Document:

<PAGE>
                                                                   EXHIBIT 10.54

                               AMENDMENT NO. 1 TO
                             GROUND LEASE AGREEMENT

      THIS AMENDMENT NO. 1 TO GROUND LEASE AGREEMENT ("FIRST AMENDMENT") is made
and  entered  into as of  November  29,  2001 by and  between  NATIONAL  MEDICAL
SPECIALTY HOSPITAL OF REDDING, INC., a California corporation ("LANDLORD"),  and
OCADIAN CARE CENTERS,  INC., a California corporation formerly known as Guardian
Postacute Services, Inc. ("TENANT"), with reference to the following facts:

      A. Landlord and Tenant are parties to that certain Ground Lease  Agreement
dated  November 14, 1997  ("LEASE").  Pursuant to the Lease,  Tenant leases from
Landlord  the Land upon  which  Redding  Specialty  Hospital,  a  rehabilitation
hospital owned by Tenant, is located.

      B.  Landlord  and  Tenant now desire to amend the Lease to extend the term
thereof and to provide a new schedule of Minimum Rent for the Term as extended.

      NOW,  THEREFORE,  in  consideration  of the  foregoing  recitals  and  the
agreements herein contained, and for other good and valuable consideration,  the
receipt and  sufficiency of which are hereby  acknowledged,  the parties hereto,
intending to be legally bound, do hereby agree as follows.

      1.    DEFINITIONS

            Unless otherwise  defined in this First  Amendment,  all capitalized
terms used herein shall have the meanings given to them in the Lease.

      2.    TERM

            Notwithstanding anything to the contrary contained in the Lease, the
Term shall expire at 12:00 p.m. on November 16, 2075.

      3.    MINIMUM RENT

            The schedule of Minimum Rent attached to the Lease as "EXHIBIT C" is
hereby deleted and the schedule of Minimum Rent attached  hereto as "REPLACEMENT
EXHIBIT C" is substituted therefore.

      4.    EFFECT ON LEASE; GENERAL PROVISIONS

            Except  as  set  forth  in  this  First  Amendment,  the  terms  and
provisions of the Lease are hereby ratified and declared to be in full force and
effect.  This First  Amendment  shall be governed by the provisions of the Lease
regarding  governing law and successors and assigns.  This First Amendment shall
become   effective  upon  its  execution,   which  may  occur  in  one  or  more
counterparts,  each of  which  shall be  deemed  an  original,  but all of which
together  shall  constitute one and the same  instrument.  Caption and paragraph
headings  are used  herein for  convenience  only,  are not a part of this First
Amendment or the Lease as amended by this First

<PAGE>

Amendment and shall not be used in construing either document. Each reference to
the Lease in any  agreement  contemplated  thereby  or  executed  in  connection
therewith,  whether or not  accompanied  by reference  to this First  Amendment,
shall be deemed a reference to the Lease as amended by this First Amendment.

      IN WITNESS WHEREOF,  the parties have executed this First Amendment on the
date written above.

                                       LANDLORD:

                                       NATIONAL MEDICAL SPECIALTY
                                       HOSPITAL OF REDDING, INC.

                                       By: /s/ Lawrence G. Hixon
                                           -------------------------------------
                                       Name: Lawrence G. Hixon
                                       Title: Vice President

                                       TENANT:

                                       OCADIAN CARE CENTERS, INC.

                                       By: _____________________________________
                                       Name: ___________________________________
                                       Title: __________________________________

Amendment and shall not be used in construing either document. Each reference to
the Lease in any  agreement  contemplated  thereby  or  executed  in  connection
therewith,  whether or not  accompanied  by reference  to this First  Amendment,
shall be deemed a reference to the Lease as amended by this First Amendment.

         IN WITNESS WHEREOF, the parties have executed this First Amendment on
the date written above.

                                       LANDLORD:

                                       NATIONAL MEDICAL SPECIALTY
                                       HOSPITAL OF REDDING, INC.

                                       By:______________________________________
                                       Name: Lawrence G. Hixon
                                       Title: Vice President

                                       TENANT:

                                       OCADIAN CARE CENTERS, INC.

