Document:

<PAGE>
                                                                   EXHIBIT 10.46

                           CONSTRUCTION LOAN AGREEMENT

                           FOR A LOAN IN THE AMOUNT OF

                                 $64,028,000.00

                               MADE BY AND BETWEEN

                          NORTH CYPRESS MEDICAL CENTER
                             OPERATING COMPANY, LTD.

                                   AS BORROWER

                                       AND

                            MPT FINANCE COMPANY, LLC

                                    AS LENDER

                            Dated as of June 1, 2005

<PAGE>

                                TABLE OF CONTENTS

<TABLE>
<S>         <C>                                                                                                 <C>
ARTICLE 1          INCORPORATION OF RECITALS AND EXHIBITS.........................................................2

   1.1      INCORPORATION OF RECITALS.............................................................................2
   1.2      INCORPORATION OF EXHIBITS.............................................................................2

ARTICLE 2.........................................................................................................2

DEFINITIONS.......................................................................................................2

   2.1      DEFINED TERMS.........................................................................................2
   2.2      OTHER DEFINITIONAL PROVISIONS.........................................................................9

ARTICLE 3          BORROWER'S REPRESENTATIONS AND WARRANTIES.....................................................10

   3.1      REPRESENTATIONS AND WARRANTIES.......................................................................10
   3.2      SURVIVAL OF REPRESENTATIONS AND WARRANTIES...........................................................15

ARTICLE 4          LOAN AND LOAN DOCUMENTS.......................................................................15

   4.1      AGREEMENT TO BORROW AND LEND; LENDER'S OBLIGATION TO DISBURSE........................................15
   4.2      LOAN DOCUMENTS.......................................................................................16
   4.3      TERM OF THE LOAN.....................................................................................17
   4.4      PREPAYMENTS..........................................................................................17
   4.5      REQUIRED PRINCIPAL PAYMENTS..........................................................................17

ARTICLE 5........................................................................................................17

INTEREST.........................................................................................................17

   5.1      INTEREST RATE........................................................................................17
   5.2      LIMITATION ON INTEREST...............................................................................17

ARTICLE 6 COSTS OF MAINTAINING LOAN..............................................................................18

   6.1      BORROWER WITHHOLDING.................................................................................18

ARTICLE 7 LOAN EXPENSE AND ADVANCES..............................................................................18

   7.1      LOAN AND ADMINISTRATION EXPENSES.....................................................................18
   7.2      COMMITMENT FEE.......................................................................................19
   7.3      INSPECTION FEE.......................................................................................19
   7.4      LENDER'S ATTORNEYS' FEES AND DISBURSEMENTS...........................................................19
   7.5      TIME OF PAYMENT OF FEES AND EXPENSES.................................................................19
   7.6      EXPENSES AND ADVANCES SECURED BY LOAN DOCUMENTS......................................................19
   7.7      RIGHT OF LENDER TO MAKE ADVANCES TO CURE BORROWER'S DEFAULTS.........................................19

ARTICLE 8 NON-CONSTRUCTION REQUIREMENTS PRECEDENT TO THE OPENING OF THE LOAN.....................................20

   8.1      NON-CONSTRUCTION CONDITIONS PRECEDENT................................................................20

ARTICLE 9          CONSTRUCTION REQUIREMENTS PRECEDENT TO THE OPENING OF THE LOAN................................22

   9.1      REQUIRED CONSTRUCTION DOCUMENTS......................................................................22

ARTICLE 10         BUDGET AND CONTINGENCY FUND...................................................................24

   10.1     BUDGET...............................................................................................24
</TABLE>

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<TABLE>
<S>                                                                                                             <C>
   10.2     BUDGET LINE ITEMS....................................................................................24
   10.3     CONTINGENCY FUND.....................................................................................24
   10.4     OPTIONAL METHOD FOR PAYMENT OF INTEREST..............................................................25

ARTICLE 11 SUFFICIENCY OF LOAN...................................................................................25

   11.1     LOAN IN BALANCE......................................................................................25

ARTICLE 12 CONSTRUCTION PAYOUT REQUIREMENTS......................................................................26

   12.1     APPLICABILITY OF SECTIONS............................................................................26
   12.2     MONTHLY PAYOUTS......................................................................................26
   12.3     PRIOR CONDITIONS SATISFIED...........................................................................26
   12.4     DOCUMENTS TO BE FURNISHED FOR EACH DISBURSEMENT......................................................26
   12.5     RETAINAGES...........................................................................................27
   12.6     DISBURSEMENTS FOR MATERIALS STORED ON-SITE...........................................................27
   12.7     DISBURSEMENTS FOR OFFSITE MATERIALS..................................................................28
   12.8     DISBURSEMENTS FOR TENANT WORK AND ALLOWANCES.........................................................28

ARTICLE 13 FINAL DISBURSEMENT FOR CONSTRUCTION...................................................................29

   13.1     FINAL DISBURSEMENT FOR CONSTRUCTION..................................................................29

ARTICLE 14 RESERVED..............................................................................................30

ARTICLE 15 OTHER COVENANTS.......................................................................................30

   15.1     OPENING OF LOAN ON OR PRIOR TO LOAN OPENING DATE.....................................................30
   15.2     CONSTRUCTION OF IMPROVEMENTS.........................................................................30
   15.3     CHANGES IN PLANS AND SPECIFICATIONS..................................................................30
   15.4     INSPECTION BY LENDER.................................................................................31
   15.5     MECHANICS' LIENS AND CONTEST THEREOF.................................................................31
   15.6     SETTLEMENT OF MECHANICS' LIEN CLAIMS.................................................................31
   15.7     RENEWAL OF INSURANCE.................................................................................32
   15.8     PAYMENT OF TAXES.....................................................................................32
   15.9     ESCROW ACCOUNTS......................................................................................32
   15.10    PERSONAL PROPERTY....................................................................................33
   15.11    LEASING RESTRICTIONS.................................................................................33
   15.12    DEFAULTS UNDER LEASES................................................................................33
   15.13    LENDER'S ATTORNEYS' FEES FOR ENFORCEMENT OF AGREEMENT................................................33
   15.14    APPRAISALS...........................................................................................34
   15.15    FINANCIAL INFORMATION................................................................................34
   15.16    SIGN AND PUBLICITY...................................................................................35
   15.17    LOST NOTE............................................................................................35
   15.18    DEFAULTS.............................................................................................35
   15.19    NO ADDITIONAL DEBT...................................................................................35
   15.20    COMPLIANCE WITH LAWS AND AGREEMENTS..................................................................35
   15.21    ORGANIZATIONAL DOCUMENTS.............................................................................36
   15.22    FURNISHING REPORTS...................................................................................36
   15.23    MANAGEMENT CONTRACTS.................................................................................36
   15.24    FURNISHING NOTICES...................................................................................36
   15.25    CONSTRUCTION CONTRACTS...............................................................................36
   15.26    CORRECTION OF DEFECTS................................................................................36
   15.27    HOLD DISBURSEMENTS IN TRUST..........................................................................37
   15.28    FOUNDATION SURVEY....................................................................................37
   15.29    ALTERATIONS..........................................................................................37
   15.30    CASH DISTRIBUTIONS...................................................................................37
   15.31    MAINTENANCE OF OFFICE................................................................................37
   15.32    RECORDS AND ACCOUNTS.................................................................................37
</TABLE>

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<TABLE>
<S>                                                                                                             <C>
   15.33    REQUIRED PERMITS.....................................................................................38
   15.34    FURTHER ASSURANCE OF TITLE...........................................................................38
   15.35    FURTHER ASSURANCES...................................................................................38
   15.36    FUNDAMENTAL CHANGES OF BORROWER......................................................................39
   15.37    COMPLIANCE WITH ENVIRONMENTAL LAWS...................................................................39
   15.38    TANGIBLE NET WORTH...................................................................................41
   15.39    AUTHORIZED REPRESENTATIVE............................................................................41

ARTICLE 16 CASUALTIES AND CONDEMNATION...........................................................................42

   16.1     LENDER'S ELECTION TO APPLY PROCEEDS ON INDEBTEDNESS..................................................42
   16.2     BORROWER'S OBLIGATION TO REBUILD AND USE OF PROCEEDS THEREFOR........................................42

ARTICLE 17 ASSIGNMENTS BY LENDER AND BORROWER....................................................................43

   17.1     ASSIGNMENTS AND PARTICIPATIONS.......................................................................43
   17.2     PROHIBITION OF ASSIGNMENTS AND TRANSFERS BY BORROWER.................................................43
   17.3     PROHIBITION OF TRANSFERS IN VIOLATION OF ERISA.......................................................43
   17.4     SUCCESSORS AND ASSIGNS...............................................................................44

ARTICLE 18 TIME OF THE ESSENCE...................................................................................44

   18.1     TIME IS OF THE ESSENCE...............................................................................44

ARTICLE 19 EVENTS OF DEFAULT.....................................................................................44

ARTICLE 20 LENDER'S REMEDIES IN EVENT OF DEFAULT.................................................................46

   20.1     REMEDIES CONFERRED UPON LENDER.......................................................................46
   20.2     COSTS OF COMPLETION..................................................................................47
   20.3     DISTRIBUTION OF COLLATERAL PROCEEDS..................................................................48
   20.4     POWER OF ATTORNEY....................................................................................48
   20.5     WAIVERS..............................................................................................48
   20.6     SET-OFFS.............................................................................................49

ARTICLE 21 EXPENSES..............................................................................................49

ARTICLE 22 INDEMNIFICATION.......................................................................................50

ARTICLE 23 GENERAL PROVISIONS....................................................................................50

   23.1     CAPTIONS.............................................................................................50
   23.2     MODIFICATION; WAIVER.................................................................................50
   23.3     ACQUIESCENCE NOT TO CONSTITUTE WAIVER OF LENDER'S REQUIREMENTS.......................................50
   23.4     DISCLAIMER BY LENDER.................................................................................51
   23.5     PARTIAL INVALIDITY; SEVERABILITY.....................................................................51
   23.6     DEFINITIONS INCLUDE AMENDMENTS.......................................................................52
   23.7     EXECUTION IN COUNTERPARTS............................................................................52
   23.8     ENTIRE AGREEMENT.....................................................................................52
   23.9     WAIVER OF DAMAGES....................................................................................52
   23.10    CLAIMS AGAINST LENDER................................................................................52
   23.11    GOVERNING LAW........................................................................................53
   23.12    CONSENT TO JURISDICTION; WAIVERS.....................................................................53
   23.13    SURVIVAL OF COVENANTS, ETC...........................................................................54
   23.14    NOTICES..............................................................................................54

ARTICLE 25.......................................................................................................56

ACKNOWLEDGEMENT OF INDEMNIFICATION PROVISIONS....................................................................56
</TABLE>

                                    - iii -

<PAGE>

                       LIST OF EXHIBITS TO LOAN AGREEMENT

Exhibit A         Legal Description of Land
Exhibit B         Permitted Exceptions
Exhibit C         Title Requirements
Exhibit D         Insurance Requirements
Exhibit E         Initial Budget
Exhibit F         Borrower's Certificate
Exhibit G         Soft and Hard Cost Requisition Form

                                     - iv -
<PAGE>

                           CONSTRUCTION LOAN AGREEMENT

         THIS CONSTRUCTION LOAN AGREEMENT ("Agreement") is made as of June 1,
2005, by and among NORTH CYPRESS MEDICAL CENTER OPERATING COMPANY, LTD., a Texas
limited partnership ("Borrower"), and MPT FINANCE COMPANY, LLC, a Delaware
limited liability company, its successors and assigns ("Lender").

                                   WITNESSETH:

                                    RECITALS

         A.       Northern Healthcare Land Ventures, Ltd., a Texas limited
partnership ("NHLV"), is the owner in fee simple of land located at Huffmeister
Road, in the City of Houston, County of Harris, State of Texas, and legally
described in Exhibit A attached hereto (the "Parking Tract").

         B.       North Cypress Property Holdings, LTD., a Texas limited
partnership ("Holdings") is the owner in fee simple of land located at
Huffmeister Road and Highway 290, in the City of Houston, County of Harris,
State of Texas, and legally described in Exhibit A attached hereto (the
"Hospital Tract"; the Parking Tract and the Hospital Tract, collectively, the
"Land").

         C.       Pursuant to that certain Net Ground Lease dated of even date
herewith (the "Hospital Tract Ground Lease"), Holdings has leased the Hospital
Tract to MPT of North Cypress, L.P. ("MPT Land Entity").

         D.       Pursuant to that certain Net Ground Lease dated of even date
herewith (the "Parking Tract Ground Lease"; the Hospital Tract Ground Lease and
the Parking Tract Ground Lease, collectively, the "Ground Lease"), NHLV has
leased the Parking Tract to MPT Land Entity.

         E.       Pursuant to that certain Net Lease Agreement dated of even
date herewith (the "Sublease"), MPT Land Entity has subleased the Land to
Borrower.

         F.       Borrower proposes to construct a 64-bed hospital building on
the Hospital Tract to be known as "North Cypress Medical Center", containing in
the aggregate approximately 225,000 gross square feet of space.

         G.       Borrower has applied to Lender for a loan in the amount of up
to SIXTY-FOUR MILLION TWENTY-EIGHT THOUSAND and No/100 DOLLARS ($64,028,000.00)
(the "Loan") to fund construction of such hospital building, and Lender is
willing to make the Loan on the terms and conditions hereinafter set forth.

<PAGE>

         NOW, THEREFORE, in consideration of the mutual covenants and agreements
herein contained, the parties hereto agree as follows:

                                    ARTICLE 1
                     INCORPORATION OF RECITALS AND EXHIBITS

1.1.     INCORPORATION OF RECITALS.

         The foregoing preambles and all other recitals set forth herein are
made a part hereof by this reference.

1.2.     INCORPORATION OF EXHIBITS.

         Exhibits A through G, to this Agreement, attached hereto are
incorporated in this Agreement and expressly made a part hereof by this
reference.

                                    ARTICLE 2
                                   DEFINITIONS

2.1.     DEFINED TERMS.

         The following terms as used herein shall have the following meanings:

         Affiliate: With respect to a specified person or entity, any
individual, partnership, corporation, limited liability company, trust,
unincorporated organization, association or other entity which, directly or
indirectly, through one or more intermediaries, controls or is controlled by or
is under common control with such person or entity, including, without
limitation, any general or limited partnership in which such person or entity is
a general partner.

         Agreement:  This Construction Loan Agreement.

         Applicable Rate: A fixed interest rate of ten and one-half percent
(10.5%) per annum.

         Appraisal: An MAI certified appraisal of the Project performed in
accordance with Lender's appraisal requirements by an appraiser selected and
retained by Lender.

         Architect:  Davis Stokes Collaborative, P.C.

         Assignment of Rents: An assignment of leases and rents made by Borrower
in favor of Lender assigning all leases, subleases and other agreements relating
to the use and occupancy of all or any portion of the Project, and all present
and future leases, rents, issues and profits therefrom.

         Authorized Representative: Robert A. Behar, M.D.

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         Bankruptcy Code: Title 11 of the United States Code entitled
"Bankruptcy" as now or hereafter in effect, or any successor thereto or any
other present or future bankruptcy or insolvency statute.

         Bond: A Performance Bond and Labor and Material Payment Bond in a form
approved by Lender, with the General Contractor or each Major Subcontractor, as
the case may be, as principal, with a surety company acceptable to Lender and
licensed to do business in the State, as surety, with a dual obligee rider in
favor of Lender.

         Borrower's Knowledge: The actual knowledge of Borrower and its
Affiliates and their respective members, general partners, officers and
directors, after having conducted a reasonable investigation and inquiry
thereof.

         Budget: The budget for the Project specifying all costs and expenses of
every kind and nature whatever to be incurred by Borrower in connection with the
Project prior to the Maturity Date.

         Budget Line Item:  As such term is defined in Section 10.2.

         Business Day: Each Monday, Tuesday, Wednesday, Thursday and Friday
which is not a day on which money centers in the City of New York, New York are
authorized, or obligated, by law or executive order, to close.

         CERCLA:  See Section 3.1(m)(i).

         Change Order: Any request for changes in the Plans and Specifications
(other than minor field changes involving no extra cost).

         Completion Date: December 1, 2006, subject to extension pursuant to
Section 15.2.

         Construction or construction: The construction of the Improvements in
accordance with the Plans and Specifications, and all Tenant Work and related
improvements required to be performed by Borrower under Leases.

         Construction Commencement Date: The date Construction commences, which
shall be no later than thirty (30) days from the Loan Opening Date.

         Construction Schedule: A Schedule satisfactory to Lender and Lender's
Consultant, establishing a timetable for completion of the Construction,
showing, on a monthly basis, the anticipated progress of the Construction and
also showing that the Improvements can be completed on or before the Completion
Date.

         Contingency Fund: A Budget Line Item which shall represent an amount
necessary to provide reasonable assurances to Lender than additional funds are
available to be used if additional costs and expenses are incurred or additional
interest accrues on the Loan, or unanticipated events or problems occur.

                                     - 3 -
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         Control: As such term is used with respect to any person or entity,
including the correlative meanings of the terms "controlled by" and "under
common control with", shall mean the possession, directly or indirectly, of the
power to direct or cause the direction of the management policies of such person
or entity, whether through the ownership of voting securities, by contract or
otherwise.

         Default or default: Any event, circumstance or condition, which, if it
were to continue uncured, would, with notice or lapse of time or both,
constitute an Event of Default hereunder.

         Default Rate: A rate per annum equal to eighteen percent (18.0%) or the
highest rate permitted by Law, if less.

         Deficiency Deposit:  As such term is defined in Section 11.1.

         Environmental Indemnity: An indemnity from the Borrower indemnifying
Lender with regard to all matters related to Hazardous Material and other
environmental matters and "Building Laws", as defined therein.

         Environmental Laws:  See Section 3.1(m)(i).

         Environmental Proceedings: Any environmental proceedings, whether civil
(including actions by private parties), criminal, or administrative proceedings,
relating to the Project.

         Environmental Report: An environmental report prepared at Borrower's
expense by a qualified environmental consultant approved by Lender, dated not
more than six (6) months prior to the Loan Opening Date and addressed to Lender
(or subject to separate letter agreement permitting Lender to rely on such
environmental report).

         EPA:  See Section 3.1(m)(ii).

         ERISA: The Employee Retirement Income Security Act of 1974, as amended,
and the regulations promulgated thereunder from time to time.

         Event of Default:  As such term is defined in Article 19.

         General Contract: The general contract(s) between Borrower and General
Contractor, pertaining to the construction of all onsite and offsite
improvements for the Project.

         General Contractor:  Gilbane Building Company.

         Generally Accepted Accounting Principles or GAAP: Principles that are
(a) consistent with the principles promulgated or adopted by the Financial
Accounting Standards Board and its predecessors, as in effect from time to time;
and (b) consistently applied with past financial statements of the person
adopting the same principles; provided that a certified public accountant would,
insofar as the use of such accounting principles is pertinent, be in a position
to deliver an unqualified opinion (other than a qualification regarding changes
in Generally Accepted

                                     - 4 -
<PAGE>

Accounting Principles) as to financial statements in which such principles have
been properly applied.

         Governmental Approvals: Collectively, all consents, licenses, and
permits and all other authorizations or approvals required under applicable Laws
from any Governmental Authority for the Construction in accordance with the
Plans and Specifications and the operation of the Project.

         Governmental Authority: Any federal, state, county or municipal
government, or political subdivision thereof, any governmental or
quasi-governmental agency, authority, board, bureau, commission, department,
instrumentality, or public body, or any court, administrative tribunal, or
public utility.

         Ground Lease:  See Recital D above.

         HADC: Hospital Affiliates Development Corporation, the Program Manager
for the Project pursuant to the Program Development Agreement.

         Hazardous Material: Means and includes gasoline, petroleum, asbestos
containing materials, explosives, radioactive materials or any hazardous or
toxic material, substance or waste which is defined by those or similar terms or
is regulated as such under any Law of any Governmental Authority having
jurisdiction over the Project or any portion thereof or its use, including: (i)
any "hazardous substance" defined as such in (or for purposes of) the
Comprehensive Environmental Response, Compensation and Liability Act, 42
U.S.C.A. Section 9601(14), as may be amended from time to time, or any so-called
"superfund" or "superlien" Law, including the judicial interpretation thereof;
(ii) any "pollutant or contaminant" as defined in 42 U.S.C.A. Section 9601(33);
(iii) any material now defined as "hazardous waste" pursuant to 40 C.F.R. Part
260; (iv) any petroleum, including crude oil or any fraction thereof; (v)
natural gas, natural gas liquids, liquefied natural gas, or synthetic gas usable
for fuel; (vi) any "hazardous chemical" as defined pursuant to 29 C.F.R. Part
1910; and (vii) any other toxic substance or contaminant that is subject to any
other Law or other past or present requirement of any Governmental Authority.
Any reference above to a Law includes the same as it may be amended from time to
time, including the judicial interpretation thereof.

         Holdings:  As such term is defined in Recital B above.

         Improvements: The improvements referred to in Recital F above and more
particularly described in the Plans and Specifications, and offsite improvements
and together with any existing improvements not to be demolished.

         In Balance or in balance: As such term is defined in Article 11.

         Including or including:  Including but not limited to.

         Indemnified Party:  As such term is defined in Section 15.1(r).

                                     - 5 -
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         Internal Revenue Code: The Internal Revenue Code of 1986, as amended
from time to time.

         Land:  As such term is defined in Recital B.

         Laws: Collectively, all federal, state and local laws, statutes, codes,
ordinances, orders, rules, regulations, judicial opinions and precedential
authority in the applicable jurisdiction and including, without limitation, all
state, federal and local health care laws and regulations.

         Leases: The collective reference to all leases, subleases and occupancy
agreements affecting the Project or any part thereof now existing or hereafter
executed (including, without limitation, the Ground Lease and the Sublease) and
all amendments, modifications or supplements thereto approved in writing by
Lender.

         Lender: As defined in the opening paragraph of this Agreement, and
including any successor holder of the Loan from time to time.

         Lender's Consultant: An independent consulting architect, inspector,
and/or engineer designated by Lender in Lender's sole discretion.

         Lender's Environmental Consultant: An environmental consultant
designated by Lender in Lender's sole discretion.

         Loan:  As defined in Recital G.

         Loan Amount: The maximum amount of the Loan as set forth in Section
4.1(a) as reduced by principal payments made from time to time.

         Loan Documents: The collective reference to this Agreement, the
documents and instruments listed in Section 4.2, and all the other documents and
instruments entered into from time to time, evidencing or securing the Loan or
any obligation of payment thereof or performance of Borrower's obligations in
connection with the transaction contemplated hereunder, each as amended.

         Loan Opening Date: The date the Mortgage has been recorded and all
conditions to the initial disbursement of the Loan have been satisfied.

         Major Subcontractor:  Any subcontractor under a Major Subcontract.

         Major Subcontracts: All subcontracts between the General Contractor and
any subcontractors and material suppliers which provide for an aggregate
contract price equal to or greater than $500,000.00.

         Material Adverse Change or material adverse change: If, in Lender's
reasonable discretion, the business prospects, operations or financial condition
of a person, entity or property has changed in a manner which could impair the
value of Lender's security for the Loan, prevent

                                     - 6 -
<PAGE>

timely repayment of the Loan or otherwise prevent the applicable person or
entity from timely performing any of its material obligations under the Loan
Documents.

         Maturity Date: December 1, 2006, as the same may be extended by Lender
as provided in Section 4.3, or such earlier date on which the Loan shall become
due and payable pursuant to the terms hereof.

         Mortgage: A construction leasehold deed of trust, security agreement
and fixture filing, executed by Borrower in favor of John M. Nolan as trustee
for the benefit of Lender securing this Agreement, the Note, and all obligations
of Borrower in connection with the Loan, granting a first priority lien on
Borrower's interest in the Improvements and Borrower's leasehold interest in the
Project, subject only to the Permitted Exceptions.

         MPT Land Entity:  See Recital C above.

         NHLV:  See Recital A above.

         Note: A promissory note, in the Loan Amount, executed by Borrower and
payable to the order of Lender, evidencing the Loan.

         Obligations: All indebtedness, obligations and liabilities of Borrower
to Lender existing on the date of this Agreement or arising thereafter, direct
or indirect, joint or several, absolute or contingent, matured or unmatured,
liquidated or unliquidated, secured or unsecured, arising by contract, operation
of law or otherwise, in each case arising or incurred under this Agreement or
any of the other Loan Documents or in respect of any of the advances or the Note
or other instruments at any time evidencing any thereof.

         Opening of the Loan or Loan Opening: The first disbursement of Loan
proceeds.

         Permitted Exceptions: Those matters listed on Exhibit B to which title
to the Project may be subject at the Loan Opening and thereafter such other
title exceptions as Lender may reasonably approve in writing.

         Plans and Specifications: Detailed plans and specifications, as
approved by Lender, referred to in Section 9.1(f), as modified from time to time
in accordance with the terms hereof.

         Post-Construction Lease:  See Section 8.1(a).

         Pro-Forma Projection: A pro forma statement of projected income and
expenses of the Project.

         Program Development Agreement: That certain Program Development
Agreement dated as of November 1, 2004, between Borrower and HADC relating to
the development and construction of the Project.

         Project: The collective reference to (i) Borrower's leasehold interest
in the Land pursuant to the Ground Lease and the Sublease, together with all
buildings, structures and improvements

                                     - 7 -
<PAGE>

located or to be located thereon, including the Improvements, (ii) all rights,
privileges, easements and hereditaments relating or appertaining thereto, and
(iii) all personal property, fixtures and equipment required or beneficial for
the operation thereof.

         Purchase Agreement: That certain Purchase and Sale Agreement dated of
even date herewith, between Borrower, as seller, and MPT Land Entity, as
purchaser, providing for the sale of the Improvements upon their completion.

         RCRA:  See Section 3.1(m)(i).

         Reciprocal Easement Agreement: That certain Reciprocal Easement
Agreement and Declaration of Covenants, Conditions and Restrictions for
Development and Operation of the North Cypress Medical Center Campus dated as of
June 1, 2005, by and among NHLV, Holdings and Northern Healthcare Land
Ventures-II, Ltd., as modified or amended from time to time.

