Document:

<PAGE>
                                                                     EXHIBIT 4.2

                             SUPPLEMENTAL INDENTURE

                  This Supplemental Indenture, dated as of Jun1e 17, 2004, by
and among Beverly Enterprises, Inc., a Delaware corporation (the "Company"), and
The Bank of New York, as trustee under the Indenture referred to below (the
"Trustee").

                                   WITNESETH

                  WHEREAS, the Company has heretofore executed and delivered to
the Trustee an indenture (the "Indenture"), dated as of April 25, 2001 providing
for the issuance of an aggregate principal amount of $200 million 9 5/8% Senior
Notes due 2009 (the "Notes");

                  WHEREAS, the Company desires to execute and deliver an
amendment to the Indenture for the purposes of eliminating and amending certain
of the principal restrictive covenants and certain other provisions contained in
the Indenture and the Notes;

                  WHEREAS, the Company has delivered to the Holders of the Notes
an Offer to Purchase and Consent Solicitation Statement, dated June 9, 2004 (as
the same may be amended from time to time, the "Statement") and the related
Consent and Letter of Transmittal, pursuant to which the Company has (i) offered
to purchase for cash any and all of the outstanding Notes (such offer on the
terms set forth in the Statement and such Consent and Letter of Transmittal, the
"Offer") and (ii) solicited consents to the adoption of amendments to the
Indenture, as further described herein;

                  WHEREAS, pursuant to Section 9.2 of the Indenture, the Company
and the Trustee may amend or supplement the Indenture or the Notes in respect of
the matters described in the Statement with the written consent of the Holders
of at least a majority in principal amount of the Notes (the "Requisite
Holders");

                  WHEREAS, the Company has received the written consents of the
Requisite Holders to the amendments to the Indenture set forth in this
Supplemental Indenture;

                  WHEREAS, the Company and the Trustee desire to enter into,
execute and deliver this Supplemental Indenture in compliance with the
provisions of the Indenture; and

                  WHEREAS, all other conditions and requirements necessary to
make this Supplemental Indenture a valid and binding instrument in accordance
with its terms and the terms of the Indenture have been satisfied;

                  NOW THEREFORE, in consideration of the foregoing and for other
good and valuable consideration, the receipt of which is hereby acknowledged,
the parties hereto mutually covenant and agree for the equal and ratable benefit
of the Holders of the Notes as follows:

<PAGE>

                  1. Capitalized Terms. Capitalized terms used herein without
definition shall have the meanings assigned to them in the Indenture.

                  2. Amendment of Certain Provisions of the Indenture. The
Indenture is hereby amended to provide that, effective upon the Operative Time
(as defined in Section 4 of this Supplemental Indenture):

                  2.1 Elimination of Definitions. Each definition set forth in
         Section 1.1 of the Indenture of any capitalized term that (i) is not
         used in any provision of the Indenture other than the provisions listed
         in Section 2.2 below (such definitions, collectively, the "Exclusive
         Definitions"), and/or (ii) is not used in any provision of the
         Indenture other than in the Exclusive Definitions, is deleted in its
         entirety.

                  2.2 Elimination of Provisions. The text of and introductory
         heading to each Section of the Indenture listed below (excluding the
         Section number at the beginning of each such Section) are deleted in
         their entirety and the phrase "[Intentionally Omitted]" is inserted in
         substitution therefor, and all references to such Sections are deleted
         in their entirety:

                  (i)      Section 2.15 (entitled "Offer to Purchase by
                           Application of Excess Proceeds");

                  (ii)     Section 4.3 (entitled "Reports");

                  (iii)    Section 4.4 (entitled "Compliance Certificate; Notice
                           of Default");

                  (iv)     Section 4.5 (entitled "Taxes")

                  (v)      Section 4.6 (entitled "Stay, Extension and Usury
                           Laws");

                  (vi)     Section 4.7 (entitled "Limitation on Restricted
                           Payments");

                  (vii)    Section 4.8 (entitled "Limitation on Dividend and
                           Other Payment Restrictions Affecting Subsidiaries");

                  (viii)   Section 4.9 (entitled "Limitation on Incurrence of
                           Indebtedness and Issuance of Preferred Stock");

                  (ix)     Section 4.10 (entitled "Asset Sales");

                  (x)      Section 4.11 (entitled "Limitation on Transactions
                           with Affiliates");

                  (xi)     Section 4.12 (entitled "Limitation on Liens")

                  (xii)    Section 4.13 (entitled "Change of Control");

                  (xiii)   Section 4.15 (entitled "Line of Business");

                                       2
<PAGE>

                  (xiv)    Section 5.1 (entitled "Limitations on Mergers,
                           Consolidations or Sales of Assets");

                  (xv)     Section 10.3 (entitled "Future Subsidiary
                           Guarantors"); and

                  (xvi)    Section 10.4 (entitled "Subsidiary May Consolidate,
                           Etc. on Certain Terms").

                  2.3 Amendment to Article 5. The text of Section 5.2 (entitled
         "Successor Corporation or Person Substituted") is amended to delete "in
         accordance with Section 5.1 hereof."

                  2.4 Amendment to Article 6. The following subsections of
         Article 6, Section 6.1 of the Indenture and any corresponding
         provisions in the Notes, with respect to Events of Default are hereby
         deleted in their entirety and replaced with "Intentionally Omitted,"
         and all references made thereto throughout the Indenture are deleted in
         their entirety:

                  (a) Section 6.1 (iii); and

                  (b) Section 6.1(iv).

                  3. Ratification of Indenture; Supplemental Indenture Part of
Indenture. Except as expressly amended hereby, the Indenture is in all respects
ratified and confirmed by the parties hereto 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 Notes heretofore or hereafter authenticated and delivered shall be bound
hereby and thereby.

                  4. Operative Time. Notwithstanding the execution of this
Supplemental Indenture on the date hereof, the amendments set forth in Section 2
of this Supplemental Indenture shall not amend the Indenture and become
operative unless and until the Company accepts for purchase at least a majority
of the outstanding Notes validly tendered for purchase pursuant to the Offer
(the date and the time of such acceptance being referred to herein as the
"Operative Time"). At the Operative Time, the amendments to the Indenture
effected hereby shall be deemed fully operative without any further notice or
action on the part of the Company, the Trustee, the Holders or any other Person.
In the event that the Holders of a majority of the outstanding Notes have
withdrawn their written consents to this Supplemental Indenture as provided in
the Offer or the Offer is terminated or withdrawn prior to the Operative Time,
or any condition of the Offer and the consent solicitation is not satisfied or
waived by the Company, this Supplemental Indenture shall be null and void.

                  5. NEW YORK LAW TO GOVERN. THE INTERNAL LAW OF THE STATE OF
NEW YORK SHALL GOVERN AND BE USED TO CONSTRUE THIS SUPPLEMENTAL INDENTURE BUT
WITHOUT GIVING EFFECT TO APPLICABLE PRINCIPLES OF CONFLICT OF LAWS TO THE EXTENT
THAT

                                       3
<PAGE>

THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY.

                  6. Counterparts. The parties may sign any number of copies of
this Supplemental Indenture. Each signed copy shall be an original, but all of
them together represent the same agreement.

                  7. Effect of Headings. The Section headings herein are for
convenience only and shall not affect the construction hereof.

                  8. Trustee. The Trustee shall not be responsible in any manner
whatsoever for or in respect of the validity or sufficiency of this Supplemental
Indenture or for or in respect of the recitals contained herein, all of which
recitals are made solely by the Company.

                  9. Trust Indenture Act Controls. If any provision of this
Supplemental Indenture limits, qualifies or conflicts with another provision
which is required to be included in this Supplemental Indenture by the Trust
Indenture Act of 1939, as amended, the required provision shall control.

                  10. Separability. 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.

                            [signature page follows]

                                       4
<PAGE>

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

                                      BEVERLY ENTERPRISES, INC.

                                                /s/ Richard D. Skelley
                                      ------------------------------------------
                                      Name: Richard D. Skelley
                                      Title: Senior Vice President and Treasurer

                                      GUARANTORS LISTED ON SCHEDULE
                                      I HERETO

                                                /s/ Richard D. Skelley
                                      ------------------------------------------
                                      Name: Richard D. Skelley
                                      Title: Senior Vice President and Treasurer

                                      THE BANK OF NEW YORK, as Trustee

                                                 /s/ Jo Ann Schalk
                                      ------------------------------------------
                                      Name: Jo Ann Schalk
                                      Title:

                                       5
<PAGE>

                                   SCHEDULE I

                                   GUARANTORS

Corporation

AEGIS Therapies, Inc. (f/k/a Beverly Rehabiliation, Inc.)

AGI-Camelot, Inc.

Beverly - Bella Vista Holding, Inc.

Beverly Clinical, Inc.

Beverly Enterprises International Limited

Beverly Enterprises - Alabama, Inc.

Beverly Enterprises - Arizona, Inc.

Beverly Enterprises - Arkansas, Inc.

Beverly Enterprises - California, Inc.

                                       6<PAGE>
                                                                    EXHIBIT 10.1

                                                                EXECUTED VERSION

                                  $215,000,000

                            BEVERLY ENTERPRISES, INC.

                    7 7/8% SENIOR SUBORDINATED NOTES DUE 2014

                               PURCHASE AGREEMENT

                                                                   June 18, 2004

Lehman Brothers Inc.
J.P. Morgan Securities Inc.
c/o Lehman Brothers Inc.
745 Seventh Avenue, Third Floor
New York, New York  10019

Ladies and Gentlemen:

         Beverly Enterprises, Inc., a Delaware corporation (the "Company"),
proposes, upon the terms and considerations set forth herein, to issue and sell
to Lehman Brothers Inc. ("Lehman Brothers") and J.P. Morgan Securities Inc.
(collectively with Lehman Brothers, the "Initial Purchasers"), $215,000,000
aggregate principal amount of 7 7/8% Senior Subordinated Notes due 2014 (the
"Notes") guaranteed (the "Guarantees") by the Company's domestic subsidiaries
signatory hereto (collectively, the "Subsidiary Guarantors"). The Notes will
have terms and provisions which are summarized in the Offering Memorandum (as
defined below). The Notes are to be issued pursuant to an indenture (the
"Indenture") to be dated as of June 25, 2004 (the "Closing Date"), between the
Company, the Subsidiary Guarantors and BNY Midwest Trust Company, as trustee
(the "Trustee").

         The Company has commenced a tender offer (together with any amendments
and extensions thereof, the "Tender Offer") to purchase all of its outstanding
9 5/8% Senior Notes Due 2009 (the "9 5/8% Notes") and a related solicitation of
consents (together with any amendments and extensions thereof, the "Consent
Solicitation") of the holders of the 9 5/8% Notes to certain amendments to the
indenture (the "9 5/8% Notes Indenture") dated as of April 25, 2001 between the
Company, the guarantors named therein and The Bank of New York, as trustee.

<PAGE>

         In connection with the Tender Offer and Consent Solicitation, the
Company has entered into a Dealer-Manger Agreement dated as of June 8, 2004,
between the Company and Lehman Brothers (the "Dealer-Manager Agreement"). In
order to consummate the Tender Offer and Consent Solicitation, the Company has
prepared and distributed to holders of the 9 5/8% Notes an Offer to Purchase and
Consent Solicitation Agreement dated as of June 9, 2004 and a Consent and Letter
of Transmittal dated as of June 9, 2004 (together with any other documents
relating to the Tender Offer or Consent Solicitation, collectively referred to
as, the "Tender Offer and Consent Solicitation Materials"). The amendments to
the 9 5/8% Notes Indenture will be effected pursuant to a first supplemental
indenture (the "First Supplemental Indenture") dated as of June 17, 2004,
between the Company, the guarantors named therein and The Bank of New York, as
trustee. This Agreement, the Indenture, the First Supplemental Indenture, the
Notes, the Exchange Notes (as defined below), the Guarantees, the Exchange Notes
Guarantees (as defined below) and the Registration Rights Agreement (as defined
below) are referred to in this Agreement collectively as the "Operative
Documents". All references herein to the Company's subsidiaries will include all
direct and indirect subsidiaries of the Company.

         In connection with the offering of the Notes, the Company and the
Subsidiary Guarantors will enter into a second amendment (the "Credit Agreement
Amendment") to that certain senior credit facility (the "Credit Agreement")
among the Company and the several banks and other financial institutions or
entities from time to time parties thereto, Lehman Commercial Paper Inc., as
administrative agent, and the other arrangers and agents named therein and a
first amendment (the "Guarantee and Collateral Agreement Amendment") to that
certain guarantee and collateral agreement entered into in connection with the
Credit Agreement.

         This is to confirm the agreement concerning the purchase of the Notes
and the Guarantees from the Company and the Subsidiary Guarantors by the Initial
Purchasers.

         1. Preliminary Offering Memorandum and Offering Memorandum. The Notes
and the Guarantees will be offered and sold to the Initial Purchasers without
registration under the U.S. Securities Act of 1933, as amended (the "Act"), in
reliance on an exemption pursuant to Section 4(2) under the Act. The Company has
prepared a preliminary offering memorandum, dated June 14, 2004 (together with
all documents incorporated by reference therein, the "Preliminary Offering
Memorandum"), and an offering memorandum, dated June 18, 2004 (together with all
documents incorporated by reference therein, the "Offering Memorandum"), setting
forth information regarding the Company, the Notes, the Guarantees, the Exchange
Notes (as defined herein), the Exchange Guarantees (as defined herein) and the
Registration Rights Agreement. The Company and the Subsidiary Guarantors hereby
confirm that they have authorized the use of the Preliminary Offering Memorandum
and the Offering Memorandum in connection with the offering and resale of the
Notes and the Guarantees by the Initial Purchasers.

         It is understood and acknowledged that upon original issuance thereof,
and until such time as the same is no longer required under the applicable
requirements of the Act, the Notes (and all securities issued in exchange
therefor or in substitution thereof) will bear the following legend (along with
such other legends as required by the Indenture):

         "THE NOTES EVIDENCED HEREBY HAVE NOT BEEN REGISTERED UNDER THE UNITED
         STATES SECURITIES ACT OF 1933 (THE "ACT")

                                       2
<PAGE>

         AND MAY NOT BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED EXCEPT
         (A) (1) TO A PERSON WHOM THE SELLER REASONABLY BELIEVES IS A QUALIFIED
         INSTITUTIONAL BUYER WITHIN THE MEANING OF RULE 144A UNDER THE ACT
         PURCHASING FOR ITS OWN ACCOUNT OR FOR THE ACCOUNT OF A QUALIFIED
         INSTITUTIONAL BUYER IN A TRANSACTION MEETING THE REQUIREMENTS OF RULE
         144A, (2) IN AN OFFSHORE TRANSACTION COMPLYING WITH RULE 903 OR RULE
         904 OF REGULATION S UNDER THE ACT, (3) PURSUANT TO AN EXEMPTION FROM
         REGISTRATION UNDER THE ACT PROVIDED BY RULE 144 THEREUNDER (IF
         AVAILABLE), (4) TO AN INSTITUTIONAL ACCREDITED INVESTOR IN A
         TRANSACTION EXEMPT FROM THE REGISTRATION REQUIREMENTS OF THE SECURITIES
         ACT, (5) IN ACCORDANCE WITH ANOTHER EXEMPTION FROM THE REGISTRATION
         REQUIREMENTS OF THE ACT (BASED UPON AN OPINION OF COUNSEL IF THE
         COMPANY SO REQUESTS) OR (6) PURSUANT TO AN EFFECTIVE REGISTRATION
         STATEMENT UNDER THE ACT AND (B) IN ACCORDANCE WITH ALL APPLICABLE BLUE
         SKY LAWS OF THE STATES OF THE UNITED STATES."

