Document:

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                                                                  EXHIBIT 10.3.3

                                    GUARANTY

          THIS GUARANTY (as amended, modified and in effect from time to time,
this "Guaranty") is executed as of November 1, 2002 by TRANS HEALTHCARE, INC., a
Delaware corporation ("Parent"), and the subsidiaries of Parent listed on
Schedule A hereto (along with Parent, each a "Guarantor" and collectively, the
"Guarantors"), for the benefit of ventas Realty, Limited Partnership, a Delaware
limited partnership (together with its successors and assigns, the "Lender").

                                   BACKGROUND

          WHEREAS, Lender has agreed to provide a loan consisting of a senior
first mortgage loan (the "Mortgage Loan") and a mezzanine loan (the "Mezzanine
Loan") to certain subsidiaries of Parent (the "Trans Entities") in respect of
certain healthcare facilities;

          WHEREAS, pursuant to that certain Promissory Note, dated of even date
herewith, executed by the entities listed on Schedule B attached hereto
(individually, a "Mortgage Borrower," and collectively the "Mortgage
Borrowers"), and payable to the order of Lender (together with all renewals,
modifications, increases and extensions thereof, the "Mortgage Note"), the
Mortgage Borrowers have become indebted to Lender with respect to the Mortgage
Loan which is made pursuant to that certain Loan Agreement, dated of even date
herewith, between the Mortgage Borrowers and Lender (as amended, modified and in
effect from time to time, the "Mortgage Loan Agreement");

          WHEREAS, pursuant to that the certain Promissory Note, dated of even
date herewith, executed by the entities listed on Schedule C hereto
(individually, a "Mezzanine Borrower," and collectively the "Mezzanine
Borrowers") and payable to the order of the Lender (together with all renewals,
modifications, increases and extensions thereof, the "Mezzanine Note"), the
Mezzanine Borrower has become indebted to Lender with respect to the Mezzanine
Loan which is made pursuant to that certain Loan Agreement, dated of even date
herewith, between the Mezzanine Borrower and Lender (as amended, modified and in
effect from time to time, the "Mezzanine Loan Agreement");

          WHEREAS, Lender has agreed to purchase certain healthcare facilities
from the entities listed on Schedule D attached hereto and subsequently lease
certain of such healthcare facilities to the entities listed on Schedule D-1
attached hereto and made a part hereof (collectively, the "Trans Lessees") (such
transaction, the "Sale/Leaseback Transaction");

          WHEREAS, each of the Mortgage Borrowers, the Mezzanine Borrowers and
the Trans Lessees are wholly-owned subsidiaries of Parent, each Guarantor is an
affiliate of Parent, the Mortgage Borrowers and the Mezzanine Borrowers and each
Guarantor will directly benefit from Lender's making the Mortgage Loan to the
Mortgage Borrowers, the Mezzanine Loan to the Mezzanine Borrower and from the
Sale/Leaseback Transaction;

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          WHEREAS, Lender is not willing to make the Mortgage Loan or the
Mezzanine Loan, or otherwise extend credit, to the Mortgage Borrowers or the
Mezzanine Borrower or to enter into the Sale/Leaseback Transaction with the
Trans Lessees unless each Guarantor unconditionally guarantees payment and
performance to Lender of the Guaranteed Obligations (as herein defined);

          WHEREAS, certain of the Guarantors have executed and delivered a
Pledge and Security Agreement dated as of the date hereof, as pledgor, to Lender
(as amended, modified and in effect from time to time, the "Pledge Agreement"),
establishing a first priority lien on the Pledged Equity (as defined in the
Pledge Agreement) to secure the Guarantor's obligations hereunder; and

          WHEREAS, each Guarantor has reviewed the Mortgage Loan Documents, the
Mezzanine Loan Documents and the Lease Documents (each as defined herein), and
each Guarantor has determined that it is in its interest and to its financial
benefit that the respective parties to such documents enter into the
transactions contemplated hereby and thereby.

          NOW, THEREFORE, as an inducement to Lender to (i) make the Mortgage
Loan to the Mortgage Borrowers and to extend such additional credit as Lender
may from time to time agree to extend under the Mortgage Loan Documents, (ii)
make the Mezzanine Loan to Mezzanine Borrower and to extend such additional
credit as Lender may from time to time agree to extend under the Mezzanine Loan
Documents and (iii) enter into the Sale/Leaseback Transaction with the Trans
Entities, and for other good and valuable consideration, the receipt and legal
sufficiency of which are hereby acknowledged, the parties do hereby agree as
follows:

                            ARTICLE I - DEFINITIONS

     In addition to the terms defined in the Recitals, as used herein, the
following terms shall have the following meanings (all terms defined in this
Article 1 or in other provisions of this Guaranty in the singular have the same
meaning when used in the plural and vice versa):

          "Acquired Properties" shall have the meaning set forth in Section 4.1
of this Guaranty.

          "Acquisition" by any Person, shall mean the purchase or acquisition by
such Person of any Capital Stock in another Person or any asset of another
Person, whether or not involving a merger or consolidation with such other
Person.

          "Addition Event" shall have the meaning set forth in Section 2.14 of
this Guaranty.

          "Affiliate" of any specified Person means any other Person
controlling, controlled by or under common control with such specified Person.
For the purposes of this Agreement, "control" when used with respect to any
specified Person means the power to direct the management and policies of such
Person, directly or indirectly, whether through the ownership

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of voting securities or other beneficial interests, by contract or otherwise;
and the terms "controls," "controlling" and "controlled" have the meanings
correlative to the foregoing.

          "Affiliated Group" shall mean a group of Persons, each of which is an
Affiliate of some other Person in the group.

          "Applicable Laws" shall mean all applicable provisions of
constitutions, statutes, laws, rules, treaties, regulations and orders of all
Governmental Authorities and all applicable orders, rules and decrees of courts
and arbitrators.

          "Asset Disposition" by any Person shall mean and include (i) the sale,
lease or other disposition of any property by such Person (including the Capital
Stock of a Subsidiary of such Person), but for purposes hereof shall not
include, in any event, (A) the sale of inventory in the ordinary course of
business, (B) the sale, lease or other disposition of machinery and equipment no
longer used or useful in the conduct of business and (C) a sale, lease, transfer
or disposition of property to another Loan Party, and (ii) receipt by such
Person of any cash insurance proceeds or condemnation award payable by reason of
theft, loss, physical destruction or damage, taking or similar event with
respect to any of its property.

          "Board of Directors" means the board of directors of Parent.

          "Capital Expenditures" shall mean, with respect to each Property,
actual disbursements incurred by any Mortgage Borrower, any Mezzanine Borrower,
any Trans Lessee or any Guarantor with respect to replacements and capital
repairs made to any Property (including repairs to, and replacements of,
structural components, roofs, building systems, parking garages and parking
lots), in each case to the extent capitalized in accordance with GAAP.

          "Capital Lease," as applied to any Person, shall mean any lease of any
property (whether real, personal or mixed) by that Person as lessee which, in
accordance with GAAP and in the reasonable judgment of such Person, is required
to be accounted for as a capital lease on the balance sheet of that Person.

          "Capital Stock" shall mean, with respect to any entity, any capital
stock (including preferred stock), shares, interests, participation or other
ownership interests (however designated) of such entity and any rights (other
than debt securities convertible into or exchangeable for capital stock),
warrants or options to purchase any thereof; provided, however, that leases of
real property that provide for contingent rent based on the financial
performance of the tenant shall not be deemed to be Capital Stock.

          "Cash Interest Expense" shall mean, for any period, for Parent and its
Consolidated Subsidiaries determined on a consolidated basis without duplication
in accordance with GAAP, all interest payable in cash in respect of Debt during
such period (whether or not actually paid during such period) and all payments
due under Interest Rate Protection Agreements by Parent and its Consolidated
Subsidiaries determined on a consolidated basis (net of payments to such parties
by any counter party thereunder).

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          "Change of Control" shall mean the occurrence of any of the following
events:

          (a) prior to the first public offering of common stock of Parent after
the date hereof, the Permitted Holders cease to be the "beneficial owner" (as
defined in Rules 13d-3 and 13d-5 under the Exchange Act), directly or
indirectly, of a majority in the aggregate of the total voting power of the
Parent, whether as a result of issuance of securities of Parent, any merger,
consolidation, liquidation or dissolution of Parent, any direct or indirect
transfer of securities by the Permitted Holders or otherwise (for purposes of
this clause (a) and clause (b) below, the Permitted Holders shall be deemed to
beneficially own any voting stock of any Person (the "specified entity") held by
any other Person (the "parent entity") so long as the Permitted Holders
beneficially own (as so defined), directly or indirectly, in the aggregate a
majority of the voting power of the voting stock of the parent entity);

          (b) any "person" (as such term is used in Sections 13(d) and 14(d) of
the Exchange Act), other than one or more Permitted Holders, is or becomes the
beneficial owner (as defined in clause (a) above, except that for purposes of
this clause (b) such person shall be deemed to have "beneficial ownership" of
all shares that any such person has the right to acquire, whether such right is
exercisable immediately or only after the passage of time), directly or
indirectly, of more than 35% of the total voting power of Parent; provided,
however, that the Permitted Holders beneficially own (as defined in clause (a)
above), directly or indirectly, in the aggregate a lesser percentage of the
total voting power of Parent than such other person and do not have the right or
ability by voting power, contract or otherwise to elect or designate for
election a majority of the Board of Directors (for the purposes of this clause
(b), such other person shall be deemed to beneficially own any voting stock of a
specified entity held by a parent entity, if such other person is the beneficial
owner (as defined in this clause (b)), directly or indirectly, of more than 35%
of the voting power of such parent entity and the Permitted Holders beneficially
own (as defined in clause (a) above), directly or indirectly, in the aggregate a
lesser percentage of the voting power of the voting stock of such parent entity
and do not have the right or ability by voting power, contract or otherwise to
elect or designate for election a majority of the board of directors of such
parent entity);

          (c) individuals who on the date hereof constituted the Board of
Directors (together with any new directors whose election by such Board of
Directors or whose nomination for election by the stockholders of Parent was
approved by a vote of a majority of the directors of Parent then still in office
who were either directors on the date hereof or whose election or nomination for
election was previously so approved) cease for any reason to constitute a
majority of the Board of Directors then in office;

          (d) the adoption of a plan relating to the liquidation or dissolution
of Parent; or

          (e) Parent shall cease to be the sole direct or indirect owner of any
Loan Party other than as specifically permitted under Section 7.4 hereof.

          "Closing Date" shall mean the date on which the Mortgage Loan,
Mezzanine Loan and Sale/Lease Transaction are funded.

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          "CMS" has the meaning set forth in the definition of the term
"Governmental Authority."

          "Consolidated Adjusted Leverage Ratio" shall mean, at any date, for
Parent and its Consolidated Subsidiaries determined on a consolidated basis, the
ratio of the sum of (i) Debt (excluding reimbursement obligations in connection
with any undrawn letters of credit to the extent included in Debt) and (ii) rent
expense times eight (8) to Consolidated EBITDAR at such date for the Trailing
Four-Quarter Period ending on such date.

          "Consolidated EBITDAR" shall mean, for any period, for Parent and its
Consolidated Subsidiaries determined on a consolidated basis, Consolidated Net
Income for such period, plus without duplication, to the extent deducted in
determining Consolidated Net Income, the sum for such period of (i) amortization
and depreciation expense, (ii) provision for income taxes (including provision
for deferred taxes not payable currently), (iii) Consolidated Interest Expense,
(iv) rent expense, and (v) non-cash charges as are reasonably acceptable to the
Lender, but, excluding, for purposes hereof to the extent included in
determining Consolidated Net Income for such period (A) extraordinary gains and
losses and related tax effects thereon, (B) other non-cash gains and losses
thereon as are reasonably acceptable to the Lender, and (C) the amount of
interest income, all as determined for such period in conformity with GAAP.

          "Consolidated Interest Expense" shall mean, for any period, all
interest expense for Parent and its Consolidated Subsidiaries during such period
determined on a consolidated basis for such period taken as a single accounting
period in accordance with GAAP, including amortization of debt discount and
premium, the interest component under Capital Leases (and also including, to the
extent required under GAAP, the implied interest component under a
Securitization) and all payments due under Interest Rate Protection Agreements
by Parent and its Consolidated Subsidiaries determined on a consolidated basis
(net of payments to such parties by any counter party thereunder), but excluding
the amortization of any deferred financing fees. The applicable period of
determination shall be the Trailing Four Quarter Period.

          "Consolidated Net Income" shall mean, for any period, the net income
or loss of Parent and its Consolidated Subsidiaries during such period
determined on a consolidated basis for such period taken as a single accounting
period in accordance with GAAP; provided that there shall be excluded from such
determination of net income or loss (i) adjustments for straight-line rent
accounting, (ii) the income or loss of the Non-Guarantor Subsidiaries except to
the extent of the amount of dividends or other distributions actually received
by Parent or any Loan Party in cash on a non-contingent basis, without any
obligation to return such dividend or distribution by Parent or any Loan Party,
(iii) the income or loss of any Person (other than the Consolidated
Subsidiaries) in which Parent or any of its Consolidated Subsidiaries has an
equity investment or comparable interest, except to the extent of the amount of
dividends or other distributions actually received by Parent or any Loan Party
in cash on a non-contingent basis, without any obligation to return such
dividend or distribution by the Parent or any Loan Party (net of any payments by
Parent to a Non-Guarantor Subsidiary pursuant to Section 7.3 hereof), (iv)
income or loss of a Person accrued prior to the date it becomes a Consolidated
Subsidiary or is merged or consolidated with or such Person's assets are
acquired by Parent or any of its

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Consolidated Subsidiaries and (v) any after tax gains or losses attributable to
sales of non-current assets out of the ordinary course of business and
write-downs of non-current assets in anticipation of losses to the extent they
have decreased net income. The applicable period of determination shall be the
Trailing Four Quarter Period.

          "Consolidated Net Worth" shall mean, as of any date, for Parent and
its Consolidated Subsidiaries on a consolidated basis, consolidated
shareholders' equity or net worth (including preferred and common equity) as of
such date as determined in accordance with GAAP.

          "Consolidated Subsidiary" shall mean, as to any Person, at any date,
any Subsidiary or other entity the accounts of which would be consolidated with
those of such Person in its consolidated financial statements if such statements
were prepared as of such date.

          "Covenant Replacement Event" shall have the meaning set forth in
Section 2.13.

          "Debt," of Parent or any of its Consolidated Subsidiaries shall mean,
without duplication, any indebtedness of Parent or any of its Subsidiaries,
whether or not contingent, in respect of:

               (i) borrowed money or evidenced by bonds, notes, debentures or
          similar instruments;

               (ii) indebtedness for borrowed money secured by any encumbrance
          existing on property owned by Parent or its Consolidated Subsidiaries,
          to the extent of the lesser of (x) the amount of indebtedness so
          secured or (y) the fair market value of the property subject to such
          encumbrance;

               (iii) all reimbursement obligations in connection with any
          letters of credit 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, trade payable,
          conditional sale obligation or obligation under any title retention
          agreement;

               (iv) all net obligations of such Person under any Interest Rate
          Protection Agreement valued in accordance with GAAP;

               (v) all obligations in respect of any preferred equity to the
          extent payments are being made thereon;

               (vi) indebtedness of any partnership or joint venture or other
          similar entity in which such Person is a general partner or joint
          venturer and, as such, has personal liability for such obligations,
          but only if and to the extent there is recourse to such Person for
          payment thereof,

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               (vii) any obligations of Parent and its Consolidated Subsidiaries
          with respect to redemption, repayment or other repurchase of any
          Equity Interest or the principal amount of any Subordinated Debt;

               (viii) any lease of property by Parent or any of its Consolidated
          Subsidiaries as lessee which is reflected as a capital lease
          obligation on the consolidated balance sheet of Parent or its
          Consolidated Subsidiaries;

          to the extent, in the case of items of indebtedness under clauses (i)
          through (viii) above, that any such items would appear as a liability
          on Parent's or its Consolidated Subsidiaries' consolidated balance
          sheet in accordance with GAAP; or

               (ix) the liquidation preference of any Equity Interest of Parent
          or any shares of preferred stock of any of its Consolidated
          Subsidiaries to the extent payments are being made thereon.

     Debt also includes, to the extent not otherwise included, any obligations
by Parent and its Consolidated Subsidiaries to be liable for, or to pay, as
obligor, guarantor or otherwise (other than for purposes of collection in the
ordinary course of business), Debt of another Person (other than Parent or any
other Guarantor) including Debt secured by a Lien on any assets of such Person,
whether or not such Person shall have assumed such indebtedness (provided, that
if such Person has not assumed such indebtedness of such other Person, then the
amount of indebtedness of such Person shall be equal to the lesser of the amount
of the indebtedness of such other Person or the fair market value of the assets
of such Person which secures such other indebtedness); it being understood that
Debt shall be deemed to be incurred by Parent or any of its Consolidated
Subsidiaries whenever Parent or such Consolidated Subsidiary shall create,
assume, guarantee or otherwise become liable in respect thereof; provided,
however that a Person shall not be deemed to have incurred Debt (or be liable
with respect to such Debt) by virtue of a Securitization.

     Debt shall not include (a) Debt arising from agreements of Parent or any of
its Consolidated Subsidiaries providing for indemnification, adjustment or
holdback of purchase price or similar obligations, in each case, incurred or
assumed in connection with the acquisition or disposition of any business,
assets or a Subsidiary, other than guarantees of Debt incurred by any Person
acquiring all or any portion of such business, assets or Subsidiary for the
purpose of financing the acquisition, (b) contingent obligations under
performance bonds, performance guarantees, surety bonds, appeal bonds or similar
obligations incurred in the ordinary course of business and consistent with past
practices or (c) endorsements of instruments for deposit or collection in the
ordinary course of business. In the case of Debt as of any date issued with
original issue discount, the amount of such Debt shall be the accreted value
thereof as of such date.

          "Default" shall mean any event the occurrence of which, upon the
passage of notice and/or grace periods, if any, would constitute an "Event of
Default" under the Mortgage Loan Documents, Mezzanine Loan Documents or the
Lease Documents.

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          "Deleted Properties" shall have the meaning set forth in Section 2.14
of this Guaranty.

          "Deletion Event" shall have the meaning set forth in Section 2.14 of
this Guaranty.

          "Dividend Payment" shall have the meaning set forth in Section 7.3 of
this Guaranty.

          "Environmental Law" means any present and future federal, state and
local laws, statutes, ordinances, rules, regulations and the like, as well as
common law, relating to protection of human health or the environment, relating
to Hazardous Substances, relating to liability for or costs of other actual or
threatened danger to human health or the environment. The term "Environmental
Law" includes, but is not limited to, the following statutes, as amended, any
successor thereto, and any regulations promulgated pursuant thereto, and any
state or local statutes, ordinances, rules, regulations and the like addressing
similar issues: the Comprehensive Environmental Response, Compensation and
Liability Act; the Emergency Planning and Community Right-to-Know Act; the
Hazardous Substances Transportation Act; the Resource Conservation and Recovery
Act (including but not limited to Subtitle I relating to underground storage
tanks); the Solid Waste Disposal Act; the Clean Water Act; the Clean Air Act;
the Toxic Substances Control Act; the Safe Drinking Water Act; the Occupational
Safety and Health Act; the Federal Water Pollution Control Act; the Federal
Insecticide, Fungicide and Rodenticide Act; the Endangered Species Act; the
National Environmental Policy Act; and the River and Harbors Appropriation Act.
The term "Environmental Law" also includes, but is not limited to, any present
and future federal, state and local laws, statutes ordinances, rules,
regulations and the like, as well as common law: conditioning transfer of
property upon a negative declaration or other approval of a governmental
authority of the environmental condition of any Property; requiring notification
or disclosure of Releases of Hazardous Substances or other environmental
condition of any Property to any Governmental Authority or other Person, whether
or not in connection with transfer of title to or interest in property; imposing
conditions or requirements in connection with permits or other authorization for
lawful activity; relating to nuisance, trespass or other causes of action
related to any Property; and relating to wrongful death, personal injury, or
property or other damage in connection with any physical condition or use of any
Property.

          "Equity Interest" shall mean Capital Stock and all warrants, options
or other rights to acquire Capital Stock (but excluding any debt security that
is convertible into, or exchangeable for, Capital Stock).

          "Event of Default" shall mean an "Event of Default" as defined in the
Mortgage Loan Documents, Mezzanine Loan Documents and in the Lease Documents.

          "Exchange Act" shall mean the Securities Exchange Act of 1934, as
amended.

          "Executive Officer" shall mean any Guarantor's president, principal
financial officer, principal accounting officer, any vice-president in charge of
a principal business unit,

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division or function, any other officer who performs a policy-making function or
any other Person who performs similar policy making functions for such
Guarantor.

          "Fiscal Quarter" shall mean a fiscal quarter of any Guarantor or any
of their Subsidiaries, as the context may require.

          "Fiscal Year" shall mean a fiscal year of any Guarantor or any of
their Subsidiaries, as the context may require.

          "Fixed Charge Coverage Ratio" shall mean, for Parent and its
Consolidated Subsidiaries on a consolidated basis, Consolidated EBITDAR for such
period divided by the sum of (i) scheduled principal payments on Debt of Parent
and its Consolidated Subsidiaries required to be made during such period and
amortization of discount or premium related to any such Debt for such period,
whether expensed or capitalized (including any payments made pursuant to the P&S
Agreement), (ii) Cash Interest Expense for such period, (iii) rent expense for
such period and (iv) dividends or distributions to the extent paid on or in
respect of any preferred equity of Parent for such period notwithstanding the
prohibition on payment of same. The applicable period of determination shall be
the Trailing Four Quarter Period.

          "GAAP" shall mean generally accepted accounting principles set forth
in the opinions and pronouncements of the Accounting Principles Board and the
American Institute of Certified Public Accountants and statements and
pronouncements of the Financial Accounting Standards Board (or agencies with
similar functions of comparable stature and authority within the accounting
profession), or in such other statements by such entity as may be in general use
by significant segments of the U.S. accounting profession.

          "Governmental Authority" shall mean any court, board, agency,
commission, office or authority of any nature whatsoever or any governmental
unit (federal, state, county, district, municipal, city or otherwise) whether
now or hereafter in existence, including, without limitation, the Centers for
Medicare and Medicaid Servicers (formerly known as the Health Care Financing
Administration) ("CMS"), the United States Department of Health and Human
Services, any state licensing agency and/or any state Medicaid agency.

          "GTCR" shall mean each of GTCR Golder Rauner, L.L.C. and GTCR Fund VI,
L.P., GTCR Associates VI, GTCR Fund VII, L.P., GTCR Associates VII, and GTCR
Capital Partners, L.P. which are investment funds managed by GTCR Golder Rauner,
L.L.C. so long as GTCR Golder Rauner L.L.C. has the power to vote and the power
to dispose of the Equity Interests in the Parent held by such investment fund.

          "Guaranteed Obligations" shall mean (i) the prompt and complete
payment of all indebtedness, debt, obligations and liabilities now or hereafter
owing to Lender under or on account of the Mortgage Loan Agreement, the
Mezzanine Loan Agreement, the Mortgage Note, the Mezzanine Note, the Lease
Documents or any other Loan Document or any other letters of credit, notes or
other instruments issued by or to the Lender pursuant thereto, (ii) the
performance of the covenants of the Mortgage Borrowers under the Mortgage Loan,
the performance of the covenants of the Mezzanine Borrowers under the Mezzanine
Loan, the

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performance of the covenants of the Trans Lessees under the Sale/Leaseback
Transaction and the Loan Documents and any monies expended by the Lender in
connection therewith (and required to be reimbursed by any Mortgage Borrower,
any Mezzanine Borrower or any Trans Lessee pursuant to any of the Mortgage Loan
Documents, Mezzanine Loan Documents or Lease Documents, as applicable), in all
cases (whether under the foregoing clause (i) or (ii)), of any kind or nature,
howsoever created or evidenced and whether now or hereafter existing, direct or
indirect (including without limitation any participation interest acquired by
Lender in any such indebtedness, debt, obligations or liabilities of any
Mortgage Borrower, any Mezzanine Borrower, any Trans Lessee or any of their
respective Subsidiaries to any other Person), absolute or contingent, joint
and/or several, secured or unsecured, arising by operation of law or otherwise,
and whether incurred by any Mortgage Borrower, any Mezzanine Borrower, any Trans
Lessee or any of their respective Subsidiaries as principal, surety, endorser,
guarantor, accommodation party or otherwise, including without limitation all
principal and all interest (including any interest accruing subsequent to any
petition filed by or against any Mortgage Borrower, any Mezzanine Borrower, any
Trans Lessee or any of their respective Subsidiaries under the U.S. Bankruptcy
Code), indemnity and reimbursement obligations, charges, expenses, fees,
attorneys' fees and disbursements and any other amounts owing thereunder and
(iii) the prompt payment, on demand, of any and all reasonable costs and
expenses incurred by Lender at any time in connection with enforcing the
obligations of any Guarantor hereunder, including, without limitation, the
reasonable fees and disbursements of counsel.

          "Guarantor Claims" shall have the meaning set forth in Section 8.1 of
this Guaranty.

          "Hazardous Substances" shall mean any and all substances (whether
solid, liquid or gas) defined, listed, or otherwise classified as pollutants,
toxic or hazardous wastes, toxic or hazardous substances, toxic or hazardous
materials, extremely hazardous wastes, or words of similar meaning or regulatory
effect under any present or future Environmental Laws or that may have a
negative impact on human health or the environment, including but not limited to
petroleum and petroleum products, asbestos and asbestos-containing materials,
mold, polychlorinated biphenyls, lead, radon, radioactive materials, flammables
and explosives, but excluding substances of kinds and in small amounts
ordinarily and customarily used or stored in similar properties for the purposes
of cleaning or other maintenance or operations and otherwise in compliance with
all Environmental Laws.

