Document:

EX-10.34

 Exhibit 10.34 

REAL ESTATE LOAN AGREEMENT 

BY AND AMONG 
 THE
ENTITIES LISTED ON SCHEDULE 1-A ATTACHED HERETO, 
 (collectively,
jointly and severally, “Lender”) 
 AND 

THE ENTITIES LISTED ON SCHEDULE 1-B ATTACHED HERETO, 

(collectively, jointly and severally, the “Borrower”) 

Dated as of October 3, 2016 

 Table of Contents 

 

							
	 	 	 	  	Page	 
	 ARTICLE I
	 	 DEFINED TERMS
	  	 	1	 
	 Section 1.1.
	 	 Certain Defined Terms
	  	 	1	 
	 Section 1.2.
	 	 Interpretation; Terms Generally
	  	 	23	 
	 Section 1.3.
	 	 Accounting Terms
	  	 	23	 
	 Section 1.4.
	 	 Certain Matters Relating to References to Real Property
	  	 	23	 
	 ARTICLE II
	 	 THE LOAN
	  	 	23	 
	 Section 2.1.
	 	 The Loan
	  	 	24	 
	 Section 2.2.
	 	 The Note
	  	 	24	 
	 Section 2.3.
	 	 Security and Credit Enhancement
	  	 	24	 
	 ARTICLE III
	 	 ADDITIONAL CHARGES AND IMPOSITIONS
	  	 	24	 
	 Section 3.1.
	 	 Additional Charges
	  	 	24	 
	 Section 3.2.
	 	 Payment of Impositions
	  	 	25	 
	 Section 3.3.
	 	 Utility Charges
	  	 	26	 
	 Section 3.4.
	 	 Insurance Premiums
	  	 	26	 
	 ARTICLE IV
	 	 GENERAL COVENANTS
	  	 	26	 
	 Section 4.1.
	 	 Borrower’s Personal Property
	  	 	26	 
	 Section 4.2.
	 	 Primary Intended Use
	  	 	27	 
	 Section 4.3.
	 	 No Changes
	  	 	27	 
	 Section 4.4.
	 	 No Interference with Insurance
	  	 	27	 
	 Section 4.5.
	 	 Operation
	  	 	28	 
	 Section 4.6.
	 	 Waste; Nuisance
	  	 	28	 
	 Section 4.7.
	 	 Maintenance of Security Interests
	  	 	28	 
	 Section 4.8.
	 	 Publicity Signs
	  	 	28	 
	 Section 4.9.
	 	 [Intentionally Omitted]
	  	 	28	 
	 Section 4.10.
	 	 No Conveyance of Real Property
	  	 	28	 
	 Section 4.11.
	 	 Granting of Easements, Restrictions, Etc
	  	 	28	 
	 ARTICLE V
	 	 LEGAL COMPLIANCE
	  	 	29	 
	 Section 5.1.
	 	 Compliance with Legal and Insurance Requirements
	  	 	29	 
	 Section 5.2.
	 	 Maintenance of Licenses; Compliance with Healthcare Laws
	  	 	30	 
	 Section 5.3.
	 	 [Intentionally Omitted]
	  	 	32	 
	 Section 5.4.
	 	 Hazardous Materials and Medical Waste
	  	 	32	 
	 Section 5.5.
	 	 Organizational Covenants
	  	 	34	 
	 ARTICLE VI
	 	 REPAIRS; CAPITAL ADDITIONS
	  	 	34	 
	 Section 6.1.
	 	 Maintenance; Repair and Remodel
	  	 	34	 
	 Section 6.2.
	 	 [Intentionally Omitted]
	  	 	35	 
	 Section 6.3.
	 	 Capital Additions
	  	 	35	 
	 ARTICLE VII
	 	 LIENS
	  	 	36	 
	 ARTICLE VIII
	 	 PERMITTED CONTESTS
	  	 	38	 
	 ARTICLE IX
	 	 INSURANCE
	  	 	38	 
	 Section 9.1.
	 	 General Insurance Requirements
	  	 	38	 
	 Section 9.2.
	 	 Additional Insurance
	  	 	41	 
	 Section 9.3.
	 	 Endorsements and Other Requirements
	  	 	41	 
	 Section 9.4.
	 	 Evidence of Insurance
	  	 	42	 

  
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	 Section 9.5.
	 	 Increase in Limits
	  	 	42	 
	 Section 9.6.
	 	 Blanket Policy
	  	 	42	 
	 Section 9.7.
	 	 No Separate Insurance
	  	 	43	 
	 ARTICLE X
	 	 FIRE AND CASUALTY
	  	 	43	 
	 Section 10.1.
	 	 Fire and Casualty
	  	 	43	 
	 ARTICLE XI
	 	 CONDEMNATION
	  	 	45	 
	 Section 11.1.
	 	 Condemnation
	  	 	45	 
	 ARTICLE XII
	 	 LEASING AND SUBLEASING
	  	 	46	 
	 Section 12.1.
	 	 Lease Subordination
	  	 	46	 
	 Section 12.2.
	 	 Lease Subordination and Non-Disturbance
	  	 	48	 
	 Section 12.3.
	 	 Existing Leases
	  	 	48	 
	 ARTICLE XIII
	 	 ADDITIONAL COVENANTS OF BORROWER
	  	 	49	 
	 Section 13.1.
	 	 Affirmative Covenants
	  	 	49	 
	 Section 13.2.
	 	 Inspection
	  	 	51	 
	 Section 13.3.
	 	 Management Agreements
	  	 	51	 
	 Section 13.4.
	 	 Non-competition
	  	 	51	 
	 ARTICLE XIV
	 	 DEFAULT
	  	 	51	 
	 Section 14.1.
	 	 Events of Default
	  	 	51	 
	 Section 14.2.
	 	 Remedies
	  	 	55	 
	 Section 14.3.
	 	 Remedies with Respect to Licenses
	  	 	56	 
	 Section 14.4.
	 	 Cumulative
	  	 	57	 
	 Section 14.5.
	 	 Waivers
	  	 	58	 
	 Section 14.6.
	 	 Application of Funds
	  	 	58	 
	 Section 14.7.
	 	 Notices by Lender
	  	 	58	 
	 Section 14.8.
	 	 Additional Expenses
	  	 	58	 
	 Section 14.9.
	 	 Lender’s Contractual Security Interest
	  	 	59	 
	 ARTICLE XV
	 	 OPTIONS TO PURCHASE
	  	 	59	 
	 Section 15.1.
	 	 Options to Purchase Real Property
	  	 	59	 
	 Section 15.2.
	 	 Option to Purchase Personal Property
	  	 	59	 
	 Section 15.3.
	 	 Payment of Purchase Price
	  	 	60	 
	 Section 15.4.
	 	 Closing of Purchase
	  	 	60	 
	 Section 15.5.
	 	 Proration
	  	 	61	 
	 ARTICLE XVI
	 	 INTENTIONALLY OMITTED
	  	 	61	 
	 ARTICLE XVII
	 	 INTENTIONALLY OMITTED
	  	 	61	 
	 ARTICLE XVIII
	 	 LENDER’S RIGHT TO CURE
	  	 	61	 
	 ARTICLE XIX
	 	 INDEMNIFICATION
	  	 	61	 
	 ARTICLE XX
	 	 NOTICES
	  	 	62	 
	 ARTICLE XXI
	 	 MISCELLANEOUS
	  	 	63	 
	 Section 21.1.
	 	 General
	  	 	63	 
	 Section 21.2.
	 	 Bankruptcy Waivers
	  	 	64	 
	 Section 21.3.
	 	 Lender’s Expenses
	  	 	64	 
	 Section 21.4.
	 	 Prevailing Party Expenses
	  	 	65	 
	 Section 21.5.
	 	 Entire Agreement; Modifications
	  	 	65	 
	 Section 21.6.
	 	 MPT Securities Offering and Filings
	  	 	65	 
	 Section 21.7.
	 	 Non-Recourse as to Parties
	  	 	66	 
	 Section 21.8.
	 	 Covenants, Restrictions and Reciprocal Easements
	  	 	67	 

  
 ii 

							
	 Section 21.9.
	 	 Force Majeure
	  	 	67	 
	 Section 21.10.
	 	 Governing Law
	  	 	67	 
	 Section 21.11.
	 	 Jurisdiction and Venue
	  	 	67	 
	 Section 21.12.
	 	 Compliance with Anti-Terrorism Laws
	  	 	68	 
	 Section 21.13.
	 	 Electronically Transmitted Signatures
	  	 	68	 
	 Section 21.14.
	 	 Waiver of Jury Trial
	  	 	68	 
	 Section 21.15.
	 	 Counterparts
	  	 	69	 
	 Section 21.16.
	 	 Survival
	  	 	69	 
	 Section 21.17.
	 	 Assignment
	  	 	69	 
	 Section 21.18.
	 	 Continuation of Defaults
	  	 	69	 
	 Section 21.19.
	 	 Specific Performance
	  	 	69	 
	 Section 21.20.
	 	 Joint Drafting
	  	 	69	 
	 Section 21.21.
	 	 Joint and Several Obligations
	  	 	70	 
	 Section 21.22.
	 	 Agreements and Covenants relating to Certain Properties
	  	 	70	 
	 Section 21.23.
	 	 Termination Date
	  	 	70	 
	 Section 21.24.
	 	 Necessary Actions
	  	 	70	 
	 Section 21.25.
	 	 No Waiver
	  	 	70	 
	 Section 21.26.
	 	 Intercreditor Agreement
	  	 	70	 

 EXHIBITS AND SCHEDULES: 
  

			
	 Exhibit A-1
	  	 Carney Land

	 Exhibit A-2
	  	 Holy Family Land (Merrimack Valley)

	 Exhibit A-3
	  	 Nashoba Land

	 Exhibit A-4
	  	 Norwood Land

	 Exhibit B-1
	  	 Permitted Exceptions - Carney Land

	 Exhibit B-2
	  	 Permitted Exceptions - Holy Family Land (Merrimack Valley)

	 Exhibit B-3
	  	 Permitted Exceptions – Nashoba Land

	 Exhibit B-4
	  	 Permitted Exceptions – Norwood Land

	 Exhibit C
	  	 Existing Subleases

	 Exhibit D
	  	 Excluded Subsidiaries

	 Schedule 1-A
	  	 Lender

	 Schedule 1-B
	  	 Borrower

	 Schedule 1-C
	  	 Non-Permitted Assignees

	 Schedule 2.1
	  	 Allocation Schedule

	 Schedule 6.3
	  	 Capital Additions

	 Schedule 15.1
	  	 Option Price Schedule

	Schedule 21.22	  	Agreements and Covenants relating to Certain Properties

  
 iii 

 REAL ESTATE LOAN AGREEMENT 

This REAL ESTATE LOAN AGREEMENT (the “Agreement”) is dated this 3rd day of October, 2016, and is by and among the entities
listed on Schedule 1-A attached hereto and made a part hereof by reference and incorporation (collectively, jointly and severally, the “Lender”), having their principal
office at c/o MPT Operating Partnership, L.P., 1000 Urban Center Drive, Suite 501, Birmingham, Alabama 35242, and the entities listed on Schedule 1-B attached hereto and made a part hereof
by reference and incorporation (collectively, jointly and severally, the “Borrower”), having their principal office at c/o Steward Health Care System LLC, 500 Boylston Street, Fifth Floor, Boston, MA 02116, Attn: Joseph C. Maher,
Jr. 
 W I T N E S S E T H: 

WHEREAS, contemporaneously herewith and pursuant to the Real Estate Contract (as herein defined), Lender has made a term loan to Borrower in the principal
amount of Six Hundred Million and No/100 Dollars ($600,000,000.00) (the “Loan”), as evidenced by the Note (as herein defined); 
 WHEREAS,
the Loan is secured by, among other things, a first mortgage lien on the Real Property (as herein defined) and other collateral relating to the Facilities (as each term is herein defined); 

WHEREAS, each of the Obligors (as herein defined) has derived, and will continue to derive, direct and indirect benefits (financial and otherwise) from the
fundings and transactions contemplated under this Agreement and as contemplated under the other Obligation Documents (as herein defined); and 
 WHEREAS,
Lender is willing to make and extend the Loan to Borrower on the terms and subject to the conditions set forth in this Agreement. 
 NOW, THEREFORE, in
consideration of the promises and mutual agreements contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto do hereby covenant and agree as follows: 

ARTICLE I 
 DEFINED TERMS

 Section 1.1.    Certain Defined Terms. Capitalized terms used herein shall have the
respective meanings ascribed to them in this Section 1.1. 
 ABL Credit Agreement: That certain Credit
Agreement, dated as of the date hereof, among Citibank, N.A., as administrative agent on behalf of itself and the other lenders a party thereto, Steward Health and its Subsidiaries and applicable Affiliates a party thereto. 

Additional Charges: As defined in Section 3.1. 

Affiliate: With respect to any Person (i) any Person that, directly or indirectly, controls or is controlled by or is under common
control with such Person, (ii) any other Person that owns, 

  
 1 

 
beneficially, directly or indirectly, 25% or more of the outstanding capital stock, shares or Equity Interests of such Person. For the purposes of this definition, “control” (including
the correlative meanings of the terms “controlled by” and “under common control with”), as used with respect to any Person, shall mean the possession, directly or indirectly, of the power to direct or cause the direction of the
management and policies of such Person, through the ownership of voting securities or otherwise; provided that neither Cerberus Capital Management, L.P., nor any of its Affiliates (other than Steward Health and its subsidiaries), nor Ralph de la
Torre, M.D. shall be deemed to be an Affiliate of Steward Health or any Facility Borrower. 
 Agreement: As defined in the preamble
of this Agreement. 
 AIREA: The American Institute of Real Estate Appraisers, or any successor organization. 

Allocation Schedule: As defined in Section 2.1. 

Anti-Terrorism Laws: Any applicable laws, statutes and regulations relating to terrorism or money laundering, including Executive Order
No. 13224 (effective September 24, 2001), the Patriot Act, the laws, statutes and regulations comprising or implementing the Bank Secrecy Act, and the laws, statutes and regulations administered by OFAC. 

Award: All compensation, sums or anything of value awarded, paid or received from a total or partial Condemnation. 

Bankruptcy Code: Chapter 11 U.S.C. § 101, et seq. 

Base Interest Rate: A per annum rate equal to Seven and One-Half Percent (7.5%), as adjusted
from time to time in accordance with the Note. 
 Blocked Person: Any Person: (a) listed in the annex to, or is otherwise
subject to the provisions of, Executive Order No. 13224, (b) a Person owned or controlled by, or acting for or on behalf of, any Person that is listed in the annex to, or is otherwise subject to the provisions of, Executive Order
No. 13224, (c) a Person with which any lender is prohibited from dealing or otherwise engaging in any transaction by any Anti-Terrorism Law, (d) a Person that commits, threatens or conspires to commit or supports “terrorism” as
defined in Executive Order No. 13224, or (e) a Person that is named a “specially designated national” or “security blocked person” on the OFAC List. 

Borrower: As defined in the preamble to this Agreement. 

Borrower Parties: As defined in Section 21.7(b). 

Business: With respect to each of the Properties, the primary operation of a healthcare facility thereon and ancillary facilities
related thereto, in each case, the engagement in and pursuit and conduct of any business venture or activity incident thereto. 

  
 2 

 Business Day: Each Monday, Tuesday, Wednesday, Thursday and Friday that is not a day on
which money centers in the City of New York, New York are authorized or obligated by law or executive order to close. 
 Capital
Additions: With respect to each Property, (a) extraordinary renovations or expansions of buildings, structures or other improvements currently located on that Property (or on additional parcels added to such Property), (b) the addition of
one or more parcels of land to such Property (whether by purchase or ground lease), or (c) the addition of one or more new buildings or additional structures placed on such Property or any such additional parcels of land, including, without
limitation, the construction of a new wing or new story. 
 Capital Lease Obligations: With respect to any Person means the
obligations of such Person to pay rent or other amounts under any lease of (or other arrangement conveying the right to use) real or personal property, or a combination thereof, which obligations are required to be classified and accounted for as
capital leases on a balance sheet of such Person under GAAP, and the amount of such obligations shall be the capitalized amount thereof determined in accordance with GAAP. 

Carney Borrower: Steward Carney Hospital, Inc., a Delaware corporation, together with its successors and permitted assigns. 

Carney Facility: That certain one hundred fifty-nine (159)-licensed bed general acute care hospital facility operated at the Carney
Land, commonly known as “Carney Hospital.” 
 Carney Land: That certain real property located in Suffolk County,
Massachusetts more particularly described on Exhibit A-1 attached hereto and made a part hereof by reference and incorporation, together with all hereditaments, easements, mineral
rights, rights of way and other appurtenances related thereto. 
 Carney Borrower: Steward Carney Hospital, Inc., a Delaware
corporation, together with its successors and permitted assigns. 
 Carney Lender: MPT of Dorchester-Steward, LLC, a Delaware limited
liability company, together with its successors and assigns. 
 Carney Property: The Carney Land and related Leased Improvements
located thereon relating to the Carney Facility. 
 Cash Collections: Any and all payments received for patient related services that
are posted to Borrower’s accounting system for a Facility, including, without limitation, any such payments received from patients, insurance companies, managed care and preferred provider organizations, Medicaid, Medicare, or other payors.

 Casualty Impacted Property: As defined in Section 10.1. 

CERCLA: As defined in the definition of “Hazardous Materials Laws.” 

Change of Control Transaction: Shall mean (i) Steward Health ceasing to own in the aggregate, directly or indirectly, one hundred
percent (100%) of the voting Equity Interests of 

  
 3 

 
any Facility Borrower, or (ii) a majority of the voting Equity Interests of Steward Health or Steward Health Care Holdings, LLC are sold or transferred to a Person, and, following such sale
or transfer, (A) such Person is not a Qualified Transferee or, (B) after giving pro forma effect to such sale or transfer, there exists a breach of Section 14.1(k) or (l), without the prior written consent of Lender, which
consent shall not be unreasonably withheld, conditioned or delayed; provided, however, that notwithstanding the foregoing, neither without the prior written consent of Lender, which consent shall not be unreasonably
withheld, conditioned or delayed; provided, however, that notwithstanding the foregoing, neither (i) the sale or transfer of Equity Interests of Steward Health or Steward Health Care Holdings, LLC between or to the existing holders of the
Equity Interests of Steward Health or Steward Health Care Holdings, LLC, as of the date hereof, (ii), the sale or transfer of Equity Interests held directly or indirectly by Cerberus Capital Management, L.P., a Delaware limited partnership
(“Cerberus Capital Management”), between or to any other fund or managed account that, directly or indirectly, is controlled by Cerberus Capital Management, (iii) the sale or transfer of Equity Interests held directly or
indirectly by Ralph de la Torre, M.D. between or to any other Person for which Ralph de la Torre, M.D. owns, beneficially, directly or indirectly, 51% or more of the outstanding capital stock, shares or Equity Interests of such Person, nor
(iv) a Qualified Public Offering shall constitute a Change of Control. For the avoidance of doubt, the entering into a written agreement or the granting of an option to acquire Equity Interests or the issuance of debt convertible into Equity
Interests shall be deemed to be the issuance of Equity Interests for purposes of determining whether a Change of Control Transaction has occurred. For the purposes of this definition, “control” (including the correlative meanings of the
terms “controlled by” and “under common control with”), as used with respect to any Person, shall mean the possession, directly or indirectly, of the power to direct or cause the direction of the management and policies of such
Person, through the ownership of voting securities or otherwise. 
 Claim: As defined in Section 5.4(c). 

Closing Date: The date hereof. 

CMS: As defined in Section 5.2(a). 

Code: The United States Internal Revenue Code of 1986, as amended through the date hereof, and all regulations thereunder. Any
reference herein to a specific section or sections of the Code shall be deemed to include a reference to any corresponding provision of future law. 

Collateral: Collectively, the Real Property, the Personal Property, and all other properties or assets of Borrower and its Affiliates
that are subject or shall be subject to any lien, security interest, or other encumbrance pursuant to the Loan Documents, the Security Agreement, the Lease Assignments, the Pledge Agreement and certain other Obligation Documents. 

Condemnation: Either (a) the exercise of any governmental power, whether by legal proceedings or otherwise, by a Condemnor or
(b) a voluntary sale or transfer by any Facility Borrower to any Condemnor, either under threat of Condemnation or while legal proceedings for Condemnation are pending, in all of the foregoing cases with respect to any portion of the Real
Property. 

  
 4 

 Condemnor: Any public or quasi-public authority having the power of Condemnation. 

Consolidated Fixed Charges: For any period, for Steward Health and its Subsidiaries on a consolidated basis, an amount equal to the sum
for such period of (a) scheduled rent payments, plus, (b) consolidated interest charges, plus (c) consolidated maintenance capital expenditures, plus (d) scheduled principal payments of consolidated funded debt. 

CPI: The Consumer Price Index, all urban consumers, all items, U.S. City Average, published by the United States Department of Labor,
Bureau of Labor Statistics, in which 1982-1984 equals one hundred (100). If the Consumer Price Index is discontinued or revised during the Loan Term, such other governmental index or computation with which it is replaced shall be used in order to
obtain substantially the same result as would be obtained if the Consumer Price Index had not been discontinued or revised. 
 Credit
Enhancements: With respect to each Property, all security deposits, security interests, letters of credit, pledges, guaranties, prepaid rent or other sums, deposits or interests held by any Facility Borrower, if any, with respect to such
Property, and the Tenant Leases relating to such Property for the Tenants or subtenants thereunder. 
 Date of Taking: The date the
Condemnor has the right to possession of the property being condemned. 
 Declarations: As defined in
Section 21.8. 
 Defaulted Property: As defined in Section 14.2(b). 

DHS: As defined in Section 5.2(a). 

DHHS: As defined in Section 5.2(a). 

EBITDAR: For any period of four consecutive fiscal quarters of the Steward Health, Net Income for such period plus, to the extent not
otherwise included in the determination of Net Income for such period, all proceeds of business interruption insurance policies, if any, received during such period, in an amount representing the earnings for the applicable period that such proceeds
are intended to replace; plus (a) without duplication and to the extent deducted in determining Net Income for such period, the sum of (i) Interest Expense for such period, (ii) income tax expense for such period, (iii) all
amounts attributable to depreciation and amortization expense for such period, (iv) rent expense for realty for such period, (v) (A) any non-cash extraordinary expenses, losses or charges for such
period, (B) any severance costs or early retirement expenses incurred or paid in such period, and (C) any other unusual or non-recurring expenses, losses or charges for such period provided the
aggregate amount of items in this clause (C) shall not exceed (I) $35,000,000 for any such period ending on or prior to December 31, 2016 and (2) 10% of EBITDAR for any such period ending after December 31, 2016 (without giving effect
to the adjustments in this clause (v)(C) or clauses (x) and (y) of clause (xiv)(B) below), (vi) any expenses, losses or charges from disposed, abandoned or discontinued operations for such period, (vii) any other non-cash expenses, losses or charges for such period (but excluding any non-cash expense, loss or charge in respect of an item that was included in Net Income in a prior
period and any non-cash expense, loss or charge that relates to 

  
 5 

 
the write-down or write-off of inventory), (viii) any up-front fees, transaction costs, commissions, expenses,
premiums or charges incurred or paid prior to the date of this Agreement related to the issuance of Equity Interests, any investment, any acquisition, any asset sale or other disposition, any recapitalization or any incurrence of Indebtedness (in
each case whether or not consummated) during such period, including (A) such fees, expenses or charges related to this Agreement or the ABL Credit Agreement and any amendment or other modification of this Agreement or the ABL Credit Agreement
and (B) such fees, expenses or charges incurred or paid in such period prior to the date of this Agreement by Steward Health or any of its Subsidiaries in connection with any acquisition consummated by the Steward Health or any of its
Subsidiaries prior to the date of this Agreement, (ix) any non-cash interest expense for such period in respect of any Plan, (x) any non-cash losses realized
in such period in connection with adjustments to any Plan due to changes in actuarial assumptions, valuations or studies, (xi) any net working capital adjustment, earn-out or other deferred purchase price
payment incurred in connection with any investment permitted under this Agreement or any investment consummated prior to the date of this Agreement, and paid or accrued during such period, (xii) any management, monitoring, consulting or
advisory fees or expenses paid to Cerberus Capital Management, L.P. or any of its Affiliates (or any accruals relating to such fees and expenses) during such period to the extent otherwise permitted under this Agreement, (xiii)(A) any charge,
expense or loss to the extent that a corresponding amount is received in cash by Steward Health or any of its Subsidiaries from a Person other than Steward Health Care Holdings, LLC or any of its Subsidiaries under any agreement or insurance
providing for reimbursement of such expense or (B) any charge, expense or loss with respect to any liability or casualty event, business interruption or product recall to the extent covered by insurance proceeds received in cash during such
period, and (xiv)(A) any up-front fees, transaction costs, commissions, expenses, premiums or charges incurred or paid on or after the date of this Agreement related to the issuance of Equity Interests, any
investment, any acquisition, any asset sale or other disposition, any recapitalization or any incurrence of Indebtedness permitted hereunder (in each case whether or not consummated) during such period, including (I) such fees, expenses or
charges related to this Agreement or the ABL Credit Agreement and any amendment or other modification of this Agreement or the ABL Credit Agreement and (II) such fees, expenses or charges incurred or paid in such period on or after the date of
this Agreement by Steward Health or any of its Subsidiaries in connection with any acquisition consummated by Steward Health or any of its Subsidiaries prior to the date of this Agreement and (B) the amount of (I) any restructuring charges
or reserves or non-recurring integration costs or business optimization expenses for such period, including any one-time costs incurred in connection with acquisitions
permitted by this Agreement and costs related to the closure and/or consolidation of facilities (including costs relating to initiatives aimed at profitability) and (II) any net cost savings and synergies projected by the Steward Health in good
faith to be realized as a result of specified actions taken prior to or during such period or to be taken within the first twelve months following of the end of such period; provided that in no event shall the sum of (x) the aggregate amounts
under clause (xiv)(B) plus (y) the aggregate amount of any fees, costs, expenses, premiums or charges payable in respect of liabilities or fines paid or payable by Steward Health or its Subsidiaries pursuant to the Stark law (also known as the
physician self-referral law) included in any calculation pursuant to this clause (a), exceed 15% of EBITDAR for such period (without giving effect to the adjustments described in the foregoing clauses (x) and (y)); minus (b) without
duplication and to the extent included in Net Income, (i) any cash payments made during such period in respect of 

  
 6 

 
non-cash expenses, losses or charges described in clause (a)(vii) taken in a prior period, (ii) any extraordinary gains and any extraordinary non-cash items of income for such period, all calculated for Steward Health and its Subsidiaries on a consolidated basis and (iii) any gains or income from disposed, abandoned or discontinued operations for
such period (without giving effect to the financial results or accounts of the Excluded Subsidiaries) in accordance with GAAP. 

Environmental Indemnification Agreement: That certain Environmental Indemnification Agreement, dated as of the date hereof, executed
and delivered by each Guarantor to and in favor of Lender and certain of its Affiliates, as the same may be amended, modified and/or restated from time to time. 

Equity Cure Expiration Date: As defined in Section 14.1. 

Equity Cure Right: As defined in Section 14.1. 

Equity Interests: With respect to any Person, the voting power, ownership, or other equitable interests of such Person, including any
interest represented by any capital stock, convertible or participating debt instruments, membership interest, partnership interest, or any similar interest therein. 

Equity Purchase Agreement: That certain Equity Purchase Agreement, dated as of September 26, 2016, among Steward Health, MPT and
certain of their respective Affiliates, as the same may be modified, amended or restated from time to time. 
 Escrow Invoice: As
defined in Section 3.1. 
 Existing Leases: As defined in Section 12.3. 

Event of Default: As defined in Section 14.1. 

Excluded Subsidiary: Any now existing or hereafter acquired direct or indirect subsidiary of a Steward Health, if (a) such
subsidiary is identified on Exhibit D, (b) such subsidiary is not wholly-owned by Steward Health or any of its Subsidiaries and Steward Health or its Subsidiaries own in aggregate less than 80% of the voting stock of such
subsidiary, (c) such subsidiary is a controlled foreign corporation (as that term is defined in the Code), (d) such subsidiary is organized as a non-profit corporation and does not distribute its surplus
funds to its equity-holders or (e) such subsidiary is prohibited by applicable law from being, or otherwise requires the consent of any Governmental Body (which has not been obtained after Steward Health has used commercially reasonable efforts
to obtain such consent) having jurisdiction over it to be, joined as a Borrower hereunder or under any other Obligation Document. 

Facility: Each of the Carney Facility, the Holy Family Facility, the Nashoba Facility, and the Norwood Facility, sometimes collectively
referred to as the “Facilities.” 
 Facility Borrower: The Carney Borrower, with respect to the Carney Property; the Holy
Family Borrower, with respect to the Holy Family Property; the Nashoba Borrower, with respect to the Nashoba Property; the Norwood Borrower, with respect to the Norwood Property; and the Borrower party thereto, with respect to any New Property. 

  
 7 

 Facility Instrument: A note (whether secured or unsecured), loan agreement, credit
agreement, guaranty, security agreement, mortgage, deed of trust or other agreement pursuant to which a Facility Lender has provided financing to Lender in connection with the Real Property or any part thereof, or financing provided to Borrower, if
such financing is provided by Lender or any Affiliate of Lender (other than any Obligor), or in connection with a Capital Addition, and any and all renewals, replacements, modifications, supplements, consolidations and extensions thereof. 

Facility Lender: A holder (which may include any Affiliate of Lender) of any Facility Instrument. 

FATCA: Sections 1471 through 1474 of the Code, as of the date of this Agreement (or any amended or successor version that is
substantively comparable therewith), any current or future regulations or official interpretations thereof and any agreements entered into pursuant to Section 1471(b)(1) of the Code. 

Financial Statements: For any fiscal year or other accounting period for the applicable Person, balance sheets, statements of
operations and capital accounts, and statements of cash flows setting forth in comparative form the corresponding figures for the year-earlier fiscal period, all prepared in accordance with GAAP. 

Fixtures: All equipment, machinery, fixtures, and other items of real property, including all components thereof, now and hereafter
located in, on, or used in connection with, and that are, in each case, permanently affixed to the Land, or affixed or incorporated into the buildings and structures on the Land, including, without limitation, all affixed furnaces, boilers, heaters,
electrical equipment, heating, plumbing, lighting, ventilating, refrigerating, incineration, air and water pollution control, waste disposal, air-cooling and
air-conditioning systems and apparatus, sprinkler systems and fire and theft protection equipment, and built-in oxygen and vacuum systems, all of which, to the greatest
extent permitted by law, are hereby deemed by the parties to constitute real estate, together with all replacements, modifications, alterations and additions thereto. 

Force Majeure: As defined in Section 21.9. 

GAAP: Generally accepted accounting principles in the United States as in effect from time to time and applied consistently throughout
the periods involved. 
 Governmental Body: Any United States federal, state or local, or any supra national or non U.S., government,
political subdivision, governmental, regulatory or administrative authority, instrumentality, agency body or commission, court, tribunal or judicial or arbitral body, in each case of competent jurisdiction, including the Securities and Exchange
Commission. 
 Guarantor: Steward Health, its successors and permitted assigns. 

  
 8 

 Guaranty: That certain Guaranty, dated as of the date hereof, executed and delivered by
Guarantor in favor of Lender and certain of its Affiliates, as the same may be modified, amended, restated and/or supplemented from time to time. 

Hazardous Materials: Any substance deemed hazardous under any Hazardous Materials Laws, including without limitation, asbestos, the
group of organic compounds known as polychlorinated biphenyls, flammable explosives, radioactive materials, infectious wastes, biomedical and medical wastes, chemicals known to cause cancer or reproductive toxicity, lead and lead-based paints,
radon, and any items included in the definition of hazardous or toxic wastes, materials or substances under any Hazardous Materials Laws. 

Hazardous Materials Laws: Each federal, state and local law and regulation relating to pollution or protection of the environment,
including ambient air, surface water, ground water, land surface or subsurface strata, and natural resources, and including each law and regulation relating to emissions, discharges, releases or threatened releases of Hazardous Materials, or
otherwise relating to the manufacturing, processing, distribution, use, treatment, generation, storage, containment (whether above ground or underground), disposal, transport or handling of Hazardous Materials, and each law and regulation with
regard to record keeping, notification, disclosure and reporting requirements respecting Hazardous Materials, including, without limitation, the Resource Conservation and Recovery Act of 1976 (“RCRA”), the Comprehensive
Environmental Response, Compensation and Liability Act of 1980 (“CERCLA”), as amended by the Superfund Amendments and Reauthorization Act of 1986 (“SARA”), the Hazardous Materials Transportation Act, the Federal
Water Pollution Control Act, the Clean Air Act, the Clean Water Act, the Toxic Substances Control Act, the Safe Drinking Water Act, and all similar federal, state and local environmental statutes and ordinances, and the regulations, orders, and
decrees now or hereafter promulgated thereunder, in each case as amended from time to time. 
 Health Benefit Laws: Laws relating to
the licensure, certification, qualification or authority to transact business relating to the provision of, or payment for, or both the provision of and payment for, health benefits, health care or insurance coverage, including ERISA, COBRA, HIPAA,
SCHIP, Medicare, Medicaid, CHAMPUS/TriCare, and laws relating to the regulation of workers compensation and coordination of benefits. 

Health Compliance Laws: All applicable laws pertaining to billing, kickbacks, false claims, self-referral, claims processing,
marketing, HIPAA security standards for the storage, maintenance, transmission, utilization and access to and privacy of patient information, and HIPAA and state standards for electronic transactions and data code sets, including, without
limitation, the False Claims Act (31 U.S.C. Section 3729 et seq.), the Anti-Kickback Act of 1986 (41 U.S.C. Section 51 et seq.), the Federal Health Care Programs Anti-Kickback Statute (42 U.S.C. Section
1320a-7a(b)), the Stark Law, the Civil Monetary Penalties Law (42 U.S.C. Section 1320a-7a), and any other applicable federal health care law or equivalent state statutes
or any rule or regulation promulgated by an applicable Governmental Body with respect to any of the foregoing, as any of the same may be amended, modified and/or restated from time to time. 

Healthcare Laws: Health Benefit Laws, Health Compliance Laws and Information Privacy and Security Laws. 

  
 9 

 Holy Family Borrower: Steward Holy Family Hospital, Inc., a Delaware corporation, together
with its successors and permitted assigns. 
 Holy Family Facility: That certain one hundred twenty-four (124)-licensed bed general
acute care hospital facility operated at the Holy Family Land, commonly known as “Merrimack Valley Hospital.” 
 Holy Family
Land: That certain real property located in Essex County, Massachusetts, as more particularly described on Exhibit A-3 attached hereto and made a part hereof by reference
and incorporation, together with all hereditaments, easements, mineral rights, rights of way and other appurtenances related thereto. 

Holy Family Lender: MPT of Methuen-Steward, LLC, a Delaware limited liability company, together with its successors and assigns. 

Holy Family Property: The Holy Family Land and related Leased Improvements located thereon relating to the Holy Family Facility. 

HIPAA: The Health Insurance Portability and Accountability Act of 1996, as the same may be amended, modified or supplemented from time
to time, and any successor statute thereto, and any and all rules or regulations promulgated from time to time thereunder. 
 Impartial
Appraiser: As defined in Section 9.1(a). 
 Impositions: Collectively, with respect to each Property, all civil monetary
penalties, fines and overpayments imposed by state and federal regulatory authorities, all Real Estate Taxes, all state and local sales and use taxes, single business, gross receipts, transaction privilege, rent or similar taxes, all assessments,
charges and costs imposed under the Permitted Exceptions (including, without limitation, all penalties, fines, damages, costs and expenses for any violation of or a default under any of the Permitted Exceptions), Massachusetts excise taxes,
franchise taxes (including but not limited to taxes based on capital, net worth or assets), license, business entity, annual report, registration and statutory representation fees and other taxes imposed on any business entities, including limited
partnerships, limited liability companies and other “pass through” entities, and any such items imposed on Lender or Lender’s Affiliates (including Lender’s parent organizations), all assessments for utilities, public
improvements or benefits, ground rents, water, wastewater, sewer, sanitary sewer or other rents and charges, excises, tax levies, fees (including, without limitation, impact, development, license, permit, inspection, authorization and similar fees),
and all other governmental charges, in each case whether general or special, ordinary or extraordinary, or foreseen or unforeseen, of every character in respect of such Property, the Loan Obligations relating thereto (including all interest and
penalties thereon due to any failure in payment by Borrower), and all other reasonable out-of-pocket fees, costs and expenses which at any time prior to, during or in
respect of the Loan Term may be charged, assessed or imposed on or in respect of or be a lien upon (a) Lender or Lender’s Lien or interest in such Property, (b) such Property or any part thereof or any rent therefrom or any estate,
right, title or interest therein, or (c) any occupancy, operation, use or possession of, sales from, or activity conducted on, or in connection with, such Property or the leasing or use of such Property or any part thereof. Notwithstanding any
provision hereof to the contrary, nothing contained in this Agreement shall be construed to require Borrower to pay any 

  
 10 

 
tax based on net income (whether denominated as a financial institutions or other tax) imposed on Lender, including, but not limited to, any franchise tax or business entity tax (other than any
components of such tax which constitute a franchise or capital tax), or (2) any branch profits taxes imposed by the United States or any similar tax imposed by any other jurisdiction in which Lender is located, or (3) any transfer tax of
Lender, or (4) any tax imposed with respect to the sale, exchange or other disposition by Lender of any Property or the proceeds thereof, or (5) any backup withholding tax that is required by the Code to be withheld from amounts payable to
a Lender that has failed upon request of Borrower to deliver initial or updated forms to determine Lender’s withholding status including, without limitation, IRS Forms W-9,
W-8BEN-E, W-8BEN, W-BECI or any similar or replacement forms, as applicable, or
(6) any United States withholding tax imposed by FATCA, or (7) any interest, additions to tax or penalties in respect of the foregoing clauses (1) through (6), or (8) except as expressly provided elsewhere in this Agreement, any
principal or interest on any Lien on any Property, except to the extent that any tax, assessment, tax levy or charge which Borrower is obligated to pay pursuant to the first sentence of this definition and which is in effect at any time during the
Loan Term is totally or partially repealed, and a tax, assessment, tax levy or charge set forth in clause (1) or (2) is levied, assessed or imposed expressly in lieu thereof, in which case the substitute tax, assessment, tax levy or charge
shall be deemed to be an Imposition. 
 Improvements: All buildings, structures, Fixtures and other improvements of every kind,
alleyways and connecting tunnels, sidewalks, utility pipes, conduits and lines (on-site and off-site), parking areas and roadways appurtenant to such buildings and
structures presently or hereafter situated upon the Land, including, without limitation, any such items constituting Capital Additions, and all hereditaments, easements, rights of way and other appurtenances related thereto. 

Indebtedness: With respect to any Person means, without duplication, (a) all obligations of such Person for borrowed money or with
respect to deposits or advances of any kind, (b) all obligations of such Person evidenced by bonds, debentures, notes or similar instruments, (c) all obligations of such Person upon which interest charges are customarily paid, (d) all
obligations of such Person under conditional sale or other title retention agreements relating to property acquired by such Person, (e) all obligations of such Person in respect of the deferred purchase price of property or services (excluding
trade payables and other accounts payable in each case, incurred in the ordinary course of business), (f) all Indebtedness of others secured by (or for which the holder of such Indebtedness has an existing right, contingent or otherwise, to be
secured by) any Lien on property owned or acquired by such Person, whether or not the Indebtedness secured thereby has been assumed; provided that if such Person has not assumed such obligations, then the amount of Indebtedness of such Person for
purposes of this clause (f) shall be equal to the lesser of the amount of the obligations of the holder of such obligations and the fair market value of the assets of such Person which secure such obligations, (g) all Steward Guarantees by
such Person of Indebtedness of others, (h) all Capital Lease Obligations of such Person, (i) all obligations, contingent or otherwise, of such Person as an account party in respect of letters of credit and letters of guaranty, (j) all
obligations, contingent or otherwise, of such Person in respect of bankers’ acceptances, (k) all obligations of such Person under any liquidated earn-out and (l) any other Off-Balance Sheet Liability of such Person. The Indebtedness of any Person shall include the Indebtedness of any other entity (including any partnership in which such Person is a general partner) to the extent such
Person is liable therefor as a result of such Person’s ownership interest in or other relationship with such entity, except to the extent the terms of such Indebtedness provide that such Person is not liable therefor. 

  
 11 

 Information Privacy and Security Laws: HIPAA and any other laws concerning the privacy
and/or security of personal information, including but not limited to the Gramm-Leach-Bliley Act, state data breach notification laws, state health information privacy laws, the Federal Trade Commission Act and state consumer protection laws. 

Insurance Premiums: As defined in Section 3.4. 

Insurance Requirements: All terms of any insurance policy required by this Agreement and all requirements of the issuer of any such
policy. 
 Intercreditor Agreement: That certain Intercreditor Agreement, dated as of the date hereof, among Lender, the MPT Lessors
and Citibank, N.A. (as administrative agent on behalf of itself and the other lenders under the ABL Credit Agreement), as the same may be modified, amended or restated from time to time. 

Interest Expense: For any period, total interest expense (including that attributable to Capital Lease Obligations) of Steward Health
and its Subsidiaries for such period with respect to all outstanding Indebtedness of Steward Health and its Subsidiaries (including all commissions, discounts and other fees and charges owed with respect to letters of credit and bankers’
acceptances and net costs under any Swap Agreements in respect of interest rates to the extent such net costs are allocable to such period in accordance with GAAP, calculated on a consolidated basis for Steward Health and its Subsidiaries for such
period in accordance with GAAP. 
 Joint Commission: As defined in Article XIII. 

Land: That certain real property more particularly described on Exhibits
A-1 et seq. attached hereto and incorporated herein by reference, each together with all hereditaments, easements, mineral rights, rights of way and other appurtenances related thereto, and
any other parcel of land acquired or leased and made subject to this Agreement. 
 Late Payment Penalty: Shall mean an amount equal
to the product of Five Percent (5%) and the amount of any overdue and unpaid amount under this Agreement. 
 Lease Assignments: Those
certain Assignments of Rents and Leases, dated as of the date hereof, executed and delivered by each Facility Borrower to and in favor of Lender, as each may be amended, modified and/or restated from time to time. 

Legal Requirements: With respect to each Property and the conduct of the Business thereon, all federal, state, county, municipal and
other governmental statutes, laws, rules, orders, regulations, ordinances, judgments, decrees and injunctions affecting such Property, Borrower’s operation of the Business on such Property, or the construction, use or alteration of such
Property (including, without limitation, the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973), whether now or hereafter enacted and in force, including any which may (a) require repairs, modifications, or
alterations in or to such Property, or (b) in any way 

  
 12 

 
adversely affect the use and enjoyment thereof, and all permits, licenses, authorizations and regulations relating thereto, and all covenants, agreements, variances, restrictions and encumbrances
contained in any instruments, either of record or known to Borrower, at any time in force affecting such Property. 
 Lender: As
defined in the preamble to this Agreement. 
 Lender Parties: As defined in Section 21.7(a). 

Lender’s Notice Address: As defined in Section 9.3(c). 

Licenses: As defined in Section 5.2. 

Lien: Any mortgage, deed of trust, pledge, hypothecation, assignment, charge or deposit arrangement, lien (statutory or otherwise) or
preference, security interest or other encumbrance of any kind or nature whatsoever. 
 LLC Agreement: That certain Fifth Amended and
Restated Limited Liability Company Agreement of Steward Health, dated as of the date hereof, as the same may be modified, amended or restated from time to time. 

Loan: As defined in the recitals to this Agreement. 

Loan Documents: Collectively, this Agreement, the Note, the Mortgages and the Lease Assignments, as each may be modified, amended,
restated or supplemented from time to time. 
 Loan Obligations: All present and future debts, obligations and liabilities of
Borrower to Lender arising pursuant to or on account of the provisions of this Agreement and all other Loan Documents, including, without limitation, the obligations and liabilities of Borrower (a) to pay the principal of and interest on the
Note in accordance with the terms thereof, including any and all extensions, modifications, and renewals thereof and substitutions therefor; (b) to pay, repay or reimburse Lender for all amounts owing hereunder or under any of the other Loan
Documents, including any reimbursement obligations; and (c) to perform its obligations under this Agreement and the other Loan Documents. 

Loan Term: The period from the Closing Date until the Termination Date. 

Major Event of Default: The occurrence of (i) an Event of Default under clause (a), (e), (k) or (l) of
Section 14.1; (ii) an Event of Default by the Guarantor under clause (c) or (g) of Section 14.1; or (iii) a “Major Event of Default” under and as defined in the Master Lease.

 Management Agreement: Any contract or agreement for the provision of management services to a Facility Borrower with respect to
the operation of a healthcare facility on the applicable Property. 
 Management Company: Any person, firm, corporation or other
entity or individual who or which will provide management services to a Facility Borrower with respect to the operation of a healthcare facility on a Property. 

  
 13 

 Master Lease: That certain Master Lease Agreement, dated as of the date hereof, by and
among the MPT Lessors and the Master Lessee Affiliates, as modified, amended or restated from time to time. 
 Master Lessee
Affiliates: Collectively, Steward St. Elizabeth’s Medical Center of Boston, Inc., Steward Holy Family Hospital, Inc., Steward Good Samaritan Medical Center, Inc., Steward St. Anne’s Hospital Corporation, and Morton Hospital, A Steward
Family Hospital, Inc., each a Delaware corporation. 
 Material Obligation: Any obligation of the Guarantor or any Facility Borrower
(other than any obligations owing to Lender or any of its Affiliates) which is in excess of Fifty Million and No/100 Dollars ($50,000,000.00). 

Maturity Date: As defined in the Note. 

Medicaid: The medical assistance program established by Title XIX of the Social Security Act (42 U.S.C. Sections 1396 et seq.) and any
statute succeeding thereto. 
 Medical Waste: The medical waste of each Facility, including, but not limited to,
(a) pathological waste, (b) blood, (c) sharps, (d) wastes from surgery or autopsy, (e) dialysis waste, including contaminated disposable equipment and supplies, (f) cultures and stocks of infectious agents and associated
biological agents, (g) contaminated animals, (h) isolation wastes, (i) contaminated equipment, (j) laboratory waste and (k) various other biological waste and discarded materials contaminated with or exposed to blood,
excretion, or secretions from human beings or animals. “Medical Waste” also includes any substance, pollutant, material, or contaminant listed or regulated under the Medical Waste Tracking Act of 1988, 42 U.S.C. § 6992, et seq.
(“MWTA”), and applicable state law. 
 Medical Waste Laws: Each federal, state, regional, county, municipal, or
other local laws, regulations, and ordinances insofar as they purport to regulate Medical Waste, or impose requirements relating to Medical Waste, including regulations promulgated and orders issued thereunder, all as may be amended from time to
time, including without limitation, the MWTA, the U.S. Public Vessel Medical Waste Anti-Dumping Act of 1988, 33 USCA § 2501 et seq., the Marine Protection, Research, and Sanctuaries Act of 1972, 33 USCA § 1401 et seq., The
Occupational Safety and Health Act, 29 USCA § 651 et seq., the United States Department of Health and Human Services, National Institute for Occupations Self-Safety and Health Infectious Waste Disposal Guidelines, Publication No. 88-119. 
 Medicare: The health insurance program for the aged and disabled established by
Title XVIII of the Social Security Act (42 U.S.C. Sections 1395 et seq.) and any statute succeeding thereto. 
 Monthly Escrow
Amount: As defined in Section 3.1. 
 Mortgages: Collectively, (a) that certain Mortgage, Security
Agreement and Fixture Filings, dated as of the date hereof, executed by Carney Borrower, (b) that certain Mortgage, Security Agreement and Fixture Filings, dated as of the date hereof, executed by Holy Family Borrower, (c) that certain
Mortgage, Security Agreement and Fixture Filings, dated as of the date 

  
 14 

 
hereof, executed by Nashoba Borrower and (d) that certain Mortgage, Security Agreement and Fixture Filing, dated as of the date hereof, executed by Norwood Borrower, in each case, as
modified, amended or restated from time to time. 
 Mortgage Loan Amount: For any date of determination, the outstanding principal
amount due under the Note. 
 MPT: MPT Operating Partnership, L.P., an Affiliate of Lender. 

MPT Damages: As defined in Section 5.4(c). 

MPT Indemnified Parties: As defined in Section 5.4(c). 

MPT Lenders: The Carney Lender, with respect to the Carney Property; the Holy Family Lender, with respect to the Holy Family Property;
the Nashoba Lender, with respect to the Nashoba Property; the Norwood Lender, with respect to the Norwood Property; and the Lender party thereto, with respect to any New Property. 

MPT Lessors: Collectively, jointly and severally, MPT of Methuen-Steward, LLC (in such capacity), MPT of Brighton-Steward, LLC, MPT of
Fall River-Steward, LLC, MPT of Brockton-Steward, LLC and MPT of Taunton-Steward, LLC, each a Delaware limited liability company. 
 MPT
Required Provisions: Any covenant, restriction or waivers added to the LLC Agreement and the respective Organizational Documents of Steward Health and any of its Subsidiaries as required under the Real Estate Contract, and any comparable
covenant, restriction or waivers added to any Organizational Documents of any Subsidiaries of Steward Health that is formed or organized after the date hereof and becomes an Obligor. 

MWTA: As defined in the definition of Medical Waste. 

Nashoba Borrower: Nashoba Valley Medical Center, A Steward Family Hospital, Inc. a Delaware corporation, together with its successors
and permitted assigns. 
 Nashoba Facility: That certain seventy-three (73)-licensed bed general acute care hospital facility
operated at the Nashoba Land, commonly known as “Nashoba Valley Medical Center.” 
 Nashoba Land: That certain real
property located in Middlesex County, Massachusetts more particularly described on Exhibit A-5 attached hereto and made a part hereof by reference and incorporation, together
with all hereditaments, easements, mineral rights, rights of way and other appurtenances related thereto. 
 Nashoba Lender: MPT of
Ayer-Steward, LLC, a Delaware limited liability company, together with its successors and assigns. 
 Nashoba Property: The Nashoba
Land and related Leased Improvements located thereon relating to the Nashoba Facility. 

  
 15 

 Net Income: For any period, the consolidated net income (or loss) of Steward Health and
its Subsidiaries, determined on a consolidated basis in accordance with GAAP; provided that there shall be excluded (a) the income (or deficit) of any Person accrued prior to the date it becomes a Subsidiary or is merged into or
consolidated with Steward Health or any of its Subsidiaries, (b) the income (or deficit) of any Person (other than a Subsidiary) in which the Steward Health or any of its Subsidiaries has an ownership interest, except to the extent that any
such income is actually received by Steward Health or such Subsidiary in the form of dividends or similar distributions, (c) the undistributed earnings of any Subsidiary to the extent that the declaration or payment of dividends or similar
distributions by such Subsidiary is not at the time permitted by the terms of any contractual obligation (other than under any Obligation Document), the Organizational Documents or Legal Requirements applicable to such Subsidiary and (d) to the
extent treated as income, any incentive payments received by Steward Health and its Subsidiaries from Medicare or Medicaid pursuant to The American Recovery and Reinvestment Act of 2009 relating to expenditures made in respect of electronic health
record technology. 
 Non-Competition Agreement: That certain
Non-Competition Agreement, dated as of the date hereof, executed by Steward Health in favor of Lender and certain of its Affiliates, as the same may be amended, modified, and/or restated from time to time.

 Non-Permitted Assignee: Any Person identified (i) on Schedule 1-C, (ii) by the Borrower to Lender in writing, subject to Lender’s consent, not to be unreasonably withheld, conditioned or delayed (provided, that, in evaluating Lender’s reasonable
consent, Lender may consider such Person’s historical and stated future intentions concerning competitive activities and financial and operational capabilities with respect to such activities), as (A) a Person that is engaged primarily in
the operation of hospitals or the business of managed care and (B) a direct competitor of the Obligors, or (iii) any Person that does not then possess the financial ability and wherewithal to satisfy all of the obligations of Lender and
MPT Lessors under and pursuant to this Agreement and the Master Lease. 
 Non-Recourse Party:
As defined in Section 21.7(b). 
 Note: That certain Promissory Note, dated as of the date hereof, in the original principal
amount of Six Hundred Million and No/100 Dollars ($600,000,000.00), made jointly and severally by the Facility Borrowers in favor of Lender, as the same may be amended, modified, restated and/or supplemented from time to time. 

Norwood Borrower: Steward Norwood Hospital, Inc., a Delaware corporation, together with its successors and permitted assigns. 

Norwood Facility: That certain two hundred twenty-eight (228)-licensed bed general acute care hospital facility operated at the Norwood
Land, commonly known as “Norwood Hospital.” 
 Norwood Land: That certain real property located in Norfolk County,
Massachusetts more particularly described on Exhibit A-6 attached hereto and made a part hereof by reference and incorporation, together with all hereditaments, easements, mineral
rights, rights of way and other appurtenances related thereto. 

  
 16 

 Norwood Lender: MPT of Norwood-Steward, LLC, a Delaware limited liability company,
together with its successors and assigns. 
 Norwood Property: The Norwood Land and related Leased Improvements located thereon
relating to the Norwood Facility. 
 Obligation Documents: Individually and collectively, the Loan Documents, the Master Lease, the
Real Estate Contract, the LLC Agreement (solely with respect to MPT Required Provisions), the Strategic Agreement, the Guaranty, the Pledge Agreement, the Security Agreement, the Environmental Indemnification Agreement, and the Non-Competition Agreement, and all other leases, promissory notes, and agreements entered into between Lender or any Affiliate of Lender, on the one hand, and any Facility Borrower, Guarantor or any of their
respective Affiliates, on the other hand, relating to the transactions contemplated under this Agreement and the Master Lease, as any of the same may be modified, amended or restated from time to time; provided, however, that the Equity Purchase
Agreement shall be excluded from the Obligation Documents for purposes of this Agreement. 
 Obligors: Collectively, Borrower, the
Master Lessee Affiliates and the Guarantor, and their successors and permitted assigns. 
 OFAC: The U.S. Department of Treasury
Office of Foreign Assets Control. 
 OFAC List: The list of specially designated nationals and blocked persons subject to financial
sanctions that is maintained and published by the U.S. Treasury Department, Office of Foreign Assets Control and any other similar list maintained and published by the U.S. Treasury Department, Office of Foreign Assets Control pursuant to any law,
including, without limitation, trade embargo, economic sanctions, or other prohibitions imposed by Executive Order of the President of the United States. The OFAC List currently is accessible through the internet website
http://www.treasury.gov/ofac/downloads/t11sdn.pdf. 
 Off-Balance Sheet Liability: With
respect to any Person means (a) any repurchase obligation or liability of such Person with respect to accounts or notes receivable sold by such Person, (b) any indebtedness, liability or obligation under any
so-called “synthetic lease” transaction entered into by such Person, or (c) any indebtedness, liability or obligation arising with respect to any other transaction which is the functional
equivalent of or takes the place of borrowing but which does not constitute a liability on the balance sheets of such Person (other than operating leases). 

Officer’s Certificate: With respect to each Facility Borrower, a certificate of such Facility Borrower signed by the
representative(s) authorized to so sign by the governing body of such Facility Borrower, or any other Person whose power and authority to act has been properly authorized. 

OIG: As defined in Section 13.1. 

Operating Agreements: With respect to each Facility Borrower, all material written agreements that exceed $7,500,000 annually to which
such Facility Borrower is a party with respect to the ownership, operation or management of the Business at a Property, including, 

  
 17 

 
without limitation, any and all service and maintenance contracts, management agreements, equipment leases, consulting agreements, laboratory servicing agreements, pharmaceutical contracts and
physician, other clinician or other professional services provider contracts , but excluding employment contracts and any Participation Agreements, as the same may from time to time be terminated, amended, restated, supplemented, renewed or
modified. 
 Option: As defined in Section 15.1. 

Option Closing Date: As defined in Section 15.3. 

Option Event: As defined in Section 15.1. 

Option Notice: As defined in Section 15.1. 

Option Period: As defined in Section 15.1. 

Option Property: As defined in Section 15.1. 

Organizational Documents: With respect to any Person, the articles of incorporation or organization, certificate of incorporation or
formation or other formation document, together with all other documents creating and governing such Person, including stockholder agreements, limited liability company or operating agreements, partnership agreements and bylaws. 

Overdue Rate: On any date, the Base Interest Rate plus Five Percent (5%). 

Participation Agreements: With respect to each Facility Borrower, all material third-party payor participation or reimbursement
agreements that exceed $7,500,000 annually, and provider numbers and provider agreements, to which such Facility Borrower is a party relating to rights to payment or reimbursement from, and claims against, private insurers, managed care plans and
contracts, employee assistance programs, Blue Cross and/or Blue Shield, governmental authorities, Medicare, Medicaid and TRICARE, and other third-party payors, as the same may from time to time be terminated, amended, restated, extended,
supplemented or modified, together with all rights, privileges and entitlements thereunder. 
 Patriot Act: The Uniting and
Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001, Pub. L. 107-56, as the same may be amended, modified or restated from time to time. 

Permitted Exceptions: The matters set forth in Exhibit B-1 et seq.

 Person: An individual, a corporation, a limited liability company, a general or limited partnership, an unincorporated
association, a joint venture, a Governmental Body or another entity or group. 
 Personal Property: With respect to a Facility
Borrower, all of such Facility Borrower’s consumable inventory and supplies, machinery, equipment, furniture, furnishings, trailers, movable walls or partitions, computers, trade fixtures and other tangible or intangible personal property
(including all such items not permanently affixed to the applicable Property), currently owned and acquired after the execution of this Agreement, and necessary, used, or useful in the operation of the applicable Facility, but excluding any items
within the definition of Fixtures. 

  
 18 

 Plan: Any employee pension benefit plan (other than a Multiemployer Plan as defined in
Section 4001(a)(3) of ERISA) subject to the provisions of Title IV of ERISA or Section 412 of the Code or Section 302 of ERISA, and in respect of which any Borrower or any ERISA Affiliate is (or, if such plan were terminated, would
under Section 4069 of ERISA be deemed to be) an “employer” as defined in Section 3(5) of ERISA. 
 Pledge
Agreement: That certain Pledge Agreement, dated as of the date hereof, by and among the “Pledgors” (as defined therein), the other “Pledged Obligors” (as defined therein), Lender and certain of its Affiliates, as the same may
be modified, amended or restated from time to time. 
 Portfolio Sale: Any (i) sale, transfer, assignment or conveyance by
Medical Properties Trust, Inc., MPT, any Facility Lender or any of their respective Affiliates of a group or portfolio of healthcare facilities that includes certain Steward Assets that are proposed to be included in such sale, transfer, assignment,
or conveyance and other healthcare facilities (the “Proposed Portfolio Transaction”); provided, that, the aggregate lease or loan amounts allocated under the Real Estate Contract (or similar future agreement) to such Steward Assets
that are proposed to be included in such sale, transfer, assignment or conveyance are (a) greater than $100,000,000, and (b) less than twenty percent (20%) of the aggregate purchase price of such Proposed Portfolio Transaction, or
(ii) as applicable, sale of equity, merger, combination, sale of all or substantially all of the assets of or similar transaction involving Medical Properties Trust, Inc., MPT, or their respective Affiliates and any other Person. 

Proposed Portfolio Transaction: As defined in the definition of “Portfolio Sale.” 

Primary Intended Use: As defined in Section 4.2. 

Properties; Property: Individually and collectively, the Carney Property, the Holy Family Property, the Nashoba Property and the
Norwood Property. 
 Purchaser: As defined in Section 15.1. 

Qualified Public Offering: A public offering by Steward Health or any entity into which Steward Health is merged, converted or
consolidated into or to which the Equity Interests of Steward Health are contributed, as determined by Steward Health’s board as being advisable or convenient to create a suitable vehicle for a public offering (the resulting entity, the
“Public Corporation”), of the Equity Interests in Steward Health or any Public Corporation, which public offering is registered with the United States Securities and Exchange Commission. 

Qualified Transferee: A Person that, at the date of determination: 

 

	 	(a)	is a Person, or an Affiliate of a Person, that owns or operates, or has owned and/or operated, procures the services of a Person that has owned or operated, (i) at least six (6) hospitals or (ii) one (1)
or more hospitals having an aggregated annual net revenue of $500,000,000 or more; 

  
 19 

	 	(b)	has not, and neither have any of such Person’s senior officers or directors: (A) had any license or certification to operate any healthcare facility or any other similar business irrevocably revoked by any
Governmental Authority, or caused any such revocation, due to any actual fault, (B) been found to have been grossly negligent or to have committed willful or intentional misconduct in any lawsuit alleging any wrongdoing by such Person or any of
such senior officers, directors, shareholders or members relating to patient care, (C) been permanently excluded from providing services in connection with the operation of any healthcare facility or any other similar business by any applicable
state healthcare licensing authority, or (D) been permanently excluded or restricted from participation in Medicare, Medicaid or any other governmental payor program; and (ii) has not, and neither have any of such Person’s senior
officers or directors, been the subject of a pending investigation or proceeding within the past 5 years that is reasonably likely to result in any of the foregoing; and 

 

	 	(c)	has not: (i) made an assignment of all or substantially all of its property for the benefit of creditors, (ii) had a receiver, trustee or liquidator appointed for any of its property (unless such appointment
was discharged within 60 days after the date of such appointment), (iii) filed a voluntary petition under any federal bankruptcy law or state Legal Requirements to be adjudicated as bankrupt or for any arrangement or other debtor’s relief, or
(iv) had an involuntary filing of such a petition against any such Person by any other Person (unless such petition was dismissed within 90 days after filing). 

RCRA: As defined in the definition of “Hazardous Materials Laws.” 

Real Estate Contract: That certain Real Property Asset Purchase Agreement, dated as of September 26, 2016, by and among Steward
Health and certain of its Affiliates, Borrower, MPT, Lender and the MPT Lessors, as the same may be amended, modified and/or restated from time to time. 

Real Estate Taxes: All taxes, assessments and special assessments, and dues which are levied or imposed upon the Real Property. 

Real Property: The Land and the Improvements. 

Realty Payments: For any period, the sum of the payment obligations of Steward Health and its Subsidiaries under (a) the Note,
(b) the Master Lease, and (c) under any other hospital real estate lease or mortgage loan with any other Person. 
 SARA:
As defined in the definition of “Hazardous Materials Law.” 
 Scheduled Monthly Payment: As defined in the Note. 

Security Agreement: That certain Security Agreement, dated as of the date hereof, among Borrower, the Master Lessee Affiliates, Lender
and certain of its Affiliates, as the same may be modified, amended, restated or supplemented from time to time. 

  
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 Specified Equity Contribution: As defined in Section 14.1. 

State Regulatory Authorities: As applicable to each Facility, the state licensing and certification agencies, together with all
applicable statutes and regulations, related to the licensure and operation of healthcare facilities in each respective state. 
 Steward
Assets: Those properties leased which are leased by MPT or any of its Affiliates to Steward Health or any of its Subsidiaries, and those properties which are subject to a mortgage loan from MPT or any of its Affiliates to Steward Health or any
of its Subsidiaries. 
 Steward Guarantee: With respect to any Person (the “guarantor”) means any obligation,
contingent or otherwise, of the guarantor guaranteeing or having the economic effect of guaranteeing any Indebtedness or other obligation of any other Person (the “primary obligor”) in any manner, whether directly or indirectly, and
including any obligation of the guarantor, direct or indirect, (a) to purchase or pay (or advance or supply funds for the purchase or payment of) such Indebtedness or other obligation or to purchase (or to advance or supply funds for the
purchase of) any security for the payment thereof, (b) to purchase or lease property, securities or services for the purpose of assuring the owner of such Indebtedness or other obligation of the payment thereof, (c) to maintain working
capital, equity capital or any other financial statement condition or liquidity of the primary obligor so as to enable the primary obligor to pay such Indebtedness or other obligation or (d) as an account party in respect of any letter of
credit or letter of guaranty issued to support such Indebtedness or obligation; provided that the term Steward Guarantee shall not include endorsements for collection or deposit in the ordinary course of business or indemnity obligations
entered into in connection with any acquisition or disposition of assets permitted under this Agreement. The amount of any Steward Guarantee shall be deemed to be an amount equal to the stated or determinable amount of the related primary
obligation, or portion thereof, in respect of which such Steward Guarantee is made or, if not stated or determinable, the maximum reasonably anticipated liability in respect thereof as determined by the guaranteeing Person in good faith. 

Steward Health: Steward Health Care System LLC, a Delaware limited liability company. 

Strategic Agreement: That certain Strategic Agreement, dated as of the date hereof, between Steward Health and MPT, as the same may be
modified, amended or restated from time to time. 
 Subsidiary or Subsidiaries: With respect to any Person, any other Person, of
which an amount of the voting securities, voting ownership or voting partnership interests of which is sufficient to elect at least a majority of its board of directors or other governing body (or, if there are no such voting interests, 50% or more
of the Equity Interests of which), is owned directly or indirectly by such first Person. For the purposes hereof, the term Subsidiary shall include all Subsidiaries of such Subsidiary. 

Swap Agreement: Any agreement with respect to any swap, forward, spot, future, credit default or derivative transaction or option or
similar agreement involving, or settled by reference to, one or more rates, currencies, commodities, equity or debt instruments or securities, or 

  
 21 

 
economic, financial or pricing indices or measures of economic, financial or pricing risk or value or any similar transaction or any combination of these transactions; provided that no
phantom stock or similar plan providing for payments only on account of services provided by current or former directors, officers, employees or consultants of Steward Health or its Subsidiaries shall be a Swap Agreement. 

Taking: A taking or voluntary conveyance during the Loan Term of all or part of any Property, or any interest therein or right accruing
thereto or use thereof, as the result of, or in settlement of, any Condemnation or other eminent domain proceeding threatened or affecting such portion of the Real Property. 

Tenant(s): The lessees, tenants, licensees, sublessees or subtenants under the Tenant Leases, if any. 

Tenant Leases: All written leases, subleases, licenses and other rental agreements (now or hereafter in effect) with annual rental
payments in excess of One Million and No/100 Dollars ($1,000,000), if any, including any Existing Leases, pursuant to which any Facility Borrower has granted a possessory interest in and to any space in or any part of the Real Property or that
otherwise provide possessory rights with respect to the Real Property, and all Credit Enhancements, if any, held in connection therewith. 

Terminated Property: As defined in Section 14.2(f). 

Termination Date: The date on which the Loan Obligations (including principal, interest, fees and other charges (including any such
interest, fees and other charges accruing during or that would have accrued but for the commencement of any bankruptcy or other insolvency proceeding, whether or not allowed or allowable in such proceeding)), but excluding unasserted contingent
indemnification obligations, have been paid in full in cash to Lender (including, for the avoidance of doubt, in connection with a payment pursuant to Section 15.3). 

Third Party Contractor: As defined on Schedule 6.3. 

Traco: As defined in Section 9.1(a). 

Transfer Requirements: As defined in Section 14.3(d). 

Unsuitable for Its Use or Unsuitable for Its Primary Intended Use: As used anywhere in this Agreement, the terms
“Unsuitable for Its Use” or “Unsuitable for Its Primary Intended Use” shall mean that, with respect to any Property or part thereof, by reason of damage or destruction or a partial Taking by Condemnation, such Property cannot be
operated on a commercially practicable basis for its Primary Intended Use, taking into account, all relevant factors (including, without limitation, anticipated repairs and/or restorations), and the effect of such damage or destruction or partial
Taking. 
 USPAP: The Uniform Standards of Professional Appraisal Practice, as amended from time to time. 

  
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 Section 1.2.    Interpretation; Terms Generally. The
definitions set forth in Section 1.1 and elsewhere in this Agreement shall apply equally to both the singular and plural forms of the terms defined. Whenever the context may require, any pronoun shall include the
corresponding masculine, feminine and neuter forms. Unless otherwise indicated, the words “include”, “includes” and “including” shall be deemed to be followed by the phrase “without limitation.” The words
“herein”, “hereof” and “hereunder” and words of similar import shall be deemed to refer to this Agreement (including the Schedules and Exhibits) in its entirety and not to any part hereof, unless the context shall
otherwise require. All references herein to Articles, Sections, Schedules and Exhibits shall be deemed to refer to Articles, Sections and Schedules of, and Exhibits to, this Agreement, unless the context shall otherwise require. Unless the context
shall otherwise require, any references to any agreement or other instrument or statute or regulation are to it as amended and supplemented from time to time (and, in the case of a statute or regulation, to any corresponding provisions of successor
statutes or regulations). Any reference in this Agreement to a “day” or number of “days” that does not refer explicitly to a “Business Day” or “Business Days” shall be interpreted as a reference to a calendar
day or number of calendar days. If any action or notice is to be taken or given on or by a particular calendar day, and such calendar day is not a Business Day, then such action or notice shall be deferred until, or may be taken or given on, the
next Business Day. For all purposes hereunder and under any other Loan Document, whenever reference is made to “continuance” or “continuation” of an Event of Default (or words of similar import), such reference shall mean that
the relevant Event of Default has not been waived in writing by the Lender (or Affiliate of Lender) or (as to any Event of Default that is subject to cure) cured within the applicable cure period. 

Section 1.3.    Accounting Terms. All accounting terms not specifically defined herein shall be
construed in accordance with GAAP. Defined terms and calculations in connection with the covenants and other provisions of this Agreement, including Section 14.1(k) and (l), shall be based upon and utilize GAAP applied in a manner
consistent with that used in preparing the financial statements referred to in Section 13.1(c)(i)-(iii). If at any time any change in GAAP would affect the computation of any financial ratio or requirement set forth in this Agreement, Lender
and Borrower shall negotiate in good faith to amend such ratio or requirement to preserve the original intent thereof in light of such change in GAAP; provided, that, until so amended, (i) such ratio or requirement shall continue to be computed
in accordance with GAAP prior to such change therein and (ii) Borrower shall provide to Lender financial statements and other documents required under this Agreement or as reasonably requested hereunder setting forth a reconciliation between
calculations of such ratio or requirement made before and after giving effect to such change in GAAP. Without limiting the foregoing, operating leases in effect on the date of this Agreement shall continue to be classified and accounted for as such
for all purposes of this Agreement, notwithstanding any change in GAAP relating thereto, unless the parties hereto shall enter into a mutually acceptable amendment addressing such changes. 

Section 1.4.    Certain Matters Relating to References to Real Property. References herein to
“a portion” of the Real Property (or words or phrases of similar import) shall mean, unless the context clearly indicates otherwise, a specific Property. 

  
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 ARTICLE II 

THE LOAN 

Section 2.1.    The Loan. Based upon the representations, warranties and covenants of Borrower as
set forth herein, and subject to the terms and conditions hereinafter set forth, as of the Closing Date, Lender has loaned and advanced to Borrower, on a joint and several basis, the principal amount of Six Hundred Million and No/100 Dollars
($600,000,000.00) and, at the instruction of Borrower, such proceeds have been distributed between the Facility Borrowers as set forth on Schedule 2.1 (the “Allocation Schedule”). 

Section 2.2.    The Note. In addition to being subject to all the terms and conditions of this Agreement, the Loan is
evidenced by, and shall bear interest, be repaid and be subject to such other terms and conditions as are set forth in the Note. All payments to be made by Borrower under the Note shall be made in lawful money of the United States of America by wire
transfer in immediately available and freely transferable funds, and any such payments received by Lender prior to 2:00 p.m. local time on a Business Day in Birmingham, Alabama shall be credited prior to close of business, while other payments may,
at the option of Lender, not be credited until immediately available to the Lender prior to 2:00 p.m. local time at said place of payment on a day on which Lender is open for business.

Section 2.3.    Security and Credit Enhancement. The Loan Obligations are fully guaranteed by the
Guaranty and secured pursuant to the Loan Documents and certain of the other Obligation Documents. 
 ARTICLE III 

ADDITIONAL CHARGES AND IMPOSITIONS 

Section 3.1.    Additional Charges. In addition to the payments owed under the Note, Borrower
shall pay and discharge as and when due and payable (a) all other amounts, liabilities, obligations and Impositions which such Facility Borrower assumes or agrees to pay under the Loan Documents, and all other amounts, liabilities, obligations
and Impositions related to the ownership, use, possession and operation of the Real Property, including, without limitation, all costs of owning and operating each Facility, all Real Estate Taxes, Insurance Premiums, maintenance and capital
improvements, all violations of and defaults under any of the Permitted Exceptions, and all licensure violations, civil monetary penalties and fines (except to the extent such violations, defaults, penalties or fines are caused by the gross
negligence or willful misconduct of Lender), and (b) in the event of any failure on the part of Borrower to pay any of those items referred to in clause (a) above, Borrower will also promptly pay and reimburse Lender and/or its Affiliates
for all such amounts paid by Lender and/or its Affiliates and promptly pay and discharge every fine, penalty, interest and cost which may be added for non-payment or late payment of such items (the items
referred to in clauses (a) and (b) above being referred to herein collectively as the “Additional Charges”), and Lender shall have all legal, equitable and contractual rights, powers and remedies provided in the Loan Documents,
by statute or otherwise, in the case of non-payment of the Additional Charges, as in the case of the Scheduled Monthly Payments. If any Scheduled Monthly Payment or Additional Charges shall not be paid within
ten (10) days after the applicable due date, Borrower, in addition to all other obligations hereunder, shall pay to Lender on demand as Additional Charges, a late charge computed at the Overdue Rate on the amount of such installment from the
due date of such installment to the date of payment thereof, and a Late Payment Penalty with respect to such installment. To the extent that Borrower pays any Additional Charges to Lender pursuant to

  
 24 

 
clause (b) above or pursuant to any other requirement of the Loan Documents, Borrower shall be relieved of its obligation to pay such Additional Charges to the Person to which they would
otherwise be due. If required by Lender following the occurrence and continuance of an Event of Default, then, upon written request to Borrower, Borrower shall make monthly payments to Lender in such amounts as Lender shall estimate to be necessary
to pay any Real Estate Taxes and/or some or all Insurance Premiums. If Lender exercises this option, it shall include in its written request an invoice in reasonable detail (the “Escrow Invoice”) specifying the amount to be paid on
account of Real Estate Taxes and/or Insurance Premiums (the “Monthly Escrow Amount”). Borrower shall pay to Lender the Monthly Escrow Amount on the first (1st) day of each month after receipt of the initial Escrow Invoice. At any
time, with at least five (5) Business Days’ notice prior to the end of any month during the Term, Lender may deliver to Borrower a substituted, adjusted or amended Escrow Invoice providing for a new Monthly Escrow Amount, and thereafter
Borrower shall pay the revised Monthly Escrow Amount on the first (1st) day of the each succeeding month (subject to further adjustment as provided for in this sentence). Any sums paid to Lender pursuant to this Section 3.1
shall bear interest and may not be commingled with Lender’s books and accounts, and upon the occurrence and continuance of an Event of Default hereunder, may be applied by Lender to all sums owed by Borrower or any Affiliate of Borrower to
Lender or any Affiliate of Lender relating to the Loan Obligations (provided, that prior to an Event of Default, Lender shall use any amounts so paid to pay the relevant Real Estate Taxes and Insurance Premiums, as applicable, in each case prior to
delinquency). Lender shall refund to Borrower at the end of the Loan Term, provided that no Event of Default then exists, any such remaining amounts collected in excess of the amounts ultimately required to pay the relevant Real Estate Taxes or
Insurance Premiums. Nothing in this Section 3.1 limits the provisions of Article XIX. 

Section 3.2.    Payment of Impositions. Subject to and without limiting Article VIII
relating to permitted contests, Borrower will pay, or cause to be paid, all Impositions before any fine, penalty, interest or cost may be added for non-payment, such payments to be made directly to the taxing
or assessing authorities, unless, in the case of escrows and deposits, such Impositions are required to be paid to Lender or a Facility Lender as provided in Section 3.1, and Borrower will promptly furnish to Lender copies
of official receipts or other satisfactory proof evidencing such payments. Borrower’s obligation to pay such Impositions shall be deemed absolutely fixed upon the date that any such Imposition becomes a Lien upon the Real Property or any part
thereof. If any such Imposition may lawfully be paid in installments (whether or not interest shall accrue on the unpaid balance of such Imposition), Borrower may, without Lender’s consent, exercise the option to pay the same (and any accrued
interest on the unpaid balance of such Imposition) in installments and, in such event, shall pay such installments during the Loan Term (subject to and without limiting Borrower’s right of contest pursuant to Article VIII and subject to
the requirement to pay escrows and deposits as required in Section 3.1) as the same respectively become due. Lender, at its expense, shall, to the extent permitted by applicable law, prepare and file all tax returns and
reports as may be required by governmental authorities in respect of Lender’s net income, gross receipts, franchise taxes and taxes on its capital stock, and Borrower, at its sole expense, shall, to the extent permitted by applicable laws and
regulations, prepare and file all other tax returns and reports in respect of any Imposition as may be required by governmental authorities. If any refund shall be due from any taxing authority in respect of any Imposition paid by Borrower, the same
shall be paid over to or retained by Borrower provided no Event of Default shall have occurred and be continuing. Any such funds retained by Lender due 

  
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to an Event of Default shall be applied as provided in Article XIV. Lender and Borrower shall, upon request of the other, provide any data (i) that is maintained by the party to whom
the request is made and (ii) that pertains to the Real Property, as may be necessary to prepare any required returns and reports. In the event that any Governmental Body classifies any of the Real Property as personal property, Borrower shall
file all personal property tax returns in such jurisdictions where it may legally so file and is required to file. Lender, to the extent it possesses the same, and Borrower, to the extent it possesses the same, will provide the other party, upon
request, with cost and depreciation records necessary for filing returns for any property so classified as personal property. In the event Lender is legally required to file personal property tax returns, Borrower will be provided with copies of
assessment notices indicating a value in excess of the reported value in sufficient time for Borrower to file a protest. So long as no Event of Default exists, Borrower may, at Borrower’s sole cost and expense, protest, appeal, or institute
such other proceedings as Borrower may deem appropriate to effect a reduction of real estate or personal property assessments and Lender, at Borrower’s expense as aforesaid, shall fully cooperate with Borrower in such protest, appeal, or other
action. Billings for reimbursement by Borrower to Lender of personal property Taxes shall be accompanied by copies of a bill therefor and payments thereof which identify the personal property with respect to which such payments are made. 

Section 3.3.    Utility Charges. Borrower will contract for, in its own name, and will pay or
cause to be paid all charges for electricity, power, gas, oil, sewer, water and other utilities used in connection with the Real Property during the Loan Term, including, without limitation, all impact and tap fees necessary for the operation of the
Facilities. 
 Section 3.4.    Insurance Premiums. Subject to Section 6.1(a), Borrower
shall contract for, in its own name, and shall pay or cause to be paid all premiums for the insurance coverage required to be maintained pursuant to Article VI during the Loan Term (the “Insurance Premiums”); provided,
however, if required by Lender pursuant to Section 3.1, such Insurance Premiums shall be paid as required under Section 3.1. 

ARTICLE IV 
 GENERAL
COVENANTS 
 From and after the Closing until the Termination Date, Borrower shall observe and perform the following covenants: 

Section 4.1.    Borrower’s Personal Property. Borrower, at
its expense, shall install, affix, assemble and place on the Real Property the Borrower’s Personal Property. Borrower shall not, without the prior written consent of Lender (such consent not to be unreasonably withheld, conditioned or delayed
provided that no Event of Default then exists), remove any of Borrower’s Personal Property from the Real Property except for removal (a) of inventory, (b) because of damage, obsolescence, upgrade or replacement or (c) in the
ordinary course of Borrower’s Business. Borrower shall provide and maintain during the Loan Term all such Borrower’s Personal Property as shall be necessary to operate each Property in material compliance with all licensure and
certification requirements, in material compliance with all applicable Legal Requirements and Insurance Requirements, and otherwise in accordance with customary practice in the industry for the Primary Intended Use. Following either
(a) Lender’s foreclosure of the 

  
 26 

 
Mortgages applicable to any one or more of the Properties or (b) Lender’s purchase of any one or more of the Properties in accordance with Article XV, Borrower agrees that all of
Borrower’s Personal Property relating to such one or more Properties (for which Lender has authorized removal as provided above) that is not foreclosed or purchased and which is not removed by Borrower within fifteen (15) days following
such foreclosure or purchase shall be considered abandoned by Borrower and may be appropriated, sold, destroyed or otherwise disposed of by Lender (at Borrower’s cost) with prior written notice thereof to Borrower, without any payment to
Borrower and without any obligation to Borrower to account therefor. Borrower will, at its expense, restore the Real Property and repair all damage to the Real Property caused by the installation or removal of Borrower’s Personal Property,
whether affected by Borrower, Lender, any other lender to Borrower, or any Facility Lender. 

Section 4.2.    Primary Intended Use. Each Property shall be operated as a healthcare facility and
for such other legal ancillary uses as may be necessary in connection with or incidental to such uses and, in each case, subject to all covenants, restrictions, easements and all other matters of record (including those set forth in the Permitted
Exceptions) relating to the applicable Property (collectively, the “Primary Intended Use”). Borrower shall be in material compliance with all Legal Requirements and Healthcare Laws and shall maintain all material Licenses and
Participation Agreements, including, but not limited to, Medicare and/or Medicaid certifications, provider numbers and agreements, certificates of need, governmental approvals, and full accreditation from all applicable governmental authorities, if
any, that are necessary for the operation of the Business with respect to the applicable Property consistent with the Primary Intended Use; provided, however, that the foregoing shall not restrict a Facility Borrower from
terminating, amending, restating, extending, supplementing, or modifying any Participation Agreement in the ordinary course or as may be required by any Legal Requirement (other than any termination of any Participation Agreement relating to rights
to payment or reimbursement from Medicare, which termination is hereby expressly prohibited). 

Section 4.3.    No Changes. Except as expressly authorized herein, Borrower shall not use any
Property for any use other than as provided herein, to the extent such change in use or decrease has a material adverse effect on the Primary Intended Use or the ability of the Borrower to meet its obligations under the Note and this Agreement,
without the prior written consent of Lender, not to be unreasonably withheld, conditioned or delayed. 

Section 4.4.    No Interference with Insurance. No use shall be made or permitted to be made of
the Real Property and no acts shall be done which will cause the cancellation of any insurance policy covering the Real Property or any part thereof, nor shall Borrower sell or otherwise provide to residents or patients therein, or permit to be
kept, used or sold in or about the Real Property any article which is prohibited by law or by the standard form of fire insurance policies, any other insurance policies required to be carried hereunder, or fire underwriters regulations. Borrower
shall, at its sole cost, comply, in all material respects, with all of the requirements, covenants and restrictions pertaining to the Real Property, including, without limitation, all of the Permitted Exceptions, and other requirements of any
insurance board, association, organization or company necessary for the maintenance of the insurance, as herein provided, covering the Real Property and Borrower’s Personal Property. 

  
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 Section 4.5.    Operation. Borrower shall operate the
Real Property only in accordance with the Primary Intended Use and as a provider of goods and services incidental thereto. 

Section 4.6.    Waste; Nuisance. Borrower shall not commit or suffer to be committed any material
waste on the Real Property, or in any of the Facilities, nor shall Borrower cause or permit any nuisance thereon. 

Section 4.7.    Maintenance of Security Interests. Borrower shall neither suffer nor permit the
Real Property or the other Collateral, or any portion thereof, including any Capital Addition whether or not financed by Lender, or Borrower’s Personal Property, to be used in such a manner as (i) could reasonably tend to impair
Lender’s (or Borrower’s, as the case may be) title thereto or to any portion thereof, or (ii) may reasonably make possible a claim or claims of adverse usage or adverse possession by the public, as such, or of implied dedication of
the Real Property or the Collateral, or any portion thereof. 
 Section 4.8.    Publicity Signs.
With respect to each Property, Lender shall, subject to applicable laws (including but not limited to the Healthcare Laws), have the right and option to erect a sign on such Property stating that such Property is financed by Lender. Such sign shall
be in a size, and shall be erected in a location and contain content acceptable to Lender and approved by Borrower, which approval shall not be unreasonably withheld, conditioned or delayed. Lender shall be responsible for all costs related to such
signage and complying with all Legal Requirements with respect to such signage. 

Section 4.9.    [Intentionally Omitted] 

Section 4.10.    No Conveyance of Real Property. Except for Permitted Exceptions, and as otherwise
permitted under this Loan Agreement, Borrower shall not directly or indirectly encumber (by lien, junior mortgage or otherwise), pledge, convey, sell, transfer or assign all or any portion of the Real Property or any particular Property, other than
such liens and encumbrances created by the Loan Documents or as contemplated in the Intercreditor Agreement. 

Section 4.11.    Granting of Easements, Restrictions, Etc. From time to time during the Loan Term,
upon the request of Borrower, and so long as no Event of Default then exists, and no event has then occurred which with the giving of notice or the passage of time or both would constitute such an Event of Default, Borrower may, and at
Borrower’s cost and expense: (a) grant easements and other rights in the nature of easements, (b) release existing easements or other rights in the nature of easements which are for the benefit of the Real Property or any portion
thereof; (c) dedicate or transfer unimproved portions of the Real Property for road, highway or other public purposes; (d) execute petitions to have the Real Property or any portion thereof annexed to any municipal corporation or utility
district; (e) execute amendments to any covenants and restrictions affecting the Real Property or any portion thereof; and (f) execute and deliver to any Person any instrument appropriate to confirm or effect such grants, releases,
dedications and transfers (to the extent of its interest in the Real Property), but only upon delivery to Lender of such information as Lender may reasonably require confirming that such grant, release, dedication, transfer, petition or amendment is
(i) required for, and not materially detrimental to, the proper conduct of the Primary Intended Use on the Real Property and (ii) does not materially reduce the value of the Real Property or any portion thereof. 

  
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 ARTICLE V 

LEGAL COMPLIANCE 

Section 5.1.    Compliance with Legal and Insurance Requirements. Subject to Article VIII
relating to permitted contests, Borrower, at its expense, (a) shall comply, in all material respects with all Legal Requirements and Insurance Requirements applicable to Borrower and the use, operation, maintenance, repair and restoration of
the Facilities and the Real Property, whether or not compliance therewith shall require structural change in any of the Leased Improvements or interfere with the use and enjoyment of the Real Property; (b) shall not use the Real Property and
Borrower’s Personal Property for any unlawful purpose; (c) shall procure, maintain and comply with all material Licenses and any other licenses, certificates, certifications, consents, permits, governmental approvals, and authorizations
required under the Legal Requirements for any use of the Real Property and Borrower’s Personal Property then being made, and for the proper erection, installation, operation and maintenance of the Real Property or any part thereof, including,
without limitation, any Capital Additions; and (d) shall use its commercially reasonable efforts to require under the Tenant Leases that all Tenants acquire and maintain all material Licenses necessary to operate any portion of the Real
Property subleased to them for any appropriate and permitted uses conducted on the Real Property as may be permitted from time to time hereunder, it being acknowledged by Lender that any failure by any Tenant under this clause (d) shall not
cause (or be deemed to cause) a breach by Borrower of this Section 5.1 unless Borrower has so failed to use commercially reasonable efforts. Borrower’s use of the Real Property, the use of all Borrower’s Personal
Property used in connection with the Real Property, and the maintenance, alteration, and operation of the same, and all parts thereof, shall at all times conform in all material respects to all Legal Requirements. Upon Lender’s request,
Borrower shall deliver to Lender copies of all such Licenses that are currently held by Borrower or its Affiliates to the extent applicable to the Real Property. Borrower shall indemnify and defend, at Borrower’s sole cost and expense, and hold
Lender, its Affiliates and their respective successors and assigns harmless from and against and agrees to reimburse Lender, its Affiliates and their respective successors and assigns with respect to any and all claims, demands, actions, causes of
action, losses, damages, liabilities, reasonable, out-of-pocket costs and expenses (including, without limitation, reasonable attorneys’ fees and court costs) of
any and every kind or character, known or unknown, fixed or contingent, asserted against or incurred by Lender, its Affiliates and their respective successors and assigns, at any time and from time to time by reason or arising out of any breach by
Borrower of any of the provisions of this Article V or any breach or violation by Borrower of any Legal Requirements, including any and all such claims, demands, liabilities, damages, costs and expenses relating to immaterial violations or
breaches of the Legal Requirements, except to the extent arising solely as a result of the gross negligence or willful misconduct of Lender or its Affiliates. All such damages and reasonable out-of-pocket costs and expenses payable to Lender under this Section 5.1 shall be due and payable by Borrower within thirty (30) days after delivery of written demand from
Lender, its Affiliates or their respective successors and assigns. 

  
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 Section 5.2.    Maintenance of Licenses; Compliance with Healthcare Laws.

 (a)    With respect to each Facility, each Facility Borrower (a) shall maintain at all times during the Loan
Term, (i) the Operating Agreements, (ii) the Participation Agreements and (iii) all material federal, state and local governmental licenses, approvals, qualifications, variances, certificates of need, franchises, accreditations,
certificates, certifications, consents, permits and other authorizations and contracts, which may be necessary for the operation of the Facility operated by such Facility Borrower for the Primary Intended Use, or required for certification and
participation under Medicare and Medicaid legislation and regulations, the provider programs of the State Regulatory Authorities for each particular Facility (“DHS”), the United States Department of Health and Human Services
(“DHHS”), and the Centers for Medicare and Medicaid Services (“CMS”), and/or state or federal Title XVIII and/or Title XIX provider programs applicable for each such Facility (the items described in this subsection
(iii), collectively, the “Licenses”) (provided, however, that no Facility Borrower shall be required to maintain any Operating Agreements or Participation Agreements unless such agreements are required for participation in Medicare
and Medicaid programs and/or required for the maintenance of federal, state, and local licenses) and (b) shall remain in compliance, in all material respects, with all state and federal laws, rules, regulations and procedures with regard to the
operation of the Facility operated by such Facility Borrower, including, without limitation, HIPAA and the regulations promulgated by the State Regulatory Authorities, as applicable for each such Facility, as they may from time to time exist. 

(b)    Except in connection with a permitted assignment of this Agreement, Borrower covenants and agrees that during the
Loan Term it shall not, without the prior written consent of Lender, which consent shall not be unreasonably withheld, conditioned or delayed, (i) sell, move, modify, cancel, surrender, transfer, assign, sell, relocate, pledge, secure, convey
or in any manner encumber any material Licenses (including, without limitation, any Medicare provider number or agreement), or (ii) effect or attempt to effect any change in the license category or status of any Facility or any part thereof to
the extent such change (as described in (i) or (ii) above) has a material adverse effect on the Primary Intended Use or the ability of the Borrower to meet its obligations under this Agreement. 

(c)    Each Facility Borrower shall notify Lender in writing within five (5) Business Days after such Facility
Borrower’s receipt of any written notice, action, proceeding or inquiry of any governmental agency, bureau or other authority, whether federal, state or local, of any kind, nature or description, which could adversely affect any material
License for the Facility operated by such Facility Borrower, or the ability of such Facility Borrower to maintain its status as the licensed and accredited operator of such Facility, or which alleges any material noncompliance with any law. At the
time of delivery of such notification to Lender, such Facility Borrower shall furnish Lender with a copy of any and all such notices or inquiries. Each Facility Borrower shall act diligently to correct any deficiency or deal effectively with any
material “adverse action” or other proceedings, inquiries or other governmental actions, so as to maintain the material Licenses and Medicare and/or Medicaid certification, status for the Facility operated by such Facility Borrower in good
standing at all times. No Facility Borrower shall agree to any settlement exceeding Five Million and No/100 Dollars ($5,000,000.00) or other action with respect to such proceedings or inquiries which affects the use of all or any portion of the Real
Property or any part thereof for the Primary Intended Use without the prior written consent of Lender, which consent shall not be unreasonably conditioned or delayed. 

  
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 (d)    Lender and Borrower acknowledge and agree that all compensation paid
hereunder between the parties has been determined by the parties through good-faith and arm’s length bargaining and is believed to represent fair market value for the Loan. No payment or advance made under this Agreement is contingent on the
referral of any patient or any other business. Neither Lender nor Borrower intends any portion of the payments made under this Agreement or the Note to influence or reward the referral of any patients or other business that will be paid for from any
state or federal health care insurance programs, including Medicare, Medicaid or any state provider program. 

(e)    Borrower hereby covenants, warrants and represents to Lender that throughout the Loan Term, each Facility Borrower
shall: (a) be validly licensed, Medicare and/or Medicaid certified, and, if required, accredited to operate the Facilities in material compliance with the applicable rules and regulations of the State in which the applicable Facility is
located, federal governmental authorities, and accrediting bodies, including, but not limited to, DHHS and CMS; (b) be certified by and the holder of valid provider agreements with Medicare and/or Medicaid issued by DHHS, DHS and/or CMS and
shall remain so certified and shall remain such a holder of such licenses and Medicare and/or Medicaid certifications for it to operate in accordance with the Primary Intended Use; (c) shall comply, in all material respects, with all Healthcare
Laws; and (d) not abandon, terminate, vacate or fail to renew any material License or in any way commit any act which will or could reasonably be expected to cause any such material License to be revoked by any federal, state or local
governmental authority or accrediting body having jurisdiction thereof. 
 (f)    Borrower represents, warrants and
covenants that Borrower, this Agreement and all Tenant Leases are, and at all times during the Loan Term will be, in material compliance with all Healthcare Laws. In the event it is determined that any provision of this Agreement is in material
violation of the Healthcare Laws, the parties in good faith shall renegotiate such provision so that same is in compliance with all Healthcare Laws. Borrower shall take commercially reasonable steps to add to all of its written third party
agreements with Physicians or Physician groups relating to any portion of the Real Property, including, without limitation, all Tenant Leases, that in the event it is determined that such agreement and/or Tenant Lease is in material violation of the
Healthcare Laws, such agreement and/or Tenant Lease shall be renegotiated so that same are in material compliance with all Healthcare Laws or terminated. Borrower shall indemnify and defend, at Borrower’s sole cost and expense, and hold Lender,
its Affiliates and their respective successors and assigns, harmless from and against, and shall reimburse Lender, its Affiliates and their successors and assigns with respect to, any and all claims, demands, actions, causes of action, losses,
damages, liabilities, reasonable out-of-pocket costs and expenses (including, without limitation, reasonable out-of-pocket attorneys’ fees and court costs) of any and every kind or character, known or unknown, fixed or contingent, asserted against or incurred by Lender, its Affiliates and their respective
successors and assigns, at any time and from time to time by reason, or arising out, of any breach by Borrower of any of the provisions set forth in this Section 5.2(f) or any violation of any Healthcare Laws, including any and all such
claims, demands, liabilities, damages, costs and expenses relating to immaterial violations or breaches of any Healthcare Laws. All such damages and reasonable
out-of-pocket costs and expenses payable to Lender under this Section 5.2(f) shall be due and payable by Borrower within thirty (30) days after delivery of
written demand from Lender, its Affiliates or their respective successors and assigns. 

