Document:

EX-10.6

FIRST AMENDMENT TO CREDIT AGREEMENT

AND RELATED LOAN DOCUMENTS

This FIRST AMENDMENT TO CREDIT AGREEMENT AND RELATED LOAN DOCUMENTS (this
"Amendment”), is made as of the 4th day of May, 2011, by and among GRUBB & ELLIS
HEALTHCARE REIT II HOLDINGS, LP, a Delaware limited partnership (“G&E Healthcare
Borrower”), G&E HC REIT II LACOMBE MOB, LLC, a Delaware limited liability company (“Lacombe
BBP Borrower”), G&E HC REIT II PARKWAY MEDICAL CENTER, LLC, a Delaware limited liability
company (“Parkway BBP Borrower”), G&E HC REIT II ST. VINCENT CLEVELAND MOB, LLC, a Delaware
limited liability company (“St. Vincent BBP Borrower”), G&E HC REIT II LIVINGSTON MOB, LLC,
a Delaware limited liability company (“Livingston BBP Borrower”), G&E HC REIT II SYLVA MOB,
LLC, a Delaware limited liability company (“Sylva BBP Borrower”), and G&E HC REIT II ENNIS
MOB, LLC, a Delaware limited liability company (“Ennis BBP Borrower”) (all of the
aforementioned, together with each other party which becomes a borrower under the Credit Agreement
[as defined below], individually and collectively, jointly and severally, the “Borrower”)
and BANK OF AMERICA, N.A., a national banking association, as agent (the “Administrative
Agent”) under the Credit Agreement (as hereinafter defined) (Bank of America, N.A. and the
other lending institutions which become parties to the Credit Agreement are collectively referred
to as the “Lenders” and individually as a the “Lender”).

W I T N E S S E T H:

WHEREAS, pursuant to that certain Credit Agreement among G&E Healthcare Borrower, Lacombe BBP
Borrower and Parkway BBP Borrower, the Administrative Agent and the other Lenders (the “Credit
Agreement”) dated July 19, 2010, as amended by that certain Joinder to Credit Agreement and
Other Loan Documents dated September 9, 2010 among St. Vincent BBP Borrower, Livingston BBP
Borrower and the Administrative Agent, as consented to by G&E Healthcare Borrower, Lacombe BBP
Borrower, Parkway BBP Borrower, the Guarantor and the Pledgor (the “First Joinder
Agreement”), as further amended by that certain Joinder to Credit Agreement and Other Loan
Documents dated November 15, 2010 between Sylva BBP Borrower and the Administrative Agent, as
consented to by G&E Healthcare Borrower, Lacombe BBP Borrower, Parkway BBP Borrower, St. Vincent
BBP Borrower, Livingston BBP Borrower, the Guarantor and the Pledgor (the “Second Joinder
Agreement”), and as further amended by that certain Joinder to Credit Agreement and Other Loan
Documents dated January 28, 2011 between Ennis BBP Borrower and the Administrative Agent, as
consented to by G&E Healthcare Borrower, Lacombe BBP Borrower, Parkway BBP Borrower, St. Vincent
BBP Borrower, Livingston BBP Borrower, Sylva BBP Borrower, the Guarantor and the Pledgor (the
"Third Joinder Agreement”; the Credit Agreement as amended by the First Joinder Agreement,
the Second Joinder Agreement and the Third Joinder Agreement is referred to herein as the
"Original Credit Agreement”), the Lenders agreed to and did make a loan to the Borrower in
the original principal amount of Twenty Five Million and No/100 Dollars ($25,000,000.00) (the
"Loan”). The Loan is evidenced by (i) that certain Promissory Note dated July 19, 2010 in
the original principal amount of $25,000,000.00 made by G&E Healthcare Borrower, Lacombe BBP
Borrower and Parkway BBP Borrower, collectively as Borrower, to the order of the Administrative
Agent, as Lender; (ii) that certain Joinder to Promissory Note dated September 9, 2010 made by St.
Vincent BBP Borrower and Livingston BBP Borrower, collectively as Borrower, to the order of the
Administrative Agent as a Lender; (iii) that certain Joinder to Promissory Note dated November 15,
2010 made by Sylva BBP Borrower, as Borrower, to the order of the Administrative Agent as a Lender;
and (iv) that certain Joinder to Promissory Note dated January 28, 2011 made by Ennis BBP Borrower,
as Borrower, to the order of the Administrative Agent as a Lender (collectively, the “Original
Note”); and

WHEREAS, the Original Note is secured by, among other things, the following documents (all of
which, together with all renewals, amendments, modifications, restatements, extensions and
modifications thereof and thereto, are collectively referred to herein as the “Original Loan
Documents”):

(i) that certain Multiple Indebtedness Mortgage, Assignment of Leases and Rents,
Security Agreement and Fixture Filing dated as of July 19, 2010 (the “Lacombe
Mortgage”) by Lacombe BBP Borrower, as Mortgagor, to the Administrative Agent, as
Mortgagee, and recorded on July 21, 2010 in Instrument No. 1777573 in the Records of St.
Tammany Parish, Louisiana, encumbering the real property legally described therein;

(ii) that certain Open-End Mortgage, Assignment of Leases and Rents, Security Agreement
and Fixture Filing dated as of July 19, 2010 (the “Parkway Mortgage”) by Parkway BBP
Borrower, as Mortgagor, to the Administrative Agent, as Mortgagee, and recorded on July 22,
2010 with the Office of the Cuyahoga County, Ohio Recorder as Document No. 2010007220434,
encumbering the real property legally described therein;

(iii) that certain Open-End Mortgage, Assignment of Leases and Rents, Security
Agreement and Fixture Filing dated as of September 9, 2010 (the “St. Vincent
Mortgage”) by St. Vincent BBP Borrower, as Mortgagor, to the Administrative Agent, as
Mortgagee, and recorded on September 16, 2010 with the Office of the Cuyahoga County, Ohio
Recorder as Document No. 201009160315, encumbering the real property legally described
therein;

(iv) that certain Leasehold Deed of Trust, Assignment of Leases and Rents, Security
Agreement, Fixture Filing and Financing Statement dated as of September 9, 2010 (the
“Livingston Mortgage”) by Livingston BBP Borrower, as Grantor, to the Administrative
Agent, as Beneficiary, and recorded on September 17, 2010 in the Official Public Records of
Polk County, Texas in Volume 1764 Page 587, encumbering the real property legally described
therein;

