   CORPORATION OF AMERICA

                                   HEARTLAND CAREPARTNERS, INC.

                                   HEARTLAND EMPLOYMENT SERVICES, INC.

                                   HEARTLAND HOME CARE, INC.

                                   HEARTLAND HOME HEALTH CARE
                                   SERVICES, INC.

                                   HEARTLAND HOSPICE SERVICES, INC.

                                   HEARTLAND INFORMATION SERVICES, INC.
                                   (fka Heartland Medical Information Services)

                                   HEARTLAND MANAGEMENT SERVICES,
                                   INC.

                                       69
<PAGE>

                                   HEARTLAND REHABILITATION SERVICES
                                   OF FLORIDA, INC.

                                   HEARTLAND REHABILITATION SERVICES,
                                   INC.

                                   HEARTLAND SERVICES CORP.

                                   HERBERT LASKIN, RPT - JOHN MCKENZIE,
                                   RPT PHYSICAL THERAPY PROFESSIONAL
                                   ASSOCIATES, INC.

                                   HGCC OF ALLENTOWN, INC.

                                   IN HOME HEALTH, INC.

                                   INDUSTRIAL WASTES, INC.

                                   IONIA MANOR, INC.

                                   JACKSONVILLE HEALTHCARE
                                   CORPORATION

                                   KENSINGTON MANOR, INC.

                                   KNOLLVIEW MANOR, INC.

                                   LEADER NURSING AND REHABILITATION
                                   CENTER OF BETHEL PARK, INC.

                                   LEADER NURSING AND REHABILITATION
                                   CENTER OF GLOUCESTER, INC.

                                   LEADER NURSING AND REHABILITATION
                                   CENTER OF SCOTT TOWNSHIP, INC.

                                   LEADER NURSING AND REHABILITATION
                                   CENTER OF VIRGINIA INC.

                                   LINCOLN HEALTH CARE, INC.

                                   MANOR CARE AVIATION, INC.

                                   MANOR CARE OF AKRON, INC.

                                   MANOR CARE OF AMERICA, INC

                                       70
<PAGE>

                                   MANOR CARE OF ARIZONA, INC.

                                   MANOR CARE OF ARLINGTON, INC.

                                   MANOR CARE OF BOCA RATON, INC.

                                   MANOR CARE OF BOYNTON BEACH, INC.

                                   MANOR CARE OF CANTON, INC.

                                   MANOR CARE OF CENTERVILLE, INC

                                   MANOR CARE OF CHARLESTON, INC.

                                   MANOR CARE OF CINCINNATI, INC.

                                   MANOR CARE OF COLUMBIA, INC.

                                   MANOR CARE OF DARIEN, INC.

                                   MANOR CARE OF DELAWARE COUNTY, INC.

                                   MANOR CARE OF DUNEDIN, INC.

                                   MANOR CARE OF FLORIDA, INC.

                                   MANOR CARE OF HINSDALE, INC.

                                   MANOR CARE OF KANSAS, INC.

                                   MANOR CARE OF KINGSTON COURT, INC.

                                   MANOR CARE OF LARGO, INC.

                                   MANOR CARE OF LEXINGTON, INC.

                                   MANOR CARE OF MEADOW PARK, INC.

                                   MANOR CARE OF MIAMISBURG, INC

                                   MANOR CARE OF NORTH OLMSTEAD, INC.

                                   MANOR CARE OF PINEHURST, INC.

                                   MANOR CARE OF PLANTATION, INC.

                                       71
<PAGE>

                                   MANOR CARE OF ROLLING MEADOWS, INC.

                                   MANOR CARE OF ROSSVILLE, INC.

                                   MANOR CARE OF SARASOTA, INC.

                                   MANOR CARE OF WILLOUGHBY, INC.

                                   MANOR CARE OF WILMINGTON, INC.

                                   MANOR CARE OF YORK (NORTH), INC.

                                   MANOR CARE OF YORK (SOUTH), INC.

                                   MANOR CARE PROPERTIES, INC.

                                   MANORCARE HEALTH SERVICES OF
                                   BOYNTON BEACH, INC.

                                   MANORCARE HEALTH SERVICES OF
                                   NORTHHAMPTON COUNTY, INC.

                                   MANORCARE HEALTH SERVICES OF
                                   VIRGINIA, INC.

                                   MANORCARE HEALTH SERVICES, INC.

                                   MARINA VIEW MANOR, INC.

                                   MEDI-SPEECH SERVICE, INC.

                                   MID-SHORE PHYSICAL THERAPY
                                   ASSOCIATES, INC.

                                   MILESTONE HEALTH SYSTEMS, INC.

                                   MILESTONE HEALTHCARE, INC.

                                   MILESTONE REHABILITATION SERVICES,
                                   INC.

                                   MILESTONE STAFFING SERVICES, INC.

                                   MILESTONE THERAPY SERVICES, INC.

                                       72
<PAGE>

                                   MNR FINANCE CORP.

                                   MRC REHABILITATION, INC.

                                   NEW MANORCARE HEALTH SERVICES, INC.

                                   PEAK REHABILITATION, INC.

                                   PERRYSBURG PHYSICAL THERAPY, INC

                                   PHYSICAL OCCUPATIONAL AND SPEECH
                                   THERAPY, INC.

                                   PNEUMATIC CONCRETE, INC.

                                   PORTFOLIO ONE, INC.

                                   REHABILITATION ADMINISTRATION
                                   CORPORATION

                                   REHABILITATION ASSOCIATES, INC.

                                   REHABILITATION SERVICES OF ROANOKE,
                                   INC.

                                   REINBOLT & BURKAM, INC.

                                   RICHARDS HEALTHCARE, INC.

                                   RIDGEVIEW MANOR, INC.

                                   ROLAND PARK NURSING CENTER, INC.

                                   RVA MANAGEMENT SERVICES, INC.

                                   SILVER SPRING - WHEATON NURSING
                                   HOME, INC.

                                   SPRINGHILL MANOR, INC.

                                   STEWALL CORPORATION

                                   STRATFORD MANOR, INC.

                                   STUTEX CORP.

                                       73
<PAGE>

                           SUN VALLEY MANOR, INC.

                           THE NIGHTINGALE NURSING HOME, INC.

                           THERAPY ASSOCIATES, INC.

                           THERASPORT PHYSICAL THERAPY, INC.

                           THREE RIVERS MANOR, INC.

                           TOTALCARE CLINICAL LABORATORIES,
                           INC.

                           WASHTENAW HILLS MANOR, INC.

                           WHITEHALL MANOR, INC.

                           By: /s/ R. Jeffrey Bixler
                               -------------------------------------
                               Name:    R. Jeffrey Bixler
                               Title:   Vice President, General Counsel and
                                        Secretary of each of the above-
                                        referenced corporations

                           Address:  333 N. Summit St.
                                     Toledo, Ohio 43604

                           Fax No.:  419-252-5599
                           Telephone:419-252-5500

                                       74
<PAGE>

                                                    COLEWOOD LIMITED PARTNERSHIP

                         By:  American Hospital Building Corporation, its
                              General Partner

                              By: /s/ R. Jeffrey Bixler
                                  ------------------------------------------
                                  Name:  R. Jeffrey Bixler
                                  Title: Vice President, General Counsel
                                          and Secretary

                         Address:  333 N. Summit St.
                         Toledo, Ohio 43604

                         Fax No.:  419-252-5599
                         Telephone:419-252-5500

                                       75
<PAGE>

                         HCR HOSPITAL, LLC

                         By:  HCR Hospital Holding Company, Inc., its
                              sole member

                              By: /s/ R. Jeffrey Bixler
                                  ----------------------------------------------
                                  Name:  R. Jeffrey Bixler
                                  Title: Vice President, General Counsel
                                    and Secretary