  
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 Section 5.3.    [Intentionally Omitted] 

Section 5.4.    Hazardous Materials and Medical Waste. 

(a)    Borrower shall ensure that the Real Property and the operation of the Business thereon complies in all material
respects with all Hazardous Materials Laws. Except for Hazardous Materials generated, used, installed, manufactured, treated, handled, refined, produced, processed, stored or disposed of in the normal course of business regarding the Primary
Intended Use or the conduct of the Business or operation and maintenance of the Real Property (which Hazardous Materials shall be handled and disposed of in material compliance with all Hazardous Materials Laws), Borrower shall not cause any
Hazardous Materials to be installed, used, generated, manufactured, treated, handled, refined, produced, processed, stored or disposed of, or otherwise present in, on or under any Property or in connection with the conduct of the Business thereon in
a manner that reasonably could be expected result in a material violation of any Hazardous Materials Laws. No activity shall be undertaken by Borrower on any Property or in connection with the operation of the Business thereon which would cause
(i) any Property to become a RCRA Part B treatment, storage or disposal facility of hazardous waste, infectious waste, biomedical or medical waste, (ii) a release of Hazardous Materials from any Property that is reportable within the
meaning of CERCLA or SARA or any similar Hazardous Materials Laws, (iii) the discharge of Hazardous Materials into any watercourse, surface or subsurface of body of water or wetland, or the discharge into the atmosphere of any Hazardous
Materials, except as authorized under a permit under any Hazardous Materials Laws or at quantities or concentrations below the standard regulated by Hazardous Materials Laws, in a manner that would give rise to a material liability under Hazardous
Materials Laws, or (iv) a material violation under RCRA, CERCLA, SARA or any Hazardous Materials Laws with respect to the Property. Borrower shall, at its sole cost, expense, risk and liability, remove or cause to be removed from any Property
all Hazardous Materials generated in connection with the Primary Intended Use and as found in hospital and healthcare facilities, including, without limitation, all infectious waste materials, syringes, needles and any materials contaminated with
bodily fluids of any type, character or description of whatsoever nature to the extent required to comply with all Hazardous Materials Laws. Borrower shall not dispose of any such infectious waste and Hazardous Materials in any receptacles used for
the disposal of normal refuse to the extent such disposal is not in compliance in all material respects with any Hazardous Materials Laws. 

(b)    Borrower shall ensure that the Real Property and the operation of the Business thereon complies in all material
respects with all Medical Waste Laws. Except for Medical Waste generated, used, installed, treated, handled, refined, produced, processed, stored or disposed of in the normal course of business regarding the Primary Intended Use or the conduct of
the Business (which Medical Waste shall be handled and disposed of in compliance in all material respects with all Medical Waste Laws), Borrower shall not cause any Medical Waste to be installed, used, generated, treated, handled, refined, produced,
processed, stored or disposed of, or otherwise present in, on or under any Property or in connection with the conduct of the Business thereon in a manner that could result in a material violation of any Medical Waste Laws. Borrower shall undertake
no activity on any Property or in connection with the operation of the Business thereon which would reasonably be expected to cause a material violation of any Medical Waste Laws. Borrower shall, at its sole cost, expense, risk and liability, remove
or cause 

  
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to be removed from any Property all Medical Waste generated, used, installed, treated, handled, refined, produced, processed, stored or disposed of by or on behalf of Borrower on such Property to
the extent required to comply in all material respects with all Medical Waste Laws. Borrower shall not dispose of any such Medical Waste in any receptacles used for the disposal of normal refuse to the extent such disposal is not in material
compliance with any Medical Waste Laws. 
 (c)    Borrower shall indemnify and defend, at its sole cost and expense, and
hold harmless and reimburse the Lender, its Affiliates and their respective officers, directors, members, (general and limited) partners, shareholders, employees, agents, representatives, successors and assigns (collectively, the “MPT
Indemnified Parties”) from and against any and all claims, demands, actions, causes of action, losses, damages, liabilities, penalties, taxes, reasonable
out-of-pocket costs and expenses (including, without limitation, reasonable out-of-pocket
attorneys’ and accountants’ fees, settlement costs, arbitration costs and any reasonable other expenses for investigating or defending any action or threatened action) (each, a “Claim”) of any and every kind or character,
known or unknown, fixed or contingent, asserted against or incurred by any of the MPT Indemnified Parties at any time and from time to time by reason of, arising out of or resulting from (i) events, conditions or circumstances which occurred or
existed on, under, in, about, to or from the Property prior to execution of this Agreement and that give rise to a liability under Hazardous Materials Laws or Medical Waste Laws, (ii) any liability under Hazardous Materials Laws or Medical
Waste Laws arising out of the Borrower’s operation of the Property, or (iii) any Claim arising out of or, in connection with or resulting from any breach by Borrower of Section 5.4(a) or 5.4(b) or any other violation of
Sections 5.4(a) or 5.4(b) or any Hazardous Materials Laws or Medical Waste Laws by any Person other than the MPT Indemnified Parties, including any and all such claims, demands, liabilities, damages, costs and expenses relating to
immaterial violations or breaches of this Section 5.4 or any Hazardous Materials Laws or Medical Waste Laws (collectively, “MPT Damages”), except to the extent any such Claim or MPT Damages is found to have
resulted from the, bad faith, gross negligence or willful misconduct of any MPT Indemnified Party. All such MPT Damages shall be due and payable by Borrower within thirty (30) days after any MPT Indemnified Party’s demand therefor. 

(d)    In the event of any of a Claim related to Hazardous Materials or Medical Waste on the Property resulting from the
assertion of liability by a third party against any MPT Indemnified Party, the applicable MPT Lender will give Borrower notice of any such third-party claim, and Borrower shall be jointly and severally obligated to undertake the defense thereof by
counsel of its own choosing, except to the extent any such Claim is found to have resulted from the, gross negligence or willful misconduct of any MPT Indemnified Party. Borrower shall not settle any such third-party claim related to Hazardous
Materials or Medical Waste on the Property that is asserted against any MPT Indemnified Party without the consent of the MPT Indemnified Parties, which consent shall not be unreasonably withheld, conditioned or delayed. Any of the MPT Indemnified
Parties may, by counsel, participate in such proceedings, negotiations or defense, at their own expense. The MPT Indemnified Parties shall furnish to Borrower in reasonable detail such information as the MPT Indemnified Parties may have with respect
to such claim, including all records and materials that are reasonably required in the defense of such third-party claim. In the event that Borrower does not collectively defend the third-party claim in a diligent manner, any MPT Indemnified Party
will have the right (at Borrower’s sole expense) to undertake the defense, compromise or settlement of such claim and Borrower may elect to participate in such proceedings, negotiations or defense at any time at their own expense. No MPT
Indemnified Party shall settle any such third-party claim without the consent of Borrower, which consent shall not be unreasonably withheld, conditioned or delayed. 

  
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 (e)    Lender and Borrower acknowledge that, based upon recent environmental
reports relating to the Real Property, the potential for environmental liability for conditions occurring prior to (or existing as of) the date of this Agreement for all Facilities is remote; provided, that, such
acknowledgment shall not limit or preclude any Claim by the MPT Indemnified Parties. 

Section 5.5.    Organizational Covenants. Borrower shall not permit or suffer, without the prior
written consent of Lender, which consent shall not be unreasonably withheld, conditioned or delayed, (a) any material amendment or modification of any Facility Borrower’s Organizational Documents that modifies, adjusts or otherwise
eliminates any of the MPT Required Provisions; (b) any dissolution or termination of any Facility Borrower’s existence or sale of substantially all of any Facility Borrower’s assets, whether by sale, transfer, merger, consolidation or
otherwise; or (c) a change in any Facility Borrower’s state of formation or any Facility Borrower’s name. Borrower has, simultaneously with the execution of this Agreement, delivered to Lender a true and complete copy of each Facility
Borrower’s Organizational Documents. Borrower represents and warrants that the Organizational Documents (i) were duly executed and delivered; and (ii) are in full force and effect, binding upon the applicable Facility Borrower, and
enforceable in accordance with their terms. 
 ARTICLE VI 

REPAIRS; CAPITAL ADDITIONS 

Section 6.1.    Maintenance; Repair and Remodel. 

(a)    Borrower, at its expense, will keep the Real Property and all private roadways, sidewalks and curbs appurtenant
thereto (and Borrower’s Personal Property) in good order and repair (whether or not the need for such repairs occurs as a result of Borrower’s use, any prior use, the elements, the age of the Real Property or any portion thereof) and,
except as otherwise provided in Article X and Article XI, with reasonable promptness, will make all necessary and appropriate repairs thereto of every kind and nature whether interior or exterior, structural or non-structural, ordinary or extraordinary, foreseen or unforeseen, or arising by reason of a condition existing prior to the commencement of the Loan Term (concealed or otherwise). All repairs shall, to the extent
reasonably achievable, be at least equivalent in quality to the original work. Borrower will not take or omit to take any action the taking or omission of which is reasonably likely to materially impair the value or the usefulness of the Real
Property or any part thereof for the Primary Intended Use. 
 (b)    Notwithstanding anything contained in this
Agreement to the contrary, from time to time Borrower may remodel, modify and make additions to the Real Property, or any portion thereof, which remodeling, modifications and additions are not Capital Additions (it being understood that Capital
Additions are subject to the requirements of Section 6.3 hereof) but which are necessary or advisable for the Primary Intended Use and which permit Borrower to fully comply with its obligations as set forth in this
Agreement. Borrower shall undertake any such actions expeditiously and in a workmanlike manner and will not significantly alter the 

  
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character or purpose, or detract from the value or operating efficiency of, the Real Property nor significantly impair the revenue producing capability of the Real Property nor adversely affect
the ability of Borrower to comply with the provisions of this Agreement, unless such changes are required by applicable law. 

(c)    Borrower shall notify Lender of any and all repairs, improvements, additions, modifications and remodeling made to
any portion of a particular Property in excess of Ten Million Dollars ($10,000,000) during any consecutive twelve (12) month period for the applicable Property and obtain consent from Lender (which consent shall not be unreasonably withheld,
conditioned or delayed) prior to making such repairs, improvements, additions, modifications or remodeling. 

(d)    Except as otherwise expressly provided in this Agreement, Lender shall not under any circumstances be required to
build or rebuild any improvements on the Real Property, or to make any repairs, replacements, alterations, restorations, or renewals of any nature or description to the Real Property, whether ordinary or extraordinary or capital in nature,
structural or non-structural, foreseen or unforeseen, or to make any expenditure whatsoever with respect thereto in connection with this Agreement, or to maintain the Real Property in any way. 

(e)    Nothing contained in this Agreement and no action or inaction by Lender shall be construed as (i) constituting
the consent or request of Lender, expressed or implied, to any contractor, subcontractor, laborer, materialman or vendor for the provision or performance of any labor or services or the furnishing of any materials or other property for the
construction, alteration, addition, repair or demolition of or to the Real Property or any part thereof, or (ii) giving Borrower any right, power or permission to contract for, or permit the performance of, any labor or services or the
furnishing of any materials or other property in such fashion as would permit the making of any claim against Lender in respect thereof or to make any agreement that may create, or in any way be the basis for, any right, title, interest, lien, claim
or other encumbrance upon the estate of Lender in the Real Property or any portion thereof. 
 Section 6.2.    [Intentionally
Omitted] 
 Section 6.3.    Capital Additions. 

(a)    If no Event of Default has occurred, and no event has then occurred which with the giving of notice or passage of
time or both would constitute an Event of Default hereunder, and be continuing, Borrower shall have the right (but not the obligation), upon and subject to the terms and conditions set forth below, to construct or install Capital Additions on any
Property with the prior written consent of Lender, not to be unreasonably withheld, conditioned or delayed (provided that such consent is not required with respect to any Capital Addition that will cost less than Ten Million Dollars ($10,000,000)).
Borrower shall not be permitted to create any Lien on such Property in connection with such Capital Addition, except as provided in Section 6.3(b). In order to obtain Lender’s prior written consent, Borrower shall submit to Lender in
writing a proposal setting forth in reasonable detail any such proposed Capital Addition. In addition, Borrower shall promptly furnish to Lender such additional information relating to such proposed Capital Addition as Lender may reasonably request.
Lender shall have ten (10) days following receipt of the last information so requested relating to the proposed Capital Addition to respond 

  
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whether Lender has approved of such proposed Capital Addition, it being agreed that failure to timely respond shall be deemed a rejection of the proposed Capital Addition. Borrower acknowledges
and agrees that Lender shall have the sole and exclusive right to finance all Capital Additions to the Real Property during the first five (5) years of the Loan Term in accordance with Section 6.3(d). 

(b)    Prior to commencing construction of any Capital Addition, Borrower shall first request Lender to provide financing
for such Capital Addition in accordance with the provisions of Section 6.3(d). If Lender declines or is unable to provide such financing, Borrower’s lender for such Capital Addition shall have the right to secure its loan by a junior
mortgage upon such Capital Addition, provided the form and substance of such mortgage is approved by Lender, which approval shall not be unreasonably withheld, conditioned or delayed; it being acknowledged and agreed that Lender shall have the sole
and exclusive right to finance all Capital Additions to the Real Property during the first five (5) years of the Loan Term on terms consistent with the Loan Documents. Notwithstanding any other provision of this Article VI to the
contrary, unless required by applicable law, no Capital Addition shall be made which would tie-in or connect any portion of a particular Property and/or any Improvements thereon with any other improvements on
property adjacent to such Property (and not part of the Real Property covered by this Agreement) including, without limitation, tie-ins of buildings or other structures or utilities, unless Borrower shall have
obtained the prior written approval of Lender, which approval may be granted or withheld in Lender’s reasonable discretion. All proposed Capital Additions shall be architecturally integrated and consistent with the applicable Property as
determined in the reasonable discretion of the Lender. 
 (c)    At the request of Borrower, from time to time, Lender
and its Affiliates shall finance (or cause the financing of) a cumulative amount of up to Thirty-Five Million Dollars ($35,000,000) of Capital Additions per year under this Agreement and the Master Lease until the third (3rd) anniversary of the
Closing Date in accordance with Section 6.3(d). Any such Capital Additions to the Real Property shall be subject to the terms of this Section 6.3 and shall be deemed a Capital Addition financed by Lender for all
purposes of this Agreement. 
 (d)    In connection with any Capital Addition financed by Lender, the terms and
conditions set forth on Schedule 6.3 shall apply. The costs of any such Capital Addition financed by Lender hereunder shall be added to the Mortgage Loan Amount allocable to the applicable Property pursuant to the Allocation
Schedule. 
 ARTICLE VII 

LIENS 

Section 7.1.    General Restrictions; Acknowledgment of Intercreditor. 

(a)    Subject to the provisions of Article VIII relating to permitted contests, Borrower will not directly or
indirectly create or allow to remain and will promptly discharge at its expense any lien, encumbrance, attachment, title retention agreement or claim upon any Property or any attachment, levy, claim or encumbrance in respect of the Loan Obligations,
or any funds or amounts that are or will be provided by Lender or its Affiliates to Borrower at any time during the Loan Term in accordance with this Agreement; excluding, however, (a) the Mortgages; (b)

  
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the Permitted Exceptions; (c) restrictions, liens and other encumbrances which are consented to in writing by Lender, or any easements granted pursuant to the provisions of
Section 4.11; (d) liens for those taxes of Lender which Borrower is not required to pay hereunder; (e) liens for Impositions or for sums resulting from noncompliance with Legal Requirements so long as (1) the same
are not yet payable or are payable without the addition of any fine or penalty or (2) such liens are in the process of being contested as permitted by Article VIII; (f) liens of mechanics, laborers, materialmen, suppliers or vendors
for sums either disputed or not yet due, provided that (i) the payment of such sums shall not be postponed for more than sixty (60) days after the completion of the action giving rise to such lien and such reserve or other appropriate
provisions as shall be required by law or GAAP shall be been made therefore, or (ii) any such liens are in the process of being contested as permitted by Article VIII; (g) the Tenant Leases; and (h) liens which are permitted in
accordance with Section 6.3(b) hereof. Except as otherwise permitted under Section 6.3(b), Borrower shall not mortgage or grant any interest or security interest in, or otherwise assign, any part of Borrower’s rights and interests
in this Agreement or any Property during the Loan Term. 
 (b)    Lender acknowledges and consents (i) to Steward
Health, its Subsidiaries and applicable Affiliates entering into the ABL Credit Agreement, (ii) to the incurrence of the obligations thereunder and (iii) to the granting of liens and security interests in favor of the lenders as
contemplated under the ABL Credit Agreement, in each case, subject to the terms and conditions of the Intercreditor Agreement. 

(c)    Borrower acknowledges that Lender and certain of its Affiliates, and the ABL Representative (as defined in the ABL
Credit Agreement) have entered into the Intercreditor Agreement relating to certain rights, obligations and priorities with respect to Steward Health and its Subsidiaries. Borrower shall cooperate with Lender and its Affiliates in connection with
the exercise and performance of their rights and obligations under the Intercreditor Agreement. Borrower further acknowledges and agrees that: (i) except as provided in subsection (ii), if any ABL Secured Party (as defined in the ABL Credit
Agreement) or Lender or any of Lender’s Affiliates shall enforce its rights or remedies in violation of the terms of the Intercreditor Agreement, neither Borrower nor any of its Affiliates shall be entitled to use such violation as a defense to
any action by any ABL Secured Party or Lender or any of Lender’s Affiliates, nor to assert such violation as a counterclaim or basis for set off or recoupment against any ABL Secured Party or Lender or any of Lender’s Affiliates;
(ii) if any ABL Secured Party or Lender or any of Lender’s Affiliates, contrary to the Intercreditor Agreement, commences or participates in any action or proceeding against Steward Health or any of its Subsidiaries, Borrower and its
Affiliates may interpose as a defense or dilatory plea the making of the Intercreditor Agreement, and any ABL Secured Party or Lender or any of Lender’s Affiliates, as applicable, may intervene and interpose such defense or plea in its or their
name or in the name of Borrower or such Borrower Affiliate; and (iii) the Intercreditor Agreement, which the parties hereto expressly acknowledge is a “subordination agreement” under section 510(a) of the Bankruptcy Code, shall be
effective before, during and after the commencement of any proceeding under the Bankruptcy Code. 

  
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 ARTICLE VIII 

PERMITTED CONTESTS 

Borrower, at Borrower’s expense, may contest, by appropriate legal proceedings conducted in good faith and with due diligence, the
amount, validity or application, in whole or in part, of any Imposition, Legal Requirement, Insurance Requirement, lien, attachment, levy, encumbrance, charge or claim not otherwise permitted by Article VII, provided that (a) in the case
of an unpaid Imposition, lien, attachment, levy, encumbrance, charge or claim, the commencement and continuation of such proceedings shall suspend the collection thereof from Lender and from the Real Property (or if not so suspended, clause
(b) shall be true); (b) neither the Real Property nor any part thereof or interest therein would, as determined in Lender’s reasonable discretion, be in any immediate danger of being sold, forfeited, attached or lost; (c) in the case
of a Legal Requirement, Lender would not be in any immediate danger of civil or criminal liability for failure to comply therewith pending the outcome of such proceedings; (d) in the event that any such contest shall involve a sum of money or
potential loss in excess of One Million and No/100 Dollars ($1,000,000.00), then, in any such event, the applicable Facility Borrower shall deliver to Lender an Officer’s Certificate from a duly authorized officer of the applicable Facility
Borrower regarding the matters set forth in clauses (a), (b) and (c), to the extent applicable (it being understood if the relevant amount involved in such contest (or the potential loss) is less than such amount, no such certification is required);
(e) in the case of a Legal Requirement and/or an Imposition, lien, encumbrance or charge involving potential loss in excess of One Million and No/100 Dollars ($1,000,000.00), Borrower shall deposit with Lender an amount equal to the contested amount
as security to ensure the ultimate payment of the Imposition, lien, attachment, levy, encumbrance, charge or claim and to prevent any sale or forfeiture of the affected Property by reason of such non-payment
or non-compliance; provided, however, the provisions of this Article VIII shall not be construed to permit Borrower to contest the payment of Rent (except as to contests concerning the method of
computation or the basis of levy of any Imposition or the basis for the assertion of any other claim) or any other sums payable by Borrower to Lender hereunder; (f) in the case of an Insurance Requirement, the coverage required by Article
IX shall be maintained; and (g) if such contest be finally resolved against Lender or Borrower, Borrower shall, as Additional Charges due hereunder, promptly pay the amount required to be paid, together with all interest and penalties
accrued thereon, or comply with the applicable Legal Requirement or Insurance Requirement. Lender, at Borrower’s expense, shall execute and deliver to Borrower such authorizations and other documents as may reasonably be required in any such
contest and, if reasonably requested by Borrower or if Lender so desires, Lender shall join as a party therein. Borrower shall indemnify and hold Lender harmless against any liability, cost or expense of any kind that may be imposed upon Lender in
connection with any such contest and any loss resulting therefrom. 
 ARTICLE IX 

INSURANCE 

Section 9.1.    General Insurance Requirements. 

(a)    During the Loan Term, Borrower shall at all times keep the Real Property and Borrower’s Personal Property,
insured against loss or damage from such causes as are customarily insured against, by prudent owners of similar facilities. Without limiting the generality of the foregoing, throughout the Loan Term, Borrower shall maintain at its sole cost and
expense (except as otherwise provided in this Article IX), at a minimum, the insurance coverages required herein. This insurance shall be written in form reasonably satisfactory to Lender and by insurance companies (i) reasonably
acceptable to Lender (Lender acknowledging that Tailored Risk Assurance Company, Ltd. (“Traco”) is acceptable to Lender for the provision 

  
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of the coverages described in subsections (ii), (iv) and (vi) below), (ii) that are rated at least an “A-VIII” or better by Best’s
Insurance Guide (except for Traco, for which no rating is required), and (iii) unless otherwise approved by Lender, authorized, licensed and qualified to do insurance business in the state in which the Real Property is located. The aggregate
amount of coverage by a single company must not exceed Five Percent (5%) of the insurance company’s policyholders’ surplus. The minimum limits required herein may be met through a combination of underlying and excess policies. With respect
to each Property, the policies required hereunder relating to such Property shall insure against the following: 

(i)    Commercial Property insurance written on a broad “all risk” or special cause of loss
policy form covering physical loss or damage to the Real Property including building and improvements and betterments on a replacement cost basis as herein defined. This coverage shall be placed by the Borrower. Insured perils shall include, but not
be limited to, fire, lightning, windstorm (named or non), water damage from plumbing systems, sprinkler leakage, back-up of sewers and drains, hail, aircraft, riot, vehicle collision, explosion, smoke,
vandalism, malicious mischief, flood, earth movement (including earthquake), theft, collapse, subsidence, terrorism (only if such portion of the Real Property located inside metropolitan city limits with population exceeding 5,000,000), equipment
breakdown/boiler and machinery, plate glass breakage. The policy exclusion applicable to faulty or defective design, workmanship or materials shall not apply to resultant damage to otherwise sound property. The policy must provide a sublimit of at
least One Hundred Thousand and No/100 Dollars ($100,000.00) to cover reasonable expenses incurred by the insured or loss payee for professional services necessary to measure, quantify or determine the amount of any loss covered by this subparagraph
(i), such as appraisers, auditors, accountants, architects, and engineers (such expenses shall not include the insured’s or loss payee’s own employees or public adjusters). Any deductible or retention shall not exceed Three percent (3%) of
the insurable value of the Real Property, to the extent that such a deductible is commercially available. In the event of a loss, Borrower shall abide by all provisions of the insurance contract, including proper and timely notice of the loss to the
insurer. Borrower further agree that they will notify Lender of any loss in the amount of Twenty-Five Thousand and No/100 Dollars ($25,000.00) or greater and that no claim at or in excess of Twenty-Five Thousand and No/100 Dollars ($25,000.00) shall
be settled without the prior written consent of Lender, which consent shall not be unreasonably withheld, conditioned or delayed. The policy shall also include the following coverages: (A) Flood and earthquake insurance shall be required only
in the event that a Property is located in a 100 or 500 year flood plain or high hazard seismic zone with limits in accordance with standard industry practice; and (B) Business interruption insurance covering rents and other impositions
otherwise payable to Lender for a period of not less than twelve (12) months. Coverage shall be written on an “actual loss sustained” form. 

(ii)    Commercial General Liability insurance in a minimum amount of One Million and No/100 Dollars
($1,000,000.00) per claim and Two Million Dollars ($2,000,000) in the aggregate for bodily injury or death of any one person and for Property Damage for damage to or loss of the property of others, subject to a Two Million ($2,000,000.00) annual
aggregate policy limit for all bodily injury and property damage claims, occurring on or about such Property or in any way related to such Property, including but not limited to, any swimming pools or other rehabilitation and recreational facilities
or areas that are located on such Property or otherwise related to such Property. 

  
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 (iii)    Automobile and vehicle liability insurance coverage
for all owned, non-owned, leased or hired automobiles and vehicles with a limit of One Million ($1,000,000.00) per accident for bodily injury and property damage. 

(iv)    Professional liability insurance for Borrower and all employed professionals (including any
physicians) in an amount of not less than One Million and No/100 Dollars ($1,000,000.00) per individual claim and Three Million and No/100 Dollars ($3,000,000.00) annual aggregate. All contractors, agents and other persons (including physicians) who
perform professional services for Borrower shall meet such required minimum insurance requirements of One Million and No/100 Dollars ($1,000,000.00) per individual claim and Three Million and No/100 Dollars ($3,000,000.00) annual aggregate. 

(v)    Worker’s Compensation insurance for all persons employed by Borrower on such Property with
statutory limits in accordance with the requirements of the particular state(s) in which they are operating and Employer’s Liability insurance with minimum limits of One Million and No/100 ($1,000,000) each accident and disease. 

(vi)    Umbrella/Excess Liability insurance in the minimum amount of Twenty Million and No/100 Dollars
($20,000,000.00) for each claim and in the aggregate. The Umbrella Liability policy shall name in its underlying schedule the Commercial General Liability, Automobile liability, Professional liability and Employer’s Liability insurance
policies. The Umbrella policy shall provide follow form coverage for each of the underlying policies. 

(vii)    Pollution Liability/Environmental Impairment Liability with minimum limits of Two Million Dollars
($2,000,000) per claim, covering bodily injury or death of any one person and for property damage to, loss of use of, or clean-up costs of the property of others, as well as first party clean-up costs, subject to an aggregate of Four Million Dollars ($4,000,000). These limits shall be applicable collectively to all Properties, with coverage including, but not limited to, liability from storage
tanks, healthcare medical waste (including at non-owned disposal sites), mold, fungi and/or Legionella Pneumophilia conditions, or other exposures typical to healthcare facilities. Deductible amounts shall be
reasonably acceptable to Lender. 
 (viii)    Cyber Liability insurance with minimum limits of Ten
Million Dollars ($10,000,000) per claim and in the aggregate covering Borrower and its employees. Such policy shall include coverage for claims, demands and regulatory investigations resulting from Borrower’s or its subcontractor’s
wrongful acts in the performance of or failure to perform all services or support for services including but not limited to claims, demands, fines, penalties and other payments Lender may be legally or contractually obligated to pay for infringement
of intellectual property, failures in systems and information security, breach of confidentiality and invasion of or breach of privacy. Reasonable sublimits for 

  
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ancillary coverages shall be allowed as commercially available subject to further review on an annual basis. To the extent that independent contractors or other subcontractors are hired or
retained by Borrower to perform or contribute to any part of the services or support of services, Borrower shall require that such contractors shall maintain insurance with limits in accordance with standard industry practice. Lender reserves the
right to review and accept the evidence of such insurance for Borrower, its independent contractors and subcontractors. 

(ix)    Crime/Employee Dishonesty insurance covering all employees with a minimum limit of not less than
Two Hundred Fifty Thousand and No/100 Dollars ($250,000.00) per claim. 

(x)    Non-Owned Aviation and Premises Liability insurance
including coverage for the helipad and any other aviation exposures at the premises with minimum limits of Five Million Dollars ($5,000,000) per occurrence. 

Section 9.2.    Additional Insurance. Notwithstanding anything contained herein to the contrary,
Lender shall not be prohibited, at its sole cost and expense, from purchasing and maintaining such additional insurance as it may reasonably determine to be necessary to protect its interest in all or any portion of the Real Property. 

Section 9.3.    Endorsements and Other Requirements. The insurance as required in this Article
IX shall comply with the following: 
 (a)    Except for Worker’s Compensation/Employer’s Liability and
crime insurance policies, all other insurance policies required herein shall name Lender(and any other entity that Lender may deem reasonably necessary) as Additional Insureds with respect to any liability arising from Borrower’s use, occupancy
or maintenance of the Real Property. 
 (b)    All policies of insurance required herein (i) shall include clauses
providing that each underwriter shall waive its rights of recovery, under subrogation or otherwise, against Lender or any of Lender’s affiliates or subsidiary companies; and (ii) shall be primary and
non-contributory to the extent commercially available, (except for Worker’s Compensation/Employer’s Liability, crime and cyber insurance ) to any other insurance available to Lender. 

(c)    Borrower shall, prior to any cancellation, non-renewal or material change
to reduce limits or coverage terms provide at least thirty (30) days’ prior written notice or ten (10) days prior written notice for non-payment of premium at Lender’s notice address as
specified in this Agreement (the “Lender’s Notice Address”), with a simultaneous copy to (A) MPT Operating Partnership, L.P., Attention: Chrissy McCreary, Risk Manager, 1000 Urban Center Drive, Suite 501,
Birmingham, Alabama 35242, and (B) McGriff, Seibels & Williams, Inc., Attention: John F. Carter, 2211 7th Avenue South, Birmingham, Alabama 35233. 

(d)    Borrower shall be responsible for funding all deductibles and retentions, including those which may be applicable
to Lender as an additional insured or named insured thereunder. 
 (e)    Any policy required herein that is written on
a claims-made form shall include coverage retroactive to at least the Commencement Date with respect to each Property. 

  
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 Section 9.4.    Evidence of Insurance. Borrower shall deliver
“verification” of insurance to Lender as set forth below. 
 (a)    At least five (5) Business
Days prior to the applicable Commencement Date, Borrower shall provide verification of required insurance coverage which shall include the following: 

(i)    True and certified copies of the insurance policies, including evidence of all specific coverage
requirements and endorsements, as required herein. 
 (ii)    A statement of values for all property
locations if Borrower maintain blanket insurance covering facilities other than the Real Property; and 

(iii)    A summary of insurance program showing significant coverage limits, sublimits, deductibles and
retentions. 
 (b)    At least ten (10) Business Days prior to any insurance policy expiration date, Borrower shall
provide verification of the renewal for the required insurance coverage for the following year which shall include the following: 

(i)    Insurance certificates acceptable to Lender evidencing coverage for the renewed insurance policies,
including evidence of specific coverage requirements and endorsements as required herein. 
 (ii)    No
later than ninety (90) days, after the renewal date of such policies, or such other reasonable timeframce as mutually agreed upon by Lender and Borrower, Borrower shall provide true and certified copies of all required insurance policies,
including evidence of specific coverage requirements and endorsements as stated herein. 
 (c)    In the event Borrower
do not provide timely or proper verification, or does not maintain the insurance required hereunder or pay the premiums as required hereunder, Lender shall be entitled after notice to Borrower, but shall have no obligation, to obtain such insurance
and pay the premiums therefor, which premiums shall be repayable to Lender promptly following request by Lender (but in no event later than fifteen (15) days after delivery of such request). 

Section 9.5.    Increase in Limits. In the event that Lender shall at any time in its reasonable
discretion deem the limits of the personal injury, property damage or general public liability insurance then carried to be insufficient, the parties shall endeavor to agree on the proper and reasonable limits for such insurance to be carried and
such insurance shall thereafter be carried with the limits thus agreed on until further change pursuant to the provisions of this Section 9.5. If the parties shall be unable to agree thereon, the proper and reasonable
limits for such insurance to be carried shall be determined by an impartial third party selected by the parties. 

Section 9.6.    Blanket Policy. Notwithstanding anything to the contrary contained in this
Article IX, Borrower’s obligations to carry the insurance provided for herein may be brought within the coverage of a so-called blanket policy or policies of insurance carried and maintained by
Borrower provided that: 
 (a)    Any such blanket policy or policies are acceptable to and have been approved by
Lender, which approval shall not be unreasonably withheld, conditioned or delayed; 

  
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 (b)    Any such blanket policy or policies shall not be changed, altered or
modified without the prior written consent of Lender, which consent shall not be unreasonably withheld, conditioned or delayed; and 

(c)    Any such blanket policy or policies shall otherwise satisfy the insurance requirements of this Article IX.

 Section 9.7.    No Separate Insurance. Borrower shall not, on Borrower’s own initiative
or pursuant to the request or requirement of any third party, take out separate insurance concurrent in form or contributing in the event of loss with that required in this Article IX to be furnished by, or which may reasonably be required to
be furnished by, Borrower, or increase the amounts of any then existing insurance by securing an additional policy or additional policies, unless all parties having an insurable interest in the subject matter of the insurance, including in all cases
Lender and all Facility Lenders, are included therein as additional insureds and the loss is payable under said insurance in the same manner as losses are required to be payable under this Agreement. Borrower shall promptly notify Lender of the
taking out of any such separate insurance or of the increasing of any of the amounts of the then existing insurance by securing an additional policy or policies. 

ARTICLE X 
 FIRE AND
CASUALTY 
 Section 10.1.    Fire and Casualty. 

(a)    Insurance Proceeds. Except for the proceeds from Borrower’s business interuption insurance policy which
shall be paid to Borrower so long as Borrower continues to make payments to Lender in accordance with the terms of this Agreement and the Note, all proceeds payable by reason of any loss or damage to the Real Property, or any portion thereof, and
insured under any policy of insurance required by Article IX shall be paid to Lender and held by Lender in trust (subject to the provisions of Section 10.1(d) below) and shall be made available for reconstruction or repair, as the case
may be, of any damage to or destruction of the Real Property, or any portion thereof, and shall be paid out by Lender from time to time for the reasonable cost of such reconstruction or repair. Any excess proceeds of insurance remaining after the
completion of the restoration or reconstruction of the Real Property, or any portion thereof (or in the event neither Lender nor Borrower is required or elects to repair and restore), all such insurance proceeds shall be paid by Lender to Borrower
free and clear upon completion of any such repair and restoration except as otherwise specifically provided below in this Article X. All salvage resulting from any risk covered by insurance shall belong to Borrower and any salvage relating to
Capital Additions paid for by Borrower as described in Section 6.3 or to Borrower’s Personal Property shall belong to Borrower. 

(b)    Insured Event of Damage or Destruction. 

(i)    Except as provided in Section 10.1(d), with respect to any Property, if during the Loan Term
such Property is totally or partially destroyed from a risk covered 

  
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by the insurance described in Article IX and such Property is thereby rendered Unsuitable for its Primary Intended Use (the “Casualty Impacted Property”), Borrower shall
elect, by giving written notice to Lender within sixty (60) days following the date of such destruction, one of the following: (A) to restore such Casualty Impacted Property to substantially the same condition as existed immediately before
the damage or destruction, in which case, Lender shall disburse from time to time to Borrower the insurance proceeds to be used to pay for the reasonable costs of such reconstruction or repair, or (B) so long as no Major Event of Default then
exists, to instruct Lender to retain all such insurance proceeds and to apply the same to the repayment of the Loan Obligations allocable to such Casualty Impacted Property in accordance with the Allocation Schedule, whether or not then due, and
Borrower shall pay to Lender on demand the amount of any deductible or uninsured loss arising in connection therewith and any other unpaid Loan Obligations allocable to such Casualty Impacted Property. 

(ii)    Except as provided in Section 10.1(d) below, with respect to any Property, if, during the
Loan Term, such Property is totally or partially destroyed from a risk covered by the insurance described in Article IX but such Property is not thereby rendered Unsuitable for its Primary Intended Use, Borrower shall restore such Property to
substantially the same condition as existed immediately before the damage or destruction, and Lender shall disburse from time to time to Borrower the insurance proceeds to be used pay for the reasonable costs of such reconstruction or repair. 

(iii)    Except as provided in Section 10.1(d) below, with respect to any Property, if, within sixty
(60) days after the event causing any such loss or damage to the applicable Property, a Major Event of Default has occurred, or Borrower fails to notify Lender that, in Borrower’s reasonable opinion, such Property can be restored to
substantially the same operating utility that it had prior to such event and to a condition suitable for its Primary Intended Use, then such insurance proceeds, at Lender’s option, may be retained by Lender and applied toward repayment of the
Loan Obligations allocable to such Casualty Impacted Property in accordance with the Allocation Schedule, whether or not then due, and Borrower shall pay to Lender on demand the amount of any deductible or uninsured loss arising in connection
therewith and any other unpaid Loan Obligations allocable to such Casualty Impacted Property. 

(iv)    Any excess proceeds of insurance remaining after the completion of the restoration or
reconstruction of a Casualty Impacted Property shall be paid over to Borrower. 
 (v)    With respect to
each Property, if the cost and expense of the repair or restoration of such Property exceeds the amount of insurance proceeds received by Lender, and Borrower is obligated hereunder to reconstruct or restore such Property, Borrower shall be
obligated to pay any excess amount needed to reconstruct or restore such Property prior to use of the insurance proceeds. Such amount shall be paid by Borrower to Lender (or a Facility Lender if required) to be held in trust together with any other
insurance proceeds for application to the cost of repair and restoration. 

  
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 (c)    Uninsured Event of Damage or Destruction. Except as provided in
clause (d) and without limiting clause (b), if during the Loan Term, any Property is totally or partially damaged or destroyed from a risk not covered by the insurance described in Article IX but that would have been covered if Borrower
carried the insurance required to be maintained by Borrower hereunder, then, whether or not such damage or destruction renders such Property Unsuitable for its Primary Intended Use, Borrower shall, at its sole cost and expense, restore such Property
to substantially the same condition it was in immediately before such damage or destruction, or shall repay the Loan Obligations allocable to such Casualty Impacted Property in accordance with the Allocation Schedule to Lender in full, and such
damage or destruction shall not terminate this Agreement. 
 (d)    Damage Near End of Loan Term. Notwithstanding
any provisions of this Section 10.1 (but without limiting Borrower’s rights under clause (b)(i) or (c)) to the contrary, if damage to or destruction of any Property occurs during the last twenty-four (24) months
of the Loan Term, and if such damage or destruction cannot be fully repaired and restored within six (6) months immediately following the date of such loss as determined in Lender’s reasonable discretion, and Lender shall be entitled to
retain the insurance proceeds relating thereto and apply the same toward prepayment of the Loan Obligations, in any order, whether or not then due, in which case Borrower shall pay to Lender on demand the amount of any deductible or uninsured loss
arising in connection therewith and any unpaid Loan Obligations. Any insurance proceeds in excess of the then current principal balance of the Loan shall be paid to Borrower. 

ARTICLE XI 
 CONDEMNATION

 Section 11.1.    Condemnation. 

(a)    Parties’ Rights and Obligations. If during the Loan Term there is any Taking of all or any
part of a Property by Condemnation, the rights and obligations of the parties shall be determined by this Article XI. 

(b)    Total Taking. If there is a Taking of all of a Property by Condemnation, the provisions of Section
11.1(d)(i) shall apply. 
 (c)    Partial Taking. 

(i)    If there is a Taking of a part, but not all, of a Property by Condemnation, this Agreement shall
remain in effect with respect to such Property if such Property is not thereby rendered Unsuitable for its Primary Intended Use. 

(ii)    If, however, there is a Taking of a part, but not all, of a Property by Condemnation which renders
such Property Unsuitable for its Primary Intended Use, Borrower shall elect, by giving written notice to Lender within sixty (60) days following the date of such Taking, either: (A) to restore such Property to substantially the same
condition as existed immediately before such Taking, in which case, the provisions of Section 11.1(d)(ii) shall apply; (B) so long as no Major Event of Default then exists, to instruct Lender to retain the Award and to apply the same to
the repayment of the Loan Obligations allocable to such Property in accordance with the Allocation Schedule, in 

  
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which case, the provisions of Section 11.1(d)(i) shall apply; or (C) to continue using the remaining portion of such Property despite the Taking, in which case the Loan Obligations
allocable to such Property in accordance with the Allocation Schedule Property shall be reduced proportionately based on the amount of any Award received by Lender. 

(d)    Award. If there is a Taking with respect to a Property, the Award shall be paid to Lender and held by Lender
in trust, subject to the provisions of this Agreement, and shall be applied as follows: 
 (i)    If
there is a Taking of all the Property, or if there is a Taking of a part but not all of a Property that renders such Property Unsuitable for its Primary Intended Use and Borrower does not exercise its option to restore such Property, then, in either
such case, the Award shall be paid to Lender and applied toward prepayment of the Loan Obligations allocable to such Property in accordance with the Allocation Schedule, whether or not then due and, if Borrower has made the election under Section
11.1€(i)(B) above, Borrower shall pay to Lender on demand any other unpaid Loan Obligations allocable to such Property. Any remainder of the Award in excess of such allocable Loan Obligations shall be paid to Borrower.

 (ii)    In the event there is a Taking of a part, but not all of a Property and Borrower exercises its
option to restore such Property, Lender shall disburse the Award to Borrower from time to time to be used to pay for the reasonable costs of such restoration or repair. 

(e)    Temporary Taking. The Taking of a Property, or any part thereof, by military or other public authority shall
constitute a Taking by Condemnation only when the use and occupancy by the Taking authority has continued for longer than six (6) months. During any such six (6) month period all the provisions of this Agreement shall remain in full force
and effect and the Loan Obligations shall remain payable as provided in this Agreement and the other Loan Documents. 
 ARTICLE XII

 LEASING AND SUBLEASING 

Section 12.1.    Lease Subordination. 

(a)    Leasing or Subleasing. Borrower shall not lease or sublease any portion of a particular Property if such
Tenant Lease would exceed One Million and No/100 Dollars ($1,000,000.00) in annual rent without Lender’s prior written consent, which consent shall not be unreasonably withheld, conditioned or delayed. Borrower agrees that (i) each such
Tenant Lease executed after the Closing Date shall comply with the provisions of this Article XII, (ii) subject to Section 12.1(b), a copy of each such Tenant Lease, duly executed by Borrower and such Tenant in form and substance
reasonably satisfactory to Lender, shall be delivered promptly to Lender and (iii) Borrower shall remain primarily liable, as principal rather than as surety, for the prompt payment of the Rent and for the performance and observance of all of
the obligations, covenants and conditions to be performed by Borrower hereunder and under all of the other 

  
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documents executed in connection herewith. Any modifications, amendments and restatements of any Tenant Leases (but excluding renewals and extensions) hereafter entered into (other than those
having less than One Million and No/100 Dollars ($1,000,000.00) in annual rent) must be approved by Lender in accordance with this Article XII. In no event shall Borrower sublease all or substantially all of any Property without Lender’s
prior written consent, which may be withheld in Lender’s sole discretion. 
 (b)    Agreement Limitations.
In addition to the sublease limitations as set forth in Section 12.1(a), above, and notwithstanding anything contained in this Agreement to the contrary, Borrower shall not lease or sublease the Real Property on any basis such that the rental
to be paid by the Tenant thereunder would be based, in whole or in part, on either (a) the income or profits derived by the business activities of the Tenant, or (b) any other formula such that any portion of the Tenant Lease rental
received by Lender would fail to qualify as “rents from real property” within the meaning of Section 856(d) of the Code, or any similar or successor provision thereto. Moreover, Borrower shall not lease or sublease any portion of the Real
Property for a term extending beyond the Fixed Term without the express consent of Lender. In addition, all Tenant Leases shall comply in all material respects with the Healthcare Laws. Lender and Borrower acknowledge and agree that all Tenant
Leases entered into relating to the Real Property, whether or not approved by Lender, shall not, without the prior written consent of Lender, be deemed to be a direct lease between Lender and any Tenant. Borrower agrees that all Tenant Leases
executed after the Closing Date must include provisions to the effect that (i) such lease and sublease is subject and subordinate to all of the terms and provisions of this Agreement, to the rights of Lender hereunder, and to all financing
documents relating to any Facility Loan in connection with the Real Property, (ii) in the event Lender forecloses the Mortgages applicable to such Property or purchases such Property in accordance with Article XV, the Tenant will, at
Lender’s option, exercisable at any time in Lender’s discretion, attorn to Lender and waive any right the Tenant may have to terminate such lease or sublease or to surrender possession thereunder as a result of the termination of this
Agreement, (iii) in the event of a foreclosure with respect to the applicable Property or Lender purchases such Property in accordance with Article XV, at Lender’s option, exercisable at any time in Lender’s discretion, such
lease or sublease may be terminated or left in place by Lender, (iv) Tenant shall from time to time upon request of Borrower or Lender furnish within twenty (20) days from request an estoppel certificate in form and content reasonably
acceptable to Lender or any Facility Lender relating to the Tenant Lease, (v) in the event the Tenant receives a written notice from Lender or Lender’s assignees, if any, stating that an Event of Default under this Agreement has occurred,
the Tenant shall, to the extent specified in such notice, thereafter be obligated to pay all rentals accruing under said Tenant Lease directly to the Person giving such notice, or as such Person may direct, and such Tenant shall be entitled to
conclusively rely on such notice (all rentals received from the Tenant by Lender or Lender’s assignees, if any, as the case may be, shall be credited against the amounts owing by Borrower under the Loan Documents), and (vi) such Tenant
Lease shall at all times be subject to the obligations and requirements as set forth in this Article XII. Borrower acknowledges and agrees that the provisions of this Section 12.1 shall be applicable to all tenants,
subtenants or licensees of any material portion of the Real Property, whether under a Tenant Lease or any other written lease, sublease, license or rental agreement. 

  
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 Section 12.2.    Lease Subordination and
Non-Disturbance. 
 (a)    With respect to the Existing Leases, and
within twenty (20) days after the Closing Date, Borrower shall use commercially reasonable efforts to cause such Tenant to execute and deliver to Lender a subordination, non-disturbance and attornment
agreement relating to each such Existing Lease, which subordination, non-disturbance and attornment agreement shall be in reasonable form mutually satisfactory to Lender and Borrower. 

(b)    At any time during the Loan Term, within twenty (20) days following written request by Lender with respect to
any Tenant, Borrower shall use commercially reasonable efforts to cause any applicable Tenant to execute and deliver to Lender from each Tenant (a) an estoppel certifying such matters as Lender may reasonably request, including, without
limitation, that such Tenant Lease is unmodified and in full force and effect (or setting forth the modifications), the term and expiration thereof and the dates to which the rent has been paid; and/or (b) a subordination, non-disturbance and attornment agreement relating to the applicable Tenant Lease, which subordination, non-disturbance and attornment agreement shall be in reasonable form
mutually satisfactory to Lender and Borrower. 
 (c)    Within twenty (20) days from the date of request of Lender,
a Facility Lender or Borrower, with respect to any Tenant, Borrower shall use commercially reasonable efforts to cause such Tenant and Lender shall cause such Facility Lender to enter into a written agreement in a form reasonably acceptable to such
Facility Lender and such Tenant whereby (i) such Tenant subordinates the Tenant Lease and all of its rights and estate thereunder to the lien of each such mortgage or deed of trust that encumbers the Real Property or any part thereof and agrees
with each such Facility Lender that such Tenant will attorn to and recognize such Facility Lender or the purchaser at any foreclosure sale or any sale under a power of sale contained in the applicable Mortgage, as the case may be, as Lender under
this Agreement for the balance of the Loan Term then remaining, subject to all of the terms and provisions of the Tenant Lease and (ii) such Facility Lender shall agree that Tenant shall not be disturbed in peaceful enjoyment of the applicable
portion of the Real Property nor shall the applicable Tenant Lease be terminated or canceled at any time, except as specified in the applicable Tenant Lease. 

Section 12.3.    Existing Leases. Notwithstanding anything contained herein to the contrary,
Lender and Borrower acknowledge that there currently exist certain leases, subleases, or licenses on the Real Property, with annual rental payments in excess of One Million and No/100 Dollars ($1,000,000) as described on Exhibit
C (collectively the “Existing Leases”). Any material modifications, amendments and restatements of the Existing Leases or any Tenant Lease hereafter entered into (but excluding renewals and extensions that do not
otherwise materially modify or amend the relevant Existing Lease or Tenant Lease) must be approved by Lender in accordance with this Article XII. 

  
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 ARTICLE XIII 

ADDITIONAL COVENANTS OF BORROWER 
 From and
after the Closing and until the Termination Date (or as otherwise provided), Borrower shall observe and perform the following covenants: 

Section 13.1.    Affirmative Covenants. 

(a)    Payment and Performance. Borrower shall duly and promptly pay and perform all of Borrower’s liabilities
and obligations to Lender in accordance with the terms and conditions of this Agreement and the other Loan Documents. 

(b)    Certification. At any time and from time to time, but not more than once per calendar quarter, within twenty
(20) days following reasonable written request by Lender, each Facility Borrower shall furnish to Lender an Officer’s Certificate certifying that this Agreement and the other Loan Documents are unmodified and in full force and effect (or
that this Agreement and the other Loan Documents are in full force and effect as modified and setting forth the modifications) and the dates to which the Scheduled Monthly Payments and other payments relating to the Loan have been paid. Any such
Officer’s Certificate furnished pursuant to this Section may be relied upon by Lender and any prospective purchaser of or participant in the Loan. 

(c)    Notifications. Each Facility Borrower shall furnish, or cause to be furnished, to Lender the following
statements, notices and certificates in such form and detail as Lender may reasonably require: 

(i)    within one hundred twenty (120) days after the end of each year, audited Financial Statements
of such Facility Borrower and Steward Health (which Financial Statements may be provided on a consolidated basis so long as such consolidated Financial Statements provide a supplementary schedule of such Facility Borrower’s statements of
operations and, if such Facility Borrower owns any assets or conducts any other operations other than the Business, then of the Facility separately, prepared by a nationally recognized accounting firm or an independent certified public accounting
firm reasonably acceptable to Lender, all in accordance with GAAP for the year then ended; and 

(ii)    within (x) one hundred twenty (120) days after the end of the fourth quarter of each year
and (y) forty-five (45) days after the end of each other quarter, (A) current quarterly income statements of Steward Health and a written calculation of the then current EBITDAR (as determined utilizing the trailing twelve
(12) month operating and financial results of Steward Health and its Subsidiaries and measured on a calendar quarterly basis), and (B) quarterly income statements of such Facility Borrower, and, if such Facility Borrower owns any assets or
conducts any other operations other than the Business, then of its Facility separately, certified to be true and correct by an officer of such Facility Borrower; and 

(iii)    within thirty (30) days after the end of each month, monthly income statements (if available
or produced in the ordinary course of business) of such Facility Borrower and statistics of its Facility, including, but not limited to, the number of patient discharges, the number of inpatient days, the case mix index, the payor sources for
inpatient days (by inpatient days) and outpatient utilization by service (ER, non-ER); and 

(iv)    within ten (10) days after receipt, any and all material written notices from any and all
licensing and/or certifying agencies that any license or certification, including, without limitation, the Medicare and/or Medicaid certification and/or material 

  
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managed care contract necessary for the operation of the Facility for the Primary Intended Use is being revoked, or suspended, or that action is pending or being considered to revoke or suspend
such Facility’s license or certification; and 
 (v)    with reasonable promptness, such other
information respecting the financial condition of such Facility Borrower, Steward Health and their respective Subsidiaries as Lender may reasonably request from time to time. 

(d)    Upon Lender’s reasonable request and not with unreasonable frequency, each Facility Borrower and Steward
Health shall furnish to Lender a certificate in form reasonably acceptable to Lender certifying that no Event of Default then exists and to Borrower’s knowledge no event has occurred (that has not been cured) and no condition currently exists
that would, but for the giving of any required notice or expiration of any applicable cure period, constitute an Event of Default, or disclosing that such an event or condition, if any, exists. 

(e)    Within five (5) Business Days after receipt, each Facility Borrower shall furnish to Lender copies of all
written notices and demands from any third-party payor, including, without limitation, Medicare and/or Medicaid, concerning any overpayment which will or could reasonably be expected to require a repayment or a refund in excess of Ten Million and
No/100 Dollars ($10,000,000.00) with respect to such Facility Borrower. 
 (f)    Each Facility Borrower shall furnish
to Lender within ten (10) Business Days written notice of, and any written information related to, any governmental investigations of such Facility Borrower or the Guarantor (or any of their respective Affiliates), or any inspections or
investigations of the Facility operated by such Facility Borrower which are conducted by the United States Attorney, State Attorney General, the Office of the Inspector General of the Department of Health and Human Services (the
“OIG”), the United States Department of Justice or any other Governmental Body (except for such inspections or investigations that are being conducted by a Governmental Body other than the United States Attorney, State Attorney
General, OIG or the Department of Justice, unless such inspections or investigations by such other Governmental Body is reasonably expected to have a material adverse effect on such Facility Borrower or the Guarantor, in which event such Facility
Borrower shall furnish all such information as contemplated herein), and provide to Lender, on a monthly basis, ongoing status reports (in form and content acceptable to Lender) of any such government investigations; provided that no Facility
Borrower shall be required to furnish any such information to the extent attorney-client privileged information or disclosure thereof would violate any applicable law (including without limitation HIPAA). 

(g)    Each Facility Borrower shall furnish to Lender within five (5) Business Days after receipt thereof copies of
all written pre-termination notices from Medicare and/or Medicaid, all written notices of material adverse events or material deficiencies as defined by the regulations and standards of the state Medicare
and/or Medicaid certification agency, the Joint Commission (formerly known as the Joint Commission on the Accreditation of Healthcare Organizations) (the “Joint Commission”) or the equivalent accrediting body relied upon by such
Facility Borrower in the operation of the Facility operated by such Facility Borrower or any part thereof. 

  
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 (h)    Each Facility Borrower shall provide to Lender prompt written notice
of any monetary or material non-monetary default or event of default with respect to any Material Obligation of such Facility Borrower or the Guarantor and, upon Lender’s request, such Facility Borrower
or the Guarantor shall furnish to Lender a certificate in form reasonably acceptable to Lender certifying that, with respect to each Material Obligation, no monetary or material non-monetary event of default,
to such Facility Borrower or such Guarantor’s knowledge, then exists thereunder. 
 (i)    Lender reserves the
right to require such other financial information from Borrower at such other times as it shall deem reasonably necessary. All financial statements and information must be in such form and detail as Lender shall from time to time, but not
unreasonably, request. 
 Section 13.2.    Inspection. Upon reasonable prior written
notice, Borrower shall permit Lender, or its designated Affiliate, and their respective authorized representatives to inspect the Real Property during usual business hours subject to any security, health, safety or confidentiality requirements of
Borrower (including Borrower’s reasonable policies with respect to facility security and/or HIPAA compliance), any governmental agency, any Insurance Requirements relating to the Real Property, or imposed by law or applicable regulations,
except that, in the event of an emergency, Lender shall have the right to inspect the Real Property upon reasonable notice (which in this circumstance may be verbal) under the circumstances to Borrower. 

Section 13.3.    Management Agreements. Borrower shall not engage, terminate, remove or replace
any Management Company, without providing Lender with fifteen (15) days’ prior written notice and an opportunity to provide consultation as to any successor manager. Borrower shall require any Management Company to execute and deliver to
Lender within ten (10) Business Days from Lender’s request an estoppel certificate, as required by Lender and/or any Facility Lender, in such form and content as is reasonably acceptable to Lender and/or such Facility Lender. 

Section 13.4.    Non-competition. Each Facility Borrower hereby
acknowledges the Non-Competition Agreement and, as an inducement to Lender to enter into this Agreement and as a condition precedent to this Agreement, each Facility Borrower agrees that the terms, covenants
and conditions of the Non-Competition Agreement are binding on it and incorporated herein by reference. 

ARTICLE XIV 
 DEFAULT

 Section 14.1.    Events of Default. The occurrence of any one or more of the following
events (individually, an “Event of Default”) shall constitute Events of Default hereunder: 
 (a)    if
Borrower shall fail to make a payment of the Loan Obligations or any other monetary obligation when the same becomes due and payable by Borrower under this Agreement, the Note or the other Loan Documents (including, but not limited to the failure to
pay Insurance Premiums or Impositions) and the same shall remain unpaid for more than ten (10) days following receipt by Borrower of written notice thereof from Lender; provided, however, in no event shall Lender be
required to give more than two (2) such written notices hereunder during any consecutive twelve (12) month period; or 

  
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 (b)    if Borrower shall fail to observe or perform any other term, covenant
or condition of this Agreement and such failure is not cured by Borrower within a period of thirty (30) days after receipt by Borrower of written notice thereof from Lender (except that in the event Borrower shall fail to comply with any
request pursuant to Sections 5.2(c) and 14.3(b) hereof, and such failure shall continue for ten (10) days after receipt by Borrower of such request from Lender), unless such failure cannot, in Lender’s reasonable
determination, with due diligence be cured within a period of thirty (30) days, in which case such failure shall not be deemed to continue if, in Lender’s reasonable determination, Borrower commences to cure such failure within the thirty
(30) day period and proceeds with due diligence to complete the curing thereof; provided, however, in no event shall Lender be required to give more than two (2) such written notices hereunder for
Borrower’s failure to observe or perform the same (or repetitive) covenant or condition in any consecutive twelve (12) month period; or 

(c)    if (i) any Facility Borrower or the Guarantor shall admit in writing its inability to pay its debts as they
become due; or (ii) any Facility Borrower or the Guarantor shall file a petition in bankruptcy as a petition to take advantage of any insolvency act; or (iii) any Facility Borrower or the Guarantor shall be declared insolvent according to
any law; or (iv) any Facility Borrower or the Guarantor shall make any general assignment for the benefit of its creditors; or (v) if the estate or interest of any Facility Borrower in the Real Property or any part thereof shall be levied
upon or attached in any proceeding and the same shall not be vacated or discharged within the later of ninety (90) days after commencement thereof or sixty (60) days after receipt by such Facility Borrower of written notice thereof from
Lender (unless such Facility Borrower shall be contesting such lien or attachment in good faith in accordance with Article VIII); or (vi) any petition shall be filed against any Facility Borrower or the Guarantor to declare such Facility
Borrower or the Guarantor bankrupt, to take advantage of any insolvency act, or to delay, reduce or modify such Facility Borrower’s or the Guarantor’s capital structure and the same shall not be removed or vacated within ninety
(90) days from the date of its creation, service or attachment; or (vii) any Facility Borrower or the Guarantor shall, after a petition in bankruptcy is filed against it, be adjudicated a bankrupt, or a court of competent jurisdiction
shall enter an order or decree, with or without the consent of such Facility Borrower or the Guarantor, as the case may be, appointing a trustee, examiner or receiver of such Facility Borrower or the Guarantor or the whole or substantially all of
its property, or approving a petition filed against such Facility Borrower or the Guarantor seeking reorganization or arrangement of such Facility Borrower or the Guarantor under the federal bankruptcy laws or any other applicable law or statute of
the United States of America or any state thereof, and such judgment, order or decree shall not be vacated or set aside or stayed within ninety (90) days from the date of the entry thereof; or 

(d)    if any Facility Borrower shall have any of its material Licenses, material Participation Agreements (including
participation or certification in Medicare or Medicaid or any material other third-party payor program) terminated by the applicable government program for fraud or willful violation of the terms of such program; or 

(e)    a Change of Control Transaction shall occur with respect to any Facility Borrower or Guarantor which is not
approved by Lender in advance; or 

  
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 (f)    if, with respect to any Property, the applicable Facility Borrower
that operates the Business at such Property abandons or vacates the same (such Facility Borrower’s absence therefrom for thirty (30) consecutive days shall constitute abandonment) and thereafter fails to comply with any other covenants or
conditions set forth in this Agreement with respect to such Facility Borrower or such Property (subject to any other applicable notice and cure periods set forth herein), it being understood that such Facility Borrower may cease operations of the
Business at such Property so long as such Facility Borrower complies with all other non-operational covenants and conditions set forth in this Agreement; or 

(g)    if any Facility Borrower or the Guarantor shall be liquidated or dissolved, or shall begin proceedings toward such
liquidation or dissolution, or shall, in any manner, permit the sale or divestiture of substantially all of its assets, or any such Facility Borrower or the Guarantor shall enter into an agreement respecting same; or 

(h)    if an “Event of Default” shall occur under and as defined in the Master Lease, or a monetary default or a
material non-monetary default shall occur under any other Obligation Document (other than this Agreement) which is not waived in writing or cured within the cure period as provided therein (it being understood
that a violation of the LLC Agreement with respect to any MPT Required Provision is a material non-monetary default and shall not be subject to any notice or cure period); or 

(i)    if any Facility Borrower shall breach the covenants in Section 4.10; or 

(j)    if any monetary or material non-monetary default or event of default occurs
with respect to any Material Obligation of any Facility Borrower or Guarantor which is not waived in writing or cured within the applicable notice and cure period provided by the document evidencing the Material Obligation; or 

(k)    if, at any time during the Term, for two (2) consecutive calendar quarters: 

(i)    commencing the quarter ending December 31, 2017 and continuing for the first three calendar
quarters in 2018, EBITDAR of Steward Health and its Subsidiaries shall be less than Two Hundred and Five Percent (205%) of the Realty Payments (as determined utilizing the trailing twelve (12) month operating and financial results of Steward
Health and its Subsidiaries and measured on a calendar quarterly basis); 
 (ii)    commencing the
quarter ending December 31, 2018 and continuing for the first three calendar quarters in 2019, EBITDAR of Steward Health and its Subsidiaries shall be less than Two Hundred and Fifteen Percent (215%) of the Realty Payments (as determined
utilizing the trailing twelve (12) month operating and financial results of Steward Health and its Subsidiaries and measured on a calendar quarterly basis); 

(iii)    commencing the quarter ending December 31, 2019 and continuing for first three calendar
quarters in 2019, EBITDAR of Steward Health and its Subsidiaries shall be less than Two Hundred and Twenty Percent (220%) of the Realty Payments (as determined utilizing the trailing twelve (12) month operating and financial results of Steward
Health and its Subsidiaries and measured on a calendar quarterly basis); 

  
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 (iv)    commencing the quarter ending December 31, 2020
and continuing for each calendar quarter thereafter, EBITDAR of Steward Health and its Subsidiaries shall be less than Two Hundred and Twenty-Five Percent (225%) of the Realty Payments (as determined utilizing the trailing twelve (12) month
operating and financial results of Steward Health and its Subsidiaries and measured on a calendar quarterly basis); 

(l)    if, at any time during the Loan Term, for two (2) consecutive calendar quarters: 

(i)    commencing the quarter ending December 31, 2017 and continuing for the first three calendar
quarters in 2018, EBITDAR of Steward Health and its Subsidiaries shall be less than One Hundred and Five Percent (105%) of Consolidated Fixed Charges (as determined utilizing the trailing twelve (12) month operating and financial results of
Steward Health and its Subsidiaries and measured on a calendar quarterly basis); 
 (ii)    commencing
the quarter ending December 31, 2018 and continuing for the first three calendar quarters in 2019, EBITDAR of Steward Health and its Subsidiaries shall be less than One Hundred and Fifteen Percent (115%) of Consolidated Fixed Charges (as
determined utilizing the trailing twelve (12) month operating and financial results of Steward Health and its Subsidiaries and measured on a calendar quarterly basis); 

(iii)    commencing the quarter ending December 31, 2019 and continuing for first three calendar
quarters in 2020, EBITDAR of Steward Health and its Subsidiaries shall be less than One Hundred and Twenty Percent (120%) of Consolidated Fixed Charges (as determined utilizing the trailing twelve (12) month operating and financial results of
Steward Health and its Subsidiaries and measured on a calendar quarterly basis); 
 (iv)    commencing
the quarter ending December 31, 2020 and continuing for each calendar quarter thereafter, EBITDAR of Steward Health and its Subsidiaries shall be less than One Hundred and Twenty-Five Percent (125%) of Consolidated Fixed Charges (as determined
utilizing the trailing twelve (12) month operating and financial results of Steward Health and its Subsidiaries and measured on a calendar quarterly basis); 

(m)    Notwithstanding the foregoing, in the event that Borrower fails (or, but for the operation of this paragraph, would
fail) to comply with the requirements of Sections 14.1(k) and (1), until the thirtieth (30th) day subsequent to the earlier of (1) the date Borrower becomes aware of such noncompliance or (2) the date of delivery of written
notice from Lender relating to such failure (the “Equity Cure Expiration Date”), Steward Health shall have the right to issue its equity interests for cash or to receive an equity contribution in respect of its equity interests (the
“Equity Cure Right”), and upon the receipt by Steward Health of such cash (the “Specified Equity Contribution”), EBITDAR shall be recalculated giving effect to the following pro forma adjustments: 

(i)    EBITDAR for the applicable calendar quarter (and any four-quarter period that contains such quarter)
shall be increased, solely for the purpose of determining compliance with Sections 14.1(k) and (l), by an amount equal to the Specified Equity Contribution; and 

  
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 (ii)    if, after giving effect to the foregoing
recalculations, Borrower shall then be in compliance with the requirements of Section 14.1(k) and (l), Borrower shall be deemed to have satisfied the requirements of such section as of the relevant date of determination with the same
effect as though there had been no failure to comply therewith at such date, and the applicable Event of Default that had occurred shall be deemed cured for purposes of this Agreement. 

(n)    Notwithstanding anything herein to the contrary, after the failure to comply with the requirements of Sections
14.1(k) and (l), if Borrower has given Lender notice that Borrower intends to cure such failure with the proceeds of a Specified Equity Contribution, Lender shall not exercise any rights or remedies under this Article XIV available
during the continuance of any Event of Default on the basis of any actual or purported failure to comply with Sections 14.1(k) and (l) until such failure is not cured on or prior to the Equity Cure Expiration Date. 

Section 14.2.    Remedies. If an Event of Default has occurred which has not been waived in
writing by Lender, Lender shall have the right at its election, then or at any time thereafter, to pursue any one or more of the following remedies (subject to applicable law), in addition to any remedies which may be permitted by law, equity, by
other provisions of this Agreement or otherwise, without notice or demand, except as hereinafter provided: 

(a)    Lender may declare all or any portion of the Loan Obligations allocable to the Defaulted Property under the
Allocation Schedule immediately due and payable to Lender, without presentment, demand, protest, or further notice of any kind, all of which are expressly waived by Borrower; 

(b)    Lender may foreclose under any one or more of the Mortgages securing the Loan. Lender may either (i) foreclose
under the applicable Mortgage relating to the Property from which such Event of Default emanated or to which such Event of Default related primarily; or (ii) if there has occurred a Major Event of Default, foreclose under any one or more
(including all, if so elected by Lender) of the Mortgages securing the Loan, regardless of whether such Event of Default emanated from or related primarily to a single Property (whether one or more, and whether pursuant to clause (i) or (ii),
the “Defaulted Property”); 
 (c)    Lender may, upon written notice to Borrower, proceed with all
remedies Lender deems necessary, including, without limitation, terminating this Agreement, accelerating and calling due and payable all outstanding or any portion of the Loan Obligations allocable to the Defaulted Property, foreclosing under any
one or more of the Mortgages allocable to the Defaulted Property and exercising any other remedy available to Lender hereunder or under any of the other Loan Documents, the Obligation Documents, at law or in equity; 

(d)    Lender, at its option, may (i) institute and prosecute proceedings in any court of competent jurisdiction to
pursue any remedies available in law or in equity, including, without limitation, the recovery of damages, the enforcement of specific performance or to obtain an injunction, or (ii) pursue any and all rights or remedies available to Lender
under any Loan 

  
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Document. No such termination and/or subsequent election by Lender hereunder shall in any way limit, qualify or otherwise affect the obligations of Borrower with respect to the Loan Obligations
of their indemnification obligations hereunder. 
 (e)    Lender, at its option, may effect a sale, transfer or
assignment of the Collateral or any portion thereof. Notwithstanding anything contained herein to the contrary, for the purpose of effecting the sale, transfer or assignment described herein, Borrower hereby nominates and irrevocably designates and
appoints Lender its true and lawful agent and attorney-in-fact, in the name of each Facility Borrower, as applicable, or in the name of Lender, or in the name of a
designee of Lender to do all acts and things and execute all documents which Lender may deem necessary or desirable to effect the sale, transfer or assignment as set forth herein, including, without limitation, preparing, signing and filing any and
all agreements, documents and applications necessary to effect such sale, transfer or assignment. This power is coupled with Lender’s ownership of the security interest in the Collateral and all incidental rights attendant to any and all of the
rights set forth herein. 
 (f)    Terminate this Agreement and any of the other Loan Documents relating to a particular
Property (whether one or more, the “Terminated Property”) and all future liability or obligation of Lender relating to such Terminated Property, but without affecting Lender’s liens on the Collateral and without affecting the
Loan Obligations. 
 (g)    In addition to any other available remedies, Lender may take such actions as Lender
reasonably considers necessary or appropriate to protect the priority, validity and enforceability of the Lien of any one or more of the Mortgages, such as appearing and participating in any action or proceeding affecting or which may affect the
security or priority thereof or the rights or powers of Lender, or paying, purchasing, contesting or compromising any other Lien or alleged Lien, whether superior or junior to the applicable Mortgage. 

Section 14.3.    Remedies with Respect to Licenses. 

(a)    Following an Event of Default resulting in the foreclosure of any one or more of the Properties or Lender’s
purchase of any one or more Properties in accordance with Article XV, Borrower shall not move or attempt to move the Licenses or Participation Agreements to any other location. To the extent that Borrower has any right, title, or claim of
right whatsoever in and to the Licenses or the right to operate any such Facilities, all such right, title, or claim of right shall automatically revert to Lender or to Lender’s designee upon such foreclosure or purchase, to the extent
permitted by law. 
 (b)    SUBJECT TO SECTION 14.3(D), FOLLOWING AN EVENT OF DEFAULT RESULTING IN THE
FORECLOSURE OF ANY ONE OR MORE OF THE PROPERTIES OR LENDER’S PURCHASE OF ANY ONE OR MORE PROPERTIES IN ACCORDANCE WITH ARTICLE XV, WITHOUT ANY ADDITIONAL CONSIDERATION TO ANY FACILITY BORROWER, THE APPLICABLE FACILITY BORROWER SHALL, FOR
REASONABLE PERIODS OF TIME AFTER SUCH FORECLOSURE OR PURCHASE, USE ITS COMMERCIALLY REASONABLE EFFORTS TO FACILITATE AN ORDERLY TRANSFER OF THE OPERATION AND OCCUPANCY OF SUCH PROPERTY TO LENDER OR ITS DESIGNEE, AND SUCH COOPERATION SHALL INCLUDE,
WITHOUT 

  
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LIMITATION, (i) SUCH FACILITY BORROWER’S EXECUTION AND SUBMISSION TO THE APPROPRIATE AUTHORITY OF ANY AND ALL DOCUMENTS REQUIRED TO EFFECT THE TRANSFER, ISSUANCE OR ASSIGNMENT TO LENDER
OR ITS DESIGNEE OF ANY AND ALL LICENSES AND PARTICIPATION AGREEMENTS, (ii) SUCH FACILITY BORROWER’S MAINTENANCE OF THE EFFECTIVENESS OF ANY AND ALL SUCH LICENSES AND PARTICIPATION AGREEMENTS UNTIL SUCH TIME AS ANY NEW LICENSES NECESSARY
FOR ANY NEW BORROWER OR OPERATOR TO OPERATE THE FACILITY OPERATED BY SUCH FACILITY BORROWER HAVE BEEN ISSUED, AND (iii) THE TAKING OF SUCH OTHER ACTIONS AS REASONABLY REQUESTED BY LENDER OR REQUIRED BY APPLICABLE LAW; IT BEING UNDERSTOOD AND
AGREED THAT THE PERFORMANCE OR EXERCISE OF ANY OF THE FOREGOING RIGHTS, REMEDIES, DUTIES AND OBLIGATIONS SHALL BE WITHOUT ANY ADDITIONAL CONSIDERATION TO SUCH FACILITY BORROWER. 

(c)    IT IS AN INTEGRAL CONDITION OF THIS AGREEMENT, AND A MATERIAL INDUCEMENT TO LENDER’S AGREEMENT TO MAKE THE
LOAN TO BORROWER, THAT EACH FACILITY BORROWER ACKNOWLEDGES AND AGREES TO COOPERATE WITH AND ASSIST LENDER AND/OR ITS DESIGNEE IN CONNECTION WITH ANY TRANSFER OF THE LICENSES OR THE OPERATIONS OF THE FACILITIES IN ACCORDANCE WITH THIS SECTION
14.3 IN CONNECTION WITH A FORECLOSURE OF ANY PROPERTY, LENDER’S PURCHASE OF ANY PROPERTY IN ACCORDANCE WITH ARTICLE XV, OR REMOVAL OF BORROWER FROM POSSESSION OF ONE OR MORE OF THE PROPERTIES IN THE MANNER SET FORTH HEREIN, WHICH
COOPERATION AND ASSISTANCE SHALL BE WITHOUT ANY ADDITIONAL CONSIDERATION TO BORROWER. 
 (d)    The obligations of each
Facility Borrower set forth in this Section 14.3 shall include, without limitation, such Facility Borrower using its commercially reasonable efforts to assist and cooperate with Lender (or its designee) in
(i) obtaining any new material Licenses and Participation Agreements or (ii) transferring or assigning any existing material Licenses and Participation Agreement, which shall include, without limitation, each Facility Borrower using its
commercially reasonable efforts to execute and deliver such change of ownership documentation required to transfer any material Licenses and Participation Agreements (including, without limitation, any Form CMS 855 to assign any Medicare provider
agreements) to Lender or its designee. Lender acknowledges that the obligations of each Facility Borrower set forth in this Sections 14.3 shall be subject to all applicable notice, review, or approval requirements of any Governmental Body
including, without limitation, any requirements of the Massachusetts Department of Health and Human Services or other State Regulatory Authority (collectively, the “Transfer Requirements”); provided, however, that until such
time as all applicable Transfer Requirements have been satisfied, each Facility Borrower shall continue to use its commercially reasonable efforts to satisfy the obligations set forth in this Section 14.3. 

 Section 14.4.    Cumulative. The remedies of Lender in this Agreement or in any other Loan
Document, or at law or in equity, shall be cumulative and concurrent and may be pursued singly, successively or together in Lender’s discretion. Notwithstanding any statement contained in this Agreement to the contrary, termination of this
Agreement shall not relieve Borrower from liability for any breach or violation of this Agreement that arose prior to such termination. 

  
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 Section 14.5.    Waivers. 

(a)    Borrower waives, to the extent permitted by applicable law, (i) any right of redemption, re-entry or repossession; (ii) any right to a trial by jury; and (iii) the benefit of any laws now or hereafter in force exempting property from liability for rent or for debt. 

(b)    Borrower waives, to the extent permitted by applicable law, any and all rights or defenses arising by reason of:
(i) any “one action” or “anti-deficiency” law or any other law which may prevent Lender from bringing any action, including a claim for deficiency, against Borrower or any one or more Facility Borrowers or the Guarantor,
before or after Lender’s commencement or completion of any foreclosure or similar action or actions, either judicially or by exercise of a power of sale; (ii) any election of remedies by Lender which destroys or otherwise adversely affects
Borrower or any one or more Facility Borrower’s or the Guarantor’s subrogation rights or rights to proceed against any Person for reimbursement, including, without limitation, any loss of rights such Facility Borrowers or such Guarantor
may suffer by reason of any law limiting, qualifying, or discharging the Loan Obligations, if any, (iii) any right to claim discharge of the Loan Obligations on the basis of unjustified impairment of any collateral for the Loan Obligations;
(iv) any defenses given to guarantors, sureties, and/or co-makers at law or in equity other than actual payment and performance of the Loan Obligations; 

Section 14.6.    Application of Funds. Any payments otherwise payable by or to Borrower which are
received by Lender under any of the provisions of this Agreement during the existence or continuance of any Event of Default shall be applied to the Loan Obligations in the order which Lender may reasonably determine. 

Section 14.7.    Notices by Lender. The provisions of this Article concerning notices shall be
liberally construed insofar as the contents of such notices are concerned, and any such notice shall be sufficient if reasonably designed to apprise Borrower of the nature and approximate extent of any default, it being agreed that Borrower is in
good or better position than Lender to ascertain the exact extent of any default by Borrower hereunder. 

Section 14.8.    Additional Expenses. It is further agreed that, in addition to payments required pursuant to
Section 14.2 above and the provisions of Section 21.3, Borrower shall compensate Lender and its Affiliates for (a) all reasonable, out-of-pocket expenses incurred by Lender and its Affiliates in enforcing the provisions of this Agreement and the other Loan Documents in foreclosing or repossessing the Real Property or any portion thereof
(including among other expenses, any increase in insurance premiums caused by the vacancy of all or any portion of the Real Property); (b) all reasonable, out-of-pocket
expenses incurred by Lender and its Affiliates in selling or reletting (including among other expenses, repairs, remodeling, replacements, advertisements and brokerage fees); (c) all concessions granted to buyers or new Tenants upon selling or
reletting (including among other concessions, renewal options); (d) Lender’s and its Affiliates’ reasonable, out-of-pocket attorneys’ fees and expenses
arising from or related to an Event of Default; and € all losses incurred by Lender and its Affiliates as a direct or indirect result of such Event of Default (including, among other losses, any adverse action by Facility Lenders). 

  
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 Section 14.9.    Lender’s Contractual Security
Interest. In order to secure the payment of all Loan Obligations due and to become due hereunder and the faithful performance of this Agreement by Borrower and to secure all other obligations, indebtedness and liabilities of Borrower to
Lender, now existing or hereafter incurred, contemporaneously with the execution of this Agreement, Borrower has executed the Security Agreement and the Mortgages, among others, granting Lender and certain of its Affiliates certain liens and
security interests as therein described. Upon the occurrence and continuance of an Event of Default by Borrower, Lender shall have the remedies set forth in the Security Agreement and the Mortgages, among others, in addition to all remedies
available at law or in equity and the remedies set forth in this Agreement, the other Loan Documents and the other Obligation Documents. 

ARTICLE XV 
 OPTIONS TO
PURCHASE 
 Section 15.1.    Options to Purchase Real Property. Upon (a) the occurrence and
continuance of a Major Event of Default, unless waived in writing by Lender, or (b) the expiration of the Initial Term (as defined in the Note), (each, an “Option Event”), in addition to other rights and remedies Lender may
have in this Agreement and at law and in equity, Lender and any designee or assignee of Lender (collectively, the “Purchaser”), shall have the right and option (the “Option”), but not the obligation, for a period of
thirty (30) days following the date of the occurrence of an Option Event (the “Option Period”), to purchase the Real Property or any one or more of the Properties from the applicable Facility Borrower in accordance with this
Article XV. If the Purchaser determines to exercise its option to purchase the Real Property or any one or more of the Properties pursuant hereto (the “Option Property”), the Purchaser shall, within the Option Period, deliver
a written notice of such determination (the “Option Notice”) to Borrower. Upon Borrower’s timely receipt of such Option Notice, Borrower shall be obligated to sell, assign, transfer and convey all of the Option Property to the
Purchaser for a purchase price equal to either: (i) if such sale is the result of the occurrence of a Major Event of Default, then for the outstanding principal amount of the Loan Obligations allocated to the Option Property as of the Option
Closing Date in accordance with the Allocation Schedule; or (ii) if such sale is the result of the expiration of the Initial Term, then for an amount equal to one hundred ten percent (110%) of the fair market value of the subject Option
Property as of the date hereof (which the parties agree is the amount of the Loan Obligations allocated to such Option Property on the Allocation Schedule). In the event that Lender purchases less than all of the Real Property as provided herein,
Borrower shall be released from all obligations and liabilities arising under this Agreement and the other Loan Documents relating to such purchased Property in accordance with the Allocation Schedule, but the Loan Obligations allocated to any
Property not purchased by Lender shall remain outstanding and due and payable in accordance with the Loan Documents. If the Purchaser determines to exercise its option pursuant hereto, Borrower shall be obligated to sell, assign, transfer and convey
to the Purchaser on an AS IS, WHERE IS BASIS, and without representation or warranty of any kind or nature whatsoever, express or implied, all such Borrower’s Property and Borrower’s rights, title, and interest therein subject to the terms
and conditions set forth herein. 
 Section 15.2.    Option to Purchase Personal Property.
Upon the occurrence and continuance of an Major Event of Default, continuing for thirty (30) days beyond any applicable notice and cure period, in addition to other rights and remedies Lender may have in the Loan Documents

  
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and at law and in equity, Lender shall have the right and option, but not the obligation, to purchase from Borrower, all (but not less than all) of the applicable Facility Borrower’s
Personal Property with respect to such Facility and all rights title, and interest of the applicable Facility Borrower therein for an amount equal to the then fair market value of the Facility Borrower’s Personal Property with respect to such
Facility as determined by independent, third party appraisal reasonably acceptable to Lender and Borrower, subject in all cases to, and with appropriate price adjustments for, all equipment leases, conditional sale contracts, security interests and
other encumbrances to which such Personal Property is subject. If the Lender determines to exercise its option pursuant hereto, then Lender shall provide Borrower with written notice of its intent to exercise such option and Borrower shall be
obligated to sell, assign, transfer and convey to Lender, its designee or assignee, on an AS IS, WHERE IS BASIS, and without representation or warranty of any kind or nature whatsoever, express or implied, all such Facility Borrower’s Personal
Property with respect to such Facility and all rights, title and interest of such Facility Borrower therein subject to the terms and conditions set forth herein. Notwithstanding anything contained in this Section 15.2 to
the contrary, the options to purchase granted under this Section 15.2 do not pertain to any of the Licenses, it being understood and agreed that all matters relating to the transfer of the Licenses are addressed in
Section 14.3. 
 Section 15.3.    Payment of Purchase Price. In the
event a purchase and sale transaction contemplated by this Article XV is consummated, on the Option Closing Date the applicable purchase price shall be paid into escrow and applied, first, towards payment of the outstanding Loan Obligations
and, then, the balance of the purchase price, if any, shall be paid through escrow to Borrower. The original Note shall be canceled or amended at closing as necessary to reflect the payment of the Loan Obligations. Notwithstanding any provision
herein to the contrary, in the event that the purchase transactions contemplated by this Article XV are consummated, Borrower shall pay all Scheduled Monthly Payments and other charges and amounts accruing under the Note but unpaid through
the Option Closing Date at the closing of such transaction and, if Borrower shall fail to do so, Lender may offset the amount of such accrued and unpaid Scheduled Monthly Payments and other charges against the amount of the aggregate purchase price
payable to Borrower pursuant to this Article XV. 
 Section 15.4.    Closing of Purchase.
Any purchase and sale pursuant to this Article XV shall be handled through deliveries into escrow on a mutually agreeable date (the “Option Closing Date”) which shall not be later than sixty (60) days following the
expiration of the Option Period. Borrower shall, upon receipt from Lender (which may be through escrow) of the applicable Option Price or Put Price (as applicable) and the other closing documents to which Lender is a party, deliver to the Purchaser,
which may be through escrow, a special warranty deed, or other appropriate instrument of conveyance conveying the entire interest of Borrower in and to the Option Property or Put Property (as applicable) to the Purchaser free and clear of all liens
other than (a) those that Borrower has agreed hereunder to pay or discharge; (b) those liens, if any, which the Purchaser has agreed in writing to accept and to take title subject to; and (c) the Permitted Exceptions applicable to
such Property. All expenses of the conveyance, including, without limitation, the cost of title examination or standard coverage title insurance, survey, attorneys’ fees incurred by Lender in connection with such conveyance, transfer taxes,
prepayment penalties, recording fees and similar charges shall be paid by Borrower. Time shall be of the essence in the performance of the Parties’ obligations under this Article XV. 

  
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 Section 15.5.    Proration. All rent, income,
expenses, utility charges and real and personal property taxes relating to the ownership and operation of the Real Property, the Personal Property and the Facilities purchased by the Purchaser pursuant to this Article XV shall be equitably
prorated and paid as of the Option Closing Date, with Borrower responsible therefor to the extent such items relate to the time period prior to and including the Option Closing Date. 

ARTICLE XVI 

INTENTIONALLY OMITTED 

ARTICLE XVII 

INTENTIONALLY OMITTED 

ARTICLE XVIII 

LENDER’S RIGHT TO CURE 

(a)    Subject to the provisions of Article VIII relating to permitted contests, if Borrower shall fail to make any
payment, or to perform any act required to be made or performed under this Agreement and to cure the same within the relevant time periods provided in Section 14.1, after reasonable written notice to Borrower, Lender,
without waiving or releasing any obligation or Event of Default, may (but shall be under no obligation to) at any time thereafter make such reasonable payment or perform such reasonable act for the account and at the expense of Borrower, and may, to
the extent permitted by law, enter upon any portion of the Real Property, but only in accordance with Borrower’s reasonable security procedures and all applicable laws, including, but not limited to all Information Privacy and Security Laws,
for such purpose and take all such action thereon as, in Lender’s opinion, may be necessary or appropriate therefor. No such entry shall be deemed an eviction of Borrower. 

(b)    All sums so paid by Lender and all reasonable,
out-of-pocket costs and expenses (including, without limitation, reasonable, documented,
out-of-pocket attorneys’ fees and expenses, in each case, to the extent permitted by law) so incurred, together with a late charge thereon (to the extent permitted
by law) at the Overdue Rate from the date on which such sums or expenses are paid or incurred by Lender until reimbursed, shall be paid by Borrower to Lender on demand. 

ARTICLE XIX 

INDEMNIFICATION 

NOTWITHSTANDING THE EXISTENCE OF ANY INSURANCE OR SELF INSURANCE PROVIDED FOR IN ARTICLE IX, AND WITHOUT REGARD TO THE POLICY LIMITS
OF ANY SUCH INSURANCE OR SELF INSURANCE, IN ADDITION TO ANY OTHER INDEMNIFICATION OBLIGATIONS OF BORROWER AND GUARANTORS AS PROVIDED IN THIS AGREEMENT, BORROWER WILL PROTECT, INDEMNIFY, SAVE HARMLESS AND DEFEND LENDER AND MPT REAL ESTATE OWNER FROM
AND AGAINST ALL LIABILITIES, OBLIGATIONS, CLAIMS, DAMAGES, PENALTIES, CAUSES OF ACTION, REASONABLE, OUT-OF-POCKET COSTS AND EXPENSES (INCLUDING, WITHOUT LIMITATION,

  
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REASONABLE ATTORNEYS’ FEES AND EXPENSES) TO THE EXTENT PERMITTED BY LAW), IMPOSED UPON OR INCURRED BY OR ASSERTED AGAINST LENDER OR ITS AFFILIATES BY REASON OF: (A) ANY ACCIDENT, INJURY
TO OR DEATH OF PERSONS OR LOSS OF PERSONAL PROPERTY OCCURRING ON OR ABOUT THE REAL PROPERTY OR ADJOINING SIDEWALKS, INCLUDING WITHOUT LIMITATION ANY CLAIMS OF MALPRACTICE, (B) ANY USE, MISUSE, NO USE, CONDITION, MAINTENANCE OR REPAIR BY
BORROWER OF THE REAL PROPERTY, (C) ANY IMPOSITIONS (WHICH ARE THE OBLIGATIONS OF BORROWER TO PAY PURSUANT TO THE APPLICABLE PROVISIONS OF THIS AGREEMENT), (D) ANY FAILURE ON THE PART OF BORROWER TO PERFORM OR COMPLY WITH ANY OF THE TERMS OF
THIS AGREEMENT AND THE OTHER LOAN DOCUMENTS, € THE NON-PERFORMANCE OF ANY OF THE TERMS AND PROVISIONS OF ANY AND ALL EXISTING AND FUTURE SUBLEASES OF THE REAL PROPERTY TO BE PERFORMED BY THE LANDLORD
(THE APPLICABLE FACILITY BORROWER) THEREUNDER, AND (F) ANY AND ALL LAWFUL ACTION THAT MAY BE TAKEN BY LENDER OR ITS AFFILIATES IN CONNECTION WITH THE ENFORCEMENT OF THE PROVISIONS OF THIS AGREEMENT AND THE OTHER LOAN DOCUMENTS, WHETHER OR NOT
SUIT IS FILED IN CONNECTION WITH SAME, OR IN CONNECTION WITH BORROWER OR A GUARANTOR AND/OR ANY PARTNER, JOINT VENTURER, MEMBER OR SHAREHOLDER THEREOF BECOMING A PARTY TO A VOLUNTARY OR INVOLUNTARY FEDERAL OR STATE BANKRUPTCY, INSOLVENCY OR SIMILAR
PROCEEDING. ANY AMOUNTS WHICH BECOME PAYABLE BY BORROWER UNDER THIS ARTICLE XIX SHALL BE PAID WITHIN FIFTEEN (15) DAYS AFTER DEMAND THEREFOR BY LENDER AND, IF NOT TIMELY PAID, SHALL BEAR A LATE CHARGE (TO THE EXTENT PERMITTED BY LAW) AT
THE OVERDUE RATE UNTIL THE DATE OF PAYMENT AND A LATE PAYMENT PENALTY ON SUCH AMOUNT. BORROWER, AT ITS SOLE EXPENSE, SHALL CONTEST, RESIST AND DEFEND ANY SUCH CLAIM, ACTION OR PROCEEDING ASSERTED OR INSTITUTED AGAINST LENDER AND MAY COMPROMISE OR
OTHERWISE DISPOSE OF THE SAME, SUBJECT TO THE APPROVAL OF LENDER. NOTHING HEREIN SHALL BE CONSTRUED AS INDEMNIFYING LENDER OR MPT REAL ESTATE OWNER AGAINST ITS OWN BAD FAITH, GROSSLY NEGLIGENT ACTS OR OMISSIONS OR WILLFUL MISCONDUCT, OR ANY WILLFUL
BREACH OF ITS OBLIGATIONS UNDER THIS AGREEMENT OR ANY OTHER OBLIGATION DOCUMENT. 
 ARTICLE XX 

NOTICES 
 All notices,
demands and other communications to be given or delivered under or by reason of the provisions of this Agreement shall be in writing and shall be deemed to have been given (a) when personally delivered, (b) when transmitted via telecopy
(or other facsimile device) to the number set out below if the sender on the same day sends a confirming copy of such notice by a recognized overnight delivery service (charges prepaid), (c) the day following the day (except if not a Business Day
then the next Business Day) on which the same has been delivered prepaid to a reputable national overnight air courier service or (d) the third Business 

  
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Day following the day on which the same is sent by certified or registered mail, postage prepaid. Notices, demands and communications, in each case to the respective parties, shall be sent to the
applicable address set forth below, unless another address has been previously specified in writing: 
  

			
	if to Borrower:	 	c/o Steward Health Care System LLC
		 	500 Boylston Street, Fifth Floor
		 	Boston, MA 02116
		 	Attn: Joseph C. Maher, Jr.
		 	Fax: (617) 419-4800
		
	with a copy to:	 	McDermott Will & Emery LLP
		 	227 West Monroe Street
		 	Chicago, Illinois 60606-5096
		 	Attn: Ankur Gupta, Esq.
		 	Fax: (312) 984-7700
		
	if to Lender:	 	c/o MPT Operating Partnership, L.P.
		 	1000 Urban Center Drive, Suite 501
		 	Birmingham, Alabama 35242
		 	Attn: Legal Department
		 	Fax:    (205) 969-3756
		
	with a copy to:	 	Baker, Donelson, Bearman, Caldwell & Berkowitz, PC
		 	420 20th Street North
		 	1400 Wells Fargo Tower
		 	Birmingham, Alabama 35203
		 	Attn: Thomas O. Kolb, Esq.
		 	Fax:    (205) 322-8007

 or to such other address as either party may hereafter designate in writing, and shall be effective upon receipt. A notice,
demand, consent, approval, request and other communication shall be deemed to be duly received if delivered in person or by a recognized delivery service, when left at the address of the recipient and if sent by facsimile, upon receipt by the sender
of an acknowledgment or transmission report generated by the machine from which the facsimile was sent indicating that the facsimile was sent in its entirety to the recipient’s facsimile number; provided that if a notice, demand, consent,
approval, request or other communication is served by hand or is received by facsimile on a day which is not a Business Day, or after 5:00 p.m. on any Business Day (based upon Birmingham, Alabama time), such notice or communication shall be deemed
to be duly received by the recipient at 9:00 a.m. (based upon Birmingham, Alabama time) on the first Business Day thereafter. 
 ARTICLE
XXI 
 MISCELLANEOUS 

Section 21.1.    General. The parties agree that each provision of this Agreement shall be
interpreted in such manner as to be effective and valid under applicable law, but if any provision 

  
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of this Agreement or any application of this Agreement to any party or otherwise) is held to be prohibited by or invalid under applicable law, such provision or application shall be ineffective
only to the extent of such prohibition or invalidity, without invalidating the remainder of such provision or the remaining provisions of this Agreement or any other applications of this Agreement. If any late charges provided for in any provision
of this Agreement are based upon a rate in excess of the maximum rate permitted by applicable law, the parties agree that such charges shall be fixed at the maximum permissible rate. All the terms and provisions of this Agreement shall be binding
upon and inure to the benefit of the parties and their respective successors and assigns (subject to Section 21.17); provided, however, that (a) this Agreement shall not inure to the benefit of any assignee pursuant to
an assignment which violates the terms of this Agreement and (b) neither this Agreement nor any other agreement contemplated in this Agreement shall be deemed to confer upon any Person (other than any
Non-Recourse Party with respect to Section 21.7 herein) not a party to this Agreement any rights or remedies contained in this Agreement. The headings in this Agreement are for
convenience of reference only and shall not limit or otherwise affect its meaning. 
 Section 21.2.    Bankruptcy
Waivers. 
 (a)    Relief from Stay. Borrower acknowledges and agrees that in the event any Facility
Borrower or any Property shall become the subject of any bankruptcy or insolvency estate, then (i) Borrower shall not oppose any request by Lender to obtain an order from the court granting relief from the automatic stay pursuant to
Section 362 of the Bankruptcy Code so as to permit the exercise of all rights and remedies pursuant to this Agreement; and (ii) the occurrence or existence of any Event of Default under this Agreement shall, in and of itself, constitute
“cause” for relief from the automatic stay pursuant to the provisions of Section 362(d)(1) of the Bankruptcy Code, based on the fact that the non-existence of a bankruptcy proceeding was a material
inducement for the entry by Lender into this Agreement. 
 (b)    Automatic Stay. Borrower hereby waives the stay
imposed by 11 U.S.C. Section 362(a) as to actions by Lender against each Property. Borrower acknowledges and agrees that in the event of the filing of any voluntary or involuntary petition in bankruptcy by or against any Facility Borrower, such
Facility Borrower shall not assert or request that any other party assert that the automatic stay provided by Section 362 of the Bankruptcy Code shall operate or be interpreted to stay, interdict, condition, reduce or inhibit the ability of
Lender to enforce any rights or remedies held by virtue of this Agreement or applicable law. 
 (c)    Patient Care
Ombudsman. Borrower hereby agrees (i) to use its best efforts to contest the necessity of the appointment of a Patient Care Ombudsman for such Facility as that term is defined in 11 U.S.C. Section 333, and/or (ii) to join with
Lender in requesting a waiver of or contesting the appointment of such a Patient Care Ombudsman. 

