Document:

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                                                                   Exhibit 4.01

                               [Face of Security]

                         FEDERAL REALTY INVESTMENT TRUST

                        6 1/8% Note due November 15, 2007

No.                                                                $150,000,000
    --------

UNLESS THIS NOTE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY
TRUST COMPANY (55 WATER STREET, NEW YORK, NEW YORK) TO THE ISSUER OR ITS AGENT
FOR REGISTRATION OF TRANSFER, EXCHANGE OR PAYMENT, AND SUCH NOTE ISSUED IS
REGISTERED IN THE NAME OF CEDE & CO., OR SUCH OTHER NAME AS REQUESTED BY AN
AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY, ANY TRANSFER, PLEDGE OR OTHER USE
HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL, SINCE THE
REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.

UNLESS AND UNTIL THIS NOTE IS EXCHANGED IN WHOLE OR IN PART FOR NOTES IN
CERTIFICATED FORM, THIS NOTE MAY NOT BE TRANSFERRED EXCEPT AS A WHOLE BY THE
DEPOSITORY TO A NOMINEE THEREOF OR BY A NOMINEE THEREOF TO THE DEPOSITORY OR
ANOTHER NOMINEE OF THE DEPOSITORY OR BY THE DEPOSITORY OR ANY SUCH NOMINEE TO A
SUCCESSOR OF THE DEPOSITORY OR A NOMINEE OF SUCH SUCCESSOR.

THIS NOTE WILL BE ISSUED AND MAY BE TRANSFERRED ONLY IN MINIMUM DENOMINATIONS OF
$1,000 AND INTEGRAL MULTIPLES OF $1,000 IN EXCESS THEREOF.

         FEDERAL REALTY INVESTMENT TRUST, a Maryland real estate investment
trust (herein referred to as the "Company," which term includes any successor
corporation under the Indenture referred to on the reverse hereof), for value
received, hereby promises to pay to Cede & Co. or registered assigns the
principal sum of One Hundred Fifty Million Dollars on November 15, 2007 (the
"Stated Maturity Date") or the date fixed for earlier redemption (the
"Redemption Date," and together with the Stated Maturity Date with respect to
principal repayable on such date, the "Maturity Date"), and to pay interest
thereon from November 19, 2002 or from the most recent interest payment date to
which interest has been paid or duly provided for, semi-annually on May 15 and
November 15 in each year (each, an "Interest Payment Date"), commencing May 15,
2003, at the rate of 6 1/8% per annum, until the principal hereof is paid or
duly provided for. The interest so payable, and punctually paid or duly provided
for, on any Interest Payment Date will, as provided in such Indenture, be paid
to the Holder in whose name this Note (or one or more Predecessor Securities) is
registered at the close of business on the Regular Record Date for such
interest, which shall be May 1 or November 1 (whether or not a Business Day), as
the case may be, next preceding such Interest Payment Date at the office or
agency of the Company maintained for such purpose; provided, however, that such
interest may be paid, at the Company's option, by mailing a check to such Holder
at its

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registered address or by transfer of funds to an account maintained by such
Holder within the United States. Any such interest not so punctually paid or
duly provided for shall forthwith cease to be payable to the Holder on such
Regular Record Date, and may be paid to the Holder in whose name this Note (or
one or more Predecessor Securities) is registered at the close of business on a
Special Record Date for the payment of such Defaulted Interest to be fixed by
the Trustee referred to on the reverse hereof, notice whereof shall be given to
Holders of Notes of this series not less than 10 days prior to such Special
Record Date, or may be paid at any time in any other lawful manner not
inconsistent with the requirements of any securities exchange on which the Notes
of this series may be listed, and upon such notice as may be required by such
exchange, all as more fully provided in the Indenture. Interest will be computed
on the basis of a 360-day year of twelve 30-day months.

         The principal of this Note payable on the Stated Maturity Date or the
principal of, premium, if any, and, if the Redemption Date is not an Interest
Payment Date, interest on this Note payable on the Redemption Date will be paid
against presentation of this Note at the office or agency of the Company
maintained for that purpose in the Borough of Manhattan, The City of New York,
in such coin or currency of the United States of America as at the time of
payment is legal tender for the payment of public and private debts.

         Interest payable on this Note on any Interest Payment Date and on the
Maturity Date, as the case may be, will include interest accrued from and
including the next preceding Interest Payment Date in respect of which interest
has been paid or duly provided for (or from and including November 19, 2002, if
no interest has been paid on this Note) to but excluding such Interest Payment
Date or the Maturity Date, as the case may be. If any Interest Payment Date or
the Maturity Date falls on a day that is not a Business Day, as defined below,
principal, premium, if any, and/or interest payable with respect to such
Interest Payment Date or Maturity Date, as the case may be, will be paid on the
next succeeding Business Day with the same force and effect as if it were paid
on the date such payment was due, and no interest shall accrue on the amount so
payable for the period from and after such Interest Payment Date or Maturity
Date, as the case may be. "Business Day" means any day, other than a Saturday or
Sunday, on which banks in the City of New York and the City of Charlotte, State
of North Carolina, are not required or authorized by law or executive order to
close.

         All payments of principal, premium, if any, and interest in respect of
this Note will be made by the Company in immediately available funds.

         Reference is hereby made to the further provisions of this Note set
forth on the reverse hereof, which further provisions shall for all purposes
have the same effect as if set forth at this place.

         Unless the Certificate of Authentication hereon has been executed by
the Trustee by manual signature of one of its authorized signatories, this Note
shall not be entitled to any benefit under the Indenture, or be valid or
obligatory for any purpose.

                      [This space intentionally left blank]

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         IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed.

Dated: November __, 2002

                         FEDERAL REALTY INVESTMENT TRUST

                         By: ______________________________________
                             Steven J. Guttman
                             Chief Executive Officer and
                             Trustee

Attest:

-----------------------------
Dawn M. Becker
Vice President, General Counsel
and Secretary

TRUSTEE'S CERTIFICATE OF AUTHENTICATION

This is the Note of the series designated therein referred to in the
within-mentioned Indenture.

                         WACHOVIA BANK, NATIONAL ASSOCIATION, as Trustee

                         By: ______________________________________
                             Authorized Signatory

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                              [Reverse of Security]

                         FEDERAL REALTY INVESTMENT TRUST

                        6 1/8% Note due November 15, 2007

         This Note is one of a duly authorized issue of securities of the
Company (herein called the "Securities"), issued and to be issued in one or more
series under an Indenture, dated as of September 1, 1998 (herein called the
"Indenture") between the Company and Wachovia Bank, National Association, as
Trustee (herein called the "Trustee", which term includes any successor trustee
under the Indenture with respect to the series of which this Note is a part), to
which Indenture and all indentures supplemental thereto reference is hereby made
for a statement of the respective rights, limitations of rights, duties and
immunities thereunder of the Company, the Trustee and the Holders of the
Securities, and of the terms upon which the Securities are, and are to be,
authenticated and delivered. This Note is one of the duly authorized series of
Securities designated as "6 1/8% Notes due November 15, 2007" (collectively, the
"Notes"), and the aggregate principal amount of the Notes to be issued under
such series is limited to $150,000,000 (except for Notes authenticated and
delivered upon transfer of, or in exchange for, or in lieu of other Notes). All
terms used in this Note which are defined in the Indenture shall have the
meanings assigned to them in the Indenture.

         If an Event of Default, as defined in the Indenture, shall occur and be
continuing, the principal of the Securities of this series may be declared due
and payable in the manner and with the effect provided in the Indenture.

         The Notes are subject to redemption at any time, in whole or in part,
at the election of the Company, at a redemption price equal to the greater of
(1) 100% of the principal amount of the Notes being redeemed, and (2) as
determined by the Quotation Agent (as defined below), the sum of the present
values of the remaining scheduled payments of principal and interest thereon
(not including any portion of such payments of interest accrued as of the
Redemption Date) discounted to the Redemption Date on a semi-annual basis
(assuming a 360-day year consisting of twelve 30-day months) at the Adjusted
Treasury Rate (as defined below) plus 37.5 basis points plus, in each case,
accrued interest thereon to the Redemption Date; provided, however, that
installments of interest on this Note whose Stated Maturity Date is on or prior
to such Redemption Date will be payable to the Holder of this Note, or one or
more Predecessor Securities, of record at the close of business on the relevant
Record Dates referred to on the face hereof, all as provided in the Indenture.

         As used herein:

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

          "Comparable Treasury Issue" means the United States Treasury security
     selected by the Quotation Agent as having a maturity comparable to the
     remaining term of the

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     notes to be redeemed that would be utilized, at the time of selection and
     in accordance with customary financial practice, in pricing new issues of
     corporate debt securities of comparable maturity to the remaining term of
     such notes.

          "Comparable Treasury Price" means, with respect to any Redemption
     Date, (1) the average of the Reference Treasury Dealer Quotations for such
     Redemption Date, after excluding the highest and lowest such Reference
     Treasury Dealer Quotations, or (2) if the Trustee obtains fewer than three
     such Reference Treasury Dealer quotations, the average of all such
     Quotations.

          "Quotation Agent" means the Reference Treasury Dealer appointed by the
     Company.

          "Reference Treasury Dealer" means (1) each of Merrill, Lynch, Pierce,
     Fenner & Smith Incorporated, Salomon Smith Barney Inc. and Wachovia
     Securities, Inc., and their respective successors; provided, however, that
     if any of the foregoing cease to be a primary U.S. Government securities
     dealer (a "Primary Treasury Dealer"), the Company will substitute therefor
     another Primary Treasury Dealer; and (2) any other Primary Treasury Dealer
     selected by the Company.

          "Reference Treasury Dealer Quotations" means, with respect to each
     Reference Treasury Dealer and any Redemption Date, the average, as
     determined by the Company, of the bid and asked prices for the Comparable
     Treasury Issue (expressed in each case as a percentage of its principal
     amount) quoted in writing to the Trustee by such Reference Treasury Dealer
     at 5:00 p.m. New York City time, on the third Business Day preceding such
     Redemption Date, together in the case of any such redemption with accrued
     interest to the Redemption Date; provided, however, that installments of
     interest on this Note whose Stated Maturity Date is on or prior to such
     Redemption Date will be payable to the Holder of this Note, or one or more
     Predecessor Securities, of record at the close of business on the relevant
     Record Dates referred to on the face hereof, all as provided in the
     Indenture.

         Notice of redemption will be given by mail to Holders of Securities,
not less than 30 nor more than 60 days prior to the Redemption Date, all as
provided in the Indenture.

         In the event of redemption of this Note in part only, a new Note or
Notes for the unredeemed portion hereof shall be issued in the name of the
Holder hereof upon the cancellation hereof.

         The Indenture permits, with certain exceptions as therein provided, the
amendment thereof and the modification of the rights and obligations of the
Company and the rights of the Holders of the Securities under the Indenture at
any time by the Company and the Trustee with the consent of the Holders of not
less than a majority of the aggregate principal amount of all Securities issued
under the Indenture at the time Outstanding and affected thereby. The Indenture
also contains provisions permitting the Holders of not less than a majority of
the aggregate principal amount of the Outstanding Securities, on behalf of the
Holders of all such Securities, to waive compliance by the Company with certain
provisions of the Indenture.

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Furthermore, provisions in the Indenture permit the Holders of not less than a
majority of the aggregate principal amount, in certain instances, of the
Outstanding Securities of any series to waive, on behalf of all of the Holders
of Securities of such series, certain past defaults under the Indenture and
their consequences. Any such consent or waiver by the Holder of this Note shall
be conclusive and binding upon such Holder and upon all future Holders of this
Note and other Notes issued upon the registration of transfer hereof or in
exchange herefor or in lieu hereof, whether or not notation of such consent or
waiver is made upon this Note.

         No reference herein to the Indenture and no provision of this Note or
of the Indenture shall alter or impair the obligation of the Company, which is
absolute and unconditional, to pay the principal of (and premium, if any) and
interest on this Note at the times, places and rate, and in the coin or
currency, herein prescribed.

         The Company will not, and will not permit any Subsidiary to, incur any
Debt (as defined below) if, immediately after giving effect to the incurrence of
such Debt and the application of the proceeds thereof, the aggregate principal
amount of all outstanding Debt of the Company and its Subsidiaries on a
consolidated basis determined in accordance with generally accepted accounting
principles is greater than 65% of the sum of (without duplication) (i) Total
Assets as of the end of the calendar quarter covered in the Company's Annual
Report on Form 10-K or Quarterly Report on Form 10-Q, as the case may be, most
recently filed with the Securities and Exchange Commission (or, if such filing
is not permitted under the Securities Exchange Act of 1934, with the Trustee)
prior to the incurrence of such additional Debt and (ii) the purchase price of
any real estate assets or mortgages receivable acquired, and the amount of any
securities offering proceeds received (to the extent such proceeds were not used
to acquire real estate assets or mortgages receivable or used to reduce Debt),
by the Company or any Subsidiary since the end of such calendar quarter,
including those proceeds obtained in connection with the incurrence of such
additional Debt.

         In addition to the foregoing limitation on the incurrence of Debt, the
Company will not, and will not permit any Subsidiary to, incur any Debt secured
by any mortgage, lien, charge, pledge, encumbrance or security interest of any
kind upon any of the property of the Company or any Subsidiary if, immediately
after giving effect to the incurrence of such Debt and the application of the
proceeds thereof, the aggregate principal amount of all outstanding Debt of the
Company and its Subsidiaries on a consolidated basis which is secured by any
mortgage, lien, charge, pledge, encumbrance or security interest on property of
the Company or any Subsidiary is greater than 40% of the sum of (without
duplication) (1) Total Assets as of the end of the calendar quarter covered in
the Company's Annual Report on Form 10-K or Quarterly Report on Form 10-Q, as
the case may be, most recently filed with the Securities and Exchange Commission
(or, if such filing is not permitted under the Securities Exchange Act of 1934,
with the Trustee) prior to the incurrence of such additional Debt and (2) the
purchase price of any real estate assets or mortgages receivable acquired, and
the amount of any securities offering proceeds received (to the extent such
proceeds were not used to acquire real estate assets or mortgages receivable or
used to reduce Debt), by the Company or any Subsidiary since the end of such
calendar quarter, including those proceeds obtained in connection with the
occurrence of such additional Debt; provided, however, that for purposes of this
limitation, the amount of obligations under capital leases shown as a liability
on the Company's consolidated balance sheet shall be deducted from Debt and
Total Assets.

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         Furthermore, the Company will not, and will not permit any Subsidiary
to, incur any Debt if the ratio of Consolidated Income Available for Debt
Service (as defined below) to the Annual Debt Service Charge (as defined below)
for the four consecutive fiscal quarters most recently ended prior to the date
on which such additional Debt is to be incurred shall have been less than 1.5 to
1, on an unaudited pro forma basis after giving effect thereto and to the
application of the proceeds therefrom, and calculated on the assumption that (i)
such Debt and any other Debt incurred by the Company and its Subsidiaries since
the first day of such four-quarter period and the application of the proceeds
therefrom, including to refinance other Debt, had occurred at the beginning of
such period; (ii) the repayment or retirement of any other Debt by the Company
and its Subsidiaries since the first day of such four-quarter period had been
incurred, repaid or retired at the beginning of such period (except that, in
making such computation, the amount of Debt under any revolving credit facility
shall be computed based upon the average daily balance of such Debt during such
period); (iii) in the case of Acquired Debt or Debt incurred in connection with
any acquisition since the first day of such four-quarter period, the related
acquisition had occurred as of the first day of such period with the appropriate
adjustments with respect to such acquisition being included in such unaudited
pro forma calculation; and (iv) in the case of any acquisition or disposition by
the Company or its Subsidiaries of any asset or group of assets since the first
day of such four-quarter period, whether by merger, stock purchase or sale, or
asset purchase or sale, such acquisition or disposition or any related repayment
of Debt had occurred as of the first day of such period with the appropriate
adjustments with respect to such acquisition or disposition being included in
such unaudited pro forma calculation.