                         Address:  333 N. Summit St.
                         Toledo, Ohio 43604

                         Fax No.:  419-252-5599
                         Telephone:419-252-5500

                                       76
<PAGE>

                         ANCILLARY SERVICES, LLC

                         By: Heartland Rehabilitation Services, Inc., its
                             sole member

                             By: /s/ R. Jeffrey Bixler
                                 -----------------------------------------------
                                 Name:  R. Jeffrey Bixler
                                 Title: Vice President, General Counsel
                                          and Secretary

                         Address:  333 N. Summit St.
                         Toledo, Ohio 43604

                         Fax No.:  419-252-5599
                         Telephone:419-252-5500

                                       77
<PAGE>

                         BOOTH LIMITED PARTNERSHIP

                         By: Jacksonville Healthcare Corporation, its
                             General Partner

                             By: /s/ R. Jeffrey Bixler
                                 -----------------------------------------------
                                 Name:  R. Jeffrey Bixler
                                 Title: Vice President, General Counsel
                                        and Secretary

                         Address:  333 N. Summit St.
                         Toledo, Ohio 43604

                         Fax No.:  419-252-5599
                         Telephone:419-252-5500

                                       78
<PAGE>

                                        ANNANDALE ARDEN, LLC

                                        BAINBRIDGE ARDEN, LLC

                                        BINGHAM FARMS ARDEN, LLC

                                        COLONIE ARDEN, LLC

                                        CRESTVIEW HILLS, LLC

                                        FIRST LOUISVILLE ARDEN, LLC

                                        GENEVA ARDEN LLC

                                        HANOVER ARDEN, LLC

                                        JEFFERSON ARDEN, LLC

                                        KENWOOD ARDEN, LLC

                                        LIVONIA ARDEN, LLC

                                        MEMPHIS ARDEN, LLC

                                        NAPA ARDEN, LLC

                                        ROANOKE ARDEN, LLC

                                        SAN ANTONIO ARDEN, LLC

                                        SILVER SPRING ARDEN, LLC

                                        SUSQUEHANNA ARDEN LLC

                                        TAMPA ARDEN, LLC

                                        WALL ARDEN, LLC

                                        WARMINSTER ARDEN LLC

                                       79
<PAGE>

                         WILLIAMS VILLE ARDEN, LLC

                         By: Manor Care of America, Inc., the
                             sole member of each of the above-
                             referenced limited liability companies

                             By: /s/ R. Jeffrey Bixler
                                 ---------------------
                                 Name:  R. Jeffrey Bixler
                                 Title: Vice President, General Counsel
                                        and Secretary

                         Address:  333 N. Summit St.
                                   Toledo, Ohio 43604

                         Fax No.:  419-252-5599
                         Telephone:419-252-5500

                                       80
<PAGE>

                         BATH ARDEN, LLC

                         CLAIRE BRIDGE OF ANDERSON, LLC

                         CLAIRE BRIDGE OF AUSTIN, LLC

                         CLAIRE BRIDGE OF KENWOOD, LLC

                         CLAIRE BRIDGE OF SAN ANTONIO, LLC

                         CLAIRE BRIDGE OF SUSQUEHANNA, LLC

                         CLAIRE BRIDGE OF WARMINSTER, LLC

                         FRESNO ARDEN, LLC

                         MESQUITE HOSPITAL, LLC

                         TUSCAWILLA ARDEN, LLC

                         By:  Manor Care Health Services, Inc., the
                              sole member of each of the above-
                              referenced limited liability companies

                         By: /s/ R. Jeffrey Bixler
                             -------------------------------------
                             Name:  R. Jeffrey Bixler
                             Title: Vice President, General Counsel
                                    and Secretary

                         Address:  333 N. Summit St.
                                   Toledo, Ohio 43604

                         Fax No.:  419-252-5599
                         Telephone:419-252-5500

                                       81
<PAGE>

                         HCR MANORCARE MESQUITE, L.P.

                         By: Mesquite Hospital, LLC, its
                             General Partner

                             By: /s/ R. Jeffrey Bixler
                                 -----------------------------------------------
                                 Name:  R. Jeffrey Bixler
                                 Title: Vice President, General Counsel
                                        and Secretary

                         Address:  333 N. Summit St.
                                   Toledo, Ohio 43604

                         Fax No.:  419-252-5599
                         Telephone:419-252-5500

                                       82
<PAGE>

                         NATIONAL CITY BANK, as Trustee

                         By: /s/ James E. Schultz
                             ---------------------------------------------------
                             Name:  James E. Schultz
                             Title: Vice President

                                       83
<PAGE>
                                                                       EXHIBIT A

                         [FORM OF FACE OF SERIES A NOTE]

                    [Applicable Restricted Securities Legend]
                       [Depository Legend, if applicable]

No. [___]                          Principal Amount $[___________], as
                                   revised by the Schedule of Increases and
                                   Decreases in Global Security attached hereto
                                   CUSIP NO. __________________________
                                   ISIN: _______________________________

                                MANOR CARE, INC.

                      6.25% Senior Note, Series A, due 2013

         Manor Care, Inc., a Delaware corporation, promises to pay to
[__________], or registered assigns, the principal sum of [_______________]
Dollars, as revised by the Schedule of Increases and Decreases in Global
Security attached hereto, on May 1, 2013.

         Interest Payment Dates: May 1 and November 1

         Record Dates: April 15 and October 15

         Additional provisions of this Security are set forth on the other side
of this Security.

                                MANOR CARE, INC.
                                By:
                                   ---------------------------------------------

TRUSTEE'S CERTIFICATE OF
  AUTHENTICATION

NATIONAL CITY BANK
as Trustee, certifies
that this is one of
the Securities referred
to in the Indenture.

By________________________________
         Authorized Signatory                        Date: ________ __, 20__

                                      A-1

<PAGE>
                     [FORM OF REVERSE SIDE OF SERIES A NOTE]

                      6.25% Senior Note, Series A, due 2013

1.   Interest

         Manor Care, Inc., a Delaware corporation (such corporation, and its
successors and assigns under the Indenture hereinafter referred to, being herein
called the "Company"), promises to pay interest on the principal amount of this
Security at the rate per annum shown above.

         The Company will pay interest semiannually on May 1 and November 1 of
each year commencing November 1, 2003. Interest on the Securities will accrue
from the most recent date to which interest has been paid on the Securities or,
if no interest has been paid, from April 15, 2003. The Company shall pay
interest on overdue principal or premium, if any (plus interest on such interest
to the extent lawful), at the rate borne by the Securities to the extent lawful.
Interest will be computed on the basis of a 360-day year of twelve 30-day
months.

2.   Method of Payment

         By no later than 10:00 a.m. (New York City time) on the date on which
any principal of or interest on any Security is due and payable, the Company
shall irrevocably deposit with the Trustee or the Paying Agent money sufficient
to pay such principal, premium, if any, and/or interest. The Company will pay
interest (except Defaulted Interest) to the Persons who are registered Holders
of Securities at the close of business on the April 15 or October 15 next
preceding the interest payment date even if Securities are cancelled,
repurchased or redeemed after the record date and on or before the interest
payment date. Holders must surrender Securities to a Paying Agent to collect
principal payments. The Company will pay principal and interest in money of the
United States that at the time of payment is legal tender for payment of public
and private debts. Payments in respect of Securities represented by a Global
Security (including principal, premium, if any, and interest) will be made by
the transfer of immediately available funds to the accounts specified by The
Depository Trust Company. The Company will make all payments in respect of a
Definitive Security (including principal, premium, if any, and interest) by
mailing a check to the registered address of each Holder thereof; provided,
however, that payments on the Securities may also be made, in the case of a
Holder of at least $1,000,000 aggregate principal amount of Securities, by wire
transfer to a U.S. dollar account maintained by the payee with a bank in the
United States if such Holder elects payment by wire transfer by giving written
notice to the Trustee or the Paying Agent to such effect designating such
account no later than 15 days immediately preceding the relevant due date for
payment (or such other date as the Trustee may accept in its discretion).