                                       By: /s/ Robert G. Peirce
                                           -------------------------------------
                                       Name: Robert G. Peirce
                                       Title : Chief Executive Officer

                                      -2-
<PAGE>
                             REPLACEMENT EXHIBIT C

                            Schedule of Minimum Rent

<TABLE>
<CAPTION>
                  Minimum Rent
                  ------------
<S>               <C>
Year  1              15,815
Year  2              16,448
Year  3              17,106
Year  4              17,790
Year  5              18,501
Year  6              19,241
Year  7              20,011
Year  8              20,811
Year  9              21,644
Year 10              22,510
Year 11              23,410
Year 12              24,346
Year 13              25,320
Year 14              26,333
Year 15              27,386
Year 16              28,482
Year 17              29,621
Year 18              30,806
Year 19              32,038
Year 20              33,320
Year 21              34,653
Year 22              36,039
Year 23              37,480
Year 24              38,979
Year 25              40,539
Year 26              42,160
Year 27              43,847
Year 28              45,600
Year 29              47,424
Year 30              49,321
Year 31              51,294
Year 32              53,346
Year 33              55,480
Year 34              57,699
Year 35              60,007
Year 36              62,407
Year 37              64,904
Year 38              67,500
Year 39              70,200
</TABLE>

<PAGE>

<TABLE>
<CAPTION>
                  Minimum Rent
                  ------------
<S>               <C>
Year 40               73,008
Year 41               75,928
Year 42               78,965
Year 43               82,124
Year 44               85,409
Year 45               88,825
Year 46               92,378
Year 47               96,073
Year 48               99,916
Year 49              103,913
Year 50              108,069
Year 51              112,392
Year 52              116,888
Year 53              121,563
Year 54              126,426
Year 55              131,483
Year 56              136,742
Year 57              142,212
Year 58              147,900
Year 59              153,816
Year 60              159,969
Year 61              166,368
Year 62              173,023
Year 63              179,944
Year 64              187,141
Year 65              194,627
Year 66              202,412
Year 67              210,508
Year 68              218,929
Year 69              227,686
Year 70              236,793
Year 71              246,265
Year 72              256,116
Year 73              266,360
Year 74              277,015
Year 75              288,095
Year 76              299,619
Year 77              311,604
Year 78              324,068
</TABLE>

<PAGE>

Recording Requested By and                       RECORDED IN OFFICIAL RECORDS
When Recorded Return to: Chicago Title           OF SHASTA COUNTY, CALIFORNIA

Ervin, Cohen & Jessup LLP                        46 MIN. PAST 2PM
9401 Wilshire Boulevard                             NOV 17 1997
Ninth Floor
Beverly Hills, CA 90212                          [ILLEGIBLE]
Attn: Kenneth A. Luer, Esq.                      RECORDING FEES 20.00

--------------------------------------------------------------------------------
                                        Space Above Line for Recorder's Use Only

                          MEMORANDUM OF LEASE AGREEMENT

      This Memorandum of Lease, made and agreed to as of the 12th day of
November, 1997, by and between NATIONAL MEDICAL SPECIALTY HOSPITAL OF REDDING,
INC., a California corporation ("Lessor"), and GUARDIAN POSTACUTE SERVICES,
INC., a California corporation ("Lessee").

                                   WITNESSETH

      For and in consideration of the sum of One Dollar ($1.00), the further
consideration of the rents reserved and the covenants and conditions more
particularly set forth in that certain Ground Lease Agreement between Lessor and
Lessee of even date herewith ("Lease"), and other good and valuable
consideration, the receipt of which is hereby acknowledged, Lessor and Lessee do
hereby covenant, promise and agree as follows:

      1. Lessor demises unto Lessee and Lessee takes from Lessor for the term
hereinafter provided the land legally described as set forth in Exhibit A
attached hereto and hereby incorporated herein by reference ("Leased Premises").

      2. The Lease term shall commence on the date hereof and shall continue
thereafter for a period of thirty (30) years from such date.

      3. There are restrictions upon Lessee's right to assign all or any part of
the Lease, or to sublet any space in the Leased Premises themselves, without
Lessor's prior written consent, as provided in Article XII of the Lease.