         Furthermore, the Company and each of its Subsidiaries taken as a whole,
will, at all times maintain an Unencumbered Total Asset Value (as defined below)
in an amount not less than 125% of the aggregate outstanding principal amount of
the unsecured Debt of the Company and each of its Subsidiaries, taken as a
whole.

          As used herein,

          "Acquired Debt" means Debt of a Person (i) existing at the time such
     Person becomes a Subsidiary or (ii) assumed in connection with the
     acquisition of assets from such Person, in each case, other than Debt
     incurred in connection with, or in contemplation of, such Person becoming a
     Subsidiary or such acquisition. Acquired Debt shall be deemed to be
     incurred on the date of the related acquisition of assets from any Person
     or the date the acquired Person becomes a Subsidiary.

          "Annual Debt Service Charge" as of any date means the maximum amount
     which is payable in any period for interest on, and original issue discount
     of, Debt of the Company and its Subsidiaries and the amount of dividends
     which are payable in respect of any Disqualified Stock (as defined below).

          "Capital Stock" means, with respect to any Person, any capital stock
     (including preferred stock), shares, interests, participations or other
     ownership interests (however

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     designated) of such Person and any rights (other than debt securities
     convertible into or exchangeable for corporate stock), warrants or options
     to purchase any thereof.

          "Consolidated Income Available for Debt Service" for any period means
     Funds from Operations (as defined below) of the Company and its
     Subsidiaries plus amounts which have been deducted for interest on Debt of
     the Company and its Subsidiaries.

          "Debt" means any indebtedness of the Company, or any Subsidiary,
     whether or not contingent, in respect of (without duplication) (i) borrowed
     money evidenced by bonds, notes, debentures or similar instruments, (ii)
     indebtedness secured by any mortgage, pledge, lien, charge, encumbrance or
     any security interest existing on property owned by the Company or any
     Subsidiary, (iii) the reimbursement obligations, contingent or otherwise,
     in connection with any letters of credit actually issued or amounts
     representing the balance deferred and unpaid of the purchase price of any
     property or services, except any such balance that constitutes an accrued
     expense or trade payable, or all conditional sale obligations or
     obligations under any title retention agreement, (iv) the principal amount
     of all obligations of the Company or any Subsidiary with respect to
     redemption, repayment or other repurchase of any Disqualified Stock or (v)
     any lease of property by the Company or any Subsidiary as lessee which is
     reflected on the Company's consolidated balance sheet as a capitalized
     lease in accordance with generally accepted accounting principles to the
     extent, in the case of items of indebtedness under (i) through (iii) above,
     that any such items (other than letters of credit) would appear as a
     liability on the Company's consolidated balance sheet in accordance with
     generally accepted accounting principles, and also includes, to the extent
     not otherwise included, any obligation of the Company or any Subsidiary to
     be liable for, or to pay, as obligor, guarantor or otherwise (other than
     for purposes of collection in the ordinary course of business or for the
     purposes of guaranteeing the payment of all amounts due and owing pursuant
     to leases to which the Company is a party and has assigned its interest,
     provided that such assignee of the Company is not in default of any amounts
     due and owing under such leases), Debt of another Person (other than the
     Company or any Subsidiary) (it being understood that Debt shall be deemed
     to be incurred by the Company or any Subsidiary whenever the Company or
     such Subsidiary shall create, assume, guarantee or otherwise become liable
     in respect thereof).

          "Disqualified Stock" means, with respect to any Person, any Capital
     Stock of such Person which by the terms of such Capital Stock (or by the
     terms of any security into which it is convertible or for which it is
     exchangeable or exercisable), upon the happening of any event or otherwise
     (i) matures or is mandatorily redeemable, pursuant to a sinking fund
     obligation or otherwise, (ii) is convertible into or exchangeable or
     exercisable for Debt or Disqualified Stock or (iii) is redeemable at the
     option of the holder thereof, in whole or in part, in each case on or prior
     to the Stated Maturity of the Notes.

          "Funds from Operations" for any period means income available to
     common shareholders before depreciation and amortization of real estate
     assets and before extraordinary items less gain on sale of real estate.

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          "Total Assets" as of any date means the sum of (i) the Company's and
     its Subsidiaries' Undepreciated Real Estate Assets and (ii) all other
     assets of the Company and its Subsidiaries determined in accordance with
     generally accepted accounting principles (but excluding goodwill).

          "Undepreciated Real Estate Assets" as of any date means the cost
     (original cost plus capital improvements) of real estate assets of the
     Company and its Subsidiaries on such date, before depreciation and
     amortization determined on a consolidated basis in accordance with
     generally accepted accounting principles.

          "Unencumbered Total Asset Value" as of any date means the sum of (i)
     those Undepreciated Real Estate Assets not encumbered by any mortgage,
     lien, charge, pledge or security interest and (ii) all other assets of the
     Company and each of its Subsidiaries on a consolidated basis determined in
     accordance with generally accepted accounting principles (but excluding
     intangibles and accounts receivable), in each case which are unencumbered
     by any mortgage, lien, charge, pledge or security interest.

         As provided in the Indenture and subject to certain limitations therein
and herein set forth, the transfer of this Note is registrable in the Security
Register of the Company upon surrender of this Note for registration of transfer
at the office or agency of the Company in any place where the principal of (and
premium, if any) and interest on this Note are payable, duly endorsed by, or
accompanied by a written instrument of transfer in form satisfactory to the
Company and the Security Registrar duly executed by, the Holder hereof or by his
attorney duly authorized in writing, and thereupon one or more new Notes, of
authorized denominations and for the same aggregate principal amount, will be
issued to the designated transferee or transferees.

         As provided in the Indenture and subject to certain limitations therein
and herein set forth, this Note is exchangeable for a like aggregate principal
amount of Notes of different authorized denominations but otherwise having the
same terms and conditions, as requested by the Holder hereof surrendering the
same.

         The Securities of this series are issuable only in registered form
without coupons in denominations of $1,000 and any integral multiple thereof.

         No service charge shall be made for any such registration of transfer
or exchange, but the Company may require payment of a sum sufficient to cover
any tax or other governmental charge payable in connection therewith.

         Prior to due presentment of this Note for registration of transfer, the
Company, the Trustee and any agent of the Company or the Trustee may treat the
Person in whose name this Note is registered as the owner hereof for all
purposes, whether or not this Note be overdue, and neither the Company, the
Trustee nor any such agent shall be affected by notice to the contrary.

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         The Indenture and the Notes shall be governed by and construed in
accordance with the laws of the State of New York applicable to agreements made
and to be performed entirely in such State.

                                       7<PAGE>

                                                                  Exhibit 10.1.1

                           PURCHASE AND SALE AGREEMENT

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     THIS PURCHASE AND SALE AGREEMENT (this "Agreement") is made and entered
into this 1st day of November, 2002, by and between TRANS HEALTHCARE OF OHIO,
INC., a Delaware corporation ("Seller"), and VENTAS REALTY, LIMITED PARTNERSHIP,
a Delaware limited partnership ("Buyer").

                                    RECITALS

     WHEREAS, Seller beneficially owns the four (4) healthcare facilities
identified on Schedule 1 attached hereto and made a part hereof as the "Owned
Facilities"; and

     WHEREAS, Trans Healthcare, Inc., an affiliate of Seller ("THC"), is party
to that certain Asset Purchase Agreement dated March 19, 2002, as amended by
that certain First Addendum to Asset Purchase Agreement dated August 30, 2002
(as amended, the "Millennium Agreement"), with Millennium Health Services, LLC,
et. al. (collectively, the "Current Owner"), Robert G. Owens and Stanley H.
Snow, pursuant to which Seller has the right to purchase and acquire from the
Current Owner the three (3) healthcare facilities identified as the "Contract
Facilities" on Schedule 1 attached hereto and made a part hereof; and

     WHEREAS, at Closing, Current Owner shall convey each Contract Facility to
Buyer pursuant to a special warranty deed (or comparable deed or instrument) in
form and substance acceptable to Buyer; and

     WHEREAS, at Closing, THC, Seller, Current Owner, the Seller Parties (as
defined in the Millennium Agreement) and Buyer shall execute and enter into that
certain Contract Right Assignment (as hereinafter defined); and

     WHEREAS, the Contract Facilities are operated by those certain affiliates
of Current Owner identified as the "Current Operators" on Schedule 2 attached
hereto and made a part hereof; and

     WHEREAS, the Owned Facilities and the Contract Facilities are collectively
referred to herein as "Facilities," and, each, individually, as a "Facility;"
and

     WHEREAS, from and after Closing (as hereinafter defined), the Facilities
will be leased by Buyer to, and operated by, those certain affiliates of Seller
identified on Schedule 2 attached hereto and made a part hereof (collectively,
the "Operators", and each, individually, an "Operator"); and

     WHEREAS, Ventas, Inc., an affiliate of Buyer ("Ventas"), and THC have
previously executed and entered into that certain Term Sheet (the "Term Sheet"),
dated September 24, 2002, describing the general terms and conditions upon which
THC and Seller would be willing to sell, transfer and convey the Facilities to
Buyer, and Buyer would be willing to acquire the Facilities from Seller; and

     WHEREAS, Buyer and THC have previously executed and entered into that
certain Commitment Letter (the "Commitment Letter") further describing the
general terms and conditions upon which Seller would be willing to sell,
transfer and convey the Facilities to Buyer, and Buyer would be willing to
assume and accept the Facilities from Seller; and

<PAGE>

     WHEREAS, Seller desires to sell, transfer, convey and assign to Buyer, and
Buyer desires to acquire, assume and accept from Seller, the Facilities on and
subject to the terms and conditions contained in this Agreement; and

     WHEREAS, Ventas and THC have previously executed and entered into that
certain Term Sheet (the "Loan Term Sheet"), dated September 24, 2002, describing
the general terms and conditions upon which Buyer would be willing to provide
first mortgage and so-called "mezzanine" financing to THC or its affiliates in
connection with their ownership and operation of certain healthcare facilities
owned, or to be acquired pursuant to, the Millennium Agreement, by THC or its
affiliates (such financing, the "Loan Transaction"); and

     WHEREAS, Buyer and THC have previously executed and entered into that
certain Commitment Letter (the "Loan Commitment Letter") further describing the
general terms and conditions upon which Buyer and THC would be willing to engage
in the Loan Transaction.

     NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which are acknowledged hereby, the parties hereto agree to
incorporate the foregoing recitals as if the same were more particularly set
forth in the body of this Agreement and further agree as follows:

     1. SALE. Seller agrees to sell and convey to Buyer (or cause to be sold and
conveyed to Buyer), and Buyer agrees to purchase from Seller, for the purchase
price set forth below, and on the terms and conditions set forth in this
Agreement, the Property (as hereinafter defined), including the Facilities. For
purposes of this Agreement, the term "Property" shall be deemed to mean on a
collective basis:

          1.1. The Land. The parcels of land legally described on Exhibit A
attached hereto and made a part hereof, together with all rights, easements and
interests appurtenant thereto including, but not limited to, any streets or
other public ways adjacent to the Land and any water or mineral rights owned by,
or leased to, Seller or Current Owner, as applicable (collectively, the "Land").

          1.2. The Improvements. All improvements located on the Land,
including, but not limited to, the Facilities, and all other structures,
systems, fixtures and utilities associated with, and utilized in, the ownership
and operation of the Facilities (all such improvements being collectively
referred to as the "Improvements").

          1.3. Intangible Property. All other interest, if any, of Seller or
Current Owner, as applicable, in and to the Land and the Improvements or
pertaining thereto and any and all intangible property of every kind and
character owned or utilized by Seller or Current Owner, as applicable, in
connection with the ownership and operation of the Facilities (collectively, the
"Intangibles"), including, without limitation, any and all of the following: (i)
the interest, if any, of Seller or Current Owner, as applicable, in the identity
or business of the Facilities as a going concern, including without limitation,
any names or trade names by which the Facilities or any part thereof may be
known, and all registrations for such names, if any; excluding, however, the
name Trans Healthcare, THI, Millennium and derivations thereof; (ii) to the
extent assignable or transferable, the interest, if any, of Seller or Current
Owner, as applicable, in and to each and

                                       2

<PAGE>

every bond, guaranty and warranty concerning the Improvements, including,
without limitation, any roofing, air conditioning, heating, elevator or other
bond, guaranty and warranty relating to the construction, maintenance or
replacement of the Improvements or any portion thereof; (iii) the interest of
Seller (or Current Owner, as applicable) in all guaranties and warranties given
to Seller (or Current Owner, as applicable) that have not expired (either on a
"claims made" or "occurrences" basis) in connection with the operation,
construction, improvement, alteration or repair of the Land or the Improvements;
and (iv) to the extent permitted by applicable law, the interest, if any, of
Seller or Current Owner, as applicable, in and to those certain Permits (as
hereinafter defined) that are specifically described on Schedule 3 attached
hereto as "Assumed Permits" (hereinafter collectively referred to as the
"Assumed Permits"). For purposes of this Agreement, the term "Permits" shall
mean any and all licenses, permits, accreditations, approvals and certificates
used in or relating to the ownership, occupancy or operation of all or any part
of the Facilities that are held, issued to or controlled by Seller, Current
Owner or Current Operator, including, without limitation, any permit, license,
accreditation, Certificate of Need (as hereinafter defined) or other approval
necessary under applicable federal, state or local law in order to permit the
operation of the Facilities as healthcare facilities. For purposes of this
Agreement, the term "Certificate of Need" shall mean a certificate of need or
similar permit or approval (not including conventional building permits) from a
governmental authority related to the construction and/or operation of any
Facility for the use of a specified number of beds in a nursing facility,
assisted living facility and/or rehabilitation hospital, or alteration of any
such Facility or modification of services provided at such Facility.
Notwithstanding anything contained herein the contrary, all Certificates of Need
shall constitute Assumed Permits that will be assigned to Buyer at Closing by
Seller, Current Owner or Current Operator, as applicable, if and to the extent
permitted to be held by an owner of a healthcare facility that is not an
operator thereof under applicable law (it being the intention of Buyer and
Seller that any and all Certificates of Need be issued to, held in the name of
and owned by Buyer from and after Closing if and to the extent permitted under
applicable law).

Each Facility, together with the Land, Improvements, Intangibles and Assumed
Permits associated therewith being individually referred to as a "Project."

