Document:

EX-10.4

OWNERSHIP INTERESTS

PLEDGE AND SECURITY AGREEMENT

	1.	 	Grant of Pledge and Security Agreement. GRUBB & ELLIS HEALTHCARE REIT II HOLDINGS,
LP, a Delaware limited partnership, having an address at c/o Grubb & Ellis Equity Advisors,
LLC, 1551 North Tustin Avenue, Suite 300, Santa Ana, California 92705 (the “Pledgor”)
does hereby pledge, assign, transfer and deliver to BANK OF AMERICA, N.A., a national banking
association, having an address 135 South LaSalle Street, Chicago, Illinois 60603 (the
“Administrative Agent”), as the Administrative Agent on behalf of itself and certain
other lenders (the “Lenders”) who may become parties to the Credit Agreement (as
defined herein) and does hereby grant to the Administrative Agent, on behalf of the Lenders, a
continuing security interest in the Collateral, as herein defined, to secure the Obligations.

	2.	 	Credit Agreement and Defined Terms. This Ownership Interests Pledge and Security
Agreement (this “Agreement”) is delivered pursuant to the terms of that certain Credit
Agreement (the “Credit Agreement”) of even date by and among the Pledgor, the BBP
Borrowers, the Administrative Agent and the Lenders. Capitalized terms used herein which are
not otherwise specifically defined shall have the same meaning herein as in the Credit
Agreement.

	3.	 	Collateral. The term “Collateral” shall mean and include:

The entire membership interests of the Pledgor in those certain limited liability
companies set forth on Exhibit A, attached hereto and made a part hereof (referred
to herein collectively and individually as the “BBP Borrowers”) and all
substitutions, additions, interest, dividends and other distributions (including, without
limitation, stock splits) arising out of or in respect thereof, all books, records and
papers and general intangibles relating thereto, and all products and proceeds, both cash
and non-cash, arising out of or in respect of any of the foregoing.

	4.	 	Obligations. The term “Obligations” shall mean all obligations of the
Pledgor and the BBP Borrowers to the Administrative Agent and/or the Lenders, whether now
existing or hereafter arising, direct or indirect, absolute or contingent, under any one or
more of: (a) the Loan; (b) the Credit Agreement, (c) Loan Documents; and (d) each of the same
as hereafter modified, amended, extended or replaced.

	5.	 	Warranties and Representations. The Pledgor warrants and represents to, and agrees
with, the Administrative Agent that:

	 	a.	 	The Pledgor is and shall be the owner of the Collateral free and clear of all
pledges, liens, security interests and other encumbrances of every nature whatsoever,
except in favor of the Administrative Agent;

	 	b.	 	The Pledgor has the full right, power and authority to pledge the Collateral
and to grant the security interest in the Collateral as herein provided;

	 	c.	 	There are no restrictions on the transfer of the Collateral to the
Administrative Agent hereunder, or with respect to any subsequent transfer thereof or
realization thereupon by the Administrative Agent;

	 	d.	 	Pledgor is a duly organized and validly existing limited partnership in good
standing under the laws of the State of Delaware pursuant to certain Limited
Partnership Agreement dated as of January 9, 2009 (the “Partnership
Agreement”), and has all requisite power and authority to own its properties and
conduct its business in all applicable jurisdictions;

	 	e.	 	The BBP Borrowers are duly organized and validly existing limited liability
companies in good standing under the laws of the State of Delaware pursuant to that
certain Limited Liability Company Agreement of G&E HC REIT II Lacombe MOB, LLC
effective as of January 12, 2010 and that certain Limited Liability Company Agreement
of G&E HC REIT II Parkway Medical Center, LLC effective as of January 22, 2010
(collectively referred to herein as the “Organizational Documents”), and have
all requisite power and authority to own their properties and conduct their business in
all applicable jurisdictions;

	 	f.	 	The Pledgor is the one hundred percent (100%) owner of the membership interests
in the BBP Borrowers as more particularly set forth in Exhibit A, annexed
hereto;

	 	g.	 	True and complete copies of the Organizational Documents of the BBP Borrowers
have been delivered by the Pledgor to the Administrative Agent, and the same have not
been further amended or modified in any respect whatsoever;

	 	h.	 	The execution, delivery and performance of this Agreement by the Pledgor does
not and shall not result in the violation of any mortgage, indenture, material
contract, instrument, agreement, judgment, decree, order, statute, rule or regulation
to which the Pledgor is subject, or by which it or any of its property is bound;

	 	i.	 	This Agreement constitutes the legal, valid and binding obligation of the
Pledgor in accordance with the terms hereof and has been duly authorized, executed and
delivered;

	 	j.	 	There is no material litigation or administrative proceeding now pending, or to
the best of its knowledge threatened in writing, against the Pledgor or any of the BBP
Borrowers which if adversely decided could materially impair the ability of the Pledgor
to pay or perform the Pledgor’s obligations hereunder or under any other Loan Document.

	6.	 	Pledgor’s Agreements. The Pledgor agrees so long as the Obligations remain
outstanding that:

	 	a.	 	The Pledgor shall execute all such instruments, documents and papers, and will
do all such acts as the Administrative Agent may reasonably request from time to time
to carry into effect the provisions and intent of this Agreement including, without
limitation, the execution of stop-transfer orders, stock powers, notifications to
obligors on the Collateral, the providing of notification in connection with book-entry
securities or general intangibles, and the providing of instructions to the issuers of
uncertificated securities, and will do all such other acts as the Administrative Agent
may request with respect to the perfection and protection of the pledge and security
interest granted herein and the assignment effected hereby;

	 	b.	 	The Pledgor shall keep the Collateral free and clear of all liens,
encumbrances, attachments, security interest pledges and charges except in favor of the
Administrative Agent, on behalf of the Lenders;

	 	c.	 	The Pledgor shall not transfer the Collateral or any interest therein to any
other person, firm, corporation or entity;

	 	d.	 	Upon the occurrence and during the continuance of an Event of Default, the
Pledgor shall deliver to the Administrative Agent, if and when received by the Pledgor,
any item representing or constituting any of the Collateral including, without
limitation, all cash dividends and distributions, except as otherwise provided for in
the Credit Agreement. If under any circumstance whatsoever any of such proceeds should
be paid to or come into the hands of the Pledgor, the Pledgor shall hold the same in
trust for immediate delivery to the Administrative Agent to be held as additional
Collateral. The Administrative Agent shall apply all distributions so delivered or as
may be received by the Administrative Agent towards the satisfaction of the
Obligations;

