Document:

Third Amendment to Master Lease

 EXHIBIT 10.55 
 Added Facility: 
 Carthage, Tennessee 
 Removed Facilities: 
 Kansas City, Missouri 
 West Roxbury, Massachusetts 
 Oshkosh, Wisconsin

 THIRD AMENDMENT TO MASTER LEASE 
 THIS THIRD AMENDMENT TO MASTER LEASE (the “Amendment”) is made and entered into and effective as of June 30, 2004 (the “Effective Date”), by and among HEALTH CARE PROPERTY INVESTORS, INC., a
Maryland corporation (“HCP”) and HEALTH CARE PROPERTY PARTNERS, a California general partnership (“HCPP”) (collectively, and jointly and severally, “Lessor”), KINDRED NURSING CENTERS EAST, L.L.C., a Delaware limited
liability company, KINDRED NURSING CENTERS WEST, L.L.C., a Delaware limited liability company, and KINDRED NURSING CENTERS LIMITED PARTNERSHIP, a Delaware limited partnership (collectively, and jointly and severally, “Lessee”), with
respect to the following: 
 RECITALS 
 A. Lessor is the “Lessor” and Lessee is the “Lessee” pursuant to that certain Master Lease dated as of May 16, 2001 (the “Original Lease”), as amended by that certain First Amendment
to Master Lease dated as of August 1, 2001 (the “First Amendment”) and that certain Second Amendment to Master Lease dated as of November 18, 2003 (the “Second Amendment”). The Original Lease together with the First
Amendment and Second Amendment are collectively referred to herein as the “Lease.” The Lease covers the Land, Leased Improvements, Related Rights and Fixtures of twenty-two (22) separate health care Facilities, all as more
particularly described in the Lease. 
 B. The obligations of Lessee under the Lease are guaranteed by Kindred Healthcare, Inc., a Delaware
corporation, and Kindred Healthcare Operating, Inc., a Delaware corporation (collectively and jointly and severally, “Guarantors”), pursuant to that certain written Guaranty of Obligations executed by Guarantors as of May 16, 2001 (as
the same may have been amended, modified and/or reaffirmed from time to time in accordance with the terms thereof, the “Guaranty”). 
 C. On or about December 21, 2001, HCP transferred its interests in the Facility located in the State of Indiana to Indiana HCP, L.P., a Delaware limited partnership (“Indiana HCP”), and in connection therewith HCP assigned to
and Indiana HCP assumed HCP’s rights and obligations in, to and under the Lease (and all guaranties, indemnities and other rights relating thereto) with respect to such Facility pursuant to that certain Partial Assignment and Assumption of
Master Lease dated December 21, 2001, by and between HCP and Indiana HCP. On or about March 3, 2004, Indiana HCP was merged with and into HCP and the separate existence of Indiana HCP ceased. 
 D. Kindred Healthcare Operating, Inc., a Delaware corporation (“Kindred Operating”), as Buyer, and HCP or HCPP, as applicable, as Seller, are
also parties to those certain Purchase and Sale Agreements and Joint Escrow Instructions of even date herewith (each, 

 
a “Purchase Agreement” and collectively, the “Purchase Agreements”), pursuant to which HCP or HCPP, as applicable, has agreed to sell and
Kindred Operating has agreed to purchase the Kansas City, Missouri Facility, the West Roxbury, Massachusetts Facility and the Oshkosh, Wisconsin Facility (each, a “Sale Property” and collectively, the “Sale Properties”), as
applicable, in accordance with the terms of the respective Purchase Agreements. The closing of the transaction contemplated by each Purchase Agreement, if at all, with respect to each applicable Sale Property, shall be referred to herein as a
“Sale Property Closing,” and the date thereof shall be referred to herein as a “Sale Property Closing Date.” 
 E. In
connection with each Sale Property Closing, Lessor and Lessee desire effective as of the Sale Property Closing Date to remove the applicable Sale Property from the Leased Property covered by the Lease and to terminate the Lease with respect thereto.

 F. HCP, as Buyer, and Kindred Nursing Centers Limited Partnership, a Delaware limited partnership, as Seller, are also parties to that
certain Contract of Acquisition of even date herewith (the “Carthage Contract of Acquisition”), pursuant to which HCP is purchasing and acquiring on the Closing Date as defined in the Carthage Contract of Acquisition (the “Carthage
Closing Date”) certain real and personal property situated in the City of Carthage, County of Smith, State of Tennessee, comprising a 128-bed skilled nursing facility (the “Carthage Facility”), all as more particularly described in
the Carthage Contract of Acquisition. A legal description of the Land associated with the Carthage Facility is attached hereto as Exhibit A-23 and incorporated herein by this reference. 
 G. Effective immediately upon the Carthage Closing Date, if at all, Lessor desires to add to the Leased Property and lease to Lessee and Lessee desires
to lease and hire from Lessor, the Carthage Facility. 
 H. Lessor and Lessee desire to amend the Lease to reflect the foregoing removal of
the Sale Properties from and the addition of the Carthage Facility to the Leased Property, but only upon the terms and conditions set forth herein. 
 AGREEMENT 
 IN CONSIDERATION OF the foregoing Recitals and the mutual promises and covenants contained herein and
other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Lessor-and Lessee agree as follows: 
 1.
Termination of Lease with Respect to Sale Properties. Effective as of each Sale Property Closing Date, if at all, the following shall apply: 
 (a) Termination. The Lease, as hereby amended, shall be terminated as to the applicable Sale Property, but not as to any other Facility, and the Lease, as hereby amended, shall continue in full force and effect
with respect to each such other Facility, except that the total monthly Allocated Minimum Rent payable under the Lease, as hereby amended, shall be reduced effective as of such Sale Property Closing Date by the amount of the monthly Allocated
Minimum Rent for such Sale Property. The provisions of Section 18 of the Original Lease shall have no application to the termination of the Lease, as hereby amended, with respect 

  

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to any Sale Property. Following each Sale Property Closing, the parties shall execute a memorandum confirming the Sale Property Closing Date for purposes of
this Amendment. 
 (b) Leased Property; Facilities. The defined term “Leased Property” shall no longer include the
applicable Sale Property and all references in the Lease, as hereby amended, to a “Facility” or “Facilities” shall mean each Facility (as defined in the Lease) other than such Sale Property. 
 (c) Reservations. Notwithstanding the termination of the Lease, as hereby amended, as to any Sale Property, the following obligations of Lessee
under the Lease and Guarantors under the Guaranty with respect to each such Sale Property shall be reserved and continue in favor of Lessor subsequent to the applicable Sale Property Closing Date and shall not be merged with the deed delivered by
HCP or HCPP, as applicable, at the Sale Property Closing: 
 (i) Lessee and Guarantors shall remain responsible for all Rents accrued but
not paid, whether or not billed, applicable to such Sale Property through (but not including) each Sale Property Closing Date (prorated for the month in which such Sale Property Closing Date occurs based upon a thirty (30) day month);