          1.4. Current Owner Projects. Buyer, THC, Seller, Current Owner and all
of the Seller Parties hereby acknowledge and agree that: (i) Seller has agreed
to cause Current Owner to, and Current Owner has agreed to, sell, transfer,
convey and assign the Current Owner Projects (as hereinafter defined), and only
the Current Owner Projects as herein described, to Buyer on and subject to the
terms and conditions contained herein; (ii) Seller has agreed, subject to the
terms and conditions contained in the Millennium Agreement and in the Contract
Right Assignment, to assume and accept from Current Owner (or to cause the
Operators to assume and accept from Current Owner), certain liabilities and
obligations related to the Current Owner Projects that Buyer has not agreed to
assume and accept hereunder, which liabilities and obligations shall not be
conveyed to Buyer hereunder or pursuant to any conveyance documentation
delivered in connection with this Agreement, including, but not limited to, the
Assumed Liabilities (as defined in the Millennium Agreement), any indebtedness
described on Schedule 2.3(d) to the Millennium Agreement, any liabilities
relative to patient deposits, any and all liabilities associated with the
conduct of the Business (as defined in the Millennium Agreement) and liability
for the reimbursement, recapture or refund of over payments under Medicare (as
hereinafter defined) and Medicaid (as hereinafter defined) (collectively, such

                                       3

<PAGE>

liabilities and obligations, the "Operator Liabilities"); (iii) Current Owner
has agreed to sell, transfer, convey and assign to the Operators, and the
Operators have agreed to assume and accept, the Operator Liabilities pursuant
to, and in accordance with, the Millennium Agreement; (iv) Seller, Current Owner
or the applicable Current Operator (as necessary) has agreed to (x) sell,
transfer, convey and assign to the applicable Operators those of the Operator
Licenses (as hereinafter defined) or Provider Agreements (as hereinafter
defined) identified on Schedule 3 attached hereto as the "Transferred Operator
Permits" as of Closing (except for those Assigned Interest Operators (as
hereinafter defined) with respect to which the Operator Licenses or Provider
Agreements shall remain with the Assigned Interest Operators); and (y) from and
after Closing, allow the applicable Operators to rely upon, employ and otherwise
use those of the Operator Licenses and Provider Agreements identified on
Schedule 3 attached hereto as the "Transition Permits," until such time as the
applicable Operators have obtained all of the Operator Approvals (as hereinafter
defined) necessary for the operation of the Facilities in the ordinary course
from and after Closing; and (v) Current Owner has agreed to assign and transfer
to Seller or an affiliate of Seller all of the membership interests in and to
the Current Operators identified as Millennium Health and Rehabilitation Center
of Forestville, LLC and Millennium Healthcare and Rehabilitation Center of
Ellicott City, LLC (the "Assigned Interest Operators") such that the Assigned
Interest Operators may continue operations at the applicable Facilities pursuant
to the existing Operators Licenses, which shall be deemed Transferred Operator
Permits or Transaction Permits as necessary and appropriate. Current Owner and
the Seller Parties hereby agree that, notwithstanding anything contained herein
or in the Millennium Agreement to the contrary, Buyer shall not assume, accept
or undertake, or otherwise be liable for, and Current Owner hereby forever and
irrevocably releases and discharges Buyer and the Buyer Indemnified Parties from
liability with respect to, the Operator Liabilities, regardless of the period to
which such Operator Liabilities relate. From and after Closing, Current Owner
and the Seller Parties understand, consent and agree that Buyer (and its
successors and assigns) shall have the right to rely upon, enforce and benefit
from any and all rights, title and interest of THC or Seller in, to and under
the Millennium Agreement with respect to the Current Owner Projects, including,
but not limited to, any representations, warranties, covenants, and indemnities
made by Current Owner or any Seller Parties to and with respect to the Current
Owner Projects (the "Assigned Rights"); provided, however, that the foregoing
shall be without limitation upon the right of THC or Seller to rely upon,
enforce and benefit from the Assigned Rights. The Assigned Rights shall include,
but not be limited to, the right to rely upon and enforce the indemnity provided
by the Sellers (as defined in the Millennium Agreement) to and for the benefit
of THC pursuant to Section 11.2 of the Millennium Agreement and the
non-competition covenants and undertakings made by the Seller Parties pursuant
to Section 6.5 of the Millennium Agreement; provided, however, that Buyer and
the Buyer Indemnified Parties shall not have the right to draw upon and benefit
from the escrowed funds deposited by Current Owner and the Seller Parties unless
Buyer or its successor-in-interest has required the Operational Transfer (as
defined in the Lease) contemplated by the Lease. At Closing, THC shall sell,
transfer, convey and assign to Buyer (and its successors and assigns), in form
acceptable to Buyer, any and all Assigned Rights (the "Contract Right
Assignment"). The Contract Right Assignment shall be executed by Current Owner
and the Seller Parties for purposes of consenting to, and acknowledging, Buyer's
(and its successors' and assigns') right to rely thereon and the terms of this
Section 1.4. The Contract Right Assignment shall contain an (i) indemnity (in
form and substance acceptable to Buyer) from THC to and for the benefit of Buyer
from and against any and all Losses resulting from the

                                       4

<PAGE>

Operator Liabilities; and (ii) affidavit from Current Owner confirming that the
sale of the Current Owner Projects is not subject to, and does not subject Buyer
to, liability for any bulk sales obligations under applicable law and an
indemnity for Losses suffered by Buyer in connection with the foregoing. Current
Owner and the Seller Parties have executed this Agreement for the limited
purpose of acknowledging their agreement to the terms of this Section 1.4.
Buyer, Current Owner and the Seller Parties shall execute such instruments,
agreements, conveyance documents and assignments as are reasonably requested by
the others to effectuate the interest of this Section 1.4. The terms of this
Section 1.4 shall survive Closing and the delivery of any conveyance
documentation.

          1.5. Excluded Liabilities. Notwithstanding anything to the contrary
set forth in this Agreement, Buyer does not hereby agree to assume, pay,
perform, satisfy or discharge any liability or obligation of Seller, Current
Owner or any Current Operator existing on the Closing Date or arising out of any
transactions entered into, or any state of facts existing, prior to the Closing
Date (the "Excluded Liabilities"), and Seller agrees to pay and satisfy when due
all of the Excluded Liabilities. The term "Excluded Liabilities" shall include,
without limitation, the following:

               (i) any liabilities or obligations of Seller, Current Owner or
     any Current Operator relating to employee benefits or compensation
     arrangements of any nature;

               (ii) any liability or obligation of Seller, Current Owner or any
     Current Operator for breach of contract, personal injury or property damage
     (whether based on negligence, breach of warranty, strict liability or any
     other theory) caused by, arising out of or resulting from, directly or
     indirectly, any alleged or actual acts or omissions;

               (iii) any liability or obligation of the Seller, Current Owner or
     any Current Operator for money borrowed;

               (iv) any amounts due, claimed or becoming due to Medicare,
     Medicaid or any other health care reimbursement or payment intermediary,
     including, but not limited to, any recapture, adjustment, overpayment,
     penalty assessment or any other financial obligation or charge, including
     but limited to those arising from any adjustments or reductions in Medicare
     or Medicaid reimbursement;

               (v) any Environmental Liability (as hereinafter defined); and

               (vi) any and all other liabilities and obligations of every kind
     of Seller, Current Owner and any Current Operator incurred in connection
     with, or arising by reason of, their ownership or operation of the Property
     prior to the Closing.

     2. PURCHASE PRICE.

          2.1. Purchase Price Formula. The total purchase price (the "Purchase
Price") to be paid to Seller by Buyer shall be equal to Fifty-Three Million and
No/100 Dollars

                                       5

<PAGE>

($53,000,000.00). In calculating the Purchase Price, no portion of the Purchase
Price is allocated to the Intangibles.

          2.2. Transaction Closing Costs. For purposes of this Agreement,
"Transaction Closing Costs" shall mean any and all reasonable costs and expenses
paid or incurred by Buyer in connection with the consummation of the
transactions contemplated hereby, including, but not limited to: (i) any and all
actual costs associated with Buyer's due diligence inspection of the Property;
(ii) any actual Expenses (as defined in the Commitment Letter) for which Seller
is required to reimburse Buyer pursuant to the Commitment Letter that have not
previously been paid or reimbursed by Seller; (iii) any costs and expenses paid
or incurred by Buyer to negotiate, execute and deliver this Agreement, the Term
Sheet or the Commitment Letter; and (iv) any costs and expenses paid or incurred
by Buyer that are similar to any of the foregoing. The Transaction Closing Costs
shall be paid out of the net proceeds of the Purchase Price payable by Buyer to
Seller at Closing to the applicable third party service provider (i.e. the Title
Company (as hereinafter defined), Buyer's attorneys, the surveyor, etc.) if and
to the extent such amounts have not been previously paid or reimbursed by
Seller. The obligation of Seller to pay (or reimburse Buyer for) any and all
Transaction Closing Costs shall survive the termination of this Agreement and
Closing and the delivery of any conveyance documentation, and, to the extent
that Buyer identifies any Transaction Closing Costs that were not paid by Seller
at or prior to Closing or the termination of this Agreement, Seller shall
reimburse Buyer for any such unpaid Transaction Closing Costs promptly, and in
any event within ten (10) business days, after the presentation of invoices
therefore by Buyer to Seller. Delinquent amounts owing from Seller to Buyer
hereunder shall bear interest at the per annum rate then announced by Citigroup,
N.A. as its "prime" or "reference" rate plus four percent (4%) (the "Delinquency
Rate"). Except as otherwise provided in Section 12.2, if this Agreement is
terminated, other than as a result of a breach by Buyer, Seller shall remain
obligated to, and shall reimburse Buyer for any and all Transaction Closing
Costs incurred by Buyer.

          2.3. Capital Expenditure Holdback.

               2.3.1. Capital Repair Notice. As part of Buyer's due diligence
inspection of the Property, Buyer has conducted certain engineering and
environmental studies and inspections of the Improvements and certain regulatory
compliance reviews of the Facilities. Attached hereto as Exhibit B is a
description of the engineering reports, a list of repair items (the "Capital
Repair Notice") describing any and all of the following repairs, replacements or
cures that are necessary at the Improvements to place them in compliance with
laws and in a first class condition and working order (collectively, the
"Capital Repair Items"): (i) repairs or replacements of physical defects or
deficiencies in the Improvements or the systems serving the Improvements
(capital or otherwise), including, but not limited to, deferred maintenance
items, roof defects and parking lot repairs; (ii) any and all repairs,
maintenance, replacements or installations necessary to cause the Improvements
to comply with any and all governmental or quasi-governmental laws, ordinances,
rules or regulations, including, but not limited to, zoning laws; and (iii) any
and all repairs, maintenance or replacements necessary to cause the Improvements
to comply with or satisfy the requirements of any Health Departments (as
hereinafter defined), Permits, Operator Licenses and Provider Agreements. For
purposes of this Agreement, "Health Departments" shall mean departments of
health and/or any governmental, quasi-governmental or regulatory authorities of
each of the states where the Facilities are located

                                       6

<PAGE>

which have jurisdiction over the licensing, ownership and/or operations of the
Facilities as healthcare facilities. Buyer and Seller have agreed that the
amount necessary to perform all of the Capital Repair Items from and after
Closing is $70,545 ("Capital Expenditure Amount"). The "Capital Expenditure
Holdback" is $88,181, consisting of the amount equal to the sum of the Capital
Expenditure Amount and an amount equal to twenty-five percent (25%) of the
Capital Expenditure Amount. The Capital Expenditure Holdback has been
specifically allocated among the Capital Repair Items (each such allocation, an
"Allowance Amount") as set forth on Exhibit B attached hereto and made a part
hereof.

               2.3.2. Capital Expenditure Holdback. At Closing, Buyer shall
deduct and retain from Seller's net proceeds of the Purchase Price the Capital
Expenditure Holdback. From and after Closing, Seller shall cause the Operators,
as tenants pursuant to the Lease (as hereinafter defined), to act diligently and
in good faith to cure, repair, maintain or replace, as applicable, the Capital
Repair Items. Buyer shall reimburse Seller for the cost incurred by the
applicable Operator to cure, repair or replace any Capital Repair Item from the
Capital Expenditure Holdback up to an amount not to exceed the applicable
Allowance Amount for any Capital Repair Item or the amount of the Capital
Expenditure Holdback for all Capital Repair Items. Buyer shall provide such
reimbursement to Seller only at such time as the Capital Repair Item has been
completed to Buyer's reasonable satisfaction and Seller has presented evidence
(in the form of final lien waivers from all contractors and subcontractors) that
any portion of the cost of such Capital Repair Item required to be paid by
Seller hereunder has been paid in full. Any cure, repair or replacement of a
Capital Repair Item at any Facility shall be performed by the applicable
Operator subject to, and in accordance with, the terms of the Lease applicable
to such activities (i.e. the sections of the Lease describing repairs and
maintenance and alterations). If the cost incurred by any Operator to complete a
Capital Repair Item exceeds the applicable Allowance Amount, such excess cost
shall be paid by Seller without contribution from Buyer or the applicable
Operator. Any Capital Repair Item shall be repaired, cured, maintained or
replaced in a good, workmanlike and lien free fashion. If any part of the
Capital Expenditure Holdback has not been applied by Buyer towards the cost of
Capital Repair Items after the completion of all Capital Repair Items in
accordance with the requirements of this Section 2.3, Buyer shall promptly pay
such amounts to Seller after Seller's written request therefor. If Seller has
not caused the Operators to repair, maintain, cure or replace the Capital Repair
Items within twelve (12) months after Closing, Buyer shall have the right to
repair, maintain, replace or cure such Capital Repair Items on behalf of such
Operators and at Seller's sole cost. Any costs so incurred by Buyer shall first
be deducted from the Capital Expenditure Holdback. If the cost incurred by Buyer
to perform any such Capital Repair Items exceed the amounts remaining in the
Capital Expenditure Holdback, Seller shall promptly, and in any event within ten
(10) business days, reimburse Buyer for such excess costs. Delinquent amounts
owing from Seller to Buyer pursuant to this Section 2.3 shall bear interest at
the Delinquency Rate.

               2.3.3. THC Responsibility/Survival. THC shall be liable, on a
joint and several basis, for all of the obligations of Seller set forth in this
Section 2.3. The terms of this Section 2.3 shall survive Closing and the
delivery of any conveyance documentation.

          2.4. General. Provided that all conditions precedent to Buyer's
obligations to close that are set forth in this Agreement ("Conditions
Precedent") have been satisfied and

                                       7

<PAGE>

fulfilled, or waived in writing by Buyer, the Purchase Price shall be paid to
Seller at Closing, plus or minus prorations and other adjustments hereunder and
less the Transaction Closing Costs and the Capital Expenditure Holdback, by
federal wire transfer of immediately available funds. The portion of the
Purchase Price allocated to each Project is set forth on Exhibit C attached
hereto and made a part hereof (each an "Allocated Purchase Price").

     3. CLOSING. The purchase and sale contemplated herein shall be consummated
at a closing ("Closing") to take place at the New York offices of Dechert, 30
Rockefeller Center, New York, New York 10112, or a location as otherwise agreed
by the parties, on the basis of a "New York-style" closing with a representative
of the Title Company in attendance. The Closing shall occur prior to the close
of business on November 1, 2002, or at such other time as the parties may agree
upon in writing (the "Closing Date"). The Closing shall be effective as of 12:01
A.M. on the Closing Date. Notwithstanding the foregoing, the risk of loss of all
or any portion of the Property shall be borne by Seller up to and including the
actual time of the Closing and wire transfer of the Purchase Price to Seller,
and thereafter by Buyer, subject, however, to the terms and conditions of
Section 11 below.

     4. TITLE AND SURVEY MATTERS.

          4.1. Title. At Closing, Seller agrees to deliver (or cause to be
delivered) to Buyer for each Project a Special Warranty Deed (or its equivalent
in the State in which the Project is located) (collectively, the "Deeds"), in
recordable form, conveying each Project to Buyer or Buyer's assignee or
designee, free and clear of all liens, claims and encumbrances except for the
Permitted Exceptions (as hereinafter defined). Buyer has ordered and obtained,
at Seller's sole cost, a commitment (the "Title Commitment"), issued by First
American Title Insurance Company (the "Title Company"), and ordered from the
National Title Services office of the Title Company in Chicago, Illinois: 30
North LaSalle Street, Suite 310, Chicago, Illinois 60602, Attn: Greg Chaparro
(phone (312) 917-7222, facsimile (312) 553-0480, email gchaparro@firstam.com)
for an owner's title insurance policy (the "Title Policy"), ALTA Policy Form
B-1992, or other form of policy reasonably acceptable to Buyer, in the full
amount of the Purchase Price insuring Buyer as the fee simple owner of the Land
and the Improvements. As a Condition Precedent to Buyer's obligation to proceed
to Closing, the Title Company shall issue the Title Policy (which may be in the
form of a mark-up reasonably acceptable to Buyer, or a so-called "pro-forma" of
the Title Policy executed by the Title Company) to Buyer at Closing insuring
Buyer as the fee simple owner of the Land and the Improvements in the full
amount of the Purchase Price, with all standard and general printed exceptions
deleted so as to afford full "extended form coverage," together with all of the
endorsements, to the extent available in the jurisdiction in which the Project
is located, set forth on Exhibit E attached hereto and made a part hereof
(collectively, the "Endorsements"). For purposes of this Agreement, "Permitted
Exceptions" shall mean with respect to each Project: (A) real estate taxes,
assessments and other governmental levies, fees or charges imposed with respect
to such Project which are not due and payable as of the Closing Date; (B)
zoning, building codes and other land use laws regulating the use or occupancy
of such Project or the activities conducted thereon which are imposed by any
governmental authority having jurisdiction over such Project which are not
violated by the current use or occupancy of such Project or the operation of the
Business, or any violation which would not have a material adverse effect on
Seller's business; (C) easements, covenants, conditions, restrictions and
matters affecting title to such Project that were set forth in the Title

                                       8

<PAGE>

Commitment that have not been deleted and removed from the Title Policy; and (D)
those matters disclosed by the Surveys (as hereinafter defined).