Section 21.3.    Lender’s Expenses. In addition to the other
provisions of this Agreement, including, without limitation, Section 14.8, Borrower agrees and shall pay and/or reimburse Lenders and its Affiliates’ reasonable and documented out-of-pocket costs and expenses, including, without limitation, the reasonable and documented costs and expenses of reports and investigations and reasonable and documented legal fees and expenses
attributable to an Event of Default and Lender’s pursuing the rights and remedies provided herein and under applicable law, 

  
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incurred or resulting from or relating to (a) requests by Borrower for approval or consent under this Agreement or any other Obligation Document (including any consents relating to
management, the placing of liens on Borrower’s Personal Property and any ntercreditor issues which arise in connection with any Material Obligation); (b) any circumstances or developments which give rise to Lender or its Affiliates’ right
of consent or approval under this Agreement or any other Obligation Documents; (c) a request for changes, including, but not limited to, (i) the permitted use of the Real Property; (ii) alterations and improvements to the
Improvements; (iii) subletting or assignment; and (iv) any other changes in the terms, conditions or provisions of this Agreement or any other Obligation Document; and (d) enforcement by Lender or its Affiliates of any of the
provisions of this Agreement, the other Loan Documents or the Obligation Documents. Such expenses and fees shall be paid by Borrower within thirty (30) days of the submission of a statement in reasonable detail for the same or such amount(s)
shall be subject to interest at the Overdue Rate from the expiration of said thirty (30)-day period to the date of payment, plus a Late Payment Penalty with respect to such unpaid amount. 

Section 21.4.    Prevailing Party Expenses. In addition to the other provisions of this Agreement but subject to
the provisions of Section 21.3, if Borrower on the one hand or Lender on the other hand brings any action, suit, or other legal action or proceeding to enforce or establish any right of such party under this Agreement, the
party prevailing in such action, suit, or proceeding shall be entitled to recover all reasonable and documented out-of-pocket costs and expenses incurred by the
prevailing party in connection therewith, including, without limitation, court costs and documented out-of-pocket attorneys’ fees. 

Section 21.5.    Entire Agreement; Modifications. This Agreement, together with all exhibits,
schedules and the other documents referred to herein, embody and constitute the entire understanding between the parties with respect to the transactions contemplated herein, and all prior or contemporaneous agreements, understandings,
representations and statements (oral or written) are merged into this Agreement. No waiver of any provision hereunder or any breach or default hereof shall extend to or affect in any way any other provision or prior or subsequent breach or default.
Neither this Agreement, any exhibit or schedule attached hereto, nor any provision hereof or thereof may be modified or amended except by an instrument in writing signed by Lender and Borrower. 

Section 21.6.    MPT Securities Offering and Filings. Notwithstanding anything contained herein to
the contrary, Borrower shall, at Lender’s sole cost and expense, cooperate with Lender in connection with any securities offerings and filings, or Lender’s efforts to procure or maintain financing for, or related to, the Real Property, or
any portion thereof and, in connection therewith, Borrower shall furnish Lender, in a timely fashion, with such financial and other information (including audited financial statements and consents of auditors) as Lender shall reasonably request,
provided that the disclosure of such information is not prohibited under any Information Privacy and Security Laws. In accordance with all Information Privacy and Security Laws, Lender may disclose that Lender has entered into this Agreement with
Borrower and may provide and disclose information regarding this Agreement, Borrower, the Guarantor, the Real Property and each Facility, and such additional information which Lender may reasonably deem necessary, to its proposed investors in such
public offering or private offering of securities, or any current or prospective lenders with respect to such financing, and to investors, analysts and other parties in connection with earnings calls and other normal communications with investors,

  
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analysts, and other parties. In accordance with all Information Privacy and Security Laws, upon reasonable advance notice, Lender, its legal and financial representatives, and any lender
providing financing for all or any portion of the Real Property shall have the right to access, examine and copy all agreements, records, documentation and information relating to Borrower, the Guarantor, and such Real Property, and to discuss such
affairs and information with the officers, employees and independent public accountants of Borrower as often as reasonably necessary. The additional costs of Borrower in complying with the foregoing shall be reimbursed to Borrower by Lender. 

Section 21.7.    Non-Recourse as to Parties. 

(a)    Anything contained herein to the contrary notwithstanding, any claim based on, or in respect of, any liability of
Lender under this Agreement shall be enforced only against the Lender’s interest in the Real Property and any proceeds therefrom and not against any other assets, properties or funds of (i) Lender, (ii) any director, officer, general
partner, member, shareholder, limited partner, beneficiary, employee, representative, contractor or agent of Lender or any of its Affiliates (collectively, the “Lender Parties”) (or any legal representative, heir, estate, successor
or assign of Lender or any of the Lender Parties), (iii) any predecessor or successor partnership or corporation (or other entity) of Lender or any of the Lender Parties, either directly or through Lender or the Lender Parties, or (iv) any
person or entity affiliated with any of the foregoing. 
 (b)    Notwithstanding anything that may be expressed or
implied in this Agreement, or in any document or instrument delivered in connection herewith, the Lender Parties by their execution hereof and by their acceptance, directly or indirectly, of the benefits of this Agreement, expressly covenants,
acknowledges and agrees that no Person other than the Borrower or Guarantor shall have any obligation hereunder (and with respect thereto, only to the extent expressly provided herein) and that no recourse hereunder shall be had against, and no
personal liability whatsoever shall attach to, be imposed on or otherwise be incurred by any of such Obligors’ former, current and future direct or indirect equity holders, controlling persons, directors, officers, employees, agents, advisors,
members, managers, general or limited partners, assignees, or representatives or any of their respective former, current or future direct or indirect equity holders, controlling persons, directors, officers, employees, agents, advisors, members,
managers, general or limited partners or assignees, or representatives (each being referred to as a “Non-Recourse Party”, and together with the Borrower and Guarantor, collectively, the
“Borrower Parties”), for any obligations of the Borrower or Guarantor under this Agreement, or for any claim based on, in respect of, or by reason of any such obligations or their creation, through Borrower, Guarantor or otherwise,
whether by or through attempted piercing of the corporate veil, by or through a claim by or on behalf of any Lender Party against Borrower or Guarantor, by the enforcement of any judgment or assessment or by any legal or equitable proceeding, by
virtue of any law, statute, or regulation, or otherwise. Lender Parties hereby covenant and agree that they shall not institute, and shall cause each of their Affiliates and their equity holders and representatives not to attempt to assign or
institute, directly or indirectly, any claim, suit or proceeding or bring, or attempt to assign, any other claim arising under, or in connection with, this Agreement, against any Non-Recourse Party. 

  
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 Section 21.8.    Covenants, Restrictions and Reciprocal Easements.
Except as expressly permitted by Section 4.11 above, Borrower shall not place of record any covenants, restrictions or reciprocal easements on all or any portion of the Land (collectively, the
“Declarations”) without Lender’s prior written consent, not to be unreasonably withheld, conditioned or delayed. 

Section 21.9.    Force Majeure. Except for the payment of all monetary obligations payable
pursuant to the terms of this Agreement, the Note and other Loan Documents (which shall not be extended or excused), in the event that Lender or Borrower shall be delayed, hindered in or prevented from the performance of any act required under this
Agreement by reason of strikes, lockouts, labor troubles, or other industrial disturbances, inability to procure materials, failure of power, unavailability of any utility service, restrictive governmental laws or regulations, acts of public
enemies, war, blockades, riots, insurrections, earthquakes, fires, storms, floods, civil disturbances, weather-related acts of God, failure to act, or default of another party, or other reason beyond Lender’s or Borrower’s control
(individually “Force Majeure”), then performance of such act shall be excused for the period of the delay, and the period of the performance of any such act shall be extended for a period equivalent to the period of such delay.
Within ten (10) Business Days following the occurrence of Force Majeure, the party claiming a delay due to such event shall give written notice to the other setting forth a reasonable estimate of such delay. 

Section 21.10.    Governing Law. THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE
WITH THE LAWS OF THE STATE OF DELAWARE APPLICABLE TO CONTRACTS EXECUTED AND PERFORMED IN SUCH STATE, WITHOUT GIVING EFFECT TO CONFLICTS OF LAW PRINCIPLES. NOTWITHSTANDING THE FOREGOING, THE PARTIES FURTHER AGREE THAT ALL ACTIONS AND PROCEEDINGS
RELATING TO THE FORECLOSURE UNDER ANY ONE OR MORE OF THE MORTGAGES AND ALL REMEDIES RELATING TO THE RECOVERY OF POSSESSION OF ALL OR ANY PORTION OF THE REAL PROPERTY SHALL BE GOVERNED BY, CONSTRUED AND ENFORCED IN ACCORDANCE WITH THE LAWS OF THE
STATE WHERE THE REAL PROPERTY IS LOCATED. 
 Section 21.11.    Jurisdiction and Venue. LENDER
AND BORROWER CONSENT TO PERSONAL JURISDICTION IN THE STATE OF DELAWARE. EXCEPT AS OTHERWISE PROVIDED IN THIS SECTION 21.11, LENDER AND BORROWER AGREE THAT ANY ACTION OR PROCEEDING ARISING FROM OR RELATED TO THIS AGREEMENT SHALL BE BROUGHT AND
TRIED EXCLUSIVELY IN THE STATE OR FEDERAL COURTS OF DELAWARE. EACH OF THE PARTIES IRREVOCABLY AND UNCONDITIONALLY WAIVES ANY OBJECTION TO THE LAYING OF VENUE OF ANY SUCH ACTION OR PROCEEDING BROUGHT IN ANY SUCH COURT. LENDER AND BORROWER EXPRESSLY
ACKNOWLEDGE THAT DELAWARE IS A FAIR, JUST AND REASONABLE FORUM AND AGREE NOT TO SEEK REMOVAL OR TRANSFER OF ANY ACTION FILED BY THE OTHER PARTY IN SAID COURTS. FURTHER, LENDER AND BORROWER IRREVOCABLY AND UNCONDITIONALLY WAIVE ANY CLAIM THAT SUCH
SUIT, ACTION OR PROCEEDING HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. SERVICE OF ANY PROCESS, SUMMONS, NOTICE OR DOCUMENT BY CERTIFIED MAIL ADDRESSED TO A PARTY AT THE ADDRESS DESIGNATED PURSUANT TO ARTICLE XX SHALL BE EFFECTIVE SERVICE OF
PROCESS AGAINST SUCH PARTY FOR ANY ACTION OR PROCEEDING BROUGHT IN 

  
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ANY SUCH COURT. A FINAL JUDGMENT IN ANY SUCH ACTION OR PROCEEDING BROUGHT IN ANY SUCH COURT MAY BE ENFORCED IN ANY OTHER COURT TO WHOSE JURISDICTION ANY OF THE PARTIES IS OR MAY BE SUBJECT.
NOTWITHSTANDING THE FOREGOING, THE PARTIES FURTHER AGREE THAT ALL ACTIONS AND PROCEEDINGS RELATING TO THE FORECLOSURE UNDER ANY ONE OR MORE OF THE MORTGAGES AND ALL REMEDIES RELATING TO THE RECOVERY OF POSSESSION OF ALL OR ANY PORTION OF THE REAL
PROPERTY MAY BE BROUGHT IN ANY STATE OR FEDERAL COURT OF THE STATE WHERE THE APPLICABLE PROPERTY IS LOCATED. 

Section 21.12.    Compliance with Anti-Terrorism Laws. Lender hereby notifies Borrower that
pursuant to the requirements of certain Anti-Terrorism Laws (including, without limitation, the Patriot Act) and Lender’s policies and practices, Lender is required to obtain, verify and record certain information and documentation that
identifies Borrower, which information includes the name, address and identification number of Borrower. Borrower will not, directly or indirectly, knowingly enter into any lease for the operation of any part of a Facility or any other lease or any
material contracts with any person listed on the OFAC List. Borrower shall promptly notify Lender if Borrower has knowledge that Borrower or any of its principals or Affiliates or the Guarantor is listed on the OFAC List or (a) is convicted on,
(b) pleads nolo contendere to, (c) is indicted on, or (d) is arraigned and held over on charges involving money laundering or predicate crimes to money laundering. Borrower will not, directly or indirectly (i) conduct any
business or engage in any transaction or dealing with any Blocked Person, including, without limitation, the making or receiving of any contribution of funds, goods or services to or for the benefit of any Blocked Person, (ii) deal in, or
otherwise engage in any transaction relating to, any property or interests in property blocked pursuant to Executive Order No. 13224, any similar executive order or other Anti-Terrorism Law, or (iii) engage in or conspire to engage in any
transaction that evades or avoids, or has the purpose of evading or avoiding, or attempts to violate, any of the prohibitions set forth in Executive Order No. 13224, or other Anti-Terrorism Law. 

Section 21.13.    Electronically Transmitted Signatures. In order to expedite the execution of
this Agreement, telecopied signatures or signatures sent by electronic mail may be used in the place of original signatures on this Agreement. The parties intend to be bound by the signatures of the telecopied or electronically mailed signatures,
and hereby waive any defenses to the enforcement of the terms of this Agreement based on the form of the signature. Following any facsimile or electronic mail transmittal, the party shall promptly deliver the original instrument by reputable
overnight courier in accordance with the notice provisions of this Agreement. 

Section 21.14.    Waiver of Jury Trial. TO THE MAXIMUM EXTENT PERMITTED BY LAW, LENDER AND
BORROWER HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVE THE RIGHT TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, ARISING OUT OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENT
(WHETHER VERBAL OR WRITTEN) OR ACTION OF EITHER PARTY OR ANY EXERCISE OF ANY PARTY OF THEIR RESPECTIVE RIGHTS HEREUNDER OR IN ANY WAY RELATING TO THIS AGREEMENT OR THE REAL PROPERTY (INCLUDING ANY CLAIM OR DEFENSE ASSERTING THAT THIS AGREEMENT WAS
FRAUDULENTLY INDUCED OR IS OTHERWISE VOID OR VOIDABLE). THIS WAIVER IS A MATERIAL INDUCEMENT FOR LENDER TO ENTER INTO THIS AGREEMENT. 

  
 68 

 Section 21.15.    Counterparts. This Agreement may be
executed in any number of counterparts, each of which shall be an original, but all of which together shall constitute one and the same instrument. 

Section 21.16.    Survival. Notwithstanding any provision of this Agreement to the contrary, the
parties acknowledge and agree that, all claims against, and liabilities of, Borrower or Lender which relate to acts or omissions prior to the date of expiration or termination of this Agreement, and the covenants and obligations under this Agreement
which expressly relate to periods after the expiration or earlier termination of this Agreement, including, without limitation, all indemnification obligations and those covenants and obligations described in Sections 5.1, 5.4,
5.6, 14.8, 21.3, and 21.4, and Articles VIII, XVIII, and XIX, shall survive such expiration or earlier termination. 

Section 21.17.    Assignment. Neither this Agreement nor any other Loan Document is assignable by
any Facility Borrower without the prior written consent of Lender. Lender may at any time during the Loan Term and without the consent of Borrower assign all of its rights and obligations hereunder to any other Person, so long as such Person is not
a Non-Permitted Assignee; provided, however, that (i) if an Event of Default has occurred and is continuing, Lender may sell, assign or transfer any such rights and obligations to a Non-Permitted Assignee without the written consent of Borrower, and (ii) such restrictions to a sale or assignment shall not apply to or otherwise restrict any actions, negotiations or agreements in respect of
any Portfolio Sale. 
 Section 21.18.    Continuation of Defaults. Notwithstanding any
provision hereof to the contrary, whenever in this Agreement the phrases “continuing,” “continuation of” or similar words or phrases are used in connection with Events of Default, defaults, or events which with notice or passage
of time would constitute Events of Default, such phrases or words shall not be construed to create any right in Borrower to have additional periods of time to cure such defaults or Events of Default other than those specific cure periods provided in
this Agreement. 
 Section 21.19.    Specific Performance. In addition to any rights and
remedies available to the parties hereunder or at law, each party shall be entitled to bring an action for specific performance and to seek other equitable relief in connection with any breach or violation, or any attempted breach or violation, of
the provisions of this Agreement, without the necessity of showing actual damages or furnishing bond or other security. 

Section 21.20.    Joint Drafting. The parties hereto and their respective counsel have
participated in the drafting and redrafting of this Agreement and the general rules of construction which would construe any provisions of this Agreement in favor of or to the advantage of one party as opposed to the other as a result of one party
drafting this Agreement as opposed to the other or in resolving any conflict or ambiguity in favor of one party as opposed to the other on the basis of which party drafted this Agreement are hereby expressly waived by all parties to this Agreement.

  
 69 

 Section 21.21.    Joint and Several Obligations. Each
Facility Borrower shall be jointly and severally liable for all of the liabilities and obligations of Borrower under this Agreement. Additionally, each Facility Borrower acknowledges and agrees that all of the representations, warranties, covenants,
obligations, conditions, agreements and other terms contained in this Agreement shall be applicable to and shall be binding upon and enforceable against any one or more of the Facility Borrowers. 

Section 21.22.    Agreements and Covenants relating to Certain Properties. Further
representations, agreements and covenants regarding certain of the Properties are set forth on Schedule 21.22 attached hereto and are hereby incorporated herein by reference. 

Section 21.23.    Termination Date. Without limiting any other provision hereof, on the
Termination Date, (a) Borrower shall have no further obligations hereunder or under any other Loan Document (other than unasserted indemnification obligations and the obligations referred to in Section 21.16), (b)
Borrower shall have no further obligations under any other Obligation Documents, (c) all Collateral owned by Borrower shall be released (except to the extent it is also owned by another Obligor), (d) the Note shall be returned to Borrower, and
€ Lender shall, at Borrower’s sole cost and expense, execute and deliver all such documents as Borrower shall reasonably request to evidence any of the foregoing. 

Section 21.24.    Necessary Actions. Each party shall perform any further acts and execute and delivery any
documents that may be reasonably necessary to carry out the provisions of this Agreement. 

Section 21.25.     No Waiver. No failure by either party to insist upon the strict performance of
any term of this Agreement or to exercise any right, power or remedy consequent upon a breach thereof, and no acceptance of full or partial performance under the terms of this Agreement during the continuance of any such breach, shall constitute a
waiver of any such breach or any such term. To the extent permitted by law, no waiver of any breach shall affect or alter this Agreement, which shall continue in full force and effect with respect to any other then existing or subsequent breach. The
parties agree that no waiver shall be effective hereunder unless it is in writing. 

Section 21.26.    Intercreditor Agreement. Notwithstanding anything to the contrary contained in
this Agreement, the liens, security interests and rights granted pursuant to this Agreement or any other Obligation Document shall be as set forth in, and subject to the terms and conditions of (and the exercise of any right or remedy by the Lender
hereunder or thereunder shall be subject to the terms and conditions of), the Intercreditor Agreement. In the event of any conflict between this Agreement or any other Obligation Document and the Intercreditor Agreement, the Intercreditor Agreement
shall control, and no right, power, or remedy granted to Lender hereunder or under any other Obligation Document shall be exercised by Lender, and no direction shall be given by Lender, in contravention of the Intercreditor Agreement. 

[Signatures appear on the following page.] 

  
 70 

 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their duly authorized
officers on the date first written above. 
  

	
	BORROWER:
	
	STEWARD HOLY FAMILY HOSPITAL, INC.,
	STEWARD CARNEY HOSPITAL, INC.,
	STEWARD NORWOOD HOSPITAL, INC.
	NASHOBA VALLEY MEDICAL CENTER, A STEWARD FAMILY HOSPITAL, INC.,

  

			
	By:	 	 /s/ Mark Rich

	Name:	 	 Mark Rich

	Title:	 	 Treasurer

  
 [Real Estate
Loan Agreement] 

			
	LENDER:
	
	MPT OF DORCHESTER-STEWARD, LLC
	MPT OF METHUEN-STEWARD, LLC
	MPT OF NORWOOD-STEWARD, LLC
	MPT OF AYER-STEWARD, LLC

  

			
	By:	 	MPT Operating Partnership, L.P
	Its:	 	Sole Member of each above-referenced entity
		
	By:	 	 /s/ Emmett E. McLean

	Name:	 	 Emmett E. McLean

	Its:	 	 Executive Vice President, COO, Treasurer and Secretary

  
 [Real Estate
Loan Agreement] 

 Exhibit A-1 

Carney Land 
 The land, with the
buildings and improvements now or hereafter located thereon, situated in Boston, Suffolk County, Massachusetts and more particularly bounded and described as follows: 

The land with the buildings and improvements thereon situated at 2100 and 2110 Dorchester Avenue in the City of Boston, County of Suffolk, Commonwealth of
Massachusetts, and being shown as Lot A-1 on a plan of land entitled “Plan of Land in Boston, MA (Suffolk County) Steward Carney Hospital Scale 1” =40’ Date: December 11, 2012 by Precision
Land Surveying, Inc. and recorded with Suffolk County Registry of Deeds in Plan Book 2013, Plan 35. 
 Together with the easements contained in a Reciprocal
Easement Agreement between Steward Carney Hospital and HTA - Carney MOB, LLC dated March 29 2012, recorded at Book 43909, Page 37. 
 Also, together
with all the easements in favor of the insured and benefitting the Land. 

 
Exhibit A-2 
 Holy Family Land
(Merrimack Valley) 
 The land, with the buildings and improvements now or hereafter located thereon, situated in Haverhill, Essex County,
Massachusetts and more particularly bounded and described as follows: 
 Parcel I 

A certain parcel of land in the City of Haverhill, County of Essex, Massachusetts shown as Lot A, together with the buildings and improvements situate thereon,
as shown on that certain plan of land entitled “Plan of Land in Haverhill, MA (Essex County) Merrimack Valley Hospital” dated January 16, 2013 Scale: 1” = 40’ prepared by Precision Land Surveying, Inc., and recorded with the
Essex South District Registry of Deeds in Plan Book 437 Plan 34. Containing 324,869 ± S.F. and being shown as Lot A on said Plan of Land. 
 Together
with the benefit of that certain Easement Deed from the City of Haverhill to Essent Healthcare of Massachusetts, Inc. dated September 1, 2001 and recorded in Book 17695, Page 87. 

Together with the easements contained in a certain Declaration of Covenants, Restrictions and Reciprocal Easement Agreement by and between Essent Healthcare
of Massachusetts, Inc. and Health Care Property Investors, Inc. dated March 15, 2007 and recorded at Book 26651, Page 532. 
 Parcel II

 A lot of land, together with the buildings thereon, shown as Lot 1B on a plan entitled “Plan of Land Brown Street & Lincoln Avenue,
Haverhill, MA” prepared by Essent Healthcare of Massachusetts, Inc. by Northpoint Survey Services, Inc. dated April 4, 2005 and recorded with the Essex South County Registry of Deeds in Plan Book 387, Page 58, off the northerly side of
Savage Street and off the southerly side of Brown Street, City of Haverhill, County of Essex, Commonwealth of Massachusetts, bounded and described as follows: 

Beginning at a point located at the northwesterly corner of the parcel and at the southerly side of Brown Street, thence running S 60° 42’ 00”
E, a distance of 72.00’ to a point, thence by a curve to the right, with a radius of 283.00’, a length of 373.85’ to a point, thence N 77° 03’ 28” W a distance of 323.08’ to a point, thence N 29° 18’
00” E a distance 328.99’ to the point of beginning. Said parcel contains approximately 1.74 acres or 75,729 square feet as shown on the above mentioned plan. 

 
Exhibit A-3 
 Nashoba Land 

The land, with the buildings and improvements now or hereafter located thereon, situated in Ayer and Groton, Middlesex County, Massachusetts
and more particularly bounded and described as follows: 
 A certain parcel of land, with the buildings thereon in Ayer and Groton, Middlesex County,
Massachusetts, situated on the northwesterly side of Washington Street and shown as Lot A on a plan entitled “Plan of Land in Ayer/Groton, MA (Middlesex County) Surveyed for the Nashoba Valley Medical Center,” dated November 2, 2012,
by Precision Land Surveying, Inc. and recorded with Middlesex South District Deeds as Plan 933 of 2012. 
 Expressly excluding therefrom any unit in the
Condominium created by the Commonwealth of Massachusetts General Laws Chapter 183A, as amended or set forth in the Master Deed of Nashoba Medical Condominium dated June 18, 1990 and recorded with Middlesex South County Registry of Deeds at Book
20629, Page 227, and amended by an Amendment to Master Deed dated January 30, 2013 and recorded in Book 61197, Page 81. 

 
Exhibit A-4 
 Norwood Land 

The land, with the buildings and improvements now or hereafter located thereon, situated in Norwood, Norfolk County, Massachusetts and more
particularly bounded and described as follows: 
 TRACT I – 800 Washington Street 

That certain parcel of land on the southerly side of Washington and Central Streets, northerly side of East Hoyle Street and westerly side of Linden and Guild
Streets, in the Town of Norwood, Norfolk County, Commonwealth of Massachusetts, shown as Lot A on a plan of land entitled “Plan of Land in Norwood, MA (Norfolk County)”, dated November 2, 2012 by Precision Land Surveying, Inc.,
recorded with the Norfolk County Registry of Deeds as Plan No. 85 of 2012, in Plan Book 617. 
 Together with the easements contained in a Reciprocal
Easement Agreement by and between Steward Norwood Hospital Inc. and HTA-St. Anne’s MOB 1 LLC, dated December 28, 2012, recorded with said Deeds, Book 30881 Page 176. 

TRACT II – Linden Street 
 Three parcels of land on
the westerly side of Linden Street, in the Town of Norwood, Norfolk County, Commonwealth of Massachusetts, bounded and described as follows: 
 ONE:

 A certain parcel of land situated in Norwood, Norfolk County, Massachusetts, at the corner of Winter Street and Linden Street and bounded and
described as follows: SOUTHERLY by Winter Street one hundred and four (104) feet; WESTERLY by Linden Street eighty (80) feet, more or less; NORTHERLY by land formerly of one Everett, by a line parallel with said Winter Street, one hundred
and four (104) feet; and EASTERLY by other land formerly of said Everett, by a line parallel with said Linden Street, eighty (80) feet, more or less. 

TWO: 
 A certain parcel of land with the buildings thereon
situated on the easterly side of Linden Street, Norwood, Norfolk County, Massachusetts, being shown as Lot C on a plan entitled “Plan of Land in Norwood, Mass.” Dated October 7, 1965, Norwood Engineering Co., Inc., Civil Engineers,
which plan is filed with the Norfolk Registry of Deeds at Book 4305, Page 588. 
 Bounded and described as follows: 

WESTERLY by Linden Street, 145.16 feet; NORTHEASTERLY by land now or formerly of Berkland, 98.03 feet; EASTERLY by Lot D, 145.01 feet; and SOUTHWESTERLY by
land now or formerly of Murphy, 98.02 feet. Containing 14,188 square feet, according to said plan. 
 THREE 

A. The land in Norwood, Norfolk County, Massachusetts consisting of two parcels bounded and described as follows: 

EASTERLY by Guild Street, one hundred ninety and 83/100 (190.83) feet; NORTHWESTERLY by Linden Street, one hundred forty-four (144) feet; SOUTHWESTERLY
by land now or formerly of Winslow Faunce, one hundred sixteen (116) feet; and SOUTHERLY by land now or formerly of Elia E. Pratt, thirty-six and 87/100 (36.87) feet. 

Containing 11,485 square feet, more or less. 
 Excepting so much
of the above described premises as was taken by the Town of Norwood, by taking dated August 29, 1929, recorded with Norfolk Deeds, Book 1866, Page 7 and by a 1963 taking recorded at Book 4125, Page 708 shown on Plan 1288 of 1963 at Book 4125,
Page 708. 

 B. Lot A on a plan entitled “Plan of Land in Norwood, Mass.” Drawn by Norwood Engineering Co., Inc.
dated October 7, 1965 and recorded with Norfolk Registry of Deeds as Plan No. 1149 of 1965 at Book 4305, Page 589, bounded and described as follows: 

NORTHWESTERLY by Linden Street, seventy-nine and 18/100 (79.18) feet, as shown on said plan; NORTHEASTERLY by land now or formerly of Percy O. and Nellie G.
Russell, one hundred sixteen (116.00) feet, as shown on said plan; SOUTHEASTERLY by land now or formerly of Herbert W. Anderson, Trustees seventy-six and 50/100 (76.50) feet, as shown on said plan; and
SOUTHWESTERLY by land now or formerly of Stanley B. Pierce, Trustee, one hundred nine and 80/100 (109.80) feet, as shown on said plan. 
 Containing 8,774
square feet according to said plan. 
 TRACT III – East Hoyle Street: 

A certain parcel of land, situated on the south side of East Hoyle Street in Norwood, Norfolk County, Massachusetts, designated as Pcl A2 on a plan entitled
“Plan of Land in Norwood, Mass.” Dated April 21, 1988, drawn by Pilling Engineering Company Inc., and recorded as Plan No. 473 of 1988 at Book 7969, Page 553, being bounded and described, according to said plan, as follows: 

NORTHERLY by East Hoyle Street, fifty and 00/100 (50.00) feet; EASTERLY by Pcl A1 in two courses, a total distance of one hundred nine and 46/100 (109.46)
feet; NORTHEASTERLY by Pcl A1 eighty five and 71/100 (85.71) feet; EASTERLY by land formerly of New York, New Haven and Hartford Railroad and now of the M.B.T.A. four hundred sixty four and 05/100 (464.05) feet; SOUTHERLY by land now or formerly of
Vernard W. Van Ham, one hundred ninety eight and 75/100 (198.75) feet; WESTERLY by land now or formerly of Sansone Realty Trust, two hundred twenty eight and 61/100 (228.61) feet; NORTHEASTERLY by land now or formerly of Sansone Realty Trust,
sixty-five and 00/100 (65.00) feet; and WESTERLY by land now or formerly of Sansone Realty Trust in two courses, a total and NORTHWESTERLY distance of three hundred fifty eight and 79/100 (358.79) feet. 

Containing according to said plan 82,656 square feet of land. 

With the appurtenant benefit of rights, easements, and other matters of record set forth or referred in the deed from Norwood Lumber Company to the Beaver
Coal & Grain Co., Inc, recorded at Book 4437, Page 622. 
 TRACT IV – 52 Guild Street: 

A certain parcel of land in Norwood, Norfolk County, Mass., being shown as Lot 8, Town of Norwood Assessors, Map 2, Sheet 7, a copy of which is duly filed with
the Norfolk Registry of Deeds and being bounded and described as follows: 
 SOUTHWESTERLY by Guild Street, 6 rods, ninety nine (99) feet;
NORTHWESTERLY by land now or formerly of Talbot, 7 rods, one hundred fifteen and 50/100 (115.50) feet; NORTHEASTERLY by land now or formerly of Day, 6 rods, ninety nine (99) feet; and SOUTHEASTERLY by land now or formerly of Day, 7 rods, one
hundred fifteen and 50/100 (115.50) feet; together with the benefit of appurtenant rights and easements set forth in Easement Agreement between William E. Juslin, Trustee and Stephen Stone et ux dated September 21, 1972 and recorded at Book
4870, Page 736. 
 Also together with the benefit of Exclusive Use Easement from the Town of Norwood to CaritasNorwood Hospital, Inc. dated June 15,
1999 and recorded at Book 13637, Page 197. 
 Note: Square footage/acreage is not insured. 

Site: 10-0088 MA 

RE: 71 Walnut St., Foxborough, MA 

 Parcel One: 

The land with the buildings thereon situated in Foxborough, Norfolk County, Massachusetts described as follows: 

Lot 2 shown on a plan entitled “Plan of Land in Foxborough, Mass.”, dated May 31, 1977 by Norwood Engineering Co., Inc., recorded with Norfolk
County Registry of Deeds in Plan Book 270, Plan 762. 
 Note: Square footage/acreage is not insured. 

The premises are also described as follows: 
 SURVEYORS
METES & BOUNDS DESCRIPTION 
 Parcel One, Lot 2 

A certain Parcel of land situated in the Town of Foxborough, County of Norfolk, Commonwealth of Massachusetts bounded and described as follows: 

Beginning at a Drill Hole on the southeasterly side of Walnut Street, Said point being the northwesterly corner of the herein described Parcel. 

Thence: N 52° 03’ 23” E along the southeasterly side of Walnut Street for a distance of 111.41 feet to a point. 

Thence: N 54° 32’ 33” E along the southeasterly side of Walnut Street for a distance of for a distance of 75.88 feet to a point. 

Thence: N 51° 54’ 19” E along the southeasterly side of Walnut Street for a distance of for a distance of 433.96 feet to a point. 

Thence: N 56° 39’ 47” E along the southeasterly side of Walnut Street for a distance of 898.23 northwesterly side of Interstate Route 95 to a
point. 
 Thence: S 24° 15’ 20” W along the northwesterly side of Interstate Route 95 for a distance of 1764.90 feet to a point. Thence: N
35° 05’ 36” W for a distance of 898.55 feet to the southeasterly side of Walnut Street to the point of beginning. 
 Site: 10-0126 MA 
 Real property at 76 and 80 Pond Street, in the Town of Norfolk, County of Norfolk, Commonwealth of
Massachusetts, described as follows: 
 Lots 4 and 5 on plan entitled “Plan of Land in Norfolk, Mass.”, dated August 26, 1980 by Norwood
Engineering Company, Inc., recorded with said Deeds as Plan No. 852 of 1980 in Plan Book 284. Said Lot 4 contains 43,600 square feet; and said Lot 5 contains 43,600 square feet all as shown on the aforesaid plan. 

Note: Square footage/acreage is not insured. 
 The premises are
also described as follows: 
 SURVEYOR’S METES & BOUNDS DESCRIPTION: 

LOT 4 
 A certain Parcel of land situated in the Town of
Norfolk, County of Norfolk, Commonwealth of Massachusetts. Bounded and described as follows; 
 Beginning at a point on the southwesterly side of Pond
Street. Said point being the southeasterly corner of the herein described parcel, Said point also being S 20° 34’ 00” E of a Massachusetts Highway Bound. 

Thence: S 41° 26’ 40” W for a distance of 156.92 feet to a point. 

Thence: N 48° 33’ 20” W for a distance of 217.80 feet to a point. Thence: N 41° 26’ 40” E for a distance of 120.81 feet to a
point. 
 Thence: Along a curve to the right having a radius of 125.00 feet and a length of 61.06 feet to a point. 

Thence: N 69° 26’ 00” E for a distance of 55.44 feet to a point. 

Thence: Along a curve to the right having a radius of 20.00 feet and a length of 31.42 feet to the southwesterly side of Pond Street to a point. Thence: S
20° 34’ 00” E along the southwesterly side of Pond Street for a distance of 170.00 feet to the point of beginning. 
 Said Parcel containing
43,600 square feet or 1.001 acres of land, more or less. 

 LOT 5 
 A
certain Parcel of land situated in the Town of Norfolk, County of Norfolk, Commonwealth of Massachusetts. Bounded and described as follows; 
 Beginning at
a point on the southwesterly side of Pond Street. Said point being the northeasterly corner of the herein described parcel, Said point also being 23.42 feet north of a Massachusetts Highway Bound. 

Thence: S 20° 34’ 00” E along the southwesterly side of Pond Street for a distance of 200.00 feet to a point. 

Thence: S 69° 26’ 00” W for a distance of 230.87 feet to a point. 

Thence: N 20° 34’ 00” W for a distance of 177.70 feet to a point. 

Thence: N 63° 54’ 54” E to the southwesterly side of Pond Street for a distance of 231.95 feet to the point of beginning. 

Said Parcel containing 43,600 square feet or 1.001 acres of land, more or less. 

Site: 11-0240 MA 

Re: 200 Broadway 
 The land with the buildings thereon
shown as Parcel A1 shown on plan entitled “#200 Broadway, Plan of Land in Norwood, MA”, dated October 15, 2010 by Glossa Engineering, Inc., recorded with Norfolk County Registry of Deeds at Plan Book 603, Page 10. 

 Exhibit B-1 

Permitted Exceptions - Carney Land 

1.    Taking of easements for sewer purposes in Dorchester Avenue by the Board of Street Commissioners of the City of Boston dated
December 15, 1915, recorded in Book 3929, Page 352; as affected by terms of License to Locate and Maintain a Structure Over Sewer Easement dated January 22, 1969, recorded in Book 8263, Page 214; as further affected by Attorney’s
Certificate of Relevancy dated April 23, 1981, recorded in Book 9737, Page 70. 
 2.    Rights and easements as reserved in a Deed
from the City of Boston to the Carney Hospital dated December 28, 1949, recorded in Book 6572, Page 271 as affected by terms of License to Locate and Maintain a Structure Over Sewer Easement dated January 22, 1969, recorded in Book 8263,
Page 214; as further affected by Attorney’s Certificate of Relevancy dated April 23, 1981, recorded in Book 9737, Page 70. 

3.    Rights of the public into Hutchinson Street as shown on a plan entitled “Subdivision Plan of Land in Boston (Dorchester
District), Mass.” dated January 31, 1966, by J.F. Hennessy, C.E., recorded in Book 8151, Page 276. 
 4.    Ten (10) foot
sewer easement as shown on a Plan entitled “Plan of Land in Boston, Mass. (Dorchester District) dated January 31, 1966, recorded in Book 8151, Page 276 as affected by terms of License to Locate and Maintain a Structure Over Sewer Easement
dated January 22, 1969, recorded in Book 8263, Page 214; as further affected by Attorney’s Certificate of Relevancy dated April 23, 1981, recorded in Book 9737, Page 70. 

5.    Reciprocal Easement Agreement between Steward Carney Hospital and HTA - Carney MOB, LLC dated March 29 2012, recorded at Book
43909, Page 37. 
 6.    Easements set forth and reserved in a deed from The Carney Hospital, dated September 3, 1982 and recorded
at Book 10058, Page 5. 
 7.    City of Boston Park Easement shown on a Plan recorded in Plan Book 2013, Plan 35 on February 4,
2013. 
 8.    Ground Lease, including a right of first refusal, between Steward Carney Hospital, Inc. as Landlord and HTA - Carney MOB,
LLC as Tenant, dated March 29, 2012 as evidenced by a Notice of Ground Lease dated March 29, 2012 and recorded at Book 49309, Page 22, as further affected by Subordination of Mortgage by JP Morgan Chase Bank, N.A., as Administrative Agent
dated March 28, 2012 and recorded on April 3, 2012 at Book 49309, Page 52, as affected by affected by a Termination of Ground Lease, recorded with said Deeds, Book 51465, Page 169. (Affects Easement Parcel only) 

9.    Master Lease between HTA - Carney MOB, LLC, as Landlord and Steward Carney Hospital, Inc., as Tenant, dated March 29, 2012 as
evidenced by a Notice of Ground Lease dated March 29, 2012 and recorded at Book 49309, Page 30, as affected by Subordination of Mortgage by JP Morgan Chase Bank, N.A., as Administrative Agent dated March 28, 2012 and recorded on
April 3, 2012 at Book 49309, Page 52, as affected by Amended and Restated Notice of Lease recorded with said Deeds Book 51465, Page 203. (Affects Easement Parcel only) 

 10.    Reciprocal Easement Agreement between Steward Carney Hospital, Inc. and JP Morgan
Chase Bank, 0.A., as Administrative Agent, recorded at Book 49309, Page 37, as affected by Amended and Restated Reciprocal Easement Agreement, dated May 15, 2013, recorded with said Deeds, Book 51465, Page 183. 

11.    Right of First Refusal Agreement, as to Lot B-1 shown on Plan Book 2013, Plan 35, recorded
with said Deeds, Book 51465, Page 179. (Affects Easement Parcel only) 
 12.    The following matters shown on a Plan of Survey entitled
“ALTA/NSPS Land Title Survey in Boston, MA (Suffolk County) Steward Carney Hospital” Scale 1” = 30’ Date: September 28, 2016 Prepared by Precision Land Surveying, Inc. (the “Survey”): 

a. granite retaining wall encroaches onto Dorchester Avenue by up to 5’; 

b. possible encroachments of all parking spaces, driveways, pavement and any other items, party walls and access issues between the Land (Lot A-1) and Lot B-1; 
 c. wall and sign from park on land N/F City
of Boston “Dorchester Park” encroach onto Land. 

 Exhibit B-2 

Permitted Exceptions - Holy Family Land (Merrimack Valley) 

1.    Easement granted by the City of Haverhill to New England Telephone and Telegraph Company dated August 27, 1992 and recorded at
Book 11455, Page 35. 
 2.    Order dated May 5, 1998 accepting Katsaros Drive as a public way recorded at Book 14941, Page 363.

 3.    Order dated September 9, 1997 accepting Brown Street and Savage Street as public ways and recorded at Book 14941, Page
374. 
 4.    Restrictions set forth in Deed from the City of Haverhill to Essent Healthcare of Massachusetts, Inc. dated as of
September 1, 2001 and recorded at Book 17695, Page 72. 
 5.    Failure to comply with the compliance with requirements of M.G.L.
Chapter 44, Section 63A in the deed from the City of Haverhill to Essent Healthcare of Massachusetts, Inc. and the related Reversionary Interest Agreement by and between Essent Healthcare of Massachusetts, Inc. and The City of Haverhill dated as of
September 1, 2001 and recorded in Book 17695, Page 80. 
 6.    Easement from Essent Healthcare of Massachusetts, Inc. to Verizon
New England Inc. (formerly known as New England Telephone and Telegraph Company) and Massachusetts Electric Company dated March 14, 2006 and recorded at Book 25508, Page 573. 

7.    Terms and provisions of Declaration of Covenants, Restrictions and Reciprocal Easement Agreement by and between Essent Healthcare of
Massachusetts, Inc. and Health Care Property Investors, Inc. dated March 15, 2007 and recorded at Book 26651, Page 532. 

8.    Matters as shown or disclosed on a plan entitled, “ALTA/NSPS Land Title Survey in Haverhill, MA (Essex County) Merrimack Valley
Hospital” Scale 1’ = 40’ dated September 21, 2016 prepared by Precision Land Surveying, Inc. (the “Survey”) as follows: 

a. Light Pole encroaches onto land Now or Formerly of the City of Haverhill by up to 1’; 

b. Pool encroaches onto locus by up to 12’; 

c. Fence and yard encroach onto locus by up to 14’; 

d. Car port encroaches onto locus by up to 7.8’; 

e. Fence encroaches onto Savage Street by up to 7’; 

f. Driveway crosses land now or formerly of the City of Haverhill; 

g. Roadway pavement encroaches onto locus by up to 7’ 

9.    Notice of Decision by Haverhill Board of Appeals for Zones recorded at Book 16861, Page 66. 

 10.    Notice of Decision by City of Haverhill Board of Appeals, Dated May 18, 2011,
recorded with said Deeds, Book 30494, Page 432. 

 
Exhibit B-3 
 Permitted Exceptions
– Nashoba Land 
 1.    Taking by the County Commissioners for the County of Middlesex of an easement in Washington Street in Ayer
as a public highway dated October 21, 1932, and recorded at Book 5685, Page 277. 
 2.    Rights and Easements set forth in grant
to New England Telephone and Telegraph Company for the laying, construction and maintenance of underground cables dated August 26, 1970, and recorded at Book 11890, Page 361. 

3.    Rights reserved in a grant of easement from George V. Moore to the Nashoba Community Hospital of the right to construct over a strip
of land twenty feet (20) wide over the land of said Moore sewerage pipe lines, manholes and other appurtenances thereto dated October 6, 1970, and recorded at Book 11901, Page 87. 

4.    Sewer Easement Agreement between the Nashoba Community Hospital and the Centre Corporation of Acton, permitting Centre Corporation
to hook into the sewerage line and system of the Hospital and, the sharing of certain expenses with the Centre Corporation dated February 12, 1972 and recorded at Book 12157, Page 415. 

5.    Zoning decision, Town of Ayer Zoning Board of Appeals, Notice of which is dated July 1, 1987 and recorded at Book 19294, Page
336. 
 6.    Easements set forth in grant to Massachusetts Electric Company dated September 29, 1988 and recorded at Book 19430,
Page 236. 
 7.    Terms and provision of Lease in which the Nashoba Community Hospital, Inc. is the Landlord and Healthcare
Alternatives, Inc. is the Lessee, Notice of which is dated November 7, 1988 and recorded at Book 19489, Page 428, as affected by Assignment and Assumption of Leasehold and Release Agreement in favor of Apple Valley Limited Partnership dated
July 31, 1996 and recorded at Book 26553, Page 566, Notice of Second Amended and Restated Ground Lease dated as of July 31, 1996 and recorded at Book 26553, Page 571, and as affected by Assignment and Assumption Agreement dated as of
November 18, 2004 and recorded at Book 44147, Page 584, and as amended by Notice of Third Amended and Restated Ground Lease dated as of January 1, 2005 and recorded at Book 44586, Page 420; as assigned by Essent Healthcare - Ayer, Inc. to
Nashoba Valley Medical Center, A Steward Family Hospital, Inc. by Assignment dated as of April 30, 2011 and recorded at Book 56806, Page 480. 
 NOTE:
The Tenant’s interest in this Lease is encumbered by the following matters a – e: 
 a. Leasehold Mortgage by Health Care Alternatives, Inc. to
Sentry Federal Savings Bank dated November 7, 1988 in the original principal amount of $ 5,200,000.00 and recorded at Book 19489, Page 442 as assigned to New Bedford Institution for Savings by Assignment dated April 27, 1992 and recorded
at Book 22011, Page 461. 
 b. Collateral Assignment of Leases, Permits, Approvals, Construction Contracts, etc. by Health Care Alternatives, Inc. to Sentry
Federal Savings Bank dated November 7, 1988 and recorded at Book 19489, Page 492. 

 c. Collateral Assignment of Leases dated November 7, 1988 by Health Care Alternatives, Inc. to Sentry
Federal Savings Bank dated November 7, 1988 and recorded at Book 19489, Page 501. 
 d. Leasehold Mortgage and Security Agreement by the Apple Valley
Limited Partnership to BayBank N.A. in the original principal amount of $ 6,850,000.00 and $500,000.00 dated July 31, 1996 and recorded at Book 26554, Page 1. 

e. Collateral Assignment of Lease and Rents dated July 31, 1996 by the Apple Valley Limited Partnership to BayBank NA and recorded at Book 26554, Page
34. 
 8.    Terms and provisions of Easement Agreement dated November 17, 1988 by and between the Nashoba Community Hospital, Inc.
and Health Care Alternatives, Inc. and recorded in Book 19489, Page 432, as amended by Amendment of Easement Agreement dated July 31, 1996 and recorded in Book 26553, Page 575. 

9.    Easement Agreement between The Nashoba Community Hospital, Inc. and James Brook Properties, Inc. dated as of April 13, 1989 and
recorded in Book 19822, Page 436. 
 10.    Covenants, conditions, restrictions, reservations, easements, liens for common charges,
options, powers of attorney, limitations on title and the fee interest in the Medical Office Building created by the Commonwealth of Massachusetts General Laws Chapter 183A, as amended or set forth in the Master Deed of Nashoba Medical Condominium
dated June 18, 1990 and recorded with Middlesex South County Registry of Deeds at Book 20629, Page 227, in the related Declaration of Trust, in the related By-Laws, in any instrument creating the estate
or interest insured by this policy, and in any of the instruments aforesaid; and as amended by an Amendment to Master Deed dated January 30, 2013 in Book 61197, Page 81. 

11.    Terms and provisions of Lease in which the Nashoba Community Hospital, Inc. is the Landlord and Joseph M. Arcidi is the Tenant,
dated August 2, 1990, Notice of which is recorded in Book 20695, Page 490. (Proportional interest 5.93 % in land only on 19,463 square foot parcel). 

12.    Terms and provisions of Lease in which Nashoba Community Hospital Corporation is the Landlord and Dr. Jonathan L. Held is
the Tenant dated June 22, 1994, Notice of which is recorded in Book 24638, Page 395 (encumbers proportionate interest (4.87%) in land only of the 19,463 square foot parcel. 

13.    Terms and provisions of Lease in which the Nashoba Community Hospital, Inc. is the Landlord and Amin Rathore and Nahid Rathore are
the Tenants, dated August 9, 1990, Notice of which is recorded at Book 20706, Page 256. (Proportional interest [4.69%] in land only on 19,463 square foot parcel.) 

14.    Terms and provisions of Lease in which the Nashoba Community Hospital, Inc. is the Landlord and Terrance C. Hack and Jocelyn R.
Hack are the Tenants dated August 9, 1990, Notice of which is recorded in Book 20706, Page 291. (Proportional interest [6.53%] in land only on 19,463 square foot parcel.), as affected by an attachment recorded at Book 50247 Page 508 against
Terrence C. Hack and Jocelyn R. Hack. 
 15.    Terms and provisions of Lease in which the Nashoba Community Hospital, Inc. is the
Landlord and Paul L. Gunderson and Lee Ana V. Gunderson are the Tenants dated August 13, 1990, Notice of which is recorded in Book 20710, Page 519. (Proportional interest [9.05%] in land only in 19,463 square foot parcel.) 

 16.    Terms and provisions of Lease in which the Nashoba Community Hospital, Inc. is the
Landlord and Sophia K. Bogdasarian is the tenant dated August 14, 1990, Notice of which is recorded in Book 20714, Page 62. (Encumbers proportionate interest [6.26%] in land only in 19,643 square foot parcel.) 

17.    Terms and provisions of Lease in which the Nashoba Community Hospital, Inc. is the Landlord and Kenneth A. Janes and Sandra M.
Janes are the Tenants, dated August 14, 1990, Notice of which is recorded in Book 20714, Page 89. (Encumbers Proportionate Interest [5.14%] in land only of the 19,463 square foot parcel). 

18.    Terms and provisions of Lease in which the Nashoba Community Hospital, Inc. is the Landlord and James L. Barzun and Kathleen A.
Barzun, Trustees of J & K Barzun Realty Trust dated June 6, 1990 recorded with the Middlesex South Registry of Deeds in Book 20698, Page 505, are the Tenants dated August 8, 1990, Notice of which is recorded in Book 20704, Page
91. (Proportional interest [5.21 %] in land only on 19,463 square foot parcel.) 
 19.    Terms and provisions of Lease in which the
Nashoba Community Hospital, Inc. is the Landlord and Gary L. Stanton and Rebecca H. Stanton are the Tenants dated August 14, 1990, Notice of which is recorded in Book 20714, Page 125. (Encumbers proportionate interest [4.73%] in land only of
the 19,463 square foot parcel.) 
 20.    Terms and provisions of Lease in which Nashoba Community Hospital, Inc. is the Landlord and
George D. Sydlar and Anne-Marie Sydlar are the tenants, dated August 16, 1990, Notice of which is recorded in Book 20719, Page 109. (Encumbers proportionate interest [4.88%] in land only of 19,463 square foot parcel.) 

Note: The Leases described in items 11 through 20, inclusive, have been assigned to Essent Healthcare — Ayer, Inc. by Assignment and Assumption Agreement
by and between Essent Healthcare-Ayer, Inc. and Nashoba Community Hospital Corporation dated as of November 18, 2004 and recorded in Book 44147, Page 584. 

21.    Terms and provisions of Assignment and Assumption Agreement by and between Essent Healthcare-Ayer, Inc. and Nashoba Community
Hospital Corporation dated as of November 18, 2004 and recorded in Book 44147, Page 584, and Assignment and Assumption Agreement from Essent Healthcare — Ayer, Inc. to Nashoba Valley Medical Center, A Steward Family Hospital, Inc. dated
April 30, 2011 and recorded in Book 56806, Page 480. 
 22.    Terms and provisions of Option to Repurchase Agreement by and
between Essent Healthcare-Ayer, Inc. and Nashoba Community Hospital Corporation dated December 31, 2002, recorded in Book 37552, Page 281. 

23.    Easement Agreement by and between Essent Healthcare-Ayer, Inc. and Beverly B. Smith, et al, dated January 5, 2004, recorded in
Book 44945, Page 398. 
 24.    Easement from Essent Health Care—Ayer, Inc. to Massachusetts Electric Company dated March 9,
2007 recorded in Book 49303, Page 386. 
 25.    Notice of Ground Lease by and between Nashoba Valley Medical Center, as Landlord and HTA-Nashoba MOB 2, LLC, as Tenant affecting property at 198 Groton Road, Ayer, recorded with said Deeds in Book 58821, Page 228, as affecting by Termination of Ground Lease by and between Nashoba Valley Medical
Center, A Steward Family Hospital, Inc., and HTA-Nashoba MOB 2, LLC, dated May 15, 2013, recorded with said Deeds, Book 61832, Page 315. 

 26.    Notice of Lease dated March 29, 2012 by
HTA-Nashoba MOB 2 LLC, as Landlord, and Nashoba Valley Medical Center, as Tenant, affecting property 198 Groton Road, Ayer, recorded with said Deeds, Book 58821, Page 235, as affected by Amended and Restated
Notice of Lease by and between HTA-Nashoba MOB 2, LLC and Nashoba Valley Medical Center, A Steward Family Hospital, Inc. dated May 15, 2013, recorded with said Deeds, Book 61832, Page 348. 

27.    Provisions of a Reciprocal Easement Agreement, dated March 29, 2012, recorded with said Deeds, Book 58821 Page 242, as
affected by Amended and Restated Reciprocal Easement Agreement, dated May 15, 2013, recorded with said Deeds, Book 61832, Page 329 , as affected by a Lender’s Consent and Subordination recorded in Book 61832, Page 341, as affected by a
Lender’s Consent and Subordination recorded in Book 61832, Page 343. 
 28.    Notice of Ground Lease by and between Nashoba Valley
Medical Center, as Landlord and HTA-Nashoba MOB 1, LLC, as Tenant affecting property at 190 Groton Road, Ayer, recorded with said Deeds, Book 58821 Page 451, as affected by Termination of Ground Lease by and
between Nashoba Valley Medical Center, A Steward Family Hospital, Inc. and HTA-Nashoba MOB 1, LLC, dated May 15, 2013, recorded with said Deeds, Book 61832, Page 151. 

29.    Notice of Lease by and between HTA-Nashoba MOB 1 LLC, as Landlord, and Nashoba Valley
Medical Center, as Tenant, recorded with said Deeds in Book 58821, Page 459, as affected by Amended and Restated Notice of Lease by and between HTA-Nashoba MOB 1, LLC and Nashoba Valley Medical Center, A
Steward Family Hospital, Inc., dated May 15, 2013, recorded in Book 61832, Page 167. 
 30.    Provisions of an Easement Agreement,
dated June 4, 2012, recorded with said Deeds, Book 59433 Page 359. 
 31.    Matters as shown or disclosed on a plan entitled,
“ALTA/NSPS Land Title Survey in Ayer, MA (Middlesex County) Nashoba Valley Medical Center” dated September 26, 2016, prepared by Precision Land Surveying, Inc. (the “Survey”), as follows: 

a. Utility lines enter the Land from Washington Street, also known as Groton Road; 

b. Elevated walkway connects Medical Office Building Condominiums with Medical Center without benefit of easement; 

c. The most recent plan shows town lines between Groton and Ayer running inside northerly boundary line of Land. Record plan shows all Land
within Town of Ayer. Further, Groton does not have a tax parcel for this strip; 
 d. Encroachment of Parking Spaces, Detention Basin,
Driveways, Hydrant and Access issues between abutting Lot B and Lot A; 
 e. Overhead wires cross land N/F
HTA- Nashoba MOB 2, LLC from Washington Street a/k/a Groton Road onto Land; and 
 f. 1 story
building encroaches over Verizon easement shown as Item 36 of Schedule B II. 
 32.    Notice of Right of First Refusal Agreement by and
between HTA-Nashoba MOB 2, LLC and Nashoba Valley Medical Center, A Steward Family Hospital, Inc., dated May 15, 2013, recorded with said Deeds, Book 61832, Page 325. 

 33.    Easement to Massachusetts Electric Company, dated February 20, 2015, recorded
with said Deeds, Book 64989, Page 571. 
 34.    Notice of Right of First Refusal Agreement by and between HTA-Nashoba MOB 1, LLC and Nashoba Valley Medical Center, A Steward Family Hospital, Inc. dated May 15, 2013, recorded with said Deeds, Book 61832, Page 163. 

 
Exhibit B-4 
 Permitted Exceptions
– Norwood Land 
 1.    The following matters shown on a plan of survey entitled “ALTA/NSPS Land Title Survey in Norwood, MA
(Norfolk County) Norwood Hospital Sites 10-0063 & 11-0240 800 Washington Street, 52 Guild Street & 200 Broadway Date: September 21, 2016” Prepared
by Precision Land Survey, Inc. (the “Survey”): 
 a. Overhead wire crosses Locus; 

b. Sign exists in Broadway by up to 4.1” 

c. Railing extends into East Hoyle Street by up to 5.8’; 

d. Retaining wall extends into Washington Street by up to 3.0’; 

e. Posts exist into Washington Street by up to 2.3’; 

f. Fence crosses lot line onto Land now or formerly of the MBTA; 

g. Overhead wire crosses Locus; 

h. Access to parking area crosses boundary lines; 

i. Parking lot in use by the Hospital property; 

j. Parking spaces encroach onto Locus and granted Driveway Easement; 

k. Posts restricts access to the lot line and granted Driveway Easement; 

l. Retaining wall encroaches onto Guild Street by up to 2.3’; and 

m. Lot B is not Locus and not insured. 

2.    Abandonment of Easement by the Town of Norwood dated August 23, 1977 and recorded at Book 5513, Page 473 as shown on Plan
No. 778 (including therein certain rights of reversion in favor of the Town of Norwood): as affected by Amendment of Abandonment of Easements for Highway Purposes of Winter Street between Washington Street and Linden Street in the Town of
Norwood by the Board of Selectmen of the Town of Norwood dated February 2, 1982 and recorded at Book 5973, Page 226. 
 3.    Sewer
pipe easement as recited in Deed from Margaret A. King to Percy O. Russell, et ux dated December 7, 1944 and recorded at Book 2523, Page 125 and as set forth in Deed from NVHS Management Services, Inc. to Norwood Hospital dated October 4,
1991 and recorded at Book 9091, Page 104. 
 4.    Easements and rights related to a 20’ wide driveway reserved in Deed from
Norwood Lumber Company to the Beaver Coal and Grain Co. dated June 27, 1967 and recorded at Book 4437, Page 622. Affects III 

 5.    Covenant and easements related to common parking areas as set forth in an agreement
between William E. Juslin, Trustee and Stephen Stone et ux dated September 21, 1972 and recorded at Book 4870, Page 736. Affects IV 

6.    Zoning Notice of Variance - Conditional Special Permit Decision by the Town of Norwood Zoning Board of Appeals dated
February 5, 1973, notice of which is recorded at Book 4915, Page 211. 
 7.    Zoning Decision for Special Permit by the Town of
Norwood Zoning Board of Appeals dated September 25, 1979, notice of which is recorded at Book 5675, Page 270. 
 8.    Drainage
Easement as set forth in Deed from the Town of Norwood to Norwood Hospital dated April 8, 1980 and recorded at Book 5723, Page 732, shown in Plan Book 280, Plan 265. 

9.    Zoning Decision for Special Permit by the Town of Norwood Zoning Board of Appeals dated April 23, 1981, notice of which is
recorded at Book 5865, Page 566. 
 10.    Zoning Decision for Special Permit by the Town of Norwood Zoning Board of Appeals dated
June 23, 1981, filed August 3, 1981 and Amendment thereto dated August 11, 1981 and filed August 20, 1981 by the Town of Norwood Zoning Board of Appeal, notice of which is certified September 11, 1981 and recorded at Book
5928, Page 460. 
 11.    Zoning Decision for Special Permit Case No. 85-19, by the Town of
Norwood Zoning Board of Appeal dated May 14, 1985, notice of which is recorded at Book 6693, Page 617. 
 12.    Zoning Decision
for Special Permit Case No. 88-23, by the Town of Norwood Zoning Board of Appeal dated May 3, 1988 notice of which is recorded at Book 8088, Page 193. 

13.    Zoning Decision for Special Permit Case No. 85-33, by the Town of Norwood Zoning Board
of Appeal dated August 20, 1985 notice of which is recorded at Book 8088, Page 198; as affected by Amendment dated June 10, 1986 and recorded at Book 8088, Page 202. 

14.    Zoning Decision for Special Permit Case No. 82-14, by the Town of Norwood Zoning Board
of Appeal dated March 23, 1982, notice of which is recorded at Book 8088, Page 203. 
 15.    Zoning Decision for Special Permit
Case No. 9-91, by the Town of Norwood Zoning Board of Appeal dated April 9, 1991, notice of which is recorded at Book 8914, Page 178. 

16.    Zoning Decision for Variance Case No. 92-07, by the Town of Norwood Zoning Board of
Appeal dated June 16, 1992, notice of which is recorded at Book 9470, Page 308. 
 17.    Zoning Decision, Case No. 92-40, by the Town of Norwood Zoning Board of Appeal dated August 18, 1992, notice of which is recorded at Book 9510, Page 258. 

18.    Notice of Activity and Use Limitation by Norwood Hospital dated April 10, 1997 and recorded at Book 11778, Page 002. 

19.    Terms and provisions, including rights of reverter, contained in Exclusive Use Easement from the Town of Norwood to Caritas Norwood
Hospital, Inc. dated June 15, 1999 recorded at Book 13637, Page 197. (Reverter affects easement only) 

 20.     Zoning Decision, Case No. 99-34, by the
Town of Norwood Zoning Board of Appeal dated July 28, 1959, notice of which is recorded at Book 13691, Page 547. 
 21.    Zoning
Decision, Case No. 03-33, by the Town of Norwood Zoning Board of Appeal dated July 14, 2003, notice of which is recorded at Book 19657, Page 56. 

22.    Grant of Easement from Caritas Norwood Hospital Inc. to the Trustees of Triple A Realty Trust for access purposes, dated
March 7, 2008, recorded at Book 25728, Page 124 and located as shown on plan recorded in Plan Book 581, Page 98. 

23.    Alteration of grade crossing at Guild Street, by the Town of Norwood, recorded at Book 690, Page 261, as affected by a decree of
the Norfolk Superior Court recorded at Book 914, Page 18. 
 24.    Zoning Decision – Case
#10-05 by the Town of Norwood Zoning Board of Appeal dated March 1, 2010 and recorded at Book 27560, Page 305. 

25.    Reciprocal Easement Agreement by and between Steward Norwood Hospital Inc. and HTA-St.
Anne’s MOB 1 LLC, dated December 28, 2012, recorded with said Deeds, Book 30881 Page 176. 
 26.    Decision by the Norwood
Zoning Board of Appeals, recorded with said Deeds, Book 31562, Page 495, as affected by an Amendment, recorded with said Deeds, Book 33252, Page 385, affecting 800 Washington Street. 

27.    Decision by the Norwood Planning Board, recorded with said Deeds, Book 31562, Page 502, affecting 800 Washington Street. 

 Exhibit C 

Existing Leases 
 None. 

 Exhibit D 

Excluded Subsidiaries 
 Steward PET
Imaging LLC 
 Tailored Risk Assurance Company, Ltd. 

Steward-Compass Ventures, LLC 
 Miller Street Medical Center, LLC

 Steward Medical Laboratories LLC 
 Steward Special Projects
LLC 
 Massachusetts Express Care, PLLC 
 Orchard Surgical
Center, LLC 
 Provider Network Alliance, LLC 

 Schedule 1-A 

MPT of Dorchester-Steward, LLC, 
 MPT of Methuen-Steward, LLC,

 MPT of Norwood-Steward, LLC, and 
 MPT of Ayer-Steward,
LLC, 
 each a Delaware limited liability company, collectively, jointly and severally, as Lender. 

 
Schedule 1-B 
 Steward Carney Hospital, Inc., 

Steward Holy Family Hospital, Inc., 
 Steward Norwood Hospital
Inc., and 
 Nashoba Valley Medical Center, A Steward Family Hospital, Inc., 

each a Delaware corporation, collectively, jointly and severally, as Borrower. 

 Schedule 1-C 

Non-Permitted Assignees 

National Providers 
 HCA 

Tenet 
 Community 

Regional Care / Capella 
 IASIS 

Prime 
 Prospect 

Ardent 
 Payors 

Optum 
 United 

BCBS of MA 
 BCBS of RI 

CIGNA 
 AETNA 

Tufts 
 HPHC 

BMC Health Net 
 Centene 

Local Providers 
 Partners, et al. 

BIDCO/BIDPO 
 Southcoast / Care New England 

Lifespan 
 UMass 

Boston Medical Center 
 Tufts Medical Center / Wellforce 

 Schedule 2.1 

Allocations of Loan Proceeds 
  

					
	 Property
	  	Allocation	 
	 Carney
	  	$	232,000,000	 
	 Holy Family (Merrimack Valley)
	  	$	115,000,000	 
	 Nashoba
	  	$	88,000,000	 
	 Norwood
	  	$	165,000,000	 
		  	  
	  
	 
		  	$	600,000,000	 

 and, in each case, plus all out of pocket costs and expenses not included in such sum which are incurred or paid in connection
with the mortgage loan with of each of the Properties, including, but not limited to property transfer taxes, legal, appraisal, title, survey, environmental, seismic, engineering and other fees and expenses paid in connection with the inspection of
the Properties and each Facility, and paid to advisors and brokers (except to the extent such items are paid by the Borrower), and shall include the costs of Capital Additions financed by Lender (and Lender’s Affiliates) as provided in
Section 6.3 of this Agreement with respect to each Property. Notwithstanding any provision hereof, no item shall be included in the Loan Amount for purposes of this Agreement to the extent that such item (i) is paid
separately by Borrower or is subject to a separate repayment obligation of Borrower, or (ii) was expressly required to be paid by Lender or its Affiliates pursuant to the Real Estate Contact. 

 Schedule 6.3 

Capital Additions 
 With respect
to any Capital Additions financed by Lender pursuant to Section 6.3, the following terms and conditions shall apply: 

(a)    Borrower agrees to pay or reimburse all of Lender’s reasonable, out-of-pocket costs and expenses paid or incurred in connection with such Capital Addition, including the reasonable costs of any construction consultant engaged by Lender. 

(b)    Borrower shall submit to Lender a draw request in a form reasonably acceptable to Lender not less than twenty
(20) days before the date on which Borrower desires a funding. 
 (c)    Borrower shall have the sole right to
designate and/or approve the general contractor, developer, architect, construction company, engineer and other parties that will participate in the construction and development of such Capital Addition (each a “Third Party
Contractor”). Borrower shall control the preparation and negotiation of the definitive agreements with such Third Party Contractor’s without giving Lender a reasonable opportunity to review and comment to such definitive agreements
prior to execution. 
 (d)    Borrower shall not authorize or permit any material change, modification, supplement or
substitution to any construction contract, architect agreement, the site plan, the plans and specifications (or any working drawings), or the scope of work pursuant to any of the foregoing, without the prior written consent of Lender, which shall
not be unreasonably withheld, conditioned or delayed. 
 (e)    Borrower shall submit to Lender copies of all approvals,
governmental approvals and permits necessary for such Capital Addition. 
 (f)    Borrower shall provide Lender will all
other customary documentation for projects similar in cost and scope of such Capital Additions, including without limitation, all executed contracts, collateral assignments of constructions contracts and lien waivers in favor of Lender, and
certificates of insurance and insurance policies required under the construction contract for such Capital Addition, showing Lender as named oblige, additional insured and loss payee. 

 Schedule 21.22 

Agreements and Covenants relating to Certain Properties 

None.EX-10.35

 Exhibit 10.35 

Execution Version 
 AMENDED AND
RESTATED 
 REVOLVING CREDIT AND TERM LOAN AGREEMENT 

among 
 MEDICAL PROPERTIES TRUST,
INC. 
 MPT OPERATING PARTNERSHIP, L.P., 

as Borrower, 
 The Several Lenders
from Time to Time Parties Hereto, 
 JPMORGAN CHASE BANK, N.A., 

as Administrative Agent 
 BANK OF
AMERICA, N.A., 
 as Syndication Agent 

BARCLAYS BANK PLC, GOLDMAN SACHS BANK USA, 

KEYBANK NATIONAL ASSOCIATION, CITIZENS BANK, N.A., COMPASS BANK, 

CREDIT AGRICOLE CORPORATE AND INVESTMENT BANK, CREDIT SUISSE AG, 

CAYMAN ISLANDS BRANCH, ROYAL BANK OF CANADA, SUNTRUST BANK, 

THE BANK OF TOKYO-MITSUBISHI UFJ, LTD., and 

WELLS FARGO BANK, NATIONAL ASSOCIATION, 

as Documentation Agents 
 Dated as
of February 1, 2017 
 JPMORGAN CHASE BANK, N.A., and 

MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED, 

as Joint Lead Arrangers and Joint Bookrunners 

BARCLAYS BANK PLC, GOLDMAN SACHS BANK USA, and 

KEYBANC CAPITAL MARKETS, INC., 
 as
Joint Lead Arrangers 

							
	SECTION 1.	 	 DEFINITIONS
	  	 	1	 
			
	 1.1
	 	 Defined Terms
	  	 	1	 
			
	 1.2
	 	 Other Definitional Provisions
	  	 	39	 
			
	 1.3
	 	 Exchange Rates; Currency Equivalents
	  	 	40	 
			
	 1.4
	 	 Additional Alternative Currencies
	  	 	41	 
			
	 1.5
	 	 Change of Currency
	  	 	41	 
			
	 1.6
	 	 Times of Day
	  	 	42	 
			
	 1.7
	 	 Letter of Credit Amounts
	  	 	42	 
			
	SECTION 2.	 	 AMOUNT AND TERMS OF COMMITMENTS
	  	 	42	 
			
	 2.1
	 	 Term Commitments
	  	 	42	 
			
	 2.2
	 	 Procedure for Dollar Term Loan Borrowing
	  	 	43	 
			
	 2.3
	 	 Procedure for Euro Term Loan Borrowing
	  	 	44	 
			
	 2.4
	 	 Revolving Commitments
	  	 	45	 
			
	 2.5
	 	 Procedure for Revolving Loan Borrowing
	  	 	45	 
			
	 2.6
	 	 Swingline Commitment
	  	 	46	 
			
	 2.7
	 	 Procedure for Swingline Borrowing; Refunding of Swingline Loans
	  	 	47	 
			
	 2.8
	 	 Commitment Fees, Facility Fees, etc.
	  	 	49	 
			
	 2.9
	 	 Termination or Reduction of Revolving Commitments
	  	 	49	 
			
	 2.10
	 	 Prepayments
	  	 	50	 
			
	 2.11
	 	 Repayment of Loans
	  	 	50	 
			
	 2.12
	 	 Conversion and Continuation Options
	  	 	51	 
			
	 2.13
	 	 Limitations on Eurodollar Tranches
	  	 	52	 
			
	 2.14
	 	 Interest Rates and Payment Dates
	  	 	52	 
			
	 2.15
	 	 Computation of Interest and Fees
	  	 	52	 
			
	 2.16
	 	 Inability to Determine Interest Rate
	  	 	53	 
			
	 2.17
	 	 Pro Rata Treatment and Payments
	  	 	54	 
			
	 2.18
	 	 Requirements of Law
	  	 	56	 
			
	 2.19
	 	 Taxes
	  	 	57	 
			
	 2.20
	 	 Indemnity
	  	 	60	 
			
	 2.21
	 	 Change of Lending Office
	  	 	61	 
			
	 2.22
	 	 Replacement of Lenders
	  	 	61	 
			
	 2.23
	 	 Incremental Commitments
	  	 	62	 

  
 -i- 

							
			
	 2.24
	 	 Defaulting Lenders
	  	 	64	 
			
	 2.25
	 	 Extension of Revolving Termination Date
	  	 	66	 
			
	 2.26
	 	 Extension of Euro Term Loan Maturity Date
	  	 	66	 
			
	SECTION 3.	 	 LETTERS OF CREDIT
	  	 	66	 
			
	 3.1
	 	 L/C Commitment
	  	 	66	 
			
	 3.2
	 	 Procedure for Issuance of Letter of Credit
	  	 	67	 
			
	 3.3
	 	 Fees and Other Charges
	  	 	68	 
			
	 3.4
	 	 L/C Participations
	  	 	68	 
			
	 3.5
	 	 Reimbursement Obligation of the Borrower
	  	 	69	 
			
	 3.6
	 	 Obligations Absolute
	  	 	70	 
			
	 3.7
	 	 Letter of Credit Payments
	  	 	71	 
			
	 3.8
	 	 Applications
	  	 	71	 
			
	 3.9
	 	 Replacement of the Issuing Lender
	  	 	71	 
			
	SECTION 4.	 	 REPRESENTATIONS AND WARRANTIES
	  	 	72	 
			
	 4.1
	 	 Financial Condition
	  	 	72	 
			
	 4.2
	 	 No Change
	  	 	72	 
			
	 4.3
	 	 Existence; Compliance with Law
	  	 	72	 
			
	 4.4
	 	 Power; Authorization; Enforceable Obligations
	  	 	73	 
			
	 4.5
	 	 No Legal Bar
	  	 	73	 
			
	 4.6
	 	 Litigation
	  	 	73	 
			
	 4.7
	 	 No Default
	  	 	74	 
			
	 4.8
	 	 Ownership of Property; Liens
	  	 	74	 
			
	 4.9
	 	 Intellectual Property
	  	 	74	 
			
	 4.10
	 	 Taxes
	  	 	74	 
			
	 4.11
	 	 Federal Regulations
	  	 	74	 
			
	 4.12
	 	 Labor Matters
	  	 	74	 
			
	 4.13
	 	 ERISA
	  	 	75	 
			
	 4.14
	 	 Investment Company Act; Other Regulations
	  	 	75	 
			
	 4.15
	 	 Subsidiaries
	  	 	75	 
			
	 4.16
	 	 Use of Proceeds
	  	 	75	 
			
	 4.17
	 	 Environmental Matters
	  	 	76	 
			
	 4.18
	 	 Accuracy of Information, etc.
	  	 	77	 

  
 -ii- 

							
			
	 4.19
	 	 Anti-Corruption Laws and Sanctions
	  	 	77	 
			
	 4.20
	 	 Solvency
	  	 	77	 
			
	 4.21
	 	 Reserved
	  	 	77	 
			
	 4.22
	 	 Status of Holdings
	  	 	77	 
			
	 4.23
	 	 Properties
	  	 	77	 
			
	 4.24
	 	 EEA Financial Institutions
	  	 	78	 
			
	SECTION 5.	 	 CONDITIONS PRECEDENT
	  	 	78	 
			
	 5.1
	 	 Conditions to Initial Extension of Credit
	  	 	78	 
			
	 5.2
	 	 Conditions to Each Extension of Credit
	  	 	79	 
			
	SECTION 6.	 	 AFFIRMATIVE COVENANTS
	  	 	80	 
			
	 6.1
	 	 Financial Statements
	  	 	80	 
			
	 6.2
	 	 Certificates; Other Information
	  	 	81	 
			
	 6.3
	 	 Payment of Obligations
	  	 	82	 
			
	 6.4
	 	 Maintenance of Existence; Compliance
	  	 	82	 
			
	 6.5
	 	 Maintenance of Property; Insurance
	  	 	82	 
			
	 6.6
	 	 Inspection of Property; Books and Records; Discussions
	  	 	83	 
			
	 6.7
	 	 Notices
	  	 	83	 
			
	 6.8
	 	 Environmental Laws
	  	 	84	 
			
	 6.9
	 	 Distributions in the Ordinary Course
	  	 	84	 
			
	 6.10
	 	 Additional Guarantors; Additional Unencumbered Properties
	  	 	84	 
			
	 6.11
	 	 Notices of Asset Sales, Encumbrances or Dispositions
	  	 	85	 
			
	 6.12
	 	 Maintenance of Ratings
	  	 	86	 
			
	 6.13
	 	 Use of Proceeds
	  	 	86	 
			
	SECTION 7.	 	 NEGATIVE COVENANTS
	  	 	86	 
			
	 7.1
	 	 Financial Condition Covenants
	  	 	86	 
			
	 7.2
	 	 Indebtedness
	  	 	88	 
			
	 7.3
	 	 Liens
	  	 	89	 
			
	 7.4
	 	 Fundamental Changes
	  	 	91	 
			
	 7.5
	 	 Disposition of Property
	  	 	91	 
			
	 7.6
	 	 Restricted Payments
	  	 	92	 
			
	 7.7
	 	 [Reserved]
	  	 	93	 
			
	 7.8
	 	 Investments
	  	 	93	 

  
 -iii- 

							
			
	 7.9
	 	 [Reserved]
	  	 	94	 
			
	 7.10
	 	 Transactions with Affiliates
	  	 	94	 
			
	 7.11
	 	 Sales and Leasebacks
	  	 	94	 
			
	 7.12
	 	 Swap Agreements
	  	 	94	 
			
	 7.13
	 	 Changes in Fiscal Periods
	  	 	94	 
			
	 7.14
	 	 Negative Pledge Clauses
	  	 	94	 
			
	 7.15
	 	 Clauses Restricting Subsidiary Distributions
	  	 	95	 
			
	 7.16
	 	 Lines of Business
	  	 	95	 
			
	SECTION 8.	 	 EVENTS OF DEFAULT
	  	 	96	 
			
	SECTION 9.	 	 THE AGENTS
	  	 	100	 
			
	 9.1
	 	 Appointment
	  	 	100	 
			
	 9.2
	 	 Delegation of Duties
	  	 	101	 
			
	 9.3
	 	 Exculpatory Provisions
	  	 	101	 
			
	 9.4
	 	 Reliance by Administrative Agent
	  	 	101	 
			
	 9.5
	 	 Notice of Default
	  	 	102	 
			
	 9.6
	 	 Non-Reliance on Agents and Other Lenders
	  	 	102	 
			
	 9.7
	 	 Indemnification
	  	 	103	 
			
	 9.8
	 	 Agent in Its Individual Capacity
	  	 	103	 
			
	 9.9
	 	 Successor Administrative Agent
	  	 	103	 
			
	 9.10
	 	 Other Agents
	  	 	103	 
			
	SECTION 10.	 	 MISCELLANEOUS
	  	 	104	 
			
	 10.1
	 	 Amendments and Waivers
	  	 	104	 
			
	 10.2
	 	 Notices
	  	 	105	 
			
	 10.3
	 	 No Waiver; Cumulative Remedies
	  	 	107	 
			
	 10.4
	 	 Survival
	  	 	107	 
			
	 10.5
	 	 Payment of Expenses and Taxes
	  	 	108	 
			
	 10.6
	 	 Successors and Assigns; Participations and Assignments
	  	 	109	 
			
	 10.7
	 	 Adjustments; Set-off
	  	 	114	 
			
	 10.8
	 	 Counterparts; Integration; Effectiveness; Electronic Execution
	  	 	115	 
			
	 10.9
	 	 Severability
	  	 	115	 
			
	 10.10
	 	 Integration
	  	 	115	 
			
	 10.11
	 	 Governing Law
	  	 	116	 

  
 -iv- 

							
			
	 10.12
	 	 Submission To Jurisdiction; Waivers
	  	 	116	 
			
	 10.13
	 	 Acknowledgements
	  	 	116	 
			
	 10.14
	 	 Releases of Guarantees
	  	 	117	 
			
	 10.15
	 	 Confidentiality
	  	 	117	 
			
	 10.16
	 	 WAIVERS OF JURY TRIAL
	  	 	118	 
			
	 10.17
	 	 USA PATRIOT Act
	  	 	118	 
			
	 10.18
	 	 Transitional Arrangements
	  	 	118	 
			
	 10.19
	 	 Headings
	  	 	119	 
			
	 10.20
	 	 Interest Rate Limitation
	  	 	119	 
			
	 10.21
	 	 Acknowledgement and Consent to Bail-In of EEA Financial
Institutions
	  	 	120	 
			
	 10.22
	 	 Subsidiary Borrowers
	  	 	120	 

  
 -v- 

 SCHEDULES: 
  

			
	EGL	  	Eligible Ground Leased Property
	PUP	  	Pooled Unencumbered Properties
	SG	  	Subsidiary Guarantors
	1.1A	  	Loan Commitments
	1.1C	  	Issuing Lender Commitments
	3.1(a)	  	Existing Letters of Credit
	4.4	  	Consents, Authorizations, Filings and Notices
	4.15	  	Subsidiaries
	4.23(a)	  	Properties
	4.23(b)	  	Unencumbered Properties
	7.2(d)	  	Existing Indebtedness
	7.3(f)	  	Existing Liens

 EXHIBITS: 
  

			
	A	 	Form of Guarantee Agreement
	B	 	Form of Compliance Certificate
	C	 	Form of Closing Certificate
	D	 	Form of Assignment and Assumption
	E	 	Form of Borrowing Request
	F	 	Form of U.S. Tax Compliance Certificates
	G	 	Form of Adherence Agreement
	H	 	Form of Qualified Borrower Guarantee

  
 -vi- 

 AMENDED AND RESTATED REVOLVING CREDIT AND TERM LOAN AGREEMENT (this “Agreement”), dated
as of February 1, 2017, among MEDICAL PROPERTIES TRUST, INC., a Maryland corporation (“Holdings”), MPT OPERATING PARTNERSHIP, L.P., a Delaware limited partnership (the “Borrower”), any Subsidiary Borrower that becomes a
party hereto pursuant to Section 10.22, the several banks and other financial institutions or entities from time to time parties to this Agreement (the “Lenders”), BANK OF AMERICA, N.A., as syndication agent (in such capacity, the
“Syndication Agent”), the Documentation Agents listed on the cover to this Agreement, and JPMORGAN CHASE BANK, N.A., as administrative agent. 

WHEREAS, Holdings, the Borrower, JPMorgan Chase Bank, N.A., as administrative agent, and the lenders party thereto are parties to an Amended
and Restated Revolving Credit Agreement dated as of June 19, 2014, as amended to date (the “Existing Credit Agreement”); and 

WHEREAS, the parties wish to amend and restate the Existing Credit Agreement in their entirety. 

The parties hereto hereby agree to amend and restate the Existing Credit Agreement in their entirety as follows: 

SECTION 1. DEFINITIONS 
 1.1 Defined
Terms. As used in this Agreement, the terms listed in this Section 1.1 shall have the respective meanings set forth in this Section 1.1. 

“2012 Senior Unsecured Note Indenture”: the Indenture dated as of February 17, 2012 entered into by the Borrower and MPT
Finance Corp. in connection with the issuance of the 2012 Senior Unsecured Notes in the principal amount of $350,000,000, together with all instruments, supplements and other agreements entered into by the Borrower and MPT Finance Corp. in
connection therewith. 
 “2012 Senior Unsecured Notes”: the 6.375% Senior Notes due 2022 issued by the Borrower pursuant to
the 2012 Senior Unsecured Note Indenture. 
 “2013 Senior Unsecured Note Indenture”: the Indenture dated as of
October 10, 2013, as supplemented through the date hereof, entered into by the Borrower and MPT Finance Corp. in connection with the issuance of the 2013 Senior Unsecured Notes in the principal amount of €200,000,000 and the 2014 Senior
Unsecured Notes in the principal amount of $300,000,000, together with all instruments, supplements and other agreements entered into by the Borrower and MPT Finance Corp. in connection therewith. 

“2013 Senior Unsecured Notes”: the 5.750% Senior Notes due 2020 issued by the Borrower pursuant to the 2013 Senior Unsecured
Note Indenture. 
 “2014 Senior Unsecured Notes”: the 5.50% Senior Notes due 2024 issued by the Borrower pursuant to the
2013 Senior Unsecured Note Indenture. 

 “ABR”: for any day, a rate per annum equal to the greatest of (a) the Prime
Rate in effect on such day, (b) the NYFRB Rate in effect on such day plus  1⁄2 of 1% and (c) the Eurodollar Rate for a one month Interest Period on
such day (or if such day is not a Business Day, the immediately preceding Business Day) plus 1%, provided that, for the purpose of this definition, the Eurodollar Rate for any day shall be based on the LIBO Screen Rate at approximately 11:00 A.M.
London time on such day (or, if the LIBOR Screen Rate is not available for such one month Interest Period, the Interpolated Rate). For purposes hereof: “Prime Rate” shall mean the rate of interest per annum publicly announced from time to
time by JPMorgan Chase Bank, N.A. as its prime rate in effect at its principal office in New York City (the Prime Rate not being intended to be the lowest rate of interest charged by JPMorgan Chase Bank, N.A. in connection with extensions of credit
to debtors). Any change in the ABR due to a change in the Prime Rate, the NYFRB Rate or the Eurodollar Rate shall be effective as of the opening of business on the effective day of such change in the Prime Rate, the NYFRB Rate or the Eurodollar
Rate, respectively. 
 “ABR Loans”: Loans denominated in Dollars the rate of interest applicable to which is based upon the
ABR. 
 “Acceptable Jurisdiction”: Luxembourg and any other jurisdiction (other than the United States) acceptable to the
Administrative Agent in its sole discretion, including, if requested by the Administrative Agent in its sole discretion, based on satisfactory advice received by it from local counsel in such jurisdiction with respect to the procedure for
enforcement of a U.S. judgment in such jurisdiction, and the collection of such judgment from assets located there. 
 “Adherence
Agreement”: an agreement substantially in the form of Exhibit G executed and delivered by the Borrower and a Subsidiary Borrower to the Administrative Agent in connection with the admission of such Subsidiary Borrower as a Borrower
hereunder. 
 “Additional Credit Extension Amendment”: an amendment to this Agreement providing for any Incremental
Commitments which shall be consistent with the applicable provisions of this Agreement relating to such Incremental Commitments and otherwise reasonably satisfactory to the Administrative Agent and the Borrower. 

“Additional Senior Unsecured Indentures”: the 2012 Senior Unsecured Note Indenture, the 2013 Senior Unsecured Note Indenture
and any other indenture entered into by the Borrower and its Subsidiaries in connection with the issuance of the Additional Senior Unsecured Notes, together with all instruments and other agreements entered into by the Borrower and its Subsidiaries
in connection therewith. 
 “Additional Senior Unsecured Notes”: the 2012 Senior Unsecured Notes, the 2013 Senior Unsecured
Notes, the 2014 Senior Unsecured Notes and any other senior unsecured notes issued by the Borrower that are pari passu with the Obligations and that are in an amount that would not cause a violation of any covenant set forth in
Section 7.1 or any other provision of this Agreement after giving pro forma effect to the incurrence of the Indebtedness under such notes. 

  
 -2- 

 “Adjusted NOI”: for any fiscal period, the NOI (or pro rata share of NOI from
any Real Property owned by an unconsolidated Subsidiary or joint venture of the Borrower) from any Real Property and adjusted to remove the effect of recognizing rental income on a straight-line basis over the applicable lease term. 

“Administrative Agent”: JPMorgan Chase Bank, N.A., together with its affiliates (including J.P. Morgan Europe Limited with
respect to Loans and Letters of Credit denominated in an Alternative Currency), as the administrative agent for the Lenders under this Agreement and the other Loan Documents, together with any of its successors. 

“Administrative Questionnaire”: an Administrative Questionnaire in a form supplied by the Administrative Agent. 

“Affiliate”: as to any Person, any other Person that, directly or indirectly, is in control of, is controlled by, or is under
common control with, such Person. For purposes of this definition, “control” of a Person means the power, directly or indirectly, either to (a) vote 10% or more of the securities having ordinary voting power for the election of
directors (or persons performing similar functions) of such Person or (b) direct or cause the direction of the management and policies of such Person, whether by contract or otherwise. 

“Agency Site”: the Electronic System established by the Administrative Agent to administer this Agreement. 

“Agent Party”: as defined in Section 10.2(d)(ii). 

“Agents”: the collective reference to the Syndication Agent, the Documentation Agents, and the Administrative Agent. 

“Aggregate Exposure”: with respect to any Lender at any time, an amount equal to (a) until the Funding Date, the
aggregate amount of such Lender’s Commitments at such time and (b) thereafter, the sum of (i) the aggregate then unpaid principal amount of such Lender’s Term Loans and (ii) the amount of such Lender’s Revolving
Commitment then in effect or, if the Revolving Commitments have been terminated, the amount of such Lender’s Revolving Extensions of Credit then outstanding. 

“Aggregate Exposure Percentage”: with respect to any Lender at any time, the ratio (expressed as a percentage) of such
Lender’s Aggregate Exposure at such time to the Aggregate Exposures of all Lenders at such time. 
 “Agreement”: as
defined in the preamble hereto. 
 “Alternative Currency”: each of the following currencies: AUD, CAD, CHF, Euro, Sterling
and Yen, together with each other currency (other than Dollars) that is approved in accordance with Section 1.4. 

“Alternative Currency Equivalent”: at any time, with respect to any amount denominated in Dollars, the equivalent amount
thereof in the applicable Alternative Currency as determined by the Administrative Agent or the Issuing Lender, as the case may be, at such time on the basis of the Spot Rate (determined in respect of the most recent Revaluation Date) for the
purchase of such Alternative Currency with Dollars. 

  
 -3- 

 “Alternative Currency Sublimit”: an amount equal to the lesser of the Total
Revolving Commitments and €650,000,000. The Alternative Currency Sublimit is part of, and not in addition to, the Revolving Commitments. 

“Anti-Corruption Laws”: all laws, rules, and regulations of any jurisdiction applicable to the Borrower and its affiliated
companies from time to time concerning or relating to bribery or corruption. 
 “Applicable Margin”: for each Type of Loan,
the rate per annum set forth in the Pricing Grids. 
 “Applicable Time”: with respect to any borrowings and payments in any
Alternative Currency, the local time in the place of settlement for such Alternative Currency as may be determined by the Administrative Agent or the Issuing Lender, as the case may be, to be necessary for timely settlement on the relevant date in
accordance with normal banking procedures in the place of payment. 
 “Application”: an application, in such form as the
Issuing Lender may specify from time to time, requesting the Issuing Lender to issue a Letter of Credit, or identifying the Letter of Credit to be amended, renewed or extended, and specifying the date of issuance, amendment, renewal or extension
(which shall be a Business Day), the date on which such Letter of Credit is to expire (which shall comply with Section 3.1 of this Agreement), the amount of such Letter of Credit, the name and address of the beneficiary thereof and such other
information as shall be necessary to prepare, amend, renew or extend such Letter of Credit. 
 “Approved Fund”: as defined
in Section 10.6(b)(i). 
 “Arrangers”: the financial institutions listed as “Joint Lead Arrangers and Joint
Bookrunners” on the cover page to this Agreement. 
 “Assignee”: as defined in Section 10.6(b)(i). 

“Assignment and Assumption”: an Assignment and Assumption, substantially in the form of Exhibit D. 

“AUD”: the lawful currency of the Commonwealth of Australia. 

“AUD Screen Rate”: with respect to any Interest Period, the average bid reference rate as administered by the Australian
Financial Markets Association (or any other Person that takes over the administration of that rate) for AUD bills of exchange with a tenor equal to such Interest Period, displayed on page BBSY of the Reuters screen (or, in the event such rate does
not appear on such Reuters page, on any successor or substitute page on such screen that displays such rate, or on the appropriate page of such other information service that publishes such rate from time to time as selected by the Administrative
Agent in its reasonable discretion) as of the Specified Time on the Quotation Day for such Interest Period. 

  
 -4- 

 “Available Revolving Commitment”: as to any Revolving Lender at any time, an
amount equal to the excess, if any, of (a) such Lender’s Revolving Commitment then in effect over (b) such Lender’s Revolving Extensions of Credit then outstanding; provided, that in calculating any Lender’s Revolving
Extensions of Credit for the purpose of determining such Lender’s Available Revolving Commitment pursuant to Section 2.8(a), the aggregate principal amount of Swingline Loans then outstanding shall be deemed to be zero. 

“Bail-In Action”: means the exercise of any Write-Down and Conversion Powers by the
applicable EEA Resolution Authority in respect of any liability of an EEA Financial Institution. 

