Document:

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                                                                    EXHIBIT 10.4

                          FOURTH SUPPLEMENTAL INDENTURE

            Fourth Supplemental Indenture (this "Fourth Supplemental
Indenture"), dated as of December 31, 2004, among Ardent Health Services, Inc.,
a Delaware corporation, (the "Company"), Ardent Health Services LLC, a Delaware
limited liability company, (the "Parent"), the Subsidiary Guarantors (as defined
in the Indenture referred to herein) and U.S. Bank National Association
(formerly known as U.S. Bank Trust National Association), as Trustee (the
"Trustee").

                                   WITNESSETH

            WHEREAS, the Company, the Parent and the Subsidiary Guarantors have
heretofore executed and delivered to the Trustee an indenture, dated as of
August 19, 2003, as supplemented by the First Supplemental Indenture and the
Second Supplemental Indenture, each dated as of August 12, 2004, and the Third
Supplemental Indenture, dated as of the date hereof (as so supplemented, the
"Indenture"), providing for the issuance of 10% Senior Subordinated Notes due
2013 (the "Notes") of the Company;

            WHEREAS, on December 20, 2004, the Company commenced a solicitation
of consents of the Holders to (i) a proposed amendment (the "Proposed
Amendment") to Section 4.03 of the Indenture and (ii) a waiver (the "Proposed
Waiver") of all Defaults with respect to breaches of Section 4.03 of the
Indenture, and any Events of Default or other consequences under the Indenture
as a result of such Defaults, occurring before the effectiveness of the Proposed
Amendment;

            WHEREAS, the Holders of a majority in aggregate principal amount of
the outstanding Notes have delivered consents to the Proposed Amendment and the
Proposed Waiver as required by Section 9.02 of the Indenture;

            WHEREAS, the Company desires to amend Section 12.02 of the Indenture
regarding the delivery of notices to the Company; and

            WHEREAS, pursuant to Sections 9.01 and 9.02 of the Indenture, the
Trustee is authorized to execute and deliver this Fourth Supplemental Indenture.

            NOW THEREFORE, in consideration of the foregoing and for other good
and valuable consideration, the receipt of which is hereby acknowledged, the
parties to this Fourth Supplemental Indenture mutually covenant and agree for
the equal and ratable benefit of the Holders of the Notes as follows:

            1. Capitalized Terms. Capitalized terms used herein without
definition shall have the meanings assigned to them in the Indenture.

            2. Amendment to Section 4.03(a): Section 4.03(a) of the Indenture is
hereby deleted in its entirety and replaced with the following:

                                       1
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            "(a) Whether or not required by the SEC, so long as any Notes are
      outstanding, at all times after the earlier of (A) the date of
      commencement of the Exchange Offer or the effectiveness of the Shelf
      Registration Statement and (B) the date that is 210 days after the date
      the Notes are originally issued, the Company shall, except as otherwise
      provided in this Section 4.03(a), furnish to the Holders of Notes, within
      the time periods specified in the SEC's rules and regulations, (i) all
      quarterly and annual financial information that would be required to be
      contained in a filing with the SEC on Forms 10-Q and 10-K if the Company
      were required to file such Forms, including a "Management's Discussion and
      Analysis of Financial Condition and Results of Operations" and, with
      respect to the annual information only, a report on the annual financial
      statements by the Company's certified independent accountants; and (ii)
      all current reports that would be required to be filed with the SEC on
      Form 8-K if the Company were required to file such reports. In addition,
      whether or not required by the SEC, the Company shall, except as otherwise
      provided in this Section 4.03(a), file a copy of all of the information
      and reports referred to in clauses (i) and (ii) above with the SEC for
      public availability within the time periods specified in the SEC's rules
      and regulations (unless the SEC shall not accept such a filing) and make
      such information available to securities analysts and prospective
      investors upon request. In addition, the Company and the Guarantors have
      agreed that, for so long as any Notes remain outstanding, they shall,
      except as otherwise provided in this Section 4.03(a), furnish to the
      Holders and to prospective investors, upon their request, the information
      required to be delivered pursuant to Rule 144A(d)(4) under the Securities
      Act. Notwithstanding any other provision of this Section 4.03 or of this
      Indenture, the information and reports referred to in this Section 4.03(a)
      that the Company, Parent or the Guarantors would have been required to
      furnish to Holders, file with the SEC for public availability and make
      available to securities analysts and prospective investors on any date on
      or before May 2, 2005 (but for this sentence), will not be required to be
      furnished, filed or made available, as the case may be, by the Company,
      Parent or the Guarantors until May 2, 2005."

            3. Amendment to Section 12.02: Section 12.02 of the Indenture is
hereby deleted in its entirety and replaced with the following:

            "Section 12.02. Notices. Any notice or communication by the Company,
      any Guarantor or the Trustee to the others is duly given if in writing and
      delivered in Person or mailed by first class mail (registered or
      certified, return receipt requested), telex, telecopier or overnight air
      courier guaranteeing next day delivery, to the others' address.

      If to the Company and/or any Guarantor:

            Ardent Health Services, Inc.
            One Burton Hills Boulevard
            Suite 250
            Nashville, TN  37215
            Facsimile: 615-296-6202
            Attention: Treasurer

      with a copy to:

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            Ardent Health Services, Inc.
            One Burton Hills Boulevard
            Suite 250
            Nashville, TN  37215
            Facsimile: 615-296-6185
            Attention: Chief Financial Officer

      with a copy to:

            Ardent Health Services, Inc.
            One Burton Hills Boulevard
            Suite 250
            Nashville, TN  37215
            Facsimile: 615-296-6384
            Attention: General Counsel

      If to the Trustee:

            U.S. Bank National Association
            60 Livingston Avenue
            St. Paul, MN 55107-2292
            Facsimile: 651-495-8097
            Attention: Corporate Trust Department

            The Company, any Guarantor or the Trustee, by notice to the others
      may designate additional or different addresses for subsequent notices or
      communications.

            All notices and communications (other than those sent to Holders)
      shall be deemed to have been duly given: (i) at the time delivered by
      hand, if personally delivered; (ii) five Business Days after being
      deposited in the mail, postage prepaid, if mailed; (iii) when answered
      back, (iv) if telexed; when receipt acknowledged, if telecopied; and (v)
      the next Business Day after timely delivery to the courier, if sent by
      overnight air courier guaranteeing next day delivery.

            Any notice or communication to a Holder shall be mailed by first
      class mail, certified or registered, return receipt requested, or by
      overnight air courier guaranteeing next day delivery to its address shown
      on the register kept by the Registrar. Any notice or communication shall
      also be so mailed to any Person described in TIA Section 313(c), to the
      extent required by the TIA. Failure to mail a notice or communication to a
      Holder or any defect in it shall not affect its sufficiency with respect
      to other Holders.

            If a notice or communication is mailed in the manner provided above
      within the time prescribed, it is duly given, whether or not the addressee
      receives it.

            If the Company mails a notice or communication to Holders, it shall
      mail a copy to the Trustee and each Agent at the same time."

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            4. NEW YORK LAW TO GOVERN. THE INTERNAL LAW OF THE STATE OF NEW YORK
SHALL GOVERN AND BE USED TO CONSTRUE THIS FOURTH SUPPLEMENTAL INDENTURE.

            5. Counterparts. The parties may sign any number of copies of this
Fourth Supplemental Indenture. Each signed copy shall be an original, but all of
them together represent the same agreement.

            6. Effect of Headings. The Section headings herein are for
convenience only and shall not affect the construction hereof.