	 	e.	 	The Pledgor shall, upon the reasonable request from the Administrative Agent,
from time to time, cause the issuer of any securities comprising any of the Collateral
which may be, but has not been, certificated, to issue certificates with respect
thereto in the name of the Pledgor or, if so requested by the Administrative Agent, in
the name of the Administrative Agent, on behalf of the Lenders, as secured party;

	 	f.	 	Except as otherwise provided for in the Credit Agreement, the Pledgor shall not
exercise any right with respect to the Collateral which would dilute or adversely
affect the Administrative Agent’s rights in the Collateral;

	 	g.	 	The Pledgor shall not, without the prior written consent of the Administrative
Agent in each instance, vote the Collateral in favor of or consent to any resolution or
action which does or might:

	 	i.	 	impose any restrictions upon the sale, transfer or disposition
of the Collateral other than restrictions, if any, the application of which is
waived to the full satisfaction of the Administrative Agent as to the
Collateral; or

	 	ii.	 	result in the issuance of any additional membership interest in
the BBP Borrowers, or of any class of security, which issuance might adversely
affect the value of the Collateral; or

	 	iii.	 	vest additional powers, privileges, preferences or priorities
to any other class of interest in the BBP Borrowers to the detriment of the
value of or rights accruing to the Collateral; or

	 	iv.	 	except in favor of the Administrative Agent in connection with
the Loan, permit the BBP Borrowers to sell, transfer, assign, pledge, mortgage,
or otherwise encumber any property owned by the BBP Borrowers, or to incur any
new indebtedness, unless the Administrative Agent has given its prior written
consent or except as otherwise permitted in the Credit Agreement;

	 	h.	 	The Pledgor shall not enter into or consent to any amendment or modification of
or with respect to any of the Organizational Documents of any BBP Borrower without the
Administrative Agent’s prior written consent in each instance;

	 	i.	 	Insofar as the same may be material or significant to the Administrative
Agent’s interests, the Pledgor shall perform all of its obligations as a [partner /
member] of the BBP Borrowers;

	 	j.	 	The Pledgor shall not itself or on behalf of the BBP Borrowers take any action
or refrain from taking any action which would cause or result in a violation of any
provisions of the Loan Documents;

	 	k.	 	The Pledgor shall not undertake any action that would be in contravention of or
inconsistent with the terms and conditions set forth in this Agreement;

	 	l.	 	The Pledgor shall not suffer or permit any lien or encumbrance to exist on or
with respect to the Collateral except in favor of the Administrative Agent, on behalf
of the Lenders.

	7.	 	Events of Default. Upon the occurrence of any one or more of the following events
(collectively, “Events of Default”) any and all of the Obligations of Pledgor and BBP
Borrowers to Administrative Agent shall become immediately due and payable at the option of
Administrative Agent, without further notice or demand: (i) the occurrence of an Event of
Default as defined in the Credit Agreement; or (ii) the failure of Pledgor to pay and perform
all of Pledgor’s obligations to Administrative Agent hereunder unless such failure is cured or
remedied within the applicable grace period, if any, set forth or referred to in the Credit
Agreement.

While any Event of Default exists, the Administrative Agent may exercise any one or more of
the Administrative Agent’s rights and remedies as hereinafter set forth or as set forth and
provided for in each of the other Loan Documents.

	8.	 	After Event of Default.

	 	a.	 	While any Event of Default exists (unless the Administrative Agent has waived
such Event of Default by written instrument signed by a duly authorized officer of the
Administrative Agent), the Administrative Agent shall have all of the rights and
remedies of a secured party upon default under the Uniform Commercial Code as adopted
in the State of Illinois, in addition to which the Administrative Agent may sell or
otherwise dispose of the Collateral and/or enforce and collect the Collateral
(including, without limitation, the liquidation of debt instruments or securities and
the exercise of conversion rights with respect to convertible securities, whether or
not such instruments or securities have matured, and whether or not any penalties or
other charges are imposed on account of such action) for application towards (but not
necessarily in complete satisfaction of) the Obligations. The Pledgor shall remain
liable hereunder to the Administrative Agent and the Lenders for any deficiency
remaining following such application.

	 	b.	 	Unless the Collateral is perishable, threatens to decline speedily in value, or
is of a type customarily sold on a recognized market (in which event the Administrative
Agent shall give the Pledgor such notice as may be practicable under the
circumstances), the Administrative Agent shall give the Pledgor at least the greater of
the minimum notice required by law, or ten (10) days, prior written notice of the date,
time and place of any public sale thereof, or of the time after which any private sale
or any other intended disposition is to be made.

	 	c.	 	The Pledgor acknowledges that any exercise by the Administrative Agent of the
Administrative Agent’s rights upon default will be subject to compliance by the
Administrative Agent with the applicable statutes, regulations, ordinances, directives
and orders of any federal, state, municipal or other governmental authority including,
without limitation, any of the foregoing which may restrict the sale or disposition of
securities. The Administrative Agent in its sole discretion at any such sale or in
connection with any such disposition may restrict the prospective bidders or purchasers
as to their number, nature of business, investment intention, or otherwise, including,
without limitation a requirement that the persons making such purchases represent and
agree to the satisfaction of the Administrative Agent that they are purchasing the
Collateral, or some portion thereof, for their own account, for investment and not with
a view towards the distribution or a sale thereof, or that they otherwise fall within
some lawful exemption from registration under applicable laws.

	 	d.	 	The proceeds of any collection or of any sale or disposition of the Collateral,
or any portion thereof, held pursuant to this Agreement shall be applied towards the
Obligations in such order and manner as the Administrative Agent determines in its sole
discretion, any statute, custom or usage to the contrary notwithstanding.

	 	e.	 	While any Event of Default exists (unless the Administrative Agent has waived
such Event of Default by written instrument signed by a duly authorized officer of the
Administrative Agent), the Pledgor acknowledges and agrees that the Pledgor shall no
longer have any right to undertake any action in accordance with the Organizational
Documents and further acknowledges and agrees that the Administrative Agent may
undertake any action in accordance with the terms and provisions set forth in the
Organizational Documents.