          4.2. Survey. Seller has ordered, at Seller's sole cost and expense,
as-built surveys of all of the Land and the Improvements (collectively, the
"Surveys"), prepared by surveyors duly registered in the State in which the
various Projects are located. The Surveys have been certified as of a date
within thirty (30) days of the Closing by said surveyors as having been prepared
in accordance with the most currently available minimum detail and
classification requirements of the land survey standards of the American Land
Title Association.

     5. SELLER'S REPRESENTATIONS AND WARRANTIES. Each of Seller and THC
represents and warrants to Buyer that the following matters are true as of the
Closing Date:

          5.1. Ownership. Seller is the owner in fee simple of the Projects
identified as numbers 1 through 4 on Schedule 1 attached hereto and made a part
hereof. Current Owner is the fee simple owner of the Projects identified as
numbers 5 through 7 on Schedule 1 attached hereto and made a part hereof (the
"Current Owner Projects").

          5.2. No Assignment. During the period commencing as of the execution
of the Term Sheet by Seller through and including the Closing Date (the
"Executory Period"), Seller has not (nor has Current Owner) assigned, alienated,
liened, encumbered or otherwise transferred all or any part of the Property or
any interest, easement or right of way therein. Without limitation or of the
foregoing, during the Executory Period, Seller has not (nor has Seller permitted
Current Owner to) enter into any agreement, arrangement, letter of intent or
understanding, formal or informal, for the sale, transfer or conveyance of all
or any portion of the Property, conditional or otherwise.

          5.3. Change in Conditions. During the Executory Period, Seller has, to
the extent Seller has obtained knowledge thereof, promptly notified Buyer of any
material change in any condition with respect to the Property, or of the
occurrence of any event or circumstance, that makes any representation or
warranty of (i) Seller to Buyer under this Agreement had the same been made at
any time during the Executory Period or (ii) Current Owner to Seller or THC
under the Millennium Agreement, materially untrue or misleading, or any covenant
of Seller under this Agreement had the same been applicable at any time during
the Executory Period (or Current Owner under the Millennium Agreement),
incapable or less likely to be performed. During the Executory Period, and
continuing through the Closing Date, Seller has promptly, after its receipt,
delivery, filing or preparation, as the case may be, delivered to Buyer true and
complete copies of: (i) any Operator Reports (as hereinafter defined) received
or prepared by Seller (Current Owner or any Current Operator); (ii) any reports,
filings, applications, or petitions made by Seller (or Current Owner or any
Current Operator) to any governmental or quasi-governmental authority (including
any Health Departments) with respect to any Facility; (iii) any material written
correspondence or notices to or from Seller, Current Owner, any Current Operator
or governmental or quasi-governmental authority (including any Health
Departments) with respect to any Facility; and (iv) any other document,
information, material, notice or comparable report or item that constitutes a
Document but either did not exist, was not discovered or was not in Seller's
possession or reasonable control as of the date of the Term Sheet.

                                       9

<PAGE>

          5.4. No Conveyance. During the Executory Period, neither Seller, THC,
nor any of their respective affiliates, agents, representatives, brokers or
employees (collectively, the "Seller Representatives"), have: (i) sold,
transferred, conveyed, assigned, liened, financed, encumbered or otherwise
disposed of, directly or indirectly, all or any portion of the Property, THC or
Seller (or any assets of THC or Seller other than in the ordinary course) other
than in connection with the Loan Transaction; or (ii) solicited, negotiated,
entertained proposal for, or executed and entered into any agreement,
arrangement or understanding for (formal or informal, conditional or otherwise):
(x) the sale, transfer or conveyance of the Property, THC or Seller (or any
assets of THC or Seller other in the ordinary course) to any person or entity,
or (y) the financing of the Property, THC or Seller other than in connection
with the Loan Transaction. Without limitation of the foregoing, during the
Executory Period, neither Seller nor THC has consented to any of the foregoing
activities on the part of Current Owner or with respect to the Current Owner
Projects.

          5.5. Provider Agreements. During the Executory Period, Seller has not
(nor has Seller permitted Current Owner or any Current Operator to), other than
in accordance with normal and commercially reasonable business practices,
changed the terms of any Provider Agreements or altered the terms of its (or
their) participation in Medicare (as hereinafter defined), Medicaid (as
hereinafter defined) or any Third Party Payor Programs (as hereinafter defined).
During the Executory Period, Seller has (and Current Owner and the Current
Operators have) timely filed any and all Operator Reports and otherwise complied
with the terms of the Operator Licenses and Provider Agreements.

          5.6. Documents. Prior to the date hereof, Seller has delivered to
Buyer true and complete copies of all of the material documents, Permits,
Provider Agreements, Operator Licenses, Certificates of Need, reports, studies,
materials and other information described on Exhibit D attached hereto and made
a part hereof (collectively, the "Documents") in its possession or reasonable
control. To the best of Seller's knowledge, none of the Documents contain any
untrue statement of a fact or omit to state a fact necessary to make the
statement of fact contained therein misleading in any material respect. To the
best of Seller's knowledge, the Documents represent all of the materials,
reports, agreements, studies, books, records, documents, Certificates of Need,
Permits, Provider Agreements, instruments and comparable information necessary
for Buyer to make an informed decision concerning its acquisition of the
Property.

          5.7. Defaults. Neither Seller, any Current Operator, nor Current Owner
have received any written notice alleging that Seller, Current Owner or any
Current Operators are in default under any of the Permits, Provider Agreements,
or Certificates of Need, nor does there exist a material default under any of
the Permits, Provider Agreements, or Certificates of Need. For purposes of this
Agreement, the term "Provider Agreements" shall mean any provider agreements
held by or issued to Seller, Current Owner or the Current Operators under which
the Facilities are eligible to receive payment under Title XVIII ("Medicare"),
Title XIX ("Medicaid") or any other governmental or quasi-governmental third
party payor programs or any private or quasi-private healthcare reimbursement or
private payor programs (including so-called "HMO" and "PPO" programs) ("Third
Party Payor Programs") as well as any other agreement, arrangement, program or
understanding with any federal, state or local governmental agency or
organization or private organization pursuant to which the Facilities qualify
for

                                       10

<PAGE>

payment or reimbursement for medical or therapeutic care or other goods or
services rendered or supplied to any resident.

          5.8. Physical Condition. Except for the Capital Repair Items, (i) the
Improvements contain no material structural defects, (ii) the Land and the
Improvements are free of insect and rodent infestation, (iii) the roofs of the
Improvements are free of leaks or other defects, (iv) all mechanical and utility
systems servicing the Improvements (including, but not limited to, the heating,
ventilation and air conditioning systems and all components thereof) are in good
condition and proper working order, free of material defects and are in
compliance with all applicable laws and codes; and (v) the Improvements are free
of mold.

          5.9. Utilities. To the best of Seller's knowledge, all water, sewer,
gas, electric, telephone, drainage and other utility equipment, facilities and
services required by law or necessary for the operation of the Facilities are
installed and connected pursuant to valid permits; are adequate to service the
Facilities; and are in good operating condition, reasonable wear and tear
excepted. Neither Seller nor Current Owner has received any written notice
advising or alleging of the existence of any fact or condition that would or
could result in the termination or impairment of the furnishing of service to
the Facilities of water, sewer, gas, electric, telephone, drainage or other such
utility services.

          5.10. Employees. Seller and Current Owner have no employees at the
Facilities.

          5.11. Compliance with Laws and Codes. The Facilities, and the use and
operation thereof, are in substantial compliance with all applicable municipal
and other governmental laws, ordinances, rules, regulations, codes, licenses,
permits and authorizations (including the Permits and the Provider Agreements).

          5.12. Litigation. Except as disclosed on Exhibit F attached hereto and
made a part hereof, there are no pending or threatened, judicial, municipal or
administrative proceedings affecting the Property, or in which Seller, the
Current Owner or the Current Operators are or will be a party by reason of
Seller's and Current Owner's ownership or Seller's or the Current Operators'
operation of the Property or any portion thereof, including, without limitation,
proceedings for or involving collections, condemnation, eminent domain, alleged
building code or environmental or zoning violations, or personal injuries or
property damage alleged to have occurred on the Land or the Improvements or by
reason of the condition, use of, or operations on, the Land or the Improvements.
No attachments, execution proceedings, assignments for the benefit of creditors,
insolvency, bankruptcy, reorganization or other proceedings are pending or
threatened against Seller or against Current Owner or any Current Operators nor
are any of such proceedings contemplated by Seller or by Current Owner or any
Current Operators.

          5.13. Insurance. Seller, or the Current Owner, as applicable, now has
in full force and effect the insurance coverages relating to each Project
described on Exhibit G attached hereto and made a part hereof (the "Insurance
Policies"). Neither Seller, nor Current Owner nor any Current Operator have
received any written notice from any insurance carrier alleging any defects or
inadequacies with respect to any Project that, if not corrected, would result in
termination of insurance coverage or increase in the normal and customary cost
of any or all of

                                       11

<PAGE>

the Insurance Policies. For each Facility, Seller, Current Owner or any Current
Operator, as applicable, have made reserves for expenses relating to malpractice
or professional liability claims that are adequate and sufficient in the
exercise of commercially reasonable judgment and normal commercial practice,
which reserves have been approved by their respective independent auditors and
insurance actuaries and are accurately and completely reflected in their most
recent Financial Statements and Operating Statements. None of Seller, Current
Owner or any Current Operator have been advised, orally or in writing, formally
or informally, by their respective insurance carriers, any reinsurance
providers, their independent accountants, any governmental or quasi-governmental
authority or any third party payor program providers of any pending, threatened
or contemplated increase in any such reserves for expenses relating to
malpractice or professional liability claims, nor are any proceedings,
investigations, analysis or reviews of such reserves for malpractice or
professional liability pending, threatened or contemplated. The Documents
include accurate and complete copies of any and all: (i) actuarial reports,
studies, reviews and analysis prepared by or on behalf of Seller, Current Owner,
any Current Operator or their respective insurance carries, quarterly and
otherwise, concerning Seller's, Current Owner's or any Current Operator's
reserves for expenses relating to malpractice or professional liability claims
and malpractice or professional liability insurance; and (ii) material
information, analysis, correspondence to and from Seller, Current Owner, any
Current Operator and their respective insurance carriers, reinsurance providers,
accountants, any governmental or quasi-governmental authorities and any third
party payor program providers concerning Seller's, Current Owner's or Current
Operator's reserves for expenses relating to malpractice or professional
liability claims and malpractice and professional liability insurance.

          5.14. Financial Information, Absence of Any Undisclosed Liabilities.

               5.14.1. Financial Information. The Operating Statements and the
Financial Statements (each as defined in Exhibit D attached hereto and made a
part hereof) delivered by Seller to Buyer are accurate and complete copies
thereof and represent all of the Operating Statements and Financial Statements
prepared and relied upon by Seller, Current Operator or the Current Owner in the
conduct of their respective businesses with respect to the periods covered
therein. The Operating Statements and the Financial Statements accurately set
forth the results of the operations of the Facilities for the periods covered.
The Operating Statements have been prepared in accordance with sound property
management practices consistently applied during the periods described therein
and the Financial Statements have been prepared in accordance with GAAP
consistently applied during the periods described therein, and fairly present
the assets and liabilities and the results from operations of the Facilities.
There has been no material adverse change in the financial conditions or
operation of the Facilities since the periods covered by the Operating
Statements and the Financial Statements. Neither Seller, Current Owner nor any
Current Operator has any liabilities or obligations, and there is no basis for
any assertion against Seller, Current Owner or any Current Operator of any
liability or obligations, except those liabilities or obligations which are (a)
fully reflected or adequately reserved against in the Financial Statements, (b)
disclosed in this Agreement or in the schedules hereto, or (c) incurred in the
ordinary course of business consistent with past practice from and after the
date of the last Operating Statement, which in the aggregate are not material to
Seller, Current Owner or any Current Operator, as applicable.

                                       12

<PAGE>

               5.14.2. Absence of Certain Changes. Since December 31, 2001,
Seller, Current Owner and the Current Operators, have operated the Facilities in
the ordinary course, consistent with past practice, and none of such parties
have: (i) suffered any adverse change or any event, occurrence, development or
state of circumstances or facts which has had or could reasonably be expected to
result in or have an adverse effect on the ownership and operation of any
Facility; (ii) incurred, assumed or guaranteed any indebtedness for money
borrowed, or incurred any liabilities or obligations other than in the ordinary
course of business; (iii) paid, discharged or satisfied any claim, lien or
liability, other than those: (a) which were reflected or reserved against in the
Financial Statements, and which will be paid, discharged or satisfied in the
ordinary course of business consistent with past practice or (b) which were
incurred and paid, discharged or satisfied since the date of the last applicable
Financial Statement in the ordinary course of business consistent with past
practice; (iv) written down the value of any inventory, or written off as
uncollectible any notes, accounts or other receivables or any portion thereof,
except in the ordinary course of business consistent with past practice; (v)
leased or acquired any capital asset other than in the ordinary course of
business; (vi) entered into any transaction with any of their respective
affiliates, other than in the ordinary course of, and pursuant to the reasonable
requirements of, the business at the Facilities and upon terms that are no less
favorable than could be obtained in a comparable transaction with a person who
was not such an affiliate; or (vii) agreed to, or made any commitment to, do any
of the foregoing.

          5.15. Re-Zoning. Except as set forth in the Documents, the use of each
Facility, together with the ancillary uses thereto, are permitted under the
applicable municipal zoning ordinances, or special exceptions, variances or
conditional uses thereto, and the Facilities comply with all conditions,
restrictions and requirements of such zoning ordinances and amendments thereto.
Neither Seller nor Current Owner are a party to nor is there any threatened
proceeding for the rezoning of the Land or the Improvements or any portion
thereof, or the taking of any other action by governmental authorities that
would have an adverse or material impact on the value of the Property or use
thereof.

          5.16. Authority. Schedule 4 attached hereto and made a part hereof
sets forth a list of all of the individuals and entities that (i) are affiliated
with, controlled by, or under common control with (either directly or
indirectly) Seller, THC, Current Owner or any Current Operator; (ii) have an
interest (either directly or indirectly) in the Property; (iii) have interest
(either directly or indirectly) in the Property that will be pledged as
collateral in connection with the Loan Transaction; and (iv) are guarantors,
affiliated management companies, or general partners (or managing members, as
applicable) of Seller, THC, Current Owner or any Current Operator (collectively,
"Seller Related Parties"), and holders of controlling interests in the Seller
Related Parties. The execution and delivery of this Agreement by Seller, and the
performance of this Agreement by Seller, have been duly authorized by Seller,
and this Agreement is binding on Seller and enforceable against Seller in
accordance with its terms. No consent of any creditor, investor, judicial or
administrative body, governmental authority, Health Department or other
governmental body or agency, or other party to such execution, delivery and
performance by Seller is required. Neither the execution of this Agreement nor
the consummation of the transactions contemplated hereby will (i) result in a
breach of, default under, or acceleration of, any agreement to which Seller is a
party or by which Seller or the Property are bound; or (ii) violate any
restriction, court order, permit, agreement or other legal obligation to which
Seller and/or any Project is subject.