          "Healthcare Facility" shall mean (i) a residential or facility-based
program that provides housing and supportive services, supervision, personalized
assistance, health-related services or a combination thereof which meets the
needs of individuals who are unable to perform or who need assistance in
performing the activities of daily living; (ii) a facility (including any
Alzheimer's or dementia care unit of sub acute unit), which offers nonacute
inpatient care to patients who suffer from a disease, chronic illness, or
disability requiring nursing care without continuous hospital services, and who
require medical services and nursing services rendered by or under the
supervision of a licensed nurse, together with convalescent or restorative
services now or hereafter located on a Property (any such facility, a "Nursing
Facility"); or (iii) a facility that is operated as a special hospital for the
exclusive purpose of providing specialized rehabilitation services, on an
inpatient basis, to Persons with functional

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limitations or chronic disabling conditions who are in medically stable
condition and have the potential to achieve improvement in independent
functioning.

          "Improvements" shall mean the buildings, structures, fixtures,
additions, enlargements, extensions, modifications, repairs, replacements and
improvements now or hereafter erected on any Land (as defined in the Mortgages).

          "Indemnified Party" shall have the meaning set forth in Section 4.1 of
this Guaranty.

          "Interest Rate Protection Agreements" shall mean any interest rate
swap agreement, interest rate cap agreement, synthetic cap, collar or floor or
other financial agreement or arrangement designed to protect Parent or any Loan
Party against fluctuations in interest rates or to reduce the effect of any such
fluctuations.

          "Investment" shall mean, with respect to any Person, any stock,
evidence of indebtedness or other security of any Person, any loan, advance,
contribution of capital, extension of credit or commitment therefor (including,
without limitation, the guaranty of loans made to others, but excluding trade
and customer accounts receivable arising in the ordinary course of business and
payable in accordance with customary trading terms in the ordinary course of
business) any purchase of (i) any security of another Person or (ii) a line of
business, or all or substantially all of the assets, of any Person or any
commitment to make any such purchase. If Parent or any of its Consolidated
Subsidiaries sells or otherwise disposes of any Equity Interests of any direct
or indirect Subsidiary such that, after giving effect to any such sale or
disposition, such Person is no longer a Subsidiary, Parent or such Subsidiary
will be deemed to have made a Investment on the date of any such sale or
disposition equal to the fair market value of the Equity Interests of such
Subsidiary not sold or disposed. The acquisition by Parent or any of its
Consolidated Subsidiaries of a Person that holds an Investment in a third Person
will be deemed to be an Investment by Parent or such Subsidiary in such third
Person in an amount equal to the fair market value of Investments held by the
acquired Person in such third Person. "Investments" shall exclude extensions of
trade credit on commercially reasonable terms in accordance with normal trade
practices. In the event that a Person transfers assets to another Person in
exchange for a combination of items of value which includes items that would be
considered to be "Investments" under this definition, only those items that
would be considered to be "Investments" will be treated as Investments for
purposes of this Guaranty.

          "Lease Documents" shall mean the Master Lease, the Purchase and Sale
Agreement and all other documents now or hereafter executed and/or delivered in
connection with the Sale/Leaseback Transaction as such documents may be amended,
restated, replaced, supplemented or otherwise modified from time to time,
subject, however, to the terms of this Guaranty with respect the circumstances
in which the Loan Documents and the Trans Lessees may be altered or removed.

          "Legal Requirements" shall mean, with respect to each Obligor and each
Property, all federal, state, county, municipal and other governmental statutes,
laws, rules, orders, regulations, guidelines, ordinances, judgments, decrees and
injunctions of Governmental Authorities affecting such Obligor or such Property
or any part thereof or the construction, use,

                                       11

<PAGE>

alteration or operation thereof, or any part thereof, whether now or hereafter
enacted and in force, including, without limitation, (i) the Americans with
Disabilities Act of 1990, (ii) all zoning, subdivision and land use laws,
regulations and ordinances, health, fire, building codes and parking laws, (ii)
skilled nursing facility, residential care, personal care, adult care, boarding
home and/or assisted living facility laws, rules, regulations and guidelines,
including, without limitation, Medicare Regulations and Medicaid Regulations,
(iii) any licensure requirements or certification requirements under applicable
federal and/or state cost reimbursement programs, including, without limitation,
Medicare and Medicaid, and all permits, licenses and authorizations and
regulations relating thereto, and all covenants, agreements, restrictions and
encumbrances contained in any instruments, either of record or known to
Borrower, at any time in force affecting such Property or any part thereof,
including, without limitation, any which may (i) require repairs, modifications
or alterations in or to such Property or any part thereof, or (ii) in any way
limit the use and enjoyment thereof.

          "Lien" shall mean, with respect to each Property, any mortgage, deed
of trust, lien, pledge, hypothecation, assignment, security interest, or any
other encumbrance, charge or transfer of, on or affecting such Property or any
portion thereof or any Loan Party or any interest therein, including, without
limitation, any conditional sale or other title retention agreement, any
financing lease having substantially the same economic effect as any of the
foregoing, the filing of any financing statement, and mechanic's, materialmen's
and other similar liens and encumbrances.

          "Loan Parties" shall mean the Consolidated Subsidiaries of Parent,
with the exception of the Non-Guarantor Subsidiaries.

          "Master Lease" shall mean the Master Lease of even date herewith by
and among the Trans Lessees and Lender, as amended, modified and in effect from
time to time.

          "Material Adverse Effect" shall mean a material adverse effect on (i)
the business, condition (financial or otherwise), results of operations,
performance, assets, liabilities or solvency of Parent and its Subsidiaries
taken as a whole, (ii) a material adverse effect on the ability of any Guarantor
to perform its obligations under any material provisions of this Guaranty or (c)
a material adverse effect on the legality, binding effect or enforceability of
any material provision of any Mortgage Loan Document, Mezzanine Loan Document or
any Lease Document or the rights and remedies of the Lender thereunder.

          "Medicaid" shall mean that certain program of medical assistance,
funded jointly by the federal government and the states for impoverished
individuals who are aged, blind and/or disabled, and for members of families
with dependent children, which program is more fully described in Title XIX of
the Social Security Act (42 U.S.C. 1396 et seq.) and the regulations promulgated
thereunder.

          "Medicaid Regulations" shall mean, collectively, (i) all federal
statutes (whether set forth in Title XIX of the Social Security Act (42 U.S.C.
(S)(S) 1396 et seq.) or elsewhere) affecting the medical assistance program
established by Title XIX of the Social Security Act; (ii) all applicable
provisions of all federal rules, regulations, manuals, orders and
administrative, reimbursement and other guidelines of all Governmental
Authorities (whether or not having the

                                       12

<PAGE>

force of law) promulgated pursuant to or in connection with the statutes
described in clause (i) above; (iii) all state statutes enacted and all state
plans for medical assistance, and state plan amendments filed by the state with
CMS in connection with the statutes and provisions described in clauses (i) and
(ii) above; and (iv) all applicable provisions of all rules, regulations,
manuals, orders and administrative, reimbursement, and other guidelines of all
Governmental Authorities (whether or not having the force of law) promulgated
pursuant to or in connection with any of the foregoing, in each case as may be
amended, supplemented or otherwise modified from time to time.

          "Medicare" shall mean that certain federal program providing health
insurance for eligible elderly and other individuals, under which physicians,
hospitals, Nursing Facilities, home health care and other providers are
reimbursed for certain covered services they provide to the beneficiaries of
such program, which program is more fully described in Title XVIII of the Social
Security Act (42 U.S.C. (S)(S) 1395 et seq.) and the regulations promulgated
thereunder.

          "Medicare Regulations" shall mean, collectively, all federal statutes
(whether set forth in Title XVIII of the Social Security Act (42 U.S.C. (S)(S)
1395 et seq.) or elsewhere) affecting the health insurance program for the aged
and disabled established by Title XVIII of the Social Security Act, together
with all applicable provisions of all rules, regulations, manuals, orders and
administrative, reimbursement and other guidelines of all Governmental
Authorities promulgated pursuant to or in connection with any of the foregoing
(whether or not having the force of law), as each may be amended, supplemented
or otherwise modified from time to time.

          "Mezzanine Borrowers" as used herein shall include any new or
successor corporation, association, partnership (general or limited), limited
liability company joint venture, trust or other individual or organization
formed as a result of any merger, reorganization, sale, transfer, devise, gift
or bequest of Mezzanine Borrowers or any interest in Mezzanine Borrowers.

          "Mezzanine Loan Documents" shall mean the Mezzanine Loan Agreement,
the Mezzanine Note, this Guaranty, the Pledge Agreement and all other documents
now or hereafter executed and/or delivered in connection with the Mezzanine Loan
as such documents may be amended, restated, replaced, supplemented or otherwise
modified from time to time.

          "Mortgage" means, (a) with respect to each Property located in the
State of Ohio, a first priority Mortgage, Assignment of Leases and Rents and
Security Agreement or (b) with respect to each Property located in the State of
Maryland, a first priority Deed of Trust, Assignment of Leases and Rents and
Security Agreement, dated the date hereof, executed and delivered by Borrower as
security for the Loan and encumbering such Property, as the same may be amended,
restated, replaced, supplemented or otherwise modified from time to time, and
"Mortgages" means all such instruments collectively.

          "Mortgage Borrowers" as used herein shall include any new or successor
corporation, association, partnership (general or limited), limited liability
company joint venture, trust or other individual or organization formed as a
result of any merger, reorganization, sale, transfer, devise, gift or bequest of
Mortgage Borrowers or any interest in Mortgage Borrowers.

                                       13

<PAGE>

          "Mortgage Loan Documents" shall mean the Mortgage Loan Agreement, the
Mortgage Note, this Guaranty, the Pledge Agreement and all other documents now
or hereafter executed and/or delivered in connection with the Mortgage Loan as
such documents may be amended, restated, replaced, supplemented or otherwise
modified from time to time.

          "Non-Guarantor Restrictions" shall have the meaning set forth in
Section 4.1 of this Guaranty.

          "Non-Guarantor Subsidiaries" shall mean the subsidiaries of Parent
listed on Schedule E hereto.

          "Notice" shall have the meaning set forth in Section 10.5 of this
Guaranty.

          "Nursing Facility" has the meaning set forth in the definition of the
term "Healthcare Facility".

          "Obligor" shall mean, collectively, each Mortgage Borrower, each
Mezzanine Borrower, each Trans Lessee and each Guarantor.

          "Officer's Certificate" shall mean a certificate delivered to Lender
by Borrower which is signed by an authorized senior officer of Borrower.

          "Other Charges" means all ground rents, maintenance charges,
impositions other than Taxes, and any other charges, including, without
limitation, vault charges and license fees for the use of vaults, chutes and
similar areas adjoining the Properties, now or hereafter levied or assessed or
imposed against the Properties or any part thereof.

          "P&S Agreement" shall mean the Millennium Purchase and Sale Agreement,
dated March 19, 2002, as amended by that certain First Addendum to Asset
Purchase Agreement dated August 30, 2002 by and among Trans Healthcare, Inc.
("Parent"), an affiliate of the Borrowers, Millennium Heath Services, LLC (the
"Maryland Seller"), Robert G. Owens and Stanley H. Snow (as so amended, the
"Millennium Agreement") with respect to the Properties, including, but not
limited to, any representations, warranties, covenants, and indemnities made by
any Seller Parties (as defined in the Millennium Agreement) or the Maryland
Seller to and with respect to the Properties (the "Purchase Agreement Assigned
Rights"); provided, however, that the foregoing shall be without limitation upon
the right of Parent or Seller to rely upon, enforce and benefit from the
Purchase Agreement Assigned Rights.

          "Permitted Debt" shall mean (i) all Debt existing as of the date
hereof listed on Schedule 1.1(b), (ii) Debt incurred pursuant to this Guaranty
or any other Loan Document or Lease Document, including any renewals,
refinancings or extensions thereof, (iii) Debt incurred by Parent in favor of
GTCR provided that such Debt shall be Unsecured Debt in the form of preferred
equity on terms and conditions substantially similar to the preferred equity
outstanding on the date hereof or as are otherwise acceptable to the Lender in
its sole discretion or Unsecured Debt on terms and conditions acceptable to the
Lender in its sole discretion including, without limitation, that such Unsecured
Debt shall be subject and subordinate in right of payment to the right of the
Lender to receive the prior indefeasible payment and satisfaction in full of all
Guaranteed Obligations pursuant to the terms of an intercreditor agreement
between Lender and

                                       14

<PAGE>

GTCR, in form and substance satisfactory to the Lender, and (iv) Debt incurred
by Parent in an amount of up to $5,000,000 provided that such Debt shall be
Unsecured Debt and shall be on terms and conditions approved in writing in
advance by Lender in its sole discretion including, without limitation, that the
holder of such financing shall subordinate all payments on such financing to any
payments of Parent's obligations under this Guaranty and such holder shall agree
to defer payment of such financing until all of Parent's obligations under this
Guaranty have terminated.

          "Permitted Encumbrances" shall mean Liens permitted under Section
7.2(a) hereof.

          "Permitted Holders" shall mean GTCR and each of the officers,
employees and directors of Parent, in each case as long as such Person shall
remain an officer, employee or director of Parent; provided, however, that in no
event shall any Persons (other than GTCR) be deemed "Permitted Holders" with
respect to more than 30% of the total voting power of the voting stock of
Parent.

          "Person" shall mean any individual, corporation, partnership, limited
liability company, joint venture, estate, trust, unincorporated association, any
other entity, any federal, state, county or municipal government or any bureau,
department or agency thereof and any fiduciary acting in such capacity on behalf
of any of the foregoing.

          "Pledge Agreement" has the meaning set forth in the recitals hereto.

          "Pro Forma Basis" shall mean, for purposes of determining compliance
with any financial covenant hereunder, that the subject transaction shall be
deemed to have occurred as of the first day of the applicable period ending on a
Quarterly Measurement Date for which annual or quarterly financial statements
shall have been delivered in accordance with the provisions of this Guaranty.
Further, for purposes of making calculations on a "Pro Forma Basis" hereunder,
(i) in the case of an Asset Disposition, (A) income statement items (whether
positive or negative) attributable to the property, entities or business units
that are the subject of such Asset Disposition shall be excluded to the extent
relating to any period prior to the actual date of the subject transaction, and
(B) Debt paid or retired in connection with the subject transaction shall be
deemed to have been paid and retired as of the first day of the applicable
period; and (ii) in the case of an Acquisition, (A) income statement items
(whether positive or negative) attributable to the property, entities or
business units that are the subject of such Acquisition shall be included to the
extent relating to any period prior to the actual date of the subject
transaction, and (B) Debt incurred in connection with the subject transaction
shall be deemed to have been incurred as of the first day of the applicable
period (and interest expense shall be imputed for the applicable period
utilizing the actual interest rates thereunder or, if actual rates are not
ascertainable, assuming prevailing interest rates hereunder).

          "Property" shall mean the "Property" as defined in the Mortgage Loan
Agreement, the "Property" as defined in the Mezzanine Loan Agreement, the
"Premises" as defined in the Master Lease and all parcels of land, buildings,
structures and other improvements thereon owned or leased by any of the
Guarantors.

                                       15

<PAGE>

          "Purchase and Sale Agreement" shall mean the Purchase and Sale
Agreement of even date herewith by and between Trans Healthcare of Ohio, Inc.
and Lender.

          "Quarterly Measurement Date" shall mean the last Business Day of
March, June, September and December in each year, commencing on or after the
date hereof.

          "Rating Agencies" shall mean, as applicable, prior to the final
Securitization of the Mortgage Loan, Mezzanine Loan or the Master Lease, each of
Standard & Poor's Ratings Services, a division of The McGraw-Hill Companies,
Inc., Moody's Investors Service, Inc. and Fitch, Inc. or any other
nationally-recognized statistical rating agency which has been designated by
Lender and, as applicable, after the final Securitization of the Mortgage Loan,
Mezzanine Loan or Master Lease, shall mean any of the foregoing that have rated
any of the securities issued in connection with such Securitization.

          "Real Estate Assets" shall mean, as of any date, the real estate
assets of Parent and its Consolidated Subsidiaries on such date, on a
consolidated basis, determined in accordance with GAAP.

          "Release" with respect to any Hazardous Substance includes but is not
limited to any release, deposit, discharge, emission, leaking, leaching,
spilling, seeping, migrating, injecting, pumping, pouring, emptying, escaping,
dumping, disposing or other movement of Hazardous Substances.

          "Remediation" (and its correlative terms) includes but is not limited
to any response, remedial, removal, or corrective action; any activity to clean
up, detoxify, decontaminate, contain or otherwise remediate any Hazardous
Substance; any actions to prevent, cure or mitigate any Release of any Hazardous
Substance; any action to comply with any Environmental Laws or with any permits
issued pursuant thereto; any inspection, investigation, study, monitoring,
assessment, audit, sampling and testing, laboratory or other analysis, or
evaluation relating to any Hazardous Substances or to anything referred to
herein, including the preparation of any plans, studies, reports or documents
with respect thereto.

          "Replacement Guaranty" shall have the meaning set forth in Section
2.14 of this Guaranty.

          "Replacement Guaranty Election" shall have the meaning set forth in
Section 2.14 of this Guaranty.

          "Requirements" shall mean all applicable present and future laws,
statutes, codes, ordinances, orders, judgments, decrees, injunctions, rules,
regulations and requirements of every Governmental Authority having jurisdiction
over Parent or any Loan Party or any Property and all restrictive covenants
applicable to any Property.

          "Secondary Market Transaction" shall have the meaning set forth in
Section 10.17 of this Guaranty.

                                       16

<PAGE>

          "Secured Debt" shall mean all Debt of Parent and its Consolidated
Subsidiaries secured by a mortgage, lien, charge, pledge or security interest or
other encumbrance on the property of Parent or any of its Consolidated
Subsidiaries.

          "Securitization" shall have the meaning set forth in Section 10.17 of
this Guaranty.

          "Service Guarantors" shall mean the subsidiaries of Parent listed on
Schedule F hereto.

          "Subordinated Debt" shall mean Debt which by the terms of such Debt is
subordinated in right of payment to the principal of and interest and premium,
if any, on the loans and obligations owing hereunder and the guaranties thereof.

          "Subsidiary" shall mean, as to any Person, any corporation or other
entity of which at least the majority of the outstanding voting stock or other
ownership interests having ordinary voting power for the election of directors
(or the equivalent) is at the time directly or indirectly owned or controlled by
such Person or by one or more of any entities directly or indirectly controlled
by such Person.

          "Taxes" means all real estate and personal property taxes,
assessments, water rates or sewer rents, now or hereafter levied or assessed or
imposed against any of the Properties or part thereof, together with all
interest and penalties thereon.

          "Title Company" shall mean The First American Title Company or any
other title insurance company of recognized national standing which is
acceptable to the Lender in its sole discretion.

          "Total Consolidated Assets" shall mean, at any date, the total assets
of the Parent and its Consolidated Subsidiaries on a consolidated basis as of
such date determined in accordance with GAAP.

          "Trailing Four Quarter Period" shall mean the period of four
consecutive full fiscal quarters of the Parent and its Consolidated Subsidiaries
ended on such date (or, in the case of any such date which is earlier than
December 31, 2003, for the period from the Closing Date to and including such
date multiplied by a fraction the numerator of which is 365 and the denominator
of which is the number of days in such period).

          "Unsecured Debt" shall mean any Debt of Parent or its Consolidated
Subsidiaries that is not Secured Debt.

          "Updated Information" shall have the meaning set forth in Section
10.17 of this Guaranty.

                    ARTICLE II - NATURE AND SCOPE OF GUARANTY

          Section 2.1 Guaranty of Obligations. Each Guarantor hereby irrevocably
and unconditionally guarantees to Lender and its successors and assigns the
payment and performance of the Guaranteed Obligations as and when the same shall
be due and payable,

                                       17

<PAGE>

whether by lapse of time, by acceleration of maturity or otherwise. Each
Guarantor hereby irrevocably and unconditionally covenants and agrees that it is
liable for the Guaranteed Obligations as a primary obligor.

          Section 2.2 Nature of Guaranty. This Guaranty is an irrevocable,
absolute, continuing guaranty of payment and performance and not a guaranty of
collection. This Guaranty may not be revoked by any Guarantor and shall continue
to be effective with respect to any Guaranteed Obligations arising or created
after any attempted revocation by any Guarantor. The fact that at any time or
from time to time the Guaranteed Obligations may be increased or reduced shall
not release or discharge the obligation of each Guarantor to Lender with respect
to the Guaranteed Obligations. This Guaranty may be enforced by Lender, any
subsequent holder of the Mortgage Note, the Mezzanine Note and any successor or
assignee of Lender to the Mortgage Loan Agreement, the Mezzanine Loan Agreement
and the Sale/Leaseback Transaction and shall not be discharged by the assignment
of any of the Mortgage Loan Documents, Mezzanine Loan Documents or the Lease
Documents or the assignment and negotiation of all or part of the Mortgage Note,
Mezzanine Note or the Lease Documents.

          Section 2.3 Guaranteed Obligations Not Reduced by Offset. The
Guaranteed Obligations and the liabilities and obligations of each Guarantor to
Lender hereunder shall not be reduced, discharged or released because or by
reason of any existing or future offset, claim or defense of any Mortgage
Borrower, any Mezzanine Borrower, any Trans Lessee or any other party against
Lender or against payment of the Guaranteed Obligations, whether such offset,
claim or defense arises in connection with the Guaranteed Obligations (or the
transactions creating the Guaranteed Obligations) or otherwise.

          Section 2.4 Payment by Guarantor. If all or any part of the Guaranteed
Obligations shall not be punctually paid when due, whether at demand, maturity,
acceleration or otherwise, each Guarantor shall, immediately upon demand by
Lender and without presentment, protest, notice of protest, notice of
non-payment, notice of intention to accelerate the maturity, notice of
acceleration of the maturity or any other notice whatsoever, pay in lawful money
of the United States of America, the amount due on the Guaranteed Obligations to
Lender at Lender's address as set forth herein. Such demand(s) may be made at
any time coincident with or after the time for payment of all or part of the
Guaranteed Obligations and may be made from time to time with respect to the
same or different items of Guaranteed Obligations. Such demand shall be deemed
made, given and received in accordance with the notice provisions hereof.

          Section 2.5 No Duty to Pursue Others. It shall not be necessary for
Lender (and each Guarantor hereby waives any rights which each Guarantor may
have to require Lender), in order to enforce the obligations of each Guarantor
hereunder, first to (i) institute suit or exhaust its remedies against any
Mortgage Borrower, any Mezzanine Borrower or any Trans Lessee or others liable
on the Guaranteed Obligations or any other Person, (ii) enforce Lender's rights
against any collateral which shall ever have been given to secure the Guaranteed
Obligations, (iii) enforce Lender's rights against any other guarantors of the
Guaranteed Obligations, (iv) join any Mortgage Borrower, any Mezzanine Borrower
or any Trans Lessee or any others liable on the Guaranteed Obligations in any
action seeking to enforce this Guaranty, (v) exhaust any remedies available to
Lender against any collateral which shall ever have been

                                       18

<PAGE>

given to secure the Guaranteed Obligations, or (vi) resort to any other means of
obtaining payment of the Guaranteed Obligations. Lender shall not be required to
mitigate damages or take any other action to reduce, collect or enforce the
Guaranteed Obligations.

          Section 2.6 Waivers. Each Guarantor agrees to the provisions of the
Mortgage Loan Documents, Mezzanine Loan Documents and the Lease Documents and
hereby waives notice of (i) any loans or advances made by Lender to any Obligor,
(ii) acceptance of this Guaranty, (iii) any amendment, modification, replacement
or extension of the Mortgage Loan Agreement, the Mezzanine Loan Agreement, the
Mortgage Note, the Mezzanine Note, the Pledge Agreement, any other Mortgage Loan
Document, Mezzanine Loan Document or any Lease Document, (iv) the execution and
delivery by any Obligor and Lender of any other loan or credit agreement or of
any Obligor's, execution and delivery of any promissory notes or other documents
arising under the Mortgage Loan Documents, Mezzanine Loan Documents, in
connection with any Property, or under any Lease Document, (v) the occurrence of
any breach by any Obligor or a Default, (vi) Lender's transfer or disposition of
the Guaranteed Obligations, or any part thereof, (vii) sale or foreclosure (or
posting or advertising for sale or foreclosure) of any collateral for the
Guaranteed Obligations, (viii) protest, proof of non-payment or default by any
Obligor, (ix) any release in whole or in part, of any security for the
Guaranteed Obligations, (x) any forbearance, waiver, consent, indulgence or
other action or inaction which Lender may hereafter consent to, accord, grant or
take with respect to any Obligor in respect of the Mortgage Loan Agreement, the
Mezzanine Loan Agreement, the Mortgage Note, the Mezzanine Note, the Pledge
Agreement, any other Mortgage Loan Document, Mezzanine Loan Document or any
Lease Document or (xi) any other action at any time taken or omitted by Lender
and, generally, all demands and notices of every kind in connection with this
Guaranty, the Mortgage Loan Documents, Mezzanine Loan Documents, the Lease
Documents or any documents or agreements evidencing, securing or relating to any
of the Guaranteed Obligations and the obligations hereby guaranteed.