         You have advised the Company and the Subsidiary Guarantors that you
will make offers (the "Exempt Resales") of the Notes and the Guarantees
purchased by you hereunder on the terms set forth in the Offering Memorandum,
solely to (i) persons whom you reasonably believe to be "qualified institutional
buyers" as defined in Rule 144A under the Act ("QIBs") and (ii) outside the
United States to certain persons in offshore transactions in reliance on
Regulation S under the Act. Those persons specified in clauses (i) and (ii) are
referred to herein as the "Eligible Purchasers".

         Holders (including subsequent transferees) of the Notes will have the
registration rights set forth in the registration rights agreement (the
"Registration Rights Agreement"), among the Company, the Subsidiary Guarantors
and the Initial Purchasers, to be dated as of the Closing Date, for so long as
such Notes constitute Transfer Restricted Securities (as defined in the
Registration Rights Agreement). Pursuant to the Registration Rights Agreement,
the Company and the Subsidiary Guarantors will agree to file with the U.S.
Securities and Exchange Commission (the "Commission") under the circumstances
set forth therein (i) a registration statement under the Act (the "Exchange
Offer Registration Statement") relating to the Company's 7 7/8% Senior
Subordinated Notes due 2014 (the "Exchange Notes") guaranteed (the "Exchange
Guarantees") by the Subsidiary Guarantors to be offered in exchange for the
Notes and the Guarantees (such offer to exchange being referred to as the
"Exchange Offer"), and (ii) a shelf registration statement pursuant to Rule 415
under the Act (the "Shelf Registration Statement" together with the Exchange
Offer Registration Statement, the "Registration Statements") relating to the
resale by certain holders of the Notes, and to use its commercially reasonable
efforts to cause such Registration Statements to be declared effective.

                                       3
<PAGE>

         2. Representations and Warranties of the Company and the Subsidiary
Guarantors. The Company and the Subsidiary Guarantors, jointly and severally,
represent and warrant to, and agree with, the Initial Purchasers that:

                  (a) As of their respective dates, the Preliminary Offering
Memorandum did not and the Offering Memorandum does not, and on the Closing Date
the Offering Memorandum will not, include any untrue statement of a material
fact or omit to state any material fact necessary in order to make the
statements therein, in the light of the circumstances under which they were
made, not misleading. The preceding sentence does not apply to statements in or
omissions from the Preliminary Offering Memorandum or the Offering Memorandum
based upon written information furnished to the Company by Lehman Brothers Inc.
specifically for use therein, it being understood and agreed that the only such
information is that described as such in Section 8(e) hereof. Except as
disclosed in the Offering Memorandum, on the date of this Agreement, the
Company's Annual Report on Form 10-K/A most recently filed with the Commission
and all reports since January 1, 2004 (collectively, the "Exchange Act Reports")
which have been filed by the Company with the Commission or sent to shareholders
pursuant to the Securities Exchange Act of 1934 (the "Exchange Act") do not, and
on the Closing Date the Exchange Act Reports will not, include any untrue
statement of a material fact or omit to state any material fact necessary to
make the statements therein, in the light of the circumstances under which they
were made, not misleading. Such documents, when they were filed with the
Commission, conformed in all material respects to the requirements of the
Exchange Act and the rules and regulations of the Commission thereunder.

                  (b) The Company and each of the Subsidiary Guarantors have
been duly organized and are validly existing and in good standing under the laws
of their respective jurisdiction of organization, are duly qualified to do
business and are in good standing in each jurisdiction in which their respective
ownership or lease of property or the conduct of their respective businesses
requires such qualification, and have all power and authority necessary to own,
lease or hold their respective properties and to conduct the businesses in which
they respectively are engaged, except where the failure to so qualify would not
be reasonably expected to have a material adverse effect on the consolidated
financial position, stockholders' equity, results of operations, business or
prospects of the Company and its subsidiaries taken as a whole (a "Material
Adverse Effect"); and none of the Subsidiary Guarantors, other than Beverly
Health and Rehabilitation Services, Inc., is a "Significant Subsidiary", as such
term is defined in the Act.

                  (c) On the date of issuance of the Exchange Notes, the
Indenture will conform to the requirements of the Trust Indenture Act of 1939,
as amended (the "Trust Indenture Act"), and the rules and regulations of the
Commission applicable to an indenture which is qualified thereunder.

                  (d) The Indenture has been duly authorized by the Company and
each of the Subsidiary Guarantors; the First Supplemental Indenture has been
duly authorized by the Company and the guarantors named therein; the Notes have
been duly authorized by the Company; the Guarantees have been duly authorized by
the Subsidiary Guarantors and when the Notes are delivered and paid for pursuant
to this Agreement on the Closing Date, the Indenture,

                                       4
<PAGE>

the First Supplemental Indenture and the Guarantees will have been duly executed
and delivered, such Notes will have been duly executed, authenticated, issued
and delivered and will conform to the description thereof contained in the
Offering Memorandum, the Indenture, the Guarantees and such Notes will
constitute valid and legally binding obligations of the Company and each of the
Subsidiary Guarantors, enforceable in accordance with their terms, and the First
Supplemental Indenture will constitute valid and legally binding obligations of
the Company and each of the guarantors named therein, enforceable in accordance
with its terms, each subject to bankruptcy, insolvency, fraudulent transfer,
reorganization, moratorium and similar laws of general applicability relating to
or affecting creditors' rights and to general equity principles.

                  (e) Except (i) as required by state securities or "blue sky"
laws, (ii) the order of the Commission declaring the Exchange Offer Registration
Statement or the Shelf Registration Statement effective and (iii) for such
consents, approvals, authorizations, orders, filings or registrations which have
been obtained or made, no consent, approval, authorization or order of, or
filing or registration with, any court or governmental agency or body is
required for the execution, delivery and performance of the Operative Documents,
the issuance and sale of the Notes and the Guarantees or the transactions
contemplated by the Operative Documents or the Tender Offer and Consent
Solicitation.

                  (f) The execution, delivery and performance by the Company and
the Subsidiary Guarantors of the Operative Documents and the Credit Documents
(as defined below), the issuance of the Notes, the Exchange Notes, the
Guarantees and the Exchange Guarantees, the compliance by the Company and the
Subsidiary Guarantors with all the provisions hereof and thereof and the
consummation of the transactions contemplated hereby and thereby (the
"Transactions") will not (i) conflict with or result in a breach or violation of
any of the terms or provisions of, or constitute a default under, any indenture,
mortgage, deed of trust, loan agreement, lease or other agreement or instrument
to which the Company or any of the Subsidiary Guarantors is a party or by which
the Company or any of the Subsidiary Guarantors is bound or to which any of the
properties or assets of the Company or any of the Subsidiary Guarantors is
subject, except for such conflicts, breaches, violations or defaults that,
individually or in the aggregate, would not reasonably be expected to have a
Material Adverse Effect, (ii) result in any violation of the provisions of the
charter or by-laws or other constituent document of the Company or any of the
Subsidiary Guarantors or any statute or any order, rule or regulation of any
court or governmental agency or body having jurisdiction over the Company or any
of the Subsidiary Guarantors or any of their respective properties or assets,
(iii) result in the imposition or creation of (or the obligation to create or
impose) a Lien (other than the Permitted Liens (as such terms are defined in the
Indenture)) under any agreement or instrument to which the Company or any of the
Subsidiary Guarantors is a party or by which the Company or any of the
Subsidiary Guarantors or their respective properties or assets is bound or (iv)
result in the suspension, termination or revocation of any Authorization (as
defined below) of the Company or any of the Subsidiary Guarantors or any other
impairment of the rights of the holder of any such Authorization.

                  (g) This Agreement has been duly authorized, executed and
delivered by the Company and the Subsidiary Guarantors and the Registration
Rights Agreement has been duly authorized by the Company and the Subsidiary
Guarantors and, on the Closing Date, will have

                                       5
<PAGE>

been duly executed and delivered by the Company and the Subsidiary Guarantors.

                  (h) The Company and each of the Subsidiary Guarantors have
good and marketable title in fee simple to all real property owned by them and
good and marketable title to all personal property owned by them and, in each
case, material to the business of the Company and the Subsidiary Guarantors, in
each case free and clear of all liens, encumbrances and defects or as do not
materially interfere with the use made and proposed to be made of such property
by the Company and the Subsidiary Guarantors (other than Permitted Liens (as
such term is defined in the Indenture) and as otherwise set forth in the
Offering Memorandum); and all assets held under lease by the Company and the
Subsidiary Guarantors are held by them under valid, subsisting and enforceable
leases, with such exceptions as are not material and do not interfere with the
use made and proposed to be made of such property and buildings by the Company
and the Subsidiary Guarantors.

                  (i) Neither the Company nor any of the Subsidiary Guarantors
(i) is in violation of its charter or by-laws or other constituent document,
(ii) is in default and no event has occurred which, with notice or lapse of time
or both, would constitute such a default, in the due performance or observance
of any term, covenant or condition contained in any material indenture,
mortgage, deed of trust, loan agreement or other agreement or instrument to
which it is a party or by which it is bound or to which any of its properties or
assets is subject that, individually or in the aggregate, would reasonably be
expected to have a Material Adverse Effect or (iii) is in violation of any law,
ordinance, governmental rule, regulation or court decree to which it or its
properties or assets may be subject or has failed to obtain any material
permits, licenses, consents, exemptions, franchises, authorizations and other
approvals (each, an "Authorization") necessary to the ownership of its
properties or assets or to the conduct of its business that, individually or in
the aggregate, would reasonably be expected to have a Material Adverse Effect.

                  (j) None of the Company or any of the Subsidiary Guarantors is
involved in any strike, job action or labor dispute with any group of employees
that would reasonably be expected to have a Material Adverse Effect, and, to the
Company's and the Subsidiary Guarantors' knowledge, no such action or dispute is
threatened.

                  (k) The Company and each of the Subsidiary Guarantors own or
possess adequate rights to use all material patents, patent applications,
trademarks, service marks, trade names, trademark registrations, service mark
registrations, copyrights, inventions, know-how (including trade secrets and
other unpatented and/or unpatentable proprietary or confidential information,
systems or procedures) and licenses necessary for the conduct of their
respective businesses, except where the failure to own or possess any such
rights would not reasonably be expected to have a Material Adverse Effect and
the Company and each of the Subsidiary Guarantors have no reason to believe that
the conduct of their respective businesses will conflict with, and neither the
Company nor any of the Subsidiary Guarantors has received notice of infringement
of or conflict, with asserted rights of others with respect to any of such
intellectual property that, individually or in the aggregate, if the subject of
an unfavorable decision, ruling or finding, would have a Material Adverse
Effect.

                  (l) There has been no violation by the Company or any of the
Subsidiary

                                       6
<PAGE>

Guarantors of any applicable law, ordinance, rule, regulation, order, judgment,
decree or permit relating to the protection of natural resources, human health
or the environment ("Environmental Law") or storage, disposal, generation,
manufacture, refinement, transportation, handling or treatment of toxic wastes,
medical wastes, hazardous wastes, hazardous substances or any other material
that is regulated under, or that could result in the imposition of liability
under, any Environmental Law, including, without limitation, asbestos,
polychlorinated biphenyls, petroleum and petroleum products (collectively,
"Hazardous Substances"), by the Company or any of the Subsidiary Guarantors (or,
to the knowledge of the Company or the Subsidiary Guarantors, any of their
predecessors in interest) at, upon or from any of the property now or previously
owned, leased or operated by the Company or the Subsidiary Guarantors in
violation of any Environmental Law or which would require remedial action under
any Environmental Law or which would otherwise result in liability under
Environmental Law, except for any violation, remedial action or liability which
would not reasonably be expected to have, individually or in the aggregate with
all such violations, remedial actions and liabilities, a Material Adverse
Effect; there has been no spill, discharge, leak, emission, injection, escape,
dumping or release of any kind onto such property or into the environmental
surrounding such property of any Hazardous Substances due to or caused by the
Company or any of the Subsidiary Guarantors or with respect to which the Company
or any of the Subsidiary Guarantors has knowledge, except for any such spill,
discharge, leak, emission, injection, escape, dumping or release which would not
reasonably be expected to have, individually or in the aggregate with all such
spills, discharges, leaks, emissions, injections, escapes, dumping and releases,
a Material Adverse Effect; except as disclosed in the Offering Memorandum, there
is no claim by any governmental agency or body against the Company or any of the
Subsidiary Guarantors under any Environmental Law that the Company or any
Subsidiary Guarantors believes may result in a fine or other monetary sanction
of $100,000 or more; and except as disclosed in the Offering Memorandum, no
material expenditures by the Company or any of the Subsidiary Guarantors are
anticipated in order to maintain compliance with Environmental Law.

                  (m) Except as set forth in the Offering Memorandum, there are
no legal or governmental proceedings pending to which the Company or any of the
Subsidiary Guarantors is a party or of which any property or assets of the
Company or any of the Subsidiary Guarantors is subject which, if determined
adversely to the Company or any of the Subsidiary Guarantors, would,
individually or in the aggregate, reasonably be expected to have a Material
Adverse Effect; and, to the best of the Company's and the Subsidiary Guarantor's
knowledge, no such proceedings are threatened or contemplated by governmental
authorities or threatened by others.

                  (n) The financial statements (including the related notes and
supporting schedules) included or incorporated by reference in the Offering
Memorandum present fairly the financial condition, the results of operations,
cash flows and changes in the financial position of the Company and its
subsidiaries on the basis stated therein at the respective dates or for the
respective periods to which they apply; such statements and related schedules
and notes have been prepared in accordance with generally accepted accounting
principles consistently applied throughout the periods involved; the supporting
schedules, if any, included or incorporated by reference in the Preliminary
Offering Memorandum or the Offering Memorandum present fairly in accordance with
generally accepted accounting principles the information required to be stated
therein; and the other financial and statistical information and data set forth
in the Preliminary

                                       7
<PAGE>

Offering Memorandum and Offering Memorandum (and any amendment or supplement
thereto) are, in all material respects, accurately presented and prepared on a
basis consistent with such financial statements and the books and records of the
Company.

