Document:

EX-10.3

SECOND AMENDMENT TO PURCHASE AND SALE

THIS SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT (the “Amendment”) is made this
28th day of July, 2010, by and between GRUBB & ELLIS EQUITY ADVISORS, LLC, a Delaware
limited liability company (“Buyer”) and the following parties: WHITE OAKS REAL ESTATE INVESTMENTS,
LLC, a Missouri limited liability company (“White Oaks CG”), WHITE OAKS REAL ESTATE INVESTMENTS OF
JOPLIN LLC, a Missouri limited liability company (“White Oaks Joplin”), WHITE OAKS REAL ESTATE
INVESTMENTS OF COLUMBIA LLC, a Missouri limited liability company (“White Oaks Columbia”), and
WHITE OAKS REAL ESTATE INVESTMENTS OF GEORGIA LLC, a Georgia limited liability company (“White Oaks
Athens”). As the context requires, each of White Oaks CG, White Oaks Joplin, White Oaks Columbia
and White Oaks Athens individually are generically referred to herein as a “Seller”, and
collectively are referred to herein as “Seller”.

WITNESSETH

A. Seller and Purchaser are parties to that certain Purchase and Sale Agreement
dated June 18, 2010, as amended pursuant to that First Amendment to Purchase and Sale dated July
22, 1010, relating to four (4) properties, three of which are located in the State of Missouri and
one of which is located in the State of Georgia, and the other property described therein relating
thereto (collectively the “Agreement”).

B. Seller and Purchaser desire to amend the Agreement as provided in this Amendment.

NOW THEREFORE, in consideration of the mutual covenants and agreements contained herein, the
parties hereto, intending to be legally bound hereby, agree as follows:

1. CLOSING DATE. As used in the Agreement, the term “Closing Date” with
respect to the CG Property shall mean August 16, 2010, with respect to the Joplin Property shall
mean August 31, 2010 and with respect to the Athens Property shall mean October 29, 2010, all
subject to the extension set forth in Section 10 of the Agreement.

2. COLUMBIA PROPERTY.

Section 27 of the Agreement is hereby deleted in its entirety and replaced with the following:

“Section 27. Columbia Closing. Buyer and Seller agree that the purchase of the
Columbia Property will not be consummated at Closing. The purchase of the Columbia
Property shall be consummated on the “Columbia Closing Date”, which shall be
the later of (i) November 15, 2010, or (ii) thirty (30) days after the expiration of
the “Columbia Due Diligence Period” as defined herein. Buyer shall not be obligated
to purchase the Columbia Property unless and until the long term acute care hospital
operated therefrom first establishes Earnings Before Interest, Taxes, Depreciation
and Amortization (EBITDAR) coverage of at least two (2) times the monthly rent for
such location, as such rent is described in the Master Lease (the “Rent Coverage
Contingency”). When Seller’s operation from the facility located on the
Columbia Property satisfies the Rent Coverage Contingency, Seller shall notify Buyer
of same in writing. Upon Buyer’s receipt of such notice, it shall have thirty (30)
days to examine the title to and condition of the Columbia Property pursuant to
Section 6 of this Agreement (the “Columbia Due Diligence Period”), and Buyer
shall have all rights relative to the Columbia Property as set forth in Section 6
during the Columbia Due Diligence Period, including without limitation the
unconditional right, for any reason or no reason, to terminate this Agreement with
respect to the Columbia Property by giving written notice thereof to Seller before
the expiration of said Columbia Due Diligence Period, in which event Buyer shall
receive a refund of the Columbia Earnest Money (which right shall survive such
termination), and all rights, liabilities and obligations of the parties under this
Agreement with respect to the Columbia Property shall expire, except as otherwise
expressly set forth herein. Provided Buyer does not terminate the Agreement
relating to the Columbia Property during said Columbia Due Diligence Period due to
such a material change to the Columbia Property, Buyer shall consummate the purchase
of the Columbia Property on the Columbia Closing Date. In the event that the
long-term acute care hospital operated from the Columbia Property does not satisfy
the Rent Coverage Contingency on or before October 30, 2011, then Buyer shall elect
either (i) not to purchase the Columbia Property, or (ii) to purchase the Columbia
Property despite the fact that the Rent Coverage Contingency has not been satisfied.
Buyer shall make such election in writing to Seller on or before November 30, 2011,
in which event the Columbia Closing Date shall be on a mutually acceptable date
during December, 2011. Buyer also may elect to consummate the Columbia Closing on
any date after October 30, 2010 and prior to December 31, 2011 even if the Rent
Coverage Contingency has not been satisfied.

Notwithstanding any language contained in this Agreement to the contrary, this
secondary closing shall not limit the application of the covenants and conditions
contained in the Agreement as relates to any of the Property, including but not
limited to the Columbia Property; however, where applicable, the term “Closing”
shall be deemed to refer to the “Columbia Closing” as it relates to the Columbia
Property and this secondary closing.”

3. MISCELLANEOUS. As amended by this Amendment, the parties hereto agree
that the Agreement remains in full force and effect. This Amendment may be executed in multiple
counterparts, each counterpart being executed by less than all of the parties hereto, and shall be
equally effective as if a single original had been signed by all parties; but all such counterparts
shall be deemed to constitute a single agreement, and this Amendment shall not be or become
effective unless and until each of the signatory parties below has signed at least one such
counterpart and caused the counterpart so executed to be delivered to the other party.

Signatures follow on the next page.

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SELLERS’ SIGNATURE PAGE

IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year
first set forth above.

