AMENDMENT NO. 1 TO THIRD AMENDED AND RESTATED LOAN AGREEMENT BY AND AMONG HEALTH CARE REIT, INC. AND CERTAIN OF ITS SUBSIDIARIES, THE BANKS SIGNATORY HERETO AND KEYBANK NATIONAL ASSOCIATION, AS ADMINISTRATIVE AGENT FOR SUCH BANKS, DEUTSCHE BANK SECURITIES INC., AS SYNDICATION AGENT AND UBS SECURITIES LLC, BANK OF AMERICA, N.A. JPMORGAN CHASE BANK, N.A. AS DOCUMENTATION AGENTS SEPTEMBER 20, 2006 KEYBANK NATIONAL ASSOCIATION AND DEUTSCHE BANK SECURITIES INC., AS JOINT LEAD ARRANGERS AND JOINT BOOK MANAGERS

Exhibit 10.1

AMENDMENT NO. 1 TO
THIRD AMENDED AND RESTATED LOAN AGREEMENT

BY AND AMONG

HEALTH CARE REIT, INC.
AND CERTAIN OF ITS SUBSIDIARIES,

THE BANKS SIGNATORY HERETO

AND

KEYBANK NATIONAL ASSOCIATION,
AS ADMINISTRATIVE AGENT FOR SUCH BANKS,

DEUTSCHE BANK SECURITIES INC.,
AS SYNDICATION AGENT

AND

UBS SECURITIES LLC,
BANK OF AMERICA, N.A.
JPMORGAN CHASE BANK, N.A.
AS DOCUMENTATION AGENTS

SEPTEMBER 20, 2006

KEYBANK NATIONAL ASSOCIATION
AND
DEUTSCHE BANK SECURITIES INC.,
AS JOINT LEAD ARRANGERS AND JOINT BOOK MANAGERS

AMENDMENT NO. 1 TO
THIRD AMENDED AND RESTATED LOAN AGREEMENT

     AGREEMENT (this “Amendment No. 1”), made as of the 20th day of September, 2006, by and among:

     HEALTH CARE REIT, INC., a Delaware corporation, and each of the other entities listed on Exhibit 1 annexed hereto (individually, a “Borrower” and collectively, the “Borrowers”);

     The Banks that have executed the signature pages hereto (individually, a “Bank” and, collectively, the “Banks”); and

     KEYBANK NATIONAL ASSOCIATION, a national banking association, as Administrative Agent for the Banks (in such capacity, together with its successors in such capacity, the “Agent”).

W I T N E S S E T H:

     WHEREAS:

     (A) The Borrowers, the Agent, Deutsche Bank Securities Inc., as Syndication Agent, and UBS Securities LLC, Bank of America, N.A. and JPMorgan Chase Bank, N.A., as Documentation Agents and the Banks entered into a certain Third Amended and Restated Loan Agreement dated July 26, 2006 (the “Original Loan Agreement”; the Original Loan Agreement, as amended hereby, and as it may hereafter be further amended, modified or supplemented, is hereinafter referred to as the “Loan Agreement”);

     (B) The Borrowers wish to amend Section 7.4 (Mergers, Acquisitions) of the Original Loan Agreement and the Banks and the Agent are willing to amend said Section 7.4 on the terms and conditions hereinafter set forth; and

     (C) All capitalized terms used herein which are not otherwise defined herein shall have the respective meanings ascribed thereto in the Original Loan Agreement.

     NOW, THEREFORE, the parties hereto agree as follows:

     ARTICLE 1. Amendment to Original Loan Agreement.

          Section 1.1 Section 7.4 of the Original Loan Agreement is hereby deleted in its entirety and the following is substituted therefor:

     “Merge or consolidate with any Person, or, acquire all or substantially all of the assets or any of the capital stock or other equity interests of any Person unless (a) a Borrower is the surviving entity, (b) no Default or Event of Default exists or will occur after giving effect thereto, and (c) the approval of the stockholders of HCRI is not required under Section 312.03(c) of the New York Stock Exchange’s Listed Company Manual or any successor provision of such manual.”

          Section 1.2 (a) All references in the Original Loan Agreement and the other Loan Documents to the “Loan Agreement”, and also in the case of the Original Loan Agreement to “this Agreement”, shall be deemed to refer to the Original Loan Agreement, as amended hereby.