3.   Paying Agent and Registrar

         Initially, National City Bank (the "Trustee") will act as Trustee,
Paying Agent and Registrar. The Company may appoint and change any Paying Agent,
Registrar or co-registrar without notice to any Securityholder. The Company or
any of its domestically organized, wholly owned Subsidiaries may act as Paying
Agent, Registrar or co-registrar.

                                      A-2
<PAGE>

4.   Indenture

         The Company issued the Securities under an Indenture dated as of April
15, 2003 (as it may be amended or supplemented from time to time in accordance
with the terms thereof, the "Indenture"), among the Company, the Subsidiary
Guarantors and the Trustee. The terms of the Securities include those stated in
the Indenture and those made part of the Indenture by reference to the Trust
Indenture Act of 1939 (15 U.S.C. Sections 77aaa-77bbbb) as in effect on the date
of the Indenture (the "Act"). Capitalized terms used herein and not defined
herein have the meanings ascribed thereto in the Indenture. The Securities are
subject to all such terms, and Securityholders are referred to the Indenture and
the Act for a statement of those terms.

         The Securities are general unsecured senior obligations of the Company.
The aggregate principal amount of securities that may be authenticated and
delivered under the Indenture is unlimited. This Security is one of the 6.25%
Senior Notes, Series A, due 2013 referred to in the Indenture. The Securities
include (i) $200,000,000 aggregate principal amount of the Company's 6.25%
Senior Notes, Series A, due 2013 issued under the Indenture on April 15, 2003
(herein called "Initial Securities"), (ii) if and when issued, additional 6.25%
Senior Notes, Series A, due 2013 or 6.25% Senior Notes, Series B, due 2013 of
the Company that may be issued from time to time under the Indenture subsequent
to April 15, 2003 (herein called "Additional Securities") and (iii) if and when
issued, the Company's 6.25% Senior Notes, Series B, due 2013 that may be issued
from time to time under the Indenture in exchange for Initial Securities or
Additional Securities in an offer registered under the Securities Act as
provided in the Registration Rights Agreement (herein called "Exchange
Securities"). The Initial Securities, Additional Securities and Exchange
Securities are treated as a single class of securities under the Indenture. The
Indenture imposes certain limitations on, and certain requirements with respect
to, among other things, the incurrence of certain liens, sale-leaseback
transactions, guarantees of the Securities, mergers and consolidations, the
provision of financial information and transactions with Affiliates.

         To guarantee the due and punctual payment of the principal, premium, if
any, and interest (including post-filing or post-petition interest) on the
Securities and all other amounts payable by the Company under the Indenture and
the Securities when and as the same shall be due and payable, whether at
maturity, by acceleration or otherwise, according to the terms of the Securities
and the Indenture, the Subsidiary Guarantors have unconditionally guaranteed
(and future guarantors, together with the Subsidiary Guarantors, will
unconditionally Guarantee), jointly and severally, such obligations on a senior
basis pursuant to the terms of the Indenture.

5.   Redemption

         The Securities will be redeemable, at the option of the Company, in
whole at any time or in part from time to time, on at least 30 days but not more
than 60 days' prior notice mailed to the registered address of each Holder of
Securities to be so redeemed, at a redemption price equal to the greater of (i)
100% of their principal amount plus accrued but unpaid interest to the date of
redemption or (ii) the sum of (a) the present values of the remaining scheduled
payments of principal and interest thereon from the date of redemption to the
date of maturity (except for currently accrued but unpaid interest) discounted
to the date of redemption, on a semiannual basis (assuming a 360-day year
consisting of twelve 30-day months), at the Treasury

                                      A-3
<PAGE>

Rate (as defined below), plus 50 basis points, plus (b) accrued but unpaid
interest to the date of redemption.

         For purposes of determining the optional redemption price, the
following definitions are applicable:

         "Comparable Treasury Issue" means the United States Treasury security
selected by an Independent Investment Banker as having a maturity comparable to
the remaining term of the Securities to be redeemed that would be utilized, at
the time of selection and in accordance with customary financial practice, in
pricing new issues of corporate debt securities of comparable maturity to the
remaining term of such Securities.

         "Comparable Treasury Price" means, with respect to any Redemption Date,
the average of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) on the third
business day preceding such Redemption Date, (i) as set forth in the daily
statistical release (or any successor release) published by the Federal Reserve
Bank of New York or published on the website of the Federal Reserve Bank of New
York at http://www.ny.frb.org and designated "Composite 3:30 p.m. Quotations for
the U.S. Government Securities" or (ii) if such release (or any successor
release) is not published or does not contain such prices on such business day,
the average of the Reference Treasury Dealer Quotations for such Redemption
Date.

         "Independent Investment Banker" means the Reference Treasury Dealer
appointed by the Trustee after consultation with the Company.

         "Reference Treasury Dealer" means each of J.P. Morgan Securities Inc.,
Merrill Lynch, Pierce, Fenner & Smith Incorporated and UBS Warburg LLC and their
respective successors; provided, however, that if any of them shall cease to be
a primary U.S. Government Securities dealer in the United States of America (a
"Primary Treasury Dealer"), the Company shall substitute therefor another
Primary Treasury Dealer.

         "Reference Treasury Dealer Quotations" means, with respect to each
Reference Treasury Dealer and any Redemption Date, the average, as determined by
the Trustee, of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) quoted in
writing to the Trustee by such Reference Treasury Dealer at 5:00 p.m. on the
third business day preceding such Redemption Date.

         "Treasury Rate" means, with respect to any Redemption Date, the rate
per annum equal to the semiannual equivalent yield to maturity of the Comparable
Treasury Issue, assuming a price for the Comparable Treasury Issue (expressed as
a percentage of its principal amount) equal to the Comparable Treasury Price for
such Redemption Date.

         In the case of any partial redemption, selection of the Securities for
redemption will be made by the Trustee in compliance with the requirements of
the principal national securities exchange, if any, on which the Securities are
listed or, if the Securities are not listed, then on a pro rata basis, by lot or
by such other method as the Trustee in its sole discretion shall deem to be fair
and appropriate, although no Securities of $1,000 in original principal amount
or less will be redeemed in part. If any Security is to be redeemed in part
only, the notice of

                                      A-4
<PAGE>

redemption relating to such Security shall state the portion of the principal
amount thereof to be redeemed. A new Security in principal amount equal to the
unredeemed portion thereof will be issued in the name of the Holder thereof upon
cancellation of the original Security. On and after the Redemption Date,
interest will cease to accrue on Securities or portions thereof called for
redemption as long as the Company has deposited with the Paying Agent funds in
satisfaction of the applicable redemption price pursuant to the Indenture.

6.   Repurchase Provisions

         Upon the occurrence of a Change of Control Triggering Event, any Holder
of Securities will have the right to cause the Company to offer to repurchase
all or any part of the Securities of such Holder at a purchase price in cash
equal to 101% of the principal amount thereof, plus accrued and unpaid interest,
if any, to the date of repurchase (subject to the right of Holders of record on
the relevant record date to receive interest due on the relevant interest
payment date) as provided in, and subject to the terms of, the Indenture.

7.   Denominations; Transfer; Exchange

         The Securities are in registered form without coupons in denominations
of principal amount of $1,000 and whole multiples of $1,000. A Holder may
transfer or exchange Securities in accordance with the Indenture. The Registrar
may require a Holder, among other things, to furnish appropriate endorsements or
transfer documents and to pay any taxes and fees required by law or permitted by
the Indenture. The Registrar need not register the transfer of or exchange (i)
any Securities selected for redemption (except, in the case of a Security to be
redeemed in part, the portion of the Security not to be redeemed) for a period
beginning 15 days before the mailing of a notice of Securities to be redeemed
and ending on the date of such mailing or (ii) any Securities for a period
beginning 15 days before an interest payment date and ending on such interest
payment date.

8.   Persons Deemed Owners

         The registered Holder of this Security may be treated as the owner of
it for all purposes.