 (ii) Lessee and Guarantors shall remain responsible for all indemnification and hold harmless obligations of Lessee under the Lease
and/or Guarantors under the Guaranty under the terms set forth therein with respect to such Sale Property whether arising out of events or circumstances on, before or after the applicable Sale Property Closing Date and whether such obligations occur
or accrue on, or before or after the applicable Sale Property Closing Date; and 
 (iii) Lessee shall continue to observe any other covenant
or agreement of Lessee in the Lease with respect to such Sale Property which is intended to or expressly provides that it shall survive the termination of the Lease with respect to such Sale Property, as set forth in Sections 40.3 and 40.8 of the
Lease. Guarantors shall continue to observe any other covenant or agreement of Guarantor under the Guaranty with respect to such Sale Property which is intended to or expressly provides that it shall survive the termination of the Lease with respect
to such Sale Property. 
 2. Leasing of Carthage Facility. Effective as of the Carthage Closing Date, if at all, the following shall
apply: 
 (a) Lessor hereby leases to Lessee and Lessee hereby hires from Lessor, the Leased Property of the Carthage Facility upon all of
the terms, covenants and conditions set forth in or incorporated into this Amendment. 
 (b) All references herein and in the Lease or this
Amendment to (i) a “Facility” or “Facilities” shall mean each Facility (as defined in the Lease, as hereby amended) together with the Carthage Facility and (ii) the “Leased Property” shall include the Land,
Leased Improvements, Related Rights and Fixtures of the Carthage Facility. In addition, the Leased Property of the Carthage Facility shall include the machinery, equipment, furniture and other personal property described on Exhibit F attached
hereto, together with all replacements, 

  

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modifications, alterations and substitutes therefor (whether or not constituting an upgrade) (collectively, “Lessor’s Personal Property”).

 (c) Lessee shall hold and occupy the Leased Property of the Carthage Facility upon all of the terms and provisions of the Lease, as
hereby amended, applicable to the Leased Property of the other Facilities, except that: 
 (i) The “Commencement Date” of the
Lease with respect to the Carthage Facility shall be the Carthage Closing Date; 
 (ii) Lessee shall pay Rent with respect to the Carthage
Facility in accordance with Section 2(d) below; 
 (iii) The “Primary Intended Use” of the Carthage Facility shall be a
long-term skilled nursing care facility having the number of licensed and operating beds set forth on Exhibit C attached hereto and incorporated herein by this reference with respect to the Carthage Facility and such other uses necessary of
incidental to such use; 
 (iv) Each “Lease Year” with respect to the Carthage Facility shall be each period of twelve
(12) full calendar months from and after the Carthage Closing Date, unless the Carthage Closing Date is a day other than August 1, 2004, in which case the first Lease Year for the Carthage Facility shall be the period commencing on the
Carthage Closing Date and ending on July 31, 2004, and each subsequent Lease Year for the Carthage Facility shall be each period of twelve (12) full calendar months after the last day of the prior Lease Year for such Facility; provided,
however, that the last Lease Year for the Carthage Facility during the Term may be a period of less than twelve (12) full calendar, months and shall end on the last day of the Term for such Facility; 
 (v) The Term of the Lease with respect to the Carthage Facility shall commence on the Carthage Closing Date, as determined pursuant to Recital F and as
set forth in Section 2(c)(i) above, and shall be coterminous with the Term for the balance of the Group 1 Facilities; and 
 (vi) The
Carthage Facility shall be added to and become part of the Group 1 Facilities. 
 (d) Rent payable with respect to the Carthage Facility
shall be as follows: 
 (i) Subject to upward adjustments as provided in clause (ii) below, for the period from the Carthage Closing Date
through the expiration of the first Lease Year for the Carthage Facility, the initial monthly “Allocated Minimum Rent” for the Carthage Facility shall be equal to Sixty-Four Thousand Five Hundred Eighty Three and 33/100 Dollars
($64,583.33). The first monthly payment of Allocated Minimum Rent for the Carthage Facility shall be payable on the Carthage Closing Date (prorated as to any partial calendar month at the beginning of the Term for such Facility). 
  

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 (ii) Commencing upon the expiration of the first
(1st) Lease Year of the Fixed Term of the Carthage Facility, and upon the expiration of each Lease Year of the Carthage Facility thereafter during the
Term (including the Extended Term, if any) of the Carthage Facility, the then current monthly Allocated Minimum Rent for the Carthage Facility for such Lease Year shall be increased in accordance with Section 3.1(c) of the Original Lease.

 (iii) In addition to Allocated Minimum Rent, Lessee shall pay and discharge all other Additional Charges and other Rent payable
with respect to the Carthage Facility, as and when payable under the Lease, as hereby amended. 
 3. Notices to Lessor. All notices to
Lessor under the Lease, as hereby amended, shall be sent in the manner provided in the Lease to the following address: 
  

					
	If to Lessor:	 	 Health Care Property Investors, Inc.

		 	 3760 Kilroy Airport Way, Suite 300
 Long Beach, California 90806

		 	 Attn:
	 	 Legal Department

		 	 Fax:
	 	 (562) 733-5200

		
	with a copy to:	 	 Latham & Watkins LLP

		 	 650 Town Center Drive, Suite 2000
 Costa Mesa, California 92626

		 	 Attn:
	 	 David C. Meckler, Esq.

		 	 Fax:
	 	 (714) 755-8290

 4. Exhibits and Schedules. Effective as of each Sale Property Closing Date, if any,
Exhibit A-16 (with respect to the Kansas City, Missouri Facility), Exhibit A-19 (with respect to the West Roxbury, Massachusetts Facility) and Exhibit A-21 (with respect to the Oshkosh, Wisconsin Facility), as applicable, and
any reference to the applicable Sale Property in the Exhibits to the Lease shall be deleted in its entirety. Effective as of the Carthage Closing Date, if at all, Exhibit A-23 attached hereto shall be added to the Lease as Exhibit
A-23, Exhibit F attached hereto shall be added to the Lease as Exhibit F, and each of Exhibit B and Exhibit C attached to the Original Lease, as previously amended and replaced by Exhibit B and Exhibit C
to the Second Amendment, shall be deleted in its entirety and replaced with Exhibit B and Exhibit C attached hereto, respectively; provided, however, that if the Carthage Closing Date occurs prior to the Sale Property Closing Date of
any Sale Property, then such Exhibit B and Exhibit C may at any time thereafter be updated by Lessor to include any Sale Property for which the Sale Property Closing Date fails to occur. 
 5. Defined Terms. All terms used in this Amendment with initial capital letters and not defined herein shall have the meanings given to such terms
in the Lease. 
 6. Lease in Effect. Lessor and Lessee acknowledge and agree that the Lease, as hereby amended, remains in full force
and effect in accordance with its terms. 
 7. Counterparts. This Amendment may be executed in two or more counterparts, each of which
shall be deemed an original, but all of which together shall constitute a single instrument. Delivery of an executed counterpart of a signature page to this Amendment 

  

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via telephone facsimile transmission shall be as effective as delivery of a manually executed counterpart of this Amendment. 
 [Signature Page Follows] 
  

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 IN WITNESS WHEREOF, Lessor and Lessee have executed this Amendment as of the Effective Date. 