               (b) The Original Loan Agreement and the other Loan Documents shall each be deemed amended and supplemented hereby to the extent necessary, if any, to give effect to the provisions of this Agreement.

     ARTICLE 2. Representations and Warranties.

          (a) The Borrowers hereby confirm, reaffirm and restate to each of the Banks and the Agent all of the representations and warranties set forth in Article 3 of the Original Loan Agreement as if such representations and warranties were made as of the date hereof, except for changes in the ordinary course of business which, either singly or in the aggregate, would not have a Material Adverse Effect.

          (b) (i) The execution, delivery and performance by each Borrower of this Amendment No. 1 are within its organizational powers and have been duly authorized by all necessary action (corporate or otherwise) on the part of each Borrower, (ii) this Amendment No. 1 is the legal, valid and binding obligation of each Borrower, enforceable against each Borrower in accordance with its respective terms, and (iii) the execution, delivery and performance by each Borrower of this Amendment No. 1 does not: (A) contravene the terms of any Borrower’s organizational documents, (B) conflict with or result in a breach or contravention of, or the creation of any lien under, any document evidencing any contractual obligation to which any Borrower is a party or any order, injunction, writ or decree to which any Borrower or its property is subject, or (C) violate any requirement of law.

     ARTICLE 3. Conditions to Effectiveness of this Agreement.

     This Amendment No. 1 shall become effective on the date of the fulfillment (to the satisfaction of the Agent) of the following conditions precedent:

     (a) This Amendment No. 1 shall have been executed and delivered to the Agent by a duly authorized representative of the Borrowers, the Agent and the Required Banks.

     (b) All legal matters incident hereto shall be satisfactory to the Agent and its counsel.

     ARTICLE 4. Miscellaneous.

          Section 4.1 Article 10 of the Original Loan Agreement. The miscellaneous provisions under Article 10 of the Original Loan Agreement, together with the definition of all terms used therein, and all other sections of the Original Loan Agreement to which Article 10 refers are hereby incorporated by reference as if the provisions thereof were set forth in full herein, except that (i) the term “Loan Agreement” shall be deemed to refer, respectively, to the Original Loan Agreement, as amended by this Amendment No. 1, (ii) the term “this Agreement” shall be deemed to refer to this Amendment No. 1; and (iii) the terms “hereunder” and “hereto” shall be deemed to refer to this Amendment No. 1.

          Section 4.2 Continued Effectiveness. Except as amended hereby, the Original Loan Agreement and the other Loan Documents are hereby ratified and confirmed in all respects and shall remain in full force and effect in accordance with their respective terms.

          Section 4.3 Counterparts. This Amendment No. 1 may be executed by the parties hereto in one or more counterparts, each of which shall be an original and all of which shall constitute one and the same agreement.

[Signature Pages to Follow]

     IN WITNESS WHEREOF, the parties hereto have caused this Amendment No. 1 to be duly executed on the date first above written.

HEALTH CARE REIT, INC.
HCRI PENNSYLVANIA PROPERTIES, INC.
HCRI TEXAS PROPERTIES, INC.
HCRI TEXAS PROPERTIES, LTD.
      By Health Care REIT, Inc.,
      Its General Partner
HCRI NEVADA PROPERTIES, INC.
HCRI LOUISIANA PROPERTIES, L.P.
      By HCRI Southern Investments I, Inc.,
      Its General Partner
HEALTH CARE REIT INTERNATIONAL, INC.
HCN ATLANTIC GP, INC.
HCN ATLANTIC LP, INC.
HCN BCC HOLDINGS, INC.
HCRI INDIANA PROPERTIES, INC.
HCRI INDIANA PROPERTIES, LLC
      By Health Care REIT, Inc.,
      Its Member
HCRI LIMITED HOLDINGS, INC.
HCRI MASSACHUSETTS PROPERTIES, INC.
HCRI MASSACHUSETTS PROPERTIES TRUST
      By HCRI Massachusetts Properties, Inc.
      Its Trustee
HCRI HOLDINGS TRUST
      By HCRI Massachusetts Properties, Inc.
      Its Trustee
HCRI NORTH CAROLINA PROPERTIES, LLC
      By HCRI North Carolina Properties I, Inc.
      Its Member
HCRI SOUTHERN INVESTMENTS I, INC.
HCRI TENNESSEE PROPERTIES, INC.
PENNSYLVANIA BCC PROPERTIES, INC.
HCRI KENTUCKY PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
HCRI MASSACHUSETTS PROPERTIES TRUST II
      By HCRI Massachusetts Properties, Inc.
      Its Trustee
HCRI MARYLAND PROPERTIES, LLC
     By Health Care REIT, Inc.
     Its Member
HCRI NORTH CAROLINA PROPERTIES I, INC.
HCRI NORTH CAROLINA PROPERTIES III, LIMITED PARTNERSHIP
     By HCRI North Carolina Properties II, Inc.
     Its General Partner
HCRI NORTH CAROLINA PROPERTIES II, INC.
HCRI WISCONSIN PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
HCRI MISSISSIPPI PROPERTIES, INC.