(v) that certain Leasehold Deed of Trust, Assignment of Leases and Rents, Security
Agreement and Fixture Filing dated as of November 15, 2010 (the “Sylva Mortgage”) by
Sylva BBP Borrower, as Grantor, to the Administrative Agent, as Beneficiary, and recorded on
November 23, 2010 with the Jackson County, North Carolina Recorder of Deeds at Book 1874
Page 292, encumbering the real property legally described therein;

(vi) that certain Deed of Trust, Assignment of Leases and Rents, Security Agreement,
Fixture Filing and Financing Statement dated as of January 28, 2011 (the “Ennis
Mortgage”; and with the Lacombe Mortgage, the Parkway Mortgage, the St. Vincent
Mortgage, the Livingston Mortgage and the Sylva Mortgage, referred to hereinafter
individually as an “Original Mortgage” and collectively as the “Original
Mortgages”) by Ennis BBP Borrower, as Grantor, to the Administrative Agent, as
Beneficiary, filed January 31, 2011, recorded in Volume 2553 Page 2124, Real Property
Records of Ellis County, Texas, encumbering the real property legally described therein;

(vii) that certain Guaranty Agreement dated July 19, 2010 (the “Guaranty”) by
Grubb & Ellis Healthcare REIT II, Inc., a Maryland corporation (the “Guarantor”) in
favor of the Administrative Agent;

(viii) that certain Ownership Interests Pledge and Security Agreement dated as of July
19, 2010 by G&E Healthcare Borrower, as the Pledgor, to the Administrative Agent, for the
benefit of the Lenders; and

(ix) any other documents, instruments or agreements executed and delivered by any
Borrower, the Guarantor or any other party to the Administrative Agent and/or Lenders
evidencing, securing, governing, guaranteeing or otherwise pertaining to the Loan and which
are defined as the “Loan Documents” in the Original Credit Agreement; and

WHEREAS, the Borrower, the Administrative Agent and the Lenders desire to make certain
modifications to the provisions of the Original Credit Agreement, the Original Note, the Original
Mortgages and the other Loan Documents, to, among other things, (i) increase the amount of the
Aggregate Commitments, (ii) modify the terms of the Borrowing Base, and (iii) amend the Original
Loan Documents in certain other respects; and

WHEREAS, contemporaneously with the execution and delivery of this Amendment, the Borrower
shall execute and deliver to the Administrative Agent (i) that certain Amended and Restated
Promissory Note (the “Amended and Restated Note”), and (ii) a first amendment to each
Original Mortgage to be recorded with the applicable recorder’s office (collectively, the
"First Amendments to Mortgage”; each Original Mortgage as modified by the applicable First
Amendment to Mortgage is hereinafter referred to individually and collectively as the
"Mortgage”); and

WHEREAS, contemporaneously with the execution and delivery of this Amendment, the Guarantor
shall execute and deliver to the Administrative Agent a First Amendment to and Reaffirmation of
Guaranty Agreement with respect to the Guaranty (the “First Amendment to and Reaffirmation of
Guaranty”).

NOW, THEREFORE, for and in consideration of the recitals set forth and made a part hereof, the
mutual covenants and conditions contained herein, and other good and valuable consideration, the
receipt and sufficiency of which is hereby acknowledged, the parties hereby agree as follows:

1. Incorporation. The preambles to this Amendment, together with the Original Credit
Agreement, the Original Note, the Original Mortgages and the other Original Loan Documents, are
fully incorporated herein by this reference with the same force and effect as though restated
herein.

2. Defined Terms. To the extent not otherwise defined herein to the contrary, all
terms and phrases used in this Amendment shall have the respective meanings ascribed to them in the
Original Credit Agreement.

3. Acknowledgment of Balance of Note. The Borrower and the Administrative Agent
hereby acknowledge that as of the date hereof, the outstanding principal balance of the Note is
$4,550,000.

4. Aggregate Commitments Amount. The amount of the Aggregate Commitments is hereby
increased to an amount not to exceed $45,000,000.00. All references in the Original Credit
Agreement to the Aggregate Commitments shall be deemed to be such amount as amended and increased
hereby. In addition, all references in the Original Credit Agreement, the Original Mortgages, the
Original Guaranty and the other Original Loan Documents (a) to “Twenty Five Million and No/100
Dollars” shall be deemed to be “Forty Five Million and No/100 Dollars”, and (b) to “$25,000,000.00”
shall be deemed to be “$45,000,000.00”.

5. Definitions. The following definitions in the Original Credit Agreement are hereby
amended and restated in their entirety as follows:

"Applicable Margin” means three and one-half percent (3.50%) per annum.

"Business Day” means any day other than a Saturday, Sunday or other day
on which commercial banks are authorized to close under the Laws of, or are in fact
closed in, the state where the Administrative Agent’s Office is located and, if such
day relates to the BBA Daily LIBOR Floating Rate, means any such day that is also a
London Banking Day.

"Collateral Value Amount” means, as of any Determination Date, an
amount equal to the product of (a) sixty percent (60%) multiplied by (b) the BBP
Value as of such date.

"LTC Amount” means, as of any Determination Date, an amount equal to
the product of (a) sixty percent (60%) multiplied by (b) the BBP Cost as of such
date.

"Mortgageability Amount” means, as of any Determination Date, the
maximum principal amount under a hypothetical loan with respect to which the annual
principal and interest payments are equal to the Mortgageability Cash Flow divided
by 1.40 under a hypothetical loan, utilizing a thirty (30) year mortgage-style
amortization schedule and an interest rate equal to the great of (i) the ten (10)
year Treasury Rate plus three percent (3%) or (ii) seven percent (7%).

All references in the Original Credit Agreement, the Original Note, the Original Mortgages and
the other Original Loan Documents to the terms set forth above shall have the meanings ascribed to
such terms set forth herein.

6. Interest Rate.

(a) The first sentence of Section 2.08(a) of the Original Credit Agreement is hereby
amended and restated in its entirety as follows:

“The unpaid principal balance under the Loan from day to day outstanding which is
not past due, shall bear interest at a fluctuating rate of interest per annum equal
to the BBA LIBOR Daily Floating Rate plus the Applicable Margin.”

(b) The second sentence of Section 2.08(b) of the Original Credit Agreement is hereby
amended and restated in its entirety as follows:

“If the Administrative Agent so notifies the Borrower, then interest shall accrue
and be payable on the unpaid principal balance hereunder at a fluctuating rate of
interest per annum equal to the Prime Rate of the Administrative Agent plus the
Applicable Margin, from the date of such notification by the Administrative Agent
until the Administrative Agent notifies the Borrower that the circumstances giving
rise to such suspension no longer exist or until the Maturity Date (whether by
acceleration, declaration, extension or otherwise), whichever is earlier to occur.”