“Bail-In Legislation”: means, with respect to any EEA Member Country implementing
Article 55 of Directive 2014/59/EU of the European Parliament and of the Council of the European Union, the implementing law for such EEA Member Country from time to time which is described in the EU Bail-In
Legislation Schedule. 
 “Bankruptcy Event”: with respect to any Person, such Person becomes the subject of a bankruptcy or
insolvency proceeding, or has had a receiver, conservator, trustee, administrator, custodian, assignee for the benefit of creditors or similar Person charged with the reorganization or liquidation of its business appointed for it, or, in the good
faith determination of the Administrative Agent, has taken any action in furtherance of, or indicating its consent to, approval of, or acquiescence in, any such proceeding or appointment, provided that a Bankruptcy Event shall not result solely by
virtue of any ownership interest, or the acquisition of any ownership interest, in such Person by a Governmental Authority or instrumentality thereof, provided, further, that such ownership interest does not result in or provide such Person with
immunity from the jurisdiction of courts within the United States or from the enforcement of judgments or writs of attachment on its assets or permit such Person (or such Governmental Authority or instrumentality) to reject, repudiate, disavow or
disaffirm any contracts or agreements made by such Person. 
 “Baseline Conditions”: as to any Wholly Owned Subsidiary of
the Borrower, in connection with the admission of such Subsidiary as a Subsidiary Borrower hereunder, that such Subsidiary (a) at the time of the delivery by such Wholly Owned Subsidiary of its Adherence Agreement pursuant to
Section 10.22, can truthfully and correctly make each of its representations and warranties in Section 4 in all material respects and (b) if such Subsidiary is not organized under the laws of any state of the United States,
(i) shall be organized under the laws of an Acceptable Jurisdiction and (ii) shall have submitted for itself and its property in any legal action or proceeding relating to this Agreement and the other Loan Documents to which it is a party,
including for recognition and enforcement of any judgment in respect thereof, to the non-exclusive general jurisdiction of the courts of the State of New York, the courts of the United States of America for
the Southern District of New York, and appellate courts from any thereof. 
 “Benefitted Lender”: as defined in Section
10.7(a). 
 “Board”: the Board of Governors of the Federal Reserve System of the United States (or any successor). 

  
 -5- 

 “Borrower”: as defined in the preamble hereto, and shall collectively include
any Subsidiary Borrower that becomes a party hereto pursuant to Section 10.22. 
 “Borrowing Date”: any Business Day
specified by the Borrower as a date on which the Borrower requests the relevant Lenders to make Loans hereunder. 

“Business”: as defined in Section 4.17(b). 

“Business Day”: a day other than a Saturday, Sunday or other day on which commercial banks in New York City are authorized or
required by law to close; and when used in connection with a Eurodollar Loan for a LIBOR Quoted Currency, the term “Business Day” shall also exclude any day on which banks are not open for general business in London; and in addition, with
respect to any date for the payment or purchase of, or the fixing of an interest rate in relation to, any Non-Quoted Currency, the term “Business Day” shall also exclude any day on which banks are
not open for general business in the principal financial center of the country of that currency and, if the Loan or Letter of Credit which is the subject of a borrowing, drawing, payment, reimbursement or rate selection are denominated in Euro, the
term “Business Day” shall also exclude any day on which the TARGET2 payment system is not open for the settlement of payments in Euro. 

“CAD”: the lawful currency of Canada. 

“Capital Lease Obligations”: as to any Person, the obligations of such Person to pay rent or other amounts under any lease of
(or other arrangement conveying the right to use) real or personal property, or a combination thereof, which obligations are required to be classified and accounted for as capital leases on a balance sheet of such Person under GAAP and, for the
purposes of this Agreement, the amount of such obligations at any time shall be the capitalized amount thereof at such time determined in accordance with GAAP. 

“Capital Stock”: any and all shares, interests, participations or other equivalents (however designated) of capital stock of
a corporation, any and all equivalent ownership interests in a Person (other than a corporation), including partnership interests, membership interests in a limited liability company, and beneficial interests in a trust, and any and all warrants,
rights or options to purchase any of the foregoing. 
 “Cash Equivalents”: (a) marketable direct obligations issued by, or
unconditionally guaranteed by, the United States Government or issued by any agency thereof and backed by the full faith and credit of the United States, in each case maturing within one year from the date of acquisition; (b) certificates of
deposit, time deposits, eurodollar time deposits or overnight bank deposits having maturities of six months or less from the date of acquisition issued by any Lender or by any commercial bank organized under the laws of the United States or any
state thereof having combined capital and surplus of not less than $500,000,000; (c) commercial paper of an issuer rated at least A-1 by Standard & Poor’s Ratings Services (“S&P”)
or P-1 by Moody’s Investors Service, Inc. (“Moody’s”), or carrying an equivalent rating by a nationally recognized rating agency, if both of the two named rating agencies cease publishing
ratings of commercial paper issuers generally, and maturing within six months from the date of acquisition; (d) repurchase obligations of any Lender or of any 

  
 -6- 

 
commercial bank satisfying the requirements of clause (b) of this definition, having a term of not more than 30 days, with respect to securities issued or fully guaranteed or insured by the
United States government; (e) securities with maturities of one year or less from the date of acquisition issued or fully guaranteed by any state, commonwealth or territory of the United States, by any political subdivision or taxing authority
of any such state, commonwealth or territory or by any foreign government, the securities of which state, commonwealth, territory, political subdivision, taxing authority or foreign government (as the case may be) are rated at least A by S&P or
A by Moody’s; (f) securities with maturities of six months or less from the date of acquisition backed by standby letters of credit issued by any Lender or any commercial bank satisfying the requirements of clause (b) of this
definition; (g) money market mutual or similar funds that invest exclusively in assets satisfying the requirements of clauses (a) through (f) of this definition; (h) money market funds that (i) comply with the criteria set forth
in SEC Rule 2a-7 under the Investment Company Act of 1940, as amended, (ii) are rated AAA by S&P and Aaa by Moody’s and (iii) have portfolio assets of at least $5,000,000,000, or (i) in
the case of any Foreign Subsidiary, Investments of comparable tenor and credit quality to those described in the foregoing clauses (a) through (h) customarily utilized in countries in which such Foreign Subsidiary operates for short-term cash
management purposes; provided that such Investments shall only be included in Total Asset Value if they are freely available to be repatriated to the Borrower without adverse tax or accounting consequences. 

“Cash Management Services”: any cash management services that are (i) in effect on the Closing Date between a Loan Party
and a counterparty that is a Lender or the Administrative Agent or an Affiliate of a Lender or the Administrative Agent as of the Closing Date or (ii) entered into after the Closing Date between a Loan Party and any counterparty that is a
Lender or the Administrative Agent or an Affiliate of a Lender or the Administrative Agent at the time such services are entered into. 

“CDOR Screen Rate”: with respect to any Interest Period, the average rate for bankers acceptances as administered by the
Investment Industry Regulatory Organization of Canada (or any other Person that takes over the administration of that rate) with a tenor equal to such Interest Period, displayed on CDOR page of the Reuters screen (or, in the event such rate does not
appear on such Reuters page, on any successor or substitute page on such screen or service that displays such rate, or on the appropriate page of such other information service that publishes such rate from time to time as selected by the
Administrative Agent in its reasonable discretion) as of the Specified Time on the Quotation Day for such Interest Period. 

“Change in Law”: the occurrence, after the date of this Agreement (or with respect to any Lender, if later, the date on which
such Lender becomes a Lender), of any of the following: (a) the adoption of any law, rule, regulation or treaty, (b) any change in any law, rule, regulation or treaty or in the interpretation or application thereof by any Governmental
Authority or (c) compliance by any Lender or the Issuing Lender (or, for purposes of Section 2.18(b), by any lending office of such Lender or by such Lender’s or the Issuing Lender’s holding company, if any) with any request,
guideline or directive (whether or not having the force of law) of any Governmental Authority made or issued after the date of this Agreement provided that, notwithstanding anything herein to the contrary, (x) the Dodd-Frank Wall Street Reform
and Consumer Protection Act and all requests, rules, guidelines or directives thereunder or issued in connection therewith and (y) all requests, rules, guidelines or directives promulgated by the Bank

  
 -7- 

 
for International Settlements, the Basel Committee on Banking Supervision (or any successor or similar authority) or the United States or foreign regulatory authorities, in each case pursuant to
Basel III, shall be deemed to be a “Change in Law” regardless of the date enacted, adopted or issued. 
 “CHF”:
the lawful currency of Switzerland. 
 “Closing Date”: the date hereof. 

“Code”: the Internal Revenue Code of 1986, as amended from time to time. 

“Commitments”: as to any Lender, the Revolving Commitment and Term Commitments of such Lender. 

“Commitment Fee Rate”: for any calendar quarter (a) 0.35% per annum if the average daily Revolving Commitment Utilization
Percentage for such quarter is less than 50% and (b) 0.25% per annum if the average daily Revolving Commitment Utilization Percentage for such quarter is greater than or equal to 50%. 

“Commodity Exchange Act”: the Commodity Exchange Act (7 U.S.C. § 1 et seq.), as amended from time to time, and any
successor statute. 
 “Commonly Controlled Entity”: an entity, whether or not incorporated, that is under common control
with the Borrower within the meaning of Section 4001 of ERISA or is part of a group that includes the Borrower and that is treated as a single employer under Section 414(b), (c), (m) or (o) of the Code. 

“Communications”: as defined in Section 10.2(d)(ii). 

“Compliance Certificate”: a certificate duly executed by a Responsible Officer substantially in the form of Exhibit B.

 “Conduit Lender”: any special purpose corporation organized and administered by any Lender for the purpose of making
Loans otherwise required to be made by such Lender and designated by such Lender in a written instrument; provided, that the designation by any Lender of a Conduit Lender shall not relieve the designating Lender of any of its obligations to fund a
Loan under this Agreement if, for any reason, its Conduit Lender fails to fund any such Loan, and the designating Lender (and not the Conduit Lender) shall have the sole right and responsibility to deliver all consents and waivers required or
requested under this Agreement with respect to its Conduit Lender, and provided, further, that no Conduit Lender shall (a) be entitled to receive any greater amount pursuant to Section 2.18, 2.19, 2.20 or 10.5 than the designating Lender
would have been entitled to receive in respect of the extensions of credit made by such Conduit Lender or (b) be deemed to have any Commitment. 

  
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 “Connection Income Taxes”: Other Connection Taxes that are imposed on or
measured by net income (however denominated) or that are franchise Taxes or branch profits Taxes. 
 “Consolidated Tangible Net
Worth”: as of any date of determination for Holdings and its Subsidiaries on a consolidated basis, consolidated shareholder’s equity (as reported on the consolidated balance sheet of Holdings in accordance with GAAP) minus assets of
Holdings and its Subsidiaries that are considered to be intangible assets under GAAP (other than SFAS 141 Intangibles). 
 “Construction-in-Process”: cash expenditures for land and improvements with respect to Development Properties determined in accordance with GAAP. 

“Continuing Directors”: the directors of Holdings on the Closing Date, and each other director, if, in each case, such other
director’s nomination for election or appointment to the board of directors of Holdings is made by, or at the direction of, at least a majority of the then Continuing Directors. 

“Contractual Obligation”: as to any Person, any provision of any security issued by such Person or of any agreement,
instrument or other undertaking to which such Person is a party or by which it or any of its property is bound. 
 “Credit
Party”: the Administrative Agent, the Issuing Lender, the Swingline Lender or any other Lender. 
 “Credit
Rating”: the publicly announced senior unsecured credit rating of the Borrower given by Moody’s, S&P or Fitch. 

“Default”: any of the events specified in Section 8, whether or not any requirement for the giving of notice, the lapse
of time, or both, has been satisfied. 
 “Defaulting Lender”: any Lender that (a) has failed, within two Business Days
of the date required to be funded or paid, to (i) fund any portion of its Loans, (ii) fund any portion of its participations in Letters of Credit or Swingline Loans or (iii) pay over to any Credit Party any other amount required to be
paid by it hereunder, unless, in the case of clause (i) above, such Lender notifies the Administrative Agent in writing that such failure is the result of such Lender’s good faith determination that a condition precedent to funding
(specifically identified and including the particular default, if any) has not been satisfied, (b) has notified the Borrower or any Credit Party in writing, or has made a public statement to the effect, that it does not intend or expect to
comply with any of its funding obligations under this Agreement (unless such writing or public statement indicates that such position is based on such Lender’s good faith determination that a condition precedent (specifically identified and
including the particular default, if any) to funding a loan under this Agreement cannot be satisfied) or generally under other agreements in which it commits to extend credit, (c) has failed, within three Business Days after request by a Credit
Party, acting in good faith, to provide a certification in writing from an authorized officer of such Lender that it will comply with its obligations (and is financially able to meet such obligations) to fund prospective Loans and participations in
then outstanding 

  
 -9- 

 
Letters of Credit and Swingline Loans under this Agreement, provided that such Lender shall cease to be a Defaulting Lender pursuant to this clause (c) upon such Credit Party’s receipt
of such certification in form and substance satisfactory to it and the Administrative Agent, (d) has become the subject of a Bankruptcy Event or a Bail-In Action or (e) is the Subsidiary of a Parent
that has become the subject of a Bankruptcy Event or a Bail-In Action. Any determination by the Administrative Agent that a Lender is a Defaulting Lender under any one or more of clauses (a) through (e)
above shall be conclusive and binding absent manifest error, and such Lender shall be deemed to be a Defaulting Lender (subject to Section 2.24(e)) upon delivery of written notice of such determination to the Borrower, the Issuing Lender, the
Swingline Lender and each Lender. 
 “Development Property”: a Real Property owned by the Borrower or one of its
Subsidiaries on which the construction of a medical building of a type consistent with the Borrower’s business strategy has commenced. Such Real Property shall be treated as a Development Property until construction is completed and a
certificate of occupancy (or its equivalent in the applicable jurisdiction) has been issued. 
 “Discharged” means
Indebtedness that has been defeased (pursuant to a contractual or legal defeasance) or discharged pursuant to the prepayment or deposit of amounts sufficient to satisfy such Indebtedness as it becomes due or irrevocably called for redemption in
accordance with the terms of the instrument governing such Indebtedness (and regardless of whether such Indebtedness constitutes a liability on the balance sheet of the obligors thereof); provided, however, that Indebtedness shall be
deemed Discharged if the payment or deposit of all amounts required for defeasance or discharge or redemption thereof have been made even if certain customary conditions thereto have not been satisfied, so long as such conditions are reasonably
expected to be satisfied within 95 days after such prepayment or deposit. 
 “Disposition”: with respect to any property,
any sale, lease, sale and leaseback, assignment, conveyance, transfer, or other disposition thereof. The terms “Dispose” and “Disposed of” shall have correlative meanings. 

“Disqualified Institution”: means (a) (i) a prospective assignee or successor administrative agent (other than a Lender
or an Affiliate of a Lender) which is a REIT investing primarily in healthcare properties (including, without limitation, hospitals) and (ii) which as of any date of determination has been designated by the Borrower as a “Disqualified
Institution” by written notice to the Administrative Agent and the Lenders (including by posting such notice to the Electronic System) not less than ten (10) Business Days prior to such date (provided that “Disqualified
Institutions” shall exclude any Person that the Borrower has designated as no longer being a “Disqualified Institution” by written notice delivered to the Administrative Agent from time to time), or (b) an Affiliate of such REIT
that is clearly identifiable as such based solely on the similarity of its name. 
 “Disqualified Institution List”: has
the meaning assigned to such term in Section 10.6(g). 
 “Documentation Agents”: the financial institutions listed as
“Documentation Agents” on the cover page of this Agreement. 

  
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 “Dollar Equivalent”: at any time, (a) with respect to any amount
denominated in Dollars, such amount, and (b) with respect to any amount denominated in any Alternative Currency, the equivalent amount thereof in Dollars as determined by the Administrative Agent or the Issuing Lender, as the case may be, at
such time on the basis of the Spot Rate (determined in respect of the most recent Revaluation Date) for the purchase of Dollars with such Alternative Currency. 

“Dollar Term Commitment”: as to any Lender, (a) the obligation of such Lender, if any, to make a Dollar Term Loan to the
Borrower in a principal amount not to exceed the amount set forth under the heading “Dollar Term Commitment” opposite such Lender’s name on Schedule 1.1A or (b) any incremental Commitments of such Lender to make New Term
Loans pursuant to Section 2.23. The initial aggregate amount of the Dollar Term Commitments is $200,000,000. 
 “Dollar Term
Facility”: the Dollar Term Commitments and the Dollar Term Loans made thereunder. 
 “Dollar Term Lender”: each
Lender that has a Dollar Term Commitment or that holds a Dollar Term Loan. 
 “Dollar Term Loan”: as defined in Section
2.1(a) and including any incremental Dollar Term Loans made pursuant to Section 2.23. 
 “Dollar Term Loan Maturity
Date”: February 1, 2022. 
 “Dollar Term Percentage”: as to any Dollar Term Lender at any time, the
percentage which such Lender’s Dollar Term Commitment then constitutes of the aggregate Dollar Term Commitments (or, at any time after the Funding Date, the percentage which the aggregate principal amount of such Lender’s Dollar Term Loans
then outstanding constitutes of the aggregate principal amount of all of the Dollar Term Loans then outstanding). 

“Dollars” and “$”: dollars in lawful currency of the United States. 

“Domestic Subsidiary”: any Subsidiary of the Borrower organized under the laws of any jurisdiction within the United States.

 “EBITDA”: for any fiscal period for any Person, consolidated net income (or loss) before interest, taxes, depreciation
and amortization, calculated for such period on a consolidated basis in conformity with GAAP, excluding gains and losses from extraordinary, unusual or non-recurring items, acquisition costs for completed
acquisitions, write-offs of straight-line rent related to sold assets, asset sales or write-ups/write-downs and forgiveness of indebtedness. 

“EBITDAR”: for any fiscal period for any Person, EBITDA of such Person plus rent or operating lease expense of such Person,
calculated for such period on a consolidated basis in conformity with GAAP. 

  
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 “EEA Financial Institution”: means (a) any credit institution or investment
firm established in any EEA Member Country which is subject to the supervision of an EEA Resolution Authority, (b) any entity established in an EEA Member Country which is a parent of an institution described in clause (a) of this
definition, or (c) any financial institution established in an EEA Member Country which is a subsidiary of an institution described in clauses (a) or (b) of this definition and is subject to consolidated supervision with its parent; 

“EEA Member Country”: means any of the member states of the European Union, Iceland, Liechtenstein, and Norway. 

“EEA Resolution Authority”: means any public administrative authority or any person entrusted with public administrative
authority of any EEA Member Country (including any delegee) having responsibility for the resolution of any EEA Financial Institution. 

“Electronic Signature”: an electronic sound, symbol, or process attached to, or associated with, a contract or other record
and adopted by a person with the intent to sign, authenticate or accept such contract or record. 
 “Electronic System”:
any electronic system, including e-mail, e-fax,
Intralinks®, ClearPar®, Debt Domain, Syndtrak and any other Internet or
extranet-based site, whether such electronic system is owned, operated or hosted by the Administrative Agent and the Issuing Lender and any of its respective Related Persons or any other Person, providing for access to data protected by passcodes or
other security system. 
 “Eligible Assignee”: (a) a Lender or any Affiliate or Approved Fund of such Lender, or (b) a
bank, trust company, finance company, insurance company or any other Person that is regularly engaged in making, purchasing or investing in loans of a type similar to the Loans; provided that, notwithstanding the foregoing, “Eligible
Assignee” shall not include (w) Holdings, the Borrower or any of their respective Subsidiaries or Affiliates, (x) any natural person, (y) any Defaulting Lender or (z) any Disqualified Institution. 

“Environmental Laws”: any and all foreign, Federal, state, local or municipal laws, rules, orders, regulations, statutes,
ordinances, codes, decrees, requirements of any Governmental Authority or other Requirements of Law (including common law) regulating, relating to or imposing liability or standards of conduct concerning protection of human health or the
environment, as now or may at any time hereafter be in effect. 
 “ERISA”: the Employee Retirement Income Security Act of
1974, as amended from time to time. 
 “EU Bail-In Legislation Schedule”: means the
EU Bail-In Legislation Schedule published by the Loan Market Association (or any successor person), as in effect from time to time. 

“Euro” and “€”: the single currency of the Participating Member States. 

  
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 “Euro Term Commitment”: as to any Lender, the obligation of such Lender, if any,
to make a Euro Term Loan to the Borrower in a principal amount not to exceed the amount set forth under the heading “Euro Term Commitment” opposite such Lender’s name on Schedule 1.1A. The initial aggregate
amount of the Euro Term Commitments is €200,000,000. 
 “Euro Term Facility”: the Euro Term Commitments and the Euro
Term Loans made thereunder. 
 “Euro Term Lender”: each Lender that has a Euro Term Commitment or that holds a Euro Term
Loan. 
 “Euro Term Loan”: as defined in Section 2.1(b). 

“Euro Term Loan Maturity Date”: January 31, 2020, subject to extension as provided in Section 2.26. 

“Euro Term Percentage”: as to any Euro Term Lender at any time, the percentage which such Lender’s Euro Term Commitment
then constitutes of the aggregate Euro Term Commitments (or, at any time after the Funding Date, the percentage which the aggregate principal amount of such Lender’s Euro Term Loans then outstanding constitutes of the aggregate principal amount
of all of the Euro Term Loans then outstanding). 
 “Eurodollar Base Rate”: with respect to each day during each Interest
Period pertaining to a Eurodollar Loan (a) for any LIBOR Quoted Currency, the London interbank offered rate as administered by ICE Benchmark Administration (or any other Person that takes over the administration of such rate) for the relevant
currency for a period equal in length to such Interest Period as displayed on pages LIBOR01 or LIBOR02 of the Reuters screen that displays such rate (or, in the event such rate does not appear on a Reuters page or screen, on any successor or
substitute page on such screen that displays such rate, or on the appropriate page of such other information service that publishes such rate from time to time as selected by the Administrative Agent in its reasonable discretion; in each case the
“LIBO Screen Rate”) at approximately 11:00 A.M., London time, two Business Days prior to the commencement of such Interest Period, and (b) for any Non-Quoted Currency, the applicable Local
Screen Rate for such Non-Quoted Currency as of the Specified Time and on the Quotation Day for such currency and Interest Period; provided that, if the LIBO Screen or Local Screen Rate shall be less than zero,
such rate shall be deemed to be zero for the purposes of this Agreement and provided, further, if the LIBO Screen Rate or Local Screen Rate shall not be available at such time for such Interest Period (an “Impacted Interest Period”) with
respect to the applicable currency then the Eurodollar Base Rate shall be the Interpolated Rate, provided, that, if any Interpolated Rate shall be less than zero, such rate shall be deemed to be zero for purposes of this Agreement. 

“Eurodollar Loans”: Loans the rate of interest applicable to which is based upon the Eurodollar Rate. Eurodollar Loans may be
denominated in Dollars or, if a Revolving Loan, an Alternative Currency. All Loans denominated in an Alternative Currency must be a Eurodollar Loan. 

  
 -13- 

 “Eurodollar Rate”: with respect to each day during each Interest Period
pertaining to a Eurodollar Loan, an interest rate per annum (rounded upward if necessary to the nearest 1/100th of 1%) equal to (a) the Eurodollar Base Rate for such Interest Period multiplied by (b) the Statutory Reserve Rate. 

“Eurodollar Tranche”: the collective reference to Eurodollar Loans the then current Interest Periods with respect to all of
which begin on the same date and end on the same later date (whether or not such Loans shall originally have been made on the same day). 

“Event of Default”: any of the events specified in Section 8, provided that any requirement for the giving of notice,
the lapse of time, or both, has been satisfied. 
 “Excluded Foreign Subsidiary”: any Foreign Subsidiary, any Subsidiary of
any Foreign Subsidiary, and any Domestic Subsidiary substantially all the assets of which consist of direct or indirect equity or debt investments in one or more Foreign Subsidiaries. 

“Excluded Swap Obligation”: with respect to any Guarantor, any Swap Obligation if, and to the extent that, all or a portion
of the guarantee of such Guarantor of , or the grant by such Guarantor of a security interest to secure, such Swap Obligation (or any guarantee thereof) is or becomes illegal under the Commodity Exchange Act or any rule, regulation or order of the
Commodity Futures Trading Commission (or the application or official interpretation of any thereof) (a) by virtue of such Guarantor’s failure for any reason to constitute an “eligible contract participant” as defined in the
Commodity Exchange Act and the regulations thereunder at the time the guarantee of such Guarantor or the grant of such security interest becomes or would become effective with respect to such Swap Obligation or (b) in the case of a Swap
Obligation subject to a clearing requirement pursuant to Section 2(h) of the Commodity Exchange Act (or any successor provision thereto), because such Guarantor is a “financial entity,” as defined in Section 2(h)(7)(C)(i) the Commodity
Exchange Act (or any successor provision thereto), at the time the guarantee of such Subsidiary Guarantor becomes or would become effective with respect to such related Swap Obligation. If a Swap Obligation arises under a master agreement governing
more than one swap, such exclusion shall apply only to the portion of such Swap Obligation that is attributable to swaps for which such guarantee or security interest is or becomes illegal. 

“Excluded Taxes”: any of the following Taxes imposed on or with respect to a Recipient or required to be withheld or deducted
from a payment to a Recipient, (a) Taxes imposed on or measured by net income (however denominated), franchise Taxes, and branch profits Taxes, in each case, (i) imposed as a result of such Recipient being organized under the laws of, or
having its principal office or, in the case of any Lender, its applicable lending office located in, the jurisdiction imposing such Tax (or any political subdivision thereof) or (ii) that are Other Connection Taxes, (b) in the case of a
Lender, U.S. Federal withholding Taxes imposed on amounts payable to or for the account of such Lender with respect to an applicable interest in a Loan, Letter of Credit or Commitment pursuant to a law in effect on the date on which (i) such
Lender acquires such interest in the Loan, Letter of Credit or Commitment (other than pursuant to an assignment request by the Borrower under Section 2.22) or (ii) such Lender changes its lending office, except in each case to the extent
that, pursuant to Section 2.19, amounts with respect to such Taxes were payable either to such Lender’s assignor immediately before such 

  
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Lender acquired the applicable interest in a Loan, Letter of Credit or Commitment or to such Lender immediately before it changed its lending office, (c) Taxes attributable to such
Recipient’s failure to comply with Section 2.19(f) and (d) any U.S. Federal withholding Taxes imposed under FATCA. 

“Existing Credit Agreement”: as defined in the recitals hereto. 

“Facility”: each of (a) the Term Facilities and (b) the Revolving Facility, and collectively, the
“Facilities”. 
 “Facility Fee”: as defined in Section 2.8(b). 

“Facility Fee Percentage”: the rate per annum set forth in the Pricing Grids. 

“FATCA”: Sections 1471 through 1474 of the Code, as of the date of this Agreement (or any amended or successor version that
is substantively comparable and not materially more onerous to comply with), any current or future regulations or official interpretations thereof (including any intergovernmental agreement implementing the foregoing) and any agreement entered into
pursuant to Section 1471(b)(1) of the Code. 
 “Federal Funds Effective Rate”: for any day, the rate calculated by the
NYFRB based on such day’s federal funds transactions by depositary institutions, as determined in such manner as the NYFRB shall set forth on its public website from time to time, and published on the next succeeding Business Day by the NYFRB
as the federal funds effective rate, provided that if the Federal Funds Effective Rate shall be less than zero, such rate shall be deemed to zero for the purposes of this Agreement. 

“Fee Payment Date”: the first Business Day following the last day of each March, June, September and December and the last
day of the Revolving Commitment Period. 
 “Fitch”: Fitch, Inc. 

“Foreign Lender”: (a) if the Borrower is a U.S. Person, a Lender that is not a U.S. Person, and (b) if the Borrower is
not a U.S. Person, a Lender that is resident or organized under the laws of a jurisdiction other than that in which the Borrower is resident for tax purposes. 

“Foreign Subsidiary”: any Subsidiary of the Borrower that is not a Domestic Subsidiary. 

“Foreign Subsidiary Borrower”: as defined in Section 10.22(a). 

“Funding Date”: the date on which the conditions precedent set forth in Section 5.1 shall have been satisfied (or waived
in accordance with Section 10.1). 
 “Funding Office”: the office of the Administrative Agent specified in
Section 10.2 or such other office as may be specified from time to time by the Administrative Agent as its funding office by written notice to the Borrower and the Lenders. 

  
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 “GAAP”: generally accepted accounting principles in the United States as in
effect from time to time, except that for purposes of Section 7.1, GAAP shall be determined on the basis of such principles in effect on the date hereof and consistent with those used in the preparation of the most recent audited financial
statements referred to in Section 4.1(b). In the event that any “Accounting Change” (as defined below) shall occur and such change results in a change in the method of calculation of financial covenants, standards or terms in this
Agreement, then the Borrower and the Administrative Agent agree to enter into negotiations in order to amend such provisions of this Agreement so as to reflect equitably such Accounting Changes with the desired result that the criteria for
evaluating the Borrower’s financial condition shall be the same after such Accounting Changes as if such Accounting Changes had not been made. Until such time as such an amendment shall have been executed and delivered by the Borrower, the
Administrative Agent and the Required Lenders, all financial covenants, standards and terms in this Agreement shall continue to be calculated or construed as if such Accounting Changes had not occurred. “Accounting Changes” refers to
changes in accounting principles required by the promulgation of any rule, regulation, pronouncement or opinion by the Financial Accounting Standards Board of the American Institute of Certified Public Accountants or, if applicable, the SEC.
Notwithstanding the foregoing, for purposes of determining compliance with any covenant (including the computation of any financial covenant) contained herein, (i) with respect to the accounting for leases as either operating leases or capital
leases and the impact of such accounting in accordance with Accounting Standards Codification 840 on the definitions and covenants herein, GAAP as in effect on the Closing Date shall be applied and (ii) Indebtedness of Holdings and its
Subsidiaries shall be deemed to be carried at 100% of the outstanding principal amount thereof, and the effects of FASB ASC 825 and FASB ASC 470-20 on financial liabilities shall be disregarded. 

“Governmental Authority”: any nation or government, any state or other political subdivision thereof, any agency, authority,
instrumentality, regulatory body, court, central bank or other entity exercising executive, legislative, judicial, taxing, regulatory or administrative functions of or pertaining to government, any securities exchange and any self-regulatory
organization (including the National Association of Insurance Commissioners). 
 “Group Members”: the collective reference
to Holdings, the Borrower and their respective Subsidiaries. 
 “Guarantee Agreement”: the Guarantee Agreement to be
executed and delivered by Holdings, the Borrower and any Subsidiary Guarantor, substantially in the form of Exhibit A. 

“Guarantee Obligation”: as to any Person (the “guaranteeing person”), any obligation, including a reimbursement,
counterindemnity or similar obligation, of the guaranteeing Person that guarantees or in effect guarantees, or which is given to induce the creation of a separate obligation by another Person (including any bank under any letter of credit) that
guarantees or in effect guarantees, any Indebtedness, leases, dividends or other obligations (the “primary obligations”) of any other third Person (the “primary obligor”) in any manner, whether directly or indirectly, including
any obligation of the guaranteeing person, whether or not contingent, (i) to purchase any such primary obligation or any property constituting direct or indirect security therefor, (ii) to advance or supply funds (1) for the purchase
or payment of any such primary obligation or (2) to maintain working capital or equity 

  
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capital of the primary obligor or otherwise to maintain the net worth or solvency of the primary obligor, (iii) to purchase property, securities or services primarily for the purpose of
assuring the owner of any such primary obligation of the ability of the primary obligor to make payment of such primary obligation or (iv) otherwise to assure or hold harmless the owner of any such primary obligation against loss in respect
thereof; provided, however, that the term Guarantee Obligation shall not include endorsements of instruments for deposit or collection in the ordinary course of business, or customary and reasonable indemnity obligations in effect on the Closing
Date or entered into in connection with any acquisition or Disposition of assets permitted under this Agreement (other than such obligations with respect to Indebtedness). The amount of any Guarantee Obligation of any guaranteeing person shall be
deemed to be the lower of (a) an amount equal to the stated or determinable amount of the primary obligation in respect of which such Guarantee Obligation is made and (b) the maximum amount for which such guaranteeing person may be liable
pursuant to the terms of the instrument embodying such Guarantee Obligation, unless such primary obligation and the maximum amount for which such guaranteeing person may be liable are not stated or determinable, in which case the amount of such
Guarantee Obligation shall be such guaranteeing person’s maximum reasonably anticipated liability in respect thereof as determined by the Borrower in good faith. 

“Guarantors”: the collective reference to Holdings and any Subsidiary Guarantors. 

“Holdings”: as defined in the preamble hereto. 

“Immaterial Subsidiary”: any Subsidiary of the Borrower that (x) does not own or lease an Unencumbered Property and
(y) on a consolidated basis with its respective Subsidiaries and treated as if all such Subsidiaries and their respective Subsidiaries were combined and consolidated as a single Subsidiary, have an aggregate net equity value of $75,000,000 or
less. 
 “Impacted Interest Period”: as defined in the definition of “Eurodollar Base Rate”. 

“Increased Amount Date”: as defined in Section 2.23(a). 

“Incremental Commitments”: as defined in Section 2.23(a). 

“Indebtedness”: of any Person at any date, without duplication, (a) all indebtedness of such Person for borrowed money,
(b) all obligations of such Person for the deferred purchase price of property or services (other than current trade payables incurred in the ordinary course of such Person’s business), (c) all obligations of such Person evidenced by
notes, bonds, debentures or other similar instruments, (d) all indebtedness created or arising under any conditional sale or other title retention agreement with respect to property acquired by such Person (even though the rights and remedies
of the seller or lender under such agreement in the event of default are limited to repossession or sale of such property), (e) all Capital Lease Obligations of such Person, (f) all obligations of such Person, contingent or otherwise, as an
account party or applicant under or in respect of acceptances, letters of credit, surety bonds or similar arrangements, (g) the liquidation value of all mandatorily redeemable preferred Capital 

  
 -17- 

 
Stock of such Person, (h) all Guarantee Obligations of such Person in respect of obligations of the kind referred to in clauses (a) through (g) above, (i) all obligations of the
kind referred to in clauses (a) through (h) above secured by (or for which the holder of such obligation has an existing right, contingent or otherwise, to be secured by) any Lien on property (including accounts and contract rights) owned by
such Person, whether or not such Person has assumed or become liable for the payment of such obligation, (j) all obligations under so-called forward equity purchase contracts to the extent such
obligations are not payable solely in equity interests, (k) all obligations in respect of any so-called “synthetic lease” (i.e., a lease of property which is treated as an operating lease under
GAAP and as a loan for U.S. income tax purposes) and (l) such obligor’s liabilities, contingent or otherwise of the type set forth in (a) through (h) above, under any joint-venture, limited liability company or partnership agreement,
and (m) all obligations of such Person in respect of Swap Agreements, valued at the Swap Termination Value thereof. The Indebtedness of any Person shall include the Indebtedness of any other entity (including any partnership in which such
Person is a general partner) to the extent such Person is liable therefor as a result of such Person’s ownership interest in or other relationship with such entity, except to the extent the terms of such Indebtedness expressly provide that such
Person is not liable therefor. Notwithstanding the foregoing, in no event shall the following constitute Indebtedness: (u) purchase price holdbacks arising in the ordinary course of business in respect of a portion of the purchase price of an
asset to satisfy warrants or other unperformed obligations of the seller of such asset, (v) amounts owed to dissenting stockholders in connection with, or as a result of, their exercise of appraisal rights and the settlement of any claims or
actions (whether actual, contingent or potential) with respect thereto (including any accrued interest), with respect to the Transactions, (w) trade accounts payable, deferred revenues, liabilities associated with customer prepayments and
deposits and other accrued obligations (including transfer pricing and accruals for payroll and other operating expenses accrued in the ordinary course of business), in each case incurred in the ordinary course of business, (x) operating
leases, (y) customary obligations under employment agreements and deferred compensation and (z) prepaid or deferred revenue and deferred tax liabilities. Notwithstanding the foregoing, the term “Indebtedness” shall not include
contingent postclosing purchase price adjustments, non-compete or consulting obligations or earn-outs to which the seller in an Acquisition or Investment may become entitled. 

“Indemnified Taxes”: (a) Taxes, other than Excluded Taxes, imposed on or with respect to any payment made by or on account of
any obligation of any Loan Party under any Loan Document and (b) to the extent not otherwise described in (a) hereof, Other Taxes. 

“Insolvency”: with respect to any Multiemployer Plan, the condition that such Plan is insolvent within the meaning of
Section 4245 of ERISA. 
 “Insolvent”: pertaining to a condition of Insolvency. 

“Intellectual Property”: the collective reference to all rights, priorities and privileges relating to intellectual property,
whether arising under United States, multinational or foreign laws or otherwise, including copyrights, copyright licenses, patents, patent licenses, trademarks, trademark licenses, technology, know-how and
processes, and all rights to sue at law or in equity for any infringement or other impairment thereof, including the right to receive all proceeds and damages therefrom. 

  
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 “Interest Expense”: for any fiscal period, an amount equal to the sum of the
following with respect to all Total Indebtedness: (i) total interest expense, accrued in accordance with GAAP, plus (ii) all capitalized interest determined in accordance with GAAP (including the Borrower’s pro rata share thereof for
unconsolidated Subsidiaries and joint ventures), excluding, to the extent included in Interest Expense above, (A) the amount of such Interest Expense of any Subsidiary if the net income of such Subsidiary is excluded in the calculation
of Net Operating Income (but only in the same proportion as the net income of such Subsidiary is excluded from the calculation of Net Operating Income), as determined on a consolidated basis in conformity with GAAP and (B) (i) accretion of
accrual of discounted liabilities not constituting Indebtedness, (ii) any expense resulting from the discounting of any outstanding Indebtedness in connection with the application of purchase accounting in connection with any acquisition,
(iii) amortization of deferred financing fees, debt issuance costs, commissions, fees and expenses, (iv) any expensing of bridge, commitment or other financing fees (but not revolving loan commitment fees, including, without limitation,
any fees associated with the exercise of the option to increase the Commitments) and (v) any amount not payable in cash). 

“Interest Payment Date”: (a) as to any ABR Loan (other than any Swingline Loan), the last day of each March, June, September
and December to occur while such Loan is outstanding and the final maturity date of such Loan, (b) as to any Eurodollar Loan having an Interest Period of three months or less, the last day of such Interest Period, (c) as to any Eurodollar
Loan having an Interest Period longer than three months, each day that is three months, or a whole multiple thereof, after the first day of such Interest Period and the last day of such Interest Period, (d) as to any Loan (other than any
Revolving Loan that is an ABR Loan and any Swingline Loan), the date of any repayment or prepayment made in respect thereof and (e) as to any Swingline Loan, the day that such Loan is required to be repaid. 

“Interest Period”: as to any Eurodollar Loan, (a) initially, the period commencing on the borrowing or conversion date,
as the case may be, with respect to such Eurodollar Loan and ending one, two, three or six months (or, for any LIBOR Quoted Currency, with the consent of each Lender, twelve months) thereafter, as selected by the Borrower in its notice of borrowing
or notice of conversion, as the case may be, given with respect thereto; and (b) thereafter, each period commencing on the last day of the next preceding Interest Period applicable to such Eurodollar Loan and ending one, two, three or six
months (or, for any LIBOR Quoted Currency, with the consent of each Lender, twelve months) thereafter, as selected by the Borrower by irrevocable notice to the Administrative Agent not later than 11:00 A.M., New York City time, on the date that is
(x) three Business Days prior to the last day of the then current Interest Period with respect to Eurodollar Loans denominated in Dollars and (y) four Business Days prior to the last day of the then current Interest Period with respect to
Eurodollar Loans denominated in Alternative Currencies; provided that, all of the foregoing provisions relating to Interest Periods are subject to the following: 

(i) if any Interest Period would otherwise end on a day that is not a Business Day, such Interest Period shall be extended to
the next succeeding Business Day unless the result of such extension would be to carry such Interest Period into another calendar month in which event such Interest Period shall end on the immediately preceding Business Day; 

  
 -19- 

 (ii) the Borrower may not select an Interest Period with respect to any Loan that
would extend beyond the Revolving Termination Date or the applicable Term Loan Maturity Date, as applicable, for such Loan; 

(iii) any Interest Period that begins on the last Business Day of a calendar month (or on a day for which there is no
numerically corresponding day in the calendar month at the end of such Interest Period) shall end on the last Business Day of a calendar month; and 

(iv) the Borrower shall select Interest Periods so as not to require a payment or prepayment of any Eurodollar Loan during an
Interest Period for such Loan. 
 “Interpolated Rate”: at any time, for any Interest Period, the rate per
annum (rounded to the same number of decimal places as the applicable Screen Rate) determined by the Administrative Agent (which determination shall be conclusive and binding absent manifest error) to be equal to the rate that results from
interpolating on a linear basis between: (a) the applicable Screen Rate for the longest period (for which such Screen Rate is available for the applicable currency) that is shorter than the Impacted Interest Period; and (b) the applicable
Screen Rate for the shortest period (for which such Screen Rate is available for the applicable currency) that exceeds the Impacted Interest Period, in each case, at such time. 

“Investment Grade Rating”: a Credit Rating of BBB- or better from S&P or a Credit
Rating of Baa3 or better from Moody’s. 
 “Investments”: as defined in Section 7.8. 

“IRS”: the United States Internal Revenue Service. 

“Issuing Lender”: JPMorgan Chase Bank, N.A., Bank of America, N.A., KeyBank National Association, Barclays Bank PLC, Goldman
Sachs Bank USA and any other Lender that agrees to act as an Issuing Lender with the consent of the Borrower, each in its capacity as the issuer of Letters of Credit hereunder, and its successors in such capacity as provided in Section 3.9. The
Issuing Lender may, in its discretion, arrange for one or more Letters of Credit to be issued by Affiliates of the Issuing Lender, in which case the term “Issuing Lender” shall include any such Affiliate with respect to Letters of Credit
issued by such Affiliate. Each reference herein to the “Issuing Lender” shall be deemed to be a reference to the relevant Issuing Lender, each Issuing Lender or all Issuing Lenders, as the context may require. 

“Issuing Lender Commitment”: with respect to each Issuing Lender, the commitment of such Issuing Lender to issue Letters of
Credit hereunder. The initial amount of each Issuing Lender’s Issuing Lender Commitment is set forth on Schedule 1.1C, or if an Issuing Lender has entered into an Assignment and Assumption, the amount set forth for such Issuing Lender as
its Issuing Lender Commitment in the Register maintained by the Administrative Agent. 
 “L/C Commitment”: the amount that
is ten percent (10%) of the Total Revolving Commitments then in effect. 

  
 -20- 

 “L/C Exposure”: at any time, the sum of the L/C Obligations at such time. Except
to the extent that the L/C Exposure of a Defaulting Lender has been reallocated in accordance with Section 2.24(c), the L/C Exposure of any Revolving Lender shall be its Revolving Percentage of the total L/C Exposure at such time. 

“L/C Obligations”: at any time, an amount equal to the sum of (a) the aggregate then undrawn and unexpired Dollar
Equivalent amount of the then outstanding Letters of Credit and (b) the aggregate Dollar Equivalent amount of drawings under Letters of Credit that have not then been reimbursed pursuant to Section 3.5. 

“L/C Participants”: the collective reference to all the Revolving Lenders other than the Issuing Lender. 

“Lease Coverage Ratio”: for any person or property for any period, the ratio of EBITDAR for such person or property for such
period to the aggregate rent payable under leases with respect to such person or property for such period. 
 “Lender Swap
Agreement”: any Swap Agreement that (i) was in effect on the Closing Date between a Loan Party and a counterparty that is a Lender or the Administrative Agent or an Affiliate of a Lender or the Administrative Agent as of the Closing
Date or (ii) is or was entered into after the Closing Date between a Loan Party and any counterparty that is a Lender or the Administrative Agent or an Affiliate of a Lender or the Administrative Agent at the time such Swap Agreement is entered
into. 
 “Lenders”: as defined in the preamble hereto; provided, that unless the context otherwise requires, each reference
herein to the Lenders shall be deemed to include any Conduit Lender. 
 “Letters of Credit”: as defined in Section 3.1(a).
Letters of Credit may be denominated in Dollars or an Alternative Currency. 
 “LIBO Screen Rate”: as defined in the
definition of “Eurodollar Base Rate”. 
 “LIBOR Quoted Currency”: Dollars, Euros, GBP, JPY and CHF. 

“Lien”: any mortgage, pledge, hypothecation, assignment, deposit arrangement, encumbrance, lien (statutory or other), charge
or other security interest or any preference, priority or other security agreement or preferential arrangement of any kind or nature whatsoever (including any conditional sale or other title retention agreement and any capital lease having
substantially the same economic effect as any of the foregoing). 
 “Loan”: any loan made by any Lender pursuant to this
Agreement. 
 “Loan Documents”: this Agreement, the Guarantee Agreement, the Notes, any Adherence Agreements, any Qualified
Borrower Guarantees, any document granting a Lien on cash collateral pursuant to Section 8, the fee agreements described in Section 2.8(b), and any amendment, waiver, supplement or other modification to any of the foregoing. 

  
 -21- 

 “Loan Parties”: Holdings, the Borrower (including any Subsidiary Borrowers) and
any Subsidiary Guarantors. 
 “Local Screen Rates”: the AUD Screen Rate or the CDOR Screen Rate. 

“Majority Facility Lenders”: with respect to any Facility, the holders of more than 50% of the aggregate unpaid principal
amount of the Term Loans or the Total Revolving Extensions of Credit, as the case may be, outstanding under such Facility (or, in the case of the Revolving Facility, prior to any termination of the Revolving Commitments, the holders of more than 50%
of the Total Revolving Commitments). 
 “Material Adverse Effect”: a material adverse effect on (a) the business,
property, operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole or (b) the validity or enforceability of this Agreement or any of the other Loan Documents or the rights or remedies of the
Administrative Agent or the Lenders hereunder or thereunder. 
 “Materials of Environmental Concern”: any gasoline or
petroleum (including crude oil or any fraction thereof) or petroleum products or any hazardous or toxic substances, materials or wastes, defined or regulated as such in or under any Environmental Law, including asbestos, polychlorinated biphenyls
and urea-formaldehyde insulation. 
 “Median”: Median Kliniken S. à r.l. together with its subsidiaries, affiliates
and participations. 
 “Median Investment”: any Investment made by the Borrower or its Subsidiaries, directly or
indirectly, in Median. 
 “Moody’s”: as defined in the definition of Cash Equivalents. 

“Mortgage Note”: as defined in the definition of Total Asset Value. 

“Multiemployer Plan”: a Plan that is a multiemployer plan as defined in Section 4001(a)(3) of ERISA and in respect of which
the Borrower or a Commonly Controlled Entity participates or is required to make contributions with respect thereto. 
 “Net Cash
Proceeds”: in connection with any issuance or sale of Capital Stock, the cash proceeds received from such issuance or incurrence, net of attorneys’ fees, investment banking fees, accountants’ fees, underwriting discounts and
commissions and other customary fees and expenses actually incurred in connection therewith. 
 “Net Operating Income
(“NOI”)”: for any fiscal period, and with respect to any Real Property, the total rental and other operating income from the operation of such Real Property (including proceeds of rent loss or business interruption insurance)
after deducting all expenses and other proper charges incurred by the Group Members in connection with the operation of such Real Property during such fiscal period, including, without limitation, property operating expenses paid by a Group Member
and real estate taxes and bad debt expenses paid by a Group Member, but before payment or provision for Total Fixed Charges, income taxes, and depreciation, amortization, and other non-cash expenses of a Group
Member, all as determined 

  
 -22- 

 
in accordance with GAAP. In the case of Real Property owned by Affiliates of the Borrower which are not wholly-owned by the Borrower, Net Operating Income shall be reduced by the amount of cash
flow of such Affiliate allocated for distribution to the other owners of such Affiliate. 
 “New Revolving Commitments”: as
defined in Section 2.23(a). 
 “New Revolving Lender”: as defined in Section 2.23(a). 

“New Term Commitments”: as defined in Section 2.23(a). 

“New Term Lender”: as defined in Section 2.23(a). 

“New Term Loan”: as defined in Section 2.23(a). 

“Non-Consenting Lender” means any Lender that does not approve any consent, waiver or
amendment that (a) requires the approval of all Lenders or all affected Lenders in accordance with the terms of Section 10.01 and (b) has been approved by the Required Lenders. 

“Non-Quoted Currency”: means each of AUD and CAD; collectively, “Non-Quoted Currencies”. 
 “Nonrecourse Indebtedness”: with respect to a
Person, Indebtedness for borrowed money (or the portion thereof) in respect of which recourse for payment (except for customary exceptions for fraud, misapplication of funds, environmental indemnities, violation of “special purpose entity”
covenants, bankruptcy, insolvency, receivership or other similar events and other similar exceptions to recourse liability until a claim is made with respect thereto, and then in the event of any such claim, only a portion of such Indebtedness in an
amount equal to the amount of such claim shall no longer constitute “Nonrecourse Indebtedness” for the period that such portion is subject to such claim) is contractually limited to specific assets of such Person encumbered by a Lien
securing such Indebtedness. 
 “Normalized Adjusted FFO”: for any fiscal period, “funds from operations” (or
“FFO”) of the Group Members as defined in accordance with resolutions adopted by the Board of Governors of the National Association of Real Estate Investment Trusts as in effect from time to time; provided that FFO shall (a) be based
on net income after payment of distributions to holders of preferred partnership units in the Borrower and distributions necessary to pay holders of preferred stock of Holdings and (b) at all times exclude (i) charges for impairment
losses, (ii) stock-based compensation, (iii) write-offs or reserves of straight-line rent related to sold assets, (iv) amortization of debt costs, (v) non-recurring charges and
(vi) any costs, fees and expenses related to acquisitions. 
 “Notes”: the collective reference to any promissory note
evidencing Loans. 
 “NYFRB”: means the Federal Reserve Bank of New York. 

“NYFRB Rate”: means, for any day, the greater of (a) the Federal Funds Effective Rate in effect on such day and
(b) the Overnight Bank Funding Rate in effect on such 

  
 -23- 

 
day(or for any day that is not a Business Day, for the immediately preceding Business Day); provided that if none of such rates are published for any day that is a Business Day, the term
“NYFRB Rate” means the rate for a Federal funds transaction quoted at 11:00 a.m. (New York City time) on such day received by the Administrative Agent from a Federal funds broker of recognized standing selected by it; provided,
further, that if any of the aforesaid rates shall be less than zero, such rate shall be deemed to be zero for purposes of this Agreement. 

“Obligations”: the unpaid principal of and interest on (including interest accruing after the maturity of the Loans and
Reimbursement Obligations and interest accruing after the filing of any petition in bankruptcy, or the commencement of any insolvency, reorganization or like proceeding, relating to the Borrower, whether or not a claim for post-filing or
post-petition interest is allowed in such proceeding) the Loans and all other obligations and liabilities of the Borrower to the Administrative Agent or to any Lender, whether direct or indirect, absolute or contingent, due or to become due, or now
existing or hereafter incurred, which may arise under, out of, or in connection with, this Agreement, any other Loan Document, the Letters of Credit, or any other document made, delivered or given in connection herewith or therewith, whether on
account of principal, interest, reimbursement obligations, fees, indemnities, costs, expenses (including all fees, charges and disbursements of counsel to the Administrative Agent or to any Lender that are required to be paid by the Borrower
pursuant hereto) or otherwise; provided, however, that the definition of “Obligations” shall not create any guarantee by any Guarantor of (or grant of security interest by any Guarantor to support, as applicable) any Excluded Swap
Obligations of such Guarantor for purposes of determining any obligations of any Guarantor. 
 “Other Connection Taxes”:
with respect to any Recipient, Taxes imposed as a result of a present or former connection between such Recipient and the jurisdiction imposing such Tax (other than connections arising from such Recipient having executed, delivered, become a party
to, performed its obligations under, received payments under, received or perfected a security interest under, engaged in any other transaction pursuant to or enforced any Loan Document, or sold or assigned an interest in any Loan, Letter of Credit
or Loan Document). 
 “Other Taxes”: all present or future stamp, court or documentary, intangible, recording, filing or
similar Taxes that arise from any payment made under, from the execution, delivery, performance, enforcement or registration of, from the receipt or perfection of a security interest under, or otherwise with respect to, any Loan Document, except any
such Taxes that are Other Connection Taxes imposed with respect to an assignment (other than an assignment made pursuant to Section 2.22). 

“Overnight Bank Funding Rate”: means, for any day, the rate comprised of both overnight Federal funds and overnight
Eurodollar borrowings by U.S.-managed banking offices of depository institutions (as such composite rate shall be determined by the NYFRB as set forth on its public website from time to time) and published on the next succeeding Business Day by the
NYFRB as an overnight bank funding rate (from and after such date as the NYFRB shall commence to publish such composite rate). 

“Parent”: with respect to any Lender, any Person as to which such Lender is, directly or indirectly, a subsidiary. 

  
 -24- 

 “Participant”: as defined in Section 10.6(c). 

“Participant Register”: as defined in Section 10.6(c). 

“Participating Member States”: any member state of the European Union that has the Euro as its lawful currency in accordance
with legislation of the European Union relating to Economic and Monetary Union. 
 “PBGC”: the Pension Benefit Guaranty
Corporation established pursuant to Subtitle A of Title IV of ERISA (or any successor). 
 “Permitted Investments”: 

 

	 	(a)	Investments made by the Borrower or the Subsidiaries as a result of consideration received in connection with any disposition or transfer of assets permitted under Section 7.5; 

 

	 	(b)	extensions of trade credit in the ordinary course of business; 

  

	 	(c)	Investments in cash and Cash Equivalents; 

  

	 	(d)	Guarantee Obligations permitted by Section 7.2; 

  

	 	(e)	loans and advances to employees of any Group Member in the ordinary course of business (including for travel, entertainment and relocation expenses) in an aggregate amount for all Group Members not to exceed $2,500,000
at any one time outstanding; 

  

	 	(f)	Investments received in satisfaction of judgments or in settlements of debt or compromises of obligations incurred in the ordinary course of business; 

 

	 	(g)	Investments in tenants and any Investments made pursuant to a RIDEA Structure in an aggregate amount not to exceed the greater of (x) $1,000,000,000 and (y) 15% of Total Asset Value at any one time outstanding, so long
as such Investment does not cause an Event of Default; 

  

	 	(h)	obligations under Swap Agreements otherwise permitted under this Agreement; 

  

	 	(i)	intercompany Investments by any Group Member in the Borrower or any Person that, prior to such or upon the making of such investment, is a Wholly-Owned Subsidiary of the Borrower; 

 

	 	(j)	any Investment consisting of prepaid expenses, negotiable instruments held for collection and lease, endorsements for deposit or collection in the ordinary course of business, utility or workers compensation,
performance and similar deposits entered into as a result of the operations of the business in the ordinary course of business; 

  
 -25- 

	 	(k)	Investments in Subsidiaries (other than Wholly-Owned Subsidiaries of the Borrower) and joint ventures, so long as such Investment does not cause an Event of Default; 

 

	 	(l)	Investments consisting of acquisitions of real property or Mortgage Notes receivable (including any such acquisitions effected through acquisition, merger, or consolidation of a Person that will become a Subsidiary)
consistent with the Borrower’s business strategy, so long as such Investment does not cause an Event of Default; 

  

	 	(m)	additional Investments not to exceed the greater of (x) $350,000,000 and (y) 5.0% of Total Asset Value at any time outstanding, so long as such Investment does not cause an Event of Default; 

 

	 	(n)	pledges or deposits by a Person under workers’ compensation laws, unemployment insurance laws or similar legislation, or deposits in connection with bids, tenders, contracts (other than for the payment of
Indebtedness) or leases to which such Person is a party, or deposits as security for contested taxes or import duties or for the payment of rent, in each case incurred in the ordinary course of business; 

 

	 	(o)	any Investment acquired by Holdings, the Borrower or any of its Subsidiaries (a) in exchange for any other Investment or accounts receivable or rents receivable held by Holdings, the Borrower or any such Subsidiary
in connection with or as a result of a bankruptcy, workout, reorganization or recapitalization of the issuer of such other Investment or accounts receivable or rents receivable or (b) as a result of a foreclosure by Holdings, the Borrower or
any of its Subsidiaries with respect to any secured Investment or other transfer of title with respect to any secured Investment in default; 

  

	 	(p)	payroll, travel and similar advances to cover matters that are expected at the time of such advances ultimately to be treated as expenses in accordance with GAAP; 

 

	 	(q)	any Investment made in connection with the funding of contributions under any non-qualified employee retirement plan or similar employee compensation plan in an amount not to
exceed the amount of compensation expenses recognized by Holdings, the Borrower and any of their Subsidiaries in connection with such plans; 

  

	 	(r)	the Median Investment; and 

  

	 	(s)	any transaction (other than any Investment specifically limited by the above clauses (a) through (s)) which constitutes an Investment to the extent permitted by Section 7.10. 

  
 -26- 

 “Person”: an individual, partnership, corporation, limited liability company,
business trust, joint stock company, trust, unincorporated association, joint venture, Governmental Authority or other entity of whatever nature. 

“Plan”: at a particular time, any employee benefit plan that is covered by ERISA and in respect of which the Borrower or a
Commonly Controlled Entity is at such time (or, if such plan were terminated at such time, would under Section 4069 of ERISA be deemed to be) an “employer” as defined in Section 3(5) of ERISA. 

“Pooled Unencumbered Properties”: the Unencumbered Properties consisting of (a) as of the Closing Date, those properties
set forth on Schedule PUP for which the underlying leases relating to such properties are cross-defaulted, and (b) after the Closing Date, such other additional or replacement Unencumbered Properties for which the underlying leases
relating to such properties are cross-defaulted and which are reasonably acceptable to the Administrative Agent for addition to Schedule PUP from time to time. 

“Pricing Grids”: the tables set forth below (the “Ratings Based Pricing Grids”). 

For Revolving Loans 
  

													
	 Range of Credit Ratings (S&P/Moody’s/ Fitch Ratings)
	  	Applicable Margin
for Revolving Loans
which are Eurodollar
Loans
(% per annum)	 	 	Applicable Margin for
Revolving Loans which
are ABR Loans
(% per annum)	 	 	Facility Fee
Percentage
(% per annum)	 
	 A-/A3 or higher
	  	 	0.875	% 	 	 	0.00	% 	 	 	0.125	% 
	 BBB+/Baa1
	  	 	0.90	% 	 	 	0.00	% 	 	 	0.15	% 
	 BBB/Baa2
	  	 	1.05	% 	 	 	0.05	% 	 	 	0.20	% 
	 BBB-/Baa3
	  	 	1.25	% 	 	 	0.25	% 	 	 	0.25	% 
	 below BBB-/Baa3 or unrated
	  	 	1.65	% 	 	 	0.65	% 	 	 	0.30	% 

 For Term Loans 
  

									
	 Range of Credit Ratings (S&P/Moody’s/ Fitch Ratings)
	  	Applicable Margin
for Term Loans
which are Eurodollar
Loans
(% per annum)	 	 	Applicable Margin for
Term Loans which are
ABR Loans
(% per annum)	 
	 A-/A3 or higher
	  	 	0.90	% 	 	 	0.00	% 
	 BBB+/Baa1
	  	 	0.95	% 	 	 	0.00	% 
	 BBB/Baa2
	  	 	1.20	% 	 	 	0.20	% 
	 BBB-/Baa3
	  	 	1.50	% 	 	 	0.50	% 
	 below BBB-/Baa3 or unrated
	  	 	1.95	% 	 	 	0.95	% 

  
 -27- 

 For purposes of the Ratings Based Pricing Grids, if at any time the Borrower has two
(2) Credit Ratings, the Applicable Margin and Facility Fee Percentage shall be the rate per annum applicable to the highest Credit Rating; provided that if the highest Credit Rating and the lowest Credit Rating are more than one ratings
category apart, the Applicable Margin and Facility Fee Percentage shall be the rate per annum applicable to Credit Rating that is one ratings category below the highest Credit Rating. If at any time the Borrower has three (3) Credit Ratings,
and such Credit Ratings are split, then: (A) if the difference between the highest and the lowest such Credit Ratings is one ratings category (e.g. Baa2 by Moody’s and BBB- by S&P or Fitch), the
Applicable Margin and Facility Fee Percentage shall be the rate per annum that would be applicable if the highest of the Credit Ratings were used; and (B) if the difference between such Credit Ratings is two ratings categories (e.g. Baa1 by
Moody’s and BBB- by S&P or Fitch) or more, the Applicable Margin and Facility Fee Percentage shall be the rate per annum that would be applicable if the average of the two (2) highest Credit
Ratings were used, provided that if such average is not a recognized rating category, then the Applicable Margin and Facility Fee Percentage shall be the rate per annum that would be applicable if the second highest Credit Rating of the three were
used. If at any time the Borrower has only one Credit Rating (and such Credit Rating is from Moody’s or S&P), the Applicable Margin and Facility Fee Percentage shall be the rate per annum applicable to such Credit Rating. If the Borrower
does not have a Credit Rating from either Moody’s or S&P, the Applicable Margin and Facility Fee Percentage shall be the rate per annum applicable to a Credit Rating of “below BBB-/Baa3 or
unrated” in the tables above. 
 A change (if any) in the Applicable Margin and Facility Fee Percentage shall be effective immediately
as of the date on which any of the rating agencies announces a change in the Credit Rating or the date on which the Borrower no longer has a Credit Rating from one of the rating agencies or the date on which the Borrower has a Credit Rating from a
rating agency that had not provided a Credit Rating for the Borrower on the day immediately preceding such date, whichever is applicable. 

“Projections”: as defined in Section 6.2(b). 

“Properties”: as defined in Section 4.17(a). 

“Property Owning Subsidiary”: a Subsidiary of the Borrower that owns or leases any Real Property. 

“Qualified Borrower Guarantee”: a Qualified Borrower Guarantee substantially in the form of Exhibit H executed and
delivered by the Borrower to the Administrative Agent in connection with the admission of a Subsidiary Borrower as a Borrower hereunder. 

“Quotation Day”: with respect to any borrowing of Eurodollar Loans for any Interest Period, (i) if the currency is GBP,
AUD or CAD, the first day of such Interest Period, (ii) if the currency is Euro, two TARGET Days before the first day of such Interest Period, and (iii) 

  
 -28- 

 
for any other currency, two Business Days prior to the commencement of such Interest Period (unless, in each case, market practice differs in the relevant market where the Eurodollar Rate for
such currency is to be determined, in which case the Quotation Day will be determined by the Administrative Agent in accordance with market practice in such market (and if quotations would normally be given on more than one day, then the Quotation
Day will be the last of those days). 
 “Ratings Based Pricing Grids”: as defined in the definition of “Pricing
Grids”. 
 “Real Property”: any real property owned or ground-leased by a Group Member. 

“Recipient”: (a) the Administrative Agent, (b) any Lender and (c) any Issuing Lender, as applicable. 

“Recourse Indebtedness”: any Indebtedness that is not Nonrecourse Indebtedness. 

“Refunded Swingline Loans”: as defined in Section 2.7(b). 

“Register”: as defined in Section 10.6(b)(iv). 

“Regulation U”: Regulation U of the Board as in effect from time to time. 

“Reimbursement Obligation”: the obligation of the Borrower to reimburse the Issuing Lender pursuant to Section 3.5 for
amounts drawn under Letters of Credit. 
 “REIT”: a domestic trust or corporation that qualifies as a real estate
investment trust under the provisions of §856, et. seq. of the Code or any successor provisions. 
 “Related Parties”:
with respect to any specified Person, such Person’s Affiliates and the respective directors, officers, employees, agents and advisors of such Person and such Person’s Affiliates. 

“Reorganization”: with respect to any Multiemployer Plan, the condition that such plan is in reorganization within the
meaning of Section 4241 of ERISA. 
 “Reportable Event”: any of the events set forth in Section 4043(c) of ERISA,
other than those events as to which the thirty (30) day notice period is waived under subsections .27, .28, .29, .30, .31, .32, .34 or .35 of PBGC Reg. § 4043. 

“Required Lenders”: at any time, subject to Section 2.24(b), the holders of more than fifty percent (50%) of the sum of
(a) the aggregate unpaid principal amount of the Term Loans plus (b) the Total Revolving Commitments then in effect or, if the Revolving Commitments have been terminated, the Total Revolving Extensions of Credit then outstanding. 

“Requirement of Law”: as to any Person, the Certificate of Incorporation and By-Laws
or other organizational or governing documents of such Person, and any law, treaty, rule or regulation or determination of an arbitrator or a court or other Governmental Authority, in each case applicable to or binding upon such Person or any of its
property or to which such Person or any of its property is subject. 

  
 -29- 

 “Responsible Officer”: the chief executive officer, president, chief financial
officer, chief operating officer, managing director, controller, treasurer, vice president or secretary of Holdings, the sole member of the general partner of the Borrower, but in any event, with respect to financial matters, the chief financial
officer or controller of Holdings, the sole member of the general partner of the Borrower. 
 “Restricted Payments”: as
defined in Section 7.6. 
 “Revaluation Date”: (a) with respect to any Loan, each of the following: (i) each
date of a borrowing of a Eurodollar Loan denominated in an Alternative Currency, (ii) each date of a continuation of a Eurodollar Loan denominated in an Alternative Currency pursuant to Section 2.12, and (iii) such additional dates as
the Administrative Agent shall determine or the Required Lenders shall require; and (b) with respect to any Letter of Credit, each of the following: (i) each date of issuance of a Letter of Credit denominated in an Alternative Currency,
(ii) each date of an amendment of any such Letter of Credit having the effect of increasing the amount thereof, (iii) each date of any payment by the Issuing Lender under any Letter of Credit denominated in an Alternative Currency, and
(iv) such additional dates as the Administrative Agent or the Issuing Lender shall determine or the Required Lenders shall require. 

“Revolving Commitment”: as to any Lender, the obligation of such Lender, if any, to make Revolving Loans and participate in
Swingline Loans and Letters of Credit in an aggregate principal and/or face amount not to exceed the amount set forth under the heading “Revolving Commitment” opposite such Lender’s name on Schedule 1.1A or in the Assignment
and Assumption pursuant to which such Lender became a party hereto, as the same may be changed from time to time pursuant to the terms hereof, including Section 2.23. The original amount of the Total Revolving Commitments is $1,300,000,000.

 “Revolving Commitment Period”: the period from and including the Funding Date to the Revolving Termination Date. 

“Revolving Commitment Utilization Percentage”: on any date, the percentage equal to a fraction (a) the numerator of
which is the Total Revolving Extensions of Credit and (b) the denominator of which is the Total Revolving Commitments; provided that in calculating the Total Revolving Extensions of Credit for purposes of Section 2.8(a), the aggregate principal
amount of Swingline Loans then outstanding shall be deemed to be zero. 
 “Revolving Extensions of Credit”: as to any
Revolving Lender at any time, an amount equal to the sum of (a) the aggregate Dollar Equivalent principal amount of all Revolving Loans held by such Lender then outstanding, (b) such Lender’s Revolving Percentage of the L/C
Obligations then outstanding and (c) such Lender’s Revolving Percentage of the aggregate principal amount of Swingline Loans then outstanding. 

  
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 “Revolving Facility”: the Revolving Commitments and the Loans and extensions of
credit made thereunder made thereunder. 
 “Revolving Lender”: each Lender that has a Revolving Commitment or that holds
Revolving Loans. 
 “Revolving Loans”: as defined in Section 2.4(a). 

“Revolving Percentage”: as to any Revolving Lender at any time, the percentage which such Lender’s Revolving Commitment
then constitutes of the Total Revolving Commitments; provided that in the case of Section 2.24 when a Defaulting Lender which is a Revolving Lender shall exist, “Revolving Percentage” shall mean the percentage which such Lender’s
Revolving Commitment then constitutes of the Total Revolving Commitment (disregarding any Defaulting Lender’s Revolving Commitment). With respect to any Revolving Lender whose Revolving Commitments shall have expired or terminated,
“Revolving Percentage” shall mean the percentage which the aggregate principal amount of such Lender’s Revolving Loans then outstanding constitutes of the aggregate principal amount of the Revolving Loans then outstanding, provided,
that, in the event that the Revolving Loans are paid in full prior to the reduction to zero of the Total Revolving Extensions of Credit, the Revolving Percentages shall be determined in a manner designed to ensure that the other outstanding
Revolving Extensions of Credit shall be held by the Revolving Lenders on a comparable basis. 
 “Revolving Termination
Date”: February 1, 2021, subject to extension as provided in Section 2.25. 
 “RIDEA”: REIT Investment
Diversification and Empowerment Act of 2007, as amended. 
 “S&P”: as defined in the definition of Cash Equivalents.

 “Sanctioned Country”: at any time, a country, region or territory which is the subject or target of any Sanctions. 

“Sanctioned Person”: at any time, (a) any Person listed in any Sanctions-related list of designated Persons maintained
by the Office of Foreign Assets Control of the U.S. Department of the Treasury, the U.S. Department of State, the United Nations Security Council, the European Union, any EU member state, Her Majesty’s Treasury of the United Kingdom or any
other relevant sanctions authority, (b) any Person operating, organized or resident in a Sanctioned Country or (c) any Person owned or controlled by any such Person or Persons described in the foregoing clauses (a) or (b). 

“Sanctions”: economic or financial sanctions or trade embargoes imposed, administered or enforced from time to time by
(a) the U.S. government, including those administered by the Office of Foreign Assets Control of the U.S. Department of the Treasury or the U.S. Department of State, or (b) the United Nations Security Council, the European Union, any EU
member state, Her Majesty’s Treasury of the United Kingdom or any other relevant sanctions authority. 

  
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 “Screen Rate”: the LIBOR Screen Rate and the Local Screen Rates, collectively
and individually as the context may require. 
 “SEC”: the Securities and Exchange Commission, any successor thereto and
any analogous Governmental Authority. 
 “Secured Indebtedness”: the portion of Total Indebtedness which is secured by a
Lien on any Real Property, personal property, Capital Stock or other assets. 
 “Secured Leverage Ratio”: as defined in
Section 7.1(c). 
 “Senior Note Indenture”: the Indenture dated as of July 14, 2006 entered into by the Borrower and
Holdings in connection with the issuance of the Senior Notes, together with all instruments and other agreements entered into by the Borrower or Holdings in connection therewith. 

“Senior Notes”: the senior notes of the Borrower issued pursuant to the Senior Note Indenture. 

“Significant Acquisition”: any transaction or series of related transactions for the purpose of or resulting, directly or
indirectly, in the acquisition (including, without limitation, a merger or consolidation or any other combination with another Person) by one or more Group Members of properties or assets of a Person (or the Capital Stock of a Person) for a purchase
price in excess of 5% of Total Asset Value or its foreign currency equivalent. 
 “Single Employer Plan”: any Plan that is
covered by Title IV of ERISA, but that is not a Multiemployer Plan. 
 “Solvent”: when used with respect to any Person,
means that, as of any date of determination, (a) the amount of the “present fair saleable value” of the assets of such Person will, as of such date, exceed the amount of all “liabilities of such Person, contingent or
otherwise”, as of such date, as such quoted terms are determined in accordance with applicable federal and state laws governing determinations of the insolvency of debtors, (b) the present fair saleable value of the assets of such Person
will, as of such date, be greater than the amount that will be required to pay the liability of such Person on its debts as such debts become absolute and matured, (c) such Person will not have, as of such date, an unreasonably small amount of
capital with which to conduct its business, and (d) such Person will be able to pay its debts as they mature. For purposes of this definition, (i) “debt” means liability on a “claim”, and (ii) “claim” means any
(x) right to payment, whether or not such a right is reduced to judgment, liquidated, unliquidated, fixed, contingent, matured, unmatured, disputed, undisputed, legal, equitable, secured or unsecured or (y) right to an equitable remedy for
breach of performance if such breach gives rise to a right to payment, whether or not such right to an equitable remedy is reduced to judgment, fixed, contingent, matured or unmatured, disputed, undisputed, secured or unsecured. 

  
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 “Specified Change of Control”: a “Change of Control” or
“Designated Event” (or any other defined term having a similar purpose) as defined in the Senior Note Indenture or any Additional Senior Unsecured Indentures. 

“Specified Jurisdictions”: Germany, the United Kingdom, Australia, Canada, Switzerland, Japan, Spain, Italy, Ireland,
Austria, France and such other countries or such territories of the United States as are proposed by the Borrower and approved by the Administrative Agent. 

“Specified Time”: (i) in relation to a Loan in AUD, as of 11:00 A.M., Sydney, Australia time; (ii) in relation to a Loan
in CAD, as of 11:00 A.M. Toronto, Ontario time; and (iii) in relation to a Loan in a LIBOR Quoted Currency, as of 11:00 A.M., London time. 

“Spot Rate”: for a currency means the rate determined by the Administrative Agent or the Issuing Lender, as applicable, to be
the rate quoted by the Person acting in such capacity as the spot rate for the purchase by such Person of such currency with another currency through its principal foreign exchange trading office at approximately 11:00 A.M. on the date two Business
Days prior to the date as of which the foreign exchange computation is made; provided that the Administrative Agent or the Issuing Lender may obtain such spot rate from Reuters, Bloomberg another financial institution designated by the
Administrative Agent or the Issuing Lender if the Person acting in such capacity so elects; and provided further that the Issuing Lender may use such spot rate quoted on the date as of which the foreign exchange computation is made in the case of
any Letter of Credit denominated in an Alternative Currency. 
 “Statutory Reserve Rate”: a fraction (expressed as a
decimal), the numerator of which is the number one and the denominator of which is the number one minus the aggregate of the maximum reserve percentages (including any marginal, special, emergency or supplemental reserves) expressed as a decimal
established by the Board to which the Administrative Agent is subject with respect to the Eurodollar Rate, for eurocurrency funding (currently referred to as “Eurocurrency Liabilities” in Regulation D of the Board). Such reserve
percentages shall include those imposed pursuant to such Regulation D. Eurodollar Loans shall be deemed to constitute eurocurrency funding and to be subject to such reserve requirements without benefit of or credit for proration, exemptions or
offsets that may be available from time to time to any Lender under such Regulation D or any comparable regulation. The Statutory Reserve Rate shall be adjusted automatically on and as of the effective date of any change in any reserve
percentage. 
 “Sterling” and “GBP”: the lawful currency of the United Kingdom. 

“Subsidiary”: as to any Person, a corporation, partnership, limited liability company or other entity of which shares of
stock or other ownership interests having ordinary voting power (other than stock or such other ownership interests having such power only by reason of the happening of a contingency) to elect a majority of the board of directors or other managers
of such corporation, partnership or other entity are at the time owned, or the management of which is otherwise controlled, directly or indirectly through one or more intermediaries, or both, by such Person. Unless otherwise qualified, all
references to a “Subsidiary” or to “Subsidiaries” in this Agreement shall refer to a Subsidiary or Subsidiaries of the Borrower. 

  
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 “Subsidiary Borrower”: as defined in Section 10.22(a). 

“Subsidiary Guarantor”: each Property Owning Subsidiary of the Borrower, other than any Excluded Foreign Subsidiary, that
provides a Guarantee Agreement so that the Real Property owned or leased by such Subsidiary shall qualify as an Unencumbered Property. The Subsidiary Guarantors on the Closing Date are listed on Schedule SG. 

“Swap Agreement”: any agreement with respect to any swap, forward, future or derivative transaction or option or similar
agreement involving, or settled by reference to, one or more rates, currencies, commodities, equity or debt instruments or securities, or economic, financial or pricing indices or measures of economic, financial or pricing risk or value or any
similar transaction or any combination of these transactions; provided that no phantom stock or similar plan providing for payments only on account of services provided by current or former directors, officers, employees or consultants of the
Borrower or any of its Subsidiaries shall be a “Swap Agreement”. 
 “Swap Obligations”: with respect to any
Person, any and all obligations of such Person, whether absolute or contingent and howsoever and whensoever created, arising, evidenced or acquired (including all renewals, extensions and modifications thereof and substitutions therefor), under
(a) any and all Swap Agreements, and (b) any and all cancellations, buy backs, reversals, terminations or assignments of any Swap Agreement transaction, including any obligation to pay or perform under any agreement, contract or
transaction that constitutes a “swap” within the meaning of section 1a(47) of the Commodity Exchange Act. 
 “Swap
Termination Value”: in respect of any one or more Swap Agreements, after taking into account the effect of any netting agreements relating to such Swap Agreements (to the extent, and only to the extent, such netting agreements are legally
enforceable in a bankruptcy or insolvency proceeding against the applicable counterparty obligor thereunder), (i) for any date on or after the date such Swap Agreements have been closed out and termination value(s) determined in accordance
therewith, such termination value(s), and (ii) for any date prior to the date referenced in preceding clause (i), the amount(s) determined as the mark-to-market
value(s) for such Swap Agreements, as determined based upon one or more mid-market or other readily available quotations provided by any recognized dealer in such Swap Agreements (which may include a Lender or
any Affiliate of a Lender). 
 “Swingline Commitment”: as to each Swingline Lender, the obligation of such Swingline Lender
to make Swingline Loans pursuant to Section 2.6 in an aggregate Dollar Equivalent principal amount at any one time outstanding not to exceed 20% of the Swingline Sublimit (or such other amount as is agreed to among the Borrower, such Swingline
Lender and the Administrative Agent); provided that the aggregate Swingline Commitments for all Swingline Lenders shall not exceed the Swingline Sublimit. 

“Swingline Exposure”: at any time, the aggregate Dollar Equivalent principal amount of all Swingline Loans outstanding at
such time. Except to the extent the Swingline 

  
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Exposure of a Defaulting Lender has been reallocated in accordance with Section 2.24(c), the Swingline Exposure of any Revolving Lender shall be the sum of (a) its Revolving Percentage of
the total Swingline Exposure at such time related to Swingline Loans other than any Swingline Loans made by such Lender in its capacity as a Swingline Lender and (b) if such Lender is a Swingline Lender, the aggregate Dollar Equivalent
principal amount of all Swingline Loans made by such Lender outstanding at such time (to the extent that other Lenders shall not have funded their participations in such Swingline Loans). 

“Swingline Lender”: each of JPMorgan Chase Bank, N.A., Bank of America, N.A., KeyBank National Association, Barclays Bank
PLC, Goldman Sachs Bank USA and any other Lender that agrees to provide Swingline Loans with the consent of the Borrower and the Administrative Agent, in each case in its capacity as the lender of Swingline Loans up to its Swingline Commitment. Each
reference herein to “Swingline Lender” shall mean all of the Swingline Lenders, each Swingline Lender, or the applicable Swingline Lender, as the context may require. 

“Swingline Loans”: as defined in Section 2.6(a). 

“Swingline Sublimit”: $100,000,000. 

“Swingline Participation Amount”: as defined in Section 2.7(c). 

“Syndication Agent”: as defined in the preamble hereto. 

“TARGET2”: the Trans-European Automated Real-time Gross Settlement Express Transfer (TARGET2) payment system (or, if such
payment system ceases to be operative, such other payment system reasonably determined by the Administrative Agent to be a suitable replacement) for the settlement of payments in euro. 

“Taxes”: all present or future taxes, levies, imposts, duties, deductions, withholdings (including backup withholding),
assessments, fees or other charges imposed by any Governmental Authority, including any interest, additions to tax or penalties applicable thereto. 

“Term Commitments”: as to any Lender, its Dollar Term Commitment and its Euro Term Commitment. 

“Term Facilities”: the Dollar Term Facility and the Euro Term Facility. 

“Term Loans”: the Dollar Term Loans and the Euro Term Loans. 

“Term Loan Maturity Date”: the Dollar Term Loan Maturity Date or the Euro Term Loan Maturity Date, as applicable. 

“Term Percentage”: the Dollar Term Percentage or the Euro Term Percentage, as applicable. 

“Total Asset Value”: an amount equal to the sum, without duplication, of (i) the undepreciated cost (after taking into
account any impairments) of all Real Properties that are 

  
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100% fee owned or ground-leased by the Group Members (other than Development Properties), plus (ii) the pro-rata share of the undepreciated cost
(after taking into account any impairments) of all Real Properties that are less than 100% fee owned or ground-leased by the Group Members (other than Development Properties), plus (iii) unrestricted cash and Cash Equivalents of the Group
Members in excess of $10,000,000; provided that, for purposes of calculating the Total Leverage Ratio, no such unrestricted cash and Cash Equivalents will be added to Total Asset Value if such unrestricted cash and Cash Equivalents have been
deducted from Total Indebtedness in the Total Leverage Ratio or from Secured Indebtedness in the Secured Leverage Ratio, plus (iv) the book value of (A) notes receivable of the Group Members which are secured by mortgage Liens on real
estate and which are not more than 60 days past due or otherwise in payment default after giving effect to applicable cure periods that has resulted in the commencement of the exercise of remedies (“Mortgage Notes”), (B) notes receivable
of Group Members (1) under which the obligor (or the guarantor thereof) is the operator of a medical property for which a Group Member is the lessor or mortgagee, (2) which are cross-defaulted to the lease or Mortgage Note held by such
Group Member, (3) which are not more than 60 days past due or otherwise in payment default after giving effect to applicable cure periods, and (4) which are not in a principal amount in excess of $15,000,000 per note and are set forth in a
schedule provided to the Administrative Agent (provided that not more than $50,000,000 of Total Asset Value may be attributable to notes receivable described in this clause (B)), (C) notes receivable in the original principal amount of approximately
$93,200,000 evidencing the acquisition loan in connection with the acquisition of Ernest Health, Inc., (D) notes receivable in the original principal amount of approximately €100,000,000 evidencing the Median Investment so long as such notes
are not more than 60 days past due or otherwise in payment default after giving effect to applicable cure periods, plus (v) the book value (after taking into account any impairments) of equity or debt investments in unconsolidated subsidiaries
and joint ventures (in an amount not to exceed 10% of Total Asset Value), plus (vi) the book value (after taking into account any impairments) of
Construction-in-Process for all Development Properties (in an amount not to exceed the greater of $200,000,000 and 7% of Total Asset Value), all as determined on a
consolidated basis in accordance with GAAP. 
 “Total EBITDA”: for any fiscal period, total EBITDA of the Group Members and
the Borrower’s pro rata share of EBITDA of unconsolidated Subsidiaries and joint ventures of the Group Members. 
 “Total Fixed
Charges”: for any fiscal period, an amount equal to the sum of (i) Interest Expense, (ii) regularly scheduled installments of principal payable with respect to all Total Indebtedness (but excluding any balloon bullet, or similar
payments due at maturity and principal payments with respect to intercompany Indebtedness between the Borrower and its Wholly Owned Subsidiaries), plus (iii) all dividend payments due to the holders of any preferred shares of beneficial
interest of Holdings and all distributions due to the holders of any limited partnership interests in the Borrower other than (a) limited partner distributions based on the per share dividend paid on the common shares of beneficial interest of
the Company (including the Borrower’s pro rata share thereof for unconsolidated Subsidiaries and joint ventures), (b) redemption payments or charges in connection with the redemption of preferred Capital Stock and (c) dividends or
distributions paid or payable to the Borrower or any of its Subsidiaries. 

  
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 “Total Indebtedness”: all Indebtedness of the Group Members and the
Borrower’s pro rata share of all Indebtedness of unconsolidated Subsidiaries and joint ventures of the Borrower. 
 “Total
Leverage Ratio”: as defined in Section 7.1(a). 
 “Total Revolving Commitments”: at any time, the aggregate amount
of the Revolving Commitments then in effect. 
 “Total Revolving Extensions of Credit”: at any time, the aggregate amount
of the Revolving Extensions of Credit of the Revolving Lenders outstanding at such time. 
 “Transferee”: any Assignee or
Participant. 
 “Type”: as to any Loan, its nature as an ABR Loan or a Eurodollar Loan. 

“Unencumbered Asset Value”: an amount equal to the sum without duplication of (i) the undepreciated cost (after taking
into account any impairments) of those Unencumbered Properties (other than Development Properties) that are 100% fee owned or ground leased by the Borrower, a Subsidiary Guarantor or a Wholly Owned Subsidiary of the Borrower, plus (ii) the pro
rata share of the undepreciated cost (after taking into account any impairments) of those Unencumbered Properties (other than Development Properties) that are at least 51% owned by the Borrower, directly or indirectly, plus (iii) the book value
of unencumbered Mortgage Notes so long as (A) the real estate securing such Mortgage Note meets the criteria for an Unencumbered Property that is not a Development Property (other than clauses (1), 3(a) and (7) of the definition thereof),
(B) such Mortgage Note is not more than 60 days past due or otherwise in payment default after giving effect to applicable cure periods that has resulted in the commencement of the exercise of remedies and (C) such Mortgage Note is owned by the
Borrower, a Subsidiary Guarantor or a Wholly-Owned Subsidiary of the Borrower that is not liable for any Recourse Indebtedness, plus (iv) unrestricted cash and Cash Equivalents in excess of $10,000,000; provided that, for purposes of
calculating the Unsecured Leverage Ratio, no such unrestricted cash and Cash Equivalents will be added to Unencumbered Asset Value if such unrestricted cash and Cash Equivalents have been deducted from Unsecured Indebtedness in the Unsecured
Leverage Ratio, plus (v) the book value (after taking into account any impairments) of Construction-in-Process for all Development Properties that are Unencumbered
Properties (in an amount not to exceed the greater of $200,000,000 and 7% of Unencumbered Asset Value), all, except for clause (ii), as determined on a consolidated basis in accordance with GAAP; 

provided that (A) not more than 30% of Unencumbered Asset Value shall be attributable to Mortgage Notes, (B) not more than 15% of
Unencumbered Asset Value may be attributable to any single Unencumbered Property, (C) not more than 40% of Unencumbered Asset Value may be attributable to Unencumbered Properties and Mortgage Notes for which a single Person is the tenant or
obligor (and where any tenant or obligor is a joint venture in which a Person holds an interest, only such Person’s pro-rata share of the Unencumbered Asset Value attributable to the Unencumbered Property
or Mortgage Note owned by such joint venture shall be counted against such Person for purposes of this clause (C)), (D) not more than 30% of Unencumbered Asset Value may be attributable to Unencumbered Properties that are not

  
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wholly-owned by the Borrower or a Guarantor; provided further that not more than 20% of Unencumbered Asset Value may be attributable to Unencumbered Properties that are at least 51% owned by the
Borrower, directly or indirectly, but less 90% owned by the Borrower, directly or indirectly, (E) not more than 15% of Unencumbered Asset Value may be attributable to Unencumbered Properties that are ground-leased by the Borrower or a
Guarantor, (F) not more than 15% of Unencumbered Asset Value, in the aggregate, may be attributable to single Unencumbered Properties that have a Lease Coverage Ratio for the most recent four quarters of less than 1.50 to 1.0 or Pooled
Unencumbered Properties which have an aggregate Lease Coverage Ratio for the most recent four quarters of less than 1.50 to 1.0; provided that such limitation shall cease to apply if the Borrower achieves and maintains an Investment Grade Rating,
(G) not more than 40% of Unencumbered Asset Value, in the aggregate, may be attributable to Unencumbered Properties located in Specified Jurisdictions (provided that not more than 20% of Unencumbered Asset Value, in the aggregate, may be
attributable to Unencumbered Properties located in Specified Jurisdictions other than Germany and the United Kingdom), and (H) not more than 10% of Unencumbered Asset Value, in the aggregate, may be attributable to any Real Property leased to a
tenant that is subject to any Bankruptcy Event. 
 “Unencumbered NOI”: for any fiscal period, the sum of (a) the total
Adjusted NOI attributable to all Unencumbered Properties for such period plus (b) the net income attributable to any unencumbered Mortgage Notes that are included in the calculation of Unencumbered Asset Value. 

“Unencumbered Property”: any Real Property that meets each of the following criteria as of the date of determination (with
each such Real Property that meets such criteria being treated as an Unencumbered Property herein): 
  

	 	1.	Such Real Property is either (i) 100% fee owned or ground leased (with a remaining term of at least 25 years (except for the Real Property described on Schedule EGL which shall have a remaining ground lease term
of at least 20 years) and the ability to qualify for financing under traditional long term financing terms and conditions), by (x) the Borrower, (y), a Subsidiary Guarantor or (z) a Property Owning Subsidiary that is a Wholly Owned
Subsidiary of the Borrower that is not a Subsidiary Guarantor and that is not liable for any Recourse Indebtedness (whether secured or unsecured, and including any Guarantee Obligations in respect of indentures or otherwise) or (ii) at least
51% owned by the Borrower, directly or indirectly, so long as the Borrower exclusively controls the sale and financing of such Real Property. 

  

	 	2.	Such Real Property is improved with one or more completed medical buildings of a type consistent with the Borrower’s business strategy, unless such Real Property is a Development Property. 

 

	 	3.	Such Real Property is not directly or indirectly subject to any Lien (other than Liens permitted under clauses (a), (b), (c), (d), (e), (g) and (h) of Section 7.3) or any negative pledge agreement or other
agreement that prohibits the creation of a Lien. 

  

	 	4.	The representations in Section 4.17 are true with respect to such Real Property. 

  
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	 	5.	The buildings and improvements on such Real Property are free of material defects which would materially decrease the value of such Real Property. 

 

	 	6.	Such Real Property is located in the United States or a Specified Jurisdiction; provided if such Real Property is located in a Specified Jurisdiction and the Foreign Subsidiary that is the owner or lessee of such Real
Property is not a Subsidiary Guarantor, then such Real Property shall only be treated as an Unencumbered Property if such Subsidiary does not have any Recourse Indebtedness. 

 

	 	7.	Such Real Property is subject to a triple-net lease with a tenant, the tenant under such lease is not in default in the payment of base rent after giving effect to applicable cure
periods, and such tenant is not in bankruptcy under Chapter 7 of the U.S. Bankruptcy Code or similar insolvency liquidation proceedings of a country other than the United States, unless such Real Property is a Development Property.

 “United States”: the United States of America. 

“Unsecured Indebtedness”: the outstanding principal amount of Total Indebtedness that is not secured by a Lien on any Real
Property, personal property, Capital Stock or other assets. 
 “Unsecured Interest Expense”: for any fiscal period, the
amount of actual Interest Expense on Unsecured Indebtedness. 
 “Unsecured Leverage Ratio”: as defined in Section 7.1(f).

 “U.S. Person”: a “United States person” within the meaning of Section 7701(a)(30) of the Code. 

“U.S. Tax Compliance Certificate”: as defined in Section 2.19(f)(ii)(B)(3). 

“Wholly Owned Subsidiary”: as to any Person, any other Person all of the Capital Stock of which (other than directors’
qualifying shares required by law) is owned by such Person directly and/or through other Wholly Owned Subsidiaries. 
 “Write-Down
and Conversion Powers”: means, with respect to any EEA Resolution Authority, the write-down and conversion powers of such EEA Resolution Authority from time to time under the Bail-In Legislation for
the applicable EEA Member Country, which write-down and conversion powers are described in the EU Bail-In Legislation Schedule. 

“Yen” and “JPY”: the lawful currency of Japan. 

1.2 Other Definitional Provisions. (a) Unless otherwise specified therein, all terms defined in this Agreement shall have the
defined meanings when used in the other Loan Documents or any certificate or other document made or delivered pursuant hereto or thereto. 

  
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 (b) As used herein and in the other Loan Documents, and any certificate or other document made or
delivered pursuant hereto or thereto, (i) accounting terms relating to any Group Member not defined in Section 1.1 and accounting terms partly defined in Section 1.1, to the extent not defined, shall have the respective meanings given
to them under GAAP, (ii) the words “include”, “includes” and “including” shall be deemed to be followed by the phrase “without limitation”, (iii) the word “incur” shall be construed to mean
incur, create, issue, assume, become liable in respect of or suffer to exist (and the words “incurred” and “incurrence” shall have correlative meanings), (iv) the words “asset” and “property” shall be
construed to have the same meaning and effect and to refer to any and all tangible and intangible assets and properties, including cash, Capital Stock, securities, revenues, accounts, leasehold interests and contract rights, and (v) references
to agreements or other Contractual Obligations shall, unless otherwise specified, be deemed to refer to such agreements or Contractual Obligations as amended, supplemented, restated or otherwise modified from time to time. 

(c) The words “hereof”, “herein” and “hereunder” and words of similar import, when used in this Agreement, shall
refer to this Agreement as a whole and not to any particular provision of this Agreement, and Section, Schedule and Exhibit references are to this Agreement unless otherwise specified. 

(d) The meanings given to terms defined herein shall be equally applicable to both the singular and plural forms of such terms. 

1.3 Exchange Rates; Currency Equivalents. (a)The Administrative Agent or the Issuing Lender, as applicable, shall determine the Spot
Rates as of each Revaluation Date to be used for calculating Dollar Equivalent amounts of Loans and Letters of Credit denominated in Alternative Currencies. Such Spot Rates shall become effective as of such Revaluation Date and shall be the Spot
Rates employed in converting any amounts between the applicable currencies until the next Revaluation Date to occur. Except for purposes of financial statements delivered by Loan Parties hereunder or calculating financial covenants hereunder or
except as otherwise provided herein, the applicable amount of any currency (other than Dollars) for purposes of the Loan Documents shall be such Dollar Equivalent amount as so determined by the Administrative Agent or the Issuing Lender, as
applicable. 
 (b) Wherever in this Agreement in connection with a borrowing, conversion, continuation or prepayment of a Eurodollar Loan or
the issuance, amendment or extension of a Letter of Credit, an amount, such as a required minimum or multiple amount, is expressed in Dollars, but such borrowing, Eurodollar Loan or Letter of Credit is denominated in an Alternative Currency, such
amount shall be the relevant Alternative Currency Equivalent of such Dollar amount (rounded to the nearest unit of such Alternative Currency, with 0.5 of a unit being rounded upward), as determined by the Administrative Agent or the Issuing Lender,
as the case may be. 
 (c) The Administrative Agent does not warrant, nor accept responsibility, nor shall the Administrative Agent have any
liability with respect to the administration, submission or any other matter related to the rates in the definition of “Eurodollar Base Rate” or with respect to any comparable or successor rate thereto. 