<PAGE>

      4. The Lease contains an option to purchase the Leased Premises, as
provided in Article XVII of the Lease.

      5. This Memorandum of Lease Agreement may be executed in one or more
counterparts, each of which shall be deemed an original and all of which, when
taken together, shall constitute one and the same instrument.

      6. The sole purpose of this document is to give notice of the Lease and
all of its terms, covenants and conditions to the same extent as if the Lease
were fully set forth herein. The conditions, covenants and agreements contained
in this document shall be binding upon and shall inure to the benefit of the
parties hereto and their respective successors and assigns. All covenants and
agreements of this instrument and the Lease shall run with the land.

      7. This Memorandum of Lease Agreement may be executed in multiple
counterparts, each of which shall be deemed an original, but all of which,
collectively, shall constitute one and the same document.

                      [This space intentionally left blank]
<PAGE>

      IN WITNESS WHEREOF, Landlord and Tenant have executed this Memorandum of
Lease Agreement as of November 12, 1997.

                                       LANDLORD:

                                       NATIONAL MEDICAL SPECIALTY
                                       HOSPITAL OF REDDING, INC.,
                                       a California corporation

                                       By: /s/ Donald W. Thayer
                                           -------------------------------------
                                       Name: Donald W. Thayer
                                       Its: Authorized Signatory

                                       TENANT:

                                       GUARDIAN POSTACUTE SERVICES, INC.,
                                       a California corporation

                                       By /s/  Hugh J. Van Ness
                                          --------------------------------------
                                       Name: HUGH J. VAN NESS
                                       Its: CFO

<PAGE>

                                    EXHIBIT A

The following land situated in the State of California, County of Shasta:

PARCELS A AND B AS SET FORTH AND SHOWN ON THAT CERTAIN MAP ENTITLED, "PARCEL MAP
NO. LS 104-78 FOR DAVID LEE MCGEORGE AND SHIRLEY JEAN MCGEORGE, AS CO-TRUSTEES
OF DAVES MAC., INC. PROFIT SHARING TRUST, BEING A PORTION OF TRACT E, DIVISION 2
OF THE P.B. READING GRANT, IN THE CITY OF REDDING, SHASTA COUNTY, CALIFORNIA"
FILED IN THE OFFICE OF THE COUNTY RECORDER, FEBRUARY 7, 1979 IN BOOK 17 OF
PARCEL MAPS AT PAGE 87, SHASTA COUNTY RECORDS EXCEPTING THEREFROM ALL BUILDINGS
AND IMPROVEMENTS, WHICH ARE AND SHALL REMAIN REAL PROPERTY.

EXCEPTING FROM SAID PARCEL B ALL THAT PORTION CONVEYED TO THE CITY OF REDDING BY
DEED RECORDED NOVEMBER 12, 1985 IN BOOK 2190 PAGE 500, SHASTA COUNTY RECORDS.

ASSESSOR'S PARCEL NUMBER 103-240-51.<PAGE>

                                                                   EXHIBIT 10.55

                       FORM OF INDEMNIFICATION AGREEMENT

      THIS INDEMNIFICATION AGREEMENT (the "Agreement"), dated as of __________,
20__, by and between Medical Properties Trust, Inc. a Maryland corporation (the
"Company"), and __________(the "Indemnitee").

                                    RECITALS

      WHEREAS, the Indemnitee is or has agreed to become a director or officer
of the Company;

      WHEREAS, the Company is aware that competent and experienced persons are
increasingly reluctant to serve as directors or officers of corporations unless
they are protected by comprehensive liability insurance and indemnification, due
to the increased exposure to litigation costs resulting from such service and
due to the fact that this exposure frequently bears no reasonable relationship
to the compensation for such service;

      WHEREAS, the Maryland General Corporation Law (the "Law") empowers the
Company to indemnify by agreement its directors and officers;

      WHEREAS, the Company believes that Indemnitee's service as a director or
officer of the Company is or will be beneficial to the Company and desires that
the Indemnitee continue to serve as or become a director or officer of the
Company; and

      WHEREAS, the Indemnitee is willing to continue to serve as or become a
director or officer on the condition that the Indemnitee be indemnified and
afforded rights to the advancement of expenses as provided in this Agreement and
that the Company use reasonable good faith efforts to maintain liability
insurance coverage.