          Section 2.7 Payment of Expenses. In the event that any Guarantor
should breach or fail to timely perform any provisions of this Guaranty, each
Guarantor shall, immediately upon demand by Lender, pay Lender all costs and
expenses (including court costs and attorneys' fees) incurred by Lender in the
enforcement hereof or the preservation of Lender's rights hereunder. The
covenant contained in this Section shall survive the payment and performance of
the Guaranteed Obligations.

          Section 2.8 Joint and Several Obligations. The obligations of each
Guarantor hereunder shall be several and also joint each with all or with any
one or more of the other parties now or hereafter guaranteeing any of the
Guaranteed Obligations, and such obligations of each Guarantor may be enforced
against each Guarantor separately or against any two or more jointly, or against
some separately and some jointly.

          Section 2.9 Effect of Bankruptcy. In the event that pursuant to any
insolvency, bankruptcy, reorganization, receivership or other debtor relief law
or any judgment, order or decision thereunder, Lender must rescind or restore
any payment or any part thereof received by Lender in satisfaction of the
Guaranteed Obligations, as set forth herein, any prior release or discharge from
the terms of this Guaranty given to each Guarantor by Lender shall be without
effect and this Guaranty shall remain in full force and effect. It is the
intention of each

                                       19

<PAGE>

Guarantor that each its respective obligations hereunder shall not be discharged
except by such Guarantor's performance of such obligations and then only to the
extent of such performance.

          Section 2.10 Waiver of Subrogation, Reimbursement and Contribution.
Notwithstanding anything to the contrary contained in this Guaranty, unless and
until the indefeasible payment and satisfaction in full of all of the Guaranteed
Obligations, each Guarantor hereby unconditionally and irrevocably waives,
releases and abrogates any and all rights it may now or hereafter have under any
agreement, at law or in equity (including, without limitation, any law
subrogating each Guarantor to the rights of Lender), to assert any claim against
or seek contribution, indemnification or any other form of reimbursement from
any Mortgage Borrower, any Mezzanine Borrower or any Trans Lessee or any other
party liable for payment of any or all of the Guaranteed Obligations for any
payment made by Guarantor under or in connection with this Guaranty or
otherwise.

          Section 2.11 Security for Guaranteed Obligations. Parent and certain
of the Guarantors shall pledge, transfer and assign pursuant to the Pledge
Agreement and grant to Lender as security for the payment and performance of the
Guaranteed Obligations a continuing perfected security interest in and to and
general first lien upon the Pledged Equity (as defined in the Pledge Agreement)
pursuant to the Pledge Agreement.

          Section 2.12 Termination of Guaranty as to Mortgage Loan. Upon
Lender's election, upon the inclusion of the Mortgage Loan in a Secondary Market
Transaction including, but not limited to a Securitization (as defined in the
Mortgage Loan Agreement), the Guaranty shall terminate as to that portion of the
Mortgage Loan as Lender shall elect. From and after such election, this Guaranty
shall be interpreted without reference to the terms relating to the
Mortgage Borrowers, Mortgage Loan, Mortgage Note, Mortgage Loan Agreement,
Mortgage Loan Documents and such other terms relating solely to the Mortgage
Loan. Obligors shall execute such amendments to the Mortgage Loan Documents,
including, but not limited to, this Guaranty and the Pledge Agreement as Lender
shall request to effectuate the foregoing.

          Section 2.13 Termination of Certain Covenants. Within thirty (30) days
after the date that the terms of Sections 2.4.2(b) or 8.2(b)(as applicable), and
24.2 of the Mortgage Loan Agreement, the Mezzanine Loan Agreement and the Master
Lease respectively are satisfied including, without limitation, the indefeasible
prepayment in full of the Mezzanine Loan, upon the payment by Parent to Lender
of security deposits under the Master Lease in an amount equal to two years rent
(after taking into account the amount of security deposits already held by
Parent), Parent may elect, in its sole discretion, to terminate the application
of the covenants provided in Articles VI and VII hereof (a "Covenant Replacement
Event") and thereafter this Guaranty shall be interpreted without reference to
such covenants.

          Section 2.14 New Leases; Revise Lease Documents. Each Guarantor
acknowledges and agrees that the Master Lease permits the Lender to elect, in
its sole discretion, to : (i) delete and eliminate one or more Lease Properties
(as defined in the Master Lease) from the Master Lease (a "Deletion Event");
(ii) upon the occurrence of a Deletion Event, require that those Trans Lessees
which lease the Leased Properties that are the subject of a Deletion Event (the
"Deleted Properties") execute and enter into a New Lease (as defined in the
Master Lease) with the Lender on substantially the same terms as are contained
in the Master Lease (as more

                                       20

<PAGE>

particularly described and discussed in Section 42 in the Master Lease); and
(iii) to add one or more Additional Properties (as defined in the Master Lease)
to the Master Lease pursuant to Section 41 of the Master Lease (an "Addition
Event"). Upon the occurrence of a Deletion Event, the Lender may elect, in its
sole discretion, to (i) terminate this Guaranty as to the Deleted Properties for
all relevant purposes; (ii) require that the Guarantors execute and enter into a
new guaranty of any New Lease containing the same terms and conditions as this
Guaranty as to such New Lease and the applicable Leased Properties and a new
Pledge Agreement as to such New Lease and the applicable Leased Properties; or
(iii) allow any New Lease to constitute a Lease Document within the meaning of
this Guaranty. If the Lender elects alternative (i) or alternative (ii) of the
preceding sentence, (i) the Lease Documents shall no longer include any New
Lease, (ii) the Property shall no longer include the Deleted Properties; (iii)
the Trans Entities shall no longer include the "tenants" of the Deleted
Properties; and (iv) this Guaranty shall be interpreted without reference to the
Deleted Properties or such Trans Entities. Upon the occurrence of an Addition
Event, the Lender may elect, in its sole discretion, to require that the
Additional Properties again be subject to this Guaranty. The Lender may elect,
in its sole discretion, to delete and eliminate the Lease Documents, the Leased
Properties and the Trans Lessees from this Guaranty for all relevant purposes (a
"Replacement Guaranty Election") and require that the Guarantors provide an
independent, stand alone guaranty for the Lease Documents containing the same
terms, conditions, assurances and guarantees as this Guaranty, but relating
exclusively to the Sale/Leaseback Transaction. If the Lender makes a Replacement
Guaranty Election, (a) this Guaranty shall terminate as to the Sale/Leaseback
Transaction at such time as the Replacement Guaranty (as hereinafter defined)
has been executed by all of the Guarantors; (b) this Guaranty shall be
interpreted without reference to the terms relating to the Trans Lessees, the
Sale/Leaseback Transaction or the Lease Documents at such time as the
Replacement Guaranty has been executed by each Guarantor; and (c) the Guarantors
shall execute and enter into a guaranty to and for the benefit of the Lender as
to the Sale/Leaseback Transaction and the Lease Documents (the "Replacement
Guaranty") containing the same terms, conditions, protections, guarantees and
assurances as this Guaranty but relating solely to the Sale/Leaseback
Transaction and the Lease Documents. Obligors shall execute such amendments to
the Lease Documents, this Guaranty, the Mortgage Loan Documents and the Pledge
Agreement as Lender shall request to effectuate any of the foregoing.

                   ARTICLE III - EVENTS AND CIRCUMSTANCES NOT
                 REDUCING OR DISCHARGING GUARANTOR'S OBLIGATIONS

          Section 3.1 Events and Circumstances Not Reducing or Discharging
Guarantor's Obligations. Each Guarantor hereby consents and agrees to each of
the following and agrees that its respective obligations under this Guaranty
shall not be released, diminished, impaired, reduced or adversely affected by
any of the following and waives any common law, equitable, statutory or other
rights (including without limitation rights to notice) which each Guarantor
might otherwise have as a result of or in connection with any of the following:

               (a) Modifications. Any renewal, extension, increase,
     modification, alteration or rearrangement of all or any part of the
     Guaranteed Obligations, any Mortgage Loan Document, Mezzanine Loan
     Document, any Lease Document or any other document, instrument, contract or
     understanding between any Obligor and Lender

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<PAGE>

     or any other parties pertaining to the Guaranteed Obligations or any
     failure of Lender to notify each Guarantor of any such action.

               (b) Adjustment. Any adjustment, indulgence, waiver, forbearance
     or compromise that might be granted or given by Lender to any Obligor or
     any Guarantor.

               (c) Condition of Borrower or Guarantors. The insolvency,
     bankruptcy, arrangement, adjustment, composition, liquidation, disability,
     dissolution or lack of power of any Mortgage Borrower, any Mezzanine
     Borrower, any Trans Lessee, any Guarantor or any other party at any time
     liable for the payment of all or part of the Guaranteed Obligations; or any
     dissolution of any Mortgage Borrower, any Mezzanine Borrower, any Trans
     Lessee or any Guarantor or any sale, lease or transfer of any or all of the
     assets of any Mortgage Borrower, any Mezzanine Borrower, any Trans Lessee
     or any Guarantor or any changes in the shareholders, partners or members of
     any Mortgage Borrower, any Mezzanine Borrower, any Trans Lessee or any
     Guarantor; or any reorganization of any Mortgage Borrower, any Mezzanine
     Borrower, any Trans Lessee or any Guarantor.

               (d) Invalidity of Guaranteed Obligations. The invalidity,
     illegality or unenforceability of all or any part of the Guaranteed
     Obligations or any document or agreement executed in connection with the
     Guaranteed Obligations for any reason whatsoever, including without
     limitation the fact that (i) the Guaranteed Obligations or any part thereof
     exceeds the amount permitted by law, (ii) the act of creating the
     Guaranteed Obligations or any part thereof is ultra vires, (iii) the
     officers or representatives executing the Mortgage Loan Agreement, the
     Mezzanine Loan Agreement, the Mortgage Note, the Mezzanine Note, the Pledge
     Agreement, any other Mortgage Loan Document, Mezzanine Loan Document or any
     Lease Document or otherwise creating the Guaranteed Obligations acted in
     excess of their authority, (iv) the Guaranteed Obligations violate
     applicable usury laws, (v) any Obligor has valid defenses, claims or
     offsets (whether at law, in equity or by agreement) which render the
     Guaranteed Obligations wholly or partially uncollectible from such Obligor,
     (vi) the creation, performance or repayment of the Guaranteed Obligations
     (or the execution, delivery and performance of any document or instrument
     representing part of the Guaranteed Obligations or executed in connection
     with the Guaranteed Obligations or given to secure the repayment of the
     Guaranteed Obligations) is illegal, uncollectible or unenforceable, or
     (vii) the Mortgage Loan Agreement, the Mezzanine Loan Agreement, the
     Mortgage Note, the Mezzanine Note, the Pledge Agreement, any other Mortgage
     Loan Document, Mezzanine Loan Document or any Lease Document have been
     forged or otherwise are irregular or not genuine or authentic, it being
     agreed that each Guarantor shall remain liable hereon regardless of whether
     any Obligor or any other Person be found not liable on the Guaranteed
     Obligations or any part thereof for any reason.

               (e) Release of Obligors. Any full or partial release of the
     liability of any Obligor on the Guaranteed Obligations or any part thereof,
     or of any co-guarantors, or any other Person now or hereafter liable,
     whether directly or indirectly, jointly, severally, or jointly and
     severally, to pay, perform, guarantee or assure the

                                       22

<PAGE>

     payment of the Guaranteed Obligations, or any part thereof, it being
     recognized, acknowledged and agreed by Guarantor that Guarantor may be
     required to pay the Guaranteed Obligations in full without assistance or
     support of any other party, and each Guarantor has not been induced to
     enter into this Guaranty on the basis of a contemplation, belief,
     understanding or agreement that other parties will be liable to pay or
     perform the Guaranteed Obligations, or that Lender will look to other
     parties to pay or perform the Guaranteed Obligations.

               (f) Other Collateral. The taking or accepting of any other
     security, collateral or guaranty, or other assurance of payment, for all or
     any part of the Guaranteed Obligations.

               (g) Release of Collateral. Any release, surrender, exchange,
     subordination, deterioration, waste, loss or impairment (including without
     limitation negligent, willful, unreasonable or unjustifiable impairment) of
     any collateral, property or security at any time existing in connection
     with, or assuring or securing payment of, all or any part of the Guaranteed
     Obligations.

               (h) Care and Diligence. The failure of Lender or any other party
     to exercise diligence or reasonable care in the preservation, protection,
     enforcement, sale or other handling or treatment of all or any part of any
     collateral, property or security, including but not limited to any neglect,
     delay, omission, failure or refusal of Lender (i) to take or prosecute any
     action for the collection of any of the Guaranteed Obligations or (ii) to
     foreclose, or initiate any action to foreclose, or, once commenced,
     prosecute to completion any action to foreclose upon any security therefor,
     or (iii) to take or prosecute any action in connection with any instrument
     or agreement evidencing or securing all or any part of the Guaranteed
     Obligations.

               (i) Unenforceability. The fact that any collateral, security,
     security interest or lien contemplated or intended to be given, created or
     granted as security for the repayment of the Guaranteed Obligations, or any
     part thereof, shall not be properly perfected or created, or shall prove to
     be unenforceable or subordinate to any other security interest or lien, it
     being recognized and agreed by each Guarantor that it is not entering into
     this Guaranty in reliance on, or in contemplation of the benefits of, the
     validity, enforceability, collectibility or value of any of the collateral
     for the Guaranteed Obligations.

               (j) Offset. The Guaranteed Obligations and the liabilities and
     obligations of each Guarantor to Lender hereunder shall not be reduced,
     discharged or released because of or by reason of any existing or future
     right of offset, claim or defense of any Obligor against Lender, or any
     other party, or against payment of the Guaranteed Obligations, whether such
     right of offset, claim or defense arises in connection with the Guaranteed
     Obligations (or the transactions creating the Guaranteed Obligations) or
     otherwise.

               (k) Merger. The reorganization, merger or consolidation of any
     Obligor into or with any other Person.

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<PAGE>

               (l) Preference. Any payment by any Obligor to Lender is held to
     constitute a preference under bankruptcy laws or for any reason Lender is
     required to refund such payment or pay such amount to any Obligor or
     someone else.

               (m) Other Actions Taken or Omitted. Any other action taken or
     omitted to be taken with respect to the Mortgage Loan Document, Mezzanine
     Loan Documents, the Lease Documents, the Guaranteed Obligations, or the
     security and collateral therefor, whether or not such action or omission
     prejudices any Guarantor or increases the likelihood that any Guarantor
     will be required to pay the Guaranteed Obligations pursuant to the terms
     hereof, it is the unambiguous and unequivocal intention of each Guarantor
     that it shall be obligated to pay the Guaranteed Obligations when due,
     notwithstanding any occurrence, circumstance, event, action, or omission
     whatsoever, whether contemplated or uncontemplated, and whether or not
     otherwise or particularly described herein, which obligation shall be
     deemed satisfied only upon the full and final payment and satisfaction of
     the Guaranteed Obligations.

             ARTICLE IV - REPRESENTATIONS, WARRANTIES AND AGREEMENTS

          Section 4.1 Representations and Warranties. To induce Lender to enter
into the Loan Documents and extend credit to each Mortgage Borrower and the
Mezzanine Borrower and enter into the Sale/Leaseback Transaction with the Trans
Lessees, each Guarantor represents and warrants to Lender as follows:

               (a) Benefit. (i) Parent is the owner of a direct or indirect
     interest in each Mortgage Borrower, each Trans Lessee and each Mezzanine
     Borrower, and has received, or will receive, direct or indirect benefit
     from the making of this Guaranty with respect to the Guaranteed
     Obligations.

                    (ii) Each Guarantor is an Affiliate of each Mortgage
     Borrower, each Mezzanine Borrower and each Trans Lessee, and has received,
     or will receive, direct or indirect benefit from the making of this
     Guaranty with respect to the Guaranteed Obligations.

                    (iii) Obligors make up a related organization of various
     entities constituting a single economic and business enterprise so that
     Obligors share an identity of interests such that any benefit received by
     any one of them benefits the others.

               (b) Familiarity and Reliance. Each Guarantor is familiar with,
     and has independently reviewed books and records regarding, the financial
     condition of each Mortgage Borrower, each Mezzanine Borrower and each Trans
     Lessee and is familiar with the value of any and all collateral intended to
     be created as security for the payment of the obligations evidenced by the
     Mortgage Loan Documents, Mezzanine Loan Documents, Lease Documents or
     Guaranteed Obligations; however, each Guarantor is not relying on such
     financial condition or the collateral as an inducement to enter into this
     Guaranty.

                                       24

<PAGE>

               (c) No Representation by Lender. Neither Lender nor any other
     party has made any representation, warranty or statement to any Guarantor
     in order to induce such Guarantor to execute this Guaranty.

               (d) Guarantor's Financial Condition. As of the date hereof, and
     after giving effect to this Guaranty and the contingent obligation
     evidenced hereby, each Guarantor is and will be solvent and has and will
     have assets which, fairly valued, exceed its obligations, liabilities
     (including contingent liabilities) and debts, and has and will have
     property and assets sufficient to satisfy and repay its obligations and
     liabilities.

               (e) Legality. The execution, delivery and performance by each
     Guarantor of this Guaranty and the consummation of the transactions
     contemplated hereunder do not and will not contravene or conflict with any
     law, statute or regulation whatsoever to which each Guarantor is subject or
     constitute a default (or an event which with notice or lapse of time or
     both would constitute a default) under, or result in the breach of, any
     indenture, mortgage, charge, lien, or any contract, agreement or other
     instrument to which such Guarantor is a party or which may be applicable to
     such Guarantor. This Guaranty has been duly authorized and approved on the
     part of each Guarantor by all necessary corporate action, and this Guaranty
     is a legal and binding obligation of each Guarantor, is enforceable in
     accordance with its terms, except as limited by bankruptcy, insolvency or
     other laws of general application relating to the enforcement of creditors'
     rights.

               (f) True and Complete Disclosure. (i) All information, documents,
     financial reports and other projections, which have been made available to
     Lender by any Guarantor or its Subsidiaries, in connection with the
     negotiation, preparation or delivery of the Loan Documents and the Lease
     Documents, including this Guaranty, whether prior to or after the date of
     this Guaranty, when taken as a whole, are true, correct and complete in all
     material respects and do not or will not, contain any untrue statement of
     material fact or omit to state any material fact necessary to make the
     statements contained therein not misleading in any material respect, and
     all financial projections, results or reports concerning Parent or any
     Trans Entity that have been or are hereafter made available to Lender by
     any Guarantor or its Subsidiaries have been or will be prepared in good
     faith based upon the assumptions Parent believes to be reasonable;
     provided, however, the foregoing representation and warranty shall not
     constitute a guaranty by Parent or any Trans Entity regarding the future
     performance of the Properties as may be set forth in any projections.

                    (ii) Parent has delivered to Lender a true and complete copy
     of all financing, partnership and other documents which restrict Parent
     from pledging its Equity Interests in each of the Non-Guarantor
     Subsidiaries and prohibit each Non-Guarantor Subsidiary from executing and
     delivering this Guaranty (collectively, the "Non-Guarantor Restrictions").

                    (iii) Parent has delivered to Lender a true and complete
     copy of all documents with GTCR which create an Equity Interest in Parent
     or any of its

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<PAGE>

     Consolidated Subsidiaries or any Debt as to Parent or any of its
     Consolidated Subsidiaries.

                    (iv) Parent has delivered to Lender a true and complete copy
     of the P&S Agreement.

               (g) Bankruptcy. Each Guarantor or its Subsidiaries is not party
     to, nor has it ever contemplated, any bankruptcy, insolvency or similar
     proceeding.

               (h) Default. Neither Parent nor the contract sellers are in
     default pursuant to the P&S Agreement, which P&S Agreement is in full force
     and effect and constitutes a valid and binding obligation of the parties
     thereto. The P&S Agreement provides Parent (and its successors and assigns)
     with the unconditional right to acquire the certain properties (the
     "Acquired Properties") on or prior to the Closing Date and Parent is not
     aware of any fact or condition that has occurred (or failed to occur) which
     would prevent Parent (or its successors or assigns) from acquiring the
     Acquired Properties pursuant to the P&S Agreement.

               (i) Indemnification. Parent agrees and does hereby indemnify and
     hold harmless the Lender, its affiliates and subsidiaries and their
     respective directors, officers, employees, advisors and agents (each, an
     "Indemnified Party") from and against (and will reimburse each Indemnified
     Party as the same are incurred) any and all losses, claims, damages,
     liabilities and expenses (including, without limitation, the reasonable
     fees and expenses of counsel) that may be incurred by or asserted or
     awarded against any Indemnified Party, in each case arising out of or in
     connection with or by reason of (including, without limitation, in
     connection with any investigation, litigation or proceeding or preparation
     of a defense in connection therewith) any matters contemplated by any Loan
     Document or Lease Document other than those losses, claims, damages,
     liabilities and expenses solely attributable to the Lender's gross
     negligence or willful misconduct.

               (j) Survival. All representations, warranties and agreements in
     this Article 4 made by each Guarantor herein shall survive the execution
     hereof.

                              ARTICLE V - COVENANTS

     Each Guarantor covenants and agrees with the Lender that, so long as (i)
the Mortgage Loan or the Mezzanine Loan or any additional credit is outstanding
and until payment in full of all amounts payable by any Mortgage Borrower
pursuant to the terms and conditions of the Mortgage Loan Agreement and all
amounts payable by any Mezzanine Borrower pursuant to the terms and conditions
of the Mezzanine Loan Agreement (other than the covenants that survive payment
in full) or (ii) the Sale/Leaseback Transaction is outstanding and until payment
in full of all amounts payable by any Trans Lessee pursuant to the terms and
conditions of the Sale/Leaseback Transaction (other than the covenants that
survive payment in full):

          Section 5.1 Financial Statements, Etc. Each Guarantor will deliver the
following information to the Lender:

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<PAGE>

               (a) as soon as available, and in any event within one hundred
     twenty (120) days after the close of each Fiscal Year, in hard copy and
     electronic format and presented on a consolidated as well as a
     property-by-property basis, financial statements prepared for such year
     with respect to the Guarantors, including a balance sheet and operating
     statement as of the end of such year, together with related statements of
     income and capital for such Fiscal Year, audited by a "Big Four" accounting
     firm or a nationally recognized, independent certified public accounting
     firm reasonably satisfactory to Lender whose opinion shall be to the effect
     that such financial statements have been prepared in accordance with GAAP
     applied on a consistent basis and shall not be qualified as to the scope of
     the audit or as to the status of such Guarantor as a going concern or any
     other material qualification. Together with each Guarantor's annual
     financial statements, each Guarantor shall furnish to Lender an Officer's
     Certificate (i) certifying as of the date thereof whether to the best of
     such Guarantor's knowledge there exists an event or circumstance which
     constitutes a Default or Event of Default and if such Default or Event of
     Default exists, the nature thereof, the period of time it has existed and
     the action then being taken to remedy the same and (ii) demonstrating in
     reasonable detail compliance with the provisions of Sections 6.1, 6.2, 6.3,
     6.4 and 7.1 (including in detail all calculations necessary therein).

               (b) as soon as available and in any event within 45 days after
     the close of each Fiscal Year, unaudited financial statements prepared for
     such year with respect to Guarantors, including a balance sheet and
     operating statement as of the end of such year, together with related
     statements of income and capital for such Fiscal Year. Together with each
     Guarantor's interim financial statements, each Guarantor shall furnish to
     Lender an Officer's Certificate (i) certifying as of the date thereof
     whether to the best of such Guarantor's knowledge there exists an event or
     circumstance which constitutes a Default or Event of Default and if such
     Default or Event of Default exists, the nature thereof, the period of time
     it has existed and the action then being taken to remedy the same and (ii)
     demonstrating in reasonable detail compliance with the provisions of
     Sections 6.1, 6.2, 6.3, 6.4 and 7.1 (including in detail all calculations
     necessary therein).

               (c) as soon as available and in any event within 45 days after
     the end of each of the first three Fiscal Quarters of each Fiscal Year of
     Parent and its Consolidated Subsidiaries, (i) an unaudited consolidated
     balance sheet of Parent and its Consolidated Subsidiaries, together with
     the related consolidated and consolidating statements of operations for
     such Fiscal Quarter and for the portion of the Fiscal Year ended at such
     Fiscal Quarter and of cash flows for the portion of the Fiscal Year ended
     at the end of such Fiscal Quarter, setting forth in comparative form the
     unaudited consolidated and consolidating statements of operations and cash
     flows (to the extent available) for the corresponding Fiscal Quarter and
     the corresponding portion of the previous Fiscal Year, all prepared in
     accordance with GAAP. Together with each Guarantor's interim financial
     statements, each Guarantor shall furnish to Lender an Officer's Certificate
     (i) certifying as of the date thereof whether to the best of such
     Guarantor's knowledge there exists an event or circumstance which
     constitutes a Default or Event of Default and if such Default or Event of
     Default exists, the nature thereof, the period of time it has existed and
     the action then being taken to remedy the same and (ii)

                                       27

<PAGE>

     demonstrating in reasonable detail compliance with the provisions of
     Sections 6.1, 6.2, 6.3, 6.4 and 7.1 (including in detail all calculations
     necessary therein).

               (d) as soon as available and in any event within 30 days after
     the end of each month of each Fiscal Year of Parent and its Consolidated
     Subsidiaries, (i) an unaudited consolidated balance sheet of Parent and its
     Consolidated Subsidiaries, together with the related consolidated and
     consolidating statements of operations for such month and for the portion
     of the Fiscal Year ended at such month and of cash flows for the portion of
     the Fiscal Year ended at the end of such month, setting forth in
     comparative form the unaudited consolidated and consolidating statements of
     operations and cash flows (to the extent available) for the corresponding
     month and the corresponding portion of the previous Fiscal Year.