  
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 1.4 Additional Alternative Currencies. (a) The Borrower may from time to time request
that Eurodollar Loans be made and/or Letters of Credit be issued in a currency other than those specifically listed in the definition of “Alternative Currency;” provided that such requested currency is a lawful currency (other than
Dollars) that is readily available and freely transferable and convertible into Dollars and for which Reuters (or a successor thereto, or a substitute service selected by the Administrative Agent) reports a Eurodollar Base Rate. In the case of any
such request with respect to the making of Eurodollar Loans, such request shall be subject to the approval of the Administrative Agent and all of the Lenders; and in the case of any such request with respect to the issuance of Letters of Credit,
such request shall be subject to the approval of the Administrative Agent, the Issuing Lender and all of the Lenders. 
 (b) Any such
request shall be made to the Administrative Agent not later than 11:00 A.M., twenty (20) Business Days prior to the date of the desired Loan or Letter of Credit (or such other time or date as may be agreed by the Administrative Agent and, in
the case of any such request pertaining to Letters of Credit, the Issuing Lender, in its or their sole discretion). In the case of any such request pertaining to Eurodollar Loans, the Administrative Agent shall promptly notify each Lender thereof;
and in the case of any such request pertaining to Letters of Credit, the Administrative Agent shall promptly notify the Issuing Lender thereof. Each Lender (in the case of any such request pertaining to Eurodollar Loans) or the Issuing Lender (in
the case of a request pertaining to Letters of Credit) shall notify the Administrative Agent, not later than 11:00 A.M., ten (10) Business Days after receipt of such request whether it consents, in its sole discretion, to the making of
Eurodollar Rate Loans or the issuance of Letters of Credit, as the case may be, in such requested currency. 
 (c) Any failure by a Lender
or the Issuing Lender, as the case may be, to respond to such request within the time period specified in the preceding sentence shall be deemed to be a refusal by such Lender or the Issuing Lender, as the case may be, to permit Eurodollar Loans to
be made or Letters of Credit to be issued in such requested currency. If the Administrative Agent and all the Lenders consent to making Eurodollar Loans in such requested currency, the Administrative Agent shall so notify the Borrower and such
currency shall thereupon be deemed for all purposes to be an Alternative Currency hereunder for purposes of any borrowings of Eurodollar Loans; and if the Administrative Agent and the Issuing Lender consent to the issuance of Letters of Credit in
such requested currency, the Administrative Agent shall so notify the Borrower and such currency shall thereupon be deemed for all purposes to be an Alternative Currency hereunder for purposes of any Letter of Credit issuances. If the Administrative
Agent shall fail to obtain consent to any request for an additional currency under this Section 1.4, the Administrative Agent shall promptly so notify the Borrower. 

1.5 Change of Currency. (a) Each obligation of the Borrower to make a payment denominated in the national currency unit of any
member state of the European Union that adopts the Euro as its lawful currency after the date hereof shall be redenominated into Euro at the time of such adoption. If, in relation to the currency of any such member state, the basis of accrual of
interest expressed in this Agreement in respect of that currency shall be inconsistent with any convention or practice in the London interbank market for the basis of accrual of interest in respect of the Euro, such expressed basis shall be replaced
by such convention or 

  
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practice with effect from the date on which such member state adopts the Euro as its lawful currency; provided that if any borrowing in the currency of such member state is outstanding
immediately prior to such date, such replacement shall take effect, with respect to such borrowing, at the end of the then current Interest Period. 

(b) Each provision of this Agreement shall be subject to such reasonable changes of construction as the Administrative Agent may from time to
time specify to be appropriate to reflect the adoption of the Euro by any member state of the European Union and any relevant market conventions or practices relating to the Euro. 

(c) Each provision of this Agreement also shall be subject to such reasonable changes of construction as the Administrative Agent may from
time to time specify to be appropriate to reflect a change in currency of any other country and any relevant market conventions or practices relating to the change in currency. 

1.6 Times of Day. Unless otherwise specified, all references herein to times of day shall be references to Eastern time (daylight or
standard, as applicable). 
 1.7 Letter of Credit Amounts. Unless otherwise specified herein, the amount of a Letter of Credit at any
time shall be deemed to be the Dollar Equivalent of the stated amount of such Letter of Credit in effect at such time; provided, however, that with respect to any Letter of Credit that, by its terms, provides for one or more automatic increases in
the stated amount thereof, the amount of such Letter of Credit shall be deemed to be the Dollar Equivalent of the maximum stated amount of such Letter of Credit after giving effect to all such increases, whether or not such maximum stated amount is
in effect at such time. 
 SECTION 2. AMOUNT AND TERMS OF COMMITMENTS 

2.1 Term Commitments. (a) Subject to the terms and conditions hereof, each Dollar Term Lender severally agrees to make a term loan
(a “Dollar Term Loan”) to the Borrower in Dollars in a single borrowing on the Funding Date in an amount not to exceed the amount of the Dollar Term Commitment of such Lender. The Dollar Term Loans may from time to time be Eurodollar Loans
or ABR Loans, as determined by the Borrower and notified to the Administrative Agent in accordance with Sections 2.2 and 2.12. The Dollar Term Lenders’ commitments to make the Dollar Term Loan shall expire on the earlier to occur of 5:00
P.M. on the Funding Date and February 28, 2017 if the Funding Date has not occurred by such date. Amounts paid or prepaid in respect of Dollar Term Loans may not be reborrowed. 

(b) Subject to the terms and conditions hereof, each Euro Term Lender severally agrees to make a term loan (a “Euro Term Loan”) to
the Borrower in Euros in a single borrowing on the Funding Date in an amount not to exceed the amount of the Euro Term Commitment of such Lender. The Euro Term Loans shall be Eurodollar Loans. The Euro Term Lenders’ commitments to make the Euro
Term Loan shall expire on the earlier to occur of 5:00 P.M. on the Funding Date and February 28, 2017 if the Funding Date has not occurred by such date. Amounts paid or prepaid in respect of Euro Term Loans may not be reborrowed. 

  
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 2.2 Procedure for Dollar Term Loan Borrowing. The Borrower shall give the Administrative
Agent irrevocable notice in the form of Exhibit E (which notice must be received by the Administrative Agent prior to 11:00 A.M., New York City time, (a) three Business Days prior to the requested Borrowing Date, in the case of
Eurodollar Loans, or (b) one Business Day prior to the requested Borrowing Date, in the case of ABR Loans) requesting that the Dollar Term Lenders make the Dollar Term Loans on the Funding Date, specifying the amount to be borrowed, the
requested Borrowing Date and whether such Dollar Term Loan shall be Eurodollar Loans or ABR Loans and, in the case of Eurodollar Loans, the initial Interest Period applicable thereto, which shall be a period contemplated by the definition of
“Interest Period”. Upon receipt of such notice the Administrative Agent shall promptly notify each Dollar Term Lender thereof. Not later than 11:00 A.M., New York City time, on the Funding Date each Dollar Term Lender shall make available
to the Administrative Agent at the Funding Office an amount in Dollars in immediately available funds equal to the Dollar Term Loan to be made by such Lender. The Administrative Agent shall credit the account of the Borrower on the books of such
office of the Administrative Agent with the aggregate of the amounts made available to the Administrative Agent by the Dollar Term Lenders in immediately available funds. 

If no election as to the Type of Dollar Term Loan is specified, then the requested Dollar Term Loan shall be an ABR Loan. If no Interest
Period is specified with respect to any requested Eurodollar Tranche, then Borrower shall be deemed to have selected an Interest Period of one month’s duration. Promptly following receipt of a borrowing request in the form of Exhibit E
and in accordance with this Section, the Administrative Agent shall advise each Dollar Term Lender of the details thereof and of the amount of such Dollar Term Lender’s Dollar Term Loan to be made. 

Each Dollar Term Loan shall be made by the Dollar Term Lenders ratably in accordance with their applicable Dollar Term Commitments; provided
that the failure of any Dollar Term Lender to make its Dollar Term Loan shall not in itself relieve any other Dollar Term Lender of its obligation to lend hereunder (it being understood, however, that no Dollar Term Lender shall be responsible for
the failure of any other Dollar Term Lender to make any Dollar Term Loan required to be made by such other Dollar Term Lender). ABR Loans comprising any Dollar Term Loan shall be in an aggregate principal amount that is an integral multiple of
$1,000,000 and not less than $5,000,000. Eurodollar Loans comprising any Dollar Term Loan shall be in an aggregate principal amount that is an integral multiple of $1,000,000 and not less than $5,000,000. 

Subject to Sections 2.16 and 2.18, each Eurodollar Tranche shall be comprised entirely of Eurodollar Loans as Borrower may request in
accordance herewith. Each Dollar Term Lender may at its option make any Eurodollar Loan by causing any domestic or foreign branch or Affiliate of such Dollar Term Lender to make such Dollar Term Loan; provided that any exercise of such option shall
not affect the obligation of Borrower to repay such Dollar Term Loan in accordance with the terms of this Agreement. Borrowings of Dollar Term Loans of more than one Type may be outstanding at the same time, subject to Section 2.13. For
purposes of the foregoing, Eurodollar Tranches having different Interest Periods, regardless of whether they commence on the same date, shall be considered separate borrowings. 

  
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 Notwithstanding any other provision of this Agreement, Borrower shall not be entitled to request,
or to elect to convert or continue, any Eurodollar Tranche if the Interest Period requested with respect thereto would end after the Dollar Term Loan Maturity Date. 

2.3 Procedure for Euro Term Loan Borrowing. The Borrower shall give the Administrative Agent irrevocable notice in the form of
Exhibit E (which notice must be received by the Administrative Agent prior to 11:00 A.M., New York City time, four Business Days prior to the requested Borrowing Date requesting that the Euro Term Lenders make the Euro Term Loans (which shall
be a Eurodollar Loan) on the Funding Date, specifying the amount to be borrowed, the requested Borrowing Date and the initial Interest Period applicable thereto, which shall be a period contemplated by the definition of “Interest Period”.
Upon receipt of such notice the Administrative Agent shall promptly notify each Euro Term Lender thereof. Not later than 11:00 A.M., New York City time, on the Funding Date each Euro Term Lender shall make available to the Administrative Agent at
the Funding Office an amount in Euros in immediately available funds equal to the Euro Term Loan to be made by such Lender. The Administrative Agent shall credit the account of the Borrower on the books of such office of the Administrative Agent
with the aggregate of the amounts made available to the Administrative Agent by the Euro Term Lenders in immediately available funds. 
 If
no Interest Period is specified with respect to any requested Eurodollar Tranche, then Borrower shall be deemed to have selected an Interest Period of one month’s duration. Promptly following receipt of a borrowing request in the form of
Exhibit E and in accordance with this Section, the Administrative Agent shall advise each Euro Term Lender of the details thereof and of the amount of such Euro Term Lender’s Euro Term Loan to be made. 

Each Euro Term Loan shall be made by the Euro Term Lenders ratably in accordance with their applicable Euro Term Commitments; provided that
the failure of any Euro Term Lender to make its Euro Term Loan shall not in itself relieve any other Euro Term Lender of its obligation to lend hereunder (it being understood, however, that no Euro Term Lender shall be responsible for the failure of
any other Euro Term Lender to make any Euro Term Loan required to be made by such other Euro Term Lender). Eurodollar Loans comprising any Euro Term Loan shall be in an aggregate principal amount that is an integral multiple of €1,000,000 and
not less than €5,000,000. 
 Subject to Sections 2.16 and 2.18, each Eurodollar Tranche shall be comprised entirely of Eurodollar Loans
as Borrower may request in accordance herewith. Each Euro Term Lender may at its option make any Eurodollar Loan by causing any domestic or foreign branch or Affiliate of such Euro Term Lender to make such Euro Term Loan; provided that any exercise
of such option shall not affect the obligation of Borrower to repay such Euro Term Loan in accordance with the terms of this Agreement. For purposes of the foregoing, Eurodollar Tranches having different Interest Periods, regardless of whether they
commence on the same date, shall be considered separate borrowings. 
 Notwithstanding any other provision of this Agreement, Borrower shall
not be entitled to request, or to elect to convert or continue, any Eurodollar Tranche if the Interest Period requested with respect thereto would end after the Euro Term Loan Maturity Date. 

  
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 2.4 Revolving Commitments. 

(a) Subject to the terms and conditions hereof, each Revolving Lender severally agrees to make revolving credit loans (“Revolving
Loans”) to the Borrower or any Subsidiary Borrower from time to time during the Revolving Commitment Period in an aggregate Dollar Equivalent principal amount at any one time outstanding which, when added to such Lender’s Revolving
Percentage of the sum of (i) the L/C Obligations then outstanding and (ii) the aggregate principal amount of the Swingline Loans then outstanding, does not exceed the amount of such Lender’s Revolving Commitment; provided that after
giving effect to any such Revolving Loans, (x) the Total Revolving Extensions of Credit shall not exceed the Total Revolving Commitments and (y) the Total Revolving Extensions of Credit denominated in Alternative Currencies shall not
exceed the Alternative Currency Sublimit. During the Revolving Commitment Period the Borrower may use the Revolving Commitments by borrowing, prepaying the Revolving Loans in whole or in part, and reborrowing, all in accordance with the terms and
conditions hereof. The Revolving Loans may from time to time be Eurodollar Loans or ABR Loans, as determined by the Borrower and notified to the Administrative Agent in accordance with Sections 2.5 and 2.12. 

(b) Unless previously terminated, the Revolving Commitments shall terminate on the Revolving Termination Date. The Borrower shall repay all
outstanding Revolving Loans on the Revolving Termination Date. 
 2.5 Procedure for Revolving Loan Borrowing. The Borrower may borrow
under the Revolving Commitments during the Revolving Commitment Period on any Business Day, provided that the Borrower shall give the Administrative Agent irrevocable notice in the form of Exhibit E (which notice must be received by the
Administrative Agent prior to 11:00 A.M., New York City time, (a) three Business Days prior to the requested Borrowing Date, in the case of Eurodollar Loans denominated in Dollars, (b) four Business Days prior to the requested Borrowing
Date, in the case of Eurodollar Loans denominated in Alternative Currencies (except that the Borrower may give notice prior to 11:00 A.M., London time, three Business Days prior to the requested Borrowing Date, in the case of Eurodollar Loans
denominated in Euros or Sterling), or (c) one Business Day prior to the requested Borrowing Date, in the case of ABR Loans) (provided that any such notice of a borrowing of ABR Loans under the Revolving Facility to finance payments required by
Section 3.5 may be given not later than 10:00 A.M., New York City time, on the date of the proposed borrowing), specifying (i) the amount and Type of Revolving Loans to be borrowed, (ii) the requested Borrowing Date, (iii) in the
case of Eurodollar Loans, the respective amounts of each such Type of Loan and the respective lengths of the initial Interest Period therefor and (iv) the currency of the Revolving Loans to be borrowed, and certifying that the conditions set
forth in Section 5.2 are satisfied. Each borrowing under the Revolving Commitments shall be in an amount equal to (x) in the case of ABR Loans, $1,000,000 or a whole multiple thereof (or, if the then aggregate Available Revolving
Commitments are less than $1,000,000, such lesser amount) and (y) in the case of Eurodollar Loans, the Dollar Equivalent of $5,000,000 or a whole multiple of $1,000,000 in excess thereof; provided, that the Swingline Lender may request, on
behalf of the Borrower, borrowings under the Revolving Commitments that are ABR Loans in other amounts pursuant to Section 2.7. Upon receipt of any such notice from the Borrower, the Administrative Agent shall promptly notify each Revolving
Lender thereof. Each Revolving Lender will make the amount of its pro rata share of each borrowing available to the Administrative Agent in funds 

  
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immediately available to the Administrative Agent for the account of the Borrower at the Funding Office prior to (x) 12:00 Noon, New York City time, in the case of Revolving Loans
denominated in Dollars or (y) the Applicable Time specified by the Administrative Agent, in the case of Revolving Loans denominated in an Alternative Currency, in each case, on the Borrowing Date requested by the Borrower. Such borrowing will
then be made available to the Borrower by the Administrative Agent crediting the account of the Borrower on the books of such office with the aggregate of the amounts made available to the Administrative Agent by the Revolving Lenders and in like
funds as received by the Administrative Agent. If the Borrower fails to specify a currency in the notice for any Revolving Loans, then such Revolving Loans shall be made in Dollars. 

Subject to Sections 2.16 and 2.18, each borrowing of Revolving Loans shall be comprised entirely of ABR Loans or Eurodollar Loans as the
Borrower may request in accordance herewith. Each Revolving Lender may at its option make any Eurodollar Loan by causing any domestic or foreign branch or Affiliate of such Revolving Lender to make such Revolving Loan; provided that any exercise of
such option shall not affect the obligation of Borrower to repay such Revolving Loan in accordance with the terms of this Agreement. Borrowings of Revolving Loans of more than one Type may be outstanding at the same time, subject to
Section 2.13. For purposes of the foregoing, Eurodollar Tranches having different Interest Periods, regardless of whether they commence on the same date, shall be considered separate borrowings. 

2.6 Swingline Commitment. 

(a) Subject to the terms and conditions hereof, each Swingline Lender agrees to make a portion of the credit otherwise available to the
Borrower under the Revolving Commitments from time to time during the Revolving Commitment Period by making swing line loans (“Swingline Loans”) to the Borrower in Dollars or Euros; provided that (i) the aggregate Dollar Equivalent
principal amount of Swingline Loans outstanding at any time shall not exceed the Swingline Sublimit then in effect, (ii) the aggregate outstanding Dollar Equivalent principal amount of Swingline Loans made by any Swingline Lender shall not at
any time exceed such Swingline Lender’s Swingline Commitment, (iii) the Total Revolving Extensions of Credit denominated in Alternative Currencies (including Swingline Loans denominated in Euros) shall not at any time exceed the
Alternative Currency Sublimit, (iv) the Borrower shall not request, and the Swingline Lender shall not make, any Swingline Loan if, after giving effect to the making of such Swingline Loan, the aggregate amount of the Available Revolving
Commitments would be less than zero and (v) a Swingline Lender shall not be required to make a Swingline Loan to refinance an outstanding Swingline Loan. During the Revolving Commitment Period, the Borrower may use the Swingline Commitment by
borrowing, repaying and reborrowing, all in accordance with the terms and conditions hereof. Swingline Loans shall be either (x) Eurodollar Loans with an overnight maturity denominated in Euros or (y) ABR Loans denominated in Dollars. 

(b) The Borrower shall repay to the Administrative Agent for the account of the Swingline Lenders the then unpaid principal amount of each
Swingline Loan on the earlier of the Revolving Termination Date and the first date after such Swingline Loan is made that is the 15th or last day of a calendar month and is at least two Business Days after such Swingline

  
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Loan is made; provided that on each date that a Revolving Loan is borrowed, the Borrower shall repay all Swingline Loans then outstanding that are denominated in the currency of such Revolving
Loan. 
 2.7 Procedure for Swingline Borrowing; Refunding of Swingline Loans. 

(a) Whenever the Borrower desires that the Swingline Lenders make Swingline Loans, it shall give the Swingline Lenders and the Administrative
Agent irrevocable telephonic notice confirmed promptly in writing in the form of Exhibit E (which telephonic notice must be received by the Swingline Lenders and the Administrative Agent not later than (x) 1:00 P.M., New York City time, on
the proposed Borrowing Date of a Swingline Loan denominated in Dollars and (y) 10:00 A.M., London time, on the proposed Borrowing Date of a Swingline Loan denominated in Euros), specifying (i) the amount to be borrowed, (ii) whether such
borrowing shall be in Dollars or Euros and (iii) the requested Borrowing Date (which shall be a Business Day during the Revolving Commitment Period), and certifying that the conditions set forth in Section 5.2 are satisfied. Each borrowing
under the Swingline Commitment shall be in a Dollar Equivalent amount equal to $500,000 or a whole multiple of $100,000 in excess thereof. Not later than (x) 3:00 P.M., New York City time, in case of a Swingline Loan denominated in Dollars and (y)
3:00 P.M. (London time) in the case of a Swingline Loan denominated in Euros, on the Borrowing Date specified in a notice in respect of Swingline Loans, each Swingline Lender shall make available to the Administrative Agent at the Funding Office an
amount in immediately available funds equal to its ratable portion of the requested Swingline Loan (such ratable portion to be calculated based on the ratio of such Swingline Lender’s Swingline Commitment to the total Swingline Commitments of
all Swingline Lenders). The Administrative Agent shall make the proceeds of such Swingline Loan available to the Borrower on such Borrowing Date by depositing such proceeds in the account of the Borrower with the Administrative Agent on such
Borrowing Date in immediately available funds. The failure of any Swingline Lender to make its ratable portion of a Swingline Loan shall not relieve any other Swingline Lender of its obligation hereunder to make its ratable portion of such Swingline
Loan on the date of such Swingline Loan, but no Swingline Lender shall be responsible for the failure of any other Swingline Lender to make the ratable portion of a Swingline Loan to be made by such other Swingline Lender on the date of any
Swingline Loan. 
 (b) Each Swingline Lender, acting through the Administrative Agent, at any time and from time to time in its sole and
absolute discretion may, on behalf of the Borrower (which hereby irrevocably directs each Swingline Lender to act on its behalf), on notice given as set forth below, request each Revolving Lender to make, and each Revolving Lender hereby agrees to
make, a Revolving Loan, in an amount equal to such Revolving Lender’s Revolving Percentage of the aggregate amount of the Swingline Loans (the “Refunded Swingline Loans”) outstanding on the date of such notice, to repay the Swingline
Lenders. In the case of a Swingline Loan denominated in Dollars, such notice shall be given by the Swingline Lender no later than 12:00 P.M., New York time, on the Business Day prior to the date of such Revolving Loan, and each Revolving Lender
shall make the amount of such Revolving Loan available to the Administrative Agent at the Funding Office as an ABR Loan in immediately available funds, not later than 10:00 A.M., New York City time, one Business Day after the

  
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date of such notice. In the case of a Swingline Loan denominated in Euros, such notice shall be given by the Swingline Lender no later than 12:00 P.M., New York time, on the day that is 3
Business Days prior to the date of such Revolving Loan, and each Revolving Lender shall make the amount of such Revolving Loan available to the Administrative Agent at the Funding Office as a Eurodollar Loan in immediately available funds, not later
than 10:00 A.M., New York time, three Business Days after the date of such notice. The proceeds of such Revolving Loans shall be immediately made available by the Administrative Agent to the Swingline Lenders for application by the Swingline Lenders
to the repayment of the Refunded Swingline Loans. The Borrower irrevocably authorizes each Swingline Lender to charge the Borrower’s accounts with the Administrative Agent (up to the amount available in each such account) in order to
immediately pay the amount of such Refunded Swingline Loans to the extent amounts received from the Revolving Lenders are not sufficient to repay in full such Refunded Swingline Loans. 

(c) If prior to the time a Revolving Loan would have otherwise been made pursuant to Section 2.7(b), one of the events described in Section
8(f) shall have occurred and be continuing with respect to the Borrower or if for any other reason, as determined by a Swingline Lender in its sole discretion, Revolving Loans may not be made as contemplated by Section 2.7(b), each Revolving Lender
shall, on the date such Revolving Loan was to have been made pursuant to the notice referred to in Section 2.7(b), purchase for cash an undivided participating interest in the then outstanding Swingline Loans by paying to the Administrative Agent
for the account of the Swingline Lenders an amount (the “Swingline Participation Amount”) equal to (i) such Revolving Lender’s Revolving Percentage times (ii) the sum of the aggregate principal amount of Swingline Loans then
outstanding that were to have been repaid with such Revolving Loans. 
 (d) Whenever, at any time after a Swingline Lender has received from
any Revolving Lender such Lender’s Swingline Participation Amount, such Swingline Lender receives any payment on account of the Swingline Loans, such Swingline Lender will distribute to such Lender its Swingline Participation Amount
(appropriately adjusted, in the case of interest payments, to reflect the period of time during which such Lender’s participating interest was outstanding and funded and, in the case of principal and interest payments, to reflect such
Lender’s pro rata portion of such payment if such payment is not sufficient to pay the principal of and interest on all Swingline Loans then due); provided, however, that in the event that such payment received by such Swingline Lender is
required to be returned, such Revolving Lender will return to such Swingline Lender any portion thereof previously distributed to it by such Swingline Lender. 

(e) Each Revolving Lender’s obligation to make the Loans referred to in Section 2.7(b) and to purchase participating interests pursuant
to Section 2.7(c) shall be absolute and unconditional and shall not be affected by any circumstance, including (i) any setoff, counterclaim, recoupment, defense or other right that such Revolving Lender or the Borrower may have against a
Swingline Lender, the Borrower or any other Person for any reason whatsoever, (ii) the occurrence or continuance of a Default or an Event of Default or the failure to satisfy any of the other conditions specified in Section 5, (iii) any
adverse change in the condition (financial or otherwise) of the Borrower, (iv) any breach of this Agreement or 

  
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any other Loan Document by the Borrower, any other Loan Party or any other Revolving Lender or (v) any other circumstance, happening or event whatsoever, whether or not similar to any of the
foregoing. 
 2.8 Commitment Fees, Facility Fees, etc.  

(a) Until the Debt Rating Pricing Election Date, the Borrower agrees to pay to the Administrative Agent for the account of each Revolving
Lender a commitment fee in Dollars for the period from and including the date hereof to the last day of the Revolving Commitment Period, computed at the Commitment Fee Rate on the average daily amount of the Available Revolving Commitment of such
Lender during the period for which payment is made, payable quarterly in arrears on each Fee Payment Date, commencing on the first such date to occur after the date hereof. 

(b) From and after the Debt Rating Pricing Election Date, the Borrower agrees to pay the Administrative Agent, for the account of each
Revolving Lender, a facility fee (the “Facility Fee”) in Dollars equal to the then applicable Facility Fee Percentage on the Total Revolving Commitments, such fee being payable quarterly in arrears on each Fee Payment Date, commencing on
the first day of the fiscal quarter next succeeding the Debt Rating Pricing Election Date. 
 (c) The Borrower agrees to pay to the
Administrative Agent the fees in the amounts and on the dates as set forth in any fee agreements with the Administrative Agent and to perform any other obligations contained therein. 

2.9 Termination or Reduction of Revolving Commitments. The Borrower shall have the right to terminate the Revolving Commitments or,
from time to time, to reduce the amount of the Revolving Commitments; provided that no such termination or reduction of Revolving Commitments shall be permitted if, after giving effect thereto and to any prepayments of the Revolving Loans and
Swingline Loans made on the effective date thereof, the Total Revolving Extensions of Credit would exceed the Total Revolving Commitments. Any such reduction shall be in an amount equal to $1,000,000, or a whole multiple thereof, and shall reduce
permanently the Revolving Commitments then in effect. The Borrower shall notify the Administrative Agent of any election to terminate or reduce the Revolving Commitments under this Section at least three (3) Business Days prior to the effective
date of such termination or reduction, specifying such election and the effective date thereof. Promptly following receipt of any notice, the Administrative Agent shall advise the Revolving Lenders of the contents thereof. Each notice delivered by
the Borrower pursuant to this Section shall be irrevocable; provided that a notice of termination of the Revolving Commitments delivered by the Borrower may state that such notice is conditioned upon the effectiveness of other credit facilities, in
which case such notice may be revoked by the Borrower (by notice to the Administrative Agent on or prior to the specified effective date) if such condition is not satisfied. Any termination or reduction of the Revolving Commitments shall be
permanent. Each reduction of the Revolving Commitments shall be made ratably among the Revolving Lenders in accordance with their respective Revolving Commitments. 

  
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 2.10 Prepayments. (a)The Borrower may at any time and from time to time prepay the Loans,
in whole or in part, without premium or penalty (except as set forth below), upon irrevocable notice delivered to the Administrative Agent no later than 11:00 A.M., New York City time, (i) three Business Days prior thereto, in the case of
Eurodollar Loans denominated in Dollars, (ii) four Business Days prior thereto, in the case of Eurodollar Loans denominated in Alternative Currencies, (iii) one Business Day prior thereto, in the case of ABR Loans, and (iv) on the
date of prepayment, in the case of Swingline Loans, which notice shall specify the date and amount of prepayment and whether the prepayment is of Eurodollar Loans or ABR Loans; provided, that if a Eurodollar Loan is prepaid on any day other than the
last day of the Interest Period applicable thereto, the Borrower shall also pay any amounts owing pursuant to Section 2.20. Upon receipt of any such notice the Administrative Agent shall promptly notify each relevant Lender thereof. If any such
notice is given, the amount specified in such notice shall be due and payable on the date specified therein, together with (except in the case of Revolving Loans that are ABR Loans and Swingline Loans) accrued interest to such date on the amount
prepaid. Partial prepayments of Revolving Loans or Term Loans shall be in an aggregate principal Dollar Equivalent amount of $1,000,000 or a whole multiple of $100,000 in excess thereof or, in each case, if less, the entire principal amount thereof
then outstanding. Swingline Loans shall be in an aggregate principal amount of $100,000 or a whole multiple thereof or, if less, the entire principal amount thereof then outstanding. 

(b) The Administrative Agent shall calculate the Dollar Equivalent Amount of all Revolving Extensions of Credit denominated in Alternative
Currencies at the time of each borrowing thereof, on the last Business Day of each month and at such other times as the Administrative Agent may elect. If the Administrative Agent notifies the Borrower at such times that the outstanding Dollar
Equivalent amount of all Revolving Extensions of Credit denominated in Alternative Currencies at such time exceeds an amount equal to 105% of the Alternative Currency Sublimit then in effect, then, within five (5) Business Days after receipt of
such notice, the Borrower shall prepay Revolving Loans in an aggregate amount sufficient to reduce such Revolving Extensions of Credit as of such date of payment to an amount not to exceed 105% of the Alternative Currency Sublimit then in effect. In
addition, if the Administrative Agent notifies the Borrower at any time that the outstanding Dollar Equivalent amount of all Revolving Extensions of Credit at such time exceeds an amount equal to 105% of the Total Revolving Commitments then in
effect, then, within five (5) Business Days after receipt of such notice, the Borrower shall prepay Revolving Loans in an aggregate amount sufficient to reduce such Revolving Extensions of Credit as of such date of payment to an amount not to
exceed 100% of the Total Revolving Commitments then in effect. 
 2.11 Repayment of Loans. 

(a) The Borrower promises to repay all outstanding Revolving Loans on the Revolving Termination Date or such earlier date as required herein.
The Borrower promises to repay all outstanding Dollar Term Loans on the Dollar Term Loan Maturity Date or such earlier date as required herein. The Borrower promises to repay all outstanding Euro Term Loans on the Euro Term Loan Maturity Date or
such earlier date as required herein. 
 (b) Amounts to be applied in connection with prepayments of Revolving Loans made pursuant to
Section 2.11 shall be applied, first, to the prepayment of Swingline Loans (without 

  
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any corresponding reduction of the Revolving Commitments), second, to the prepayment of Revolving Loans (without any corresponding reduction of the Revolving Commitments), and third, to cash
collateralize Letters of Credit by depositing an amount in cash in a cash collateral account established with the Administrative Agent for the benefit of the Revolving Lenders on terms and conditions satisfactory to the Administrative Agent. The
application of any prepayment pursuant to Section 2.11 of Loans shall be made, first, to ABR Loans and, second, to Eurodollar Loans. Each prepayment of the Loans under Section 2.11 (except in the case of Revolving Loans that are ABR Loans
and Swingline Loans) shall be accompanied by accrued interest to the date of such prepayment on the amount prepaid. 
 2.12 Conversion
and Continuation Options. 
 (a) The Borrower may elect from time to time to convert Eurodollar Loans denominated in Dollars to ABR
Loans by giving the Administrative Agent prior irrevocable notice of such election no later than 11:00 A.M., New York City time, on the Business Day preceding the proposed conversion date, provided that any such conversion of Eurodollar Loans may
only be made on the last day of an Interest Period with respect thereto. The Borrower may elect from time to time to convert ABR Loans to Eurodollar Loans denominated in Dollars by giving the Administrative Agent prior irrevocable notice of such
election no later than 11:00 A.M., New York City time, on the third Business Day preceding the proposed conversion date (which notice shall specify the length of the initial Interest Period therefor), provided that no ABR Loan under a particular
Facility may be converted into a Eurodollar Loan when any Event of Default has occurred and is continuing and the Administrative Agent or the Majority Facility Lenders in respect of such Facility have determined in its or their sole discretion not
to permit such conversions. Upon receipt of any such notice the Administrative Agent shall promptly notify each relevant Lender thereof. 

(b) Any Eurodollar Loan may be continued as such upon the expiration of the then current Interest Period with respect thereto by the Borrower
giving irrevocable notice to the Administrative Agent, in accordance with the applicable provisions of the term “Interest Period” set forth in Section 1.1, of the length of the next Interest Period to be applicable to such Loans (or,
if none is specified, one month), provided that no Eurodollar Loan under a particular Facility may be continued as such when any Event of Default has occurred and is continuing and the Administrative Agent has or the Majority Facility Lenders in
respect of such Facility have determined in its or their sole discretion not to permit such continuations, and provided, further, that if the Borrower shall fail to give any required notice as described above in this paragraph or if such
continuation is not permitted pursuant to the preceding proviso then (i) such Loans denominated in Dollars shall be automatically continued as Eurodollar Loans with an Interest Period of one month on the last day of such then expiring Interest
Period (unless such continuation is not permitted pursuant to the preceding proviso, in which case such Loans shall be automatically converted to ABR Loans on the last day of such then expiring Interest Period) and (ii) such Loans denominated
in an Alternative Currency shall be continued as Eurodollar Loans in their original currency with an Interest Period of one month. Upon receipt of any such notice (or any such automatic conversion or continuation) the Administrative Agent shall
promptly notify each relevant Lender thereof. No Loan may be converted into or continued as a Loan denominated in a different currency, but instead must 

  
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be repaid in the original currency and reborrowed in the other currency. During the existence of an Event of Default, the Required Lenders may demand that any or all of the then outstanding
Eurodollar Loans denominated in an Alternative Currency be prepaid, or redenominated into Dollars in the amount of the Dollar Equivalent thereof, on the last day of the then current Interest Period with respect thereto. 

2.13 Limitations on Eurodollar Tranches. Notwithstanding anything to the contrary in this Agreement, all borrowings, conversions and
continuations of Eurodollar Loans and all selections of Interest Periods shall be in such amounts and be made pursuant to such elections so that, (a) after giving effect thereto, the aggregate principal Dollar Equivalent amount of the
Eurodollar Loans comprising each Eurodollar Tranche shall be equal to $5,000,000 or a whole multiple of $1,000,000 in excess thereof and (b) no more than ten (10) Eurodollar Tranches shall be outstanding at any one time. 

2.14 Interest Rates and Payment Dates. 

(a) Each Eurodollar Loan shall bear interest for each day during each Interest Period with respect thereto at a rate per annum equal to the
Eurodollar Rate determined for such day plus the Applicable Margin. 
 (b) Each ABR Loan shall bear interest at a rate per annum equal to
the ABR plus the Applicable Margin. 
 (c) (i) If all or a portion of the principal amount of any Loan or Reimbursement Obligation
shall not be paid when due (whether at the stated maturity, by acceleration or otherwise), all overdue outstanding Loans and Reimbursement Obligations shall bear interest at a rate per annum equal to (x) in the case of the Loans, the rate that
would otherwise be applicable thereto pursuant to the foregoing provisions of this Section plus 2% or (y) in the case of Reimbursement Obligations, the rate applicable to ABR Loans under the Revolving Facility plus 2%, and (ii) if all or a
portion of any interest payable on any Loan or any commitment fee or other amount payable hereunder shall not be paid when due (whether at the stated maturity, by acceleration or otherwise), such overdue amount shall bear interest at a rate per
annum equal to the rate then applicable to ABR Loans under the relevant Facility plus 2% (or, in the case of any such other amounts that do not relate to a particular Facility, the rate then applicable to ABR Loans under the Revolving Facility plus
2%), in each case, with respect to clauses (i) and (ii) above, from the date of such non-payment until such amount is paid in full (as well after as before judgment). 

(d) Interest shall be payable in arrears on each Interest Payment Date, provided that interest accruing pursuant to paragraph (c) of this
Section shall be payable from time to time on demand of the Administrative Agent. 
 2.15 Computation of Interest and Fees. 

(a) Interest and fees payable pursuant hereto shall be calculated on the basis of a 360-day year for
the actual days elapsed, except that, (i) with respect to ABR Loans the rate of interest on which is calculated on the basis of the Prime Rate, the interest thereon shall be 

  
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calculated on the basis of a 365- (or 366-, as the case may be) day year for the actual days elapsed and
(ii) with respect to Loans denominated in AUD, CAD, and Sterling, the interest thereon shall be calculated on the basis of a 365-day year for the actual days elapsed. The Administrative Agent shall as
soon as practicable notify the Borrower and the relevant Lenders of each determination of a Eurodollar Rate. Any change in the interest rate on a Loan resulting from a change in the ABR or the Eurocurrency Reserve Requirements shall become effective
as of the opening of business on the day on which such change becomes effective. The Administrative Agent shall as soon as practicable notify the Borrower and the relevant Lenders of the effective date and the amount of each such change in interest
rate. 
 (b) Each determination of an interest rate by the Administrative Agent pursuant to any provision of this Agreement shall be
conclusive and binding on the Borrower and the Lenders in the absence of manifest error. The Administrative Agent shall, at the request of the Borrower, deliver to the Borrower a statement showing the quotations used by the Administrative Agent in
determining any interest rate pursuant to Section 2.14(a). 
 2.16 Inability to Determine Interest Rate. (a)If at the time that the
Administrative Agent shall seek to determine the relevant Screen Rate on the Quotation Day for any Interest Period for a borrowing of Eurodollar Loans the applicable Screen Rate shall not be available for such Interest Period and/or for the
applicable currency with respect to such borrowing for any reason and the Administrative Agent shall determine that it is not possible to determine the Interpolated Rate (which conclusion shall be conclusive and binding absent manifest error), then
(i) if such borrowing shall be requested in Dollars, then such borrowing shall be made as a borrowing of ABR Loans and (ii) if such borrowing shall be requested in any Alternative Currency, the Eurodollar Rate shall be equal to the cost to
each Lender to fund its pro rata share of such borrowing (from whatever source and using whatever methodologies as such Lender may select in its reasonable discretion); such rate, the “CF Rate”. 

(b) If prior to the first day of any Interest Period for any Eurodollar Loan: 

(i) the Administrative Agent shall have determined (which determination shall be conclusive and binding upon the Borrower)
that, by reason of circumstances affecting the relevant market, adequate and reasonable means do not exist for ascertaining the Eurodollar Rate in the applicable currency for such Interest Period, or 

(ii) the Administrative Agent shall have received notice from the Required Lenders that the Eurodollar Rate determined or to be
determined in the applicable currency for such Interest Period will not adequately and fairly reflect the cost to such Lenders (as conclusively certified by such Lenders) of making or maintaining their affected Loans during such Interest Period,

 then the Administrative Agent shall give notice thereof to the Borrower and the Lenders by telephone or telecopy as promptly as practicable thereafter
and, until the Administrative Agent notifies the Borrower and the Lenders that the circumstances giving rise to such notice no longer exist, (A) any request for the conversion of any Eurodollar Loan to, or continuation of any Eurodollar Loan in
the applicable currency or for the applicable Interest Period, as the case may be, shall be ineffective, (B) if a borrowing of Eurodollar Loans is requested in Dollars, such 

  
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borrowing shall be made as a borrowing of ABR Loans and (C) if a borrowing of Eurodollar Loans is requested in any Alternative Currency, then the Eurodollar Rate for such borrowing
shall be at the CF Rate (as defined above). 
 2.17 Pro Rata Treatment and Payments. 

(a) Each borrowing by the Borrower from the Lenders hereunder, each payment by the Borrower on account of any commitment fee and any reduction
of the Commitments of the Lenders shall be made pro rata according to the respective applicable Term Percentages or Revolving Percentages of the applicable Lenders. 

(b) Each payment (including each prepayment) by the Borrower on account of principal of and interest on the Dollar Term Loans shall be made
pro rata according to the respective outstanding principal amounts of the Dollar Term Loans then held by the Dollar Term Lenders. Amounts repaid or prepaid on account of the Dollar Term Loans may not be reborrowed. Each payment (including each
prepayment) by the Borrower on account of principal of and interest on the Euro Term Loans shall be made pro rata according to the respective outstanding principal amounts of the Euro Term Loans then held by the Euro Term Lenders. Amounts repaid or
prepaid on account of the Euro Term Loans may not be reborrowed. 
 (c) Each payment (including each prepayment) by the Borrower on account
of principal of and interest on the Revolving Loans shall be made pro rata according to the respective outstanding principal amounts of the Revolving Loans then held by the Revolving Lenders. 

(d) All payments (including prepayments) to be made by the Borrower hereunder, whether on account of principal, interest, fees or otherwise,
shall be made without setoff or counterclaim. Except with respect to principal and interest on Loans denominated in an Alternative Currency, all payments shall be made prior to 12:00 Noon, New York City time, on the due date thereof to the
Administrative Agent, for the account of the Lenders, at the Funding Office, in Dollars and in immediately available funds. Except as otherwise expressly provided herein, all payments by the Borrower hereunder with respect to principal and interest
on Loans denominated in an Alternative Currency shall be made to the Administrative Agent, for the account of the respective Lenders to which such payment is owed, at the Funding Office in such Alternative Currency and in immediately available funds
not later than the Applicable Time specified by the Administrative Agent on the dates specified herein. Without limiting the generality of the foregoing, the Administrative Agent may require that any payments due under this Agreement be made in the
United States. If, for any reason, the Borrower is prohibited by any Requirement of Law from making any required payment hereunder in an Alternative Currency, the Borrower shall make such payment in Dollars in the Dollar Equivalent of the
Alternative Currency payment amount. The Administrative Agent shall distribute such payments to the Lenders promptly upon receipt in like funds as received. If any payment hereunder (other than payments on the Eurodollar Loans) becomes due and
payable on a day other than a Business Day, such payment shall be extended to the next succeeding Business Day. If any payment on a Eurodollar Loan becomes due and payable on a day other than a Business Day, the maturity thereof shall be extended to
the next succeeding 

  
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Business Day unless the result of such extension would be to extend such payment into another calendar month, in which event such payment shall be made on the immediately preceding Business Day.
In the case of any extension of any payment of principal pursuant to the preceding two sentences, interest thereon shall be payable at the then applicable rate during such extension. 

(e) Unless the Administrative Agent shall have been notified in writing by any Lender prior to a borrowing that such Lender will not make the
amount that would constitute its share of such borrowing available to the Administrative Agent, the Administrative Agent may assume that such Lender is making such amount available to the Administrative Agent, and the Administrative Agent may, in
reliance upon such assumption, make available to the Borrower a corresponding amount. If such amount is not made available to the Administrative Agent by the required time on the Borrowing Date therefor, such Lender shall pay to the Administrative
Agent, on demand, such amount with interest thereon, at a rate equal to the greater of (i) the Federal Funds Effective Rate and (ii) a rate determined by the Administrative Agent in accordance with banking industry rules on interbank
compensation, for the period until such Lender makes such amount immediately available to the Administrative Agent. A certificate of the Administrative Agent submitted to any Lender with respect to any amounts owing under this paragraph shall be
conclusive in the absence of manifest error. If such Lender’s share of such borrowing is not made available to the Administrative Agent by such Lender within three Business Days after such Borrowing Date, the Administrative Agent shall also be
entitled to recover such amount with interest thereon at the rate per annum applicable to ABR Loans, on demand, from the Borrower. 
 (f)
Unless the Administrative Agent shall have been notified in writing by the Borrower prior to the date of any payment due to be made by the Borrower hereunder that the Borrower will not make such payment to the Administrative Agent, the
Administrative Agent may assume that the Borrower is making such payment, and the Administrative Agent may, but shall not be required to, in reliance upon such assumption, make available to the Lenders their respective pro rata shares of a
corresponding amount. If such payment is not made to the Administrative Agent by the Borrower within three Business Days after such due date, the Administrative Agent shall be entitled to recover, on demand, from each Lender to which any amount
which was made available pursuant to the preceding sentence, such amount with interest thereon at the rate per annum equal to the daily average Federal Funds Effective Rate. Nothing herein shall be deemed to limit the rights of the Administrative
Agent or any Lender against the Borrower. 
 (g) If any Lender shall fail to make any payment required to be made by it pursuant to
Section 2.5, Section 2.7(b), Section 2.7(c), Section 2.17(d), Section 2.17(e), Section 3.4(a) or Section 9.7, then the Administrative Agent may, in its discretion (notwithstanding any contrary provision hereof), (i) apply any amounts
thereafter received by the Administrative Agent for the account of such Lender to satisfy such Lender’s obligations under such Sections until all such unsatisfied obligations are fully paid and/or (ii) hold any such amounts in a segregated
account as cash collateral for, and application to, any future funding obligations of such Lender under such Sections; in the case of each of (i) and (ii) above, in any order as determined by the Administrative Agent in its discretion. 

  
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 2.18 Requirements of Law. (a) If any Change in Law: 

(i) shall subject any Recipient to any Taxes (other than (A) Indemnified Taxes, (B) Taxes described in clauses
(b) through (d) of the definition of Excluded Taxes and (C) Connection Income Taxes) on its loans, loan principal, letters of credit, commitments, or other obligations, or its deposits, reserves, other liabilities or capital attributable
thereto; 
 (ii) shall impose, modify or hold applicable any reserve, special deposit, liquidity, compulsory loan or similar
requirement against assets held by, deposits or other liabilities in or for the account of, advances, loans or other extensions of credit by, or any other acquisition of funds by, any office of such Lender or the Issuing Lender that is not otherwise
included in the determination of the Eurodollar Rate; or 
 (iii) shall impose on such Lender or the Issuing Lender or the
London interbank market any other condition, cost or expense (other than Taxes); 
 and the result of any of the foregoing is to increase the cost to such
Lender or the Issuing Lender, by an amount that such Lender or the Issuing Lender deems to be material, of making, converting into, continuing or maintaining Eurodollar Loans or issuing or participating in Letters of Credit, or to reduce any amount
receivable hereunder in respect thereof, then, in any such case, the Borrower shall promptly pay such Lender or the Issuing Lender, upon its demand, any additional amounts necessary to compensate such Lender or the Issuing Lender for such increased
cost or reduced amount receivable. If any Lender or the Issuing Lender becomes entitled to claim any additional amounts pursuant to this paragraph, it shall promptly notify the Borrower (with a copy to the Administrative Agent) of the event by
reason of which it has become so entitled. 
 (b) If any Lender or the Issuing Lender shall have determined that any Change in Law regarding
capital or liquidity requirements or ratios shall have the effect of reducing the rate of return on such Lender’s or the Issuing Lender’s capital or on the capital of such Lender’s or Issuing Lender’s holding company, if any, as
a consequence of its obligations hereunder or under or in respect of any Letters of Credit to a level below that which such Lender or the Issuing Lender or such Lender’s or Issuing Lender’s holding company could have achieved but for such
Change in Law (taking into consideration such Lender’s or the Issuing Lender’s or such holding company’s policies with respect to capital adequacy) by an amount deemed by such Lender or the Issuing Lender to be material, then from
time to time, after submission by such Lender or the Issuing Lender to the Borrower (with a copy to the Administrative Agent) of a written request therefor, the Borrower shall pay to such Lender or the Issuing Lender such additional amount or
amounts as will compensate such Lender or the Issuing Lender or such holding company for such reduction. 
 (c) A certificate as to any
additional amounts payable pursuant to this Section submitted by any Lender or the Issuing Lender to the Borrower (with a copy to the Administrative Agent) shall be conclusive in the absence of manifest error. Notwithstanding anything to the
contrary in this Section, the Borrower shall not be required to compensate a Lender or the Issuing Lender pursuant to this Section for any amounts incurred more than nine 

  
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months prior to the date that such Lender or the Issuing Lender notifies the Borrower of such Lender’s or the Issuing Lender’s intention to claim compensation therefor; provided that,
if the circumstances giving rise to such claim have a retroactive effect, then such nine-month period shall be extended to include the period of such retroactive effect. The obligations of the Borrower pursuant to this Section shall survive the
termination of this Agreement and the payment of the Loans and all other amounts payable hereunder. 
 2.19 Taxes. 

(a) Payments Free of Taxes. Any and all payments by or on account of any obligation of any Loan Party under any Loan Document shall be
made without deduction or withholding for any Taxes, except as required by applicable law. If any applicable law (as determined in the good faith discretion of an applicable withholding agent) requires the deduction or withholding of any Tax from
any such payment by a withholding agent, then the applicable withholding agent shall be entitled to make such deduction or withholding and shall timely pay the full amount deducted or withheld to the relevant Governmental Authority in accordance
with applicable law and, if such Tax is an Indemnified Tax, then the sum payable by the applicable Loan Party shall be increased as necessary so that after such deduction or withholding has been made (including such deductions and withholdings
applicable to additional sums payable under this Section 2.19) the applicable Recipient receives an amount equal to the sum it would have received had no such deduction or withholding been made. 

(b) Payment of Other Taxes by the Borrower. The Loan Parties shall timely pay to the relevant Governmental Authority in accordance with
applicable law, or at the option of the Administrative Agent timely reimburse it for, Other Taxes. 
 (c) Evidence of Payments. As
soon as practicable after any payment of Taxes by any Loan Party to a Governmental Authority pursuant to this Section 2.19, such Loan Party shall deliver to the Administrative Agent the original or a certified copy of a receipt issued by such
Governmental Authority evidencing such payment, a copy of the return reporting such payment or other evidence of such payment reasonably satisfactory to the Administrative Agent. 

(d) Indemnification by the Borrower. The Loan Parties shall jointly and severally indemnify each Recipient, within 10 days after demand
therefor, for the full amount of any Indemnified Taxes (including Indemnified Taxes imposed or asserted on or attributable to amounts payable under this Section) payable or paid by such Recipient or required to be withheld or deducted from a payment
to such Recipient and any reasonable expenses arising therefrom or with respect thereto, whether or not such Indemnified Taxes were correctly or legally imposed or asserted by the relevant Governmental Authority. A certificate as to the amount of
such payment or liability delivered to the Borrower by a Lender (with a copy to the Administrative Agent), or by the Administrative Agent on its own behalf or on behalf of a Lender, shall be conclusive absent manifest error. 

(e) Indemnification by the Lenders. Each Lender shall severally indemnify the Administrative Agent, within 10 days after demand
therefor, for (i) any Indemnified Taxes attributable to such Lender (but only to the extent that any Loan Party has not already 

  
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indemnified the Administrative Agent for such Indemnified Taxes and without limiting the obligation of the Loan Parties to do so), (ii) any Taxes attributable to such Lender’s failure to
comply with the provisions of Section 10.06 relating to the maintenance of a Participant Register and (iii) any Excluded Taxes attributable to such Lender, in each case, that are payable or paid by the Administrative Agent in connection
with any Loan Document, and any reasonable expenses arising therefrom or with respect thereto, whether or not such Taxes were correctly or legally imposed or asserted by the relevant Governmental Authority. A certificate as to the amount of such
payment or liability delivered to any Lender by the Administrative Agent shall be conclusive absent manifest error. Each Lender hereby authorizes the Administrative Agent to set off and apply any and all amounts at any time owing to such Lender
under any Loan Document or otherwise payable by the Administrative Agent to the Lender from any other source against any amount due to the Administrative Agent under this paragraph (e). 

(f) Status of Lenders. (i) Any Lender that is entitled to an exemption from or reduction of withholding Tax with respect to
payments made under any Loan Document shall deliver to the Borrower and the Administrative Agent, at the time or times reasonably requested by the Borrower or the Administrative Agent, such properly completed and executed documentation reasonably
requested by the Borrower or the Administrative Agent as will permit such payments to be made without withholding or at a reduced rate of withholding. In addition, any Lender, if reasonably requested by the Borrower or the Administrative Agent,
shall deliver such other documentation prescribed by applicable law or reasonably requested by the Borrower or the Administrative Agent as will enable the Borrower or the Administrative Agent to determine whether or not such Lender is subject to
backup withholding or information reporting requirements. Notwithstanding anything to the contrary in the preceding two sentences, the completion, execution and submission of such documentation (other than such documentation set forth in Section
2.19(f)(ii)(A), (ii)(B) and (ii)(D) below) shall not be required if in the Lender’s reasonable judgment such completion, execution or submission would subject such Lender to any material unreimbursed cost or expense or would materially
prejudice the legal or commercial position of such Lender. 
 (ii) Without limiting the generality of the foregoing, in the
event that the Borrower is a U.S. Person, 
 (A) any Lender that is a U.S. Person shall deliver to the Borrower and the
Administrative Agent on or prior to the date on which such Lender becomes a Lender under this Agreement (and from time to time thereafter upon the reasonable request of the Borrower or the Administrative Agent), executed originals of IRS Form W-9 certifying that such Lender is exempt from U.S. Federal backup withholding tax; 
 (B)
any Foreign Lender shall, to the extent it is legally entitled to do so, deliver to the Borrower and the Administrative Agent (in such number of copies as shall be requested by the recipient) on or prior to the date on which such Foreign Lender
becomes a Lender under this Agreement (and from time to time thereafter upon the reasonable request of the Borrower or the Administrative Agent), whichever of the following is applicable: 

(1) in the case of a Foreign Lender claiming the benefits of an income tax treaty to which the United States is a party
(x) with respect to payments of interest under any Loan Document, an executed IRS Form W-8BEN or IRS Form W-8BEN-E, as
applicable, establishing an exemption from, or reduction of, U.S. Federal withholding Tax pursuant to the “interest” article of such tax treaty and (y) with respect to any other applicable payments under any Loan Document, IRS Form W-8BEN or IRS Form W-8BEN-E, as applicable, establishing an exemption from, or reduction of, U.S. Federal withholding Tax pursuant to
the “business profits” or “other income” article of such tax treaty; 

  
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 (2) an executed IRS Form W-8ECI; 

(3) in the case of a Foreign Lender claiming the benefits of the exemption for portfolio interest under Section 881(c) of the
Code, (x) a certificate substantially in the form of Exhibit F-1 to the effect that such Foreign Lender is not a “bank” within the meaning of Section 881(c)(3)(A) of the Code, a
“10 percent shareholder” of the Borrower within the meaning of Section 881(c)(3)(B) of the Code, or a “controlled foreign corporation” described in Section 881(c)(3)(C) of the Code (a “U.S. Tax Compliance
Certificate”) and (y) an executed IRS Form W-8BEN or IRS Form W-8BEN-E, as applicable; or 

(4) to the extent a Foreign Lender is not the beneficial owner, an executed IRS Form
W-8IMY, accompanied by IRS Form W-8ECI, IRS Form W-8BEN, IRS Form W-8BEN-E, a U.S. Tax Compliance Certificate substantially in the form of Exhibit F-2 or Exhibit F-3, IRS Form
W-9, and/or other certification documents from each beneficial owner, as applicable; provided that if the Foreign Lender is a partnership and one or more direct or indirect partners of such Foreign Lender are
claiming the portfolio interest exemption, such Foreign Lender may provide a U.S. Tax Compliance Certificate substantially in the form of Exhibit F-4 on behalf of each such direct and indirect partner;

 (C) any Foreign Lender shall, to the extent it is legally entitled to do so, deliver to the Borrower and the
Administrative Agent (in such number of copies as shall be requested by the recipient) on or prior to the date on which such Foreign Lender becomes a Lender under this Agreement (and from time to time thereafter upon the reasonable request of the
Borrower or the Administrative Agent), executed originals of any other form prescribed by applicable law as a basis for claiming exemption from or a reduction in U.S. Federal withholding Tax, duly completed, together with such supplementary
documentation as may be prescribed by applicable law to permit the Borrower or the Administrative Agent to determine the withholding or deduction required to be made; and 

(D) if a payment made to a Lender under any Loan Document would be subject to U.S. Federal withholding Tax imposed by FATCA if
such Lender were to fail to comply with the applicable reporting requirements of FATCA (including those contained in Section 1471(b) or 1472(b) of the Code, as applicable), such Lender shall deliver to the Borrower and the Administrative Agent at
the time or times prescribed by law and at such time or times reasonably requested by the Borrower or the Administrative Agent such documentation prescribed by applicable law (including as prescribed by Section

  
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1471(b)(3)(C)(i) of the Code) and such additional documentation reasonably requested by the Borrower or the Administrative Agent as may be necessary for the Borrower and the Administrative Agent
to comply with their obligations under FATCA and to determine that such Lender has complied with such Lender’s obligations under FATCA or to determine the amount to deduct and withhold from such payment. Solely for purposes of this clause (D),
“FATCA” shall include any amendments made to FATCA after the date of this Agreement. 
 Each Lender agrees that if any form or
certification it previously delivered expires or becomes obsolete or inaccurate in any respect, it shall update such form or certification or promptly notify the Borrower and the Administrative Agent in writing of its legal inability to do so. 

(g) Treatment of Certain Refunds. If any party determines, in its sole discretion exercised in good faith, that it has received a
refund of any Taxes as to which it has been indemnified pursuant to this Section 2.19 (including by the payment of additional amounts pursuant to this Section 2.19), it shall pay to the indemnifying party an amount equal to such refund
(but only to the extent of indemnity payments made under this Section 2.19 with respect to the Taxes giving rise to such refund), net of all out-of-pocket expenses
(including Taxes) of such indemnified party and without interest (other than any interest paid by the relevant Governmental Authority with respect to such refund). Such indemnifying party, upon the request of such indemnified party, shall repay to
such indemnified party the amount paid over pursuant to this paragraph (g) (plus any penalties, interest or other charges imposed by the relevant Governmental Authority) in the event that such indemnified party is required to repay such refund to
such Governmental Authority. Notwithstanding anything to the contrary in this paragraph (g), in no event will the indemnified party be required to pay any amount to an indemnifying party pursuant to this paragraph (g) the payment of which would
place the indemnified party in a less favorable net after-Tax position than the indemnified party would have been in if the Tax subject to indemnification and giving rise to such refund had not been deducted,
withheld or otherwise imposed and the indemnification payments or additional amounts with respect to such Tax had never been paid. This paragraph shall not be construed to require any indemnified party to make available its Tax returns (or any other
information relating to its Taxes that it deems confidential) to the indemnifying party or any other Person. 
 (h) Survival. Each
party’s obligations under this Section 2.19 shall survive the resignation or replacement of the Administrative Agent or any assignment of rights by, or the replacement of, a Lender, the termination of the Commitments and the repayment,
satisfaction or discharge of all obligations under any Loan Document. 
 (i) Defined Terms. For purposes of this Section 2.19,
the term “Lender” includes any Issuing Lender and the term “applicable law” includes FATCA. 
 2.20 Indemnity.
The Borrower agrees to indemnify each Lender for, and to hold each Lender harmless from, any loss, cost or expense (including any foreign exchange losses) that such Lender may sustain or incur as a consequence of (a) default by the Borrower in
making a borrowing of, conversion into or continuation of Eurodollar Loans after the Borrower has given a notice requesting the same in accordance with the provisions of this Agreement, (b) default by

  
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the Borrower in making any prepayment of or conversion from Eurodollar Loans after the Borrower has given a notice thereof in accordance with the provisions of this Agreement, (c) the making
of a prepayment of Eurodollar Loans on a day that is not the last day of an Interest Period with respect thereto, (d) the assignment of any Eurodollar Loan other than on the last day of an Interest Period pursuant to a request by the Borrower
under Section 2.22, or (e) any failure by the Borrower to make payment of any Loan or drawing under any Letter of Credit (or interest due thereon) denominated in an Alternative Currency on its scheduled due date or any payment thereof in a
different currency. In the case of a Eurodollar Loan, such indemnification shall be deemed to include the amount equal to the excess, if any, of (i) the amount of interest that would have accrued on the amount so prepaid, or not so borrowed,
converted or continued, at the Eurodollar Rate that would have been applicable for the period from the date of such prepayment or of such failure to borrow, convert or continue to the last day of such Interest Period (or, in the case of a failure to
borrow, convert or continue, the Interest Period that would have commenced on the date of such failure) in each case at the applicable rate of interest for such Loans provided for herein (excluding, however, the Applicable Margin included therein,
if any) over (ii) the amount of interest (as reasonably determined by such Lender) that would have accrued to such Lender on such amount by placing such amount on deposit for a comparable period with leading banks in the interbank eurodollar
market. A certificate as to any amounts payable pursuant to this Section submitted to the Borrower by any Lender shall be conclusive in the absence of manifest error. This covenant shall survive the termination of this Agreement and the payment of
the Loans and all other amounts payable hereunder. This Section 2.20 shall not apply with respect to Taxes other than Taxes that represent losses, costs or expenses arising from any non-Tax claims. 

2.21 Change of Lending Office. Each Lender agrees that, upon the occurrence of any event giving rise to the operation of
Section 2.18 or 2.19 with respect to such Lender, it will, if requested by the Borrower, use reasonable efforts (subject to overall policy considerations of such Lender) to designate another lending office for any Loans affected by such event
with the object of avoiding the consequences of such event; provided, that such designation is made on terms that, in the sole judgment of such Lender, cause such Lender and its lending office(s) to suffer no economic, legal or regulatory
disadvantage, and provided, further, that nothing in this Section shall affect or postpone any of the obligations of the Borrower or the rights of any Lender pursuant to Section 2.18 or 2.19(a). 

2.22 Replacement of Lenders. The Borrower shall be permitted to replace any Lender that (a) requests reimbursement for amounts
owing pursuant to Section 2.18 or 2.19 or (b) becomes a Defaulting Lender or a Non-Consenting Lender, with a replacement financial institution; provided that (i) such replacement does not
conflict with any Requirement of Law, (ii) no Event of Default shall have occurred and be continuing at the time of such replacement, (iii) if applicable, prior to any such replacement, such Lender shall have taken no action under
Section 2.21 so as to eliminate the continued need for payment of amounts owing pursuant to Section 2.18 or 2.19, (iv) the replacement financial institution shall purchase, at par, all Loans and other amounts owing to such replaced Lender
on or prior to the date of replacement, (v) the Borrower shall be liable to such replaced Lender under Section 2.20 if any Eurodollar Loan owing to such replaced Lender shall be purchased other than on the last day of the Interest Period
relating thereto, (vi) the replacement financial institution, if not already a Lender, shall 

  
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be reasonably satisfactory to the Administrative Agent, (vii) the replaced Lender shall be obligated to make such replacement in accordance with the provisions of Section 10.6 (provided
that the Borrower shall be obligated to pay the registration and processing fee referred to therein), (viii) until such time as such replacement shall be consummated, the Borrower shall pay all additional amounts (if any) required pursuant to
Section 2.18 or 2.19, as the case may be, and (ix) any such replacement shall not be deemed to be a waiver of any rights that the Borrower, the Administrative Agent or any other Lender shall have against the replaced Lender. 

2.23 Incremental Commitments. 

(a) Incremental Facilities. On one or more occasions at any time after the Closing Date, the Borrower may by written notice to the
Administrative Agent elect to request (A) an increase to the existing Revolving Commitments (any such increase, the “New Revolving Commitments”) and/or (B) the establishment of one or more new term loan commitments denominated in
Dollars (the “New Term Commitments”, together with the New Revolving Commitments, the “Incremental Commitments”), by up to an aggregate amount not to exceed $500,000,000 for all Incremental Commitments (so that the sum of the
Total Revolving Commitments plus the principal amount of Dollar Term Loans made hereunder does not exceed $2,000,000,000). Each such notice shall specify the date (each, an “Increased Amount Date”) on which the Borrower proposes that such
Incremental Commitments shall be effective, which shall be a date not less than ten (10) Business Days after the date on which such notice is delivered to the Administrative Agent. The Administrative Agent and/or its Affiliates shall use
commercially reasonable efforts, with the assistance of the Borrower, to arrange a syndicate of Lenders or other Persons that are Eligible Assignees willing to hold the requested Incremental Commitments; provided that (x) any Incremental
Commitments on any Increased Amount Date shall be in the minimum aggregate amount of $25,000,000, (y) any Lender approached to provide all or a portion of the Incremental Commitments may elect or decline, in its sole discretion, to provide an
Incremental Commitment; provided that the Lenders will first be afforded the opportunity to provide the Incremental Commitments on a pro rata basis, and if any Lender so approached fails to respond within such ten (10) Business Day period after
its receipt of such request, such Lender shall be deemed to have declined to provide such Incremental Commitments, and (z) any Lender or other Person that is an Eligible Assignee (each, a “New Revolving Lender” or “New Term
Lender,” as applicable) to whom any portion of such Incremental Commitment shall be allocated shall be subject to the approval of the Borrower and the Administrative Agent (such approval not to be unreasonably withheld or delayed), and, in the
case of a New Revolving Commitment, the Issuing Lender and the Swingline Lender (each of which approvals shall not be unreasonably withheld), unless such New Revolving Lender is an existing Lender (other than a Defaulting Lender) with a Revolving
Commitment at such time or such New Term Lender is an existing Lender or an Affiliate of an existing Lender. 
 The terms and provisions of
any New Revolving Commitments shall be identical to the existing Revolving Commitments. The terms and provisions of any New Term Commitments and any New Term Loans shall (a) provide that the maturity date of any New Term Loan that is a separate
tranche shall be no earlier than the Dollar Term Loan Maturity Date for the existing Dollar Term Loans and the weighted average life to maturity of such New Term Loans shall not 

  
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be shorter than the weighted average life to maturity of the existing Dollar Term Loans, and such New Term Loans shall not have any scheduled amortization payments, (b) share ratably in any
prepayments of the existing Dollar Term Facility, unless the Borrower and the New Term Lenders in respect of such New Term Loans elect lesser payments and (c) otherwise be identical to the existing Dollar Term Loans or reasonably acceptable to
the Administrative Agent, the Borrower and each New Term Lender. 
 The effectiveness of any Incremental Commitments and the availability of
any borrowings under any such Incremental Commitments shall be subject to the satisfaction of the following conditions precedent: (x) after giving pro forma effect to such Incremental Commitments and borrowings and the use of proceeds thereof,
(i) no Default or Event of Default shall exist and (ii) as of the last day of the most recent calendar quarter for which financial statements have been delivered pursuant to Section 6.1, the Borrower would have been in compliance with
the financial covenants set forth in Section 7.1; (y) the representations and warranties made or deemed made by the Borrower in any Loan Document shall be true and correct in all material respects (other than any representation or warranty
qualified as to “materiality”, “Material Adverse Effect” or similar language, which shall be true and correct in all respects) on the effective date of such Incremental Commitments except to the extent that such representations
and warranties expressly relate solely to an earlier date (in which case such representations and warranties shall have been true and correct in all material respects on and as of such earlier date); and (z) the Administrative Agent shall have
received each of the following, in form and substance reasonably satisfactory to the Administrative Agent: (i) if not previously delivered to the Administrative Agent, copies certified by the Secretary or Assistant Secretary of all corporate or
other necessary action taken by the Borrower to authorize such Incremental Commitments; and (ii) a customary opinion of counsel to the Borrower (which may be in substantially the same form as delivered on the Closing Date), and addressed to the
Administrative Agent and the Lenders, and (iii) if requested by any Lender, new Notes executed by the Borrower, payable to any new Lender, and replacement Notes executed by the Borrower, payable to any existing Lenders. 

On any Increased Amount Date on which New Revolving Commitments are effected, subject to the satisfaction of the foregoing terms and
conditions, (a) each of the Revolving Lenders shall assign to each of the New Revolving Lenders, and each of the New Revolving Lenders shall purchase from each of the Revolving Lenders, at the principal amount thereof (together with accrued
interest), such interests in the Revolving Loans outstanding on such Increased Amount Date as shall be necessary in order that, after giving effect to all such assignments and purchases, such Revolving Loans will be held by existing Revolving
Lenders and New Revolving Lenders ratably in accordance with their Revolving Commitments after giving effect to the addition of such New Revolving Commitments to the Revolving Commitments, (b) each New Revolving Commitment shall be deemed for
all purposes a Revolving Commitment and each Loan made thereunder shall be deemed, for all purposes, a Revolving Loan and (c) each New Revolving Lender shall become a Lender with respect to its New Revolving Commitment and all matters relating
thereto. 
 On any Increased Amount Date on which any New Term Commitments are effected, subject to the satisfaction of the foregoing terms
and conditions, (i) each New Term Lender shall 

  
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make a Loan to the Borrower (a “New Term Loan”) in an amount equal to its New Term Commitment, and (ii) each New Term Lender shall become a Dollar Term Lender hereunder with
respect to the New Term Commitment and the New Term Loans made pursuant thereto. 
 The Administrative Agent shall notify the Lenders
promptly upon receipt of the Borrower’s notice of each Increased Amount Date and in respect thereof (y) the New Revolving Commitments and the New Revolving Lenders or the New Term Commitments and the New Term Lenders, as applicable, and
(z) in the case of each notice to any Revolving Lender, the respective interests in such Revolving Lender’s Revolving Loans, in each case subject to the assignments contemplated by this paragraph. 

The fees payable by Borrower upon any such Incremental Commitments shall be agreed upon by the Administrative Agent and Borrower at the time
of such increase. 
 The Incremental Commitments shall be evidenced pursuant to one or more Additional Credit Extension Amendments executed
and delivered by the Borrower, the New Revolving Lenders or New Term Lenders, as applicable, and the Administrative Agent, and each of which shall be recorded in the Register. Each Additional Credit Extension Amendment may, without the consent of
any other Lenders, effect such amendments to this Agreement and the other Loan Documents as may be necessary or appropriate, in the opinion of the Administrative Agent, to effect the provisions of this Section 2.23, subject to the approval of
the Borrower (which approval shall not be unreasonably withheld or delayed). 
 2.24 Defaulting Lenders. Notwithstanding any provision
of this Agreement to the contrary, if any Lender becomes a Defaulting Lender, then the following provisions shall apply for so long as such Lender is a Defaulting Lender: 

(a) fees shall cease to accrue on the unused portion of the Revolving Commitment of such Defaulting Lender pursuant to Section 2.8; 

(b) the Commitments, Term Loans, and Revolving Extensions of Credit of such Defaulting Lender shall not be included in determining whether all
Lenders, the Majority Facility Lenders or the Required Lenders have taken or may take any action hereunder (including any consent to any amendment or waiver pursuant to Section 10.1), provided that any waiver, amendment or modification that
increases the Commitment of a Defaulting Lender, forgives all or any portion of the principal amount of any Loan or Reimbursement Obligation or interest thereon owing to a Defaulting Lender, reduces the Applicable Margin on the underlying interest
rate options owing to a Defaulting Lender or extends the Revolving Termination Date or a Term Loan Maturity Date applicable to such Defaulting Lender shall require the consent of such Defaulting Lender; 

(c) if any Swingline Exposure or L/C Exposure exists with respect to a Lender at the time such Lender becomes a Defaulting Lender then: 

(i) all or any part of such Swingline Exposure and L/C Exposure shall be reallocated among the
non-Defaulting Lenders in accordance with their respective Revolving Percentages but only to the extent (x) the sum of all non-Defaulting Lenders’ Revolving
Extensions of Credit plus such Defaulting 

  
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Lender’s Swingline Exposure and L/C Exposure does not exceed the total of all non-Defaulting Lenders’ Revolving Commitments, (y) the sum of
each non-Defaulting Lender’s Revolving Extensions of Credit would not exceed its Revolving Commitment and (z) the conditions set forth in Section 5.2 are satisfied at such time; and 

(ii) if the reallocation described in clause (i) above cannot, or can only partially, be effected, the Borrower shall
(x) first, within one (1) Business Day following notice by the Administrative Agent, prepay such Swingline Exposure and (y) second, within ten (10) Business Days following notice by the Administrative Agent, cash collateralize
such Defaulting Lender’s L/C Exposure (after giving effect to any partial reallocation pursuant to clause (i) above) by depositing amounts into the collateral account in accordance with the procedures set forth in Section 8 for so
long as such L/C Exposure is outstanding; 
 (iii) if the Borrower cash collateralizes any portion of such Defaulting
Lender’s L/C Exposure pursuant to Section 2.24(c), the Borrower shall not be required to pay any fees to such Defaulting Lender pursuant to Section 3.3(a) with respect to such Defaulting Lender’s L/C Exposure during the period such
Defaulting Lender’s L/C Exposure is cash collateralized; 
 (iv) if the L/C Exposure of the non-Defaulting Lenders is reallocated pursuant to Section 2.24(c), then the fees payable to the Lenders pursuant to Section 3.3(a) shall be adjusted in accordance with such
non-Defaulting Lenders’ Revolving Percentages; or 
 (v) if any Defaulting
Lender’s L/C Exposure is neither cash collateralized nor reallocated pursuant to Section 2.24, then, without prejudice to any rights or remedies of the Issuing Lender or any Lender hereunder, all letter of credit fees payable under Section
3.3(a) with respect to such Defaulting Lender’s L/C Exposure shall be payable to the Issuing Lender until such L/C Exposure is cash collateralized and/or reallocated. 

(d) so long as any Lender is a Defaulting Lender, the Swingline Lender shall not be required to fund any Swingline Loan and the Issuing Lender
shall not be required to issue, amend or increase any Letter of Credit, unless it is satisfied that the related exposure will be one hundred percent (100%) covered by the Revolving Commitments of the
non-Defaulting Lenders and/or cash collateral will be provided by the Borrower in the amount of the Defaulting Lender’s L/C Exposure in accordance with Section 2.24, and participating interests in
any such newly issued or increased Letter of Credit or newly made Swingline Loan shall be allocated among non-Defaulting Lenders in a manner consistent with Section 2.24(c)(i) (and Defaulting Lenders shall not
participate therein). 
 (e) In the event that the Administrative Agent, the Borrower, the Issuing Lender and the Swingline Lender each
agrees that a Defaulting Lender has adequately remedied all matters that caused such Lender to be a Defaulting Lender, then the Swingline Exposure and L/C Exposure of the Revolving Lenders shall be readjusted to reflect the inclusion of such
Lender’s Revolving 

  
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Commitment and on such date such Revolving Lender shall purchase at par such of the Revolving Loans of the other Revolving Lenders (other than Swingline Loans) as the Administrative Agent shall
determine may be necessary in order for such Lender to hold such Revolving Loans in accordance with its Revolving Percentage. 
 2.25
Extension of Revolving Termination Date. The Borrower may, by written notice to the Administrative Agent (which shall promptly notify each of the Lenders) given at least thirty (30) days but not more than ninety (90) days prior to
the Revolving Termination Date, extend the Revolving Termination Date for up to one (1) year so long as (A) the extended Revolving Termination Date is not later than February 1, 2022, (B) no Default or Event of Default shall have
occurred and be continuing on the date of such written notice and on the last day of the initial Revolving Termination Date, (C) each of the representations and warranties made by any Loan Party in or pursuant to the Loan Documents shall be
true and correct in all material respects on and as of the date of such written notice and on and as of the effective date of such extension as if made on and as of such dates, except to the extent that such representations and warranties expressly
relate solely to an earlier date (in which case such representations and warranties shall have been true and correct in all material respects on and as of such earlier date), and (D) the Borrower pays an aggregate extension fee equal to 0.15%
of the then existing Revolving Commitments (to the Administrative Agent for the ratable benefit of the Revolving Lenders). 
 2.26
Extension of Euro Term Loan Maturity Date. The Borrower may, by written notice to the Administrative Agent (which shall promptly notify each of the Lenders) given at least thirty (30) days but not more than ninety (90) days prior to
the Euro Term Loan Maturity Date, extend the Euro Term Loan Maturity Date for up to one (1) year so long as (A) the extended Euro Term Loan Maturity Date is not later than February 1, 2021, (B) no Default or Event of Default shall
have occurred and be continuing on the date of such written notice and on the last day of the initial Euro Term Loan Maturity Date, (C) each of the representations and warranties made by any Loan Party in or pursuant to the Loan Documents shall
be true and correct in all material respects on and as of the date of such written notice and on and as of the effective date of such extension as if made on and as of such dates, except to the extent that such representations and warranties
expressly relate solely to an earlier date (in which case such representations and warranties shall have been true and correct in all material respects on and as of such earlier date), and (D) the Borrower pays an aggregate extension fee equal
to 0.15% of the then outstanding principal amount of the Euro Term Loans (to the Administrative Agent for the ratable benefit of the Euro Term Lenders). 

SECTION 3. LETTERS OF CREDIT 
 3.1 L/C
Commitment. 
 (a) Subject to the terms and conditions hereof, the Issuing Lender, in reliance on the agreements of the other Revolving
Lenders set forth in Section 3.4(a), may in its sole discretion issue standby letters of credit (“Letters of Credit”) for the account of the Borrower denominated in Dollars or any Alternative Currency on any Business Day during the
Revolving Commitment Period in such form as may be approved from time to time by the Issuing Lender; provided that the Issuing Lender shall have no obligation to issue any Letter 

  
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of Credit if, after giving effect to such issuance, (i) the L/C Obligations would exceed the L/C Commitment, (ii) the aggregate amount of the Available Revolving Commitments would be
less than zero, (iii) the Total Revolving Extensions of Credit denominated in Alternative Currencies would exceed the Alternative Currency Sublimit or (iv) unless such Issuing Lender otherwise consents, the L/C Obligations with respect to
Letters of Credit issued by any Issuing Lender would exceed the Issuing Lender Commitment of such Issuing Lender. Each Letter of Credit shall (i) be denominated in Dollars or any Alternative Currency and (ii) expire no later than the
earlier of (x) the first anniversary of its date of issuance and (y) the date that is five Business Days prior to the Revolving Termination Date, provided that any Letter of Credit with a one-year
term may provide for the automatic renewal thereof for additional one-year periods (which shall in no event extend beyond the date referred to in clause (y) above) so long as such Letter of Credit permits
the Issuing Lender to prevent any such extension at least once in each twelve-month period (commencing with the date of issuance of such Letter of Credit) by giving prior notice to the beneficiary thereof not later than a day (the “Non-Extension Notice Date”) in each such twelve-month period to be agreed upon at the time such Letter of Credit is issued. Once an automatic renewal Letter of Credit has been issued, the Revolving
Lenders shall be deemed to have authorized the Issuing Lender to permit the extension of such Letter of Credit at any time to an expiry date not later than the date referred to in clause (y) above; provided, however, that the Issuing Lender
shall not permit any such extension if it has received written notice on or before the day that is seven Business Days before the Non-Extension Notice Date from any Lender or the Administrative Agent that a
Default or Event of Default has occurred and is continuing directing the Issuing Lender not to permit such extension. The letters of credit outstanding under the Existing Revolving Credit Agreement and described in
Schedule 3.1(a) hereto shall become Letters of Credit hereunder on the Funding Date and thereafter be Letters of Credit hereunder for all purposes. 

(b) The Issuing Lender shall not at any time be obligated to issue any Letter of Credit if such issuance would conflict with, or cause the
Issuing Lender or any L/C Participant to exceed any limits imposed by, any applicable Requirement of Law or would violate such Issuing Lender’s internal policies or procedures. Notwithstanding anything herein to the contrary, the Issuing Lender
shall have no obligation hereunder to issue, and shall not issue, any Letter of Credit the proceeds of which would be made to any Person (i) to fund any prohibited activity or business of or with any Sanctioned Person, or in any country or
territory, that at the time of such funding is the subject of any Sanctions or (ii) in any manner that would result in a violation of any Sanctions by any party to this Agreement. 

3.2 Procedure for Issuance of Letter of Credit. The Borrower may from time to time request that the Issuing Lender issue a Letter of
Credit by delivering to the Issuing Lender and the Administrative Agent at their address for notices specified herein a request and an Application therefor, completed to the satisfaction of the Issuing Lender, and such other certificates, documents
and other papers and information as the Issuing Lender may request. Upon receipt of any Application, the Issuing Lender will process such Application and the certificates, documents and other papers and information delivered to it in connection
therewith in accordance with its customary procedures and, unless it has received written notice from any Lender, the Administrative Agent or a Loan Party at least one (1) Business Day prior to the requested date of issuance that a Default or
Event of Default has occurred and is continuing, 

  
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shall promptly issue the Letter of Credit requested thereby (but in no event shall the Issuing Lender be required to issue any Letter of Credit earlier than three Business Days after its receipt
of the Application therefor and all such other certificates, documents and other papers and information relating thereto) by issuing the original of such Letter of Credit to the beneficiary thereof or as otherwise may be agreed to by the Issuing
Lender and the Borrower. The Issuing Lender shall furnish a copy of such Letter of Credit to the Borrower promptly following the issuance thereof. The Issuing Lender shall promptly furnish to the Administrative Agent, which shall in turn promptly
furnish to the Lenders, notice of the issuance of each Letter of Credit (including the amount thereof). 
 3.3 Fees and Other
Charges. 
 (a) The Borrower will pay to the Administrative Agent for the account of the Revolving Lender a fee on all outstanding
Letters of Credit at a per annum rate equal to the Applicable Margin under the Revolving Facility then in effect with respect to Eurodollar Loans on the average daily amount of the L/C Obligations (excluding any portion thereof attributable to
unreimbursed drawings), shared ratably among the Revolving Lenders and payable in Dollars quarterly in arrears on each Fee Payment Date after the issuance date. In addition, the Borrower shall pay to the Issuing Lender for its own account a fronting
fee of 0.125% per annum on the average daily amount of the L/C Obligations (excluding any portion thereof attributable to unreimbursed drawings), payable in Dollars quarterly in arrears on each Fee Payment Date after the issuance date. 

(b) In addition to the foregoing fees, the Borrower shall pay or reimburse the Issuing Lender in Dollars for such normal and customary costs
and expenses as are incurred or charged by the Issuing Lender in issuing, negotiating, effecting payment under, amending or otherwise administering any Letter of Credit. 

3.4 L/C Participations. 

(a) The Issuing Lender irrevocably agrees to grant and hereby grants to each L/C Participant, and, to induce the Issuing Lender to issue
Letters of Credit, each L/C Participant irrevocably agrees to accept and purchase and hereby accepts and purchases from the Issuing Lender, on the terms and conditions set forth below, for such L/C Participant’s own account and risk an
undivided interest equal to such L/C Participant’s Revolving Percentage in the Issuing Lender’s obligations and rights under and in respect of each Letter of Credit and the amount of each draft paid by the Issuing Lender thereunder. Such
participation interest shall be in the currency of the applicable underlying Letter of Credit. Each L/C Participant agrees with the Issuing Lender that, if a draft is paid under any Letter of Credit for which the Issuing Lender is not reimbursed in
full by the Borrower in accordance with the terms of this Agreement, such L/C Participant shall pay to the Administrative Agent, for the account of the Issuing Lender, upon demand at the Administrative Agent’s address for notices specified
herein an amount equal to such L/C Participant’s Revolving Percentage of the amount of such draft, or any part thereof, that is not so reimbursed. Each L/C Participant’s obligation to pay such amount shall be absolute and unconditional and
shall not be affected by any circumstance, including (i) any setoff, counterclaim, recoupment, defense or other right that such L/C Participant may have against the Issuing Lender, the Borrower or any other Person

  
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for any reason whatsoever, (ii) the occurrence or continuance of a Default or an Event of Default or the failure to satisfy any of the other conditions specified in Section 5, (iii) any
adverse change in the condition (financial or otherwise) of the Borrower, (iv) any breach of this Agreement or any other Loan Document by the Borrower, any other Loan Party or any other L/C Participant or (v) any other circumstance,
happening or event whatsoever, whether or not similar to any of the foregoing 
 (b) If any amount required to be paid by any L/C
Participant for the account of the Issuing Lender pursuant to Section 3.4(a) in respect of any unreimbursed portion of any payment made by the Issuing Lender under any Letter of Credit is paid to the Administrative Agent within three Business Days
after the date such payment is due, such L/C Participant shall pay to the Administrative Agent, for the account of the Issuing Lender, on demand an amount equal to the product of (i) such amount, times (ii) the daily average Federal Funds
Effective Rate during the period from and including the date such payment is required to the date on which such payment is immediately available to the Issuing Lender, times (iii) a fraction the numerator of which is the number of days that
elapse during such period and the denominator of which is 360. If any such amount required to be paid by any L/C Participant pursuant to Section 3.4(a) is not made available to the Administrative Agent by such L/C Participant within three Business
Days after the date such payment is due, the Issuing Lender shall be entitled to recover from such L/C Participant, on demand, such amount with interest thereon calculated from such due date at the rate per annum applicable to ABR Loans under the
Revolving Facility. A certificate of the Issuing Lender submitted to the Administrative Agent and any L/C Participant with respect to any amounts owing under this Section shall be conclusive in the absence of manifest error. 

(c) Whenever, at any time after the Issuing Lender has made payment under any Letter of Credit and has received from any L/C Participant its
pro rata share of such payment in accordance with Section 3.4(a), the Issuing Lender receives any payment related to such Letter of Credit (whether directly from the Borrower or otherwise, including proceeds of collateral applied thereto by the
Issuing Lender), or any payment of interest on account thereof, the Issuing Lender will distribute to the Administrative Agent, for the account of such L/C Participant, its pro rata share thereof; provided, however, that in the event that any such
payment received by the Issuing Lender shall be required to be returned by the Issuing Lender, such L/C Participant shall return to the Issuing Lender the portion thereof previously distributed by the Issuing Lender to it. 

3.5 Reimbursement Obligation of the Borrower. If any drawing is paid under any Letter of Credit, the Borrower shall reimburse the
Administrative Agent for the amount of (a) the drawing so paid and in the applicable currency and (b) any taxes, fees, charges or other costs or expenses incurred by the Issuing Lender in connection with such payment, not later than
(x) in the case of any Letter of Credit to be reimbursed in Dollars 12:00 Noon, New York City time, on (i) the Business Day that the Borrower receives notice of such drawing, if such notice is received on such day prior to 10:00 A.M., New
York City time, or (ii) if clause (i) above does not apply, the Business Day immediately following the day that the Borrower receives such notice or (y) in the case of a Letter of Credit to be reimbursed in an Alternative Currency,
the Applicable Time specified by the Issuing Lender on the date of any payment by the Issuing 

  
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Lender (each such date, an “Honor Date”); provided that the Borrower may, subject to the conditions to borrowing set forth herein, request in accordance with Section 2.5 or
Section 2.6 and the provisions below that such payment to be reimbursed in Dollars be financed with an ABR Revolving Loan or Swingline Loan in an equivalent amount and, to the extent so financed, the Borrower’s obligation to make such
payment shall be discharged and replaced by the resulting ABR Revolving Loan or Swingline Loan. Each such payment shall be made to the Administrative Agent at its address for notices referred to herein in the applicable currency and in immediately
available funds. Promptly following receipt by the Administrative Agent of any payment from the Borrower pursuant to this paragraph, the Administrative Agent shall distribute such payment to the Issuing Lender. Interest shall be payable on any such
amounts from the date on which the relevant drawing is paid until payment in full at the rate set forth in (x) until the Business Day next succeeding the date of the relevant notice, Section 2.14(b) and (y) thereafter, Section 2.14(c).

 In the case of a Letter of Credit denominated in an Alternative Currency, the Borrower shall reimburse the Administrative Agent, for the
account of the Issuing Lender, in such Alternative Currency, unless the Issuing Lender (at its option) shall have specified in such notice that it will require reimbursement in Dollars. In the case of any such reimbursement in Dollars of a drawing
under a Letter of Credit denominated in an Alternative Currency, the Issuing Lender shall notify the Administrative Agent and the Borrower of the Dollar Equivalent of the amount of the drawing promptly following the determination thereof. In the
event that (A) a drawing denominated in an Alternative Currency is to be reimbursed in Dollars pursuant to the first sentence of this paragraph and (B) the Dollar amount paid by the Borrower, whether on or after the Honor Date, shall not
be adequate on the date of that payment to purchase in accordance with normal banking procedures a sum denominated in the Alternative Currency equal to the drawing, the Borrower agrees, as a separate and independent obligation, to indemnify the
Issuing Lender for the loss resulting from its inability on that date to purchase the Alternative Currency in the full amount of the drawing. 

3.6 Obligations Absolute. The Borrower’s obligations under this Section 3 shall be absolute, unconditional and irrevocable,
and shall be performed strictly in accordance with the terms of this Agreement under any and all circumstances whatsoever and irrespective of (i) any lack of validity or enforceability of any Letter of Credit or this Agreement, or any term or
provision therein, (ii) any draft or other document presented under a Letter of Credit proving to be forged, fraudulent or invalid in any respect or any statement therein being untrue or inaccurate in any respect, (iii) payment by the
Issuing Lender under a Letter of Credit against presentation of a draft or other document that does not comply with the terms of such Letter of Credit, or (iv) any other event or circumstance whatsoever, whether or not similar to any of the
foregoing, that might, but for the provisions of this Section, constitute a legal or equitable discharge of, or provide a right of setoff against, the Borrower’s obligations hereunder. Neither the Administrative Agent, the Lenders nor the
Issuing Lenders, nor any of their Related Parties, shall have any liability or responsibility by reason of or in connection with the issuance or transfer of any Letter of Credit or any payment or failure to make any payment thereunder (irrespective
of any of the circumstances referred to in the preceding sentence), or any error, omission, interruption, loss or delay in transmission or delivery of any draft, notice or other communication under or relating to any Letter of Credit (including any
document required to make a drawing thereunder), any error in interpretation of technical terms or any consequence 

  
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arising from causes beyond the control of the Issuing Lender; provided that the foregoing shall not be construed to excuse the Issuing Lender from liability to the Borrower to the extent of any
direct damages (as opposed to special, indirect, consequential or punitive damages, claims in respect of which are hereby waived by the Borrower to the extent permitted by applicable law) suffered by the Borrower that are caused by the Issuing
Lender’s failure to exercise care when determining whether drafts and other documents presented under a Letter of Credit comply with the terms thereof. The parties hereto expressly agree that, in the absence of gross negligence or willful
misconduct on the part of the Issuing Lender (as finally determined by a court of competent jurisdiction), the Issuing Lender shall be deemed to have exercised care in each such determination. In furtherance of the foregoing and without limiting the
generality thereof, the parties agree that, with respect to documents presented which appear on their face to be in substantial compliance with the terms of a Letter of Credit, the Issuing Lender may, in its sole discretion, either accept and make
payment upon such documents without responsibility for further investigation, regardless of any notice or information to the contrary, or refuse to accept and make payment upon such documents if such documents are not in strict compliance with the
terms of such Letter of Credit. 
 3.7 Letter of Credit Payments. If any documents shall be presented for payment under any Letter of
Credit, the Issuing Lender shall promptly notify the Borrower of the date and amount thereof. The responsibility of the Issuing Lender to the Borrower in connection with any documents presented for payment under any Letter of Credit shall, in
addition to any payment obligation expressly provided for in such Letter of Credit, be limited to determining that the documents delivered under such Letter of Credit in connection with such presentment are substantially in conformity with such
Letter of Credit. 
 3.8 Applications. To the extent that any provision of any Application related to any Letter of Credit is
inconsistent with the provisions of this Section 3, the provisions of this Section 3 shall apply. 
 3.9 Replacement of the
Issuing Lender. (i) Any Issuing Lender may be replaced at any time by written agreement among the Borrower, the Administrative Agent, the replaced Issuing Lender and the successor Issuing Lender. The Administrative Agent shall notify the
Lenders of any such replacement of an Issuing Lender. At the time any such replacement shall become effective, the Borrower shall pay all unpaid fees accrued for the account of the replaced Issuing Lender pursuant to Section 3.3. From and after
the effective date of any such replacement, (x) the successor Issuing Lender shall have all the rights and obligations of the Issuing Lender under this Agreement with respect to Letters of Credit to be issued thereafter and (y) references
herein to the term “Issuing Lender” shall be deemed to refer to such successor or to any previous Issuing Lender, or to such successor and all previous Issuing Lenders, as the context shall require. After the replacement of an Issuing
Lender hereunder, the replaced Issuing Lender shall remain a party hereto and shall continue to have all the rights and obligations of an Issuing Lender under this Agreement with respect to Letters of Credit issued by it prior to such replacement,
but shall not be required to issue additional Letters of Credit. 
 (ii) Any Issuing Lender may resign as an Issuing Lender at any time upon
thirty days’ prior written notice to the Administrative Agent, the Borrower and the Lenders, in which case, such Issuing Lender shall be replaced in accordance with Section 3.9(i) above. 

  
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 SECTION 4. REPRESENTATIONS AND WARRANTIES 

To induce the Administrative Agent and the Lenders to enter into this Agreement and to make the Loans or to issue or participate in the Letters
of Credit, Holdings and the Borrower hereby jointly and severally represent and warrant to the Administrative Agent and each Lender that: 

4.1 Financial Condition. 

(a) The pro forma covenant compliance certificate described in Section 5.1(j), copies of which have heretofore been furnished to each Lender,
has been prepared giving effect (as if such events had occurred on such date) to (i) the Loans to be made on the Funding Date and the use of proceeds thereof, (ii) the repayment of Indebtedness under the Existing Credit Agreement and
(iii) the payment of fees and expenses in connection with the foregoing. Such certificate has been prepared based on the best information available to the Borrower as of the date of delivery thereof, and presents fairly in all material respects
on a pro forma basis the estimated financial covenant compliance of Borrower and its consolidated Subsidiaries as at the Funding Date, assuming that the events specified in the preceding sentence had actually occurred at such date. 