         Release:  See Section 3.1(m)(iii).

         Required Permits: Each building permit, environmental permit, utility
permit, land use permit, wetland permit and any other permits, approvals or
licenses issued by any Governmental authority which are required in connection
with the Construction or operation of the Project.

         SARA:  See Section 3.1(m)(i).

         Soil Report: A soil test report prepared by licensed engineer
satisfactory to Lender to the satisfaction of Lender that the soil and
subsurface conditions underlying the Project will support the Improvements.

         State:  The state in which the Land is located.

         Subcontracts: Subcontracts for labor or materials to be furnished to
the Project.

         Sublease:  See Recital E above.

         Subordination Agreement: That certain Subordination Agreement dated of
even date herewith by and among Lender, Borrower, NHLV, MPT Land Entity and
Republic National Bank, to be recorded on or about the date hereof in the Real
Estate Records of Harris County, Texas.

         Tangible Net Worth: As determined in accordance with Generally Accepted
Accounting Principles, the amount by which the value of Borrower's total assets
exceeds the sum of Borrower's total liabilities, and less the sum of:

                  (a)      the total book value of all assets of Borrower
         properly classified as intangible assets under Generally Accepted
         Accounting Principles, including such items as good will, the purchase
         price of acquired assets in excess of the fair market value thereof,
         trademarks, trade names, service marks, brand names, copyrights,
         patents and licenses, and rights with respect to the foregoing; plus

                                     - 8 -
<PAGE>

                  (b)      all amounts representing any write-up in the book
         value of any assets of Borrower resulting from a revaluation thereof
         subsequent to the date of the most recent balance sheet of Borrower
         provided to Lender prior to the Loan Opening.

         Tenant:  The tenant under a Lease.

         Tenant Work: Work that Borrower is obligated to perform pursuant to
Leases for individual Tenants in their respective leased premises in the
Improvements.

         Title Insurer: First American Title Insurance Company, or such other
title insurance company licensed in the State as may be approved in writing by
Lender.

         Title Policy: An ALTA Mortgagee's Loan Title Insurance Policy with
extended coverage (or the equivalent available in the State) issued by the Title
Insurer insuring the lien of the Mortgage as a valid first, prior and paramount
lien upon the Project and all appurtenant easements, and subject to no other
exceptions other than the Permitted Exceptions and otherwise satisfying the
requirements of Exhibit C attached hereto and made a part hereof.

         Transfer: Any sale, transfer, lease (other than a Lease approved by
Lender), conveyance, alienation, pledge, assignment, mortgage, encumbrance
hypothecation or other disposition of (a) all or any portion of the Project or
any portion of any other security for the Loan, (b) all or any portion of the
Borrower's right, title and interest (legal or equitable) in and to the Project
or any portion of any other security for the Loan, or (c) more than a twenty
percent (20%) interest in Borrower or any entity which holds an interest in, or
directly or indirectly controls, Borrower.

         Unavoidable Delay: Any delay in the construction of the Project, caused
by natural disaster, fire, earthquake, floods, explosion, extraordinary adverse
weather conditions, inability to procure or a general shortage of labor,
equipment, facilities, energy, materials or supplies in the open market, failure
of transportation, strikes or lockouts for which Borrower has notified Lender in
writing.

2.2      OTHER DEFINITIONAL PROVISIONS.

         All terms defined in this Agreement shall have the same meanings when
used in the Note, Mortgage, any other Loan Documents, or any certificate or
other document made or delivered pursuant hereto. The words "hereof", "herein"
and "hereunder" and words of similar import when used in this Agreement shall
refer to this Agreement.

                                     - 9 -
<PAGE>

                                    ARTICLE 3
                    BORROWER'S REPRESENTATIONS AND WARRANTIES

3.1      REPRESENTATIONS AND WARRANTIES.

         To induce Lender to execute this Agreement and perform its obligations
hereunder, Borrower hereby represents and warrants to Lender as follows:

         (a)      NHLV and Holdings have good and marketable fee simple title to
the Land, subject only to the Permitted Exceptions.

         (b)      MPT Land Entity is the owner and holder of the entire interest
of the lessee under the Ground Lease, subject to the rights of Borrower under
the Sublease. Borrower is the owner and holder of the entire interest of the
subtenant under the Sublease. As of the date hereof, the Ground Lease and the
Sublease are in full force and effect, and Borrower has no knowledge of any
default or event, which, with the passage of time or the giving of notice, or
both, would constitute a default by Borrower under the Sublease, or to its
knowledge, by MPT Land Entity under the Sublease, or by MPT Land Entity, NHLV or
Holdings under the Ground Lease.

         (c)      No litigation or proceedings are pending, or to the best of
Borrower's knowledge threatened, against Borrower, which could, if adversely
determined, cause a Material Adverse Change with respect to Borrower or the
Project. There are no Environmental Proceedings and Borrower has no knowledge of
any threatened Environmental Proceedings or any facts or circumstances which may
give rise to any future Environmental Proceedings.

         (d)      Borrower is a duly organized and validly existing limited
partnership and has full power and authority to execute, deliver and perform all
Loan Documents to which Borrower is a party, and such execution, delivery and
performance have been duly authorized by all requisite action on the part of
Borrower.

         (e)      No consent, approval or authorization of or declaration,
registration or filing with any Governmental Authority or nongovernmental person
or entity, including any creditor or partner of Borrower, is required in
connection with the execution, delivery and performance of this Agreement or any
of the Loan Documents other than the recordation of the Mortgage, Assignment of
Leases and Rents and the filing of UCC-1 Financing Statements, except for such
consents, approvals or authorizations of or declarations or filings with any
Governmental Authority or non-governmental person or entity where the failure to
so obtain would not have an adverse effect on Borrower or which have been
obtained as of any date on which this representation is made or remade.

         (f)      The execution, delivery and performance of this Agreement, the
execution and payment of the Note and the granting of the Mortgage and other
security interests under the other Loan Documents have not constituted and will
not constitute, upon the giving of notice or lapse of time or both, a breach or
default under any other agreement to which Borrower is a party or may be bound
or affected, or a violation of any law or court order which may affect the
Project, any part thereof, any interest therein, or the use thereof.

                                     - 10 -
<PAGE>

         (g)      There is no default under this Agreement or the other Loan
Documents, nor any condition which, after notice or the passage of time or both,
would constitute a default or an Event of Default under said documents.

         (h)      (i) No condemnation of any portion of the Project, (ii) no
condemnation or relocation of any roadways abutting the Project, and (iii) no
proceeding to deny access to the Project from any point or planned point of
access to the Project, has commenced or, to the best of Borrower's knowledge, is
contemplated by any Governmental Authority.

         (i)      The amounts set forth in the Budget present a full and
complete itemization by category of all costs, expenses and fees which Borrower
reasonably expects to pay or reasonably anticipates becoming obligated to pay to
complete the Construction and operate the Project (until the Project achieves
breakeven operations). Borrower is unaware of any other such costs, expenses or
fees which are material and are not covered by the Budget. Each of the Budget
and Construction Schedule is realistic and feasible, and accurate to date.

         (j)      Neither the construction of the Improvements nor the use of
the Project when completed pursuant to the Plans and Specifications and the
contemplated accessory uses will violate (i) any Laws (including healthcare,
subdivision, zoning, building, environmental protection and wetland protection
Laws), or (ii) any building permits, restrictions of record, or agreements
affecting the Project or any part thereof. Neither the zoning authorizations,
approvals or variances nor any other right to construct or to use the Project is
to any extent dependent upon or related to any real estate other than the Land.
All Governmental Approvals required for the Construction in accordance with the
Plans and Specifications have been obtained or will be obtained prior to the
Loan Opening, except for those approved by Lender, and all Laws relating to the
Construction and operation of the Improvements have been complied with and all
permits and licenses required for the operation of the Project which cannot be
obtained until the Construction is completed can be obtained if the Improvements
are completed in accordance with the Plans and Specifications. Borrower has
furnished Lender with true and complete sets of the Plans and Specifications.

         (k)      The Project will have adequate water, gas and electrical
supply, storm and sanitary sewerage facilities, other required public utilities,
fire and police protection, and means of access between the Project and public
highways; none of the foregoing will be foreseeably delayed or impeded by virtue
of any requirements under any applicable Laws.

         (l)      No brokerage fees or commissions are payable by Borrower to
any person in connection with this Agreement or the Loan to be disbursed
hereunder.

         (m)      Borrower has obtained the Environmental Report and makes the
following representations and warranties:

                  (i)      To Borrower's Knowledge, neither Borrower, NHLV,
         Holdings nor any operator of the Project, or any operations thereon is
         in violation, or alleged violation, of any judgment, decree, code,
         order, law, rule of common law, license, rule or regulation pertaining
         to environmental matters, including without limitation, those arising

                                     - 11 -
<PAGE>

         under the Resource Conservation and Recovery Act ("RCRA"), the
         Comprehensive Environmental Response, Compensation and Liability Act of
         1980 as amended ("CERCLA"), the Superfund Amendments and
         Reauthorization Act of 1986 ("SARA"), the Federal Clean Water Act, the
         Federal Clean Air Act, the Toxic Substances Control Act, or any state
         or local statute, regulation, ordinance, order or decree relating to
         the environment (hereinafter "Environmental Laws").

                  (ii)     To Borrower's Knowledge, neither Borrower, NHLV nor
         Holdings has received notice from any third party including, without
         limitation, any Governmental Authority, (1) that it has been identified
         by the United States Environmental Protection Agency ("EPA") as a
         potentially responsible party under CERCLA with respect to a site
         listed on the National Priorities List, 40 C.F.R. Part 300 Appendix B
         (1986); (2) that any Hazardous Material which it has generated,
         transported or disposed of has been found at any site at, on or under
         the Project for which a federal, state or local agency or other third
         party has conducted or has ordered that any of Borrower, NHLV or
         Holdings conduct a remedial investigation, removal or other response
         action pursuant to any Environmental Law; or (3) that it is or shall be
         a named party to any claim, action, cause of action, complaint, or
         legal or administrative proceeding (in each case, contingent or
         otherwise) arising out of any third party's incurrence of costs,
         expenses, losses or damages of any kind whatsoever in connection with
         the release of Hazardous Materials.

                  (iii)    (1) To Borrower's Knowledge, except as disclosed in
         the Environmental Report provided to Lender on or before the date
         hereof, (a) no portion of the Project has been used as a landfill or
         for dumping or for the handling, processing, storage or disposal of
         Hazardous Materials except in accordance with applicable Environmental
         Laws, and (b) no underground tank or other underground storage
         receptacle for Hazardous Materials is located on any portion of the
         Project that is not in compliance with applicable Environmental Laws;
         (2) in the course of any activities conducted by Borrower or, to
         Borrower's Knowledge, NHLV, Holdings or any operator of any of the
         Project, no Hazardous Materials have been generated or are being used
         on the Project except in the ordinary course of business and in
         accordance with applicable Environmental Laws; (3) to Borrower's
         Knowledge, there has been no past or present releasing, spilling,
         leaking, pumping, pouring, emitting, emptying, discharging, injecting,
         escaping, disposing or dumping (a "Release") or threatened Release of
         Hazardous Materials on, upon, into or from any of the Project, which
         Release would have a material adverse effect on the value of any of the
         Project or adjacent properties or the environment; (4) to Borrower's
         Knowledge, there have been no Releases on, upon, from or into any real
         property in the vicinity of the Project which, through soil or
         groundwater contamination, may have come to be located on, and which
         would have a material adverse effect on the value of, the Project; and
         (5) to Borrower's Knowledge, any Hazardous Materials that have been
         generated on the Project have been transported off-site only by
         carriers having an identification number issued by the EPA or approved
         by a state or local environmental regulatory authority having
         jurisdiction regarding the transportation of such substance and treated
         or disposed of only by treatment or disposal facilities maintaining
         valid permits as required under all applicable Environmental Laws,

                                     - 12 -
<PAGE>

         which transporters and facilities have been and are, to Borrower's
         Knowledge, operating in compliance with such permits and applicable
         Environmental Laws.

                  (iv)     Neither Borrower, NHLV, Holdings nor the Project is
         subject to any applicable Environmental Law requiring the performance
         of Hazardous Materials site assessments, or the removal or remediation
         of Hazardous Materials, or the giving of notice to any Governmental
         Authority or the recording or delivery to other Persons of an
         environmental disclosure document or statement by virtue of the
         transactions set forth herein and contemplated hereby, or as a
         condition to the recording of the Mortgage or to the effectiveness of
         any other transactions contemplated hereby.

         (n)      All financial statements and other information previously
furnished by Borrower to Lender in connection with the Loan are true, complete
and correct and fairly present the financial conditions of the subjects thereof
as of the respective dates thereof and do not fail to state any material fact
necessary to make such statements or information not misleading, and no Material
Adverse Change with respect to Borrower has occurred since the respective dates
of such statements and information. Borrower has no material liability,
contingent or otherwise, not disclosed in such financial statements.

         (o)      There are no unpaid or outstanding real estate or other taxes
or assessments on or against the Project or any part thereof. The Project is
taxed separately without regard to any other property and for all purposes the
Project may be mortgaged, conveyed and otherwise dealt with as an independent
parcel.

         (p)      Except for the Ground Lease, the Sublease and any Leases,
which have been provided to and approved by Lender in writing, Borrower, NHLV,
Holdings and their agents have not entered into any Leases, subleases or other
arrangements for occupancy of space within the Project. True, correct and
complete copies of all Leases, as amended, have been delivered to Lender. All
Leases are in full force and effect. Neither Borrower nor any Tenant is in
default under any Lease and Borrower has disclosed to Lender in writing any
material default by the tenant under any Lease. Except for the Leases, there are
no material agreements pertaining to or benefiting the Project or the operation
or maintenance thereof (including, without limitation, purchase options) other
than as described in this Agreement or otherwise disclosed in writing to Lender
by Borrower, and no Person has any right or option to acquire the Project or any
portion thereof or interest therein.

         (q)      When the Construction is completed in accordance with the
Plans and Specifications, no building or other improvement will encroach upon
any property line, building line, setback line, side yard line or any recorded
or visible easement (or other easement of which Borrower is aware or has reason
to believe may exist) with respect to the Project.

         (r)      The Loan is not being made for the purpose of purchasing or
carrying "margin stock" within the meaning of Regulation G, T, U or X issued by
the Board of Governors of the Federal Reserve System, and Borrower agrees to
execute all instruments necessary to comply with all the requirements of
Regulation U of the Federal Reserve System.

                                     - 13 -
<PAGE>

         (s)      Borrower is not a party in interest to any plan defined or
regulated under ERISA, and the assets of Borrower are not "plan assets" of any
employee benefit plan covered by ERISA or Section 4975 of the Internal Revenue
Code.

         (t)      Borrower is not a "foreign person" within the meaning of
Section 1445 or 7701 of the Internal Revenue Code.

         (u)      Borrower does not use any trade name other than its actual
name set forth herein. The principal place of business of Borrower is as stated
in Article 22.

         (v)      Borrower's place of formation or organization is the State of
Texas.

         (w)      All of the representations and warranties made by or on behalf
of Borrower or any other party in this Agreement and the other Loan Documents or
any document or instrument delivered to Lender pursuant to or in connection with
any of such Loan Documents are true and correct in all material respects, and
Borrower has not failed to disclose such information as is necessary to make
such representations and warranties not misleading.

         (x)      As of the Loan Opening Date and after giving effect to the
transactions contemplated by this Agreement and the other Loan Documents,
including the Loan to be made hereunder, Borrower is not insolvent on a balance
sheet basis such that the sum of Borrower's liabilities exceeds the sum of
Borrower's assets, Borrower is able to pay its debts as they become due, and
Borrower has sufficient capital to carry on its business.

         (y)      None of the officers, trustees, directors, partners or
employees of Borrower is presently a party to any transaction with Borrower
(other than for services as employees, officers, directors, trustees and
partners), including any contract, agreement or other arrangement providing for
the furnishing of services to or by, providing for rental of real or personal
property to or from, or otherwise requiring payments to or from any officer,
trustee, director, partner or such employee or, to Borrower's knowledge, any
corporation, partnership, trust or other entity in which any officer, trustee,
director, partner or any such employee has a substantial interest or is an
officer, director, trustee or partner.

         (z)      North Cypress Medical Center Operating Company GP, L.L.C., a
Texas limited liability company, is the sole general partner of Borrower.

         (aa)     The General Contract is in full force and effect and both
Borrower and the General Contractor are in compliance with their respective
obligations under the General Contract. The work to be performed by the General
Contractor under the General Contract is the work called for by the Plans and
Specifications, and all work required to complete the Improvements in accordance
with the Plans and Specifications is provided for under the General Contract.
The Architect's contract is in full force and effect and both Borrower and the
Architect are in compliance with their respective obligations under the
Architect's contract. The Program Development Agreement is in full force and
effect and both Borrower and HADC are in compliance with their respective
obligations under the Program Development Agreement.

                                     - 14 -
<PAGE>

3.2      SURVIVAL OF REPRESENTATIONS AND WARRANTIES.

         Borrower agrees that all of the representations and warranties set
forth in Section 3.1 and elsewhere in this Agreement are true as of the date
hereof, will be true at the Loan Opening and, except for matters which have been
disclosed by Borrower and approved by Lender in writing, at all times
thereafter. Each request for a disbursement under the Loan Documents shall
constitute a reaffirmation of such representations and warranties, as deemed
modified in accordance with the disclosures made and approved as aforesaid, as
of the date of such request. It shall be a condition precedent to the Loan
Opening and each subsequent disbursement that each of said representations and
warranties is true and correct as of the date of such requested disbursement.
Each disbursement of Loan proceeds shall be deemed to be a reaffirmation by
Borrower that each of the representations and warranties is true and correct as
of the date of such disbursement. In addition, at Lender's request, Borrower
shall reaffirm such representations and warranties in writing prior to each
disbursement hereunder.

                                    ARTICLE 4
                             LOAN AND LOAN DOCUMENTS

4.1      AGREEMENT TO BORROW AND LEND; LENDER'S OBLIGATION TO DISBURSE.

         Subject to the terms, provisions and conditions of this Agreement and
the other Loan Documents, Borrower agrees to borrow from Lender and Lender
agrees to lend to Borrower the Loan, for the purposes and subject to all of the
terms, provisions and conditions contained in this Agreement. If Lender consists
of more than one party, the obligations of each such party with respect to the
amount it has agreed to loan to Borrower shall be several (and not joint and
several) and shall be limited to its proportionate share of the Loan and of each
advance.

         (a) The principal amount of the Loan shall not exceed the lesser of (i)
the fair market value of the Project as set out in the Appraisal of the Project,
or (ii) the total replacement cost of the Project as set out in the Budget
approved by Lender hereunder. Borrower shall be responsible for any costs
necessary to complete Construction in excess of the principal amount of the
Loan.

         (b) Lender agrees, upon Borrower's compliance with and satisfaction of
all conditions precedent to the Loan Opening and provided the Loan is In
Balance, no Material Adverse Change has occurred with respect to Borrower, any
Tenant, or the Project and no default or Event of Default has occurred and is
continuing hereunder, to open the Loan to fund the costs incurred by Borrower in
connection with the development of the Project and the construction of the
Improvements, to the extent provided for in the Budget; provided, however, and
notwithstanding any other provision of this Agreement or any other Loan Document
to the contrary, that Lender shall not advance any of the proceeds of the Loan
to fund the acquisition or installation of any personal property or equipment
for the Project.

         (c) After the Opening of the Loan, Borrower shall be entitled to
receive further successive disbursements of the proceeds of the Loan in
accordance with Articles 9, 12 and 13 within ten (10) Business Days after
compliance with all conditions precedent thereto, provided

                                     - 15 -
<PAGE>

that (i) the Loan remains In Balance; (ii) Borrower has complied with all
conditions precedent to disbursement from time to time including the
requirements of Section 3.2 and Articles 8, 9, 12 and 13; (iii) no Material
Adverse Change has occurred with respect to Borrower, any Tenant, or the Project
and (iv) no Event of Default and no material default exists hereunder or under
any other Loan Document or Lease.

         (d) To the extent that Lender may have acquiesced in noncompliance with
any requirements precedent to the Opening of the Loan or precedent to any
subsequent disbursement of Loan proceeds, such acquiescence shall not constitute
a waiver by Lender, and Lender may at any time after such acquiescence require
Borrower to comply with all such requirements.

4.2      LOAN DOCUMENTS.

         Borrower agrees that it will, on or before the Loan Opening Date,
execute and deliver to Lender the following documents in form and substance
acceptable to Lender:

         (a) The Note.

         (b) The Mortgage.

         (c) The Assignment of Rents.

         (d) The Environmental Indemnity.

         (e) A collateral assignment of construction documents, including,
without limitation, the General Contract, The Program Development Agreement, all
architecture and engineering contracts, Plans and Specifications, permits,
licenses, approvals and development rights, together with consents to the
assignment and continuation agreements from the General Contractor, HADC, the
Architect, the engineer and other parties reasonably specified by Lender.

         (f) A collateral assignment of the Purchase Agreement.

         (g) A collateral assignment of any management agreement with respect to
the Improvements, together with the consent and subordination of the manager
identified therein.

         (h) Such UCC financing statements as Lender determines are advisable or
necessary to perfect or notify third parties of the security interests intended
to be created by the Loan Documents.

         (i) The Subordination Agreement.

         (j) Such other documents, instruments or certificates as Lender and its
counsel may reasonably require, including such documents as Lender in its sole
discretion deems necessary or appropriate to effectuate the terms and conditions
of this Agreement and the Loan Documents, and to comply with the laws of the
State.

                                     - 16 -
<PAGE>

4.3      TERM OF THE LOAN.

         All principal, interest and other sums due under the Loan Documents
shall be due and payable in full on the Maturity Date; provided, however, that
if the Completion Date has not occurred by the Maturity Date solely as the
result of Unavoidable Delay, and no Default or Event of Default is occurring or
has occurred under this Agreement or the other Loan Documents and no event has
occurred which, with the giving of notice or lapse of time, or both, could
become an Event of Default, Lender shall, upon written request of Borrower,
extend the Maturity Date through the Completion Date, as extended for
Unavoidable Delay in accordance with Section 15.2.

4.4      PREPAYMENTS.

         Borrower shall have the right to make prepayments of the Loan, in whole
or in part, without prepayment penalty, upon not less than seven (7) days' prior
written notice to Lender. No prepayment of all or part of the Loan shall be
permitted unless same is made together with the payment of all interest accrued
on the Loan through the date of prepayment and an amount equal to all reasonable
attorneys' fees and disbursements incurred by Lender as a result of the
prepayment.

4.5      REQUIRED PRINCIPAL PAYMENTS.

         All principal shall be paid on the Maturity Date.

                                    ARTICLE 5
                                    INTEREST

5.1      INTEREST RATE.

         (a) The Loan will bear interest at the Applicable Rate, unless the
Default Rate is applicable. Borrower shall pay interest in arrears on the first
day of every calendar month in the amount of all interest accrued and unpaid.

         (b) Interest at the Applicable Rate (or Default Rate) shall be
calculated for the actual number of days elapsed on the basis of a 360-day year,
including the first date of the applicable period to, but not including, the
date of repayment.

5.2      LIMITATION ON INTEREST.

         Notwithstanding anything in this Agreement to the contrary, all
agreements between Borrower and the Lender, whether now existing or hereafter
arising and whether written or oral, are hereby limited so that in no
circumstance, whether by reason of acceleration of the maturity of any of the
Obligations or otherwise, shall the interest contracted for, charged or received
by the Lender exceed the maximum amount permissible under applicable Law. If,
from any circumstance whatsoever, interest would otherwise be payable to the
Lender in excess of the maximum lawful amount, the interest payable to the
Lender shall be reduced to the maximum amount permitted under applicable Law;
and if from any circumstance the Lender shall ever

                                     - 17 -
<PAGE>

receive anything of value deemed interest by applicable Law in excess of the
maximum lawful amount, an amount equal to any excessive interest shall be
applied to the reduction of the principal balance of the Obligations and to the
payment of interest or, if such excessive interest exceeds the unpaid balance of
principal of the Obligations, such excess shall be refunded to the Borrower. All
interest paid or agreed to be paid to Lender shall, to the extent permitted by
applicable Law, be amortized, prorated, allocated and spread throughout the full
period until payment in full of the principal of the Obligations (including the
period of any renewal or extension thereof) so that the interest thereon for
such full period shall not exceed the maximum amount permitted by applicable
Law. This section shall control all agreements between Borrower and Lender.

                                    ARTICLE 6
                            COSTS OF MAINTAINING LOAN

6.1      BORROWER WITHHOLDING.

         If by reason of a change in any applicable Laws occurring after the
date hereof, Borrower is required by Law to make any deduction or withholding in
respect of any taxes (other than taxes imposed on or measured by the net income
of Lender or any franchise tax imposed on Lender), duties or other charges from
any payment due under the Note to the maximum extent permitted by law, the sum
due from Borrower in respect of such payment shall be increased to the extent
necessary to ensure that, after the making of such deduction or withholding,
Lender receives and retains a net sum equal to the sum which it would have
received had no such deduction or withholding been required to be made.

                                    ARTICLE 7
                            LOAN EXPENSE AND ADVANCES

7.1      LOAN AND ADMINISTRATION EXPENSES.

         Borrower unconditionally agrees to pay all expenses of the Loan,
including all amounts payable pursuant to Sections 7.2, 7.3 and 7.4 and any and
all other fees owing to Lender or Lender pursuant to the Loan Documents, and
also including, without limiting the generality of the foregoing, all recording,
filing and registration fees and charges, mortgage or documentary taxes, all
insurance premiums, title insurance premiums and other charges of the Title
Insurer, printing and photocopying expenses, survey fees and charges, cost of
certified copies of instruments, cost of premiums on surety company bonds and
the Title Policy, charges of the Title Insurer or other escrowee for
administering disbursements, all fees and disbursements of Lender's Consultant
and Lender's Environmental Consultant, all appraisal fees, insurance
consultant's fees, travel related expenses and all costs and expenses incurred
by Lender in connection with the determination of whether or not Borrower has
performed the obligations undertaken by Borrower hereunder or has satisfied any
conditions precedent to the obligations of Lender hereunder and, if any default
or Event of Default occurs hereunder or under any of the Loan Documents or if
the Loan or Note or any portion thereof is not paid in full when and as due, all
costs and expenses of Lender (including, without limitation, court costs and
reasonable counsel's fees and disbursements and fees and costs of paralegals)
incurred in attempting to

                                     - 18 -
<PAGE>

enforce payment of the Loan and expenses of Lender incurred (including court
costs and reasonable counsel's fees and disbursements and fees and costs of
paralegals) in attempting to realize, while a default or Event of Default
exists, on any security or incurred in connection with the sale or disposition
(or preparation for sale or disposition) of any security for the Loan.