7. Unused Fee. The first sentence of Section 2.09(a) of the Original Credit Agreement
is hereby amended and restated in its entirety as follows:

“The Borrowers shall, for each day during the term of this Agreement on which there
exist any Commitments, pay to the Administrative Agent for the account of each
Lender holding a Commitment (in accordance with such Lender’s Applicable Percentage
thereof), an unused fee (the “Unused Fee”) equal to the Unused Rate times
the actual daily amount by which $45,000,000.00 exceeds the Total Outstandings as of
such date, subject to adjustment as provided in Section 2.18.”

8. Extended Maturity Date Option. The reference in Section 2.14(b)(v) of the Original
Credit Agreement to the amount of the extension fee which the Borrower must pay as “$93,750.00” is
hereby deleted and replaced with “$168,750.00”.

9. Updated Appraisals. Sections 6.19(b) and (c) of the Original Credit Agreement are
hereby amended and restated in their entirety as follows:

"(b) in any event, twelve (12) months after the date hereof in order to determine
compliance with the Borrowing Base relative to the Collateral Value Amount, and (c)
at the sole discretion of the Administrative Agent, with respect to any Borrowing
Base Property added after the date of this Agreement, twelve (12) months after the
date such Borrowing Base Property is so added as property to the Borrowing Base;”.

10. Commitments and Applicable Percentages. The Original Credit Agreement is amended
to replace in the entirety the Commitments and Applicable Percentages, attached as SCHEDULE 2.01 to
the Original Credit Agreement, with the revised Commitments and Applicable Percentages attached
hereto as SCHEDULE 2.01. All references in the Original Credit Agreement and the other Loan
Documents to the Commitments and Applicable Percentages shall be deemed be the Commitments and
Applicable Percentages as amended and restated on SCHEDULE 2.01 attached hereto.

11. Borrowing Base Compliance Certificate. The Original Credit Agreement is amended
to replace in the entirety the Borrowing Base Compliance Certificate, attached as EXHIBIT B to the
Original Credit Agreement, with the revised Borrowing Base Compliance Certificate attached hereto
as EXHIBIT B. All references in the Original Credit Agreement and the other Loan Documents to the
Borrowing Base Compliance Certificate shall be deemed be the Borrowing Base Compliance Certificate
as amended and restated on EXHIBIT B attached hereto.

12. Defined Terms. The parties hereby agree that all of the Loan Documents are
amended and modified as follows:

(a) The term “Credit Agreement”, as used in the Credit Agreement and the other Loan
Documents, shall mean the Original Credit Agreement, as amended by this Amendment.

(b) The term “Note”, as used in the Credit Agreement and the other Loan Documents,
shall mean the Original Note, as amended by this Amendment and the Amended and Restated
Note.

(c) The term “Mortgage”, as used in the Credit Agreement and the other Loan Documents,
shall mean each Original Mortgage, as amended by this Amendment and the applicable First
Amendment to Mortgage.

(d) The term “Guaranty”, as used in the Credit Agreement and the other Loan Documents,
shall mean the Original Guaranty, as amended by this Amendment and the First Amendment to
and Reaffirmation of Guaranty.

(e) The term “Loan Documents”, as used in the Credit Agreement and the other Loan
Documents, shall mean the Original Loan Documents, as amended by this Amendment.

13. Conditions. As a condition precedent to the effectiveness of this Amendment, the
Amended and Restated Note, the First Amendments to Mortgage and the First Amendment to and
Reaffirmation of Guaranty, and to the Administrative Agent’s and the Lenders’ obligations
hereunder, each of the following conditions precedent shall have been satisfied (as determined by
the Administrative Agent in its sole and absolute discretion) as of the date of this Amendment:

(a) All parties shall have executed and delivered this Amendment and the First
Amendment to Mortgages.

(b) The Borrower shall executed and delivered to the Administrative Agent the Amended
and Restated Note.

(c) The Guarantor shall have executed and delivered to the Administrative Agent the
First Amendment to and Reaffirmation of Guaranty.

(d) The Borrower shall have paid to the Administrative Agent, for the benefit of the
Lenders, a loan modification fee in the amount of $75,000.00.

(e) The Administrative Agent shall have received an endorsement to the title policy for
each Borrowing Base Property (i) extending the effective date of such policy to the date and
time of the recording of the applicable First Amendment to Mortgage, and reflecting the
recordation of such First Amendment to Mortgage, (ii) increasing the insured amount to
$45,000,000.00, (iii) showing that there have been no changes to the state of title as to
such Borrowing Base Property or exceptions not previously approved by the Administrative
Agent since the date of the issuance of the original title policy for such Borrowing Base
Property, and showing that all real estate taxes and assessments which are due and payable
(but not delinquent) have been paid in full, and (iv) insuring the continuing first priority
lien of the applicable Mortgage.

(f) The Administrative Agent shall have received the following for each Borrower: (i)
current certificates of existence from the Delaware Secretary of State, and for each
Borrower other than the G&E Healthcare Borrower, from the Secretary of State where such
Borrower’s Borrowing Base Property is located; (ii) current certified copies of certificate
of limited partnership or certificate of formation, from the Delaware Secretary of State, as
the case be, or a certificate of no change from such Borrower’s general partner or manager,
as the case may be, and (iii) the limited partnership agreement or operating agreement, as
the case may be, or a certificate of no change from such Borrower’s general partner or
manager, as the case may be.

(g) The Administrative Agent shall have received the following for the Guarantor: (i)
current certificate of good standing from the Maryland Secretary of State; (ii) current
certified copy of the articles of organization from the Maryland Secretary of State, or a
certificate of no change from an officer of the Guarantor, and (iii) the by-laws, or a
certificate of no change from an officer of the Guarantor.

(h) The Administrative Agent shall have received consents or resolutions, each with a
certificate of incumbency, from the general partner or manager of each Borrower, as the case
may be, authorizing (i) the increase in the amount of the Aggregate Commitments, (ii) the
modifications to the terms of the Borrowing Base, (iii) the modification of the interest
rate, (iv) all other modifications to the Credit Agreement and the other Loan Documents as
set forth in this Amendment, and (v) the execution and delivery by the Borrower of this
Amendment, the Amended and Restated Note, the First Amendments to Mortgage, and any other
documents or instruments required or requested by the Administrative Agent.