      NOW, THEREFORE, in order to induce the Indemnitee to continue to serve as
or become a director or officer of the Company and in consideration for his
service and of the covenants contained in this Agreement, the parties agree as
follows:

      1. Definitions. The following terms, as used herein, shall have the
following respective meanings:

      "Change of Control" means a change of control of the Company occurring
after the date hereof of a nature that would be required to be reported in
response to Item 6(e) of Schedule 14A of Regulation 14A (or in response to any
similar item on any similar schedule or form) promulgated under the Securities
Exchange Act of 1934, as amended (the "Act"), whether or not the Company is then
subject to such reporting requirement; provided, however, that, without
limitation, such a Change of Control shall be deemed to have occurred if after
the date hereof (i) any "person" (as such term is used in Section 13(d) and
14(d) of the Act) is or becomes the "beneficial owner" (as defined in Rule 13d-3
under the Act), directly or indirectly, of securities of the Company
representing more than thirty percent (30%) of the combined voting power of the
Company's then outstanding securities without the prior approval of at least a
majority of the members of the Board of Directors in office immediately prior to
such person attaining such percentage interest; (ii) there occurs a proxy
contest, or the Company is a party to a merger,

<PAGE>

consolidation, sale of assets, plan of liquidation or other reorganization not
approved by at least a majority of the members of the Board of Directors then in
office, as a consequence of which members of the Board of Directors in office
immediately prior to such transaction or event constitute less than a majority
of the Board of Directors thereafter; or (iii) during any period of two (2)
consecutive years, other than as a result of an event described in clause (ii)
above, individuals who at the beginning of such period constituted the Board of
Directors (including for this purpose any new director whose election or
nomination for election by the Company's stockholders was approved by a vote of
at least a majority of the directors then still in office who were directors at
the beginning of such period) cease for any reason to constitute at least a
majority of the Board of Directors.

      "Claim or Claims" includes without limitation any threatened, pending, or
completed action, suit, or proceeding, whether civil, derivative, criminal,
administrative, investigative, or otherwise, and includes any Claims by or in
the right of the Company.

      "D&O Insurance" means any directors and officers liability insurance
issued to the Company.

      "Expenses" means any reasonable expenses incurred by the Indemnitee as a
result of a Claim or Claims made against him or for any act or omission,
including, without limitation, any breach of duty, error, misstatement,
misleading statement or otherwise, by the Indemnitee in his capacity as, or any
Claim against the Indemnitee by reason of the fact that the Indemnitee is or
was, a director or officer of the Company or, while serving as a director or
officer of the Company, is or was serving at the request of the Company as a
director, officer, partner, trustee, employee or agent of a corporation,
partnership, joint venture, trust, other enterprise or employee benefit plan
("Enterprise"), including, without limitation, counsel fees and costs of
investigative, judicial, or administrative proceedings and any appeals and
reimbursement to the Indemnitee, at the rate of Two Thousand Dollars ($2,000)
per full day, for the time spent by the Indemnitee in defending any Claim at
such times as the Indemnitee is not employed by the Company.

      "Independent Counsel" means a law firm, or a member of a law firm, that is
experienced in matters of corporation law and neither is, nor in the past five
(5) years has been, retained to represent: (i) the Company or the Indemnitee in
any matter material to either such party, or (ii) any other party to or witness
in the proceeding giving rise to a claim for indemnification hereunder.
Notwithstanding the foregoing, the term "Independent Counsel" shall not include
any person who, under the applicable standards of professional conduct then
prevailing, would have a conflict of interest in representing either the Company
or the Indemnitee in an action to determine the Indemnitee's rights under this
Agreement. If a Change of Control has not occurred, Independent Counsel shall be
selected by the Board of Directors by a majority vote of a quorum consisting of
directors not, at the time, parties to the proceeding or, if such a quorum
cannot be obtained, then by a majority vote of a committee of the Board of
Directors duly so authorized consisting of two (2) or more and who were duly
designated to act in the matter by majority vote of the full Board of Directors
in which all directors may participate. If a Change of Control has occurred,
Independent Counsel shall be selected by the Indemnitee, with the approval of
the Board of Directors, which approval shall not be unreasonably withheld.