7.2      COMMITMENT FEE.

         Borrower shall pay to Lender on or before the date of this Agreement a
commitment fee in the amount of $640,280.00. Lender acknowledges receipt of
$100,000.00 of such fee and that only the balance of $540,280.00 shall be due on
the Loan Opening Date. Such fee is fully earned and non-refundable.

7.3      INSPECTION FEE.

         Borrower shall pay to Lender on the Loan Opening Date a fee of
$75,000.00 to cover the costs of Lender's inspection of the Construction. Such
fee is fully earned and non-refundable.

7.4      LENDER'S ATTORNEYS' FEES AND DISBURSEMENTS.

         Borrower agrees to pay all reasonable Lender's attorneys' fees and
disbursements incurred in connection with this Loan, including (i) the
preparation of this Agreement and the other Loan Documents and the preparation
of the closing binders, (ii) the disbursement and administration of the Loan and
(iii) the enforcement of the terms of this Agreement and the other Loan
Documents.

7.5      TIME OF PAYMENT OF FEES AND EXPENSES.

         Borrower shall pay all expenses and fees incurred by Lender of the Loan
Opening on the Loan Opening Date (unless sooner required herein). At the time of
the Opening of the Loan, Lender may pay from the proceeds of the initial
disbursement of the Loan (to the extent provided for in the Budget) all Loan
expenses. Lender may require the payment of Lender's outstanding fees and
expenses as a condition to any disbursement of the Loan. Lender is hereby
authorized, without any specific request or direction by Borrower, to make
disbursements from time to time in payment of or to reimburse Lender for all
Loan expenses and fees (whether or not, at such time, there may be any
undisbursed amounts of the Loan allocated in the Budget for the same).

7.6      EXPENSES AND ADVANCES SECURED BY LOAN DOCUMENTS.

         Any and all advances or payments made by Lender under this Article 7
from time to time, and any amounts expended by Lender pursuant to Section
20.1(a), shall, as and when advanced or incurred, constitute additional
indebtedness evidenced by the Note and secured by the Mortgage and the other
Loan Documents.

7.7      RIGHT OF LENDER TO MAKE ADVANCES TO CURE BORROWER'S DEFAULTS.

         In the event that Borrower fails to perform any of Borrower's
covenants, agreements or obligations contained in this Agreement or any of the
other Loan Documents (including the

                                     - 19 -
<PAGE>

obligation to pay accrued interest upon the Loan when due) (after the expiration
of applicable grace periods, except in the event of an emergency or other
exigent circumstances), Lender may (but shall not be required to) perform any of
such covenants, agreements and obligations, and any amounts expended by Lender
in so doing shall constitute additional indebtedness evidenced by the Note and
secured by the Mortgage and the other Loan Documents and shall bear interest at
a rate per annum equal to the Applicable Rate (or Default Rate following an
Event of Default).

                                    ARTICLE 8
                     NON-CONSTRUCTION REQUIREMENTS PRECEDENT
                           TO THE OPENING OF THE LOAN

8.1      NON-CONSTRUCTION CONDITIONS PRECEDENT.

         Borrower agrees that Lender's obligation to open the Loan and
thereafter to make further disbursements of proceeds thereof is conditioned upon
Borrower's delivery, performance and satisfaction of the following conditions
precedent in form and substance satisfactory to Lender in its reasonable
discretion:

         (a) Equity: Borrower shall have provided evidence reasonably
satisfactory to Lender that Borrower's Tangible Net Worth is not less than those
amounts required under Section 16.2(a) of that certain Lease Agreement
(Post-Construction) dated of even date herewith between MPT Land Entity and
Borrower (the "Post-Construction Lease").

         (b) Loan Documents: Borrower shall have delivered to Lender fully
executed counterparts of this Agreement and the other Loan Documents.

         (c) Ground Lease; Sublease: Borrower shall have delivered to Lender
copies of the fully executed Ground Lease and Sublease and estoppel agreements
from Holdings and NHLV with respect thereto;

         (d) Purchase Agreement; Reciprocal Easement Agreement: Borrower shall
have furnished to Lender the fully executed Purchase Agreement and Reciprocal
Easement Agreement (which Reciprocal Easement Agreement shall be promptly
recorded in the Real Estate Records of Harris County, Texas);

         (e) Title Policy and Other Documents: Borrower shall have furnished to
Lender the Title Policy meeting the requirements set out in Exhibit C attached
hereto, together with legible copies of all title exception documents cited in
the Title Policy and all other legal documents affecting the Project or the use
thereof;

         (f) Survey: Borrower shall have furnished to Lender a ALTA/ACSM "Class
A" Land Title Survey of the Project dated no earlier than ninety (90) days prior
to the Loan Opening and including the legal description of the Land;

                                     - 20 -
<PAGE>

         (g) Insurance Policies: Borrower shall have furnished to Lender not
less than ten (10) days prior to the date of this Agreement policies or binders
evidencing that insurance coverages are in effect with respect to the Project
and Borrower, in accordance with the Insurance Requirements attached hereto as
Exhibit D, for which the premiums have been fully prepaid with endorsements
satisfactory to Lender.

         (h) Litigation: No litigation or proceedings shall be pending or
threatened which could or might cause a Material Adverse Change with respect to
Borrower, any Tenant, or the Project;

         (i) Utilities: Borrower shall have furnished to Lender (by way of
utility letters or otherwise) evidence establishing to the satisfaction of
Lender that the Project when constructed will have adequate water supply, storm
and sanitary sewerage facilities, telephone, gas, electricity, fire and police
protection, means of ingress and egress to and from the Project and public
highways and any other required public utilities and that the Project is
benefited by insured easements as may be required for any of the foregoing;

         (j) Attorney Opinions: Borrower shall have furnished to Lender an
opinion from counsel for Borrower covering due authorization, execution and
delivery and enforceability of the Loan Documents and also containing such other
legal opinions as Lender shall require;

         (k) Appraisal: Lender shall have obtained an Appraisal in an amount at
least equal to the Loan Amount (based upon the Project's stabilized value upon
completion of construction) which Appraisal is satisfactory to Lender in all
respects;

         (l) Searches: Borrower shall have furnished to Lender current
bankruptcy, federal tax lien and judgment searches and searches of all Uniform
Commercial Code financing statements filed in each place UCC Financing
Statements are to be filed hereunder, demonstrating the absence of adverse
claims;

         (m) Financial Statements: Borrower shall have furnished to Lender
current annual financial statements of Borrower, the General Contractor and such
other persons or entities connected with the Loan as Lender may request, each in
form and substance and certified by such individual as acceptable to Lender.
Borrower shall provide such other additional financial information Lender
reasonably requires;

         (n) Pro Forma Projection: Borrower shall have furnished to Lender a Pro
Forma Projection covering the succeeding five year period;

         (o) Management Agreements: Borrower shall have delivered to Lender
executed copies of any leasing, management and development agreements entered
into by Borrower in connection with the Construction and/or the operation of the
Project;

         (p) Flood Hazard: Lender has received evidence that the Project is not
located in an area designated by the Secretary of Housing and Urban Development
as a special flood hazard area, or flood hazard insurance acceptable to Lender
in its sole discretion;

                                     - 21 -
<PAGE>

         (q) Organizational Documents: Borrower shall have furnished to Lender
proof satisfactory to Lender of authority, formation, organization and good
standing in the State of its incorporation or formation and, if applicable,
qualification as a foreign entity in good standing in the state of its
incorporation or formation, of all corporate, partnership, trust and limited
liability company entities (including Borrower) executing any Loan Documents,
whether in their own name or on behalf of another entity. Borrower shall also
provide certified resolutions in form and content satisfactory to Lender,
authorizing execution, delivery and performance of the Loan Documents by
Borrower, and such other documentation as Lender may reasonably require to
evidence the authority of the persons executing the Loan Documents;

         (r) No Defaults: There shall be no uncured Event of Default by Borrower
hereunder nor any event, circumstance or condition which with notice or passage
of time or both would be an event of default;

         (s) Easements: Borrower shall have furnished written agreements from
the holders of all easements or rights of way whose easements or rights of way
will be encroached upon by the Construction confirming that said holders consent
to the moving of the easement or right of way to a location where it will not be
encroached upon by the Construction; and

         (t) Additional Documents: Borrower shall have furnished to Lender such
other materials, documents, papers or requirements regarding the Project,
Borrower and any Tenant as Lender shall reasonably request.

                                    ARTICLE 9
                       CONSTRUCTION REQUIREMENTS PRECEDENT
                           TO THE OPENING OF THE LOAN

9.1      REQUIRED CONSTRUCTION DOCUMENTS.

         Borrower shall cause to be furnished to Lender the following, in form
and substance satisfactory to Lender and Lender's Consultant in all respects,
for Lender's approval in its reasonable discretion prior to the Opening of the
Loan:

         (a) Fully executed copies of the following, each satisfactory to Lender
and Lender's Consultant in all respects: (i) a fixed or guaranteed maximum price
contract with the General Contractor; (ii) copies of all Major Subcontracts;
(iii) the Program Development Agreement; and (iv) all contracts with architects
and engineers;

         (b) A schedule of values, including a trade payment breakdown, setting
forth a description of all contracts let by Borrower and/or the General
Contractor for the design, engineering, construction and equipping of the
Improvements;

         (c) An initial sworn statement of the General Contractor, HADC,
Architect and Lender's Consultant covering all work done and to be done,
together with lien waivers covering all work and materials for which payments
have been made by Borrower prior to the Loan Opening;

                                     - 22 -
<PAGE>

         (d) Bonds in favor of Lender guaranteeing all of the obligations of
General Contractor under the General Contract and the obligations of such Major
Subcontractors as are designated by Lender;

         (e) Copies of each of the Required Permits, except for those Required
Permits, approvals or licenses for operation of the Project which cannot be
issued until completion of Construction, in which event such Required Permits
will be obtained by Borrower on a timely basis in accordance with all recorded
maps and conditions, and applicable building, land use, zoning and environmental
codes, statutes and regulations and will be delivered to Lender at the earliest
possible date. In all events the Required Permits to be delivered prior to the
Opening of the Loan shall include full building permits.

         (f) Full and complete detailed Plans and Specifications for the
Improvements in triplicate, prepared by the Architect;

         (g) The Construction Schedule;

         (h) The Soil Report;

         (i) The Environmental Report, which shall, at a minimum, (i)
demonstrate the absence of any existing or potential Hazardous Material
contamination or violations of environmental Laws at the Project, except as
acceptable to Lender in its sole and absolute discretion, (ii) include the
results of all sampling or monitoring to confirm the extent of existing or
potential Hazardous Material contamination at the Project, including the results
of leak detection tests for each underground storage tank located at the
Project, if any, (iii) describe response actions appropriate to remedy any
existing or potential Hazardous Material contamination, and report the estimated
cost of any such appropriate response, (iv) confirm that any prior removal of
Hazardous Material or underground storage tanks from the Project was completed
in accordance with applicable Laws, and (v) confirm whether or not the Land is
located in a wetlands district;

         (j) A report from Lender's Consultant, which contains an analysis of
the Plans and Specifications, the Budget, the Construction Schedule, the General
Contract, the Program Development Agreement, all subcontracts then existing and
the Soil Report. Such report shall be solely for the benefit of Lender and each
Lender and contain (i) an analysis satisfactory to Lender demonstrating the
adequacy of the Budget to complete the Project and (ii) a confirmation that the
Construction Schedule is realistic. Lender's Consultant shall monitor
construction of the Project and shall visit the Project at least one (1) time
each month, and shall certify as to amounts of construction costs for all
requested fundings;

         (k) Certificates from each of the General Contractor, HADC, Architect
and engineer in favor of Lender, consenting to the assignment of their
respective contracts to Lender and certifying as to such other items as shall be
requested by Lender;

         (l) Written agreements from the holders of all easements or rights of
way whose easements or rights of way will be encroached upon by the Construction
confirming that said

                                     - 23 -
<PAGE>

holders consent to the moving of the easement or right of way to a location
where it will not be encroached upon by the Construction;

         (m) Certification from the Architect or the engineer as to the Plans
and Specifications; and

         (n) Such other papers, materials and documents as Lender may require
with respect to the Construction.

                                   ARTICLE 10
                           BUDGET AND CONTINGENCY FUND

10.1     BUDGET.

         Disbursement of the Loan shall be governed by the Budget for the
Project, in form and substance acceptable to Lender in Lender's reasonable
discretion. The Budget shall specify all costs and expenses of every kind and
nature whatever to be incurred by Borrower in connection with the Project. The
Budget shall include, in addition to the Budget Line Items described in Section
10.2 below, the Contingency Fund described in Section 10.3 below, and amounts
satisfactory to Lender for soft costs and other reserves acceptable to Lender.
The initial Budget is attached hereto as Exhibit E and made a part hereof. Once
the Budget is approved by Lender all changes to the Budget shall in all respects
be subject to the prior written approval of Lender. Changes in the scope of
construction work or to any construction related contract must be documented
with a change order on the AIA Form G 701 or equivalent form

10.2     BUDGET LINE ITEMS.

         The Budget shall include as line items ("Budget Line Items") to the
extent determined to be applicable by Lender in its reasonable discretion, the
cost of all labor, materials, equipment, fixtures and furnishings needed for the
completion of the Construction, and all other costs, fees and expenses relating
in any way whatsoever to the Construction of the Improvements, leasing
commissions, tenant improvements and tenant allowances, operating deficits, real
estate taxes, and all other sums due in connection with Construction and
operation of the Project, the Loan, and this Agreement. Borrower agrees that all
Loan proceeds disbursed by Lender shall be used only for the Budget Line Items
for which such proceeds were disbursed.

         Lender shall not be obligated to disburse any amount for any category
of costs set forth as a Budget Line Item, which is greater than the amount set
forth for such category in the applicable Budget Line Item. Borrower shall pay
as they become due all amounts set forth in the Budget with respect to costs to
be paid for by Borrower.

10.3     CONTINGENCY FUND.

         The Budget shall contain a Budget Line Item designated for the
Contingency Fund. Borrower may from time to time request that the Contingency
Fund be reallocated to pay needed costs of the Project. Such requests shall be
subject to Lender's written approval in its reasonable discretion.

                                     - 24 -
<PAGE>

         Borrower agrees that the decision with respect to utilizing portions of
the Contingency Fund in order to keep the Loan "In Balance" shall be made by
Lender in its reasonable discretion, and that Lender may require Borrower to
make a Deficiency Deposit even if funds remain in the Contingency Fund.

10.4     OPTIONAL METHOD FOR PAYMENT OF INTEREST.

         For Borrower's benefit, the Budget includes a Budget Line Item for
interest. Borrower hereby authorizes Lender from time to time, for the mutual
convenience of Lender and Borrower, to disburse Loan proceeds to pay all the
then accrued interest on the Note, regardless of whether Borrower shall have
specifically requested a disbursement of such amount. Any such disbursement, if
made, shall be added to the outstanding principal balance of the Note and shall,
when disbursed, bear interest at the Applicable Rate. The authorization hereby
granted, however, shall not obligate Lender to make disbursements of the Loan
for interest payments (except upon Borrower's qualifying for and requesting
disbursement of that portion of the proceeds of the Loan allocated for such
purposes in the Budget) nor prevent Borrower from paying accrued interest from
its own funds.

                                   ARTICLE 11
                               SUFFICIENCY OF LOAN

11.1     LOAN IN BALANCE.

         Anything contained in this Agreement to the contrary notwithstanding,
it is expressly understood and agreed that, in Lender's reasonable discretion,
the Loan shall at all times be "In Balance", on a Budget line item and an
aggregate basis. The Loan shall be deemed to be "In Balance" in the aggregate
only when the total of the undisbursed portion of the Loan less the Contingency
Fund (subject to Borrower's reallocation rights under Section 10.3), equals or
exceeds the aggregate of (a) the costs required to complete the construction of
the Project in accordance with the Plans and Specifications and the Budget,
including, without limitation, all Tenant Work required to be performed by
Borrower or tenant allowances to be paid for by Borrower under Leases or
reasonably anticipated for unleased space; (b) the amounts to be paid as
retainages to persons who have supplied labor or materials to the Project; (c)
the amount required to pay interest on the Loan through the Maturity Date; and
(d) all other hard and soft costs not yet paid for in connection with the
Project, as such costs and amounts described in clauses (a), (b), (c) and (d)
may be estimated and/or approved in writing by Lender from time to time.
Borrower agrees that if for any reason, in Lender's reasonable discretion, the
amount of such undistributed Loan proceeds shall at any time be or become
insufficient for such purpose regardless of how such condition may be caused,
Borrower will, within ten (10) days after written request by Lender, deposit the
deficiency with Lender ("Deficiency Deposit"). The Deficiency Deposit shall
first be exhausted before any further disbursement of Loan proceeds shall be
made. Lender shall not be obligated to make any Loan disbursements if and for as
long as the Loan is not "In Balance".

                                      -25-
<PAGE>

                                   ARTICLE 12
                        CONSTRUCTION PAYOUT REQUIREMENTS

12.1     APPLICABILITY OF SECTIONS.

         The provisions contained in this Article 12 shall apply to the Opening
of the Loan and to all disbursements of proceeds during Construction.

12.2     MONTHLY PAYOUTS.

         After the Opening of the Loan, further disbursements shall be made
during Construction from time to time as the Construction progresses, but no
more frequently than once in each calendar month. At Lender's option,
disbursements may be made by Lender into an escrow and subsequently disbursed to
Borrower by the Title Insurer. If such option is exercised, those Loan proceeds
shall be deemed to be disbursed to Borrower from the date of deposit into that
escrow and interest shall accrue on those proceeds from that date. All
conditions precedent to the closing set forth in Articles 8 and 9 above and any
prior advance under this Article 12 shall continue to be satisfied as the
drawdown date of such subsequent advance. Borrower shall have performed and
complied with all terms and conditions herein required to be performed or
complied with by it on or prior to the drawdown date of such advance, and on the
drawdown date of such advance there shall exist no Default or Event of Default.

12.3     PRIOR CONDITIONS SATISFIED.

         All conditions precedent to the closing set forth in Articles 8 and 9
above and any prior advance under this Article 12 shall continue to be satisfied
as of the drawdown date of such subsequent advance. Borrower shall have
performed and complied with all terms and conditions herein required to be
performed or complied with by it on or prior to the drawdown date of such
advance, and on the drawdown date of such advance there shall exist no Default
or Event of Default.

12.4     DOCUMENTS TO BE FURNISHED FOR EACH DISBURSEMENT.

         As a condition precedent to each disbursement of the Loan proceeds
(including the initial disbursement at the Opening of the Loan), Borrower shall
furnish or cause to be furnished to Lender the following documents covering each
disbursement, in form and substance satisfactory to Lender:

         (a)      A completed Borrower's Certificate in the form of Exhibit F
attached hereto and made a part hereof and a completed Soft and Hard Cost
Requisition Form in the form of Exhibit G attached hereto and made a part
hereof, each executed by the Authorized Representative;

         (b)      A completed standard AIA Form G702 and Form G703 signed by the
General Contractor, HADC and the Architect, together with General Contractor's
sworn statements and unconditional waivers of lien, and all subcontractors',
material suppliers' and laborers'

                                      -26-
<PAGE>

conditional waivers of lien, covering all work, to be paid with the proceeds of
the prior draw requests, together with such invoices, contracts or other
supporting data as Lender may require to evidence that all costs for which
disbursement is sought have been incurred;

         (c)      An endorsement to the Title Policy issued to Lender covering
the date of disbursement and showing the Mortgage as a first, prior and
paramount lien on the Project subject only to the Permitted Exceptions and real
estate taxes that have accrued but are not yet due and payable and particularly
that nothing has intervened to affect the validity or priority of the Mortgage;

         (d)      Copies of any executed Change Orders on standard AIA G701
form, which have not been previously furnished to Lender;

         (e)      Copies of all construction contracts (including subcontracts)
which have been executed since the last disbursement, together with any Bonds
obtained or required to be obtained with respect thereto;

         (f)      All Required Permits;

         (g)      Satisfactory evidence that all Government Approvals have been
obtained for development of the Project; and

         (h)      Such other instruments, documents and information as Lender or
the Title Insurer may reasonably request.

         Disbursements shall be made approximately ten (10) days after receipt
of all information required by Lender to approve the requested disbursements.

12.5     RETAINAGES.

         At the time of each disbursement of Loan proceeds, ten percent (10%) of
the total amount then due the General Contractor and the various contractors,
subcontractors and material suppliers for costs of the Construction shall be
withheld from the amount disbursed. The retained Loan amounts for the
Construction costs will be disbursed only at the time of the final disbursement
of Loan proceeds under Article 13 below; provided, however, upon the
satisfactory completion of one hundred percent (100%) of the work with respect
to any trade (including any trade performed by the General Contractor) or the
delivery of all materials pursuant to a purchase order in accordance with the
Plans and Specifications as certified by the Architect and the Lender's
Consultant, Lender may decide on a case by case basis (but shall not be
obligated) to permit retainages with respect to such trade or order, as the case
may be, to be disbursed to Borrower upon the Lender's Consultant's approval of
all work and materials and Lender's receipt of a final waiver of lien with
respect to such completed work or delivered materials.

12.6     DISBURSEMENTS FOR MATERIALS STORED ON-SITE.

         Any requests for disbursements which in whole or in part relate to
materials, which Borrower owns and which are not incorporated into the
Improvements as of the date of the

                                      -27-
<PAGE>

request for disbursement, but are to be temporarily stored at the Project, must
be accompanied by evidence satisfactory to Lender that (i) such stored materials
are included within the coverages of insurance policies carried by Borrower,
(ii) the ownership of such materials is vested in Borrower free of any liens and
claims of third parties, (iii) such materials are properly insured and protected
against theft or damage, (iv) the materials used in the Construction are not
commodity items but are uniquely fabricated for the Construction, (v) the
Lender's Consultant has viewed and inspected the stored materials, and (vi) in
the opinion of the Lender's Consultant, the stored materials are physically
secured and can be incorporated into the Project within forty five (45) days
from the date of the request. Lender may require separate Uniform Commercial
Code financing statements to cover any such stored materials.

12.7     DISBURSEMENTS FOR OFFSITE MATERIALS.

         Lender may in its sole discretion, but shall not be obligated to, make
disbursements for materials stored off-site, in which event all of the
requirements of Section 12.5 shall be applicable to such disbursement as well as
any other requirements which Lender may, in its sole discretion, determine are
appropriate under the circumstances.

12.8     DISBURSEMENTS FOR TENANT WORK AND ALLOWANCES.

         Lender shall not be obligated to make any disbursements for tenant
allowances or Tenant Work unless the applicable Tenant has accepted the premises
demised by its Lease, is in occupancy and paying rent, all opening and
co-tenancy requirements in its Lease are then satisfied, and all required
certificates of occupancy or other permits have been issued with respect to such
demised premises. These requirements shall apply notwithstanding any contrary
requirements of any Lease. Lender may in its sole discretion agree to make
interim disbursements for Tenant Work or tenant allowances for credit tenants
whose financial condition and Lease terms are satisfactory to Lender.

         (a)      The first request for disbursement for Tenant Work in
                  connection with a specific leased space in the Project shall
                  be accompanied by the following, all of which shall be subject
                  to the approval of Lender:

                  (i)      copies of all contracts, if not previously delivered
                           to Lender, for the performance of such Tenant Work;

                  (ii)     a cost breakdown for each trade performing Tenant
                           Work in such leased space, and an estimated
                           commencement and completion date;

                  (iii)    an estimate of all direct costs of the Tenant Work to
                           be performed in such leased space which has not been
                           contracted for or made subject to a work order or
                           order to proceed;

                  (iv)     plans and specifications for the leased space,
                           together with a certificate from an architect
                           acceptable to Lender that such plans and
                           specifications comply with all Laws affecting the
                           Project and the lease covering such leased space; and

                                      -28-
<PAGE>

                  (v)      a fully executed Lease approved by Lender covering
                           such leased space.

                                   ARTICLE 13
                       FINAL DISBURSEMENT FOR CONSTRUCTION

13.1     FINAL DISBURSEMENT FOR CONSTRUCTION.

         Lender will advance to Borrower the final disbursement for the cost of
the Construction (including retainages) when the following conditions have been
complied with, provided that all other conditions in this Agreement for
disbursements have been complied with:

         (a)      The Improvements have been fully completed and equipped in
accordance with the Plans and Specifications free and clear of mechanics' liens
and security interests and are ready for occupancy;

         (b)      Borrower shall have furnished to Lender "all risks" casualty
insurance in form and amount and with companies satisfactory to Lender in
accordance with the requirements contained herein;

         (c)      Borrower shall have furnished to Lender copies of all licenses
and permits required by any Governmental Authority having jurisdiction for the
occupancy of the Improvements and the operation thereof, including a certificate
of occupancy from the municipality in which the Project is located, or a letter
from the appropriate Governmental Authority that no such certificate is issued;

         (d)      All Tenants shall have executed acknowledgments of acceptance
of their respective premises in form and substance acceptable to Lender;

         (e)      Borrower shall have furnished a plat of survey covering the
completed Improvements in compliance with Section 8.1(f);

         (f)      All fixtures, furnishings, furniture, equipment and other
property required for the operation of the Project shall have been installed
free and clear of all liens and security interests, except in favor of Lender;

         (g)      Borrower shall have furnished to Lender copies of all final
waivers of lien and sworn statements from contractors, subcontractors and
material suppliers and an affidavit from the General Contractor in accordance
with the mechanic's lien law of the State or as otherwise established by Lender;

         (h)      Borrower shall have furnished to Lender a certificate from the
Architect or other evidence satisfactory to Lender dated at or about the
Completion Date stating that (i) the Improvements have been completed in
accordance with the Plans and Specifications, and (ii) the Improvements as so
completed comply with all applicable Laws;

                                      -29-
<PAGE>

         (i)      Lender shall have received a certificate from the Lender's
Consultant for the sole benefit of Lender that the Improvements have been
satisfactorily completed in accordance with the Plans and Specifications; and

         (j)      Borrower shall have performed and complied with all terms and
conditions herein required to be performed or complied with by it on or prior to
the drawdown date of the final disbursement, and on the drawdown date of the
final disbursement, there shall exist no Default or Event of Default.