            7. Trustee. The Trustee shall not be responsible in any manner
whatsoever for or in respect of the validity or sufficiency of this Fourth
Supplemental Indenture or for or in respect of the recitals contained herein,
all of which recitals are made solely by the Company.

            8. Ratification of Indenture. Except as amended by this Fourth
Supplemental Indenture, the Indenture is hereby ratified and remains in full
force and effect.

                            [Signature page follows]

                                       4
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            IN WITNESS WHEREOF, the parties hereto have caused this Fourth
Supplemental Indenture to be duly executed and attested, all as of the date
first above written.

                                            ARDENT HEALTH SERVICES, INC.

                                            By: /s/ R. Dirk Allison
                                                ------------------------------
                                                Name: R. Dirk Allison
                                                Title: Executive Vice President
                                                       and Chief Financial
                                                       Officer

                                            ARDENT HEALTH SERVICES LLC

                                            By: /s/ R. Dirk Allison
                                                ------------------------------
                                                Name: R. Dirk Allison
                                                Title: Executive Vice President
                                                       and Chief Financial
                                                       Officer

                                            SUBSIDIARY GUARANTORS:

                                            AHS ACADEMIC HEALTH CENTER, INC.
                                            AHS ALBUQUERQUE HOLDINGS, LLC
                                            AHS BRISTOW HOSPITAL, LLC
                                            AHS CLEVELAND HOSPITAL, LLC
                                            AHS CUMBERLAND HOSPITAL, LLC
                                            AHS CUSHING HOSPITAL, LLC
                                            AHS EASTERN OKLAHOMA MEDICAL CENTER,
                                               LLC
                                            AHS HENRYETTA HOSPITAL, LLC
                                            AHS HILLCREST MEDICAL CENTER, LLC
                                            AHS HILLCREST SPECIALTY HOSPITAL,
                                               LLC
                                            AHS KENTUCKY HOLDINGS, INC.
                                            AHS KENTUCKY HOSPITALS, INC.
                                            AHS LOUISIANA HOLDINGS, INC.
                                            AHS LOUISIANA HOSPITALS, INC.
                                            AHS MANAGEMENT COMPANY, INC.
                                            AHS MANAGEMENT SERVICES OF OKLAHOMA,
                                               LLC
                                            AHS NEW MEXICO HOLDINGS, INC.
                                            AHS OKLAHOMA HEALTH SYSTEM, LLP

                                            By: /s/ R. Dirk Allison
                                                ------------------------------
                                                Name: R. Dirk Allison
                                                Title: Senior Vice President

                                       5
<PAGE>

                                            AHS OKLAHOMA HOLDINGS, INC.
                                            AHS OKLAHOMA HOSPITALS, INC.
                                            AHS OKLAHOMA PHYSICIAN GROUP, LLC
                                            AHS PAWNEE HOSPITAL, LLC
                                            AHS RESEARCH AND REVIEW, LLC
                                            AHS RIVERSIDE PHO, LLC
                                            AHS SAMARITAN HOSPITAL, LLC
                                            AHS S.E.D. MEDICAL LABORATORIES,
                                               INC.
                                            AHS SUMMIT HOSPITAL, LLC
                                            AHS TULSA HOLDINGS, LLC
                                            AHS TULSA REGIONAL MEDICAL
                                                CENTER, LLC
                                            AHS WAGONER HOSPITAL, LLC
                                            ARDENT MEDICAL SERVICES, INC.
                                            BEHAVIORAL HEALTHCARE CORPORATION
                                            BHC ALHAMBRA HOSPITAL, INC.
                                            BHC BELMONT PINES HOSPITAL, INC.
                                            BHC CEDAR VISTA HOSPITAL, INC.
                                            BHC COLUMBUS HOSPITAL, INC.
                                            BHC FAIRFAX HOSPITAL, INC.
                                            BHC FOX RUN HOSPITAL, INC.
                                            BHC FREMONT HOSPITAL, INC.
                                            BHC GULF COAST MANAGEMENT GROUP,
                                               INC.
                                            BHC HEALTH SERVICES OF NEVADA, INC.
                                            BHC HERITAGE OAKS HOSPITAL, INC.
                                            BHC HOSPITAL HOLDINGS, INC.
                                            BHC INTERMOUNTAIN HOSPITAL, INC.
                                            BHC LEBANON HOSPITAL, INC.
                                            BHC MANAGEMENT HOLDINGS, INC.
                                            BHC MANAGEMENT SERVICES, LLC
                                            BHC MANAGEMENT SERVICES OF INDIANA,
                                               LLC
                                            BHC MANAGEMENT SERVICES OF KENTUCKY,
                                               LLC
                                            BHC MANAGEMENT SERVICES OF
                                               LOUISIANA, LLC
                                            BHC MANAGEMENT SERVICES OF NEW
                                               MEXICO, LLC

                                            By: /s/ R. Dirk Allison
                                                ------------------------------
                                                Name: R. Dirk Allison
                                                Title: Senior Vice President

                                       6
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                                            BHC MANAGEMENT SERVICES OF
                                               STREAMWOOD, LLC
                                            BHC MANAGEMENT SERVICES OF
                                               TULSA, LLC
                                            BHC MEADOWS PARTNER, INC.
                                            BHC MONTEVISTA HOSPITAL, INC.
                                            BHC NORTHWEST PSYCHIATRIC HOSPITAL,
\                                              LLC
                                            BHC OF INDIANA, GENERAL PARTNERSHIP
                                            BHC OF NORTHERN INDIANA, INC.
                                            BHC PHYSICIAN SERVICES OF KENTUCKY,
                                               LLC
                                            BHC PINNACLE POINTE HOSPITAL, INC.
                                            BHC PROPERTIES, INC.
                                            BHC SIERRA VISTA HOSPITAL, INC.
                                            BHC SPIRIT OF ST. LOUIS HOSPITAL,
                                               INC.
                                            BHC STREAMWOOD HOSPITAL, INC.
                                            BHC VALLE VISTA HOSPITAL, INC.
                                            BHC WINDSOR HOSPITAL, INC.
                                            BLOOMINGTON MEADOWS, G.P.
                                            COLUMBUS HOSPITAL, LLC
                                            INDIANA PSYCHIATRIC INSTITUTES, INC.
                                            LEBANON HOSPITAL, LLC
                                            MESILLA VALLEY GENERAL PARTNERSHIP
                                            MESILLA VALLEY HOSPITAL, INC.
                                            MESILLA VALLEY MENTAL HEALTH
                                               ASSOCIATES, INC.
                                            NORTHERN INDIANA HOSPITAL, LLC
                                            VALLE VISTA, LLC
                                            WILLOW SPRINGS, LLC
                                            AHS BAILEY MEDICAL CENTER, LLC
                                            EAST BATON ROUGE MEDICAL CENTER, LLC

                                            By: /s/ R. Dirk Allison
                                                ------------------------------
                                                Name: R. Dirk Allison
                                                Title: Senior Vice President

                                       7
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                                            U.S. BANK NATIONAL ASSOCIATION, AS
                                            TRUSTEE

                                            By: /s/ Richard H. Prokosch
                                                ------------------------------
                                                Name: Richard H. Prokosch
                                                Title: Vice President

                                       8<PAGE>

                                                                    EXHIBIT 10.3

                              EMPLOYMENT AGREEMENT

         This Employment Agreement (the "Agreement"), dated as of September 10,
2003 (the "Effective Date"), among Medical Properties Trust, Inc. (the "REIT"),
MPT Operating Partnership, L.P., a Delaware limited partnership (the "Operating
Partnership"), (the REIT and the Operating Partnership being herein referred to
collectively as the "Company"), and Edward K. Aldag, Jr. (the "Executive"):

         WHEREAS, the REIT is a limited partner and, through its wholly-owned
limited liability company, Medical Properties Trust, LLC, (the LLC"), is the
sole general partner of the Operating Partnership;

         WHEREAS, the Executive has experience in owning and operating companies
which own and lease commercial real estate, including healthcare properties;

         WHEREAS, the Executive provided services to the LLC pursuant to that
certain Employment Agreement dated December 6, 2002 (the "Original Agreement")
which Original Agreement has been terminated and certain limited obligations
thereunder have been assumed by the Operating Partnership; and

         WHEREAS, the Company desires to employ the Executive and the Executive
desires to accept such employment, upon the terms and conditions hereinafter set
forth.