	9.	 	Actions By Administrative Agent. The Pledgor hereby designates, effective only
during the existence of an Event of Default, the Administrative Agent, or any agent designated
by the Administrative Agent, as the attorney-in-fact of the Pledgor to: (a) endorse in favor
of the Administrative Agent any of the Collateral; (b) cause the transfer of any of the
Collateral in such name as the Administrative Agent may from time to time determine; (c) cause
the issuance of certificates for book entry and/or uncertificated securities; (d) renew,
extend or roll over any Collateral; and (e) make, demand and initiate actions to enforce any
of the Collateral or rights therein. The Administrative Agent may take such action with
respect to the Collateral as the Administrative Agent may reasonably determine to be necessary
to protect and preserve its interest in the Collateral. While an Event of Default exists, the
Administrative Agent shall also have all rights, remedies, powers, privileges and discretions
of the Pledgor with respect to and under the Collateral; provided, however, the Administrative
Agent shall have no right to exercise any voting rights available to holders of the Collateral
at any time the Collateral is held by the Administrative Agent solely as secured party
hereunder unless an Event of Default exists (and has not been waived by the Administrative
Agent as set forth above). All of the rights, remedies, powers, privileges and discretions
included in this Section 9, other than voting rights, may be exercised by the
Administrative Agent whether or not the Obligations are then due and only while an Event of
Default exists. The within designation and grant of power of attorney is coupled with an
interest, is irrevocable until this Agreement is terminated as a result of the satisfaction of
the Obligations. The power of attorney shall not be affected by subsequent disability or
incapacity of the Pledgor. The Administrative Agent shall not be liable for any act or
omission to act pursuant to this Section 9, except for any act or omission to act
which is in actual bad faith or is grossly negligent.

	10.	 	Rights and Remedies. The rights, remedies, powers, privileges and discretions of the
Administrative Agent hereunder (the “Rights and Remedies”) shall be cumulative and not
exclusive of any rights, remedies, powers, privileges or discretions which it may otherwise
have. No delay or omission by the Administrative Agent in exercising or enforcing any of the
rights and remedies shall operate as, or constitute, a waiver thereof. No waiver by the
Administrative Agent of any Default or any Event of Default or of any default under any other
agreement shall operate as a waiver of any other default hereunder or under any other of the
Loan Documents. No exercise of any of the Rights and Remedies and no other agreement or
transaction of whatever nature entered into between the Administrative Agent and the Pledgor
at any time shall preclude any other exercise of the Rights and Remedies. No waiver by the
Administrative Agent of any of the Rights and Remedies on any one occasion shall be deemed a
waiver on any subsequent occasion nor shall it be deemed a continuing waiver. All of the
Rights and Remedies and all of the Administrative Agent’s rights, remedies, powers, privileges
and discretions under any other agreement or transaction are cumulative and not alternative or
exclusive and may be exercised by the Administrative Agent at such time or times in such order
of preference as the Administrative Agent in its sole and absolute discretion may determine.

	11.	 	Pledgor’s Consent and Waiver. The Pledgor agrees that the Administrative Agent may
enforce its rights as against the Pledgor, the Collateral, or as against any other party
liable for the obligations, or as against any other collateral given for any of the
Obligations, in any order or in such combination as the Administrative Agent may in its sole
discretion determine, and the Pledgor hereby expressly waives all suretyship defenses and
defenses in the nature thereof, agrees to the release or substitution of any collateral
hereunder or otherwise, and consents to each and all of the terms, provisions and conditions
of the other Loan Documents. The Pledgor further: (a) waives presentment, demand, notice and
protest with respect to the Obligations and the Collateral; (b) waives any delay on the part
of the Administrative Agent, except as explicitly required under the Loan Documents; (c)
assents to any indulgence or waiver which the Administrative Agent may grant or give any other
person liable or obliged to the Administrative Agent for or on account of the Obligations; (d)
authorizes the Administrative Agent to alter, amend, cancel, waive or modify any term or
condition of the obligations of any other person liable or obligated to the Administrative
Agent for or on account of the Obligations without notice to or further consent from the
Pledgor; (e) agrees that no release of any property securing the Obligations shall affect the
rights of the Administrative Agent with respect to the Collateral hereunder which is not so
released; and (f) to the fullest extent that it is not unlawful to do so, waives the right to
notice and/or hearing, except as explicitly required under the Loan Documents, if it might
otherwise be entitled thereto, prior to the Administrative Agent’s exercising the Rights and
Remedies upon an Event of Default.

	12.	 	Administrative Agent May Assign. The Pledgor agrees that upon any sale or transfer
by the Administrative Agent of the Loan Documents and the indebtedness evidenced thereby, the
Administrative Agent may deliver to the purchaser or transferee the Collateral, who shall
thereupon become vested with all powers and rights given to the Administrative Agent in
respect thereto, and the Administrative Agent shall be thereafter forever relieved and fully
discharged from any liability or responsibility in connection therewith.

	13.	 	Limits on Administrative Agent’s Duties. The Administrative Agent shall have no duty
as to the collection or protection of the Collateral, or any portion thereof, or any income or
distribution thereon, beyond the safe custody of such of the Collateral as may come into the
actual possession of the Administrative Agent, and the Administrative Agent shall have no duty
as to the preservation of rights against prior parties or any other rights pertaining thereto.

	14.	 	Miscellaneous.

	 	a.	 	The Administrative Agent’s Rights and Remedies may be exercised without resort
to or regard to any other source of satisfaction of the Obligations.

	 	b.	 	All of the agreements, obligations, undertakings, representations and
warranties herein made by the Pledgor shall inure to the benefit of, and be binding
upon, the Administrative Agent, the Lenders and their successors and assigns and shall
bind, and inure to the benefit of, the Pledgor and its successors and assigns.

	 	c.	 	This Agreement and all other instruments executed in connection herewith
incorporate all discussions and negotiations between the Pledgor and the Administrative
Agent concerning the matters included herein and in such other instruments. No such
discussions or negotiations shall limit, modify or otherwise affect the provisions
hereof. No modification, amendment or waiver of any provisions of this Agreement or of
any provision of any other agreement between the Pledgor and the Administrative Agent
shall be effective unless executed in writing by the party to be charged with such
modification, amendment and waiver by a duly authorized officer thereof.

	 	d.	 	This Agreement and all other documents in the Administrative Agent’s or the
Pledgor’s possession which relate to the Obligations may be reproduced by the
Administrative Agent or the Pledgor by any photographic, photostatic microfilm,
microcard, miniature photographic, xerographic or similar process and, with the
exception of instruments constituting the Collateral, the Administrative Agent or the
Pledgor may destroy the original from which any document was so reproduced. Any such
reproduction shall be admissible in evidence as the original itself in any judicial or
administrative proceeding (whether or not the original is in existence and whether or
not such reproduction was made in the regular course of business) and any enlargement,
facsimile or further reproduction shall be likewise admissible in evidence.

