Document:

<PAGE>   1
Exhibit 10.12

                    FIFTH AMENDMENT TO STOCK PLEDGE AGREEMENT

         This Fifth Amendment Agreement (this "Amendment") to that certain Stock
Pledge Agreement (as amended, the "Stock Pledge Agreement") entered into as of
April 18, 2000 by and among Balanced Care Corporation, a Delaware corporation
("BCC"), the other parties identified as Pledgors on the signature pages hereto,
all of which are Delaware corporations and are wholly-owned subsidiaries of BCC
(collectively referred to herein as "Subsidiaries", and together with BCC,
collectively the "Pledgor"), the parties identified as Companies on the
signature pages hereto, all of which are Delaware corporations (individually, a
"Company" and collectively, the "Companies"), FRR Investments Limited, a Cayman
Islands corporation ("FRR"), and IPC Advisors S.A.R.L., a Luxembourg corporation
("IPC"), is entered into as of this 7th day of March, 2001 by and among the
Pledgor, the Companies, FRR, IPC, HR Investments Limited, a Cayman Islands
corporation ("HR"), RH Investments Limited, a Cayman Islands corporation ("RH")
and VXM Investments Limited, a Cayman Islands corporation ("VXM") (FRR, IPC, HR,
RH and VXM are collectively referred to as the "Secured Party").

         WITNESSETH:

         WHEREAS BCC is issuing a Promissory Note (the "Promissory Note") dated
March 7, 2001 in favor of VXM in the original principal amount of $850,000,
evidencing a loan (the "Loan") to BCC by VXM in the original principal amount of
$850,000, the proceeds of which have been advanced to BCC;

         AND WHEREAS Pledgor, being all of the shareholders of the Companies,
has received a direct benefit from the consummation of the transactions
evidenced by the Promissory Note;

         NOW THEREFORE, the parties hereby agree as follows:

1.       INCORPORATION OF RECITALS; DEFINITIONS.

         The recitals set forth above are incorporated herein by reference and
are made a part hereof to the same extent as if such recitals were set forth
herein. Capitalized terms used but not defined herein shall have the meanings
ascribed to them in the Stock Pledge Agreement.

2.       EQUITY PLEDGE.

<PAGE>   2

         (a)      Section 1 of the Stock Pledge Agreement is hereby amended and
                  restated in its entirety as follows:

                  "1. (i) Pledgor hereby pledges, grants a security interest in,
                  mortgages, assigns, transfers, delivers, sets over and
                  confirms unto Secured Party, its successors and assigns, all
                  of Pledgor's right, title and interest in and to all Equity
                  Interests owned by Pledgor with respect to the Companies
                  listed on Schedule 2A attached hereto and incorporated herein
                  (collectively, the "Approved Pledged Interests"), and delivers
                  to FRR, as agent for itself, IPC, HR Investments Limited
                  ("HR"), RH Investments Limited ("RH") and VXM Investments
                  Limited ("VXM"), the certificates representing or evidencing
                  the Approved Pledged Interests on the date hereof, which
                  certificates are listed on Schedule 3A attached hereto and
                  incorporated herein (collectively, the "Approved
                  Certificates"), with equity powers attached duly endorsed in
                  blank by each Pledgor, receipt of which is acknowledged by
                  FRR, as agent for itself, IPC, HR, RH and VXM. The Approved
                  Pledged Interests shall be security for Pledgor's complete
                  payment and performance of: (a) Pledgor's obligations under
                  that certain promissory note dated March 7, 2001 in favor of
                  VXM in the original principal amount of $850,000, (b)
                  Pledgor's obligations under that certain promissory note dated
                  February 9, 2001 in favor of VXM in the original principal
                  amount of $750,000, (c) Pledgor's obligations under the
                  promissory notes dated December 7, 2000 in favor of HR, RH and
                  VXM in the original principal amounts of $500,000, $500,000
                  and $500,000, respectively; (d) Pledgor's obligations under
                  the promissory notes dated November 6, 2000 in favor of HR, RH
                  and VXM, in the original principal amounts of $2,166,666.67,
                  $2,166,666.67 and $2,166,666.66, respectively, and the
                  Indemnification Agreement (clauses (a), (b), (c) and (d)
                  collectively, "Loan Documents") and (e) all other past,
                  present and future obligations of Pledgor to any Secured Party
                  which the Secured Party makes subject to this Agreement in its
                  sole discretion by notice in writing given by such Secured
                  Party to Pledgor (clauses (a), (b), (c), (d) and (e)
                  collectively, the "Secured Obligations").