                                       2
<PAGE>

      "Loss" means any amount which the Indemnitee is legally obligated to pay
as a result of any Claim or Claims made against him for any act or omission,
including, without limitation, any breach of duty, neglect, error, misstatement,
misleading statement or otherwise, by the Indemnitee in his capacity as, or any
Claim against the Indemnitee by reason of the fact that the Indemnitee is or
was, a director or officer of the Company or, while serving as a director or
officer of the Company, is or was serving at the request of the Company as a
director, officer, partner, trustee, employee or agent of any Enterprise,
including, without limitation, fines, damages, judgments, and sums paid in
settlement of any Claim or Claims.

      2. Indemnification. The Company shall, to the fullest extent permitted by
Law and subject to the terms of this Agreement, indemnify and defend the
Indemnitee and hold the Indemnitee harmless from and against any and all Losses
and Expenses.

      3. Advances of Expenses. In the event the Indemnitee is made party to, or
threatened to be made party to, any Claim made against him for any act or
omission or alleged act or omission (including, without limitation, any breach
of duty, neglect, error, misstatement, misleading statement or otherwise) by the
Indemnitee in his capacity as, or any Claim against the Indemnitee by reason of
the fact that the Indemnitee is or was, a director or officer of the Company or,
while serving as a director or officer of the Company, is or was serving at the
request of the Company or a director, officer, partner, trustee, employee or
agent of any Enterprise, the Company shall pay the Expenses incurred by the
Indemnitee in connection with such Claim in advance of the final disposition of
such Claim to the extent payments for such Expenses are not promptly received by
the Indemnitee from D&O Insurance or other source of indemnity; provided that
(i) the Indemnitee provides the Company with written affirmation that he has met
the standard of conduct required for indemnification hereunder; and (ii) the
Indemnitee provides the Company with a written undertaking to repay the amount
paid or reimbursed by the Company if it is ultimately determined that the
Indemnitee has not met the standard of conduct required for indemnification
hereunder. Such payments shall be made within twenty (20) days of the
Indemnitee's written requests therefor.

      4. Counsel and Defense. The Indemnitee shall promptly notify the Company
of the commencement or threat of commencement of any Claim; provided, however,
that the failure to give any such notice shall not disquality the Indemitee from
the right, or otherwise affect in any manner any right of the Indemnitee, to
indemnification or the advance of Expenses under this Agreement unless such
failure is materially and adversly prejudicial to the Company, and then only to
the extent the Company is thereby actually so prejudiced. The Indemnitee shall
be entitled to defend the Claim with counsel selected by the Indemnitee, and the
reasonable fees and expenses of such counsel shall be deemed Expenses hereunder,
subject to indemnification and advance by the Company in accordance herewith,
and, to the extent reasonably practicable, such counsel shall also represent the
other directors and officers of the Company in such Claim who are parties
thereto and similarly situated to the Indemnitee and with whom there is no
conflict of interest. If requested by the Indemnitee, the Company shall assume
the defense of the Claim with counsel reasonably satisfactory to the Indemnitee.
The Company shall not be liable to the Indemnitee for any attorneys' fees
incurred by the Indemnitee in connection with the defense of a Claim after the
Indemnitee's receipt of notice of the Company's assumption of the defense
thereof unless the Company fails in a timely manner to engage counsel to defend
such Claim, in which case the reasonable fees and expenses of counsel selected
by the Indemnitee shall be

                                       3
<PAGE>

deemed Expenses hereunder, subject to indemnification and advance by the Company
in accordance herewith.