(i) The Administrative Agent shall have received consents or resolutions, each with a
certificate of incumbency, from an officer of the Guarantor authorizing (i) the increase in
the amount of the Aggregate Commitments, (ii) the modifications to the Borrowing Base
Conditions, (iii) the modification of the interest rate, (iv) all other modifications to the
Credit Agreement and the other Loan Documents as set forth in this Amendment, (v) the
execution and delivery by the Borrower of this Amendment, the Amended and Restated Note, the
First Amendments to Mortgage, and any other documents or instruments required or requested
by the Administrative Agent, and (vi) the execution and delivery by the Guarantor of the
First Amendment to and Reaffirmation of Guaranty, and any other documents or instruments
required or requested by the Administrative Agent.

(j) The Administrative Agent shall have received opinions of counsel for each Borrower
and the Guarantor as to (i) the enforceability and binding effect of this Amendment, the
Amended and Restated Note, the First Amendments to Mortgage, the First Amendment to and
Reaffirmation of Guaranty, and any other documents or instrument required or requested by
the Administrative Agent, as applicable, (ii) the due authority, execution and delivery of
this Amendment, the Amended and Restated Note, the First Amendments to Mortgage, the First
Amendment to and Reaffirmation of Guaranty, and any other documents or instrument required
or requested by the Administrative Agent, as applicable, and (iii) such other matters as the
Administrative Agent may reasonably require.

(k) The Administrative Agent shall have received with respect to each Borrowing Base
Property certificates of insurance, together with evidence satisfactory to the
Administrative Agent, evidencing that the insurance policies in coverages, the amounts and
form, and otherwise in accordance with the terms and provisions of the Loan Documents, are
in full force and effect.

(l) The Administrative Agent shall have received from the G&E Healthcare Borrower a
current Borrowing Base Certificate dated as of the date hereof.

(m) The Administrative Agent shall have received from the Guarantor a financial
covenant compliance certificate dated no more than sixty (60) days prior to the date hereof
in conformance with the requirements set forth in the Credit Agreement or the Guaranty.

(n) The Administrative Agent shall have received such other documents or instruments as
are required under this Amendment or as may otherwise be requested by the Administrative
Agent.

(o) The Administrative Agent shall have been reimbursed by the Borrower in the full
amount of the Administrative Agent’s costs and expenses incurred in connection with this
Amendment and the transactions, documents and instruments contemplated hereby, including,
without limitation, title insurance costs, recording fees and reasonable attorneys’ fees and
expenses.

(p) The representations and warranties set forth in this Amendment and all of the Loan
Documents shall continue to remain true and correct in all respects.

(q) As of the date hereof, there shall not have been a Default or Event of Default on
the part of any Borrower or the Guarantor under any of the Loan Documents.

The parties agree that this Amendment will not be binding upon or enforceable against the
Administrative Agent or any Lender until such time as each of the conditions precedent set forth
above have been satisfied in the Administrative Agent’s sole and absolute determination, and then
only after the Borrower has fully complied with all of the other terms and conditions set forth in
this Amendment.

14. Representations and Warranties. The Borrower hereby represents, warrants and
covenants with the Administrative Agent and each Lender that:

(a) The Loan Documents are in full force and effect and have not been modified, amended
or changed, except as expressly provided in this Amendment.

(b) As of the date hereof, there are no charges, liens, claims, defenses or setoffs in
favor of any Borrower or the Guarantor under any of the Loan Documents, including, without
limitation, any charges, liens, claims, defenses or setoffs under or against the validity or
enforceability of any of the Loan Documents in accordance with their respective terms.

(c) All of the representations, warranties and covenants of the Borrower and the
Guarantor set forth in the Loan Documents, as any of such Loan Documents may have been
modified by this Amendment, are complete and correct as of the date hereof.

(d) As of the date hereof, there has been no Default or Event of Default and there are
no state of facts that, with the giving of notice or the passage of time, or both, could
become a Default on the part of any Borrower or the Guarantor under any of the Loan
Documents.

15. Lien Status. None of this Amendment, the Amended and Restated Note, the First
Amendments to Mortgage nor the First Amendment to and Reaffirmation of Guaranty constitutes the
creation of a new debt or the extinguishment of the debt evidenced by the Note, nor will they in
any way affect or impair the lien of any Mortgage or the other Loan Documents, which the Borrower
hereby acknowledges to be a valid and existing first priority lien on the applicable Borrowing Base
Property and any other collateral described therein. The Borrower agrees that the lien of such
Mortgage continues to be in full force and effect, unaffected and unimpaired by this Amendment, and
that said lien shall so continue as a first priority lien until the debt secured by the Loan
Documents is fully discharged.

16. Further Assurances. The Borrower hereby agrees to execute and deliver promptly to
the Administrative Agent, at the Administrative Agent’s request, such other documents as the
Administrative Agent deems necessary or appropriate to evidence the transaction contemplated herein
and/or to perfect or otherwise secure the Administrative Agent’s and each Lender’s interest in the
Borrowing Base Properties.

17. Expenses. All expenses incurred by the Administrative Agent, the Borrower and the
Guarantor incident to the transactions contemplated herein, including, without limitation, all
title charges, recording and filing fees, reasonable legal and other expenses, shall be borne and
paid by the Borrower.

18. Full Force and Effect. Except as expressly modified and amended hereby, the
Credit Agreement, the Note and the other Loan Documents shall continue in full force and effect
and, as thus modified and amended, are hereby ratified, confirmed and approved.

19. Waiver of Claims. Each Borrower acknowledges, confirms and agrees that it has no
offsets, defenses, claims or counterclaims against the Administrative Agent of any Lender with
respect to any of its liabilities and obligations to the Administrative Agent and such Lender under
the Loan, the Credit Agreement or any other Loan Document, and to the extent that any such party
has any such claims under the Loan, the Credit Agreement or any other Loan Document, each Borrower
affirmatively WAIVES and RENOUNCES such claims as of the date hereof.

20. Binding Effect. This Amendment applies to, inures to the benefit of and is
binding not only on the parties hereto, but on their heirs, executors, administrators, successors
and assigns.

21. Governing Law. This Amendment shall be governed by and construed in accordance
with, the laws of the State of Illinois.

22. Counterparts. This Amendment may be executed in one or more counterparts, each of
which shall be deemed an original, and it shall not be necessary in making proof of this Amendment
to produce or account for more than one such counterpart or reproduction thereof.