                                       13

<PAGE>

          5.17. Real Estate Taxes. Neither Seller nor Current Owner has received
any written notice of any proposed increase in the assessed valuation of the
Land or the Improvements other than increases in the assessed valuation of the
Land or the Improvements occurring in the ordinary course to all properties in
the jurisdictions which an applicable Project is located. There is not now
pending, and Seller agrees that it will not, without the prior written consent
of Buyer (which consent will not be unreasonably withheld or delayed), institute
(or consent to the institution by Current Owner) prior to the Closing Date, any
proceeding or application for a reduction in the real estate tax assessment of
the Land or the Improvements or any other relief for any tax year. There are no
outstanding written agreements with attorneys or consultants with respect to
real estate taxes that will be binding on Buyer or any Project after the
Closing. Other than the amounts disclosed by the tax bills, no special
assessments of any kind (special, bond or otherwise) are or have been levied
against any Project, or any portion thereof, that are outstanding or unpaid,
and, none will be levied prior to Closing.

          5.18. Operator Matters.

               5.18.1. Operator Licenses and Provider Agreements. Seller,
Current Owner or the Current Operators, as applicable, have been issued and are
in good standing with respect to any and all permits, licenses, regulatory
approvals, approvals, Certificates of Need, accreditations and comparable
authorizations (collectively, "Operator Licenses") from all applicable
governmental and quasi-governmental authorities (including, but not limited to,
any Health Department) necessary or advisable for the use, operation and
maintenance of the applicable Facility and the conduct of Seller's or the
Current Operator's business therein. Seller and each Current Operator has
obtained and is in good standing with respect to any and all Provider Agreements
under which the Seller, the applicable Current Operator and/or Facility is
entitled to receive payment or reimbursement under Medicare, Medicaid or any
Third Party Payor Programs. None of Seller, Current Owner or the Current
Operators are in violation of any law, ordinance, rule or regulation, any
Operator Licenses or any Provider Agreements. None of Seller, Current Owner or
the Current Operators are the subject of any investigation, proceeding or
examination by any Health Department or other governmental or quasi-governmental
authority commission, board or agency concerning an actual or alleged violation
of any laws, ordinances, rules or regulations, any Operator Licenses or any
Provider Agreements. The Operator Licenses and the Provider Agreements (i) may
not be, and have not been and will not be, transferred to any location other
than the Facilities; (ii) are not and will not be pledged as collateral security
for any loan or indebtedness that will not be released at Closing; and (iii) are
held and will remain free from restrictions or known conflicts which would
materially impair the use or operation of the Facilities and shall not be
provisional, probationary or restricted in any way. At Closing, the foregoing
representation and warranty shall be true and current with respect to the
Facilities, Seller, Current Owner, all Current Operators and all of the
Operators which will be tenants under the Lease.

               5.18.2. Litigation. Neither Seller, Current Owner nor any Current
Operator is involved in any litigation, proceeding, or investigation (by or with
any person, resident, Health Department or governmental or quasi-governmental
authority) which if determined or resolved adversely would have a material
adverse impact on the conduct by the Seller, Current Owner or the applicable
Current Operator of its business. Other than regularly scheduled audits and
reviews, no validation review, peer review or program integrity review

                                       14

<PAGE>

related to any Facility or Seller, Current Owner or any Current Operator has
been conducted by any entity, commission, board or agency in connection with the
Medicare program, and no such reviews are schedule, pending or threatened
against or affecting any Facility, Seller, Current Owner or any Current
Operator. At Closing, the foregoing representation and warranty shall be true
and current with respect to the Facilities, Seller, Current Owner, all Current
Operators and all of the Operators which will be tenants under the Lease.

               5.18.3. Licensing Matters. With respect to each Facility, the
Operator Licenses and the Provider Agreements represent all of the licenses,
permits, approvals, and provider agreements necessary in order to operate the
Facilities as healthcare facilities, and receive regular reimbursement for
services rendered under Medicare and Medicaid, and, no other material franchise,
license, permit, order or approval of any governmental or quasi-governmental
authority is material to or necessary for Seller, Current Owner or any Current
Operator to receive regular reimbursement for services rendered under Medicare
and Medicaid. Neither Seller, Current Owner, any Current Operators nor any of
their respective representatives, officers, directors, agents or employees have
been disqualified from participating in either the Medicare or Medicaid
programs. Without limitation of the foregoing, none of Seller, Current, Owner,
any Current Operators or their respective officers, directors or managing
employees or other employees or agents has engaged in any activities which are
prohibited under criminal law, or are cause for civil penalties or mandatory or
permissive exclusion from Medicare, or any other state health care program.
There is no, and there shall continue to be no, threatened, existing or pending
revocation, suspension, termination, probation, restriction, limitation or
nonrenewal affecting Seller, Current Owners, the Current Operators or the
Facilities of any participation or Provider Agreements with Medicare, Medicaid
or any Third Party Payor Programs to which Seller, Current Owners or the Current
Operators presently or at any time hereafter are subject. All Medicaid, Medicare
and private insurance cost reports and financial reports submitted by Seller
Current Owner or any Current Operators are and will be materially accurate and
complete and have not been and will not be misleading in any material respects.
At Closing, the foregoing representation and warranty shall be true and current
with respect to the Facilities, Seller, Current Owner, any Current Operators and
all of the Operators which will be tenants under the Lease.

               5.18.4. Operator Reporting. Seller has delivered to Buyer
accurate and complete copies of all of the census information concerning the
number of licensed beds occupied by bona fide residents, monthly financial
statements and other reports, materials and information concerning Seller,
Current Owner and each Current Operator's business operations and compliance
with laws, ordinances, rules, regulations, Operator Licenses and Provider
Agreements that are submitted by Seller, Current Owner or any Current Operator,
for all of the Facilities, including, but not limited to, Medicare and Medicaid
cost reports relating to the Facility (the "Operator Reports") for the periods
described in Exhibit D attached hereto and made a part hereof. Except as may
otherwise be disclosed in the Documents, the Operator Reports are accurate in
all material respects. All materials reports, documents and notices, including,
without limitation, all Medicare cost reports, required to be filed, maintained
or furnished by Seller, Current Owner and each Current Operator to any
governmental agency with respect to any Facility have been so filed, maintained
or furnished. There are no defects or deficiencies to or with respect to the
Facilities or any Provider Agreement cited in any survey or cost report
provided, submitted or made by or to any governmental or quasi-governmental
authority under Medicare, Medicaid, any Third Party Payor Program or any law,
ordinance, rule

                                       15

<PAGE>

or regulation that remain uncured. At Closing, the representation and warranty
set forth in this Section 5.18.4 shall be true and current with respect to the
Facilities, Seller, any Current Operators and all of the Operators which will be
tenants under the Lease.

               5.18.5. No Violations. None of Seller, Current Owner, any Current
Operator nor the Facilities is or will be the subject of any proceeding by any
governmental agency, and no notice of any violation has been or will be issued
by a governmental agency that would, directly or indirectly, or with the passage
of time:

               (i) Impact Seller's or any Current Operator's ability to accept
     and/or retain patients at a Facility; or

               (ii) Have an adverse effect on Seller's or any Current Operator's
     ability to accept and/or retain patients or operate the Facilities or
     result in the imposition of a fine or sanction or a lower rate
     certification or a lower reimbursement rate for services rendered to
     eligible patients; or

               (iii) Modify, limit or annul or result in the transfer,
     suspension, or revocation or imposition of probationary use of any of the
     Operator Licenses; or

               (iv) Affect Seller's or any Current Operator's continued
     participation in Medicare, Medicaid or any Third Party Payor Programs, or
     any successor programs thereto, at then current rate certifications. At
     Closing, the foregoing representation and warranty shall be true and
     current with respect to the Facilities, Seller, any Current Operators and
     all of the Operators which will be tenants under the Lease.

               5.18.6. No Facility Violations. No Facility has received a "Level
A" (or equivalent) violation under Medicare or Medicaid, as applicable, and no
statement of charges or deficiencies has been made or penalty enforcement action
has been undertaken against the Facilities, any Current Operator, Current Owner
or Seller, or against any officer or director, of any Current Operator, Current
Owner or Seller by any governmental agency during the last three calendar years,
and there have been no violations during the period of time in which Seller or
Current Owner has owned the particular Facility which would threaten the
Facilities', any Current Operator's or Seller's certification for participation
in Medicare or Medicaid or any other Third Party Payors' Programs. At Closing,
the foregoing representation and warranty shall be true and current with respect
to the Facilities, Seller, any Current Operators and all of the Operators which
will be tenants under the Lease.

               5.18.7. No Reimbursement Audits or Appeals. There are no current,
pending or outstanding Medicaid, Medicare or Third Party Payor Programs'
reimbursement audits or appeals pending at the Facilities which (x) are not
normal and customary on an annual basis in the ordinary course of business for
facilities similar to the Facilities and (y) would have a material and adverse
effect on the Facilities. At Closing, the foregoing representation and warranty
shall be true and current with respect to the Facilities, Seller, any Current
Operators and all of the Operators which will be tenants under the Lease.

               5.18.8. No Recoupments Efforts. There are no current or pending
Medicaid, Medicare or Third Party Payor Programs' recoupment efforts at the
Facilities which

                                       16

<PAGE>

are (x) not normal and customary on an annual basis in the ordinary course for
facilities similar to the Facilities and (y) would have a material and adverse
effect on the Facilities. Neither Seller nor any Current Operator are a
participant in any federal program whereby any governmental agency may have the
right to recover funds by reason of the advance of federal funds. At Closing,
the foregoing representation and warranty shall be true and current with respect
to the Facilities, Seller, any Current Operators and all of the Operators which
will be tenants under the Lease.

               5.18.9. Admissions Hold. There is no suspension, ban or
limitation upon the admission of patients or residents to any Facility (i) by
any governmental or quasi-governmental agency having jurisdiction over the
licensure or Medicare or Medicaid certification of such Facility or (ii)
pursuant to any applicable law, regulation or ordinance.

               5.18.10. TAGS. No state or federal regulatory agency with
jurisdiction over any Facility has: (i) made a substandard quality of care
determination regarding such Facility; (ii) made a determination that such
Facility is not in substantial compliance with any applicable regulatory
requirements; (iii) designated any portion of such Facility or the entirety of
such Facility as part of a "poor performing chain"; (iv) cited deficiencies at
the scope and severity of a "G", "H" or higher with respect to such Facility; or
(v) taken adverse regulatory action with respect to such Facility including,
without limitation, the imposing of civil money penalties.

          5.19. United States Person. Seller and Current Owner are each a
"United States Person" within the meaning of Section 1445(f)(3) of the Internal
Revenue Code of 1986, as amended, and shall execute and deliver an "Entity
Transferor" certification at Closing.

          5.20. Other Taxes. The sale of the Property to Buyer hereunder is not
subject to, and does not subject Buyer to, any liability for income tax, retail
sales tax or bulk sales obligation under the law of the state in which any
portion of the Property is located.

          5.21. Permits. The Permits represent all of the permits, licenses,
approvals, Certificates of Need, provider agreements, covenants and other
comparable authorizations from governmental or quasi-governmental authorities
(including, but not limited to, any Health Department) required, necessary or
advisable to be issued or granted to Seller, the Current Owner or the Current
Operators in connection with the operation and ownership of the Facilities under
applicable laws, ordinances, rules and regulations. Neither Current Owner, any
Current Operator nor Seller is not in material violation of any Permits, nor has
Seller, Current Owner or any Current Operator received any written notice
alleging any material violation of any Permits. Schedule 3 contains an accurate
and complete list of (i) all Permits (including any Provider Agreements and
Certificates of Need), (ii) the parties to whom the same have been issued and
(iii) the parties who issue such Permits. Schedule 3 attached hereto also
identifies those Permits which are (i) only transferable upon receipt of consent
or approval from the parties identified as having issued such Permits or (ii)
not transferable. Schedule 3 attached hereto also identifies the Assumed
Permits, the Transition Permits (including each party that will rely on a
Transition Permit), the Transferred Operator Permits (including each party that
will assume each Transferred Operator Permit) and all of the Operator Approvals
(including each Operator that will receive each Operator Approval).

                                       17

<PAGE>

          5.22. Condemnation. Neither Current Owner nor Seller has received any
written notice advising it of any pending or threatened condemnation or other
governmental taking proceedings affecting all or any part of the Land or the
Improvements.

          5.23. Agreement of Sale. Neither Seller nor any Seller Representative
(as hereinafter defined) is party to any agreement, arrangement or understanding
(formal or informal, conditional or otherwise) for: (i) the sale, transfer, or
conveyance of all or any portion of the Property or Seller (or any assets of
Seller other than in the ordinary course); or (ii) the financing of the Property
or Seller, except for the Millennium Agreement, the Term Sheet, the Commitment
Letter, the Loan Term Sheet and the Loan Commitment Letter.

          5.24. Millennium Agreement. Seller has delivered to Buyer a true,
accurate and complete copy of the Millennium Agreement and any and all
documents, materials, reports, agreements and comparable information provided by
Current Owner or to the Seller Parties to THC or Seller with respect to the
Property. THC, Current Owner and the Seller Parties have (i) complied with all
terms and conditions of the Millennium Agreement; (ii) performed all of their
respective obligations under the Millennium Agreement; and (iii) are not in
default under the Millennium Agreement. The Millennium Agreement provides THC
with the unconditional right to acquire the Current Owner Projects and Seller is
not aware of any fact or condition that has occurred or failed to occur that
would prevent Seller, THC or their successors and assigns from acquiring the
Current Owner Projects pursuant to the Millennium Agreement. THC has the
unconditional right pursuant to the Millennium Agreement to cause the Current
Owner Projects to be conveyed to Buyer and leased by Seller to the Operators at
Closing in accordance with this Agreement.

          5.25. Environmental Matters. Except as discussed on Schedule 5.25
attached hereto.

               5.25.1. No Violations. The Land and the Improvements have been
and continue to be owned and operated in material compliance with all
Environmental Laws (as hereinafter defined). To the best of Seller's knowledge,
except for matters which have been cured and remedied in accordance with all
Environmental Laws, there have been no past claims, complaints, notices, or
requests for information received by Seller, Current Owner, any Current
Operator, any Seller Parties or any Additional Seller Parties (as hereinafter
defined) with respect to any material violation or alleged violation of any
Environmental Law, any material releases of Hazardous Substances (as hereinafter
defined) or material liability for any corrective or remedial action for or
cleanup in each case with respect to the Land or the Improvements or any portion
thereof. For purposes of this Agreement, "Additional Seller Parties" shall mean
the members, partners or shareholders of Seller and Current Owner, and the
offices, directors, employees, agents or duly authorized managing agents of any
or all of Seller, Current Owner and their respective members, partners or
shareholders.

               5.25.2. Hazardous Substances Neither Seller, nor to the best of
Seller's knowledge, Current Owner, any Current Operator, any Seller Parties or
any Additional Seller Parties has transported, disposed of or treated, or
arranged for the transportation, disposal or treatment of, any Hazardous
Substances to or from the Land or the Improvements. No written notification of a
material release or discharge of a Hazardous Substance has been filed by or on

                                       18

<PAGE>

behalf of, or received by, Seller, or, to the best of Seller's knowledge,
Current Owner or any Current Operator with respect to any of the Land or the
Improvements and, to the best of Seller's knowledge, none of the Land or the
Improvements are listed on the National Priorities List promulgated pursuant to
CERCLA or on any similar state list of sites requiring investigation or
clean-up.

               5.25.3. Underground Storage Tanks There are no underground
storage tanks at, in, under or about the Land that do not comply in all material
respects with all Environmental Laws. Neither Seller nor, to the best of
Seller's knowledge, Current Owner or any Current Operator has removed any
underground storage tanks from the ground.