         If Borrower fails to comply with and satisfy any of the final
disbursement conditions contained in this Section 13.1 within sixty (60) days
after the Completion Date, such failure shall constitute an Event of Default
hereunder.

                                   ARTICLE 14
                                    RESERVED

                                   ARTICLE 15
                                 OTHER COVENANTS

15.1     OPENING OF LOAN ON OR PRIOR TO LOAN OPENING DATE.

         All conditions precedent to the Opening of the Loan shall be complied
with on or prior to the Loan Opening Date. If such conditions are not complied
with as of the Loan Opening Date, Lender may terminate Lender's obligation to
fund the Loan by written notice to Borrower.

15.2     CONSTRUCTION OF IMPROVEMENTS.

         The Improvements shall be constructed and fully equipped in a good and
workmanlike manner with materials of high quality, strictly in accordance with
all applicable Laws and the Plans and Specifications (or in accordance with any
changes therein that may be approved in writing by Lender or as to which
Lender's approval is not required), and such construction and equipping will be
commenced on or before the Construction Commencement Date and prosecuted with
due diligence and continuity in accordance with the Construction Schedule and
fully completed not later than the Completion Date. The Completion Date shall be
extended in writing by Lender by the number of days resulting from any
Unavoidable Delay in the construction of the Project, (but under no
circumstances shall Lender be obligated to extend the Completion Date beyond
sixty (60) days immediately following the date of the issuance of a final
certificate of occupancy for the Improvements by the appropriate Governmental
Authority), provided that Lender shall not be obligated to grant any such
extension unless (i) Borrower gives notice of such delay to Lender within ten
(10) days of learning of the event resulting in such delay, (ii) after giving
effect to the consequences of such delay, the Loan shall remain "In Balance" and
(iii) such delay is permitted under each of the Leases, or Borrower obtains a
written extension from each Tenant whose Lease does not permit such delay.

15.3     CHANGES IN PLANS AND SPECIFICATIONS.

                                      -30-
<PAGE>

         No changes will be made in the Plans and Specifications without the
prior written approval of Lender; provided, however, that Borrower may make
changes to the Plans and Specifications if (i) Borrower notifies Lender in
writing of such change within seven (7) days thereafter; (ii) Borrower obtains
the approval of all parties whose approval is required, including any Tenants
under Leases, sureties, and any Governmental Authority to the extent approval
from such parties is required; (iii) the structural integrity of the
Improvements is not impaired; (iv) no material change in architectural
appearance is effected; (v) the performance of the mechanical, electrical, and
life safety systems of the Improvements is not affected; and (vi) the cost of or
reduction resulting from any one such change does not exceed $50,000 or when
added to other changes not requiring Lender's approval, the resulting aggregate
cost or reduction does not exceed $500,000.

15.4     INSPECTION BY LENDER.

         Borrower will cooperate with Lender in arranging for inspections by
representatives of Lender of the progress of the Construction from time to time
including an examination of (i) the Improvements, (ii) all materials to be used
in the Construction, (iii) all plans and shop drawings which are or may be kept
at the construction site, (iv) any contracts, bills of sale, statements,
receipts or vouchers in connection with the Improvements, (v) all work done,
labor performed, materials furnished in and about the Improvements, (vi) all
books, contracts and records with respect to the Improvements, and (vii) any
other documents relating to the Improvements or the Construction. Borrower shall
cooperate with Lender's Consultant to enable him to perform his functions
hereunder and will promptly comply with Lender's requirements and remove any
dissatisfaction regarding the Construction of the Improvements or the progress
thereof.

15.5     MECHANICS' LIENS AND CONTEST THEREOF.

         Borrower will not suffer or permit any mechanics' lien claims to be
filed or otherwise asserted against the Project or any funds due to the General
Contractor, and will promptly discharge the same in case of the filing of any
claims for lien or proceedings for the enforcement thereof, provided, however,
that Borrower shall have the right to contest in good faith and with reasonable
diligence the validity of any such lien or claim provided that Borrower posts a
statutory lien bond which removes such lien from title to the Project within
twenty (20) days of written notice by Lender to Borrower of the existence of the
lien and Borrower has satisfied all of the requirements under the Sublease to
the contesting of liens. Lender will not be required to make any further
disbursements of the proceeds of the Loan until any mechanics' lien claims have
been removed and Lender may, at its option, restrict disbursements to reserve
sufficient sums to pay 150% of the lien.

15.6     SETTLEMENT OF MECHANICS' LIEN CLAIMS.

         If Borrower shall fail promptly either (i) to discharge any such lien,
or (ii) post a statutory lien bond in the manner provided in Section 15.5 Lender
may, at its election (but shall not be required to), procure the release and
discharge of any such claim and any judgment or decree thereon and, further, may
in its sole discretion effect any settlement or compromise of the same, or may
furnish such security or indemnity to the Title Insurer, and any amounts so
expended by

                                      -31-
<PAGE>

Lender, including premiums paid or security furnished in connection with the
issuance of any surety company bonds, shall be deemed to constitute disbursement
of the proceeds of the Loan hereunder. In settling, compromising or discharging
any claims for lien, Lender shall not be required to inquire into the validity
or amount of any such claim.

15.7     RENEWAL OF INSURANCE.

         Borrower shall timely pay all premiums on all insurance policies
required hereunder, and as and when additional insurance is required, from time
to time, during the progress of Construction, and as and when any policies of
insurance may expire, furnish to Lender, premiums prepaid, additional and
renewal insurance policies with companies, coverage and in amounts satisfactory
to Lender in accordance with Section 8.1(g).

15.8     PAYMENT OF TAXES.

         Borrower shall pay all real estate taxes and assessments and charges of
every kind upon the Project before the same become delinquent, provided,
however, that Borrower shall have the right to pay such tax under protest or to
otherwise contest any such tax or assessment, but only if (i) such contest has
the effect of preventing the collection of such taxes so contested and also of
preventing the sale or forfeiture of the Project or any part thereof or any
interest therein, (ii) Borrower has notified Lender of Borrower's intent to
contest such taxes, (iii) Borrower has deposited security in form and amount
satisfactory to Lender, in its sole discretion, and has increased the amount of
such security so deposited promptly after Lender's request therefore, and (iv)
Borrower has satisfied all of the requirements of the Sublease to the contesting
of taxes. If Borrower fails to commence such contest or, having commenced to
contest the same, and having deposited such security required by Lender for its
full amount, shall thereafter fail to prosecute such contest in good faith or
with due diligence, or, upon adverse conclusion of any such contest, shall fail
to pay such tax, assessment or charge, Lender may, at its election (but shall
not be required to), pay and discharge any such tax, assessment or charge, and
any interest or penalty thereon, and any amounts so expended by Lender shall be
deemed to constitute disbursements of the Loan proceeds hereunder (even if the
total amount of disbursements would exceed the face amount of the Note).
Borrower shall furnish to Lender evidence that taxes are paid at least five (5)
days prior to the last date for payment of such taxes and before imposition of
any penalty or accrual of interest. Following the Loan Opening Date, Borrower
shall diligently obtain the assessment of the Land separate and apart from any
other real property and improvements and shall provide Lender with evidence of
such separate assessment in form reasonably acceptable to Lender.

15.9     ESCROW ACCOUNTS.

         Borrower shall, following the written request of Lender or upon the
occurrence of any Event of Default, make insurance and tax escrow deposits, in
amounts reasonably determined by Lender from time to time as being needed to pay
taxes and insurance premiums when due, in an interest bearing escrow account
held by Lender in Lender's name and under its sole dominion and control. All
payments deposited in the escrow account, and all interest accruing thereon, are
pledged as additional collateral for the Loan. Notwithstanding Lender's holding
of the escrow

                                      -32-
<PAGE>

account, nothing herein shall obligate Lender or any Lender to pay any insurance
premiums or real property taxes with respect to any portion of the Project
unless the Event of Default has been cured to the satisfaction of Lender. If the
Event of Default has been satisfactorily cured, Lender shall make available to
Borrower such funds as may be deposited in the escrow account from time to time
for Borrower's payment of insurance premiums or real property taxes due with
respect to the Project.

15.10    PERSONAL PROPERTY.

         All of Borrower's personal property, fixtures, attachments and
equipment delivered upon, attached to or used in connection with the
Construction or the operation of the Project shall always be located at the
Project and, unless the prior written consent of Lender is first obtained, shall
be kept free and clear of all liens, encumbrances and security interests.

15.11    LEASING RESTRICTIONS.

         Without the prior written consent of Lender, Borrower and Borrower's
agents shall not (i) enter into any additional Leases, (ii) modify, amend or
terminate any Lease, or (iii) accept any rental payment in advance of its due
date. Borrower shall provide Lender with a copy of all Leases no less than ten
(10) days prior to execution of such Leases. Borrower shall provide Lender with
a copy of the fully executed original of all Leases promptly following their
execution.

15.12    DEFAULTS UNDER LEASES.

         Borrower will not suffer or permit any breach or default to occur in
any of Borrower's obligations under any of the Leases nor suffer or permit the
same to terminate by reason of any failure of Borrower to meet any requirement
of any Lease including those with respect to any time limitation within which
any of Borrower's work is to be done or the space is to be available for
occupancy by the lessee. Borrower shall notify Lender promptly in writing in the
event a Tenant commits a material default under a Lease or upon the occurrence
of a default by any party under the Ground Lease or Sublease. Upon request,
Borrower will provide a certificate in form acceptable to Lender that no event
of default as defined in the Ground Lease or Sublease then exists and no event
has occurred (that has not been cured) and no condition currently exists that
would, but for the giving of any required notice or expiration of any applicable
cure period, constitute a default thereunder.

15.13    LENDER'S ATTORNEYS' FEES FOR ENFORCEMENT OF AGREEMENT.

         In case of any default or Event of Default hereunder, Borrower (in
addition to Lender's reasonable attorneys' fees, if any, to be paid pursuant to
Section 7.3) will pay Lender's reasonable attorneys' and paralegal fees
(including, without limitation, any attorney and paralegal fees and costs
incurred in connection with any litigation or bankruptcy or administrative
hearing and any appeals therefrom and any post-judgment enforcement action
including, without limitation, supplementary proceedings) in connection with the
enforcement of this Agreement; without limiting the generality of the foregoing,
if at any time or times hereafter Lender employs

                                      -33-
<PAGE>

counsel (whether or not any suit has been or shall be filed and whether or not
other legal proceedings have been or shall be instituted) for advice or other
representation with respect to the Project, this Agreement, or any of the other
Loan Documents, or to protect, collect, lease, sell, take possession of, or
liquidate any of the Project, or to attempt to enforce any security interest or
lien in any portion of the Project, or to enforce any rights of Lender or
Borrower's obligations hereunder, then in any of such events all of the
reasonable attorneys' fees arising from such services, and any expenses, costs
and charges relating thereto (including fees and costs of paralegals), shall
constitute an additional liability owing by Borrower to Lender, payable on
demand.

15.14    APPRAISALS.

         Lender shall have the right to obtain a new or updated Appraisal of the
Project from time to time. Borrower shall cooperate with Lender in this regard.
If the Appraisal is obtained to comply with this Agreement or any applicable law
or regulatory requirement, or if an Event of Default exists, Borrower shall pay
for any such Appraisal upon Lender's request.

15.15    FINANCIAL INFORMATION.

         Borrower shall deliver or cause to be delivered to Lender on a
continuing basis during the term of the Loan, within the times as hereinafter
set forth, the following:

         (a)      Within ninety (90) days after the end of each year, beginning
with the year ending December 31, 2005, audited GAAP-basis financial statements
of Borrower and the Project by a nationally-recognized accounting firm or an
independent certified public accounting firm reasonably acceptable to Lender;
plus

                  (i)      Within forty-five (45) days after the end of each
                           quarter, current financial statements of Borrower and
                           the Project, on a quarterly, year-to-date, and prior
                           year comparable basis, certified by Borrower to be
                           true and correct;

                  (ii)     Within thirty (30) days after the end of each month,
                           current operating statements of the Project certified
                           by Borrower to be true and correct; and

                  (iii)    Such other financial and operating statements and
                           analyses as Lender may reasonably request.

         (b)      Upon request, a certificate, in form acceptable to Lender,
that no Default of Event of Default has occurred.

         (c)      Within ten (10) days of receipt, any and all notices
(regardless of form) from any and all licensing or certifying agencies that any
license or certification, including, without limitation, the Medicare or
Medicaid certification of the Project, is being downgraded, revoked, or
suspended or that action is pending or being considered to downgrade, revoke, or
suspend the Project's license or certification.

                                      -34-
<PAGE>

         (d)      Lender reserves the right to require such other financial
information from Borrower at such other times as it shall deem reasonably
necessary. All financial statements must be in such form and detail as Lender
shall from time to time, but not unreasonably, request.

15.16    SIGN AND PUBLICITY.

         Upon Lender's request, Borrower shall promptly erect a sign approved in
advance by Lender in a conspicuous location on the Project during the
Construction indicating that the financing for the Project is provided by
Lender. Lender reserves the right to publicize the making of the Loan.

15.17    LOST NOTE.

         Upon Lender's furnishing to Borrower an affidavit to such effect,
Borrower shall, if the Note is mutilated, destroyed, lost or stolen, deliver to
Lender, in substitution therefor, a new note containing the same terms and
conditions as the Note.

15.18    DEFAULTS.

         Borrower will promptly notify Lender in writing of the occurrence of
any Default or Event of Default, specifying the nature and existence of such
Default or Event of Default and what action Borrower is taking or proposes to
take with respect thereto.

15.19    NO ADDITIONAL DEBT.

         Except for the Loan, Borrower shall not incur any indebtedness (whether
personal or nonrecourse, secured or unsecured) other than secured, non-recourse
equipment financing and customary trade payables paid within sixty (60) days
after they are incurred.

15.20    COMPLIANCE WITH LAWS AND AGREEMENTS.

         Borrower shall comply with all applicable requirements (including
applicable Laws) of any Governmental Authority having jurisdiction over Borrower
or the Project. Borrower shall comply with the terms and provisions of the
Sublease, Purchase Agreement, Reciprocal Easement Agreement and any other
agreements, declarations or restrictions to which Borrower or the Project is
subject.

                                      -35-
<PAGE>

15.21    ORGANIZATIONAL DOCUMENTS.

         Borrower shall not, without the prior written consent of Lender, which
will not be unreasonably withheld, permit or suffer (i) a material amendment or
modification of its organizational documents, (ii) the admission of any new
partner, or (iii) any dissolution or termination of its existence.

15.22    FURNISHING REPORTS.

         Upon Lender's request, Borrower shall provide Lender with copies of all
inspections, reports, test results and other information received by Borrower,
which in any way relate to the Project or any part thereof.

15.23    MANAGEMENT CONTRACTS.

         Borrower shall not enter into, modify, amend, terminate or cancel any
management contracts for the Project or agreements with agents or brokers,
without the prior written approval of Lender.

15.24    FURNISHING NOTICES.

         Borrower shall provide Lender with copies of all material notices
pertaining to the Project received by Borrower from any Tenant, Governmental
Authority or insurance company within seven (7) days after such notice is
received.

15.25    CONSTRUCTION CONTRACTS.

         Borrower shall not enter into, modify, amend, terminate or cancel the
General Contract, the Program Development Agreement, the Architect's contract or
any contracts for the Construction, without the prior written approval of
Lender, which approval shall not be unreasonably withheld. Borrower will furnish
Lender promptly after execution thereof executed copies of all contracts between
Borrower, architects, engineers and contractors and all subcontracts between the
General Contractor or contractors and all of their subcontractors and suppliers,
which contracts and subcontracts may not have been furnished pursuant to Section
9.1(a) at the time of the Opening of the Loan.

15.26    CORRECTION OF DEFECTS.

         Within five (5) days after Borrower acquires knowledge of or receives
notice of a defect in the Improvements or any departure from the Plans and
Specifications, or any other requirement of this Agreement, Borrower will
proceed with diligence to correct all such defects and departures. No advance
shall be made with respect to such defective work until such defective work has
been corrected and brought into full compliance with the requirements of this
Agreement. No advance shall be made upon any draw request if, upon the date of
submittal thereof, any defective work has remained uncorrected for a period of
more than thirty (30) days, unless correction of such defective work is under
way and progressing satisfactorily to Lender and the Lender's Consultant.

                                      -36-
<PAGE>

15.27    HOLD DISBURSEMENTS IN TRUST.

         Borrower shall receive and hold in trust for the sole benefit of Lender
(and not for the benefit of any other person, including, but not limited to,
contractors or any subcontractors) all advances made hereunder directly to
Borrower, for the purpose of paying costs of the Construction in accordance with
the Budget. Borrower shall use the proceeds of the Loan solely for the payment
of costs as specified in the Budget. Borrower will pay all other costs, expenses
and fees relating to the acquisition, equipping, use and operation of the
Project.

15.28    FOUNDATION SURVEY.

         Not later than thirty (30) days after completion of the foundation with
respect to the Improvements, Borrower shall furnish to Lender a survey of the
Land with the foundation of the Improvements located thereon, and also
satisfying the requirements set forth in Section 8.1(f).

15.29    ALTERATIONS.

         Without the prior written consent of Lender, Borrower shall not make
any material alterations to the Project (other than completion of the
Construction in accordance with the Plans and Specifications).

15.30    CASH DISTRIBUTIONS.

         Borrower shall not make any distributions to partners, members or
shareholders during Construction.

15.31    MAINTENANCE OF OFFICE.

         Borrower will maintain its chief executive office in Houston, Texas, or
at such other place in the United States of America as the Borrower shall
designate upon prior written notice to Lender, where notices, presentations and
demands to or upon Borrower in respect of the Loan Documents may be given or
made.

15.32    RECORDS AND ACCOUNTS.

         Borrower will (i) keep true and accurate records and books of account
in which full, true and correct entries will be made in accordance with
Generally Accepted Accounting Principles, and (ii) maintain adequate accounts
and reserves for all taxes (including income taxes), depreciation and
amortization of its properties, contingencies, and other reserves. Borrower
shall not, without the prior written consent of Lender, make any material change
to the accounting procedures used by it in preparing the financial statements
and other information required by this Agreement. Borrower shall during regular
business hours permit Lender or any of its agents or representatives to have
access to and examine all of its books and records regarding the development and
operation of the Project.

                                      -37-
<PAGE>

15.33    REQUIRED PERMITS.

         Borrower will promptly obtain all Required Permits not heretofore
obtained by Borrower (and any other Required Permits which may hereafter become
required or necessary) and will furnish Lender with evidence that Borrower has
obtained such Required Permits promptly upon its request. Borrower will give all
such notices to, and take all such other actions with respect to, such
Governmental Authority as may be required under applicable Laws to construct the
Improvements and to use, occupy and operate the Project following the completion
of the construction of the Improvements. Borrower will also promptly obtain all
utility installations and connections required for the operation and servicing
of the Project for its intended purposes, and will furnish Lender with evidence
thereof. Borrower will duly perform and comply with all of the terms and
conditions of all Required Permits obtained at any time.

15.34    FURTHER ASSURANCE OF TITLE.

         Borrower will further assure title as follows. If at any time Lender or
the Lender's counsel has reason to believe that any advance is not secured or
will or may not be secured by the Mortgage as a first lien or security interest
on the Project, then Borrower shall, within ten (10) days after written notice
from Lender, do all things and matters necessary to assure to the satisfaction
of the Lender that any advance previously made hereunder or to be made hereunder
is secured or will be secured by the Mortgage as a first lien or security
interest on the Project, and Lender, at its option, may decline to make further
advances hereunder until Lender has received such assurance; but nothing in this
paragraph shall limit Lender's right to require endorsements extending the
effective date of the Title Policy as herein set forth.

15.35    FURTHER ASSURANCES.

                  (a)      Regarding Construction. Borrower will furnish or
         cause to be furnished to the Lender all instruments, documents,
         boundary surveys, footing or foundation surveys, certificates, plans
         and specifications, title and other insurance, reports and agreements
         and each and every other document and instrument required to be
         furnished by the terms of this Agreement or the other Loan Documents,
         all at Borrower's expense.

                  (b)      Regarding Preservation of Collateral. Borrower will
         execute and deliver to the Lender such further documents, instruments,
         assignments and other writings, and will do such other acts necessary
         or desirable, to preserve and protect the collateral at any time
         securing or intended to secure the Obligations, as Lender may require.
         Borrower shall diligently pursue resolution of the gap between the
         northerly boundary of the Project with the adjacent 15.1361 acre tract
         on which the Pinnacle Apartments are located.

                  (c)      Regarding this Agreement. Borrower will cooperate
         with Lender, and will do such further acts and execute such further
         instruments and documents as Lender shall reasonably request to carry
         out to its satisfaction the transactions contemplated by this Agreement
         and the other Loan Documents.

                                      -38-
<PAGE>

15.36    FUNDAMENTAL CHANGES OF BORROWER.

         Borrower: (a) does not own and will not own any encumbered asset other
than its interest under the Sublease; (b) is not engaged and will not engage in
any business other than the construction and operation of the Project; (c) will
not enter into any contract or agreement with any general partner, principal or
Affiliate of Borrower or any Affiliate of any general partner of the Borrower
except upon terms and conditions that are intrinsically fair and substantially
similar to those that would be available on an arms-length basis with third
parties other than an Affiliate; (d) has not made and will not make any loans or
advances to any third party (including any Affiliate); (e) is and will be
solvent and pay its debt from its assets as the same shall become due; (f) has
done or caused to be done and will do all things necessary to preserve its
existence, and will not, nor will any partner, limited or general, or
shareholder thereof, amend, modify or otherwise change its partnership
certificate, partnership agreement, articles of incorporation or by-laws in a
manner which adversely affects Borrower's existence as a single purpose entity;
(g) will conduct and operate its business as presently conducted and operated;
(h) will maintain books and records and bank accounts separate from those of its
Affiliates, including its general partner; (i) will be, and at all times will
hold itself out to the public as, a legal entity separate and distinct from any
other entity (including its general partner or any Affiliate thereof); (j) will
file its own tax returns; (k) will maintain adequate capital for the normal
obligations reasonably foreseeable in a business of its size and character and
in light of its contemplated business operations; (1) will not seek the
dissolution or winding up, in whole or in part, of the Borrower; (m) will not
commingle the funds and other assets of the Borrower with those of its general
partner or any Affiliate thereof or any other Person; (n) has and will maintain
its assets in such a manner that it is not costly or difficult to segregate,
ascertain or identify its individual assets from those of any Affiliate or any
other Person; and (o) does not and will not hold itself out to be responsible
for the debts or obligations of any other Person.

15.37    COMPLIANCE WITH ENVIRONMENTAL LAWS.

         (a) Borrower will not, and will not permit any Tenants or other
occupants of the Project, to do any of the following: (i) use the Project or any
portion thereof as a facility for the handling, processing, storage or disposal
of Hazardous Materials, except for small quantities of Hazardous Materials used
in the ordinary course of business and in compliance with all applicable
Environmental Laws, (ii) cause or permit to be located on any of the Project any
underground tank or other underground storage receptacle for Hazardous Materials
except in full compliance with Environmental Laws, (iii) generate any Hazardous
Materials on any of the Project except in full compliance with Environmental
Laws, (iv) conduct any activity on any of the Project or use any of the Project
in any manner so as to cause a Release of Hazardous Materials on, upon or into
the Project or any surrounding properties which might give rise to liability
under CERCLA or any other Environmental Law, or (v) directly or indirectly
transport or arrange for the transport of any Hazardous Materials (except in
compliance with all Environmental Laws).

         (b)      Borrower shall:

                  (i)      in the event of any change in Environmental Laws
         governing the assessment, Release or removal of Hazardous Materials,
         which change would lead a

                                      -39-
<PAGE>

         prudent lender to require additional testing to avail itself of any
         statutory insurance or limited liability, take all action (including,
         without limitation, the conducting of engineering tests at the sole
         expense of Borrower) which Lender deems reasonably necessary to allow
         Lender to obtain the benefits of such statutory insurance and/or
         limited liability; and

                  (ii)     if any Release or disposal of Hazardous Materials in
         violation of Environmental Laws shall occur or shall have occurred
         (including without limitation any such Release or disposal in violation
         of Environmental Laws occurring prior to the acquisition of Borrower's
         interest in the Project), cause the prompt containment and removal of
         such Hazardous Materials and remediation of the Project in full
         compliance with all applicable Laws and otherwise in compliance with
         the terms of this Agreement; provided, that Borrower shall be deemed to
         be in compliance with Environmental Laws for the purpose of this clause
         (ii) so long as it or a responsible third party with sufficient
         financial resources is taking reasonable action to remediate or manage
         any event of noncompliance to the satisfaction of the Lender and no
         action shall have been commenced by any enforcement agency. Lender may
         engage its own environmental engineer to review the environmental
         assessments and Borrower's compliance with the covenants contained
         herein.

         (c)      At any time after an Event of Default shall have occurred
hereunder, or, whether or not an Event of Default shall have occurred, at any
time that Lender shall have reasonable grounds to believe that a Release or
threatened Release of Hazardous Materials may have occurred, relating to the
Project, or that the Project is not in compliance with the Environmental Laws,
Lender may, at its election, obtain such assessments, including, without
limitation, environmental assessments of the Project prepared by an
environmental engineer as may be necessary or advisable for the purpose of
evaluating or confirming (i) whether any Hazardous Materials are present in the
soil or water at or adjacent to the Project, and (ii) whether the use and
operation of the Project comply with all Environmental Laws. Such assessments
may include detailed visual inspections of the Project, including, without
limitation, any and all storage areas, storage tanks, drains, dry wells and
leaching areas, and the taking of soil or other samples, as well as such other
investigations or analyses as are necessary or appropriate for a complete
determination of the compliance of the Project and the use and operation thereof
with all applicable Environmental Laws or as Lender reasonably deems necessary
and appropriate. All such environmental assessments shall be at the sole cost
and expense of Borrower.