9.   Unclaimed Money

         If money for the payment of principal or interest remains unclaimed for
two years, the Trustee or Paying Agent shall pay the money back to the Company
at its request unless an abandoned property law designates another Person. After
any such payment, Holders entitled to the money must look only to the Company
and not to the Trustee for payment.

10.  Defeasance

         Subject to certain conditions set forth in the Indenture, the Company
at any time may terminate some or all of its obligations under the Securities
and the Indenture if the Company deposits with the Trustee money or U.S.
Government Securities for the payment of principal and interest on the
Securities to redemption or maturity, as the case may be.

                                      A-5
<PAGE>

11.  Amendment, Waiver

         Subject to certain exceptions set forth in the Indenture, (i) the
Indenture or the Securities may be amended with the written consent of the
Holders of at least a majority in principal amount of the then outstanding
Securities and (ii) any default (other than with respect to nonpayment or in
respect of a provision that cannot be amended without the written consent of
each Securityholder affected) or noncompliance with any provision may be waived
with the written consent of the Holders of a majority in principal amount of the
then outstanding Securities. Subject to certain exceptions set forth in the
Indenture, without the consent of any Securityholder, the Company and the
Trustee may amend the Indenture or the Securities to cure any ambiguity,
omission, defect or inconsistency, or to comply with Article IV of the
Indenture, or to provide for uncertificated Securities in addition to or in
place of certificated Securities, or to add guarantees with respect to the
Securities, or to secure the Securities, or to add additional covenants of the
Company or its Subsidiaries, or surrender rights and powers conferred on the
Company or its Subsidiaries, or to comply with any request of the SEC in
connection with qualifying the Indenture under the Act, or to make any change
that does not adversely affect the rights of any Securityholder, or to provide
for the issuance of Exchange Securities.

12.  Defaults and Remedies

         Under the Indenture, Events of Default include (i) default for 30 days
in payment of interest when due on the Securities; (ii) default in payment of
principal or premium, if any, on the Securities at Stated Maturity, upon
required repurchase or upon optional redemption pursuant to paragraph 5 of the
Securities, upon declaration or otherwise; (iii) the failure by the Company or
any Subsidiary Guarantor to comply with its obligations under Article IV or
Section 10.2 of the Indenture; (iv) failure by the Company to comply for 30 days
after notice with any of its obligations under the covenants described under
Sections 3.3 through 3.8 inclusive and Section 3.12 of the Indenture (in each
case, other than a failure to purchase Securities when required pursuant to
Section 3.6, which failure shall constitute an Event of Default under clause
(ii) above); (v) the failure by the Company to comply for 60 days after written
notice with its other agreements contained in the Indenture or under the
Securities (other than those referred to in (i), (ii), (iii) or (iv) above);
(vi) default under any mortgage, indenture or instrument under which there may
be issued or by which there may be outstanding, or by which there may be secured
or evidenced any Debt for money borrowed by the Company or any of its
Subsidiaries (other than Non-Recourse Debt of a Non-Recourse Subsidiary),
whether such Debt now exists, or is created after the date of the Indenture,
which default (a) is caused by a failure to pay principal of, or interest or
premium, if any, on such Debt prior to the expiration of the grace period
provided in such Debt ("Payment Default") or (b) results in the acceleration of
such Debt prior to its maturity (the "cross acceleration provision") and, in
each case, the principal amount of any such Debt, together with the principal
amount of any other such Debt under which there has been a Payment Default or
the maturity of which has been so accelerated, aggregates $20.0 million or more
or its foreign currency equivalent at the time and such acceleration shall not
have been rescinded or annulled within 10 days after written notice of such
acceleration has been received by the Company or such Subsidiary; (vii) certain
events of bankruptcy, insolvency or reorganization of the Company (the
"bankruptcy provisions"); or (viii) entry in a court of competent jurisdiction
of a final judgment for the payment of $20.0 million or more rendered against
the Company or any Subsidiary, which judgment is not fully covered by insurance
or not discharged or stayed within

                                      A-6
<PAGE>

90 days after (A) the date on which the right to appeal thereof has expired if
no such appeal has commenced, or (B) the date on which all rights to appeal have
been extinguished (the "judgment default provision"). However, a default under
clauses (iv) and (v) will not constitute an Event of Default until the Trustee
or the Holders of at least 25% in principal amount of the outstanding Securities
notify the Company of the default and the Company does not cure such default
within the time specified in clauses (iv) and (v) hereof after receipt of such
notice.

         If an Event of Default occurs and is continuing, the Trustee or the
Holders of at least 25% in principal amount of the Securities may declare all
the Securities by notice to the Company to be due and payable immediately.

         Securityholders may not enforce the Indenture or the Securities except
as provided in the Indenture. The Trustee may refuse to enforce the Indenture or
the Securities unless it receives reasonable indemnity or security. Subject to
certain limitations, Holders of a majority in principal amount of the Securities
may direct the Trustee in its exercise of any trust or power. The Trustee may
withhold from Securityholders notice of any continuing Default or Event of
Default (except a Default or Event of Default in payment of principal or
interest) if it determines that withholding notice is in their interest.

13.  Trustee Dealings with the Company

         Subject to certain limitations set forth in the Indenture, the Trustee
under the Indenture, in its individual or any other capacity, may become the
owner or pledgee of Securities and may otherwise deal with and collect
obligations owed to it by the Company or its Affiliates and may otherwise deal
with the Company or its Affiliates with the same rights it would have if it were
not Trustee.

14.  No Recourse Against Others

         An incorporator, director, officer, employee, Affiliate or stockholder,
of each of the Company, or any Subsidiary Guarantor, solely by reason of this
status, shall not have any liability for any obligations of the Company or any
Subsidiary Guarantor under the Securities, the Indenture or any Subsidiary
Guarantees or for any claim based on, in respect of or by reason of such
obligations or their creation. By accepting a Security, each Securityholder
waives and releases all such liability. The waiver and release are part of the
consideration for the issue of the Securities.

15.  Authentication

         This Security shall not be valid until an authorized signatory of the
Trustee (or an authenticating agent acting on its behalf) manually signs the
certificate of authentication on the other side of this Security.

16.  Abbreviations

         Customary abbreviations may be used in the name of a Securityholder or
an assignee, such as TEN COM (= tenants in common), TEN ENT (= tenants by the
entirety), JT

                                      A-7
<PAGE>

TEN (= joint tenants with rights of survivorship and not as tenants in common),
CUST (= custodian) and U/G/M/A (= Uniform Gift to Minors Act).

17.  CUSIP Numbers

         Pursuant to a recommendation promulgated by the Committee on Uniform
Security Identification Procedures, the Company has caused CUSIP numbers to be
printed on the Securities and has directed the Trustee to use CUSIP numbers in
notices of redemption as a convenience to Securityholders. No representation is
made as to the accuracy of such numbers either as printed on the Securities or
as contained in any notice of redemption and reliance may be placed only on the
other identification numbers placed thereon.

18.  Governing Law

         This Security shall be governed by, and construed in accordance with,
the laws of the State of New York.

         The Company will furnish to any Securityholder upon written request and
without charge to the Securityholder a copy of the Indenture, which has in it
the text of this Security in larger type. Requests may be made to:

                                Manor Care, Inc.
                       333 North Summit Street, 16th Floor
                             Toledo, Ohio 43699-0086
             Attention: Geoffrey G. Meyers, Chief Financial Officer

                                      A-8
<PAGE>
                                 ASSIGNMENT FORM

                To assign this Security, fill in the form below:

                  I or we assign and transfer this Security to

              ____________________________________________________
              (Print or type assignee's name, address and zip code)

                   __________________________________________
                  (Insert assignee's soc. sec. or tax I.D. No.)

         and irrevocably appoint ___________ agent to transfer this Security on
         the books of the Company. The agent may substitute another to act for
         him.