(b) The audited consolidated balance sheets of Holdings and its Subsidiaries as at December 31, 2015, and the related consolidated
statements of income and of cash flows for the fiscal year ended on such date, reported on by and accompanied by an unqualified report from PricewaterhouseCoopers, present fairly in all material respects the consolidated financial condition of
Holdings and its Subsidiaries as at such date, and the consolidated results of its operations and its consolidated cash flows for the fiscal year then ended. The unaudited consolidated balance sheet of Holdings and its Subsidiaries as at
September 30, 2016, and the related unaudited consolidated statements of income and cash flows for the three-month period ended on such date, present fairly in all material respects the consolidated financial condition of Holdings and its
Subsidiaries as at such date, and the consolidated results of its operations and its consolidated cash flows for the three-month period then ended (subject to normal year end audit adjustments). All such financial statements, including the related
schedules and notes thereto, have been prepared in accordance with GAAP applied consistently throughout the periods involved (except as approved by the aforementioned firm of accountants and disclosed therein and except for the lack of footnotes
with interim statements). No Group Member has any material Guarantee Obligations, contingent liabilities and liabilities for taxes, or any long-term leases or unusual forward or
long-term commitments, including any interest rate or foreign currency swap or exchange transaction or other obligation in respect of derivatives, that are not reflected in the most recent financial statements
referred to in this paragraph. 
 4.2 No Change. Since December 31, 2015, there has been no development or event that has had or
could reasonably be expected to have a Material Adverse Effect. 
 4.3 Existence; Compliance with Law. Each Group Member (a) is
duly organized, validly existing and in good standing under the laws of the jurisdiction of its organization, (b) has the power and authority, and the legal right, to own and operate its property, to lease the

  
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property it operates as lessee and to conduct the business in which it is currently engaged except to the extent that its failure could not, in the aggregate, reasonably be expected to have a
Material Adverse Effect, (c) is duly qualified as a foreign corporation or other organization and in good standing under the laws of each jurisdiction where its ownership, lease or operation of property or the conduct of its business requires
such qualification, except to the extent that its failure to be so qualified could not, in the aggregate, reasonably be expected to have a Material Adverse Effect, and (d) is in compliance with all Requirements of Law except to the extent that
the failure to comply therewith could not, in the aggregate, reasonably be expected to have a Material Adverse Effect. 
 4.4 Power;
Authorization; Enforceable Obligations. Each Loan Party has the power and authority, and the legal right, to make, deliver and perform the Loan Documents to which it is a party and, in the case of the Borrower, to obtain extensions of credit
hereunder. Each Loan Party has taken all necessary organizational action to authorize the execution, delivery and performance of the Loan Documents to which it is a party and, in the case of the Borrower, to authorize the extensions of credit on the
terms and conditions of this Agreement. No consent or authorization of, filing with, notice to or other act by or in respect of, any Governmental Authority or any other Person is required in connection with the extensions of credit hereunder or with
the execution, delivery, performance, validity or enforceability of this Agreement or any of the Loan Documents, except (i) consents, authorizations, filings and notices described in Schedule 4.4, which consents, authorizations, filings
and notices have been obtained or made and are in full force and effect and (ii) the filings referred to in Section 4.19. Each Loan Document has been duly executed and delivered on behalf of each Loan Party party thereto. This Agreement
constitutes, and each other Loan Document upon execution will constitute, a legal, valid and binding obligation of each Loan Party party thereto, enforceable against each such Loan Party in accordance with its terms, except as enforceability may be
limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar laws affecting the enforcement of creditors’ rights generally and by general equitable principles (whether enforcement is sought by proceedings in equity or at
law). 
 4.5 No Legal Bar. The execution, delivery and performance of this Agreement and the other Loan Documents, the borrowings
hereunder, the issuance of the Letters of Credit and the use of the proceeds thereof will not violate any Requirement of Law or any Contractual Obligation of any Group Member, except for any such violation which could not reasonably be expected to
have a Material Adverse Effect, and will not result in, or require, the creation or imposition of any Lien on any of their respective properties or revenues pursuant to any Requirement of Law or any such Contractual Obligation. No Requirement of Law
or Contractual Obligation applicable to the Borrower or any of its Subsidiaries could reasonably be expected to have a Material Adverse Effect. 

4.6 Litigation. No litigation, investigation or proceeding of or before any arbitrator or Governmental Authority is pending or, to the
knowledge of Holdings or the Borrower, threatened by or against any Group Member or against any of their respective properties or revenues (a) with respect to any of the Loan Documents or any of the transactions contemplated hereby or thereby,
or (b) that could reasonably be expected to have a Material Adverse Effect. 

  
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 4.7 No Default. No Group Member is in default under or with respect to any of its
Contractual Obligations in any respect that could reasonably be expected to have a Material Adverse Effect. No Default or Event of Default has occurred and is continuing. 

4.8 Ownership of Property; Liens. Each Group Member has title in fee simple to, or a valid leasehold interest in, all its Real
Property, and good title to, or a valid leasehold interest in, all its other property (including Mortgage Notes) necessary in the ordinary conduct of its business, and none of such property is subject to any Lien except as permitted by
Section 7.3 and except for minor defects in title that do not materially interfere with its ability to conduct its business or to utilize such assets for their intended purposes and except where the failure to have such title or other property
interests described above would not reasonably be expected to have, individually or in the aggregate, a Material Adverse Effect. Each Group Member has obtained customary title insurance on its owned Real Property. 

4.9 Intellectual Property. Each Group Member owns, or is licensed to use, all Intellectual Property necessary for the conduct of its
business as currently conducted, except where the failure to have any such rights, either individually or in the aggregate, would not reasonably be expected to have a Material Adverse Effect. No material claim has been asserted and is pending by any
Person challenging or questioning the use of any Intellectual Property or the validity or effectiveness of any Intellectual Property, nor does Holdings or the Borrower know of any valid basis for any such claim, which, either individually or in the
aggregate, could reasonably be expected to have a Material Adverse Effect. To the knowledge of Borrower, the use of Intellectual Property by each Group Member does not infringe on the rights of any Person in any material respect. 

4.10 Taxes. Each Group Member has filed or caused to be filed all material Federal, state and other tax returns that are required to be
filed and has paid all taxes shown to be due and payable on said returns or on any assessments made against it or any of its property and all other taxes, fees or other charges imposed on it or any of its property by any Governmental Authority
(other than any the amount or validity of which are currently being contested in good faith by appropriate proceedings and with respect to which reserves in conformity with GAAP have been provided on the books of the relevant Group Member); no tax
Lien has been filed, and, to the knowledge of Holdings and the Borrower, no claim is being asserted, that any such tax, fee or other charge is past due or delinquent. 

4.11 Federal Regulations. No part of the proceeds of any Loans, and no other extensions of credit hereunder, will be used (a) for
“buying” or “carrying” any “margin stock” within the respective meanings of each of the quoted terms under Regulation U as now and from time to time hereafter in effect for any purpose that violates the provisions of
the Regulations of the Board or (b) for any purpose that violates the provisions of the Regulations of the Board. If requested by any Lender or the Administrative Agent, the Borrower will furnish to the Administrative Agent and each Lender a
statement to the foregoing effect in conformity with the requirements of FR Form G-3 or FR Form U-1, as applicable, referred to in Regulation U. 

4.12 Labor Matters. Except as, in the aggregate, could not reasonably be expected to have a Material Adverse Effect: (a) there are
no strikes or other labor disputes against any 

  
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Group Member pending or, to the knowledge of Holdings or the Borrower, threatened; (b) hours worked by and payment made to employees of each Group Member have not been in violation of the
Fair Labor Standards Act or any other applicable Requirement of Law dealing with such matters; and (c) all payments due from any Group Member on account of employee health and welfare insurance have been paid or accrued as a liability on the
books of the relevant Group Member. 
 4.13 ERISA. Neither a Reportable Event nor an “accumulated funding deficiency”
(within the meaning of Section 412 of the Code or Section 302 of ERISA) has occurred during the five-year period prior to the date on which this representation is made or deemed made with respect to
any Single Employer Plan or Multiemployer Plan, and, except as, in the aggregate, could not reasonably be expected to have a Material Adverse Effect, each Plan has complied in all material respects with the applicable provisions of ERISA and the
Code. No termination of a Single Employer Plan or Multiemployer Plan has occurred, and no Lien in favor of the PBGC or such a Plan has arisen, during such five-year period. The present value of all accrued benefits under each Single Employer Plan
that is a “pension plan” within the meaning of Section 3(2) of ERISA (based on those assumptions used to fund such Single Employer Plans) did not, as of the last annual valuation date prior to the date on which this representation is
made or deemed made, exceed the value of the assets of such Single Employer Plan allocable to such accrued benefits by a material amount. Neither the Borrower nor any Commonly Controlled Entity has had, within the past five years, a complete or
partial withdrawal from any Multiemployer Plan that has resulted or would reasonably be expected to result in a material liability under ERISA, and neither the Borrower nor any Commonly Controlled Entity would become subject to any material
liability under ERISA if the Borrower or any such Commonly Controlled Entity were to withdraw completely from all Multiemployer Plans as of the valuation date most closely preceding the date on which this representation is made or deemed made. No
such Multiemployer Plan is in Reorganization or Insolvent. 
 4.14 Investment Company Act; Other Regulations. No Loan Party is an
“investment company”, or a company “controlled” by an “investment company”, within the meaning of the Investment Company Act of 1940, as amended. No Loan Party is subject to regulation under any Requirement of Law
(other than Regulation X of the Board) that limits its ability to incur Indebtedness. 
 4.15 Subsidiaries. Except as disclosed to
the Administrative Agent by the Borrower in writing from time to time after the Closing Date, (a) Schedule 4.15 sets forth the name and jurisdiction of incorporation of each Subsidiary and, as to each such Subsidiary, the percentage of each
class of Capital Stock owned by any Loan Party and (b) there are no outstanding subscriptions, options, warrants, calls, rights or other agreements or commitments (other than stock options granted to employees or directors and directors’
qualifying shares) of any nature relating to any Capital Stock of the Borrower or any Subsidiary, except as created by the Loan Documents. 

4.16 Use of Proceeds. The proceeds of the Term Loans, the Revolving Loans and the Swingline Loans, and the Letters of Credit, shall be
used for general corporate purposes of the Borrower and its Subsidiaries, including the financing of working capital needs, the repayment of Indebtedness of the Borrower (including Indebtedness under the Existing Credit Agreement) and its
Subsidiaries and acquisitions and other Investments permitted by this Agreement. 

  
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 4.17 Environmental Matters. Except as, in the aggregate, could not reasonably be expected
to have a Material Adverse Effect, to the best knowledge of Holdings and the Borrower after due inquiry: 
 (a) the facilities and
properties owned, leased or operated by any Group Member (the “Properties”) do not contain, and have not previously contained during the ownership or lease of, or operation by, such Group Member, any Materials of Environmental Concern in
amounts or concentrations or under circumstances that constitute or constituted a violation of, or could give rise to liability under, any Environmental Law; 

(b) no Group Member has received or is aware of any notice of violation, alleged violation,
non-compliance, liability or potential liability regarding environmental matters or compliance with Environmental Laws with regard to any of the Properties or the business operated by any Group Member (the
“Business”), nor does Holdings or the Borrower have knowledge or reason to believe that any such notice will be received or is being threatened; 

(c) During the ownership or lease of, or operation by, any Group Member, Materials of Environmental Concern have not been transported or
disposed of from the Properties in violation of, or in a manner or to a location that could give rise to liability under, any Environmental Law, nor have any Materials of Environmental Concern been generated, treated, stored or disposed of at, on or
under any of the Properties in violation of, or in a manner that could give rise to liability under, any applicable Environmental Law; 

(d) no judicial proceeding or governmental or administrative action is pending or, to the knowledge of Holdings and the Borrower, threatened,
under any Environmental Law to which any Group Member is or will be named as a party with respect to the Properties or the Business, nor are there any consent decrees or other decrees, consent orders, administrative orders or other orders, or other
administrative or judicial requirements outstanding under any Environmental Law with respect to the Properties or the Business; 
 (e)
during the ownership or lease of, or operation by, any Group Member, there has been no release or threat of release of Materials of Environmental Concern at or from the Properties, or arising from or related to the operations of any Group Member in
connection with the Properties or otherwise in connection with the Business, in violation of or in amounts or in a manner that could give rise to liability under Environmental Laws; 

(f) the Business and all operations of any Group Member at the Properties are, and have been, in compliance, with all applicable Environmental
Laws, and there is no violation of any Environmental Law with respect to the Properties or the Business; and 
 (g) no Group Member has
assumed any liability of any other Person under Environmental Laws. 

  
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 4.18 Accuracy of Information, etc. The statements and information contained in this
Agreement, any other Loan Document, or any other document, certificate or statement furnished by or on behalf of any Loan Party to the Administrative Agent or the Lenders, or any of them, for use in connection with the transactions contemplated by
this Agreement or the other Loan Documents, taken as a whole, do not contain as of the date such statement, information, document or certificate was so furnished and as updated from time to time, any untrue statement of a material fact or omit to
state a material fact necessary to make the statements contained herein or therein not materially misleading in light of the circumstances under which, and in light of the purposes for which, such statements are made. The projections and pro forma
financial information contained in the materials referenced above are based upon good faith estimates and assumptions believed by management of the Borrower to be reasonable at the time made, it being recognized by the Lenders that such financial
information as it relates to future events is not to be viewed as fact and that actual results during the period or periods covered by such financial information will differ, possibly significantly, from the projected results set forth therein, and
that no assurance can be given that the projected results will be realized. There is no fact known to any Loan Party that could reasonably be expected to have a Material Adverse Effect that has not been expressly disclosed herein, in the other Loan
Documents, or in any other documents, certificates and statements furnished to the Administrative Agent and the Lenders for use in connection with the transactions contemplated hereby and by the other Loan Documents. 

4.19 Anti-Corruption Laws and Sanctions. The Borrower, its Subsidiaries and to the knowledge of the Borrower, its directors, officers,
employees and agents to the extent acting on behalf of Borrower or its Subsidiaries or benefitting from the credit facilities established hereby, are in compliance with Anti-Corruption Laws and applicable Sanctions in all material respects. None of
the Borrower, any Subsidiary or any of their respective directors, officers or employees that will act in any capacity in connection with or benefit from the credit facility established hereby, is a Sanctioned Person. No borrowing or Letter of Credit, use of proceeds or other transaction contemplated by this Agreement will violate Anti-Corruption Laws or applicable Sanctions. 

4.20 Solvency. The Loan Parties, on a consolidated basis, are, and after giving effect to the incurrence of all Indebtedness and
obligations being incurred in connection herewith will be and will continue to be, Solvent. 
 4.21 Reserved. 

4.22 Status of Holdings. Holdings (i) is a REIT, (ii) has not revoked its election to be a REIT, (iii) has not engaged
in any “prohibited transactions” as defined in Section 856(b)(6)(iii) of the Code (or any successor provision thereto), and (iv) for its current “tax year” (as defined in the Code) is, and for all prior tax years subsequent
to its election to be a real estate investment trust has been, entitled to a dividends paid deduction which meets the requirements of Section 857 of the Code. The common stock of Holdings is listed for trading on the New York Stock Exchange.

 4.23 Properties. Schedule 4.23(a), as supplemented from time to time, sets forth a list of all Real Property of the Group
Members and the owner (or ground-lessor) of such Real 

  
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Property, and Schedule 4.23(b), as supplemented from time to time, sets forth a list of all Unencumbered Properties and the owner (or ground-lessor) of such Unencumbered Property. All such
Unencumbered Properties satisfy the requirements for an Unencumbered Property set forth in the definition thereof. 
 4.24 EEA Financial
Institutions. No Loan Party is an EEA Financial Institution. 
 SECTION 5. CONDITIONS PRECEDENT 

5.1 Conditions to Initial Extension of Credit. The agreement of each Lender to make the initial extension of credit requested to be
made by it is subject to the satisfaction, prior to or concurrently with the making of such extension of credit on the Funding Date, of the following conditions precedent: 

(a) Credit Agreement; Guarantee Agreement. The Administrative Agent shall have received (i) this Agreement, executed and delivered
by the Administrative Agent, Holdings, the Borrower and each Person listed on Schedule 1.1A, and (ii) the Guarantee Agreement, executed and delivered by Holdings, the Borrower and each Subsidiary Guarantor. 

(b) Financial Statements. The Lenders shall have received (i) audited consolidated financial statements of Holdings and its
Subsidiaries for the 2015 fiscal year and (ii) unaudited interim consolidated financial statements of Holdings and its Subsidiaries for each fiscal quarter ended after the date of the latest applicable financial statements delivered pursuant to
clause (i) of this paragraph as to which such financial statements are available, and such financial statements shall not, in the reasonable judgment of the Lenders, reflect any material adverse change in the consolidated financial condition of
Holdings and its Subsidiaries, as reflected in the financial statements. 
 (c) Projections. The Lenders shall have received
satisfactory projections through 2020. 
 (d) Approvals. All material governmental and third party approvals necessary in connection
with the continuing operations of the Group Members and the transactions contemplated hereby shall have been obtained and be in full force and effect, and all applicable waiting periods shall have expired without any action being taken or threatened
by any competent authority that would restrain, prevent or otherwise impose adverse conditions on the financing contemplated hereby. 
 (e)
Lien Searches. The Administrative Agent shall have received the results of a recent lien search in each of the jurisdictions where assets of the Borrower and Holdings are located, and such search shall reveal no liens on any of the assets of
the Borrower or Holdings except for liens permitted by Section 7.3 or discharged or to be discharged on or prior to the Funding Date pursuant to documentation satisfactory to the Administrative Agent. 

(f) Fees. The Lenders and the Administrative Agent shall have received all fees required to be paid, and all expenses for which
invoices have been presented (including the reasonable fees and expenses of legal counsel), at least one (1) Business Day before the 

  
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Funding Date. All such amounts will be paid with proceeds of Loans made on the Funding Date and will be reflected in the funding instructions given by the Borrower to the Administrative Agent on
or before the Funding Date. 
 (g) Closing Certificate; Certified Certificate of Incorporation; Good Standing Certificates. The
Administrative Agent shall have received (i) a certificate of each Loan Party, dated the Funding Date, substantially in the form of Exhibit C, with appropriate insertions and attachments, including the certificate of incorporation of
each Loan Party that is a corporation certified by the relevant authority of the jurisdiction of organization of such Loan Party, and (ii) a good standing certificate for each Loan Party from its jurisdiction of organization. 

(h) Legal Opinion. The Administrative Agent shall have received the legal opinion of Goodwin Procter LLP, counsel to the Borrower and
its Subsidiaries, in form and substance reasonably satisfactory to the Agents. 
 (i) Know-Your-Customer Requirements. The
Administrative Agent shall have received all documentation and other information about the Loan Parties as shall have been reasonably requested by the Administrative Agent at least two (2) Business Days prior to the Closing Date that they shall
have reasonably determined is required by regulatory authorities under applicable “know your customer” and anti-money laundering rules and regulations, including without limitation, the USA Patriot Act. 

(j) Compliance Certificate. The Lenders shall have received a certificate of a Responsible Officer of the Borrower certifying as to
compliance with the financial covenants set forth in Section 7.1 on a pro-forma basis on the Funding Date after giving effect to the incurrence of the Loans, which certificate shall include calculations
in reasonable detail demonstrating such compliance, including as to the calculation of Unencumbered Asset Value. 
 (k) Solvency
Certificate. The Administrative Agent shall have received a solvency certificate from a Responsible Officer of Holdings certifying that it is Solvent. 

For purposes of determining compliance with the conditions specified in this Section 5.1, each Lender that has signed this Agreement shall be deemed to
have consented to, approved or accepted or to be satisfied with, each document or other matter required thereunder to be consented to or approved by or acceptable or satisfactory to a Lender. 

5.2 Conditions to Each Extension of Credit. The agreement of each Lender to make any extension of credit requested to be made by it on
any date (including its initial extension of credit), and of the Issuing Lender to issue, amend, renew or extend any Letter of Credit, is subject to the satisfaction of the following conditions precedent: 

(a) Representations and Warranties. Each of the representations and warranties made by any Loan Party in or pursuant to the Loan
Documents shall be true and correct in all material respects (other than any representation or warranty qualified as to “materiality”, “Material Adverse Effect” or similar language, which shall be true and correct in all
respects) on and as of such date as if made on and as of such date, except to the extent such representations and warranties specifically relate to an earlier date, in which case they were true and correct on and as of such earlier date. 

  
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 (b) No Default. No Default or Event of Default shall have occurred and be continuing on
such date or after giving effect to the extensions of credit requested to be made on such date. 
 (c) Alternative Currency. In the
case of Loans or Letters of Credit to be denominated in an Alternative Currency, there shall not have occurred any change in national or international financial, political or economic conditions or currency exchange rates or exchange controls which
in the reasonable opinion of the Administrative Agent, the Required Lenders (in the case of any Loans to be denominated in an Alternative Currency) or the Issuing Lender (in the case of any Letter of Credit to be denominated in an Alternative
Currency) would make it impracticable for such Loan or Letter of Credit to be denominated in the relevant Alternative Currency. 
 Each borrowing by and
issuance of a Letter of Credit on behalf of the Borrower hereunder shall constitute a representation and warranty by the Borrower as of the date of such extension of credit that the conditions contained in Section 5.2(a) and (b) have been
satisfied. 
 SECTION 6. AFFIRMATIVE COVENANTS 

Holdings and the Borrower hereby jointly and severally agree that, so long as the Commitments remain in effect, any Letter of Credit remains
outstanding (except to the extent cash collateralized on a basis reasonably acceptable to the Administrative Agent) or any Loan or other amount is owing to any Lender or the Administrative Agent hereunder (other than contingent indemnification
obligations as to which no claim has been asserted), each of Holdings and the Borrower shall and shall cause each of its Subsidiaries to: 

6.1 Financial Statements. Furnish to the Administrative Agent for prompt further distribution to each Lender each of the following:

 (a) as soon as available, but in any event within 90 days after the end of each fiscal year of Holdings, a copy of the audited
consolidated balance sheet of Holdings and its consolidated Subsidiaries as at the end of such year and the related audited consolidated statements of income and of cash flows for such year, setting forth in each case in comparative form the figures
for the previous year, reported on without a “going concern” or like qualification or exception, or qualification arising out of the scope of the audit, by PricewaterhouseCoopers or other independent certified public accountants of
nationally recognized standing (other than as may be required as a result of the impending maturity of the Obligations maturing within one (1) year after the time such opinion is delivered); and 

(b) as soon as available, but in any event not later than 45 days after the end of each of the first three quarterly periods of each fiscal
year of Holdings, the unaudited consolidated balance sheet of Holdings and its consolidated Subsidiaries as at the end of such quarter and the related unaudited consolidated statements of income and of cash flows for such quarter and the portion of
the fiscal year through the end of such quarter, setting forth in each case in comparative form the figures for the previous year, certified by a Responsible Officer as being fairly stated in all material respects (subject to normal year-end audit adjustments). 

  
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 All such financial statements shall be complete and correct in all material respects and shall be prepared in
reasonable detail and in accordance with GAAP applied (except as approved by such accountants or officer, as the case may be, and disclosed in reasonable detail therein and except for the absence of footnotes with the interim statements)
consistently throughout the periods reflected therein and with prior periods. Delivery by Holdings to the Administrative Agent and the Lenders of its annual report to the SEC on Form 10-K and its
quarterly report to the SEC on Form 10-Q, in each case in accordance with SEC requirement for such reports, shall be deemed to be compliance by Holdings with this Section 6.1(a) and Section 6.1(b), as
applicable. 
 6.2 Certificates; Other Information. Furnish to the Administrative Agent for prompt further distribution by the
Administrative Agent to each Lender each of the following (or, in the case of clause (f), to the relevant Lender): 
 (a) as soon as
available, but in any event within 60 days after the end of each of the first three quarterly periods of each fiscal year of Holdings and within 90 days after the end of each fiscal year of Holdings, (i) a certificate of a Responsible Officer
stating that, to the best of such Responsible Officer’s knowledge, each Loan Party during such period has observed or performed all of its covenants and other agreements, and satisfied every condition contained in this Agreement and the other
Loan Documents to which it is a party to be observed, performed or satisfied by it, and that such Responsible Officer has obtained no knowledge of any Default or Event of Default except as specified in such certificate, (ii) in the case of
quarterly or annual financial statements, (x) a Compliance Certificate containing all information and calculations necessary for determining compliance by each Group Member with the provisions of this Agreement referred to therein as of the
last day of the fiscal quarter or fiscal year of the Borrower, as the case may be, and (y) to the extent not previously disclosed to the Administrative Agent, a description of any change in the jurisdiction of organization of any Loan Party
since the date of the most recent report delivered pursuant to this clause (y) (or, in the case of the first such report so delivered, since the Closing Date), (iii) the items described in Section 6.10 with respect to any Subsidiary Guarantors
created or acquired during such fiscal quarter or any Unencumbered Properties or Mortgage Notes added during such fiscal quarter and (iv) updates to Schedules 4.23(a) and 4.23(b) and Schedule PUP (if applicable); 

(b) as soon as available, and in any event no later than 90 days after the end of each fiscal year of the Borrower, a detailed consolidated
budget for the following fiscal year (including a projected consolidated balance sheet of the Borrower and its Subsidiaries as of the end of the following fiscal year, the related consolidated statements of projected cash flow, projected changes in
financial position and projected income and a description of the underlying assumptions applicable thereto), and, as soon as available, significant revisions, if any, of such budget and projections with respect to such fiscal year (collectively, the
“Projections”), which Projections shall in each case be accompanied by a certificate of a Responsible Officer stating that such Projections are based on reasonable estimates, information and assumptions; 

(c) within 45 days after the end of each fiscal quarter of the Borrower (or 90 days in the case of the fourth quarter), a narrative discussion
and analysis of the financial condition and results of operations of the Borrower and its Subsidiaries for such fiscal quarter and for the period from the beginning of the then current fiscal year to the end of such fiscal quarter,

  
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as compared to the comparable periods of the previous year; provided that delivery to the Administrative Agent and the Lenders of Holdings’ annual report to the SEC on Form 10-K and its quarterly report to the SEC on Form 10-Q containing such narrative discussion and analysis shall be deemed to be compliance with this Section 6.2(c); 

(d) [Reserved]; 
 (e) within
five days after the same are sent, copies of all financial statements and reports that Holdings or the Borrower sends to the holders of any class of its debt securities or public equity securities and, within five days after the same are filed,
copies of all material financial statements and reports that Holdings or the Borrower may make to, or file with, the SEC; provided that delivery to the Administrative Agent and the Lenders of Holdings’ quarterly report to the SEC on Form 10-Q and its current report to the SEC on Form 8-K containing such narrative discussion and analysis shall be deemed to be compliance with this Section 6.2(e); and 

(f) promptly, such additional financial and other information as the Administrative Agent or any Lender may from time to time reasonably
request. 
 6.3 Payment of Obligations. Pay, discharge or otherwise satisfy at or before maturity or before they become delinquent,
as the case may be, all its material obligations of whatever nature, except where the amount or validity thereof is currently being contested in good faith by appropriate proceedings and reserves in conformity with GAAP with respect thereto have
been provided on the books of the relevant Group Member and except for any nonpayment of which could not reasonably be expected to have a Material Adverse Effect. 

6.4 Maintenance of Existence; Compliance. (a)(i) Preserve, renew and keep in full force and effect its organizational existence and
(ii) take all reasonable action to maintain all rights, privileges and franchises necessary or desirable in the normal conduct of its business, except, in each case, as otherwise permitted by Section 7.4 and except (other than with respect
to the preservation of the existence of the Loan Parties) (x) to the extent that failure to do so could not reasonably be expected to have a Material Adverse Effect or (y) pursuant to any merger, amalgamation, consolidation, liquidation,
dissolution or Disposition permitted hereunder; and (b) comply with all Contractual Obligations and Requirements of Law except to the extent that failure to comply therewith could not, in the aggregate, reasonably be expected to have a Material
Adverse Effect. Without limiting the generality of the foregoing, Holdings will do all things necessary to maintain its status as a REIT and will maintain its listing on the New York Stock Exchange. The Borrower will maintain in effect and enforce
policies and procedures designed to ensure compliance by Holdings, the Borrower, its Subsidiaries and their respective directors, officers and employees with Anti-Corruption Laws and applicable Sanctions. 

6.5 Maintenance of Property; Insurance. (a) Except if the failure to do so would not reasonably be expected to have, individually
or in the aggregate, a Material Adverse Effect, keep all property useful and necessary in its business in good working order and condition, ordinary wear and tear excepted and fire, casualty or condemnation excepted and (b) maintain with
financially sound and reputable insurance companies insurance on all its property in at 

  
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least such amounts and against at least such risks (but including in any event public liability, all-risks casualty and business interruption) as are
usually insured against in the same general area by companies engaged in the same or a similar business. 
 6.6 Inspection of Property;
Books and Records; Discussions. (a) Keep proper books of records and account in which full, true and correct entries in conformity with GAAP (it being understood and agreed that any Foreign Subsidiary may maintain additional individual
books and records in a manner that permits preparation of its financial statements in accordance with the generally accepted accounting principles that are applicable in its jurisdiction of organization and that such maintenance shall not constitute
a breach of the representations, warranties or covenants hereunder) and (b) permit representatives of the Administrative Agent or any Lender to visit and inspect any of its properties and examine and make abstracts from any of its books and
records at any reasonable time and as often as may reasonably be desired and to discuss the business, operations, properties and financial and other condition of the Group Members with officers and employees of the Group Members and with their
independent certified public accountants (subject to such accountants’ customary policies and procedures), all at such reasonable times during normal business hours and as often as may be reasonably desired, upon reasonable advance notice to
the Borrower; provided that, absent the existence of an Event of Default, only the expenses of the Administrative Agent for one inspection during any calendar year shall be at the Borrower’s expense; provided, further, that
when an Event of Default exists, the Administrative Agent (or any of its respective representatives or independent contractors) and the Lenders may do any of the foregoing at the expense of the Borrower at any time during normal business hours and
upon reasonable advance notice. The Administrative Agent and the Lenders shall give the Borrower the opportunity to participate in any discussions with the Borrower’s independent public accountants. Notwithstanding anything to the contrary
in this Section 6.6, none of Holdings, the Borrower or any of the Subsidiaries will be required to disclose, permit the inspection, examination or making copies or abstracts of, or discussion of, any document, information or other matter that
(a) constitutes non-financial trade secrets or non-financial proprietary information, (b) in respect of which disclosure to the Administrative Agent or any
Lender (or their respective representatives or contractors) is prohibited by Law or any binding agreement or (c) is subject to attorney-client or similar privilege or constitutes attorney work product; provided that, to the extent
legally permissible, the Borrower shall notify the Administrative Agent that any such document, information or other matter is being withheld pursuant to clauses (a), (b) or (c) of this Section 6.6 and shall use commercially reasonable
efforts to communicate, to the extent permitted, the applicable information in a way that would not violate such restrictions and to eliminate such restrictions. 

6.7 Notices. Promptly give notice to the Administrative Agent for prompt further distribution by the Administrative Agent to each
Lender of: 
 (a) the occurrence of any Default or Event of Default; 

(b) any (i) default or event of default under any Contractual Obligation of any Group Member or (ii) litigation, investigation or
proceeding that may exist at any time between any Group Member and any Governmental Authority, that in either case, if not cured or if adversely determined, as the case may be, could reasonably be expected to have a Material Adverse Effect; 

  
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 (c) any litigation or proceeding affecting any Group Member (i) in which the amount involved
is $10,000,000 or more and not covered by insurance, (ii) in which injunctive or similar relief is sought or (iii) which relates to any Loan Document; 

(d) the following events, as soon as possible and in any event within 30 days after the Borrower knows or has reason to know thereof:
(i) the occurrence of any Reportable Event with respect to any Single Employer Plan or Multiemployer Plan, a failure to make any material required contribution to a Single Employer Plan or Multiemployer Plan, the creation of any Lien in favor
of the PBGC or a Single Employer Plan or Multiemployer Plan or any withdrawal from, or the termination, Reorganization or Insolvency of, any Multiemployer Plan or (ii) the institution of proceedings or the taking of any other action by the PBGC
or the Borrower or any Commonly Controlled Entity or any Multiemployer Plan with respect to the withdrawal from, or the termination, Reorganization or Insolvency of, any Single Employer Plan or Multiemployer Plan; 

(e) [Reserved]; and 
 (f) any
development or event that has had or could reasonably be expected to have a Material Adverse Effect. 
 Each notice pursuant to this Section 6.7 shall
be accompanied by a statement of a Responsible Officer setting forth details of the occurrence referred to therein and stating what action the relevant Group Member proposes to take with respect thereto. 

6.8 Environmental Laws. 

(a) Comply with, and take commercially reasonable steps to ensure compliance by all tenants and subtenants, if any, with, all applicable
Environmental Laws, and obtain and comply with and maintain, and take commercially reasonable steps to ensure that all tenants and subtenants obtain and comply with and maintain, any and all licenses, approvals, notifications, registrations or
permits required by applicable Environmental Laws, in each case to the extent the failure to do so could reasonably be expected to have a Material Adverse Effect. 

(b) Conduct and complete all investigations, studies, sampling and testing, and all remedial, removal and other actions required under
Environmental Laws and promptly comply in all material respects with all lawful orders and directives of all Governmental Authorities regarding Environmental Laws. 

6.9 Distributions in the Ordinary Course. In the ordinary course of business, the Borrower causes all of its Subsidiaries to make
transfers of net cash and cash equivalents upstream to the Borrower, and the Borrower shall continue to follow such ordinary course of business. The Borrower shall not make net transfers of cash and cash equivalents downstream to its Subsidiaries
except in the ordinary course of business consistent with past practice. 
 6.10 Additional Guarantors; Additional Unencumbered
Properties. (a) With respect to any Subsidiary of the Borrower (other than an Excluded Foreign Subsidiary) that is required to 

  
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become a Subsidiary Guarantor so that the Real Property owned or leased by such Subsidiary qualifies as an Unencumbered Property or any Mortgage Note owned by such Subsidiary is included in the
computation of Unencumbered Asset Value, cause such new Subsidiary (A) to become a party to the Guarantee Agreement, (B) to deliver to the Administrative Agent a certificate of such Subsidiary, substantially in the form of Exhibit
C, with appropriate insertions and attachments, and (C) if requested by the Administrative Agent, deliver to the Administrative Agent legal opinions relating to the matters described above, which opinions shall be in form and substance, and
from counsel, reasonably satisfactory to the Administrative Agent, all at the times, with respect to clauses (A), (B) and (C), required by Section 6.2(a) above. 

(b) Upon the addition of any new Real Property as an Unencumbered Property after the Closing Date, the Borrower shall deliver to the
Administrative Agent (a) a certificate of a Responsible Officer certifying that such Real Property satisfies the eligibility criteria set forth in the definition of “Unencumbered Property”, certifying as to compliance with the
financial covenants on a pro-forma basis after giving effect to the addition of such Real Property as an Unencumbered Property, which certificate shall include calculations in reasonable detail demonstrating
such compliance, including as to the calculation of Unencumbered Asset Value, and (b) updated Schedules 4.23(a) and (b) of all Unencumbered Properties, all at times, with respect to clauses (a) and (b) required by Section
6.2(a) above. From and after the date of delivery of such certificate, schedule and information and so long as such Real Property continues to satisfy the eligibility criteria set forth in the definition of “Unencumbered Property”, such
Real Property shall be treated as a Unencumbered Property hereunder. 
 (c) Upon the inclusion of any new Mortgage Note in the computation
of Unencumbered Asset Value, the Borrower shall deliver to the Administrative Agent an updated schedule of all Mortgage Notes included in the computation of Unencumbered Asset Value, all at times required by Section 6.2(a) above. 

(d) The Borrower shall deliver the items described in and required by clauses (a), (b) and (c) above at the time of the delivery of the
Compliance Certificate pursuant to Section 6.2(a). The Borrower will, and will cause each of its Subsidiaries to, cooperate with the Lenders and the Administrative Agent and execute such further instruments and documents as the Lenders or the
Administrative Agent shall reasonably request to carry out to their satisfaction the transactions contemplated by this Agreement and the other Loan Documents. 

6.11 Notices of Asset Sales, Encumbrances or Dispositions. The Borrower shall deliver to the Administrative Agent and the Lenders
written notice not less than two (2) Business Days prior to a sale, encumbrance with a Lien to secure Indebtedness or other Disposition of an Unencumbered Property for consideration in excess of $75,000,000, which is permitted pursuant to
Section 7.2(f), Section 7.3(i) or Section 7.5, as applicable. In addition, simultaneously with delivery of any such notice, the Loan Parties shall deliver to the Administrative Agent (A) a certificate of a Responsible Officer certifying
that no Default or Event of Default (including any non-compliance with the financial covenants contained herein) has occurred and is continuing or would occur on a pro forma basis after giving effect to the
proposed sale, encumbrance or other Disposition, which certificate shall include calculations in reasonable detail demonstrating compliance with the financial covenants on a pro-forma basis, including as to
the calculation of Unencumbered Asset Value and (B) an updated schedule of all Unencumbered Properties. 

  
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 To the extent such proposed transaction would result in a Default or an Event of Default, the
Borrower shall apply the proceeds of such transaction (together with such additional amounts as may be required), to prepay the Obligations in an amount, as determined by the Administrative Agent, equal to that which would be required to reduce the
Obligations so that no Default or Event of Default would exist. 
 6.12 Maintenance of Ratings. The Borrower shall maintain a senior
unsecured credit rating from each of S&P and Moody’s; provided that if the rating obtained from such rating agency is a private letter rating that is not monitored and automatically updated by such rating agency, then the Borrower shall
obtain an annual update of such rating on or before each anniversary of the Closing Date. 
 6.13 Use of Proceeds. The proceeds of
the Loans shall be used only for the purposes set forth in Section 4.16 and in compliance with Section 4.11. No part of the proceeds of any Loan will be used, whether directly or indirectly, for any purpose that entails a violation of any
of the Regulations of the Board, including Regulations T, U and X. The Borrower will not request any Loan or Letter of Credit, and the Borrower shall not use, and shall not permit its Subsidiaries and its or their respective directors, officers,
employees and agents to use, the proceeds of any Loan or Letter of Credit (A) in furtherance of an offer, payment, promise to pay, or authorization of the payment or giving of money, or anything else of value, to any Person in violation of any
Anti-Corruption Laws, (B) for the purpose of funding, financing or facilitating any activities, business or transaction of or with any Sanctioned Person, or in any Sanctioned Country, or (C) in any manner that would result in a violation
of any Sanctions applicable to any party hereto. 
 SECTION 7. NEGATIVE COVENANTS 

Holdings and the Borrower hereby jointly and severally agree that, so long as the Commitments remain in effect, any Letter of Credit remains
outstanding (except to the extent cash collateralized on a basis reasonably acceptable to the Administrative Agent) or any Loan or other amount is owing to any Lender or the Administrative Agent hereunder (other than contingent indemnification
obligations as to which no claim has been asserted), each of Holdings and the Borrower shall not, and shall not permit any of its Subsidiaries to, directly or indirectly: 

7.1 Financial Condition Covenants. 

(a) Total Leverage Ratio. Permit the ratio of (i) (A) Total Indebtedness (other than any such Indebtedness that has been
Discharged) minus (B) as of such date of determination, unrestricted cash and Cash Equivalents of the Group Members in excess of $10,000,000 that is being held to repay that portion of Total Indebtedness that matures within twenty-four
(24) months of such date of determination to (ii) Total Asset Value (the “Total Leverage Ratio”) as at the last day of any period of four consecutive fiscal quarters of the Borrower or on the date of any incurrence of
Indebtedness by the Borrower or its Subsidiaries hereunder to exceed 60%; provided that such ratio may exceed 60% in order to permit the Borrower to 

  
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consummate a Significant Acquisition so long as (i) such ratio does not exceed 60% as of the end of more than four (4) consecutive fiscal quarters and (ii) such ratio does not
exceed 65% as of such date of determination. 
 (b) Fixed Charge Coverage Ratio. Permit the ratio of Total EBITDA to Total Fixed
Charges for any period of four consecutive fiscal quarters of the Borrower to be less than 1.50 to 1.0. 
 (c) Secured Leverage
Ratio. Permit the ratio of (A) (i) the aggregate amount of all Secured Indebtedness (other than any such Indebtedness that has been Discharged) minus (ii) as of such date of determination, unrestricted cash and Cash Equivalents of the
Group Members in excess of $10,000,000 that is being held to repay that portion of Secured Indebtedness that matures within twenty-four (24) months of such date of determination (the “Secured Debt Reserve”), and without duplication of
the Unsecured Debt Reserve in Section 7.1(f), to (B) Total Asset Value (the “Secured Leverage Ratio”), as at the last day of any period of four consecutive fiscal quarters of the Borrower or on the date of any incurrence of
Indebtedness by the Borrower or its Subsidiaries hereunder to exceed 40%. 
 (d) [Reserved]. 

(e) Consolidated Adjusted Net Worth. Permit Consolidated Tangible Net Worth to be less than the sum of (i) $2,650,000,000 plus (ii) 75%
of Net Cash Proceeds from issuances of Capital Stock by the Borrower or Holdings after September 30, 2016. 
 (f) Unsecured Leverage
Ratio. Permit the ratio of (i)(A) Unsecured Indebtedness (other than any such Indebtedness that has been Discharged) minus (B) as of such date of determination, unrestricted cash and Cash Equivalents of the Group Members in excess of
$10,000,000 that is being held to repay that portion of Unsecured Indebtedness that matures within twenty-four (24) months of such date of determination (“Unsecured Debt Reserve”), and without duplication of the Secured Debt Reserve
in Section 7.1(c), to (ii) Unencumbered Asset Value (the “Unsecured Leverage Ratio”) as at the last day of any period of four consecutive fiscal quarters of the Borrower or on the date of any incurrence of Indebtedness by the Borrower
or its Subsidiaries hereunder to exceed 65%. 
 (g) Unsecured Interest Coverage Ratio. Permit the ratio of Unencumbered NOI for any
period of four consecutive fiscal quarters of the Borrower to Unsecured Interest Expense for such period to be less than 1.75 to 1.0 as at the last day of any period of four consecutive fiscal quarters of the Borrower or on the date of any
incurrence of Indebtedness by the Borrower or its subsidiaries hereunder. 
 (h) [Reserved]. 

(i) Pro Forma Calculations. 

(i) For purposes of the pro-forma calculations to be made pursuant to Sections 7.1(a),
(c) and (f) (and the definitions used therein), such calculations shall be adjusted by (A) excluding from Total Asset Value and Unencumbered Asset Value the 

  
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actual value of any assets sold by the Borrower or any of its Subsidiaries since the last day of the prior fiscal quarter and (B) adding to Total Asset Value and Unencumbered Asset Value the
actual value of any assets acquired (or to be acquired with any borrowing) by the Borrower or any of its Subsidiaries since the last day of the prior fiscal quarter. 

(ii) For purposes of the pro-forma calculations to be made pursuant to Sections 7.1(b)
and (g) (and the definitions used therein), such calculations shall be adjusted by (A) excluding from Unencumbered NOI the actual NOI for the relevant period of any assets sold by the Borrower or any of its Subsidiaries since the last day of
the prior fiscal quarter, (B) adding to Unencumbered NOI the projected NOI for the next four quarters (based on the Borrower’s projections made in good faith) for any assets acquired (or to be acquired with any borrowing) by the Borrower
or any of its Subsidiaries since the last day of the prior fiscal quarter, (C) excluding from Unsecured Interest Expense, the Unsecured Interest Expense for the relevant period for any Unsecured Indebtedness for which the Borrower or any
Subsidiary is no longer obligated in respect of, or as the result of the application of proceeds from, any Unencumbered Properties sold by the Borrower or any of its Subsidiaries since the last day of the prior fiscal quarter, and (D) adding to
Unsecured Interest Expense, the projected Unsecured Interest Expense for the next four quarters (based on the Borrower’s projections made in good faith) for any Unsecured Indebtedness assumed or incurred by the Borrower or any of its
Subsidiaries since the last day of the prior fiscal quarter. 
 7.2 Indebtedness. Create, issue, incur, assume, become liable in
respect of or suffer to exist any Indebtedness, except: 
 (a) Indebtedness of any Loan Party pursuant to any Loan Document, and the other
Obligations; 
 (b) (i) Indebtedness of the Borrower to any Subsidiary and of any Wholly Owned Subsidiary of the Borrower to the
Borrower or any other Subsidiary, (ii) Indebtedness of the Borrower or any Wholly Owned Subsidiary of the Borrower to any non-Wholly Owned Subsidiary of the Borrower, and (iii) Indebtedness of any non-Wholly Owned Subsidiary to the Borrower or to any Wholly Owned Subsidiary of the Borrower in an aggregate amount not to exceed 5% of Total Asset Value at any one time outstanding; 

(c) Guarantee Obligations incurred in the ordinary course of business by the Borrower or any of its Subsidiaries of obligations of any Wholly
Owned Subsidiary of the Borrower in an aggregate amount not to exceed $50,000,000 at any one time outstanding; 
 (d) Indebtedness
outstanding on the date hereof and listed on Schedule 7.2(d) and any refinancings, refundings, renewals or extensions thereof that would not cause a violation of any covenant set forth in Section 7.1 after giving pro forma effect
thereto; 
 (e) (i) Indebtedness of the Borrower in respect of the Senior Notes, and any Additional Senior Unsecured Notes and
(ii) Guarantee Obligations of Holdings and its Subsidiaries, as applicable, in respect of such Indebtedness; 

  
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 (f) additional Indebtedness of Holdings, the Borrower or any of its Subsidiaries in an aggregate
principal amount at any one time outstanding that would not cause a violation of any covenant set forth in Section 7.1 after giving pro forma effect to any such additional Indebtedness; 

(g) Indebtedness with respect to obligations of the Borrower with respect to Swap Agreements permitted by Section 7.12; and 

(h) Discharged Indebtedness. 

7.3 Liens. Create, incur, assume or suffer to exist any Lien upon any of its property, whether now owned or hereafter acquired, except:

 (a) Liens for taxes that are not overdue for a period of more than 30 days or that are being contested in good faith by appropriate
proceedings, provided that adequate reserves with respect thereto are maintained on the books of the Borrower or its Subsidiaries, as the case may be, in conformity with GAAP or the equivalent accounting principles in the relevant local
jurisdiction; 
 (b) carriers’, warehousemen’s, mechanics’, materialmen’s, repairmen’s or other like Liens arising
in the ordinary course of business that are not overdue for a period of more than 30 days or that are being contested in good faith by appropriate proceedings; 

(c) pledges or deposits in connection with workers’ compensation, unemployment insurance and other social security legislation, or to
secure statutory obligations; 
 (d) deposits to secure the performance of bids, trade contracts (other than for borrowed money), leases,
statutory obligations, surety and appeal bonds, performance bonds and other obligations of a like nature incurred in the ordinary course of business; 

(e) easements, rights-of-way, restrictions and other similar
encumbrances that, in the aggregate, are not substantial in amount and that do not in any case materially detract from the value of the property subject thereto or materially interfere with the ordinary conduct of the business of the Borrower or any
of its Subsidiaries; 
 (f) Liens (not affecting the Unencumbered Properties) in existence on the date hereof listed on Schedule
7.3(f), securing Indebtedness permitted by Section 7.2(d), provided that no such Lien is spread to cover any additional property that is an Unencumbered Property after the Closing Date and that the amount of Indebtedness secured thereby
is not increased in violation of Section 7.2; 
 (g) Liens securing the Obligations; 

(h) any interest or title of a lessor under any lease entered into by the Borrower or any other Subsidiary in the ordinary course of its
business and covering only the assets so leased; 
 (i) Liens (not affecting the Unencumbered Properties) securing Indebtedness constituting
Indebtedness permitted by Section 7.2(f), and Liens (not affecting Unencumbered Properties) incurred in connection with the cash collateralization of any Swap Agreement permitted by Section 7.12; 

  
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 (j) Liens (not affecting the Unencumbered Properties) arising from judgments or orders for the
payment of money (or appeal or other surety bonds relating thereto) not constituting an Event of Default under Section 8; 
 (k) Liens
(i) of a collection bank arising under section 4-208 or 4-210 of the Uniform Commercial Code or other similar provisions of applicable Law on the items in the
course of collection and (ii) in favor of a banking or other financial institution arising as a matter of common or statutory Law or under customary general terms and conditions encumbering deposits or other funds maintained with a financial
institution (including the right of setoff); 
 (l) Liens (i) on advances of cash or Cash Equivalents in favor of the seller of any
property to be acquired in an Investment permitted hereunder to be applied against the purchase price for such Investment or other acquisition, and (ii) consisting of an agreement to Dispose of any property in a Disposition permitted hereunder,
in each case, solely to the extent such Investment or other acquisition or Disposition, as the case may be, would have been permitted on the date of the creation of such Lien or on the date of any contract for such Investment or Disposition; 

(m) Liens that are customary contractual rights of setoff or banker’s liens (i) relating to the establishment of depository
relations with banks or other deposit-taking financial institutions in the ordinary course and not given in connection with the issuance of Indebtedness, (ii) relating to pooled deposit, automatic clearinghouse accounts or sweep accounts of
Holdings, the Borrower or any of the Subsidiaries to permit satisfaction of overdraft or similar obligations incurred in the ordinary course of business of Holdings, the Borrower or any of the Subsidiaries, or (iii) relating to securities
accounts of Holdings, the Borrower or any of the Subsidiaries incurred in the ordinary course of business of Holdings, the Borrower or any of the Subsidiaries; 

(n) Liens on insurance policies and the proceeds thereof securing the financing of the premiums with respect thereto; 

(o) customary rights of first refusal and tag, drag and similar rights in joint venture agreements entered into in the ordinary course of
business; 
 (p) customary Liens of an indenture trustee on money or property held or collected by it to secure fees, expenses and
indemnities owing to it by any obligor under an indenture; 
 (q) Liens on Real Property where a Group Member is insured against such Liens
by title insurance; 
 (r) the interests of lessees and lessors under leases or subleases of, and the interest of managers or operators with
respect to, real or personal property made in the ordinary course of business; 

  
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 (s) Liens securing assessments or charges payable to a property owner association or similar
entity, which assessments are not yet due and payable or are being contested in good faith by appropriate proceedings diligently conducted, and for which adequate reserves with respect thereto, to the extent required by GAAP, are maintained on the
books of the applicable Person; and 
 (t) Liens on a Property (other than an Unencumbered Property) acquired by Borrower and or any of its
Subsidiaries after the date hereof and which are in place at the time such Property is so acquired and not created in contemplation of such acquisition. 

7.4 Fundamental Changes. (a) Enter into any merger, consolidation or amalgamation, or liquidate, wind up or dissolve itself (or
suffer any liquidation or dissolution), or Dispose of all or substantially all of its property or business, except that: 

(i) any Subsidiary of the Borrower may be merged, consolidated or amalgamated with or into the Borrower (provided that the
Borrower shall be the continuing or surviving corporation) or with or into any Wholly Owned Subsidiary of the Borrower (provided that a Wholly Owned Subsidiary of the Borrower shall be the continuing or surviving corporation); 

(ii) any Subsidiary of the Borrower may Dispose of any or all of its assets (i) to the Borrower or any Wholly Owned
Subsidiary of the Borrower (upon voluntary liquidation or otherwise) or (ii) pursuant to a Disposition permitted by Section 7.5; 

(iii) any Investment expressly permitted by Section 7.8 may be structured as a merger, consolidation or amalgamation; and

 (iv) any non-Wholly Owned Subsidiary of the Borrower may merge, consolidate or
amalgamate with any other non-Wholly Owned Subsidiary of the Borrower. 
 (b) With respect to
Holdings or the Borrower, enter into any merger, consolidation, amalgamation or reorganization transaction that would result in such Person being organized under the laws of a jurisdiction other than the United States. 

7.5 Disposition of Property. Dispose of any of its property, whether now owned or hereafter acquired, or, in the case of any
Subsidiary, issue or sell any shares of such Subsidiary’s Capital Stock to any Person, except: 
 (a) the Disposition of obsolete or
worn out property in the ordinary course of business; 
 (b) the sale of inventory, receivables and other current assets and any immaterial
assets in the ordinary course of business; 
 (c) Dispositions permitted by clause (i) of Section 7.4(b); 

(d) the sale or issuance of any Subsidiary’s Capital Stock to the Borrower or any Wholly Owned Subsidiary of the Borrower; 

  
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 (e) to the extent allowable under Section 1031 of the Code, any exchange of like property
(excluding any boot thereon) for use in a permitted business between the Borrower or any Subsidiary and another Person; 
 (f) the voluntary
unwinding of any Cash Management Services or Swap Agreements; 
 (g) the Disposition of other property, assets or Capital Stock so long as
(i) no Default or Event of Default has occurred and is continuing, or would occur after giving effect thereto and (ii) the Borrower complies with Section 6.11, if applicable; 

(h) the creation, granting, perfection or realization of any Lien permitted under this Agreement; the license or sublicense of intellectual
property or other general intangibles; the lease, assignment or sublease of property in the ordinary course of business so long as the same does not materially interfere with the business of Holdings, the Borrower and their Subsidiaries, taken as a
whole; and any sale or disposition of property in connection with scheduled turnarounds, maintenance and equipment and facility updates; 

(i) the surrender or waiver of contract rights or settlement, release or surrender of a contract, tort or other litigation claim in the
ordinary course of business; 
 (j) (i) any exchange or swap of assets, or lease, assignment or sublease of any real property or
personal property of like property for use in a business permitted by Section 6.18 and (ii) Dispositions of property to the extent that (x) such property is exchanged for credit against the purchase price of similar replacement
property or (y) the proceeds of such Disposition are promptly applied to the purchase price of such replacement property; 
 (k)
Dispositions of cash and Cash Equivalents; 
 (l) any Disposition (i) arising from foreclosure, casualty, condemnation or any similar
action or transfers by reason of eminent domain with respect to any property or other asset of Holdings, the Borrower or any of its Subsidiaries; and 

(m) the transfer for fair value of property (including Capital Stock of Subsidiaries) to another Person in connection with a joint venture
arrangement with respect to the transferred property. 
 7.6 Restricted Payments. Declare or pay any dividend (other than dividends
payable solely in common stock of the Person making such dividend) on, or make any payment on account of, or set apart assets for a sinking or other analogous fund for, the purchase, redemption, defeasance, retirement or other acquisition of, any
Capital Stock of any Group Member, whether now or hereafter outstanding, or make any other distribution in respect thereof, either directly or indirectly, whether in cash or property or in obligations of any Group Member (collectively,
“Restricted Payments”), except that: 
 (a) any Subsidiary of the Borrower may make Restricted Payments to the Borrower or any
Wholly Owned Subsidiary of the Borrower, and any Subsidiary of the Borrower may make Restricted Payments to any other Subsidiary and any other holders of its Capital Stock so long as such Restricted Payments are made on a pro rata basis or otherwise
in accordance with the applicable governing documents; 

  
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 (b) the Borrower may make Restricted Payments to Holdings (and Holdings may make Restricted
Payments of such amount to its shareholders) in an amount not to exceed 95% of Normalized Adjusted FFO attributable to the period of four fiscal quarters then ended, unless such Restricted Payment is necessary in order for Holdings to maintain its
status as a REIT and to avoid any U.S. federal income taxes on the taxable income of Holdings or any excise tax under Section 4981 of the Code; provided that (i) if an Event of Default has occurred and is continuing, the Borrower
may only make Restricted Payments to Holdings in the amounts required to be made by Holdings in order to maintain its status as a REIT and (ii) the Borrower may not make any Restricted Payments to Holdings if the Obligations have been declared
due and payable. 
 (c) redemptions, repurchases, retirements or other acquisitions of Capital Stock in Holdings, the Borrower or any of the
Subsidiaries deemed to occur upon exercise of stock options or warrants or similar rights if such Capital Stock represent a portion of the exercise price of, or tax withholdings with respect to, such options or warrants or similar rights; 

(d) the Borrower and the Subsidiaries may pay (or make Restricted Payments to allow Holdings or any direct or indirect parent thereof to pay,
so long as in the case of any payment in respect of Capital Stock of any direct or indirect parent of Holdings, the amount of such Restricted Payment is directly attributable to the Capital Stock of Holdings owned directly or indirectly by such
parent) for the repurchase, retirement or other acquisition or retirement for value of Capital Stock of Holdings (or such direct or indirect parent thereof) held by any future, present or former officers, directors, employees, members of management
and consultants (or their respective estates, executors, administrators, heirs, family members, legatees, distributes, spouses, former spouses, domestic partners and former domestic partners) of Holdings (or any direct or indirect parent of
Holdings) or any of its Subsidiaries in connection with the death, disability, retirement or termination of employment of any such Person (or a breach of any non-compete or other restrictive covenant or
confidentiality obligations of any such Person at any time after such Person’s disability, retirement or termination of employment); and 

(e) (i) redemptions, repurchases, retirements or other acquisitions of Capital Stock in connection with or pursuant to any joint venture
agreement, and (ii) the declaration and payment of dividends or other distributions on any non-Wholly Owned Subsidiary’s Capital Stock, in each case based on the relevant ownership interests in the
relevant class of Capital Stock. 
 7.7 [Reserved]. 

7.8 Investments. Make any advance, loan, extension of credit (by way of guaranty or otherwise) or capital contribution to, or purchase
any Capital Stock, bonds, notes, debentures or other debt securities of, or any assets constituting a business unit of, or make any other investment in, any Person (all of the foregoing, “Investments”), except Permitted Investments. 

  
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 7.9 [Reserved]. 

7.10 Transactions with Affiliates. Enter into any material transaction, including any purchase, sale, lease or exchange of property,
the rendering of any service or the payment of any management, advisory or similar fees, with any Affiliate (other than Holdings, the Borrower or any Wholly Owned Subsidiary of the Borrower) unless such transaction is (i) for payments of
compensation, perquisites and fringe benefits arising out of any employment or consulting relationship in the ordinary course of business, (ii) for payments of Restricted Payments permitted by this Agreement, (iii) between or among Loan
Parties, or (iv) (A) otherwise not prohibited under this Agreement and (B) in the ordinary course of business of the relevant Group Member, and (C) upon fair and reasonable terms no less favorable to the relevant Group Member than it
would obtain in a comparable arm’s length transaction with a Person that is not an Affiliate. 
 7.11 Sales and Leasebacks.
Enter into any arrangement with any Person providing for the leasing by any Group Member of real or personal property that has been or is to be sold or transferred by such Group Member to such Person or to any other Person to whom funds have been or
are to be advanced by such Person on the security of such property or rental obligations of such Group Member. 
 7.12 Swap
Agreements. Enter into any Swap Agreement, except (a) Swap Agreements entered into to hedge or mitigate risks associated with liabilities, commitments, investments, assets, or property held or reasonably anticipated by the Borrower or any
Subsidiary and for the Borrower or such Subsidiary has actual exposure (other than those in respect of Capital Stock or the Senior Notes, or any Additional Senior Unsecured Notes) and (b) Swap Agreements entered into in order to effectively
cap, collar or exchange interest rates (from fixed to floating rates, from one floating rate to another floating rate or otherwise) with respect to any interest-bearing liability or investment of the Borrower or any Subsidiary. 

7.13 Changes in Fiscal Periods. Permit the fiscal year of the Borrower to end on a day other than December 31 or change the
Borrower’s method of determining fiscal quarters. 
 7.14 Negative Pledge Clauses. Enter into or suffer to exist or become
effective any agreement that prohibits or limits the ability of any Group Member to create, incur, assume or suffer to exist any Lien upon any of its property (including equity interests owned by such Group Member) or revenues, whether now owned or
hereafter acquired (which, for the avoidance of doubt, shall exclude any agreement that requires maintenance of financial covenant ratios regarding amounts of secured debt or unencumbered assets), other than (a) this Agreement and the other
Loan Documents, (b) any agreements governing any purchase money Liens or Capital Lease Obligations otherwise permitted hereby (in which case, any prohibition or limitation shall only be effective against the assets financed thereby), (c) any
restrictions set forth in the organizational documents of the Subsidiaries of the Borrower listed on Schedule ES, (d) any restrictions set forth in the 2012 Senior Unsecured Note Indenture, the 2013 Senior Unsecured Note Indenture or any
Additional Senior Unsecured Indentures, (e) customary restrictions and conditions contained in any agreement relating to the sale of any property pending the consummation of such sale; provided that (1) such restrictions apply only to the
property to be sold, and (2) such sale is permitted hereunder, (f) covenants in any one or more 

  
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agreements governing Indebtedness permitted under Section 7.2 entered into after the Closing Date that are not materially more restrictive with respect to Borrower and its Subsidiaries than
the equivalent restrictions set forth in the Loan Documents, (g) any encumbrance or restriction in connection with an acquisition of property, so long as such encumbrance or restriction relates solely to the property so acquired and was not
created in connection with or in anticipation of such acquisition, (h) restrictions by reason of customary provisions restricting assignments, subletting or other transfers contained in leases, licenses or similar agreements entered into in the
ordinary course of business (provided that such restrictions are limited to the property or assets secured by such Liens or the property or assets subject to such leases, licenses or similar agreements, as the case may be), (i) provisions limiting
the disposition or distribution of assets or property in joint venture agreements, stock sale agreements and other similar agreements, in each case, to the extent permitted under this Agreement and only if entered into with the approval of the Board
of Directors of Holdings, which limitation is applicable only to the assets that are the subject of such agreement, (j) Contractual Obligations that are binding on a Subsidiary at the time such Subsidiary first becomes a Subsidiary, so long as
such Contractual Obligations were not entered into in contemplation of such Person becoming a Subsidiary, (k) are required by or pursuant to applicable Law, (l) are customary restrictions on leases, subleases, licenses, sublicenses,
Capital Stock, or asset sale agreements and other similar agreements otherwise permitted hereby so long as such restrictions relate to the assets subject thereto, and (m) are customary provisions restricting assignment of any agreement entered
into in the ordinary course of business. 
 7.15 Clauses Restricting Subsidiary Distributions. Enter into or suffer to exist or
become effective any consensual encumbrance or restriction on the ability of any Subsidiary of the Borrower to (a) make Restricted Payments in respect of any Capital Stock of such Subsidiary held by, or pay any Indebtedness owed to, the
Borrower or any other Subsidiary of the Borrower, (b) make loans or advances to, or other Investments in, the Borrower or any other Subsidiary of the Borrower or (c) transfer any of its assets to the Borrower or any other Subsidiary of the
Borrower, except for such encumbrances or restrictions existing under or by reason of (i) any restrictions existing under the Loan Documents, the Senior Note Indenture, the 2012 Senior Unsecured Note Indenture, the 2013 Senior Unsecured Note
Indenture or any Additional Senior Unsecured Indentures, (ii) any restrictions with respect to a Subsidiary imposed pursuant to an agreement that has been entered into in connection with the Disposition of all or substantially all of the
Capital Stock or assets of such Subsidiary, (iii) any restrictions set forth in the organizational documents of the Subsidiaries of the Borrower listed on Schedule ES, (iv) applicable Requirements of Law, (v) customary
provisions restricting subletting or assignment of any lease governing a leasehold interest of a Subsidiary, (vi) any holder of a Lien permitted by Section 7.3 restricting the transfer of the property subject to such permitted Lien,
(vii) any agreement in effect at the time such Subsidiary becomes a Subsidiary of the Borrower, so long as such agreement was not entered into in connection with or in contemplation of such Person becoming a Subsidiary of the Borrower, and
(viii) any restrictions in any one or more agreements governing Indebtedness permitted under Section 7.2 entered into after the Closing Date that are not materially more restrictive with respect to Borrower and its Subsidiaries than the
equivalent restrictions set forth in the Loan Documents. 
 7.16 Lines of Business. Enter into any business, either directly or
through any Subsidiary, except for those businesses in which the Borrower and its Subsidiaries are engaged on the date of this Agreement or that are reasonably related thereto. 

  
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 SECTION 8. EVENTS OF DEFAULT 

If any of the following events shall occur and be continuing: 

(a) the Borrower shall fail to pay any principal of any Loan or Reimbursement Obligation when due in accordance with the terms hereof; or the
Borrower shall fail to pay any interest on any Loan or Reimbursement Obligation, or any other amount payable hereunder or under any other Loan Document, within five days after any such interest or other amount becomes due in accordance with the
terms hereof; or 
 (b) any representation or warranty made or deemed made by any Loan Party herein or in any other Loan Document or that is
contained in any certificate, document or financial or other statement furnished by it at any time under or in connection with this Agreement or any such other Loan Document shall prove to have been inaccurate (i) in any material respect on or
as of the date made or deemed made or (ii) in the case of any representation or warranty qualified by “materiality”, “Material Adverse Effect” or any similar language, in any respect (after giving effect to such materiality
qualifier) on or as of the date made or deemed made; or 
 (c) any Loan Party shall default in the observance or performance of any
agreement contained in clause (i) or (ii) of Section 6.4(a) (with respect to Holdings and the Borrower only), Section 6.7(a), Section 6.13, or Section 7 of this Agreement or Section 4 of the Guarantee Agreement; or 

(d) any Loan Party shall default in the observance or performance of any other agreement contained in this Agreement or any other Loan
Document (other than as provided in paragraphs (a) through (c) of this Section), and such default shall continue unremedied for a period of 30 days after notice to the Borrower from the Administrative Agent or the Required Lenders; provided
that if such default is capable of being cured but cannot be cured within such 30 day period and so long as the Borrower shall have commenced to cure such default within such 30 day period and shall be diligently pursuing such cure, the Borrower
shall have an additional 30 day period to cure such default; or 
 (e) any Group Member (other than an Immaterial Subsidiary) shall
(i) default in making any payment of any principal of any Indebtedness (including any Guarantee Obligation, but excluding the Loans) on the scheduled or original due date with respect thereto; or (ii) default in making any payment of any
interest on any such Indebtedness beyond the period of grace, if any, provided in the instrument or agreement under which such Indebtedness was created; or (iii) default in the observance or performance of any other agreement or condition
relating to any such Indebtedness or contained in any instrument or agreement evidencing, securing or relating thereto, or any other event shall occur or condition exist, the effect of which default or other event or condition is to cause, or to
permit the holder or beneficiary of such Indebtedness (or a trustee or agent on behalf of such holder or beneficiary) to cause, with the giving of notice if required, such Indebtedness to become due,

  
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prepaid, repurchased, defeased or redeemed prior to its stated maturity or (in the case of any such Indebtedness constituting a Guarantee Obligation) to become payable; provided, that a default,
event or condition described in clause (i), (ii) or (iii) of this paragraph (e) shall not at any time constitute an Event of Default unless, at such time, one or more defaults, events or conditions of the type described in clauses (i),
(ii) and (iii) of this paragraph (e) shall have occurred and be continuing with respect to Indebtedness the outstanding principal amount of which exceeds in the aggregate (x) $50,000,000, in the case of Recourse Indebtedness or (y)
$100,000,000 in the case of Nonrecourse Indebtedness; provided further that this clause (e) shall not apply to secured Indebtedness that becomes due as a result of the voluntary sale or transfer of the property or assets securing such
Indebtedness, if such sale or transfer is permitted hereunder; or 
 (f) (i) any Group Member (other than an Immaterial Subsidiary)
shall commence any case, proceeding or other action (A) under any existing or future law of any jurisdiction, domestic or foreign, relating to bankruptcy, insolvency, reorganization or relief of debtors, seeking to have an order for relief
entered with respect to it, or seeking to adjudicate it a bankrupt or insolvent, or seeking reorganization, arrangement, adjustment, winding-up, liquidation, dissolution, composition or other relief with
respect to it or its debts, or (B) seeking appointment of a receiver, trustee, custodian, conservator or other similar official for it or for all or any substantial part of its assets, or any Group Member (other than an Immaterial Subsidiary)
shall make a general assignment for the benefit of its creditors; or (ii) there shall be commenced against any Group Member (other than an Immaterial Subsidiary) any case, proceeding or other action of a nature referred to in clause
(i) above that (A) results in the entry of an order for relief or any such adjudication or appointment or (B) remains undismissed or undischarged for a period of 60 days; or (iii) any Group Member (other than an Immaterial
Subsidiary) shall take any action in furtherance of, or indicating its consent to, approval of, or acquiescence in, any of the acts set forth in clause (i) or (ii) above; or (iv) any Group Member (other than an Immaterial Subsidiary) shall
generally not, or shall be unable to, or shall admit in writing its inability to, pay its debts as they become due; or 
 (g) (i) any
Person shall engage in any “prohibited transaction” (as defined in Section 406 of ERISA or Section 4975 of the Code) involving any Plan, (ii) any “accumulated funding deficiency” (as defined in Section 302 of
ERISA), whether or not waived, shall exist with respect to any Plan or any Lien in favor of the PBGC or a Plan shall arise on the assets of any Group Member or any Commonly Controlled Entity, (iii) a Reportable Event shall occur with respect
to, or proceedings shall commence to have a trustee appointed, or a trustee shall be appointed, to administer or to terminate, any Single Employer Plan, which Reportable Event or commencement of proceedings or appointment of a trustee is, in the
reasonable opinion of the Required Lenders, likely to result in the termination of such Plan for purposes of Title IV of ERISA, (iv) any Single Employer Plan shall terminate for purposes of Title IV of ERISA, or (v) any Group Member or any
Commonly Controlled Entity shall, or in the reasonable opinion of the Required Lenders would be reasonably likely to, incur any liability in connection with a withdrawal from, or the Insolvency or Reorganization of, a Multiemployer Plan; and in each
case in clauses (i) through (v) above, such event or condition, together with all other such events or conditions, if any, would, in the reasonable judgment of the Required Lenders, reasonably be expected to have a Material Adverse Effect; or

  
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 (h) one or more final judgments or decrees shall be entered against any Group Member (other than
an Immaterial Subsidiary) involving in the aggregate a liability (not paid or fully covered by insurance as to which the relevant insurance company has not denied coverage) of $50,000,000 or more, and all such judgments or decrees shall not have
been vacated, discharged, stayed or bonded pending appeal within 30 days from the entry thereof; or 
 (i) any of the Loan Documents shall
cease, for any reason, to be in full force and effect, or any Loan Party or any Affiliate of any Loan Party shall so assert other than as expressly permitted hereunder or thereunder; or 

(j) [reserved]; or 
 (k) (i)
(any “person” or “group” (as such terms are used in Sections 13(d) and 14(d) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) shall become, or obtain rights (whether by means or warrants,
options or otherwise) to become, the “beneficial owner” (as defined in Rules 13(d)-3 and 13(d)-5 under the Exchange Act), directly or indirectly, of more than
40% of the outstanding common stock of Holdings; (ii) the board of directors of Holdings shall cease to consist of a majority of Continuing Directors; (iii) Holdings shall cease to own and control, of record and beneficially, 100% of the
outstanding Capital Stock of the general partner of the Borrower or shall cease to own and control, of record and beneficially, 90% of each class of outstanding Capital Stock of the Borrower free and clear of all Liens; or (iv) a Specified
Change of Control shall occur; or 
 (l) Holdings shall (i) conduct, transact or otherwise engage in, or commit to conduct, transact or
otherwise engage in, any business or operations other than (A) those incidental to its ownership of the Capital Stock of the Borrower, (B) the maintenance of its legal existence (including the ability to incur fees, costs and expenses
relating to such maintenance), (C) the performance of its obligations and payments with respect to the Loan Documents and any other agreements permitted hereunder, (D) any public offering of its common stock or any other issuance of its Capital
Stock or hold proceeds thereof, (E) making payments or Restricted Payments to the extent otherwise permitted hereunder, (F) making Investments in its Subsidiaries, (G) participating in tax, accounting and other administrative matters
as a member of the consolidated, combined, unitary or similar group that included Holdings and the Borrower, (H) holding any cash, Cash Equivalents or other property received in connection with Restricted Payments received from, and Investments
in Holdings made by, its Subsidiaries, contributions to its capital or in exchange for the issuance of Capital Stock and Investments received in respect of any of the foregoing pending application thereof by Holdings, and (I) providing
indemnification and contribution, directors, officers, employees, members of management and consultants, (ii) incur, create, assume or suffer to exist any Indebtedness or other liabilities or financial obligations, except (w) Indebtedness
incurred with respect to guarantees of the Senior Notes, or other Indebtedness of the Borrower and its Subsidiaries that is permitted by Section 7.2, (x) nonconsensual obligations imposed by operation of law, (y) obligations pursuant to
the Loan Documents to which it is a party and (z) obligations with respect to its Capital Stock, or (iii) own, lease, manage or otherwise operate any properties or assets (including cash (other than cash received in connection with
dividends made by the Borrower in accordance with Section 7.6 pending application in the manner contemplated by said Section) and cash equivalents) other than the ownership of shares of Capital Stock of the Borrower; 

  
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 then, and in any such event, (A) if such event is an Event of Default specified in clause (i), (ii), (iii)
or (iv) of paragraph (f) above with respect to the Borrower, automatically the Commitments shall immediately terminate and the Loans (with accrued interest thereon) and all other amounts owing under this Agreement and the other Loan
Documents (including all amounts of L/C Obligations, whether or not the beneficiaries of the then outstanding Letters of Credit shall have presented the documents required thereunder) shall immediately become due and payable (and the obligation to
deposit cash collateral for Letters of Credit described below shall become effectively immediately and such deposits shall become immediately due and payable), and (B) if such event is any other Event of Default, either or both of the following
actions may be taken: (i) with the consent of the Required Lenders, the Administrative Agent may, or upon the request of the Required Lenders, the Administrative Agent shall, by notice to the Borrower declare the Commitments to be terminated
forthwith, whereupon the Commitments shall immediately terminate; and (ii) with the consent of the Required Lenders, the Administrative Agent may, or upon the request of the Required Lenders, the Administrative Agent shall, by notice to the
Borrower, declare the Loans (with accrued interest thereon) and all other amounts owing under this Agreement and the other Loan Documents (including all amounts of L/C Obligations, whether or not the beneficiaries of the then outstanding Letters of
Credit shall have presented the documents required thereunder) to be due and payable forthwith, whereupon the same shall immediately become due and payable. With respect to all Letters of Credit with respect to which presentment for honor shall not
have occurred at the time of an acceleration pursuant to this paragraph, the Borrower shall at such time deposit in a cash collateral account opened by the Administrative Agent an amount equal to the aggregate then undrawn and unexpired amount of
such Letters of Credit. Amounts held in such cash collateral account shall be held as collateral for the payment and performance of the Obligations and shall be applied by the Administrative Agent to the payment of drafts drawn under such Letters of
Credit, and the unused portion thereof after all such Letters of Credit shall have expired or been fully drawn upon, if any, shall be applied to repay other obligations of the Borrower hereunder and under the other Loan Documents. The Administrative
Agent shall have exclusive dominion and control, including the exclusive right of withdrawal, over such account. Other than any interest earned on the investment of such deposits, which investments shall be made at the option and sole discretion of
the Administrative Agent and at the Borrower’s risk and expense, such deposits shall not bear interest. Interest or profits, if any, on such investments shall accumulate in such account. After all such Letters of Credit shall have expired or
been fully drawn upon, all Reimbursement Obligations shall have been satisfied and all other obligations of the Borrower hereunder and under the other Loan Documents shall have been paid in full, the balance, if any, in such cash collateral account
shall be returned to the Borrower (or such other Person as may be lawfully entitled thereto). Except as expressly provided above in this Section, presentment, demand, protest and all other notices of any kind are hereby expressly waived by the
Borrower. 
 In the event that following the occurrence or during the continuance of any Event of Default, the Administrative Agent or any
Lender, as the case may be, receives any monies in connection with the enforcement of any the Loan Documents, such monies shall be distributed for application as follows: 

(a) First, to the payment of, or (as the case may be) the reimbursement of the Administrative Agent for or in respect of, all reasonable
costs, expenses, disbursements and losses which shall have been incurred or sustained by the Administrative Agent in connection with the collection of such monies by the Administrative Agent, for the exercise, protection or enforcement by the
Administrative Agent of all or any of the rights, remedies, powers and privileges of the Administrative Agent under this Agreement or any of the other Loan Documents or in support of any provision of adequate indemnity to the Administrative Agent
against any taxes or liens which by law shall have, or may have, priority over the rights of the Administrative Agent to such monies; 

  
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 (b) Second, to pay any fees or expense reimbursements then due to the Lenders from the Loan
Parties; 
 (c) Third to pay interest then due and payable on the Loans and Reimbursement Obligations ratably, 

(d) Fourth, to payment of Obligations constituting principal on the Loans and Reimbursement Obligations and obligations under Cash Management
Services and Lender Swap Agreements due to the Administrative Agent or any Lender or any Affiliate of the Administrative Agent or any Lender by the Loan Parties, and to pay an amount to the Administrative Agent equal to one hundred five percent
(105%) of the aggregate undrawn face amount of all outstanding Letters of Credit and the aggregate amount of any unpaid Reimbursement Obligations, to be held as cash collateral for such Obligations, in each case ratably among the Lenders, the
Administrative Agent and their Affiliates in proportion to the amounts described in this clause Fourth payable to them; and 
 (e) Fifth, to
the payment of any other Obligation due to the Administrative Agent or any Lender or any Affiliate of the Administrative Agent or any Lender by the Loan Parties. 

Notwithstanding the foregoing, amounts received from any Guarantor shall not be applied to any Excluded Swap Obligation of such Guarantor, but
appropriate adjustments shall be made with respect to payments from other Loan Parties to preserve the allocation otherwise set forth in clauses (d) and (e) above. 

SECTION 9. THE AGENTS 
 9.1
Appointment. Each Lender hereby irrevocably designates and appoints the Administrative Agent as the agent of such Lender under this Agreement and the other Loan Documents, and each such Lender irrevocably authorizes the Administrative Agent,
in such capacity, to take such action on its behalf under the provisions of this Agreement and the other Loan Documents and to exercise such powers and perform such duties as are expressly delegated to the Administrative Agent by the terms of this
Agreement and the other Loan Documents, together with such other powers as are reasonably incidental thereto. Notwithstanding any provision to the contrary elsewhere in this Agreement, the Administrative Agent shall not have any duties or
responsibilities, except those expressly set forth herein. 

  
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Without limiting the generality of the foregoing, (a) the Administrative Agent shall not be subject to any fiduciary or other implied duties, regardless of whether a Default has occurred and
is continuing, (b) the Administrative Agent shall not have any duty to take any discretionary action or exercise any discretionary powers, except discretionary rights and powers expressly contemplated hereby that the Administrative Agent is
required to exercise in writing as directed by the Required Lenders (or such other number or percentage of the Lenders as shall be necessary under the circumstances as provided in Section 10.1), and (c) except as expressly set forth
herein, the Administrative Agent shall not have any duty to disclose, and shall not be liable for the failure to disclose, any information relating to the Borrower or any of its Subsidiaries that is communicated to or obtained by the bank serving as
Administrative Agent or any of its Affiliates in any capacity. 
 9.2 Delegation of Duties. The Administrative Agent may execute any
of its duties under this Agreement and the other Loan Documents by or through agents or attorneys-in-fact and shall be entitled to advice of counsel concerning all
matters pertaining to such duties. The Administrative Agent shall not be responsible for the negligence or misconduct of any agents or attorneys in-fact selected by it with reasonable care. 

9.3 Exculpatory Provisions. Neither any Agent nor any of their respective officers, directors, employees, agents, attorneys-in-fact or affiliates shall be (i) liable for any action lawfully taken or omitted to be taken by it or such Person under or in connection with this Agreement
or any other Loan Document (except to the extent that any of the foregoing are found by a final and nonappealable decision of a court of competent jurisdiction to have resulted from its or such Person’s own gross negligence or willful
misconduct) or (ii) responsible in any manner to any of the Lenders for any recitals, statements, representations or warranties made by any Loan Party or any officer thereof contained in this Agreement or any other Loan Document or in any
certificate, report, statement or other document referred to or provided for in, or received by the Agents under or in connection with, this Agreement or any other Loan Document or for the value, validity, effectiveness, genuineness, enforceability
or sufficiency of this Agreement or any other Loan Document or for any failure of any Loan Party a party thereto to perform its obligations hereunder or thereunder. The Agents shall not be under any obligation to any Lender to ascertain or to
inquire as to the observance or performance of any of the agreements contained in, or conditions of, this Agreement or any other Loan Document, or to inspect the properties, books or records of any Loan Party. The Administrative Agent shall not be
responsible or have any liability for, or have any duty to ascertain, inquire into or monitor compliance with the provisions hereof relating to Disqualified Institutions. Without limiting the generality of the foregoing, the Administrative Agent
shall not (x) be obligated to ascertain, monitor or inquire as to whether any Lender or Participant or prospective Lender or Participant is a Disqualified Institution or (y) have any liability with respect to or arising out of any
assignment or participation of Loans, or disclosure of confidential information, to any Disqualified Institution. 
 9.4 Reliance by
Administrative Agent. The Administrative Agent shall be entitled to rely, and shall be fully protected in relying, upon any instrument, writing, resolution, notice, consent, certificate, affidavit, letter, telecopy, telex or teletype message,
statement, order or other document or conversation believed by it to be genuine and correct and to have been 

  
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signed, sent or made by the proper Person or Persons and upon advice and statements of legal counsel (including counsel to Holdings or the Borrower), independent accountants and other experts
selected by the Administrative Agent. The Administrative Agent may deem and treat the payee of any Note as the owner thereof for all purposes unless a written notice of assignment, negotiation or transfer thereof shall have been filed with the
Administrative Agent. The Administrative Agent shall be fully justified in failing or refusing to take any action under this Agreement or any other Loan Document unless it shall first receive such advice or concurrence of the Required Lenders (or,
if so specified by this Agreement, all Lenders) as it deems appropriate or it shall first be indemnified to its satisfaction by the Lenders against any and all liability and expense that may be incurred by it by reason of taking or continuing to
take any such action. The Administrative Agent shall in all cases be fully protected in acting, or in refraining from acting, under this Agreement and the other Loan Documents in accordance with a request of the Required Lenders (or, if so specified
by this Agreement, all Lenders), and such request and any action taken or failure to act pursuant thereto shall be binding upon all the Lenders and all future holders of the Loans. 

9.5 Notice of Default. The Administrative Agent shall not be deemed to have knowledge or notice of the occurrence of any Default or
Event of Default unless the Administrative Agent has received notice from a Lender, Holdings or the Borrower referring to this Agreement, describing such Default or Event of Default and stating that such notice is a “notice of default”. In
the event that the Administrative Agent receives such a notice, the Administrative Agent shall give notice thereof to the Lenders. The Administrative Agent shall take such action with respect to such Default or Event of Default as shall be
reasonably directed by the Required Lenders (or, if so specified by this Agreement, all Lenders); provided that unless and until the Administrative Agent shall have received such directions, the Administrative Agent may (but shall not be obligated
to) take such action, or refrain from taking such action, with respect to such Default or Event of Default as it shall deem advisable in the best interests of the Lenders. 

9.6 Non-Reliance on Agents and Other Lenders. Each Lender expressly acknowledges that neither
the Agents nor any of their respective officers, directors, employees, agents, attorneys-in-fact or affiliates have made any representations or warranties to it and that
no act by any Agent hereafter taken, including any review of the affairs of a Loan Party or any affiliate of a Loan Party, shall be deemed to constitute any representation or warranty by any Agent to any Lender. Each Lender represents to the Agents
that it has, independently and without reliance upon any Agent, any Arranger or any other Lender, and based on such documents and information as it has deemed appropriate, made its own appraisal of and investigation into the business, operations,
property, financial and other condition and creditworthiness of the Loan Parties and their affiliates and made its own decision to make its Loans hereunder and enter into this Agreement. Each Lender also represents that it will, independently and
without reliance upon any Agent, any Arranger or any other Lender, and based on such documents and information as it shall deem appropriate at the time, continue to make its own credit analysis, appraisals and decisions in taking or not taking
action under this Agreement and the other Loan Documents, and to make such investigation as it deems necessary to inform itself as to the business, operations, property, financial and other condition and creditworthiness of the Loan Parties and
their affiliates. Except for notices, reports and other documents expressly required 

  
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to be furnished to the Lenders by the Administrative Agent hereunder, the Administrative Agent shall not have any duty or responsibility to provide any Lender with any credit or other information
concerning the business, operations, property, condition (financial or otherwise), prospects or creditworthiness of any Loan Party or any affiliate of a Loan Party that may come into the possession of the Administrative Agent or any of its officers,
directors, employees, agents, attorneys-in-fact or affiliates. 

9.7 Indemnification. To the extent that the Borrower fails to pay any amount required to be paid by it to the Administrative Agent, the
Issuing Lender or the Swingline Lender under Section 10.5, each Lender severally agrees to pay to the Administrative Agent, the Issuing Lender or the Swingline Lender, as the case may be, such Lender’s Aggregate Exposure Percentage
(determined as of the time that the applicable unreimbursed expense or indemnity payment is sought) of such unpaid amount; provided that the unreimbursed expense or indemnified loss, claim, damage, liability or related expense, as the case may be,
was incurred by or asserted against the Administrative Agent, the Issuing Lender or the Swingline Lender in its capacity as such. 
 9.8
Agent in Its Individual Capacity. Each Agent and its affiliates may make loans to, accept deposits from and generally engage in any kind of business with any Loan Party as though such Agent were not an Agent. With respect to its Loans made or
renewed by it and with respect to any Letters of Credit issued or participated in by it, each Agent shall have the same rights and powers under this Agreement and the other Loan Documents as any Lender and may exercise the same as though it were not
an Agent, and the terms “Lender” and “Lenders” shall include each Agent in its individual capacity. 
 9.9 Successor
Administrative Agent. The Administrative Agent may resign as Administrative Agent upon ten (10) days’ notice to the Lenders and the Borrower. If the Administrative Agent shall resign as Administrative Agent under this Agreement and the
other Loan Documents, then the Required Lenders shall appoint from among the Lenders a successor agent for the Lenders, which successor agent shall (unless an Event of Default under Section 8(a) or Section 8(f) with respect to the Borrower
shall have occurred and be continuing) be subject to approval by the Borrower (which approval shall not be unreasonably withheld or delayed), whereupon such successor agent shall succeed to the rights, powers and duties of the Administrative Agent,
and the term “Administrative Agent” shall mean such successor agent effective upon such appointment and approval, and the former Administrative Agent’s rights, powers and duties as Administrative Agent shall be terminated, without any
other or further act or deed on the part of such former Administrative Agent or any of the parties to this Agreement or any holders of the Loans. If no successor agent has accepted appointment as Administrative Agent by the date that is ten
(10) days following a retiring Administrative Agent’s notice of resignation, the retiring Administrative Agent’s resignation shall nevertheless thereupon become effective, and the Lenders shall assume and perform all of the duties of
the Administrative Agent hereunder until such time, if any, as the Required Lenders appoint a successor agent as provided for above. After any retiring Administrative Agent’s resignation as Administrative Agent, the provisions of this
Section 9 shall inure to its benefit as to any actions taken or omitted to be taken by it while it was Administrative Agent under this Agreement and the other Loan Documents. 

9.10 Other Agents. The Syndication Agent, the Documentation Agents, and the Arrangers shall not have any duties or responsibilities
hereunder in its capacity as such. 

  
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 SECTION 10. MISCELLANEOUS 

10.1 Amendments and Waivers. Neither this Agreement, any other Loan Document, nor any terms hereof or thereof may be amended,
supplemented or modified except in accordance with the provisions of this Section 10.1. The Required Lenders and each Loan Party party to the relevant Loan Document may, or, with the written consent of the Required Lenders, the Administrative
Agent and each Loan Party party to the relevant Loan Document may, from time to time, (a) enter into written amendments, supplements or modifications hereto and to the other Loan Documents for the purpose of adding any provisions to this
Agreement or the other Loan Documents or changing in any manner the rights of the Lenders or of the Loan Parties hereunder or thereunder or (b) waive, on such terms and conditions as the Required Lenders or the Administrative Agent, as the case
may be, may specify in such instrument, any of the requirements of this Agreement or the other Loan Documents or any Default or Event of Default and its consequences; provided, however, that no such waiver and no such amendment, supplement or
modification shall: (i) forgive or reduce the principal amount or extend the final scheduled date of maturity of any Loan (except as provided in Section 2.25), reduce the stated rate of any interest or fee payable hereunder (except
(x) in connection with the waiver of applicability of any post-default increase in interest rates (which waiver shall be effective with the consent of the Required Lenders and (y) that any amendment or modification of defined terms used in
the financial covenants in this Agreement shall not constitute a reduction in the rate of interest or fees for purposes of this clause (i)), extend the scheduled date of any payment thereof, or increase the amount or extend the expiration date of
any Lender’s Commitment, in each case without the written consent of each Lender directly affected thereby; (ii) eliminate or reduce the voting rights of any Lender under this Section 10.1 without the written consent of such Lender;
(iii) reduce any percentage specified in the definition of Required Lenders, consent to the assignment or transfer by the Borrower of any of its rights and obligations under this Agreement and the other Loan Documents, or release Holdings from
its obligations under the Guarantee Agreement or release the Borrower from its obligations under any Qualified Borrower Guarantee, in each case without the written consent of all Lenders; (iv) amend, modify or waive any provision of
Section 9 without the written consent of the Administrative Agent; (v) amend, modify or waive any provision of Section 2.6 or 2.7 or Section 2.24 without the written consent of the Swingline Lender; (vi) amend, modify or
waive any provision of Section 2.24 or Section 3 without the written consent of the Issuing Lender; (vii) change Section 2.17(a), (b) or (c) in a manner that would alter the pro rata sharing of payments required thereby, without
the written consent of each Lender affected thereby; (viii) amend Section 1.4 or the definition of “Alternative Currency” without the consent of each Revolving Lender; (ix) reduce the percentage specified in the definition
of “Majority Facility Lenders” with respect to any Facility without the written consent of all Lenders under such Facility; (x) amend the last paragraph of Section 8 (regarding the application of funds after an Event of Default),
without the written consent of the Majority Facility Lenders of each Facility; or (xi) amend, modify or waive Section 5.2 without the consent of the applicable Majority Facility Lenders of the affected Facility. Any such waiver and any
such amendment, supplement or modification shall apply equally to each of the Lenders and shall be binding upon the Loan Parties, the Lenders, 

  
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the Administrative Agent and all future holders of the Loans. In the case of any waiver, the Loan Parties, the Lenders and the Administrative Agent shall be restored to their former position and
rights hereunder and under the other Loan Documents, and any Default or Event of Default waived shall be deemed to be cured and not continuing; but no such waiver shall extend to any subsequent or other Default or Event of Default, or impair any
right consequent thereon. 
 10.2 Notices. (a)All notices, requests and demands to or upon the respective parties hereto to be
effective shall be in writing (including by telecopy), and, unless otherwise expressly provided herein, shall be deemed to have been duly given or made when delivered, or three Business Days after being deposited in the mail, postage prepaid, or, in
the case of telecopy notice, when received, addressed as follows in the case of Holdings, the Borrower and the Administrative Agent, and as set forth in an Administrative Questionnaire delivered to the Administrative Agent in the case of the
Lenders, or to such other address as may be hereafter notified by the respective parties hereto: 
  

					
	Holdings:	  	Medical Properties Trust, Inc.
		  	1000 Urban Center Drive, Suite 501
		  	Birmingham, AL 35242
		  	Attention:	  	R. Steven Hamner
		  	Telecopy:	  	(205) 969-3756
		  	Telephone:	  	(205) 969-3755
		
	Borrower:	  	MPT Operating Partnership, L.P.
		  	c/o Medical Properties Trust, Inc.
		  	1000 Urban Center Drive, Suite 501
		  	Birmingham, AL 35242
		  	Attention:	  	R. Steven Hamner
		  	Telecopy:	  	(205) 969-3756
		  	Telephone:	  	(205) 969-3755
		
	With a copy to:	  	Goodwin Procter LLP
		  	100 Northern Avenue
		  	Boston, MA 02210
		  	Attention:	  	Edward Matson Sibble, Jr.
		  	Telecopy:	  	(617) 523-1231
		  	Telephone:	  	(617) 570-1000
		
	Administrative Agent:    	  	JPMorgan Chase Bank, N.A.
		  	Loan and Agency Services Group
		  	500 Stanton Christiana Road, NCC5/1st Floor
		  	Newark, DE 19713-2107
		  	Attention:	  	Joseph Burke
		  	Email:	  	joseph.m.burke@jpmorgan.com
		  	Telecopy:	  	(302) 634-1697
		  	Telephone:	  	(302) 634-8459

  
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		  	With a copy to (for requests relating to Loans and Letters of Credit denominated in an Alternative Currency):
		
		  	J.P.Morgan Europe Limited
		  	25 Bank Street, Canary Wharf
		  	London E14 5JP
		  	Attention of The Manager, Loan & Agency Services
		  	Telecopy No. +44 207 777 2360,
		  	Email: loan_and_agency_london@jpmorgan.com
		
		  	With a copy to:
		
		  	JPMorgan Chase Bank, N.A.
		  	383 Madison Avenue, 40th Floor
		  	New York, NY 10179
		  	Attention:	  	Jaime Gitler
		  	Telecopy:	  	(212) 270-2157
		  	Telephone:    	  	(212) 270-1311

 provided that any notice, request or demand to or upon the Administrative Agent or the Lenders shall not be effective until
received. 
 (b) Notices and other communications to the Lenders hereunder may be delivered or furnished by electronic communications
pursuant to procedures approved by the Administrative Agent; provided that the foregoing shall not apply to notices pursuant to Section 2 unless otherwise agreed by the Administrative Agent and the applicable Lender. The Administrative Agent or
the Borrower may, in its discretion, agree to accept notices and other communications to it hereunder by electronic communications pursuant to procedures approved by it; provided that approval of such procedures may be limited to particular notices
or communications. 
 Unless the Administrative Agent otherwise prescribes, (i) notices and other communications sent to an e-mail address shall be deemed received upon the sender’s receipt of an acknowledgement from the intended recipient (such as by the “return receipt requested” function, as available, return e-mail or other written acknowledgement), and (ii) notices or communications posted to an Internet or intranet website shall be deemed received upon the deemed receipt by the intended recipient, at its e-mail address as described in the foregoing clause (i), of notification that such notice or communication is available and identifying the website address therefor; provided that, for both clauses (i) and (ii)
above, if such notice, email or other communication is not sent during the normal business hours of the recipient, such notice or communication shall be deemed to have been sent at the opening of business on the next business day for the recipient.

 (c) Any party hereto may change its address or telecopy number for notices and other communications hereunder by notice to the other
parties hereto. 

  
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 (d) Electronic Systems. 

(i) Each Loan Party agrees that the Administrative Agent may, but shall not be obligated to, make Communications (as defined
below) available to the Issuing Lenders and the other Lenders by posting the Communications on Debt Domain, Intralinks, Syndtrak, ClearPar or a substantially similar Electronic System. 