         (d)      The Lender may, but shall never be obligated to, remove or
cause the removal of any Hazardous Materials which are in violation of any
Environmental Law from the Project (or if removal is prohibited by any
Environmental Law or any other applicable Law, physical restriction or other
reason, take or cause the taking of such other action as is required or
appropriate to be in compliance with any Environmental Law) if Borrower fails to
comply with its obligations hereunder with respect thereto (without limitation
of Lender's rights to declare a default under any of the Loan Documents and to
exercise all rights and remedies available by reason thereof); and Lender and
its designees are hereby granted access to the Project at any time or times,
upon reasonable notice, and a license which is coupled with an interest and
irrevocable,

                                      -40-
<PAGE>

to remove or cause such removal or to take or cause the taking of any such other
action. All costs, including, without limitation, the reasonable costs incurred
by Lender in taking the foregoing action, damages, liabilities, losses, claims,
expenses (including attorneys' fees and disbursements) which are incurred by
Lender, as the result of Borrower's failure to comply with the provisions of
this Section 15.37, shall be paid by Borrower to Lender upon demand by Lender
and shall be additional obligations secured by the Loan Documents.

         (e)      Borrower shall notify Lender in writing, promptly upon
Borrower's learning thereof, of any:

         (i)      notice or claim to the effect that Borrower is or may be
liable to any person as a result of the release or threatened release of any
Hazardous Material into the environment from the Project;

                  (ii)     notice that Borrower is subject to investigation by

         any Governmental Authority evaluating whether any remedial action is
         needed to respond to the Release or threatened Release of any Hazardous
         Material into the environment from the Project;

                  (iii)    notice that the Project is subject to any
         environmental lien; and

         (iv)     notice of violation to Borrower or awareness by Borrower of a
condition, which might reasonably result in a notice of violation of any
applicable Environmental Law that could result in a Material Adverse Change.

15.38    Tangible Net Worth.

         Borrower shall not at any time allow its Tangible Net Worth to be less
than those amounts required under Section 16.2(a) of the Post-Construction
Lease.

15.39    AUTHORIZED REPRESENTATIVE.

         Borrower hereby appoints Robert A. Behar, M.D., as its Authorized
Representative for purposes of dealing with Lender on behalf of Borrower in
respect of any and all matters in connection with this Agreement, the other Loan
Documents, and the Loan. The Authorized Representative shall have the power, in
his discretion, to give and receive all notices, monies, approvals, and other
documents and instruments, and to take another action on behalf of Borrower. All
actions by the Authorized Representative shall be final and binding on Borrower.
Lender and Lender may rely on the authority given to the Authorized
Representative until actual receipt by Lender of a duly authorized resolution
substituting a different person as the Authorized Representative. No more than
one person shall serve as Authorized Representative at any given time.

                                      -41-
<PAGE>

                                   ARTICLE 16
                           CASUALTIES AND CONDEMNATION

16.1     LENDER'S ELECTION TO APPLY PROCEEDS ON INDEBTEDNESS.

         (a)      Subject to the provisions of Section 16.1(b) below, Lender may
elect to collect, retain and apply upon the indebtedness of Borrower under this
Agreement or any of the other Loan Documents all proceeds of insurance or
condemnation (individually and collectively referred to as "Proceeds") after
deduction of all expenses of collection and settlement, including attorneys' and
adjusters' fees and charges. Any proceeds remaining after repayment of the
indebtedness under the Loan Documents shall be paid by Lender to Borrower.

         (b)      Notwithstanding anything in Section 16.1(a) to the contrary,
in the event of any casualty to the Improvements or any condemnation of part of
the Project, Lender agrees to make available the Proceeds to restoration of the
Improvements if (i) no Event of Default exists, (ii) all Proceeds are deposited
with Lender, (iii) in Lender's reasonable judgment, the amount of Proceeds
available for restoration of the Improvements (together with undisbursed
proceeds of the Loan, if any, allocated for the cost of the Construction and any
sums or other security acceptable to Lender deposited with Lender by Borrower
for such purpose) is sufficient to pay the full and complete costs of such
restoration, (iv) no material Leases in effect at the time of such casualty or
condemnation are or will be terminated nor rent decreased as a result of such
casualty or condemnation, (v) if the cost of restoration exceeds ten percent
(10%) of the Loan Amount, in Lender's sole determination after completion of
restoration, the Loan Amount will not exceed the fair market value of the
Project, (vi) in Lender's reasonable determination, the Project can be restored
to an architecturally and economically viable project in compliance with
applicable Laws, and (vii) in Lender's reasonable determination, such
restoration is likely to be completed not later than three (3) months prior to
the Maturity Date.

16.2     BORROWER'S OBLIGATION TO REBUILD AND USE OF PROCEEDS THEREFOR.

         In case Lender does not elect to apply or does not have the right to
apply the Proceeds to the indebtedness, as provided in Section 16.1 above,
Borrower shall:

         (a)      Proceed with diligence to make settlement with insurers or the
appropriate Governmental Authorities and cause the Proceeds to be deposited with
Lender;

         (b)      In the event of any delay in making settlement with insurers
or the appropriate Governmental Authorities or effecting collection of the
Proceeds, deposit with Lender the full amount required to complete construction
as aforesaid;

         (c)      In the event the Proceeds and the available proceeds of the
Loan are insufficient to assure the Lender that the Loan will be In Balance,
promptly deposit with Lender any amount necessary to place the Loan In Balance;
and

         (d)      Promptly proceed with the assumption of construction of the
Improvements, including the repair of all damage resulting from such fire,
condemnation or other cause and restoration to its former condition.

                                      -42-
<PAGE>

         Any request by Borrower for a disbursement by Lender of Proceeds and
funds deposited by Borrower shall be treated by Lender as if such request were
for an advance of the Loan hereunder, and the disbursement thereof shall be
conditioned upon Borrower's compliance with and satisfaction of the same
conditions precedent as would be applicable under this Agreement for an advance
of the Loan.

                                   ARTICLE 17
                       ASSIGNMENTS BY LENDER AND BORROWER

17.1     ASSIGNMENTS AND PARTICIPATIONS.

         Lender may from time to time sell the Loan and the Loan Documents (or
any interest therein) and may grant participations in the Loan. Borrower agrees
to cooperate with Lender's efforts to do any of the foregoing and to execute all
documents reasonably required by Lender in connection therewith which do not
materially adversely affect Borrower's rights under the Loan Documents.

17.2     PROHIBITION OF ASSIGNMENTS AND TRANSFERS BY BORROWER.

         Borrower shall not assign or attempt to assign its rights under this
Agreement and any purported assignment shall be void. Without the prior written
consent of Lender, in Lender's sole discretion, Borrower shall not suffer or
permit (a) any change in the management (whether direct or indirect) of the
Project, or (b) any Transfer.

17.3     PROHIBITION OF TRANSFERS IN VIOLATION OF ERISA.

         In addition to the prohibitions set forth in Section 17.2 above,
Borrower shall not assign, sell, pledge, encumber, transfer, hypothecate or
otherwise dispose of its interest or rights in this Agreement or in the Project,
or attempt to do any of the foregoing or suffer any of the foregoing, nor shall
any party owning a direct or indirect interest in Borrower assign, sell, pledge,
mortgage, encumber, transfer, hypothecate or otherwise dispose of any of its
rights or interest (direct or indirect) in Borrower, attempt to do any of the
foregoing or suffer any of the foregoing, if such action would cause the Loan,
or the exercise of any of Lender's rights in connection therewith, to constitute
a prohibited transaction under ERISA or the Internal Revenue Code or otherwise
result in Lender being deemed in violation of any applicable provision of ERISA.
Borrower agrees to indemnify and hold Lender free and harmless from and against
all losses, costs (including attorneys' fees and expenses), taxes, damages
(including consequential damages) and expenses Lender may suffer by reason of
the investigation, defense and settlement of claims and in obtaining any
prohibited transaction exemption under ERISA necessary or desirable in Lender's
sole judgment or by reason of a breach of the foregoing prohibitions. The
foregoing indemnification shall be a recourse obligation of Borrower and shall
survive repayment of the Note, notwithstanding any limitations on recourse
contained herein or in any of the Loan Documents.

                                      -43-
<PAGE>
17.4     SUCCESSORS AND ASSIGNS.

         Subject to the foregoing restrictions on transfer and assignment
contained in this Article 17, this Agreement shall inure to the benefit of and
shall be binding on the parties hereto and their respective successors and
permitted assigns.

                                   ARTICLE 18
                               TIME OF THE ESSENCE

18.1     TIME IS OF THE ESSENCE.

         Borrower agrees that time is of the essence under this Agreement.

                                   ARTICLE 19
                                EVENTS OF DEFAULT

         The occurrence of any one or more of the following shall constitute an
"Event of Default" as said term is used herein:

         (a) Failure of Borrower (i) (A) to make any principal payment when due,
(B) to pay any interest within five (5) days after the date when due or (C) to
observe or perform any of the other covenants or conditions by Borrower to be
performed under the terms of this Agreement or any other Loan Document
concerning the payment of money, for a period of ten (10) days after written
notice from Lender that the same is due and payable; or (ii) for a period of
thirty (30) days after written notice from Lender, to observe or perform any
non-monetary covenant or condition contained in this Agreement or any other Loan
Documents; provided that if any such failure concerning a non-monetary covenant
or condition is susceptible to cure and cannot reasonably be cured within said
thirty (30) day period, then Borrower shall have an additional sixty (60) day
period to cure such failure and no Event of Default shall be deemed to exist
hereunder so long as (Y) Borrower commences such cure within the initial thirty
(30) day period and diligently and in good faith pursues such cure to completion
within such resulting ninety (90) day period from the date of Lender's notice,
and (Z) the existence of such default will not result in any Tenant having the
right to terminate its Lease due to such default; and provided further that if a
different notice or grace period is specified under any other subsection of this
Section 19.1 with respect to a particular breach, or if another subsection of
this Section 19.1 applies to a particular breach and does not expressly provide
for a notice or grace period, the specific provision shall control.

         (b) The disapproval by Lender or Lender's Consultant at any time of any
construction work and failure of Borrower to cause the same to be corrected to
the satisfaction of Lender within the cure period provided in Section
19.1(a)(ii) above.

         (c) A delay in the Construction or a discontinuance for a period of
fifteen (15) days after written notice from Lender concerning such delay or
discontinuance (other than Unavoidable Delays), or in any event a delay in the
Construction so that the same is not, in Lender's judgment

                                      -44-
<PAGE>
(giving due consideration to the assessment of Lender's Consultant), likely to
be completed on or before the Completion Date.

         (d) The bankruptcy or insolvency of the General Contractor and failure
of Borrower to procure a contract with a new contractor satisfactory to Lender
within thirty (30) days from the occurrence of such bankruptcy or insolvency.

         (e) Any Transfer or other disposition in violation of Sections 17.2 or
17.3.

         (f) Any material default by Borrower, as lessor, under the terms of any
Lease following the expiration of any applicable notice and cure period,
provided that if the Lease does not provide a notice and cure period, then the
notice and cure period provided in (a)(i) above will apply to any such monetary
default, and the notice and cure period provided in (a)(ii) will apply to any
such non-monetary default (which respective periods shall commence upon written
notice of default from Lender or the applicable Tenant, whichever occurs first).

         (g) If any warranty, representation, statement, report or certificate
made now or hereafter by Borrower is untrue or incorrect at the time made or
delivered, provided that if such breach is reasonably susceptible of cure, then
no Event of Default shall exist so long as Borrower cures said breach (i) within
the notice and cure period provided in (a)(i) above for a breach that can be
cured by the payment of money or (ii) within the notice and cure period provided
in (a)(ii) above for any other breach.

         (h) Borrower shall commence a voluntary case concerning Borrower under
the Bankruptcy Code; or an involuntary proceeding is commenced against Borrower
under the Bankruptcy Code and relief is ordered against Borrower, or the
petition is controverted but not dismissed or stayed within sixty (60) days
after the commencement of the case, or a custodian (as defined in the Bankruptcy
Code) is appointed for or takes charge of all or substantially all of the
property of Borrower; or the Borrower commences any other proceedings under any
reorganization, arrangement, readjustment of debt, relief of debtors,
dissolution, insolvency or liquidation or similar Law of any jurisdiction
whether now or hereafter in effect relating to the Borrower; or there is
commenced against Borrower any such proceeding which remains undismissed or
unstayed for a period of sixty (60) days; or the Borrower fails to controvert in
a timely manner any such case under the Bankruptcy Code or any such proceeding,
or any order of relief or other order approving any such case or proceeding is
entered; or the Borrower by any act or failure to act indicates its consent to,
approval of, or acquiescence in any such case or proceeding or the appointment
of any custodian or the like of or for it for any substantial part of its
property or suffers any such appointment to continue undischarged or unstayed
for a period of sixty (60) days.

         (i) Borrower shall make an assignment for the benefit of creditors, or
shall admit in writing its inability to pay its debts generally as they become
due, or shall consent to the appointment of a receiver or trustee or liquidator
of all of its property or the major part thereof or if all or a substantial part
of the assets of Borrower are attached, seized, subjected to a writ or distress
warrant, or are levied upon, or come into the possession of any receiver,
trustee, custodian or assignee for the benefit of creditors.

                                      -45-
<PAGE>

         (j) If Borrower is enjoined, restrained or in any way prevented by any
court order from constructing or operating the Project.

         (k) Failure by Borrower to make any Deficiency Deposit with Lender
within the time and in the manner required by Article 11 hereof.

         (l) One or more final, unappealable judgments are entered against
Borrower in amounts aggregating in excess of $100,000, and said judgments are
not stayed or bonded over within thirty (30) days after entry.

         (m) If Borrower shall fail to pay any debt owed by it or is in default
under any agreement with Lender or any other party (other than a failure or
default for which Borrower's maximum liability does not exceed $100,000) and
such failure or default continues after any applicable grace period specified in
the instrument or agreement relating thereto.

         (n) If a Material Adverse Change occurs with respect to Borrower, the
Project or any material Tenant.

         (o) any of the Loan Documents shall be canceled, terminated, revoked or
rescinded otherwise than in accordance with the terms thereof or with the
express prior approval of Lender, or any action at law, suit in equity or other
legal proceeding to cancel, revoke or rescind any of the Loan Documents shall be
commenced by or on behalf of Borrower which is a party thereto or any of its
partners, or any court or any other Governmental Authority of competent
jurisdiction shall make a determination that, or issue a judgment, order, decree
or ruling to the effect that, any one or more of the Loan Documents is illegal,
invalid or unenforceable in accordance with the terms thereof.

         (p) Borrower shall be indicted for a federal crime, a punishment for
which could include the forfeiture of any of its assets.

         (q) The termination of the Sublease or the Ground Lease for any reason
(other than the termination of the Ground Lease resulting from MPT Land Entity's
acquisition of fee simple title to the Land or the termination of the Parking
Tract Ground Lease by NHLV pursuant to paragraph 23 thereof).

         (r) The occurrence of any other event or circumstance denominated as an
Event of Default herein or under any of the other Loan Documents and the
expiration of any applicable grace or cure periods, if any, specified for such
Event of Default herein or therein, as the case may be.

                                   ARTICLE 20
                      LENDER'S REMEDIES IN EVENT OF DEFAULT

20.1     REMEDIES CONFERRED UPON LENDER.

                                      -46-
<PAGE>

         Upon the occurrence of any Event of Default, Lender may pursue any one
or more of the following remedies concurrently or successively, it being the
intent hereof that none of such remedies shall be to the exclusion of any other:

         (a) Take possession of the Project and complete the Construction and do
anything, which is necessary or appropriate in its sole judgment to fulfill the
obligations of Borrower under this Agreement and the other Loan Documents,
including either the right to avail itself of and procure performance of
existing contracts or let any contracts with the same contractors or others.
Without restricting the generality of the foregoing and for the purposes
aforesaid, Borrower hereby appoints and constitutes Lender its lawful
attorney-in-fact with full power of substitution in the Project to complete the
Construction in the name of Borrower; to use unadvanced funds remaining under
the Note or which may be reserved, escrowed or set aside for any purposes
hereunder at any time, or to advance funds in excess of the face amount of the
Note, to complete the Construction; to make changes in the Plans and
Specifications which shall be necessary or desirable to complete the
Construction in substantially the manner contemplated by the Plans and
Specifications; to retain or employ new general contractors, subcontractors,
architects, engineers and inspectors as shall be required for said purposes; to
pay, settle or compromise all existing bills and claims, which may be liens or
security interests, or to avoid such bills and claims becoming liens against the
Project; to execute all applications and certificates in the name of Borrower
prosecute and defend all actions or proceedings in connection with the
Improvements or Project; to take action and require such performance as it deems
necessary under any of the Bonds to be furnished hereunder and to make
settlements and compromises with the surety or sureties thereunder, and in
connection therewith, to execute instruments of release and satisfaction; and to
do any and every act which the Borrower might do in its own behalf; it being
understood and agreed that this power of attorney shall be a power coupled with
an interest and cannot be revoked;

         (b) Withhold further disbursement of the proceeds of the Loan and/or
terminate Lender's obligations to make further disbursements hereunder;

         (c) Declare the Note to be immediately due and payable, without any
presentment, demand, protest or notice of any kind to Borrower, all of which are
hereby expressly waived by Borrower.

         (d) Use and apply any monies or letters of credit deposited by Borrower
with Lender, regardless of the purposes for which the same was deposited, to
cure any such default or to apply on account of any indebtedness under this
Agreement which is due and owing to Lender; and

         (e) Exercise or pursue any other remedy or cause of action permitted
under this Agreement or any other Loan Documents, or conferred upon Lender by
operation of Law.

         Notwithstanding the foregoing, upon the occurrence of any Event of
Default under Section 19.1(h) or (i), all amounts evidenced by the Note shall
automatically become due and payable.

20.2     COSTS OF COMPLETION.

                                      -47-
<PAGE>

         Borrower shall be liable to Lender for all costs paid or incurred for
the construction, equipping and completion of the Project, whether the same
shall be paid or incurred pursuant to the provisions of this Section 20.2 or
otherwise, and all payments made or liabilities incurred by Lender under this
Section 20.2 of any kind whatsoever shall be deemed advances made to Borrower
under this Agreement and shall be secured by the Mortgage and the other Loan
Documents. In the event Lender takes possession of the Project and assumes
control of such construction as aforesaid, it shall not be obligated to continue
such construction longer than it shall see fit and may thereafter, at any time,
change any course of action undertaken by it or abandon such construction and
decline to make further payments for the account of Borrower whether or not the
Project shall have been completed. For purpose of this Section 20.2, the
construction, equipping and the completion of the Project shall be deemed to
include any action necessary to cure any Event of Default by the Borrower under
any of the terms and provisions of any of the Loan Documents.

20.3     DISTRIBUTION OF COLLATERAL PROCEEDS.

         In the event that, following the occurrence or during the continuance
of any Event of Default, any monies are received in connection with the
enforcement of any of the Loan Documents, or otherwise with respect to the
realization upon any of the collateral, such monies shall be distributed for
application as follows:

         (a) First, to the payment of, or (as the case may be) the reimbursement
of Lender for or in respect of, all reasonable costs, expenses, disbursements
and losses which shall have been incurred or sustained by Lender in connection
with the collection of such monies by Lender, for the exercise, protection or
enforcement by Lender of all or any of the rights, remedies, powers and
privileges of Lender under this Agreement or any of the other Loan Documents or
in respect of the collateral or in support of any provision of adequate
indemnity to Lender against any taxes or liens which by law shall have, or may
have, priority over the rights of Lender to such monies;

         (b) Second, to all other Obligations in such order or preference as the
Lender shall determine; and

         (c) Third, the excess, if any, shall be returned to Borrower or to such
other Persons as are entitled thereto.

20.4     POWER OF ATTORNEY.

         For the purposes of carrying out the provisions and exercising the
rights, remedies, powers and privileges granted by or referred to in this
Article 20, the Borrower hereby irrevocably constitutes and appoints Lender its
true and lawful attorney-in-fact, with full power of substitution, to execute,
acknowledge and deliver any instruments and do and perform any acts which are
referred to in this Article 20, in the name and on behalf of the Borrower. The
power vested in such attorney-in-fact is, and shall be deemed to be, coupled
with an interest and irrevocable.

20.5     WAIVERS.

                                      -48-
<PAGE>

         Borrower hereby waives to the extent not prohibited by applicable Law
(a) all presentments, demands for performance, notices of nonperformance (except
to the extent required by the provisions hereof or of any of the other Loan
Documents), protests and notices of dishonor, (b) any requirement of diligence
or promptness on Lender's part in the enforcement of their rights (but not
fulfillment of its obligations) under the provisions of this Agreement or any of
the other Loan Documents, and (c) any and all notices of every kind and
description which may be required to be given by any statute or rule of law and
any defense of any kind which Borrower may now or hereafter have with respect to
its liability under this Agreement or under any of the other Loan Documents.

20.6     SET-OFFS.

         After the occurrence and during the continuance of an Event of Default,
Borrower hereby irrevocably authorizes and directs Lender from time to time to
charge Borrower's deposits with Lender, if any, or its Affiliates, and to pay
over to Lender an amount equal to any amounts from time to time due and payable
to Lender hereunder, under the Note or under any other Loan Document. Borrower
hereby grants to Lender a security interest in and to all such deposits
maintained by the Borrower with Lender (or its Affiliates).

                                   ARTICLE 21
                                    EXPENSES

         Borrower agrees to pay (a) the reasonable costs of producing and
reproducing this Agreement, the other Loan Documents and the other agreements
and instruments mentioned herein, (b) any taxes (including any interest and
penalties in respect thereto) payable by Lender, including any recording,
mortgage, documentary stamp or intangibles taxes in connection with the
Mortgage, or other taxes payable on or with respect to the transactions
contemplated by this Agreement, including any taxes payable by Lender after the
Loan Opening Date (Borrower hereby agreeing to indemnify Lender with respect
thereto), (c) all title insurance premiums and the reasonable fees, expenses and
disbursements of Lender's counsel or any local counsel to Lender incurred in
connection with the preparation, administration or interpretation of the Loan
Documents and other instruments mentioned herein, the making of each advance
hereunder, and amendments, modifications, approvals, consents or waivers hereto
or hereunder, (d) the fees, expenses and disbursements of Lender incurred in
connection with the preparation, interpretation or extraordinary or non-routine
administration of the Loan Documents and other instruments mentioned herein, and
the making of each Advance hereunder (including all appraisal fees, engineer's
fees, charges for commercial finance examinations and engineering and
environmental reviews, all fees paid to the Lender's Consultant and surveyor
fees), and (e) all reasonable out-of-pocket expenses, including reasonable
attorneys' fees and costs, and the fees and costs of consultants, accountants,
auctioneers, receivers, brokers, property managers, appraisers, investment
bankers or other experts retained by the Lender in connection with (i) the
enforcement of or preservation of rights under any of the Loan Documents against
Borrower, any of its general partners or the administration thereof after the
occurrence of a Default or Event of Default, and (ii) any litigation, proceeding
or dispute whether arising hereunder or otherwise, in any way related to
Lender's relationship with the Borrower or any of its general partners. The

                                      -49-
<PAGE>

covenants of this Article 21 shall survive payment or satisfaction of payment of
all amounts owing with respect to the Note.

                                   ARTICLE 22
                                 INDEMNIFICATION

         Borrower agrees to indemnify and hold harmless Lender and each
director, officer, employee and agent of Lender from and against any and all
claims, actions and suits, whether groundless or otherwise, and from and against
any and all liabilities, losses, damages and expenses of every nature and
character arising out of or relating to this Agreement or any of the other Loan
Documents or the transactions contemplated hereby and thereby including, without
limitation, (a) any brokerage, leasing, finders or similar fees, (b) any
disbursement of the proceeds of the Loan, (c) any condition of the Project
whether related to the quality of construction or otherwise, (d) any actual or
proposed use by Borrower of the proceeds of the Loan, (e) any actual or alleged
violation of any Laws or Required Permits, (f) any actual or alleged
infringement of any patent, copyright, trademark, service mark or similar right
of Borrower or any of its general partners, (g) Borrower entering into or
performing this Agreement or any of the other Loan Documents or (h) with respect
to the matters described in the Environmental Indemnity and Paragraph 7 of the
Mortgage, in each case including, without limitation, the reasonable fees and
disbursements of counsel and allocated costs of internal counsel incurred in
connection with any such investigation, litigation or other proceeding. In
litigation, or the preparation therefor, Lender shall be entitled to select its
own counsel and, in addition to the foregoing indemnity, Borrower agrees to pay
promptly the reasonable fees and expenses of such counsel. The obligations of
Borrower under this Article 22 shall survive the repayment of the Loan and shall
continue in full force and effect so long as the possibility of such claim,
action or suit exists. If, and to the extent that, the obligations of Borrower
under this Article 22 are unenforceable for any reason, Borrower hereby agrees
to make the maximum contribution to the payment in satisfaction of such
obligations which is permissible under applicable Law.

                                   ARTICLE 23
                               GENERAL PROVISIONS

23.1     CAPTIONS.

         The captions and headings of various Articles, Sections and subsections
of this Agreement and Exhibits pertaining hereto are for convenience only and
are not to be considered as defining or limiting in any way the scope or intent
of the provisions hereof.

23.2     MODIFICATION; WAIVER.

         No modification, waiver, amendment or discharge of this Agreement or
any other Loan Document shall be valid unless the same is in writing and signed
by the party against which the enforcement of such modification, waiver,
amendment or discharge is sought.