                  (ii) Subject to the express condition on effectiveness set
                  forth in Section (iii) below, Pledgor hereby pledges, grants a
                  security interest in, mortgages,

<PAGE>   3

                  assigns, transfers, delivers, sets over and confirms unto
                  Secured Party, its successors and assigns, all of Pledgor's
                  right, title and interest in and to all Equity Interests owned
                  by Pledgor with respect to the Companies listed on Schedule 2B
                  attached hereto and incorporated herein (collectively, the
                  "Non-Approved Pledged Interests"), and delivers to FRR, as
                  agent for itself, IPC, HR, RH and VXM the certificates
                  representing or evidencing the Non-Approved Pledged Interests
                  on the date hereof, which certificates are listed on Schedule
                  3B attached hereto and incorporated herein (collectively, the
                  "Non-Approved Certificates"), with equity powers attached duly
                  endorsed in blank by each Pledgor, receipt of which is
                  acknowledged by FRR, as agent for itself, IPC, HR, RH and VXM.
                  The Non-Approved Pledged Interests shall be security for
                  Pledgor's complete payment and performance of the Secured
                  Obligations. Hereinafter, the Approved Pledged Interests and
                  the Non-Approved Pledged Interests shall be collectively
                  referred to herein as the "Pledged Interests".

                  (iii) The Pledgor's pledge in Section (ii) above shall not
                  become effective with respect to the Non-Approved Pledged
                  Interests unless and until the Pledgor has obtained the
                  written consent of Heller Healthcare Finance, Inc. ("Heller")
                  to execute that certain Third Amendment to Stock Pledge
                  Agreement dated as of January 5, 2001 (the "Third Amendment")
                  executed by and among the Pledgor, the Companies and the
                  Secured Party. On the date hereof, Heller has not given its
                  consent to the Third Amendment.

                  (iv) Upon the payment and satisfaction in full of the Secured
                  Obligations, this Agreement and the security interests granted
                  hereby in the Pledged Interests shall be released (with FRR,
                  as agent for itself, IPC, HR, RH and VXM returning all
                  certificates evidencing Pledged Interests and the Secured
                  Party taking such other action as Pledgor may reasonably
                  request to release the security interests granted hereby).

3.       MISCELLANEOUS.

         (a)      Except as expressly amended or modified by this Amendment, the
                  terms and conditions of the Stock Pledge Agreement shall
                  remain in full force and effect.

<PAGE>   4

         (b)      Each Pledgor hereby reaffirms and restates the representations
                  and warranties set forth in the Stock Pledge Agreement, as
                  amended by this Agreement, and all such representations and
                  warranties shall be true and correct on the date hereof
                  (unless expressly related to an earlier date) with the same
                  force and effect as if made on such date. Each Pledgor
                  represents and warrants (which representations and warranties
                  shall survive the execution and delivery hereof) to the
                  Secured Party that on the date hereof:

                  i.       It has the corporate power and authority to execute,
                           deliver and carry out the terms and provisions of
                           this Agreement and the transactions contemplated
                           hereby and has taken or caused to be taken all
                           necessary corporate action to authorize the
                           execution, delivery and performance of this Agreement
                           and the transactions contemplated hereby;

                  ii.      Except as already obtained, no consent of any other
                           person (including, without limitation, shareholders
                           or creditors of any Pledgor), and no action of, or
                           filing with any governmental or public body or
                           authority is required to authorize, or is otherwise
                           required in connection with the execution, delivery
                           and performance of this Agreement;

                  iii.     This Agreement has been duly executed and delivered
                           on behalf of each Pledgor by a duly authorized
                           officer, and constitutes a legal, valid and binding
                           obligation of each Pledgor enforceable in accordance
                           with its terms, subject to bankruptcy,
                           reorganization, insolvency, moratorium and other
                           similar laws affecting the enforcement of creditors'
                           rights generally and the exercise of judicial
                           discretion in accordance with general principles of
                           equity; and

                  iv.      The execution, delivery and performance of this
                           Agreement will not violate any law, statute or
                           regulation, or any order or decree of any court or
                           governmental instrumentality having jurisdiction over
                           any Pledgor, any Company or any property owned by any
                           Pledgor or any Company, or conflict with, or result
                           in the breach of, or constitute a default under any
                           contractual obligation of any Pledgor or any Company.