                  (o) Neither the Company nor any of the Subsidiary Guarantors
has sustained, since the date of the latest financial statements included or
incorporated by reference in the Offering Memorandum, any material loss or
interference with its business from fire, explosion, flood or other calamity,
whether or not covered by insurance, or from any labor dispute or court or
governmental action, order or decree (a "Material Loss"), other than as set
forth or contemplated in the Offering Memorandum; and, since such date, there
has not been any change in the capital stock or long-term debt of the Company or
any of the Subsidiary Guarantors or any material adverse change, or any
development involving a prospective material adverse change, in or affecting the
general affairs, management, consolidated financial position, stockholders'
equity, results of operations, business or prospects of the Company and the
Subsidiary Guarantors taken as a whole, other than as set forth or contemplated
in the Offering Memorandum.

                  (p) The Company is subject to the reporting requirements of
either Section 13 or Section 15(d) of the Exchange Act and files reports with
the Commission on the Electronic Data Gathering, Analysis, and Retrieval (EDGAR)
system.

                  (q) Neither the Company nor any of the Subsidiary Guarantors
is or, as of the applicable Closing Date after giving effect to the issuance of
the Notes and the Guarantees and the application of the net proceeds therefrom
as set forth in the Offering Memorandum, will be an "investment company" within
the meaning of such term under the Investment Company Act of 1940, as amended,
and the rules and regulations of the Commission thereunder (collectively, the
"Investment Company Act").

                  (r) No securities of the same class (within the meaning of
Rule 144A(d)(3) under the Act) as the Notes are listed on any national
securities exchange registered under Section 6 of the Exchange Act or quoted in
a U.S. automated inter-dealer quotation system.

                  (s) Assuming the accuracy of the Initial Purchasers'
representations set forth in Section 3, the offer and sale of the Notes and the
Guarantees by the Company and the Subsidiary Guarantors to the Initial
Purchasers in the manner contemplated by this Agreement will be exempt from the
registration requirements of the Act by reason of Section 4(2) thereof; and it
is not necessary to qualify the Indenture under the Trust Indenture Act in
connection with the Exempt Resales.

                  (t) Neither the Company, nor any of its affiliates, nor any
person acting on its or their behalf (other than the Initial Purchasers, as to
whom the Company and the Subsidiary Guarantors make no representation) (i) has,
within the six-month period prior to the date hereof, offered or sold in the
United States or to any U.S. person (as such terms are defined in Regulation S
under the Act) the Notes or any security of the same class or series as the
Notes or (ii) has offered or will offer or sell the Notes (A) in the United
States by means of any form of general solicitation or general advertising
within the meaning of Rule 502(c) under the Act or (B) with respect to any Notes
sold in reliance on Rule 903 of Regulation S, by means of any

                                       8
<PAGE>

directed selling efforts within the meaning of Rule 902(c) of Regulation S. The
Company has not entered and will not enter into any contractual arrangement with
respect to the distribution of the Notes except for this Agreement.

                  (u) On the Closing Date, the Exchange Notes will have been
duly authorized by the Company; and when the Exchange Notes are issued, executed
and authenticated in accordance with the terms of the Exchange Offer and the
Indenture, the Exchange Notes will be entitled to the benefits of the Indenture
and will be the valid and legally binding obligations of the Company,
enforceable in accordance with their terms, subject to bankruptcy, insolvency,
fraudulent transfer, reorganization, moratorium and similar laws of general
applicability relating to or affecting creditors' rights and to general equity
principles.

                  (v) When the Registration Rights Agreement has been duly
executed and delivered, the Registration Rights Agreement will be a valid and
binding agreement of the Company and the Subsidiary Guarantors, enforceable
against the Company and the Subsidiary Guarantors in accordance with its terms,
subject to bankruptcy, insolvency, fraudulent transfer, reorganization,
moratorium and similar laws of general applicability relating to or affecting
creditors' rights and to general equity principles and as to the indemnification
provisions thereof, principles of public policy. On the Closing Date, the
Registration Rights Agreement will conform in all material respects to the
statements relating thereto contained in the Offering Memorandum.

                  (w) Other than the Registration Rights Agreement, there are no
contracts, agreements or understandings between the Company and any person
granting such person the right to require the Company to file a registration
statement under the Act with respect to any securities of the Company or to
require the Company to include such securities with the Notes or the Exchange
Notes registered pursuant to any Registration Statement.

                  (x) Neither the Company nor any of the Subsidiary Guarantors
nor any agent thereof acting on the behalf of them has taken, and none of them
will take, any action that might cause this Agreement or the issuance or sale of
the Notes and the Guarantees to violate Regulation T, Regulation U or Regulation
X of the Board of Governors of the Federal Reserve System.

                  (y) Except as described in the Offering Memorandum, in the two
years preceding the date hereof, no "nationally recognized statistical rating
organization" as such term is defined for purposes of Rule 436(g)(2) under the
Act (i) has imposed (or has informed the Company that it is considering
imposing) any condition (financial or otherwise) on the Company's retaining any
rating assigned to the Company or any securities of the Company or (ii) has
given written notice to the Company that it is considering (a) the downgrading,
suspension, or withdrawal of, or any review for a possible change that does not
indicate the direction of the possible change in, any rating so assigned or (b)
any adverse change in the outlook for any rating of the Company or any
securities of the Company.

                  (z) The sale of the Notes pursuant to Regulation S is not part
of a plan or scheme to evade the registration provisions of the Act.

                                       9
<PAGE>

                  (aa) Ernst & Young LLP (the "Accountants"), who have certified
the financial statements of the Company, whose report appears in the Offering
Memorandum and who have delivered the initial comfort letter referred to in
Section 7(d) hereof, are independent public accountants; and the Accountants,
whose report appears in the Offering Memorandum and who have delivered the
initial comfort letter referred to in Section 7(d) hereof, were independent
accountants during the periods covered by the financial statements on which they
reported.

                  (bb) Each of the Company and the Subsidiary Guarantors has
filed all federal, state and local income and franchise tax returns required to
be filed through the date hereof other than such returns for which the failure
to file would not, individually or in the aggregate, result in a Material
Adverse Effect and has paid all taxes due thereon, other than those (i)
currently payable without penalty or interest or (ii) being contested in good
faith and by appropriate proceedings and for which, in the case of both (i) and
(ii), adequate reserves have been established on the books and records of the
Company or the Subsidiary Guarantors in accordance with generally accepted
accounting principles. No tax deficiency has been determined adversely to the
Company or any of the Subsidiary Guarantors which has had (nor does the Company
or any of the Subsidiary Guarantors have any knowledge of any tax deficiency
which, if determined adversely to the Company or any of the Subsidiary
Guarantors, would result in), individually or in the aggregate, a Material
Adverse Effect.

                  (cc) Except as set forth in the Offering Memorandum, the
Company and each of the Subsidiary Guarantors carry, or are covered by,
insurance in such amounts and covering such risks as is adequate for the conduct
of their respective businesses and the value of their respective properties from
insurers of recognized financial responsibility and as is customary for
companies engaged in similar businesses in similar industries. Neither the
Company nor any of the Subsidiary Guarantors (i) has received notice from any
insurer or agent of such insurer that substantial capital improvements or other
material expenditures will have to be made in order to continue such insurance
or (ii) except as set forth in the Offering Memorandum, has any reason to
believe that it will not be able to renew its existing insurance coverage as and
when such coverage expires or to obtain similar coverage from similar insurers
at a cost that would not reasonably be expected to have a Material Adverse
Effect.

                  (dd) Each of the Company and the Subsidiary Guarantors has all
Authorizations, and has made all filings with and notices to, all governmental
or regulatory authorities and self-regulatory organizations and all courts and
other tribunals, including, without limitation, under any applicable
Environmental Law, ordinance, rule, regulation, order, judgment, decree or
permit, necessary to own, lease, license and operate its respective properties
and to conduct its business, except where the failure to have any such
Authorization or to make any such filing or notice would not reasonably be
expected to have a Material Adverse Effect; each such Authorization is valid and
in full force and effect and each of the Company and the Subsidiary Guarantors
is in compliance with all the terms and conditions thereof and with the rules
and regulations of the authorities and governing bodies having jurisdiction with
respect thereto; and no event has occurred (including, without limitation, the
receipt of any notice from any authority or governing body) which allows or,
after notice or lapse of time or both, would allow, revocation, suspension or
termination of any such Authorization or results or, after notice or lapse of
time or both, would result in any other impairment of the rights of the holder
of any

                                       10
<PAGE>

such Authorization; and such Authorizations contain no restrictions that are
burdensome to the Company or any of the Subsidiary Guarantors, except where such
failure to be valid and in full force and effect or to be in compliance, the
occurrence of any such event or the presence of any such restriction would not,
individually or in the aggregate, reasonably be expected to have a Material
Adverse Effect.

                  (ee) All facilities, providers and suppliers owned, operated
or managed by the Company and the Subsidiary Guarantors (collectively, the
"Company Facilities") (i) are licensed, to the extent necessary, under
applicable state laws to conduct their business as described in the Offering
Memorandum, except as would not reasonably be expected to result in a Material
Adverse Effect; (ii) are certified for participation or enrollment in the
Medicare and Medicaid programs; (iii) have the benefit of a current and valid
provider agreement with the Medicare and Medicaid programs; and (iv) are in
substantial compliance with the terms and conditions of participation in such
programs and have received all approvals or qualifications necessary for
reimbursement, except, in each case, where the failure to be so licensed or
certified, to have such agreements, to be in such compliance or to have such
approvals or qualifications, singly or in the aggregate, would not reasonably be
expected to have a Material Adverse Effect. To the knowledge of the Company and
the Subsidiary Guarantors, the amounts established as provisions for Medicare
and Medicaid adjustments or overpayments and adjustments or overpayments by any
other third party payors on the financial statements of the Company are
sufficient in all material respects to pay any amounts for which the Company or
any of the Subsidiary Guarantors may be liable for such adjustments or
overpayments. Except as described in the Offering Memorandum, none of the
Company or any of the Subsidiary Guarantors has received notice from the
regulatory authorities which enforce the statutory or regulatory provisions in
respect of the Medicare, Medicaid or other federal healthcare programs of any
pending or threatened audits, reviews, investigations, surveys (other than
routine surveys) or decertification proceedings, and none of the Company or any
of the Subsidiary Guarantors has any reason to believe that any such audits,
reviews, investigations, surveys or proceedings are pending, threatened or
imminent, in each case, which notices or threatened investigations, surveys or
proceedings singly or in the aggregate would reasonably be expected to have a
Material Adverse Effect.

                  (ff) Each "employee benefit plan" as defined in Section 3(3)
of the Employee Retirement Income Security Act of 1974, as amended, including
the regulations and published interpretations thereunder ("ERISA"), as to which
the Company or any of the Subsidiary Guarantors has or could have any liability,
is in compliance in all material respects with all applicable provisions of
ERISA and the Internal Revenue Code of 1986, as amended, including the
regulations and published interpretations thereunder (the "Code"), each such
"employee benefit plan" has been established and administered in accordance with
its terms and each of the Company and the Subsidiary Guarantors is in compliance
in all material respects with its obligations under ERISA and the Code with
respect to each such "employee benefit plan"; no "reportable event" (within the
meaning of Section 4043(c) of ERISA) has occurred with respect to any "employee
benefit plan" for which the Company or any of the Subsidiary Guarantors could
have any liability, except as would not, individually or in the aggregate,
reasonably be expected to result in a Material Adverse Effect; each of the
Company and the Subsidiary Guarantors has not incurred and does not expect to
incur liability under (i) Title IV of ERISA

                                       11
<PAGE>

with respect to termination of, or complete or partial withdrawal from, any
"employee benefit plan" or (ii) Section 412, 4971 or 4975 of the Code; and each
"employee benefit plan" for which each of the Company or the Subsidiary
Guarantors could have any liability that is intended to be qualified under
Section 401(a) of the Code is so qualified in all respects and nothing has
occurred, whether by action or by failure to act, which would cause the loss of
such qualification, except as would not, individually or in the aggregate,
reasonably be expected to result in a Material Adverse Effect.

                  (gg) The Company has established and maintains disclosure
controls and procedures (as such term is defined in Rule 13a-14 under the
Exchange Act), which (i) are designed to ensure that material information
relating to the Company, including its consolidated subsidiaries, is made known
to the Company's principal executive officer and its principal financial officer
by others within those entities, particularly during the periods in which the
periodic reports required under the Exchange Act are being prepared; (ii) have
been evaluated for effectiveness as of March 31, 2004; and (iii) are effective
to provide reasonable assurance that they perform the functions for which they
were established.

                  (hh) Based on the evaluation of its disclosure controls and
procedures, the Company is not aware of (i) any significant deficiency in the
design or operation of internal controls which could adversely affect the
Company's ability to record, process, summarize and report financial data or any
material weaknesses in internal controls; or (ii) any fraud, whether or not
material, that involves management or other employees who have a significant
role in the Company's internal controls.

                  (ii) Since the date of the most recent evaluation of such
disclosure controls and procedures, there have been no significant changes in
internal controls or in other factors that could significantly affect internal
controls, including any corrective actions with regard to significant
deficiencies and material weaknesses.

                  (jj) Each of the Company and the Subsidiary Guarantors (i)
makes and keeps books and records and (ii) maintains internal accounting
controls which provide reasonable assurance that (A) transactions are executed
in accordance with management's authorization, (B) transactions are recorded as
necessary to permit preparation of its financial statements in conformity with
United States generally accepted accounting principles and to maintain
accountability for its assets, (C) access to the Company's assets is permitted
only in accordance with management's authorization and (D) the reported
accountability for its assets is compared with existing assets at reasonable
intervals and appropriate action is taken with respect to any differences.

                  (kk) Neither the Company nor any of the Subsidiary Guarantors,
nor any director, officer, agent, employee or other person associated with or
acting on behalf of the Company or any of the Subsidiary Guarantors, has used
any corporate or organizational funds, as the case may be, for any unlawful
contribution, gift, entertainment or other unlawful expense relating to
political activity; made any direct or indirect unlawful payment to any foreign
or domestic government official or employee from corporate or organizational
funds, as the case may be; violated or is in violation of any provision of the
Foreign Corrupt Practices Act of 1977, as amended, or made any bribe, rebate,
payoff, influence payment, kickback or other unlawful payment.

                                       12
<PAGE>

                  (ll) There is and has been no failure on the part of the
Company and any of the Company's directors or officers, in their capacities as
such, to comply with any applicable provision of the U.S. Sarbanes Oxley Act of
2002 and the rules and regulations promulgated in connection therewith.

                  (mm) The Company and the Subsidiary Guarantors have all
requisite corporate or other power and authority to enter into (A) the Credit
Agreement Amendment and the Guarantee and Collateral Agreement Amendment and (B)
any and all other agreements and instruments necessary in order to effect the
transactions contemplated by the Credit Agreement Amendment and the Guarantee
and Collateral Agreement Amendment (items (A) and (B) are referred to
collectively as the "Credit Documents").