23. Governing Law; Jurisdiction; Etc.

(a) GOVERNING LAW. THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN
ACCORDANCE WITH, THE LAW OF THE STATE OF ILLINOIS.

(b) SUBMISSION TO JURISDICTION. THE BORROWER AND EACH OTHER LOAN PARTY
IRREVOCABLY AND UNCONDITIONALLY SUBMITS, FOR ITSELF AND ITS PROPERTY, TO THE NONEXCLUSIVE
JURISDICTION OF ANY ILLINOIS STATE OR FEDERAL COURT SITTING IN THE CITY OF CHICAGO IN ANY
ACTION OR PROCEEDING ARISING OUT OF OR RELATING TO THIS AMENDMENT OR ANY LOAN DOCUMENT, OR
FOR RECOGNITION OR ENFORCEMENT OF ANY JUDGMENT, AND EACH OF THE PARTIES HERETO IRREVOCABLY
AND UNCONDITIONALLY AGREES THAT ALL CLAIMS IN RESPECT OF ANY SUCH ACTION OR PROCEEDING MAY
BE HEARD AND DETERMINED IN SUCH COURTS. EACH OF THE PARTIES HERETO AGREES THAT A FINAL
JUDGMENT IN ANY SUCH ACTION OR PROCEEDING SHALL BE CONCLUSIVE AND MAY BE ENFORCED IN OTHER
JURISDICTIONS BY SUIT ON THE JUDGMENT OR IN ANY OTHER MANNER PROVIDED BY LAW. NOTHING IN
THIS AMENDMENT OR IN ANY LOAN DOCUMENT SHALL AFFECT ANY RIGHT THAT THE ADMINISTRATIVE AGENT
OR ANY LENDER MAY OTHERWISE HAVE TO BRING ANY ACTION OR PROCEEDING RELATING TO THIS
AMENDMENT OR ANY LOAN DOCUMENT AGAINST THE BORROWER OR ANY OTHER LOAN PARTY OR ITS
PROPERTIES IN THE COURTS OF ANY JURISDICTION.

(c) WAIVER OF VENUE. THE BORROWER AND EACH OTHER LOAN PARTY IRREVOCABLY AND
UNCONDITIONALLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY OBJECTION
THAT IT MAY NOW OR HEREAFTER HAVE TO THE LAYING OF VENUE OF ANY ACTION OR PROCEEDING ARISING
OUT OF OR RELATING TO THIS AMENDMENT OR ANY LOAN DOCUMENT IN ANY COURT REFERRED TO IN
PARAGRAPH (b) OF THIS SECTION. EACH OF THE PARTIES HERETO HEREBY IRREVOCABLY
WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, THE DEFENSE OF AN INCONVENIENT
FORUM TO THE MAINTENANCE OF SUCH ACTION OR PROCEEDING IN ANY SUCH COURT.

(d) SERVICE OF PROCESS. EACH PARTY HERETO IRREVOCABLY CONSENTS TO SERVICE OF
PROCESS IN THE MANNER PROVIDED FOR NOTICES IN SECTION 10.02 OF THE CREDIT AGREEMENT.
NOTHING IN THIS AMENDMENT WILL AFFECT THE RIGHT OF ANY PARTY HERETO TO SERVE PROCESS IN ANY
OTHER MANNER PERMITTED BY APPLICABLE LAW.

24. WAIVER OF JURY TRIAL. EACH PARTY HERETO HEREBY IRREVOCABLY WAIVES, TO THE FULLEST
EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL
PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AMENDMENT OR ANY LOAN DOCUMENT
OR THE TRANSACTIONS CONTEMPLATED HEREBY OR THEREBY (WHETHER BASED ON CONTRACT, TORT OR ANY OTHER
THEORY). EACH PARTY HERETO (A) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER
PERSON HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PERSON WOULD NOT, IN THE EVENT OF
LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER AND (B) ACKNOWLEDGES THAT IT AND THE OTHER PARTIES
HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AMENDMENT AND THE LOAN DOCUMENTS BY, AMONG OTHER
THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION.

25. Waiver of Claims. The Borrower acknowledges, confirms and agrees that it has no
offsets, defenses, claims or counterclaims against the Administrative Agent or any Lender with
respect to any of his liabilities and obligations to the Administrative Agent or any Lender under
the Loan, this Amendment, the Credit Agreement or any other Loan Document, and to the extent that
any such party has any such claims under the Loan, this Amendment, the Credit Agreement or any
other Loan Document, the Borrower affirmatively WAIVES and RENOUNCES such claims as of the date
hereof.

26. Final Agreement. THIS AMENDMENT REPRESENTS THE FINAL AGREEMENT BETWEEN THE
PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF PRIOR, CONTEMPORANEOUS OR SUBSEQUENT ORAL
AGREEMENTS OF THE PARTIES. THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

[SIGNATURE PAGES FOLLOW]

IN WITNESS WHEREOF, the undersigned, intending to be legally bound hereby, have
executed and delivered this Amendment as of the day and year first above written.

GRUBB & ELLIS HEALTHCARE REIT II HOLDINGS, LP,

a Delaware limited partnership

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

a Maryland corporation, its general partner

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

G&E HC REIT II LACOMBE MOB, LLC,

a Delaware limited liability company

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

a Delaware limited partnership, its sole Member

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

a Maryland corporation, its general partner

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

G&E HC REIT II PARKWAY MEDICAL CENTER, LLC,

a Delaware limited liability company

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

a Delaware limited partnership, its sole Member

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

a Maryland corporation, its general partner

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

G&E HC REIT II ST. VINCENT CLEVELAND MOB, LLC,

a Delaware limited liability company

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

a Delaware limited partnership, its sole Member

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

a Maryland corporation, its general partner

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

G&E HC REIT II LIVINGSTON MOB, LLC,

a Delaware limited liability company

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

a Delaware limited partnership, its sole Member

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

a Maryland corporation, its general partner

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

G&E HC REIT II SYLVA MOB, LLC,

a Delaware limited liability company

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

a Delaware limited partnership, its sole Member

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

a Maryland corporation, its general partner

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

G&E HC REIT II ENNIS MOB, LLC,

a Delaware limited liability company

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

a Delaware limited partnership, its sole Member

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

a Maryland corporation, its general partner

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

IN WITNESS WHEREOF, the undersigned, intending to be legally bound hereby, have executed and

delivered this Amendment as of the day and year first above written.