<PAGE>   5

         (c)      This Amendment may be executed in one or more counterparts,
                  each of which shall constitute an original but all of which
                  shall constitute one and the same instrument. Delivery of an
                  executed counterpart of a signature page to this Agreement by
                  telecopier shall be effective as delivery of a manually
                  executed signature page hereto.

         (d)      This Amendment may be amended only by a writing signed by all
                  of the parties hereto.

         (e)      This Amendment and the construction and enforcement hereof
                  shall be governed in all respects by the laws of the
                  Commonwealth of Pennsylvania exclusive of its conflicts of
                  laws principles.

         [This Portion of the Page Intentionally Left Blank]

<PAGE>   6

IN WITNESS WHEREOF, Pledgor, each Company and Secured Party have caused this
Amendment to be duly executed and delivered under hand and seal, all as of the
day and year first above written.

                                    PLEDGOR:

                                    BALANCED CARE CORPORATION

                                    By: /s/ Robin L. Barber
                                    Name: Robin L. Barber
                                    Title:  Senior Vice President and Legal
                                    Counsel

                                    BALANCED CARE REALTY I, INC.
                                    BALANCED CARE REALTY II, INC.
                                    BALANCED CARE REALTY III, INC.
                                    BALANCED CARE REALTY IV, INC.
                                    BALANCED CARE REALTY V, INC.
                                    BALANCED CARE REALTY VI, INC.
                                    BALANCED CARE REALTY VII, INC.
                                    BALANCED CARE REALTY VIII, INC.
                                    BALANCED CARE REALTY IX, INC.
                                    BALANCED CARE REALTY X, INC.
                                    BALANCED CARE REALTY XI, INC.
                                    BALANCED CARE REALTY XII, INC.
                                    BALANCED CARE REALTY XIII, INC.
                                    BALANCED CARE REALTY XIV, INC.
                                    BALANCED CARE REALTY XV, INC.
                                    BALANCED CARE REALTY XVI, INC.
                                    BALANCED CARE REALTY XVII, INC.
                                    BALANCED CARE REALTY XVIII, INC.
                                    BALANCED CARE REALTY XIX, INC.
                                    BALANCED CARE REALTY XX, INC.
                                    BALANCED CARE REALTY XXI, INC.
                                    BALANCED CARE REALTY XXII, INC.
                                    BALANCED CARE REALTY XXIII, INC.
                                    BALANCED CARE REALTY XXIV, INC.
                                    BALANCED CARE REALTY XXV, INC.

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

<PAGE>   7

                                    PLEDGOR:

                                    BALANCED CARE REALTY XXVI, INC.
                                    BALANCED CARE REALTY XXVII, INC.
                                    BALANCED CARE REALTY XXVIII, INC.
                                    BALANCED CARE REALTY XXIX, INC.
                                    BALANCED CARE REALTY XXX, INC.
                                    BALANCED CARE REALTY XXXI, INC.
                                    BALANCED CARE REALTY XXXII, INC.
                                    BALANCED CARE REALTY XXXIII, INC.
                                    BALANCED CARE REALTY XXXIV, INC.
                                    BALANCED CARE REALTY XXXV, INC.
                                    BALANCED CARE REALTY XXXVI, INC.
                                    BALANCED CARE REALTY XXXVII, INC.
                                    BALANCED CARE REALTY XXXVIII, INC.
                                    BALANCED CARE REALTY XXXIX, INC.
                                    BCC AT HARRISBURG, INC.
                                    BALANCED CARE AT TALLAHASSEE, INC.
                                    BALANCED CARE AT PENSACOLA, INC.
                                    BALANCED CARE AT HILLIARD, INC.
                                    BALANCED CARE AT AKRON, INC.
                                    BALANCED CARE AT YORK, INC.
                                    BALANCED CARE AT HAGERSTOWN, INC.
                                    BALANCED CARE AT BRISTOL, INC.
                                    BALANCED CARE AT JOHNSON CITY, INC.
                                    BALANCED CARE AT MURFREESBORO, INC.
                                    BALANCED CARE AT TEAY'S VALLEY, INC.

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

                                    COMPANIES:

                                    BALANCED CARE REALTY AT ALTOONA, INC.
                                    BALANCED CARE REALTY AT BERWICK, INC.
                                    BALANCED CARE REALTY AT LEWISTOWN, INC.
                                    BALANCED CARE REALTY AT MANSFIELD, INC.
                                    BALANCED CARE REALTY AT MARTINSBURG, INC.
                                    BALANCED CARE REALTY AT MAUMELLE, INC.

