Exhibit



EXHIBIT 10.1



SECOND AMENDMENT TO
PURCHASE AND SALE AGREEMENT 
AND JOINT ESCROW INSTRUCTIONS


THIS SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT AND JOINT ESCROW INSTRUCTIONS (this “Amendment”) is made and entered into as of October 12, 2016 (the “Execution Date”), by and among GAHC4 CULLMAN AL MOB I, LLC, a Delaware limited liability company (“GAHC4 I”), GAHC4 CULLMAN AL MOB II, LLC, a Delaware limited liability company (“GAHC4 II”), GAHC4 SYLACAUGA AL MOB, LLC, a Delaware limited liability company (“GAHC4 Sylacauga”), CULLMAN POB PARTNERS I, LLC, a Delaware limited liability company (“Cullman I”), CULLMAN POB II, LLC, a Delaware limited liability company (“Cullman II”), and HCP COOSA MOB, LLC, a Delaware limited liability company (“Coosa”), and consented to by Chicago Title Insurance Company (“Escrow Agent”).  GAHC4 I, GAHC4 II and GAHC4 Sylacauga are sometimes each referred to herein as a “Buyer” and are sometimes collectively referred to herein as “Buyers.”  Cullman I, Cullman II and Coosa are sometimes each referred to herein as a “Seller” and are sometimes collectively referred to herein as “Sellers.”  
R E C I T A L S
A.    WHEREAS, each of Buyers, as assignees of GAHC4 Iron MOB Portfolio, LLC, a Delaware limited liability company (“Iron Portfolio”), Sellers and Escrow Agent are parties to that certain Purchase and Sale Agreement and Joint Escrow Instructions dated as of August 11, 2016, as amended by that certain First Amendment to Purchase and Sale Agreement and Joint Escrow Instructions dated as of September 12, 2016 by and among Iron Portfolio, Sellers and Escrow Agent, and as assigned by Iron Portfolio to each Buyer pursuant to those certain Partial Assignments and Assumption of Purchase and Sale Agreement and Joint Escrow Instructions, each dated as of September 22, 2016  (as amended and assigned, the “Agreement”), for the purchase and sale of certain real property and improvements located in Cullman, Cullman County, Alabama and Sylacauga, Talladega County, Alabama (collectively, the “Property”) under the terms and conditions as more particularly described in the Agreement; and
B.    WHEREAS Buyers and Sellers desire to amend the Agreement as set forth herein.
A G R E E M E N T
NOW, THEREFORE, in consideration of the mutual covenants contained in this Agreement and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Buyers and Sellers hereby agree, and instruct Escrow Agent, as follows:
		
	1.
	Recitals and Definitions.  The foregoing Recitals are true and correct and are hereby incorporated herein by reference.  All terms used herein are as defined in the Agreement unless otherwise defined in the Amendment.




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	2.
	Amendment to Article 7.  Article 7 of the Agreement is amended to add a new Section 7.5.8 as follows:


7.5.8    Coosa Valley Credit.  Buyers shall receive a credit from Sellers at Closing in the amount of FORTY THOUSAND AND NO/100 DOLLARS ($40,000.00) for certain capital expenditures relating to the HVAC controls for the third (3rd) floor of Coosa Valley (the “HVAC Work”) pursuant to Section 30(a) of that certain Building Lease Agreement, dated April 14, 1999, currently between Coosa and Sylacauga Health Care Authority (as amended, the “Coosa Space Lease”).  Buyers agree to complete the HVAC Work after the Closing in accordance with the terms of the Coosa Space Lease and subject to Sellers’ reasonable approval thereof.  Buyers shall use commercially reasonable efforts to keep Sellers informed of their progress with respect to the HVAC Work and shall provide Sellers with copies of invoices related thereto.  If the actual cost for such HVAC Work as reasonably approved by Sellers exceeds $40,000.00, Sellers agree to reimburse Buyers for the excess cost in connection with the true-up set forth in Section 7.5.4 of the Agreement.  If Buyers expend less than $40,000.00 for such HVAC Work as reasonably approved by Sellers, Buyers agree to promptly refund the actual cost difference to Sellers, or deduct any such amount from any true-up amounts owed to Buyers under Section 7.4.5 of the Agreement; provided that Sylacauga Health Care Authority accepts the HVAC Work as unconditionally complete.
		
	3.
	Consent of the Escrow Agent.  The Escrow Agent hereby joins in the execution of this Amendment for purposes of consenting to and accepting the terms of this Amendment.


		
	4.
	Counterparts.  This Amendment may be executed in as many counterparts as may be deemed necessary and convenient, and by the different parties hereto on separate counterparts, each of which, when so executed, shall be deemed an original, but all such counterparts shall constitute one and the same instrument. Originals transmitted by facsimile or electronic mail shall be considered original in all respects.


		
	5.
	Governing Law.  This Amendment and the legal relations between the parties hereto shall be governed by and construed and enforced in accordance with the laws of the State of Alabama, without regard to its principles of conflicts of law.


		
	6.
	Entire Agreement.  The Agreement, as amended by this Amendment, including all exhibits attached and incorporated herein by reference, constitutes the entire agreement between Buyers and Sellers pertaining to the subject matter hereof and supersedes all prior discussions, agreements, understandings, letters of intent, negotiations and discussions, whether oral or written, of the parties, and there are no warranties, representations or other agreements, express or implied, made to either party by the other party in connection with the subject matter hereof except as specifically set forth in the Representation Documents.