BANK OF AMERICA, N.A.,

a national banking association,

individually as Administrative Agent and a Lender

By: /s/ Christopher A. Thangaraj

Name: Christopher A. Thangaraj

Its: Vice PresidentEX-10.7

FIRST AMENDMENT TO AND REAFFIRMATION OF

GUARANTY AGREEMENT

THIS FIRST AMENDMENT TO AND REAFFIRMATION OF GUARANTY AGREEMENT (this “First Amendment and
Reaffirmation Agreement”) is made as of the 4th day of May, 2011, by GRUBB & ELLIS
HEALTHCARE REIT II, INC., a Maryland corporation (singly or collectively, jointly and severally,
"Guarantor”), in favor of BANK OF AMERICA, N.A., a national banking association, as the
Administrative Agent (as hereinafter defined).

RECITALS:

A. Grubb & Ellis Healthcare REIT II Holdings, LP, a Delaware limited partnership (“G&E
Healthcare Borrower”), G&E HC REIT II Lacombe MOB, LLC, a Delaware limited liability company
(“Lacombe Borrower”), G&E HC REIT II Parkway Medical Center, LLC, a Delaware limited
liability company (“Parkway Borrower”), Bank of America, N.A., a national banking
association, as agent (the “Administrative Agent”), and Bank of America, N.A. and the other
lending institutions which become parties to the Credit Agreement are collectively referred to as
the “Lenders” and individually as a the “Lender”), entered into that certain Credit
Agreement dated July 19, 2010 (the “Credit Agreement”), as amended by that certain Joinder
to Credit Agreement and Other Loan Documents dated September 9, 2010 among G&E HC REIT II St.
Vincent Cleveland MOB, LLC, a Delaware limited liability company (“St. Vincent Borrower”),
G&E HC REIT II Livingston MOB, LLC, a Delaware limited liability company (“Livingston
Borrower”), and the Administrative Agent, as consented to by G&E Healthcare Borrower, Lacombe
Borrower, Parkway Borrower, the Guarantor and the Pledgor (the “First Joinder Agreement”),
as further amended by that certain Joinder to Credit Agreement and Other Loan Documents dated
November 15, 2010 between G&E HC REIT II Sylva MOB, LLC, a Delaware limited liability company
(“Sylva Borrower”) and the Administrative Agent, as consented to by G&E Healthcare
Borrower, Lacombe Borrower, Parkway Borrower, St. Vincent Borrower, Livingston Borrower, the
Guarantor and the Pledgor (the “Second Joinder Agreement”), and as further amended by that
certain Joinder to Credit Agreement and Other Loan Documents dated January 28, 2011 between G&E HC
REIT II Ennis MOB, LLC, a Delaware limited liability company (“Ennis Borrower”; and with
G&E Healthcare Borrower, Lacombe Borrower, Parkway Borrower, St. Vincent Borrower, Livingston
Borrower and Sylva Borrower, together with each other party which becomes a borrower under the
Credit Agreement, individually and collectively, jointly and severally, the “Borrower”) and
the Administrative Agent, as consented to by G&E Healthcare Borrower, Lacombe Borrower, Parkway
Borrower, St. Vincent Borrower, Livingston Borrower, Sylva Borrower, the Guarantor and the Pledgor
(the “Third Joinder Agreement”; the Original Credit Agreement as amended by the First
Joinder Agreement, the Second Joinder Agreement and the Third Joinder Agreement is referred to
herein as the “Original Credit Agreement”), which sets forth the terms and conditions of a
loan (the “Loan”) to the Borrower.

B. The Loan is evidenced by (i) that certain Promissory Note dated July 19, 2010 in the
original principal amount of $25,000,000.00 made by G&E Healthcare Borrower, Lacombe Borrower and
Parkway Borrower, collectively as Borrower, to the order of the Administrative Agent, as Lender;
(ii) that certain Joinder to Promissory Note dated September 9, 2010 made by St. Vincent Borrower
and Livingston Borrower, collectively as Borrower, to the order of the Administrative Agent as a
Lender; (iii) that certain Joinder to Promissory Note dated November 15, 2010 made by Sylva
Borrower, as Borrower, to the order of the Administrative Agent as a Lender; and (iv) that certain
Joinder to Promissory Note dated January 28, 2011 made by Ennis Borrower, as Borrower, to the order
of the Administrative Agent as a Lender (collectively, the “Original Note”).

C. The Original Note is secured by, among other things, the following documents (all of which,
together with all renewals, amendments, modifications, restatements, extensions and modifications
thereof and thereto, are collectively referred to herein as the “Original Loan Documents”):

(i) that certain Multiple Indebtedness Mortgage, Assignment of Leases and Rents,
Security Agreement and Fixture Filing dated as of July 19, 2010 (the “Lacombe
Mortgage”) by Lacombe Borrower, as Mortgagor, to the Administrative Agent, as Mortgagee,
encumbering certain real property located in Lacombe, St. Tammany Parish, Louisiana, as
legally described therein;

(ii) that certain Open-End Mortgage, Assignment of Leases and Rents, Security Agreement
and Fixture Filing dated as of July 19, 2010 (the “Parkway Mortgage”) by Parkway
Borrower, as Mortgagor, to the Administrative Agent, as Mortgagee, encumbering the real
property located in Beachwood, Cuyahoga County, Ohio, as legally described therein;

(iii) that certain Open-End Mortgage, Assignment of Leases and Rents, Security
Agreement and Fixture Filing dated as of September 9, 2010 (the “St. Vincent
Mortgage”) by St. Vincent Borrower, as Mortgagor, to the Administrative Agent, as
Mortgagee, encumbering certain real property located in Cleveland, Cuyahoga County, Ohio, as
legally described therein;

(iv) that certain Leasehold Deed of Trust, Assignment of Leases and Rents, Security
Agreement, Fixture Filing and Financing Statement dated as of September 9, 2010 (the
“Livingston Mortgage”) by Livingston Borrower, as Grantor, to the Administrative
Agent, as Beneficiary, encumbering certain real property located in Livingston, Polk County,
Texas, as legally described therein;

(v) that certain Leasehold Deed of Trust, Assignment of Leases and Rents, Security
Agreement, and Fixture Filing dated as of November 15, 2010 (the “Sylva Mortgage”)
by Sylva Borrower, as Grantor, to the Administrative Agent, as Beneficiary, encumbering
certain real property located in Sylva, Jackson County, North Carolina, as legally described
therein;

(vi) that certain Deed of Trust, Assignment of Leases and Rents, Security Agreement,
Fixture Filing and Financing Statement dated as of January 28, 2011 (the “Ennis
Mortgage”; and with the Lacombe Mortgage, the Parkway Mortgage, the St. Vincent
Mortgage, the Livingston Mortgage and the Sylva Mortgage, referred to hereinafter
individually and collectively as the “Original Mortgage”), by Ennis Borrower, as
Grantor, to the Administrative Agent, as Beneficiary, encumbering certain real property
located in Ennis, Ellis County, Texas, as legally described therein.