 

													
	“LESSOR”	 	“LESSEE”
		
	HEALTH CARE PROPERTY INVESTORS, INC., a Maryland corporation	 	KINDRED NURSING CENTERS EAST, L.L.C., a Delaware limited liability company
					
	By:	 	 /s/ Paul Gallagher
	 		 	By:	 	 /s/ Greg C. Miller

		 	Paul Gallagher	 		 		 	Greg C. Miller
		 	Executive Vice President	 		 	Its:	 	Vice President Corporate Development & Financial Planning
					
		 		 		 	By:	 	 /s/ Paul Eiseman

		 		 		 	Its:	 	VP Development
	“HCP”	 		 	
		
	HEALTH CARE PROPERTY PARTNERS, a California general partnership	 	KINDRED NURSING CENTERS WEST, L.L.C., a Delaware limited liability company
					
	By:	 	HEALTH CARE PROPERTY INVESTORS, INC., a Maryland corporation, its Managing General Partner	 		 	By:	 	 /s/ Greg C. Miller

		 	 		 		 	Greg C. Miller
		 		 		 		 	Its:	 	Vice President Corporate Development & Financial Planning
						
		 		 		 		 	By:	 	 /s/ Paul Eiseman

		 		 		 		 	Its:	 	VP Development
		 	By:	 	 /s/ Paul Gallagher
	 		 		 	
		 		 	Paul Gallagher	 		 		 	
		 		 	Executive Vice President	 		 	KINDRED NURSING CENTERS LIMITED PARTNERSHIP, a Delaware limited partnership
	“HCPP”	 		 	
		 		 		 		 	By:	 	 Kindred Healthcare Operating, Inc.,
 its
general partner

							
		 		 		 		 		 	By:	 	 /s/ Greg C. Miller

		 		 		 		 		 	Greg C. Miller
		 		 		 		 		 	Its:	 	Vice President Corporate Development & Financial Planning
							
		 		 		 		 		 	By:	 	 /s/ Paul Eiseman

		 		 		 		 		 	Its:	 	VP Development

 CONSENT AND REAFFIRMATION OF GUARANTORS 
 The undersigned Guarantors hereby consent to the foregoing Third Amendment to Master Lease and reaffirm to Lessor that their obligations under the
Guaranty remain in full force and effect with respect to the Lease, as amended hereby. 
  

			
	KINDRED HEALTHCARE, INC., a Delaware corporation
		
	By:	 	 /s/ Greg C. Miller

		 	Greg C. Miller
	Its:	 	Vice President Corporate Development & Financial Planning
		
	By:	 	 /s/ Paul Eiseman

	Its:	 	VP Development
	
	KINDRED HEALTHCARE OPERATING, INC., a Delaware corporation
		
	By:	 	 /s/ Greg C. Miller

		 	Greg C. Miller
	Its:	 	Vice President Corporate Development & Financial Planning
		
	By:	 	 /s/ Paul Eiseman

	Its:	 	VP Development

  

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 EXHIBIT A-23 
 Legal Description of the Land of the Carthage, Tennessee Facility 
 (Facility No. 0274) 

 LEGAL DESCRIPTION 
 The land referred to herein is described as follows: 
 TRACT 1: 
 LAND in the Town of Carthage, First (1st) Civil District of Smith County, Tennessee, being more particularly described according to a survey made by HLS, Inc.,
Consulting Engineers, dated April 1983, of record in Plat Book 3, page 24, Register’s Office for Smith County, Tennessee, as follows: 
 BEGINNING at an
iron pin located in the fence on the west side of the subject property, said iron pin being at the southwest corner of the subject property, and being further identified as being North 8 degrees 36 minutes East 433.20 feet from the Fisher Heirs
southwest corner; running thence North 8 degrees 36 minutes East 228.24 feet with the fence to an iron pin; thence North 23 degrees 52 minutes East 375.0 feet to an iron pin located at the northwest corner of the subject property; thence South 81
degrees 26 minutes East 316.0 feet to an iron pin located at the northeast corner of the subject property; thence South 8 degrees 36 minutes West 589.9 feet to an iron pin located at the southeast corner of the subject property; thence North 81
degrees 26 minutes West 414.84 feet to the point of beginning, containing 5.21 acres, more or less. 
 TRACT 2: 
 LAND in the Town of Carthage, First (1st) Civil District of Smith County, Tennessee, and being more particularly described according to a survey made by
Petty & Petty, Surveyors, dated September 15, 1983, which is a re-survey of Part of Lot No. 1 and of Lot No. 2, as shown on plan of record in Warranty Deed Book 59, page 320, Register’s Office for Smith County,
Tennessee, said survey by Petty & Petty, Surveyors, being of record in Plat Book 3, page 22, said Register’s Office, as follows: 
 Said Lot
begins at an iron pipe located on the easterly right of way of Hospital Drive, the common northwest corner of the subject property and southwest comer of the Dr., Robert J. Wright property; running thence South 82 degrees 10 minutes 00 seconds East
186.00 feet with the Wright south line to an iron pipe by a cedar tree; thence South 23 degrees 52 minutes 00 seconds West 177.00 feet to an iron pipe; thence North 80 degrees 02 minutes 07 seconds West 143.20 feet to an iron pipe located on the
easterly right of way of Hospital Drive; thence North 9 degrees 55 minutes 00 seconds East 164.89 feet with the easterly right of way of Hospital Drive to the point of beginning, containing 27.628 square feet, more or less. 
 TOGETHER WITH THE FOLLOWING EASEMENTS: 
 Being two certain tracts or parcels
of land located and situated in the Town of Carthage, First (1st) Civil District of Smith County, Tennessee, and being more particularly described according to a survey made by Petty & Petty, Surveyors, dated July 18, 1983, of
record in Plat Book 3, page 24, Register’s Office for Smith County, Tennessee. 
 [Carthage, TN] 