________________________________________________________________________________

Date:____________________                     Your Signature:___________________

Signature Guarantee:____________________________________________________________
                                    (Signature must be guaranteed)

________________________________________________________________________________
Sign exactly as your name appears on the other side of this Security.

The signature(s) should be guaranteed by an eligible guarantor institution
(banks, stockbrokers, savings and loan associations and credit unions with
membership in an approved signature guarantee medallion program), pursuant to
S.E.C. Rule 17Ad-15.

         In connection with any transfer or exchange of any of the Securities
evidenced by this certificate occurring prior to the date that is two years
after the later of the date of original issuance of such Securities and the last
date, if any, on which such Securities were owned by the Company or any
Affiliate of the Company, the undersigned confirms that such Securities are
being:

CHECK ONE BOX BELOW:

        1 [ ]     acquired for the undersigned's own account, without transfer;
                  or

        2 [ ]     transferred to the Company; or

        3 [ ]     transferred pursuant to and in compliance with Rule 144A under
                  the Securities Act of 1933, as amended (the "Securities Act");
                  or

        4 [ ]     transferred pursuant to an effective registration statement
                  under the Securities Act; or

        5 [ ]     transferred pursuant to and in compliance with Regulation S
                  under the Securities Act; or

                                      A-9
<PAGE>

        6 [ ]     transferred to an institutional "accredited investor" (as
                  defined in Rule 501(a)(1), (2), (3) or (7) under the
                  Securities Act), that has furnished to the Trustee a signed
                  letter containing certain representations and agreements (the
                  form of which letter appears as Section 2.8 of the Indenture);
                  or

        7 [ ]     transferred pursuant to another available exemption from the
                  registration requirements of the Securities Act of 1933.

Unless one of the boxes is checked, the Trustee will refuse to register any of
the Securities evidenced by this certificate in the name of any person other
than the registered Holder thereof; provided, however, that if box (5), (6) or
(7) is checked, the Trustee or the Company may require, prior to registering any
such transfer of the Securities, in their sole discretion, such legal opinions,
certifications and other information as the Trustee or the Company may
reasonably request to confirm that such transfer is being made pursuant to an
exemption from, or in a transaction not subject to, the registration
requirements of the Securities Act of 1933, such as the exemption provided by
Rule 144 under such Act.

                                                ------------------------------
                                                Signature
Signature Guarantee:

-------------------------                       -----------------------------
(Signature must be guaranteed)                  Signature

--------------------------------------------------------------------------------

The signature(s) should be guaranteed by an eligible guarantor institution
(banks, stockbrokers, savings and loan associations and credit unions with
membership in an approved signature guarantee medallion program), pursuant to
S.E.C. Rule 17Ad-15.

TO BE COMPLETED BY PURCHASER IF (1) OR (3) ABOVE IS CHECKED.

         The undersigned represents and warrants that it is purchasing this
Security for its own account or an account with respect to which it exercises
sole investment discretion and that it and any such account is a "qualified
institutional buyer" within the meaning of Rule 144A under the Securities Act of
1933, as amended, and is aware that the sale to it is being made in reliance on
Rule 144A and acknowledges that it has received such information regarding the
Company as the undersigned has requested pursuant to Rule 144A or has determined
not to request such information and that it is aware that the transferor is
relying upon the undersigned's foregoing representations in order to claim the
exemption from registration provided by Rule 144A.

                                              ---------------------------------
                                              Dated:

                                      A-10
<PAGE>

                      [TO BE ATTACHED TO GLOBAL SECURITIES]

              SCHEDULE OF INCREASES OR DECREASES IN GLOBAL SECURITY

  The following increases or decreases in this Global Security have been made:

<TABLE>
<CAPTION>
                                                                   Principal Amount of      Signature of
                 Amount of decrease in    Amount of increase in    this Global Security     authorized signatory
Date of          Principal Amount of      Principal Amount of      following such           of Trustee or
Exchange         this Global Security     this Global Security     decrease or increase     Securities Custodian
-------          --------------           ---------------          ---------------          --------------
<S>             <C>                       <C>                      <C>                      <C>
</TABLE>

                                      A-11
<PAGE>

                       OPTION OF HOLDER TO ELECT PURCHASE

                  If you want to elect to have only part of this Security
purchased by the Company pursuant to Section 3.6 of the Indenture, state the
amount in principal amount (must be integral multiple of $1,000): $

Date: __________ Your Signature ________________________________________________
                 (Sign exactly as your name appears on the
                  other side of the Security)

Signature Guarantee: ___________________________________________________________
                                          (Signature must be guaranteed)

The signature(s) should be guaranteed by an eligible guarantor institution
(banks, stockbrokers, savings and loan associations and credit unions with
membership in an approved signature guarantee medallion program), pursuant to
S.E.C. Rule 17Ad-15.

                                      A-12
<PAGE>
                                                                       EXHIBIT B

                         [FORM OF FACE OF SERIES B NOTE]

                       [Depository Legend, if applicable]

No. [___]                    Principal Amount $[___________], as revised by the
                             Schedule of Increases and Decreases in Global
                             Security attached hereto
                             CUSIP NO. __________________________
                             ISIN:_______________________________

                                MANOR CARE, INC.

                      6.25% Senior Note, Series B, due 2013

         Manor Care, Inc., a Delaware Corporation, promises to pay to
[__________], or registered assigns, the principal sum of [_______________]
Dollars, as revised by the Schedule of Increases and Decreases in Global
Security attached hereto, on May 1, 2013.

         Interest Payment Dates:  May 1 and November 1

         Record Dates:  April 15 and October 15

         Additional provisions of this Security are set forth on the other side
of this Security.

                                MANOR CARE, INC.

                                By:
                                    --------------------------------------------

TRUSTEE'S CERTIFICATE OF
  AUTHENTICATION

NATIONAL CITY BANK
as Trustee, certifies
that this is one of
the Securities referred
to in the Indenture.

By________________________________
         Authorized Signatory                   Date: ________ __, 20__

                                      B-1
<PAGE>

                     [FORM OF REVERSE SIDE OF SERIES B NOTE]

                      6.25% Senior Note, Series B, due 2013

1.   Interest

         Manor Care, Inc., a Delaware corporation (such corporation, and its
successors and assigns under the Indenture hereinafter referred to, being herein
called the "Company"), promises to pay interest on the principal amount of this
Security at the rate per annum shown above.

         The Company will pay interest semiannually on May 1 and November 1 of
each year commencing November 1, 2003. Interest on the Securities will accrue
from the most recent date to which interest has been paid on the Securities or,
if no interest has been paid, from April 15, 2003. The Company shall pay
interest on overdue principal or premium, if any (plus interest on such interest
to the extent lawful), at the rate borne by the Securities to the extent lawful.
Interest will be computed on the basis of a 360-day year of twelve 30-day
months.

2.   Method of Payment

         By no later than 10:00 a.m. (New York City time) on the date on which
any principal of or interest on any Security is due and payable, the Company
shall irrevocably deposit with the Trustee or the Paying Agent money sufficient
to pay such principal, premium, if any, and/or interest. The Company will pay
interest (except Defaulted Interest) to the Persons who are registered Holders
of Securities at the close of business on the April 15 or October 15 next
preceding the interest payment date even if Securities are cancelled,
repurchased or redeemed after the record date and on or before the interest
payment date. Holders must surrender Securities to a Paying Agent to collect
principal payments. The Company will pay principal and interest in money of the
United States that at the time of payment is legal tender for payment of public
and private debts. Payments in respect of Securities represented by a Global
Security (including principal, premium, if any, and interest) will be made by
the transfer of immediately available funds to the accounts specified by The
Depository Trust Company. The Company will make all payments in respect of a
Definitive Security (including principal, premium, if any, and interest) by
mailing a check to the registered address of each Holder thereof; provided,
however, that payments on the Securities may also be made, in the case of a
Holder of a least $1,000,000 aggregate principal amount of Securities, by wire
transfer to a U.S. dollar account maintained by the payee with a bank in the
United States if such Holder elects payment by wire transfer by giving written
notice to the Trustee or the Paying Agent to such effect designating such
account no later than 15 days immediately preceding the relevant due date for
payment (or such other date as the Trustee may accept in its discretion).

