Document:

Second Amendment to Ground Lease

 Exhibit 10.137 
 SECOND AMENDMENT 
 TO GROUND LEASE 

THIS SECOND AMENDMENT TO GROUND LEASE (this “Second Amendment”) made as of the 10th day of July, 2013, by
and between METRO KNOXVILLE HMA, LLC, a Tennessee limited liability company (“Landlord”), and KNOXVILLE EQUITY PARTNERS, LLC, a Tennessee limited liability company (“Tenant”) (Landlord
and Tenant are referred to together as the “Parties”). 
 W I T N E S S E T H: 

WHEREAS, St. Mary’s Health System, Inc. (“SMHS”), as landlord, and Tenant, as tenant, entered into
that certain Ground Lease dated of April 13, 2004 (the “Original Lease”); 
 WHEREAS, SMHS
and Tenant amended the Original Lease by that First Amendment to Ground Lease dated as of April 15, 2008 (the “First Amendment”; the Original Lease as amended by the First Amendment, is referred to herein as the
“Lease”); 
 WHEREAS, SMHS assigned its interest in and to the Lease to Landlord pursuant to an
Assignment and Assumption Agreement dated as of October 1, 2011; and 
 WHEREAS, Tenant and Landlord desire to
confirm that the Lease is in full force and effect and to amend the Lease only as specifically provided in this Second Amendment. 
 NOW, THEREFORE, in consideration of the foregoing and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties hereby agree as follows:

 1. Incorporation of Recitals. The above recitals are true and correct and are hereby incorporated by this reference.

 2. Grant; Premises. The first sentence of Section 1.1 of the Lease is hereby deleted in its entirety and replaced
with the following: 
 “Landlord is the owner of certain real property located in the County of Knox, State of Tennessee,
legally described on Exhibit A attached hereto and made a part hereof (the “Land”). The Landlord wishes to lease that portion of the Land comprising the footprint of the “MOB” (the “Premises”) as
approximately shown on the site plan attached hereto as Exhibit B (the “Campus Site Plan”) and described with particularity on the attached Exhibit B-1, to Tenant.” 

3. Exhibit B-1. Exhibit B-1 attached hereto is hereby added to the Lease immediately following Exhibit B attached to the
Lease. 
 4. Conflict. In the event of a conflict between the provisions of this Second Amendment and the
provisions of the Lease, the provisions of this Second Amendment shall control. 

 5. Successors and Assigns. This Second Amendment shall be binding upon, and inure to
the benefit of, the Parties hereto and their respective successors and assigns. 
 6. Ratification. Except as herein
expressly amended, each and every other term of the Lease shall remain unchanged and in full force and effect without modification, and Landlord and Tenant hereby ratify and affirm the same. 

7. Counterpart Signatures. This Second Amendment may be executed in counterparts, each of which, when taken together, shall
constitute one and the same document. A facsimile signature of either party shall constitute an original signature of such party for all purposes and is binding on said party. 
 [Signatures appear on the following page] 

 IN WITNESS WHEREOF, Landlord and Tenant have caused this Second Amendment to Lease to
be duly executed on or as of the day and year first above written. 
  

			
	“LANDLORD”
	
	 METRO KNOXVILLE, HMA, LLC,
 a Tennessee limited liability company

		
	By:	 	  

 

			
	Printed Name:	 	 /s/ Steven E. Clifton

			
	Title:	 	 Senior Vice President

 Tenant’s Signature Appears on Next Page 

 
			
	“TENANT”
	
	 KNOXVILLE EQUITY PARTNERS, LLC,
 a Tennessee limited liability company

		
	By:	 	 /s/ Norman T. Brinkman

	Name:	 	 Norman T. Brinkman

	Title:	 	 Managing Member

 EXHIBIT B-1 
 LEGAL DESCRIPTION OF THE PREMISES 
 [Intentionally Omitted]Assignment and Assumption of Ground Lease

 Exhibit 10.138 
 This Instrument Prepared By 
 Kenneth P. Ezell, Jr. 

Baker, Donelson, Bearman, Caldwell & Berkowitz 
 211 Commerce Street 
 Suite 800 
 Nashville, TN 37201 
 ASSIGNMENT AND ASSUMPTION OF GROUND LEASE 

THIS ASSIGNMENT AND ASSUMPTION OF GROUND LEASE is made and entered into as of the 10th day of July, 2013 (the
“Effective Date”), by and between KNOXVILLE EQUITY PARTNERS, LLC, a Tennessee limited liability company (“Assignor”) to and in favor of CHP KNOXVILLE PLAZA A MOB OWNER, LLC, a Delaware
limited liability company (“Assignee”). 
 WITNESSETH: 

WHEREAS, St. Mary’s Healthcare System, Inc. (“SMH”), predecessor by merger to Mercy Hospital
Partners, Inc. (“MHP”), as landlord, and Assignor, as tenant, entered into that certain Ground Lease Agreement dated as of April 13, 2004, as amended by that certain First Amendment to Ground Lease dated as of
April 15, 2008, by and between SMH and Assignor and that certain Second Amendment to Ground Lease dated as of the date hereof (collectively, the “Lease”) by which Assignor leases certain real property more particularly
described on the attached Exhibit “1” (the “Property”); 