         NOW, THEREFORE, the Company and the Executive, in consideration of the
respective covenants set out below, hereby agree as follows:

         1. EMPLOYMENT.

                  (a) POSITIONS. The Executive shall be employed by the
Operating Partnership as its President, Chief Executive Officer and Secretary.
The Executive shall also serve as the President, Chief Executive Officer and
Secretary of the REIT as well as the Executive Chairman of the REIT's Board of
Directors (the "Board").

                  (b) DUTIES. The Executive's principal employment duties and
responsibilities shall be those duties and responsibilities customary for the
positions of Executive Chairman of the Board, President, Chief Executive
Officer, Secretary and such other executive duties and responsibilities as the
Board shall from time to time reasonably assign to the Executive. The Executive
shall be responsible for and have authority over the day-to-day operational
management of the Company. The Executive shall report directly to the Board. All
other officers of the Company shall report to the Executive or such person(s) as
the Executive may designate from time to time.

                  (c) EXTENT OF SERVICES. Except for illnesses and vacation
periods, the Executive shall devote substantially all of his business time and
attention and his good faith reasonable efforts to the performance of his duties
and responsibilities under this Agreement. Notwithstanding the foregoing, the
Executive (i) shall be permitted to

<PAGE>

continue to manage, operate and devote time and attention to those companies and
businesses he owned, operated or controlled at the date of this Agreement that
were not transferred to or purchased by the Company or the REIT (collectively
referred to herein as the "Excluded Businesses"), provided that such activities
do not materially detract from Executive's performance of his duties hereunder,
(ii) may make any passive investment where he is not obligated or required to,
and shall not in fact, devote any material managerial efforts, (iii) may
participate in charitable, academic or community activities, and in trade or
professional organizations, and (iv) may hold directorships in other companies
consistent with the Company's conflict of interest policies and corporate
governance guidelines as in effect from time to time.

         2. TERM. This Agreement shall be effective as of the Effective Date and
shall continue in full force and effect thereafter for a term of three (3) years
following the Effective Date, and shall be automatically extended for an
additional one (1) year period on each one (1) year anniversary of the Effective
Date, including an anniversary that occurs within the initial three (3) year
term (the last day of each such one (1) year period ending on an anniversary of
the Effective Date is referred to herein as a "Term Date"), unless either party
gives notice of non-renewal not later than sixty (60) days prior to a Term Date
by providing written notice to the other party of such party's intent not to
renew (in which case the Agreement shall not be so automatically extended for
such additional one (1) year period and shall terminate at the conclusion of the
remaining unextended Term), or it is sooner terminated pursuant to Section 7.
For purposes of this Agreement, "Term" shall mean the actual duration of the
Executive's employment hereunder, taking into account any extensions pursuant to
this Section 2 or early termination of employment pursuant to Section 7, but for
purposes of compensation and benefits payable pursuant to Sections 3 through 6
hereof the Term shall be deemed to commence as of August 1, 2003.

         3. BASE SALARY. The Company shall pay the Executive a Base Salary that
shall be payable in periodic installments according to the Company's normal
payroll practices, but no less frequently than monthly. The initial Base Salary
shall be $350,000 per year. The Board or its compensation committee (the
"Compensation Committee") shall review the Base Salary at least once a year to
determine whether and to what extent the Base Salary should be increased,
effective January 1 of any year during the Term; provided, however, that on
January 1, 2005, the Base Salary shall be not less than $367,500 and on each
January 1 thereafter during the Term, the Base Salary shall be increased at a
minimum by a positive amount equal to the Base Salary in effect on January 1 of
the prior year multiplied by the percentage increase in the Consumer Price Index
for such year. The amount of the increase shall be determined before March 31 of
each year and shall be retroactive to January 1 of such year. The Base Salary,
including any increases, shall not be decreased during the Term. For purposes of
this Agreement, the term "Base Salary" shall mean the amount established and
adjusted from time to time pursuant to this Section 3.

         4. INCENTIVE AWARDS: ANNUAL INCENTIVE BONUS. The Executive shall be
entitled to receive an annual cash incentive bonus for each fiscal year during
the

                                       2
<PAGE>

Term of this Agreement consistent with such bonus policy as may be adopted
by the Board of Directors or its Compensation Committee ("Bonus Policy") in an
amount of not less than 40% of the Executive's Base Salary (the "Minimum Bonus")
or more than 100% of the Executive's Base Salary unless in the opinion of the
Compensation Committee, the Executive deserves a higher amount (the "Maximum
Bonus"). If the Executive or the Company, as the case may be, satisfies the
performance criteria contained in such Bonus Policy for a fiscal year, he shall
receive an annual incentive bonus (the "Incentive Bonus"), consistent with the
provisions relating to Minimum Bonus and the Maximum Bonus in an amount
determined by the Compensation Committee and subject to ratification by the
Board, if required. If the Executive or the Company, as the case may be, fails
to satisfy the performance criteria contained in such Bonus Policy for a fiscal
year, the Compensation Committee may determine whether any Incentive Bonus shall
be payable to Executive for that year other than the Minimum Bonus, subject to
ratification by the Board, if required. Beginning January 1, 2004, the Bonus
Policy shall contain both individual and group goals.

         5. STOCK BASED AWARDS. The REIT has established the 2004 Equity
Incentive Plan ("Equity Incentive Plan") which provides for the grants of
options to acquire shares of the Company's $ .001 par value common stock (the
"Common Shares"), awards of restricted Common Shares and awards of stock
appreciation rights and performance units. Effective upon the consummation of
the private placement offering or initial public offering, whichever occurs
first, the Company has reserved for issuance to the Company's executive officers
and other employees two and six-tenths percent (2.6%) of the outstanding Common
Shares on a fully-diluted basis for awards of restricted Common Shares
("Restricted Share Grants"). The Executive shall be eligible to receive
Restricted Share Grants as approved by the Compensation Committee, and if the
Compensation Committee approves Restricted Share Grants to executives of the
Company, then, as appropriate in the context, the Executive will receive
Restricted Share Grants consistent with, and appropriate in respect of, his
position as Chief Executive Officer. Restricted Share Grants awarded to the
Executive shall be subject to vesting at the rate of 8.33% of the underlying
Common Shares on the last day of each fiscal quarter thereafter until fully
vested; provided, however, that the Executive will be 100% vested and all
restrictions will lapse upon (i) a Change of Control (as defined herein), (ii) a
termination by the Company without Cause (as defined herein), (iii) a
termination by the Executive for Good Reason (as defined herein), (iv) his
death, or (v) his becoming Permanently Disabled (as defined herein). The
Executive will forfeit all unvested Restricted Share Grants if he is terminated
for Cause or he terminates for other than Good Reason. The Common Shares issued
as Restricted Share Grants will have voting and dividend rights, and, following
the restriction period, shall be registered and fully transferable by the
Executive.