	 	e.	 	Captions in this Agreement are intended solely for convenience and shall not
have any affect on the meaning or interest of any provisions hereof.

	 	f.	 	Each provision hereof shall be enforceable to the fullest extent not prohibited
by applicable law. The invalidity and unenforceability of any provision(s) hereof
shall not impair or affect any other provision(s) hereof which are valid and
enforceable.

	 	g.	 	This Agreement may be executed in several counterparts, each of which when
executed and delivered is an original, but all of which together shall constitute one
instrument. In making proof of this Agreement, it shall not be necessary to produce or
account for more than one such counterpart which is executed by the party against whom
enforcement of such agreement is sought.

	 	h.	 	Any notice or other communication in connection with this Agreement shall be
given in accordance with the terms and conditions of the Credit Agreement.

	 	i.	 	Governing Law and Consent to Jurisdiction.

	 	i.	 	Substantial Relationship. It is understood and agreed
that all of the Loan Documents were delivered in the State of Illinois, which
State the parties agree has a substantial relationship to the parties and to
the underlying transactions embodied by the Loan Documents.

	 	ii.	 	Place of Delivery. The Pledgor agrees to furnish to
the Administrative Agent at the Administrative Agent’s office in Chicago,
Illinois all further instruments, certifications and documents to be furnished
hereunder, if any.

	 	iii.	 	Governing Law. This Agreement shall in all respects be
governed, construed, applied and enforced in accordance with the internal laws
of the State of Illinois without regard to principles of conflicts of law.

	 	iv.	 	Consent to Jurisdiction. The Pledgor hereby consents
to the nonexclusive personal jurisdiction in any state or Federal court located
within the City of Chicago in the State of Illinois.

	15.	 	Concerning Financing Statements. This Agreement constitutes an authenticated record
which authorizes the Administrative Agent to file such financing statements with respect to
the Collateral as the Administrative Agent deems appropriate.

	16.	 	Irrevocable Proxy. Solely with respect to Article 8 Matters (as defined below), the
Pledgor hereby irrevocably grants and appoints the Administrative Agent, from the date of this
Agreement until the termination of this Agreement in accordance with its terms, as the
Pledgor’s true and lawful proxy, for and in the Pledgor’s name, place and stead to vote the
Collateral in the BBP Borrowers by the Pledgor, whether directly or indirectly, beneficially
or of record, now owned or hereafter acquired, with respect to such Article 8 Matters. The
proxy granted and appointed in this Section 16 shall include the right to sign the
Pledgor’s name (as a member of any of the BBP Borrowers) to any consent, certificate or other
document relating to an Article 8 Matter and the Collateral that applicable law may permit or
require, to cause the Collateral to be voted in accordance with the preceding sentence. The
Pledgor hereby represents and warrants that there are no other proxies and powers of attorney
with respect to an Article 8 Matter and the Collateral that the Pledgor may have granted or
appointed. The Pledgor will not give a subsequent proxy or power of attorney or enter into
any other voting agreement with respect to the Collateral with respect to any Article 8 Matter
and any attempt to do so with respect to an Article 8 Matter shall be void and of no effect.
As used herein, “Article 8 Matter” means any action, decision, determination or
election by any Borrower or their respective member(s) that its membership interests or other
equity interests, or any of them, be, or cease to be, a “security” as defined in and governed
by Article 8 of the Uniform Commercial Code, and all other matters related to any such action,
decision, determination or election. The proxies and powers granted by the Pledgor pursuant
to this Agreement are coupled with an interest and are given to secure the performance of the
Pledgor’s obligations.

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[SIGNATURE PAGES FOLLOW]

1

This Agreement has been executed and delivered as an instrument under seal as of the
19th day of July, 2010.

	 	 	PLEDGOR:

	 	 	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/ Shannon K S Johnson

Name: Shannon K S Johnson

Title: Chief Financial Officer

The BBP Borrowers hereby assent to the foregoing Agreement as of the 19th day of

July, 2010, with the express confirmation, warranty and representation that any and all

restrictions on the transfer of the Collateral have been waived to permit this pledge and grant of

security interest and any subsequent disposition of the Collateral by Administrative Agent in

accordance with the terms and agreements set forth above, and with the express grant to

Administrative Agent and any agent of Administrative Agent of the power of attorney set forth in

Section 9. The BBP Borrowers hereby acknowledge receipt of notice of the foregoing pledge of

ownership interests and represents and confirms that notice of such pledge has been registered on

the books and records of the Borrower as of the date written below.

Executed and delivered within the as an instrument under seal as of the 19th day of

July, 2010.

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/ Shannon K S Johnson

Name: Shannon K S Johnson

Title: Chief Financial 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/ Shannon K S Johnson

Name: Shannon K S Johnson

Title: Chief Financial Officer

2EX-10.5

ENVIRONMENTAL INDEMNITY AGREEMENT

THIS ENVIRONMENTAL INDEMNITY AGREEMENT (this “Agreement”) is made as of the
19th day of July, 2010, by GRUBB & ELLIS HEALTHCARE REIT II HOLDINGS, LP, a Delaware
limited partnership, G&E HC REIT II LACOMBE MOB, LLC, a Delaware limited liability company, and G&E
HC REIT II PARKWAY MEDICAL CENTER, LLC, a Delaware limited liability company (together with each
other party which becomes a borrower under the Credit Agreement [as defined below], individually
and collectively, as the context so requires, the “Borrower”) and GRUBB & ELLIS HEALTHCARE
REIT II, INC., a Maryland corporation (whether one or more, the “Guarantor”; the Borrower
and the Guarantor being hereafter sometimes referred to individually as an “Obligor” and
collectively as the “Obligors”) and BANK OF AMERICA, N.A., a national banking association,
as agent under a Credit Agreement (“Credit Agreement”) of even date herewith among the
Borrower, Bank of America, N.A., and the other lending institutions which become parties to the
Credit Agreement (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
"Lender”) (Bank of America, N.A., in such capacity as agent for the Lenders, together with
its successors and assigns, the “Administrative Agent”).