                  (nn) Each of the Credit Documents has been duly and validly
authorized by the Company and the Subsidiary Guarantors, to the extent they are
a party thereto, and when duly executed by the proper officers of the Company
and each of the Subsidiary Guarantors (assuming due authorization, execution and
delivery by the other parties thereto) and delivered by the Company and each of
the Subsidiary Guarantors, to the extent they are a party thereto, will
constitute valid and legally binding obligations of the Company and each of the
Subsidiary Guarantors party thereto, enforceable in accordance with their terms,
subject to bankruptcy, insolvency, fraudulent transfer, reorganization,
moratorium and similar laws of general applicability relating to or affecting
creditors' rights and to general equity principles.

                  (oo) Except for Beverly Funding Corporation and Beverly
Indemnity, Ltd., the Subsidiary Guarantors constitute all of the active
subsidiaries of the Company and each of the Company's subsidiaries, other than
the Subsidiary Guarantors, Beverly Funding Corporation and Beverly Indemnity,
Ltd., are inactive and individually and in the aggregate immaterial.

                  (pp) The Guarantees have been duly and validly authorized by
each of the Subsidiary Guarantors and, upon due execution, authentication and
delivery to the Initial Purchasers of the Notes and against payment for the
Notes in accordance with the terms hereof, will constitute valid and binding
obligations of each of the Subsidiary Guarantors entitled to the benefits of the
Indenture and enforceable against each of the Subsidiary Guarantors in
accordance with their terms, subject to bankruptcy, insolvency, fraudulent
transfer, reorganization, moratorium and similar laws of general applicability
relating to or affecting creditors' rights and to general equity principles.

                  (qq) The Guarantees of the Exchange Notes (the "Exchange Note
Guarantees") have been duly and validly authorized by each of the Subsidiary
Guarantors and, if and when duly executed and delivered by the Subsidiary
Guarantors in accordance with the terms of the Indenture and, if and when the
Exchange Notes are delivered in accordance with the Registered Exchange Offer
contemplated by the Registration Rights Agreement, will constitute valid and
binding obligations of each of the Subsidiary Guarantors entitled to the
benefits of the Indenture and enforceable against each of the Subsidiary
Guarantors in accordance with their terms, subject to bankruptcy, insolvency,
fraudulent transfer, reorganization, moratorium and similar laws of general
applicability relating to or affecting creditors' rights and to general equity
principles.

                                       13
<PAGE>

         3. Purchase of the Notes and Guarantees by the Initial Purchasers;
Agreements to Sell, Purchase and Resell. (a) The Company hereby agrees, on the
basis of the representations, warranties and agreements of the Initial
Purchasers contained herein and subject to all the terms and conditions set
forth herein, to issue and sell to the Initial Purchasers and, upon the basis of
the representations, warranties and agreements of the Company and the Subsidiary
Guarantors herein contained and subject to all the terms and conditions set
forth herein, each Initial Purchaser agrees, severally and not jointly, to
purchase from the Company, at a purchase price of 96.318% of the principal
amount thereof, the principal amount of the Notes set forth opposite the name of
such Initial Purchaser in Schedule I hereto. For avoidance of doubt, the price
at which the Notes will initially be offered to Eligible Purchasers less the
price at which the Initial Purchasers will purchase the Notes from the Company,
represents the fee of 2% of the principal amount thereof to be paid to the
Initial Purchasers pursuant to this section. The Company will not be obligated
to deliver any of the Notes to be delivered hereunder except upon payment for
all of the Notes to be purchased as provided herein.

                  (b) Each of the Initial Purchasers, severally and not jointly,
hereby represents and warrants to the Company and the Subsidiary Guarantors that
it will offer the Notes and the Guarantees for sale upon the terms and
conditions set forth in this Agreement and in the Offering Memorandum. Each of
the Initial Purchasers hereby represents and warrants to, and agrees with, the
Company and the Subsidiary Guarantors that such Initial Purchaser (i) is
purchasing the Notes pursuant to a private sale exempt from registration under
the Act; (ii) in connection with the Exempt Resales, will solicit offers to buy
the Notes and the Guarantees only from, and will offer to sell the Notes and
Guarantees only to, Eligible Purchasers in accordance with this Agreement and on
the terms contemplated by the Offering Memorandum; (iii) with respect to Notes
and Guarantees sold outside the United States to non-U.S. purchasers in reliance
on Regulation S under the Act, will not engage in any directed selling efforts,
within the meaning of Rule 902 under the Act in connection with the offering of
the Notes and Guarantees; and (iv) will not offer or sell the Notes, nor has it
offered or sold the Notes by, or otherwise engaged in, any form of general
solicitation or general advertising (within the meaning of Regulation D,
including, but not limited to, advertisements, articles, notices or other
communications published in any newspaper, magazine, or similar medium or
broadcast over television or radio, or any seminar or meeting whose attendees
have been invited by any general solicitation or general advertising) and will
not engage in any directed selling efforts within the meaning of Rule 902 under
the Act, in connection with the offering of the Notes. The Initial Purchasers
have advised the Company that they will offer the Notes and Guarantees to
Eligible Purchasers at a price initially equal to 98.318% of the principal
amount thereof, plus accrued interest, if any, from the date of issuance of the
Notes and Guarantees. Such price may be changed by the Initial Purchasers at any
time thereafter without notice.

                  (c) Each of the Initial Purchasers, severally and not jointly,
represents, warrants and agrees with the Company and the Subsidiary Guarantors
that (i) it and its affiliates assisting in the offering and distribution of the
Notes have not offered or sold and, prior to the date six months after the date
of issuance of the Notes and Guarantees, will not offer or sell any of the Notes
to persons in the United Kingdom except to persons whose ordinary activities
involve them in acquiring, holding, managing or disposing of investments (as
principal or agent) for the purposes of their businesses or otherwise in
circumstances which have not resulted and

                                       14
<PAGE>

will not result in an offer to the public in the United Kingdom within the
meaning of the U.K. Public Offers of Securities Regulations of 1995 (as
amended); (ii) it has complied and will comply with all applicable provisions of
the Financial Services and Markets Act 2000 (the "FSMA") with respect to
anything done by it in relation to the Notes in, from or otherwise involving the
United Kingdom; and (iii) it has only communicated or caused to be communicated
and will only communicate or cause to be communicated any invitation or
inducement to engage in investment activity (within the meaning of Section 21 of
the FSMA) received by it in connection with the issue or sale of any of the
Notes in circumstances in which Section 21(1) of the FSMA would not apply to the
Company or the Subsidiary Guarantors.

                  (d) Each of the Initial Purchasers understands that the
Company, the Subsidiary Guarantors and, for purposes of the opinions to be
delivered to the Initial Purchasers pursuant to Sections 7(b) and 7(c) hereof,
counsel to the Company and counsel to the Initial Purchasers, will rely upon the
accuracy and truth of the foregoing representations, warranties and agreements
and the Initial Purchasers hereby consent to such reliance.

         4. Delivery of the Notes and Guarantees and Payment Therefor. Delivery
to the Initial Purchasers of and payment for the Notes and Guarantees will be
made at the office of Milbank, Tweed, Hadley & McCloy LLP at One Chase Manhattan
Plaza, New York, New York 10005, at 9:00 A.M., New York City time, on the
Closing Date. The place of closing for the Notes and the Closing Date may be
varied by agreement between the Initial Purchasers and the Company.

         The Notes and Guarantees will be delivered to the Initial Purchasers or
the Trustee as custodian for The Depository Trust Company ("DTC") against
payment by or on behalf of the Initial Purchasers of the purchase price
therefore, by wire transfer in immediately available funds to such account or
accounts as the Company shall specify to Lehman Brothers prior to the Closing
Date, by causing DTC to credit the Notes to the account of the Initial
Purchasers at DTC. The Notes will be evidenced by one or more global securities
in definitive form (the "Global Notes") and/or by additional definitive
securities, and will be registered, in the case of the Global Notes, in the name
of Cede & Co. as nominee of DTC, and in the other cases, in such names and in
such denominations as the Initial Purchasers shall request prior to 9:30 A.M.,
New York City time, on the second Business Day preceding the Closing Date. The
Notes to be delivered to the Initial Purchasers will be made available to the
Initial Purchasers in New York City for inspection and packaging not later than
2:00 p.m., New York City time, on the Business Day preceding the Closing Date or
as otherwise agreed upon between the Company and the Initial Purchasers.

         5. Agreements of the Company. The Company agrees with each Initial
Purchaser as follows:

                  (a) The Company will furnish to the Initial Purchasers,
without charge, such number of copies of the Preliminary Offering Memorandum and
the Offering Memorandum and any amendments or supplements thereto as they may
reasonably request.

                  (b) To advise you promptly and, if requested by you, to
confirm such advice in writing, (i) of the issuance by the Commission or any
state securities commission of any stop

                                       15
<PAGE>

order suspending the qualification or exemption from qualification of the Notes
and the Guarantees for offering or sale in any jurisdiction, or the initiation
or threatening of any proceeding for such purpose by the Commission or any state
securities commission or other regulatory authority, and (ii) the happening of
any event that makes any statement of a material fact made in the Preliminary
Offering Memorandum or the Offering Memorandum untrue or which requires the
making of any additions to or changes in the Preliminary Offering Memorandum or
Offering Memorandum in order to make the statements therein, in the light of the
circumstances under which they were made, not misleading. The Company shall use
all commercially reasonable efforts to prevent the issuance of any stop order or
order suspending the qualification or exemption of the Notes and the Guarantees
under any state securities or blue sky laws and, if at any time any state
securities commission shall issue any stop order suspending the qualification or
exemption of the Notes and the Guarantees under any state securities or blue sky
laws, the Company shall use all commercially reasonable efforts to obtain the
withdrawal or lifting of such order at the earliest possible time.

                  (c) The Company will not make any amendment or supplement to
the Preliminary Offering Memorandum or to the Offering Memorandum without the
prior consent of the Initial Purchasers, which consent will not be unreasonably
withheld.

                  (d) The Company consents to the use, in accordance with the
securities or Blue Sky laws of the jurisdictions in which the Notes and the
Guarantees are offered by the Initial Purchasers and by dealers, prior to the
date of the Offering Memorandum, of each Preliminary Offering Memorandum so
furnished by the Company. The Company consents to the use of the Offering
Memorandum in accordance with the securities or Blue Sky laws of the
jurisdictions in which the Notes and the Guarantees are offered by the Initial
Purchasers and by all dealers to whom Notes and the Guarantees may be sold, in
connection with the offering and sale of the Notes and the Guarantees.

                  (e) If, at any time prior to completion of the distribution of
the Notes and the Guarantees by the Initial Purchasers to Eligible Purchasers,
any event occurs that in the judgment of the Company or in the reasonable
opinion of counsel for the Initial Purchasers should be set forth in the
Offering Memorandum so that the Offering Memorandum does not include any untrue
statement of material fact or omit to state a material fact necessary in order
to make the statements therein, in the light of the circumstances under which
they were made, not misleading, or if it is necessary to supplement or amend the
Offering Memorandum in order to comply with any law, the Company will prepare an
appropriate supplement or amendment thereto, and will expeditiously furnish to
the Initial Purchasers a reasonable number of copies thereof.

                  (f) The Company will cooperate with the Initial Purchasers and
with their counsel in connection with the qualification of the Notes and the
Guarantees for offering and sale by the Initial Purchasers under the securities
or Blue Sky laws of such jurisdictions as the Initial Purchasers may designate;
provided that (i) the Company shall in no event be required to continue in
effect any such qualification for a period of more than 180 days after the
Closing Date, (ii) the Company will not be required to qualify as a foreign
corporation or to file a general

                                       16
<PAGE>

consent to service of process in any such state and (iii) the Company will not
be required to subject itself to taxation in any such jurisdiction if not
otherwise so subject.

                  (g) For a period of 90 days from the date of the Offering
Memorandum, the Company and each of its subsidiaries agrees not to, directly or
indirectly, sell, contract to sell, grant any option to purchase, issue any
instrument convertible into or exchangeable for, or otherwise transfer or
dispose of, any debt securities substantially similar to the Notes issued or
guaranteed by any of the Company or its subsidiaries, except (i) in exchange for
the Notes in connection with the Exchange Offer or (ii) with the prior consent
of the Initial Purchasers, which consent shall not be unreasonably withheld.

                  (h) From and after the Closing Date, so long as any of the
Notes are outstanding and are "restricted securities" within the meaning of Rule
144(a)(3) under the Act or, if earlier, until two years after the Closing Date,
if the Company shall cease to file reports under Section 13 and 15(d) of the
Exchange Act with the Securities and Exchange Commission, the Company will
furnish to holders of the Notes and prospective purchasers of Notes designated
by such holders, upon request of such holders or such prospective purchasers,
the information required to be delivered pursuant to Rule 144A(d)(4) under the
Act to permit compliance with Rule 144A in connection with resale of the Notes.

                  (i) If this Agreement terminates or is terminated after
execution and delivery pursuant to any provisions hereof or if this Agreement is
terminated by the Initial Purchasers because of any failure or refusal on the
part of the Company or the Subsidiary Guarantors to comply with the terms or
fulfill any of the conditions of this Agreement, the Company and the Subsidiary
Guarantors agree to reimburse the Initial Purchasers for all out-of-pocket
expenses (including reasonable fees and expenses of their counsel) reasonably
incurred by it in connection herewith, but without any further obligation on the
part of the Company or the Subsidiary Guarantors for loss of profits or
otherwise. Notwithstanding the foregoing, the Company and the Subsidiary
Guarantors shall not be required to reimburse the Initial Purchasers if this
Agreement is terminated as a result of the conditions in Section 7(n) hereof not
being satisfied (other than as a result of the suspension of trading in any
Securities of the Company on any exchange or over-the-counter market).

                  (j) The Company will apply the net proceeds from the sale of
the Notes in accordance with the description set forth in the Offering
Memorandum under the caption "Use of Proceeds".

                  (k) Except as stated in this Agreement and in the Preliminary
Offering Memorandum and the Offering Memorandum, neither the Company nor any of
its subsidiaries has taken, nor will any of them take, directly or indirectly,
any action designed to or that might reasonably be expected to cause or result
in stabilization or manipulation of the price of the Notes and the Guarantees to
facilitate the sale or resale of the Notes and the Guarantees. Except as
permitted by the Act, neither the Company nor any of its subsidiaries will
distribute any offering material in connection with the Exempt Resales.

                  (l) The Company will use its reasonable best efforts to permit
the Notes to be designated Portal Market(SM) ("PORTAL") securities in accordance
with the rules and regulations

                                       17
<PAGE>

adopted by the National Association of Securities Dealers, Inc. relating to
trading in PORTAL and to permit the Notes to be eligible for clearance and
settlement through DTC.