         6. BENEFITS.

                  (a) VACATION. The Executive shall be entitled to six (6) weeks
of vacation per full calendar year. Any unused vacation time shall accrue
through the end of the first quarter of the following year.

                                       3
<PAGE>

                  (b) SICK AND PERSONAL DAYS. The Executive shall be entitled to
sick and personal days on an as needed basis.

                  (c) EMPLOYEE BENEFITS.

                           (i) PARTICIPATION IN EMPLOYEE BENEFIT PLANS. The
Executive and his spouse and eligible dependents, if any, and their respective
designated beneficiaries where applicable, will be eligible for and entitled to
participate, at the Company's expense, in any Company sponsored employee benefit
plans, including but not limited to benefits such as group health, dental,
accident, disability insurance and group life insurance as such benefits may be
offered from time to time, on a basis no less favorable than that applicable to
any other executive of the Company. In addition, Executive shall be entitled to
participate, on the same basis as other Executives of the Company, in any 401(k)
or other retirement plan sponsored by the Company.

                           (ii) DISABILITY INSURANCE. The Company shall
maintain, at its cost, supplemental renewable long-term disability insurance
with such terms as agreed to by the Company and the Executive.

                  (d) OTHER BENEFITS.

                           (i) ANNUAL PHYSICAL. The Company shall provide, at
its costs, a medical examination for the Executive on an annual basis by a
licensed physician selected by the Executive.

                           (ii) CAR ALLOWANCE. In lieu of mileage reimbursement
and repairs and maintenance expense, the Company shall pay Executive a monthly
car allowance of $1,000.

                           (iii) TAX PREPARATION AND FINANCIAL PLANNING. The
Company shall pay or promptly reimburse the Executive for costs incurred by him
in connection with tax preparation and financial planning assistance, to be
furnished by such advisors, including, but not limited to, auditors and
attorneys, as chosen by the Executive, up to a maximum aggregate of $25,000
annually. The amount shall be paid by the Company promptly upon presentation by
the Executive of copies of any bills due to such tax and financial planning
advisors. The amount paid by the Company shall be imputed as income to the
Executive, and the Company will pay to the Executive such additional amount as
necessary to pay any federal, state or local tax liability with respect to such
imputed income and the payment of such additional amount.

                           (iv) DIRECTORS AND OFFICERS INSURANCE. During the
Term and during the five (5) year period following the effective date of his
termination of employment, the Executive shall be entitled to director and
officer insurance coverage for his acts and omissions while an officer and
director of the Company on a basis no less

                                       4
<PAGE>

favorable to him than the coverage provided to any other then current officers
and directors.

                           (v) LIFE INSURANCE. The Company will pay the
Executive an amount of up to $20,000 per year for life insurance policies for
his benefit and beneficiaries of his choosing. Such amount shall increase on
January 1st of each year under the term hereof by multiplying by the percentage
increase in the Consumer Price Index for such year. The amount shall be paid by
the Company promptly upon presentation by the Executive of copies of the premium
notices. The amount paid by the Company shall be imputed as income to the
Executive, and the Company will pay to the Executive such additional amount as
necessary to pay any federal, state or local tax liability with respect to such
imputed income and the payment of such additional amount (the "Executive Life
Insurance Program").

                           (vi) EXPENSES, OFFICE AND SECRETARIAL SUPPORT. The
Executive shall be entitled to reimbursement of all reasonable expenses, in
accordance with the Company's policy as in effect from time to time and on a
basis no less favorable than that applicable to any other executive of the
Company, including, without limitation, telephone, travel and entertainment
expenses incurred by the Executive in connection with the business of the
Company, promptly upon the presentation by the Executive of appropriate
documentation. The Executive shall also be entitled to appropriate office space,
administrative support, and such other facilities and services as are suitable
to the Executive's positions and adequate for the performance of the Executive's
duties.

         7. TERMINATION. The employment of the Executive by the Company pursuant
to this Agreement shall terminate upon the occurrence of any of the following:

                  (a) DEATH OR PERMANENT DISABILITY. Immediately upon death or a
determination of Permanent Disability of the Executive. As used in this
Agreement, "Permanent Disability" shall mean an inability due to a physical or
mental impairment to perform the material services contemplated under this
Agreement for a period of six (6) months, whether or not consecutive, during any
365-day period. A determination of Permanent Disability shall be made by a
physician satisfactory to both the Executive and the Company, provided that if
the Executive and the Company do not agree on a physician, the Executive and the
Company shall each select a physician and these two together shall select a
third physician, whose determination as to Permanent Disability shall be binding
on all parties. The appointment of one or more individuals to carry out the
offices or duties of the Executive during a period of the Executive's inability
to perform such duties and pending a determination of Permanent Disability shall
not be considered a breach of this Agreement by the Company.

                  (b) FOR CAUSE. At the election of the Company and subject to
the provisions of this Section 7(b), immediately upon written notice by the
Company to the Executive of his termination for Cause. For purposes of this
Agreement, "Cause" for termination shall be deemed to exist solely in the event
of (i) the conviction of the Executive of, or the entry of a plea of guilty or
nolo contendere by the Executive to, a

                                       5
<PAGE>

felony (exclusive of any felony relating to negligent operation of a motor
vehicle and also exclusive of a conviction, plea of guilty or nolo contendere
arising solely under a statutory provision imposing criminal liability upon the
Executive on a per se basis due to the Company offices held by the Executive, so
long as any act or omission of the Executive with respect to such matter was not
taken or omitted in contravention of any applicable policy or directive of the
Board), (ii) a willful breach of his duty of loyalty which is materially
detrimental to the Company, (iii) a willful failure to materially perform or
materially adhere to explicitly stated duties that are consistent with the terms
of this Agreement, or the Company's reasonable and customary guidelines of
employment or reasonable and customary corporate governance guidelines or
policies, including, without limitation, any business code of ethics adopted by
the Board, or to follow the lawful directives of the Board (provided such
directives are consistent with the terms of this Agreement), which, in any such
case, continues for thirty (30) days after written notice from the Board to the
Executive, or (iv) gross negligence or willful misconduct in the material
performance of the Executive's duties. For purposes of this Section 7(b), no
act, or failure to act, on the Executive's part will be deemed "gross
negligence" or "willful misconduct" unless done, or omitted to be done, by the
Executive not in good faith and without a reasonable belief that the Executive's
act, or failure to act, was in the best interest of the Company.

                  (c) WITHOUT CAUSE; WITHOUT GOOD REASON. At the election of the
Company, without Cause, and at the election of the Executive, without Good
Reason, in either case upon thirty (30) days prior written notice to the
Executive or the Company, as the case may be.