1. Certain Definitions. As used in this Agreement:

(a) "Environmental Claim” means any investigative, enforcement, cleanup, removal,
containment, remedial or other private or governmental or regulatory action at any time threatened,
instituted or completed pursuant to any applicable Environmental Requirement (hereinafter defined),
against the Borrower or any Obligor against or with respect to the Property or any condition, use
or activity on the Property (including any such action against the Administrative Agent and/or any
Lender), and any claim at any time threatened or made by any person against any Obligor or against
or with respect to the Property or any condition, use or activity on the Property (including any
such claim against the Administrative Agent and/or any Lender), relating to damage, contribution,
cost recovery, compensation, loss or injury resulting from or in any way arising in connection with
any Hazardous Material (hereinafter defined) or any Environmental Requirement.

(b) "Environmental Requirement” means any Environmental Law (hereinafter defined),
agreement or restriction (including but not limited to any condition or requirement imposed by any
insurance or surety company), as the same now exists or may be changed or amended or come into
effect in the future, which pertains to health, safety, any Hazardous Material, or the environment,
including but not limited to ground or air or water or noise pollution or contamination, and
underground or aboveground tanks.

(c) "Hazardous Material” means any substance, whether solid, liquid or gaseous: which
is listed, defined or regulated as a “hazardous substance”, “hazardous waste” or “solid waste”, or
otherwise classified as hazardous or toxic, in or pursuant to any Environmental Requirement; or
which is or contains asbestos, radon, any polychlorinated biphenyl, urea formaldehyde foam
insulation, explosive or radioactive material, or motor fuel or other petroleum hydrocarbons; or
which causes or poses a threat to cause a contamination or nuisance on the Property or any adjacent
property or a hazard to the environment or to the health or safety of persons on the Property.

(d) "Environmental Law” means any federal, state or local law, statute, ordinance,
code, rule, regulation, license, authorization, decision, order, injunction, decree, or rule of
common law, and any judicial interpretation of any of the foregoing, which pertains to health,
safety, any Hazardous Material, or the environment (including but not limited to ground or air or
water or noise pollution or contamination, and underground or above ground tanks) and shall include
without limitation, the Solid Waste Disposal Act, 42 U.S.C. § 6901 et seq.; the
Comprehensive Environmental Response, Compensation and Liability Act of 1980, 42 U.S.C. § 9601
et seq. (“CERCLA”), as amended by the Superfund Amendments and
Reauthorization Act of 1986 (“SARA”); the Hazardous Materials Transportation Act, 49 U.S.C.
§ 1801 et seq.; the Federal Water Pollution Control Act, 33 U.S.C. § 1251
et seq.; the Clean Air Act, 42 U.S.C. § 7401 et seq.; the Toxic
Substances Control Act, 15 U.S.C. § 2601 et seq.; the Safe Drinking Water Act, 42
U.S.C. § 300f et seq.; the laws of the states in which the Property is located,
pertaining to the same or equivalent Environmental Requirements and any other state or federal
environmental statutes, and all rules, regulations, orders and decrees now or hereafter promulgated
under any of the foregoing, as any of the foregoing now exist or may be changed or amended or come
into effect in the future.

(e) "On” or “on”, when used with respect to the Property or any property
adjacent to the Property, means “on, in, under, above or about”.

(f) "Phase 1 Reports” shall mean (i) that certain Phase I Environmental Site
Assessment Report for Lacombe Medical Office Building I, dated February 10, 2010, prepared by
Partner Engineering and Science, Inc. (Partner Project No. 10-66003.1), and (ii) that certain Phase
I Environmental Site Assessment Report for Parkway Medical Center, dated February 18, 2010,
prepared by Partner Engineering and Science, Inc. (Partner Project No. 10-65609.1).

(g) "Property” shall mean, individually and collectively, the Borrowing Base
Properties and shall also include any other tangible property in which the Administrative Agent now
or hereafter receives a mortgage or security interest in connection with the Loan, including the
land described in Exhibit A which is attached hereto and made a part hereof.

(h) All other capitalized terms used in this Agreement which are not otherwise specifically
defined herein shall have the same meaning herein as in the Credit Agreement.

2. Representations and Warranties. Each Obligor, after due inquiry and investigation in
accordance with good commercial or customary practices to determine whether contamination is
present on the Property or elsewhere in connection with any activity on the Property, hereby
represents and warrants to, and covenants with, the Administrative Agent and each of the Lenders,
without regard to whether the Administrative Agent or the Lenders has or hereafter obtains any
knowledge or report of the environmental condition of the Property except as otherwise herein
specifically provided, as follows:

(a) During the period of the Borrower’s ownership of the Property, the Property has not been
used for industrial or manufacturing purposes, for landfill, dumping or other waste disposal
activities or operations, for generation, storage, use, sale, treatment, processing, recycling or
disposal of any Hazardous Material, for underground or aboveground storage tanks, or for any other
use that could give rise to the release of any Hazardous Material on the Property; to the best of
the Obligors’ knowledge, and except as indicated in the Phase 1 Reports, no such use of the
Property occurred at any time prior to the period of the Borrower’s ownership of the Property; and
to the best of the Obligors’ knowledge, and except as indicated in the Phase 1 Reports, no such use
on any adjacent property occurred at any time prior to the date hereof;

(b) To the best of the Obligors’ knowledge, there is no Hazardous Material, storage tank (or
similar vessel) whether underground or otherwise, sump or well currently on the Property, except as
indicated in the Phase 1 Reports;

(c) The Obligors have received no notice and have no knowledge of any Environmental Claim or
any completed, pending or proposed or threatened investigation or inquiry concerning the presence
or release of any Hazardous Material on the Property or any adjacent property or concerning whether
any condition, use or activity on the Property or any adjacent property is in violation of any
Environmental Requirement;

(d) The present conditions, uses and activities on the Property do not violate any
Environmental Requirement and the use of the Property which the Borrower (and to Obligors’ actual
knowledge, each tenant and subtenant, if any) makes and intends to make of the Property complies
and will comply with all applicable Environmental Requirements;

(e) The Property does not appear on and to the best of the Obligors’ knowledge has never been
on the National Priorities List, any federal or state “superfund” or “superlien” list, or any other
list or database of properties maintained by any local, state or federal agency or department
showing properties which are known to contain or which are suspected of containing a Hazardous
Material;

(f) The Obligors have never applied for and been denied environmental impairment liability
insurance coverage relating to the Property; and

(g) No Obligor, nor to the Obligors’ knowledge, any tenant or subtenant, has obtained or is
required to obtain any permit or authorization to construct, occupy, operate, use or conduct any
activity on any of the Property by reason of any Environmental Requirement.