      5. Settlement. The Company shall not be liable under this Agreement for
amounts paid in any settlement of any Claim without its prior written consent,
which consent shall not be unreasonably withheld, delayed or conditioned. If the
Company shall have assumed the defense of a Claim in accordance with Section 4
hereof, the Company shall be entitled to settle (and the Indemnitee shall
reasonably cooperate with the Company with respect to such settlement) such
Claim unless the Indemnitee reasonably objects to such settlement. For these
purposes, without limiting the possible objections that may be asserted by the
Indemnitee, an objection to any settlement that includes any express or implied
admission of culpability by the Indemnitee or that fails to include the complete
and unqualified general release of the Indemnitee for liability for any Claim
made, or which could be made, by any adverse party to such Claim shall be deemed
reasonable. The Company shall give the Indemnitee not less than twenty (20) days
prior written notice of any proposed settlement, together with true and correct
copies of any proposed agreements relating thereto.

      6. Indemnification Procedure. All Losses and Expenses incurred by the
Indemnitee in connection with a Claim which are subject to indemnification by
the Company pursuant to the provisions of this Agreement shall be appropriately
substantiated by the Indemnitee in accordance with the reasonable policies of
the Company in effect from time to time. All payments on account of the
Company's indemnification obligations under this Agreement, other than advances
pursuant to Section 3, shall be made within sixty (60) days of the Indemnitee's
written request therefor unless, prior to the expiration of such sixty (60) day
period, a determination that the Indemnitee is not permitted to be indemnified
under applicable law is made (i) if a Change of Control shall have occurred, by
Independent Counsel in a written opinion to the Company, a copy of which shall
be delivered to the Indemnitee; or (ii) if a Change of Control shall not have
occurred (A) by the Board of Directors by a majority vote of a quorum consisting
of directors not, at the time, parties to the proceeding, or, if such a quorum
cannot be obtained, then by a majority vote of a committee of the Board
consisting solely of two (2) or more directors not, at the time, parties to such
proceeding and who were duly designated to act in the matter by a majority vote
of the full Board of Directors in which all directors may participate; (B) by an
Independent Counsel; (C) by the stockholders; or (D) by a final order by a court
of competent jurisdiction from which there is no further right of appeal.
Notwithstanding the foregoing provisions of this Section 6, a determination
pursuant to clause (ii)(A), (ii)(B) or (ii)(C) above that the Indemnitee is not
entitled to indemnification under applicable law shall not be binding on the
Indemnitee and shall not create any presumption that the Indemnitee has not met
the applicable standard of conduct required by applicable law if, within ninety
(90) days of the Indemnitee's receipt of written notice of such determination,
the Indemnitee commences legal proceedings in a court of competent jurisdiction
seeking a determination that the Indemnitee would be entitled to indemnification
by the Company under applicable law. In such event, the Company shall have the
burden of proving that indemnification of the Indemnitee is not required under
this Agreement, and the final disposition of such proceeding (whether by
settlement or judicial determination as to which all rights of appeal therefrom
have been taken or lapsed) shall be binding on the parties. During the pendency
of any such proceeding (and any appeal therefrom) and until its final
disposition, the Company shall pay the Indemnitee all of the expenses of such
proceeding. In the event that any action is instituted in which the Indemnitee

                                       4
<PAGE>

seeks indemnification under this Agreement, or to enforce or interpret any of
the terms of this Agreement, the Indemnitee shall be entitled to be paid all
costs and expenses, including reasonable attorneys' fees and costs, incurred by
the Indemnitee with respect to such action, unless the court determines that
such action was not brought in good faith or was frivolous. The Indemnitee
hereby undertakes to repay the Company for all advances in connection with such
proceeding if it shall ultimately be determined in such proceeding and all
appeals therefrom that the Indemnitee is not entitled to indemnification
hereunder.

      7. Indemnification of Successful Party. Notwithstanding the other
provisions of this Agreement, to the extent that the Indemnitee has been
successful on the merits or otherwise (including without limitation, the
dismissal of any action without prejudice) in defense of any Claim, he shall be
indemnified by the Company against all Expenses actually incurred by him or on
his behalf in connection therewith.

      8. Partial Indemnification. If the Indemnitee is entitled to
indemnification hereunder by the Company for a portion of the Losses and
Expenses incurred by him in connection with a Claim, but not for the total
amount thereof, the Company shall nevertheless indemnify the Indemnitee for the
portion of such Losses and Expenses for which the Indemnitee is entitled to
indemnification hereunder.