 EASEMENT TRACT 1: 
 BEGINNING
at a point, same being located on the south line of the subject property at the common northwest corner of the Dr. R.J. Wright property and the northeast corner of Hospital Drive; running thence North 64 degrees 45 minutes East 220.00 feet to
an iron pipe; thence North 23 degrees 52 minutes East 50.00 feet to an iron pipe set at the end of a curb; thence North 68 degrees 30 minutes West 42.00 feet to a point; thence South 52 degrees 00 minutes West 58.30 feet to a point; thence South 63
degrees 45 minutes West 148.00 feet with a concrete curb to a point at the end of the curb; thence South 55 degrees 00 minutes West 77.92 feet to a point on the South line of subject property and the north extremity of Hospital Drive; thence South
80 degrees 02 minutes East 60.00 feet along the North extremity of Hospital Drive to the point of Beginning. 
 EASEMENT TRACT 2: 
 BEGINNING at an iron pipe at the end of a curb on the East side of a present paved road leading to the Smith County Memorial Hospital; running thence South 68 degrees 30
minutes East 89.00 feet to an iron pipe located on the West line of the Smith County Health Care Center, Inc., property, same being its Northwest corner; thence South 23 degrees 52 minutes West 50.00 feet with the Smith County Health Care Center,
Inc., West line to an iron pipe; thence North 68 degrees 30 minutes West 89.00 feet to an iron pipe; thence North 23 degrees 52 minutes East 50.00 feet to the point of beginning, containing 0.102 acre, more or less. 
 And being part of the easement granted to Smith County Health Care Center, Inc., by grant of easement from Hospital Corporation of Smith and Overton County, in Warranty
Deed Book 102, pages 409-412, said Register’s Office; and being part of the easement granted to Smith County Health Care Center, Inc., a Tennessee Corporation, by grant of easement from Hospital Development Properties, Inc., a Delaware
Corporation, of record in Deed Book 119, pages 725-728, Register’s Office for Smith County, Tennessee. 
 Being the same property conveyed to Kindred
Nursing Centers Limited Partnership by Special Warranty Deed from The Health and Educational Facilities Board of Smith County, Tennessee, of record in Book 66, page 57, in the Register’s Office for Smith County, Tennessee. 
 [Carthage, TN] 

 EXHIBIT B 
 List of Facilities, Facility Groups and Annual and Monthly Allocated Minimum Rent for 
 the
Facilities 
 (August 1, 2003 – July 31, 2004) 
 [Effective as of Carthage Closing Date and after Sale Property Closings] 
  

											
	 Kindred
 Facility #
	  	 City. St. Location
	  	Group	  	Annual
Allocated
Minimum
Rent	  	Monthly
Allocated
Minimum
Rent
	 0171
	  	Bolivar TN	  	1	  	$	748,470	  	$	62,372.49
	 0174
	  	Camden TN	  	1	  	$	562,083	  	$	46,840.27
	 0175
	  	Jefferson City TN	  	1	  	$	1,054,416	  	$	37,868.04
	 0177
	  	Loudon TN	  	1	  	$	944,025	  	$	78,668.74
	 0178
	  	Memphis TN	  	1	  	$	1,527,793	  	$	127,316.09
	 0179
	  	Huntingdon TN	  	1	  	$	647,690	  	$	53,974.13
	 0183
	  	Ripley TN	  	1	  	$	690,510	  	$	57,542.52
	 0184
	  	Blountville TN	  	1	  	$	708,138	  	$	59,011.52
	 0187
	  	Maryville TN	  	1	  	$	1,142,308	  	$	95,192.35
	 0189
	  	Maryville TN	  	1	  	$	456,023	  	$	38,001.94
	 0274
	  	Carthage TN	  	1	  	$	775,000	  	$	64,583.33
					
		  	Group 2	  		  			  		
					
	 0237
	  	Newark OH	  		  	$	1,446,162	  	$	120,513.48
	 0287
	  	Vincennes IN	  	2	  	$	1,140,058	  	$	95,004.85
	 0271
	  	Mayfield KY	  	2	  	$	606,304	  	$	50,525.30
	 0295
	  	Whitehouse OH	  	2	  	$	466,139	  	$	38,844.89
	 0870
	  	Marion OH	  	2	  	$	528,461	  	$	44,038.38
					
		  	Group 3	  		  			  		
					
	 0849
	  	Denver CO	  	3	  	$	1,098,601	  	$	91,550.12
	 0531
	  	Fairhaven MA	  	3	  	$	391,765	  	$	32,647.12
	 0205
	  	Livermore CA	  	3	  	$	359,118	  	$	29,926.53
	 0541
	  	Westborough MA	  	3	  	$	579,875	  	$	48,322.92
		  		  		  	 	 	  	 	 
		  		  		  	$	15,872,939	  	$	1,322,745.01
		  		  		  	 	 	  	 	 

 EXHIBIT C 
 Number of Licensed and Operating Beds for Each Facility 
 [Effective as of Carthage Closing Date
and after Sale Property Closings] 
  

							
	 Kindred
 Facility #
	  	 City. State Location
	  	# of
Available
Beds
	  	# of
Licensed
Beds

	 0171
	  	Bolivar TN	  	134	  	134
	 0174
	  	Camden TN	  	150	  	150
	 0175
	  	Jefferson City TN	  	170	  	170
	 0177
	  	Loudon TN	  	182	  	182
	 0178
	  	Memphis TN	  	233	  	233
	 0179
	  	Huntingdon TN	  	150	  	150
	 0183
	  	RipleyTN	  	144	  	144
	 0184
	  	Blountville TN	  	170	  	170
	 0187
	  	Maryville TN	  	187	  	187
	 0189
	  	Maryville TN	  	75	  	75
	 0274
	  	Carthage TN	  	128	  	128
				
		  	Group 2	  		  	
				
	 0237
	  	Newark OH	  	300	  	300
	 0287
	  	Vincennes IN	  	205	  	216
	 0271
	  	Mayfield KY	  	100	  	100
	 0295
	  	Whitehouse OH	  	88	  	94
	 0870
	  	Marion OH	  	110	  	110
				
		  	Group 3	  		  	
				
	 0849
	  	Denver CO	  	172	  	180
	 0531
	  	Fairhaven MA	  	106	  	107
	 0205
	  	Livermore CA	  	80	  	83
	 0541
	  	Westborough MA	  	122	  	123