3. Violations. The Obligors will not cause, commit, permit or allow to continue (i) any
violation of any Environmental Requirement (A) by the Obligors or by any person or entity, or (B)
by or with respect to the Property or any use of or condition or activity on the Property, or (ii)
the attachment of any environmental lien to the Property. The Obligors will not place, install,
dispose of or release, or cause, permit, or allow the placing, installation, disposal, spilling,
leaking, dumping or release of, any Hazardous Material or storage tank (or similar vessel) on the
Property in violation of any Environmental Requirement and will keep the Property free of Hazardous
Material in quantities that will not violate any Environmental Requirement.

4. Notice to Administrative Agent. The Obligors shall promptly deliver to the
Administrative Agent a copy of each report pertaining to the Property or to any Obligor prepared by
or on behalf of any Obligor pursuant to any Environmental Requirement. The Obligors shall
immediately advise the Administrative Agent in writing of any Environmental Claim or of the
discovery of any Hazardous Material on the Property, as soon as any Obligor first obtains knowledge
thereof, including a full description of the nature and extent of the Environmental Claim and/or
Hazardous Material and all relevant circumstances.

5. Site Assessments and Information. If the Administrative Agent shall ever have reason to
believe that any Hazardous Material affects the Property, or if any Environmental Claim is made or
threatened, or if an Event of Default shall have occurred under the Loan Documents, or upon the
occurrence of the Release Date (hereinafter defined) if requested by the Administrative Agent, the
Obligors shall at their expense, provide to the Administrative Agent from time to time, in each
case within sixty (60) days after the Administrative Agent’s request, an Environmental Assessment
(hereinafter defined) made after the date of the Administrative Agent’s request. As used in this
Agreement, the term “Environmental Assessment” means a report (including all drafts
thereof) of an environmental assessment of the Property of such scope (including but not limited to
the taking of soil borings and air and groundwater samples and other above and below ground
testing) as the Administrative Agent may request, by a consulting firm acceptable to the
Administrative Agent and made in accordance with the Administrative Agent’s established guidelines.
The Obligors will cooperate with each consulting firm making any such Environmental Assessment and
will supply to the consulting firm, from time to time and promptly on request, all information
available to the Obligors to facilitate the completion of the Environmental Assessment. If the
Obligors fail to furnish the Administrative Agent within ten (10) days after the Administrative
Agent’s request with a copy of an agreement with an acceptable environmental consulting firm to
provide such Environmental Assessment, or if any Obligor fails to furnish to the Administrative
Agent such Environmental Assessment within sixty (60) days after the Administrative Agent’s
request, the Administrative Agent may cause any such Environmental Assessment to be made at the
Obligors’ expense and risk. The Administrative Agent and its designees are hereby granted access
to the Property at any time or times, upon reasonable notice (which may be written or oral), and a
license which is coupled with an interest and irrevocable, to make or cause to be made such
Environmental Assessments. The Administrative Agent and/or any Lender may disclose to interested
parties any information the Administrative Agent ever has about the environmental condition or
compliance of the Property, but shall be under no duty to disclose any such information except as
may be required by law. Neither the Administrative Agent nor any Lender shall be under any duty to
make any Environmental Assessment of the Property, and in no event shall any such Environmental
Assessment by the Administrative Agent be or give rise to a representation that any Hazardous
Material is or is not present on the Property, or that there has been or shall be compliance with
any Environmental Requirement, nor shall the Obligors or any other person be entitled to rely on
any Environmental Assessment made by the Administrative Agent or at the Administrative Agent’s
request. Neither the Administrative Agent nor any Lender owes any duty of care to protect the
Obligors or any other person against, or to inform them of, any Hazardous Material or other adverse
condition affecting the Property.

6. Remedial Actions.

(a) If any Hazardous Material is discovered on the Property at any time and regardless of the
cause, (i) the Obligors shall promptly at the Obligors’ sole risk and expense remove, treat and
dispose of the Hazardous Material in compliance with all applicable Environmental Requirements and
solely under the Obligors’ (or any of their) name (or if removal is prohibited by any Environmental
Requirement, take whatever action is required by any Environmental Requirement), in addition to
taking such other action as is necessary to have the full use and benefit of the Property as
contemplated by the Loan Documents, and provide the Administrative Agent with satisfactory evidence
thereof; and (ii) if requested by the Administrative Agent, provide to the Administrative Agent, on
behalf of the Lenders, within forty-five (45) days of the Administrative Agent’s request, a bond,
letter of credit or other financial assurance evidencing to the Administrative Agent’s satisfaction
that all necessary funds are readily available to pay the costs and expenses of the actions
required by clause (i) preceding and to discharge any assessments or liens established
against the Property as a result of the presence of the Hazardous Material on the Property. Within
thirty (30) days after completion of such remedial actions, the Obligors shall obtain and deliver
to the Administrative Agent an Environmental Assessment of the Property made after such completion
and confirming to the Administrative Agent’s satisfaction that all required remedial action as
stated above has been taken and successfully completed and that there is no evidence or suspicion
of any contamination or risk of contamination on the Property or any adjacent property, or of
violation of any Environmental Requirement, with respect to any such Hazardous Material.

(b) The Administrative Agent may, but shall never be obligated to (nor shall any Lender be
obligated to), remove or cause the removal of any Hazardous Material from the Property (or if
removal is prohibited by any Environmental Requirement, take or cause the taking of such other
action as is required by any Environmental Requirement) if the Obligors fail to promptly commence
such remedial actions following discovery and thereafter diligently prosecute the same to the
satisfaction of the Administrative Agent (without limitation of the Administrative Agent’s rights
to declare a default under any of the Loan Documents and to exercise all rights and remedies
available by reason thereof); and the Administrative Agent and its designees are hereby granted
access to the Property at any time or times, upon reasonable notice (which may be written or oral),
and a license which is coupled with an interest and irrevocable, to remove or cause such removal or
to take or cause the taking of any such other action.