               5.25.4. Asbestos and Polychlorinated Biphenyls. To the best of
Seller's knowledge, no asbestos, polychlorinated biphenyls or urea formaldehyde
is or has been present at the Land or the Improvements in a manner that does not
comply in all material respects with all Environmental Laws.

               5.25.5. Liens There are no environmental liens on any of the Land
or Improvements, and, to the best of Seller's knowledge, no governmental actions
have been taken or are in process that could subject any of the Land or
Improvements to such liens.

               5.25.6. Notices No notice, notification, demand, request for
information, citation, summons or order has been issued, no complaint has been
filed, no penalty has been assessed and no investigation or review is pending or
threatened by any governmental authority or other person with respect to any
actual or alleged violation by Seller, Current Owner, any Current Operator, any
Seller Parties or any Additional Seller Party of any Environmental Law in
connection with the Land or the Improvements or the conduct of business thereon.

               5.25.7. Definitions. For purposes of this Agreement,
"Environmental Laws" shall mean: all federal, state and local statutes,
regulations, directives, ordinances, rules, policies and guidelines having the
force and effect of law, court orders and decrees of any governmental authority
and any legally enforceable arbitration awards and the common law, which pertain
to environmental matters, contamination of any type whatsoever or health and
safety matters, as such have been amended, modified or supplemented from time to
time. For purposes of this Agreement, "Hazardous Substances" shall mean: any
chemical, pollutant, mold, contaminant, pesticide, petroleum or petroleum
product or by product, radioactive substance, solid waste (hazardous or
extremely hazardous), special, dangerous or toxic waste, substance, chemical or
material regulated, as hazardous or toxic under any Environmental Law. For
purposes of this Agreement, "Environmental Liabilities" shall mean: any and all
Losses and other liabilities arising in connection with or in any way relating
to the Property, or the use, operation or ownership of the Property by Seller,
Current Owner, the Seller Parties, any Current Operator, any Additional Seller
Parties or any of their affiliates, whether vested or unvested, contingent or
fixed, actual or potential, to the extent such losses or other liabilities (i)
arise under or relate to Environmental Laws, Hazardous Substances, or arise in
connection with or relate to any matter disclosed or required to be disclosed in
Schedule 5.25 attached hereto and (ii) arise from or relate in any way to
actions occurring or conditions existing prior to the Closing Date.

                                       19

<PAGE>

Schedule 5.25 sets forth an accurate and complete list of all Environmental
Liabilities known to Seller as of the date of this Agreement.

          5.26. Buyer Permits; Assumed Permits. Prior to Closing, Seller and
Current Owner have reasonably assisted Buyer in its efforts to obtain any
permits, licenses, Certificates of Need, approvals, provider agreements or
comparable consents from any governmental or quasi-governmental authority
(including, but not limited to, any Health Departments) that are either a
condition of the sale of the Facilities to Buyer or necessary or advisable for
Buyer to obtain (rather than receive an assignment thereof from Seller (or
Current Owner or any Current Operator) or rely on comparable permits, licenses,
approvals or provider agreements issued to any Operator) in connection with
ownership, use and operation of the Facilities from and after Closing under any
and all applicable laws, ordinances, rules or regulations (collectively, "Buyer
Permits"). At Closing, Seller has sold, transferred, conveyed and assigned (or
has caused Current Owner to assign) all of the Assumed Permits to Buyer and
obtained any and all Transfer Approvals (as hereinafter defined) from
governmental or quasi-governmental authorities or the providers under any Third
Party Payor Programs necessary or advisable as a condition to (a) the assignment
to Buyer, and the assumption by Buyer, of the Assumed Permits and (b) the
Operational Transfer (as hereinafter defined).

          5.27. Operator Approvals; Transferred Operator Permits. On or prior to
Closing, Seller has used its best efforts to cause to be issued to, or received
by, the applicable Operator of each Facility any and all permits, licenses,
approvals, consents, Certificates of Need, provider agreements or other
comparable items from any governmental or quasi-governmental authority
(including, but not limited to, any Health Departments) that are either a
condition of the transfer of operations at the Facilities or necessary or
advisable in connection with the Operational Transfer and/or the use and
operation of the Facilities after Closing in the ordinary course, and the
receipt of regular reimbursement under Medicare, Medicaid or other Third Party
Payor Programs after Closing (such permits, licenses, approvals, provider
agreements and comparable items, the "Operator Approvals"). On or prior to
Closing, Seller, Current Owner or the Current Operators have sold, transferred,
conveyed and assigned to applicable Operators of each Facility all of the
Transferred Operator Permits (or in the case of the Assigned Interest Operations
allowed such Transferred Operator Permits to remain with the Assigned Interest
Operators) and obtained any and all Transfer Approvals necessary or advisable as
a condition of such transfer (or allowing the Transferred Operator Permits to
remain with the Assignment Interest Operators, as applicable). Without
limitation of the foregoing, the Transferred Operator Permits represent all of
the Operator Licenses that (a) should be sold, transferred, conveyed and
assigned (or allowed to remain with the Assigned Interest Operators) to the
Operators as part of the Operational Transfer or (b) are necessary or advisable
in connection with the Operational Transfer and/or the use and operation of the
Facilities after Closing in the ordinary course, and the receipt of regular
reimbursement under Medicare, Medicaid or other Third Party Payor Programs after
Closing in the ordinary course.

          5.28. Transition Permits. On or prior to Closing, Seller, Current
Owner or the Current Operators have taken such actions; filed such applications,
notices, petitions and transfers; and obtained such consents, approvals,
licenses, permits or permission from governmental or quasi-governmental
authorities and the providers under any Third Party Payor Programs as are
required, necessary or advisable to allow the Operators to rely upon, use and

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employ the Transition Permits for the use and operation of the Facilities for
their primary intended purpose from and after Closing in the ordinary course and
the receipt of regular reimbursement under Medicare, Medicaid or any Third Party
Payor Programs from and after Closing in the ordinary course, until the
Operators receive the Operator Approvals necessary to replace such Transition
Permits.

          5.29. Operational Transfer. On or prior to Closing, Seller, Current
Owner or the Current Operators, as applicable and at Seller's sole cost, have
taken any and all necessary actions; obtained and filed such applications,
petitions and transfers (including, but not limited to, the Transfer Notices (as
hereinafter defined) and the Transfer Approvals); made such assignments,
conveyances and transfers to and for the benefit of the Operators (including,
but not limited to, the assignment of the Transferred Operator Permits); caused
such permits, licenses, approvals and provider agreements (including, but not
limited to, certain of the Operator Approvals) to be issued to and for the
benefit of the Operators; and obtained all such approvals, consents, licenses
and permits as are necessary to allow: (a) the Operators to rely upon, use and
employ the Transition Permits and (b) to allow the Assigned Interest Operators
to continue to rely upon and employ the Transferred Operation Permits after
Closing as are necessary, desirable, advisable or required such that the
day-to-day operations of the Facilities, as healthcare facilities, are
transferred and transitioned, practically and legally, to the Operators
simultaneously with Closing without interruption of the business activities
therein, regulatory or otherwise (such transfer of operations, the "Operational
Transfer"). Prior to Closing, Seller has, at Seller's cost, (i) used its best
efforts to obtain such consents, approvals and permits from governmental and
quasi-governmental authorities ("Transfer Approvals"); and (ii) filed and
submitted such petitions, notices and applications ("Transfer Notices") as are
necessary or advisable (a) in connection with (1) the transfer and conveyance of
the Facilities by Seller to Buyer and (2) the Operational Transfer and (b) to
allow the Operators (including the Assigned Interest Operators) to rely on the
Transition Permits and to use and employ the Transferred Operator Permits from
and after Closing.

All representations and warranties made by Seller in this Agreement shall
survive the Closing for a period of two (2) years and shall not merge into any
conveyancing documentation delivered at Closing. Except as otherwise expressly
set forth herein, the representations and warranties of each Seller and THC in
this Section 5 are the sole and exclusive representations and warranties of each
Seller and THC with respect to environmental, health and safety matters,
including without limitation, all matters arising under Environmental Laws or
relating to Hazardous Substances.

          5.30. 8-K Requirements. Upon Buyer's request, for a period of two (2)
years after Closing, Seller or Current Owner (with respect to the Current Owner
Projects) shall make the Operating Statements, the Financial Statements and any
underlying financial data associated therewith available to Buyer for
inspection, copying and audit by Buyer's designated accountants, and at Buyer's
expense. Seller or Current Owner (with respect to the Current Owner Projects)
shall provide Buyer, but without third-party expense to Seller or Current Owner,
with copies of, or access to, such factual information as may be reasonably
requested by Buyer, and in the possession or control of Seller or Current Owner,
to enable Ventas, Inc. to file Form 8-K and the required financial statements of
Buyer, if, as and when such filing may be required by the Securities and
Exchange Commission. Without limitation of the foregoing, Buyer or its

                                       21

<PAGE>

designated independent or other accountants may audit the required Operating
Statements and the Financial Statements, and Seller or Current Owner (with
respect to the Current Owner Projects) shall supply such documentation in its
possession or control and respond to inquiries as Buyer or its accountants may
reasonably request in order to complete such audit, and Seller or Current Owner
(with respect to the Current Owner Projects) shall execute an audit
representation letter in the form required by the Buyer's accountants
substantially in the form of audit representation letter contained in Exhibit I
attached hereto or made a part hereof.

All covenants made in this Agreement by Seller shall survive the Closing for a
period of two (2) years and shall not be merged into any instrument of
conveyance delivered at Closing.

     6. CONDITIONS PRECEDENT TO CLOSING.

          6.1. Buyer's obligations to proceed to Closing shall be conditioned
upon:

               6.1.1. Pending Actions. At Closing, there shall be no
administrative agency, litigation or governmental proceeding of any kind
whatsoever, pending or threatened, that, after Closing, would, in Buyer's
reasonable discretion, materially and adversely affect the value of any
Facility, or the ability of Buyer or any Operator to operate any Facility in the
manner it is being operated on the date of this Agreement. Without limitation of
the foregoing, at Closing, all of the Permits, Operator Licenses, Operator
Approvals and Provider Agreements shall be in good standing in all material
respects and neither Seller, Current Owner nor any Current Operator shall have
received any written notice alleging or advising of any violation of any
Permits, Operator Licenses or Provider Agreements.

               6.1.2. Representations and Warranties. As of the Closing Date,
the representations and warranties made by Seller to Buyer shall be true,
accurate and correct in all material respects.

               6.1.3. Title Policy. At Closing, the Title Company shall issue
the Title Policy to Buyer in the form required by Section 4.1 above inclusive of
the Endorsements.

               6.1.4. Buyer Permits. Buyer shall have obtained and/or been
issued any and all Buyer Permits from governmental or quasi-governmental
authorities that are either a condition of the sale of the Facilities to Buyer
or necessary or advisable for Buyer to obtain (rather than receive an assignment
thereof from Seller (or Current Owner) or rely on comparable permits, licenses,
approvals or provider agreements issued to a Operator) in connection with the
use, operation and ownership of the Facilities from and after Closing in the
ordinary course of business.

               6.1.5. Operator Approvals. The Operators shall either (i) have
obtained and/or been issued any and all Operator Approvals from governmental or
quasi-governmental authorities or Transferred Operator Permits or (ii) obtained
the right to rely upon, employ and use any and all Transition Permits that are
either a condition of the transfer of operations at the Facilities to the
Operators or necessary or advisable in connection with the Operational Transfer
and/or the use and operation of the Facilities (and the receipt by the
Facilities and the Operators of regular reimbursement under Medicare, Medicaid
and other Third Party Payor Programs) after Closing in the manner in which they
are currently being operated.

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<PAGE>

               6.1.6. Transfer Approvals. Seller and the Operators, as the case
may be, shall have (i) filed any and all Transfer Notices with the necessary
governmental and quasi-governmental authorities and caused such authorities to
accept such Transfer Notices; and (ii) obtained any and all Transfer Approvals
from governmental and quasi-governmental authorities necessary or advisable for
the sale, transfer and conveyance of the Facilities to Buyer, their use,
operation and ownership from and after Closing and the Operational Transfer.

               6.1.7. Lease. At Closing, Buyer (or any affiliate of Buyer) and
each Operator shall execute and enter into that certain Master Lease Agreement
substantially in the form which is attached hereto as Exhibit J (the "Lease"),
pursuant to which Buyer master leases the Facilities pursuant to the terms and
conditions set forth therein. Each Operator shall lease the Facility identified
with respect to such Operator on Schedule 2 attached hereto and made a part
hereof pursuant to the Lease. The Operators shall be duly formed and validly
incorporated under the laws of the State of Delaware and shall be organized as
so-called "bankruptcy remote" entities on terms acceptable to Buyer. At Closing,
the execution and delivery of the Lease by each Operator, and its performance
under the Lease, shall, have been duly authorized by such Operator, and the
Lease shall be binding on each Operator and enforceable against each Operator in
accordance with its terms. At Closing, no consent of any creditor, investor,
judicial or administrative body, governmental authority, Health Department or
other governmental body or agency, or other party to such execution, delivery
and performance of the Lease by any Operator shall be required. Neither the
execution of the Lease nor the consummation of the transactions contemplated
thereby will (i) result in a breach of, default under, or acceleration of, any
agreement to which any Operator (or its sole member) is a party or by which any
Operator (or its sole member) is bound; or (ii) violate any restriction, court
order, permit, agreement or other legal obligation to which any Operator (or its
sole member) is subject. At Closing, THC shall unconditionally guaranty all of
the obligations of the Operators pursuant to the Lease pursuant to the form of
Lease Guaranty attached to the Lease (the "Lease Guaranty"). The obligations of
THC pursuant to the Lease Guaranty shall be secured by the equity pledge.

               6.1.8. Loan Transaction. Buyer shall have provided to Seller, and
THC shall have executed and accepted the Loan Commitment Letter and all of the
loan documents, mortgages and security instruments necessary to consummate the
Loan Transaction (the "Loan Documents"). At Closing, Buyer (or its affiliates)
and Seller, THC or their respective affiliates shall simultaneously proceed to
the closing of the Loan Transaction or the terms contemplated by the Loan
Documents and the Loan Commitment Letter.

               6.1.9. Certain Regulatory Issues. The licensing and operation of
each Project shall be reasonably satisfactory to Buyer. Without limitation of
the foregoing, Buyer shall have no obligation to proceed to Closing if any of
the following are true with respect to any Project: (a) the Project has a G
"TAG"; (b) the Project has 10 or more "TAGS" in the aggregate; or (c) the
Project is subject to an admissions hold, in each case unless a plan of
correction has been submitted and has been accepted by the appropriate
regulatory authorities and such corrective plan is acceptable to Buyer.