               (e) notwithstanding anything to the contrary herein, within two
     days after the sending or filing thereof, furnish or cause to be furnished
     to Lender copies of all reports, financial statements and proxy statements
     which each Guarantor or its Subsidiaries sends to its stockholders
     generally and copies of all reports (including annual, quarterly or current
     reports), proxy statements and registration statements (other than the
     exhibits thereto and any registration statements on Form S-8 or its
     equivalent) which any such Person files with the Securities and Exchange
     Commission, any national or local securities exchange or the National
     Association of Securities Dealers, Inc.

               (f) within five Business Days after any executive officer or
     senior financial officer of any Guarantor obtains knowledge of (i) any
     Default, including any action or condition which is reasonably likely to
     have a Material Adverse Effect, including but not limited to the knowledge
     of any default, action, suit, proceeding, investigation or arbitration by
     any Governmental Authority or other Person against or affecting Parent or
     any Loan Party or any of its assets, and (ii) if such Default is then
     continuing, a certificate of a senior financial officer setting forth the
     details thereof and the action that each Guarantor is taking or proposes to
     take with respect thereto;

               (g) promptly, upon receipt or delivery by Parent or any Loan
     Party, any notice of default under any agreement relating to Property or
     any material agreement which is reasonably likely to have a Material
     Adverse Effect;

               (h) promptly after any member of the ERISA Group (i) gives or is
     required to give notice to the PBGC of any "reportable event" (as defined
     in Section 4043 of ERISA) with respect to any Plan which might constitute
     grounds for a termination of such Plan under Title IV of ERISA, or knows
     that the plan administrator of any Plan has given or is required to give
     notice of any such reportable event, a copy of the notice of such
     reportable event given or required to be given to the PBGC; (ii) receives
     notice of complete or partial withdrawal liability under Title 1V of ERISA
     or notice that any Multiemployer Plan is in reorganization, is insolvent or
     has been terminated, a copy of such notice; (iii) receives notice from the
     PBGC under Title IV of ERISA of an intent to terminate, impose liability
     (other than for premiums under Section 4007 of ERISA) in respect of, or
     appoint a trustee to administer any Plan, a copy of such notice; (iv)
     applies for a waiver of the minimum funding standard under Section 412 of

                                       28

<PAGE>

     the Internal Revenue Code, a copy of such application; (v) gives notice of
     intent to terminate any Plan under Section 4041(c) of ERISA, a copy of such
     notice and other information filed with the PBGC, (vi) gives notice of
     withdrawal from any Plan pursuant to Section 4063 of ERISA, a copy of such
     notice; or (vii) fails to make any payment or contribution to any Plan or
     Multiemployer Plan or makes any amendment to any Plan which has resulted or
     could result in the imposition of a Lien or the posting of a bond or other
     security, a certificate of a Financial Officer setting forth details as to
     such occurrence and the action, if any, which any Obligor or the applicable
     member of the ERISA Group is required or proposes to take;

               (i) as soon as reasonably practicable after any Executive Officer
     obtains knowledge of the commencement of an action, suit or proceeding
     against any Obligor, any Guarantor or any of their respective Subsidiaries
     before any court or arbitrator or any governmental body, agency or official
     in which there is a reasonable possibility of an adverse decision which
     could have a Material Adverse Effect or which in any manner questions the
     validity of any Loan Document, Officer's Certificate setting forth the
     nature of such action, suit or proceeding and such additional information
     as may be reasonably requested by the Lender;

               (j) promptly after an Executive Officer obtains knowledge of one
     or more judgments or orders of a court or arbitrator or regulatory
     authority for the payment of money aggregating in excess of $250,000
     rendered against any Obligor, any Guarantor or any of their respective
     Subsidiaries, Officer's Certificate setting forth the nature and amount of
     such judgment and whether any Obligor or Guarantor intends to seek a stay
     or appeal of such judgment made such additional information as may be
     reasonably requested by the Lender;

               (k) promptly upon each Guarantor's receipt from its independent
     public accountants of any management letter which indicates a material
     weakness in the reporting practices of any Mortgage Borrower, any Mezzanine
     Borrower, any Trans Lessee or any Guarantor, a description of such material
     weakness and any action being taken with respect thereto;

               (l) within 15 days after the commencement of each Fiscal Year,
     (i) cash flow, balance sheet and income statement forecasts in reasonable
     detail for Parent and its Consolidated Subsidiaries prepared on a monthly
     basis for the Fiscal Year and, promptly when available, any material
     revisions of such forecast and (ii) Parent's business and financial plans
     for such Fiscal Year, setting forth the assumptions used in preparing such
     plans and, promptly when available, any material revisions of such plans;

               (m) promptly upon their becoming available, copies of all press
     releases and other statements made available generally by any Obligor,
     including, but not limited to, each Guarantor to the public concerning
     material developments in its business;

               (n) from time to time such additional information as the Lender
     may reasonably request in writing relating to the business of each
     Guarantor or any of its

                                       29

<PAGE>

     respective Subsidiaries including, without limitation, information
     regarding any of their financial position and results of operations,
     actuarial reports and insurance coverage.

          Section 5.2 Transactions with Non-Guarantor Subsidiaries. Each
Guarantor shall furnish to the Lender an Officer's Certificate at the end of
each Fiscal Quarter certifying (i) any Investment made by Parent or a Loan Party
in the Non-Guarantor Subsidiaries and (ii) evidence of any dividend or
distribution received by Parent or any Loan Party from the Non-Guarantor
Subsidiaries in cash on a non-contingent basis, without any obligation to return
such dividend or distribution by Parent or any Loan Party.

          Section 5.3 Maintenance of Property. Each Guarantor will keep, and
shall cause each of their respective Subsidiaries to keep, all property useful
and necessary in its business in good working order and condition, ordinary wear
and tear, casualty and condemnation excepted.

          Section 5.4 Insurance.

               (a) Insurance Policies. Subject to the terms of the Mortgage Loan
     Documents, the Mezzanine Loan Documents and the Loan Documents, (A) each
     Guarantor will maintain, and shall cause each of their respective
     Subsidiaries to maintain, insurance for each Guarantor and its respective
     Subsidiaries and each Property providing at least the following coverages:

                    (i) coverage for loss or damage by fire, lightning, wind and
     such other perils as are included in a standard "all risk" or "special
     causes of loss" endorsement and against loss or damage by other risks and
     hazards covered by a standard property insurance policy including, without
     limitation, riot, civil commotion, vandalism, malicious mischief, burglary
     and theft on the Improvements and the personal property at the Property,
     including contingent liability from Operation of Building Laws, Demolition
     Costs and Increased Cost of Construction Endorsements, in each case (A) in
     an amount equal to one hundred percent (100%) of the "Full Replacement
     Cost," which for purposes of this Guaranty shall mean actual replacement
     value (exclusive of costs of excavations, foundations, underground
     utilities and footings) with a waiver of depreciation, but as to the
     "Properties" as defined in the Mortgage Loan Agreement and the Mezzanine
     Loan Agreement, the amount shall in no event be less than the Allocated
     Loan Amount (as defined in the Mortgage Loan Agreement and the Mezzanine
     Loan Agreement) of such property; (B) containing an agreed amount
     endorsement with respect to the Improvements and personal property at the
     Property waiving all co-insurance provisions; (C) providing for no
     deductible in excess of Ten Thousand and No/100 Dollars ($10,000) for all
     such insurance coverage; and (D) containing (a) an "Ordinance or Law
     Coverage" or "Enforcement" endorsement and (b) "demolition" insurance (in
     an amount equal to ten percent (10%) of the value of the Improvements) and
     "increased cost of construction" insurance (equal to twenty-five percent
     (25%) of the value of the Improvements, or such other amount approved by
     Lender, if any of the Improvements or the use of the applicable Property
     shall at any time constitute legal non-conforming structures or uses. In
     addition, each Guarantor shall obtain, and shall cause each of their
     respective Subsidiaries to obtain: (y) if any portion of the Improvements
     is currently or at any time

                                       30

<PAGE>

     in the future located in a federally designated "special flood hazard
     area", flood hazard insurance in an amount equal to the lesser of (1) the
     "Full Replacement Cost" (defined above) but as to the "Properties" as
     defined in the Mortgage Loan Agreement and the Mezzanine Loan Agreement, no
     less than the Allocated Loan Amount (as defined in the Mortgage Loan
     Agreement and the Mezzanine Loan Agreement) of the applicable property or
     (2) the maximum amount of such insurance available under the National Flood
     Insurance Act of 1968, the Flood Disaster Protection Act of 1973 or the
     National Flood Insurance Reform Act of 1994, as each may be amended; and
     (z) earthquake insurance in amounts and in form and substance satisfactory
     to Lender in the event the applicable Property is located in an area with a
     high degree of seismic activity, provided that the insurance pursuant to
     clauses (y) and (z) hereof shall be on terms consistent with the
     comprehensive all risk insurance policy required under this subsection (i).

                    (ii) commercial general liability insurance against claims
     for personal injury, bodily injury, death or property damage occurring
     upon, in or about the Property, such insurance (A) to be on the so-called
     "occurrence" (or claims made form if the "occurrence" form is not available
     at commercially reasonable prices) form with a combined limit, excluding
     umbrella coverage, of not less than One Million and No/100 Dollars
     ($1,000,000) per occurrence with a minimum Three Million and No/100 Dollars
     ($3,000,000) general aggregate; (B) to continue at not less than the
     aforesaid limit until required to be changed by Lender by reason of changed
     economic conditions making such protection inadequate; and (C) to cover at
     least the following hazards: (1) premises and operations; (2) products and
     completed operations on an "if any" basis; (3) independent contractors; (4)
     blanket contractual liability for all legal contracts; (5) contractual
     liability covering the indemnities contained in Article 9 of the related
     Mortgage to the extent the same is available; (6) broad form property
     damage; (7) personal injury (including death resulting therefrom); (8)
     healthcare professional liability and (9) a liquor liability endorsement if
     alcoholic beverages are sold at the Property and (B) with a deductible of
     no more than $10,000.

                    (iii) business interruption insurance (A) with loss payable
     to Lender in the case of the Properties securing the Mortgage Loan and
     Mezzanine Loan or subject to the Lease Documents; (B) covering all risks
     required to be covered by the insurance provided for in subsection (i)
     above and (xi) below; (C) in an amount sufficient to avoid any co-insurance
     penalty and to provide proceeds which will cover a period of not less than
     eighteen (18) months from the date of casualty or loss; (D) containing an
     extended period of indemnity endorsement which provides that after the
     physical loss to the Property has been repaired, the continued loss of
     income will be insured until such income returns to the same level it was
     prior to the loss, or the expiration twenty-four (24) months from the date
     of the loss, whichever first occurs, and notwithstanding that the policy
     may expire prior to the end of such period. The amount of coverage shall be
     no less than $12,000,000;

                    (iv) at all times during which structural construction,
     repairs or alterations are being made with respect to the Improvements, and
     only if the applicable Property's coverage form does not otherwise apply,
     (A) owner's contingent or protective liability insurance covering claims
     not covered by or under the terms or provisions of the

                                       31

<PAGE>

     above mentioned commercial general liability insurance policy; and (B) the
     insurance provided for in subsection (i) above written in a so-called
     builder's risk completed value form (1) on a non-reporting basis, (2)
     against all risks insured against pursuant to subsection (i) above, (3)
     including permission to occupy the applicable Property, and (4) with an
     agreed amount endorsement waiving co-insurance provisions;

                    (v) workers' compensation, subject to the statutory limits
     of the state in which the applicable Property is located, and employer's
     liability insurance with a limit of at least One Hundred Thousand and
     No/100 Dollars ($100,000) per accident and per disease per employee, and
     Five Hundred Thousand and No/100 Dollars ($500,000) aggregate in respect of
     any work or operations on or about the Property, or in connection with the
     applicable Property or its operation (if applicable);

                    (vi) broad form boiler and machinery insurance (without
     exclusion for explosion) covering all boilers or other pressure vessels,
     machinery, and equipment located in, on or about any Property (including
     "system breakdown coverage") in an amount equal to or greater than the
     repair and full replacement cost of such equipment and insurance against
     loss of occupancy or use arising from any breakdown of such equipment in
     such amounts as are generally required by institutional lenders for
     properties comparable to the Properties;

                    (vii) umbrella liability insurance in addition to primary
     coverage in an aggregate amount not less than Nine Million and No/100
     Dollars ($9,000,000) on terms consistent with the commercial general
     liability insurance policy required under subsection (ii) above that cover
     all claims typically covered by an umbrella liability policy including all
     legal liability imposed upon any Guarantor or Subsidiary of a Guarantor and
     all court costs and attorneys' fees connection with the ownership,
     operation and maintenance of the Properties;

                    (viii) motor vehicle liability coverage for all owned and
     non-owned vehicles, including rented and leased vehicles containing minimum
     limits per occurrence, including umbrella coverage, of One Million and
     No/100 Dollars ($1,000,000);

                    (ix) if alcoholic beverages are sold at the applicable
     Property, so-called "dramshop" insurance or other liability insurance
     required in connection with the sale of alcoholic beverages;

                    (x) insurance against employee dishonesty in an amount not
     less than $100,000 and with a deductible not greater than Ten Thousand and
     No/100 Dollars ($10,000);

                    (xi) if the insurance required under clause (i) above
     excludes coverage for acts of terrorism, each Guarantor shall provide, and
     shall cause each of its Subsidiaries to provide, terrorism insurance
     coverage in an amount equal to the lesser of (1) the "Full Replacement
     Cost" (defined above) but, in the case of the Properties which are part of
     the Mortgage Loan or Mezzanine Loan transactions, no less than the Loan
     Amount (as defined in the Mortgage Loan Agreement and the Mezzanine Loan

                                       32

<PAGE>

     Agreement) or (2) the maximum amount of such insurance which is
     commercially reasonably available, unless at the time of determination: (i)
     it is not available at commercially reasonable rates; (ii) no Affiliates of
     any Guarantor or Subsidiary of a Guarantor are maintaining terrorism
     insurance with respect to another property; (iii) terrorism insurance is
     not commonly maintained by owners of other similar properties and (iv)
     terrorism insurance is not required for securitized loans similar to the
     Mortgage Loan or Mezzanine Loan and secured by property similar to the
     Properties and with similar ratings as the Mortgage Loan or Mezzanine Loan
     in the commercial mortgage-backed securities market; and

                    (xii) such other reasonable insurance and in such reasonable
     amounts as Lender from time to time may reasonably request against such
     other insurable hazards or casualties which at the time are commonly
     insured against for property similar to the Properties located in or around
     the region in which the Properties are located including, without
     limitation, sinkhole, mine subsidence and environmental insurance, due
     regard being given to the height and type of property, construction,
     location, use and occupancy.

                    (B) All insurance provided for in Section 5.1(a)(A) shall be
obtained under valid and enforceable policies (collectively, the "Policies" or
in the singular, the "Policy") and, to the extent not specified above, shall be
subject to the approval of Lender as to deductibles, loss payees and insureds.
Not less than ten (10) days prior to the expiration dates of the Policies
theretofore furnished to Lender, certificates of insurance evidencing the
Policies accompanied by evidence satisfactory to Lender of payment of the
premiums then due thereunder (the "Insurance Premiums"), shall be delivered by
Borrowers to Lender. Borrowers shall deliver certified copies of the Policies to
Lender within thirty (30) days of the Closing Date and thereafter upon request.
All Policies must have a term of not less than one (1) year.

                    (C) Intentionally deleted.

                    (D) As to the Properties in the Mortgage Loan, Mezzanine
Loan and Sale/Leaseback Transaction, all Policies of insurance provided for or
contemplated by Section 5.1(a)(A), except for the Policy referenced in Section
5.1(a)(A)(v), shall name each applicable Guarantor or Subsidiary of a Guarantor
or, as to the Properties in the Sale/Leaseback Transaction, the Lender as the
insured and, for the Properties in the Mortgage Loan or Mezzanine Loan
transactions, Lender and its successors and/or assigns as the additional
insured, as its interests may appear, and in the case of property damage,
terrorism insurance, boiler and machinery, flood and earthquake insurance for
the Properties in the Mortgage Loan or Mezzanine Loan transactions, shall
contain a so-called New York standard non-contributing mortgagee clause in favor
of Lender providing that the loss thereunder shall be payable to Lender.

                    (E) All Policies of insurance provided for in Section
5.1(a)(A) shall contain clauses or endorsements to the effect that:

                    (i) no act or negligence of any Guarantor or Subsidiary of a
     Guarantor, or anyone acting for any Guarantor or Subsidiary of a Guarantor,
     or of any tenant or other occupant, or failure to comply with the
     provisions of any Policy, which

                                       33

<PAGE>

     might otherwise result in a forfeiture of the insurance or any part
     thereof, shall in any way affect the validity or enforceability of the
     insurance insofar as Lender is concerned;

                    (ii) the Policy shall not be materially changed (other than
     to increase the coverage provided thereby) or canceled without at least
     thirty (30) days' written notice to Lender and any other party named
     therein as an additional insured;

                    (iii) Lender shall not be liable for any Insurance Premiums
     thereon or subject to any assessments thereunder; and

                    (iv) to the extent available at commercially reasonable
     rates, a waiver of subrogation rights as to Lender.

                    (F) If at any time Lender is not in receipt of written
evidence that all insurance required hereunder is in full force and effect,
Lender shall have the right, without notice to any Guarantor or Subsidiary of a
Guarantor, to take such action as Lender deems necessary to protect its interest
in the Properties, including, without limitation, the obtaining of such
insurance coverage as Lender in its sole discretion deems appropriate and all
premiums incurred by Lender in connection with such action or in obtaining such
insurance and keeping it in effect shall be paid by any Guarantor or Subsidiary
of a Guarantor to Lender upon demand and until paid shall be secured by the
Pledge Agreement and shall bear interest at the Default Rate (as defined in the
Mezzanine Loan Agreement).

                    (G) In the event of foreclosure of any Mortgage or other
transfer of title to any Property securing the Mortgage Loan or Mezzanine Loan
in extinguishment in whole or in part of the Debt (as defined in the Mortgage
Loan Agreement and the Mezzanine Loan Agreement), all right, title and interest
the applicable Guarantor or Subsidiary of a Guarantor in and to the Policies
that are not blanket Policies then in force concerning such Properties and all
proceeds payable thereunder shall thereupon vest in the purchaser at such
foreclosure or Lender or other transferee in the event of such other transfer of
title.

                    (b) Insurance Company. The Policies shall be issued by one
     or more domestic primary insurance companies, duly qualified in the
     jurisdiction where the Properties are located and rated A: VII or better by
     A.M. Best and having a claims-paying ability of at least "AA" or its
     equivalent by each of the Rating Agencies (as defined in the Mortgage Loan
     Agreement), or by a syndicate of insurers through which at least
     seventy-five percent (75%) of the coverage (if there are four (4) or fewer
     members of the syndicate) or at least sixty percent (60%) of the coverage
     (if there are five (5) or more members of the syndicate) is with carriers
     having such claims-paying ability ratings (provided that all such carriers
     shall have claims-paying ability ratings of not less than "A" or the
     equivalent by each of the Rating Agencies).

                    (c) Additional Agreement. Notwithstanding the foregoing, as
     to the Mortgage Borrowers, Mezzanine Borrowers and the Trans Lessees, the
     foregoing requirements shall be modified to the extent set forth in those
     certain side letters by and among the Mortgage Borrowers, Mezzanine
     Borrowers, the Trans Lessees, the Guarantors and the Lender dated as of the
     date hereof.

                                       34

<PAGE>

          Section 5.5 Books and Records; Inspection. Each Guarantor shall, and
shall cause each of its respective Subsidiaries to, keep and maintain or will
cause to be kept and maintained proper and accurate books and records, in
accordance with GAAP in all material respects, reflecting the financial affairs
of each Guarantor and Subsidiary of each Guarantor. The Lender shall have the
right from time to time during normal business hours upon reasonable notice to
the applicable Guarantor or Subsidiary of such Guarantor to examine such books
and records at the office of such Guarantor or Subsidiary of such Guarantor or
other Person maintaining such books and records and to make such copies or
extracts thereof as the Lender shall desire.

          Section 5.6 Observance of Agreements. Each Guarantor shall, and shall
cause each of its respective Subsidiaries to:

               (a) duly observe and perform all material terms and conditions of
     (i) any agreement relating to any Property or (ii) any other agreement, in
     either case the absence of which agreement is reasonably likely to have a
     Material Adverse Effect (subject in each case, to the right of any
     Guarantor or any Subsidiary of any Guarantor to lawfully assert a defense
     to performance or to lawfully contest any claims for breach under any such
     agreement), and diligently protect and enforce the rights of any Guarantor
     or any Subsidiary of any Guarantor under all such agreements in a manner
     consistent with prudent business judgment and subject to the terms and
     conditions of such agreements.

               (b) promptly provide the Lender copies of any and all agreements
     amending, altering, modifying, waiving or supplementing in any material
     respect, any material agreement relating to any Property or any other
     agreement the absence of which is reasonably likely to have a Material
     Adverse Effect.

          Section 5.7 Taxes and Other Charges. Each Guarantor shall, and shall
cause each of its respective Subsidiaries to, pay all Taxes and Other Charges
and payroll taxes now or hereafter levied or assessed or imposed against the
Properties or any part thereof or any Guarantor or any Subsidiary of any
Guarantor as the same become due and payable. Each Guarantor shall, and shall
cause each of its respective Subsidiaries to, furnish to Lender receipts for the
payment of the Taxes and the Other Charges prior to the date the same shall
become delinquent. Each Guarantor shall not, and shall cause each of its
respective Subsidiaries to not, permit or suffer and shall promptly discharge
any liens or charges against the Properties, except Permitted Encumbrances.
After prior notice to Lender, each Guarantor or Subsidiary of any Guarantor, at
its own expense, may contest by appropriate legal proceeding, conducted in good
faith and with due diligence, the amount or validity of any Taxes or Other
Charges, provided that (i) no Default or Event of Default has occurred and
remains uncured; (ii) such proceeding shall be permitted under and be conducted
in accordance with all applicable statutes, laws and ordinances; (iii) none of
the Properties nor any part thereof or interest therein will be in danger of
being sold, forfeited, terminated, canceled or lost; (iv) such Guarantor or
Subsidiary of such Guarantor shall promptly upon final determination thereof pay
the amount of any such Taxes or Other Charges, together with all costs, interest
and penalties which may be payable in connection therewith; (v) such proceeding
shall suspend the collection of Taxes or Other Charges from the applicable
Property; and (vi) upon request of Lender, such Guarantor or Subsidiary or any

                                       35

<PAGE>

Guarantor shall deposit with Lender cash, or other security as may be approved
by Lender, in an amount equal to one hundred twenty-five percent (125%) of the
contested amount, to insure the payment of any such Taxes or Other Charges,
together with all interest and penalties thereon. Lender may pay over any such
cash or other security held by Lender to the claimant entitled thereto at any
time when, in the judgment of Lender, the entitlement of such claimant is
established.

          Section 5.8 Compliance with Law, Etc. Each Guarantor will comply, and
shall cause each of its respective Subsidiaries to comply, in all material
respects with all Applicable Laws, except where (i) the necessity of compliance
therewith is contested in good faith by appropriate measures or proceedings, in
which case adequate and reasonable reserves will be established in accordance
with GAAP applied on a consistent basis and notice of each such contest (other
than contests in the ordinary course of business) shall be given to the Lender,
or (ii) failures to comply therewith could not, in the aggregate, reasonably be
expected to have a Material Adverse Effect.

          Section 5.9 Maintenance of Existence, Rights, Etc. Each Guarantor will
preserve, renew and keep, and shall cause each of its Subsidiaries to preserve,
renew and keep, in full force and effect its respective existence and its
rights, privileges, license and franchises necessary or desirable in the normal
conduct of business; provided that nothing in this Section shall prohibit (a)
any merger or consolidation permitted by Section 7.4, (b) the termination of the
existence of any Subsidiary (other than any Guarantor, Mortgage Borrower,
Mezzanine Borrower or Trans Lessee) if (i) such Guarantor determines that such
termination is in its best interest and (ii) such termination is not adverse in
any material respect to the Lender, or (c) the loss of any rights, privileges,
licenses and franchises if the loss thereof, in the aggregate, could not
reasonably be expected to have a Material Adverse Effect.

          Section 5.10 Guarantees by Future Subsidiaries. Each Guarantor will
not, nor will any of them permit any of their respective Subsidiaries to,
directly or indirectly, establish or create or acquire any interest in any
Subsidiary; provided, however, that a Guarantor may establish or create a
wholly-owned subsidiary provided that at least 30 days prior written notice
thereof is given to Lender. Within 10 business days after (a) any Person becomes
a Subsidiary of a Guarantor or any of its respective Subsidiaries or (b) the
Non-Guarantor Restrictions have terminated, Guarantor shall (i) cause such
Subsidiary or Non-Guarantor Subsidiary, as the case may be, to guarantee the
Guaranteed Obligations pursuant to a joinder to this Guaranty, (ii) cause the
Equity Interests in such Subsidiary or Non-Guarantor Subsidiary, as the case may
be, to be pledged to Lender pursuant to the Pledge Agreement and (iii) deliver
to the Lender such legal opinions or other documents as the Lender may
reasonably request relating to the existence of such Subsidiary or Non-Guarantor
Subsidiary, as the case may be, the corporate or other authority for and
validity of the joinder to this Guaranty, the pledge of such equity interest and
any other matters relevant thereto, all in form and substance reasonably
satisfactory to Lender. Upon execution and delivery of such joinder to this
Guaranty, such Subsidiary or Non-Guarantor Subsidiary, as the case may be, shall
thereafter be a "Guarantor" pursuant to this Guaranty.