3.   Paying Agent and Registrar

         Initially, National City Bank (the "Trustee") will act as Trustee,
Paying Agent and Registrar. The Company may appoint and change any Paying Agent,
Registrar or co-registrar without notice to any Securityholder. The Company or
any of its domestically organized, wholly owned Subsidiaries may act as Paying
Agent, Registrar or co-registrar.

                                      B-2
<PAGE>

4.   Indenture

         The Company issued the Securities under an Indenture dated as of April
15, 2003 (as it may be amended or supplemented from time to time in accordance
with the terms thereof, the "Indenture"), among the Company, the Subsidiary
Guarantors and the Trustee. The terms of the Securities include those stated in
the Indenture and those made part of the Indenture by reference to the Trust
Indenture Act of 1939 (15 U.S.C. Sections 77aaa-77bbbb) as in effect on the date
of the Indenture (the "Act"). Capitalized terms used herein and not defined
herein have the meanings ascribed thereto in the Indenture. The Securities are
subject to all such terms, and Securityholders are referred to the Indenture and
the Act for a statement of those terms.

                  The Securities are general unsecured senior obligations of the
Company. The aggregate principal amount of securities that may be authenticated
and delivered under the Indenture is unlimited. This Security is one of the
6.25% Senior Notes, Series B, due 2013 referred to in the Indenture. The
Securities include (i) $200,000,000 aggregate principal amount of the Company's
6.25% Senior Notes, Series A, due 2013 issued under the Indenture on April 15,
2003 (herein called "Initial Securities"), (ii) if and when issued, additional
6.25% Senior Notes, Series A, due 2013 or 6.25% Senior Notes, Series B, due 2013
of the Company that may be issued from time to time under the Indenture
subsequent to April 15, 2003 (herein called "Additional Securities") and (iii)
if and when issued, the Company's 6.25% Senior Notes, Series B, due 2013 that
may be issued from time to time under the Indenture in exchange for Initial
Securities or Additional Securities in an offer registered under the Securities
Act as provided in the Registration Rights Agreement (herein called "Exchange
Securities"). The Initial Securities, Additional Securities and Exchange
Securities are treated as a single class of securities under the Indenture. The
Indenture imposes certain limitations on, and certain requirements with respect
to, among other things, the incurrence of certain liens, sale-leaseback
transactions, guarantees of the Securities, mergers and consolidations, the
provision of financial information and transactions with Affiliates.

         To guarantee the due and punctual payment of the principal, premium, if
any, and interest (including post-filing or post-petition interest) on the
Securities and all other amounts payable by the Company under the Indenture and
the Securities when and as the same shall be due and payable, whether at
maturity, by acceleration or otherwise, according to the terms of the Securities
and the Indenture, the Subsidiary Guarantors have unconditionally guaranteed
(and future guarantors, together with the Subsidiary Guarantors, will
unconditionally Guarantee), jointly and severally, such obligations on a senior
basis pursuant to the terms of the Indenture.

5.   Redemption

         The Securities will be redeemable, at the option of the Company, in
whole at any time or in part from time to time, on at least 30 days but not more
than 60 days' prior notice mailed to the registered address of each Holder of
Securities to be so redeemed, at a redemption price equal to the greater of (i)
100% of their principal amount plus accrued but unpaid interest to the date of
redemption or (ii) the sum of (a) the present values of the remaining scheduled
payments of principal and interest thereon from the date of redemption to the
date of maturity (except for currently accrued but unpaid interest) discounted
to the date of redemption, on a semiannual basis (assuming a 360-day year
consisting of twelve 30-day months), at the Treasury

                                      B-3
<PAGE>

Rate (as defined below), plus 50 basis points, plus (b) accrued but unpaid
interest to the date of redemption.

         For purposes of determining the optional redemption price, the
following definitions are applicable:

         "Comparable Treasury Issue" means the United States Treasury security
selected by an Independent Investment Banker as having a maturity comparable to
the remaining term of the Securities to be redeemed that would be utilized, at
the time of selection and in accordance with customary financial practice, in
pricing new issues of corporate debt securities of comparable maturity to the
remaining term of such Securities.

         "Comparable Treasury Price" means, with respect to any Redemption Date,
the average of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) on the third
business day preceding such Redemption Date, (i) as set forth in the daily
statistical release (or any successor release) published by the Federal Reserve
Bank of New York or published on the website of the Federal Reserve Bank of New
York at http://www.ny.frb.org and designated "Composite 3:30 p.m. Quotations for
the U.S. Government Securities" or (ii) if such release (or any successor
release) is not published or does not contain such prices on such business day,
the average of the Reference Treasury Dealer Quotations for such Redemption
Date.

         "Independent Investment Banker" means the Reference Treasury Dealer
appointed by the Trustee after consultation with the Company.

         "Reference Treasury Dealer" means each of J.P. Morgan Securities Inc.,
Merrill Lynch, Pierce, Fenner & Smith Incorporated and UBS Warburg LLC and their
respective successors; provided, however, that if any of them shall cease to be
a primary U.S. Government Securities dealer in the United States of America (a
"Primary Treasury Dealer"), the Company shall substitute therefor another
Primary Treasury Dealer.

         "Reference Treasury Dealer Quotations" means, with respect to each
Reference Treasury Dealer and any Redemption Date, the average, as determined by
the Trustee, of the bid and asked prices for the Comparable Treasury Issue
(expressed in each case as a percentage of its principal amount) quoted in
writing to the Trustee by such Reference Treasury Dealer at 5:00 p.m. on the
third business day preceding such Redemption Date.

         "Treasury Rate" means, with respect to any Redemption Date, the rate
per annum equal to the semiannual equivalent yield to maturity of the Comparable
Treasury Issue, assuming a price for the Comparable Treasury Issue (expressed as
a percentage of its principal amount) equal to the Comparable Treasury Price for
such Redemption Date.

         In the case of any partial redemption, selection of the Securities for
redemption will be made by the Trustee in compliance with the requirements of
the principal national securities exchange, if any, on which the Securities are
listed or, if the Securities are not listed, then on a pro rata basis, by lot or
by such other method as the Trustee in its sole discretion shall deem to be fair
and appropriate, although no Securities of $1,000 in original principal amount
or less will be redeemed in part. If any Security is to be redeemed in part
only, the notice of

                                      B-4
<PAGE>

redemption relating to such Security shall state the portion of the principal
amount thereof to be redeemed. A new Security in principal amount equal to the
unredeemed portion thereof will be issued in the name of the Holder thereof upon
cancellation of the original Security. On and after the Redemption Date,
interest will cease to accrue on Securities or portions thereof called for
redemption as long as the Company has deposited with the Paying Agent funds in
satisfaction of the applicable redemption price pursuant to the Indenture.

6.   Repurchase Provisions

         Upon the occurrence of a Change of Control Triggering Event, any Holder
of Securities will have the right to cause the Company to offer to repurchase
all or any part of the Securities of such Holder at a purchase price in cash
equal to 101% of the principal amount thereof, plus accrued and unpaid interest,
if any, to the date of repurchase (subject to the right of Holders of record on
the relevant record date to receive interest due on the relevant interest
payment date) as provided in, and subject to the terms of, the Indenture.

7.   Denominations; Transfer; Exchange

         The Securities are in registered form without coupons in denominations
of principal amount of $1,000 and whole multiples of $1,000. A Holder may
transfer or exchange Securities in accordance with the Indenture. The Registrar
may require a Holder, among other things, to furnish appropriate endorsements or
transfer documents and to pay any taxes and fees required by law or permitted by
the Indenture. The Registrar need not register the transfer of or exchange (i)
any Securities selected for redemption (except, in the case of a Security to be
redeemed in part, the portion of the Security not to be redeemed) for a period
beginning 15 days before the mailing of a notice of Securities to be redeemed
and ending on the date of such mailing or (ii) any Securities for a period
beginning 15 days before an interest payment date and ending on such interest
payment date.