23.3     ACQUIESCENCE NOT TO CONSTITUTE WAIVER OF LENDER'S REQUIREMENTS.

                                      -50-
<PAGE>

         Each and every covenant and condition for the benefit of Lender
contained in this Agreement may be waived by Lender, provided, however, that to
the extent that Lender may have acquiesced in any noncompliance with any
construction or nonconstruction conditions precedent to the Opening of the Loan
or to any subsequent disbursement of Loan proceeds, such acquiescence shall not
be deemed to constitute a waiver by Lender of such requirements with respect to
any future disbursements of Loan proceeds.

23.4     DISCLAIMER BY LENDER.

         This Agreement is made for the sole benefit of Borrower and Lender, and
no other person or persons shall have any benefits, rights or remedies under or
by reason of this Agreement, or by reason of any actions taken by Lender
pursuant to this Agreement. Lender shall not be liable to any contractors,
subcontractors, supplier, architect, engineer, tenant or other party for labor
or services performed or materials supplied in connection with the Construction.
Lender shall not be liable for any debts or claims accruing in favor of any such
parties against Borrower or others or against the Project. Lender, by making the
Loan or taking any action pursuant to any of the Loan Documents, shall not be
deemed a partner or a joint venturer with Borrower or fiduciary of Borrower. No
payment of funds directly to a contractor or subcontractor or provider of
services shall be deemed to create any third-party beneficiary status or
recognition of same by the Lender. Without limiting the generality of the
foregoing:

         (a) Lender shall have no liability, obligation or responsibility
whatsoever with respect to the Construction. Any inspections of the Construction
made by or through Lender are for purposes of administration of the Loan only
and neither Borrower nor any third party is entitled to rely upon the same with
respect to the quality, adequacy or suitability of materials or workmanship,
conformity to the Plans and Specifications, state of completion or otherwise;

         (b) Lender neither undertakes nor assumes any responsibility or duty to
Borrower to select, review, inspect, supervise, pass judgment upon or inform
Borrower of any matter in connection with the Project, including matters
relating to the quality, adequacy or suitability of: (i) the Plans and
Specifications, (ii) architects, contractors, subcontractors and material
suppliers employed or utilized in connection with the Construction, or the
workmanship of or the materials used by any of them, or (iii) the progress or
course of Construction and its conformity or nonconformity with the Plans and
Specifications; Borrower shall rely entirely upon its own judgment with respect
to such matters, and any review, inspection, supervision, exercise of judgment
or supply of information to Borrower by Lender in connection with such matters
is for the protection of Lender only, and neither Borrower nor any third party
is entitled to rely thereon; and

         (c) Lender owes no duty of care to protect Borrower or any Tenant
against negligent, faulty, inadequate or defective building or construction.

23.5     PARTIAL INVALIDITY; SEVERABILITY.

         If any of the provisions of this Agreement, or the application thereof
to any person, party or circumstances, shall, to any extent, be invalid or
unenforceable, the remainder of this

                                      -51-
<PAGE>

Agreement, or the application of such provision or provisions to persons,
parties or circumstances other than those as to whom or which it is held invalid
or unenforceable, shall not be affected thereby, and every provision of this
Agreement shall be valid and enforceable to the fullest extent permitted by law.

23.6     DEFINITIONS INCLUDE AMENDMENTS.

         Definitions contained in this Agreement which identify documents,
including, but not limited to, the Loan Documents, shall be deemed to include
all amendments and supplements to such documents from the date hereof, and all
future amendments, modifications, and supplements thereto entered into from time
to time to satisfy the requirements of this Agreement or otherwise with the
consent of Lender. Reference to this Agreement contained in any of the foregoing
documents shall be deemed to include all amendments and supplements to this
Agreement.

23.7     EXECUTION IN COUNTERPARTS.

         This Agreement may be executed in any number of counterparts and by
different parties hereto in separate counterparts, each of which when so
executed shall be deemed to be an original and all of which taken together shall
constitute one and the same agreement.

23.8     ENTIRE AGREEMENT.

         This Agreement, taken together with all of the other Loan Documents and
all certificates and other documents delivered by Borrower to Lender, embody the
entire agreement and supersede all prior agreements, written or oral, relating
to the subject matter hereof.

23.9     WAIVER OF DAMAGES.

         In no event shall Lender be liable to Borrower for punitive, exemplary
or consequential damages, including, without limitation, lost profits, whatever
the nature of a breach by Lender of its obligations under this Agreement or any
of the Loan Documents, and Borrower waives all claims for punitive, exemplary or
consequential damages.

23.10    CLAIMS AGAINST LENDER.

         Lender shall not be in default under this Agreement, or under any other
Loan Documents, unless a written notice specifically setting forth the claim of
Borrower shall have been given to Lender within three (3) months after Borrower
first had knowledge of the occurrence of the event which Borrower alleges gave
rise to such claim and Lender does not remedy or cure the default, if any there
be, promptly thereafter. Borrower waives any claim, set-off or defense against
Lender arising by reason of any alleged default by Lender as to which Borrower
does not give such notice timely as aforesaid. Borrower acknowledges that such
waiver is or may be essential to Lender's ability to enforce its remedies
without delay and that such waiver therefore constitutes a substantial part of
the bargain between Lender and Borrower with regard to the Loan. No Tenant is
intended to have any rights as a third-party beneficiary of the provisions of
this Section 21.11.

                                      -52-
<PAGE>

23.11    GOVERNING LAW.

         THIS AGREEMENT, THE NOTE AND THE OTHER LOAN DOCUMENTS AND THE
OBLIGATIONS ARISING HEREUNDER AND THEREUNDER SHALL BE GOVERNED BY, AND CONSTRUED
IN ACCORDANCE WITH, THE LAWS OF THE STATE OF DELAWARE APPLICABLE TO CONTRACTS
MADE AND PERFORMED IN SUCH STATE (WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF
LAWS) AND ANY APPLICABLE LAW OF THE UNITED STATES OF AMERICA, EXCEPT THAT AT ALL
TIMES THE PROVISIONS FOR THE CREATION, PERFECTION, AND ENFORCEMENT OF THE LIENS
AND SECURITY INTERESTS CREATED PURSUANT HERETO AND PURSUANT TO THE OTHER LOAN
DOCUMENTS SHALL BE GOVERNED BY AND CONSTRUED ACCORDING TO THE LAW OF THE STATE
IN WHICH THE APPLICABLE INDIVIDUAL PROPERTY IS LOCATED, IT BEING UNDERSTOOD
THAT, TO THE FULLEST EXTENT PERMITTED BY THE LAW OF SUCH STATE, THE LAW OF THE
STATE OF DELAWARE SHALL GOVERN THE CONSTRUCTION, VALIDITY AND ENFORCEABILITY OF
ALL LOAN DOCUMENTS AND ALL OF THE OBLIGATIONS ARISING HEREUNDER OR THEREUNDER.
TO THE FULLEST EXTENT PERMITTED BY LAW, BORROWER HEREBY UNCONDITIONALLY AND
IRREVOCABLY WAIVES ANY CLAIM TO ASSERT THAT THE LAW OF ANY OTHER JURISDICTION
GOVERNS THIS AGREEMENT, THE NOTE AND THE OTHER LOAN DOCUMENTS.

23.12    CONSENT TO JURISDICTION; WAIVERS.

         WITH RESPECT TO ANY SUIT, ACTION OR PROCEEDINGS RELATING TO THIS
AGREEMENT (EACH, A "PROCEEDING"), BORROWER IRREVOCABLY (A) SUBMITS TO THE
NON-EXCLUSIVE JURISDICTION OF THE STATE AND FEDERAL COURTS HAVING JURISDICTION
IN THE STATE OF DELAWARE, AND (B) WAIVES ANY OBJECTION WHICH IT MAY HAVE AT ANY
TIME TO THE LAYING OF VENUE OF ANY PROCEEDING BROUGHT IN ANY SUCH COURT, WAIVE
ANY CLAIM THAT ANY PROCEEDING HAS BEEN BROUGHT IN AN INCONVENIENT FORUM AND
FURTHER WAIVES THE RIGHT TO OBJECT, WITH RESPECT TO SUCH PROCEEDING, THAT SUCH
COURT DOES NOT HAVE JURISDICTION OVER SUCH PARTY. BORROWER EXPRESSLY
ACKNOWLEDGES THAT DELAWARE IS A FAIR, JUST AND REASONABLE FORUM AND AGREES NOT
TO SEEK REMOVAL OR TRANSFER OF ANY ACTION FILED BY LENDER IN SAID COURTS.
NOTHING IN THIS AGREEMENT SHALL PRECLUDE LENDER FROM BRINGING A PROCEEDING IN
ANY OTHER JURISDICTION NOR WILL THE BRINGING OF A PROCEEDING IN ANY ONE OR MORE
JURISDICTIONS PRECLUDE THE BRINGING OF A PROCEEDING IN ANY OTHER JURISDICTION.
BORROWER FURTHER AGREES AND CONSENTS THAT, IN ADDITION TO ANY METHODS OF SERVICE
OF PROCESS PROVIDED FOR UNDER APPLICABLE LAW, ALL SERVICE OF PROCESS IN ANY
PROCEEDING IN A DELAWARE STATE COURT OR UNITED STATES COURT SITTING IN THE STATE
OF DELAWARE MAY BE MADE BY CERTIFIED OR REGISTERED MAIL, RETURN RECEIPT
REQUESTED, DIRECTED TO BORROWER AT THE ADDRESS

                                      -53-
<PAGE>

INDICATED BELOW, AND SERVICE SO MADE SHALL BE COMPLETE UPON RECEIPT; EXCEPT THAT
IF BORROWER SHALL REFUSE TO ACCEPT DELIVERY, SERVICE SHALL BE DEEMED COMPLETE
FIVE (5) DAYS AFTER THE SAME SHALL HAVE BEEN SO MAILED.

         BORROWER WAIVES ANY AND ALL PERSONAL RIGHTS, IF ANY, TO THE RIGHT TO
TRIAL BY JURY TO CLAIM OR RECOVER ANY SPECIAL, EXEMPLARY, PUNITIVE OR
CONSEQUENTIAL DAMAGES OR ANY OTHER DAMAGES OTHER THAN ACTUAL DAMAGES. THE SCOPE
OF EACH OF THE FOREGOING WAIVERS IS INTENDED TO BE ALL ENCOMPASSING OF ANY AND
ALL DISPUTES THAT MAY BE FILED IN ANY COURT AND THAT RELATE TO THE SUBJECT
MATTER OF THIS TRANSACTION, INCLUDING, WITHOUT LIMITATION, CONTRACT CLAIMS, TORT
CLAIMS, BREACH OF DUTY CLAIMS, AND ALL OTHER COMMON LAW AND STATUTORY CLAIMS.
BORROWER ACKNOWLEDGES THAT THESE WAIVERS ARE A MATERIAL INDUCEMENT TO THE
LENDER'S AGREEMENT TO ENTER INTO THIS AGREEMENT AND OBLIGATIONS EVIDENCED BY THE
LOAN DOCUMENTS, THAT THE LENDER HAS ALREADY RELIED ON THESE WAIVERS AND WILL
CONTINUE TO RELY ON EACH OF THESE WAIVERS IN RELATED FUTURE DEALINGS. THE
WAIVERS IN THIS SECTION 23.12 ARE IRREVOCABLE, MEANING THAT THEY MAY NOT BE
MODIFIED EITHER ORALLY OR IN WRITING, AND THESE WAIVERS APPLY TO ANY FUTURE
RENEWALS, EXTENSIONS, AMENDMENTS, MODIFICATIONS, OR REPLACEMENTS IN RESPECT OF
ANY AND ALL OF THE APPLICABLE LOAN DOCUMENTS. IN CONNECTION WITH ANY LITIGATION,
THIS AGREEMENT MAY BE FILED AS A WRITTEN CONSENT TO A TRIAL BY THE COURT.

23.13    SURVIVAL OF COVENANTS, ETC.

         All covenants, agreements, representations and warranties made herein,
in the Note, in any of the other Loan Documents or in any documents or in other
papers delivered by or on behalf of Borrower pursuant hereto and thereto shall
be deemed to have been relied upon by the Lender, notwithstanding any
investigation heretofore or hereafter made by them, and shall survive the making
of the advances, as herein contemplated, and shall continue in full force and
effect so long as any amount due under this Agreement or the Note or any of the
other Loan Documents remains outstanding or the Lender have any obligation to
make any advances. All statements contained in any certificate or other paper
delivered to Lender at any time by or on behalf of Borrower pursuant hereto or
in connection with the transactions contemplated hereby shall constitute
representations and warranties by Borrower hereunder.

23.14    NOTICES.

         All notices, demands, consents, approvals, requests and other
communications required or permitted to be given under this Agreement shall be
in writing and shall be (a) delivered in person, (b) sent by certified mail,
return receipt requested to the appropriate party at the address set out below,
(c) sent by Federal Express, Express Mail or other comparable courier addressed

                                      -54-
<PAGE>

to the appropriate party at the address set out below, or (d) transmitted by
facsimile transmission to the facsimile number for each party set forth below:

<TABLE>
         <S>      <C>                   <C>
         (a)      if to Borrower:       North Cypress Medical Center Operating Company, Ltd.
                                        6830 North Eldridge Parkway, Suite 406
                                        Houston, Texas 77041
                                        Attention: Robert A. Behar, M.D.
                                        Phone: (713) 466-6040
                                        Fax: (713) 466-6050

                  with a copy to:       Brennan Manna & Diamond, LLC
                                        75 East Market Street
                                        Akron, Ohio 44308
                                        Attn.: Frank T. Sossi, Esq.
                                        Phone: (330) 253-1804
                                        Fax: (330) 253-1813

                                        Petronella Law Firm, P.C.
                                        8 Greenway Plaza, Suite 606
                                        Houston, Texas 77046
                                        Attn.: Richard Petronella, Esq.
                                        Phone: (713) 965-0606
                                        Fax: 713) 965-0676

                                        Zimmerman, Axelrad, Meyer, Stern & Wise P.C.
                                        3040 Post Oak Boulevard, Suite 1300
                                        Houston, Texas 77056-6560
                                        Attn.: Leonard Meyer, Esq.
                                        Phone: (713) 552-1234
                                        Fax: (713) 963-0859

         (b)      if to Lender:         MPT Finance Company, LLC
                                        1000 Urban Center Drive, Suite 501
                                        Birmingham, Alabama 35242
                                        Attn.: General Counsel
                                        Phone: (205) 969-3755
                                        Fax: (205) 969-3756

                  with a copy to:       Morris, Manning & Martin, LLP
                                        1600 Atlanta Financial Center
                                        3343 Peachtree Road, N.E.
                                        Atlanta, Georgia 30326-1044
                                        Attn.: Jeanna A. Brannon, Esq.
                                        Phone: (404) 233-7000
                                        Fax: (404) 365-9532
</TABLE>

                                      -55-
<PAGE>

Each notice, demand, consent, approval, request and other communication shall be
effective upon receipt and shall be deemed to be duly received if delivered in
person or by a national courier service, when left at the address of the
recipient and if sent by facsimile, upon receipt by the sender of an
acknowledgment or transmission report generated by the machine from which the
facsimile was sent indicating that the facsimile was sent in its entirety to the
recipient's facsimile number; provided that if a notice, demand, consent,
approval, request or other communication is served by hand or is received by
facsimile on a day which is not a Business Day, or after 5:00 p.m. on any
Business Day at the addressee's location, such notice or communication shall be
deemed to be duly received by the recipient at 9:00 a.m. on the first Business
Day thereafter. Rejection or other refusal by the addressee to accept, or the
inability to deliver because of a changed address or changed facsimile number of
which no notice was given, shall be deemed to be receipt of the notice, demand,
consent, approval, request or communication sent. Any party shall have the
right, from time to time, to change the address or facsimile number to which
notice to it shall be sent by giving to the other party or parties at least ten
(10) days prior notice of the changed address or changed facsimile number.

                                   ARTICLE 25
                  ACKNOWLEDGEMENT OF INDEMNIFICATION PROVISIONS

         BORROWER HEREBY ACKNOWLEDGES AND AGREES THAT THIS AGREEMENT CONTAINS
CERTAIN INDEMNIFICATION PROVISIONS (INCLUDING WITHOUT LIMITATION THOSE CONTAINED
IN ARTICLE 22 HEREOF), WHICH IN CERTAIN CIRCUMSTANCES COULD INCLUDE AN
INDEMNIFICATION BY BORROWER TO LENDER FROM CLAIMS OR LOSSES ARISING AS A RESULT
OF LENDER'S OWN NEGLIGENCE.

                  [Remainder of Page Intentionally Left Blank]

                                      -56-
<PAGE>

         IN WITNESS WHEREOF, the undersigned have duly executed this Agreement
as a sealed instrument as of the date first set forth above.

                               BORROWER:

                               NORTH CYPRESS MEDICAL CENTER
                               OPERATING COMPANY, LTD., a Texas limited
                               partnership

                               By: North Cypress Medical Center Operating
                                   Company GP, L.L.C., a Texas limited liability
                                   company, its sole general partner

                                   By: /s/ Robert A. Behar, M.D.
                                      ----------------------------------------
                                               Robert A. Behar, M.D.,
                                               Chairman of the Board

                                      -57-
<PAGE>

                             LENDER:

                             MPT FINANCE COMPANY, LLC, a Delaware
                             limited liability company

                             By: MPT Operating Partnership, L.P., a Delaware
                                 limited liability company, its sole member

                                 By: Medical Properties Trust, LLC, a Delaware
                                     limited liability company, its general
                                     partner

                                     By:         /s/ Edward K. Aldag
                                                --------------------------------
                                     Print Name: Edward K. Aldag
                                                --------------------------------
                                     Title:      President
                                                --------------------------------

                                      -58-
<PAGE>

                                    EXHIBIT A

                            Legal Description of Land

<PAGE>

                                    EXHIBIT B

                              Permitted Exceptions

<PAGE>

                                    EXHIBIT C

                               Title Requirements

1.       Title Insurance Company Requirements. The maximum single risk (i.e.,
         the amount insured under any one policy) by a title insurer may not
         exceed 25% of that insurer's surplus and statutory reserves.
         Reinsurance must be obtained by closing for any policy exceeding such
         amount.

2.       Loan Policy Forms. Standard 1992 American Land Title Association
         ("ALTA") form of loan title insurance policy, or the 1970 (amended
         October 17, 1970) ALTA loan form policies must be used (or the
         equivalent forms available in the State).

3.       Insurance Amount. The amount insured must equal at least the original
         principal amount of the Loan.

4.       Named Insured. The named insured under the Title Policy must be
         substantially the same as the following: "MPT Finance Company, LLC, and
         its respective successors and assigns."

5.       Creditors' Rights. Any "creditors' rights" exception or other exclusion
         from coverage for voidable transactions under bankruptcy, fraudulent
         conveyance, or other debtor protection laws or equitable principles
         must be removed by either an endorsement or a written waiver.

6.       Arbitration. In the event that the form policy, which is utilized,
         includes a compulsory arbitration provision, the insurer must agree
         that such compulsory arbitration provisions do not apply to any claims
         by or on behalf of the insured. Please note that the 1987 and 1992 ALTA
         form loan policies include such provisions.

7.       Date of Policy. The effective date of the Title Policy must be as of
         the date and time of the closing.

8.       Legal Description. The legal description of the property contained in
         the Title Policy must conform to (a) the legal description shown on the
         survey of the property, and (b) the legal description contained in the
         Mortgage. In any event, the Title Policy must be endorsed to provide
         that the insured legal description is the same as that shown on the
         survey.

9.       Easements. Each Title Policy shall insure, as separate parcels: (a) all
         appurtenant easements and other estates benefiting the property, and
         (b) all other rights, title, and interests of the borrower in real
         property under reciprocal easement agreements, access agreements,
         operating agreements, and agreements containing covenants, conditions,
         and restrictions relating to the Project.

<PAGE>

10.      Exceptions to Coverage. With respect to the exceptions, the following
         applies:

         a)       Each Title Policy shall afford the broadest coverage available
                  in the state in which the subject property is located.

         b)       The "standard" exceptions (such as for parties in possession
                  or other matters not shown on public records) must be deleted.

         c)       The "standard" exception regarding tenants in possession under
                  residential leases, should also be deleted. For commercial
                  properties, a rent roll should be attached in lieu of the
                  general exception.

         d)       The standard survey exception to the Title Policy must be
                  deleted. Instead, a survey reading reflecting the current
                  survey should be incorporated.

         e)       Any exception for taxes, assessments, or other lienable items
                  must expressly insure that such taxes, assessments, or other
                  items are not yet due and payable.

         f)       Any lien, encumbrance, condition, restriction, or easement of
                  record must be listed in the Title Policy, and the Title
                  Policy must affirmatively insure that the improvements do not
                  encroach upon the insured easements or insure against all loss
                  or damage due to such encroachment

         g)       The Title Policy may not contain any exception for any filed
                  or unfiled mechanics' or materialmen's liens.

         h)       In the event that a comprehensive endorsement has been issued
                  and any Schedule B exceptions continue to be excluded from the
                  coverage provided through that endorsement, then a
                  determination must be made whether such exceptions would be
                  acceptable to Lender. In the event that it is determined that
                  such exception is acceptable, a written explanation regarding
                  the acceptability must be submitted as part of the delivery of
                  the Loan Documents.

If Schedule B indicates the presence of any easements that are not located on
the survey, the Title Policy must provide affirmative insurance against any loss
resulting from the exercise by the holder of such easement of its right to use
or maintain that easement. ALTA Form 103.1 or an equivalent endorsement is
required for this purpose.

11.      Endorsements. With respect to endorsements, the following applies:

         a)       Each Title Policy must include an acceptable environmental
                  protection lien endorsement on ALTA Form 8.1. Please note that
                  Form 8.1 may take exception for an entire statute, which
                  contains one or more specific sections under which
                  environmental protection liens could take priority over the
                  Mortgage; provided, however, that such specific sections under
                  which the lien could arise must also be referenced.

<PAGE>

         b)       Each Title Policy must contain an endorsement, which provides
                  that the insured legal description is the same as shown on the
                  survey.

         c)       Each Title Policy must contain a comprehensive endorsement
                  (ALTA Form 9) if a lien, encumbrance, condition, restriction,
                  or easement is listed in Schedule B to the title insurance
                  policy.

         d)       Lender may require the following endorsements where applicable
                  and available:

<TABLE>
                       <S>                                 <C>                 <C>
                       -access                             -due execution      -single tax lot
                       -address                            -first loss         -subdivision
                       -assessments                        -last dollar        -tie in
                       -assignment of leases and rents     -leasehold          -usury
                       -assignment of loan documents       -mineral rights     -zoning (ALTA 3.1 -
                       -contiguity                         -mortgage tax         with parking)
                       -doing business                     -reverter
                       -nonimputation                      -"Fairways"
</TABLE>

12.      Other Coverages. Each Title Policy shall insure the following by
         endorsement or affirmative insurance to the extent such coverage is not
         afforded by the ALTA Form 9 or its equivalent in a particular
         jurisdiction:

         a)       that no conditions, covenants, or restrictions of record
                  affecting the property:

                  (i)      have been violated,
                  (ii)     create lien rights, which prime the insured mortgage,
                  (iii)    contain a right of reverter or forfeiture, a right of
                           reentry, or power of termination, or
                  (iv)     if violated in the future would result in the lien
                           created by the insured mortgage or title to the
                           property being lost, forfeited, or subordinated; and

         b)       that except for temporary interference resulting solely from
                  maintenance, repair, replacement, or alteration of lines,
                  facilities, or equipment located in easements and rights of
                  way taken as certain exceptions to each Title Policy, such
                  exceptions do not and shall not prevent the use and operation
                  of the Property or the improvements as used and operated on
                  the effective date of the Title Policy.

13.      Informational Matters. The Policy must include, as an informational
         note, the following:

         a)       The recorded plat number together with recording information;
                  and

         b)       The property parcel number or the tax identification number,
                  as applicable.

14.      Delivery of Copies. Legible copies of all easements, encumbrances, or
         other restrictions shown as exceptions on the Title Policy must be
         delivered with the first draft of the title commitment.

<PAGE>

                                    EXHIBIT D

                             Insurance Requirements

I.       GENERAL REQUIREMENTS

         The General Requirements set forth herein shall be applicable to the
insurance requirements outlined below in Paragraphs II and III.

         (A)      RELATING TO INSURER.

                  All insurance coverages required by this Agreement must be
provided by insurance companies acceptable to Lender that are rated at least an
"A, VIII" or better by Best's Insurance Guide and Key Ratings and a claim
payment rating by Standard & Poor's Corporation of A or better. The aggregate
amount of coverage provided by a single company must not exceed 5% of the
company's policyholders' surplus. All insurance companies must be licensed and
qualified to do business in the State.

Each insurance policy must (i) provide primary insurance without right of
contribution from any other insurance carried by Lender, (ii) contain an express
waiver by the insurer of any right of subrogation, setoff or counterclaim
against any insured party thereunder including Lender, (iii) permit Lender to
pay premiums at Lender's discretion and (iv) as respects any third party
liability claim brought against Lender obligate the insurer to defend Lender as
an additional insured thereunder.

         (B)      RELATING TO DOCUMENTATION OF COVERAGE.

                  The original copy of each insurance policy required hereunder
shall be furnished to Lender, or in the case of a blanket policy, a copy of the
original policy certified in writing by a duly authorized Agent for the
insurance company as a "true and certified" copy of the policy. Borrower shall
not submit a Certificate of Insurance in lieu of the certified copy of the
policy. The original policy(ies) or certified copy of the policy(ies) must be
delivered to Lender effective with the commencement of the Loan and furnished
annually thereafter, prior to the expiration date of the preceding policy(ies).

         (C)      CANCELLATION AND MODIFICATION CLAUSE.

                  1.       The insurer hereby agrees that its policy will not
lapse, terminate, or be canceled, or be amended or modified to reduce limits or
coverage terms unless and until Lender has received not less than sixty (60)
days' prior written notice thereof at the following address:

                           MPT Finance Company, LLC
                           Attention: Its  President
                           1000 Urban Center Drive, Suite 501
                           Birmingham, Alabama 35242

<PAGE>

                  2.       Notwithstanding the foregoing, in the event of
cancellation due to non-payment, the insurer shall provide not less than ten
(10) days' Notice of Cancellation to:

                           MPT Finance Company, LLC
                           Attention: Its: President
                           1000 Urban Center Drive, Suite 501
                           Birmingham, Alabama 35242

II.      TYPES OF INSURANCE

         Borrower will at all times keep the Project insured against loss or
damage from such causes as are customarily insured against, by prudent owners of
similar properties. Without limiting the generality of the foregoing, Borrower
will obtain and maintain in effect the following amounts and types of insurance
on the Project throughout the term of the Loan:

         (A)      "ALL RISKS" or "SPECIAL" FORM PROPERTY INSURANCE.