SELLERS:

“WHITE OAKS CG”:

WHITE OAKS REAL ESTATE INVESTMENTS, LLC,

a Missouri limited liability company

By: /s/ William K. Kapp

Name: William K. Kapp

Title: President

Date July 29, 2010

“WHITE OAKS JOPLIN”:

WHITE OAKS REAL ESTATE INVESTMENTS

OF JOPLIN, LLC

a Missouri limited liability company

By: White Real Estate Investments, LLC

Its: Managing Member

By: /s/ William K. Kapp

Name: William K. Kapp

Title: President

Date July 29, 2010

“WHITE OAKS COLUMBIA”:

WHITE OAKS REAL ESTATE INVESTMENTS

OF COLUMBIA, LLC

a Missouri limited liability company

By: White Real Estate Investments, LLC

Its: Managing Member

By: /s/ William K. Kapp

Name: William K. Kapp

Title: President

Date July 29, 2010

“WHITE OAKS ATHENS”:

WHITE OAKS REAL ESTATE INVESTMENTS

OF ATHENS, LLC

a Georgia limited liability company

By: White Real Estate Investments, LLC

Its: Managing Member

By: /s/ William K. Kapp

Name: William K. Kapp

Title: President

Date July 29, 2010

BUYER’S SIGNATURE PAGE

IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year
first set forth above.

BUYER:

“BUYER”:

GRUBB & ELLIS EQUITY ADVISORS, LLC,

A Delaware limited liability company

By: /s/ Andrea R. Biller

Name: Andrea R. Biller

Title: Executive Vice President

Date: July 29, 2010

2EX-10.4

ASSIGNMENT OF PURCHASE AND SALE AGREEMENT

This Assignment of Purchase and Sale Agreement (the “Assignment”) is made as of the
12th day of August, 2010 (the “Effective Date”), by and between GRUBB & ELLIS EQUITY
ADVISORS, LLC, a Delaware limited liability company (“Assignor”) and G&E HC REIT II MONUMENT LTACH
PORTFOLIO, LLC, a Delaware limited liability company (“Assignee”).

W I T N E S S E T H:

WHEREAS, Assignor and WHITE OAKS REAL ESTATE INVESTMENTS OF GEORGIA LLC, a Georgia limited
liability company, WHITE OAKS REAL ESTATE INVESTMENTS LLC, a Missouri limited liability company,
WHITE OAKS REAL ESTATE INVESTMENTS OF JOPLIN LLC, a Missouri limited liability company, and WHITE
OAKS REAL ESTATE INVESTMENTS OF COLUMBIA LLC a Missouri limited liability company, collectively
referred to as “Seller”, did enter into that certain Agreement for Purchase and Sale of Real
Property dated June 18, 2010, thereafter amended on July 22, 2010, thereafter further amended on
July 28, 2010 (the “Contract”). (Capitalized terms used, but not otherwise defined herein, shall
have the meaning ascribed to them in the Contract);

WHEREAS, the Contract is for the purchase and sale of certain property, including (i) certain
real property having a street address of 3255 Independence St., Cape Girardeau MO 63703; (ii)
certain real property having a street address of 2040 W. 32nd St., Joplin MO 64804;
(iii) certain real property having a street address of 604 N. Old Hwy 63, Columbia MO 65201; and
(iv) certain real property having a street address of 775 Sunset Drive, Athens GA 30606
(collectively, the “Property”). The terms of the Contract are incorporated herein by this
reference; and

WHEREAS, Assignor desires to assign all of its rights, title and interest in the Contract
effective as of the date of this Assignment to Assignee, and Assignee desires to take and assume
all of Assignor’s rights, title and interest in the Contract effective as of the date of this
Assignment.

NOW, THEREFORE, in consideration of Ten Dollars ($10.00) and other good and valuable
consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereunto
agree as follows:

1. As of the date of this Assignment, Assignor hereby assigns and transfers unto Assignee all of
Assignor’s rights, title and interest to purchase the Property under the Contract as well as the
right to exercise and enforce all of the terms, covenants and conditions of the Contract.

2. Assignee hereby accepts, as of the date of this Assignment, the assignment and transfer of
Assignor’s rights, title and interest in and to the Contract (including, without limitation, any
obligation to proceed to and effectuate Closing on the Property under the Contract). Assignee
hereby assumes and agrees to be bound by all of the terms and conditions of the Contract from and
after the date of this Assignment, and Assignee represents and warrants that it will perform and
observe all the covenants and conditions therein contained on Assignor’s part to be performed and
observed which accrue after the date of this Assignment.

3. Effective upon the date of this Assignment, Assignee shall be directly and primarily liable to
Seller for all obligations ar ising under the Contract.

4. The Contract shall remain unmodified and in full force and effect and the same is hereby
ratified and confirmed by all parties.

[Signatures on following page]

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IN WITNESS WHEREOF, the parties have hereunto set their hands the day and year first above
written.

ASSIGNOR

GRUBB & ELLIS EQUITY ADVISORS, LLC,

a Delaware limited liability company

By: /s/ Jeffrey T. Hanson

Name: Jeffrey T. Hanson

Its: President and Chief Executive Officer

ASSIGNEE

G&E HC REIT II MONUMENT LTACH PORTFOLIO, LLC,

a Delaware limited liability company

By: Grubb & Ellis Healthcare REIT II Holdings, LP,

its Sole Member

By: Grubb & Ellis Healthcare REIT II, Inc.,

its General Partner

By: /s/ Shannon K S Johnson

Name: Shannon K S Johnson

Its: Chief Financial Officer

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