                  (d) FOR GOOD REASON. At the election of the Executive, for
Good Reason. For purposes of this Agreement, "Good Reason" shall mean any of the
following actions or omissions, provided the Executive notifies the Company of
his determination that Good Reason exists within sixty (60) days of the action
or omission on which such determination is based:

                           (i) removal from the Board, except for "cause", as
such term is defined in the Company's Charter, or the failure to be nominated or
elected to the Board,

                           (ii) failure of this Agreement to be automatically
renewed, on at least comparable terms, as a result of the Company giving notice
pursuant to Section 2,

                           (iii) a material reduction of the Executive's duties,
responsibilities or reporting requirements, or the assignment to the Executive
of any duties, responsibilities, or reporting requirements that are inconsistent
with his positions as President, Chief Executive Officer, Executive Chairman of
the Board or Secretary, as the case may be,

                           (iv) the Company's failure to maintain a Bonus Policy
consistent with Section 4 hereof or continue in effect the Equity Incentive
Plan, unless comparable

                                       6
<PAGE>

alternative compensation arrangements (embodied in ongoing substitute or
alternative plans) have been provided to the reasonable satisfaction of the
Executive,

                           (v) a reduction or loss of employee benefits or
material fringe benefits, both in terms of the amount of the benefit and the
level of the Executive's participation therein, enjoyed by the Executive under
the employee benefit and welfare plans of the Company, including, without
limitation, such benefits as group health, dental, 401(k), accident, disability
insurance, or group life insurance, that is caused by the Company except as is
required by applicable law,

                           (vi) absent the Executive's prior written consent,
the requirement by the Company that the principal place of business at which the
Executive performs his duties be changed to a location that is outside of a 100
mile radius of Birmingham, Alabama, or

                           (vii) a breach by the Company of any provision of
this Agreement that continues for a period of thirty (30) days after Executive
provides written notice to the Company of such breach.

         8. EFFECTS OF TERMINATION.

                  (a) TERMINATION ON PERMANENT DISABILITY; BY THE COMPANY
WITHOUT CAUSE; BY THE EXECUTIVE FOR GOOD REASON. If the employment of the
Executive should terminate by reason of his becoming Permanently Disabled, a
termination by the Company for any reason other than Cause, or by the Executive
for Good Reason, then the Company shall pay all compensation and benefits for
the Executive as follows:

                           (i) any Base Salary, Incentive Bonus, expense
reimbursements and all other compensation related payments that are payable as
of the effective date of the termination of his employment that are related to
the period of his employment preceding the effective date of the termination of
his employment, including pay in lieu of accrued, but unused, vacation,

                           (ii) the prorated amount of the Incentive Bonus for
the year in which the termination of employment occurs, pro rated for the
portion of such year during which the Executive was employed prior to the
effective date of the termination of his employment, and

                           (iii) an amount equal to the sum of (A) the product
of (1) the sum of (X) the Executive's Base Salary as of the effective date of
termination of his employment, and (Y) the highest cash bonus received by the
Executive pursuant to Section 4 hereof during the term hereof, multiplied by (2)
three (3), plus (B) an amount equal to the federal, state and local taxes on the
amount paid pursuant to clause (A).

                                       7
<PAGE>

                  The sum of the amount payable under subsections (ii) and (iii)
hereof is referred to herein as his "Severance Payment".

                           (iv) The Severance Payment shall be made in a single,
lump sum cash payment no later than thirty (30) days after the effective date of
the termination of the Executive's employment. Such Severance Payment shall be
reduced, in the case of a termination due to Permanent Disability, by the
present value of the amount of disability proceeds to be received by Executive
under the long term disability insurance policy carried by the Company.

                           (v) The Company shall allow the Executive and his
spouse and dependants to continue to participate until the earlier of: (i) the
Executive reaching the age of sixty-five (65); or (ii) until such time as the
Executive obtains full-time employment with an entity not affiliated with the
Executive that provides comparable benefits, in any and all of the employee
benefit and welfare plans and programs of the Company, excluding any 401(k)
plan, but specifically including the Company's health insurance plan, in which
the Executive was entitled to participate immediately prior to his termination,
to the same extent and upon the same terms as the Executive participated in such
plans prior to his termination, provided that the Executive's continued
participation is permissible or otherwise practicable under the general terms
and provisions of such benefit plans and programs. The Company shall pay for the
Executive's continued participation in director's and officers insurance. The
cost of participation in all other such employee benefit and welfare plans
(other than the 401(k) plan) shall be borne by the Company for five (5) years
and then shall be at the Executive's expense. To the extent that continued
participation is neither permissible nor practicable, the Company shall take
such actions as may be necessary to provide the Executive, his spouse, and his
dependants with substantially comparable benefits (without additional cost to
the Executive, including any additional taxes) outside the scope of such plans
including, without limitation, reimbursing the Executive for his costs in
obtaining such coverage, such as COBRA premiums paid by the Executive and/or his
eligible dependents for five (5) years. If the Executive engages in regular
employment after his termination of employment (whether as an executive or as a
self-employed person, but excluding his management or operation of the Excluded
Businesses), any employee benefit and welfare benefits received by the Executive
in consideration of such employment which are similar in nature to the employee
benefit and welfare benefits provided by the Company will relieve the Company of
its obligation under this Section 8(a)(v) to provide comparable benefits to the
extent of the benefits so received.

                           (vi) The Executive's stock options awarded under the
Equity Incentive Plan (or any other or successor plan) shall immediately become
100% vested and he shall have whatever remaining period under the options
following the effective date of his termination of employment in which to
exercise his vested stock options, including those stock options that vested
upon his termination of employment.

                                       8
<PAGE>

                           (vii) The Executive's restricted Common Shares
awarded under the Equity Incentive Plan (or any other or successor plan) shall
immediately become 100% vested and all restrictions shall lapse.

                           (viii) The Executive Life Insurance Program shall be
paid by the Company for five (5) years following the effective date of his
termination.

                  (b) TERMINATION ON DEATH. Upon a termination of employment due
to the Executive's death, the Executive shall become 100% vested in his stock
options and restricted Common Shares awarded under the Equity Incentive Plan.
The Executive's personal representative shall have whatever remaining period
under the options following the Executive's death in which to exercise his
vested stock options, including those stock options that vested on death. The
Company shall pay to the Executive's personal representative any Base Salary,
Incentive Bonus, expense reimbursements and all other compensation related
payments that are payable as of his date of death and that are related to his
period of employment preceding his date of death. Within sixty (60) days after
the Executive's death, the Company shall pay to the Executive's personal
representative the prorated amount of the Incentive Bonus for the year in which
the Executive's death occurs, prorated for the portion of the year during which
the Executive was employed prior to his death. The Executive's spouse and each
of his dependants shall be covered under the Company's health insurance program
until the earlier to occur of (i) such spouse or dependent reaching the age of
sixty-five (65) or (ii) such spouse or dependant obtaining full-time employment
with an entity not affiliated with the Executive that provides comparable
benefits. The Company shall pay for such coverage for five (5) years following
the death of the Executive after that, the Executive's spouse or dependants
shall pay for such coverage.

                  (c) BY THE COMPANY FOR CAUSE OR BY THE EXECUTIVE WITHOUT GOOD
REASON. In the event that the Executive's employment is terminated by the
Company for Cause or by the Executive without Good Reason, the Company shall pay
the Executive his Base Salary, Incentive Bonus, expense reimbursements and all
other compensation related payments that are payable as of his termination of
employment date and that are related to his period of employment preceding his
termination date. The Executive shall be entitled to exercise his vested stock
options, determined as of his termination date, pursuant to the terms of the
option grant. All unvested options and unvested restricted Common Shares shall
be forfeited on his termination date. The Executive shall also be entitled to
all benefits accrued and vested under any employee benefit plan of the Company.
The Executive, the Executive's spouse and each of his dependants shall be
allowed to be covered by the Company's health insurance plan, at the Executive's
cost, until the Executive reaches the age of sixty-five (65) or until such time
as the Executive, or such spouse or dependant, obtains full-time employment,
whichever period is shorter.