7. Indemnity.

(a) The Obligors hereby agree to protect, indemnify, defend and hold (i) the Administrative
Agent and each of the Lenders; (ii) any persons or entities owned or controlled by, owning or
controlling, or under common control or affiliated with the Administrative Agent and/or any Lender;
(iii) any participants in the Loan; (iv) the directors, officers, partners, employees and agents of
the Administrative Agent and each Lender, and/or such persons or entities; and (v) the heirs,
personal representatives, successors and assigns of each of the foregoing persons or entities (each
an “Indemnified Party”) harmless from and against, and, if and to the extent paid,
reimburse them on demand for, any and all Environmental Damages (hereinafter defined). Without
limitation, the foregoing indemnity shall apply to each Indemnified Party with respect to
Environmental Damages which in whole or in part are caused by or arise out of the negligence of
such (and/or any other) Indemnified Party. However, such indemnity shall not apply to a particular
Indemnified Party to the extent that the subject of the indemnification is caused by or arises out
of the gross negligence or willful misconduct of that particular Indemnified Party. Upon demand by
the Administrative Agent, the Obligors shall diligently defend any Environmental Claim which
affects the Property or is made or commenced against the Administrative Agent and/or any Lender,
whether alone or together with the Obligors or any other person, all at the Obligors’ own cost and
expense and by counsel to be approved by the Administrative Agent in the exercise of its reasonable
judgment. In the alternative, at any time the Administrative Agent may elect to conduct its own
defense through counsel selected by the Administrative Agent and at the cost and expense of the
Obligors.

(b) As used in this Agreement, the term “Environmental Damages” means all claims,
demands, liabilities (including strict liability), losses, damages (including consequential
damages), causes of action, judgments, penalties, fines, costs and expenses (including fees, costs
and expenses of attorneys, consultants, contractors, experts and laboratories), of any and every
kind or character, contingent or otherwise, matured or unmatured, known or unknown, foreseeable or
unforeseeable, made, incurred, suffered, brought, or imposed at any time and from time to time,
whether before or after the Release Date (hereinafter defined) and arising in whole or in part
from:

(1) the presence of any Hazardous Material on the Property, or any escape, seepage,
leakage, spillage, emission, release, discharge or disposal of any Hazardous
Material on or from the Property, or the migration or release or threatened
migration or release of any Hazardous Material to, from or through the Property, on
or before the Release Date; or

(2) any act, omission, event or circumstance existing or occurring in connection
with the handling, treatment, containment, removal, storage, decontamination,
clean-up, transport or disposal of any Hazardous Material which is at any time on or
before the Release Date present on the Property; or

(3) the breach of any representation, warranty, covenant or agreement contained in
this Agreement because of any event or condition occurring or existing on or before
the Release Date; or

(4) any violation on or before the Release Date, of any Environmental Requirement in
effect on or before the Release Date, regardless of whether any act, omission, event
or circumstance giving rise to the violation constituted a violation at the time of
the occurrence or inception of such act, omission, event or circumstance; or

(5) any Environmental Claim, or the filing or imposition of any environmental lien
against the Property, because of, resulting from, in connection with, or arising out
of any of the matters referred to in subparagraphs (1) through (4)
preceding;

and regardless of whether any of the foregoing subparagraphs (1) through (5) was caused by
an Obligor or a tenant or subtenant, or a prior owner of the Property or its tenant or subtenant,
or any third party, including but not limited to (i) injury or damage to any person, property or
natural resource occurring on or off of the Property, including but not limited to the cost of
demolition and rebuilding of any improvements on real property; (ii) the investigation or
remediation of any such Hazardous Material or violation of Environmental Requirement, including but
not limited to the preparation of any feasibility studies or reports and the performance of any
cleanup, remediation, removal, response, abatement, containment, closure, restoration, monitoring
or similar work required by any Environmental Requirement or necessary to have full use and benefit
of the Property as contemplated by the Loan Documents (including any of the same in connection with
any foreclosure action or transfer in lieu thereof); (iii) all liability to pay or indemnify any
person or governmental authority for costs expended in connection with any of the foregoing; (iv)
the investigation and defense of any claim, whether or not such claim is ultimately defeated; and
(v) the settlement of any claim or judgment.

(c) As used in this Agreement, the term “Release Date” means the earlier of the
following two dates: (i) the date on which the indebtedness and obligations secured by the Mortgage
have been paid and performed in full and the Mortgage has been released; or (ii) the date on which
the lien of the Mortgage is fully and finally foreclosed or a conveyance by deed in lieu of such
foreclosure is fully and finally effective and possession of the Property has been given to and
accepted by the purchaser or grantee free of occupancy and claims to occupancy by the Obligors and
their heirs, devisees, representatives, successors and assigns; provided that, if such payment,
performance, release, foreclosure or conveyance is challenged, in bankruptcy proceedings or
otherwise, the Release Date shall be deemed not to have occurred until such challenge is validly
released, dismissed with prejudice or otherwise barred by law from further assertion.

8. Consideration; Survival; Cumulative Rights. The Obligors acknowledge that the
Administrative Agent and the Lenders have relied and will rely on the representations, warranties,
covenants and agreements herein in closing and funding the Loan and that the execution and delivery
of this Agreement is an essential condition but for which the Administrative Agent and the Lenders
would not close or fund the Loan. The representations, warranties, covenants and agreements in
this Agreement shall be binding upon the Obligors and their successors, assigns and legal
representatives and shall inure to the benefit of the Administrative Agent and each of the Lenders
and their successors, assigns and legal representatives and participants in the Loan; and shall not
terminate on the Release Date or upon the release, foreclosure or other termination of the
Mortgage, but will survive the Release Date, the payment in full of the indebtedness secured by the
Mortgage, foreclosure of the Mortgage or conveyance in lieu of foreclosure, the release or
termination of the Mortgage and any and all of the other Loan Documents, any investigation by or on
behalf of the Administrative Agent and the Lenders, any bankruptcy or other debtor relief
proceeding, and any other event whatsoever. Any amount to be paid under this Agreement by the
Obligors (or any of them) shall be a demand obligation owing by the Obligors (which the Obligors
hereby promise to pay). The Administrative Agent’s and the Lenders’ rights under this Agreement
shall be in addition to all rights of the Administrative Agent and/or the Lenders under the Loan
Documents or at law or in equity, and payments by any Obligor under this Agreement shall not reduce
the Obligors’ obligations and liabilities under any of the Loan Documents. The liability of the
Obligors or any other person under this Agreement shall not be limited or impaired in any way by
any provision in the Loan Documents or applicable law limiting the Obligors’ or such other person’s
liability or the Administrative Agent’s and/or the Lenders’ recourse or rights to a deficiency
judgment, or by any change, extension, release, inaccuracy, breach or failure to perform by any
party under the Loan Documents, the Obligors’ (and, if applicable, such other person’s) liability
hereunder being direct and primary and not as a guarantor or surety. Each Obligor hereby assigns
and irrevocably transfers to the Administrative Agent, on behalf of the Lenders, any and all rights
of subrogation, contribution, indemnification, reimbursement or similar rights it may have against
any other Obligor or any other person for Environmental Damages. Nothing in this Agreement or in
any other Loan Document shall limit or impair any rights or remedies of the Administrative Agent,
the Lenders and/or any other Indemnified Party against any Obligor or any other person under any
Environmental Requirement or otherwise at law or in equity, including without limitation any rights
of contribution or indemnification.