 EXHIBIT F 
 Itemization of Lessor’s Personal Property 

																			
	 Asset
	 	SNo.	 	Cap. date	 	Asset description
	403845	 	0	 	10/03/2001	 	DISPOSAL GARBAGE
	411947	 	0	 	02/04/2002	 	WASHER EXTRACTOR 100LBHARDMOUNT
	421187	 	0	 	04/03/2002	 	WHEELCHAIR TRACER IV W/ASTICULATING LEG
	451749	 	0	 	11/30/2002	 	Equipment – Appraised Value at Purchase
	456804	 	0	 	12/23/2002	 	COPIER DIGITAL AFICIO 1035, ARDF,FINISHER
	465457	 	0	 	02/18/2003	 	ICE MACHINE WATER COOLED 320LB/24HR
	465252	 	0	 	04/11/2003	 	BED ULTRACARE 80” W/STAFF CTL ASTRAIL
	469252	 	1	 	04/11/2003	 	MATTRESS GEO-MATTRESS PLUS W/WINGS 80”
	469253	 	0	 	04/11/2003	 	BED ULTRACARE 80” W/STAFF CTL ASTRAIL
	469253	 	1	 	04/11/2003	 	MATTRESS GEO-MATTRESS PLUS W/WINGS 80”
	469254	 	0	 	04/11/2003	 	BED ULTRACARE 80” W/STAFF CTL ASTRAIL
	469254	 	1	 	04/11/2003	 	MATTRESS GEO-MATTRESS PLUS W/WINGS 80”
	469255	 	0	 	04/11/2003	 	BED ULTRACARE 80” W/STAFF CTL ASTHDL
	469255	 	1	 	04/11/2003	 	MATTRESS GEO-MATTRESS PLUS W/WINGS 80”
	469258	 	0	 	04/11/2003	 	BED ULTRACARE 80” W/STAFF CTL ASTHDL
	469259	 	1	 	04/11/2003	 	MATTRESS GEO-MATTRESS PLUS W/WINGS 80”
	469253	 	2	 	04/11/2003	 	FREIGHT
	470001	 	0	 	03/21/2003	 	STRAP STANDING DEVICE OVATION
	500104	 	0	 	08/13/2003	 	REFRIGERATOR W/FULL DOORS TWOSECTIONS
	500812	 	0	 	07/31/2003	 	LIFT STAND UP W/LOW BASE W/2BATTERIES
	504199	 	0	 	09/20/2003	 	ULTRASOUND & STIMULATOR INTELECTCOMBO
	521661	 	0	 	01/09/2004	 	EXERCISE APPARATUS
	531640	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531641	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531642	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531643	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531644	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531645	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531646	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531647	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531648	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531649	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531650	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531651	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531652	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531653	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531654	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531655	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531656	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531657	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531658	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531659	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531660	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531661	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531662	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531663	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531664	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531665	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531666	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531667	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531668	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531669	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531670	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531671	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531672	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531673	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531674	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531675	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531676	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531677	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531678	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531679	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531680	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531681	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531682	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531683	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531684	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531685	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531686	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531687	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531688	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531689	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531690	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531691	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531692	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531693	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531694	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531695	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531696	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531697	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531698	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531699	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531700	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531701	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531702	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531703	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL

  

																			
	 Asset
	 	SNo.	 	Cap. date	 	Asset description
	531704	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531705	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531706	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531707	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531708	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531709	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531710	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531711	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531712	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531713	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531714	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531715	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531716	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531717	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531718	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531719	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531720	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531721	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531722	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531723	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531724	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531725	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531726	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531727	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531728	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531729	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531730	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531731	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531732	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531733	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531734	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531735	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531736	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531737	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531738	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531739	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531740	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531741	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531742	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531743	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531744	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531745	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531746	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531747	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531748	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531749	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531750	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	531751	 	0	 	02/06/2004	 	BED	 	ULTRACARE	 	80”	 	W/STAFF	 	CTL	 	AST	 	RAIL
	537507	 	0	 	03/11/2004	 	CONVECTION OVER SNG DECK 150826
	552306	 	0	 	04/30/2004	 	CABINET STORAGE 45-GAL FORFLAMMABLES
	
	 Asset determination 00018090 MAJOR MOVABLE

	414020	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P3/866MHZ 15GB128MB
	414021	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P3/866MHZ 15GB128MB
	414022	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P3/866MHZ 15GB128MB
	414023	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414024	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414025	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414026	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414027	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414028	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414029	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414030	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414031	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414032	 	0	 	01/01/2002	 	I 215002 - CPU SLIMLINE P1.0/20GB/128MB
	414033	 	0	 	01/01/2002	 	I 215002 - CISCO ROUTER
	414034	 	0	 	01/01/2002	 	I 215002 - COMPAQ SERVER ML370
	414035	 	0	 	01/01/2002	 	I 215002 - LASERJET PRINTER
	414036	 	0	 	01/01/2002	 	I 215002 - SPRINT 2 SWITCHES
	414037	 	0	 	01/01/2002	 	I 215002 - SPRINT 2 SWITCHES
	414038	 	0	 	01/01/2002	 	I 215002 - TIMECLOCK ECOT N/BARCODE
	414039	 	0	 	01/01/2002	 	I 215002 - GE CAPITAL CABLING
	432513	 	0	 	06/19/2002	 	PCR: COMPAQ DESKTOP
	434789	 	0	 	06/26/2002	 	PCR: COMPAQ DESKTOP [Not Readable]
	469932	 	0	 	03/20/2003	 	PCR: DESKTOP ACCESSORIES
	473654	 	0	 	04/08/2003	 	NETGAIN: CABLING FOR DSSI PROJECT
	499918	 	0	 	07/01/2003	 	I228207 - DSSI COMPAQ EVO D510
	503985	 	0	 	08/01/2003	 	I228207 - DSSI LEXMARK X5226 PRINTERFirst Amendment to Master Lease Agreement

 EXHIBIT 10.59 
 FIRST AMENDMENT TO MASTER LEASE AGREEMENT 
 THIS FIRST AMENDMENT TO MASTER LEASE AGREEMENT
(“Amendment”) is dated as of June 20, 2007 (“Amendment Effective Date”) between HCRI MASSACHUSETTS PROPERTIES TRUST II, a Massachusetts business trust organized under the laws of the Commonwealth of Massachusetts
(“Landlord”), having its principal office located at One SeaGate, Suite 1500, P. O. Box 1475, Toledo, Ohio 43603-1475, and KINDRED NURSING CENTERS EAST, L.L.C., a Delaware limited liability company organized under the laws of the
State of Delaware (“Tenant”), having its chief executive office located at 680 South Fourth Avenue, Louisville, Kentucky 40202. 
 R E C I T A L S 
 A. Landlord has leased to Tenant property located in Massachusetts
(collectively called “Property”) pursuant to a Master Lease Agreement dated as of February 28, 2006, as amended from time to time (“Lease”). 
 B. As of the Amendment Effective Date of this Amendment, and pursuant to the exercise of Tenant’s Option to Purchase, HCN-MA II has conveyed the Dedham MOB (as defined in the Lease) located in Dedham
Massachusetts. 
 C. Landlord and Tenant desire to amend the Lease to remove the Dedham MOB from the Lease. 
 NOW, THEREFORE, in consideration of the foregoing recitals and for other good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, the parties hereto agree as follows. 
 1. Definitions. Any capitalized terms not defined in this Amendment shall have
the meaning set forth in the Lease. 
 2. Amended Definitions. The definitions of “Investment Amount”, “Option
Amount”, and “Rent Schedule” in §1.4 of the Lease are hereby amended to read in their entireties as follows (added language in italics): 
 “Investment Amount means $122,000,000.00 as of the Effective Date less the sum of (i) the MOB Base Price plus (ii) one-third of the property appreciation (as defined in Section 13.8). 