8.   Persons Deemed Owners

         The registered Holder of this Security may be treated as the owner of
it for all purposes.

9.   Unclaimed Money

         If money for the payment of principal or interest remains unclaimed for
two years, the Trustee or Paying Agent shall pay the money back to the Company
at its request unless an abandoned property law designates another Person. After
any such payment, Holders entitled to the money must look only to the Company
and not to the Trustee for payment.

10.  Defeasance

         Subject to certain conditions set forth in the Indenture, the Company
at any time may terminate some or all of its obligations under the Securities
and the Indenture if the Company deposits with the Trustee money or U.S.
Government Securities for the payment of principal and interest on the
Securities to redemption or maturity, as the case may be.

                                      B-5
<PAGE>

11.  Amendment, Waiver

         Subject to certain exceptions set forth in the Indenture, (i) the
Indenture or the Securities may be amended with the written consent of the
Holders of at least a majority in principal amount of the then outstanding
Securities and (ii) any default (other than with respect to nonpayment or in
respect of a provision that cannot be amended without the written consent of
each Securityholder affected) or noncompliance with any provision may be waived
with the written consent of the Holders of a majority in principal amount of the
then outstanding Securities. Subject to certain exceptions set forth in the
Indenture, without the consent of any Securityholder, the Company and the
Trustee may amend the Indenture or the Securities to cure any ambiguity,
omission, defect or inconsistency, or to comply with Article IV of the
Indenture, or to provide for uncertificated Securities in addition to or in
place of certificated Securities, or to add guarantees with respect to the
Securities, or to secure the Securities, or to add additional covenants of the
Company or its Subsidiaries, or surrender rights and powers conferred on the
Company or its Subsidiaries, or to comply with any request of the SEC in
connection with qualifying the Indenture under the Act, or to make any change
that does not adversely affect the rights of any Securityholder, or to provide
for the issuance of Exchange Securities.

12.  Defaults and Remedies

         Under the Indenture, Events of Default include (i) default for 30 days
in payment of interest when due on the Securities; (ii) default in payment of
principal or premium, if any, on the Securities at Stated Maturity, upon
required repurchase or upon optional redemption pursuant to paragraph 5 of the
Securities, upon declaration or otherwise; (iii) the failure by the Company or
any Subsidiary Guarantor to comply with its obligations under Article IV or
Section 10.2 of the Indenture; (iv) failure by the Company to comply for 30 days
after notice with any of its obligations under the covenants described under
Sections 3.3 through 3.8 inclusive and Section 3.12 of the Indenture (in each
case, other than a failure to purchase Securities when required pursuant to
Section 3.6, which failure shall constitute an Event of Default under clause
(ii) above); (v) the failure by the Company to comply for 60 days after written
notice with its other agreements contained in the Indenture or under the
Securities (other than those referred to in (i), (ii), (iii) or (iv) above);
(vi) default under any mortgage, indenture or instrument under which there may
be issued or by which there may be outstanding, or by which there may be secured
or evidenced any Debt for money borrowed by the Company or any of its
Subsidiaries (other than Non-Recourse Debt of a Non-Recourse Subsidiary),
whether such Debt now exists, or is created after the date of the Indenture,
which default (a) is caused by a failure to pay principal of, or interest or
premium, if any, on such Debt prior to the expiration of the grace period
provided in such Debt ("Payment Default") or (b) results in the acceleration of
such Debt prior to its maturity (the "cross acceleration provision") and, in
each case, the principal amount of any such Debt, together with the principal
amount of any other such Debt under which there has been a Payment Default or
the maturity of which has been so accelerated, aggregates $20.0 million or more
or its foreign currency equivalent at the time and such acceleration shall not
have been rescinded or annulled within 10 days after written notice of such
acceleration has been received by the Company or such Subsidiary; (vii) certain
events of bankruptcy, insolvency or reorganization of the Company (the
"bankruptcy provisions"); or (viii) entry in a court of competent jurisdiction
of a final judgment for the payment of $20.0 million or more rendered against
the Company or any Subsidiary, which judgment is not fully covered by insurance
or not discharged or stayed within

                                      B-6
<PAGE>

90 days after (A) the date on which the right to appeal thereof has expired if
no such appeal has commenced, or (B) the date on which all rights to appeal have
been extinguished (the "judgment default provision"). However, a default under
clauses (iv) and (v) will not constitute an Event of Default until the Trustee
or the Holders of at least 25% in principal amount of the outstanding Securities
notify the Company of the default and the Company does not cure such default
within the time specified in clauses (iv) and (v) hereof after receipt of such
notice.

         If an Event of Default occurs and is continuing, the Trustee or the
Holders of at least 25% in principal amount of the Securities may declare all
the Securities by notice to the Company to be due and payable immediately.

         Securityholders may not enforce the Indenture or the Securities except
as provided in the Indenture. The Trustee may refuse to enforce the Indenture or
the Securities unless it receives reasonable indemnity or security. Subject to
certain limitations, Holders of a majority in principal amount of the Securities
may direct the Trustee in its exercise of any trust or power. The Trustee may
withhold from Securityholders notice of any continuing Default or Event of
Default (except a Default or Event of Default in payment of principal or
interest) if it determines that withholding notice is in their interest.

13.  Trustee Dealings with the Company

         Subject to certain limitations set forth in the Indenture, the Trustee
under the Indenture, in its individual or any other capacity, may become the
owner or pledgee of Securities and may otherwise deal with and collect
obligations owed to it by the Company or its Affiliates and may otherwise deal
with the Company or its Affiliates with the same rights it would have if it were
not Trustee.

14.  No Recourse Against Others

         An incorporator, director, officer, employee, Affiliate or stockholder,
of each of the Company, or any Subsidiary Guarantor, solely by reason of this
status, shall not have any liability for any obligations of the Company or any
Subsidiary Guarantor under the Securities, the Indenture or any Subsidiary
Guarantees or for any claim based on, in respect of or by reason of such
obligations or their creation. By accepting a Security, each Securityholder
waives and releases all such liability. The waiver and release are part of the
consideration for the issue of the Securities.

15.  Authentication

         This Security shall not be valid until an authorized signatory of the
Trustee (or an authenticating agent acting on its behalf) manually signs the
certificate of authentication on the other side of this Security.

16.  Abbreviations

         Customary abbreviations may be used in the name of a Securityholder or
an assignee, such as TEN COM (= tenants in common), TEN ENT (= tenants by the
entirety), JT

                                      B-7
<PAGE>

TEN (= joint tenants with rights of survivorship and not as tenants in common),
CUST (= custodian) and U/G/M/A (= Uniform Gift to Minors Act).

17.  CUSIP Numbers

         Pursuant to a recommendation promulgated by the Committee on Uniform
Security Identification Procedures the Company has caused CUSIP numbers to be
printed on the Securities and has directed the Trustee to use CUSIP numbers in
notices of redemption as a convenience to Securityholders. No representation is
made as to the accuracy of such numbers either as printed on the Securities or
as contained in any notice of redemption and reliance may be placed only on the
other identification numbers placed thereon.

18.  Governing Law

         This Security shall be governed by, and construed in accordance with,
the laws of the State of New York.

         The Company will furnish to any Securityholder upon written request and
without charge to the Securityholder a copy of the Indenture which has in it the
text of this Security in larger type. Requests may be made to:

                                Manor Care, Inc.
                       333 North Summit Street, 16th Floor
                             Toledo, Ohio 43699-0086
             Attention: Geoffrey G. Meyers, Chief Financial Officer

                                      B-8
<PAGE>

                                 ASSIGNMENT FORM

To assign this Security, fill in the form below:

I or we assign and transfer this Security to

             _____________________________________________________
             (Print or type assignee's name, address and zip code)

                   __________________________________________
                 (Insert assignee's soc. sec. or tax I.D. No.)

and irrevocably appoint ____________ agent to transfer this Security on the
books of the Company. The agent may substitute another to act for him.