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

<PAGE>   8

                                    COMPANIES:

                                    BALANCED CARE REALTY AT MOUNTAIN HOME, INC.
                                    BALANCED CARE REALTY AT PECKVILLE, INC.
                                    BALANCED CARE REALTY AT READING, INC.
                                    BALANCED CARE REALTY AT SCRANTON, INC.
                                    BALANCED CARE REALTY AT SHERWOOD, INC.
                                    BALANCED CARE REALTY AT STATE COLLEGE, INC.
                                    BCC AT WEST VIEW, INC.
                                    BCC AT MID-VALLEY, INC.
                                    BCC AT OLD FORGE, INC.
                                    BCC AT BLOOMSBURG, INC.
                                    BCC AT KINGSTON I, INC.
                                    BCC AT KINGSTON II, INC.
                                    BCC AT BLAKELY, INC.
                                    EXTENDED CARE OPERATORS OF HARRISBURG,
                                    L.L.C.
                                    BCC AT HARRISBURG, INC.
                                    C & G HEALTHCARE AT TALLAHASEE, L.L.C.
                                    C & G HEALTHCARE AT PENSACOLA L.L.C.
                                    ELDER CARE OPERATORS OF LAKEMONT FARMS, LLC
                                    ELDER CARE OPERATORS OF HILLIARD, LLC
                                    ELDER CARE OPERATORS OF AKRON, LLC
                                    ELDER CARE OPERATORS OF YORK, LLC
                                    C & G HEALTHCARE AND HAGERSTOWN L.L.C.
                                    ELDER CARE OPERATORS OF BRISTOL LLC
                                    C & G HEALTH CARE AT JOHNSON CITY, L.C.C.
                                    ELDER CARE OPERATORS OF MURFREESBORO LLC
                                    C & G HEALTHCARE AT TEAY'S VALLEY L.C.C.

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

<PAGE>   9

                                    COMPANIES:

                                    BALANCED CARE AT TALLAHASSEE, INC.
                                    BALANCED CARE AT PENSACOLA, INC.
                                    BALANCED CARE AT LAKEMONT FARMS, INC.
                                    BALANCED CARE AT HILLIARD, INC.
                                    BALANCED CARE AT AKRON, INC.
                                    BALANCED CARE AT YORK, INC.
                                    BALANCED CARE AT HAGERSTOWN, INC.
                                    BALANCED CARE AT BRISTOL, INC.
                                    BALANCED CARE AT JOHNSON CITY, INC.
                                    BALANCED CARE AT MURFREESBORO, INC.
                                    BALANCED CARE AT TEAY'S VALLEY, INC.
                                    BCC AT DARLINGTON, INC.
                                    BALANCED CARE AT BUTLER, INC.
                                    BALANCED CARE AT EYERS GROVE, INC.
                                    BALANCED CARE AT NORTH RIDGE, INC.
                                    BALANCED CARE AT SARVER, INC.

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

                                    SECURED PARTY:

                                    FRR INVESTMENTS LIMITED

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

                                    IPC ADVISORS S.A.R.L.

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

<PAGE>   10

                                    SECURED PARTY:

                                    HR INVESTMENTS LIMITED
                                    RH INVESTMENTS LIMITED
                                    VXM INVESTMENTS LIMITED

                                    By:/s/ J. B. Unsworth
                                    Name: J. B. Unsworth
                                    Title: Director<PAGE>   1

Exhibit 10.13

                                 PROMISSORY NOTE

$850,000.00                                                        March 7, 2001

1.       Promise to Pay.

         FOR VALUE RECEIVED, BALANCED CARE CORPORATION, a Delaware corporation
("Maker"), which has its address at 1215 Manor Drive, Mechanicsburg,
Pennsylvania 17055, Attention: Clint Fegan, Chief Financial Officer, promises to
pay to the order of VXM INVESTMENTS LIMITED, a Cayman Islands corporation, and
its successors and assigns ("Holder") the sum of Eight Hundred Fifty Thousand
Dollars ($850,000.00) ("this Note"), together with interest thereon as
hereinafter set forth, all payable in lawful money of the United States of
America (collectively, the "Loan"). Payments shall be made to Holder at
Herengracht 483, 1017 BT, Amsterdam, Netherlands.