                  All Risks or Special Form Property insurance against loss or
damage to the building and improvements, including but not limited to, perils of
fire, lightning, water, wind, theft, vandalism and malicious mischief, plate
glass breakage, and perils typically provided under an Extended Coverage
Endorsement and other forms of broadened risk perils, and insured on a
"replacement cost" value basis to the extent of the full replacement value of
the Project. The deductible amount thereunder shall be borne by Borrower in the
event of a loss and the deductible must not exceed $10,000 per occurrence.
Further, in the vent of a loss, Borrower shall abide by all provisions of the
insurance contract, including proper and timely notice of the loss to the
insurer and Borrower further agrees it will notify Lender of any loss in the
amount of $25,000 or greater and that no claim at or in excess of $25,000
thereunder shall be settled without the prior written consent of Lender, which
consent shall not be unreasonably withheld or delayed by Lender.

         (B)      FLOOD AND EARTHQUAKE INSURANCE. (Required only in the event
that the property is in a flood plain or earthquake zone).

         Insurance in an amount equal to the full replacement cost value of the
Project, subject to no more than a $25,000 per occurrence, deductible. The
policy shall include coverage for subsidence.

         (C)      LOSS OF EARNINGS INSURANCE.

         Insurance against loss of earnings in an amount sufficient to cover not
less than 12 months' lost earnings and written in an "all risks" form, either as
an endorsement to the insurance required under Paragraph II(A), or under a
separate policy.

<PAGE>

         (D)      WORKERS COMPENSATION INSURANCE.

         Workers Compensation insurance covering all employees in amounts that
are customary for Borrower's industry.

         (E)      LIABILITY INSURANCE.

                  COMMERCIAL GENERAL LIABILITY. Commercial General Liability in
a primary amount of at least $5,000,000 per occurrence. Bodily injury for injury
or death of any one person and $100,000 for Property Damage for damage to or
loss of property of others, subject to a $10,000,000 annual aggregate policy
limit for all Bodily Injury and Property Damage claims, occurring on or about
the Land or in any way related to the Project including but not limited to any
swimming pools or other recreational facility or areas that are located on the
land or otherwise related to the Project. Such policy shall include coverages of
a Broad Form nature, including, but not limited to, Explosion, Collapse and
Underground (XCU), Products Liability, Completed Operations, Broad Form
Contractual Liability, Broad Form Property Damage, Personal Injury, Incidental
Malpractice Liability, and Host Liquor Liability.

                  VEHICLE LIABILITY. Automobile and Vehicle Liability insurance
coverage for all owned, non-owned, leased or hired automobiles and vehicles in a
primary limit amount of $1,000,000 per occurrence for Bodily Injury: $100,000
per occurrence for Property Damage; subject to an annual aggregate policy limit
of $1,000,000.

                  UMBRELLA LIABILITY. Umbrella Liability insurance in the
minimum amount of $10,000,000 for each occurrence and aggregate combined single
limit for all liability, with a $10,000 self-insured retention for exposure not
covered in underlying primary policies. The Umbrella Liability policy shall name
in its underlying schedule the policies of Professional Liability, Commercial
General Liability, Garage Keepers Liability, Automobile Vehicle Liability and
Employer's Liability under the Workers Compensation Policy

                  PROFESSIONAL LIABILITY. Professional Liability insurance for
Borrower and any physician or other employee or agent of Borrower providing
services at the Project in an amount not less than five million dollars
($5,000,000) per individual claim and ten million dollars ($10,000,000) annual
aggregate.

         (F)      COMMERCIAL BLANKET FIDELITY BOND INSURANCE.

         A Commercial Blank Bond covering all employees of Borrower, including
its officers, and the individual owners of the insured business entity, whether
a joint-venture, partnership, proprietorship or incorporated entity, against
loss as a result of their dishonesty. Policy limit shall be in an amount of at
least $1,000,000, subject to a deductible of no more than $10,000 per
occurrence.

<PAGE>

                                    EXHIBIT E

                                 Initial Budget

<PAGE>

                                    EXHIBIT F

                             Borrower's Certificate

MPT Finance Company, LLC
1000 Urban Center Drive, Suite 501
Birmingham, Alabama 35242
Attn: _______________________

RE:      Application for Advance in connection with a $____________ loan
         (#______________________) to North Cypress Medical Center Operating
         Company, Ltd. ("Borrower").

         1.       Pursuant to that certain Construction Loan Agreement dated as
                  of June 1, 2005 (the "Construction Loan Agreement") between
                  Borrower and MPT Finance Company, LLC ("Lender"), Borrower
                  hereby requests a loan advance as indicated on the Soft and
                  Hard Cost Requisition attached hereto. We acknowledge that
                  this amount is subject to inspection, verification, and
                  available funds.

                                    Funding Instructions

         2.       This Borrower's Certificate is to be utilized only in
                  satisfaction of costs and charges with respect to the Project
                  and Improvements thereon as shown on the Soft and Hard Cost
                  Requisition Form, dated ____________________, attached hereto.

         3.       The Borrower agrees to provide, if requested by Lender, a
                  Vendor Payee Listing showing the name and the amount currently
                  due each party to whom Borrower is obligated for labor,
                  material and/or services supplies. This information would be
                  provided in support of the disbursements set forth in
                  paragraph 2(a) hereof.

         4.       The Borrower also certifies and agrees that:

                  (a)      It has complied with all duties and obligations
                           required to date to be carried out and performed by
                           it pursuant to the terms of the Construction Loan
                           Agreement;

                  (b)      No Event of Default as defined in the Construction
                           Loan Agreement has occurred and is continuing nor any
                           event, circumstance or condition which with notice or
                           the passage of time or both would be an Event of
                           Default; and

                  (c)      All Change Orders or changes to the Schedule of
                           Values have been submitted to and approved by Lender
                           to the extent required under the Construction Loan
                           Agreement;

<PAGE>

                  (d)      All funds previously disbursed have been used for the
                           purposes as set forth in the Construction Loan
                           Agreement;

                  (e)      All outstanding claims for labor, materials and/or
                           services furnished prior to this draw period have
                           been paid or will be paid from the proceeds of this
                           disbursement;

                  (f)      All construction prior to the date of this Borrower's
                           Certificate has been accomplished in accordance with
                           the Plans and Specifications approved by Lender;

                  (g)      All sums advanced by Lender will be used solely for
                           the purpose of paying costs of the Project owing as
                           shown on the attached Soft and Hard Cost Requisition
                           and no disbursement requested hereunder has been the
                           basis for any prior disbursement of the Loan;

                  (h)      There are no liens outstanding against the Project or
                           its equipment except for Lender's liens and security
                           interests as agreed upon in the Construction Loan
                           Agreement;

                  (i)      The amount of undisbursed Loan proceeds and/or
                           approved equity requirement remaining is sufficient
                           to pay the cost of completing the Project in
                           accordance with the Plans and Specifications and
                           Budget approved by Lender as modified by
                           Lender-approved Change Orders;

                  (j)      All representations and warranties contained in the
                           Construction Loan Agreement are true and correct as
                           of the date hereof; and

                  (k)      The undersigned understands that this certification
                           is made for the purpose of inducing Lender to make a
                           disbursement to Borrower and that, in making such
                           disbursement, Lender will rely upon the accuracy of
                           the matters stated in this Certificate.

         5.       Disbursement of the Loan proceeds hereby requested are subject
                  to the receipt by Lender, in those states where applicable, of
                  a certificate from the issuing title company stating that no
                  claims have been filed of record which adversely affects the
                  title of Borrower to the Project, subsequent to the filing of
                  the Mortgage.

         6.       The terms used in this Borrower's Certificate have the same
                  meaning and definitions as those set forth in the Construction
                  Loan Agreement.

         7.       The Borrower, or authorized signer, certifies that the
                  statements made in this Borrower's Certificate and any
                  documents submitted herewith and identified herein are true
                  and has duly caused this Borrower's Certificate to be signed
                  on its behalf by the Authorized Representative.

                                      -2-
<PAGE>

                              DATE:
                                   --------------------------------------------

                              NORTH CYPRESS MEDICAL CENTER
                              OPERATING COMPANY, LTD., a Texas limited
                              partnership

                              By: North Cypress Medical Center Operating
                                  Company GP, L.L.C., a Texas limited liability
                                  company, its sole general partner

                                  By:
                                     ------------------------------------------
                                                 Robert A. Behar, M.D.,
                                                 Chairman of the Board

                                      -3-

<PAGE>

                                    EXHIBIT G

                       Soft and Hard Cost Requisition Form

                                [TO BE ATTACHED]exv10w1

 

Exhibit 10.1

NationsHealth, Inc. 2005 Long-Term Incentive Plan

ARTICLE 1

BACKGROUND AND PURPOSE OF THE PLAN

     1.1. Background. This 2005 Long-Term Incentive Plan (the “Plan”) permits the grant of
Incentive Stock Options, Nonstatutory Stock Options, Stock Appreciation Rights, Restricted Stock,
Restricted Stock Units, and other equity-based awards.

     1.2. Purpose. The purposes of the Plan are (a) to attract and retain highly competent
persons as Employees, Directors, and Consultants of the Company; (b) to provide additional
incentives to such Employees, Directors, and Consultants; and (c) to promote the success of the
business of the Company.

     1.3. 2004 Plan. The NationsHealth, Inc. 2004 Incentive Stock Plan (the “2004 Plan”)
shall remain in effect in accordance with its terms, and further option grants may be made under
the 2004 Plan after the Effective Date. The adoption of this Plan as of the Effective Date shall
not affect the 2004 Plan or the terms of any option granted under the 2004 Plan either before or
after the Effective Date.

     1.4. Eligibility. Service Providers who are Employees, Consultants determined by the
Committee to be significantly responsible for the success and future growth and profitability of
the Company, or Directors are eligible to be granted Awards under the Plan. However, Incentive
Stock Options may be granted only to Employees.

     1.5. Definitions. Capitalized terms used in the Plan and not otherwise defined herein
shall have the meanings assigned to such terms in the attached Appendix.

ARTICLE 2

SHARE LIMITS

     2.1. Shares Subject to the Plan.

          (a) Share Reserve. Subject to adjustment under Section 2.3 of the Plan, 2,100,000 Shares
shall be initially reserved for issuance pursuant to Awards made under the Plan.

          (b) Shares Counted Against Limitation. If an Award is exercised, in whole or in part, by
delivery or attestation of Shares under Section 5.4(b), or if the tax withholding obligation is
satisfied by withholding Shares under Section 10.7(b), the number of Shares deemed to have been
issued under the Plan (for purposes of the limitation set forth in this Section 2.1) shall be the
number of Shares that were subject to the Award or portion thereof so exercised and not the net
number of Shares actually issued upon such exercise.

          (c) Lapsed Awards. If an Award: (i) expires; (ii) is terminated, surrendered, or canceled
without having been exercised in full; or (iii) is otherwise forfeited in whole or in part,
including as a result of Shares constituting or subject to an Award being repurchased by the
Company pursuant to a contractual repurchase right, then the unissued Shares that were subject to
such Award and/or such surrendered, canceled, or forfeited Shares (as the case may be) shall become
available for future grant or sale under the Plan (unless the Plan has terminated), subject
however, in the case of Incentive Stock Options, to any limitations under the Code.

          (d) Limitation on Full-Value Awards. Not more than 50% of the total number of Shares reserved
for issuance under the Plan (as adjusted under Section 2.3) may be granted or sold as Awards of
Restricted Stock, Restricted Stock Units, unrestricted grants of Shares, and other Awards
(“full-value Awards”) whose intrinsic value is not solely dependent on appreciation in the price of
Shares after the date of grant. Options and Stock Appreciation Rights shall not be subject to, and
shall not count against, the limit described in the preceding sentence. If a full-value Award
expires, is forfeited, or otherwise lapses as described in Section 2.1(c), the Shares that were
subject to the Award shall be restored to the total number of Shares available for grant or sale as
full-value Awards.

 

 

     2.2. Individual Share Limit. In any Tax Year, no Service Provider shall be granted
Awards with respect to more than 300,000 Shares. The limit described in this Section 2.2 shall be
construed and applied consistently with Section 162(m) of the Code, except that the limit shall
apply to all Service Providers.

          (a) Awards not Settled in Shares. If an Award is to be settled in cash or any medium other
than Shares, the number of Shares on which the Award is based shall count toward the individual
share limit set forth in this Section 2.2.

          (b) Canceled Awards. Any Awards that are canceled shall continue to count toward the
individual share limit set forth in this Section 2.2.

     2.3. Adjustments.

          (a) In the event that there is any dividend or distribution payable in Shares, or any stock
split, reverse stock split, combination or reclassification of Shares, or any other similar change
in the number of outstanding Shares, then the maximum aggregate number of Shares available for
Awards under Section 2.1 of the Plan, the maximum number of Shares issuable to a Service Provider
under Section 2.2 of the Plan, and any other limitation under this Plan on the maximum number of
Shares issuable to an individual or in the aggregate shall be proportionately adjusted (and rounded
down to a whole number) by the Committee as it deems equitable in its discretion to prevent
dilution or enlargement of the rights of the Participants. The Committee’s determination with
respect to any such adjustments shall be conclusive.

          (b) In the event that there is any extraordinary dividend or other distribution in respect of
the Shares, recapitalization, reclassification, merger, reorganization, consolidation, combination,
sale of assets, split-up, exchange, or spin-off, then the Committee shall make provision for a cash
payment or for the substitution or exchange of any or all outstanding Awards, based upon the
distribution or consideration payable to holders of the Shares in respect of such event or as the
Committee otherwise deems appropriate.

ARTICLE 3

ADMINISTRATION OF THE PLAN

     3.1. Administrator. The Plan shall be administered by the Committee.

     3.2. Powers of the Committee. Subject to the provisions of the Plan, Applicable Law,
and the specific duties delegated by the Board to the Committee, the Committee shall have the
authority in its discretion: (a) to determine the Fair Market Value; (b) to select the Service
Providers to whom Awards may be granted hereunder and the types of Awards to be granted to each;
(c) to determine the number of Shares to be covered by each Award granted hereunder; (d) to
determine whether, to what extent, and under what circumstances an Award may be settled in cash,
Shares, other securities, other Awards, or other property; (e) to approve forms of Award
Agreements; (f) to determine, in a manner consistent with the terms of the Plan, the terms and
conditions of any Award granted hereunder, based on such factors as the Committee, in its sole
discretion, shall determine; (g) to construe and interpret the terms of the Plan and Award
Agreements; (h) to correct any defect, supply any omission, or reconcile any inconsistency in the
Plan or any Award Agreement in the manner and to the extent it shall deem desirable to carry out
the purposes of the Plan; (i) to prescribe, amend, and rescind rules and regulations relating to
the Plan, including rules and regulations relating to sub-plans established pursuant to Section
12.1 of the Plan; (j) to authorize withholding arrangements pursuant to Section 10.7(b) of the
Plan; (k) to authorize any person to execute on behalf of the Company any instrument required to
effect the grant of an Award previously granted by the Committee; and (l) to make all other
determinations and take all other action described in the Plan or as the Committee otherwise deems
necessary or advisable for administering the Plan and effectuating its purposes.

     3.3. Compliance with Applicable Law. The Committee shall administer, construe,
interpret, and exercise discretion under the Plan and each Award Agreement in a manner that is
consistent and in compliance with a reasonable, good faith interpretation of all Applicable Laws,
and that avoids (to the extent practicable) the classification of any Award as “deferred
compensation” for purposes of Section 409A of the Code, as determined by the Committee.

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     3.4. Effect of Committee’s Decision and Committee’s Liability. The Committee’s
decisions, determinations and interpretations shall be final and binding on all Participants and
any other holders of Awards. Neither the Committee nor any of its members shall be liable for any
act, omission, interpretation, construction, or determination made in good faith in connection with
the Plan or any Award Agreement.

     3.5. Delegation to Executive Officers. To the extent permitted by Applicable Law, the
Board may delegate to one or more Executive Officers the powers: (a) to designate Service Providers
who are not Executive Officers as eligible to participate in the Plan; and (b) to determine the
amount and type of Awards that may be granted to Service Providers who are not Executive Officers.

     3.6. Awards may be Granted Separately or Together. In the Committee’s discretion,
Awards may be granted alone, in addition to, or in tandem with any other Award or any award granted
under another plan of the Company or an Affiliate. Awards granted in addition to or in tandem with
other awards may be granted either at the same time or at different times.

ARTICLE 4

VESTING AND PERFORMANCE OBJECTIVES

     4.1. General. The vesting schedule or Period of Restriction for any Award shall be
specified in the Award Agreement. The criteria for vesting and for removing restrictions on any
Award may include (i) performance of substantial services for the Company for a specified period;
(ii) achievement of one or more Performance Objectives; or (iii) a combination of (i) and (ii), as
determined by the Committee.

     4.2. Period of Absence from Providing Substantial Services. To the extent that
vesting or removal of restrictions is contingent on performance of substantial services for a
specified period, a leave of absence shall not count toward the required period of service unless
the Award Agreement provides otherwise.

     4.3. Performance Objectives.

          (a) Possible Performance Objectives. Any Performance Objective shall relate to the Service
Provider’s performance for the Company (or an Affiliate) or the Company’s (or Affiliate’s) business
activities or organizational goals, and shall be sufficiently specific that a third party having
knowledge of the relevant facts could determine whether the Performance Objective is achieved. The
Performance Objectives with respect to any Award may be one or more of the following General
Financial and/or Operational Objectives, as established by the Committee in its sole discretion:

               (i) General Financial Objectives:

	 	•	 	Increasing the Company’s net sales
	 
	 	•	 	Achieving a target level of earnings (including gross earnings; earnings before certain
deductions, such as interest, taxes, depreciation, or amortization; or earnings per Share)
	 
	 	•	 	Achieving a target level of income (including net income or income before consideration
of certain factors, such as overhead) or a target level of gross profits for the Company,
an Affiliate, or a business unit
	 
	 	•	 	Achieving a target return on the Company’s (or an Affiliate’s) capital, assets, or stockholders’ equity
	 
	 	•	 	Maintaining or achieving a target level of appreciation in the price of the Shares
	 
	 	•	 	Increasing the Company’s (or an Affiliate’s) market share to a specified target level
	 
	 	•	 	Achieving or maintaining a Share price that meets or exceeds the performance of
specified stock market indices or other benchmarks over a specified period
	 
	 	•	 	Achieving a level of Share price, earnings, or income performance that meets or exceeds
performance in comparable areas of peer companies over a specified period
	 
	 	•	 	Achieving specified reductions in costs
	 
	 	•	 	Achieving specified improvements in collection of outstanding accounts or specified
reductions in non-performing debts

3

 

               (ii)Operational Objectives:

	 	•	 	Expanding one or more products into one or more new markets
	 
	 	•	 	Acquiring a prescribed number of new customers in a line of business
	 
	 	•	 	Achieving a prescribed level of productivity within a business unit
	 
	 	•	 	Completing specified projects within or below the applicable budget

          (b) Stockholder Approval of Performance Objectives. The list of possible Performance
Objectives set forth in Section 4.3(a), above, and the other material terms of Awards of Restricted
Stock or Restricted Stock Units that are intended to qualify as “performance-based compensation”
under Section 162(m) of the Code, shall be subject to reapproval by the Company’s stockholders at
the first stockholder meeting that occurs in 2010. No Award of Restricted Stock or Restricted
Stock Units that is intended to qualify as “performance-based compensation” under Section 162(m) of
the Code shall be made after that meeting unless stockholders have reapproved the list of
Performance Objectives and other material terms of such Awards, or unless the vesting of the Award
is made contingent on stockholder approval of the Performance Objectives and other material terms
of such Awards.

          (c) Documentation of Performance Objectives. With respect to any Award, the Performance
Objectives shall be set forth in writing no later than 90 days after commencement of the period to
which the Performance Objective(s) relate(s) (or, if sooner, before 25% of such period has elapsed)
and at a time when achievement of the Performance Objectives is substantially uncertain. Such
writing shall also include the period for measuring achievement of the Performance Objectives,
which shall be no greater than five consecutive years, as established by the Committee. Once
established by the Committee, the Performance Objective(s) may not be changed to accelerate the
settlement of an Award or to accelerate the lapse or removal of restrictions on Restricted Stock
that otherwise would be due upon the attainment of the Performance Objective(s).

          (d) Committee Certification. Prior to settlement of any Award that is contingent on
achievement of one or more Performance Objectives, the Committee shall certify in writing that the
applicable Performance Objective(s) and any other material terms of the Award were in fact
satisfied. For purposes of this Section 4.3(d), approved minutes of the Committee shall be
adequate written certification.

          (e) Negative Discretion. The Committee may reduce, but may not increase, the number of Shares
deliverable or the amount payable under any Award after the applicable Performance Objectives are
satisfied.

ARTICLE 5

STOCK OPTIONS

     5.1. Terms of Option. Subject to the provisions of the Plan, the type of Option, term,
exercise price, vesting schedule, and other conditions and limitations applicable to each Option
shall be as determined by the Committee and shall be stated in the Award Agreement.

     5.2. Type of Option.

          (a) Each Option shall be designated in the Award Agreement as either an Incentive Stock Option
or a Nonstatutory Stock Option.

          (b) Neither the Company nor the Committee shall have liability to a Participant or any other
party if an Option (or any part thereof) which is intended to be an Incentive Stock Option does not
qualify as an Incentive Stock Option. In addition, the Committee may make an adjustment or
substitution described in Section 2.3 of the Plan that causes the Option to cease to qualify as an
Incentive Stock Option without the consent of the affected Participant or any other party.

     5.3. Limitations.

          (a) Maximum Term. No Option shall have a term in excess of 10 years measured from the date
the Option is granted. In the case of any Incentive Stock Option granted to a 10% Stockholder (as
defined in Section 5.3(e), below), the term of such Incentive Stock Option shall not exceed five
years measured from the date the Option is granted.

4

 

          (b) Minimum Exercise Price. Subject to Section 2.3(b) of the Plan, the exercise price per
share of an Option shall not be less than 100% of the Fair Market Value per Share on the date the
Option is granted. In the case of any Incentive Stock Option granted to a 10% Stockholder (as
defined in Section 5.3(e), below), subject to Section 2.3(b) of the Plan, the exercise price per
share of such Incentive Stock Option shall not be less than 110% of the Fair Market Value per Share
on the date the Option is granted.

          (c) Repricing Prohibited. Except as provided in Section 2.3, the Committee shall not amend
any outstanding Option to reduce its exercise price, and shall not grant an Option with a lower
exercise price within six months before or after an Option with a higher exercise price is
canceled.

          (d) $100,000 Limit for Incentive Stock Options. Notwithstanding an Option’s designation, to
the extent that Incentive Stock Options are exercisable for the first time by the Participant
during any calendar year with respect to Shares whose aggregate Fair Market Value exceeds $100,000
(regardless of whether such Incentive Stock Options were granted under this Plan, the 2004 Plan, or
any other plan of the Company or any Affiliate), such Options shall be treated as Nonstatutory
Stock Options. For purposes of this Section 5.3(d), Fair Market Value shall be measured as of the
date the Option was granted and Incentive Stock Options shall be taken into account in the order in
which they were granted.

          (e) 10% Stockholder. For purposes of this Section 5.3, a “10% Stockholder” is an individual
who, immediately before the date an Award is granted, owns (or is treated as owning) stock
possessing more than 10% of the total combined voting power of all classes of stock of the Company
(or an Affiliate), determined under Section 424(d) of the Code.

     5.4. Form of Consideration. The Committee shall determine the acceptable form of
consideration for exercising an Option, including the method of payment. In the case of an
Incentive Stock Option, the Committee shall determine the acceptable form of consideration at the
time of grant. To the extent approved by the Committee, the consideration for exercise of an
Option may be paid in any one, or any combination, of the forms of consideration set forth in
subsections (a), (b), and (c), below.

          (a) Cash Equivalent. Consideration may be paid by cash, check, or other cash equivalent
approved by the Committee.

          (b) Tender or Attestation of Shares. Consideration may be paid by the tendering of other
Shares to the Company or the attestation to the ownership of the Shares that otherwise would be
tendered to the Company in exchange for the Company’s reducing the number of Shares issuable upon
the exercise of the Option. Shares tendered or attested to in exchange for Shares issued under the
plan must be held by the Service Provider for at least six months prior to their tender or their
attestation to the Company and may not be shares of Restricted Stock at the time they are tendered
or attested to. The Committee shall determine acceptable methods for tendering or attesting to
Shares to exercise an Option under the Plan and may impose such limitations and prohibitions on the
use of Shares to exercise Options as it deems appropriate. For purposes of determining the amount
of the Option price satisfied by tendering or attesting to Shares, such Shares shall be valued at
their Fair Market Value on the date of tender or attestation, as applicable.

          (c) Broker-Assisted Cashless Exercise. Consideration may be paid by the Participant’s (i)
irrevocable instructions to the Company to deliver the Shares issuable upon exercise of the Option
promptly to a broker (acceptable to the Company) for the Participant’s account, and (ii)
irrevocable instructions to the broker to sell Shares sufficient to pay the exercise price and upon
such sale to deliver the exercise price to the Company. A Participant may use this form of
exercise only if the exercise would not subject the Participant to liability under Section 16(b) of
the Exchange Act or would be exempt pursuant to Rule 16b-3 promulgated under the Exchange Act or
any other exemption from such liability. The Company shall deliver an acknowledgement to the
broker upon receipt of instructions to deliver the Shares, and the Company shall deliver the Shares
to such broker upon the settlement date. Upon receipt of the Shares from the Company, the broker
shall deliver to the Company cash sale proceeds sufficient to cover the exercise price. Shares
acquired by a cashless exercise shall be deemed to have a Fair Market Value on the Option exercise
date equal to the gross sales price at which the broker sold the Shares to pay the exercise price.