          Section 5.11 Environmental Matters. From time to time after the
Closing Date, each Guarantor will review the effect of Environmental Laws on the
business, operations and properties of any Mortgage Borrower, any Mezzanine
Borrower, any Trans Lessee, each

                                       36

<PAGE>

Guarantor and each of their respective Subsidiaries, in the course of which
reviews it will identify and evaluate associated liabilities and costs. If, on
the basis of such reviews, a Guarantor reasonably concludes that the foregoing
associated liabilities and costs are likely to have a Material Adverse Effect,
Guarantor shall promptly deliver a certificate to the Lender setting forth its
conclusion and the action that Guarantor proposes to take with respect thereto.

          Section 5.12 Distributions from Non-Guarantor Subsidiaries. Each
Guarantor shall cause each of the Non-Guarantor Subsidiaries to make not less
than weekly distributions of available cash to Parent, the amount of which shall
be determined using the same accounting and other methods, policies, practices
and procedures and the same judgments as such Guarantor or Non-Guarantor
Subsidiaries has used in making such distribution to Parent on an historical
basis and in no event shall such distribution be substantially less in amount
than the distributions made to Parent on an historical basis.

          Section 5.13 Ownership by Parent of Certain Equity Interests. Except
to the extent the terms of Section 7.4 hereof, Parent shall continue to own
directly or indirectly 100% of the outstanding Equity Interests of each Mortgage
Borrower, each Mezzanine Borrower, each Trans Lessee and each Guarantor.

          Section 5.14 Further Assurances. Each Guarantor will make, execute,
acknowledge and deliver all and every such further acts and assurances as the
Lender shall from time to time require for confirming or carrying out the
intentions or facilitating the performance of the terms of this Guaranty,
including but not limited to, the execution and delivery of a separate guaranty
of the Guaranteed Obligations as they relate to each of the Mortgage Loan,
Mezzanine Loan and Sale/Leaseback Transaction. Each Guarantor shall, at such
Guarantor's sole cost and expense, from time to time as reasonably requested by
Lender, execute, acknowledge, record, register, file and/or deliver to the
Lender such other instruments, agreements, certificates and documents (including
UCC financing statements and amended or replacement mortgages) as Lender may
reasonably request to evidence, confirm, perfect and maintain the liens securing
or intended to secure the obligations of any Guarantor under the Loan Documents
or Lease Documents if requested by Lender, and do and execute all such further
lawful and reasonable acts, conveyances and assurances for the better and more
effective carrying out of the intents and purposes of this Guaranty, the other
Loan Documents and the Lease Documents as the Lender shall reasonably require
from time to time. Each Guarantor hereby authorizes and appoints the Lender as
its attorney-in-fact to execute, acknowledge, record, register and/or file such
instruments, agreements, certificates and documents, and to do and execute such
acts, conveyances and assurances, should any Guarantor fail to do so itself in
violation of this Guaranty following written request from the Lender, in each
case without the signature of any Guarantor. The foregoing grant of authority is
a power of attorney coupled with an interest and such appointment shall be
irrevocable for the term of this Guaranty. Each Guarantor hereby ratifies all
actions that such attorney shall lawfully take or cause to be taken in
accordance with this Section.

                        ARTICLE VI - FINANCIAL COVENANTS

     Parent covenants and agrees with the Lender that, except in the case of a
Covenant Replacement Event, so long as (i) the Mortgage Loan or the Mezzanine
Loan or any additional

                                       37

<PAGE>

credit is outstanding and until payment in full of all amounts payable by any
Mortgage Borrower pursuant to the terms and conditions of the Mortgage Loan
Agreement and all amounts payable by any Mezzanine Borrower pursuant to the
terms and conditions of the Mezzanine Loan Agreement (other than the covenants
that survive payment in full) or (ii) the Sale/Leaseback Transaction is
outstanding and until payment in full of all amounts payable by any Trans Lessee
pursuant to the terms and conditions of the Sale/Leaseback Transaction (other
than the covenants that survive payment in full):

          Section 6.1 Fixed Charge Coverage Ratio. (a) At each Quarterly
Measurement Date on or after the date hereof, the Fixed Charge Coverage Ratio
will not be less than the ratio set forth below opposite such Quarterly
Measurement Date (or any Quarterly Measurement Date which falls during the
periods set forth below):

--------------------------------------------------
                  Period                     Ratio
--------------------------------------------------
Closing Date through December 31, 2003       1.6:1
--------------------------------------------------
January 1, 2004 through December 31, 2004   1.65:1
--------------------------------------------------
January 1, 2005 and thereafter               1.7:1
--------------------------------------------------

               (b) For purposes of calculating the foregoing ratio, Asset
Dispositions or Acquisitions which have occurred during such period shall be
included on a Pro Forma Basis.

          Section 6.2 Consolidated Adjusted Leverage Ratio. At each Quarterly
Measurement Date on or after the date hereof, the Consolidated Adjusted Leverage
Ratio will not exceed the ratio set forth below opposite such Quarterly
Measurement Date (or any Quarterly Measurement Date which falls during the
periods set forth below):

--------------------------------------------------
                  Period                     Ratio
--------------------------------------------------
Closing Date through December 31, 2003       5.0:1
--------------------------------------------------
January 1, 2004 through December 31, 2004    4.9:1
--------------------------------------------------
January 1, 2005 and thereafter               4.8:1
--------------------------------------------------

               (b) For purposes of calculating the foregoing ratio, Asset
Dispositions or Acquisitions which have occurred during such period shall be
included on a Pro Forma Basis.

          Section 6.3 Minimum Consolidated Net Worth. The Consolidated Net Worth
of Parent and its Consolidated Subsidiaries will not be less than $40,000,000
for each Fiscal Quarter ending in Fiscal Years 2002 and 2003, $53,000,000 for
each Fiscal Quarter in Fiscal Year 2004 and $68,000,000 for each Fiscal Quarter
in Fiscal Year 2005 and thereafter, in each case plus (a) the amount of any gain
associated with the Sale/Leaseback Transaction plus (b) 90% of any proceeds
(without duplication) received by Parent or any of its Consolidated Subsidiaries
pursuant to the issuance of any equity securities of such entities.

          Section 6.4 Capital Expenditures. Capital Expenditures must be a
minimum amount of $300 per bed per annum for all Properties owned or operated by
the Trans Entities which are collateral for the Mortgage Loan, the Mezzanine
Loan or are the subject of the Sale/Leaseback Transaction. Notwithstanding the
foregoing, a minimum capital expenditure of $500 per bed per annum is required
for any such property that is a hospital.

                                       38

<PAGE>

                        ARTICLE VII - NEGATIVE COVENANTS

     From the date hereof and, except in the case of a Covenant Replacement
Event, for so long as (i) the Mortgage Loan or the Mezzanine Loan or any
additional credit is outstanding and until payment in full of all amounts
payable by any Mortgage Borrower pursuant to the terms and conditions of the
Mortgage Loan Agreement and all amounts payable by any Mezzanine Borrower
pursuant to the terms and conditions of the Mezzanine Loan Agreement (other than
the covenants that survive payment in full) or (ii) the Sale/Leaseback
Transaction is outstanding and until payment in full of all amounts payable by
any Trans Lessee pursuant to the terms and conditions of the Sale/Leaseback
Transaction (other than the covenants that survive payment in full), each
Guarantor agrees that, unless the Lender shall otherwise consent in writing, it
will not and will not allow any of its Subsidiaries to:

          Section 7.1 Limitation on Debt. (a) Incur any Debt, other than
Permitted Debt, if immediately after giving effect to the incurrence of such
additional Debt and the application of the proceeds thereof, the aggregate
principal amount of all of Parent's and its Consolidated Subsidiaries'
outstanding Debt on a consolidated basis determined in accordance with GAAP
would be greater than 65% of Total Consolidated Assets of Parent and its
Consolidated Subsidiaries as of the end of the most recent Quarterly Measurement
Date prior to the incurrence of such additional Debt;

               (b) Incur any Debt which would be reasonably likely to result in
a breach of any covenant contained herein or in any Loan Document or Lease
Document at the next Quarterly Measurement Date.

Notwithstanding the foregoing, each Guarantor will not, and will not allow any
of its Subsidiaries to, guaranty the obligations of any Person who is not a
Guarantor, except with respect to the Mezzanine Loan, the Mortgage Loan or the
Sale/Leaseback Transaction; provided that Parent may provide a guaranty of up to
$5,000,000 of accounts receivable financing for THI Columbus, Inc. and a
guaranty of up to $3,000,000 of accounts receivable financing for THI of
Cleveland, Inc.

          Section 7.2 Limitations on Liens. Incur, create, assume or suffer to
exist:

               (a) any Lien on any Property, except:

                    (i) existing Liens listed on Schedule 7.2 hereto;

                    (ii) Liens for taxes, assessments or other governmental
     charges or levies due and payable, (A) the validity or amount of which is
     currently being contested in good faith by appropriate proceedings or (B)
     as to which Parent or any Loan Party is subject to certain enforcement
     restrictions contained in the applicable leases and subleases and is
     exercising its applicable lease and sublease rights in a commercially
     reasonable and diligent manner and, in each case, for which reserves have
     been set aside on the books of Parent or the applicable Loan Party and as
     to which foreclosure and other enforcement proceedings shall not have been
     commenced (unless fully bonded or

                                       39

<PAGE>

     otherwise effectively stayed), in each case pursuant to and in accordance
     with the terms of Section 5.7 of this Guaranty;

                    (iii) Liens arising out of attachments, judgments or awards
     (A) as to which an appeal or other appropriate proceedings for contest or
     review are timely commenced (and as to which foreclosure and other
     enforcement proceedings shall not have been commenced (unless fully bonded
     or otherwise effectively stayed)) or (B) as to which Parent or any Loan
     Party is subject to certain enforcement restrictions contained in the
     applicable leases and subleases and is exercising its applicable lease and
     sublease rights in a commercially reasonable and diligent manner (and as to
     which foreclosure and other enforcement proceedings shall not have been
     commenced (unless fully bonded or otherwise effectively stayed)) and, in
     each case, as to which appropriate reserves have been established in
     accordance with GAAP to the extent any such reserves are required by GAAP;

                    (iv) deposits under worker's compensation, unemployment
     insurance and social security and similar laws or to secure statutory
     obligations or surety, appeal, performance, completion or other similar
     bonds, to secure performance as lessee under leases of real or personal
     property or to secure performance of tenders, bids, contracts (other than
     for the repayment of Indebtedness) and other obligations of a like nature,
     in each case incurred in the ordinary course of business;

                    (v) Liens customarily granted or incurred in the ordinary
     course of business with regard to services rendered by carriers,
     warehouses, suppliers of materials and equipment, mechanics and repairmen
     and other Liens imposed by Applicable Law which Liens are contemplated by
     Section 11.1 of the Master Leases, (or a successor provision) or any other
     comparable provision in any other lease with respect to a Property and do
     not secure obligations which are due and payable (unless such obligations
     are being contested in good faith and with respect to which appropriate
     reserves have been established in accordance with GAAP to the extent any
     such reserves are required by GAAP);

                    (vi) the Liens of the Lender under this Guaranty, the other
     Loan Documents and Lease Documents and any other document contemplated
     hereby or thereby;

                    (vii) easements (including, without limitation, reciprocal
     easement agreements and utility agreements), rights of way, Requirements,
     restrictions (including, without limitation, zoning restrictions),
     covenants, consents, reservations, encroachments, variations and other
     similar restrictions, charges, encumbrances (whether or not recorded) (but
     specifically excluding rights of first refusal, options and other
     contractual rights to sell, assign or otherwise dispose of any Property or
     any interest therein) on any Property which, in the aggregate, (A) do not
     materially detract from the value of the applicable Property subject
     thereto, (B) do not materially interfere with the ordinary conduct of the
     business of the Loan Parties or any lessee under a lease, or (iii) do not
     materially impair the use of the applicable Property by Parent or any Loan
     Party or any lessee under a lease;

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<PAGE>

                    (viii) Liens arising by virtue of any statutory or common
     law provision relating to banker's liens, rights of set off or similar
     rights with respect to deposit accounts;

                    (ix) Rights of first refusal, options or other contractual
     rights to sell, assign or otherwise dispose of any Property or interest
     therein which right of first refusal, option or contractual right (A) is
     described on Schedule 7.2 hereto, (B) has been consented to in writing by
     the Lender in the exercise of its reasonable discretion, (C) is in
     connection with a sale of assets or Equity Interests permitted by Section
     7.4 hereof, or (D) has been granted after the Closing Date and which when
     taken with all other rights of first refusal, options and other contractual
     rights permitted by this clause (D), do not, in any fiscal year, affect
     Properties having an aggregate fair market value exceeding $10,000,000.00;
     and

                    (x) Liens set forth on the Title Policies and accepted by
     the Lender as of the Closing Date;

               (b) Liens on any of its other properties or assets to secure Debt
     other than (i) loans and obligations under this Guaranty or (ii) any
     additional Debt permitted by Section 7.1 of this Guaranty.

          Section 7.3 Restricted Payments.

               (a) Declare or pay any dividend or make any other payment or
     distribution on account of any Guarantor or any of its Subsidiaries' Equity
     Interests (including, without limitation, any payment in connection with
     any merger or consolidation involving any Guarantor or any of its
     Subsidiaries) or to the direct or indirect holders of any Guarantor or any
     of its Subsidiaries' Equity Interests in their capacity as such (a
     "Dividend Payment"); except that the Non-Guarantor Subsidiaries may make
     the distributions set forth in Section 5.12 hereof and except that, so long
     as no Event of Default has occurred,

                    (i) any Guarantor may declare or make a Dividend Payment to
     another Guarantor;

                    (ii) Parent may pay customary and ordinary operating
     expenses of the Non-Guarantor Subsidiaries so long as any such advances by
     Parent to the Non-Guarantor Subsidiaries made after the date hereof at any
     time outstanding do not exceed $2,000,000 in the aggregate after taking
     into account any distributions made by the Non-Guarantor Subsidiaries to
     Parent in accordance with Section 5.12, and the payment of any operating
     expenses in excess of such amount shall be subject to the Lender's prior
     written consent, which consent shall not be unreasonably withheld;

                    (iii) Parent may pay management fees or compensation to GTCR
     in an amount not to exceed $150,000 per year in the aggregate;

                                       41

<PAGE>

                    (iv) the Guarantors may declare or make Dividend Payments in
     addition to those permitted hereunder in an amount not to exceed $500,000
     per year in the aggregate or the amount of $1,000,000 in the aggregate;

               (b) Purchase, redeem or otherwise acquire or retire for value
     (including, without limitation, in connection with any merger or
     consolidation involving any Guarantor or any of its Subsidiaries) any
     Equity Interests of such Guarantor or Subsidiary of such Guarantor or any
     direct or indirect parent of such Guarantor or Subsidiary of such
     Guarantor; or

               (c) Make any payment on or with respect to, purchase, redeem,
     defease or otherwise acquire or retire for value any Subordinated Debt,
     except if and to the extent such payment is permitted to be made pursuant
     to the applicable intercreditor agreement between Lender and GTCR on
     Subordinated Debt incurred by Parent in favor of GTCR which is Permitted
     Debt and the refinancing of Subordinated Debt incurred by Parent in favor
     of GTCR so long as no Event of Default has occurred and so long as such
     refinancing is on terms and conditions acceptable to the Lender in its sole
     discretion including, without limitation, that such refinanced Subordinated
     Debt shall remain subject and subordinate in right of payment to the right
     of the Lender to receive the prior indefeasible payment and satisfaction in
     full payment of all Guaranteed Obligations pursuant to the terms of an
     intercreditor agreement between Lender and GTCR, in form and substance
     satisfactory to the Lender.

          Section 7.4 Consolidations, Mergers and Asset Sales. Consolidate or
merge with or into, or sell, lease or otherwise dispose of all or substantially
all of its assets to any other Person, except that (i) a Guarantor or any of its
Subsidiaries (other than Parent, any Mortgage Borrower, any Mezzanine Borrower
or any Trans Lessee) may merge with any Person if such Guarantor or such
Consolidated Subsidiary or another Guarantor or Consolidated Subsidiary is the
surviving corporation and, immediately after such merger (and giving effect
thereto), no Default shall have occurred or be continuing and (ii) a Service
Guarantor may dispose of all or substantially all of its assets and Parent may
dispose of all or substantially all of its Equity Interests in any Service
Guarantor if (x) such entity receives consideration at the time of such sale at
least equal to the fair market value (evidenced by a resolution of its
respective Board of Directors set forth in an Officer's Certificate delivered to
the Lender) of the assets or Equity Interests sold or otherwise disposed of, (y)
100% of the consideration received therefor is in the form of cash and (z) all
proceeds of such disposition shall be immediately applied to repay the
Guaranteed Obligations. Notwithstanding the foregoing, no Service Guarantor
shall be released in its capacity as such from this Guaranty and Lender shall
not have any obligation to release such Service Guarantor from this Guaranty
until the Lender receives satisfactory evidence (including copies of executed
transaction documents) that (1) such sale or disposition was consummated in
accordance with transaction documents approved in writing in advance by Lender
and (2) the Lender received net proceeds from such sale or disposition in the
amount contemplated by such transaction documents.

          Section 7.5 Change in Control. Except to the extent the terms of
Sections 2.4.2(b) or 8.2(b)(as applicable), and 24.2 of the Mortgage Loan
Agreement, the Mezzanine Loan Agreement and the Master Lease respectively are
satisfied, permit a Change in

                                       42

<PAGE>

Control or change in the identity of the person holding the title of President
and Chief Executive Officer of Parent; provided, however, that Parent may change
its President or Chief Executive Officer upon not less than ninety (90) days'
prior written notice to Lender of the designation of a successor that is
acceptable to the Lender in its sole discretion.

          Section 7.6 Limitations on Transactions with Affiliates. Other than as
set forth in Section 7.3, pay any funds to or for the account of, make any
Investment in, lease, sell, transfer or otherwise dispose of any assets tangible
or intangible, to, or participate in, or effect any transaction in connection
with any joint enterprise or other joint arrangement with, any Affiliate;
provided that the foregoing shall not prohibit:

               (a) Each Guarantor from performing its obligations under any
     agreements with Affiliates in existence as of the date hereof;

               (b) Each Guarantor or any of their respective Subsidiaries from
     making sales or leases to purchase or leases from any Affiliate and, in
     connection therewith, extending credit or making payments, or from making
     payments for services rendered by any Affiliate, if such sales, leases or
     purchases are made or such services are rendered in the ordinary course of
     business and on terms and conditions at least as favorable to such
     Guarantor or its respective Subsidiary as the terms and conditions which
     would apply in a similar transaction with a Person not an affiliate.

          Section 7.7 No Change in Fiscal Periods. Change the date on which any
of its Fiscal Years or Fiscal Quarters ends, unless the Lender shall have
consented to such change (which consent may be conditioned on the amendment of
any covenant herein that would be affected by such change to eliminate the
effect thereof).

          Section 7.8 Limitation on Business. Engage in any business, other than
the business of owning or managing Healthcare Facilities and any business
specifically incidental thereto and, specifically with respect to Parent, engage
in any activities other than owning the Equity Interests set forth in Section
5.13 and other Subsidiaries that own, operate or manage Healthcare Facilities,
and financing activities and other activities reasonably related to such
ownership.

          Section 7.9 Hazardous Substances. Subject to any restrictions
contained in the applicable lease documents to which Parent or a Loan Party is a
party, (a) cause or permit any of its properties or assets to be used to
generate, manufacture, refine, transport, treat, store, handle, dispose,
transfer, produce or process Hazardous Substances, except in compliance with all
applicable Environmental Laws; nor (b) release, discharge, dispose of or permit
or suffer any release or disposal as a result of any intentional act or omission
on its part of Hazardous Substances onto any such property or asset in violation
of any Environmental Law or in a manner that could result in liability under any
Environmental Law, except in the case of (a) and (b) as are not reasonably
likely to have a Material Adverse Effect.

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<PAGE>

              ARTICLE VIII - SUBORDINATION OF CERTAIN INDEBTEDNESS

          Section 8.1 Subordination of All Guarantor Claims. As used herein, the
term "Guarantor Claims" shall mean all debts and liabilities of any Obligor to
any Guarantor, whether such debts and liabilities now exist or are hereafter
incurred or arise, or whether the obligations of such Obligor thereon be direct,
contingent, primary, secondary, several, joint and several, or otherwise, and
irrespective of whether such debts or liabilities be evidenced by note,
contract, open account, or otherwise, and irrespective of the Person or Persons
in whose favor such debts or liabilities may, at their inception, have been, or
may hereafter be created, or the manner in which they have been or may hereafter
be acquired by any Guarantor. The Guarantor Claims shall include without
limitation all rights and claims of any Guarantor against any Obligor (arising
as a result of subrogation or otherwise) as a result of any Guarantor's payment
of all or a portion of the Guaranteed Obligations. After the occurrence and
during the continuance of a Default or the occurrence and during the continuance
of an event which would, with the giving of notice or the passage of time, or
both, constitute a Default, each Guarantor shall not receive or collect,
directly or indirectly, from any Obligor or any other party any amount upon the
Guarantor Claims.

          Section 8.2 Claims in Bankruptcy. In the event of receivership,
bankruptcy, reorganization, arrangement, debtor's relief, or other insolvency
proceedings involving any Guarantor as debtor, Lender shall have the right to
prove its claim in any such proceeding so as to establish its rights hereunder
and receive directly from the receiver, trustee or other court custodian
dividends and payments which would otherwise be payable upon Guarantor Claims.
Each Guarantor hereby assigns such dividends and payments to Lender. Should
Lender receive, for application against the Guaranteed Obligations, any dividend
or payment which is otherwise payable to any Guarantor and which, as between any
Obligor and such Guarantor, shall constitute a credit against the Guarantor
Claims, then, upon payment to Lender in full of the Guaranteed Obligations, such
Guarantor shall become subrogated to the rights of Lender to the extent that
such payments to Lender on the Guarantor Claims have contributed toward the
liquidation of the Guaranteed Obligations, and such subrogation shall be with
respect to that proportion of the Guaranteed Obligations which would have been
unpaid if Lender had not received dividends or payments upon the Guarantor
Claims.

          Section 8.3 Payments Held in Trust. In the event that, notwithstanding
anything to the contrary in this Guaranty, any Guarantor should receive any
funds, payment, claim or distribution which is prohibited by this Guaranty, such
Guarantor agrees to hold in trust for Lender an amount equal to the amount of
all funds, payments, claims or distributions so received, and agrees that it
shall have absolutely no dominion over the amount of such funds, payments,
claims or distributions so received except to pay them promptly to Lender, and
such Guarantor covenants promptly to pay the same to Lender.

          Section 8.4 Liens Subordinate. Each Guarantor agrees that any liens,
security interests, judgment liens, charges or other encumbrances upon any
Obligor's assets securing payment of the Guarantor Claims shall be and remain
inferior and subordinate to any liens, security interests, judgment liens,
charges or other encumbrances upon such Obligor's assets securing payment of the
Guaranteed Obligations, regardless of whether such encumbrances in favor of such
Guarantor or Lender presently exist or are hereafter created or

                                       44

<PAGE>

attach. Without the prior written consent of Lender, no Guarantor shall (i)
exercise or enforce any creditor's right it may have against any Obligor, or
(ii) foreclose, repossess, sequester or otherwise take steps or institute any
action or proceedings (judicial or otherwise, including without limitation the
commencement of, or joinder in, any liquidation, bankruptcy, rearrangement,
debtor's relief or insolvency proceeding) to enforce any liens, mortgage, deeds
of trust, security interests, collateral rights, judgments or other encumbrances
on assets of any Obligor held by such Guarantor.

                              ARTICLE IX - REMEDIES

          Section 9.1 Upon the occurrence and during the continuance of any
Default, the Lender may, in addition to the remedies provided in the Mortgage
Loan Documents, Mezzanine Loan Documents or Lease Documents, enforce its rights
either by suit or in equity, or by action at law, or by appropriate proceedings,
whether for specific performance (to the extent permitted by law) of any
covenant or agreement contained in this Guaranty or in aid of the exercise of
any power granted in this Guaranty and may enforce payment under this Guaranty
and any of its other rights available at law or in equity.

          Section 9.2 Upon the occurrence and during the continuance of any
Default, the Lender is hereby authorized at any time and from time to time,
without notice to any Guarantor (any requirement for such notice being expressly
waived by each Guarantor) to set off and apply against any and all of the
obligations of each Guarantor now or hereafter existing under this Guaranty any
and all deposits (general or special, time or demand, provisional or final) at
any time held and other indebtedness at any time owing by the Lender to or for
the credit or the account of each Guarantor and any property of each Guarantor
from time to time in possession of the Lenders, irrespective of whether or not
the Lender shall have made any demand hereunder and although such obligations
may be contingent and unmatured. The rights of the Lender under this Section 9.2
are in addition to other rights and remedies (including, without limitation,
other rights of setoff) which the Lender may have.

          Section 9.3 To the extent that it lawfully may, each Guarantor agrees
that it will not at any time insist upon or plead, or in any manner whatever
claim or take any benefit or advantage of any applicable present or future stay,
extension or moratorium law, which may affect observance or performance of the
provisions of this Guaranty, or any of the Loan Documents nor will it claim,
take or insist upon any benefit or advantage of any present or future law
providing for the evaluation or appraisal of any security for its obligations
hereunder or the obligations of any Obligor under the Loan Documents or the
Lease Documents prior to any sale or sales thereof which may be made under or by
virtue of any instrument governing the same.