“Option Amount” means the Investment Amount (as of the Effective Date), plus a cumulative annual increase by 2% on each anniversary of the
Commencement Date less the sum of [i] the MOB Base Price plus (ii) one-third of the property appreciation (as defined in Section 13.8). 

 “Rent Schedule” means the schedule issued by Landlord to Tenant showing the Base Rent to be
paid by Tenant pursuant to the terms of this Lease, as such schedule is amended from time to time by Landlord. The initial Rent Schedule is attached to this Lease as Schedule 1 or will be attached following Closing if the Rent Schedule cannot be
determined until the day of Closing. The Rent Schedule to be in effect upon the Amendment Effective Date of the First Amendment to Master Lease Agreement is attached as Schedule 1-A. 
 3. Amendment Rent Schedule. The Lease is hereby amended to add a new Schedule 1-A in the form of Schedule 1-A attached hereto and made a part
hereof. 
 4. Legal Description. Exhibit A-5 of the Lease is hereby amended to read in its entirety as set forth on Exhibit A-5
attached hereto and made a part hereof. 
 5. Permitted Exceptions. Exhibit B-5 of the Lease is hereby amended to read in its entirety
as set forth on Exhibit B-5 attached hereto and made a part hereof. 
 6. Facility Information. Exhibit C of the Lease is hereby
amended to read in its entirety as set forth on Exhibit C attached hereto and made a part hereof. 
 7. Assigned Leases and Tenancies.
Exhibit G of the Lease is hereby amended to read in its entirety as set forth on Exhibit G attached hereto and made a part-hereof. 
 8.
Affirmation. Except as specifically modified by this Amendment, the terms and provisions of the Lease are hereby affirmed and shall remain in full force and effect. 
 9. Binding Effect. This Amendment will be binding upon and inure to the benefit of the successors and permitted assigns of Landlord and Tenant.

 10. Further Modification. The Lease may be further modified only by writing signed by Landlord and Tenant. 
 11. Counterparts. This Amendment may be executed in multiple counterparts, each of which shall be deemed an original hereof, but all of which will
constitute one and the same document. 
 12. Consent of Guarantor. This Amendment shall have no force or effect unless and until each
Guarantor has executed the Consent of Guarantor set forth below. 
 [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]

  

 2 

 IN WITNESS WHEREOF, Landlord and Tenant have executed this Amendment as of the date first set forth
above. 
  

									
	Signed and acknowledged in the presence of:	 	HCRI MASSACHUSETTS PROPERTIES TRUST II
				
	 Signature
 Print Name
	 	 /s/ Rita J. Rogge
 Rita J.
Rogge
	 	By:	 	HCRI Massachusetts Properties, Inc., as Trustee, and not individually, and subject to the provisions of the Declaration of Trust of HCRI Massachusetts Properties Trust II filed with
the Secretary of the Commonwealth of Massachusetts and the City Clerk of Boston
		 		 		 		 	
	Signature	 	 /s/ Donna J. Lunsford
	 		 		 	
	Print Name	 	Donna J. Lunsford	 		 		 	
					
		 		 		 	By:	 	 /s/ Erin C. Ibele

		 		 		 		 	Erin C. Ibele
		 		 		 		 	Senior Vice President –
		 		 		 		 	Administration and Corporate Secretary
					
		 		 		 	By:	 	 /s/ Michael A. Crabtree

		 		 		 		 	Michael A. Crabtree
		 		 		 		 	Vice President and Treasurer
			
	 	 	 	 	KINDRED NURSING CENTERS EAST, L.L.C.
			
	Signature	 	 /s/ RICHARD MYERS
	 	
	Print Name	 	RICHARD MYERS	 	By:	 	 /s/ Gregory C. Miller

	Signature	 	 /s/ MARILYN A. WEAVER
	 		 	Gregory C. Miller
	 	 	Its:	 	Senior Vice President
	Print Name	 	MARILYN A. WEAVER	 		 	Corporate Development and Financial Planning

  

 S-1 

					
	STATE OF OHIO	  	)	  	
		  	)	  	SS:
	COUNTY OF LUCAS	  	)	  	

 The foregoing instrument was acknowledged before me this 15 day of June, 2007 by Erin C. Ibele, the
Senior Vice President-Administration and Corporate Secretary of HCRI Massachusetts Properties, Inc., a Delaware corporation, as Trustee, on behalf of and as the free act and deed of HCRI Massachusetts Properties Trust II, a Massachusetts business
trust. 
  

			
		  	 /s/ Rita J. Rogge

		  	Notary Public
		
	My Commission Expires:
                                        
                    	  	[SEAL]
		  	

 COMMONWEALTH KENTUCKY 
 Jefferson, ss. 
 On this 18th day of June, 2007, before me, the undersigned notary public, personally
appeared Gregory C. Miller, the Sr. V.P. Corp. Dev. & Fin. Planning of KINDRED NURSING CENTERS EAST, L.L.C. and proved to me through satisfactory evidence of identification, which was a Kentucky Driver’s License, to be the person whose name
is signed on this document, and acknowledged to me that he signed it voluntarily in his capacity as Sr. V.P. Corp. Dev. & Fin. Pl. for its stated purpose, as his free act and deed and the free act and deed of KINDRED NURSING CENTERS EAST, L.L.C.

  

	
	 /s/ Patricia A. Burkhead

	Notary Public
	My commission expires:
	
	

 THIS INSTRUMENT PREPARED BY: 
 Cynthia L. Rerucha, Esq. 
 Shumaker, Loop & Kendrick, LLP 
 1000 Jackson Street 
 Toledo, Ohio 43624 
  

 S-2 

 CONSENT OF GUARANTOR 
 In connection with the Unconditional and Continuing Lease Guaranty (“Guaranty”) made by the undersigned Guarantors in favor of Landlord dated as of February 28, 2006, the undersigned Guarantors hereby
[i] consent to the foregoing First Amendment to Master Lease Agreement (“Amendment”), [ii] affirm the Guaranty which shall remain in full force and effect and secure the Guaranteed Obligations, as defined in the Guaranty, and [iii] waive
any suretyship defenses arising in connection with the Amendment All capitalized terms not defined herein shall have the meaning set forth in the foregoing Amendment. 
  

			
	 KINDRED HEALTHCARE OPERATING, INC.