2.       Interest.

         So long as no Event of Default (as hereinafter defined) exists,
interest shall accrue on the principal balance hereof from time to time
outstanding and Maker shall pay interest thereon at a rate equal to twelve
percent (12%) per annum (the "Interest Rate"). Interest shall be calculated
based on a 360 day year and charged for the actual number of days elapsed.

3.       Payment.

         This Note shall be due and payable on or before April 6, 2001, or any
earlier date on which this Note shall be required to be paid in full, whether by
acceleration or otherwise (the "Maturity Date").

4.       Prepayment.

         Maker may prepay this Note in full or in part at any time Maker gives
Holder at least five (5) days prior written notice thereof.

<PAGE>   2

5.       Default.

         5.1.     Events of Default.

         Any of the following constitute an "event of default" under this Note
(each an "Event of Default"): (a) the failure to pay any amounts owed pursuant
to this Note when due; (b) the occurrence of an "Event of Default" as that term
is defined by that certain loan agreement dated as of December 30, 1999 by and
among Heller Healthcare Finance, Inc. ("Heller") and Maker, together with the
other parties identified therein, whether or not any such event of default has
been waived by Heller, and, for greater certainty, such definition of "Events of
Default" contained in such agreement is hereby incorporated by reference in and
made a part of this Note, regardless of whether such agreement is modified,
amended or terminated.

         5.2.     Remedies.

                  So long as an Event of Default remains outstanding: (a)
interest shall accrue at a rate equal to the Interest Rate plus four percent
(4%) per annum (the "Default Rate"), compounded monthly on the last day of each
month until all amounts payable under this Note are paid in full; (b) Holder
may, at its option and without notice (such notice being expressly waived),
declare this Note immediately due and payable; and (c) Holder may pursue all
rights and remedies available under any security held by Holder, including,
without limitation, the stock pledge agreement dated April 18, 2000 (as the same
has been amended from time to time, collectively, the "Stock Pledge"). Holder's
rights, remedies and powers, as provided in this Note and in the Stock Pledge
are cumulative and concurrent, and may be pursued singly, successively or
together against Maker, any guarantor of the Loan, the security described in the
Stock Pledge and any other security given at any time to secure the payment
hereof, all at the sole discretion of Holder. Additionally, Holder may resort to
every other right or remedy available at law or in equity without first
exhausting the rights and remedies contained herein, all in Holder's sole
discretion. Failure of Holder, for any period of time or on more than one
occasion, to exercise its option to accelerate the Maturity Date shall not
constitute a waiver of the right to exercise the same at any time during the
continued existence of any Event of Default or any subsequent Event of Default.

                  If any attorney is engaged: (i) to collect the Loan or any
sums due under the Stock Pledge or any other security, whether or not legal
proceedings are thereafter instituted by Holder; (ii)

                                      -2-
<PAGE>   3

to represent Holder in any bankruptcy, reorganization, receivership or other
proceedings affecting creditors' rights and involving a claim under this Note;
(iii) to protect the liens of the Stock Pledge or any other security; or (iv) in
connection with seeking an out-of-court workout or settlement of any of the
foregoing, then Maker shall pay to Holder all reasonable costs, attorneys' fees
and expenses in connection therewith, in addition to all other amounts due
hereunder.

6.       Governing Law; Severability.

                  This Note shall be governed by and construed in accordance
with the internal laws of the State of Pennsylvania. The invalidity, illegality
or unenforceability of any provision of this Note shall not affect or impair the
validity, legality or enforceability of the remainder of this Note, and to this
end, the provisions of this Note are declared to be severable.

7.       Waiver.

                  Maker, for itself and all endorsers, guarantors and sureties
of this Note, and their respective heirs, legal representatives, successors and
assigns, hereby waives presentment for payment, demand, notice of nonpayment,
notice of dishonor, protest of any dishonor, notice of protest and protest of
this Note, and all other notices in connection with the delivery, acceptance,
performance, default or enforcement of the payment of this Note, and agrees that
their respective liability shall be unconditional and shall not be in any manner
affected by any indulgence, extension of time, renewal, waiver or modification
granted or consented to by Holder. Maker, for itself and all endorsers,
guarantors and sureties of this Note and their respective heirs, legal
representatives, successors and assigns, hereby consents to every extension of
time, renewal, waiver or modification that may be granted by Holder with respect
to the payment or other provisions of this Note, and to the release of any
makers, endorsers, guarantors or sureties, and their heirs, legal
representatives, successors and assigns, and of any collateral given to secure
the payment hereof, or any part hereof, with or without substitution, and agrees
that additional makers, endorsers, guarantors or sureties and their heirs, legal
representatives, successors and assigns, may become parties hereto without
notice to Maker or to any endorser, guarantor or surety and without affecting
the liability of any of them.