          6.2. Seller's obligation to proceed to closing shall be conditioned
upon:

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<PAGE>

               6.2.1. Representations and Warranties. As of the Closing Date,
the representations and warranties made by Buyer to Seller pursuant to this
Agreement shall be true, accurate and correct in all material respects;

               6.2.2. Lease. At Closing, Buyer (or any affiliate of Buyer) shall
have executed and entered into the Lease;

               6.2.3. Loan Transaction. Seller (or any affiliate of Seller)
shall have executed all of the Loan Documents. At Closing, Buyer (or its
affiliates) and Seller (or its affiliates) shall simultaneously proceed to the
closing of the Loan Transaction on the terms contemplated by the Loan Documents;
and

               6.2.4. Millennium Agreement. The closing under the Millennium
Agreement shall have occurred.

     7. OPERATIONAL TRANSFER.

          7.1. Transfer of Operations. From and after Closing, Seller, at
Seller's sole cost, shall continue to take all necessary actions; file such
applications, petitions and transfers (including, but not limited to, Transfer
Notices and the Transfer Approvals); make such assignments, conveyances and
transfers to and for the benefit of the Operators; cause such permits, licenses,
approvals and provider agreements (including, but not limited to, the Operator
Approvals) to be issued to and for the benefit of the Operators; and obtain and
maintain the right for the benefit of the Operators to use, rely upon and employ
the Transition Permits as are necessary, desirable, advisable or required to
complete the Operational Transfer, practically and legally, without interruption
of the business activities therein, regulatory or otherwise. From and after
Closing, Seller shall, at Seller's cost, obtain those Transfer Approvals it was
unable to obtain prior to Closing that are necessary or advisable (a) in
connection with the transfer and conveyance of the Facilities by Seller to Buyer
and the Operational Transfer and (b) to allow the Operators to rely on the
Transition Permits from and after Closing. From and after Closing, the
Operators, as tenants pursuant to the Lease, shall manage and operate the
Facilities as healthcare facilities in substantially the same manner and fashion
in which they are presently being operated by Seller or Current Owner. Without
limitation of any of the foregoing, as part of the Operational Transfer, from
and after Closing, Seller shall (or Seller shall cause the Current Owner or the
Current Operators, as applicable to), at Seller's cost, (i) cause the issuance
to, the Operators of the Operator Approvals; and (ii) cause the ongoing business
activities at the Facilities to proceed without interruption from and after
Closing subject to the supervision and control of the Operators such that the
Operators are fully licensed and approved by any and all necessary governmental
and quasi-governmental authorities to conduct business in the Facilities in the
ordinary course and receive regular reimbursement under Medicare, Medicaid and
other necessary Third Party Payor Programs. It is acknowledged by the parties
that from and after Closing until the Operators obtain any and all Operator
Approvals, the Operators shall be entitled to use, rely upon and employ the
Transition Permits for purposes of conducting business at the Facilities from
and after Closing. From and after Closing, Seller shall (and Seller shall cause
Current Owner or Current Operator, as applicable to) take such actions; file
such applications, petitions and transfers; and obtain and maintain such
consents, licenses, permits and approvals from any and all governmental or
quasi-governmental authorities and the providers under any

                                       24

<PAGE>

Third Party Payor Programs as are necessary, desirable, advisable or required to
facilitate the Operational Transfer by allowing (i) the Operators to rely upon,
employ or use any and all Transition Permits until such time as the Operators
obtain the Operator Approvals necessary to replace such Transition Permits; and
(ii) the Assigned Interest Operators to continue to use and rely upon the
Transferred Operators Permits applicable to such Facilities. Seller shall
deliver such information relative to, and evidence of, the Operational Transfer
as Buyer shall reasonably require from time to time. Following the Closing, the
parties shall cooperate fully with each other and shall make available to the
other all information, records or documents required to complete any and all
federal and state applications/forms required to effectuate the change of
ownership of the Facilities. Seller further agrees that an authorized
representative shall sign said applications/forms where required by law or
applicable regulations to effectuate the change of ownership of the Facilities.
The terms of this Section 7 shall survive Closing and the delivery of any
conveyance documentation.

          7.2. Transfer of Permits. At Closing, Seller shall, at Seller's cost,
transfer to Buyer (or cause Current Owner to transfer to Buyer) the Assumed
Permits. From and after Closing, Seller shall continue (and shall cause Current
Owner to continue to) reasonably assist Buyer in its efforts to obtain any and
all Buyer Permits as soon as reasonably practicable after Closing.

     8. SELLER'S CLOSING DELIVERIES. At Closing (or such other times as may be
specified below), Seller shall deliver or cause to be delivered to Buyer the
following, in form and substance reasonably acceptable to Buyer:

          8.1. Deed. The Deeds, executed by Seller (or Current Owner, as
applicable), in recordable form, conveying each Project to Buyer free and clear
of all liens, claims and encumbrances except for the Permitted Exceptions.

          8.2. General Assignment. An assignment, executed by Seller (or Current
Owner, as applicable), to Buyer of all right, title and interest of Seller (or
Current Owner, as applicable) and its agents in and to the Intangibles
including, but not limited to, the Assumed Permits together with such additional
requirements, notices and petitions as Buyer may reasonably require to transfer
the Assumed Permits.

          8.3. Operator Licenses. An assignment and assumption, executed by
Seller (or Current Owner or Current Operator, as applicable) and the applicable
Operators, of any and all Transferred Operator Permits, together with evidence
satisfactory to Buyer that any and all governmental and quasi-governmental
authorities as well as the providers under any Third Party Payor Programs have
approved (a) the transfer of such Transferred Operator Permits and (b) the use
of, reliance upon or employment by the Operators of the Transition Permits from
and after Closing for the operation of the Facilities in the ordinary course of
business.

          8.4. ALTA Statement. If required by the Title Company, ALTA (or
comparable) Statements, each executed by Seller (or Current Owner, as
applicable) and in form and substance acceptable to the Title Company.

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<PAGE>

          8.5. Transfer Notices. Copies of the Transfer Notices together with
evidence of their delivery to, and acceptance by, the applicable governmental
and quasi-governmental authorities and any and all Transfer Approvals.

          8.6. Original Documents. To the extent not previously delivered to
Buyer, originals of the Assigned Contracts and the Assumed Permits.

          8.7. Closing Statement. A closing statement conforming to the
proration and other relevant provisions of this Agreement.

          8.8. Plans and Specifications. All plans and specifications related to
the Improvements in Seller's possession or reasonable control or otherwise
available to Seller which have not been previously delivered to Buyer.

          8.9. Entity Transfer Certificate. Entity Transfer Certification
confirming that Seller and Current Owner (as applicable) are each a "United
States Person" within the meaning of Section 1445 of the Internal Revenue Code
of 1986, as amended.

          8.10. Tax Affidavit. Seller's affidavit confirming that the sale of
the Property to Buyer hereunder is not subject to, and does not subject Buyer
to, liability for income tax, retail sales tax or bulk sales obligations under
the applicable laws of any state in which a Project is located.

          8.11. Certificate of Occupancy. A currently valid certificate of
occupancy (or comparable permit or license) with respect to the Facilities.

          8.12. Closing Certificate. A certificate, signed by Seller and THC,
certifying to the Buyer that the representations and warranties of Seller
contained in this Agreement are true and correct as of the Closing Date, and
that all covenants required to be performed by Seller prior to the Closing Date
have been performed, in all material respects.

          8.13. Lease. The Lease duly executed by each of the Operators together
with (i) any security deposit required to be posted thereunder by such
Operators; (ii) evidence reasonably satisfactory to Buyer that the Operational
Transfer has been completed and that the Operators are fully licensed and
approved to conduct business in the Facilities in the ordinary course and
receive regular reimbursement under Medicare, Medicaid and other necessary Third
Party Payor Programs; and (iii) any and all Certificates of Insurance required
to be delivered by the Operators, as tenants, to Buyer, as landlord. The Lease
Guaranty duly executed by THC.

          8.14. Assignment of Contract Rights. The Contract Right Assignment
duly executed by THC, Current Owner and the Seller Parties.

          8.15. Opinion of Counsel. An opinion of Seller's (or Current Owner's,
as to the Current Owner Projects) counsel to and for the benefit of Buyer, in
form acceptable to Buyer, indicating that such Assumed Permits have been sold,
transferred, conveyed and assigned to Buyer, such Transferred Operator Permits
have been assigned to, or received by, the Operators, such approvals have been
obtained for the reliance upon the Transition Permits by the Operators and such
Transfer Notices have been posted or filed as are necessary or advisable in
connection

                                       26

<PAGE>

with the Operational Transfer and the Operational Transfer has otherwise
occurred pursuant to, and in accordance with, any and all laws, ordinances,
rules and regulations.

          8.16. Other. Such other documents and instruments as may reasonably be
required by Buyer or the Title Company and that may reasonably be necessary or
appropriate to consummate this transaction and to otherwise effect the
agreements of the parties pursuant to this Agreement.

     9. BUYER'S CLOSING DELIVERIES. At Closing Buyer shall cause the following
to be delivered to Seller in form reasonably acceptable to Seller:

          9.1. Purchase Price. The Purchase Price, plus or minus prorations,
shall be delivered to the Title Company in escrow for disbursement to Seller.

          9.2. Contract Assignment. The Contract Assignment duly executed by
Buyer.

          9.3. Lease. The Lease duly executed by Buyer (or an affiliate of Buyer
selected by Buyer).

          9.4. Contract Right Assignment. The Contract Right Assignment duly
executed by Buyer.

          9.5. Other. Such other documents and instruments as may reasonably be
required by Seller or the Title Company and that may reasonably be necessary or
appropriate to consummate this transaction and to otherwise effect the
agreements of the parties pursuant to this Agreement.

     10. PRORATIONS AND ADJUSTMENTS. The following shall be prorated and
adjusted between Seller and Buyer as of the Closing Date, except as otherwise
specified:

          10.1. Taxes. All accrued general real estate, personal property and ad
valorem taxes for the current year applicable to the Property shall be prorated
on an accrual basis utilizing actual final tax bills if available prior to
Closing. If such tax bills are not available, then such taxes shall be prorated
on the basis of the most currently available tax bills for the Property and
promptly re-prorated upon the issuance of final bills therefor, and any amounts
due from any party to the other shall be paid in cash at that time. Prior to or
at Closing, Seller shall pay or have paid all tax bills that are due and payable
prior to or on the Closing Date and shall furnish evidence of such payment to
Buyer and the Title Company. Buyer shall apply any credit received at Closing in
connection with this Section 10.1 towards the funding of the tax escrow
contemplated by Section 3.3 of the Lease.

          10.2. Assessments. All assessments, general or special, shall be
prorated as of the Closing Date, with Seller being responsible for any
installments of assessments which are due prior to the Closing Date and Buyer
being responsible for any installments of assessments which are due on or after
the Closing Date; provided, however, that Buyer shall apply any credit received
at Closing in connection with this Section 10.2 to fund the tax escrow
contemplated by Section 3.3 of the Lease.

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<PAGE>

     For purposes of calculating prorations, Buyer shall be deemed to be in
title to the Property, and therefore entitled to the income therefrom and
responsible for the expenses thereof, for the entire day upon which the Closing
occurs. All such prorations shall be made on the basis of the actual number of
days of the year and month that shall have elapsed as of the Closing Date. The
amount of such prorations shall be adjusted in cash after Closing, as and when
complete and accurate information becomes available. Seller and Buyer agree to
cooperate and use their good faith and diligent efforts to make such adjustments
no later than thirty (30) days after the Closing, or as soon as is reasonably
practicable if and to the extent that the required final proration information
is not available within such thirty (30) day period. The obligations of the
parties pursuant to this Section 10 shall survive the Closing and shall not
merge into any documents of conveyance delivered at Closing.

     11. CLOSING EXPENSES. Seller will pay at Closing, all reasonable and
necessary closing costs and expenses, including without limitation, the entire
cost of the Title Policy (including the cost of any chain of title searches and
the Endorsements), the cost of the Surveys, any fees or premiums incurred in
connection with the prepayment of debt encumbering any portion of the Land or
the Improvements, the actual fees of Seller's attorneys, the fees of Buyer's
attorneys (including local counsel), all documentary and state, county and
municipal transfer taxes relating to the instruments of conveyance contemplated
herein, and any escrows hereunder. Seller's obligation to reimburse Buyer for
such costs (including attorney's fees) shall survive any termination of this
Agreement.

     12. DEFAULT.

          12.1. Default by Seller. In the event Seller fails or refuses to close
pursuant to the terms of this Agreement or fails to consummate the Loan
Transaction for any reason other than Buyer's failure to perform on terms
consistent with this Agreement, Seller or THC shall pay to Buyer, as fixed and
liquidated damages (and not as a penalty), the entire Application Fee (as
defined in the Loan Term Sheet) plus $500,000 [the "Seller Default Amount"] as
Buyer's sole remedy (hereunder, under the Loan Commitment Letter, the Term
Sheet, the Commitment Letter, the Loan Term Sheet and otherwise), on account of
either or both of Seller's failure to proceed to Closing or proceed with the
Loan Transaction. Upon payment of the Seller Default Amount, this Agreement
shall be terminated and neither party shall have any further liability
hereunder, except for those liabilities that expressly survive a termination of
this Agreement. Without limitation of the foregoing, in no event shall Seller or
THC be obligated to pay the Seller Default Amount to Buyer on account of both
its failure to proceed to Closing hereunder and to the closing of the Loan
Transaction such that the Seller Default Amount would be payable twice (such
payment being a one time, aggregate payment on account of Seller's failure to
proceed with either or both of the transactions contemplated by this Agreement
and the Loan Transaction). Additionally, Seller and THC shall remain obligated
to reimburse Buyer for its Expenses (as defined in the Commitment Letter)
actually incurred, the Transaction Closing Costs and any expenses actually
incurred and owing to Buyer pursuant to the Loan Commitment Letter
(collectively, "Reimbursement Obligations"); provided, however, that neither
Seller nor THC shall be obligated to pay any such Reimbursement Obligations more
than once. BUYER, THC AND SELLER ACKNOWLEDGE AND AGREE THAT: (1) THE SELLER
DEFAULT AMOUNT IS A REASONABLE ESTIMATE OF AND BEARS A REASONABLE RELATIONSHIP
TO THE DAMAGES THAT WOULD BE SUFFERED AND COSTS

                                       28

<PAGE>

INCURRED BY BUYER AS A RESULT OF THE FAILURE OF CLOSING TO HAVE OCCURRED DUE TO
A DEFAULT OF SELLER UNDER THIS AGREEMENT OR OTHERWISE OR A FAILURE OF SELLER TO
PROCEED TO CLOSING; (2) THE ACTUAL DAMAGES SUFFERED AND COSTS INCURRED BY BUYER
AS A RESULT OF SUCH FAILURE TO CLOSE DUE TO A DEFAULT OF SELLER UNDER THIS
AGREEMENT OR OTHERWISE WOULD BE EXTREMELY DIFFICULT AND IMPRACTICAL TO
DETERMINE; (3) SELLER SEEKS TO LIMIT ITS LIABILITY UNDER THIS AGREEMENT TO THE
SELLER DEFAULT AMOUNT IN THE EVENT THIS AGREEMENT IS TERMINATED AND THE
TRANSACTION CONTEMPLATED BY THIS AGREEMENT DOES NOT CLOSE DUE TO A DEFAULT OF
SELLER UNDER THIS AGREEMENT OR OTHERWISE; AND (4) THE SELLER DEFAULT AMOUNT
SHALL BE AND CONSTITUTE VALID LIQUIDATED DAMAGES. In the event of any breach,
default or failure of performance by or on the part of Seller with respect to
any covenant, agreement, representation and warranty or other undertaking that
survives Closing, whether such breach, default or failure occurs after Closing
or occurs prior to Closing but is first disclosed or discovered after Closing,
Buyer shall have all of its remedies at law and in equity on account of such
breach, default or failure of performance (except the foregoing sentence shall
not apply and Buyer shall be precluded from recovering any such additional
amounts from Seller after the termination of this Agreement to the extent Buyer
is paid the Seller Default Amount). Notwithstanding anything contained herein to
the contrary, the right of Buyer to receive, and the receipt by Buyer of, the
Seller Default Amount shall be without limitation upon its right to retain the
Good Faith Deposit (as hereinafter defined) pursuant to the Term Sheet, the
Commitment Fee (as hereinafter defined) pursuant to the Commitment Letter and
any comparable amounts paid by Seller or THC pursuant to the Loan Term Sheet or
the Loan Commitment Letter.