D. As a condition precedent to the Administrative Agent’s and the Lenders’ obligation to make
the Loan to the Borrower, the Guarantor executed and delivered to the Administrative Agent that
certain Guaranty Agreement dated as of July 19, 2010, in favor of the Administrative Agent (the
"Guaranty”), under the terms of which the Guarantor agreed to guarantee the Guaranteed
Obligations, including, without limitation, the payment of the Indebtedness and the performance of
the Guaranteed Performance Obligations (as such terms are defined in the Guaranty). In addition,
the Guarantor and the Borrower executed and delivered to the Administrative Agent that certain
Environmental Indemnity Agreement dated as of July 19, 2010 (the “Environmental
Agreement”).

E. The Borrower has requested that the Administrative Agent agree: (i) to execute a First
Amendment to Credit Agreement and Related Loan Documents (the “First Amendment to Credit
Agreement”; the Original Credit Agreement as amended by the First Amendment to Credit
Agreement, and as may be renewed, amended, modified, restated, extended or modified and in effect
from time to time, is referred to herein as the “Credit Agreement”), to, among other
things, (a) increase the amount of the Aggregate Commitments, (b) modify the terms of the Borrowing
Base, and (c) amend the Original Loan Documents in certain other respects; (ii) to accept delivery
of Amended and Restated Note from the Borrower evidencing the increase in the principal amount of
the Note (the “Amended and Restated Note”; the Original Note as amended and restated by the
Amended and Restated Note, and as may be and as may be renewed, amended, modified, restated,
extended or modified and in effect from time to time, and any other note given in substitution
therefor, in whole or in part, is referred to herein as the “Note”); and (iii) to execute a
first amendment to each Original Mortgage to be recorded with the applicable recorder’s office
(collectively, the “First Amendments to Mortgage”; each Original Mortgage as modified by
the applicable First Amendment to Mortgage, and as may be renewed, amended, modified, restated,
extended or modified and in effect from time to time, is hereinafter referred to individually and
collectively as the “Mortgage”), to reflect the aforementioned modifications in the
Mortgage.

F. One of the terms and conditions of the Administrative Agent executing the First Amendment
to Credit Agreement and the First Amendments to Mortgage, and accepting the Amended and Restated
Note, is that the Guarantor execute and deliver to the Administrative Agent this First Amendment
and Reaffirmation Agreement.

NOW, THEREFORE, for and in consideration of the foregoing, and the premises herein contained
and other good and valuable consideration, the receipt, adequacy and sufficiency of which is hereby
acknowledged, the parties hereto agree as follows:

1. All capitalized terms used herein and not defined shall have the meaning ascribed to such
terms in the Credit Agreement.

2. The reference in the third paragraph on the first page of the Guaranty to the aggregate
principal face amount of the Note as “$25,000,000.00” is hereby deleted and replaced with
“$45,000,000.00”.

3. Section 16(e) of the Guaranty is hereby amended and restated in its entirety as follows:

"(e) Maximum Dividend Ratio. If the Borrower elects to extend the Initial
Maturity Date pursuant to Section 2.14 of the Credit Agreement, the Guarantor shall
maintain at all times during the period commencing on and after the Initial Maturity
Date through the Extended Maturity Date, to be tested quarterly as noted in Section
16(g) (commencing as of the quarter ending on March 31, 2012) and in connection with
the delivery of a Guarantor Covenant Compliance Certificate in accordance with the
terms and provisions of the Credit Agreement on or after March 31, 2012, a ratio of
the Guarantor’s paid out dividends and distributions during each calendar quarter to
the Guarantor’s Funds From Operations received during such calendar quarter not less
than the following: as of each calendar quarter end occurring after March 31, 2012
through the Extended Maturity Date, not less than 0.95 to 1.00.”

4. The first sentence of Section 16(f)(v) of the Guaranty is hereby amended and restated in
its entirety as follows:

"Funds From Operations” means, with respect to any period, net income (or
loss), plus depreciation and amortization and after adjustments for unconsolidated
partnerships and joint ventures as hereafter provided plus customary and usual
closing costs incurred in connection with the acquisition of the properties in the
Guarantor’s REIT (i.e. including properties that are other than Borrowing Base
Properties owned by the Borrower), such costs to be subject to the Administrative
Agent’s reasonable approval.”

5. The Guarantor hereby consents to the execution and delivery by the Borrower of the First
Amendment to Credit Agreement, the Amended and Restated Note, the First Amendments to Mortgage, and
any other documents or instruments required or requested by the Administrative Agent, and to all of
the terms, covenants and conditions set forth in each such document.

6. The Guarantor hereby consents and agrees to the following: (i) the increase in the amount
of the Aggregate Commitments, (ii) the modifications to the terms of the Borrowing Base, (iii) the
modification of the interest rate, and (iv) all other modifications to the Credit Agreement, the
Note, the Mortgages and the other Loan Documents.

7. The Guarantor hereby reaffirms each and every Guaranteed Obligation as set forth in the
Guaranty and the obligations and indemnifications under the Environmental Agreement, as amended by
this First Amendment and Reaffirmation Agreement and the First Amendment to Credit Agreement. The
term “Guaranty” and the term “Environmental Agreement”, as used in each of the Guaranty and the
Environmental Agreement, and in each of the other Loan Documents, shall mean the Guaranty and the
Environmental Agreement, each as amended and reaffirmed by this First Amendment and Reaffirmation
Agreement, and as amended by the First Amendment to Credit Agreement. The Guarantor acknowledges
that, subject to the applicable provisions set forth in each of the Guaranty and the Environmental
Agreement, if any, it remains unconditionally, absolutely and irrevocably liable for the Guaranteed
Obligations, and for all of the obligations and indemnifications under the Environmental Agreement.