                  (d) TERMINATION OF AUTHORITY. Immediately upon the Executive
terminating or being terminated from his employment with the Company for any
reason, notwithstanding anything else appearing in this Agreement or otherwise,
the Executive

                                       9
<PAGE>

will stop serving the functions of his terminated or expired positions, and
shall be without any of the authority or responsibility for such positions. On
request of the Board at any time following his termination of employment for any
reason, the Executive shall resign from the Board if then a member.

         9. CHANGE OF CONTROL.

                  (a) CHANGE OF CONTROL. For purposes of this Agreement, a
"Change of Control" will be deemed to have taken place upon the occurrence of
any of the following events:

                           (i) any person, entity or affiliated group, excluding
the REIT or any employee benefit plan of the REIT, acquiring more than 50% of
the then outstanding voting shares of the REIT,

                           (ii) the consummation of any merger or consolidation
of the REIT into another company, such that the holders of the voting shares of
the REIT immediately prior to such merger or consolidation own less than 50% of
the voting power of the securities of the surviving company or the parent of
such surviving company, or

                           (iii) the complete liquidation of the REIT or the
sale or disposition of all or substantially all of the REIT's assets, such that
after the transaction, the holders of the voting shares of the REIT immediately
prior to the transaction own less than 50% of the voting securities of the
acquiror or the parent of the acquiror.

                  (b) CERTAIN BENEFITS UPON A CHANGE OF CONTROL. In the event of
a Change of Control, the Executive shall become 100% vested in the stock options
and restricted Common Shares awarded under the Equity Incentive Plan (or any
other or successor plan) and, if the Executive voluntarily terminates his
employment without Good Reason after the Change of Control, then the Executive
shall have whatever remaining period under the options following the Change of
Control in which to exercise his vested stock options, including those stock
options that vested upon the Change of Control. In addition, if the Executive's
employment with the Company is terminated by the Company for Cause or by the
Executive without Good Reason in connection with a Change of Control, the
Executive shall receive (in addition to the applicable benefits described in
Section 8 hereof) a lump sum payment equal to the largest cash compensation from
the Company for any twelve (12) month period during the Executive's tenure with
the Company, multiplied by three (3).

                  (c) EXCISE TAX.

                           (i) In the event that any payment or benefit received
or to be received by the Executive in connection with a termination of the
Executive's employment (whether pursuant to the terms of this Agreement or any
other plan, arrangement or agreement with the Company, any person whose actions
result in a change in control or any person affiliated with the Company or such
person) (all such

                                       10
<PAGE>

payments and benefits being hereinafter called "Total Payments"), such that the
Executive will be subject (in whole or in part) to the excise tax imposed under
Code Section 4999 ("Excise Tax") on such payments and benefits, then the Company
shall pay to the Executive an additional amount (the "Gross-Up Payment") such
that the net amount retained by the Executive, after deduction of the Excise Tax
and any federal, state and local tax on the Gross-Up Payment, will be equal to
the Total Payments. For purposes of determining the amount of the Gross-Up
Payment, the Executive shall be deemed to pay federal income taxes at the
highest marginal rate of federal income taxation in the calendar year in which
the Gross-Up Payment is to be made and state and local income taxes at the
highest marginal rate of taxation in the state and locality of the Executive's
residence on such date, net of the maximum deduction in federal income taxes
which could be obtained from deduction of such state and local taxes.

                           (ii) The Executive or the Company may request, prior
to the time any payments under this Agreement are made, a determination of
whether any or all of the Total Payments will be subject to the Excise Tax and,
if so, the amount of such Excise Tax and the federal, state and local tax
imposed on the Gross-Up Payment. If such a determination is requested, it shall
be made promptly, at the Company's expense, by tax counsel selected by the
Executive and approved by the Company (with such approval not being unreasonably
withheld), and such determination shall be conclusive and binding on both
parties. The Company agrees to provide any information reasonably requested by
such tax counsel. Tax counsel may engage accountants or other experts, at the
Company's expense, to the extent deemed necessary or advisable for them to reach
a determination. For these purposes, the term "tax counsel" shall mean a law
firm with expertise in federal income tax matters.

                           (iii) In the event that the Excise Tax is
subsequently determined to be less than the amount taken into account hereunder,
the Executive will repay to the Company, at the time that the amount of such
reduction in Excise Tax is finally determined, the portion of the Gross-Up
Payment attributable to such reduction plus that portion of the Gross-Up Payment
attributable to the Excise Tax and federal, state and local income tax imposed
on the Gross-Up Payment, without any interest thereon. In the event that the
Excise Tax is determined to exceed the amount taken into account hereunder, the
Company will make an additional Gross-Up Payment in respect of such excess and
in respect of any portion of the Excise Tax with respect to which the Company
had not previously made a Gross-Up Payment (plus any interest, penalties or
additions payable by the Executive with respect to such excess and such portion)
at the time that the amount of such excess is finally determined, without any
interest thereon.

                           (iv) Each party agrees to notify the other party, in
writing, of any claim that, if successful, would require the payment by the
Company of a Gross-Up Payment or might entitle the Company to a refund of all or
part of any previous Gross-Up Payment. Such notification shall be given as soon
as practicable but no later than ten (10) business days after the Executive or
Company is informed in writing of such claim or otherwise becomes aware of such
claim. If notice of the claim arose as a result of a claim made against the
Executive by a taxing authority, Executive shall not pay such claim

                                       11
<PAGE>

prior to the expiration of the thirty (30) day period following the date on
which he gives notice to the Company. If the Company notifies the Executive in
writing prior to the expiration of such period that it desires to contest such
claim, the Executive shall: (A) give the Company any information reasonably
requested by the Company relating to such claim, (B) take such action in
connection with contesting such claim as the Company shall reasonably request in
writing from time to time, including, without limitation, accepting legal
representation with respect to such claim by an attorney selected by the
Executive and approved by the Company (with such approval not being unreasonably
withheld), (C) cooperate with the Company in good faith in order to effectively
contest such claim, and (D) permit the Company to reasonably participate in any
proceedings relating to such claim. The Company shall bear and pay directly all
costs and expenses (including legal fees and additional interest and penalties)
incurred in connection with such contest and shall indemnify and hold the
Executive harmless, on an after-tax basis, for any Excise Tax (including
interest and penalties with respect thereto) imposed as a result of such
representation and payment of costs and expenses.

                           (v) Notwithstanding the foregoing, the Company shall
control all audits and proceedings taken in connection with any claim, audit or
proceeding involving Excise Taxes or Gross-Up Payments and, at its sole option,
may pursue or forego any and all administrative appeals, proceedings, hearings
and conferences with the taxing authority in respect of any such claim, audit or
proceeding and may, at its sole option, either direct the Executive to pay the
tax claimed and sue for a refund or contest the tax in any permissible manner,
and the Executive agrees to prosecute such contest to a determination before any
administrative tribunal, in a court of initial jurisdiction and in one or more
appellate courts, as the Company shall determine; provided, however, that if the
Company directs the Executive to pay such tax and sue for a refund, the Company
shall advance the amount of such payment to the Executive, (including interest
or penalties with respect thereto) and shall indemnify and hold the Executive
harmless, on an after-tax basis, for any Excise Tax or income tax (including
interest or penalties with respect thereto) imposed with respect to such advance
or with respect to any imputed income with respect to such advance. The Company
shall be required to consult with and keep the Executive fully apprised of
developments and actions being considered or taken with respect to such claim,
audit or proceeding. The Company's control of the contest shall be limited to
issues with respect to which such a Gross-Up Payment would be payable or
refundable hereunder and the Executive shall be entitled to settle or contest,
as the case may be, any other issue. Each party agrees to keep the other party
fully apprised of developments concerning such claim, audit or proceeding and to
cooperate with the other in good faith in order to effectively resolve such
claim, audit or proceeding.