		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	 Senior Vice President
 Corporate Development and
Financial Planning

	
	HARBORLIGHTS NURSING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	 Senior Vice President
 Corporate Development and
Financial Planning

	
	HIGHLANDER NURSING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	 Senior Vice President
 Corporate Development and
Financial Planning

	
	BRAINTREE NURSING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	 Senior Vice President
 Corporate Development and
Financial Planning

	
	MASSACHUSETTS ASSISTED LIVING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	 Senior Vice President
 Corporate Development and
Financial Planning

			
	LAUREL LAKE HEALTH AND REHABILITATION, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	Senior Vice President
		 	Corporate Development and Financial Planning
	
	HIGHGATE NURSING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	Senior Vice President
		 	Corporate Development and Financial Planning
	
	AVERY MANOR NURSING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	Senior Vice President
		 	Corporate Development and Financial Planning
	
	COUNTRY ESTATES NURSING, L.L.C
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	Senior Vice President
		 	Corporate Development and Financial Planning
	
	TOWER HILL NURSING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	Senior Vice President
		 	Corporate Development and Financial Planning

  

 2 

			
	FORESTVIEW NURSING, L.L.C.
		
	By:	 	 /s/ Gregory C. Miller

		 	Gregory C. Miller
	Its:	 	Senior Vice President
		 	Corporate Development and Financial Planning

  

 3 

 KINDRED HEALTHCARE OPERATING. INC. - MASTER LEASE 
 HEALTH CARE REIT, INC. 
  

						
	 EFFECTIVE DATE
	  	03/01/06	 	 	
			
	 INITIAL TERM COMMENCEMENT DATE
	  	03/01/06	 	 	Final
	 INITIAL TERM
	  	15 Yrs	 	 	
	 INITIAL TERM EXPIRATION DATE
	  	02/28/21	 	 	
	 INITIAL INVESTMENT AMOUNT
	  	122 000,000	 	 	
	 REVISED LEASE AMOUNT - 06/20/2007
	  	118.926,986	 	 	
			
	 RATE OF RETURN
	  	N/A	 	 	
	 (365/360 BASIS)
	  	N/A	 	 	
			
	INITIAL RATE OF RETURN	  	8.75	%	 	
		  	 	 	 	
		
	INCREASER	  	As defined within the Master Lease Agreement

  

																			
	 	  	DATES	  	 	  	 	 	 	 	 	  	 	  	 	  	 
	 LEASE YEAR
	  	FROM	  	TO	  	REVENUE
CONDITION MET
(YES/NO)	  	INCREASER
(BP)	 	BEGINNING
RENT RATE
OF RETURN
(ROUNDED}	 	PERCENTAGE
RATE
SHORTFALL	  	ADJUSTED
RENT RATE
OF RETURN
(ROUNDED)	  	MONTHLY
RENT
AMOUNT	  	ANNUAL
RENT AMOUNT
	 1
	  	03/01/06	  	02/28/07	  	YES	  	N/A	 	8.75%	 	N/A	  	N/A	  	889,583.33	  	10,674,999.96
	 2
	  	03/01/07	  	05/31/07	  	TBD	  	2.5%	 	8.97%	 	N/A	  	N/A	  	911,822.91	  	2,735,468.73
	 2A
	  	06/01/07	  	06/19/07	  	N/A	  	N/A	 	8.97%	 	N/A	  	N/A	  	577,568.33	  	
	 2B
	  	06/20/07	  	06/30/07	  	N/A	  	N/A	 	8.97%	 	N/A	  	N/A	  	325,959.05	  	903,527.38
	 2C
	  	07/01/07	  	02/28/08	  	N/A	  	N/A	 	8.97%	 	N/A	  	N/A	  	888,979.22	  	7,111,833.76
	 3
	  	03/01/08	  	02/28/09	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979 22	  	10,667,750.64
	 4
	  	03/01/09	  	02/28/10	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 5
	  	03/01/10	  	02/28/11	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 6
	  	03/01/11	  	02/29/12	  	TBD	  	TBD	 	8.97%	 	TSD	  	TBD	  	888,979.22	  	10,667,750.64
	 7
	  	03/01/12	  	02/28/13	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979 22	  	10,667,750.64
	 8
	  	03/01/13	  	02/28/14	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 9
	  	03/01/14	  	02/28/15	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 10
	  	03/01/15	  	02/29/16	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 11
	  	03/01/16	  	02/28/17	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 12
	  	03/01/17	  	02/28/18	  	TBD	  	TBD	 	8.87%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 13
	  	03/01/18	  	02/28/19	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 14
	  	03/01/19	  	02/29/20	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64
	 15
	  	03/01/20	  	02/28/21	  	TBD	  	TBD	 	8.97%	 	TBD	  	TBD	  	888,979.22	  	10,667,750.64

  

					
	 12/12/2007
	  		  	

 EXHIBIT A-5: LEGAL DESCRIPTION 
 Facility Name: Highgate Manor Center for Health and Rehabilitation 
 The land together with the
improvements now or hereafter located thereon, situated in Dedham, Norfolk County, Commonwealth of Massachusetts, known as 10 Carematrix Drive, being depicted as Lot 9 on a plan entitled, “Subdivision of Lot 5 as shown on Land Court Plan 25941B
in Dedham, Massachusetts Prepare for Dedham Endicott LLC, Prepared by Vanasse Hangen Brustlin, Inc., Scale: 1 inch = 80 Feet, Dated July 6, 2005, Revised: August 5, 2005,” filed with the Land Registration Office on May 30, 2007
and filed as Land Court Plan No. 25941C. 

 EXHIBIT B-5: PERMITTED EXCEPTIONS 
 Facility Name: Highgate Manor Center for Health and Rehabilitation 
  

	1.	The lien of real estate taxes and other governmental charges not yet due and payable and the lien of municipal betterments assessed after the Effective Date of this Lease (including
the tax payments required by the agreement among the Town of Dedham, Massachusetts, HCRI Massachusetts Properties Trust II and WEJJ-MED Realty LLC dated May 1, 2002). 

  

	2.	The rights of tenants and parties in possession pursuant to the Assigned Leases and Tenancies. 

  

	3.	Title to and rights of the public and others entitled thereto in and to those portions of the insured premises lying within the bounds of adjacent streets, roads, and ways.

  

	4.	All matters as shown on the survey entitled “ALTA/ACSM Land Title Survey Special K Highgate Manor Center for Health & Rehab. 10 Care Matrix Dr. (One Allied Drive)
Dedham, MA County of Berkshire” drawn by American National llc, dated July 26, 2005, Reference No. 20050110-006 (the “Survey”) including: a. Utility Pole and overhead utility lines encroach onto premises by 65.26’; b.
Sewer line encroaches onto adjacent property by 14.52’; c. Storm sewer line encroaches onto adjacent property by 45.87’. 

  

	5.	Easement to New England Telephone and Telegraph Company and Boston Edison Company dated March 12, 1996 and filed as Document No. 745303. 