                  (m) During the period of two years after the Closing Date or
until such earlier time when all the Notes are registered under the Act, the
Company will not, and will not permit any of its "affiliates" (as defined in
Rule 144 under the Act) to, resell any of the Notes that constitute "restricted
securities" under Rule 144 that have been reacquired by any of them.

                  (n) The Company and each of its subsidiaries agrees not to
sell, offer for sale or solicit offers to buy or otherwise negotiate in respect
of any security (as defined in the Act) that would be integrated with the sale
of the Notes and the Guarantees in a manner that would require the registration
under the Act of the sale to the Initial Purchasers or the Eligible Purchasers
of the Notes.

                  (o) In connection with the offering of the Notes and the
Guarantees, until the Initial Purchasers shall have notified the Company of the
completion of the resale of the Notes and the Guarantees, the Company will not,
and will use its reasonable best efforts to cause its controlled affiliates not
to, either alone or with one or more other persons, offer or sell the Notes and
the Guarantees in the United States (i) by means of any form of general
solicitation or general advertising within the meaning of Rule 502(c) under the
Act or (ii) with respect to any such securities sold in reliance on Rule 903
under the Act, by means of any directed selling effort within the meaning of
Rule 902 or otherwise in violation of the offering restriction requirements of
Regulation S under the Act.

                  (p) The Company will do and perform all things required or
necessary to be done and performed under this Agreement by it prior to the
Closing Date, and to satisfy all conditions precedent to the Initial Purchasers'
obligations hereunder to purchase the Notes.

                  (q) The Company will not be or become an "investment company"
or a company "controlled" by an "investment company" within the meaning of the
1940 Act.

                  (r) On the Closing Date, the Company will deliver to the
Initial Purchasers an assistant secretary's certificate reasonably satisfactory
to the Initial Purchasers that will include the following documents with respect
to the Company: (i) charter, (ii) by-laws, (iii) resolutions authorizing the
issuance of the Notes and (iv) certificates of good standing and/or
qualification to do business as a foreign corporation in such jurisdiction as
the Initial Purchasers may reasonably request.

                  (s) On the Closing Date, the Company will deliver to the
Initial Purchaser the Registration Rights Agreement executed and delivered by
duly authorized officers of the Company and the Subsidiary Guarantors.

         6. Expenses. The Company agrees, whether or not the transactions
contemplated by this Agreement are consummated or this Agreement becomes
effective or is terminated, to pay all costs, expenses, fees and taxes incident
to and in connection with the offering of the Notes and the transactions
contemplated hereby, including (i) the preparation, printing, filing and
distribution of the Preliminary Offering Memorandum and the Offering Memorandum

                                       18
<PAGE>

(including, without limitation, financial statements and exhibits) and all
amendments and supplements thereto (including the fees, disbursements and
expenses of the Company's accountants and counsel but excluding legal fees and
expenses of the Initial Purchasers' counsel incurred in connection therewith);
(ii) the preparation, printing (including, without limitation, word processing
and duplication costs) and delivery of the Operative Documents, all Blue Sky
Memoranda and all other agreements, memoranda, correspondence and other
documents printed and delivered in connection herewith and therewith and with
the Exempt Resales (but excluding legal fees and expenses of the Initial
Purchasers' counsel incurred in connection with any of the foregoing other than
fees of such counsel plus reasonable disbursements incurred in connection with
the preparation, printing and delivery of such Blue Sky Memoranda); (iii) the
issuance and delivery by the Company of the Notes and the issuance by the
Subsidiary Guarantors of the Guarantees and any transfer or similar taxes
payable in connection therewith; (iv) the qualification of the Notes, the
Guarantees, the Exchange Notes and the Exchange Guarantees for offer and sale
under the securities or Blue Sky laws of the several states (including, without
limitation, the reasonable fees and disbursements of the Initial Purchasers'
counsel relating to such registration or qualification); (v) the furnishing of
such copies of the Preliminary Offering Memorandum and the Offering Memorandum,
and all amendments and supplements thereto, as may be reasonably requested by
the Initial Purchasers for use in connection with the Exempt Resales; (vi) the
preparation of certificates for the Notes (including, without limitation,
printing and engraving thereof); (vii) all expenses and listing fees in
connection with the application for quotation of the Notes in PORTAL; (viii) the
approval of the Notes by DTC for "book-entry" transfer (including the fees and
expenses of the Company's counsel); (ix) the obligations of the Trustee, any
agent of the Trustee and counsel for the Trustee in connection with the
Indenture, the Notes and the Exchange Notes; (x) the costs and expenses of the
Company relating to investor presentations on any road show undertaken in
connection with the offering of the Notes, including without limitation,
expenses associated with the production of road show slides and graphics, fees
and expenses of any consultants engaged in connection with the road show
presentations with the prior approval of the Company, travel and lodging
expenses of the representatives and officers of the Company and any such
consultants, and the cost of any aircraft chartered in connection with the road
show; and (xi) the performance by the Company and the Subsidiary Guarantors of
their other obligations under this Agreement.

         7. Conditions to Initial Purchasers' Obligations. The respective
obligations of the Initial Purchasers hereunder are subject to the accuracy,
when made and on the Closing Date, of the representations and warranties of the
Company and the Subsidiary Guarantors contained herein, to the performance by
the Company and the Subsidiary Guarantors of their obligations hereunder and to
each of the following additional terms and conditions:

                  (a) No Initial Purchaser shall have discovered and disclosed
to the Company on or prior to the Closing Date that the Offering Memorandum or
any amendment or supplement thereto contains an untrue statement of a fact
which, in the opinion of Milbank, Tweed, Hadley & McCloy LLP, counsel for the
Initial Purchasers, is material or omits to state a fact which, in the opinion
of such counsel, is material and is required to be stated therein or is
necessary to make the statements therein not misleading.

                  (b) The Initial Purchasers shall have received an opinion,
dated the Closing

                                       19
<PAGE>

Date, of John Arena, Esq., General Counsel - Corporate for the Company, to the
effect that:

                           (i) The Company is a corporation validly existing and
                  in good standing under the laws of the State of Delaware and
                  has all requisite corporate power and authority to own, lease
                  and operate its properties and to carry on its business as now
                  being conducted.

                           (ii) The Company and each of the Subsidiary
                  Guarantors have been duly organized and are validly existing
                  as corporations or limited liability companies in good
                  standing under the laws of their respective jurisdictions of
                  incorporation or formation, are duly qualified to do business
                  and are in good standing as foreign corporations or foreign
                  limited liability companies in each jurisdiction in which
                  their respective ownership or lease of property or the conduct
                  of their respective businesses requires such qualification and
                  have all corporate or other power and authority necessary to
                  own or hold their respective properties and conduct the
                  business in which they are engaged.

                           (iii) Each of the Subsidiary Guarantors have all
                  requisite corporate or other power and authority to execute
                  and deliver each Operative Document to which it is a party, to
                  perform its respective obligations thereunder, to issue, sell
                  and deliver the Notes and the Guarantees to the Initial
                  Purchasers and to issue and deliver the Exchange Notes and the
                  Exchange Guarantees. The execution, delivery and performance
                  by the Subsidiary Guarantors of each Operative Document to
                  which it is a party has been duly authorized by all necessary
                  corporate or other action on the part of the Subsidiary
                  Guarantors.

                           (iv) All of the issued shares of capital stock of
                  each Subsidiary Guarantor have been duly and validly
                  authorized and issued and are fully paid, non-assessable and
                  are owned directly or indirectly by the Company, free and
                  clear of all Liens.

                           (v) This Agreement has been duly and validly executed
                  and delivered by the Subsidiary Guarantors.

                           (vi) Each of the Indenture, the First Supplemental
                  Indenture and the Guarantees has been duly and validly
                  executed and delivered by the Company and, to the extent each
                  is a party thereto, the Subsidiary Guarantors.

                           (vi) The Notes have been duly authorized for issuance
                  by all necessary corporate actions on the part of the Company
                  and the Notes have been duly and validly executed and
                  delivered by the Company.

                           (vii) Each of the Exchange Notes and the Exchange
                  Guarantees has been duly authorized by the Company and the
                  Subsidiary Guarantors.

                           (viii) The execution, delivery and performance by the
                  Company and the Subsidiary Guarantors of the Operative
                  Documents, the issuance of the Notes, the

                                       20
<PAGE>

                  Exchange Notes, the Guarantees and the Exchange Guarantees,
                  the compliance by the Company and the Subsidiary Guarantors
                  with all the provisions hereof and thereof and the
                  consummation of the transactions contemplated hereby and
                  thereby will not (i) conflict with or result in a breach or
                  violation of any of the terms or provisions of, or constitute
                  a default under, any indenture, mortgage, deed of trust, loan
                  agreement, lease or other agreement or instrument to which the
                  Company or any of the Subsidiary Guarantors is a party or by
                  which the Company or any of the Subsidiary Guarantors is bound
                  or to which any of the properties or assets of the Company or
                  any of the Subsidiary Guarantors is subject, (ii) result in
                  any violation of the provisions of the charter or by-laws or
                  other constituent document of the Company or any of the
                  Subsidiary Guarantors or any statute or any order, rule or
                  regulation of any court or governmental agency or body having
                  jurisdiction over the Company or any of the Subsidiary
                  Guarantors or any of their respective properties or assets,
                  (iii) result in the imposition or creation of (or the
                  obligation to create or impose) a Lien (other than the
                  Permitted Liens (as such terms are defined in the Indenture))
                  under any agreement or instrument to which the Company or any
                  of the Subsidiary Guarantors is a party or by which the
                  Company or any of the Subsidiary Guarantors or their
                  respective properties or assets is bound or (iv) result in the
                  suspension, termination or revocation of any Authorization of
                  the Company or any of the Subsidiary Guarantors or any other
                  impairment of the rights of the holder of any such
                  Authorization; except, in the case of each clause (i) through
                  (iv) above, for such conflicts, breaches, violations or
                  defaults that, individually or in the aggregate (as to such
                  conflicts, breaches, violations or defaults), would not
                  reasonably be expected to have a Material Adverse Effect.

                           (ix) The Registration Rights Agreement has been duly
                  authorized, executed and delivered by the Company and the
                  Subsidiary Guarantors.

                           (x) To such counsel's knowledge, there are no legal
                  or governmental proceedings pending or threatened to which the
                  Company or any of the Subsidiary Guarantors is a party or of
                  which any property or assets of the Company or any of the
                  Subsidiary Guarantors is the subject which would reasonably be
                  expected to have a Material Adverse Effect (other than as set
                  forth in the Offering Memorandum).

                           (xi) Except as set forth in the Offering Memorandum,
                  neither the Company nor any of the Subsidiary Guarantors (A)
                  is in violation of its charter or by-laws or other
                  organizational document, (B) is in default and no event has
                  occurred which, with notice or lapse of time or both, would
                  constitute such a default, in the due performance or
                  observance of any term, covenant or condition contained in any
                  indenture, mortgage, deed of trust, loan agreement or other
                  agreement or instrument to which it is a party or by which it
                  is bound or to which any of its properties or assets is
                  subject that would reasonably be expected to have a Material
                  Adverse Effect or (C) is in violation of any law, ordinance,
                  governmental rule, regulation or court decree to which it or
                  its property or assets

                                       21
<PAGE>

                  may be subject or has failed to obtain any license, permit,
                  certificate, franchise or other governmental authorization or
                  permit necessary to the ownership of its property or to the
                  conduct of its business any of which would reasonably be
                  expected to have a Material Adverse Effect.

                           (xii) To such counsel's knowledge, there are no
                  contracts, agreements or understandings between the Company
                  and any person granting such person the right to require the
                  Company to file a registration statement under the Act with
                  respect to any securities of the Company or to require the
                  Company to include such securities with the Notes registered
                  pursuant to any Registration Statement.

                  (c) The Initial Purchasers shall have received an opinion,
dated the Closing Date, of Weil Gotshal & Manges LLP, special counsel for the
Company, to the effect that:

                           (i) This Agreement has been duly and validly executed
                  and delivered by the Company.

                           (ii) The Company has all requisite corporate power
                  and authority to execute and deliver each Operative Document
                  to which it is a party, to perform its obligations thereunder,
                  to issue, sell and deliver the Notes to the Initial Purchasers
                  pursuant to the Purchase Agreement and to issue and deliver
                  the Exchange Notes in accordance with the Registration Rights
                  Agreement and the Indenture. The execution, delivery and
                  performance by the Company of each Operative Document to which
                  it is a party has been duly authorized by all necessary
                  corporate action on the part of the Company.

                           (iii) The Indenture (assuming the due authorization,
                  execution and delivery thereof by the Trustee) constitutes the
                  legal, valid and binding obligation of the Company and the
                  Subsidiary Guarantors, enforceable against each of them in
                  accordance with its terms, subject to applicable bankruptcy,
                  insolvency, fraudulent conveyance, reorganization, moratorium
                  and similar laws affecting creditors' rights and remedies
                  generally, and subject, as to enforceability, to general
                  principles of equity, including principles of commercial
                  reasonableness, good faith and fair dealing (regardless of
                  whether enforcement is sought in a proceeding at law or in
                  equity).

                           (iv) The Guarantees (assuming the due authorization,
                  execution and delivery thereof by the Trustee) constitute the
                  legal, valid and binding obligation of the Subsidiary
                  Guarantors, enforceable against each of them in accordance
                  with its terms, subject to applicable bankruptcy, insolvency,
                  fraudulent conveyance, reorganization, moratorium and similar
                  laws affecting creditors' rights and remedies generally, and
                  subject, as to enforceability, to general principles of
                  equity, including principles of commercial reasonableness,
                  good faith and fair dealing (regardless of whether enforcement
                  is sought in a proceeding at law or in equity).

                                       22
<PAGE>

                           (v) The Notes (assuming the due authorization,
                  execution and delivery of the Indenture by the Trustee) when
                  executed, authenticated and issued in accordance with the
                  terms of the Indenture, will constitute the legal, valid and
                  binding obligations of the Company entitled to the benefits of
                  the Indenture, subject to applicable bankruptcy, insolvency,
                  fraudulent conveyance, reorganization, moratorium and similar
                  laws affecting creditors' rights and remedies generally, and
                  subject, as to enforceability, to general principles of
                  equity, including principles of commercial reasonableness,
                  good faith and fair dealing (regardless of whether enforcement
                  is sought in a proceeding at law or in equity)

                           (vi) The First Supplemental Indenture (assuming the
                  due authorization, execution and delivery thereof by the
                  trustee thereunder) constitutes the legal, valid and binding
                  obligation of the Company and the subsidiary guarantors named
                  therein, enforceable against each of them in accordance with
                  its terms, subject to applicable bankruptcy, insolvency,
                  fraudulent conveyance, reorganization, moratorium and similar
                  laws affecting creditors' rights and remedies generally, and
                  subject, as to enforceability, to general principles of
                  equity, including principles of commercial reasonableness,
                  good faith and fair dealing (regardless of whether enforcement
                  is sought in a proceeding at law or in equity).