                            ARTICLE X - MISCELLANEOUS

          Section 10.1 Successors and Assigns. All covenants, promises and
agreements in this Guaranty, by or on behalf of any Guarantor, shall inure to
the benefit of the legal representatives, successors and assigns of Lender.

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<PAGE>

          Section 10.2 Governing Law; Submission to Jurisdiction.

               (a) THIS AGREEMENT WAS NEGOTIATED IN THE STATE OF NEW YORK, AND
     MADE BY LENDER AND ACCEPTED BY EACH GUARANTOR IN THE STATE OF NEW YORK, AND
     THE PROCEEDS OF THE MORTGAGE LOAN, MEZZANINE LOAN AND THE SALE/LEASEBACK
     TRANSACTION WERE DISBURSED FROM THE STATE OF NEW YORK, WHICH STATE THE
     PARTIES AGREE HAS A SUBSTANTIAL RELATIONSHIP TO THE PARTIES AND TO THE
     UNDERLYING TRANSACTION EMBODIED HEREBY, AND IN ALL RESPECTS, INCLUDING,
     WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, MATTERS OF CONSTRUCTION,
     VALIDITY AND PERFORMANCE, THIS AGREEMENT AND THE OBLIGATIONS ARISING
     HEREUNDER SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS
     OF THE STATE OF NEW YORK APPLICABLE TO CONTRACTS MADE AND PERFORMED IN SUCH
     STATE (WITHOUT REGARD TO PRINCIPLES OF CONFLICT LAWS) AND ANY APPLICABLE
     LAW OF THE UNITED STATES OF AMERICA. TO THE FULLEST EXTENT PERMITTED BY
     LAW, EACH GUARANTOR HEREBY UNCONDITIONALLY AND IRREVOCABLY WAIVES ANY CLAIM
     TO ASSERT THAT THE LAW OF ANY OTHER JURISDICTION GOVERNS THIS GUARANTY AND
     THIS GUARANTY SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE
     LAWS OF THE STATE OF NEW YORK PURSUANT TO SECTION 5-1401 OF THE NEW YORK
     GENERAL OBLIGATIONS LAW.

               (b) ANY LEGAL SUIT, ACTION OR PROCEEDING AGAINST LENDER OR ANY
     GUARANTOR ARISING OUT OF OR RELATING TO THIS GUARANTY MAY AT LENDER'S
     OPTION BE INSTITUTED IN ANY FEDERAL OR STATE COURT IN THE CITY OF NEW YORK,
     COUNTY OF NEW YORK, PURSUANT TO SECTION 5-1402 OF THE NEW YORK GENERAL
     OBLIGATIONS LAW AND EACH GUARANTOR WAIVES ANY OBJECTIONS WHICH IT MAY NOW
     OR HEREAFTER HAVE BASED ON VENUE AND/OR FORUM NON CONVENIENS OF ANY SUCH
     SUIT, ACTION OR PROCEEDING, AND EACH GUARANTOR HEREBY IRREVOCABLY SUBMITS
     TO THE JURISDICTION OF ANY SUCH COURT IN ANY SUIT, ACTION OR PROCEEDING.
     EACH GUARANTOR DOES HEREBY DESIGNATE AND APPOINT:

          CT Corporation System
          111 Eighth Avenue
          New York, New York  10011

     AS ITS AUTHORIZED AGENT TO ACCEPT AND ACKNOWLEDGE ON ITS BEHALF SERVICE OF
     ANY AND ALL PROCESS WHICH MAY BE SERVED IN ANY SUCH SUIT, ACTION OR
     PROCEEDING IN ANY FEDERAL OR STATE COURT IN NEW YORK, NEW YORK, AND AGREES
     THAT SERVICE OF PROCESS UPON SAID AGENT AT SAID ADDRESS AND WRITTEN NOTICE
     OF SAID SERVICE MAILED OR DELIVERED TO ANY GUARANTOR IN THE MANNER PROVIDED
     HEREIN SHALL BE DEEMED IN EVERY RESPECT

                                       46

<PAGE>

     EFFECTIVE SERVICE OF PROCESS UPON SUCH GUARANTOR, IN ANY SUCH SUIT, ACTION
     OR PROCEEDING IN THE STATE OF NEW YORK. EACH GUARANTOR (I) SHALL GIVE
     PROMPT NOTICE TO LENDER OF ANY CHANGED ADDRESS OF ITS AUTHORIZED AGENT
     HEREUNDER, (II) MAY AT ANY TIME AND FROM TIME TO TIME DESIGNATE A
     SUBSTITUTE AUTHORIZED AGENT WITH AN OFFICE IN NEW YORK, NEW YORK (WHICH
     SUBSTITUTE AGENT AND OFFICE SHALL BE DESIGNATED AS THE PERSON AND ADDRESS
     FOR SERVICE OF PROCESS), AND (III) SHALL PROMPTLY DESIGNATE SUCH A
     SUBSTITUTE IF ITS AUTHORIZED AGENT CEASES TO HAVE AN OFFICE IN NEW YORK,
     NEW YORK OR IS DISSOLVED WITHOUT LEAVING A SUCCESSOR.

          Section 10.3 Modification; Waiver in Writing. No modification,
amendment, extension, discharge, termination or waiver of any provision of this
Guaranty, nor consent to any departure by any Guarantor therefrom, shall in any
event be effective unless the same shall be in a writing signed by the party
against whom enforcement is sought, and then such waiver or consent shall be
effective only in the specific instance, and for the purpose, for which given.
Except as otherwise expressly provided herein, no notice to, or demand on any
Guarantor, shall entitle such Guarantor to any other or future notice or demand
in the same, similar or other circumstances.

          Section 10.4 Delay Not a Waiver. Neither any failure nor any delay on
the part of Lender in insisting upon strict performance of any term, condition,
covenant or agreement, or exercising any right, power, remedy or privilege
hereunder, or under any other Mortgage Loan Document, Mezzanine Loan Document or
Lease Document, shall operate as or constitute a waiver thereof, nor shall a
single or partial exercise thereof preclude any other future exercise, or the
exercise of any other right, power, remedy or privilege. In particular, and not
by way of limitation, by accepting payment after the due date of any amount
payable under this Guaranty, any other Mortgage Loan Document, Mezzanine Loan
Document or any Lease Document, Lender shall not be deemed to have waived any
right either to require prompt payment when due of all other amounts due under
this Guaranty, any Mortgage Loan Document, Mezzanine Loan Document or any Lease
Document, or to declare a default for failure to effect prompt payment of any
such other amount.

          Section 10.5 Notice. All notices, demands, requests, consents,
approvals or other communications (any of the foregoing, a "Notice") required,
permitted, or desired to be given hereunder shall be in writing sent by telefax
(with answer back acknowledged) or by registered or certified mail, postage
prepaid, return receipt requested, or delivered by hand or reputable overnight
courier addressed to the party to be so notified at its address hereinafter set
forth, or to such other address as such party may hereafter specify in
accordance with the provisions of this Section 10.6. Any Notice to any Guarantor
shall be deemed effective as to all Guarantors to the extent delivered to one
Guarantor and Notice to all Guarantors shall not be required if Notice is given
to one Guarantor. Any Notice shall be deemed to have been received: (a) three
(3) days after the date such Notice is mailed, (b) on the date of sending by
telefax if sent during business hours on a Business Day (otherwise on the next
Business Day), (c) on the date of delivery by hand if delivered during business
hours on a Business Day (otherwise on the next Business Day), and (d) on the
next Business Day if sent by an overnight commercial courier, in

                                       47

<PAGE>

each case addressed to the parties as follows:

          If to Lender:       Ventas Realty, Limited Partnership
                              c/o Ventas, Inc.
                              4360 Brownsboro Road, Suite 115
                              Louisville, Kentucky 40207
                              Attention:  Chief Financial Officer
                              Facsimile No. (502)-357-9001

          with a copy to:     Ventas Realty, Limited Partnership
                              c/o Ventas, Inc.
                              4360 Brownsboro Road, Suite 115
                              Louisville, Kentucky 40207
                              Attention:  General Counsel
                              Facsimile No. (502)-357-9001

          with a copy to:     Dechert
                              4000 Bell Atlantic Tower
                              1717 Arch Street
                              Philadelphia, Pennsylvania  19103
                              Attention: David W. Forti
                              Facsimile No. (215) 994-2222

          If to Guarantors:   c/o Trans Healthcare, Inc.
                              4660 Trindle Road, Suite 103
                              Camp Hill, Pennsylvania 17011
                              Attention: Anthony F. Misitano
                              Facsimile No. (717) 730-8722

          with a copy to:     Latsha Davis & Yohe, P.C.
                              4720 Old Gettysburg Road, Suite 101
                              Harrisburg, Pennsylvania 17108
                              Attention: Douglas C. Yohe
                              Facsimile No. (717) 761-2286

          Section 10.6 Waiver of Right to Trial by Jury. EACH GUARANTOR AND
LENDER EACH HEREBY AGREE NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF
RIGHT BY JURY, AND WAIVE ANY RIGHT TO TRIAL BY JURY FULLY TO THE EXTENT THAT ANY
SUCH RIGHT SHALL NOW OR HEREAFTER EXIST WITH REGARD TO THIS GUARANTY, ANY
MORTGAGE LOAN DOCUMENT, MEZZANINE LOAN DOCUMENT, ANY LEASE DOCUMENT, OR ANY
CLAIM, COUNTERCLAIM OR OTHER ACTION ARISING IN CONNECTION THEREWITH. THIS WAIVER
OF RIGHT TO TRIAL BY JURY IS GIVEN KNOWINGLY AND VOLUNTARILY BY EACH GUARANTOR
AND LENDER, AND IS INTENDED TO ENCOMPASS INDIVIDUALLY EACH INSTANCE AND EACH
ISSUE AS TO WHICH THE RIGHT TO A TRIAL BY JURY WOULD OTHERWISE ACCRUE. EACH
GUARANTOR AND LENDER ARE EACH

                                       48

<PAGE>

HEREBY AUTHORIZED TO FILE A COPY OF THIS PARAGRAPH IN ANY PROCEEDING AS
CONCLUSIVE EVIDENCE OF THIS WAIVER.

          Section 10.7 Headings. The Article and/or Section headings in this
Guaranty are included herein for convenience of reference only and are not to be
construed as defining or limiting the scope or intent of the provisions hereof.

          Section 10.8 Severability. Wherever possible, each provision of this
Guaranty shall be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Guaranty shall be prohibited by or
invalid under applicable law, such provision shall be ineffective to the extent
of such prohibition or invalidity, without invalidating the remainder of such
provision or the remaining provisions of this Guaranty.

          Section 10.9 Waiver of Notice. To the extent permitted by applicable
law, each Guarantor shall not be entitled to any notices of any nature
whatsoever from Lender except with respect to matters for which this Guaranty
specifically and expressly provide for the giving of notice by Lender to any
Guarantor and except with respect to matters for which any Guarantor is not,
pursuant to applicable Legal Requirements, permitted to waive the giving of
notice. Each Guarantor hereby expressly waives the right to receive any notice
from Lender with respect to any matter for which this Guaranty does not
specifically and expressly provide for the giving of notice by Lender to such
Guarantor.

          Section 10.10 Amendments. This Guaranty may be amended only by an
instrument in writing executed by the party or an authorized representative of
the party against whom such amendment is sought to be enforced.

          Section 10.11 Number and Gender. All pronouns and any variations
thereof shall be deemed to refer to the masculine, feminine, neuter, singular or
plural as the identity of the person or persons referred to may require. Without
limiting the effect of specific references in any provision of this Guaranty,
the term "Guarantor" shall be deemed to refer to each and every person
comprising a Guarantor from time to time, as the sense of a particular provision
may require, and to include the heirs, executors, administrators, legal
representatives, successors and assigns of Guarantor, all of whom shall be bound
by the provisions of this Guaranty, provided that no obligation of Guarantor may
be assigned except with the written consent of Lender.

          Section 10.12 Recitals. The recital and introductory paragraphs hereof
are a part hereof, form a basis for this Guaranty and shall be considered prima
facie evidence of the facts and documents referred to therein.

          Section 10.13 Duplicates; Counterparts. This Agreement may be executed
in any number of duplicate originals and each such duplicate original shall be
deemed to be an original. This Agreement may be executed in several
counterparts, each of which counterparts shall be deemed an original instrument
and all of which together shall constitute a single Agreement. The failure of
any party hereto to execute this Guaranty, or any counterpart hereof, shall not
relieve the other signatories from their obligations hereunder..

          Section 10.14 Rights and Remedies. If any Guarantor becomes liable for
any indebtedness owing by any Obligor to Lender, by endorsement or otherwise,
other than under

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<PAGE>

this Guaranty, such liability shall not be in any manner impaired or affected
hereby and the rights of Lender hereunder shall be cumulative of any and all
other rights that Lender may ever have against Guarantor. The exercise by Lender
of any right or remedy hereunder or under any other instrument, or at law or in
equity, shall not preclude the concurrent or subsequent exercise of any other
right or remedy.

          Section 10.15 Joint and Several Liability. If more than one Person has
executed this Guaranty as "Guarantor," the representations, covenants,
warranties and obligations of all such Persons hereunder shall be joint and
several.

          Section 10.16 Entirety. THIS GUARANTY EMBODIES THE FINAL, ENTIRE
AGREEMENT OF GUARANTOR AND LENDER WITH RESPECT TO GUARANTOR'S GUARANTY OF THE
GUARANTEED OBLIGATIONS AND SUPERSEDES ANY AND ALL PRIOR COMMITMENTS, AGREEMENTS,
REPRESENTATIONS, AND UNDERSTANDINGS, WHETHER WRITTEN OR ORAL, RELATING TO THE
SUBJECT MATTER HEREOF. THIS GUARANTY IS INTENDED BY GUARANTOR AND LENDER AS A
FINAL AND COMPLETE EXPRESSION OF THE TERMS OF THE GUARANTY, AND NO COURSE OF
DEALING BETWEEN GUARANTOR AND LENDER, NO COURSE OF PERFORMANCE, NO TRADE
PRACTICES, AND NO EVIDENCE OF PRIOR, CONTEMPORANEOUS OR SUBSEQUENT ORAL
AGREEMENTS OR DISCUSSIONS OR OTHER EXTRINSIC EVIDENCE OF ANY NATURE SHALL BE
USED TO CONTRADICT, VARY, SUPPLEMENT OR MODIFY ANY TERM OF THIS GUARANTY. THERE
ARE NO ORAL AGREEMENTS BETWEEN GUARANTOR AND LENDER.

          Section 10.17 Cooperation. (a) Each Guarantor acknowledges that Lender
and its successors and assigns may (i) sell or otherwise transfer this Guaranty,
the Mortgage Note, Mezzanine Note, the Mortgage Loan Documents, the Mezzanine
Loan Documents and/or Lease Documents to one or more investors as a whole loan
or whole lease, as applicable, (ii) sell participation interests in any of the
Mortgage Loan, Mezzanine Loan and/or the Sale/Leaseback Transaction, (iii)
securitize the Mortgage Loan, Mezzanine Loan and/or Master Lease in a single
asset securitization or a pooled loan securitization, or (iv) otherwise sell any
of the Mortgage Loan, Mezzanine Loan and/or the Sale/Leaseback Transaction
interest therein to investors (the transactions referred to in clauses (i)
through (iv) are hereinafter each referred to as "Secondary Market Transaction"
and the transactions referred to in clause (iii) are referred to herein as a
"Securitization").

               (a) If requested by Lender, each Guarantor shall assist Lender in
     satisfying the market standards to which Lender customarily adheres or
     which may be reasonably required in the marketplace or by the Rating
     Agencies in connection with any Secondary Market Transactions, including,
     without limitation, to:

                    (i) (A) provide updated financial and other information with
     respect to the Properties, the business operated at the Properties, the
     Mortgage Borrowers, Mezzanine Borrowers and the Trans Lessees, (B) provide
     updated budgets relating to the Properties and (C) provide updated
     appraisals, market studies, environmental reviews (Phase I's and, if
     appropriate, Phase II's), property condition reports and other due
     diligence investigations of the Properties (the "Updated

                                       50

<PAGE>

     Information"), together, if customary, with appropriate verification of the
     Updated Information through letters of auditors or opinions of counsel
     acceptable to Lender and the Rating Agencies;

                    (ii) provide opinions of counsel, which may be relied upon
     by Lender, the Rating Agencies and their respective counsel, agents and
     representatives, as to non-consolidation or any other opinion customary in
     Secondary Market Transactions or required by the Rating Agencies with
     respect to the Properties and Mortgage Borrowers, Mezzanine Borrowers,
     Trans Lessees and Affiliates, which counsel and opinions shall be
     satisfactory to Lender and the Rating Agencies;

                    (iii) provide updated, as of the closing date of the
     Secondary Market Transaction, representations and warranties made in the
     Mortgage Loan Documents, Mezzanine Loan Documents and Lease Documents and
     such additional representations and warranties as the Rating Agencies may
     require; and

                    (iv) execute amendments to the Mortgage Loan Documents,
     Mezzanine Loan Documents or Lease Documents and the organizational
     documents of the Mortgage Borrowers, Mezzanine Borrowers or Trans Lessees
     reasonably requested by Lender; provided, however, that Mortgage Borrowers,
     Mezzanine Borrower and Trans Lessees shall not be required to modify or
     amend any Mortgage Loan Documents, Mezzanine Loan Document or Lease
     Document if such modification or amendment would (A) change the interest
     rate, the stated maturity or the amortization of principal as set forth
     herein or in the Mortgage Note or the Mezzanine Note or the termination
     date of or payments of rent under the Master Lease, or (B) modify or amend
     any other material economic term of the Mortgage Loan, Mezzanine Loan or
     Sale/Leaseback Transaction.

                         [NO FURTHER TEXT ON THIS PAGE]

                                       51

<PAGE>

          IN WITNESS WHEREOF, each Guarantor has caused this Guaranty to be duly
executed all as of the day and year first above written.

                                       GUARANTOR:

                                       TRANS HEALTHCARE, INC.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       TRANS HEALTHCARE OF OHIO, INC.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       THI OF OHIO ALFS, INC.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       THI PROPERTIES, INC.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       THI SERVICES CORP.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

<PAGE>

                                       THI SPECIALTY HOSPITALS OF OHIO, INC.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       TRANS HEALTH MANAGEMENT, INC.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       THI OF MARYLAND, INC.,
                                       a Delaware corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       PHYSICAL THERAPY PLUS, INC.,
                                       a Pennsylvania corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       DALE J. CORDIAL, PT, INC.,
                                       a Pennsylvania corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

<PAGE>

                                       DALE J. CORDIAL, PT, INC., NUMBER 4,
                                       a Pennsylvania corporation

                                       By:   /s/ ANTHONY F. MISITANO
                                          --------------------------------------
                                          Name:  Anthony F. Misitano
                                          Title: President

                                       THE PT GROUP OF PENN HILLS,
                                       a Pennsylvania general partnership

                                       By: Trans Healthcare, Inc.,
                                           a Delaware corporation,
                                           its Partner

                                           By:   /s/ ANTHONY F. MISITANO
                                              ----------------------------------
                                              Name:  Anthony F. Misitano
                                              Title: President

                                       THE PT GROUP PHYSICAL THERAPY FOR WOMEN,
                                       a Pennsylvania general partnership

                                       By: Dale J. Cordial, PT, Inc.,
                                           a Pennsylvania corporation,
                                           its Partner

                                           By:   /s/ ANTHONY F. MISITANO
                                              ----------------------------------
                                              Name:  Anthony F. Misitano
                                              Title: President

                                       THE PT GROUP OF MOON TOWNSHIP,
                                       a Pennsylvania general partnership

                                       By: Dale J. Cordial, PT, Inc., Number 4,
                                           a Pennsylvania corporation,
                                           its Partner

                                           By:   /s/ ANTHONY F. MISITANO
                                              ----------------------------------
                                              Name:  Anthony F. Misitano
                                              Title: President

<PAGE>

                                       THI Therapy Concepts, LLC,
                                       a Delaware limited liability company

                                       By:   /s/ JEFFREY A. BARNHILL
                                          --------------------------------------
                                          Name:  Jeffrey A. Barnhill
                                          Title: Vice-President

                                       THI SERVICES OF MARYLAND, LLC,
                                       a Delaware limited liability company

                                       By:   /s/ JEFFREY A. BARNHILL
                                          --------------------------------------
                                          Name:  Jeffrey A. Barnhill
                                          Title: Vice-President<PAGE>

                                                                  EXHIBIT 10.3.4

                     GUARANTOR PLEDGE AND SECURITY AGREEMENT

          THIS GUARANTOR PLEDGE AND SECURITY AGREEMENT, dated as of November 1,
2002 (as amended, restated, replaced, supplemented or otherwise modified from
time to time, the "Security Agreement"), is made by TRANS HEALTHCARE, INC.
("Parent") and THOSE SUBSIDIARIES OF PARENT LISTED AS A "PLEDGOR" ON SCHEDULE V
attached hereto, each having an address at 4660 Trindle Road, Suite 103, Camp
Hill, Pennsylvania 17011 (each a "Pledgor" and collectively, the "Pledgors"), in
favor of VENTAS REALTY, LIMITED PARTNERSHIP, a Delaware limited partnership
(together with its successors and assigns, "Secured Party").

                                    RECITALS

     A. WHEREAS, Ventas Realty, Limited Partnership, a Delaware limited
partnership, in its capacity as the mortgage lender, is making a first-priority
mortgage loan (the "Mortgage Loan") to those entities listed as a "Mortgage
Borrower" on Schedule I attached hereto, each a Delaware limited liability
company (each a "Mortgage Borrower" and collectively the "Mortgage Borrowers")
in the maximum principal amount of $55,000,000;

     B. WHEREAS, Ventas Realty, Limited Partnership, a Delaware limited
partnership, in its capacity as the mezzanine lender, is making a mezzanine loan
(the "Mezzanine Loan") to those entities listed as a "Mezzanine Borrower" on
Schedule II attached hereto, each a Delaware limited liability company (each a
"Mezzanine Borrower" and collectively the "Mezzanine Borrowers") in the maximum
principal amount of $22,000,000;

     C. WHEREAS, Ventas Realty, Limited Partnership, a Delaware limited
partnership, in its capacity as the purchaser under that certain Purchase and
Sale Agreement of even date herewith and as the lessor under that certain Master
Lease of even date herewith (the "Master Lease"), with those entities listed as
a "Lessee" on Schedule III attached hereto, each a Delaware limited liability
company (each a "Lessee" and collectively the "Lessees") is entering into an
acquisition and leaseback transaction with the Lessees (the "Sale/Leaseback
Transaction");

     D. WHEREAS, Parent owns one hundred percent (100%) of the equity interests
in each of the entities listed as a "Wholly-Owned Subsidiary" on Schedule IV
attached hereto (each, a "Wholly-Owned Subsidiary" and collectively, the
"Wholly-Owned Subsidiaries");

     E. WHEREAS, Parent and Dale J. Cordial, PT, Inc. collectively own one
hundred percent (100%) of the equity interests in The pt Group of Penn Hills
(the "Penn Hills Subsidiary");

     F. WHEREAS, Parent owns sixty-six and seven tenths percent (66.7%) of the
equity interests in each of (i) Dale J. Cordial, PT & Robert E. Brett, PT, d/b/a
The pt Group and (ii) Dale J. Cordial, PT & Steven J. Teitel, PT, d/b/a The pt
Group (each, a "Partially-Owned Subsidiary" and collectively, the
"Partially-Owned Subsidiaries");

<PAGE>

     G. WHEREAS, Dale J. Cordial, PT, Inc. owns sixty-six and seven tenths
percent (66.7%) of the equity interests in Dale J. Cordial, PT, PC & Joseph R.
Chrillo, MS, PT, d/b/a The pt Group (the "DJC Subsidiary");

     H. WHEREAS, Dale J. Cordial, PT, Inc. and Dale J. Cordial, PT, Inc., Number
4 (collectively, the "PT Pledgors") collectively own one hundred percent (100%)
of the equity interests in each of (i) The pt Group Physical Therapy for Women
and (ii) The pt Group of Moon Township (each, a "PT Pledgor Subsidiary" and
collectively, the "PT Pledgor Subsidiaries");

     I. WHEREAS, Trans Healthcare of Ohio, Inc. (the "Ohio I Pledgor") owns one
hundred percent (100%) of the equity interests in (i) THI of Ohio SNFs, LLC (the
"Ohio I Mezzanine Borrower"), (ii) the Lessees listed under its name on Schedule
III attached hereto (each an "Ohio Lessee" and collectively the "Ohio Lessees")
and (iii) each of THI of Ohio at Kent, LLC, THI of Ohio at Cortland, LLC and THI
of Ohio at Berea, LLC (each an "Ohio I Pledgor Subsidiary" and collectively, the
"Ohio I Pledgor Subsidiaries");

     J. WHEREAS, the Ohio I Mezzanine Borrower owns one hundred percent (100%)
of the equity interests in each of the Mortgage Borrowers listed under its name
on Schedule I attached hereto (each, an "Ohio Mortgage Borrower" and
collectively, the "Ohio Mortgage Borrowers");

     K. WHEREAS, THI of Ohio ALFs, Inc. (the "Ohio II Pledgor") owns one hundred
percent (100%) of the equity interests in each of (i) THI of Ohio ALFs I, LLC
(the "Ohio II Mezzanine Borrower") and (ii) the Lessee listed under its name on
Schedule III attached hereto (the "Ohio ALF Lessee");