  

	6.	Rights of way and agreements as set forth in a deed from Joseph Schwartz to United States Rubber Company, dated December 30, 1955, recorded in Book 3438, Page 444, and in a
deed from Joseph Schwartz to Allied Container Corporation, dated December 30, 1955, recorded in Book 3438, Page 446, as shown on the Survey, as affected by an agreement set forth in an instrument by and among Joseph Schwartz, Allied Container
Corporation, and United States Rubber Company, dated December 21, 1956, filed as Document No. 189581. 

  

	7.	Taking by the Town of Dedham for the layout of Allied Drive, by Instrument dated April 10, 1958, filed as Document No. 198103. 

  

	8.	10’ wide drainage easement across a portion of Lot 6 (Allied Drive Extension), recorded in Book 293, Page 127. NOTE: This easement affects only a portion of Lot 6 of Land Court
Plan 25941. 

  

	9.	Right of Way granted to the Massachusetts Bay Transportation Authority as recited in Taking dated June 16, 1993 and filed as Document No. 659951. 

	10.	Access Rights over Allied Drive and utility easements over Lot 5, as set forth in the taking by Massachusetts Bay Transportation Authority dated March 29, 1995 and filed as
Document No. 712036. 

  

	11.	Order of Department of Natural Resources dated November 14, 1974, filed as Document No. 346776. 

  

	12.	Order of Conditions, DEP File No. 141-72, filed as Document No. 558736, as affected by Certificate of Compliance by the Dedham Conservation Commission Filed as Document
No. 581494. 

  

	13.	Amended Order of Conditions by the Town of Dedham Conservation Commission filed as Document No. 741912, as affected by a Partial Certificate of Compliance filed as Document
No. 921377. 

  

	14.	Second Amended Order of Conditions from the Town of Dedham Conservation Commission, DEP File No. 141-175, filed as Document No. 792555, as affected by a Partial
Certificate of Compliance filed as Document No. 921377. 

  

	15.	Order of Conditions, DEP File No. 141-101, filed as Document No. 599671, as affected by an Amended Order of Conditions filed as Document No. 741912, as affected by a
Partial Certificate of Compliance recorded as Document No. 921377 and as further affected by a Second Amended Order of Conditions recorded as Document No. 792555. 

  

	16.	Decision by the Town of Dedham Zoning Board of Appeals filed as Document No. 1048362. 

  

	17.	Declaration of Easements by HCRI Massachusetts Properties Trust II. 

  

 2 

 EXHIBIT C: FACILITY INFORMATION 
  

					
	 Facility Name
 Affiliate Subtenant
	  	 Street Address County
	  	 Facility Type
(per
license)
Beds/Units

	  	  
	  	  
	 Harborlights Rehabilitation and
 Nursing
Center
 (“South Boston Facility”)
  
 Harborlights Nursing, L.L.C.
	  	 804 East 7th Street
 South Boston, MA
 02127
 Suffolk County
	  	 Convalescent or
 Nursing Home
 89 licensed beds
 89 operating beds
 46 units

			
	 Highlander Rehabilitation and
 Nursing Center

(“Fall River Facility”)
  
 Highlander Nursing, L.L.C.
	  	 1748 Highland Avenue
 Fall River, MA 02720
 Bristol County
	  	 Convalescent or
 Nursing Home
 176 licensed beds
 176 operating beds
 88 units

			
	 Braintree Manor Rehabilitation and
 Nursing
Center
 (“Braintree Facility”)
  
 Braintree Nursing, L.L.C.
	  	 1102 Washington Street
 Braintree, MA 02184
 Norfolk County
	  	 Convalescent or
 Nursing Home
 177 licensed beds
 164 operating beds
   74 units

			
	 Laurel Lake Center for Health and
 Rehabilitation and The Village at
 Laurel Lake
 (“Laurel Lake Facility”)
  
 Laurel Lake Health and
 Rehabilitation, L.L.C. (SNF)
  
 Massachusetts Assisted Living,
 L.L.C.(ALF)
	  	 600-620 Laurel Street
 Lee, MA
01238
 Berkshire County
	  	 Nursing Home
 88 licensed beds
 88 operating beds
 48 units
 Assisted Living
 Facility
 66 beds
 53 licensed units
 53 operating units

	  	  
	  	  
	  	  
	  	  
	  	  
	  	  
	  	  
	  	  
	  	  
			
	 Highgate Manor Center for Health
 and
Rehabilitation
 (“Dedham Facility”)
  
 Highgate Nursing, L.L.C.
	  	 10 CareMatrix Drive
 Dedham, MA
02026
 Norfolk County
	  	 Nursing Home
 142 licensed beds
 142 operating beds
   79 units

	  	  
	  	  
	  	  
	  	  

					
	 Facility Name
 Affiliate Subtenant
	  	 Street Address County
	  	 Facility Type

 (per license)

 Beds/Units

	  	  
	  	  
	 Avery Manor, Avery Crossing, and
 Avery
Medical Office Building
 (“Needham Facility”)
  
 Avery Manor Nursing, L.L.C. (SNF)
  
 Massachusetts Assisted Living,
 L.L.C. (ALF)
	  	 100-110 West Street
 Needham, MA
02494
 Norfolk County
	  	 Nursing Home
 142 licensed beds
 142 operating beds
   76 units
 Assisted Living
 Facility
   60 operating beds
   60 licensed units
   60 operating units

	  	  
	  	  
	  	  
	  	  
	  	  
	  	  
	  	  
	  	  
			
	 Country Estates of Agawam
 (“Agawam
Facility”)
  
 Country Estates Nursing, L.L.C.
	  	 1200 Suffield Street
 Agawam, MA
01001
 Hampden County
	  	 Nursing Home
 176 licensed beds
 176 operating beds
 100 units

	  	  
	  	  
	  	  
			
	 Tower Hill Center for Health and
 Rehabilitation
 (“Canton Facility”)
  
 Tower Hill Nursing, L.L.C.
	  	 One Meadowbrook Way
 Canton, MA
02021
 Norfolk County
	  	 Nursing Home
 164 licensed beds
 164 operating beds
 90 units

	  	  
	  	  
	  	  
	  	  
			
	 Forestview Nursing Home of
 Wareham
 (“Wareham Facility”)
  
 Forestview Nursing, L.L.C.
	  	 50 Indian Neck Road
 Wareham, MA
02571
 Plymouth County
	  	 Nursing Home
 175 licensed beds
 175 operating beds
   91 units

	  	  
	  	  
	  	  
	  	  

  

 2 

 EXHBIT G: ASSIGNED LEASES AND TENANCIES 

 AVERY MEDICAL OFFICE BUILDING LEASES 
  

							
	 Name of Tenant/Subtenant
	  	 Lease Date
	  	 S.F
	  	 Premises

	Deaconess Glover Hospital	  	Tenant-At-Will	  	3,520	  	 98 West Street
 Needham, MA

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