________________________________________________________________________________

Date: _______________  Your Signature __________________________________________

Signature Guarantee:  __________________________________________________________
                                          (Signature must be guaranteed)
________________________________________________________________________________

Sign exactly as your name appears on the other side of this Security.

The signature(s) should be guaranteed by an eligible guarantor institution
(banks, stockbrokers, savings and loan associations and credit unions with
membership in an approved signature guarantee medallion program), pursuant to
S.E.C. Rule 17Ad-15.

                                      B-9
<PAGE>
                      [TO BE ATTACHED TO GLOBAL SECURITIES]

              SCHEDULE OF INCREASES OR DECREASES IN GLOBAL SECURITY

  The following increases or decreases in this Global Security have been made:

<TABLE>
<CAPTION>
                                                                   Principal Amount of      Signature of
                 Amount of decrease in    Amount of increase in    this Global Security     authorized signatory
Date of          Principal Amount of      Principal Amount of      following such           of Trustee or
Exchange         this Global Security     this Global Security     decrease or increase     Securities Custodian
-------          --------------           ---------------          ---------------          --------------
<S>             <C>                       <C>                       <C>                     <C>
</TABLE>

                                      B-10
<PAGE>
                       OPTION OF HOLDER TO ELECT PURCHASE

                  If you want to elect to have only part of this Security
purchased by the Company pursuant to Section 3.6 of the Indenture, state the
amount in principal amount (must be integral multiple of $1,000): $

Date: _______________      Your Signature: _____________________________________
           (Sign exactly as your name appears on the other side of the Security)

Signature Guarantee: ___________________________________________________________
                                          (Signature must be guaranteed)

The signature(s) should be guaranteed by an eligible guarantor institution
(banks, stockbrokers, savings and loan associations and credit unions with
membership in an approved signature guarantee medallion program), pursuant to
S.E.C. Rule 17Ad-15.

                                      B-11
<PAGE>
                                                                       EXHIBIT C

            FORM OF INDENTURE SUPPLEMENT TO ADD SUBSIDIARY GUARANTORS

         This Supplemental Indenture, dated as of [_______ __], 20__ (this
"Supplemental Indenture" or "Guarantee"), among [name of future Subsidiary
Guarantor] (the "Guarantor"), Manor Care, Inc. (together with its successors and
assigns, the "Company"), each other then existing Subsidiary Guarantor under the
Indenture referred to below, and National City Bank, as Trustee under the
Indenture referred to below.

                              W I T N E S S E T H:

         WHEREAS, the Company, the Subsidiary Guarantors and the Trustee have
heretofore executed and delivered an Indenture, dated as of April 15, 2003 (as
amended, supplemented, waived or otherwise modified, the "Indenture"), providing
for the issuance of an aggregate principal amount of $200,000,000 of 6.25%
Senior Notes due 2013 of the Company (the "Securities");

         WHEREAS, Section 3.12 of the Indenture provides that the Company is
required to cause each Subsidiary (other than a Subsidiary that does not
Guarantee obligations under the Senior Credit Agreement, the 2006 Notes, the
2008 Notes or the Convertible Notes) created or acquired by the Company or one
or more of its Subsidiaries or any Subsidiary that Guarantees the payment of
Debt of the Company to execute and deliver to the Trustee a supplemental
indenture pursuant to which such Subsidiary will unconditionally Guarantee, on a
joint and several basis with the other Subsidiary Guarantors, the full and
prompt payment of the principal of, premium, if any, and interest on the
Securities on a senior basis; and

         WHEREAS, pursuant to Section 9.1 of the Indenture, the Trustee and the
Company are authorized to execute and deliver this Supplemental Indenture to
amend the Indenture, without the consent of any Securityholder;

         NOW, THEREFORE, in consideration of the foregoing and for other good
and valuable consideration, the receipt of which is hereby acknowledged, the
Guarantor, the Company, the other Subsidiary Guarantors and the Trustee mutually
covenant and agree for the equal and ratable benefit of the Holders of the
Securities as follows:

                                   ARTICLE I

                                  Definitions

         SECTION 1.1 Defined Terms. As used in this Supplemental Indenture,
terms defined in the Indenture or in the preamble or recital hereto are used
herein as therein defined, except that the term "Holders" in this Guarantee
shall refer to the term "Holders" as defined in the Indenture and the Trustee
acting on behalf or for the benefit of such Holders. The words "herein,"
"hereof" and "hereby" and other words of similar import used in this
Supplemental

<PAGE>

Indenture refer to this Supplemental Indenture as a whole and not to any
particular section hereof.

                                   ARTICLE II

                        Agreement to be Bound; Guarantee

         SECTION 2.1 Agreement to be Bound. The Guarantor hereby becomes a party
to the Indenture as a Subsidiary Guarantor and as such will have all of the
rights and be subject to all of the obligations and agreements of a Subsidiary
Guarantor under the Indenture. The Guarantor agrees to be bound by all of the
provisions of the Indenture applicable to a Subsidiary Guarantor and to perform
all of the obligations and agreements of a Subsidiary Guarantor under the
Indenture.

         SECTION 2.2 Guarantee. The Guarantor fully, unconditionally and
irrevocably Guarantees to each Holder of the Securities and the Trustee the
Obligations pursuant to Article X of the Indenture on a senior basis.

                                  ARTICLE III

                                 Miscellaneous

         SECTION 3.1 Notices. All notices and other communications to the
Guarantor shall be given as provided in the Indenture to the Guarantor, at its
address set forth below, with a copy to the Company as provided in the Indenture
for notices to the Company.

         SECTION 3.2 Parties. Nothing expressed or mentioned herein is intended
or shall be construed to give any Person, firm or corporation, other than the
Holders and the Trustee, any legal or equitable right, remedy or claim under or
in respect of this Supplemental Indenture or the Indenture or any provision
herein or therein contained.

         SECTION 3.3 Governing Law. This Supplemental Indenture shall be
governed by, and construed in accordance with, the laws of the State of New
York.

         SECTION 3.4 Severability Clause. In case any provision in this
Supplemental Indenture shall be invalid, illegal or unenforceable, the validity,
legality and enforceability of the remaining provisions shall not in any way be
affected or impaired thereby and such provision shall be ineffective only to the
extent of such invalidity, illegality or unenforceability.

         SECTION 3.5 Ratification of Indenture; Supplemental Indentures Part of
Indenture. Except as expressly amended hereby, the Indenture is in all respects
ratified and confirmed and all the terms, conditions and provisions thereof
shall remain in full force and effect. This Supplemental Indenture shall form a
part of the Indenture for all purposes, and every Holder of Securities
heretofore or hereafter authenticated and delivered shall be bound hereby. The
Trustee makes no representation or warranty as to the validity or sufficiency of
this Supplemental Indenture.

                                      C-2
<PAGE>

         SECTION 3.6 Counterparts. The parties hereto may sign one or more
copies of this Supplemental Indenture in counterparts, all of which together
shall constitute one and the same agreement.

         SECTION 3.7 Headings. The headings of the Articles and the sections in
this Guarantee are for convenience of reference only and shall not be deemed to
alter or affect the meaning or interpretation of any provisions hereof.

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

                         [SUBSIDIARY GUARANTOR],
                         as a Guarantor

                         By:_______________________________________
                            Name:
                            Title:

                         NATIONAL CITY BANK, as Trustee

                         By:_______________________________________
                            Name:
                            Title:

                         MANOR CARE, INC.

                         By:_______________________________________
                            Name:
                            Title:

                         [INSERT OTHER SUBSIDIARY GUARANTORS]

                         By:_______________________
                            Title:

                                      C-3

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