5

 

     5.5. Exercise of Option.

          (a) Procedure for Exercise. Any Option granted hereunder shall be exercisable according to
the terms of the Plan and at such times and under such conditions as set forth in the Award
Agreement. An Option shall be deemed exercised when the Committee receives: (i) written or
electronic notice of exercise (in accordance with the Award Agreement) from the person entitled to
exercise the Option and (ii) full payment for the Shares (in a form permitted under Section 5.4 of
the Plan) with respect to which the Option is exercised.

          (b) Termination of Relationship as a Service Provider. Following a Participant’s Termination
of Service, the Participant (or the Participant’s Beneficiary, in the case of Termination of
Service due to death) may exercise his or her Option within such period of time as is specified in
the Award Agreement, subject to the following conditions:

               (i) An Option may be exercised after the Participant’s Termination of Service only to the
extent that the Option was vested as of the Termination of Service;

               (ii) An Option may not be exercised after the expiration of the term of such Option as set
forth in the Award Agreement;

               (iii) Unless a Participant’s Termination of Service is the result of the Participant’s
Disability, the Participant may not exercise an Incentive Stock Option more than three months after
such Termination of Service;

               (iv) If a Participant’s Termination of Service is the result of the Participant’s Disability,
the Participant may exercise an Incentive Stock Option up to 12 months after Termination of
Service; and

               (v) After the Participant’s death, his Beneficiary may exercise an Incentive Stock Option only
to the extent that that the deceased Participant was entitled to exercise such Incentive Stock
Option as of the date of his death.

In the absence of a specified time in the Award Agreement, the Option shall remain exercisable for
three months after the Participant’s Termination of Service for any reason other than Disability or
death, and for 12 months after the Participant’s Termination of Service on account of Disability or
death.

          (c) Rights as a Stockholder. Shares subject to an Option shall be deemed issued, and the
Participant shall be deemed the record holder of such Shares, on the Option exercise date. Until
such Option exercise date, no right to vote or receive dividends or any other rights as a
stockholder shall exist with respect to the Shares subject to the Option. In the event that the
Company effects a split of the Shares by means of a stock dividend and the exercise price of, and
number of shares subject to, an Option are adjusted as of the date of distribution of the dividend
(rather than as of the record date for such dividend), then a Participant who exercises such Option
between the record date and the distribution date for such stock dividend shall be entitled to
receive, on the distribution date, the stock dividend with respect to the Shares subject to the
Option. No other adjustment shall be made for a dividend or other right for which the record date
is prior to the date the Shares are issued.

     5.6. Repurchase Rights. The Committee shall have the discretion to grant Options
which are exercisable for unvested Shares. If the Participant ceases to be a Service Provider
while holding such unvested Shares, the Company shall have the right to repurchase any or all of
those unvested Shares at a price per share equal to the lower of (i) the exercise price paid per
Share, or (ii) the Fair Market Value per Share at the time of repurchase. The terms upon which
such repurchase right shall be exercisable by the Committee (including the period and procedure for
exercise and the appropriate vesting schedule for the purchased Shares) shall be established by the
Committee and set forth in the document evidencing such repurchase right.

ARTICLE 6

STOCK APPRECIATION RIGHTS

     6.1. Terms of Stock Appreciation Right. The term, base amount, vesting schedule, and
other conditions and limitations applicable to each Stock Appreciation Right, except the medium of
settlement, shall be as

6

 

determined by the Committee and shall be stated in the Award Agreement. All Awards of Stock
Appreciation Rights shall be settled in Shares issuable upon the exercise of the Stock Appreciation
Right.

     6.2. Exercise of Stock Appreciation Right.

          (a) Procedure for Exercise. Any Stock Appreciation Right granted hereunder shall be
exercisable according to the terms of the Plan and at such times and under such conditions as set
forth in the Award Agreement. A Stock Appreciation Right shall be deemed exercised when the
Committee receives written or electronic notice of exercise (in accordance with the Award
Agreement) from the person entitled to exercise the Stock Appreciation Right.

          (b) Termination of Relationship as a Service Provider. Following a Participant’s Termination
of Service, the Participant (or the Participant’s Beneficiary, in the case of Termination of
Service due to death) may exercise his or her Stock Appreciation Right within such period of time
as is specified in the Award Agreement to the extent that the Stock Appreciation right is vested as
of the Termination of Service. In the absence of a specified time in the Award Agreement, the
Stock Appreciation Right shall remain exercisable for three months following the Participant’s
Termination of Service for any reason other than Disability or death, and for 12 months after the
Participant’s Termination of Service on account of Disability or death.

          (c) Rights as a Stockholder. Shares subject to a Stock Appreciation Right shall be deemed
issued, and the Participant shall be deemed the record holder of such Shares, on the date the Stock
Appreciation Right is exercised. Until such date, no right to vote or receive dividends or any
other rights as a stockholder shall exist with respect to the Shares subject to the Stock
Appreciation Right. If the Company effects a split of the Shares by means of a stock dividend and
the exercise price of, and number of shares subject to, a Stock Appreciation Right are adjusted as
of the date of distribution of the dividend (rather than as of the record date for such dividend),
then a Participant who exercises such Stock Appreciation Right between the record date and the
distribution date for such stock dividend shall be entitled to receive, on the distribution date,
the stock dividend with respect to the Shares subject to the Stock Appreciation Right. No other
adjustment shall be made for a dividend or other right for which the record date is prior to the
date the Shares are issued.

ARTICLE 7

RESTRICTED STOCK

     7.1. Terms of Restricted Stock. Subject to the provisions of the Plan, the Period of
Restriction, the number of Shares granted, and other conditions and limitations applicable to each
Award of Restricted Stock shall be as determined by the Committee and shall be stated in the Award
Agreement. Unless the Committee determines otherwise, Shares of Restricted Stock shall be held by
the Company as escrow agent until the restrictions on such Shares have lapsed.

     7.2. Transferability. Except as provided in this Article 7, Shares of Restricted
Stock may not be sold, transferred, pledged, assigned, or otherwise alienated or hypothecated until
the end of the applicable Period of Restriction.

     7.3. Other Restrictions. The Committee, in its sole discretion, may impose such other
restrictions on Shares of Restricted Stock as it may deem advisable or appropriate.

     7.4. Removal of Restrictions. Except as otherwise provided in this Article 7, and
subject to Section 10.5 of the Plan, Shares of Restricted Stock covered by an Award of Restricted
Stock made under the Plan shall be released from escrow, and shall become fully transferable, as
soon as practicable after the Period of Restriction ends, and in any event no later than 21/2 months
after the end of the Tax Year in which the Period of Restriction ends.

     7.5. Voting Rights. During the Period of Restriction, Service Providers holding
Shares of Restricted Stock granted hereunder may exercise full voting rights with respect to those
Shares, unless otherwise provided in the Award Agreement.

7

 

     7.6. Dividends and Other Distributions. During the Period of Restriction, Service
Providers holding Shares of Restricted Stock shall be entitled to receive all dividends and other
distributions paid with respect to such Shares unless otherwise provided in the Award Agreement.

          (a) If any such dividends or distributions are paid in Shares, the Shares shall be subject to
the same restrictions (and shall therefore be forfeitable to the same extent) as the Shares of
Restricted Stock with respect to which they were paid.

          (b) If any such dividends or distributions are paid in cash, the Award Agreement may specify
that the cash payments shall be subject to the same restrictions as the related Restricted Stock,
in which case they shall be accumulated during the Period of Restriction and paid or forfeited when
the related Shares of Restricted Stock vest or are forfeited. Alternatively, the Award Agreement
may specify that the dividend equivalents or other payments shall be unrestricted, in which case
they shall be paid as soon as practicable after the dividend or distribution date. In no event
shall any cash dividend or distribution be paid later than 21/2 months after the Tax Year in which
the dividend or distribution becomes nonforfeitable.

     7.7. Right of Repurchase of Restricted Stock. If, with respect to any Award, (a) a
Participant’s Termination of Service occurs before the end of the Period of Restriction or (b) any
Performance Objectives are not achieved by the end of the period for measuring such Performance
Objectives, then the Company shall have the right to repurchase forfeitable Shares of Restricted
Stock from the Participant at their original issuance price or other stated or formula price (or to
require forfeiture of such Shares if issued at no cost).

ARTICLE 8

RESTRICTED STOCK UNITS

     8.1. Terms of Restricted Stock Units. Subject to the provisions of the Plan, the
Period of Restriction, number of underlying Shares, and other conditions and limitations applicable
to each Award of Restricted Stock Units shall be as determined by the Committee and shall be stated
in the Award Agreement.

     8.2. Settlement of Restricted Stock Units. Subject to Section 10.5 of the Plan, the
number of Shares specified in the Award Agreement, or cash equal to the Fair Market Value of the
underlying Shares specified in the Award Agreement, shall be delivered to the Participant as soon
as practicable after the end of the applicable Period of Restriction, and in any event no later
than 21/2 months after the end of the Tax Year in which the Period of Restriction ends.

     8.3. Dividend and Other Distribution Equivalents. The Committee is authorized to
grant to holders of Restricted Stock Units the right to receive payments equivalent to dividends or
other distributions with respect to Shares underlying Awards of Restricted Stock Units. The Award
Agreement may specify that the dividend equivalents or other distributions shall be subject to the
same restrictions as the related Restricted Stock Units, in which case they shall be accumulated
during the Period of Restriction and paid or forfeited when the related Restricted Stock Units are
paid or forfeited. Alternatively, the Award Agreement may specify that the dividend equivalents or
other distributions shall be unrestricted, in which case they shall be paid on the dividend or
distribution payment date for the underlying Shares, or as soon as practicable thereafter. In no
event shall any unrestricted dividend equivalent or other distribution be paid later than 21/2 months
after the Tax Year in which the record date for the dividend or distribution occurs.

     8.4. Forfeiture. If, with respect to any Award, (a) a Participant’s Termination of
Service occurs before the end of the Period of Restriction, or (b) any Performance Objectives are
not achieved by the end of the period for measuring such Performance Objectives, then the
Restricted Stock Units granted pursuant to such Award shall be forfeited and the Company (and any
Affiliate) shall have no further obligation thereunder.

8

 

ARTICLE 9

OTHER EQUITY-BASED AWARDS

     9.1. Other Equity-Based Awards. The Committee shall have the right to grant other Awards
based upon or payable in Shares having such terms and conditions as the Committee may determine,
including the grant of Shares upon the achievement of a Performance Objective and the grant of
securities convertible into Shares.

ARTICLE 10

ADDITIONAL TERMS OF AWARDS

     10.1. No Rights to Awards. No Service Provider shall have any claim to be granted any
Award under the Plan, and the Company is not obligated to extend uniform treatment to Participants
or Beneficiaries under the Plan. The terms and conditions of Awards need not be the same with
respect to each Participant.

     10.2. No Effect on Employment or Service. Neither the Plan nor any Award shall confer
upon a Participant any right with respect to continuing the Participant’s relationship as a Service
Provider with the Company; nor shall they interfere in any way with the Participant’s right or the
Company’s right to terminate such relationship at any time, with or without cause, to the extent
permitted by Applicable Laws and any enforceable agreement between the Service Provider and the
Company.

     10.3. No Fractional Shares. No fractional Shares shall be issued or delivered
pursuant to the Plan or any Award, and the Committee shall determine whether cash, other
securities, or other property shall be paid or transferred in lieu of any fractional Shares, or
whether such fractional Shares or any rights thereto shall be canceled, terminated, or otherwise
eliminated.

     10.4. Transferability of Awards. Unless otherwise determined by the Committee, an
Award may not be sold, pledged, assigned, hypothecated, transferred, or disposed of in any manner
other than by will or by the laws of descent or distribution and may be exercised, during the
lifetime of the Participant, only by the Participant. Subject to the approval of the Committee in
its sole discretion, Nonstatutory Stock Options may be transferable to members of the immediate
family of the Participant and to one or more trusts for the benefit of such family members,
partnerships in which such family members are the only partners, or corporations in which such
family members are the only stockholders. “Members of the immediate family” means the
Participant’s spouse, children, stepchildren, grandchildren, parents, grandparents, siblings
(including half brothers and sisters), and individuals who are family members by adoption. To the
extent that any Award is transferable, such Award shall contain such additional terms and
conditions as the Committee deems appropriate.

     10.5. Conditions On Delivery of Shares and Lapsing of Restrictions. The Company shall
not be obligated to deliver any Shares pursuant to the Plan or to remove restrictions from Shares
previously delivered under the Plan until (a) all conditions of the Award have been met or removed
to the satisfaction of the Committee, (b) subject to approval of the Company’s counsel, all other
legal matters (including any Applicable Laws) in connection with the issuance and delivery of such
Shares have been satisfied, and (c) the Participant has executed and delivered to the Company such
representations or agreements as the Committee may consider appropriate to satisfy the requirements
of Applicable Laws.

     10.6. Inability to Obtain Authority. The inability of the Company to obtain authority
from any regulatory body having jurisdiction, which authority is deemed by the Company’s counsel to
be necessary to the lawful issuance and sale of any Shares hereunder, shall relieve the Company of
any liability in respect of the failure to issue or sell such Shares as to which such requisite
authority shall not have been obtained.

     10.7. Withholding.

          (a) Withholding Requirements. Prior to the delivery of any Shares or cash pursuant to the
grant, exercise, vesting, or settlement of an Award, the Company shall have the power and the right
to deduct or withhold, or to require a Participant or Beneficiary to remit to the Company, an
amount sufficient to satisfy any federal, state, and local taxes (including the Participant’s FICA
obligation) that the Company determines is required to be withheld to comply with Applicable Laws.
The Participant or Beneficiary shall remain responsible at all times for paying any federal, state,
and local income or employment tax due with respect to any Award, and the Company shall not be
liable for any interest or penalty that a Participant or Beneficiary incurs by failing to make
timely payments of tax.

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          (b) Withholding Arrangements. The Committee, in its sole discretion and pursuant to such
procedures as it may specify from time to time, may permit a Participant or Beneficiary to satisfy
such tax withholding obligation, in whole or in part, by (i) electing to have the Company withhold
otherwise deliverable Shares, or (ii) delivering to the Company already-owned Shares having a Fair
Market Value equal to the amount required by Applicable Law to be withheld. The Fair Market Value
of the Shares to be withheld or delivered, or with respect to which restrictions are removed, shall
be determined as of the date that the taxes are required to be withheld.

     10.8. Other Provisions in Award Agreements. In addition to the provisions described
in the Plan, any Award Agreement may include such other provisions (whether or not applicable to
the Award of any other Participant) as the Committee determines appropriate, including restrictions
on resale or other disposition, provisions for the acceleration of exercisability of Options and
Stock Appreciation Rights in the event of a change in control of the Company, provisions for the
cancellation of Awards in the event of a change in control of the Company, and provisions to comply
with Applicable Laws.

     10.9. Section 16 of the Exchange Act. It is the intent of the Company that Awards and
transactions permitted by Awards be interpreted in a manner that, in the case of Participants who
are or may be subject to Section 16 of the Exchange Act, qualify, to the maximum extent compatible
with the express terms of the Awards, for exemption from matching liability under Rule 16b-3
promulgated under the Exchange Act. The Company shall have no liability to any Participant or
other person for Section 16 consequences of Awards or events in connection with Awards if an Award
or related event does not so qualify.

     10.10. Not Benefit Plan Compensation. Payments and other benefits received by a
Participant under an Award made pursuant to the Plan shall not be deemed a part of a Participant’s
compensation for purposes of determining the Participant’s benefits under any other employee
benefit plans or arrangements provided by the Company or an Affiliate, except where the Committee
expressly provides otherwise in writing.

ARTICLE 11

TERM, AMENDMENT, AND TERMINATION OF PLAN

     11.1. Term of Plan. The Plan shall become effective on the Effective Date.

     11.2. Termination of the Plan. The Plan shall terminate upon the earliest to occur of
(i) April 24, 2015; (ii) the date that is 10 years after the Plan is approved by the Company’s
stockholders; (iii) the date on which all Shares available for issuance under the Plan have been
issued as fully vested Shares; or (iv) the date determined by the Board pursuant to its authority
under Section 11.3 of the Plan.

     11.3. Amendment of the Plan. The Board or the Committee may at any time amend, alter,
suspend, or terminate the Plan, without the consent of the Participants or Beneficiaries. The
Company shall obtain stockholder approval of any Plan amendment to the extent necessary to comply
with Applicable Laws.

     11.4. Effect of Amendment or Termination. Except as provided in Section 11.5 of the
Plan, no amendment, alteration, suspension, or termination of the Plan shall impair the rights of
any Participant or Beneficiary under an outstanding Award, unless required to comply with an
Applicable Law or mutually agreed otherwise between the Participant and the Committee; any such
agreement must be in writing and signed by the Participant and the Company. Termination of the
Plan shall not affect the Committee’s ability to exercise the powers granted to it hereunder with
respect to Awards granted under the Plan prior to the date of such termination.

     11.5. Adjustments of Awards Upon the Occurrence of Unusual or Nonrecurring Events.
The Committee may, in its sole discretion (but subject to the limitations and conditions expressly
stated in the Plan, such as the limitations on adjustment of Performance Objectives), adjust the
terms and conditions of Awards during the pendency or in recognition of (a) unusual or nonrecurring
events affecting the Company or an Affiliate (such as a capital adjustment, reorganization, or
merger) or the financial statements of the Company or an Affiliate, or (b) any changes in
Applicable Laws or accounting principles. By way of example, the power to adjust Awards shall
include the power to suspend the exercise of any Option or Stock Appreciation Right.

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ARTICLE 12

MISCELLANEOUS

     12.1. Authorization of Sub-Plans. The Board may from time to time establish one or
more sub-plans under the Plan for purposes of satisfying applicable blue sky, securities, and/or
tax laws of various jurisdictions. The Board shall establish such sub-plans by adopting
supplements to this Plan containing (i) such limitations on the Board’s discretion under the Plan
as the Board deems necessary or desirable, and (ii) such additional terms and conditions not
otherwise inconsistent with the Plan as the Board shall deem necessary or desirable. All sub-plans
adopted by the Board shall be deemed to be part of the Plan, but each sub-plan shall apply only to
Participants within the affected jurisdiction and the Company shall not be required to provide
copies of any sub-plans to Participants in any jurisdiction which is not the subject of such
sub-plan.

     12.2. Governing Law. The provisions of the Plan and all Awards made hereunder shall
be governed by and interpreted in accordance with the laws of the State of Delaware, regardless of
the laws that might otherwise govern under applicable principles of conflicts of laws thereof.

     12.3. Committee Manner of Action. Unless otherwise provided in the bylaws of the
Company or the charter of the Committee: (a) a majority of the members of a Committee shall
constitute a quorum, and (b) the vote of a majority of the members present who are qualified to act
on a question assuming the presence of a quorum or the unanimous written consent of the members of
the Committee shall constitute action by the Committee. The Committee may delegate the performance
of ministerial functions in connection with the Plan to such person or persons as the Committee may
select.

     12.4. Expenses. The costs of administering the Plan shall be paid by the Company.

     12.5. Severability. If any provision of the Plan or any Award Agreement is determined
by a court of competent jurisdiction to be invalid, illegal, or unenforceable in any jurisdiction,
or as to any person or Award, such provision shall be construed or deemed to be amended to resolve
the applicable infirmity, unless the Committee determines that it cannot be so construed or deemed
amended without materially altering the Plan or the Award, in which case such provision shall be
stricken as to such jurisdiction, person, or Award, and the remainder of the Plan and any such
Award shall remain in full force and effect.

     12.6. Construction. Unless the contrary is clearly indicated by the context, (1) the
use of the masculine gender shall also include within its meaning the feminine and vice versa; (2)
the use of the singular shall also include within its meaning the plural and vice versa; and (3)
the word “include” shall mean to include, but not to be limited to.

     12.7. No Trust or Fund Created. Neither the Plan nor any Award Agreement shall create
or be construed to create a trust or separate fund of any kind or a fiduciary relationship between
the Company (or an Affiliate) and a Participant or any other person. To the extent that any person
acquires a right to receive payments from the Company (or an Affiliate) pursuant to an Award, such
right shall be no more secure than the right of any unsecured general creditor of the Company (or
the Affiliate, as applicable).

     12.8. Headings. Headings are given to the sections and subsections of the Plan solely
as a convenience to facilitate reference. Such headings shall not be deemed in any way material or
relevant to the construction or interpretation of the Plan or any provision thereof.

     12.9. Complete Statement of Plan. This document is a complete statement of the Plan.

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APPENDIX

As used in the Plan, the following terms shall have the following meanings:

     (a) “Affiliate” means an entity that is a “parent corporation” (as defined in Section 424(e)
of the Code) or a “subsidiary corporation” (as defined in Section 424(f) of the Code) with respect
to the Company, whether now or hereafter existing.

     (b) “Applicable Laws” means the requirements relating to, connected with, or otherwise
implicated by the administration of long-term incentive plans under applicable state corporation
laws, United States federal and state securities laws, the Code, any stock exchange or quotation
system on which the Shares are listed or quoted, and the applicable laws of any foreign country or
jurisdiction where Awards are, or will be, granted under the Plan.

     (c) “Award” means, individually or collectively, a grant under the Plan of Options, Stock
Appreciation Rights, Restricted Stock, Restricted Stock Units, or other equity-based awards.

     (d) “Award Agreement” means a written agreement setting forth the terms and provisions
applicable to an Award granted under the Plan. Each Award Agreement shall be subject to the terms
and conditions of the Plan.

     (e) “Beneficiary” means the personal representative of the Participant’s estate or the
person(s) to whom an Award is transferred pursuant to the Participant’s will or in accordance with
the laws of descent or distribution.

     (f) “Board” means the board of directors of the Company.

     (g) “Code” means the Internal Revenue Code of 1986, as amended. Any reference to a section of
the Code herein shall be a reference to any regulations or other guidance of general applicability
promulgated under such section, and shall further be a reference to any successor or amended
section of such section of the Code that is so referred to and any regulations thereunder.

     (h) “Committee” means the Compensation Committee of the Board, which has been constituted by
the Board to comply with the requirements of Rule 16b-3 promulgated under the Exchange Act, Section
162(m) of the Code, and/or other Applicable Laws.

     (i) “Company” means NationsHealth, Inc., a Delaware corporation, or any successor thereto.

     (j) “Consultant” means any natural person, including an advisor, engaged by the Company or an
Affiliate to render services to such entity.

     (k) “Director” means a member of the Board.

     (l) “Disability” means total and permanent disability as defined in Section 22(e)(3) of the
Code.

     (m) “Effective Date” means April 25, 2005; provided that the Plan and any Awards granted
hereunder shall be null and void if the Plan is not approved by the Company’s stockholders before
any compensation under the Plan is paid.

     (n) “Employee” means any person who is an employee, as defined in Section 3401(c) of the Code,
of the Company or any Affiliate or any other entity the employees of which are permitted to receive
Incentive Stock Options under the Code. Neither service as a Director nor payment of a director’s
fee by the Company shall be sufficient to constitute “employment” by the Company.

     (o) “Exchange Act” means the Securities Exchange Act of 1934, as amended.

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     (p) “Executive Officer” means an individual who is an “executive officer” of the Company (as
defined by Rule 3b-7 under the Exchange Act) or a “covered employee” under Section 162(m) of the
Code.

     (q) “Fair Market Value” means, with respect to Shares as of any date (except in the case of a
cashless exercise pursuant to Section 5.4(c)), the closing sale price per share of such Shares (or
the closing bid, if no sales were reported) as reported in The Wall Street Journal (Northeast
edition) or, if not reported therein, such other source as the Committee deems reliable.

     (r) “Incentive Stock Option” means an Option intended to qualify as an incentive stock option
within the meaning of Section 422 of the Code.

     (s) “Nonstatutory Stock Option” means an Option not intended to qualify as an Incentive Stock
Option.

     (t) “Option” means an option to purchase Shares that is granted pursuant to Article 5 of the
Plan. An Option may be an Incentive Stock Option or a Nonstatutory Stock Option.

     (u) “Participant” means the holder of an outstanding Award granted under the Plan.

     (v) “Performance Objective” means a performance objective or goal that must be achieved before
an Award, or a feature of an Award, becomes nonforfeitable, as described in Section 4.3 of the
Plan.

     (w) “Period of Restriction” means the period during which Restricted Stock, the remuneration
underlying Restricted Stock Units, or any other feature of an Award is subject to a substantial
risk of forfeiture. A Period of Restriction shall be deemed to end when the applicable Award
ceases to be subject to a substantial risk of forfeiture.

     (x) “Restricted Stock” means Shares that, during a Period of Restriction, are subject to
restrictions as described in Article 7 of the Plan.

     (y) “Restricted Stock Unit” means an Award that entitles the recipient to receive Shares or
cash after a Period of Restriction, as described in Article 8 of the Plan.

     (z) “Service Provider” means an Employee, Director, or Consultant.

     (aa) “Share” means a share of the Company’s common stock.

     (bb) “Stock Appreciation Right” means an Award that entitles the recipient to receive, upon
exercise, the excess of (i) the Fair Market Value of a Share on the date the Award is exercised,
over (ii) a base amount specified by the Committee which shall not be less than the Fair Market
Value of a Share on the date the Award is granted, as described in Article 6 of the Plan.

     (cc) “Tax Year” means the Company’s taxable year. If an Award is granted by an Affiliate,
such Affiliate’s taxable year shall apply instead of the Company’s taxable year.

     (dd) “Termination of Service” means the date an individual ceases to be a Service Provider.
Unless the Committee or a Company policy provides otherwise, a leave of absence authorized by the
Company or the Committee (including sick leave or military leave) from which return to service is
not guaranteed by statute or contract shall be characterized as a Termination of Service if the
individual does not return to service within three months; such Termination of Service shall be
effective as of the first day that is more than three months after the beginning of the period of
leave. If the ability to return to service upon the expiration of such leave is guaranteed by
statute or contract, but the individual does not return, the leave shall be characterized as a
Termination of Service as of a date established by the Committee or Company policy.

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