8. Until the Note is paid in full, the Guarantor hereby waives any right of subrogation which
the Guarantor has or may have as against any Borrower with respect to the Guaranteed Obligations
and the Loan Documents. In addition, until the Note is paid in full, the Guarantor hereby waives
any right to proceed against any Borrower, now or hereafter, for contribution, indemnity,
reimbursement and any other suretyship rights and claims whether direct or indirect, liquidated or
contingent, whether arising under express or implied contract or by operation of law, which the
Guarantor may now have or hereafter have as against any Borrower with respect to the Guaranteed
Obligations or under the Environmental Agreement. In addition, the Guarantor hereby waives any
rights it may have under the Illinois Sureties Act, 740 ILCS 155/1 et seq. Until the Note is paid
in full, the Guarantor also hereby waives any rights of recourse to or with respect to any assets
of any Borrower. The Guarantor agrees that in light of the immediately foregoing waivers, the
execution of this First Amendment and Reaffirmation Agreement shall not be deemed to make the
Guarantor a “creditor” of any Borrower and that for purposes of Sections 547 and 550 of the United
States Bankruptcy Code, and Guarantor shall not be deemed a “creditor” of any Borrower.

9. Except as expressly amended and modified hereby, each of the terms and conditions as set
forth in each of the Guaranty and the Environmental Agreement shall continue in full force and
effect and, as thus amended and modified, is hereby ratified, confirmed and approved. In the event
of any conflict between the terms in this First Amendment and Reaffirmation Agreement and in the
Guaranty or the Environmental Agreement, the terms of this First Amendment and Reaffirmation
Agreement shall control.

10. CONSENT TO JURISDICTION. THE GUARANTOR HEREBY IRREVOCABLY SUBMITS GENERALLY AND
UNCONDITIONALLY FOR THE GUARANTOR AND IN RESPECT OF THE GUARANTOR’S PROPERTY TO THE NONEXCLUSIVE
JURISDICTION OF ANY STATE COURT, OR ANY UNITED STATES FEDERAL COURT, SITTING IN THE STATE OF
ILLINOIS AND TO THE JURISDICTION OF ANY STATE OR UNITED STATES FEDERAL COURT SITTING IN THE STATE
IN WHICH ANY BORROWING BASE PROPERTY IS LOCATED, OVER ANY SUIT, ACTION OR PROCEEDING ARISING OUT OF
OR RELATING TO THIS GUARANTY OR THE GUARANTEED OBLIGATIONS. THE GUARANTOR HEREBY IRREVOCABLY
WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION THAT THE GUARANTOR MAY NOW OR
HEREAFTER HAVE TO THE LAYING OF VENUE IN ANY SUCH COURT AND ANY CLAIM THAT ANY SUCH COURT IS AN
INCONVENIENT FORUM. FINAL JUDGMENT IN ANY SUCH SUIT, ACTION OR PROCEEDING BROUGHT IN ANY SUCH
COURT SHALL BE CONCLUSIVE AND BINDING UPON THE GUARANTOR AND MAY BE ENFORCED IN ANY COURT IN WHICH
THE GUARANTOR IS SUBJECT TO JURISDICTION.

11. WAIVER OF JURY TRIAL. THE GUARANTOR AND THE ADMINISTRATIVE AGENT EACH WAIVE TRIAL
BY JURY IN RESPECT OF ANY ACTION OR PROCEEDING TO ENFORCE OR DEFEND ANY RIGHTS UNDER THIS
AMENDMENT, THE GUARANTY OR UNDER ANY AMENDMENT, INSTRUMENT, DOCUMENT OR AGREEMENT DELIVERED OR
WHICH MAY IN THE FUTURE BE DELIVERED IN CONNECTION HEREWITH. THIS WAIVER IS KNOWINGLY, WILLINGLY
AND VOLUNTARILY MADE BY THE GUARANTOR AND THE ADMINISTRATIVE AGENT, AND THE GUARANTOR AND THE
ADMINISTRATIVE AGENT HEREBY REPRESENT THAT NO REPRESENTATIONS OF FACT OR OPINION HAVE BEEN MADE BY
ANY PERSON OR ENTITY TO INDUCE THIS WAIVER OF TRIAL BY JURY OR TO IN ANY WAY MODIFY OR NULLIFY ITS
EFFECT. THIS PROVISION IS A MATERIAL INDUCEMENT FOR THE PARTIES ENTERING INTO THIS AMENDMET AND
THE OTHER LOAN DOCUMENTS. THE GUARANTOR AND THE ADMINISTRATIVE AGENT ARE EACH HEREBY AUTHORIZED TO
FILE A COPY OF THIS SECTION IN ANY PROCEEDING AS CONCLUSIVE EVIDENCE OF THIS WAIVER OF JURY TRIAL.
THE GUARANTOR FURTHER REPRESENTS AND WARRANTS THAT IT HAS BEEN REPRESENTED IN THE SIGNING OF THIS
AMENDMENT AND IN THE MAKING OF THIS WAIVER BY INDEPENDENT LEGAL COUNSEL, OR HAS HAD THE OPPORTUNITY
TO BE REPRESENTED BY INDEPENDENT LEGAL COUNSEL SELECTED OF ITS OWN FREE WILL, AND THAT IT HAS HAD
THE OPPORTUNITY TO DISCUSS THIS WAIVER WITH COUNSEL.

12. This First Amendment and Reaffirmation Agreement shall be governed by and construed in
accordance with the laws of the State of Illinois.

13. This First Amendment and Reaffirmation Agreement is for the benefit of Administrative
Agent and each Lender, and their respective successors and assigns. This First Amendment and
Reaffirmation Agreement is binding not only on the Guarantor, but also on the Guarantor’s personal
representatives, successors and assigns.

14. This First Amendment and Reaffirmation Agreement may be executed in multiple counterparts,
each of which, for all purposes, shall be deemed an original, and all of which taken together shall
constitute but one and the same agreement.

15. THIS FIRST AMENDMENT AND REAFFIRMATION AGREEMENT REPRESENTS THE FINAL AGREEMENT BETWEEN
THE PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF PRIOR, CONTEMPORANEOUS OR SUBSEQUENT ORAL
AGREEMENTS OF THE PARTIES. THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

[SIGNATURES ON FOLLOWING PAGES]

IN WITNESS WHEREOF, the undersigned has caused this First Amendment and Reaffirmation
Agreement to be executed as of the date and year first above written.

GUARANTOR:

GRUBB & ELLIS HEALTHCARE REIT II, INC.,

a Maryland corporation

By: /s/ Danny Prosky

Name: Danny Prosky

Title: President and Chief Operating Officer

ADMINISTRATIVE AGENT AND A LENDER:

BANK OF AMERICA, N.A.,

a national banking association

By: /s/ Christopher A. Thangaraj

Name: Christopher A. Thangaraj

Its: Vice President

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