(ii) Any Electronic System used by the Administrative Agent is provided “as is” and “as available.” The
Agent Parties (as defined below) do not warrant the adequacy of such Electronic Systems and expressly disclaim liability for errors or omissions in the Communications. No warranty of any kind, express, implied or statutory, including, without
limitation, any warranty of merchantability, fitness for a particular purpose, non-infringement of third-party rights or freedom from viruses or other code defects, is made by any Agent Party in connection
with the Communications or any Electronic System. In no event shall the Administrative Agent or any of its Related Parties (collectively, the “Agent Parties”) have any liability to the Borrower or the other Loan Parties, any Lender, the
Issuing Lender or any other Person or entity for damages of any kind, including , without limitation, direct or indirect, special, incidental or consequential damages, losses or expenses (whether in tort, contract or otherwise) arising out of the
Borrower’s, any Loan Party’s or the Administrative Agent’s transmission of communications through an Electronic System. “Communications” means, collectively, any notice, demand, communication, information, document or other
material provided by or on behalf of any Loan Party pursuant to any Loan Document or the transactions contemplated therein which is distributed by the Administrative Agent, any Lender or any Issuing Lender by means of electronic communications
pursuant to this Section, including through an Electronic System. 
 10.3 No Waiver; Cumulative Remedies. No failure to exercise and
no delay in exercising, on the part of the Administrative Agent or any Lender, any right, remedy, power or privilege hereunder or under the other Loan Documents shall operate as a waiver thereof; nor shall any single or partial exercise of any
right, remedy, power or privilege hereunder preclude any other or further exercise thereof or the exercise of any other right, remedy, power or privilege. The rights, remedies, powers and privileges herein provided are cumulative and not exclusive
of any rights, remedies, powers and privileges provided by law or otherwise available. No waiver of any provision of this Agreement or consent to any departure by the Borrower therefrom shall in any event be effective unless the same shall be
permitted by Section 10.1, and then such waiver or consent shall be effective only in the specific instance and for the purpose for which given. Without limiting the generality of the foregoing, the making of a Loan or issuance of a Letter of
Credit shall not be construed as a waiver of any Default, regardless of whether the Administrative Agent, any Lender or the Issuing Lender may have had notice or knowledge of such Default at the time. 

10.4 Survival. All covenants, representations and warranties made by the Borrower hereunder, in the other Loan Documents and in any
document, certificate or statement delivered pursuant hereto or in connection herewith shall be considered to have been relied upon by the other parties hereto and shall survive the execution and delivery of this Agreement and the making of the
Loans and other extensions of credit hereunder, regardless of any investigation 

  
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made by any such other party or on its behalf and notwithstanding that the Administrative Agent, the Issuing Lender or any Lender may have had notice or knowledge of any Default or incorrect
representation or warranty at the time any credit is extended hereunder, and shall continue in full force and effect as long as the principal of or any accrued interest on any Loan or any fee or any other amount payable under this Agreement is
outstanding and unpaid or any Letter of Credit is outstanding and so long as the Commitments have not expired or terminated. The provisions of Sections 2.18, 2.19, 2.20 and 10.5 and Article IX shall survive and remain in full force and effect
regardless of the consummation of the transactions contemplated hereby, the repayment of the Loans, the expiration or termination of the Letters of Credit and the Commitments or the termination of this Agreement or any provision hereof. 

10.5 Payment of Expenses and Taxes. The Borrower agrees (a) to pay or reimburse the Administrative Agent and the Arrangers and
their respective Affiliates for all its reasonable out-of-pocket costs and expenses incurred in connection with the development, syndication, preparation and execution
of, and any amendment, supplement or modification to, this Agreement and the other Loan Documents and any other documents prepared in connection herewith or therewith, and the consummation and administration of the transactions contemplated hereby
and thereby, including the reasonable fees and disbursements of counsel to the Administrative Agent and including such costs and expenses incurred under Section 6.10 and 6.11, with statements with respect to the foregoing to be submitted to the
Borrower prior to the Funding Date (in the case of amounts to be paid on the Funding Date) and from time to time thereafter on a quarterly basis or such other periodic basis as the Administrative Agent shall deem appropriate, (b) to pay or
reimburse each Lender and the Administrative Agent for all its documented out-of-pocket costs and expenses incurred in connection with the enforcement or preservation of
any rights under this Agreement, the other Loan Documents and any such other documents (including any workout or restructuring or negotiations in respect thereof) , including the documented fees and disbursements and other out-of-pocket costs of counsel to each Lender and of counsel to the Administrative Agent, (c) to pay, indemnify, and hold each Lender and the Administrative Agent
harmless from, any and all recording and filing fees and any and all liabilities with respect to, or resulting from any delay in paying, stamp, excise and other taxes, if any, that may be payable or determined to be payable in connection with the
execution and delivery of, or consummation or administration of any of the transactions contemplated by, or any amendment, supplement or modification of, or any waiver or consent under or in respect of, this Agreement, the other Loan Documents and
any such other documents, and (d) to pay, indemnify, and hold each Lender and the Administrative Agent and their respective officers, directors, employees, affiliates, advisors, trustees, agents and controlling persons (each, an
“Indemnitee”) harmless from and against any and all other liabilities, obligations, losses, damages, penalties, actions, judgments, suits, costs, expenses or disbursements of any kind or nature whatsoever (except for Taxes, other than
Taxes that represent losses, costs or expenses arising from any non-Tax claims) incurred by any Indemnitee or asserted against any Indemnitee by any third party or by the Borrower or any Loan Party with
respect to the execution, delivery, enforcement, performance and administration of this Agreement, the other Loan Documents and any such other documents, including any of the foregoing relating to the use of proceeds of the Loans or the violation
of, noncompliance with or liability under, any Environmental Law applicable to the operations of any Group Member or any of the Properties and the reasonable documented fees and expenses 

  
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of legal counsel in connection with claims, actions or proceedings by any Indemnitee against any Loan Party under any Loan Document or asserted against any Indemnitee (all the foregoing in this
clause (d), collectively, the “Indemnified Liabilities”), provided, that the Borrower shall have no obligation hereunder to any Indemnitee with respect to Indemnified Liabilities to the extent such Indemnified Liabilities are found by a
final and nonappealable decision of a court of competent jurisdiction to have resulted from the gross negligence, willful misconduct or material breach of Loan Document obligations of such Indemnitee. Without limiting the foregoing, and to the
extent permitted by applicable law, the Borrower agrees not to assert and to cause its Subsidiaries not to assert, and hereby waives and agrees to cause its Subsidiaries to waive, all rights for contribution or any other rights of recovery with
respect to all claims, demands, penalties, fines, liabilities, settlements, damages, costs and expenses of whatever kind or nature, under or related to Environmental Laws, that any of them might have by statute or otherwise against any Indemnitee.
All amounts due under this Section 10.5 shall be payable not later than ten (10) Business Days after written demand therefor. Statements payable by the Borrower pursuant to this Section 10.5 shall be submitted to R. Steven Hamner
(Telephone No. (205) 969-3755) (Telecopy No. (205) 969-3756), at the address of the Borrower set forth in Section 10.2, or to such other Person or address
as may be hereafter designated by the Borrower in a written notice to the Administrative Agent. The agreements in this Section 10.5 shall survive repayment of the Loans and all other amounts payable hereunder. 

10.6 Successors and Assigns; Participations and Assignments. (a) The provisions of this Agreement shall be binding upon and inure to
the benefit of the parties hereto and their respective successors and assigns permitted hereby (including any affiliate of the Issuing Lender that issues any Letter of Credit), except that (i) the Borrower may not assign or otherwise transfer
any of its rights or obligations hereunder without the prior written consent of each Lender (and any attempted assignment or transfer by the Borrower without such consent shall be null and void) and (ii) no Lender may assign or otherwise
transfer its rights or obligations hereunder except in accordance with this Section. Nothing in this Agreement, expressed or implied, shall be construed to confer upon any Person (other than the parties hereto, their respective successors and
assigns permitted hereby (including any Affiliate of the Issuing Lender that issues any Letter of Credit), Participants (to the extent provided in paragraph (c) of this Section) and, to the extent expressly contemplated hereby, the Related
Parties of each of the Administrative Agent, the Issuing Lender and the Lenders) any legal or equitable right, remedy or claim under or by reason of this Agreement. 

(b) (i) Subject to the conditions set forth in paragraph (b)(ii) below, any Lender may assign to one or more Persons that are Eligible
Assignees (each, an “Assignee”) all or a portion of its rights and obligations under this Agreement (including all or a portion of its Commitments and the Loans at the time owing to it) with the prior written consent of: 

(A) the Borrower (such consent not to be unreasonably withheld or delayed), provided that no consent of the Borrower shall be
required for an assignment to a Lender, an affiliate of a Lender, an Approved Fund (as defined below) or, if an Event of Default has occurred and is continuing, any other Person that is an Eligible Assignee; and provided further that the Borrower
shall be deemed to have consented to an assignment unless it shall have objected thereto by written notice to the Administrative Agent within five (5) Business Days after having received notice thereof; 

  
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 (B) the Administrative Agent (such consent not to be unreasonably withheld
or delayed); provided that no consent of the Administrative Agent shall be required for the assignment of Term Loans to a Lender, an Affiliate of a Lender or an Approved Fund; and 

(C) solely in the case of the Revolving Facility, the Issuing Lender and the Swingline Lender (such consent not to be
unreasonably withheld or delayed). 
 (ii) Assignments shall be subject to the following additional conditions: 

(A) except in the case of an assignment to a Lender, an affiliate of a Lender or an Approved Fund or an assignment of the
entire remaining amount of the assigning Lender’s Commitments or Loans, the amount of the Commitments or Loans of the assigning Lender subject to each such assignment (determined as of the date the Assignment and Assumption with respect to such
assignment is delivered to the Administrative Agent) shall not be less than $5,000,000 unless each of the Borrower and the Administrative Agent otherwise consent, provided that (1) no such consent of the Borrower shall be required if an Event
of Default has occurred and is continuing and (2) such amounts shall be aggregated in respect of each Lender and its affiliates or Approved Funds, if any; 

(B) the assigning Lender and the Assignee party to each assignment shall execute and deliver to the Administrative Agent an
Assignment and Assumption, together with a processing and recordation fee of $3,500; and 
 (C) the Assignee, if it
shall not be a Lender, shall deliver to the Administrative Agent an administrative questionnaire. 
 For the purposes of this
Section 10.6, “Approved Fund” means any Person (other than a natural person) that is engaged in making, purchasing, holding or investing in bank loans and similar extensions of credit in the ordinary course of its business and that is
administered or managed by (a) a Lender, (b) an affiliate of a Lender or (c) an entity or an affiliate of an entity that administers or manages a Lender. 

(iii) Subject to acceptance and recording thereof pursuant to paragraph (b)(iv) below, from and after the effective date
specified in each Assignment and Assumption the Assignee thereunder shall be a party hereto and, to the extent of the interest assigned by such Assignment and Assumption, have the rights and obligations of a Lender under this Agreement, and the
assigning Lender thereunder shall, to the extent of the interest assigned by such Assignment and Assumption, be released from its obligations under this Agreement (and, in the case of an Assignment and Assumption covering all of the assigning
Lender’s rights and obligations under this Agreement, such Lender shall cease to be a party hereto but shall continue to be entitled to the benefits of Sections 2.18, 2.19, 2.20 and 10.5). Any assignment or transfer by a Lender of rights
or obligations under 

  
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this Agreement that does not comply with this Section 10.6 shall be treated for purposes of this Agreement as a sale by such Lender of a participation in such rights and obligations in
accordance with paragraph (c) of this Section. 
 (iv) The Administrative Agent, acting for this purpose as a non-fiduciary agent of the Borrower, shall maintain at one of its offices a copy of each Assignment and Assumption delivered to it and a register for the recordation of the names and addresses of the Lenders, and
the Commitments of, and principal amount of the Loans owing to, each Lender pursuant to the terms hereof from time to time (the “Register”). The entries in the Register shall be conclusive, absent manifest error, and the Borrower, the
Administrative Agent, and the Lenders shall treat each Person whose name is recorded in the Register pursuant to the terms hereof as a Lender hereunder for all purposes of this Agreement, notwithstanding notice to the contrary. The Register shall be
available for inspection by the Borrower, the Issuing Lender and any Lender, at any reasonable time and from time to time upon reasonable prior notice. The obligations of Borrower under the Loan Documents are registered obligations and the right,
title and interest of the Lenders and their Assignees in and to such obligations shall be transferable only upon notation of such transfer in the Register. This Section 10.6(b)(iv) shall be construed so that such obligations are at all times
maintained in “registered from” within the meaning of Sections 163(f), 871(h)(2) and 881(c)(2) of the Code and any related regulations (and any other relevant or successor provisions of the Code or such regulations). 

(v) Upon its receipt of a duly completed Assignment and Assumption executed by an assigning Lender and an Assignee, the
Assignee’s completed administrative questionnaire (unless the Assignee shall already be a Lender hereunder), the processing and recordation fee referred to in paragraph (b) of this Section and any written consent to such assignment
required by paragraph (b) of this Section, the Administrative Agent shall accept such Assignment and Assumption and record the information contained therein in the Register. No assignment shall be effective for purposes of this Agreement unless
it has been recorded in the Register as provided in this paragraph. 
 (c) (i) Any Lender may, without the consent of the Borrower or the
Administrative Agent, sell participations to one or more banks or other entities (other than the Company, the Borrower or any of their respective Subsidiaries or Affiliates) or a natural person (a “Participant”) in all or a portion of such
Lender’s rights and obligations under this Agreement (including all or a portion of its Commitments and the Loans owing to it); provided that (A) such Lender’s obligations under this Agreement shall remain unchanged, (B) such
Lender shall remain solely responsible to the other parties hereto for the performance of such obligations and (C) the Borrower, the Administrative Agent, the Issuing Lender and the other Lenders shall continue to deal solely and directly with
such Lender in connection with such Lender’s rights and obligations under this Agreement. Any agreement pursuant to which a Lender sells such a participation shall provide that such Lender shall retain the sole right to enforce this Agreement
and to approve any amendment, modification or waiver of any provision of this Agreement; provided that such agreement may provide that such Lender will not, without the consent of the Participant, agree to any amendment, modification or waiver

  
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that (1) requires the consent of each Lender directly affected thereby pursuant to the proviso to the second sentence of Section 10.1 and (2) directly affects such Participant.
Subject to paragraph (c)(ii) of this Section, the Borrower agrees that each Participant shall be entitled to the benefits of Sections 2.18, 2.19 and 2.20 to the same extent as if it were a Lender and had acquired its interest by assignment pursuant
to paragraph (b) of this Section. To the extent permitted by law, each Participant also shall be entitled to the benefits of Section 10.7(b) as though it were a Lender, provided such Participant shall be subject to Section 10.7(a) as
though it were a Lender. Each Lender that sells a participation shall, acting solely for this purpose as a non-fiduciary agent of the Borrower, maintain a register on which it enters the name and address of
each Participant and the principal amounts (and stated interest) of each Participant’s interest in the Loans or other obligations under the Loan Documents (the “Participant Register”); provided that no Lender shall have any obligation
to disclose all or any portion of the Participant Register (including the identity of any Participant or any information relating to a Participant’s interest in any Commitments, Loans, Letters of Credit or its other obligations under any Loan
Document) to any Person except to the extent that such disclosure is necessary to establish that such Commitment, Loan, Letter of Credit or other obligation is in registered form under Section 5f.103-1(c) of
the United States Treasury Regulations. The entries in the Participant Register shall be conclusive absent manifest error, and such Lender shall treat each Person whose name is recorded in the Participant Register as the owner of such participation
for all purposes of this Agreement notwithstanding any notice to the contrary. For the avoidance of doubt, the Administrative Agent (in its capacity as Administrative Agent) shall have no responsibility for maintaining a Participant Register. The
obligations of Borrower under the Loan Documents are registered obligations and the right, title and interest of the Lenders and their Participants in and to such obligations shall be transferable only upon notation of such transfer in the
Participant Register. This Section 10.6(c)(i) shall be construed so that such obligations are at all times maintained in “registered from” within the meaning of Sections 163(f), 871(h)(2) and 881(c)(2) of the Code and any related
regulations (and any other relevant or successor provisions of the Code or such regulations). 
 (ii) Each Participant shall
agree to be subject to the provisions of Section 2.22 as though it were a Lender. A Participant shall not be entitled to receive any greater payment under Section 2.18 or 2.19 than the applicable Lender would have been entitled to receive
with respect to the participation sold to such Participant, unless the sale of the participation to such Participant is made with the Borrower’s prior written consent, which consent specifically refers to this Section 10.6(c)(ii). Any
Participant that is a Non-U.S. Lender shall not be entitled to the benefits of Section 2.19 unless such Participant complies with Section 2.19(f). 

(d) Any Lender may at any time pledge or assign a security interest in all or any portion of its rights under this Agreement to secure
obligations of such Lender, including any pledge or assignment to secure obligations to a Federal Reserve Bank or any other central bank having jurisdiction over such Lender, and this Section shall not apply to any such pledge or assignment of a
security interest; provided that no such pledge or assignment of a security interest shall release a Lender from any of its obligations hereunder or substitute any such pledgee or Assignee for such Lender as a party hereto. 

  
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 (e) The Borrower, upon receipt of written notice from the relevant Lender, agrees to issue Notes
to any Lender requiring Notes to facilitate transactions of the type described in paragraph (d) above. 
 (f) Notwithstanding the
foregoing, any Conduit Lender may assign any or all of the Loans it may have funded hereunder to its designating Lender without the consent of the Borrower or the Administrative Agent and without regard to the limitations set forth in
Section 10.6(b). Each of Holdings, the Borrower, each Lender and the Administrative Agent hereby confirms that it will not institute against a Conduit Lender or join any other Person in instituting against a Conduit Lender any bankruptcy,
reorganization, arrangement, insolvency or liquidation proceeding under any state bankruptcy or similar law, for one year and one day after the payment in full of the latest maturing commercial paper note issued by such Conduit Lender; provided,
however, that each Lender designating any Conduit Lender hereby agrees to indemnify, save and hold harmless each other party hereto for any loss, cost, damage or expense arising out of its inability to institute such a proceeding against such
Conduit Lender during such period of forbearance. 
 (g) Disqualified Institutions. (i) No assignment or participation shall be
made to any Person that was a Disqualified Institution as of the date (the “Trade Date”) on which the assigning Lender entered into a binding agreement to sell and assign or grant a
participation in all or a portion of its rights and obligations under this Agreement to such Person (unless the Borrower has consented to such assignment or participation in writing in its sole and absolute discretion, in which case such Person will
not be considered a Disqualified Institution for the purpose of such assignment or participation). For the avoidance of doubt, with respect to any assignee or Participant that becomes a Disqualified Institution after the applicable Trade Date
(including as a result of the delivery of a notice pursuant to, and/or the expiration of the notice period referred to in, the definition of “Disqualified Institution”), (x) such assignee or Participant shall not retroactively be
disqualified from becoming a Lender or Participant and (y) the execution by the Borrower of an Assignment and Assumption with respect to such assignee will not by itself result in such assignee no longer being considered a Disqualified
Institution. Any assignment or participation in violation of this clause (g)(i) shall not be void, but the other provisions of this clause (g) shall apply. 

(ii) If any assignment or participation is made to any Disqualified Institution without the Borrower’s prior written
consent in violation of clause (i) above or if any Person becomes a Disqualified Institution after the applicable Trade Date, the Borrower may, at its sole expense and effort, upon notice to the applicable Disqualified Institution and the
Administrative Agent, (A) terminate any Revolving Commitment of such Disqualified Institution and repay all obligations of the Borrower owing to such Disqualified Institution in connection with such Revolving Commitment plus accrued interest,
accrued fees and all other amounts payable to it hereunder, (B) in the case of outstanding Term Loans held by Disqualified Institutions, purchase or prepay such Term Loans by paying the principal amount thereof plus accrued interest fees and
other amounts payable to it hereunder and/or (C) require such Disqualified Institution to assign, without recourse (in accordance with and subject to the restrictions contained in this Section 10.6), all of its interest, rights and
obligations under this Agreement to one or more Eligible Assignees at the principal amount thereof plus accrued interest, accrued fees and all other amounts payable to it hereunder. 

  
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 (iii) Notwithstanding anything to the contrary contained in this Agreement,
Disqualified Institutions to whom an assignment or participation is made in violation of clause (i) above (A) will not (x) have the right to receive information, reports or other materials provided to Lenders by the Borrower, the
Administrative Agent or any other Lender, (y) attend or participate in meetings attended by the Lenders and the Administrative Agent, or (z) access any electronic site established for the Lenders or confidential communications from counsel
to or financial advisors of the Administrative Agent or the Lenders and (B) for purposes of any consent to any amendment, waiver or modification of, or any action under, and for the purpose of any direction to the Administrative Agent or any
Lender to undertake any action (or refrain from taking any action) under this Agreement or any other Loan Document, each Disqualified Institution will be deemed to have consented in the same proportion as the Lenders that are not Disqualified
Institutions consented to such matter. 
 (iv) The Administrative Agent shall have the right, and the Borrower hereby
expressly authorizes the Administrative Agent, to (A) post the list of Disqualified Institutions provided by the Borrower and any updates thereto from time to time (collectively, the “Disqualified Institution
List”) on the Electronic System, including that portion of the Electronic System that is designated for “public side” Lenders and/or (B) provide the Disqualified Institution List to each Lender requesting the same.

 (h) The parties hereby agree that Merrill Lynch, Pierce, Fenner & Smith Incorporated may, without notice to the Loan Parties,
assign its rights and obligations under this Agreement to any other registered broker-dealer wholly-owned by Bank of America Corporation to which all or substantially all of Bank of America Corporation’s or any of its subsidiaries’
investment banking, commercial lending services or related businesses may be transferred following the date of this Agreement. 
 10.7
Adjustments; Set-off. 
 (a) Except to the extent that this Agreement expressly
provides for payments to be allocated to a particular Lender or to the Lenders under a particular Facility, if any Lender (a “Benefitted Lender”) shall receive any payment of all or part of the Obligations owing to it, or receive any
collateral in respect thereof (whether voluntarily or involuntarily, by set-off, pursuant to events or proceedings of the nature referred to in Section 8(f), or otherwise), in a greater proportion than any
such payment to or collateral received by any other Lender, if any, in respect of the Obligations owing to such other Lender, such Benefitted Lender shall purchase for cash from the other Lenders a participating interest in such portion of the
Obligations owing to each such other Lender, or shall provide such other Lenders with the benefits of any such collateral, as shall be necessary to cause such Benefitted Lender to share the excess payment or benefits of such collateral ratably with
each of the Lenders; provided, however, that if all or any portion of such excess payment or benefits is thereafter recovered from such Benefitted Lender, such purchase shall be rescinded, and the purchase price and benefits returned, to the extent
of such recovery, but without interest. 

  
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 (b) In addition to any rights and remedies of the Lenders provided by law, each Lender shall have
the right, without prior notice to Holdings or the Borrower, any such notice being expressly waived by Holdings and the Borrower to the extent permitted by applicable law, upon any amount becoming due and payable by Holdings or the Borrower
hereunder (whether at the stated maturity, by acceleration or otherwise), to set off and appropriate and apply against such amount any and all deposits (general or special, time or demand, provisional or final), in any currency, and any other
credits, indebtedness or claims, in any currency, in each case whether direct or indirect, absolute or contingent, matured or unmatured, at any time held or owing by such Lender or any branch or agency thereof to or for the credit or the account of
Holdings or the Borrower, as the case may be. Each Lender agrees promptly to notify the Borrower and the Administrative Agent after any such setoff and application made by such Lender, provided that the failure to give such notice shall not affect
the validity of such setoff and application. 
 10.8 Counterparts; Integration; Effectiveness; Electronic Execution. (a)This
Agreement may be executed in counterparts (and by different parties hereto on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. This Agreement and any
separate letter agreements with respect to fees payable to the Administrative Agent constitute the entire contract among the parties relating to the subject matter hereof and supersede any and all previous agreements and understandings, oral or
written, relating to the subject matter hereof. Except as provided in Section 5.1, this Agreement shall become effective when it shall have been executed by the Administrative Agent and when the Administrative Agent shall have received
counterparts hereof which, when taken together, bear the signatures of each of the other parties hereto, and thereafter shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. 

(b) Delivery of an executed counterpart of a signature page of this Agreement by telecopy, emailed .pdf or any other electronic means that
reproduces an image of the actual executed signature page shall be effective as delivery of a manually executed counterpart of this Agreement. The words “execution,” “signed,” “signature,” “delivery,” and
words of like import in or relating to any document to be signed in connection with this Agreement and the transactions contemplated hereby shall be deemed to include Electronic Signatures, deliveries or the keeping of records in electronic form,
each of which shall be of the same legal effect, validity or enforceability as a manually executed signature, physical delivery thereof or the use of a paper-based recordkeeping system, as the case may be, to the extent and as provided for in any
applicable law, including the Federal Electronic Signatures in Global and National Commerce Act, the New York State Electronic Signatures and Records Act, or any other similar state laws based on the Uniform Electronic Transactions Act. 

10.9 Severability. Any provision of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such
jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable
such provision in any other jurisdiction. 
 10.10 Integration. This Agreement and the other Loan Documents represent the entire
agreement of Holdings, the Borrower, the Administrative Agent and the Lenders with respect to 

  
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the subject matter hereof and thereof, and there are no promises, undertakings, representations or warranties by the Administrative Agent or any Lender relative to the subject matter hereof not
expressly set forth or referred to herein or in the other Loan Documents. 
 10.11 Governing Law. THIS AGREEMENT AND THE RIGHTS AND
OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

10.12 Submission To Jurisdiction; Waivers. Each of Holdings and the Borrower hereby irrevocably and unconditionally: 

(a) submits, for itself and its property, to the exclusive jurisdiction of the Supreme Court of the State of New York sitting in New York
County, Borough of Manhattan, and of the United States District Court for the Southern District of New York, and any appellate court from any thereof, in any action or proceeding arising out of or relating to this Agreement, or for recognition or
enforcement of any judgment, and each of the parties hereto hereby irrevocably and unconditionally agrees that all claims in respect of any such action or proceeding may be heard and determined in such New York State or, to the extent permitted by
law, in such Federal court. Each of the parties hereto agrees that a final judgment in any such action or proceeding shall be conclusive and may be enforced in other jurisdictions by suit on the judgment or in any other manner provided by law. 

(b) consents that any such action or proceeding may be brought in such courts and waives any objection that it may now or hereafter have to
the venue of any such action or proceeding in any such court or that such action or proceeding was brought in an inconvenient court and agrees not to plead or claim the same; 

(c) agrees that service of process in any such action or proceeding may be effected by mailing a copy thereof by registered or certified mail
(or any substantially similar form of mail), postage prepaid, to Holdings or the Borrower, as the case may be at its address set forth in Section 10.2 or at such other address of which the Administrative Agent shall have been notified pursuant
thereto; 
 (d) agrees that nothing herein shall affect the right to effect service of process in any other manner permitted by law or shall
limit the right to sue in any other jurisdiction; and 
 (e) waives, to the maximum extent not prohibited by law, any right it may have to
claim or recover in any legal action or proceeding referred to in this Section any special, exemplary, punitive or consequential damages. 

10.13 Acknowledgements. Each of Holdings and the Borrower hereby acknowledges that: 

(a) it has been advised by counsel in the negotiation, execution and delivery of this Agreement and the other Loan Documents; 

  
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 (b) none of the Administrative Agent, the other Agents, the Arrangers or any Lender has any
fiduciary or advisory relationship with or duty to Holdings or the Borrower arising out of or in connection with this Agreement or any of the other Loan Documents, and the relationship between Administrative Agent, the other Agents, the Arrangers
and the Lenders, on one hand, and Holdings and the Borrower, on the other hand, in connection herewith or therewith is solely that of debtor and creditor; 

(c) no joint venture is created hereby or by the other Loan Documents or otherwise exists by virtue of the transactions contemplated hereby
among the Lenders or among Holdings, the Borrower and the Lenders; and 
 (d) each Agent, Issuing Bank, Swing Line Lender, Lender and their
Affiliates may have economic interests that conflict with those of the Loan Parties, their stockholders and/or their affiliates. 
 10.14
Releases of Guarantees. (a) Notwithstanding anything to the contrary contained herein or in any other Loan Document, the Administrative Agent is hereby irrevocably authorized by each Lender (without requirement of notice to or consent of
any Lender except as expressly required by Section 10.1) to take any action requested by the Borrower having the effect of releasing any guarantee obligations (i) to the extent necessary to permit consummation of any transaction not
prohibited by any Loan Document or that has been consented to in accordance with Section 10.1 or (ii) under the circumstances described in paragraphs (b) and (c) below. 

(b) At such time as the Loans, the Reimbursement Obligations, obligations under Lender Swap Agreements due to any Lender or its Affiliate by
the Loan Parties and the other Obligations shall have been paid in full, the Commitments have been terminated and no Letters of Credit shall be outstanding, the Guarantors shall be released from their obligations under the Guarantee Agreement (other
than those expressly stated to survive such termination), all without delivery of any instrument or performance of any act by any Person. 

10.15 Confidentiality. Each of the Administrative Agent and each Lender agrees to keep confidential all Information (as defined below);
provided that nothing herein shall prevent the Administrative Agent or any Lender from disclosing any such Information (a) to the Administrative Agent, any other Lender or any affiliate thereof, (b) subject to an agreement to comply with
the provisions of this Section, to any actual or prospective Transferee or any direct or indirect counterparty to any Swap Agreement (or any professional advisor to such counterparty) (it being understood that the Disqualified Institution List may
be disclosed to any assignee or Participant, or prospective assignee or Participant, in reliance on this clause (b) so long as such Person is not listed on such Disqualified Institution List), (c) to its Affiliates and to its and its
Affiliates’ employees, directors, agents, attorneys, accountants and other professional advisors or those of any of its affiliates in connection with their rights and obligations hereunder and under the other Loan Documents, (d) upon the
request or demand of any Governmental Authority or any regulatory authority (including any self-regulatory authority), (e) in response to any order of any court or other Governmental Authority or as may otherwise be required pursuant to any
Requirement of Law, (f) if requested or required to do so in connection with any litigation or similar proceeding, (g) that has been publicly disclosed or becomes publicly 

  
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available, (h) to the National Association of Insurance Commissioners or any similar organization or any nationally recognized rating agency that requires access to information about a
Lender’s investment portfolio in connection with ratings issued with respect to such Lender, or (i) in connection with the exercise of any remedy hereunder or under any other Loan Document. For the purposes of this Section,
“Information” means all information received from the Loan Parties relating to the Loan Parties or their business, other than any such information that is available to the Administrative Agent, any Issuing Lender or any Lender on a non-confidential basis prior to disclosure by the Borrower and other than information pertaining to this Agreement routinely provided by arrangers to data service providers, including league table providers, that
serve the lending industry; provided that, in the case of information received from the Borrower after the date hereof, such information is clearly identified at the time of delivery as confidential. Any Person required to maintain the
confidentiality of information as provided in this Section shall be considered to have complied with its obligation to do so if such Person has exercised the same degree of care to maintain the confidentiality of such information as such Person
would accord to its own confidential information. 
 10.16 WAIVERS OF JURY TRIAL. HOLDINGS, THE BORROWER, THE ADMINISTRATIVE AGENT
AND THE LENDERS HEREBY IRREVOCABLY AND UNCONDITIONALLY WAIVE TRIAL BY JURY IN ANY LEGAL ACTION OR PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY OTHER LOAN DOCUMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY AND
FOR ANY COUNTERCLAIM THEREIN. EACH PARTY HERETO (A) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE
FOREGOING WAIVER AND (B) ACKNOWLEDGES THAT IT AND THE OTHER PARTIES HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION. 

10.17 USA PATRIOT Act. Each Lender that is subject to the requirements of the USA Patriot Act (Title III of Pub. L. 107-56 (signed into law October 26, 2001)) (the “Act”) hereby notifies the Borrower that pursuant to the requirements of the Act, it is required to obtain, verify and record information that
identifies the Borrower, which information includes the name and address of the Borrower and other information that will allow such Lender to identify the Borrower in accordance with the Act. 

10.18 Transitional Arrangements. 

(a) Existing Credit Agreement Superseded. This Agreement shall supersede the Existing Credit Agreement in its entirety, except as
provided in this Section 10.18. On the Closing Date, (i) the Term Loans outstanding under the Existing Credit Agreement and the Revolving Loans outstanding under the Existing Credit Agreement shall become Dollar Term Loans and Revolving
Loans hereunder, respectively, (ii) the rights and obligations of the parties under each of the Existing Credit Agreement and the “Notes” defined therein shall be subsumed within and be governed by this Agreement and the Notes;
provided however, that 

  
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for purposes of this clause (ii) any of the “Obligations” (as defined in the Existing Credit Agreement) outstanding under the Existing Credit Agreement shall, for purposes of this
Agreement, be Obligations hereunder, (iii) this Agreement shall not in any way release or impair the rights, duties or Obligations created pursuant to the Existing Credit Agreement or any other Loan Document or affect the relative priorities
thereof, in each case to the extent in force and effect thereunder as of the Closing Date, except as modified hereby or by documents, instruments and agreements executed and delivered in connection herewith, and all of such rights, duties and
Obligations are assumed, ratified and affirmed by the Borrower; (iv) the Obligations incurred under each of the Existing Credit Agreement shall, to the extent outstanding on the Closing Date, continue outstanding under this Agreement and shall
not be deemed to be paid, released, discharged or otherwise satisfied by the execution of this Agreement, and this Agreement shall not constitute a refinancing, substitution or novation of such Obligations or any of the other rights, duties and
obligations of the parties hereunder; and (v) the execution, delivery and effectiveness of this Agreement shall not operate as a waiver of any right, power or remedy of Lenders or the Administrative Agent under the Existing Credit Agreement,
nor constitute a waiver of any covenant, agreement or obligation under the Existing Credit Agreement, except to the extent that any such covenant, agreement or obligation is no longer set forth herein or is modified hereby. The Lenders’
interests in such Obligations, and participations in such Letters of Credit, shall be reallocated on the Closing Date in accordance with each Lender’s applicable Revolving Percentages and Term Percentages. On the Closing Date, (a) the
“Revolving Commitment” and “Term Commitment” (as defined in the Existing Credit Agreement) of each Lender that is a party to the Existing Credit Agreement but is not a party to this Agreement (an “Exiting Lender”) shall
be terminated, all outstanding Obligations owing to the Exiting Lenders under the Existing Agreement on the Closing Date shall be paid in full, and each Exiting Lender shall cease to be a Lender under this Agreement, and (b) each Person listed
on Schedule 1.1A attached to this Agreement shall be a Lender under this Agreement with the Commitments set forth opposite its name on such Schedule 1.1A. 

(b) Interest and Fees under Existing Credit Agreement. All interest and all commitment, facility and other fees and expenses owing or
accruing under or in respect of the Existing Credit Agreement shall be calculated as of the Closing Date (prorated in the case of any fractional periods), and shall be paid on the Closing Date in accordance with the method specified in the Existing
Credit Agreement as if such agreement were still in effect. 
 10.19 Headings. Article and Section headings and the Table of Contents
used herein are for convenience of reference only, are not part of this Agreement and shall not affect the construction of, or be taken into consideration in interpreting, this Agreement. 

10.20 Interest Rate Limitation. Notwithstanding anything herein to the contrary, if at any time the interest rate applicable to any
Loan, together with all fees, charges and other amounts which are treated as interest on such Loan under applicable law (collectively the “Charges”), shall exceed the maximum lawful rate (the “Maximum Rate”) which may be
contracted for, charged, taken, received or reserved by the Lender holding such Loan in accordance with applicable law, the rate of interest payable in respect of such Loan hereunder, together with all Charges payable in respect thereof, shall be
limited to the Maximum Rate and, 

  
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to the extent lawful, the interest and Charges that would have been payable in respect of such Loan but were not payable as a result of the operation of this Section shall be cumulated and the
interest and Charges payable to such Lender in respect of other Loans or periods shall be increased (but not above the Maximum Rate therefor) until such cumulated amount, together with interest thereon at the Federal Funds Effective Rate to the date
of repayment, shall have been received by such Lender. 
 10.21 Acknowledgement and Consent to
Bail-In of EEA Financial Institutions. Notwithstanding anything to the contrary in any Loan Document or in any other agreement, arrangement or understanding among any such parties, each party hereto
acknowledges that any liability of any EEA Financial Institution arising under any Loan Document may be subject to the write-down and conversion powers of an EEA Resolution Authority and agrees and consents to, and acknowledges and agrees to be
bound by: 
 (a) the application of any Write-Down and Conversion Powers by an EEA Resolution Authority to any such liabilities arising
hereunder which may be payable to it by any party hereto that is an EEA Financial Institution; and 
 (b) the effects of any Bail-In Action on any such liability, including, if applicable: 
 (i) a reduction in full
or in part or cancellation of any such liability; 
 (ii) a conversion of all, or a portion of, such liability into shares or
other instruments of ownership in such EEA Financial Institution, its parent entity, or a bridge institution that may be issued to it or otherwise conferred on it, and that such shares or other instruments of ownership will be accepted by it in lieu
of any rights with respect to any such liability under this Agreement or any other Loan Document (provided, however, that Borrower shall be entitled to transfer, assign or waive its right to receive any such shares or other instruments to the extent
necessary or prudent to preserve its status as a REIT), to the extent permitted by applicable law; or 
 (iii) the variation
of the terms of such liability in connection with the exercise of the write-down and conversion powers of any EEA Resolution Authority. 

10.22 Subsidiary Borrowers. 

(a) At the election of the Borrower at any time and from time to time, upon not less than seven (7) Business Days’ notice (or 15
days’ notice in the event the Subsidiary is organized under the laws of a jurisdiction other than the United States (a “Foreign Subsidiary Borrower”)) to the Administrative Agent and each Lender, at the time of such election,
one or more Wholly Owned Subsidiaries shall become a Borrower hereunder (each, a “Subsidiary Borrower”) by (A) the Borrower’s and such Subsidiary Borrower’s executing and delivering to the Administrative Agent, as
applicable, (i) an Adherence Agreement, (ii) an incumbency certificate as to the names, titles and specimen signatures of such Wholly Owned Subsidiary’s officers or other representatives authorized to act on its behalf in connection
with this Agreement, and (iii) if and to the extent generally issued by the applicable jurisdiction, a current good standing certificate as to such Wholly Owned Subsidiary from its jurisdiction of

  
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organization and a certified copy of its organizational or constituent documents (such as a certificate or articles of incorporation or formation and
by-laws, limited liability company agreement or limited partnership agreement, as applicable); provided that (x) each such Wholly Owned Subsidiary shall satisfy the Baseline Conditions on and as of
the date such Wholly Owned Subsidiary delivers its Adherence Agreement, (y) the Borrower shall be deemed to represent and warrant as of such date that such proposed Subsidiary Borrower is a Wholly Owned Subsidiary, and (z) no Subsidiary
Borrower shall cease to be a Subsidiary Borrower solely because it ceases to be a Wholly-Owned Subsidiary so long as it remains a Subsidiary and (B) the Borrower’s executing a Qualified Borrower Guaranty. Following the giving of any notice
pursuant to this Section 10.22(a) and prior to the effectiveness of any such Subsidiary becoming a Subsidiary Borrower, if the designation of such Subsidiary Borrower obligates the Administrative Agent or any Lender to comply with “know your
customer” or similar identification procedures in accordance with applicable laws and regulations in circumstances where the necessary information is not already available to it, the applicable Subsidiary Borrower shall, promptly upon the
request of the Administrative Agent or such Lender, supply such documentation and other evidence as is reasonably and customarily requested by the Administrative Agent or such Lender in order for the Administrative Agent or such Lender to be
satisfied (in good faith) it has complied with all necessary “know your customer” or other similar verifications under all applicable laws and regulations. Notwithstanding the foregoing, (x) with respect to any Foreign Subsidiary
Borrower, any Lender may, with notice to the Administrative Agent and the Borrower, fulfill its Commitment by causing an Affiliate of such Lender to act as the Lender in respect of such Foreign Subsidiary Borrower (and such Lender shall, to the
extent of Loans made to and participations in Letters of Credit issued for the account of such Foreign Subsidiary Borrower, be deemed for all purposes hereof to have pro tanto assigned such Loans and participations to such Affiliate in
compliance with the provisions of Section 10.6; and (y) as soon as practicable and in any event within seven (7) Business Days after notice of the designation under this Section of a Foreign Subsidiary Borrower, any Lender that
(I) may not legally lend to such Foreign Subsidiary Borrower, (II) by policy or practice does not lend to entities in the jurisdiction of formation of such Foreign Subsidiary Borrower, or (III) would incur or suffer adverse regulatory
or legal consequences by lending to such Foreign Subsidiary Borrower and, in any case (I) or (II) or (III), is generally not lending to other borrowers similarly situated to such Foreign Subsidiary Borrower (a “Protesting
Lender”) shall so notify the Borrower and the Administrative Agent in writing. With respect to each Protesting Lender, the Borrower shall, effective on or before the date that such Foreign Subsidiary Borrower shall have the right to borrow
hereunder, either (I) (A) replace such Protesting Lender in accordance with Section 2.22 or (B) notify the Administrative Agent and such Protesting Lender that the Commitments of such Protesting Lender shall be terminated (whereupon
such Commitments shall be terminated); provided that, in the case of this clause (B) with respect to Revolving Commitments, (1) the Borrower shall have received the prior written consent of the Administrative Agent and each Issuing
Lender, which consents shall not unreasonably be withheld, and (2) such Protesting Lender shall have received payment of an amount equal to the outstanding principal of its Loans, accrued interest thereon, accrued fees and all other amounts
payable to it hereunder, from the assignee (to the extent of such outstanding principal and accrued interest and fees) or the relevant Borrower (in the case of all other amounts), or (II) cancel its request to designate such Subsidiary as a
“Subsidiary Borrower” hereunder. 

  
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 (b) A Subsidiary Borrower shall be released as a Borrower hereunder upon written request by the
Borrower; provided that (i) any Loans to and/or other obligations of such Subsidiary Borrower proposed to be released shall have been either (A) repaid (and any outstanding Letters of Credit issued for its account shall have been
fully cash collateralized unless the Borrower is a co-applicant thereof) or (B) assumed (pursuant to a written agreement reasonably satisfactory in form and substance to the Administrative Agent),
concurrently with or prior to such release, by the Borrower or by another Subsidiary Borrower (which other Subsidiary Borrower satisfies the Baseline Conditions at the time of such assumption), (ii) there is no Event of Default after giving effect
to such release, (iii) the Borrower is in compliance with each of the financial covenants set forth in Section 7.1 if the ratio or amount referred to therein were to be calculated as of such date, but after giving effect to such release,
and (iv) the Borrower has furnished to the Administrative Agent a certificate of its chief financial officer or other authorized officer as to the matters referred in the preceding sub-clauses
(ii) and (iii). 
 [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] 

  
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 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed and
delivered by their proper and duly authorized officers as of the day and year first above written. 
  

									
	MEDICAL PROPERTIES TRUST, INC.
		
	By:	 	 /s/ R. Steven Hamner

		 	Name:	 	R. Steven Hamner
		 	Title:	 	Executive Vice President and Chief Financial Officer
	
	MPT OPERATING PARTNERSHIP, L.P.
		
	By:	 	MEDICAL PROPERTIES TRUST, LLC, its general partner
			
		 	By:	 	MEDICAL PROPERTIES TRUST, INC., its sole member
				
		 		 	By:	 	 /s/ R. Steven Hamner

		 		 		 	Name:	 	R. Steven Hamner
		 		 		 	Title:	 	Executive Vice President and Chief Financial Officer

 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	JPMORGAN CHASE BANK, N.A., as Administrative Agent and as a Lender, Issuing Lender and Swingline Lender
		
	By:	 	 /s/ Jaime Gitler

		 	Name: Jaime Gitler
		 	Title: Vice President

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	BANK OF AMERICA, N.A., as a Lender, Issuing Lender and Swingline Lender
		
	By:	 	 /s/ H. Hope Walker

		 	Name: H. Hope Walker
		 	Title: V.P.

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	BARCLAYS BANK PLC, as a Lender, Issuing Lender and Swingline Lender
		
	By:	 	 /s/ Christopher M. Aitkin

		 	Name: Christopher M. Aitkin
		 	Title: Assistant Vice President

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	KEYBANK NATIONAL ASSOCIATION, as a Lender, Issuing Lender and Swingline Lender
		
	By:	 	 /s/ Laura Conway

		 	Name: Laura Conway
		 	Title: SVP

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	GOLDMAN SACHS BANK USA, as a Lender, Issuing Lender and Swingline Lender
		
	By:	 	 /s/ Josh Rosenthal

		 	Name: Josh Rosenthal
		 	Title: Authorized Signatory
		
	By:	 	  

		 	Name:
		 	Title:

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	COMPASS BANK, as a Lender
		
	By:	 	 /s/ Brian Tuerff

		 	Name: Brian Tuerff
		 	Title: Senior Vice President

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	CREDIT AGRICOLE CORPORATE AND INVESTMENT BANK, as a Lender
		
	By:	 	 /s/ Karen Ramos

		 	Name: Karen Ramos
		 	Title: Managing Director
		
	By:	 	 /s/ Gordon Yip

		 	Name: Gordon Yip
		 	Title: Director

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	ROYAL BANK OF CANADA, as a Lender
		
	By:	 	 /s/ Rina Kansagra

		 	Name: Rina Kansagra
		 	Title: Authorized Signatory

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	SUNTRUST BANK, as a Lender
		
	By:	 	 /s/ Philip VanFossan

		 	Name: Philip VanFossan
		 	Title: Vice President

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 
			
	WELLS FARGO BANK, NATIONAL ASSOCIATION, as a Lender
		
	By:	 	 /s/ Andrea S. Chen

		 	Name: Andrea Chen
		 	Title: Director

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

			
	 CITIZENS BANK, NATIONAL ASSOCIATION,

as a Lender

		
	By:	 	 /s/ David R. Jablonowski

		 	Name: David R. Jablonowski
		 	Title: Senior Vice President

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

			
	CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH, as a Lender
		
	By:	 	 /s/ William O’ Daly

		 	Name: William O’ Daly
		 	Title: Authorized Signatory
		
	By:	 	 /s/ D. Andrew Maletta

		 	Name: D. Andrew Maletta
		 	Title: Authorized Signatory

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

			
	CADENCE BANK, N.A., as a Lender
		
	By:	 	 /s/ William H. Crawford

		 	Name: William H. Crawford
		 	Title: EVP - Healthcare Banking

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

			
	FIRST TENNESSEE BANK NATIONAL ASSOCIATION, as a Lender
		
	By:	 	 /s/ Cathy Wind

		 	Name: Cathy Wind
		 	Title: SVP

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

			
	THE BANK OF TOKYO-MITSUBISHI UFJ, LTD., as a Lender
		
	By:	 	 /s/ Scott O’Connell

		 	Name: Scott O’Connell
		 	Title: Director

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

			
	THE BANK OF NOVA SCOTIA, as a Lender
		
	By:	 	 /s/ Michelle C. Phillips

		 	Name: Michelle C. Phillips
		 	Title: Execution Head and Director

  
 AMENDED AND RESTATED 

REVOLVING CREDIT AND TERM LOAN AGREEMENT 

 Schedule EGL 

Eligible Ground Leased Property 
  

					
	Property	  	Owner/Ground Lessor/Mortgagor	  	Capacity
			
	Elkhorn Valley Rehabilitation Hospital	  	MPT of Casper, LLC	  	Owner
			
	Rehabilitation Hospital of Northwestern Ohio	  	MPT of Toledo, LLC	  	Owner
			
	Park Klinik	  	MPT RHM Park S.à r.l.	  	Owner
			
	Psychotherapeutische Klinik	  	MPT RHM Fontana S à r l	  	Owner
			
	Bad Gottleuba Klinik	  	MPT RHM Gottleuba S à r l	  	Owner
			
	Hohenlohe Klinik	  	MPT RHM Hohenlohe S à r l	  	Owner
			
	Berlin Kladow Klinic	  	MPT RHM Kladow S à r l	  	Owner
			
	North Aurora Medical Center	  	MPT of Aurora FCER, LLC	  	Owner
			
	East Riverside Medical Center	  	MPT of Austin Riverside FCER, LLC	  	Owner
			
	Chandler Germann Medical Center	  	MPT of Chandler FCER, LLC	  	Owner
			
	Cinco Ranch Medical Center	  	MPT of Cinco Ranch FCER, LLC	  	Owner
			
	Creekside Forest Medical Center	  	MPT of Creekside FCER, LLC	  	Owner
			
	Northwest Harris County Medical Center	  	MPT of Cypress Fry FCER, LLC	  	Owner

					
	Green Valley Medical Center	  	MPT of Denver 48th FCER, LLC	  	Owner
			
	De Zavala Medical Center	  	MPT of Dezavala FCER, LLC	  	Owner
			
	Haslet Medical Center	  	MPT of Fort Worth FCER, LLC	  	Owner
			
	Custer Bridges Medical Center	  	MPT of Frisco Custer FCER, LLC	  	Owner
			
	Garland Centerville Medical Center	  	MPT of Garland FCER, LLC	  	Owner
			
	Glendale Medical Center	  	MPT of Glendale FCER, LLC	  	Owner
			
	Highland Village Medical Center	  	MPT of Highland Village FCER, LLC	  	Owner
			
	Spring Green Medical Center	  	MPT of Katy 1463 FCER, LLC	  	Owner
			
	Horizon Park Medical Center	  	MPT of Longmont FCER, LLC	  	Owner
			
	Marrero Medical Center	  	MPT of Marrero FCER, LLC	  	Owner
			
	McKinney El Dorado Medical Center	  	MPT of McKinney FCER, LLC	  	Owner
			
	Plano Medical Center	  	MPT of Plano Preston FCER, LLC	  	Owner
			
	Legacy Trails Medical Center	  	MPT of Potranco FCER, LLC	  	Owner
			
	Rosenberg Medical Center	  	MPT of Rosenberg FCER, LLC	  	Owner
			
	Victory Lakes Medical Center	  	MPT of Victory Lakes FCER, LLC	  	Owner
			
	Medical West FED	  	MPT of Hoover-Medical West, LLC	  	Owner
			
	Medical West MOB	  	MPT of Hoover-Medical West, LLC	  	Owner

  
 2 

 Schedule PUP 

Subsidiary Guarantors 

N/A 

 Schedule SG 

Subsidiary Guarantors 

None. 

 Schedule 1.1A 

Loan Commitments 
  

					
	 Lender
	  	Revolving Commitment	 
		
	 JPMorgan Chase Bank, N.A.
	  	$	104,000,000	 
		
	 Bank of America, N.A.
	  	$	104,000,000	 
		
	 Barclays Bank PLC
	  	$	104,000,000	 
		
	 Goldman Sachs Bank USA
	  	$	104,000,000	 
		
	 KeyBank National Association
	  	$	104,000,000	 
		
	 Citizens Bank, National Association
	  	$	90,000,000	 
		
	 Compass Bank
	  	$	90,000,000	 
		
	 Credit Agricole Corporate and Investment Bank
	  	$	90,000,000	 
		
	 Credit Suisse AG, Cayman Islands Branch
	  	$	90,000,000	 
		
	 Royal Bank of Canada
	  	$	90,000,000	 
		
	 SunTrust Bank
	  	$	90,000,000	 
		
	 The Bank of Tokyo-Mitsubishi UFJ, Ltd.
	  	$	90,000,000	 
		
	 Wells Fargo Bank, National Association
	  	$	90,000,000	 
		
	 The Bank of Nova Scotia
	  	$	38,000,000	 
		
	 First Tennessee Bank National Association
	  	$	22,000,000	 
		
		  	  
	  
	 
		
		  	$	1,300,000,000	 

									
	 Lender
	  	Dollar Term Commitment	 	  	Euro Term Commitment	 
			
	 JPMorgan Chase Bank, N.A.
	  	$	15,000,000	 	  	€	16,140,000	 
			
	 Bank of America, N.A.
	  	$	15,000,000	 	  	€	16,140,000	 
			
	 Barclays Bank PLC
	  	$	15,000,000	 	  	€	16,140,000	 
			
	 Goldman Sachs Bank USA
	  	$	15,000,000	 	  	€	16,140,000	 
			
	 KeyBank National Association
	  	$	15,000,000	 	  	€	16,140,000	 
			
	 Citizens Bank, National Association
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 Compass Bank
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 Credit Agricole Corporate and Investment Bank
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 Credit Suisse AG, Cayman Islands Branch
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 Royal Bank of Canada
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 SunTrust Bank
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 The Bank of Tokyo-Mitsubishi UFJ, Ltd.
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 Wells Fargo Bank, National Association
	  	$	12,000,000	 	  	€	14,200,000	 
			
	 The Bank of Nova Scotia
	  	$	6,000,000	 	  	€	5,700,000	 
			
	 Cadence Bank, N.A.
	  	$	20,000,000	 	  	€	0	 
			
	 First Tennessee Bank National Association
	  	$	3,000,000	 	  	€	0	 
			
		  	  
	  
	 	  	  
	  
	 
			
		  	$	200,000,000	 	  	€	200,000,000	 

 Schedule 1.1C 

Issuing Lender Commitments 
  

					
	 Issuing Lender
	  	Issuing Lender Commitment	 
		
	 JPMorgan Chase Bank, N.A.
	  	$	26,000,000	 
		
	 Bank of America, N.A.
	  	$	26,000,000	 
		
	 Barclays Bank PLC
	  	$	26,000,000	 
		
	 KeyBank National Association
	  	$	26,000,000	 
		
	 Goldman Sachs Bank USA
	  	$	26,000,000	 

 Schedule 3.1(a) 

Existing Letters of Credit 
  

	 	•	 	Letter of Credit issued to the order of Tishman Speyer Properties, L.P. in an amount of $199,447.50. 

 Schedule 4.4 

Consents, Authorizations, Filings and Notices 

None. 

 Schedule 4.15 

Subsidiaries 
  

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	Medical Properties Trust, LLC	  	DE	  	100% of limited liability company interests owned by Medical Properties Trust, Inc.
			
	Capella Health Holdings, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	GL6010, LLC	  	DE	  	100% of limited liability company interests owned by GL6010P, LLC
			
	GL6010P, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	Mountain View-MPT Hospital, LLC	  	DE	  	 100% of limited liability company interests owned by MPT of Mountain View, LLC*

 
 (* 20% interest in distributions from Mountain View- MPT
Hospital, LLC is owned by Mountain View Hospital, LLC and such interest will increase by 2% annually to a maximum of 40% in 2021)

			
	MPT Aztec Opco, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT Corinth Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT Covington TRS, Inc.	  	DE	  	100% of outstanding stock owned by MPT Operating Partnership, L.P.
			
	MPT Development Services, Inc.	  	DE	  	100% of outstanding stock owned by MPT Operating Partnership, L.P.
			
	MPT DS Equipment Holding, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT Finance Corporation	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT Legacy of Montclair, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of 69th Street, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, LLC

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Allen FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Altoona, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Alvarado, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Alvarado, LLC
			
	MPT of Alvarado, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Alvin FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Aurora FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Austin Riverside FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Ayer-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Bayonne, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Bennettsville, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Billings Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Billings, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Bloomington, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Blue Springs, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Boise Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Boise, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Bossier City, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Brighton-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Brockton-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Brodie FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Broomfield FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Brownsville Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Brownsville, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Camaro Opco, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Carrollton AD, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Casper Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Casper, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Cedar Hill FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Champion Forest FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Chandler FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Chandler-Ray FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Cheraw, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Chino, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, LP and 0.1% of partnership interests owned by MPT of Chino, LLC

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Cinco Ranch FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Clear Lake, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Clear Lake, LLC
			
	MPT of Clear Lake, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Comal County Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Comal County, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Commerce City FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Conroe FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Converse FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Corinth, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Corinth, LLC
			
	MPT of Corinth, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Corpus Christi Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Corpus Christi, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Creekside FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Cypress Fry FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Dallas LTACH, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Dallas LTACH, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Dallas LTACH, LLC
			
	MPT of Dallas, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Denver 48th FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT Desoto Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Desoto, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Desoto, LLC
			
	MPT of Desoto, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of DeSoto FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Detroit, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of DeZavala FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Dorchester-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Enfield, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT Europe Opportunities, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Fairmount-Alecto, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Fairmount-Alecto Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Fall River-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Firestone FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Flagstaff, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Flagstaff Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Florence, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Fort Worth FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Fountain FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Foxborough-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Frisco-Eldorado FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Frisco FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Frisco-Custer FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Ft. Lauderdale, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Garden Grove Hospital, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Garden Grove Hospital, LLC
			
	MPT of Garden Grove Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Garden Grove MOB, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Garden Grove MOB, LLC
			
	MPT of Garden Grove MOB, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Garland FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Gilbert, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Gilbert FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Glendale FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Glendale Camelback FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Goodyear FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Greenwood Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Greenwood, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Hartsville-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Hartsville-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Hausman, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Haverhill-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Helotes FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Highland Village FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Highlands Ranch FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Hillsboro, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Hillsboro, LLC
			
	MPT of Hillsboro, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Hoboken Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Hoboken Real Estate, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Hoboken TRS, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Hoover-Medical West, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Hot Springs-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Hot Springs-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Houston Antoine FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Houston-Eldridge FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Houston Vintage AD, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Idaho Falls, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Inglewood, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Inglewood, LLC
			
	MPT of Inglewood, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Johnstown Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Johnstown, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Kansas City, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Katy 1463 FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Kershaw-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Kershaw-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Lafayette Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Lafayette, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Laredo Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Laredo, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Las Cruces Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Las Cruces, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Lawton-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Lawton-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Leavenworth, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Lewistin-RCCH, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Little Elm FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Longmont FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Los Angeles, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Los Angeles, LLC
			
	MPT of Los Angeles, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Lubbock, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Lubbock Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Mandeville FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Marrero FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of McKinney FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of McMinnville-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of McMinnville-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Mesa, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Mesa-Ellsworth AD, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Mesquite Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Mesquite, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Methuen-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Missouri, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Missouri City FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Missouri City-Dulles FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Morris, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Mountain View, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, LP
			
	MPT of Muskogee-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Muskogee-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Nacogdoches FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Newark, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of New Orleans Canal FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of North Cypress, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of North Cypress, LLC
			
	MPT of North Cypress, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of North Gate FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Norwood-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Ogden Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Ogden, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Olympia, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Olympia-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Olympia-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Overlook Parkway, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Paradise Valley, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Paradise Valley, LLC
			
	MPT of Paradise Valley, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Parker FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Pasco-RCCH, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Pearland FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Petersburg, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Plano Preston FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Poplar Bluff, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Port Arthur, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Port Huron, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Portland, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Post Falls Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Post Falls, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Potranco FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Prescott Valley Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Prescott Valley, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Provo Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.
			
	MPT of Provo, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Redding, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Reno, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Richardson, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Richardson, LLC

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Richardson, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Rosenberg FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Round Rock, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Round Rock, LLC
			
	MPT of Round Rock, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Roxborough, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Roxborough, LLC
			
	MPT of Roxborough, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Rowlett FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Russellville-Capella, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Russellville-Capella Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of San Dimas Hospital, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of San Dimas Hospital, LLC
			
	MPT of San Dimas Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of San Dimas MOB, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of San Dimas MOB, LLC
			
	MPT of San Dimas MOB, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of San Tan Valley FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Shasta, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Shasta, LLC

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Shasta, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Shenandoah, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Shenandoah, LLC
			
	MPT of Shenandoah, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Sherman-Alecto, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Sherman-Alecto Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of Southern California, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Southern California, LLC
			
	MPT of Southern California, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Spartanburg Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Spartanburg, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Summerwood FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Taunton-Steward, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Tempe FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Thornton FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Toledo, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Toledo Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Tomball, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Tomball, LLC
			
	MPT of Tomball, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Twelve Oaks, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of Twelve Oaks, LLC
			
	MPT of Twelve Oaks, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Victory Lakes FCER, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Victorville, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P. and 0.1% of partnership interests owned by MPT of Victorville, LLC
			
	MPT of Weslaco, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT of Weslaco Hospital, LLC	  	DE	  	100% of limited liability company interests owned by MPT Development Services, Inc
			
	MPT of West Anaheim, L.P.	  	DE	  	99.9% of partnership interests owned by MPT Operating Partnership, L.P.; 0.1% of partnership interests owned by MPT of West Anaheim, LLC
			
	MPT of West Anaheim, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of West Monroe, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of West Valley City, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Westover Hills, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Wichita, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT of Wyandotte County, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	MPT RHM Holdco S.à r.l.	  	Luxembourg	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT RHM Sonnenwende S.à r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Klaus S.à r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Vesalius S.à r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Park S.à r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Fontana S.à r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Christiaan S.à r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Hillersbach S.à r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Achertal Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Adelsberg Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Aukammtal Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Bad Lausick Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT RHM Bad Sulze Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Berggiesshubel Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Hannover Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Braunfels Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Buchberg Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Burg Landshut Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT AHG Odenwald Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT AHG Richelsdorf Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Flechtingen Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Flechtingen II Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Franz-Alexander Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT RHM Gottleuba Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Grunheide Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Gunzenbach Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Gyhum Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Heidelberg Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Heiligendamm Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Heinrich Mann Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Hohenfeld Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Hohenlohe Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Hoppegarten Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT AHG Wigbertshohe Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT RHM Kaiserberg Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Kalbe Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Kinzigtal Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Kladow Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Lobenstein Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Magdeburg Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT AHG Lubeck Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Moselschleife Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT AHG Mecklenburg Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT AHG Ravensrush Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Schlangenbad Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT RHM St. George Bad Durrheim Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM St. George Bad Krotzingen Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT AHG Romhild Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Sudpark Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Tennstedt Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Weserklinik Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM Wismar Sarl	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT RHM TRS Sarl	  	Luxembourg	  	100% owned by MPT Development Services, Inc
			
	MPT JV Holdco Sarl	  	Luxembourg	  	100% owned by MPT Operating Partnership, L.P.
			
	MPT UK Holdco S.a r.l.	  	Luxembourg	  	100% owned by MPT Operating Partnership, L.P.
			
	MPT Bath S.a r.l.	  	Luxembourg	  	100% owned by MPT UK Holdco S.a.r.l.

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	Med Valencia S.a r.l.	  	Luxembourg	  	50% owned by MPT RHM Holdco S.à r.l
			
	Bacoreta Investments S.L.	  	Spain	  	100% owned by Med Valencia S.à r.l
			
	Healthcare Properties Fund Italy	  	Italy	  	50% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Münchwies S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Schweriner See S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Bad Pyrmont S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Bad Pyrmont II S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Psychosomatik S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Wilhelmsheim S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Daun - Thommener Höhe S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Daun - Am Rosenberg S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT MEDIAN Tönisstein S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Haus Dondert S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Germersheim S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN am Waldsee S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Haus Willich S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Daun - Altburg S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Salze S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Saale S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Saale II S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Children’s Rehab S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT MEDIAN Meduna S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l

					
	 Name
	  	
Jurisdiction of
Organization
	  	 Percentage of Capital Stock Owned

by any Loan Party

			
	MPT MEDIAN Meduna Park S.a r.l.	  	Luxembourg	  	100% owned by MPT RHM Holdco S.à r.l
			
	MPT Acute JV Holdco S.a r.l.	  	Luxembourg	  	100% owned by MPT Operating Partnership, L.P.
			
	MPT ATOS Cologne S.a r.l.	  	Luxembourg	  	100% owned by MPT Acute JV Holdco S.a.r.l.
			
	MPT Circle-Birmingham S.a r.l.	  	Luxembourg	  	100% owned by MPT UK Holdco S.a.r.l.
			
	MPT Sycamore Opco, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	N650MP, LLC	  	DE	  	100% of limited liability company interests owned by MPT Operating Partnership, L.P.
			
	Wichita Health Associates, Limited Partnership	  	DE	  	100% of partnership interests owned by MPT of Wichita, LLC

 Schedule 4.23(a) 

Properties 
  

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	1	  	Desert Valley Hospital	  	MPT of Victorville, L.P.	 	Mortgagee
				
	2	  	Northern California Rehabilitation Hospital	  	MPT of Redding, LLC	 	Owner
				
	3	  	Chino Valley Medical Center	  	MPT of Chino, L.P.	 	Mortgagee
				
	4	  	LifeCare Hospital of Dallas	  	MPT of Dallas LTACH, L.P.	 	Owner
				
	5	  	Vibra Specialty Hospital of Portland	  	MPT of Portland, LLC	 	Owner
				
	6	  	West Anaheim Medical Center	  	MPT of West Anaheim, L.P.	 	Owner
				
	7	  	Paradise Valley Hospital	  	MPT of Paradise Valley, L.P.	 	Owner
				
	8	  	Paradise Valley Hospital	  	MPT of Southern California, L.P.	 	Mortgagee
				
	9	  	Shasta Regional Medical Center	  	MPT of Shasta, L.P.	 	Owner
				
	10	  	Vibra Hospital of Southeastern Michigan	  	MPT of Detroit, LLC	 	Owner
				
	11	  	Garden Grove Medical Center	  	MPT of Garden Grove Hospital, LPLPL.P.	 	Owner
				
	12	  	Garden Grove MOB	  	MPT of Garden Grove MOB, L.P.	 	Owner
				
	13	  	Cornerstone Hospital of Bossier City	  	MPT of Bossier City, LLC	 	Owner
				
	14	  	Mountain View Hospital	  	Mountain View-MPT Hospital, LLC	 	Owner
				
	15	  	Jordan Valley Medical Center – West Valley	  	MPT of West Valley City, LLC	 	Owner
				
	16	  	Poplar Bluff Regional Medical Center-North	  	MPT of Poplar Bluff, LLC	 	Owner
				
	17	  	Sunrise Rehabilitation Hospital	  	MPT of Ft. Lauderdale, LLC	 	Owner
				
	18	  	Healthsouth Rehabilitation Hospital of Petersburg	  	MPT of Petersburg, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

				
	19	  	North Cypress Medical Center	  	MPT of North Cypress, L.P.	 	Owner
				
	20	  	Wesley Rehabilitation Hospital	  	MPT of Wichita, LLC	 	Owner
				
	21	  	Westside Surgical Hospital	  	MPT of Twelve Oaks, L.P.	 	Owner
				
	22	  	Monroe Hospital	  	MPT of Bloomington, LLC	 	Owner
				
	23	  	San Dimas Community Hospital	  	MPT of San Dimas Hospital, L.P.	 	Owner
				
	24	  	San Dimas Medical Office Buildings	  	MPT of San Dimas MOB, L.P.	 	Owner
				
	25	  	Marlboro Park Hospital	  	MPT of Bennettsville, LLC	 	Owner
				
	26	  	Chesterfield General Hospital	  	MPT of Cheraw, LLC	 	Owner
				
	27	  	Hill Regional Hospital	  	MPT of Hillsboro, L.P.	 	Owner
				
	28	  	Florence Hospital at Anthem	  	MPT of Florence, LLC	 	Owner
				
	29	  	Gilbert Hospital	  	MPT of Gilbert, LLC	 	Owner
				
	30	  	Kindred Hospital Clear Lake	  	MPT of Clear Lake, L.P.	 	Owner
				
	31	  	Kindred Hospital Tomball	  	MPT of Tomball, L.P.	 	Owner
				
	32	  	Bayonne Medical Center	  	MPT of Bayonne, LLC	 	Owner
				
	33	  	Alvarado Hospital Medical Center	  	MPT of Alvarado, L.P.	 	Owner
				
	34	  	Kindred Northland Hospital	  	MPT of Kansas City, LLC	 	Owner
				
	35	  	Vibra Specialty Hospital of Desoto	  	MPT of Desoto, LLC	 	Owner
				
	36	  	Baptist Health System – Hausman	  	MPT of Hausman, LLC	 	Owner
				
	37	  	Baptist Health System – Overlook Parkway	  	MPT of Overlook Parkway, LLC	 	Owner
				
	38	  	Baptist Health System – Westover Hills	  	MPT of Westover Hills, LLC	 	Owner
				
	39	  	Hoboken University Medical Center	  	MPT of Hoboken Real Estate, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	40	  	Advanced Care Hospital of Northern Colorado	  	MPT of Johnstown, LLC	 	Owner
				
	41	  	Northern Colorado Rehabilitation Hospital	  	MPT of Johnstown, LLC	 	Owner
				
	42	  	Southwest Idaho Advanced Care Hospital	  	MPT of Boise, LLC	 	Owner
				
	43	  	Advanced Care Hospital of Montana	  	MPT of Billings, LLC	 	Owner
				
	44	  	Greenwood Regional Rehabilitation Hospital	  	MPT of Greenwood, LLC	 	Owner
				
	45	  	Mesquite Specialty Hospital	  	MPT of Mesquite, LLC	 	Owner
				
	46	  	Mesquite Rehabilitation Institute	  	MPT of Mesquite, LLC	 	Owner
				
	47	  	Laredo Specialty Hospital	  	MPT of Laredo, LLC	 	Owner
				
	48	  	Utah Valley Specialty Hospital	  	MPT of Provo, LLC	 	Owner
				
	49	  	Elkhorn Valley Rehabilitation Hospital	  	MPT of Casper, LLC	 	Owner*
				
	50	  	Mountain Valley Regional Rehabilitation Hospital	  	MPT of Prescott Valley, LLC	 	Mortgagee
				
	51	  	South Texas Rehabilitation Hospital	  	MPT of Brownsville, LLC	 	Mortgagee
				
	52	  	Advanced Care Hospital of Southern New Mexico	  	MPT of Las Cruces, LLC	 	Mortgagee
				
	53	  	Rehabilitation Hospital of Southern New Mexico	  	MPT of Las Cruces, LLC	 	Mortgagee
				
	54	  	Northern Idaho Advanced Care Hospital	  	MPT of Post Falls, LLC	 	Owner
				
	55	  	New Braunfels Regional Rehabilitation Hospital	  	MPT of Comal County, LLC	 	Owner
				
	56	  	Lafayette Regional Rehabilitation Hospital	  	MPT of Lafayette, LLC	 	Owner
				
	57	  	Centinela Hospital Medical Center	  	MPT of Inglewood, L.P.	 	Mortgagee
				
	58	  	St. Mary’s Regional Medical Center	  	MPT of Reno, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	59	  	Roxborough Memorial Hospital	  	MPT of Roxborough, L.P.	 	Owner
				
	60	  	Oak Leaf Surgical Hospital	  	MPT of Altoona, LLC	 	Owner
				
	61	  	Spartanburg Rehabilitation Institute	  	MPT of Spartanburg, LLC	 	Owner
				
	62	  	Northern Utah Rehabilitation Hospital	  	MPT of Ogden, LLC	 	Owner
				
	63	  	Corpus Christi Rehabilitation Hospital	  	MPT of Corpus Christi, LLC	 	Owner
				
	64	  	Providence Medical Center	  	MPT of Wyandotte County, LLC	 	Owner
				
	65	  	St. John Hospital	  	MPT of Leavenworth, LLC	 	Owner
				
	66	  	First Choice Little Elm	  	MPT of Little Elm FCER, LLC	 	Owner
				
	67	  	First Choice Austin Brodie	  	MPT of Brodie FCER, LLC	 	Owner
				
	68	  	Mountain Vista Medical Center	  	MPT of Mesa, LLC	 	Owner
				
	69	  	The Medical Center of Southeast Texas	  	MPT of Port Arthur, LLC	 	Owner
				
	70	  	Glenwood Regional Medical Center	  	MPT of West Monroe, LLC	 	Owner
				
	71	  	First Choice Nacogdoches	  	MPT of Nacogdoches FCER, LLC	 	Owner
				
	72	  	Dallas Medical Center	  	MPT of Dallas, LLC	 	Owner
				
	73	  	Klinik Sonnenwende	  	MPT RHM Sonnenwende S.à.r.l.	 	Owner
				
	74	  	Klaus Miehlke Klinik	  	MPT RHM Klaus S.à.r.l.	 	Owner
				
	75	  	Vesalius Klinik	  	MPT RHM Vesalius S.à.r.l.	 	Owner
				
	76	  	Park Klinik	  	MPT RHM Park S.à.r.l.	 	Owner*
				
	77	  	Fontana Klinik	  	MPT RHM Fontana S.à.r.l.	 	Owner
				
	78	  	Christiaan Barnard Klinik	  	MPT RHM Christiaan S.à.r.l.	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	79	  	Wohnheim Hillersbach	  	MPT RHM Hillersbach S.à.r.l.	 	Owner
				
	80	  	Antoniusstift	  	MPT RHM Vesalius S.à.r.l.	 	Owner
				
	81	  	Dürkheimer Höhe	  	MPT RHM Sonnenwende S.à.r.l.	 	Owner
				
	82	  	Psychotherapeutische Klinik	  	MPT RHM Fontana S.à.r.l.	 	Owner
				
	83	  	Olympia Medical Center	  	MPT of Los Angeles, L.P.	 	Mortgagee
				
	84	  	Mountainside Hospital	  	MPT Legacy of Montclair, LLC	 	Owner
				
	85	  	First Choice Alvin	  	MPT of Alvin FCER, LLC	 	Owner
				
	86	  	First Choice Firestone	  	MPT of Firestone FCER, LLC	 	Owner
				
	87	  	First Choice Eldridge	  	MPT of Houston-Eldridge FCER, LLC	 	Owner
				
	88	  	First Choice Cedar Hill	  	MPT of Cedar Hill FCER, LLC	 	Owner
				
	89	  	First Choice Allen	  	MPT of Allen FCER, LLC	 	Owner
				
	90	  	First Choice Frisco	  	MPT of Frisco FCER, LLC	 	Owner
				
	91	  	First Choice Broomfield	  	MPT of Broomfield FCER, LLC	 	Owner
				
	92	  	First Choice Champion Forest	  	MPT of Champion Forest FCER, LLC	 	Owner
				
	93	  	First Choice North Gate	  	MPT of North Gate FCER, LLC	 	Owner
				
	94	  	First Choice Thornton	  	MPT of Thornton FCER, LLC	 	Owner
				
	95	  	First Choice Fountain	  	MPT of Fountain FCER, LLC	 	Owner
				
	96	  	First Choice Missouri City Sienna	  	MPT of Missouri City FCER, LLC	 	Owner
				
	97	  	First Choice Pearland	  	MPT of Pearland FCER, LLC	 	Owner
				
	98	  	First Choice Missouri City Dulles	  	MPT of Missouri City-Dulles FCER, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	99	  	Fairmont Regional Medical Center	  	MPT of Fairmont – Alecto Hospital, LLC	 	Owner
				
	100	  	Wilson N. Jones Medical Center	  	MPT of Sherman- Alecto Hospital, LLC	 	Owner
				
	101	  	Capital Medical Center	  	MPT of Olympia – Capella, LLC	 	Owner
				
	102	  	Carolina Pines Regional Medical Center	  	MPT of Hartsville – Capella, LLC	 	Owner
				
	103	  	EASTAR Health System	  	MPT of Muskogee-Capella, LLC	 	Owner
				
	104	  	National Park Medical Center	  	MPT of Hot Springs – Capella, LLC	 	Owner
				
	105	  	Willlamette Valley Medical Center	  	MPT of McMinnville-Capella, LLC	 	Owner
				
	106	  	KershawHealth	  	MPT of Kershaw-Capella, LLC	 	Owner
				
	107	  	CircleBath	  	Health Properties (Bath) Limited	 	Owner
				
	108	  	Laredo Rehabilitation Hospital	  	MPT of Laredo, LLC	 	Owner
				
	109	  	Mesquite Rehabilitation Hospital	  	MPT of Mesquite, LLC	 	Owner
				
	110	  	Rehabilitation Hospital of the Northwest	  	MPT of Post Falls, LLC	 	Owner
				
	111	  	Weslaco Regional Rehabilitation Hospital	  	MPT of Weslaco, LLC	 	Owner
				
	112	  	University Rehabilitation Institute at the University of Toledo Medical Center	  	MPT of Toledo, LLC	 	Owner
				
	113	  	Trustpoint Rehabilitation Hospital of Lubbock	  	MPT of Lubbock, LLC	 	Owner
				
	114	  	Rehabilitation Hospital of Northern Arizona	  	MPT of Flagstaff, LLC	 	Owner
				
	115	  	First Choice Commerce City	  	MPT of Commerce City FCER, LLC	 	Owner
				
	116	  	First Choice Summerwood	  	MPT of Summerwood FCER, LLC	 	Owner
				
	117	  	First Choice Avondale Haslet	  	MPT of Fort Worth FCER, LLC	 	Owner
				
	118	  	Texas Regional Hospital	  	MPT of Carrollton AD, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	119	  	First Choice Chandler	  	MPT of Chandler FCER, LLC	 	Owner
				
	120	  	First Choice Converse	  	MPT of Converse FCER, LLC	 	Owner
				
	121	  	First Choice Denver 48th	  	MPT of Denver 48th FCER, LLC	 	Owner
				
	122	  	First Choice McKinney	  	MPT of McKinney FCER, LLC	 	Owner
				
	123	  	First Choice Victory Lakes	  	MPT of Victory Lakes FCER, LLC	 	Owner
				
	124	  	First Choice Glendale	  	MPT of Glendale FCER, LLC	 	Owner
				
	125	  	First Choice Gilbert	  	MPT of Gilbert FCER, LLC	 	Owner
				
	126	  	First Choice Conroe	  	MPT of Conroe FCER, LLC	 	Owner
				
	127	  	Vintage Preserve Hospital	  	MPT of Houston Vintage AD, LLC	 	Owner
				
	128	  	First Choice Denver Mississippi	  	MPT of Aurora FCER, LLC	 	Owner
				
	129	  	First Choice Chandler Ray	  	MPT of Chandler Ray FCER, LLC	 	Owner
				
	130	  	First Choice Helotes	  	MPT of Helotes FCER, LLC	 	Owner
				
	131	  	First Choice Highland Village	  	MPT of Highland Village FCER, LLC	 	Owner
				
	132	  	First Choice Parker Lincoln Jordan	  	MPT of Parker FCER, LLC	 	Owner
				
	133	  	First Choice Cinco Ranch	  	MPT of Cinco Ranch FCER, LLC	 	Owner
				
	134	  	First Choice Frisco Eldorado	  	MPT of Frisco Eldorado FCER, LLC	 	Owner
				
	135	  	First Choice Rosenberg	  	MPT of Rosenberg FCER, LLC	 	Owner
				
	136	  	First Choice Goodyear	  	MPT of Goodyear FCER, LLC	 	Owner
				
	137	  	First Choice Longmont	  	MPT of Longmont FCER, LLC	 	Owner
				
	138	  	First Choice Creekside	  	MPT of Creekside FCER, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	139	  	First Choice Frisco Custer	  	MPT of Frisco Custer, LLC	 	Owner
				
	140	  	First Choice DeSoto	  	MPT of DeSoto FCER, LLC	 	Owner
				
	141	  	First Choice Marrero	  	MPT of Marreo FCER, LLC	 	Owner
				
	142	  	First Choice Highlands Ranch	  	MPT of Highlands Ranch FCER, LLC	 	Owner
				
	143	  	Adeptus Mesa Eastmark	  	MPT of Mesa Eastmark AD, LLC	 	Owner
				
	144	  	First Choice San Tan Valley	  	MPT of San Tan Valley FCER, LLC	 	Owner
				
	145	  	First Choice Canal	  	MPT of New Orleans Canal FCER, LLC	 	Owner
				
	146	  	First Choice Plano Preston	  	MPT of Plano Preston FCER, LLC	 	Owner
				
	147	  	First Choice Houston Antoine 249	  	MPT of Houston Antoine FCER, LLC	 	Owner
				
	148	  	First Choice Katy 1463	  	MPT of Katy 1463 FCER, LLC	 	Owner
				
	149	  	First Choice Potranco	  	MPT of Potranco FCER, LLC	 	Owner
				
	150	  	First Choice Mandeville	  	MPT of Mandeville FCER, LLC	 	Owner
				
	151	  	First Choice Garland	  	MPT of Garland FCER, LLC	 	Owner
				
	152	  	First Choice Glendale Camelback	  	MPT of Glendale Camelback FCER, LLC	 	Owner
				
	153	  	First Choice De Zavala	  	MPT of De Zavala FCER, LLC	 	Owner
				
	154	  	First Choice Riverside	  	MPT of Austin Riverside FCER, LLC	 	Owner
				
	155	  	First Choice Salem	  	MPT of Columbus Salem FCER, LLC	 	Owner
				
	156	  	First Choice Cypress Fry	  	MPT of Cypress Fry FCER, LLC	 	Owner
				
	157	  	Medical West Freestanding ER	  	MPT of Hoover-Medical West, LLC	 	Owner
				
	158	  	Medical West MOB	  	MPT of Hoover-Medical West, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	159	  	Lake Huron Medical Center	  	MPT of Port Huron, LLC	 	Owner
				
	160	  	Lake Huron Medical Center	  	MPT of Port Huron, LLC	 	Mortgagee
				
	161	  	St. Clare’s Hospital – Denville	  	MPT of Morris, LLC	 	Owner
				
	162	  	St. Clare’s Hospital – Boonton	  	MPT of Morris, LLC	 	Owner
				
	163	  	St. Clare’s Hospital – Dover	  	MPT of Morris, LLC	 	Owner
				
	164	  	St. Clare’s Health Center at Sussex	  	MPT of Morris, LLC	 	Owner
				
	165	  	St. Joseph Medical Center	  	MPT of Missouri, LLC	 	Owner
				
	166	  	St. Joseph’s Medical Center	  	MPT of Kansas City, LLC	 	Mortgagee
				
	167	  	St. Michael’s Medical Center	  	MPT of Newark, LLC	 	Owner
				
	168	  	St. Mary’s Medical Center	  	MPT of Blue Springs, LLC	 	Owner
				
	169	  	St. Mary’s Medical Center	  	MPT of Blue Springs, LLC	 	Mortgagee
				
	170	  	ATOS Heidelberg Klinik	  	MPT RHM Heidelberg S.à.r.l.	 	Owner
				
	171	  	Orthopadische Kinik Braunfels	  	MPT RHM Braunfels S.à.r.l.	 	Owner
				
	172	  	Rhein-Haardt-Klinik	  	MPT RHM Sonnenwende S.à.r.l.	 	Owner
				
	173	  	Heinrich Mann Klinik	  	MPT RHM Heinrich Mann S.à.r.l.	 	Owner
				
	174	  	Buchberg Klinik	  	MPT RHM Buchberg S.à.r.l.	 	Owner
				
	175	  	Klinik Hohenlohe	  	MPT RHM Hohenlohe S.à.r.l.	 	Owner
				
	176	  	Gesundheitszentrum Hannover	  	MPT RHM Hannover S.à.r.l.	 	Owner
				
	177	  	Klinik Bad Lausick	  	MPT RHM Bad Lausick S.à.r.l.	 	Owner
				
	178	  	Klinik Bad Sulze	  	MPT RHM Bad Bulze S.À.R.L.	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	179	  	Klinik Bad Tennstedt	  	MPT RHM Bad Tennstedt S.À.R.L.	 	Owner
				
	180	  	Klinikum Flechtingen	  	MPT RHM Flechtingen S.À.R.L.	 	Owner
				
	181	  	Klinik Helligendamm	  	MPT RHM Helligendamm S.À.R.L.	 	Owner
				
	182	  	Klinik Bad Lobenstein	  	MPT RHM Lobenstein S.À.R.L.	 	Owner
				
	183	  	Klinik Wismar	  	MPT RHM Wismar S.À.R.L.	 	Owner
				
	184	  	Klinik Gunzenbachof Baden-Baden	  	MPT RHM Gunzenbachof S.À.R.L.	 	Owner
				
	185	  	Kinzigtal Klinik	  	MPT RHM Kinzigtal S.À.R.L.	 	Owner
				
	186	  	Hohenfeld Klinik	  	MPT RHM Hohenfeld S.À.R.L.	 	Owner
				
	187	  	Kaiserberg Klinik	  	MPT RHM Kaiserberg S.À.R.L.	 	Owner
				
	188	  	Klinik am Sudpark	  	MPT RHM Sudpark S.À.R.L.	 	Owner
				
	189	  	Rehaklinkik Aukammtal	  	MPT RHM Aukammtal S.À.R.L.	 	Owner
				
	190	  	Reha-Zentrum Schlangenbad	  	MPT RHM Schlangenbad S.À.R.L.	 	Owner
				
	191	  	Reha-Zentrium Gyhum	  	MPT RHM Gyhum S.À.R.L.	 	Owner
				
	192	  	Klinik NRZ Magdeburg	  	NRZ Gruppe S.À.R.L.	 	Owner
				
	193	  	Klink Grunheide	  	MPT RHM Grunheide S.À.R.L.	 	Owner
				
	194	  	Klinik Hoppegarten	  	MPT RHM Hoppegarten S.À.R.L.	 	Owner
				
	195	  	Klinik Kalbe	  	MPT RHM Kalbe S.À.R.L.	 	Owner
				
	196	  	Klinik Berlin-Kladow	  	MPT RHM Kladow S.À.R.L.	 	Owner
				
	197	  	Gesundheitspark Bad Gottleuba	  	MPT RHM Gottleuba S.À.R.L.	 	Owner
				
	198	  	Adelsberg Klinik Bad Berka	  	MPT RHM Adelsberg S.À.R.L.	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	199	  	Berggisshubel	  	MPT RHM Berggisshubel S.À.R.L.	 	Owner
				
	200	  	Klinik Burg Landshut	  	MPT RHM Burg Landshut S.À.R.L.	 	Owner
				
	201	  	Achertal Klinik	  	MPT RHM Achertal S.À.R.L.	 	Owner
				
	202	  	Klinik St. Georg Bad Durrheim	  	MPT RHM St. Georg Bad Durrheim S.À.R.L.	 	Owner
				
	203	  	Klinik St. Georg Bad Krozingen	  	MPT RHM St. Georg Bad Krozingen S.À.R.L.	 	Owner
				
	204	  	Klinik Moselschieife	  	MPT RHM Moselschieife S.À.R.L.	 	Owner
				
	205	  	Franz Alexander Klinik	  	MPT RHM Franz Alexander S.À.R.L.	 	Owner
				
	206	  	Klinikum Flechtingen II	  	MPT RHM Flechtingen II S.À.R.L.	 	Owner
				
	207	  	Klinik am Park	  	MPT MEDIAN Meduna S.À.R.L.	 	Owner
				
	208	  	MEDIAN Haus Fortuna	  	MPT MEDIAN Meduna Park S.À.R.L.	 	Owner
				
	209	  	MEDIAN Haus Meduna	  	MPT MEDIAN Meduna S.À.R.L.	 	Owner
				
	210	  	MEDIAN Haus Diana	  	MPT MEDIAN Meduna Park S.À.R.L.	 	Owner
				
	211	  	MEDIAN Salze Klinik	  	MPT MEDIAN Salze S.À.R.L.	 	Owner
				
	212	  	MEDIAN Saale I	  	MPT MEDIAN Saale S.À.R.L.	 	Owner
				
	213	  	MEDIAN Saale II	  	MPT MEDIAN Salle II S.À.R.L.	 	Owner
				
	214	  	MEDIAN Children’s Rehab	  	MPT MEDIAN Children’s Rehab S.À.R.L.	 	Owner
				
	215	  	MEDIAN Klinik im Odenwald and im Odenwal Akut	  	MPT AHG Odenwald S.À.R.L.	 	Owner
				
	216	  	MEDIAN Klinik Romhild	  	MPT AHG Romhild S.À.R.L.	 	Owner
				
	217	  	MEDIAN Ravensruh	  	MPT AHG Ravensruh S.À.R.L.	 	Owner
				
	218	  	MEDIAN Klinik Lubeck and Klinik Lubeck Akut	  	MPT AHG Lubeck S.À.R.L.	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	219	  	MEDIAN Klinik Richelsdorf	  	MPT AHG Richelsdorft S.À.R.L.	 	Owner
				
	220	  	MEDIAN Klinik Wigbertshohe	  	MPT AHG Wigbertshohe S.À.R.L.	 	Owner
				
	221	  	MEDIAN Klink Mecklenberg	  	MPT AHG Mecklenburg S.À.R.L.	 	Owner
				
	222	  	Nashoba Valley Medical Center	  	MPT of Ayer – Steward, LLC	 	Mortgagee
				
	223	  	St. Elizabeth’s Medical Center	  	MPT of Brighton – Steward, LLC	 	Owner
				
	224	  	Good Samaritan Medical Center	  	MPT of Brockton – Steward, LLC	 	Owner
				
	225	  	Carney Hospital	  	MPT of Dorchester – Steward, LLC	 	Mortgagee
				
	226	  	Saint Anne’s Hospital	  	MPT of Fall River – Steward, LLC	 	Owner
				
	227	  	Holy Family Hospital	  	MPT of Methuen – Steward, LLC	 	Owner
				
	228	  	Holy Family Methuen Hospital - Haverhall	  	MPT of Methuen – Steward, LLC	 	Mortgagee
				
	229	  	Norwood Hospital	  	MPT of Norwood – Steward, LLC	 	Mortgagee
				
	230	  	Morton Hospital	  	MPT of Taunton – Steward, LLC	 	Owner
				
	231	  	IMED Valencia	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	232	  	Policlinico di Monza	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	233	  	Istituto Clinico Universitario	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	234	  	Casa di Cura Citta di Alessandria	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	235	  	Clinica Salus	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	236	  	Clinica Santa Rita	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	237	  	Clinica Eporediese	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	238	  	Clinica La Vialarda	  	MPT RHM Holdco S.À.R.L.	 	Owner**
				
	239	  	Clinica San Gaudenzio	  	MPT RHM Holdco S.À.R.L.	 	Owner**

 Schedule 4.23(b) 

Unencumbered Properties 
  

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	1	  	Desert Valley Hospital	  	MPT of Victorville, L.P.	 	Mortgagee
				
	2	  	Northern California Rehabilitation Hospital	  	MPT of Redding, LLC	 	Owner
				
	3	  	Chino Valley Medical Center	  	MPT of Chino, L.P.	 	Mortgagee
				
	4	  	LifeCare Hospital of Dallas	  	MPT of Dallas LTACH, L.P.	 	Owner
				
	5	  	Vibra Specialty Hospital of Portland	  	MPT of Portland, LLC	 	Owner
				
	6	  	West Anaheim Medical Center	  	MPT of West Anaheim, L.P.	 	Owner
				
	7	  	Paradise Valley Hospital	  	MPT of Paradise Valley, L.P.	 	Owner
				
	8	  	Paradise Valley Hospital	  	MPT of Southern California, L.P.	 	Mortgagee
				
	9	  	Shasta Regional Medical Center	  	MPT of Shasta, L.P.	 	Owner
				
	10	  	Vibra Hospital of Southeastern Michigan	  	MPT of Detroit, LLC	 	Owner
				
	11	  	Garden Grove Medical Center	  	MPT of Garden Grove Hospital, LPLPL.P.	 	Owner
				
	12	  	Garden Grove MOB	  	MPT of Garden Grove MOB, L.P.	 	Owner
				
	13	  	Cornerstone Hospital of Bossier City	  	MPT of Bossier City, LLC	 	Owner
				
	14	  	Mountain View Hospital	  	Mountain View-MPT Hospital, LLC	 	Owner
				
	15	  	Jordan Valley Medical Center – West Valley	  	MPT of West Valley City, LLC	 	Owner
				
	16	  	Poplar Bluff Regional Medical Center-North	  	MPT of Poplar Bluff, LLC	 	Owner
				
	17	  	Sunrise Rehabilitation Hospital	  	MPT of Ft. Lauderdale, LLC	 	Owner
				
	18	  	Healthsouth Rehabilitation Hospital of Petersburg	  	MPT of Petersburg, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	19	  	North Cypress Medical Center	  	MPT of North Cypress, L.P.	 	Owner
				
	20	  	Wesley Rehabilitation Hospital	  	MPT of Wichita, LLC	 	Owner
				
	21	  	Westside Surgical Hospital	  	MPT of Twelve Oaks, L.P.	 	Owner
				
	22	  	Monroe Hospital	  	MPT of Bloomington, LLC	 	Owner
				
	23	  	San Dimas Community Hospital	  	MPT of San Dimas Hospital, L.P.	 	Owner
				
	24	  	San Dimas Medical Office Buildings	  	MPT of San Dimas MOB, L.P.	 	Owner
				
	25	  	Marlboro Park Hospital	  	MPT of Bennettsville, LLC	 	Owner
				
	26	  	Chesterfield General Hospital	  	MPT of Cheraw, LLC	 	Owner
				
	27	  	Hill Regional Hospital	  	MPT of Hillsboro, L.P.	 	Owner
				
	28	  	Florence Hospital at Anthem	  	MPT of Florence, LLC	 	Owner
				
	29	  	Gilbert Hospital	  	MPT of Gilbert, LLC	 	Owner
				
	30	  	Kindred Hospital Clear Lake	  	MPT of Clear Lake, L.P.	 	Owner
				
	31	  	Kindred Hospital Tomball	  	MPT of Tomball, L.P.	 	Owner
				
	32	  	Bayonne Medical Center	  	MPT of Bayonne, LLC	 	Owner
				
	33	  	Alvarado Hospital Medical Center	  	MPT of Alvarado, L.P.	 	Owner
				
	34	  	Vibra Specialty Hospital of Desoto	  	MPT of Desoto, LLC	 	Owner
				
	35	  	Baptist Health System – Hausman	  	MPT of Hausman, LLC	 	Owner
				
	36	  	Baptist Health System – Overlook Parkway	  	MPT of Overlook Parkway, LLC	 	Owner
				
	37	  	Baptist Health System – Westover Hills	  	MPT of Westover Hills, LLC	 	Owner
				
	38	  	Hoboken University Medical Center	  	MPT of Hoboken Real Estate, LLC	 	Owner
				
	39	  	Advanced Care Hospital of Northern Colorado	  	MPT of Johnstown, LLC	 	Owner
				
	40	  	Northern Colorado Rehabilitation Hospital	  	MPT of Johnstown, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	41	  	Southwest Idaho Advanced Care Hospital	  	MPT of Boise, LLC	 	Owner
				
	42	  	Advanced Care Hospital of Montana	  	MPT of Billings, LLC	 	Owner
				
	43	  	Greenwood Regional Rehabilitation Hospital	  	MPT of Greenwood, LLC	 	Owner
				
	44	  	Mesquite Specialty Hospital	  	MPT of Mesquite, LLC	 	Owner
				
	45	  	Mesquite Rehabilitation Institute	  	MPT of Mesquite, LLC	 	Owner
				
	46	  	Laredo Specialty Hospital	  	MPT of Laredo, LLC	 	Owner
				
	47	  	Utah Valley Specialty Hospital	  	MPT of Provo, LLC	 	Owner
				
	48	  	Elkhorn Valley Rehabilitation Hospital	  	MPT of Casper, LLC	 	Owner*
				
	49	  	Mountain Valley Regional Rehabilitation Hospital	  	MPT of Prescott Valley, LLC	 	Mortgagee
				
	50	  	South Texas Rehabilitation Hospital	  	MPT of Brownsville, LLC	 	Mortgagee
				
	51	  	Advanced Care Hospital of Southern New Mexico	  	MPT of Las Cruces, LLC	 	Mortgagee
				
	52	  	Rehabilitation Hospital of Southern New Mexico	  	MPT of Las Cruces, LLC	 	Mortgagee
				
	53	  	Northern Idaho Advanced Care Hospital	  	MPT of Post Falls, LLC	 	Owner
				
	54	  	New Braunfels Regional Rehabilitation Hospital	  	MPT of Comal County, LLC	 	Owner
				
	55	  	Lafayette Regional Rehabilitation Hospital	  	MPT of Lafayette, LLC	 	Owner
				
	56	  	Centinela Hospital Medical Center	  	MPT of Inglewood, L.P.	 	Mortgagee
				
	57	  	St. Mary’s Regional Medical Center	  	MPT of Reno, LLC	 	Owner
				
	58	  	Roxborough Memorial Hospital	  	MPT of Roxborough, L.P.	 	Owner
				
	59	  	Oak Leaf Surgical Hospital	  	MPT of Altoona, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	60	  	Spartanburg Rehabilitation Institute	  	MPT of Spartanburg, LLC	 	Owner
				