9. No Waiver. No delay or omission by the Administrative Agent and/or any Lender to
exercise any right under this Agreement shall impair any such right nor shall it be construed to be
a waiver thereof. No waiver of any single breach or Default under this Agreement shall be deemed a
waiver of any other breach or Default. Any waiver, consent or approval under this Agreement must
be in writing to be effective.

10. Notices. All notices, requests, consents, demands and other communications required or
which any party desires to give hereunder or under any other Loan Document shall be in writing and,
unless otherwise specifically provided in such other Loan Document, shall be deemed sufficiently
given or furnished if delivered by personal delivery, by courier service, or by registered or
certified United States mail, postage prepaid, addressed to the party to whom directed at the
addresses specified at the end of this Agreement (unless changed by similar notice in writing given
by the particular party whose address is to be changed) or by telegram, telex, or facsimile. Any
such notice or communication shall be deemed to have been given either at the time of personal
delivery or, in the case of courier service or mail, as of the date of first attempted delivery at
the address and in the manner provided herein, or, in the case of telegram, telex or facsimile,
upon receipt; provided that, service of a notice required by any applicable statute, shall be
considered complete when the requirements of that statute are met. Notwithstanding the foregoing,
no notice of change of address shall be effective except upon actual receipt. This Section shall
not be construed in any way to affect or impair any waiver of notice or demand provided in any Loan
Document or to require giving of notice or demand to or upon any person in any situation or for any
reason.

11. Invalid Provisions. A determination that any provision of this Agreement is
unenforceable or invalid shall not affect the enforceability or validity of any other provision and
a determination that the application of any provision of this Agreement to any person or
circumstance is illegal or unenforceable shall not affect the enforceability or validity of such
provision as it may apply to other persons or circumstances.

12. Construction. Whenever in this Agreement the singular number is used, the same shall
include plural where appropriate, and vice versa; and words of any gender in this Agreement shall
include each other gender where appropriate. The headings in this Agreement are for convenience
only and shall be disregarded in the interpretation hereof. Reference to “person” or “entity”
means firms, associations, partnerships, joint ventures, trusts, limited liability companies,
corporations and other legal entities, including public or governmental bodies, agencies or
instrumentalities, as well as natural persons.

13. Applicable Law; Forum. This Agreement is performable in Illinois, and the laws of the
State of Illinois and applicable United States federal law shall govern the rights and duties of
the parties hereto and the validity, enforcement and interpretation hereof. The Obligors hereby
irrevocably submit generally and unconditionally for themselves and in respect of their property to
the jurisdiction of any state court or any United States federal court, sitting in the State of
Illinois and to the jurisdiction of any state court or any United States federal court, sitting in
the state in which any of the Property is located, over any suit, action or proceeding arising out
of or relating to this Agreement or the Loan. The Obligors hereby irrevocably waive, to the
fullest extent permitted by law, any objection that the Obligors 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. The
Obligors hereby agree and consent that, in addition to any methods of service or process provided
for under applicable law, all service of process in any such suit, action or proceeding in any
state court or any United States federal court sitting in the state(s) specified above may be made
by certified or registered mail, return receipt requested, directed to the Obligors at the address
for notice to the Obligors stated below, or at a subsequent address of which the Administrative
Agent received actual notice from the Obligors in accordance with the Loan Documents, and service
so made shall be complete five (5) days after the same shall have been so mailed. Nothing herein
shall affect the right of the Administrative Agent to serve process in any manner permitted by law
or limit the right of the Administrative Agent to bring proceedings against the Obligors in any
other court or jurisdiction.

14. Execution; Modification. This Agreement has been executed in a number of identical
counterparts, each of which shall be deemed an original for all purposes and all of which
constitute, collectively, one agreement. This Agreement may be amended only by an instrument in
writing intended for that purpose executed jointly by an authorized representative of each party
hereto.

THE LOAN DOCUMENTS REPRESENT 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 ORAL AGREEMENTS BETWEEN THE PARTIES.

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]

[SIGNATURES APPEAR ON THE FOLLOWING PAGE]

1

Executed and dated as of the date first written above.

BORROWER:

	 	 	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/ Shannon K S Johnson

Name: Shannon K S Johnson

Title: Chief Financial Officer

Address:

c/o Grubb & Ellis Equity Advisors, LLC

1551 North Tustin Avenue, Suite 300

Santa Ana, California 92705

Attention: Danny Prosky, President & COO

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/ Shannon K S Johnson

Name: Shannon K S Johnson

Title: Chief Financial Officer

Address:

c/o Grubb & Ellis Equity Advisors, LLC

1551 North Tustin Avenue, Suite 300

Santa Ana, California 92705

Attention: Danny Prosky, President & COO

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/ Shannon K S Johnson

Name: Shannon K S Johnson

Title: Chief Financial Officer

Address:

c/o Grubb & Ellis Equity Advisors, LLC

1551 North Tustin Avenue, Suite 300

Santa Ana, California 92705

Attention: Danny Prosky, President & COO

GUARANTOR:

GRUBB & ELLIS HEALTHCARE REIT II, INC.,

a Maryland corporation

By: /s/ Shannon K S Johnson

Name: Shannon K S Johnson

Title: Chief Financial Officer

Address:

c/o Grubb & Ellis Equity Advisors, LLC

1551 North Tustin Avenue, Suite 300

Santa Ana, California 92705

Attention: Danny Prosky, President & COO

ADMINISTRATIVE AGENT:

BANK OF AMERICA, N.A.,

as Administrative Agent and as a Lender

By: /s/ Christopher A. Thangaraj

Name: Christopher A. Thangaraj

Title: Vice President

Address:

135 South LaSalle Street, 12th Floor

Chicago, Illinois 60603

Attention: Michelle Herrick

2

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