          12.2. Default by Buyer. In the event (i) Buyer fails or refuses to
close pursuant to the terms of this Agreement or to fund the Loan Transaction;
and (ii) all of the Conditions Precedent set forth herein and/or all of the
conditions to funding the Loan Transaction contained in the Loan Commitment
Letter and the Loan Documents, respectively, have been satisfied to the standard
set forth herein or therein (collectively, the "Funding Conditions"), Buyer
shall pay to Seller, as fixed and liquidated damages (and not as a penalty),
Five Hundred Thousand and No/100 Dollars ($500,000) [the "Buyer Default Amount"]
as Seller's sole remedy (hereunder, under the Loan Commitment Letter, the Term
Sheet, the Commitment Letter, the Loan Term Sheet and otherwise), on account of
either or both of Buyer's default hereunder and failure to proceed to Closing or
proceed with the Loan Transaction. Upon payment of the Buyer Default Amount,
this Agreement shall automatically terminate and neither party shall have any
further liability hereunder, except for those liabilities that expressly survive
the termination of this Agreement. Without limitation of the foregoing, in no
event shall Buyer be obligated to pay the Buyer Default Amount to Seller on
account of both its failure to proceed with the transactions described in this
Agreement and the Loan Transaction after the Funding Conditions have been
satisfied such that the Buyer Default Amount would be payable twice (such
payment being a one time, aggregate payment on account of Buyer's failure to
proceed with either or both of the transactions contemplated by this Agreement
and the Loan Transaction after the Funding Conditions have been satisfied).
Additionally, should Buyer be obligated to pay the Buyer Default Amount pursuant
to the terms hereof, Buyer shall refund any Expenses paid by Seller, any
Transaction Closing Costs paid by Seller hereunder (and any expenses paid by
Seller on behalf of Buyer pursuant to the Loan Commitment Letter). Seller shall
have no other remedy for

                                       29

<PAGE>

any default by Buyer, including any right to damages. BUYER AND SELLER
ACKNOWLEDGE AND AGREE THAT: (1) THE BUYER DEFAULT AMOUNT IS A REASONABLE
ESTIMATE OF AND BEARS A REASONABLE RELATIONSHIP TO THE DAMAGES THAT WOULD BE
SUFFERED AND COSTS INCURRED BY SELLER AS A RESULT OF HAVING WITHDRAWN THE
PROPERTY FROM SALE AND THE FAILURE OF CLOSING TO HAVE OCCURRED DUE TO A DEFAULT
OF BUYER UNDER THIS AGREEMENT AFTER SATISFACTION OF THE FUNDING CONDITIONS; (2)
THE ACTUAL DAMAGES SUFFERED AND COSTS INCURRED BY SELLER AS A RESULT OF SUCH
WITHDRAWAL AND FAILURE TO CLOSE DUE TO A DEFAULT OF BUYER UNDER THIS AGREEMENT
AFTER SATISFACTION OF THE FUNDING CONDITIONS WOULD BE EXTREMELY DIFFICULT AND
IMPRACTICAL TO DETERMINE; (3) BUYER SEEKS TO LIMIT ITS LIABILITY UNDER THIS
AGREEMENT TO THE BUYER DEFAULT AMOUNT IN THE EVENT THIS AGREEMENT IS TERMINATED
AND THE TRANSACTION CONTEMPLATED BY THIS AGREEMENT DOES NOT CLOSE DUE TO A
DEFAULT OF BUYER UNDER THIS AGREEMENT AFTER SATISFACTION OF THE FUNDING
CONDITIONS; AND (4) THE BUYER DEFAULT AMOUNT SHALL BE AND CONSTITUTE VALID
LIQUIDATED DAMAGES. The foregoing shall not apply to, and Seller shall have no
right to the Buyer Default Amount in connection with, a breach, default or
failure of performance by Buyer pursuant to Section 14; provided, however, that
Seller shall be entitled to pursue an action for actual damages with respect to
such breach, default or failure of performance by Buyer pursuant to those
Sections. In the event of any breach, default or failure of performance by Buyer
of any covenant, agreement, indemnity, representation or warranty of Buyer that
survives the Closing or the termination of this Agreement, Seller shall have all
of its rights at law or in equity on account of such breach, default or failure
of performance (except the foregoing sentence shall not apply and Seller shall
be precluded from recovering any such additional amounts from Buyer after the
termination of this Agreement to the extent Seller is paid the Buyer Default
Amount).

     13. TAX-DEFERRED EXCHANGE/ REVERSE EXCHANGE. Buyer may assign all or any of
its right, title and interest under this Agreement to any third party
intermediary (an "Intermediary") in connection with a tax-deferred exchange or
reverse exchange pursuant to Section 1031 of the Internal Revenue Code (an
"Exchange"). In the event Buyer elects to assign this Agreement to an
Intermediary, Seller shall reasonably cooperate with Buyer (without incurring
any additional liability or any additional third party expenses) in connection
with such election and the consummation of the Exchange, including without
limitation, by executing an acknowledgment of Buyer's assignment of this
Agreement to the Intermediary.

     14. INDEMNIFICATION. Seller and THC each hereby agrees and does indemnify
and hold Buyer, Buyer's affiliates, and their respective partners, officers,
employees, agents, successors and assigns (the "Buyer Indemnified Parties")
harmless (on a joint and several basis) from and against any and all actual
losses, damages, claims, causes of action, judgments, costs and expenses
(including, reasonable fees of attorneys) (collectively, "Losses") that may be
suffered or incurred by or asserted or awarded against Buyer or any Buyer
Indemnified Party, in each case arising out of, or in connection with, or by
reason of: (i) any matters contemplated by this Agreement; (ii) any Operator
Liabilities, regardless of the period to which such Operator Liabilities relate;
(iii) any material inaccuracy, breach or default by Seller or THC in any

                                       30

<PAGE>

representations and warranties of Seller or THC hereunder; (iv) any material
failure by Seller or THC to perform any material covenant, agreement or
undertaking hereunder; (v) any and all actions, suits, litigation, arbitrations,
procedures, investigations, or claims arising out of any of the foregoing or out
such other conditions that have occurred prior to the Closing Date even though
such actions, suits, litigation, arbitrations, procedures, investigations or
claims have not be filed or have not come to light until after Closing; (vi) any
Environmental Liabilities; (vii) any material breach, default or failure of
performance by Current Owner, the Seller Parties or THC pursuant to the
Millennium Agreement; and (viii) the inability by Seller to cause the
Operational Transfer in accordance with this Agreement, including, but not
limited to, Seller's inability to obtain any Transfer Approvals or the inability
of the Operators to rely upon the Transition Permits from and after Closing.
With respect to items (i), (ii) and (v) set forth above, Seller and THC shall
not be required to indemnify Buyer or any Buyer Indemnified Parties from and
against any such Losses to the extent such Losses are solely and directly
attributable to the gross negligence or willful misconduct of Buyer or any of
the Buyer Indemnified Parties. The foregoing indemnity shall survive Closing and
the delivery of any conveyance documentation.

     15. LITIGATION. In the event of litigation between the parties with respect
to the Property, this Agreement, the performance of their respective obligations
hereunder or the effect of a termination under this Agreement, the losing party
shall pay all costs and expenses incurred by the prevailing party in connection
with such litigation, including, but not limited to, reasonable attorneys' fees
of counsel selected by the prevailing party. Notwithstanding any provision of
this Agreement to the contrary, the obligations of the parties under this
Section 14 shall survive termination of this Agreement or Closing and the
delivery of any conveyance documentation.

     16. NOTICES. Any notice, demand or request which may be permitted, required
or desired to be given in connection therewith shall be given in writing and
directed to Seller and Buyer as follows:

     Seller:           Trans Healthcare of Ohio, Inc.
                       c/o Trans Healthcare, Inc.
                       4660 Trindle Road
                       Suite 103
                       Camp Hill, Pennsylvania  17011
                       Attn: Anthony Misitano
                       Fax: (717) 730-8722

     With a copy to
     its attorneys:    Latsha Davis & Yohe, P.C.
                       4720 Old Gettysburg Road
                       Suite 101
                       Harrisburg, Pennsylvania  17108-0825
                       Attn: Douglas Yohe
                       Fax: (717) 761-2286

                                       31

<PAGE>

     and to:           Kirkland & Ellis
                       200 East Randolph Drive
                       Chicago, Illinois  60601
                       Attn: Francesco Penati
                       Fax:  (312) 660-0495

     Buyer:            Ventas Realty, Limited Partnership
                       333 W. Wacker Drive
                       Suite 2850
                       Chicago, Illinois 60606
                       Attn: Donna Cote
                       Fax:  (312) 984-3150

     With a copy to:   Ventas Realty, Limited Partnership
                       4360 Brownsboro, Suite 115
                       Louisville, Kentucky 40207
                       Attn: T. Richard Riney
                       Fax:  (502) 357-9029

     With a copy to
     its attorneys:    Barack Ferrazzano Kirschbaum Perlman &
                       Nagelberg LLC
                       333 W. Wacker Drive
                       27th Floor
                       Chicago, Illinois 60606
                       Attn: Mark J. Beaubien
                       Fax:  (312) 984-3150

Notices shall be deemed properly delivered and received (i) the same day when
personally delivered; or (ii) one day after deposit with Federal Express or
other commercial overnight courier; or (iii) the same day when sent by confirmed
facsimile.

     17. BENEFIT. This Agreement is for the benefit only of the parties hereto
and their nominees, successors, beneficiaries and assignees as permitted in
Section 13 and no other person or entity shall be entitled to rely hereon,
receive any benefit herefrom or enforce against any party hereto any provision
hereof.

     18. LIMITATION OF LIABILITY. Upon the Closing, Buyer shall neither assume
nor undertake to pay, satisfy or discharge any liabilities, obligations or
commitments of Seller other than those specifically agreed to between the
parties and set forth in this Agreement.

     19. REASONABLE EFFORTS. Seller and Buyer shall use their reasonable,
diligent and good faith efforts, and shall cooperate with and assist each other
in their efforts, to obtain such consents and approvals of third parties
(including, but not limited to, governmental authorities), to the transaction
contemplated hereby, and to otherwise perform as may be necessary to effectuate
transfer the Property to Buyer in accordance with this Agreement.

                                       32

<PAGE>

     20. FEES. Buyer and Seller acknowledge and agree that Seller has delivered
to Buyer (i) a good faith deposit in the amount of $200,000 pursuant to the Term
Sheet ("Good Faith Deposit") and (ii) a commitment fee in the amount of $500,000
(the "Commitment Fee") pursuant to the Commitment Letter. Seller acknowledges
and agrees that the Commitment Fee and the Good Faith Deposit have been earned
by Buyer and are non-refundable to Seller or THC in all circumstances.

     21. MISCELLANEOUS.

          21.1. Entire Agreement. Except for the Term Sheet and the Commitment
Letter, this Agreement constitutes the entire understanding between the parties
with respect to the transaction contemplated herein, and all prior or
contemporaneous oral agreements, understandings, representations and statements,
and all prior written agreements, understandings, letters of intent and
proposals, in each case with respect to the transaction contemplated herein, are
hereby superseded and rendered null and void and of no further force and effect
and are merged into this Agreement. Neither this Agreement nor any provisions
hereof may be waived, modified, amended, discharged or terminated except by an
instrument in writing signed by the party against which the enforcement of such
waiver, modification, amendment, discharge or termination is sought, and then
only to the extent set forth in such instrument.

          21.2. Legal Holidays. If any date herein set forth for the performance
of any obligations by Seller or Buyer or for the delivery of any instrument or
notice as herein provided should be on a Saturday, Sunday or legal holiday, the
compliance with such obligations or delivery shall be deemed acceptable on the
next business day following such Saturday, Sunday or legal holiday. As used
herein, the term "legal holiday" means any state or federal holiday for which
financial institutions or post offices are generally closed for observance
thereof in the State of Illinois.

          21.3. Conditions Precedent. The obligations of (i) Buyer to pay the
Purchase Price and to close the transaction contemplated herein and (ii) Seller
to proceed to Closing are subject to the express Conditions Precedent set forth
in this Agreement (and the other conditions precedent of Buyer therein
contained), each of which is for the sole benefit of Buyer and Seller, as the
case may be, and may be waived at any time by written notice thereof from Buyer
or Seller, as the case may be. The waiver of any particular Condition Precedent
shall not constitute the waiver of any other. In the event of the failure of a
Condition Precedent for any reason whatsoever, Buyer or Seller, as the case may
be, may elect, in its sole discretion and by delivery of written notice to the
other party on or prior to Closing, to (A) terminate this Agreement, in which
event the provisions of Section 21.7 of this Agreement governing a permitted
termination shall apply; or (B) waive the failure of the applicable Condition(s)
Precedent and proceed to Closing.

          21.4. Construction. This Agreement shall not be construed more
strictly against one party than against the other merely by virtue of the fact
that it may have been prepared by counsel for one of the parties, it being
recognized that both Seller and Buyer have contributed substantially and
materially to the preparation of this Agreement. The headings of various
sections in this Agreement are for convenience only, and are not to be utilized
in construing the content or meaning of the substantive provisions hereof.

                                       33

<PAGE>

          21.5. Governing Law. This Agreement shall be governed by and construed
in accordance with the laws of the State of Illinois.

          21.6. Partial Invalidity. The provisions hereof shall be deemed
independent and severable, and the invalidity or partial invalidity or
enforceability of any one provision shall not affect the validity of
enforceability of any other provision hereof.

          21.7. Permitted Termination. In the event that Buyer exercises any
right it may have hereunder to terminate this Agreement, the Buyer Default
Amount shall not be owing from Buyer to Seller hereunder or otherwise and
neither party shall have any further liability or obligation under this
Agreement except for those liabilities and obligations that expressly survive a
termination of this Agreement.

          21.8. Conflict. In the event of any conflict between the terms and
provisions of this Agreement, the Term Sheet and the Commitment Letter, the
terms of this Agreement shall control, in all events.

                           [Signature Page to Follow]

                                       34

<PAGE>

     IN WITNESS WHEREOF, the parties hereto have executed this Purchase and Sale
Agreement on the date first above written.

                                     SELLER:

                                     TRANS HEALTHCARE OF OHIO, INC., a
                                     Delaware corporation

                                     By:  /s/ ANTHONY MISITANO
                                         ---------------------------------------
                                     Its: President
                                         ---------------------------------------

                                       S-1

<PAGE>

                                     BUYER:

                                     VENTAS REALTY, LIMITED
                                     PARTNERSHIP, a Delaware corporation

                                     By: Ventas, Inc., a Delaware corporation
                                     Its:General Partner

                                         By: /s/ T. RICHARD RINEY
                                             -----------------------------------
                                         Its: Executive Vice President
                                             -----------------------------------

                                       S-2

<PAGE>

                                     THC:

                                     ACKNOWLEDGED AND AGREED by Trans
                                     HealthCare, Inc. for purposes of
                                     acknowledging its undertakings hereunder:

                                     TRANS HEALTHCARE, INC., a Delaware
                                     corporation

                                     By:  /s/ ANTHONY MISITANO
                                         ---------------------------------------
                                     Its:  President
                                          --------------------------------------

                                      S-3

<PAGE>

                                     ACKNOWLEDGED AND AGREED by each
                                     Current Owner and the Seller Parties for
                                     the limited purpose of acknowledging their
                                     agreement and undertakings pursuant to
                                     Sections 1.4 and 5.30 hereof:

                                     MILLENNIUM HOLDINGS IV, LLC

                                     MILLENNIUM HOLDINGS VI, LLC

                                     MILLENNIUM HOLDINGS VII, LLC

                                     MILLENNIUM HEALTH AND
                                     REHABILITATION CENTER AT SOUTH
                                     RIVER, LLC

                                     MILLENNIUM HEALTH AND
                                     REHABILITATION CENTER OF ELLICOTT
                                     CITY, LLC

                                     MILLENNIUM HEALTH AND
                                     REHABILITATION CENTER OF
                                     FORESTVILLE, LLC

                                     By:  /s/ ROBERT G. OWENS
                                         ---------------------------------------
                                     Name  Robert G. Owens
                                          --------------------------------------
                                     Title: President
                                           -------------------------------------

                                     ROBERT G. OWENS (Individually)

                                      /s/ ROBERT G. OWENS
                                     -------------------------------------------

                                     STANLEY H. SNOW (Individually)

                                      /s/ STANLEY H. SNOW
                                     -------------------------------------------

                                      S-4

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