                           (vi) For purposes of this Subsection (c), a
determination of whether a payment is subject to Excise Taxes, including but not
limited to, a determination of Change in Control, shall be made pursuant to Code
Section 280G.

         10. CONFIDENTIAL INFORMATION. The Executive recognizes and acknowledges
that certain assets of the Company constitute Confidential Information. The term
"Confidential Information" as used in this Agreement shall mean all

                                       12
<PAGE>

information which is known only to the Executive or the Company, other employees
of the Company, or others in a confidential relationship with the Company, and
relating to the Company's business including, without limitation, information
regarding clients, customers, pricing policies, methods of operation,
proprietary Company programs, sales products, profits, costs, markets, key
personnel, formulae, product applications, technical processes, and trade
secrets, as such information may exist from time to time, which the Executive
acquired or obtained by virtue of work performed for the Company, or which the
Executive may acquire or may have acquired knowledge of during the performance
of said work. The Executive shall not, during Term and for a period of three (3)
years thereafter disclose all or any part of the Confidential Information to any
person, firm, corporation, association, or any other entity for any reason or
purpose whatsoever, directly or indirectly, except as may be required pursuant
to his employment hereunder, or as otherwise required by law, unless and until
such Confidential Information becomes publicly available other than as a
consequence of the breach by the Executive of his confidentiality obligations
hereunder by law or in any judicial or administrative proceeding (in which case,
the Executive shall provide the Company with notice). In the event of the
termination of his employment, whether voluntary or involuntary and whether by
the Company or the Executive, the Executive shall deliver to the Company all
documents and data pertaining to the Confidential Information and shall not
retain any documents or data of any kind or any reproductions (in whole or in
part) or extracts of any items relating to the Confidential Information. The
Company acknowledges that prior to his employment with the Company, the
Executive has lawfully acquired extensive knowledge of the industries and
businesses in which the Company engages in business, and that the provisions of
this Section 10 are not intended to restrict the Executive's use of such
previously acquired knowledge.

         In the event that the Executive receives a request or is required (by
deposition, interrogatory, request for documents, subpoena, civil investigative
demand or similar process) to disclose all or any part of the Confidential
Information, the Executive agrees to (a) promptly notify the Company in writing
of the existence, terms and circumstances surrounding such request or
requirement, (b) consult with the Company on the advisability of taking legally
available steps to resist or narrow such request or requirement, and (c) assist
the Company in seeking a protective order or other appropriate remedy. In the
event that such protective order or other remedy is not obtained or that the
Company waives compliance with the provisions hereof the Executive shall not be
liable for such disclosure unless disclosure to any such tribunal was caused by
or resulted from a previous disclosure by the Executive not permitted by this
Agreement.

         11. NON-COMPETITION AND NONSOLICITATION. During the Term and for a
period of eighteen (18) calendar months after the termination of the Executive's
employment (the "Non-Compete Period"), the Executive shall not, directly or
indirectly, either as a principal, agent, employee, employer, stockholder,
partner or in any other capacity whatsoever: (a) engage or assist others
engaged, in whole or in part, in any business which is engaged in a business or
enterprise involving the ownership, leasing or management of healthcare real
estate (it being understood that engaging in the activity of operating a
healthcare operating company which owns its own healthcare real estate is

                                       13
<PAGE>

not so prohibited), or (b) without the prior consent of the Board, solicit the
employment of, or assist others in soliciting the employment of, any individual
employed by the Company (other than the Executive's personal assistant or
Executive's secretary) at any time while the Executive was also so employed;
provided, however, that the provisions of this Section 11 shall not apply in the
event the termination is by the Company without Cause or by the Executive for
Good Reason.

         Nothing in this Section 11 shall impede, restrict or otherwise
interfere with Executive's management and operation of the Excluded Businesses.
Further nothing in this Section 11 shall prohibit Executive from making any
passive investment in a public company, where he is the owner of five percent
(5%) or less of the issued and outstanding voting securities of any entity,
provided such ownership does not result in his being obligated or required to
devote any managerial efforts.

         The Executive agrees that the restraints imposed upon him pursuant to
this Section 11 are necessary for the reasonable and proper protection of the
Company and its subsidiaries and affiliates, and that each and every one of the
restraints is reasonable in respect to subject matter, length of time and
geographic area. The parties further agree that, in the event that any provision
of this Section 11 shall be determined by any court of competent jurisdiction to
be unenforceable by reason of its being extended over too great a time, too
large a geographic area or too great a range of activities, such provision shall
be deemed to be modified to permit its enforcement to the maximum extent
permitted by law.

         12. INTELLECTUAL PROPERTY. During the Term, the Executive shall
promptly disclose to the Company or any successor or assign, and grant to the
Company and its successors and assigns without any separate remuneration or
compensation other than that received by him in the course of his employment,
his entire right, title and interest in and to any and all inventions,
developments, discoveries, models, or any other intellectual property of any
type or nature whatsoever ("Intellectual Property"), whether developed by him
during or after business hours, or alone or in connection with others, that is
in any way related to the business of the Company, its successors or assigns.
This provision shall not apply to books or articles authored by the Executive
during non-work hours, consistent with his obligations under this Agreement, so
long as such books or articles (a) are not funded in whole or in part by the
Company, and (b) do not contain any confidential Information or Intellectual
Property of the Company. The Executive agrees, at the Company's expense, to take
all steps necessary or proper to vest title to all such Intellectual Property in
the Company, and cooperate fully and assist the Company in any litigation or
other proceedings involving any such Intellectual Property.

         13. DISPUTES.

                  (a) EQUITABLE RELIEF. The Executive acknowledges and agrees
that upon any breach by the Executive of his obligations under Sections 10, 11,
or 12 hereof, the Company will have no adequate remedy at law, and accordingly
will be entitled to specific performance and other appropriate injunctive and
equitable relief.

                                       14
<PAGE>

                  (b) LEGAL FEES. The Company shall pay or promptly reimburse
the Executive for the reasonable legal fees and expenses incurred by the
Executive in successfully enforcing or defending any right of the Executive
pursuant to this Agreement even if the Executive does not prevail on each issue.

         14. INDEMNIFICATION. The Company shall indemnify the Executive, to the
maximum extent permitted by applicable law, against all costs, charges and
expenses incurred or sustained by the Executive, including the cost of legal
counsel selected and retained by the Executive in connection with any action,
suit or proceeding to which the Executive may be made a party by reason of the
Executive being or having been an officer, director, or employee of the Company.

         15. COOPERATION IN FUTURE MATTERS. The Executive hereby agrees that for
a period of eighteen (18) months following his termination of employment he
shall cooperate with the Company's reasonable requests relating to matters that
pertain to the Executive's employment by the Company, including, without
limitation, providing information or limited consultation as to such matters,
participating in legal proceedings, investigations or audits on behalf of the
Company, or otherwise making himself reasonably available to the Company for
other related purposes. Any such cooperation shall be performed at scheduled
times taking into consideration the Executive's other commitments, and the
Executive shall be compensated at a reasonable hourly or per diem rate to be
agreed upon by the parties to the extent such cooperation is required on more
than an occasional and limited basis. The Executive shall not be required to
perform such cooperation to the extent it conflicts with any requirements of
exclusivity of services for another employer or otherwise, nor in any manner
that in the good faith belief of the Executive would conflict with his rights
under or ability to enforce this Agreement.