                           (vii) When the Exchange Notes are issued, executed
                  and authenticated in accordance with the terms of the
                  Registration Rights Agreement and the Indenture and the
                  Exchange Guarantees are issued, the Exchange Notes and the
                  Exchange Guarantees will be entitled to the benefits of the
                  Indenture and will constitute the legal, valid and binding
                  obligation of the Company and the Subsidiary Guarantors, as
                  applicable, enforceable against each of them in accordance
                  with its terms, subject to applicable bankruptcy, insolvency,
                  fraudulent conveyance, reorganization, moratorium and similar
                  laws affecting creditors' rights and remedies generally, and
                  subject, as to enforceability, to general principles of
                  equity, including principles of commercial reasonableness,
                  good faith and fair dealing (regardless of whether enforcement
                  is sought in a proceeding at law or in equity).

                           (viii) The Registration Rights Agreement (assuming
                  the due authorization, execution and delivery thereof by the
                  Initial Purchasers) constitutes the legal, valid and binding
                  obligation of the Company and the Subsidiary Guarantors,
                  enforceable against the Company and the Subsidiary Guarantors
                  in accordance with its terms, subject to bankruptcy,
                  insolvency, fraudulent transfer, reorganization, moratorium
                  and similar laws of general applicability relating to or
                  affecting creditors' rights and subject, as to enforceability,
                  to general principles of equity, including principles of
                  commercial reasonableness, good faith and fair dealing
                  (regardless of whether enforcement is sought in a proceeding
                  at law or in equity), and except that rights to
                  indemnification and contribution thereunder may be limited by
                  federal or state securities laws or as to public policy
                  relating thereto.

                                       23
<PAGE>

                           (ix) The Indenture conforms in all material respects
                  to the requirements of the Trust Indenture Act.

                           (x) The statements in the Offering Memorandum under
                  the caption "Description of Other Indebtedness" and
                  "Description of the Notes" insofar as such statements
                  constitute summaries of the legal matters, documents or
                  proceedings referred to therein, fairly summarize the matters
                  referred to therein in all material respects.

                           (xi) The statements made in the Offering Memorandum
                  under the caption "Certain United States Federal Income Tax
                  Considerations," insofar as such statements constitute
                  statements of law or legal conclusions relating to United
                  States federal income tax law, are accurate in all material
                  respects.

                           (xii) The execution and delivery by the Company and
                  the Subsidiary Guarantors of the Operative Documents to which
                  they are a party and the performance by the Company and the
                  Subsidiary Guarantors of their obligations thereunder will not
                  conflict with, constitute a default under or violate (i) any
                  of the terms, conditions or provisions of the Certificate of
                  Incorporation or bylaws of the Company, (ii) any of the terms,
                  conditions or provisions of the documents listed on Schedule
                  II attached hereto, or (iii) any New York or Delaware
                  corporate or federal law or regulation (other than federal and
                  state securities or blue sky laws, as to which we express no
                  opinion in this paragraph).

                  (d) The Initial Purchasers shall have received from Milbank,
Tweed, Hadley & McCloy LLP, counsel for the Initial Purchasers, such opinion or
opinions, dated the Closing Date, with respect to the issuance and sale of the
Notes, the Offering Memorandum and other related matters as the Initial
Purchasers may reasonably require, and the Company and the Subsidiary Guarantors
shall have furnished to such counsel such documents as they may reasonably
request for the purpose of enabling them to pass upon such matters.

                  (e) At the time of execution of this Agreement, the Initial
Purchasers shall have received from the Ernst & Young LLP, in form and substance
satisfactory to the Initial Purchasers, addressed to the Initial Purchasers and
dated the date hereof (i) confirming that they are independent public
accountants within the meaning of the Act and are in compliance with the
applicable requirements relating to the qualification of accountants under Rule
2-01 of Regulation S-X of the Commission and (ii) stating, as of the date hereof
(or, with respect to matters involving changes or developments since the
respective dates as of which specified financial information is given in the
Offering Memorandum, as of a date not more than five days prior to the date
hereof), the conclusions and findings of such firm with respect to the financial
information and other matters ordinarily covered by accountants' "comfort
letters" to underwriters in connection with registered public offerings.

                  (f) With respect to the letter of the Accountants referred to
in the preceding paragraph and delivered to the Initial Purchasers concurrently
with the execution of this Agreement (the "Initial Letter"), each of the
Accountants shall have furnished to the Initial Purchasers letters (the
"Bring-Down Letter"), addressed to the Initial Purchasers and dated the

                                       24
<PAGE>

Closing Date, (i) confirming that they are independent public accountants within
the meaning of the Act and are in compliance with the applicable requirements
relating to the qualification of accountants under Rule 2-01 of Regulation S-X
of the Commission, (ii) stating, as of the Closing Date (or, with respect to
matters involving changes or developments since the respective dates as of which
specified financial information is given in the Offering Memorandum, as of a
date not more than five days prior to the date of the Bring-Down Letter), the
conclusions and findings of such firm with respect to the financial information
and other matters covered by the Initial Letter and (iii) confirming in all
material respects the conclusions and findings set forth in the Initial Letter.

                  (g) The Initial Purchasers shall have received a certificate,
dated the Closing Date, of the President or any Vice President and a principal
financial or accounting officer of the Company in which such officers, to the
best of their knowledge after reasonable investigation, shall state that the
representations and warranties of the Company and the Subsidiary Guarantors in
this Agreement are true and correct, that the Company and each of the Subsidiary
Guarantors have complied with all agreements and satisfied all conditions on
their part to be performed or satisfied hereunder at or prior to the Closing
Date, and that, subsequent to the respective dates of the most recent financial
statements in the Offering Memorandum there has been no material adverse change,
nor any development or event involving a prospective material adverse change, in
the condition (financial or other), business, properties or results of
operations of the Company and its subsidiaries taken as a whole except as set
forth in or contemplated by the Offering Memorandum or as described in such
certificate.

                  (h) Subsequent to the execution and delivery of this
Agreement, (i) no downgrading shall have occurred in the rating accorded the
Company's debt securities by any "nationally recognized statistical rating
organization," as that term is defined by the Commission for purposes of Rule
436(g)(2) under the Act, and (ii) no such organization shall have publicly
announced that it has under surveillance or review, with possible negative
implications, its rating of any of the Company's debt securities.

                  (i) The Notes shall have been designated for trading on
PORTAL.

                  (j) The Company and the Subsidiary Guarantors shall have
executed the Registration Rights Agreement and the Dealer-Manager Agreement and
the Initial Purchasers shall have received executed copies thereof, duly
executed by the Company and the Subsidiary Guarantors.

                  (k) The Company, the Subsidiary Guarantors and the Trustee
shall have executed the Indenture; the Company, the guarantors named therein and
the trustee named therein shall have executed the First Supplemental Indenture
and the Initial Purchasers shall have received executed copies thereof, duly
executed by the parties thereto. The Company shall have duly executed the Notes.

                  (l) There shall exist at and as of the Closing Date no
condition that would constitute a default (or an event that with notice or lapse
of time, or both, would constitute a default) under any Operative Document as in
effect at the Closing Date.

                                       25
<PAGE>

                  (m) (i) Neither the Company nor any of the Subsidiary
Guarantors will have sustained, since the date of the latest audited financial
statements included in the Offering Memorandum, any loss or interference with
its business from fire, explosion, flood or other calamity, whether or not
covered by insurance, or from any labor dispute or court or governmental action,
order or decree, otherwise than as set forth or contemplated in the Offering
Memorandum (exclusive of any amendments or supplements thereto subsequent to the
date of this Agreement) or that would, individually or in the aggregate, result
in a Material Adverse Effect and (ii) since such date, there will have not been
any material decrease in the capital stock or material increase in the long-term
debt of the Company or any of the Subsidiary Guarantors or any material adverse
change, or any development involving a prospective material adverse change, in
or affecting the condition, financial or otherwise, stockholder's equity,
results of operations or business of the Company and the Subsidiary Guarantors
taken as a whole, otherwise than as set forth or contemplated in the Offering
Memorandum, the effect of which, in any such case described in clause (i) or
(ii), is, in the judgment of Lehman Brothers, so material and adverse as to make
it impracticable or inadvisable to proceed with the offering or the delivery of
the Notes and the Guarantees being delivered on the Closing Date on the terms
and in the manner contemplated in the Offering Memorandum.

                  (n) Subsequent to the execution and delivery of this
Agreement, there shall not have occurred any of the following: (i) trading in
securities generally on the New York Stock Exchange, the Nasdaq National Market
or the American Stock Exchange or in the over-the-counter market, or trading in
any securities of the Company on any exchange or in the over-the-counter market,
has been suspended or minimum prices have been established on any such exchange
or such market by the Commission, by such exchange or by any other regulatory
body or governmental authority having jurisdiction; (ii) a material disruption
in securities settlement, payment or clearance services in the United States;
(iii) a banking moratorium has been declared by Federal or state authorities;
(iv) any attack on, outbreak or escalation of hostilities or act of terrorism
involving the United States, any declaration of war by Congress or any other
national or international calamity, crisis or emergency if, in the judgment of
the Initial Purchasers, the effect of any such attack, outbreak, escalation,
act, declaration, calamity, crisis or emergency makes it impractical or
inadvisable to proceed with completion of the offering or sale of and payment
for the Notes; or (v) the occurrence of any other calamity, crisis (including
without limitation as a result of terrorist activities), or material adverse
change in general economic, political or financial conditions (or the effect of
international conditions on the financial markets in the United States shall be
such) as to make it, in the judgment of the Initial Purchasers, impracticable or
inadvisable to proceed with the offering, sale or delivery of the Notes being
delivered on the Closing Date in the manner contemplated in the Offering
Memorandum or that, in the judgment of the Initial Purchasers, would materially
and adversely affect the financial markets or the markets for the Notes and
other debt securities.

                  (o) The Initial Purchasers shall have received an opinion,
dated the Closing Date, of Latham & Watkins LLP, special counsel for the
Company, to the effect that:

                           (i) The execution and delivery of this Agreement, the
         Indenture and the Registration Rights Agreement by the Company and the
         Subsidiary Guarantors, the execution and delivery of the Guarantees and
         the Exchange Guarantees by the Subsidiary

                                       26
<PAGE>

         Guarantors and the execution and delivery of the First Supplemental
         Indenture, the issuance and sale of the Notes and the issuance of the
         Exchange Notes by the Company do not require (i) any consents,
         approvals, or authorizations to be obtained by the Company or any of
         the Subsidiary Guarantors, or (ii) any registrations, declarations or
         filings to be made by the Company or any of the Subsidiary Guarantors,
         in each case, under the Delaware General Corporations Law or any
         federal or New York statute, rule or regulation applicable to the
         Company or any of the Subsidiary Guarantors that have not been obtained
         or made, except for (i) a registration statement by the Company with
         the Commission pursuant to the Act as required by the Registration
         Rights Agreement and (ii) such consents, approvals, authorizations,
         registrations or qualifications as may be required under state
         securities or blue sky laws in connection with the purchase and
         distribution of the Notes by the Initial Purchasers.

                  (ii) As of date of the Offering Memorandum and the Closing
         Date, the statements in the Offering Memorandum under the captions
         "Risk Factors--We rely on reimbursement from governmental programs for
         a majority of our revenues, and we cannot assure you that reimbursement
         levels will not decrease in the future," "Risk Factors--Our industry is
         heavily regulated by the government, which requires our compliance with
         a variety of laws," "Risk Factors--We face periodic reviews, audits and
         investigations under our contracts with federal and state government
         agencies, and these audits could have adverse findings that may
         negatively impact our business," "Risk Factors--We are required to
         comply with laws governing the transmission and privacy of health
         information," "Risk Factors--Healthcare reform legislation may
         adversely affect our business," "Risk Factors--Our operations are
         subject to occupational health and safety regulations," "Risk
         Factors--State efforts to regulate the construction or expansion of
         healthcare providers could impair our ability to expand our
         operations," "Management's Discussion and Analysis of Financial
         Condition and Results of Operations--Governmental Regulation,"
         "Business--Revenue Sources--Overview," "Business--Revenue
         Sources--Reimbursement by Medicaid Programs," "Business--Revenue
         Sources--Reimbursement by Medicare," "Business--Government Regulation"
         and "Business--Legal Proceedings" (other than the last two paragraphs
         thereof) insofar as such statements constitute summaries of the Health
         Care Laws and the legal matters, documents and proceedings relating to
         such Health Care Laws referred to therein, are accurate descriptions or
         summaries in all material respects. For purposes of this opinion,
         "Health Care Laws" means statutes, judicial rulings and decrees, and
         administrative or governmental regulations regulating long-term care
         facilities (including nursing facilities, skilled nursing facilities
         and assisted living facilities), home health agencies, hospices and
         rehabilitation therapy services providers of the United States,
         including, but not limited to, Titles XVIII and XIX of the Social
         Security Act (42 U.S.C. Section 1395 et seq. and 42 U.S.C. Section 1396
         et seq.), the Federal Anti-Kickback Statute (42 U.S.C. Section
         1320a-7(b)), the Stark Law (42 U.S.C. Section 1395nn and Section
         1395(q)), the Civil Monetary Penalties Law (42 U.S.C. Section
         1320a-7a), the Civil False Claims Act (31 U.S.C. Section 3729 et seq.),
         the Health Insurance Portability and Accountability Act of 1996 (Pub.
         L. No. 104-191), the Balanced Budget Act of 1997 (Pub. L. No. 105-33),
         the Balanced Budget Refinement Act of 1999 (Pub. L. No. 106-113), and
         the Medicare, Medicaid and SCHIP Benefits Improvement and Protection
         Act of 2000 (Pub. L. No. 106-554) and regulations

                                       27
<PAGE>

         promulgated thereunder, each only as directly relevant to the
         statements set forth in the Offering Memorandum under certain captions
         set forth above.

                           (iii) Based solely on a certificate of an officer of
         the Company as to factual matters, the Company is not, and immediately
         after giving effect to the sale of the Notes in accordance with this
         Agreement and the application of the proceeds as described in the
         Offering Memorandum under the caption "Use of Proceeds," will not be
         required to be registered as an "investment company" within the meaning
         of the Investment Company Act of 1940, as amended.

                           (iv) It is not necessary in connection with (i) the
         offer, sale and delivery of the Notes and Guarantees by the Company and
         the Subsidiary Guarantors to the Initial Purchasers pursuant to this
         Agreement or (ii) the initial resales of the Notes and Guarantees by
         the Initial Purchasers in the manner contemplated hereby to register
         the Notes or the Guarantees under the Act or to qualify an indenture in
         respect thereof under the Trust Indenture Act.