      9. Payment of Expenses as a Witness. The Company shall pay or reimburse
Indemnitee for all expenses incurred by him in connection with his appearance,
or preparation to appear, as a witness in any proceeding by reason of the fact
that Indemnitee is or was a director or officer of the Company or, while serving
as a director or officer of the Company, is or was serving at the request of the
Company as a director, officer, partner, trustee, employee or agent of any
Enterprise and in which he is not a named defendant or respondent.

      10. D&O Insurance.

      (a) While the Indemnitee is serving as a director or officer of the
Company and thereafter so long as the Indemnitee may be subject to any Claim by
reason of the fact that he was a director or officer of the Company, the Company
shall, subject to Section 10(b) below, provide and maintain D&O Insurance, with
the Indemnitee named as an insured with the same rights and benefits as are
accorded to the most favorably insured of the Company's directors or officers,
with coverage amounts not less than, and upon terms no less favorable than, as
provided in the D&O Insurance policy presently in effect and covering the
Indemnitee and with an insurance carrier no less reputable than the insurance
carrier currently issuing such present D&O Insurance policy. The Company shall
give prompt notice to the D&O Insurance carrier of the commencement of any Claim
in accordance with the procedures set forth in the policy. The Company shall
thereafter take all necessary or desirable action to cause such insurer to pay,
on behalf of the Indemnitee, all amounts payable as a result of the Claim in
accordance with the terms of such policy. The Indemnitee shall cooperate in good
faith with the requirements of any D&O Insurance policy maintained by the
Company and insuring the Indemnitee in connection with any Claim. Notice of
termination or failure to renew of the D&O Insurance shall be provided to the
Indemnitee promptly upon the Company's becoming aware of such termination or
failure to renew.

                                       5
<PAGE>

      (b) Notwithstanding the provisions of Section 10(a), the Company shall
have no obligation to obtain or maintain D&O Insurance if the Company, acting
through its Board of Directors, determines in good faith that such insurance is
not reasonably available, the premium costs for such insurance are
disproportionate to the amount of coverage provided, the coverage provided by
such insurance is limited by exclusions so as to provide an insufficient
benefit, or the Indemnitee is covered by similar insurance maintained by an
Enterprise. In the event the Company (i) makes any such determination or (ii) is
notified by the D & O Insurance carrier that such carrier is terminating or not
renewing the D & O Insurance coverage, the Company shall promptly give notice of
such determination or such notification, as the case may be, to the Indemnitee.

      (c) Notwithstanding any other provision hereof, the Company shall not be
obligated to make any separate payments to the Indemnitee for Expenses or Losses
to the extent that D&O Insurance covers such Expenses or Losses and the carrier
of the D&O Insurance makes payment for such Expenses or Losses directly to the
Indemnitee. To the extent that any payment payable by the carrier of the D&O
Insurance in respect of such Expenses or Losses has previously been paid or
advanced to the Indemnitee by the Company, the parties agree that the Company
shall be subrogated to the rights of the Indemnitee to receive such payments
from the D&O Insurance carrier and that the Indemnitee will take all actions
reasonably necessary to turn over or otherwise cause the Company to receive such
payment from the D&O Insurance carrier.

      11. Repayment of Losses and Expenses. Except as otherwise provided in
Section 10(c), the Indemnitee hereby agrees to repay the Company for all Losses
and Expenses paid by the Company only if, and to the extent that, it shall be
ultimately determined, in accordance with the provisions of Section 6 hereof,
that the Indemnitee is not entitled to indemnification under this Agreement.

      12. Nonexclusivity; Exceptions.

      (a) The indemnification and advancement of Losses and Expenses provided by
or granted pursuant to this Agreement shall not be deemed exclusive of any other
rights to which the Indemnitee may be entitled under the Charter of the Company
or any bylaw, agreement, contract, vote of stockholders or disinterested
directors, or pursuant to Maryland law or the direction of any court of
competent jurisdiction.