8.       Security, Application of Payments.

                  This Note is secured by the liens, encumbrances and
obligations created hereby and by the security interest created in

                                      -3-
<PAGE>   4

the Stock Pledge. As further security for its obligations under this Note, Maker
agrees to pledge all of the issued and outstanding shares in the capital of each
of the owners of properties owned directly or indirectly by Maker to the extent
same have not already been pledged pursuant to the Stock Pledge in a form
satisfactory to Holder. Payments will be applied, at Holder's option, first to
interest due on this Note, and second to the outstanding principal balance of
this Note provided, that all interest on and the entire principal amount of this
Note may be prepaid at any time subject to Section 4 of this Note.

9.       Miscellaneous.

         9.1.     Amendments.

                  This Note may not be terminated or amended orally, but only by
a termination or amendment in writing signed by Holder and Maker.

         9.2.     Lawful Rate of Interest.

                  In no event whatsoever shall the amount of interest paid or
agreed to be paid to Holder pursuant to this Note or any of the Loan Documents
exceed the highest lawful rate of interest permissible under applicable law. If,
from any circumstances whatsoever, fulfillment of any provision of this Note and
the other Loan Documents shall involve exceeding the lawful rate of interest
which a court of competent jurisdiction may deem applicable hereto ("Excess
Interest"), then ipso facto, the obligation to be fulfilled shall be reduced to
the highest lawful rate of interest permissible under such law and if, for any
reason whatsoever, Holder shall receive, as interest, an amount which would be
deemed unlawful under such applicable law, such interest shall be applied to the
Loan (whether or not due and payable), and not to the payment of interest, or
refunded to Maker if such Loan has been paid in full. Neither Maker nor any
guarantor, endorser or surety nor their heirs, legal representatives, successors
or assigns shall have any action against Holder for any damages whatsoever
arising out of the payment or collection of any such Excess Interest.

         9.3.     Captions.

                  The captions of the Paragraphs of this Note are for
convenience of reference only and shall not be deemed to modify, explain,
enlarge or restrict any of the provisions hereof.

                                      -4-
<PAGE>   5

         9.4.     Notices.

                  Any notice, request, demand, statement or consent made
hereunder shall be in writing and shall be deemed duly given if personally
delivered, sent by certified mail, return receipt requested, sent by a
nationally recognized commercial overnight delivery service with provision for a
receipt, postage or delivery charges prepaid or by facsimile transmission and
shall be deemed given when postmarked or placed in the possession of such mail
or delivery service the day following or, if sent by facsimile transmission,
upon receipt, and addressed as follows:

                  If to Holder      VXM Investments Limited
                                    c/o Unsworth & Associates
                                    Herengracht 483
                                    1017 BT
                                    Amsterdam, Netherlands
                                    Facsimile No.  011-31-20-623-2285

                   with a copy to:  Goodman Phillips & Vineberg LLP
                                    250 Yonge Street, Suite 2400
                                    Toronto, Ontario
                                    M5B 2M6
                                    Facsimile No.  (416) 979-1234
                                    Attn: Stephen N. Pincus

                  with a copy to:   Gary Goodman
                                    International Property Corporation
                                    175 Bloor Street East
                                    South Tower, Suite 705
                                    Toronto, Ontario
                                    M4W 3R8
                                    Facsimile No.  (416) 929-2883

                  If to Maker:      Balanced Care Corporation
                                    1215 Manor Drive
                                    Mechanicsburg, Pennsylvania 17055
                                    Attn:  Clint Fegan, Chief Financial Officer
                                    Facsimile No.  (717) 796-6150

                  with a copy to:   Balanced Care Corporation
                                    1215 Manor Drive
                                    Mechanicsburg, Pennsylvania 17055
                                    Attn:  Robin L. Barber, Esq.
                                    Facsimile No.  (717) 796-6294

                                      -5-
<PAGE>   6

                  with a copy to:   Kirkpatrick & Lockhart LLP
                                    1500 Oliver Building
                                    Pittsburg, Pennsylvania 15222
                                    Attn:  Steven J. Adelkoff, Esq.
                                    Facsimile No.  (412) 355-6501

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

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

                  9.5.     Time of Essence.

                  Time is of the essence for this Note and the performance of
each of the covenants and agreements contained herein.