     L. WHEREAS, THI of Maryland, Inc. (the "Maryland Pledgor") owns one hundred
percent (100%) of the equity interests in (i) THI of Maryland SNFs I, LLC (the
"Maryland I Mezzanine Borrower"), (ii) THI of Maryland SNFs II, LLC (the
"Maryland II Mezzanine Borrower"; the Maryland II Mezzanine Borrower and the
Maryland I Mezzanine Borrower are individually, a "Maryland Mezzanine Borrower"
and collectively, the "Maryland Mezzanine Borrowers"), (iii) each of the Lessees
listed under its name on Schedule III attached hereto (each, a "Maryland Lessee"
and collectively, the "Maryland Lessees") and (iv) each of THI Therapy Concepts,
LLC and THI Services of Maryland, LLC (each a "Maryland Pledgor Subsidiary" and
collectively, the "Maryland Pledgor Subsidiaries");

     M. WHEREAS, the Maryland I Mezzanine Borrower owns one hundred percent
(100%) of the equity interests in each of the Mortgage Borrowers listed under
its name on Schedule I attached hereto (each, a "Maryland Mortgage Borrower" and
collectively, the "Maryland Mortgage Borrowers");

     N. WHEREAS, the Maryland II Mezzanine Borrower owns one hundred percent
(100%) of the membership interests in each of (i) THI of Maryland at Franklin
Square, LLC and (ii) THI of Maryland at Fort Washington, LLC (each, a "Maryland
Leasehold Entity" and collectively, the "Maryland Leasehold Entities");

                                       2

<PAGE>

     O. WHEREAS, each of the Mezzanine Borrowers, the Lessees, the Wholly-Owned
Subsidiaries, the Penn Hills Subsidiary, the Partially-Owned Subsidiaries, the
DJC Subsidiary, the PT Pledgor Subsidiaries and the Maryland Pledgor
Subsidiaries, are referred to herein individually as, an "Existing Company" and
collectively as, the "Existing Companies" and each corporation, limited
liability company, limited partnership, general partnership or other entity
which may hereafter be formed by any Pledgor, together with each Existing
Company is referred to herein as, a "Company" and collectively as, the
"Companies";

     P. WHEREAS, all of the agreements, instruments and other documents which
govern, evidence and/or secure the Mortgage Loan, as the same may from time to
time hereafter be modified, supplemented or amended, are hereinafter referred to
as the "Mortgage Loan Documents"; and

     Q. WHEREAS, all of the agreements, instruments and other documents which
govern, evidence and/or secure the Mezzanine Loan, as the same may from time to
time hereafter be modified, supplemented or amended, are hereinafter referred to
as the "Mezzanine Loan Documents";

     R. WHEREAS, all of the agreements, instruments and other documents which
govern, evidence and/or secure the Sale/Leaseback Transaction, as the same may
from time to time hereafter be modified, supplemented or amended, are
hereinafter referred to as the "Lease Documents";

     S. WHEREAS, to secure the obligations of (i) each Mortgage Borrower under
the Mortgage Loan Documents, (ii) each Mezzanine Borrower under the Mezzanine
Loan Documents and (iii) each Lessee under the Master Lease and the other Lease
Documents, each Pledgor has executed and delivered to Secured Party a certain
Guaranty dated of even date herewith (as amended, restated, replaced,
supplemented or otherwise modified from time to time, the "Master Guaranty," and
capitalized terms used herein, unless otherwise defined herein, shall have the
meanings ascribed thereto in the Master Guaranty);

     T. WHEREAS, as a condition precedent to making the Mortgage Loan and the
Mezzanine Loan and to consummating the Sale/Leaseback Transaction, Secured Party
has required, among other things, that this Security Agreement be executed and
delivered by each of the Pledgors in order to secure the obligations of each
such Pledgor under the Master Guaranty;

          NOW THEREFORE, in consideration of the foregoing, and in order to
induce the Secured Party to make the Mortgage Loan to the Mortgage Borrowers and
the Mezzanine Loan to the Mezzanine Borrowers and to consummate the
Sale/Leaseback Transaction with the Lessees, and for other good and valuable
consideration, the receipt, adequacy and sufficiency of which are hereby
acknowledged, each of the Pledgors and Secured Party, intending to be legally
bound, do hereby agree as follows:

                                       3

<PAGE>

          1. Definitions. As used in this Security Agreement, the following
terms have the meanings set forth in or incorporated by reference below:

               (a) "Code" means the Uniform Commercial Code from time to time in
effect in the State of New York.

               (b) "Corporate Company" means each Company that is a corporation,
whether now existing or hereafter formed.

               (c) "LLC Company" means each Company that is a limited liability
company, whether now existing or hereafter formed.

               (d) "Loans" means, collectively, the Mortgage Loan and the
Mezzanine Loan.

               (e) "Loan Documents" means, collectively, the Mortgage Loan
Documents and the Mezzanine Loan Documents.

               (f) "Partnership Company" means each Company that is a general
partnership, whether now existing or hereafter formed.

               (g) "Pledged Company Interests" means the regular membership
interests, limited partnership interests or general partnership interests of any
Pledgor in each LLC Company or Partnership Company, as applicable, together with
all membership or partnership interest certificates, options or rights of any
nature whatsoever which may be issued or granted by such LLC Company or
Partnership Company, as applicable, while this Security Agreement is in effect.

               (h) "Pledged Securities" means collectively, the Pledged Company
Interests and the Pledged Stock.

               (i) "Pledged Stock" means the shares of capital stock of Parent
in each Corporate Company, together with all stock certificates, options or
rights of any nature whatsoever which may be issued or granted by such Corporate
Company while this Security Agreement is in effect.

               (j) "Proceeds" means all "proceeds" as such term is defined in
Section 9-306(1) of the Code on the date hereof and, in any event, shall
include, without limitation, all dividends or other income from the Pledged
Securities, collections thereon or distributions with respect thereto.

                                       4

<PAGE>

          2. Pledge, Security Interest And Assignment of Limited Liability
Company Distributions.

               (a) As security for the full and faithful payment, performance
and observance by each Pledgor of all obligations to be paid, performed or
observed by such Pledgor under the Master Guaranty (collectively, the "Secured
Obligations"), each Pledgor hereby grants and pledges to Secured Party, as
pledgee, a first priority and continuing lien on, and a first priority and
continuing security interest in, and, in furtherance of such grant and pledge,
hereby transfers and assigns to Secured Party as collateral security, all of its
right, title and interest in, to and under, and/or with respect to, and/or
arising from or out of, the following, whether now owned or hereafter acquired,
whether now existing or hereafter arising and wherever located (collectively,
the "Pledged Collateral"):

                    (i) all of Pledgor's right, title and interest in and to the
Pledged Securities;

                    (ii) all rights, privileges, authority and power arising
from Pledgor's interest in each Company (provided, however, that, so long as no
Event of Default exists, Pledgor may exercise such rights, privileges, authority
and power vested in Pledgor as a member, partner, shareholder or equity holder,
as the case may be, of such Company);

                    (iii) the capital of Pledgor in each Company and any and all
profits, losses, distributions and allocations attributable thereto as well as
the proceeds of any distribution thereof, whether arising under the terms of any
of the following documents, as applicable (each an "Organizational Document" and
collectively, the "Organizational Documents"): articles of incorporation,
certificate of formation, certificate of organization, by-laws, limited
partnership agreement, limited liability company agreement, stock certificates,
certificates of limited partnership interests or general partnership interests
(if any), certificates of limited liability company membership interests (if
any), and all amendments or modifications of any of the foregoing, and all other
agreements, instruments and/or other organizational or governing documents of or
relating to each Company;

                    (iv) all other payments, if any, due or to become due to
Pledgor in respect of the Pledged Collateral, under or arising out of any
Organizational Document of any Company, or otherwise, whether as contractual
obligations, damages, insurance proceeds, condemnation awards or otherwise
(including, without limitation, all amounts deposited and/or to be deposited in
the Cash Management Account (as defined in the Mortgage Loan Agreement and the
Cash Management Account (as defined in the Mezzanine Loan Agreement) and all
other cash collateral for the Loans);

                    (v) all of Pledgor's claims, rights, powers, privileges,
authority, options, security interests, Liens and remedies, if any, under or
arising out of the ownership of the Pledged Collateral;

                                       5

<PAGE>

                    (vi) all present and future claims, if any, of Pledgor
against any Company for monies loaned or advanced, for services rendered or
otherwise;

                    (vii) all of Pledgor's rights pursuant to any Organizational
Document of any Company, or at law, to exercise and enforce every right, power,
remedy, authority, option and privilege of Pledgor relating to the Pledged
Securities, including the right to execute any instruments and to take any and
all other action on behalf of and in the name of Pledgor in respect of the
Pledged Securities and/or such Company, to make determinations, to exercise any
election (including, but not limited to, election of remedies) or option or to
give or receive any notice, consent, amendment, waiver or approval, together
with full power and authority to demand, receive, enforce or collect any of the
foregoing or any property of such Company, to enforce or execute any checks, or
other instruments or orders and to file any claims and to take any action in
connection with any of the foregoing;

                    (viii) all Investment Property (as such term is defined in
the Code) issued by, or relating to, any Company;

                    (ix) all equity interests or other property now owned or
hereafter acquired by Pledgor as a result of exchange offers, recapitalizations
of any type, contributions to capital, options or other rights relating to the
Pledged Collateral; and

                    (x) to the extent not otherwise included, all Proceeds of
any or all of the foregoing, as applicable.

               (b) Concurrently with the execution of this Security Agreement,
(i) each of the Pledgors shall execute and deliver to Secured Party, for filing,
all UCC-1 financing statements in proper form necessary to perfect the security
interests granted hereunder in all jurisdictions deemed relevant by Secured
Party (collectively, the "Financing Statements"), and each of the Pledgors
agrees to pay any and all fees or other charges relating to the filing of the
Financing Statements and hereby authorizes and instructs Secured Party to make
such payments by deducting from the proceeds of the Loans advanced to the
Pledgors the full amount of such fees or other charges.

               (c) (i) With respect to each Wholly-Owned Subsidiary, Parent
shall deliver to Secured Party the sole original executed certificated security
in registered form which represents all of the shares in such Wholly-Owned
Subsidiary, (ii) with respect to the Ohio I Mezzanine Borrower, the Ohio I
Pledgor shall deliver to Secured Party the sole original executed certificated
security in registered form which represents the sole limited liability company
membership interest in the Ohio I Mezzanine Borrower, (iii) with respect to each
Ohio Lessee, the Ohio I Pledgor shall deliver to Secured Party the sole original
executed certificated security in registered form which represents the sole
limited liability company membership interest in such Ohio Lessee, (iv) with
respect to each Ohio I Pledgor Subsidiary, the Ohio I Pledgor shall deliver to
Secured Party the sole original executed certificated security in registered
form which represents the sole limited liability company membership interest in
such Ohio I Pledgor Subsidiary, (v) with respect to the Ohio II Mezzanine
Borrower, the Ohio II Pledgor shall deliver

                                       6

<PAGE>

to Secured Party the sole original executed certificated security in registered
form which represents the sole limited liability company membership interest in
the Ohio II Mezzanine Borrower, (vi) with respect to the Ohio ALF Lessee, the
Ohio II Pledgor shall deliver to Secured Party the sole original executed
certificated security in registered form which represents the sole limited
liability company membership interest in the Ohio ALF Lessee, (vii) with respect
to each Maryland Mezzanine Borrower, the Maryland Pledgor shall deliver to
Secured Party the sole original executed certificated security in registered
form which represents the sole limited liability company membership interest in
such Maryland Mezzanine Borrower, (viii) with respect to each Maryland Lessee,
the Maryland Pledgor shall deliver to Secured Party the sole original executed
certificated security in registered form which represents the sole limited
liability company membership interest in such Maryland Lessee and (ix) with
respect to each Maryland Pledgor Subsidiary, the Maryland Pledgor shall deliver
to Secured Party the sole original executed certificated security in registered
form which represents the sole limited liability company membership interest in
such Maryland Pledgor Subsidiary. Attached hereto as Exhibit A is a copy of the
certificates to be delivered to Secured Party pursuant to the immediately
preceding sentence (each, a "Certificate" and collectively, the "Certificates").
Each Certificate shall be duly "indorsed in blank" within the meaning of the
Code in a manner sufficient to provide Secured Party with "control" of such
certificated security within the meaning of Section 8-106 of the Code.
Concurrently with the delivery to Secured Party of each Certificate representing
one or more shares of the Pledged Securities, Parent shall deliver an undated
stock or certificate power covering each such Certificate, duly executed in
blank with signature guaranteed if Secured Party shall so request.

               (d) That portion of the Pledged Collateral which is comprised of
all distributions or other payments or receipts of cash or other property
(including, but not limited to, Investment Property or other property described
in Section 2(a)(viii) or Section 2(a)(ix) hereof) received by any Pledgor
directly or indirectly from any Company is referred to hereinafter sometimes as
the "Distributions". Notwithstanding anything to the contrary set forth in this
Security Agreement, with respect to the Distributions, subject to the provisions
of the Loan Documents and the Lease Documents, including, but not limited to the
Master Guaranty, this Security Agreement constitutes a present, and current
assignment of the Distributions effective upon the execution and delivery
hereof. Accordingly, if any Pledgor shall, at any time during a Cash Management
Period (as defined in the Mortgage Loan Agreement and the Mezzanine Loan
Agreement) or during a period in which it is in violation of any of the Loan
Documents or Lease Documents, including, but not limited to, the Master
Guaranty, receive, irrespective of whether or not such receipt occurs before or
after an Event of Default, one or more Distributions (including, but not limited
to, any distribution of the items of Pledged Collateral referred to in Section
2(a)(viii) or Section 2(a)(ix) above), such funds or property shall be held by
such Pledgor in trust for Secured Party and delivered within three (3) Business
Days to Secured Party (duly endorsed in blank in the case of certificated
securities in registered form (within the meaning of relevant Sections of the
Code)) for application by Secured Party in accordance with Section 11 hereof.

                                       7

<PAGE>

          3. Representations and Warranties. Each Pledgor represents and
warrants as of the date hereof that:

               (a) no authorization, consent of or notice to any other Person
(including, without limitation, any member, partner, shareholder or creditor of
Pledgor, or of any Company) that has not been obtained, is required in
connection with the execution, delivery, performance, validity or enforceability
of this Security Agreement including, without limitation, the assignment and
transfer by Pledgor of any of the Pledged Collateral to Secured Party or the
subsequent transfer thereof by Secured Party pursuant to the terms hereof;

               (b) the Pledged Securities constitute all the issued and
outstanding equity, membership interests, limited partnership interests, general
partnership interests or capital stock, as the case may be, in the each Company
(other than the Partially-Owned Subsidiaries and the DJC Subsidiary);

               (c) Parent owns sixty-six and seven tenths percent (66.7%) in
each of the Partially-Owned Subsidiaries and such interests represent all of the
interest owned by Parent;

               (d) Dale J. Cordial, PT, Inc. owns sixty-six and seven tenths
percent (66.7%) in the DJC Subsidiary and such interests represent all of the
interest owned by Dale J. Cordial, PT, Inc.;

               (e) Pledgor is the record and beneficial owner of, and has good
and marketable title to, the Pledged Company Interests pledged by it, free of
any and all Liens or options in favor of, or claims of, any other Person, except
the Lien created by this Security Agreement;

               (f) upon the filing of the UCC-1 financing statements referred to
in Section 2(b) and delivery of the Certificates referred to in Section 2(c),
the Lien granted pursuant to this Security Agreement will constitute a valid,
perfected first priority Lien on the Pledged Company Interests and related
Proceeds, enforceable as a valid, perfected first priority Lien against all
creditors of Pledgor and any Persons purporting to purchase any Pledged Company
Interests and related Proceeds from Pledgor;

               (g) all of the Pledged Stock have been duly and validly issued
and are fully paid and nonassessable;

               (h) Pledgor is the record and beneficial owner of, and has good
and marketable title to, the Pledged Stock pledged by it, free of any and all
Liens or options in favor of, or claims of, any other Person, except the Lien
created by this Security Agreement;

               (i) upon delivery to Secured Party of the Certificates evidencing
the Pledged Stock pledged by Parent, the Lien granted pursuant to this Security
Agreement will constitute a valid, perfected first priority Lien on such Pledged
Stock and related Proceeds,

                                       8

<PAGE>

enforceable as a valid, perfected first priority Lien against all creditors of
Parent and any Persons purporting to purchase any Pledged Stock and related
Proceeds from Parent;

               (j) the exact name of Pledgor is as set forth in the introductory
paragraph of this Security Agreement or as set forth on Schedule V hereof;

               (k) Pledgor is organized under the laws of the State set forth in
the introductory paragraph of this Security Agreement or as set forth on
Schedule V hereof;

               (l) the principal place of business and chief executive office of
Pledgor is located at 4660 Trindle Road, Suite 103, Camp Hill, Pennsylvania
17011;

               (m) there currently exist no certificates, instruments or
writings representing the Pledged Securities in any Partnership Company.
However, to the extent that in the future there exist any such certificates,
instruments or writings, Pledgor shall deliver all such certificates,
instruments or writings to Secured Party;

               (n) the Existing Companies and the Mortgage Borrowers represent
all the existing direct and indirect subsidiaries of Parent; provided, however,
Parent owns one hundred percent (100%) of a subsidiary know as THI of Columbus,
Inc, and a subsidiary known as THI of Cleveland, Inc.; and

               (o) there are no shareholder, partnership or member agreements or
other Organizational Documents which limit the rights of any Pledgor to pledge
the Pledged Collateral or limit the ability of Lender to exercise any of its
rights with respect to the Pledged Collateral.

          4. Covenants. Each Pledgor covenants and agrees with Secured Party
that, from and after the date of this Security Agreement until the Loans are
paid in full and the obligations of the Lessees under the Lease Documents have
been satisfied in full (exclusive of any indemnification or other obligations
which are expressly stated in any of the Loan Documents or Lease Documents to
survive satisfaction of the Loan Documents or Lease Documents, but subject to
the potential early termination of the Master Guaranty as set forth in Section
2.12 thereof as it relates to the Mortgage Loan):

               (a) if Pledgor shall, as a result of its ownership of the Pledged
Securities, become entitled to receive or shall receive any stock certificate,
limited partnership or general partnership certificate, or regular membership
certificate, as applicable (including, without limitation, any certificate
representing a dividend or a distribution in connection with any
reclassification, increase or reduction of capital or any certificate issued in
connection with any reorganization), option or rights, whether in addition to,
in substitution of, as a conversion of, or in exchange for any of the Pledged
Securities, or otherwise in respect thereof, Pledgor shall accept the same as
Secured Party's agent, hold the same in trust for Secured Party and deliver the
same forthwith to Secured Party in the exact form received, duly endorsed by
Pledgor to Secured Party, if required, together with an undated stock, regular
limited partnership or general

                                       9

<PAGE>

partnership interest, or membership interest power covering such certificate
duly executed in blank and with signature guaranteed if Secured Party shall so
request, to be held by Secured Party hereunder as additional security for the
Loans and the obligations arising under the Sale/Leaseback Transaction. Any sums
paid upon or in respect of the Pledged Securities upon the liquidation or
dissolution of any Company shall be paid over to Secured Party to be held by it
hereunder as additional security for the Loans and the obligations arising under
the Sale/Leaseback Transaction, and in case any distribution of capital shall be
made on or in respect of the Pledged Securities or any property shall be
distributed upon or with respect to the Pledged Securities pursuant to the
recapitalization or reclassification of the capital of any Company, or pursuant
to the reorganization thereof, the property so distributed shall be delivered to
Secured Party to be held by it, subject to the terms hereof, as additional
security for the Loans and the obligations arising under the Sale/Leaseback
Transaction. If any sums of money or property so paid or distributed in respect
of the Pledged Company Interests shall be received by Pledgor, Pledgor shall,
until such money or property is paid or delivered to Secured Party, hold such
money or property in trust for Lender, segregated from other funds of Pledgor,
as additional security for the Loans and the obligations arising under the
Sale/Leaseback Transaction.

               (b) Without the prior written consent of Secured Party, Pledgor
shall not, directly or indirectly, (i) vote to enable, or take any other action
to permit, any Company to issue any limited or general partnership interests,
membership interests or shares, as applicable, or to issue any other securities
convertible into, or to grant the right to purchase or exchange for, any limited
or general partnership interests or membership interests, as applicable, in any
Company, or (ii) except as permitted by the Loan Documents or the Lease
Documents, sell, assign, transfer, exchange or otherwise dispose of, or grant
any option with respect to, the Pledged Collateral, or (iii) create, incur,
authorize or permit to exist any Lien or option in favor of, or any claim of any
Person with respect to, any of the Pledged Collateral, or any interest therein,
except for the Lien provided for by this Security Agreement. Pledgor shall
defend the right, title and interest of Secured Party in and to the Pledged
Collateral against the claims and demands of all Persons whomsoever.

               (c) If any amount payable under or in connection with any of the
Pledged Collateral shall be or become evidenced by any promissory note, other
instrument or chattel paper, such note, instrument or chattel paper shall be
promptly delivered to Secured Party, duly endorsed in a manner satisfactory to
Secured Party, to be held as Pledged Collateral pursuant to this Security
Agreement.

               (d) Pledgor (i) will not, and will not permit any Company to,
create, incur or permit to exist, (ii) will, and will cause each Company to,
defend the Pledged Securities against, and (iii) will, and will cause each
Company to, take all such other action as is necessary to remove, any Lien or
claim on or to the Pledged Securities, other than the Liens created hereby.
Pledgor will, and will cause each Company to, defend the right, title and
interest of Secured Party in, to and under the Pledged Securities against the
claims and demands of all Persons whomsoever.

                                       10

<PAGE>

               (e) Pledgor will furnish and will cause each Company to furnish
to Secured Party from time to time statements and schedules further identifying
and describing the Pledged Securities and such other reports in connection with
the Pledged Securities as Secured Party may reasonably request, all in
reasonable detail.

               (f) Pledgor will not and will not permit any Company to (unless
(i) it shall have given thirty (30) days' prior written notice to such effect to
Secured Party and (ii) all action necessary or advisable, in Secured Party's
opinion, to protect and perfect the Liens and security interests intended to be
created hereunder with respect to the Pledged Securities shall have been taken):
(A) change the location of its chief executive office or principal place of
business from that specified in Section 3 above, or (B) change its name,
identity or structure, or (c) reorganize or reincorporate under the laws of
another jurisdiction.

               (g) Pledgor shall pay, and save Secured Party harmless from, any
and all liabilities with respect to, or resulting from any delay in paying, any
and all stamp, excise, sales or other taxes which may be payable or determined
to be payable with respect to any of the Pledged Collateral or in connection
with any of the transactions contemplated by this Security Agreement.

          5. Indemnification.

               (a) Each Pledgor shall indemnify and hold harmless Secured Party
and its directors, officers, employees, agents and contractors from and against
any and all liability, loss, expense, cost or damage which any of them may
suffer or incur and which arises out of or results from:

                    (i) this Security Agreement, the grant, pledge and
assignment of security hereunder, the receipt of Distributions, and/or the
exercise of any right, remedy or power hereunder, except to the extent that it
is finally judicially determined that any such liability, loss, expense, cost or
damage resulted from the gross negligence, fraud or willful misconduct of any
indemnified person; or

                    (ii) any claim or any alleged obligation, liability or duty
on the part of Secured Party to perform or discharge on behalf of Pledgor any
obligation, liability or duty of Pledgor which arises or accrues prior to the
date, if ever, on which Secured Party acquires title to the Pledged Collateral
by foreclosure, assignment in lieu of foreclosure or otherwise.

               (b) Each Pledgor shall reimburse each Person indemnified under
this Section 5 within ten (10) Business Days after demand by Secured Party or
such indemnified person for the full amount of any indemnity to which such
person may be entitled hereunder, which shall include all of such person's
reasonable costs and expenses with respect thereto (including, without
limitation, court costs and reasonable attorneys' fees and related expenses as
and when incurred), and the full amount of Pledgor's indemnity obligation shall
be considered to

                                       11

<PAGE>

be a Secured Obligation and shall be secured hereby. The indemnity set forth in
this Section 5 shall survive the termination of this Security Agreement.

               (c) Notwithstanding anything contained herein or in any of the
Loan Documents to the contrary, no Pledgor will be liable for any losses
described in this Section 5, which first occur following the effective date of a
transfer of title to the Pledged Collateral to Secured Party or its Affiliates,
in foreclosure or otherwise.

          6. Remedies. If an Event of Default shall occur:

               (a) Secured Party, without obligation to resort to any other
security, right or remedy granted under any other agreement or instrument, shall
have the right, in addition to all rights, powers and remedies of a secured
party pursuant to the Code and/or any other applicable laws, to, at any time and
from time to time, (i) cause any part or all of the Pledged Collateral to be
registered in or transferred into the name of Secured Party or into the name of
a nominee or nominees, or designee or designees, of Secured Party, and/or (ii)
apply the cash, if any, then held by it as Pledged Collateral in reduction of
the Secured Obligations in accordance with the terms of the Loan Documents,
and/or (iii) sell, resell, assign and deliver, in its sole and absolute
discretion, any or all of the Pledged Collateral (whether in whole or in part
and at the same or different times) and all right, title and interest, claim and
demand therein and right of redemption thereof, at public or private sale, for
cash and/or with credit provided by Secured Party, and in connection therewith
Secured Party may grant options and may impose conditions such as requiring any
purchaser to represent that any "securities" (within the meaning of the Federal
securities laws) constituting any part of the Pledged Collateral are being
purchased for investment only, and in connection with any of the foregoing
described in clause (iii), each Pledgor hereby irrevocably waives and releases
any and all rights of redemption. If all or any part of the Pledged Collateral
is sold by Secured Party upon credit provided by Secured Party, Secured Party
shall not be liable for the failure of the purchaser to purchase or pay for the
same and, in the event of any such failure, Secured Party may freely resell such
Pledged Collateral. Secured Party may exercise its rights with respect to less
than all of the Pledged Collateral, leaving unexercised its rights with respect
to the remainder of the Pledged Collateral; such partial exercise shall in no
way restrict or jeopardize Secured Party's right to exercise its rights with
respect to all or any part of the remaining Pledged Collateral at a later time
or times. Secured Party may, instead of the power of sale herein conferred upon
it, proceed by a suit or suits at law or in equity to foreclose all or any part
of the security interests in the Pledged Collateral and sell the Pledged
Collateral, or any portion thereof, under a judgment or decree of a court or
courts of competent jurisdiction.