WHEREAS, a Memorandum of Ground Lease has been recorded as Instrument No. 200406170115765 in the Register’s Office for Knox
County, Tennessee evidencing the Lease; 
 WHEREAS, MPH assigned the Lease, as Landlord, to Metro Knoxville HMA by that
certain Assignment and Assumption of Lease dated October 1, 2011. 
 WHEREAS, Assignor desires to assign to
Assignee, and Assignee desires to acquire from Assignor all Assignor’s right, title and interest in, to and under the Lease. 
 NOW, THEREFORE, in consideration of the premises and mutual covenants and promises of the parties and other good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties do hereby agree as follows: 
 1. Assignment of Lease. Assignor hereby assigns all of its
right, title and interest in and to the Lease to Assignee. Assignor remains responsible for all liabilities and obligations of Assignor relating to the Lease which accrued prior to the Effective Date. 

 2. Assumption by Assignee. Assignee hereby agrees to assume and perform all of the
obligations, liabilities and responsibilities of the Assignor under the Lease which shall arise or be incurred, or which are required to be performed, on and after the Effective Date. 

3. Indemnity - Assignee. Assignee hereby warrants, covenants and agrees to diligently perform and discharge each and all of
Assignor’s obligations, duties, responsibilities and covenants under the Lease and to indemnify and hold Assignor harmless from and against any and all liabilities, claims, demands, obligations, assessments, losses, costs, damages and expenses
of any nature whatsoever (including without limitation, court costs and reasonable attorneys’ fees) which Assignor may incur, sustain or suffer or which may be asserted or charged against Assignor which are caused by Assignee’s performance
or non-performance of such obligations, duties, responsibilities, covenants and liabilities under the Lease on or after the Effective Date. 
 4. Indemnity - Assignor. Assignor hereby indemnifies and agrees to hold harmless Assignee from and against any and all liabilities, claims, demands, obligations, assessments, losses, costs,
damages and expenses of any nature whatsoever (including, without limitation, court costs and reasonable attorney’s fees) which Assignee may incur, sustain or suffer or which may be asserted or charged against Assignee, which are caused by
Assignor’s performance or non-performance of such obligations, duties, responsibilities, covenants and liabilities under the Lease being assigned hereby, or any of them, prior to the Effective Date. 

5. Further Assurances. Assignor agrees from time to time, upon the reasonable request and at the costs and expense of Assignee, to
execute, acknowledge and deliver such further documentation as may be necessary or desirable in Assignee’s discretion to accomplish fully and properly evidence the assignment of the Lease from Assignor to Assignee. 

6. Binding Effect. This Agreement shall bind and inure to the benefit of the parties hereto, their respective heirs, successors
and assigns. 
 [Signatures appear on the following pages] 

  
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 IN WITNESS WHEREOF, the Assignor has executed this Assignment and Assumption
Agreement as of the date and year first above written. 
  

			
	KNOXVILLE EQUITY PARTNERS, LLC,
	a Tennessee limited liability company
		
	By:	 	 /s/ Norman T. Brinkman

	Name:	 	 Norman T. Brinkman

	Title:	 	 Managing Member

 STATE OF VIRGINIA 
 COUNTY OF ALBEMARLE 
 Before me, /s/ Benjamin W. Ochs, a Notary Public in
and for the State and County aforesaid, personally appeared, Norman T. Brinkman, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who, upon oath, acknowledged himself to be the Managing
Member of KNOXVILLE EQUITY PARTNERS, LLC, the within named bargainor, a Tennessee limited liability company, and that he as such Managing Member, being duly authorized so to do, executed the foregoing instrument for the purposes
therein contained, by signing the name of the limited liability company by himself as such Managing MemberError! Reference source not found.. 
 WITNESS my hand and seal at office, on this the 1st day of July, 2013. 
  

	
	 /s/ Benjamin W. Ochs

	Notary Public

  

	
	My Commission Expires:
	 November 30, 2014

  
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 ACCEPTANCE BY ASSIGNEE 

Agreed to and accepted on behalf of Assignee by the undersigned duly authorized officer of Assignee. 

 

			
	CHP KNOXVILLE PLAZA A MOB OWNER, LLC, a Delaware limited liability company
		
	By:	 	 /s/ Tracey B. Bracco

	Name:	 	Tracey B. Bracco
	Title:	 	Vice President

 STATE OF FLORIDA 
 COUNTY OF ORANGE 
 Before me, /s/ Cathleen A. Coffey, a Notary Public in
and for the State and County aforesaid, personally appeared, Tracey B. Bracco, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who, upon oath, acknowledged herself to be the Vice President of CHP
CENTRAL WING ANNEX MOB OWNER, LLC, the within named bargainor, a Delaware limited liability company, and that she as such Vice President, being duly authorized so to do, executed the foregoing instrument for the purposes therein contained, by
signing the name of the limited liability company by herself as such Vice President. 
 WITNESS my hand and seal at office, on
this the 1st day of July, 2013. 
  

	
	 /s/ Cathleen A. Coffey

	Notary Public

  

	
	My Commission Expires:
	 9/24/13

  
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 Exhibit “1” 

The Property 
 [Intentionally Omitted]

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