                  9.6.     Execution by Facsimile.

                  This Note may be executed by facsimile or otherwise and such
facsimile or other copy shall be deemed to be an original.

10.      Sale of Loan.

                  Holder, at any time and without the consent of Maker, may
grant participations in or sell, transfer, assign and convey all or any portion
of its right, title and interest in and to the Loan and this Note any guaranties
given in connection with the Loan and any collateral given to secure the Loan.

11.      Consent to Jurisdiction.

                  MAKER HEREBY CONSENTS TO THE JURISDICTION OF ANY STATE OR
FEDERAL COURT LOCATED WITHIN THE STATE OF PENNSYLVANIA AND IRREVOCABLY AGREES
THAT, SUBJECT TO HOLDER'S ELECTION, ALL ACTIONS OR PROCEEDINGS ARISING OUT OF OR
RELATING TO THIS NOTE OR THE OTHER LOAN DOCUMENTS SHALL BE LITIGATED IN SUCH
COURTS. MAKER EXPRESSLY SUBMITS AND CONSENTS TO THE JURISDICTION OF THE
AFORESAID COURTS AND WAIVES ANY DEFENSE OF FORUM NON CONVENIENS. MAKER HEREBY
WAIVES PERSONAL SERVICE OF ANY AND ALL PROCESS AND AGREES THAT ALL SUCH SERVICE
OF PROCESS MAY BE MADE UPON MAKER BY CERTIFIED OR REGISTERED MAIL, RETURN
RECEIPT REQUESTED, ADDRESSED TO MAKER, AT THE ADDRESS SET FORTH IN THIS NOTE AND
SERVICE SO MADE SHALL BE COMPLETE TEN (10) DAYS AFTER THE SAME HAS BEEN POSTED.

                                      -6-
<PAGE>   7

12.      Jury Trial Waiver.

                  MAKER, AND HOLDER BY ITS ACCEPTANCE OF THIS NOTE, HEREBY WAIVE
THEIR RESPECTIVE RIGHTS TO A TRIAL BY JURY IN ANY ACTION OR PROCEEDING BASED
UPON, OR RELATED TO, THE SUBJECT MATTER OF THIS NOTE AND THE BUSINESS
RELATIONSHIP THAT IS BEING ESTABLISHED. THIS WAIVER IS KNOWINGLY, INTENTIONALLY
AND VOLUNTARILY MADE BY MAKER AND BY HOLDER, AND MAKER ACKNOWLEDGES THAT NEITHER
HOLDER NOR ANY PERSON ACTING ON BEHALF OF HOLDER HAS MADE ANY REPRESENTATIONS OF
FACT TO INDUCE THIS WAIVER OF TRIAL BY JURY OR HAS TAKEN ANY ACTIONS WHICH IN
ANY WAY MODIFY OR NULLIFY ITS EFFECT. MAKER AND HOLDER ACKNOWLEDGE THAT THIS
WAIVER IS A MATERIAL INDUCEMENT TO ENTER INTO A BUSINESS RELATIONSHIP, THAT
MAKER AND HOLDER HAVE ALREADY RELIED ON THIS WAIVER IN ENTERING INTO THIS NOTE
AND THAT EACH OF THEM WILL CONTINUE TO RELY ON THIS WAIVER IN THEIR RELATED
FUTURE DEALINGS. MAKER AND HOLDER FURTHER ACKNOWLEDGE THAT THEY HAVE BEEN
REPRESENTED (OR HAVE HAD THE OPPORTUNITY TO BE REPRESENTED) IN THE SIGNING OF
THIS NOTE AND IN THE MAKING OF THIS WAIVER BY INDEPENDENT LEGAL COUNSEL.

                  IN WITNESS WHEREOF, Maker has executed this Note or has caused
the same to be executed by its duly authorized representatives as of the date
first set forth above.

                                        MAKER:

                                        BALANCED CARE CORPORATION, a Delaware
                                        corporation

                                        By/s/Robin L. Barber
                                        Printed Name Robin L. Barber
                                        Its Senior Vice President, Legal Counsel
                                        & Assistant Secretary

                                      -7-

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