                           In addition, such counsel shall have furnished to the
         Initial Purchasers a written statement addressed to the Initial
         Purchasers and dated the Closing Date to the effect that based on their
         participation, review and reliance in the preparation of the Offering
         Memorandum, they advise the Initial Purchasers that no facts came to
         their attention that caused them to believe that the Offering
         Memorandum, as of its date or as of the Closing Date (together with the
         incorporated documents as of their dates or as of the Closing Date),
         contained or contains an untrue statement of a material fact or omitted
         or omits to state a material fact necessary to make the statements
         therein, in the light of the circumstances under which they were made,
         not misleading; it being understood that Latham & Watkins LLP will not
         express a belief with respect to (i) the statements included in, or
         omitted from, the Offering Memorandum under the captions "Description
         of the Notes" and "Certain United States Federal Income Tax
         Considerations" and (ii) the financial statements, financial schedules,
         or other financial data included or incorporated by reference in, or
         omitted from, the Offering Memorandum or the incorporated documents.

                  (p) The Initial Purchasers shall have received executed copies
of the Credit Documents, with all schedules and exhibits thereto.

         All opinions, letters, evidence and certificates mentioned above or
elsewhere in this Agreement shall be deemed to be in compliance with the
provisions hereof only if they are in form and substance reasonably satisfactory
to counsel for the Initial Purchasers.

         8. Indemnification and Contribution.

                  (a) The Company and the Subsidiary Guarantors will indemnify
and hold harmless each Initial Purchaser, its affiliates, directors, officers
and employees and each person, if any, who controls any Initial Purchaser within
the meaning of the Act, from and against any loss, claim, damage or liability,
joint or several, or any action in respect thereof (including, but not limited
to, any loss, claim, damage, liability or action relating to purchases and sales
of Notes

                                       28
<PAGE>

and the Guarantees), to which that Initial Purchaser, director, officer,
employee or controlling person may become subject, under the Act or otherwise,
insofar as such loss, claim, damage, liability or action arises out of, or is
based upon, (i) any untrue statement or alleged untrue statement of a material
fact contained (A) in any Preliminary Offering Memorandum or the Offering
Memorandum or in any amendment or supplement thereto or (B) in any Blue Sky
application or other document prepared or executed by the Company or the
Subsidiary Guarantors (or based upon any written information furnished by the
Company or the Subsidiary Guarantors) specifically for the purpose of qualifying
any or all of the Notes under the securities laws of any state or other
jurisdiction (any such application, document or information being hereinafter
called a "Blue Sky Application"), (ii) the omission or alleged omission to state
in the Preliminary Offering Memorandum or the Offering Memorandum, or in any
amendment or supplement thereto, or in any Blue Sky Application any material
fact required to be stated therein or necessary in order to make the statements
therein, in the light of the circumstances under which they were made, not
misleading or (iii) any act or failure to act or any alleged act or failure to
act by any Initial Purchaser in connection with, or relating in any manner to,
the Notes, the Guarantees or the offering contemplated hereby, and which is
included as part of or referred to in any loss, claim, damage, liability or
action arising out of or based upon matters covered by clause (i) or (ii) above
(provided that the Company and the Subsidiary Guarantors will not be liable
under this clause (iii) to the extent that it is determined in a final judgment
by a court of competent jurisdiction that such loss, claim, damage, liability or
action resulted directly from any such acts or failures to act undertaken or
omitted to be taken by such Initial Purchaser through its gross negligence or
willful misconduct), and will reimburse each Initial Purchaser and each such
director, officer, employee or controlling person promptly upon demand for any
legal or other expenses reasonably incurred by that Initial Purchaser, director,
officer, employee or controlling person in connection with investigating or
defending or preparing to defend against any such loss, claim, damage, liability
or action as such expenses are incurred; provided, however, that (I) the Company
and the Subsidiary Guarantors will not be liable in any such case to the extent
that any such loss, claim, damage, liability or action arises out of, or is
based upon, any untrue statement or alleged untrue statement or omission or
alleged omission made in the Preliminary Offering Memorandum or the Offering
Memorandum, or in any such amendment or supplement thereto, or in any Blue Sky
Application, in reliance upon and in conformity with written information
concerning such Initial Purchaser furnished to the Company by or on behalf of
any Initial Purchaser specifically for inclusion therein and (II) with respect
to any untrue statement or alleged untrue statement in, or omission or alleged
omission from, the Preliminary Offering Memorandum, the foregoing indemnity
agreement with respect to the Preliminary Offering Memorandum shall not inure to
the benefit of an Initial Purchaser (or its affiliates, directors, officers and
employees and each person, if any, which controls such Initial Purchaser within
the meaning of the Act) from whom the person asserting any such losses, claims,
damages or liabilities purchased Notes in the initial resale of the Notes if (A)
other than as a result of noncompliance by the Company with Section 5(a) hereof,
a copy of the Offering Memorandum was not sent or given by or on behalf of such
Initial Purchaser to such person at or prior to the written confirmation of the
sale of the Notes to such person and (B) the Offering Memorandum would have
cured the defect giving rise to such losses, claims, damages or liabilities. The
foregoing indemnity agreement is in addition to any liability which the Company
and the Subsidiary Guarantors may otherwise have to any Initial Purchaser or to
any affiliate, director, officer, employee or controlling person of that Initial
Purchaser.

                                       29
<PAGE>

                  (b) Each Initial Purchaser, severally and not jointly, will
indemnify and hold harmless the Company, the Subsidiary Guarantors and their
directors, officers and employees and each person, if any, who controls the
Company or any of the Subsidiary Guarantors within the meaning of the Act, from
and against any loss, claim, damage or liability, joint or several, or any
action in respect thereof, to which the Company, the Subsidiary Guarantors or
such director, officer, employee or controlling person may become subject, under
the Act or otherwise, insofar as such loss, claim, damage, liability or action
arises out of, or is based upon, (i) any untrue statement or alleged untrue
statement of a material fact contained (A) in any Preliminary Offering
Memorandum or the Offering Memorandum, or in any amendment or supplement
thereto, or (B) in any Blue Sky Application or (ii) the omission or alleged
omission to state in any Preliminary Offering Memorandum or the Offering
Memorandum, or in any amendment or supplement thereto, or in any Blue Sky
Application any material fact required to be stated therein or necessary in
order to make the statements therein, in the light of the circumstances under
which they were made, not misleading, but in each case only to the extent that
the untrue statement or alleged untrue statement or omission or alleged omission
was made in reliance upon and in conformity with written information concerning
such Initial Purchaser furnished to the Company by or on behalf of that Initial
Purchaser specifically for inclusion therein, and will reimburse the Company,
the Subsidiary Guarantors and any such director, officer, employee or
controlling person for any legal or other expenses reasonably incurred by the
Company, the Subsidiary Guarantors or any such director, officer, employee or
controlling person in connection with investigating or defending or preparing to
defend against any such loss, claim, damage, liability or action as such
expenses are incurred. The foregoing indemnity agreement is in addition to any
liability which any Initial Purchaser may otherwise have to the Company, the
Subsidiary Guarantors or any such director, officer, employee or controlling
person.
                  (c) Promptly after receipt by an indemnified party under this
Section 8 of notice of any claim or the commencement of any action, the
indemnified party will, if a claim in respect thereof is to be made against the
indemnifying party under this Section 8, notify the indemnifying party in
writing of the claim or the commencement of that action; provided, however, that
the failure to notify the indemnifying party will not relieve it from any
liability which it may have under this Section 8 except to the extent it has
been materially prejudiced by such failure and, provided, further, that the
failure to notify the indemnifying party will not relieve it from any liability
which it may have to an indemnified party otherwise than under this Section 8.
If any such claim or action is brought against an indemnified party, and it
notifies the indemnifying party thereof, the indemnifying party will be entitled
to participate therein and, to the extent that it wishes, jointly with any other
similarly notified indemnifying party, to assume the defense thereof with
counsel reasonably satisfactory to the indemnified party. After notice from the
indemnifying party to the indemnified party of its election to assume the
defense of such claim or action, the indemnifying party will not be liable to
the indemnified party under this Section 8 for any legal or other expenses
subsequently incurred by the indemnified party in connection with the defense
thereof other than reasonable costs of investigation; provided, however, that
the Initial Purchasers will have the right to employ counsel, at the expense of
Company and the Subsidiary Guarantors, to represent jointly the Initial
Purchasers and their respective directors, officers, employees and controlling
persons who may be subject to liability arising out of any claim in respect of
which indemnity may be sought by the Initial Purchasers against the Company or
any of the Subsidiary Guarantors under this Section 8 if, in the

                                       30
<PAGE>

reasonable judgment of the Initial Purchasers, it is advisable for the Initial
Purchasers and those directors, officers, employees and controlling persons to
be jointly represented by separate counsel, and in that event the fees and
expenses of such separate counsel will be paid by the Company. No indemnifying
party will (i) without the prior written consent of the indemnified parties
(which consent will not be unreasonably withheld), settle or compromise or
consent to the entry of any judgment with respect to any pending or threatened
claim, action, suit or proceeding in respect of which indemnification or
contribution may be sought hereunder (whether or not the indemnified parties are
actual or potential parties to such claim or action), unless such settlement,
compromise or consent includes an unconditional release of each indemnified
party from all liability arising out of such claim, action, suit or proceeding
and does not include any statement as to or any admission of fault, culpability
or failure to act by or on behalf of any Indemnified Party, or (ii) be liable
for any settlement of any such action effected without its written consent
(which consent will not be unreasonably withheld), but if settled with the
written consent of the indemnifying party or if there be a final judgment of the
plaintiff in any such action, the indemnifying party agrees to indemnify and
hold harmless any indemnified party from and against any loss or liability by
reason of such settlement or judgment.

                  (d) If the indemnification provided for in this Section 8 is
for any reason unavailable to or insufficient to hold harmless an indemnified
party under Section 8(a) or 8(b) in respect of any loss, claim, damage or
liability, or any action in respect thereof, referred to therein, then each
indemnifying party will, in lieu of indemnifying such indemnified party,
contribute to the amount paid or payable by such indemnified party as a result
of such loss, claim, damage or liability, or action in respect thereof, (i) in
such proportion as is appropriate to reflect the relative benefits received by
the Company on the one hand and the Initial Purchasers on the other from the
offering of the Notes and the Guarantees or (ii) if the allocation provided by
clause (i) above is not permitted by applicable law, in such proportion as is
appropriate to reflect not only the relative benefits referred to in clause (i)
above, but also the relative fault of the Company on the one hand and the
Initial Purchasers on the other with respect to the statements or omissions
which resulted in such loss, claim, damage or liability, or action in respect
thereof, as well as any other relevant equitable considerations. The relative
benefits received by the Company on the one hand and the Initial Purchasers on
the other with respect to such offering will be deemed to be in the same
proportion as the total net proceeds from the offering of the Notes and the
Guarantees purchased under this Agreement (before deducting expenses) received
by the Company, on the one hand, and the total discounts and commissions
received by the Initial Purchasers with respect to the Notes and the Guarantees
purchased under this Agreement, on the other hand, bear to the total gross
proceeds from the offering of the Notes and the Guarantees under this Agreement
as set forth on the cover page of the Offering Memorandum. The relative fault
will be determined by reference to whether the untrue or alleged untrue
statement of a material fact or omission or alleged omission to state a material
fact relates to information supplied by the Company or the Initial Purchasers,
the intent of the parties and their relative knowledge, access to information
and opportunity to correct or prevent such statement or omission. The Company,
the Subsidiary Guarantors and the Initial Purchasers agree that it would not be
just and equitable if contributions pursuant to this Section 8 were to be
determined by pro rata allocation (even if the Initial Purchasers were treated
as one entity for such purpose) or by any other method of allocation which does
not take into account the equitable considerations referred to herein. The
amount paid or payable by an indemnified party

                                       31
<PAGE>

as a result of the loss, claim, damage or liability, or action in respect
thereof, referred to above in this Section 8 will be deemed to include, for
purposes of this Section 8(d), any legal or other expenses reasonably incurred
by such indemnified party in connection with investigating or defending any such
action or claim. Notwithstanding the provisions of this Section 8(d), no Initial
Purchaser will be required to contribute any amount in excess of the amount by
which the total discounts and commissions received by it exceeds the amount of
any damages which such Initial Purchaser has otherwise paid or become liable to
pay by reason of any untrue or alleged untrue statement or omission or alleged
omission. No person guilty of fraudulent misrepresentation (within the meaning
of Section 11(f) of the Act) will be entitled to contribution from any person
who was not guilty of such fraudulent misrepresentation. The Initial Purchasers'
obligations to contribute as provided in this Section 8(d) are several in
proportion to their respective obligations and not joint.

                  (e) The Initial Purchasers severally confirm and the Company
and the Subsidiary Guarantors acknowledge that the statements with respect to
the offering of the Notes by the Initial Purchasers set forth in the second
sentence in the italicized paragraph on the front cover of the Offering
Memorandum, the fifth, sixth, eighth, ninth and eleventh paragraphs and the
fourth and fifth sentences of the twelfth paragraph under the caption "Plan of
Distribution" in the Offering Memorandum are correct and constitute the only
information concerning the Initial Purchasers furnished in writing to the
Company by or on behalf of the Initial Purchasers specifically for inclusion in
the Offering Memorandum.

         9. Defaulting Initial Purchasers.

                  If, on the Closing Date, any Initial Purchaser defaults in the
performance of its obligations under this Agreement, the remaining
non-defaulting Initial Purchaser will be obligated to purchase the Notes that
the defaulting Initial Purchaser agreed but failed to purchase on the Closing
Date in the respective proportions that the principal amount of Notes set forth
opposite the name of the remaining non-defaulting Initial Purchaser in Schedule
I hereto bears to the total principal amount of Notes set forth opposite the
name of the remaining non-defaulting Initial Purchaser in Schedule I hereto;
provided, however, that the remaining non-defaulting Initial Purchaser will not
be obligated to purchase any of the Notes on the Closing Date if the total
number of Notes that the defaulting Initial Purchaser agreed but failed to
purchase on such date exceeds 9.09% of the total amount of Notes to be purchased
on the Closing Date, and the remaining non-defaulting Initial Purchaser will not
be obligated to purchase more than 110% of the amount of Notes that it agreed to
purchase on the Closing Date pursuant to the terms of Section 3. If the
foregoing maximums are exceeded, the remaining non-defaulting Initial Purchaser,
or those other initial purchasers satisfactory to the Initial Purchaser who so
agree, will have the right, but will not be obligated, to purchase, in such
proportion as may be agreed upon among them, all the Notes to be purchased on
the Closing Date. If the remaining Initial Purchaser or other initial purchasers
satisfactory to the Initial Purchaser do not elect to purchase the Notes that
the defaulting Initial Purchaser agreed but failed to purchase on the Closing
Date, this Agreement will terminate without liability on the part of any
non-defaulting Initial Purchaser or the Company or any of the Subsidiary
Guarantors, except that the Company and the Subsidiary Guarantors will continue
to be liable for the payment of expenses to the extent set forth in Sections 6
and 11 hereof.