[Borrowers continued on following page]

HCRI ILLINOIS PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
HCRI MISSOURI PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
HCRI SURGICAL PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
HCRI TUCSON PROPERTIES, INC.
HCRI INVESTMENTS, INC.
HCRI CHICAGO PROPERTIES, INC.
HCRI GENERAL PROPERTIES, INC.
HCRI KANSAS PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
HCRI TENNESSEE PROPERTIES, LLC
      By HCRI Tennessee Properties, Inc.
      Its Member
HH FLORIDA, LLC
      By Limited Holdings, Inc.
      Its Member
HCRI NEW HAMPSHIRE PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
HCRI PROVIDER PROPERTIES, LLC
      By Health Care REIT, Inc.
      Its Member
1920 CLEVELAND ROAD WEST, LLC
      By Health Care REIT, Inc., as the Member of
      HCRI Provider Properties, LLC
      Its Member
721 HICKORY STREET, LLC
      By Health Care REIT, Inc., as the Member of
      HCRI Provider Properties, LLC
      Its Member
111 LAZELLE ROAD EAST, LLC
      By Health Care REIT, Inc., as the Member of
      HCRI Provider Properties, LLC
      Its Member
5166 SPANSON DRIVE SE, LLC
      By Health Care REIT, Inc., as the Member of
      HCRI Provider Properties, LLC
      Its Member
1425 YORKLAND ROAD, LLC
      By Health Care REIT, Inc., as the Member of
      HCRI Provider Properties, LLC
      Its Member

[Borrowers continued on following page]

222 EAST BEECH STREET — JEFFERSON, L.L.C.
      By Health Care REIT, Inc., as the Member of
      HCRI Provider Properties, LLC
      Its Member
HCRI SENIOR HOUSING PROPERTIES, INC.
209 MERRIMAN ROAD, L.L.C.
      By Health Care REIT, Inc., as the Member of
      HCRI Provider Properties, LLC
      Its Member
HCRI FINANCING, INC.

		By		/s/ George L. Chapman
				Chief Executive Officer

     GEORGE L. CHAPMAN, as Chief Executive Officer of all of the aforementioned entities, has executed this Amendment No. 1 to Third Amended and Restated Loan Agreement and intending that all entities above named are bound and are to be bound by the one signature as if he had executed this Amendment No. 1 to Third Amended and Restated Loan Agreement separately for each of the above named entities.

		KEYBANK NATIONAL ASSOCIATION,      as Administrative Agent and as a Bank
		By:		/s/ Laura Conway
				Name:		Laura Conway
				Title:		Vice President

		DEUTSCHE BANK AG NEW YORK BRANCH
		By:		/s/ Diane Rolfe
				Name:		Diane Rolfe
				Title:		Director
		By:		/s/ Ming K. Chu
				Name:		Ming K. Chu
				Title:		Vice President

		BANK OF AMERICA, N.A.
		By:		/s/ Kevin R. Wagley
				Name:		Kevin R. Wagley
				Title:		Senior Vice President

		JPMORGAN CHASE BANK, N.A.
		By:		/s/ Jan E. Petrik
				Name:		Jan E. Petrik
				Title:		Senior Vice President

		UBS LOAN FINANCE LLC
		By:		/s/ Richard L. Tavrow
				Name:		Richard L. Tavrow
				Title:		Director
		By:		/s/ Irja R. Otsa
				Name:		Irja R. Otsa
				Title:		Associate Director