         16. PAYMENTS UNDER ORIGINAL AGREEMENT. The parties acknowledge that the
Executive is owed Thirty Five Thousand Seven Hundred Ten and 96/100 Dollars
($35,710.96) of expense reimbursement under the Original Agreement, which
obligation has been assumed by the Operating Partnership. The Company shall pay
said sum to the Executive contemporaneously with the closing of its private
placement offering or initial public offering, whichever occurs first.

         17. GENERAL.

                  (a) NOTICES. All notices and other communications hereunder
shall be in writing or by written telecommunication, and shall be deemed to have
been duly given if delivered personally or if sent by overnight courier or by
certified mail, return receipt requested, postage prepaid or sent by written
telecommunication or telecopy, to the relevant address set forth below, or to
such other address as the recipient of such notice or communication shall have
specified in writing to the other party hereto, in accordance with this Section
17(a).

                                       15
<PAGE>

         If to the Company, to:

                             1000 Urban Center Drive
                                    Suite 501
                            Birmingham, Alabama 35242

         If to Executive, at his last residence shown on the records of the
Company.

Any such notice shall be effective (i) if delivered personally, when
received,(ii) if sent by overnight courier, when receipted for, (iii) if mailed,
five (5)days after being mailed, and (iv) on confirmed receipt if sent by
written telecommunication or telecopy, provided a copy of such communication is
sent by regular mail, as described above.

                  (b) SEVERABILITY. If any provision of this Agreement is or
becomes invalid, illegal or unenforceable in any respect under any law, the
validity, legality and enforceability of the remaining provisions hereof shall
not in any way be affected or impaired.

                  (c) WAIVERS. No delay or omission by either party hereto in
exercising any right, power or privilege hereunder shall impair such right,
power or privilege, nor shall any single or partial exercise of any such right,
power or privilege preclude any further exercise thereof or the exercise of any
other right, power or privilege.

                  (d) COUNTERPARTS. This Agreement may be executed in multiple
counterparts, each of which shall be deemed an original, but all of which
together shall constitute one and the same instrument. In making proof of this
Agreement, it shall not be necessary to produce or account for more than one
such counterpart.

                  (e) ASSIGNS. This Agreement shall be binding upon and inure to
the benefit of the Company's successors and the Executive's personal or legal
representatives, executors, administrators, heirs, distributees, devisees and
legatees. This Agreement shall not be assignable by the Executive, it being
understood and agreed that this is a contract for the Executive's personal
services. This Agreement shall not be assignable by the Company except that the
Company shall assign it in connection with a transaction involving the
succession by a third party to all or substantially all of the Company's
business and/or assets (whether direct or indirect and whether by purchase,
merger, consolidation, liquidation or otherwise). When assigned to a successor,
the assignee shall assume this Agreement and expressly agree to perform this
Agreement in the same manner and to the same extent as the Company would be
required to perform it in the absence of such an assignment. For all purposes
under this Agreement, the term "Company" shall include any successor to the
Company's business and/or assets that executes and delivers the assumption
agreement described in the immediately preceding sentence or that becomes bound
by this Agreement by operation of law.

                  (f) ENTIRE AGREEMENT. This Agreement contains the entire
understanding of the parties, supersedes all prior agreements and
understandings, whether written or oral, relating to the subject matter hereof
and may not be amended except by a

                                       16
<PAGE>

written instrument hereafter signed by the Executive and a duly authorized
representative of the Company (other than the Executive).

                  (g) GOVERNING LAW. This Agreement and the performance hereof
shall be construed and governed in accordance with the laws of the State of
Delaware, without giving effect to principles of conflicts of law.

                  (h) CONSTRUCTION. The language used in this Agreement shall be
deemed to be the language chosen by the parties to express their mutual intent,
and no rule of strict construction shall be applied against any party. The
headings of sections of this Agreement are for convenience of reference only and
shall not affect its meaning or construction. Whenever any word is used herein
in one gender, it shall be construed to include the other gender, and any word
used in the singular shall be construed to include the plural in any case in
which it would apply and vice versa.

                  (i) PAYMENTS AND EXERCISE OF RIGHTS AFTER DEATH. Any amounts
payable hereunder after the Executive's death shall be paid to the Executive's
designated beneficiary or beneficiaries, whether received as a designated
beneficiary or by will or the laws of descent and distribution. The Executive
may designate a beneficiary or beneficiaries for all purposes of this Agreement,
and may change at any time such designation, by notice to the Company making
specific reference to this Agreement. If no designated beneficiary survives the
Executive or the Executive fails to designate a beneficiary for purposes of this
Agreement prior to his death, all amounts thereafter due hereunder shall be
paid, as and when payable, to his spouse, if she survives the Executive, and
otherwise to his estate.

                  (j) CONSULTATION WITH COUNSEL. The Executive acknowledges that
he has had a full and complete opportunity to consult with counsel or other
advisers of his own choosing concerning the terms, enforceability and
implications of this Agreement, and that the Company has not made any
representations or warranties to the Executive concerning the terms,
enforceability and implications of this Agreement other than as are reflected in
this Agreement.

                  (k) WITHHOLDING. Any payments provided for in this Agreement
shall be paid net of any applicable income tax withholding required under
federal, state or local law.

                  (l) CONSUMER PRICE INDEX. For purposes of this Agreement, the
terms "Consumer Price Index" or "CPI" refers to the Consumer Price Index as
published by the Bureau of Labor Statistics of the United States Department of
Labor, U.S. City Average, All Items for Urban Wage Earners and Clerical Workers
(1982-1984=100). If the CPI is hereafter converted to a different standard
reference base or otherwise revised, the determination of the CPI adjustment
shall be made with the use of such conversion factor, formula or table for
converting the CPI, as may be published by the Bureau of Labor Statistics, or,
if the bureau shall no longer publish the same, then with the use of such
conversion factor, formula or table as may be published by an agency of the
United

                                       17
<PAGE>

States, or failing such publication, by a nationally recognized publisher of
similar statistical information.

                  (m) SURVIVAL. The provisions of Sections 8, 9, 10, 11, 12, 13,
14 and 15 shall survive the termination of this Agreement.

                  [Signatures to appear on the following page]

                                       18
<PAGE>

         IN WITNESS WHEREOF, and intending to be legally bound hereby, the
parties hereto have caused this Agreement to be duly executed as of the date
first above written.

OPERATING PARTNERSHIP:                                EXECUTIVE:
MPT OPERATING PARTNERSHIP, L.P.
BY:  MEDICAL PROPERTIES TRUST, LLC
ITS: GENERAL PARTNER                                  /s/ Edward K. Aldag, Jr.
BY:  MEDICAL PROPERTIES TRUST, INC.                   ------------------------
ITS: SOLE MEMBER                                      Edward K. Aldag, Jr.

                                                      Dated: March 1, 2004
                                                             -----------------

By: /s/ Emmett E. McLean
   ----------------------------------
Name:  Emmett E. McLean
Title: Executive Vice President & COO
Dated: March 1, 2004

REIT:

MEDICAL PROPERTIES TRUST, INC.

By: /s/ Emmett E. McLean
   ----------------------------------
Name:  Emmett E. McLean
Title: Executive Vice President & COO
Dated: March 1, 2004

                                       19

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