                                       32
<PAGE>

                  Nothing contained herein will relieve a defaulting Initial
Purchaser of any liability it may have to the Company and the Subsidiary
Guarantors for damages caused by its default. If the other Initial Purchaser is
obligated or agrees to purchase the Notes of a defaulting or withdrawing Initial
Purchaser, the Company may postpone the Closing Date for up to seven full
Business Days in order to effect any changes that in the opinion of counsel for
the Company or counsel for the Initial Purchasers may be necessary in the
Offering Memorandum or in any other document or arrangement.

         10. Termination. The obligations of the Initial Purchasers hereunder
may be terminated by the Initial Purchasers by notice given to and received by
the Company prior to delivery of and payment for the Notes if, prior to that
time, any of the events described in Section 7(h), (m) or (n) have occurred or
if the Initial Purchasers decline to purchase the Notes for any reason permitted
under this Agreement.

         11. Reimbursement of Initial Purchasers' Expenses. If the Company and
the Subsidiary Guarantors fail to tender the Notes and the Guarantees for
delivery to the Initial Purchasers by reason of any failure, refusal or
inability on the part of the Company and the Subsidiary Guarantors to perform
any agreement on their part to be performed, or because any other condition of
the obligations hereunder required to be fulfilled by the Company or any of the
Subsidiary Guarantors is not fulfilled, the Company and the Subsidiary
Guarantors will reimburse the Initial Purchasers for all reasonable
out-of-pocket expenses (including reasonable fees and disbursements of counsel)
incurred by the Initial Purchasers in connection with this Agreement and the
proposed purchase of the Notes, and upon demand the Company and the Subsidiary
Guarantors will pay the full amount thereof to the Initial Purchasers. If this
Agreement is terminated pursuant to Section 9 hereof by reason of the default of
one or more Initial Purchasers, neither the Company nor any of the Subsidiary
Guarantors will be obligated to reimburse any defaulting Initial Purchaser on
account of those expenses.

         12. Notices, etc. All statements, requests, notices and agreements
hereunder will be in writing, and:

                  (a) if to any Initial Purchaser, will be delivered or sent by
hand or overnight delivery, mail, telex or facsimile transmission to Lehman
Brothers Inc., 745 Seventh Avenue, New York, New York 10019, Attention:
Syndicate Department (Fax: (212) 526-0943), with a copy to Milbank, Tweed,
Hadley & McCloy LLP, One Chase Manhattan Plaza, New York, New York 10005,
Attention: Marcelo A. Mottesi (Fax: (650) 739-7134), and with a copy, in the
case of any notice pursuant to Section 8(c) hereof, to the Director of
Litigation, Office of the General Counsel, Lehman Brothers Inc., 399 Park
Avenue, New York, New York 10022; and

                  (b) if to the Company or any Subsidiary Guarantor, shall be
delivered or sent by mail, telex or facsimile transmission to the address of the
Company set forth in the Offering Memorandum, Attention: Chief Financial Officer
(Fax: (479) 201-5501; Telephone: (479) 201-5510) and Attention: John Arena,
General Counsel-Corporate (Fax: (479) 478-1883; Telephone: (479) 201-4813) with
a copy to Latham & Watkins LLP, Attention: Steven Della Rocca Esq. (Fax: (212)
751-4864; Telephone: (212) 906-1330).

                                       33
<PAGE>

                  Any such statements, requests, notices or agreements will take
effect at the time of receipt thereof. The Company and the Subsidiary Guarantors
will be entitled to act and rely upon any request, consent, notice or agreement
given or made on behalf of the Initial Purchasers by Lehman Brothers.

         13. Persons Entitled to Benefit of Agreement. This Agreement will inure
to the benefit of and be binding upon the Initial Purchasers, the Company, the
Subsidiary Guarantors and their respective successors. This Agreement and the
terms and provisions hereof are for the sole benefit of only those persons,
except that (i) the representations, warranties, indemnities and agreements of
the Company and the Subsidiary Guarantors contained in this Agreement will also
be deemed to be for the benefit of the person or persons, if any, who control
any Initial Purchaser within the meaning of Section 15 of the Act and (ii) the
indemnity agreement of the Company and the Subsidiary Guarantors contained in
Section 8(a) of this Agreement will be deemed for the benefit of the directors,
officers and any person controlling any of the Initial Purchasers within the
meaning of Section 15 of the Act; and (iii) the indemnity agreement of the
Initial Purchasers contained in Section 8(b) of this Agreement will be deemed to
be for the benefit of the directors, officers and any person controlling the
Company or any of the Subsidiary Guarantors within the meaning of Section 15 of
the Act. Nothing in this Agreement is intended or will be construed to give any
person, other than the persons referred to in this Section 13, any legal or
equitable right, remedy or claim under or in respect of this Agreement or any
provision contained herein.

         14. Survival. The respective indemnities, representations, warranties
and agreements of the Company, the Subsidiary Guarantors and the Initial
Purchasers contained in this Agreement or made by or on behalf of any of them,
respectively, pursuant to this Agreement, will survive the delivery of and
payment for the Notes and the Guarantees and will remain in full force and
effect, regardless of any investigation made by or on behalf of any of them or
any person controlling any of them.

         15. Definition of the Term "Business Day". For purposes of this
Agreement, "Business Day" means any day on which the New York Stock Exchange,
Inc. is open for trading.

         16. Governing Law. THIS AGREEMENT WILL BE GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK.

         17. Counterparts. This Agreement may be executed in one or more
counterparts and, if executed in more than one counterpart, the executed
counterparts will each be deemed to be an original but all such counterparts
will together constitute one and the same instrument.

         18. Headings. The headings herein are inserted for convenience of
reference only and are not intended to be part of, or to affect the meaning or
interpretation of, this Agreement.

            [The remainder of this page is intentionally left blank.]

                                       34
<PAGE>

         If the foregoing correctly sets forth the agreement among the Company,
the Subsidiary Guarantors and the Initial Purchasers, please indicate your
acceptance in the space provided for that purpose below.

                            Very truly yours,

                            BEVERLY ENTERPRISES, INC.

                        By: /s/ JOHN G. ARENA
                            -----------------------------
                        Name: John G. Arena
                        Title: Assistant Secretary

                        4F FUNDING, INC.
                        AEDON HOMECARE - HOUSTON, LLC
                        AEDON HOMECARE - MINNESOTA, LLC
                        AEDON HOMECARE, LLC
                        AEDON STAFFING, LLC
                        AEGIS THERAPIES - OREGON, INC.
                        AEGIS THERAPIES - WISCONSIN, INC.
                        AEGIS THERAPIES, INC.
                        AEGIS THERAPIES-FLORIDA, INC.
                        AFFIRMACARE, LLC
                        AGI-CAMELOT, INC.
                        ASERACARE HOSPICE - BIRMINGHAM, LLC
                        ASERACARE HOSPICE - CORINTH, LLC
                        ASERACARE HOSPICE - DEMOPOLIS, LLC
                        ASERACARE HOSPICE - HAMILTON, LLC
                        ASERACARE HOSPICE - JACKSON, LLC
                        ASERACARE HOSPICE - MARSHALL COUNTY, LLC
                        ASERACARE HOSPICE - MEMPHIS, LLC
                        ASERACARE HOSPICE - MERIDIAN, LLC
                        ASERACARE HOSPICE - MONROEVILLE, LLC
                        ASERACARE HOSPICE - NEW ALBANY, LLC
                        ASERACARE HOSPICE - NEW HORIZONS, LLC
                        ASERACARE HOSPICE - PHILADELPHIA, LLC
                        ASERACARE HOSPICE - RUSSELLVILLE, LLC
                        ASERACARE HOSPICE - SENATOBIA, LLC
                        ASERACARE HOSPICE - TENNESSEE, LLC
                        BEVERLY - BELLA VISTA HOLDING, INC.
                        BEVERLY - MISSOURI VALLEY HOLDING, INC.

<PAGE>

                        BEVERLY - RAPID CITY HOLDING, INC.
                        BEVERLY ENTERPRISES - ALABAMA, INC.
                        BEVERLY ENTERPRISES - ARIZONA, INC.
                        BEVERLY ENTERPRISES - ARKANSAS, INC.
                        BEVERLY ENTERPRISES - CALIFORNIA, INC.
                        BEVERLY ENTERPRISES - DELAWARE, INC.
                        BEVERLY ENTERPRISES - DISTRICT OF COLUMBIA, INC.
                        BEVERLY ENTERPRISES - FLORIDA, INC.
                        BEVERLY ENTERPRISES - GARDEN TERRACE, INC.
                        BEVERLY ENTERPRISES - GEORGIA, INC.
                        BEVERLY ENTERPRISES - HAWAII, INC.
                        BEVERLY ENTERPRISES - ILLINOIS, INC.
                        BEVERLY ENTERPRISES - INDIANA, INC.
                        BEVERLY ENTERPRISES - KANSAS, LLC
                        BEVERLY ENTERPRISES - KENTUCKY, INC.
                        BEVERLY ENTERPRISES - MARYLAND, INC.
                        BEVERLY ENTERPRISES - MASSACHUSETTS, INC.
                        BEVERLY ENTERPRISES - MINNESOTA, LLC
                        BEVERLY ENTERPRISES - MISSISSIPPI, INC.
                        BEVERLY ENTERPRISES - MISSOURI, INC.
                        BEVERLY ENTERPRISES - NEBRASKA, INC.
                        BEVERLY ENTERPRISES - NEW JERSEY, INC.
                        BEVERLY ENTERPRISES - NORTH CAROLINA, INC.
                        BEVERLY ENTERPRISES - OHIO, INC.
                        BEVERLY ENTERPRISES - OREGON, INC.
                        BEVERLY ENTERPRISES - PENNSYLVANIA, INC.
                        BEVERLY ENTERPRISES - SOUTH CAROLINA, INC.
                        BEVERLY ENTERPRISES - TENNESSEE, INC.
                        BEVERLY ENTERPRISES - TEXAS, INC.
                        BEVERLY ENTERPRISES - VIRGINIA, INC.
                        BEVERLY ENTERPRISES - WASHINGTON, INC.
                        BEVERLY ENTERPRISES - WEST VIRGINIA, INC.
                        BEVERLY ENTERPRISES - WISCONSIN, INC.
                        BEVERLY ENTERPRISES INTERNATIONAL LIMITED
                        BEVERLY HEALTH AND REHABILITATION SERVICES, INC.
                        BEVERLY HEALTHCARE - CALIFORNIA, INC.

<PAGE>

                        BEVERLY HEALTHCARE - ROCHESTER MN, LLC
                        BEVERLY HEALTHCARE MANAGEMENT - MN, LLC
                        BEVERLY HEALTHCARE, LLC
                        BEVERLY MANOR INC. OF HAWAII
                        BEVERLY SAVANA CAY MANOR, INC.
                        BEVERLY-INDIANAPOLIS, LLC
                        BEVRD, LLC
                        CERES SELECT, LLC
                        CERES STRATEGIES MEDICAL SERVICES, LLC
                        CERES STRATEGIES, INC.
                        COMMERCIAL MANAGEMENT, INC.
                        COMMUNITY CARE, INC.
                        COMPASSION AND PERSONAL CARE SERVICES, INC.
                        EASTERN HOME HEALTH SUPPLY & EQUIPMENT CO., INC.
                        HALE NANI, INC.
                        HALLMARK CONVALESCENT HOMES, INC.
                        HOMECARE PREFERRED CHOICE, INC.
                        HOSPICE OF EASTERN CAROLINA, INC.
                        HOSPICE PREFERRED CHOICE, INC.
                        LARES CARE RESOURCE, LLC
                        LIBERTY NURSING HOMES, INCORPORATED
                        MATRIX OCCUPATIONAL HEALTH, INC.
                        MATRIX WELLNESS, LLC
                        MEDICAL ARTS HEALTH FACILITY OF LAWRENCEVILLE, INC.
                        MODERNCARE OF LUMBERTON, INC.
                        NEBRASKA CITY S-C-H, INC.
                        NURSING HOME OPERATORS, INC.
                        PETERSEN HEALTH CARE, INC.
                        SOUTH ALABAMA NURSING HOME, INC.
                        SOUTH DAKOTA - BEVERLY ENTERPRISES, INC.
                        SOUTHEASTERN HOME MEDICAL EQUIPMENT - ALABAMA, LLC
                        SOUTHEASTERN HOME MEDICAL EQUIPMENT - MISSISSIPPI, LLC
                        SOUTHEASTERN HOME MEDICAL EQUIPMENT - TENNESSEE, LLC
                        SPECTRA HEALTHCARE ALLIANCE, INC.
                        TAR HEEL INFUSION COMPANY, INC.
                        TMD DISPOSITION COMPANY

<PAGE>

                        VANTAGE HEALTHCARE CORPORATION
                        VIZIA HEALTHCARE DESIGN GROUP, LLC

                        By: /s/ JOHN G. ARENA
                           ------------------------
                        Name: John G. Arena
                        Title: Secretary

<PAGE>

Accepted:

Lehman Brothers Inc.
J.P. Morgan Securities Inc.

By Lehman Brothers Inc.
         AS AUTHORIZED REPRESENTATIVE

By:  /s/ STEPHEN MEHOS
    ------------------------
Name: Stephen Mehos
Title: Managing Director
<PAGE>

                                                                      SCHEDULE I

<Table>
<Caption>
                                                            PRINCIPAL
                                                            AMOUNT OF
                                                           NOTES TO BE
    INITIAL PURCHASERS                                      PURCHASED
    ------------------                                    ------------
<S>                                                       <C>
Lehman Brothers Inc...................................    $129,000,000
J.P. Morgan Securities Inc............................      86,000,000
                                                          ------------
  Total ..............................................    $215,000,000
                                                          ============
</Table>

<PAGE>

                                                                     SCHEDULE II

1.       Subordinated Indenture dated as of October 22, 2003 by and between the
         Company and The Bank of New York, as trustee

2.       The First Supplemental Indenture dated as of October 22, 2003 by and
         between the Company and The Bank of New York, as trustee, governing the
         Company's 2.75% Convertible Subordinated Notes due 2033

3.       Indenture, dated as of April 25, 2001, among the Company, the
         corporations listed on the signature pages thereto and the Bank of New
         York, as trustee, as modified and supplemented by the First
         Supplemental Indenture dated October 22, 2003 governing the Company's
         9 5/8% Senior Notes due 2009

4.       Credit Agreement, dated as of October 22, 2003, among the Company, the
         lenders party thereto, Lehman Commercial Paper Inc., as Administrative
         Agent, the arranger, the co-arrangers and the other agents named
         therein, as modified and amended by the First Amendment to the Credit
         Agreement, dated as of May 13, 2004, and the Second Amendment to the
         Credit Agreement, to be dated as of June 25, 2004

                                       1

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00070-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00070-of-00352.parquet"}]]