		COMERICA BANK
		By:		/s/ Dawn M. Morgulec
				Name:		Dawn M. Morgulec
				Title:		Assistant Vice President

		FIRST TENNESSEE BANK NATIONAL ASSOCIATION
		By:		/s/ Jean M. Brennan
				Name:		Jean M. Brennan
				Title:		Senior Vice President

		LASALLE BANK NATIONAL ASSOCIATION
		By:		/s/ Robert E. Goeckel
				Name:		Robert E. Goeckel
				Title:		Vice President

		CALYON NEW YORK BRANCH
		By:		/s/ Thomas Randolph
				Name:		Thomas Randolph
				Title:		Managing Director
		By:		/s/ Douglas Weir
				Name:		Douglas Weir
				Title:		Director

		EMIGRANT SAVINGS BANK
		By:		/s/ Patricia Goldstein
				Name:		Patricia Goldstein
				Title:		Senior Executive, Vice President

		WACHOVIA BANK, NATIONAL ASSOCIATION
		By:		/s/ Jeanette A. Grifffin
				Name:		Jeanette A. Grifffin
				Title:		Director

		HSH NORDBANK AG, NEW YORK BRANCH
		By:		/s/ Aldo M. Cicilia
				Name:		Aldo M. Cicilia
				Title:		Vice President
		By:		/s/ James Fitzgerald
				Name:		James Fitzgerald
				Title:		Senior Vice President

EXHIBIT 1 TO AMENDMENT NO. 1

LIST OF BORROWERS

 

Name of Borrower		State of Organization
Health Care REIT, Inc.		Delaware
HCRI Pennsylvania Properties, Inc.		Pennsylvania
HCRI Texas Properties, Inc.		Delaware
HCRI Texas Properties, Ltd.		Texas
HCRI Nevada Properties, Inc.		Nevada
HCRI Louisiana Properties, L.P.		Delaware
Health Care REIT International, Inc.		Delaware
HCN Atlantic GP, Inc.		Delaware
HCN Atlantic LP, Inc.		Delaware
HCN BCC Holdings, Inc.		Delaware
HCRI Indiana Properties, Inc.		Delaware
HCRI Indiana Properties, LLC		Indiana
HCRI Limited Holdings, Inc.		Delaware
HCRI Massachusetts Properties Trust		Massachusetts
HCRI Massachusetts Properties, Inc.		Delaware
HCRI Holdings Trust		Massachusetts
HCRI North Carolina Properties, LLC		Delaware
HCRI Southern Investments I, Inc.		Delaware
HCRI Tennessee Properties, Inc.		Delaware
Pennsylvania BCC Properties, Inc.		Pennsylvania
HCRI Kentucky Properties, LLC		Kentucky
HCRI Massachusetts Properties Trust II		Massachusetts
HCRI Maryland Properties, LLC		Maryland
HCRI North Carolina Properties I, Inc.		North Carolina
HCRI North Carolina Properties III, Limited Partnership		North Carolina
HCRI North Carolina Properties II, Inc.		North Carolina
HCRI Wisconsin Properties, LLC		Wisconsin
HCRI Mississippi Properties, Inc.		Mississippi
HCRI Illinois Properties, LLC		Delaware
HCRI Missouri Properties, LLC		Delaware
HCRI Surgical Properties, LLC		Ohio
HCRI Tucson Properties, Inc.		Delaware
HCRI Investments, Inc.		Delaware
HCRI Chicago Properties, Inc.		Delaware
HCRI General Properties, Inc.		Delaware
HCRI Kansas Properties, LLC		Delaware
HCRI Tennessee Properties, LLC		Delaware
HH Florida, LLC		Delaware
HCRI New Hampshire Properties, LLC		Delaware
HCRI Provider Properties, LLC		Delaware
1920 Cleveland Road West, LLC		Delaware
721 Hickory Street, LLC		Delaware
111 Lazelle Road East, LLC		Delaware
5166 Spanson Drive SE, LLC		Delaware
1425 Yorkland Road, LLC		Delaware
222 East Beech Street — Jefferson, L.L.C.		Delaware
HCRI Senior Housing Properties, Inc.		Delaware
209 Merriman Road, L.L.C.		Delaware
HCRI Financing, Inc.		Delaware