               (b) Secured Party may exercise, either by itself or by its
nominee or designee, in the name and place of any Pledgor, the rights, powers
and remedies granted to Secured Party under Section 2(a) hereof, including but
not limited to Section 2(a)(ii) hereof, in respect of the Pledged Collateral.
Such rights, powers and remedies shall include, without limitation, the right to
exercise all voting, consent, managerial and other rights relating to the
Pledged Collateral, whether in such Pledgor's name or otherwise, and the right
to exercise such

                                       12

<PAGE>

Pledgor's rights, if any, of conversion, exchange, subscription or any other
rights, privileges or options pertaining to any of the Pledged Collateral,
including, without limitation, the right to exchange, at its discretion, any and
all of the Pledged Collateral upon the merger, consolidation, reorganization,
recapitalization or other readjustment of any Company, all without liability,
except to account for property actually received by Secured Party.

               (c) Each Pledgor hereby irrevocably authorizes and empowers
Secured Party, and assigns and transfers to Secured Party, and constitutes and
appoints Secured Party and any of its assigns, its true and lawful
attorney-in-fact, and as its agent, irrevocably, with full power of substitution
for it and in its name, in order to more fully vest in Secured Party the rights
and remedies provided for herein, and each Pledgor, further authorizes and
empowers Secured Party and any of its assigns, as its attorney-in-fact, and as
its agent, irrevocably, with full power of substitution for it and in its name,
to proceed from time to time in Pledgor's name in any statutory or non-statutory
legal or other proceeding, including but not limited to any bankruptcy
proceeding, affecting Pledgor or the Pledged Collateral, and Secured Party, any
of its assigns or their respective nominees or designees, may in connection
herewith (i) execute and file proofs of claims relating to the Pledged
Collateral and vote such claims for all or any portion of the Pledged Collateral
(x) for or against any proposal or resolution, (y) for a trustee or trustees or
for a receiver or receivers or for a committee of creditors and/or (z) for the
acceptance or rejection of any proposed arrangement, plan or reorganization,
composition or extension, and Secured Party or its nominee or designee may
receive any payment or distribution and give acquittance therefor and may
exchange or release any portion or all of the Pledged Collateral; and (ii)
endorse any draft or other instrument for the payment of money, execute releases
and negotiate settlements. Nothing contained in the foregoing provisions of this
Section 6(c) shall be deemed or construed to be a limitation on, or waiver by
Secured Party of, any of Secured Party's other rights or remedies hereunder or
under any of the Mortgage Loan Documents, the Mezzanine Loan Documents or the
Lease Documents. Secured Party shall have no duty to exercise any of the
aforesaid rights, privileges or options and shall not be responsible for any
failure to do so or delay in so doing. The foregoing powers of attorney are
irrevocable and coupled with an interest, and any similar or dissimilar powers
heretofore given by any Pledgor in respect of the Pledged Collateral to any
other person other than Secured Party are hereby revoked. The power of attorney
granted herein shall terminate automatically upon the termination of this
Security Agreement in accordance with Section 15 hereof.

               (d) Secured Party may at any time and from time to time, without
notice to, or assent by, any Pledgor or any other person, but without affecting
any of the Secured Obligations, in the name of such Pledgor or in the name of
Secured Party (i) notify any other party to make payment and performance with
respect to any item of Pledged Collateral directly to Secured Party, (ii) extend
the time of payment and performance of, compromise or settle for cash, credit or
otherwise, and upon any terms and conditions, any obligations owing to such
Pledgor, or claims of such Pledgor under any of the Organizational Documents of
any Company, (iii) file any claims, and/or commence, maintain or discontinue any
actions, suits or other proceedings deemed by Secured Party to be necessary or
advisable for the purpose of collecting upon or enforcing any of the
Organizational Documents of any Company, and (iv) execute any

                                       13

<PAGE>

instrument and do all other things deemed necessary and proper by Secured Party
to protect and preserve and realize upon the Pledged Collateral or any portion
thereof and the other rights contemplated hereby.

               (e) Secured Party may without notice to, or the consent of, any
Pledgor require (i) that any and all Distributions, and/or other distributions
or payments of any type payable to such Pledgor with respect to all or any part
of the Pledged Collateral be paid to Secured Party and/or its nominees, and/or
(ii) that Secured Party or its nominee, designee, agent or assignee be
substituted for such Pledgor or any of its nominees or designees, as officers
and/or directors and/or other agents or representatives of any Company.

               (f) Pursuant to the powers of attorney provided for by Section
6(c) hereof, Secured Party may reasonably take any action and exercise and
execute any instrument which it may deem necessary or advisable to accomplish
the purposes of this Security Agreement. Without limiting the generality of the
foregoing, Secured Party shall have the right and power to receive, endorse and
collect all checks and other orders for the payment of money made payable to any
Pledgor representing any Distribution, interest, payment of principal or other
distribution or payment payable in respect of the Pledged Collateral or any part
thereof, and for and in the name, place and stead of such Pledgor, to execute
endorsements, assignments or other instruments of conveyance or transfer in
respect of the Pledged Collateral and any other property which is or may become
a part of the Pledged Collateral hereunder.

               (g) Without limiting any other provision of this Security
Agreement, and without waiving or releasing any Pledgor from any obligation or
default hereunder, Secured Party shall have the right, but not the obligation,
to perform any act or take any action, as it, in its judgment, may deem
necessary to cure any Event of Default, cause any term, covenant, condition or
obligation required under this Security Agreement to be performed or observed by
any Pledgor to be promptly performed or observed on behalf of such Pledgor, or
protect the security provided to Secured Party under this Security Agreement.
All amounts advanced by, or on behalf of, Secured Party in exercising its rights
under this Section 6(g) (including, but not limited to, reasonable legal
expenses and disbursements incurred in connection therewith as and when
incurred), together with interest thereon at a rate equal to ten percent (10%)
(the "Default Rate") from the date of each such advance, shall be payable by the
Pledgors to Secured Party within fifteen (15) days after written demand therefor
and shall be Secured Obligations under this Security Agreement.

          7. Sales of the Pledged Collateral; Strict Foreclosure.

               (a) No demand, advertisement or notice, all of which are hereby
expressly waived by each Pledgor, shall be required in connection with any sale
or other disposition of all or any part of the Pledged Collateral pursuant to
Section 6 hereof, except that Secured Party shall give such Pledgor at least ten
(10) days' prior written notice of the time and place of any public sale or of
the time and the place at which any private sale or other disposition is to be
made, which notice such Pledgor hereby agrees is reasonable, and all other
demands, advertisements and notices are hereby irrevocably waived by such
Pledgor. To the extent

                                       14

<PAGE>

permitted by law, Secured Party shall not be obligated to make any sale of the
Pledged Collateral if it shall determine not to do so, regardless of the fact
that notice of sale may have been given, and Secured Party may without notice or
publication adjourn any public or private sale, and such sale may, without
further notice, be made at the time and place to which such sale is so
adjourned. Subject only to provisions of applicable law which cannot be waived,
upon each public or private sale of any portion of or all of the Pledged
Collateral, Secured Party (or its nominee or designee) may purchase any or all
of the Pledged Collateral being sold, free and clear of and discharged from any
trusts, claims, equity or right of redemption of any Pledgor, all of which are
hereby waived and released to the extent permitted by law, and may make payment
therefor by credit against any of the Secured Obligations in lieu of cash or any
other obligations. In the case of any sale, public or private, of any portion of
or all of the Pledged Collateral, each Pledgor shall be responsible for, and
shall pay within fifteen (15) days after demand therefore, all costs and
expenses of every kind relating to the sale and delivery of the Pledged
Collateral, including, without limitation, brokers' and reasonable attorneys'
fees and disbursements and any tax imposed thereon and such obligation to pay
such costs and expenses shall be a Secured Obligation.

               (b) To the extent permitted under applicable law, Secured Party
shall not be required to conduct any foreclosure sale of any part of the Pledged
Collateral. Secured Party may, in its sole and absolute discretion, retain and
acquire for itself and/or its designees or nominees, the Pledged Collateral by,
as contemplated by Section 6(a)(i) hereof, instructing each Pledgor to register
on its ledgers and books Secured Party's acquisition of the Pledged Collateral
and the Certificate which embodies the Pledged Collateral, subject to any rights
of such Pledgor to object in accordance with the Code, if such Pledgor has not
renounced or waived such rights in accordance with the Code. In connection
therewith, Secured Party shall have the right to complete any endorsements in
its favor on the Certificates or any other certificated securities or
instruments which at any time are part of the Pledged Collateral.

          8. Securities Laws.

          If an Event of Default shall have occurred, Secured Party may, in its
sole and absolute discretion, sell all of the Pledged Collateral or any part
thereof by private sale in such manner and under such circumstances as Secured
Party may deem necessary or advisable in order that such sale may legally be
effected without registration pursuant to the Securities Act of 1933 or any
other Federal, state or local law governing the offering or sale of securities,
provided that at least ten (10) days' prior written notice of the time and place
of any such sale shall be given to the applicable Pledgor. Without limiting the
generality of the foregoing, in any such event Secured Party, in its sole and
absolute discretion (i) may proceed to make such private sale notwithstanding
that a registration statement for the purpose of registering such Pledged
Collateral or part thereof shall not have been filed or shall not have become
effective such Securities Act, (ii) may approach and negotiate with a single
potential purchaser to effect such sale, and (iii) may restrict such sale to a
purchaser who will represent and agree that such purchaser is purchasing for its
own account, for investment, and not with a view to the distribution or sale of
such Pledged Collateral or part thereof. In the event of any such sale,

                                       15

<PAGE>

Secured Party shall incur no responsibility or liability for selling all or any
part of the Pledged Collateral at a price which Secured Party may in good faith
deem reasonable under the circumstances, notwithstanding the possibility that a
substantially higher price might be realized if the sale were deferred until
after registration as aforesaid.

          9. Receipt of Sale Proceeds.

          Upon any sale of the Pledged Collateral, or any portion thereof, by
Secured Party hereunder (whether by virtue of the power of sale herein granted,
pursuant to judicial process or otherwise), the receipt of Secured Party or the
officer making the sale shall be a sufficient discharge to the purchaser or
purchasers of the Pledged Collateral so sold, and such purchaser or purchasers
shall not be obligated to see to the application of any part of the purchase
money paid over to Secured Party or such officer or be answerable in any way for
the misapplication or nonapplication thereof.

          10. Costs and Expenses.

               (a) Each Pledgor agrees that it shall pay to Secured Party:

                    (i) within fifteen (15) days after receipt of an invoice
therefor (accompanied by customary supporting material), the amount of any taxes
Secured Party may have been required to pay by reason of the security interests
created in the Pledged Collateral hereunder (excluding any income taxes,
franchise taxes or other taxes based upon Secured Party's income) or any amount
necessary to free any of the Pledged Collateral from any lien not created in
favor of Secured Party thereon, and

                    (ii) within fifteen (15) days after receipt of an invoice
therefor (accompanied by customary supporting material), the amount of any and
all reasonable expenses, including the reasonable fees and disbursements of
counsel as and when incurred and of any other agents or experts and any transfer
taxes or other taxes or governmental charges or fees (whether now existing or
hereinafter enacted), Secured Party may incur in connection with (a) the
enforcement of this Security Agreement, including such reasonable expenses as
are incurred to preserve the value of the Pledged Collateral or the validity,
effectiveness, enforceability, perfection, priority or value of any security
interest, (b) after the occurrence of an Event of Default, the collection, sale
or other disposition of any of the Pledged Collateral, (c) the exercise by
Secured Party of any of the rights and/or remedies conferred upon it hereunder,
or (d) any Event of Default.

               (b) Any amount required to be paid by any Pledgor under Section
10(a) above which is not paid when due shall bear interest for each day from the
date advanced by or on behalf of the Secured Party until repaid by such Pledgor
at the Default Rate. All obligations and liabilities of each Pledgor under
Section 10(a) above and this Section 10(b) shall be Secured Obligations under
this Security Agreement.

                                       16

<PAGE>

          11. Application of Pledgor's Pledged Collateral.

          The Pledged Collateral and any proceeds thereof (including, without
limitation, any proceeds from the sale of all or any portion of the Pledged
Collateral and all Distributions) now or at any time hereafter received or
retained by Secured Party pursuant to the provisions of this Security Agreement
shall, after the occurrence of an Event of Default and acceleration of the
Loans, be applied by Secured Party in the following order of priority: first, to
the payment of all costs and expenses incurred in connection with the
administration and enforcement of, or the preservation of any rights under, this
Security Agreement (including, without limitation, reasonable attorneys' fees)
and, second, to the payment of the Secured Obligations in such order and manner
as Secured Party may determine in its sole and absolute discretion.

          12. Further Assurances.

          Each Pledgor agrees that at its sole expense and in such manner and
form as Secured Party reasonably may require at any time and from time to time,
it shall execute, deliver, file and/or record any financing statement, specific
assignment or other writing or instrument, and take any other action that
Secured Party may deem reasonably necessary or desirable, or that Secured Party
may reasonably request, in order to create, preserve or validate any security
interests created hereunder or the priority thereof or to enable Secured Party
to exercise and enforce its rights hereunder with respect to any of the Pledged
Collateral. Each Pledgor hereby authorizes Secured Party to execute and file at
any time or from time to time, in the name of such Pledgor, such UCC financing
statements and other similar instruments as Secured Party in its sole discretion
may deem necessary or desirable to perfect and continue the security interests
created hereunder.

          13. Attorney-In-Fact.

          Secured Party is hereby appointed the attorney-in-fact, with full
power of substitution, of each Pledgor for the purpose of carrying out the
provisions hereof from time to time, after an Event of Default, in Secured
Party's discretion, and taking any action and executing any instruments
(including, without limitation, financing or continuation statements,
conveyances, assignments and transfers) which Secured Party may deem necessary
or advisable to accomplish the purposes hereof, which appointment as
attorney-in-fact is coupled with an interest and is irrevocable. Each Pledgor
shall indemnify and hold harmless Secured Party from and against any liability,
loss, cost, expense and/or damage which it may incur in the exercise and
performance, in good faith, of any of Secured Party's powers and/or duties
specifically set forth herein.

          14. Waivers.

          No Pledgor shall be entitled to any notices of any nature whatsoever
from Secured Party except with respect to matters for which this Security
Agreement or the Loan Documents specifically and expressly provide for the
giving of notice by Secured Party to Pledgor and except with respect to matters
for which Pledgor is not, pursuant to applicable Legal

                                       17

<PAGE>

Requirements, permitted to waive the giving of notice. Each Pledgor hereby
expressly waives the right to receive any notice from Secured Party with respect
to any matter for which this Security Agreement or the Loan Documents does not
specifically and expressly provide for the giving of notice by Secured Party to
Pledgor. No delay or omission on the part of Secured Party in exercising any
right hereunder shall operate as a waiver of that right or of any other right
hereunder. Any waiver of any right on any one occasion shall not be construed as
a bar to or waiver of that or any other right on any future occasion. No course
of dealing between any Pledgor and Secured Party nor any failure to exercise,
nor any delay in exercising, on the part of Secured Party, any right, power or
privilege hereunder or with respect to any of the Secured Obligations shall
operate as a waiver thereof, nor shall any single or partial exercise of any
right, power or privilege hereunder or otherwise with respect to the Secured
Obligations preclude any other or further exercise thereof or the exercise of
any other right, power or privilege.

          15. Termination.

          This Security Agreement and the security interests in and lien on each
Pledgor's Pledged Collateral created hereby shall terminate upon the earlier of
(i) the indefeasible payment and satisfaction in full of all of the Secured
Obligations or (ii) the occurrence of a Covenant Replacement Event under Section
2.13 of the Master Guaranty.

          16. Integration Clause.

          This Security Agreement, together with all of the other Loan
Documents, represents the entire agreement between the parties with respect to
the subject matter hereof, and all prior or contemporaneous agreements,
understandings or other communications, oral or written, regarding the subject
matter which are not expressed herein or therein shall be of no force and
effect.

          17. Amendments and Waivers In Writing Only.

          This Security Agreement shall not be amended or otherwise modified
except by a further written agreement executed and delivered by all of the
parties hereto. No waiver, express or implied, of any of the provisions hereof
shall be effective unless embodied in a written document executed by the party
hereto who is charged with such waiver.

          18. Successors and Assigns.

          Except as may be expressly permitted in the Loan Documents and the
Lease Documents, neither this Security Agreement, nor any right title and/or
interest herein, shall be assigned or otherwise transferred by any Pledgor
without the prior written consent of Secured Party. Subject to the preceding
sentence, this Security Agreement shall inure to the benefit of the parties
hereto and their respective successors and assigns.

                                       18

<PAGE>

          19. Notices.

          All notices, demands, requests, consents, approvals or other
communications (collectively, "Notices") required or permitted to be given
hereunder to Secured Party or any Pledgor or which are given to Secured Party or
any Pledgor with respect to this Security Agreement shall be in writing and
otherwise given in accordance with Section 10.5 of the Master Guaranty.

          20. No Duty to Preserve Pledgor's Pledged Collateral.

          Secured Party shall not have any duty as to the collection or
protection of the Pledged Collateral or any income thereon or payments with
respect thereto, or as to the preservation of any rights pertaining thereto,
beyond exercising reasonable care with respect to any cash or any Certificate
that is actually in Secured Party's possession pursuant hereto.

          21. No Release.

          The obligations of each Pledgor under this Security Agreement shall be
absolute and unconditional and shall remain in full force and effect without
regard to, and, subject to Section 15 hereof, shall not be released, suspended,
discharged, terminated or otherwise affected by, any circumstances or occurrence
whatsoever, including, without limitation: (a) any renewal, extension, amendment
or modification of, or addition or supplement to or deletion from, any of the
Loan Documents or Lease Documents or any other instrument or agreement referred
to therein, or any assignment or transfer of any thereof; (b) any waiver,
consent, extension, indulgence or other action or inaction under or in respect
of any of the Loan Documents or Lease Documents or any exercise or non-exercise
of any right, remedy, power or privilege under or in respect of any of the Loan
Documents or Lease Documents, respectively; (c) any furnishing of any additional
security to Secured Party or any acceptance thereof or any sale, exchange,
release, surrender or realization of or upon any security by Secured Party; or
(d) any invalidity, irregularity or unenforceability of all or part of the
Secured Obligations or of any security therefor.

          22. Waiver of Marshalling of Assets Defense.

          To the fullest extent that each Pledgor may legally do so, each
Pledgor hereby waives all rights to a marshalling of the assets of Pledgor,
and/or any others with interests in Pledgor, and/or of the Pledged Collateral,
or to a sale in inverse order of alienation in the event of foreclosure of the
interests hereby created, and agree not to assert any right under any laws
pertaining to the marshalling of assets, sales in inverse order of alienation or
any other matters whatsoever to defeat, reduce or affect the right of Secured
Party to a sale of the Pledged Collateral for the collection of the Secured
Obligations without any prior or different resort for collection.

                                       19

<PAGE>

          23. General Provisions Relating To Secured Party's Remedies.

          Without limitation of any right or remedy of Secured Party in this
Security Agreement, each Pledgor acknowledges and agrees that upon the
occurrence and during the continuance of an Event of Default (i) the rights and
remedies of Secured Party herein provided or provided under any of the Loan
Documents or Lease Documents shall be cumulative, and shall be in addition to
and not exclusive of or in limitation of any rights and remedies provided by
applicable law, including, without limitation, the rights and remedies of a
secured party under the Code or any other applicable laws or in an equity
proceeding, (ii) Secured Party shall have the right to pursue all of its rights
and remedies in one proceeding, or separately and independently in separate
proceedings, in each case as Secured Party, in its sole and absolute discretion,
shall determine from time to time, (iii) Secured Party shall not be required to
either marshal assets or sell the Pledged Collateral in any inverse order of
alienation, and shall not be subjected to any "one action" or "election of
remedies" law or rule, (iv) the exercise by Secured Party of any remedies
against any of the Pledged Collateral shall not impede Secured Party from
subsequently or simultaneously exercising remedies against any other collateral
or security, and (v), subject to Section 15 hereof, all liens and other rights,
remedies and privileges provided to Secured Party in this Security Agreement and
the other Loan Documents or Lease Documents or otherwise shall remain in full
force and effect and shall in no event terminate prior to the exhaustion by
Secured Party of all of its remedies against the Pledged Collateral and Secured
Party's foreclosure, sale and/or other realization upon all of the Pledged
Collateral.

          24. Governing Law.

          This Security Agreement shall be governed and construed in accordance
with the internal laws of the State of New York, without regard to its conflicts
of law principles.

          25. Registration of Pledge.

          Concurrently with the execution of this Security Instrument, Parent
shall deliver to the Penn Hills Subsidiary and each Partially-Owned Subsidiary,
written instructions substantially in the form of Exhibit B attached hereto and
shall cause each such subsidiary to deliver to Secured Party an Initial
Transaction Statement in the form of Exhibit C attached hereto confirming that
such subsidiary has noted the pledge effected by this Security Agreement on its
books and records. Similarly, (i) Dale J. Cordial, PT, Inc. shall deliver to
each of (A) the Penn Hills Subsidiary and (B) the DJC Subsidiary, written
instructions substantially in the form of Exhibit B attached hereto and shall
cause each such subsidiary to deliver to Secured Party an Initial Transaction
Statement in the form of Exhibit C attached hereto confirming that such
subsidiary has noted the pledge effected by this Security Agreement on its books
and records, and (ii) each of the PT Pledgors shall deliver to each of the PT
Pledgor Subsidiaries, written instructions substantially in the form of Exhibit
B attached hereto and shall cause each such subsidiary to deliver to Secured
Party an Initial Transaction Statement in the form of Exhibit C attached hereto
confirming that such subsidiary has noted the pledge effected by this Security
Agreement on its books and records.

                                       20

<PAGE>

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

                                        PLEDGOR:

                                        TRANS HEALTHCARE, INC.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        TRANS HEALTHCARE OF OHIO, INC.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        THI OF OHIO ALFS, INC.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        THI PROPERTIES, INC.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

<PAGE>

                                        THI SERVICES CORP.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        THI SPECIALTY HOSPITALS OF OHIO, INC.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        TRANS HEALTH MANAGEMENT, INC.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        THI OF MARYLAND, INC.,
                                        a Delaware corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        PHYSICAL THERAPY PLUS, INC.,
                                        a Pennsylvania corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

<PAGE>

                                        DALE J. CORDIAL, PT, INC.,
                                        a Pennsylvania corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        DALE J. CORDIAL, PT, INC., NUMBER 4,
                                        a Pennsylvania corporation

                                        By:   /s/ ANTHONY F. MISITANO
                                           -------------------------------------
                                           Name:  Anthony F. Misitano
                                           Title: President

                                        THE PT GROUP OF PENN HILLS,
                                        a Pennsylvania general partnership

                                        By: Trans Healthcare, Inc.,
                                            a Delaware corporation,
                                            its Partner

                                            By:   /s/ ANTHONY F. MISITANO
                                               ---------------------------------
                                               Name:  Anthony F. Misitano
                                               Title: President

                                        THE PT GROUP PHYSICAL THERAPY FOR WOMEN,
                                        a Pennsylvania general partnership

                                        By: Dale J. Cordial, PT, Inc.,
                                            a Pennsylvania corporation,
                                            its Partner

                                            By:   /s/ ANTHONY F. MISITANO
                                               ---------------------------------
                                               Name:  Anthony F. Misitano
                                               Title: President

<PAGE>

                                        THE PT GROUP OF MOON TOWNSHIP,
                                        a Pennsylvania general partnership

                                        By: Dale J. Cordial, PT, Inc., Number 4,
                                            a Pennsylvania corporation,
                                            its Partner

                                            By:   /s/ ANTHONY F. MISITANO
                                               ---------------------------------
                                               Name:  Anthony F. Misitano
                                               Title: President

                                        THI THERAPY CONCEPTS, LLC,
                                        a Delaware limited liability company

                                        By:   /s/ JEFFREY A. BARNHILL
                                           -------------------------------------
                                           Name:  Jeffrey A. Barnhill
                                           Title: Vice-President

                                        THI SERVICES OF MARYLAND, LLC,
                                        a Delaware limited liability company

                                        By:   /s/ JEFFREY A. BARNHILL
                                           -------------------------------------
                                           Name:  Jeffrey A. Barnhill
                                           Title: Vice-President

                                        [Signatures continued on next page]

<PAGE>

                                        SECURED PARTY:

                                        VENTAS REALTY, LIMITED PARTNERSHIP,
                                        a Delaware limited partnership

                                        By: Ventas, Inc.
                                            a Delaware corporation,
                                            its sole general partner

                                            By:   /s/ T. RICHARD RINEY
                                               ---------------------------------
                                               Name:  T. Richard Riney
                                               Title: Executive Vice
                                                      President/General Counsel

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