      (b) The Company shall not be obligated to indemnify the Indemnitee against
Losses or Expenses or advance Expenses to the Indemnitee (i) with respect to any
proceeding or claim initiated or brought voluntarily by the Indemnitee and not
by way of defense, except as otherwise provided in Section 6 above, (ii) if a
determination is made or provided in Section 6 that the Indemnitee is not
entitled to indemnification under applicable law; or (iii) in which a judgment
is rendered against the Indemnitee for an accounting of profits from the
purchase or sale by the Indemnitee of securities of the Company pursuant to the
provisions of Section 16(b) of the Securities Exchange Act of 1934 and
amendments thereto.

      13. Changes in Law. In the event of any change, after the date of this
Agreement, in any applicable law, statute, or rule which expands the right of a
Maryland corporation to indemnify a member of its board of directors or an
officer, such change shall be deemed to be

                                       6
<PAGE>

within the purview of the Indemnitee's rights and the Company's obligations
under this Agreement. In the event of any change in any applicable law, statute
or rule which narrows the right of a Maryland corporation to indemnify a member
of its board of directors or an officer, such change, to the extent not
otherwise required by such law, statute or rule to be applied to this Agreement,
shall have no effect on this Agreement or the parties' respective rights and
obligations hereunder.

      14. Modification and Waiver. No supplement, modification or amendment of
this Agreement shall be binding unless executed in writing by both of the
parties hereto. No waiver of any of the provisions of this Agreement shall be
deemed or shall constitute a waiver of any other provision hereof (whether or
not similar), nor shall any such waiver constitute a continuing waiver.

      15. Severability. If any provision or provisions of this Agreement shall
be held to be invalid, illegal, or unenforceable for any reason whatsoever,
then: (a) the validity, legality, and enforceability of the remaining provisions
of this Agreement (including, without limitation, all portions of any sections
of this Agreement containing any such provision held to be invalid, illegal, or
unenforceable that are not themselves invalid, illegal, or unenforceable) shall
not in any way be affected or impaired thereby; and (b) to the fullest extent
possible, the provisions of this Agreement (including, without limitation, all
portions of any sections of this Agreement containing any such provision held to
be invalid, illegal, or unenforceable, that are not themselves invalid, illegal,
or unenforceable) shall be construed so as to give effect to the intent
manifested by the provision held invalid, illegal, or unenforceable.

      16. Subrogation. In the event of any payment by the Company under this
Agreement, the Company shall be subrogated to the extent of such payment to all
of the Indemnitee's rights of recovery, and the Indemnitee shall execute all
documents required and shall do all acts that may be necessary or desirable to
secure such rights and to enable the Company effectively to bring suit to
enforce such rights.

      17. Counterparts. This Agreement may be executed in counterparts, each of
which shall be deemed an original and both of which together shall be deemed to
constitute one and the same agreement.

      18. Successors and Assigns. This Agreement shall be binding upon the
Company, its successors and assigns (including, without limitation, any
transferee of all or substantially all of its assets and any successor by merger
or operation of law) and shall inure to the benefit of the Indemnitee, his or
her heirs, personal representatives and assigns.

      19. Notice. All notices, requests, demands and other communications under
this Agreement shall be in writing and shall be deemed duly given: (a) if
delivered by hand and signed for by the party addressee; (b) if mailed by
certified mail, with postage prepaid and addressed to the Company at its
principal address or to the Indemnitee at the address shown on the signature
page hereof (or at such other address as provided to the Company by notice
pursuant to this Section 19), on the third business day after the mailing date;
(c) if sent via express overnight courier to the address provided for in clause
(b) above, on the first business day after deposit with such express overnight
courier.

                                       7
<PAGE>

      20. Governing Law. This Agreement shall be governed exclusively by and
construed according to the laws of the State of Maryland, as applied to
contracts between Maryland residents entered into and to be performed entirely
within Maryland.

IN WITNESS WHEREOF, the parties have entered into this Agreement effective as of
the date first written above.

                                       MEDICAL PROPERTIES TRUST, INC.

                                       By:______________________________________
                                       Its:_____________________________________

                                       INDEMNITEE

                                       _________________________________________

                                       _________________________________________

                                       Address: ________________________________

                                                ________________________________

                                                ________________________________

                                       8

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