		
	7.
	Modification; Waiver.  No supplement, modification, waiver or termination of or under this Amendment or any obligation hereunder shall be binding unless executed in writing by the party against whom enforcement is sought.  No waiver of any provision of this Amendment shall be deemed or shall constitute a waiver of any other provision hereof 




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(whether or not similar), nor shall such waiver constitute a continuing waiver unless otherwise expressly provided.  Except as otherwise specifically set forth in this Amendment, the excuse or waiver of the performance by a party of any obligation of the other party under this Amendment shall only be effective if evidenced by a written statement signed by the party so excusing or waiving.  No delay in exercising any right or remedy shall constitute a waiver thereof, and no waiver by Sellers or Buyers of the breach of any covenant of this Amendment shall be construed as a waiver of any preceding or succeeding breach of the same or any other covenant or condition of this Amendment.
		
	8.
	Binding Effect.  Subject to and without waiver of the provisions of the Agreement or otherwise, all of the rights, duties, benefits, liabilities and obligations of the parties under this Amendment shall inure to the benefit of, and be binding upon, their respective successors and assigns.  Except as specifically set forth or referred to herein, nothing herein expressed or implied is intended or shall be construed to confer upon or give to any person or entity, other than the parties hereto and their successors or permitted assigns, any rights or remedies under or by reason of this Amendment.


		
	9.
	Miscellaneous.  All other terms and conditions of the Agreement not specifically modified or supplemented by this Amendment shall remain unchanged and in full force and effect, and the Agreement, as supplemented by this Amendment, is hereby ratified and confirmed.  Capitalized terms used herein but not otherwise defined shall have the meanings assigned to them in the Agreement.


[Remainder of Page Left Blank Intentionally]


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IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the day and year first above written.


BUYERS:
	
						
	GAHC4 CULLMAN AL MOB I, LLC,

	a Delaware limited liability company

	 
	 
	 
	 
	 
	 

	 
	By:
	GAHC4 Iron MOB Portfolio, LLC, a

	 
	 
	Delaware limited liability company, Its Sole

	 
	 
	Member

	 
	 
	 
	 
	 
	 

	 
	 
	By:
	Griffin-American Healthcare REIT IV

	 
	 
	 
	Holdings, LP, a Delaware limited partnership,

	 
	 
	 
	Its Sole Member

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	By:
	Griffin-American Healthcare REIT

	 
	 
	 
	 
	IV, Inc., a Maryland corporation, Its

	 
	 
	 
	 
	General Partner

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	By:
	/s/ Jeffrey T. Hanson

	 
	 
	 
	 
	Name:
	Jeffrey T. Hanson

	 
	 
	 
	 
	Its:
	Chief Executive Officer






	
						
	GAHC4 CULLMAN AL MOB II, LLC,

	a Delaware limited liability company

	 
	 
	 
	 
	 
	 

	 
	By:
	GAHC4 Iron MOB Portfolio, LLC, a

	 
	 
	Delaware limited liability company, Its Sole

	 
	 
	Member

	 
	 
	 
	 
	 
	 

	 
	 
	By:
	Griffin-American Healthcare REIT IV

	 
	 
	 
	Holdings, LP, a Delaware limited partnership,

	 
	 
	 
	Its Sole Member

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	By:
	Griffin-American Healthcare REIT

	 
	 
	 
	 
	IV, Inc., a Maryland corporation, Its

	 
	 
	 
	 
	General Partner

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	By:
	/s/ Jeffrey T. Hanson

	 
	 
	 
	 
	Name:
	Jeffrey T. Hanson

	 
	 
	 
	 
	Its:
	Chief Executive Officer






Signature Page to Second Amendment









	
						
	GAHC4 SYLACAUGA AL MOB, LLC,

	a Delaware limited liability company

	 
	 
	 
	 
	 
	 

	 
	By:
	GAHC4 Iron MOB Portfolio, LLC, a

	 
	 
	Delaware limited liability company, Its Sole

	 
	 
	Member

	 
	 
	 
	 
	 
	 

	 
	 
	By:
	Griffin-American Healthcare REIT IV

	 
	 
	 
	Holdings, LP, a Delaware limited partnership,

	 
	 
	 
	Its Sole Member

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	By:
	Griffin-American Healthcare REIT

	 
	 
	 
	 
	IV, Inc., a Maryland corporation, Its

	 
	 
	 
	 
	General Partner

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	 
	 

	 
	 
	 
	 
	By:
	/s/ Jeffrey T. Hanson

	 
	 
	 
	 
	Name:
	Jeffrey T. Hanson

	 
	 
	 
	 
	Its:
	Chief Executive Officer






Signature Page to Second Amendment









SELLERS:
	
			
	CULLMAN POB PARTNERS I, LLC,

	a Delaware limited liability company

	 
	 
	 

	By:
	/s/ Glenn Preston

	 
	Name:
	Glenn Preston

	 
	Title: 
	Senior Vice President






	
			
	CULLMAN POB II, LLC,

	a Delaware limited liability company

	 
	 
	 

	By:
	/s/ Glenn Preston

	 
	Name:
	Glenn Preston

	 
	Title: 
	Senior Vice President






	
			
	HCP COOSA MOB, LLC,

	a Delaware limited liability company

	 
	 
	 

	By:
	/s/ Glenn Preston

	 
	Name:
	Glenn Preston

	 
	Title: 
	Senior Vice President






Signature Page to Second Amendment









The undersigned Escrow Agent hereby accepts the foregoing Amendment.


ESCROW AGENT:
	
		
	CHICAGO TITLE INSURANCE COMPANY

	 
	 

	By:
	/s/ Neal J. Miranda

	 
	Neal J. Miranda, VP & Senior Counsel

	 
	HCP-SSGA to AHI #16002033 (AL x 3)






Signature Page to Second Amendment