	61	  	Northern Utah Rehabilitation Hospital	  	MPT of Ogden, LLC	 	Owner
				
	62	  	Corpus Christi Rehabilitation Hospital	  	MPT of Corpus Christi, LLC	 	Owner
				
	63	  	Providence Medical Center	  	MPT of Wyandotte County, LLC	 	Owner
				
	64	  	St. John Hospital	  	MPT of Leavenworth, LLC	 	Owner
				
	65	  	First Choice Little Elm	  	MPT of Little Elm FCER, LLC	 	Owner
				
	66	  	First Choice Austin Brodie	  	MPT of Brodie FCER, LLC	 	Owner
				
	67	  	Mountain Vista Medical Center	  	MPT of Mesa, LLC	 	Owner
				
	68	  	The Medical Center of Southeast Texas	  	MPT of Port Arthur, LLC	 	Owner
				
	69	  	Glenwood Regional Medical Center	  	MPT of West Monroe, LLC	 	Owner
				
	70	  	First Choice Nacogdoches	  	MPT of Nacogdoches FCER, LLC	 	Owner
				
	71	  	Dallas Medical Center	  	MPT of Dallas, LLC	 	Owner
				
	72	  	Klinik Sonnenwende	  	MPT RHM Sonnenwende S.à.r.l.	 	Owner
				
	73	  	Klaus Miehlke Klinik	  	MPT RHM Klaus S.à.r.l.	 	Owner
				
	74	  	Vesalius Klinik	  	MPT RHM Vesalius S.à.r.l.	 	Owner
				
	75	  	Park Klinik	  	MPT RHM Park S.à.r.l.	 	Owner*
				
	76	  	Fontana Klinik	  	MPT RHM Fontana S.à.r.l.	 	Owner
				
	77	  	Christiaan Barnard Klinik	  	MPT RHM Christiaan S.à.r.l.	 	Owner
				
	78	  	Wohnheim Hillersbach	  	MPT RHM Hillersbach S.à.r.l.	 	Owner
				
	79	  	Antoniusstift	  	MPT RHM Vesalius S.à.r.l.	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	80	  	Dürkheimer Höhe	  	MPT RHM Sonnenwende S.à.r.l.	 	Owner
				
	81	  	Psychotherapeutische Klinik	  	MPT RHM Fontana S.à.r.l.	 	Owner
				
	82	  	Olympia Medical Center	  	MPT of Los Angeles, L.P.	 	Mortgagee
				
	83	  	Mountainside Hospital	  	MPT Legacy of Montclair, LLC	 	Owner
				
	84	  	First Choice Alvin	  	MPT of Alvin FCER, LLC	 	Owner
				
	85	  	First Choice Firestone	  	MPT of Firestone FCER, LLC	 	Owner
				
	86	  	First Choice Eldridge	  	MPT of Houston-Eldridge FCER, LLC	 	Owner
				
	87	  	First Choice Cedar Hill	  	MPT of Cedar Hill FCER, LLC	 	Owner
				
	88	  	First Choice Allen	  	MPT of Allen FCER, LLC	 	Owner
				
	89	  	First Choice Frisco	  	MPT of Frisco FCER, LLC	 	Owner
				
	90	  	First Choice Broomfield	  	MPT of Broomfield FCER, LLC	 	Owner
				
	91	  	First Choice Champion Forest	  	MPT of Champion Forest FCER, LLC	 	Owner
				
	92	  	First Choice North Gate	  	MPT of North Gate FCER, LLC	 	Owner
				
	93	  	First Choice Thornton	  	MPT of Thornton FCER, LLC	 	Owner
				
	94	  	First Choice Fountain	  	MPT of Fountain FCER, LLC	 	Owner
				
	95	  	First Choice Missouri City Sienna	  	MPT of Missouri City FCER, LLC	 	Owner
				
	96	  	First Choice Pearland	  	MPT of Pearland FCER, LLC	 	Owner
				
	97	  	First Choice Missouri City Dulles	  	MPT of Missouri City-Dulles FCER, LLC	 	Owner
				
	98	  	Fairmont Regional Medical Center	  	MPT of Fairmont – Alecto Hospital, LLC	 	Owner
				
	99	  	Wilson N. Jones Medical Center	  	MPT of Sherman- Alecto Hospital, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	100	  	Capital Medical Center	  	MPT of Olympia – Capella, LLC	 	Owner
				
	101	  	Carolina Pines Regional Medical Center	  	MPT of Hartsville – Capella, LLC	 	Owner
				
	102	  	EASTAR Health System	  	MPT of Muskogee-Capella, LLC	 	Owner
				
	103	  	National Park Medical Center	  	MPT of Hot Springs – Capella, LLC	 	Owner
				
	104	  	Willlamette Valley Medical Center	  	MPT of McMinnville-Capella, LLC	 	Owner
				
	105	  	KershawHealth	  	MPT of Kershaw-Capella, LLC	 	Owner
				
	106	  	CircleBath	  	Health Properties (Bath) Limited	 	Owner
				
	107	  	Laredo Rehabilitation Hospital	  	MPT of Laredo, LLC	 	Owner
				
	108	  	Mesquite Rehabilitation Hospital	  	MPT of Mesquite, LLC	 	Owner
				
	109	  	Rehabilitation Hospital of the Northwest	  	MPT of Post Falls, LLC	 	Owner
				
	110	  	Weslaco Regional Rehabilitation Hospital	  	MPT of Weslaco, LLC	 	Owner
				
	111	  	University Rehabilitation Institute at the University of Toledo Medical Center	  	MPT of Toledo, LLC	 	Owner
				
	112	  	Trustpoint Rehabilitation Hospital of Lubbock	  	MPT of Lubbock, LLC	 	Owner
				
	113	  	Rehabilitation Hospital of Northern Arizona	  	MPT of Flagstaff, LLC	 	Owner
				
	114	  	First Choice Commerce City	  	MPT of Commerce City FCER, LLC	 	Owner
				
	115	  	First Choice Summerwood	  	MPT of Summerwood FCER, LLC	 	Owner
				
	116	  	First Choice Avondale Haslet	  	MPT of Fort Worth FCER, LLC	 	Owner
				
	117	  	Texas Regional Hospital	  	MPT of Carrollton AD, LLC	 	Owner
				
	118	  	First Choice Chandler	  	MPT of Chandler FCER, LLC	 	Owner
				
	119	  	First Choice Converse	  	MPT of Converse FCER, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	120	  	First Choice Denver 48th	  	MPT of Denver 48th FCER, LLC	 	Owner
				
	121	  	First Choice McKinney	  	MPT of McKinney FCER, LLC	 	Owner
				
	122	  	First Choice Victory Lakes	  	MPT of Victory Lakes FCER, LLC	 	Owner
				
	123	  	First Choice Glendale	  	MPT of Glendale FCER, LLC	 	Owner
				
	124	  	First Choice Gilbert	  	MPT of Gilbert FCER, LLC	 	Owner
				
	125	  	First Choice Conroe	  	MPT of Conroe FCER, LLC	 	Owner
				
	126	  	Vintage Preserve Hospital	  	MPT of Houston Vintage AD, LLC	 	Owner
				
	127	  	First Choice Denver Mississippi	  	MPT of Aurora FCER, LLC	 	Owner
				
	128	  	First Choice Chandler Ray	  	MPT of Chandler Ray FCER, LLC	 	Owner
				
	129	  	First Choice Helotes	  	MPT of Helotes FCER, LLC	 	Owner
				
	130	  	First Choice Highland Village	  	MPT of Highland Village FCER, LLC	 	Owner
				
	131	  	First Choice Parker Lincoln Jordan	  	MPT of Parker FCER, LLC	 	Owner
				
	132	  	First Choice Cinco Ranch	  	MPT of Cinco Ranch FCER, LLC	 	Owner
				
	133	  	First Choice Frisco Eldorado	  	MPT of Frisco Eldorado FCER, LLC	 	Owner
				
	134	  	First Choice Rosenberg	  	MPT of Rosenberg FCER, LLC	 	Owner
				
	135	  	First Choice Goodyear	  	MPT of Goodyear FCER, LLC	 	Owner
				
	136	  	First Choice Longmont	  	MPT of Longmont FCER, LLC	 	Owner
				
	137	  	First Choice Creekside	  	MPT of Creekside FCER, LLC	 	Owner
				
	138	  	First Choice Frisco Custer	  	MPT of Frisco Custer, LLC	 	Owner
				
	139	  	First Choice DeSoto	  	MPT of DeSoto FCER, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	140	  	First Choice Marrero	  	MPT of Marreo FCER, LLC	 	Owner
				
	141	  	First Choice Highlands Ranch	  	MPT of Highlands Ranch FCER, LLC	 	Owner
				
	142	  	Adeptus Mesa Eastmark	  	MPT of Mesa Eastmark AD, LLC	 	Owner
				
	143	  	First Choice San Tan Valley	  	MPT of San Tan Valley FCER, LLC	 	Owner
				
	144	  	First Choice Canal	  	MPT of New Orleans Canal FCER, LLC	 	Owner
				
	145	  	First Choice Plano Preston	  	MPT of Plano Preston FCER, LLC	 	Owner
				
	146	  	First Choice Houston Antoine 249	  	MPT of Houston Antoine FCER, LLC	 	Owner
				
	147	  	First Choice Katy 1463	  	MPT of Katy 1463 FCER, LLC	 	Owner
				
	148	  	First Choice Potranco	  	MPT of Potranco FCER, LLC	 	Owner
				
	149	  	First Choice Mandeville	  	MPT of Mandeville FCER, LLC	 	Owner
				
	150	  	First Choice Garland	  	MPT of Garland FCER, LLC	 	Owner
				
	151	  	First Choice Glendale Camelback	  	MPT of Glendale Camelback FCER, LLC	 	Owner
				
	152	  	First Choice De Zavala	  	MPT of De Zavala FCER, LLC	 	Owner
				
	153	  	First Choice Riverside	  	MPT of Austin Riverside FCER, LLC	 	Owner
				
	154	  	First Choice Salem	  	MPT of Columbus Salem FCER, LLC	 	Owner
				
	155	  	First Choice Cypress Fry	  	MPT of Cypress Fry FCER, LLC	 	Owner
				
	156	  	Medical West Freestanding ER	  	MPT of Hoover-Medical West, LLC	 	Owner
				
	157	  	Medical West MOB	  	MPT of Hoover-Medical West, LLC	 	Owner
				
	158	  	Lake Huron Medical Center	  	MPT of Port Huron, LLC	 	Owner
				
	159	  	St. Clare’s Hospital – Denville	  	MPT of Morris, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	160	  	St. Clare’s Hospital – Boonton	  	MPT of Morris, LLC	 	Owner
				
	161	  	St. Clare’s Hospital – Dover	  	MPT of Morris, LLC	 	Owner
				
	162	  	St. Clare’s Health Center at Sussex	  	MPT of Morris, LLC	 	Owner
				
	163	  	St. Joseph Medical Center	  	MPT of Missouri, LLC	 	Owner
				
	164	  	St. Michael’s Medical Center	  	MPT of Newark, LLC	 	Owner
				
	165	  	St. Mary’s Medical Center	  	MPT of Blue Springs, LLC	 	Owner
				
	166	  	ATOS Heidelberg Klinik	  	MPT RHM Heidelberg S.à.r.l.	 	Owner
				
	167	  	Orthopadische Kinik Braunfels	  	MPT RHM Braunfels S.à.r.l.	 	Owner
				
	168	  	Rhein-Haardt-Klinik	  	MPT RHM Sonnenwende S.à.r.l.	 	Owner
				
	169	  	Heinrich Mann Klinik	  	MPT RHM Heinrich Mann S.à.r.l.	 	Owner
				
	170	  	Buchberg Klinik	  	MPT RHM Buchberg S.à.r.l.	 	Owner
				
	171	  	Klinik Hohenlohe	  	MPT RHM Hohenlohe S.à.r.l.	 	Owner
				
	172	  	Gesundheitszentrum Hannover	  	MPT RHM Hannover S.à.r.l.	 	Owner
				
	173	  	Klinik Bad Lausick	  	MPT RHM Bad Lausick S.à.r.l.	 	Owner
				
	174	  	Klinik Bad Sulze	  	MPT RHM Bad Bulze S.À.R.L.	 	Owner
				
	175	  	Klinik Bad Tennstedt	  	MPT RHM Bad Tennstedt S.À.R.L.	 	Owner
				
	176	  	Klinikum Flechtingen	  	MPT RHM Flechtingen S.À.R.L.	 	Owner
				
	177	  	Klinik Helligendamm	  	MPT RHM Helligendamm S.À.R.L.	 	Owner
				
	178	  	Klinik Bad Lobenstein	  	MPT RHM Lobenstein S.À.R.L.	 	Owner
				
	179	  	Klinik Wismar	  	MPT RHM Wismar S.À.R.L.	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	180	  	Klinik Gunzenbachof Baden-Baden	  	MPT RHM Gunzenbachof S.À.R.L.	 	Owner
				
	181	  	Kinzigtal Klinik	  	MPT RHM Kinzigtal S.À.R.L.	 	Owner
				
	182	  	Hohenfeld Klinik	  	MPT RHM Hohenfeld S.À.R.L.	 	Owner
				
	183	  	Kaiserberg Klinik	  	MPT RHM Kaiserberg S.À.R.L.	 	Owner
				
	184	  	Klinik am Sudpark	  	MPT RHM Sudpark S.À.R.L.	 	Owner
				
	185	  	Rehaklinkik Aukammtal	  	MPT RHM Aukammtal S.À.R.L.	 	Owner
				
	186	  	Reha-Zentrum Schlangenbad	  	MPT RHM Schlangenbad S.À.R.L.	 	Owner
				
	187	  	Reha-Zentrium Gyhum	  	MPT RHM Gyhum S.À.R.L.	 	Owner
				
	188	  	Klinik NRZ Magdeburg	  	NRZ Gruppe S.À.R.L.	 	Owner
				
	189	  	Klink Grunheide	  	MPT RHM Grunheide S.À.R.L.	 	Owner
				
	190	  	Klinik Hoppegarten	  	MPT RHM Hoppegarten S.À.R.L.	 	Owner
				
	191	  	Klinik Kalbe	  	MPT RHM Kalbe S.À.R.L.	 	Owner
				
	192	  	Klinik Berlin-Kladow	  	MPT RHM Kladow S.À.R.L.	 	Owner
				
	193	  	Gesundheitspark Bad Gottleuba	  	MPT RHM Gottleuba S.À.R.L.	 	Owner
				
	194	  	Adelsberg Klinik Bad Berka	  	MPT RHM Adelsberg S.À.R.L.	 	Owner
				
	195	  	Berggisshubel	  	MPT RHM Berggisshubel S.À.R.L.	 	Owner
				
	196	  	Klinik Burg Landshut	  	MPT RHM Burg Landshut S.À.R.L.	 	Owner
				
	197	  	Achertal Klinik	  	MPT RHM Achertal S.À.R.L.	 	Owner
				
	198	  	Klinik St. Georg Bad Durrheim	  	MPT RHM St. Georg Bad Durrheim S.À.R.L.	 	Owner
				
	199	  	Klinik St. Georg Bad Krozingen	  	MPT RHM St. Georg Bad Krozingen S.À.R.L.	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	200	  	Klinik Moselschieife	  	MPT RHM Moselschieife S.À.R.L.	 	Owner
				
	201	  	Franz Alexander Klinik	  	MPT RHM Franz Alexander S.À.R.L.	 	Owner
				
	202	  	Klinikum Flechtingen II	  	MPT RHM Flechtingen II S.À.R.L.	 	Owner
				
	203	  	Klinik am Park	  	MPT MEDIAN Meduna S.À.R.L.	 	Owner
				
	204	  	MEDIAN Haus Fortuna	  	MPT MEDIAN Meduna Park S.À.R.L.	 	Owner
				
	205	  	MEDIAN Haus Meduna	  	MPT MEDIAN Meduna S.À.R.L.	 	Owner
				
	206	  	MEDIAN Haus Diana	  	MPT MEDIAN Meduna Park S.À.R.L.	 	Owner
				
	207	  	MEDIAN Salze Klinik	  	MPT MEDIAN Salze S.À.R.L.	 	Owner
				
	208	  	MEDIAN Saale I	  	MPT MEDIAN Saale S.À.R.L.	 	Owner
				
	209	  	MEDIAN Saale II	  	MPT MEDIAN Salle II S.À.R.L.	 	Owner
				
	210	  	MEDIAN Children’s Rehab	  	MPT MEDIAN Children’s Rehab S.À.R.L.	 	Owner
				
	211	  	MEDIAN Klinik im Odenwald and im Odenwal Akut	  	MPT AHG Odenwald S.À.R.L.	 	Owner
				
	212	  	MEDIAN Klinik Romhild	  	MPT AHG Romhild S.À.R.L.	 	Owner
				
	213	  	MEDIAN Ravensruh	  	MPT AHG Ravensruh S.À.R.L.	 	Owner
				
	214	  	MEDIAN Klinik Lubeck and Klinik Lubeck Akut	  	MPT AHG Lubeck S.À.R.L.	 	Owner
				
	215	  	MEDIAN Klinik Richelsdorf	  	MPT AHG Richelsdorft S.À.R.L.	 	Owner
				
	216	  	MEDIAN Klinik Wigbertshohe	  	MPT AHG Wigbertshohe S.À.R.L.	 	Owner
				
	217	  	MEDIAN Klink Mecklenberg	  	MPT AHG Mecklenburg S.À.R.L.	 	Owner
				
	218	  	Nashoba Valley Medical Center	  	MPT of Ayer – Steward, LLC	 	Mortgagee
				
	219	  	St. Elizabeth’s Medical Center	  	MPT of Brighton – Steward, LLC	 	Owner

							
	 	  	 Property
	  	 Owner/Ground Lessor/Mortgagor
	 	 Capacity

	220	  	Good Samaritan Medical Center	  	MPT of Brockton – Steward, LLC	 	Owner
				
	221	  	Carney Hospital	  	MPT of Dorchester – Steward, LLC	 	Mortgagee
				
	222	  	Saint Anne’s Hospital	  	MPT of Fall River – Steward, LLC	 	Owner
				
	223	  	Holy Family Hospital	  	MPT of Methuen – Steward, LLC	 	Owner
				
	224	  	Norwood Hospital	  	MPT of Norwood – Steward, LLC	 	Mortgagee
				
	225	  	Morton Hospital	  	MPT of Taunton – Steward, LLC	 	Owner

 Schedule 7.2(d) 

Existing Indebtedness 
  

							
	 MPT Entity
	  	 Indebtedness
	  	Amount	 
			
	 MPT of Kansas City, LLC
	  	 40/86 Mortgage Capital, Inc.
	  	$	13,101,296	 
			
	 MPT Operating Partnership, L.P.
	  	 Tetra Financial Group Guarantee of Ernest Equipment Financing
	  	$	1,466,753	 
			
	 MPT Operating Partnership L.P.
	  	 Celtic Commercial Finance Guarantee of Ernest Equipment Financing
	  	$	1,362,825	 
			
	 MPT Operating Partnership, L.P.
	  	 IBM Credit LLC
	  	$	1,465,629	 
			
	 MPT Operating Partnership, L.P.
	  	 Lease Agreement from EverBank Commercial Finance, Inc.
	  			

 Schedule 7.3(f) 

Existing Liens 
  

			
	EverBank Commercial Finance, Inc.	  	Lease Agreement dated March 6, 2015

 EXHIBIT A 

FORM OF GUARANTEE AGREEMENT 

  
 A-1 

 GUARANTEE AGREEMENT 

GUARANTEE AGREEMENT, dated as of February 1, 2017, among MEDICAL PROPERTIES TRUST, INC., a Maryland corporation
(“Holdings”), and each other entity that may become a party hereto as provided herein (the “Subsidiary Guarantors,” and together with Holdings, the “Guarantors”), in favor of JPMORGAN CHASE BANK,
N.A., as administrative agent (in such capacity, the “Administrative Agent”) for the banks, financial institutions and other entities (the “Lenders”) from time to time party as Lenders to the Amended and Restated
Revolving Credit and Term Loan Agreement, dated as of the date hereof (as amended, amended and restated, supplemented or otherwise modified from time to time, the “Credit Agreement”), by and among MPT OPERATING PARTNERSHIP, L.P., a
Delaware limited partnership (the “Borrower”), Holdings, the Lenders, and the Administrative Agent. 
 RECITALS 

WHEREAS, pursuant to the Credit Agreement, the Lenders have severally agreed to make Loans to the Borrower upon the terms and subject to the
conditions set forth therein; 
 WHEREAS, the Borrower is a member of an affiliated group of companies that includes each Guarantor; 

WHEREAS, the proceeds of the Loans under the Credit Agreement, will be used in part to finance the working capital needs and for other general
corporate purposes of the Borrower and its Subsidiaries (including the Subsidiary Guarantors), including to repay Indebtedness and finance acquisitions and Investments; 

WHEREAS, the Borrower and the Guarantors are engaged in related businesses, and each Guarantor will derive substantial direct and indirect
benefit from the making of the Loans under the Credit Agreement; and 
 WHEREAS, it is a condition precedent to the obligation of the
Lenders to make their respective Loans to the Borrower under the Credit Agreement that the Guarantors shall have executed and delivered this Agreement to the Administrative Agent for the benefit of the Credit Parties. 

NOW, THEREFORE, in consideration of the premises and the covenants hereinafter contained and to induce the Agents and the Lenders to enter
into the Credit Agreement and to induce the Lenders to make their respective Loans to the Borrower thereunder, each Guarantor hereby agrees with the Administrative Agent, for the benefit of the Credit Parties, as follows: 

  
 A-2 

 SECTION 1. DEFINED TERMS 

1.1 Definitions. 
 (a) Unless otherwise
defined herein, terms defined in the Credit Agreement and used herein shall have the meanings given to them in the Credit Agreement. 
 (b)
The following terms shall have the following meanings: 
 “Agreement”: this Guarantee Agreement, as the same may be
amended, amended and restated, supplemented or otherwise modified from time to time. 
 “Borrower Obligations”: the
collective reference to the unpaid principal of and interest on the Loans and all other obligations (and specifically including the Reimbursement Obligations) and liabilities of the Borrower (including any Subsidiary Borrowers) to any Agent, Lender
or Indemnitee, whether direct or indirect, absolute or contingent, due or to become due or now existing or hereafter incurred, which may arise under, out of, or in connection with, the Credit Agreement, this Agreement, the other Loan Documents or
any other document made, delivered or given in connection therewith or pursuant thereto, in each case whether on account of principal, interest, reimbursement obligations, fees, indemnities, costs, expenses (including, without limitation,
attorney’s fees and legal expenses) or otherwise (including interest accruing at the then applicable rate provided in the Credit Agreement after the maturity of the Loans and interest accruing at the then applicable rate provided in the Credit
Agreement after the commencement of any bankruptcy case or insolvency, reorganization, liquidation or like proceeding relating to the Borrower, whether or not a claim for post-filing or post-petition interest is allowed in such proceeding and all
expense reimbursement and indemnity obligations arising or incurred as provided in the Loan Documents after the commencement of any such case or proceeding, whether or not a claim for such obligations is allowed in such case or proceeding). 

“Guaranteed Obligations”: collectively, (a) the Borrower Obligations and (b) the Guarantor Obligations. 

“Guarantor Obligations”: with respect to any Guarantor, all obligations and liabilities of such Guarantor with respect to the
Credit Agreement which may arise under or in connection with this Agreement (including Section 2) or any other Loan Document to which such Guarantor is a party, in each case whether on account of guarantee obligations,
reimbursement obligations, fees, indemnities, costs, expenses (including, without limitation, attorney’s fees and legal expenses) or otherwise (including all expense reimbursement and indemnity obligations arising or incurred as provided in the
Loan Documents after the commencement of any bankruptcy case or insolvency, reorganization, liquidation or like proceeding, whether or not a claim for such obligations is allowed in such case or proceeding). 

“Indemnitee”: as defined in Section 10.5 of the Credit Agreement. 

“Luxembourg Commercial Register Law”: the Luxembourg law of December 19, 2002 on the Trade and Companies’ Register,
on accounting and on annual accounts of the companies, as amended. 

  
 A-3 

 “Luxembourg Guarantor”: any Guarantor incorporated or established (as
applicable) in Luxembourg. 
 “Luxembourg Guarantor’s Group”: with respect to any Luxembourg Guarantor, such
Luxembourg Guarantor and each subsidiary undertaking or parent undertaking of such Luxembourg Guarantor and each subsidiary undertaking of such parent undertaking from time to time. 

“Organizational Documents”: as to any Person, its certificate or articles of incorporation and
by-laws if a corporation, or its certificate of formation and its partnership agreement if a partnership, its limited liability company agreement if a limited liability company, or other organizational or
governing documents of such person. 
 “Qualified ECP Guarantor” means, in respect of any Swap Obligation, each Loan Party
that has total assets exceeding $10,000,000 at the time the relevant guarantee or grant of the relevant security interest becomes or would become effective with respect to such Swap Obligation or such other person as constitutes an “eligible
contract participant” under the Commodity Exchange Act or any regulations promulgated thereunder and can cause another person to qualify as an “eligible contract participant” at such time by entering into a keepwell under Section
1a(18)(A)(v)(II) of the Commodity Exchange Act. 
 “Unasserted Obligations”: shall mean, at any time, Guaranteed
Obligations for taxes, costs, indemnifications, reimbursements, damages and other liabilities (except for (i) the principal of interest on, and fees relating to, any Guaranteed Obligations and (ii) contingent reimbursement obligations in
respect of any amounts that may be drawn under Letters of Credit) in respect of which no claim or demand for payment has been made (or, in the case of Guaranteed Obligations for indemnification, no notice for indemnification has been issued by the
indemnitee) at such time. 
 1.2 Other Definitional Provisions. 

(a) As used herein and in any certificate or other document made or delivered pursuant hereto, (i) accounting terms relating to any
Guarantor not defined in Section 1.1 and accounting terms partly defined in Section 1.1, to the extent not defined, shall have the respective meanings given to them under GAAP, (ii) the words
“include,” “includes” and “including” shall be deemed to be followed by the phrase “without limitation,” (iii) the word “incur” shall be construed to mean incur, create, issue, assume, become liable
in respect of or suffer to exist (and the words “incurred” and “incurrence” shall have correlative meanings), and (iv) the words “asset” and “property” shall be construed to have the same meaning and
effect and to refer to any and all tangible and intangible assets and properties of every type and nature, and (v) references to agreements or other Contractual Obligations shall, unless otherwise specified, be deemed to refer to such
agreements or Contractual Obligations as amended, supplemented, restated or otherwise modified from time to time (subject to any applicable restrictions hereunder). 

(b) The words “hereof,” “herein,” “hereto” and “hereunder” and words of similar import when used in
this Agreement shall refer to this Agreement as a whole and not to any particular provision of this Agreement, and Section and Schedule references are to this Agreement unless otherwise specified. 

  
 A-4 

 (c) The meanings given to terms defined herein shall be equally applicable to both the singular
and plural forms of such terms. 
 (d) The expressions “payment in full,” “paid in full” and any other similar terms or
phrases when used herein with respect to any Obligation shall mean the payment in full of such Obligation in cash in immediately available funds. 

SECTION 2. GUARANTEE 
 2.1 Guarantee. 

(a) Each of the Guarantors hereby, jointly and severally, unconditionally and irrevocably, guarantees to the Administrative Agent, for the
benefit of the Credit Parties, the prompt and complete payment and performance by the Borrower when due (whether at the stated maturity, by acceleration or otherwise) of each and all of the Borrower Obligations. The Guarantors agree that this
guarantee is a guarantee of payment and performance and not of collection. 
 (b) Each Guarantor shall be liable under its guarantee set
forth in Section 2.1(a), without any limitation as to amount, for all present and future Borrower Obligations, including specifically all future increases in the outstanding amount of the Loans under the Credit Agreement and other future
increases in the Borrower Obligations, whether or not any such increase is committed, contemplated or provided for by the Loan Documents on the date hereof; provided, that (i) enforcement of such guarantee against such Guarantor will be limited
as necessary to limit the recovery under such guarantee to the maximum amount which may be recovered without causing such enforcement or recovery to constitute a fraudulent transfer or fraudulent conveyance under any applicable law, including any
applicable federal or state fraudulent transfer or fraudulent conveyance law (after giving effect, to the fullest extent permitted by law, to the reimbursement and contribution rights set forth in Section 2.2) and
(ii) to the fullest extent permitted by applicable law, the foregoing clause (i) shall be for the benefit solely of creditors and representatives of creditors of each Guarantor and not for the benefit of such Guarantor or the holders of
any equity interest in such Guarantor. Each Guarantor shall be regarded, and shall be in the same position, as principal debtor with respect to the Guaranteed Obligations. 

(c) The guarantee contained in this Section 2.1 (i) shall remain in full force and effect until all the Borrower
Obligations and the obligations of each Guarantor under the guarantee contained in this Section 2.1 (other than Unasserted Obligations) have been paid in full, and all commitments to extend credit under the Credit Agreement
have terminated, notwithstanding that from time to time during the term of the Credit Agreement the Borrower may be free from any Borrower Obligations, (ii) unless released as provided in clause (iii) below, shall survive the repayment of
the Loans under the Credit Agreement and remain enforceable as to all Borrower Obligations that survive such repayment, termination and release and (iii) shall be released when and as set forth in Section 5.15. 

(d) No payment (other than payment in full of all the Guaranteed Obligations) made by the Borrower, any of the Guarantors, any other guarantor
or any other Person or received or collected by any Credit Party from the Borrower, any of the Guarantors, any other guarantor or 

  
 A-5 

 
any other Person by virtue of any action or proceeding or any set-off or appropriation or application at any time or from time to time in reduction of or
in payment of the Borrower Obligations shall be deemed to modify, reduce, release or otherwise affect the liability of any Guarantor hereunder in respect of any other Borrower Obligations then outstanding or thereafter incurred. 

2.2 Reimbursement, Contribution and Subrogation. In case any payment is made on account of the Borrower Obligations by any Guarantor or is received or
collected on account of the Borrower Obligations from any Guarantor: 
 (a) Such Guarantor shall be entitled, subject to and upon payment in
full of all outstanding Guaranteed Obligations, (i) to demand and enforce reimbursement for the full amount of such payment from the Borrower and (ii) to demand and enforce contribution in respect of such payment from each other Guarantor
which has not paid its fair share of such payment, as necessary to ensure that (after giving effect to any enforcement of reimbursement rights provided hereby) each Guarantor pays its fair share of the unreimbursed portion of such payment. For this
purpose, the fair share of each Guarantor as to any unreimbursed payment shall be determined based on an equitable apportionment of such unreimbursed payment among all Guarantors based on the relative value of their assets (net of their liabilities,
other than Guaranteed Obligations) and any other equitable considerations deemed appropriate by the court. 
 (b) If and whenever any right
of reimbursement or contribution becomes enforceable by any Guarantor against the Borrower or any other Guarantor under Section 2.2(a), such Guarantor shall be entitled, subject to and upon payment in full of all outstanding Guaranteed
Obligations, to be subrogated (equally and ratably with all other Guarantors entitled to reimbursement from the Borrower or contribution from any other Guarantor under Section 2.2(a)) to any interest that may then be held by the
Administrative Agent upon any collateral granted to it for the Guaranteed Obligations, if any. To the fullest extent permitted under applicable law, such right of subrogation shall be enforceable solely against the Borrower and the Guarantors, and
not against the Credit Parties, and neither the Administrative Agent nor any Credit Party shall have any duty whatsoever to warrant, ensure or protect any such right of subrogation or to obtain, perfect, maintain, hold, enforce or retain any
collateral for any purpose related to any such right of subrogation. If subrogation is demanded in writing by any Guarantor, then (subject to and upon payment in full of all outstanding Guaranteed Obligations) the Administrative Agent shall deliver
to the Guarantors making such demand, or to a representative of such Guarantors or of the Guarantors generally, an instrument reasonably satisfactory to the Administrative Agent transferring, on a quitclaim basis without (to the fullest extent
permitted under applicable law) any recourse, representation, warranty or obligation whatsoever, whatever interest the Administrative Agent then may hold in whatever collateral may then exist that was not previously released or disposed of by the
Administrative Agent. 
 (c) All rights and claims arising under this Section 2.2 or based upon or relating to any
other right of reimbursement, indemnification, contribution or subrogation that may at any time arise or exist in favor of any Guarantor as to any payment on account of the Guaranteed Obligations made by it or received shall be fully subordinated in
all respects to the prior payment in full of all of the Guaranteed Obligations. Until payment in full of the Guaranteed Obligations, no Guarantor shall demand or receive any collateral security, payment or distribution whatsoever (whether in cash,
property or securities or otherwise) on account of any such right or claim. If 

  
 A-6 

 
any such payment or distribution is made or becomes available to any Guarantor, such payment or distribution shall be delivered by the person making such payment or distribution directly to the
Administrative Agent, for application to the payment of the Guaranteed Obligations. If any such payment or distribution is received by any Guarantor, it shall be held by such Guarantor in trust, as trustee of an express trust for the benefit of the
Credit Parties, and shall forthwith be transferred and delivered by such Guarantor to the Administrative Agent, in the exact form received and, if necessary, duly endorsed. 

(d) The obligations of the Guarantors under the Loan Documents, including their liability for the Guaranteed Obligations are not contingent
upon the validity, legality, enforceability, collectibility or sufficiency of any right of reimbursement, contribution or subrogation arising under this Section 2.2. To the fullest extent permitted under applicable law, the
invalidity, insufficiency, unenforceability or uncollectibility of any such right shall not in any respect diminish, affect or impair any such obligation or any other claim, interest, right or remedy at any time held by any Credit Party against any
Guarantor. The Credit Parties make no representations or warranties in respect of any such right and shall, to the fullest extent permitted under applicable law, have no duty to assure, protect, enforce or ensure any such right or otherwise relating
to any such right. 
 (e) Each Guarantor reserves any and all other rights of reimbursement, contribution or subrogation at any time
available to it as against any other Guarantor, but (i) the exercise and enforcement of such rights shall be subject to this Section 2.2 and (ii) to the fullest extent permitted by applicable law, neither the
Administrative Agent nor any Credit Party shall ever have any duty or liability whatsoever in respect of any such right. 
 2.3 Amendments, etc. with
respect to the Borrower Obligations. To the fullest extent permitted by applicable law, each Guarantor shall remain obligated hereunder notwithstanding that, without any reservation of rights against any Guarantor and without notice to or
further assent by any Guarantor, any demand for payment of any of the Borrower Obligations made by any Credit Party may be rescinded by such Credit Party and any of the Borrower Obligations continued, and the Borrower Obligations, or the liability
of any other Person upon or for any part thereof, or any collateral security or guarantee therefor or right of offset with respect thereto, may, from time to time, in whole or in part, be renewed, extended, amended, modified, accelerated,
compromised, waived, surrendered or released by any Credit Party, and the Credit Agreement and the other Loan Documents and any other documents executed and delivered in connection therewith may be amended, amended and restated, supplemented,
replaced, refinanced, otherwise modified or terminated, in whole or in part, as the Administrative Agent (or the requisite Credit Parties) may deem advisable from time to time, and any cash collateral security, guarantee or right of offset at any
time held by any Credit Party for the payment of the Borrower Obligations may be sold, exchanged, waived, surrendered or released. No Credit Party shall have any obligation to protect, secure, perfect or insure any Lien on cash collateral held by it
pursuant to Section 8 of the Credit Agreement, if any, except to the extent required by applicable law. Each Guarantor hereby acknowledges and agrees that the Administrative Agent and the Credit Parties may at any time or from time to time,
with or without the consent of, or notice to, Guarantors or any of them: 
 (a) change or extend the manner, place or terms of payment of,
or renew or alter all or any portion of, the Guaranteed Obligations; 

  
 A-7 

 (b) take any action under or in respect of the Loan Documents in the exercise of any remedy,
power or privilege contained therein or available to it at law, equity or otherwise, or waive or refrain from exercising any such remedies, powers or privileges; 

(c) amend or modify, in any manner whatsoever, the Loan Documents; 

(d) extend or waive the time for any Loan Party’s performance of, or compliance with, any term, covenant or agreement on its part to be
performed or observed under the Loan Documents, or waive such performance or compliance or consent to a failure of, or departure from, such performance or compliance; 

(e) take and hold collateral for the payment of the Guaranteed Obligations guaranteed hereby or sell, exchange, release, dispose of, or
otherwise deal with, any property pledged, mortgaged or conveyed, or in which the Administrative Agent and the Credit Parties have been granted a Lien, to secure any Guaranteed Obligations; 

(f) release anyone who may be liable in any manner for the payment of any amounts owed by Guarantors or any Loan Party to the Administrative
Agent or any Credit Party; 
 (g) modify or terminate the terms of any intercreditor or subordination agreement pursuant to which claims of
other creditors of any Guarantor or any Loan Party are subordinated to the claims of the Administrative Agent and the Credit Parties; and/or 

(h) apply any sums by whomever paid or however realized to any amounts owing by any Guarantor or any Loan Party to the Administrative Agent or
any Credit Party in such manner as the Administrative Agent or any Credit Party shall determine in its discretion. 
 The Administrative
Agent and the Credit Parties shall not incur any liability to Guarantors as a result thereof, and no such action shall impair or release the Guaranteed Obligations of Guarantors or any of them under this Agreement. 

2.4 Limitations on guarantees by Luxembourg Guarantors. Notwithstanding anything to the contrary contained in this Agreement (including
Section 2) or in the Credit Agreement, the aggregate maximum amount payable by any Luxembourg Guarantor in respect of the aggregate amount of its Guaranteed Obligations shall be limited at any time to an amount not
exceeding: 
 (a) the aggregate of all principal amounts (if any) borrowed directly or indirectly by or made available by whatever means to
the Luxembourg Guarantor or any of its direct or indirect subsidiaries or any other members of the Luxembourg Guarantor’s Group that have been financed by a borrowing under the Credit Agreement; 

(b) plus the balance (if positive) between 

(X) the greater of: 

(i) 95 percent of the Luxembourg Guarantor’s net assets (capitaux propres) and the subordinated debt (dettes
subordonnées) owed by such Luxembourg Guarantor (excluding however any amounts taken into 

  
 A-8 

 
account under (a) above) (the “Luxembourg Subordinated Debt”), as determined by article 34 of the Luxembourg Commercial Register Law at the date of this Agreement; and 

(ii) 95 percent of the Luxembourg Guarantor’s net assets (capitaux propres) and the Luxembourg Subordinated Debt as
determined by article 34 of the Luxembourg Commercial Register Law at the date the guarantee under this Section 2 is called, 

(Y) less (i.e. to avoid double-counting) the aggregate of all principal amounts (if any) borrowed directly or indirectly by or made available
by whatever means to the Luxembourg Guarantor or any of its direct or indirect subsidiaries from one or more other members of the Luxembourg Guarantor’s Group that have been financed by a borrowing under the Credit Agreement. 

2.5 Guarantee Absolute and Unconditional. To the fullest extent permitted by applicable law, each Guarantor waives any and all notice of the creation,
renewal, extension or accrual of any of the Borrower Obligations and notice of or proof of reliance by any Credit Party upon the guarantee contained in this Section 2 or acceptance of the guarantee contained in this
Section 2. The Borrower Obligations, and each of them, shall conclusively be deemed to have been created, contracted or incurred, or renewed, extended, amended or waived, in reliance upon the guarantee contained in this
Section 2. All dealings between the Borrower and any of the Guarantors, on the one hand, and the Credit Parties, on the other hand, likewise shall be conclusively presumed to have been had or consummated in reliance upon
the guarantee contained in this Section 2. Each Guarantor understands and agrees that the guarantee contained in this Section 2 shall be construed, to the fullest extent permitted by applicable
law, as a continuing, absolute and unconditional guarantee of payment without regard to (a) the validity, genuineness, regularity, enforceability or any future amendment of, or change in the Credit Agreement or any other Loan Document, any of
the Borrower Obligations or any other collateral security therefor or guarantee or right of offset with respect thereto at any time or from time to time held by any Credit Party, (b) the absence of any action to enforce this Agreement or any
other Loan Document or the waiver or consent by the Administrative Agent and/or the Credit Parties with respect to any of the provisions thereof, (c) the existence, value or condition of, or failure to perfect its security interest in cash
collateral granted pursuant to Section 8 of the Credit Agreement, if any, or any action, or the absence of any action, by the Administrative Agent in respect thereof (including, without limitation, the release of any such security), (d) the
insolvency of any Loan Party, or (e) any other action or circumstance whatsoever which might otherwise constitute a legal or equitable discharge of the Borrower for the Borrower Obligations, a defense of a surety or guarantor or a legal or
equitable discharge of such Guarantor under the guarantee contained in this Section 2, in bankruptcy or in any other instance. When making any demand hereunder or otherwise pursuing its rights and remedies hereunder against
any Guarantor, any Credit Party may, but shall be under no obligation to, make a similar demand on or otherwise pursue such rights and remedies as it may have against the Borrower, any other Guarantor or any other Person or against any cash
collateral pledged pursuant to Section 8 of the Credit Agreement, if any, or guarantee for the Borrower Obligations or any right of offset with respect thereto, and any failure by any Credit Party to make any such demand, to pursue such other
rights or 

  
 A-9 

 
remedies or to collect any payments from the Borrower, any Guarantor or any other Person or to realize upon any such cash collateral security or guarantee or to exercise any such right of offset,
or any release of the Borrower, any other Guarantor or any other Person or any such cash collateral security, guarantee or right of offset, shall not relieve any Guarantor of any obligation or liability hereunder, and shall not impair or affect the
rights and remedies, whether express, implied or available as a matter of law, of any Credit Party against any Guarantor. For the purposes hereof “demand” shall include the commencement and continuance of any legal proceedings. 

2.6 Reinstatement. The guarantee contained in this Section 2 shall be reinstated and shall remain in all respects enforceable
to the extent that, at any time, any payment of any of the Borrower Obligations is set aside, avoided or rescinded or must otherwise be restored or returned by any Credit Party upon the insolvency, bankruptcy, dissolution, liquidation or
reorganization of the Borrower or any Guarantor, or upon or as a result of the appointment of a receiver, intervenor or conservator of, or trustee or similar officer for, the Borrower or any Guarantor or any substantial part of its property, or
otherwise, in whole or in part, and such reinstatement and enforceability shall, to the fullest extent permitted by applicable law, be effective as fully as if such payment had not been made. 

2.7 Demand by Agent or Lenders. In addition to the terms of the guarantee set forth in this Section 2, and in no manner
imposing any limitation on such terms, it is expressly understood and agreed that, if, at any time, the outstanding principal amount of the Guaranteed Obligations under the Credit Agreement (including all accrued interest thereon) is declared to be
immediately due and payable, then Guarantors shall, without demand, pay to the holders of the Guaranteed Obligations the entire outstanding Guaranteed Obligations due and owing to such holders. 

2.8 Enforcement. In no event shall the Administrative Agent have any obligation (although it is entitled, at its option) to proceed against the
Borrower or any other Loan Party or any cash collateral pledged pursuant to Section 8 of the Credit Agreement before seeking satisfaction from any or all of the Guarantors, and the Administrative Agent may proceed, prior or subsequent to, or
simultaneously with, the enforcement of the Administrative Agent’s rights hereunder, to exercise any right or remedy which it may have against any collateral, as a result of any Lien it may have as security for all or any portion of the
Guaranteed Obligations. 
 2.9 Waiver. In addition to the waivers contained in Section 2.4 hereof, Guarantors waive, and
agree that they shall not at any time insist upon, plead or in any manner whatever claim or take the benefit or advantage of, any appraisal, valuation, stay, extension, marshaling of assets or redemption laws, or exemption, whether now or at any
time hereafter in force, which may delay, prevent or otherwise affect the performance by Guarantors of their Guaranteed Obligations under, or the enforcement by the Administrative Agent or the Credit Parties of, this Agreement. Guarantors hereby
waive diligence, presentment and demand (whether for non-payment or protest or of acceptance, maturity, extension of time, change in nature or form of the Guaranteed Obligations, acceptance of further
security, release of further security, composition or agreement arrived at as to the amount of, or the terms of, the Guaranteed Obligations, notice of adverse change in any Borrower’s financial condition or any other fact which might increase
the risk to Guarantors) with respect to any of the Guaranteed Obligations or all other demands whatsoever and waive the benefit of all provisions of law which are or might be in conflict with the terms of this Agreement. Guarantors represent,
warrant and jointly and severally agree that, as of the date 

  
 A-10 

 
of this Agreement, their obligations under this Agreement are not subject to any offsets or defenses against the Administrative Agent or the Credit Parties or any Loan Party of any kind.
Guarantors further jointly and severally agree that their obligations under this Agreement shall not be subject to any counterclaims, offsets or defenses against the Administrative Agent or any Credit Party or against any Loan Party of any kind
which may arise in the future except for those arising by operation of law. 
 2.10 Severability, etc. It is the intention and agreement of each
Guarantor, the Administrative Agent and the Credit Parties that the obligations of each Guarantor under this Agreement shall be valid and enforceable against such Guarantors to the maximum extent permitted by applicable law. Accordingly, if any
provision of this Agreement creating any obligation of the Guarantors in favor of the Administrative Agent and the Credit Parties shall be declared to be invalid or unenforceable in any respect or to any extent, it is the stated intention and
agreement of each Guarantor, the Administrative Agent and the Credit Parties that any balance of the obligation created by such provision and all other obligations of the Guarantors to the Administrative Agent and the Credit Parties created by other
provisions of this Agreement shall remain valid and enforceable. Likewise, if by final order a court of competent jurisdiction shall declare any sums which the Administrative Agent and the Credit Parties may be otherwise entitled to collect from the
Guarantors under this Agreement to be in excess of those permitted under any law (including any federal or state fraudulent conveyance or like statute or rule of law) applicable to the obligations of the Guarantors under this Agreement, it is the
stated intention and agreement of each Guarantor and the Administrative Agent and the Credit Parties that all sums not in excess of those permitted under such applicable law shall remain fully collectible by the Administrative Agent and the Credit
Parties from the Guarantors. 
 2.11 Payments. Each Guarantor hereby agrees to pay all amounts payable by it under this
Section 2 to the Administrative Agent without set-off or counterclaim in Dollars in immediately available funds as specified in the Credit Agreement. 

2.12 Assurances. Each Guarantor hereby agrees, upon the written request of the Administrative Agent or any Credit Party, to execute and deliver to the
Administrative Agent or such Credit Party, from time to time, any additional instruments or documents reasonably considered necessary by the Administrative Agent or such Credit Party to cause this guarantee set forth in this
Section 2 to be, become or remain valid and effective in accordance with its terms. 
 SECTION 3. REPRESENTATIONS
AND WARRANTIES 
 Each Guarantor hereby represents and warrants to each Credit Party that: 

3.1 Representations in Credit Agreement. In the case of each Guarantor, the representations and warranties set forth in Section 4 of the Credit
Agreement as they relate to such Guarantor or to the Loan Documents to which such Guarantor is a party, each of which is hereby incorporated herein by reference, are true and correct, and each Credit Party shall be entitled to rely on each of them
as if they were fully set forth herein; provided that each reference in each such representation and warranty to the Borrower’s knowledge shall, for the purposes of this Section 3.1, be deemed to be a reference to such
Guarantor’s knowledge. 

  
 A-11 

 3.2 Jurisdiction of Organization; Chief Executive Office. On the date hereof, such Guarantor’s full
and exact legal name, jurisdiction of organization, organizational identification number from the jurisdiction of organization (if any), and the location of such Guarantor’s chief executive office or principal residence, as the case may be, are
specified on Schedule 2. On the date hereof, such Guarantor is organized solely under the law of the jurisdiction so specified and has not filed any certificates of domestication, transfer or continuance in any other jurisdiction. Except as
otherwise indicated on Schedule 2, the jurisdiction of such Guarantor’s organization or formation is required to maintain a public record showing the Guarantor to have been organized or formed. On the date hereof, except as specified on
Schedule 2, such Guarantor has not changed its name, jurisdiction of organization, chief executive office or its corporate or organizational structure in any way (e.g. by merger, consolidation, change in corporate form or otherwise) within the past
five years. Such Guarantor has furnished to the Administrative Agent its Organizational Documents as in effect as of a date which is recent to the date hereof and long-form good standing certificate, or an equivalent certificate issued by its
jurisdiction of organization, as of a date which is recent to the date hereof. 
 3.3 Corporate Power; Authorization; Enforceable Guaranteed
Obligations. The execution, delivery and performance of the guarantee set forth in Section 2, and all other Loan Documents and all instruments and documents to be delivered by each Guarantor hereunder and under the
Credit Agreement are within such Guarantor’s organizational power, have been duly authorized by all necessary or proper organizational action, including the consent of stockholders where required, are not in contravention of any provision of
such Guarantor’s Organizational Documents, do not violate any law or regulation, or any order or decree of any Governmental Authority, do not conflict with or result in the breach of, or constitute a default under, or accelerate or permit the
acceleration of any performance required by, any indenture, mortgage, deed of trust, lease, agreement or other instrument to which any Guarantor is a party or by which any Guarantor or any of its property is bound, do not result in the creation or
imposition of any Lien upon any of the property of any Guarantor, all of which have been duly obtained, made or complied with prior to the Closing Date. On or prior to the Closing Date, this Agreement and each of the Loan Documents to which any
Guarantor is a party shall have been duly executed and delivered for the benefit of or on behalf of such Guarantor, and each shall then constitute a legal, valid and binding obligation of such Guarantor, enforceable against such Guarantor in
accordance with its terms. 
 3.4 Survival. The representations and warranties set forth in this Section 3 shall survive
the execution and delivery of this Agreement. 
 SECTION 4. COVENANTS 

4.1 Covenants in Credit Agreement. Each Guarantor covenants and agrees with the Credit Parties that, from and after the date of this Agreement until
this Agreement is terminated pursuant to Section 5.15, that such Guarantor shall take, or refrain from taking, as the case may be, each action that is necessary to be taken or not taken, so that no breach of the covenants
in the Credit Agreement pertaining to actions to be taken, or not taken, by such Guarantor will result. 

  
 A-12 

 SECTION 5. MISCELLANEOUS 

5.1 Amendments in Writing. None of the terms or provisions of this Agreement may be waived, amended, supplemented or otherwise modified except in
accordance with Section 10.1 of the Credit Agreement. 
 5.2 Notices. All notices, requests and demands to or upon the Administrative Agent or
any Guarantor hereunder shall be effected in the manner provided for in Section 10.2 of the Credit Agreement; provided that any such notice, request or demand to or upon any Guarantor shall be addressed to such Guarantor at its notice
address set forth on Schedule 1 or to such other address as such Guarantor may notify the Administrative Agent in writing; provided further that notices to the Administrative Agent shall be addressed as follows, or to such other
address as may be hereafter notified by the Administrative Agent: 
  

			
	Administrative Agent:	  	 JPMorgan Chase Bank, N.A.

383 Madison Avenue, 24th Floor

New York, NY 10179

		  	Attention: Jaime Gitler
		  	Telecopy: (212) 270-2157
		  	Telephone: (212) 270-1311

 5.3 No Waiver by Course of Conduct; Cumulative Remedies. No Credit Party shall by any act (except by a written
instrument pursuant to Section 5.1), delay, indulgence, omission or otherwise be deemed to have waived any right or remedy hereunder or to have acquiesced in any Default or Event of Default. No failure to exercise, nor any
delay in exercising, on the part of any Credit Party, any right, power or privilege hereunder shall operate as a waiver thereof. No single or partial exercise of any right, power or privilege hereunder shall preclude any other or further exercise
thereof or the exercise of any other right, power or privilege. A waiver by any Credit Party of any right or remedy hereunder on any one occasion shall not be construed as a bar to any right or remedy which such Credit Party would otherwise have on
any future occasion. The rights and remedies herein provided are cumulative, may be exercised singly or concurrently and are not exclusive of any other rights or remedies provided by law. 

5.4 Enforcement Expenses; Indemnification. 

(a) Each Guarantor agrees to pay, or reimburse the Administrative Agent for, all its reasonable documented out-of-pocket costs and expenses incurred in collecting against such Guarantor under the guarantee contained in Section 2 or otherwise enforcing or preserving any rights under this
Agreement and the other Loan Documents to which such Guarantor is a party, including the reasonable documented out-of-pocket fees and disbursements of counsel to the
Administrative Agent. 
 (b) Each Guarantor agrees to pay, and to save the Credit Parties harmless from, any and all liabilities with
respect to, or resulting from any delay in paying, any and all stamp, excise, sales or other taxes which may be payable or determined to be payable in connection with any of the transactions contemplated by this Agreement. 

  
 A-13 

 (c) Each Guarantor agrees to pay, and to save the Credit Parties harmless from, any and all
liabilities, obligations, losses, damages, penalties, actions, judgments, suits, costs, expenses or disbursements of any kind or nature whatsoever with respect to the execution, delivery, enforcement, performance and administration of this Agreement
on the terms set forth in Section 10.5 of the Credit Agreement. 
 (d) The agreements in this Section shall survive repayment of the
Guaranteed Obligations and all other amounts payable under the Credit Agreement and the other Loan Documents. 
 5.5 Successors and Assigns. This
Agreement shall be binding upon the successors and assigns of each Guarantor and shall inure to the benefit of the Credit Parties and their successors and assigns; provided that no Guarantor may assign, transfer or delegate any of its rights or
obligations under this Agreement without the prior written consent of the Administrative Agent and, unless so consented to, each such assignment, transfer or delegation by any Guarantor shall be void. 

5.6 Set-Off. Each Guarantor hereby irrevocably authorizes each Credit Party at any time and from time to time
while an Event of Default shall have occurred and be continuing, without notice to such Guarantor or any other Guarantor, any such notice being expressly waived by each Guarantor, to set-off and appropriate
and apply any and all deposits (general or special, time or demand, provisional or final), in any currency, and any other credits, indebtedness or claims, in any currency, in each case whether direct or indirect, absolute or contingent, matured or
unmatured, at any time held or owing by such Credit Party to or for the credit or the account of such Guarantor, or any part thereof in such amounts as such Credit Party may elect, against and on account of the obligations and liabilities of such
Guarantor to such Credit Party hereunder and claims of every nature and description of such Credit Party against such Guarantor, in any currency, whether arising hereunder, under the Credit Agreement, any other Loan Document or otherwise, as such
Credit Party may elect, whether or not any Credit Party has made any demand for payment and although such obligations, liabilities and claims may be contingent or unmatured. Each Credit Party shall notify such Guarantor promptly of any such set-off and the application made by such Credit Party of the proceeds thereof, provided that the failure to give such notice shall not affect the validity of such set-off and
application. The rights of each Credit Party under this Section are in addition to other rights and remedies (including other rights of set-off) which such Credit Party may have. 

5.7 Counterparts. This Agreement may be executed by one or more of the parties to this Agreement on any number of separate counterparts, and all of
said counterparts taken together shall be deemed to constitute one and the same instrument. Delivery of an executed signature page of this Agreement by facsimile transmission shall be effective as delivery of a manually executed counterpart hereof.
A set of the copies of this Agreement signed by all the parties shall be lodged with the Borrower and the Administrative Agent. 
 5.8 Severability.
Any provision of this Agreement which is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and
any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. 

  
 A-14 

 5.9 Section Headings. The Section headings used in this Agreement are for convenience of reference only
and are not to affect the construction hereof or be taken into consideration in the interpretation hereof. 
 5.10 Integration. This Agreement and
the other Loan Documents represent the entire agreement of the Guarantors and the Credit Parties with respect to the subject matter hereof and thereof, and there are no promises, undertakings, representations or warranties by any Credit Party
relative to subject matter hereof and thereof not expressly set forth or referred to herein or in the other Loan Documents. 
 5.11 GOVERNING
LAW. THIS AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED BY, AND
CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

5.12 Submission To Jurisdiction; Waivers. Each Guarantor hereby irrevocably and unconditionally: 

(a) submits for itself in any legal action or proceeding relating to this Agreement and the other Loan Documents to which it is a party, or
for recognition and enforcement of any judgment in respect thereof, to the non exclusive general jurisdiction of the Courts of the State of New York, the courts of the United States of America for the Southern District of New York, and appellate
courts from any thereof; 
 (b) consents that any such action or proceeding may be brought in such courts and waives any objection that it
may now or hereafter have to the venue of any such action or proceeding in any such court or that such action or proceeding was brought in an inconvenient court and agrees not to plead or claim the same; 

(c) agrees that service of process in any such action or proceeding may be effected by mailing a copy thereof by registered or certified mail
(or any substantially similar form of mail), postage prepaid, to such Guarantor at its address referred to in Section 5.2 or at such other address of which the Administrative Agent shall have been notified pursuant thereto;

 (d) agrees that nothing herein shall affect the right to effect service of process in any other manner permitted by law or shall limit
the right to sue in any other jurisdiction; and 
 (e) waives, to the maximum extent not prohibited by law, any right it may have to claim
or recover in any legal action or proceeding referred to in this Section any special, exemplary, punitive or consequential damages. 
 5.13
Acknowledgements. Each Guarantor hereby acknowledges that: 
 (a) it has been advised by counsel in the negotiation, execution and
delivery of this Agreement and the other Loan Documents to which it is a party; 
 (b) no Credit Party has any fiduciary relationship with
or duty to any Guarantor arising out of or in connection with this Agreement or any of the other Loan Documents, and the relationship between the Guarantors, on the one hand, and the Credit Parties, on the other hand, in connection herewith or
therewith is solely that of debtor and creditor; and 
 (c) no joint venture is created hereby or by the other Loan Documents or otherwise
exists by virtue of the transactions contemplated hereby among the Credit Parties or among the Guarantors and the Credit Parties. 

  
 A-15 

 5.14 Additional Guarantors; Supplements to Schedules. 

(a) Each Subsidiary of the Borrower that is required to become a party to this Agreement pursuant to Section 6.10 of the Credit Agreement
shall become a Guarantor for all purposes of this Agreement upon execution and delivery by such Subsidiary of an Assumption Agreement in the form of Annex I hereto. 

(b) The Guarantors shall deliver to the Administrative Agent supplements to the Schedules to this Agreement as necessary to reflect changes
thereto arising after the date hereof promptly after the occurrence of any such changes, unless otherwise specified herein. Such Supplements shall become part of this Agreement as of the date of delivery to the Administrative Agent. 

5.15 Termination. 
 (a) At such time as
the Loans and all other Guaranteed Obligations (other than Unasserted Obligations) have been paid in full, this Agreement and all obligations (other than those expressly stated to survive such termination) of the Administrative Agent and each
Guarantor hereunder shall terminate, all without delivery of any instrument or performance of any act by any party. 
 (b) Any obligations
of a Subsidiary Guarantor hereunder shall be released (i) at the time such Subsidiary Guarantor is dissolved, consolidated or merged to the extent permitted under the Credit Agreement, (ii) at the time of any Disposition permitted under
the Credit Agreement, or (iii) becomes an Excluded Foreign Subsidiary as a result of a transaction or designation permitted hereunder; provided that any property of such Subsidiary Guarantor has been disposed of in a transaction permitted by
the Credit Agreement. 
 (c) In connection with any termination or release pursuant to clauses (a) or (b) above, the Administrative
Agent and the Collateral Agent shall promptly execute and deliver to any Guarantor, at such Guarantor’s expense, all documents that such Guarantor shall reasonably request to evidence such termination or release. 

5.16 WAIVER OF JURY TRIAL. EACH GUARANTOR AND, BY ACCEPTANCE OF THE BENEFITS
HEREOF, THE ADMINISTRATIVE AGENT AND EACH OTHER CREDIT PARTY, HEREBY IRREVOCABLY AND UNCONDITIONALLY WAIVES TRIAL BY JURY
IN ANY LEGAL ACTION OR PROCEEDING RELATING TO THIS AGREEMENT OR ANY OTHER LOAN DOCUMENT AND FOR ANY COUNTERCLAIM
THEREIN. 

  
 A-16 

 5.17 Credit Parties. By entering into this Agreement, each of the Credit Parties agrees to be bound by the
terms of the Loan Documents, including, without limitation, Section 10 of the Credit Agreement. 
 5.18 ECP Rules; Keepwell. (a) No
Guarantor hereunder shall be deemed to be a guarantor of any Swap Obligations if such Guarantor is not an “Eligible Contract Participant” as defined in § 1(a)(18) of the Commodity Exchange Act and the applicable rules issued by
the Commodity Futures Trading Commission and/or the Securities and Exchange Commission (collectively, and as now or hereafter in effect, “the ECP Rules”) to the extent that the providing of such guaranty by such Guarantor would violate the
ECP Rules or any other applicable law or regulation. This paragraph shall not affect any Guaranteed Obligations of a Guarantor other than Swap Obligations, nor shall it affect the Obligations of any Guarantor who qualifies as an “Eligible
Contract Participant 
 (b) Each Qualified ECP Guarantor hereby jointly and severally absolutely, unconditionally and irrevocably undertakes
to provide such funds or other support as may be needed from time to time by each other Loan Party to honor all of its obligations under this Agreement in respect of Swap Obligations (provided, however, that each Qualified ECP Guarantor shall only
be liable under this Section 5.18 for the maximum amount of such liability that can be hereby incurred without rendering its obligations under this Section 5.18 or otherwise under this Agreement
voidable under applicable law relating to fraudulent conveyance or fraudulent transfer, and not for any greater amount). The obligations of each Qualified ECP Guarantor under this Section 5.18 shall remain in full force and
effect until terminated in accordance with Section 5.15 hereof. Each Qualified ECP Guarantor intends that this Section 5.18 constitute, and this Section 5.18 shall be
deemed to constitute, a “keepwell, support, or other agreement” for the benefit of each other Loan Party for all purposes of Section 1a(18)(A)(v)(II) of the Commodity Exchange Act. 

  
 A-17 

 
					
	MEDICAL PROPERTIES TRUST, INC.
		
	By:	 	  

		 	Name:	 	R. Steven Hamner
		 	Title:	 	Executive Vice President and
		 		 	Chief Financial Officer

  
 [Signature Page to
Guarantee Agreement] 

 
			
	 JPMORGAN CHASE BANK, N.A.
 as
Administrative Agent

		
	By:	 	  

		 	Name:
		 	Title:

  
 [Signature Page to
Guarantee Agreement] 

 Annex I - Assumption Agreement 

Schedule 1 - Notices 

Schedule 2 - Guarantor Identification Information 

 ANNEX I to 

Guarantee Agreement 
 ASSUMPTION
AGREEMENT, dated as of             , 200  , made
                             (the “Additional Guarantor”), in favor of JPMORGAN CHASE BANK,
N.A., as administrative agent (in such capacity, the “Administrative Agent”) for the banks and other financial institutions (the “Lenders”) parties to the Credit Agreement referred to below. All capitalized terms
not defined herein shall have the meaning ascribed to them in such Credit Agreement. 
 W I T N E S S E T H: 

WHEREAS, Medical Properties Trust, Inc. (“Holdings”), MPT Operating Partnership, L.P. (the “Borrower”), the
Lenders and the Administrative Agent have entered into an Amended and Restated Revolving Credit and Term Loan Agreement, dated as of February 1, 2017 (as amended, supplemented or otherwise modified from time to time, the “Credit
Agreement”); 
 WHEREAS, in connection with the Credit Agreement, the Borrower and certain of its Affiliates (other than the
Additional Guarantor), have entered into the Guarantee Agreement, dated as of February 1, 2017 (as amended, supplemented or otherwise modified from time to time, the “Guarantee Agreement”) in favor of the Administrative Agent
for the benefit of the Credit Parties; 
 WHEREAS, the Credit Agreement requires the Additional Guarantor to become a party to the Guarantee
Agreement, and the Additional Guarantor’s failure to do so shall constitute a breach of the Credit Agreement; and 
 WHEREAS, the
Additional Guarantor has agreed to execute and deliver this Assumption Agreement in order to become a party to the Guarantee Agreement; 

NOW, THEREFORE, IT IS AGREED: 
 1. Guarantee
Agreement. By executing and delivering this Assumption Agreement, the Additional Guarantor, as provided in Section 5.14 of the Guarantee Agreement, hereby becomes a party to the Guarantee Agreement as a Guarantor thereunder with the same
force and effect as if originally named therein as a Guarantor and, without limiting the generality of the foregoing, hereby expressly assumes all obligations and liabilities of a Guarantor thereunder and shall jointly and severally guaranty the
payment and performance of the Borrower Obligations as set forth therein. The information set forth in Annex I-A hereto is hereby added to the information set forth in Schedules to the Guarantee Agreement. The
Additional Guarantor hereby represents and warrants that each of the representations and warranties contained in Section 3 of the Guarantee Agreement is true and correct on and as the date hereof (after giving effect to this Assumption
Agreement) as if made on and as of such date. 
 2. Governing Law. THIS ASSUMPTION AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED
IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

 IN WITNESS WHEREOF, the undersigned has caused this Assumption Agreement to be duly executed and
delivered as of the date first above written. 
  

			
	[ADDITIONAL GUARANTOR]
		
	By:	 	  

		 	Name:
		 	Title:

 ANNEX I-A to 

Assumption Agreement 
 Supplements
to Schedules 
 Supplement to Schedule 1 

Supplement to Schedule 2 

 Schedule 1 

Notices 
 Notices may be delivered to any
of the Guarantors at the following address: 
  

			
	 [Guarantor]

c/o Medical Properties Trust, Inc.

1000 Urban Center Drive, Suite 501

Birmingham, AL 35242

	Attention:	 	R. Steven Hamner
	Telecopy:	 	(205) 969-3756
	Telephone:  	 	(205) 969-3755

  
 -2- 

 Schedule 2 

Guarantor Identification Information 
  

							
	 Legal Name
	 	 Jurisdiction of

Organization
	 	 Employer

Identification

Number
	 	
Chief Executive Office

	Medical Properties Trust, Inc.	 	MD	 	20-0191742	 	1000 Urban Center Drive, Suite 501 Birmingham, AL 35242

  
 -3- 

 EXHIBIT B 

FORM OF COMPLIANCE CERTIFICATE 

[Date] 
 MPT Operating
Partnership, L.P. (the “Borrower”), hereby certifies as of the date hereof the following: 
  

	1.	Responsible Officer. The Responsible Officer signing this Compliance Certificate on behalf of the Borrower has read a copy of the Amended and Restated Revolving Credit and Term Loan Agreement dated as of
February 1, 2017 (as amended, restated, replaced, supplemented or modified from time to time, the “Credit Agreement”), among the Borrower, MEDICAL PROPERTIES TRUST, INC., a Maryland corporation, the several banks and other
financial institutions or entities from time to time parties to the Credit Agreement and JPMORGAN CHASE BANK, N.A., as Administrative Agent. Terms used herein and not otherwise defined herein shall have the meanings set forth in the Credit
Agreement. The Responsible Officer further certifies that, to the best of such Responsible Officer’s knowledge, each Loan Party during the period covered by the financial statements identified below has observed or performed all of its
covenants and other agreements, and satisfied every condition contained in the Credit Agreement and the other Loan Documents to which it is a party to be observed, performed or satisfied by it, and that such Responsible Officer has obtained no
knowledge of any Default or Event of Default [except as specified herein]. 

  

	2.	Total Leverage Ratio. The ratio of (i) (A) Total Indebtedness minus (B) unrestricted cash and Cash Equivalents of the Group Members in excess of $10,000,000 that is being held to repay that portion of
Total Indebtedness that matures within twenty-four (24) months to (ii) Total Asset Value (the “Total Leverage Ratio”) at the last day of the four consecutive fiscal quarters of the Borrower prior to the execution of this
certificate does not exceed 60% [or 65% in order to permit the Borrower to consummate a Significant Acquisition so long as such ratio does not exceed 60% as of the end of more than four (4) consecutive fiscal quarters in any fiscal year].

  

	3.	Fixed Charge Coverage Ratio. The ratio of Total EBITDA to Total Fixed Charges for the four consecutive fiscal quarters of the Borrower prior to execution of this certificate is not less than 1.50 to 1.0.

  

	4.	Secured Leverage Ratio. The ratio of (A) (i) the aggregate amount of all Secured Indebtedness minus (ii) as of such date of determination, unrestricted cash and Cash Equivalents of the Group Members in
excess of $10,000,000 that is being held to repay that portion of Secured Indebtedness that matures within twenty-four (24) months of such date of determination (the “Secured Debt Reserve”), and without duplication of the Unsecured
Debt Reserve in paragraph 6 below to (B) Total Asset Value at the last day of the four consecutive fiscal quarters prior to the execution of this certificate does not exceed 40%. 

  
 B-1 

	5.	Consolidated Adjusted Net Worth. The Consolidated Tangible Net Worth is not less than the sum of (i) $2,650,000,000 plus (ii) 75% of Net Cash Proceeds from issuances of Capital Stock by the Borrower or Holdings
after September 30, 2016. 

  

	6.	Unsecured Leverage Ratio. The ratio of (i)(A) Unsecured Indebtedness minus (B) as of such date of determination, unrestricted cash and Cash Equivalents of the Group Members in excess of $10,000,000 that is
being held to repay that portion of Unsecured Indebtedness that matures within twenty-four (24) months of such date of determination (“Unsecured Debt Reserve”), and without duplication of the Secured Debt Reserve in paragraph 4 above
to (ii) to Unencumbered Asset Value at the last day of the four consecutive fiscal quarters of the Borrower prior to the execution of this certificate does not exceed 65%. 

 

	7.	Unsecured Interest Coverage Ratio. The ratio of Unencumbered NOI for any period of four consecutive fiscal quarters of the Borrower to Unsecured Interest Expense for such period is greater than 1.75 to 1.0 at the
last day of the four consecutive fiscal quarters of the Borrower prior to the execution of this certificate. 

  

	8.	Supporting Calculations. Attached hereto as Appendix I are all relevant calculations needed to determine the foregoing, including as to the calculation of Unencumbered Asset Value. 

 

					
	MPT OPERATING PARTNERSHIP, L.P.
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

  
 B-2 

 APPENDIX I to 

Compliance Certificate 
 [Insert
relevant calculations.] 

  
 B-3 

 EXHIBIT C 

FORM OF CLOSING CERTIFICATE 
 THE
UNDERSIGNED HEREBY CERTIFIES SOLELY IN HIS CAPACITY AS AN OFFICER OF [LOAN PARTY NAMED HEREIN] AND ON BEHALF OF [LOAN PARTY] IN ITS CAPACITY AS
[                    ] OF [                    ]
AS FOLLOWS: 
 1. I am a
[                                        ] of
[Loan Party], a [                    ] [entity]
(“                    ”). 
 2. Reference is
made to that certain Amended and Restated Revolving Credit and Term Loan Agreement, dated as of February 1, 2017 (as it may be amended, supplemented, restated or otherwise modified from time to time, the “Credit Agreement”), by
and among Medical Properties Trust, Inc., a Maryland corporation, MPT Operating Partnership, L.P., a Delaware limited partnership, the several banks and other financial institutions or entities from time to time parties to the Credit Agreement, and
JPMorgan Chase Bank, N.A., as Administrative Agent. All capitalized terms used herein without definition shall have the meanings ascribed to them in the Credit Agreement. 

3. I have reviewed the terms of Section 5 of the Credit Agreement and the definitions and provisions contained in such credit agreement relating thereto,
and in my opinion I have made, or have caused to be made under my supervision, such examination or investigation as is necessary to enable me to express an informed opinion as to the matters referred to herein. 

4. Based on my review and examination described in paragraph 3 above, I hereby certify, on behalf of [Loan Party], that as of the date hereof: 

 

	 	a.	all of the representations contained in Section 4 of the Credit Agreement and in any of the other Loan Documents are true and correct in all material respects (except for representations and warranties which are
qualified by materiality, which shall be true in all respects), on and as of the date hereof (except to the extent that such representations and warranties expressly speak as to a different specific date), and Goodwin Procter LLP is entitled to rely
upon such representations and warranties in rendering its opinion; and 

  

	 	b.	no Event of Default has occurred and is continuing or would result from the making of the Loans. 

  

	5.	[Attached hereto as Exhibit A is the certificate of incorporation of [Loan Party], certified by the Secretary of State of
[                    ].]* 

  

	6.	[Attached hereto as Exhibit B is the long-form good standing certificate for [Loan Party] certified by the Secretary of State of
[                    ].]* 

[Remainder of page intentionally left blank.] 

 

	*	To be included only if it is being delivered pursuant to Section 6.10 of the Credit Agreement 

 The foregoing certifications are made and delivered as of         
    , 2017. 
  

					
	[LOAN PARTY]
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

  
 C-2 

 EXHIBIT A to 

Closing Certificate 
 Certificate of
Incorporation 

  
 C-3 

 EXHIBIT B to 

Closing Certificate 
 Good Standing
Certificate 

  
 C-4 

 EXHIBIT D 

FORM OF ASSIGNMENT AND ASSUMPTION 

This ASSIGNMENT AND ASSUMPTION (this “Assignment and Assumption”) is dated as of the Effective Date set forth below and is
entered into by and between the Assignor identified in item 1 below (the “Assignor”) and the Assignee identified in item 2 below (the “Assignee”). Capitalized terms used but not defined herein shall have the
meanings given to them in the Amended and Restated Revolving Credit and Term Loan Agreement identified below (the “Credit Agreement”), receipt of a copy of which is hereby acknowledged by the Assignee. The Standard Terms and
Conditions set forth in Annex 1 attached hereto are hereby agreed to and incorporated herein by reference and made a part of this Assignment and Assumption as if set forth herein in full. 

For an agreed consideration, the Assignor hereby irrevocably sells and assigns to the Assignee, and the Assignee hereby irrevocably purchases
and assumes from the Assignor, subject to and in accordance with the Standard Terms and Conditions and the Credit Agreement, as of the Effective Date inserted by the Administrative Agent as contemplated below (i) all of the Assignor’s
rights and obligations in its capacity as a Lender under the Credit Agreement and any other documents or instruments delivered pursuant thereto to the extent related to the amount and percentage interest identified below of all of such outstanding
rights and obligations of the Assignor under the respective facilities identified below (including any letters of credit and swingline loans included in such facilities) and (ii) to the extent permitted to be assigned under applicable law, all
claims, suits, causes of action and any other right of the Assignor (in its capacity as a Lender) against any Person, whether known or unknown, arising under or in connection with the Credit Agreement, any other documents or instruments delivered
pursuant thereto or the loan transactions governed thereby or in any way based on or related to any of the foregoing, including, but not limited to, contract claims, tort claims, malpractice claims, statutory claims and all other claims at law or in
equity related to the rights and obligations sold and assigned pursuant to clause (i) above (the rights and obligations sold and assigned by the Assignor to the Assignee pursuant to clauses (i) and (ii) above being referred to herein
collectively as the “Assigned Interest”). Each such sale and assignment is without recourse to the Assignor and, except as expressly provided in this Assignment and Assumption, without representation or warranty by the Assignor.

  

							
	1.     	 	Assignor:	 	  
	  	
				
	2.	 	Assignee:	 	  
	  	
			
		 		 	[indicate [Affiliate][Approved Fund] of [identify Lender]]
			
	3.	 	Borrower:	 	MPT Operating Partnership, L.P.

  

	4.	Administrative Agent: JPMorgan Chase Bank, N.A., as the administrative agent under the Credit Agreement 

	5.	Credit Agreement: Amended and Restated Revolving Credit and Term Loan Agreement, dated as of February 1, 2017, among Medical Properties Trust, Inc., MPT Operating Partnership, L.P., the institutions from time to
time party thereto as lenders, and JPMorgan Chase Bank, N.A., as Administrative Agent, as amended and in effect from time to time. 

  

	6.	Assigned Interest: 

  

																					
	 Assignor[s]1
	  	Assignee[s]2	 	  	Facility
Assigned3	 	  	Aggregate
Amount of
Commitment/
Loans
for all Lenders4	 	  	Amount of
Commitment/
Loans
Assigned	 	  	Percentage
Assigned of
Commitment/
Loans5	 
		  				  				  	$	            	 	  	$	            	 	  	 	    	% 
		  				  				  	$	            	 	  	$	            	 	  	 	    	% 
		  				  				  	$	            	 	  	$	            	 	  	 	    	% 

 [7. Trade Date:
                    ]6 

Effective Date:             , 20     [TO BE INSERTED BY ADMINISTRATIVE AGENT
AND WHICH SHALL BE THE EFFECTIVE DATE OF RECORDATION OF TRANSFER IN THE REGISTER THEREFOR.] 
 The Assignee agrees to deliver to the Administrative Agent a
completed Administrative Questionnaire in which the Assignee designates one or more credit contacts to whom all syndicate-level information (which may contain material non-public information about the
Borrower, the Loan Parties and their Related Parties or their respective securities) will be made available and who may receive such information in accordance with the Assignee’s compliance procedures and applicable laws, including Federal and
state securities laws. 
  

	1 	List each Assignee, as appropriate. 

	2 	List each Assignee, as appropriate. 

	3 	Fill in the appropriate terminology for the types of facilities under the Credit Agreement that are being assigned under this Assignment. 

	4 	Amounts in this column and in the column immediately to the right to be adjusted by the counterparties to take into account any payments or prepayments made between the Trade Date and the Effective Date.

	5 	Set forth, to at least 9 decimals, as a percentage of the Commitment/Loans of all Lenders thereunder. 

	6 	To be completed if the Assignor and the Assignee intend that the minimum assignment amount is to be determined as of the Trade Date. 

  
 D-2 

 The terms set forth in this Assignment and Assumption are hereby agreed to: 

 

					
	ASSIGNOR
	[NAME OF ASSIGNOR]
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	
	
	ASSIGNEE
	[NAME OF ASSIGNEE]
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

 [Consented to and]7 Accepted: 

 

					
	JPMORGAN CHASE BANK, N.A., as
	Administrative Agent
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	
	
	[Consented to:
	
	JPMORGAN CHASE BANK, N.A., as Issuing Lender/Swingline Lender
		
	By:	 	  

		 	Name:	 	
		 	Title:]	 	
	
	[Consented to:
	
	BANK OF AMERICA, N.A., as Issuing Lender/ Swingline Lender
		
	By:	 	  

		 	Name:	 	
		 	Title:]	 	

  

	7 	To be added only if the consent of the Administrative Agent is required by the terms of the Credit Agreement. 

  
 D-3 

					
	[Consented to:
	
	[OTHER LENDERS, as Issuing Lender/Swingline Lender
		
	By:	 	  

		 	Name:	 	
		 	Title:]8	 	
	
	[Consented to:
	
	MPT OPERATING PARTNERSHIP, L.P.,
	a Delaware limited partnership
		
	By:	 	  

		 	Name:	 	
		 	Title:]9	 	

  

	8 	To be added only if the consent of the Issuing Lender/Swingline Lender is required by the terms of the Credit Agreement. 

	9 	To be added if the consent of the Borrower is required pursuant to Section 10.6 of the Credit Agreement (e.g., no Event of Default has occurred and is continuing). 

  
 D-4 

 ANNEX 1 TO ASSIGNMENT AND ASSUMPTION 

Amended and Restated Revolving Credit and Term Loan 

Agreement, dated as of February 1, 2017, by and among 

Medical Properties Trust, Inc., MPT Operating Partnership, L.P., 

the several lenders from time to time parties thereto and JPMorgan 

Chase Bank, N.A., as Administrative Agent 

STANDARD TERMS AND CONDITIONS FOR 

ASSIGNMENT AND ASSUMPTION 
 1.
Representations and Warranties. 
 1.1. Assignor. The Assignor (a) represents and warrants that (i) it is the legal and beneficial
owner of the Assigned Interest, (ii) the Assigned Interest is free and clear of any lien, encumbrance or other adverse claim and (iii) it has full power and authority, and has taken all action necessary, to execute and deliver this
Assignment and Assumption and to consummate the transactions contemplated hereby; and (b) assumes no responsibility with respect to (i) any statements, warranties or representations made in or in connection with the Credit Agreement or any
other Loan Document, (ii) the execution, legality, validity, enforceability, genuineness, sufficiency or value of the Loan Documents or any collateral thereunder, (iii) the financial condition of the Borrower, any of its Subsidiaries or
Affiliates or any other Person obligated in respect of any Loan Document or (iv) the performance or observance by the Borrower, any of its Subsidiaries or Affiliates or any other Person of any of their respective obligations under any Loan
Document. 
 1.2. Assignee. The Assignee (a) represents and warrants that (i) it has full power and authority, and has taken all action
necessary, to execute and deliver this Assignment and Assumption and to consummate the transactions contemplated hereby and to become a Lender under the Credit Agreement, (ii) it meets all the requirements to be an assignee under
Section 10.6 of the Credit Agreement, including the definition of Eligible Assignee (subject to such consents, if any, as may be required thereunder), (iii) from and after the Effective Date, it shall be bound by the
provisions of the Credit Agreement as a Lender thereunder and, to the extent of the Assigned Interest, shall have the obligations of a Lender thereunder, (iv) it is sophisticated with respect to decisions to acquire assets of the type
represented by the Assigned Interest and either it, or the Person exercising discretion in making its decision to acquire the Assigned Interest, is experienced in acquiring assets of such type, (v) it has received a copy of the Credit
Agreement, and has received or has been accorded the opportunity to receive copies of the most recent financial statements delivered pursuant to Section 6.1 thereof, as applicable, and such other documents and information
as it deems appropriate to make its own credit analysis and decision to enter into this Assignment and Assumption and to purchase the Assigned Interest, (vi) it has, independently and without reliance upon the Administrative Agent or any other
Lender and based on such documents and information as it has deemed appropriate, made its own credit analysis and decision to enter into this Assignment and Assumption and to purchase 

  
 D-5 

 
the Assigned Interest, and (vii) attached hereto is any documentation required to be delivered by it pursuant to the terms of the Credit Agreement, duly completed and executed by the
Assignee; and (b) agrees that (i) it will, independently and without reliance upon the Administrative Agent, the Assignor or any other Lender, and based on such documents and information as it shall deem appropriate at the time, continue
to make its own credit decisions in taking or not taking action under the Loan Documents, and (ii) it will perform in accordance with their terms all of the obligations which by the terms of the Loan Documents are required to be performed by it
as a Lender. 
 2. Payments. From and after the Effective Date, the Administrative Agent shall make all payments in respect of the Assigned Interest
(including payments of principal, interest, fees and other amounts) to the Assignor for amounts which have accrued to but excluding the Effective Date and to the Assignee for amounts which have accrued from and after the Effective Date. 

3. General Provisions. This Assignment and Assumption shall be binding upon, and inure to the benefit of, the parties hereto and their respective
successors and assigns. This Assignment and Assumption may be executed in any number of counterparts, which together shall constitute one instrument. Acceptance and adoption of the terms of this Assignment and Assumption by the Assignee and the
Assignor by Electronic Signature or delivery of an executed counterpart of a signature page of this Assignment and Assumption by any Electronic System shall be effective as delivery of a manually executed counterpart of this Assignment and
Assumption. This Assignment and Assumption shall be governed by, and construed in accordance with, the law of the State of New York. 

  
 D-6 

 EXHIBIT E 

FORM OF 
 BORROWING
REQUEST 
              , 20     

JPMorgan Chase Bank, N.A., 
 as Administrative Agent 

for the Lenders party to the 
 Credit Agreement referred to below

 500 Stanton Christiana Road, Ops 2, 3rd Floor 

Newark, DE 19713 
 Attention: Loan and Agency Services Group 

 

	 	Re:	Borrowing Request 

 Ladies and Gentlemen: 

Reference is hereby made to that certain Amended and Restated Revolving Credit and Term Loan Agreement dated as of February 1, 2017 (as
amended, supplemented, restated or otherwise modified from time to time, the “Credit Agreement”; capitalized terms used herein and not otherwise defined shall have the meanings given to them therein), among
Medical Properties Trust, Inc., MPT Operating Partnership, L.P. (the “Borrower”), the institutions from time to time party thereto as lenders, and JPMorgan Chase Bank, N.A., as Administrative Agent (the
“Administrative Agent”). 
 The Borrower hereby irrevocably requests, pursuant to Section [2.2] [2.3]
[2.5] [2.7] of the Credit Agreement, a borrowing under the Credit Agreement and, in connection therewith, sets forth below the information relating to such borrowing (the “Proposed Borrowing”) as required
pursuant to the terms of the Credit Agreement: 
 (i) The Proposed Borrowing is a borrowing of [Dollar Term Loans] [Euro Term Loans]
[Revolving Loans][Swingline Loans]. 
 (ii) The funding date (which shall be a Business Day) of the Proposed Borrowing
is            , 20    . 
 (iii) The aggregate amount of the
Proposed Borrowing is $         and the requested currency of the Proposed Borrowing is
            .1 
  

	1 	Such amount for any Eurodollar borrowing shall be in an aggregate Dollar Equivalent amount that is an integral multiple of $1,000,000 and not less than $5,000,000 or an integral multiple of €1,000,000 and not less
than €5,000,000 in the case of Euro Term Loans. At the time that each ABR borrowing is made, such borrowing shall be in an aggregate amount that is an integral multiple of $1,000,000 and not less than $1,000,000; provided that an ABR
borrowing may be in an aggregate amount that is equal to the entire unused balance of the total Revolving Commitments. Each Swingline Loan shall be in an amount that is an integral multiple of $100,000 and not less than $500,000. 

 (iv) The Proposed Borrowing will be a borrowing of [Eurodollar Loans] [ABR Loans][Swingline
Loans].2 
 [(v) If the Proposed Borrowing is a borrowing of Eurodollar Loans, the
requested Interest Period for the Proposed Borrowing is from              and ending              (for a total of
     months).3] 
 [(vi) If the Proposed Borrowing is a borrowing
of Revolving Loans, the requested currency for the Proposed Borrowing is             .]4 

[(vii) If the Proposed Borrowing is a borrowing of Revolving Loans, the amount of the Available Revolving Commitments as of the date of this
Borrowing Request is $        , after giving effect to the amount of this Borrowing Request and of any Proposed Borrowings of Revolving Loans in any prior Borrowing Requests delivered by the Borrower, but not
yet funded.] 
 [(viii) If the Proposed Borrowing is a borrowing of Revolving Loans in an Alternative Currency, the amount by which the
Alternative Currency Sublimit exceeds the Total Revolving Extensions of Credit denominated in Alternative Currencies (including the Proposed Borrowing) is $        .] 

[(ix) If the Proposed Borrowing is a borrowing of Swingline Loans, the amount by which the Swingline Commitment exceeds the aggregate
principal amount of outstanding Swingline Loans (including the Proposed Borrowing) is             .] 

The Borrower hereby directs the Administrative Agent to disburse the proceeds of the Loans comprising the Proposed Borrowing on the funding
date therefor by crediting the account of the Borrower on the books of the Administrative Agent, whereupon the proceeds of such Loans shall be deemed received by or for the benefit of the Borrower. 

 

	2 	Provided that there shall not be at any time more than a total of 10 Eurodollar Tranches outstanding. 

	3 	To be specified if the Proposed Borrowing is a borrowing of Eurodollar Loans. Such Interest Period must comply with the definition of “Interest Period” in the Credit Agreement. 

	4 	Such currency must be Dollars or an Alternative Currency 

  
 E-2 

 The Borrower hereby certifies that the conditions precedent contained in Section 5.2 of the
Credit Agreement are satisfied on the date hereof and will be satisfied on the funding date of the Proposed Borrowing. 
  

					
	MPT OPERATING PARTNERSHIP, L.P.
		
	By:	 	Medical Properties Trust, LLC, its general partner
		
	By:	 	Medical Properties Trust, Inc., its sole member
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

  
 E-3 

 EXHIBIT F-1 

FORM OF U.S. TAX COMPLIANCE CERTIFICATE 

(For Foreign Lenders That Are Not Partnerships For U.S. Federal Income Tax Purposes) 

Reference is hereby made to the Amended and Restated Revolving Credit and Term Loan Agreement dated as of February 1, 2017 (as amended,
supplemented or otherwise modified from time to time, the “Credit Agreement”), among Medical Properties Trust, Inc., MPT Operating Partnership, L.P., as Borrower, JPMorgan Chase Bank, N.A., as Administrative
Agent, and each lender from time to time party thereto. 
 Pursuant to the provisions of Section 2.19(f)(ii)(B)(3) of the Credit Agreement,
the undersigned hereby certifies that (i) it is the sole record and beneficial owner of the Loan(s) (as well as any Note(s) evidencing such Loan(s)) in respect of which it is providing this certificate, (ii) it is not a bank within the
meaning of Section 881(c)(3)(A) of the Code, (iii) it is not a ten percent shareholder of the Borrower within the meaning of Section 871(c)(3)(B) of the Code and (iv) it is not a controlled foreign corporation related to the Borrower as
described in Section 881(c)(3)(C) of the Code. 
 The undersigned has furnished the Administrative Agent and the Borrower with a certificate
of its non-U.S. Person status on IRS Form W-8BEN or IRS Form W-8BEN-E, as applicable. By
executing this certificate, the undersigned agrees that (1) if the information provided on this certificate changes, the undersigned shall promptly so inform the Borrower and the Administrative Agent, and (2) the undersigned shall have at
all times furnished the Borrower and the Administrative Agent with a properly completed and currently effective certificate in either the calendar year in which each payment is to be made to the undersigned, or in either of the two calendar years
preceding such payments. 
 Unless otherwise defined herein, terms defined in the Credit Agreement and used herein shall have the meanings
given to them in the Credit Agreement. 
 [NAME OF LENDER] 
  

					
	 By:
	 	  

		 	 Name:
	 	
		 	 Title:
	 	

 Date:              , 20     

  
 F-1-1 

 EXHIBIT F-2 

FORM OF U.S. TAX COMPLIANCE CERTIFICATE 

(For Foreign Participants That Are Not Partnerships For U.S. Federal Income Tax Purposes) 

Reference is hereby made to the Amended and Restated Revolving Credit and Term Loan Agreement dated as of February 1, 2017 (as amended,
supplemented or otherwise modified from time to time, the “Credit Agreement”), among Medical Properties Trust, Inc., MPT Operating Partnership, L.P., as Borrower, JPMorgan Chase Bank, N.A., as Administrative
Agent, and each lender from time to time party thereto. 
 Pursuant to the provisions of Section 2.19(f)(ii)(B)(4) of the Credit Agreement,
the undersigned hereby certifies that (i) it is the sole record and beneficial owner of the participation in respect of which it is providing this certificate, (ii) it is not a bank within the meaning of Section 881(c)(3)(A) of the Code,
(iii) it is not a ten percent shareholder of the Borrower within the meaning of Section 871(c)(3)(B) of the Code, and (iv) it is not a controlled foreign corporation related to the Borrower as described in Section 881(c)(3)(C) of
the Code. 
 The undersigned has furnished its participating Lender with a certificate of its
non-U.S. Person status on IRS Form W-8BEN or IRS Form W-8BEN-E, as applicable. By
executing this certificate, the undersigned agrees that (1) if the information provided on this certificate changes, the undersigned shall promptly so inform such Lender in writing, and (2) the undersigned shall have at all times furnished
such Lender with a properly completed and currently effective certificate in either the calendar year in which each payment is to be made to the undersigned, or in either of the two calendar years preceding such payments. 

Unless otherwise defined herein, terms defined in the Credit Agreement and used herein shall have the meanings given to them in the Credit
Agreement. 
  

					
	[NAME OF PARTICIPANT]
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

 Date:              , 20     

  
 F-2-1 

 EXHIBIT F-3 

FORM OF U.S. TAX COMPLIANCE CERTIFICATE 

(For Foreign Participants That Are Partnerships For U.S. Federal Income Tax Purposes) 

Reference is hereby made to the Amended and Restated Revolving Credit and Term Loan Agreement dated as of February 1, 2017 (as amended,
supplemented or otherwise modified from time to time, the “Credit Agreement”), among Medical Properties Trust, Inc., MPT Operating Partnership, L.P., as Borrower, JPMorgan Chase Bank, N.A., as Administrative
Agent, and each lender from time to time party thereto. 
 Pursuant to the provisions of Section 2.19(f)(ii)(B)(4) of the Credit Agreement,
the undersigned hereby certifies that (i) it is the sole record owner of the participation in respect of which it is providing this certificate, (ii) its direct or indirect partners/members are the sole beneficial owners of such
participation, (iii) with respect to such participation, neither the undersigned nor any of its direct or indirect partners/members is a bank extending credit pursuant to a loan agreement entered into in the ordinary course of its trade or
business within the meaning of Section 881(c)(3)(A) of the Code, (iv) none of its direct or indirect partners/members is a ten percent shareholder of the Borrower within the meaning of Section 871(c)(3)(B) of the Code and (v) none of its
direct or indirect partners/members is a controlled foreign corporation related to the Borrower as described in Section 881(c)(3)(C) of the Code. 

The undersigned has furnished its participating Lender with IRS Form W-8IMY accompanied by one of the
following forms from each of its partners/members that is claiming the portfolio interest exemption: (i) an IRS Form W-8BEN or IRS Form W8BEN-E, as applicable, or
(ii) an IRS Form W-8IMY accompanied by an IRS Form W-8BEN or IRS Form W-8BEN-E, as
applicable, from each of such partner’s/member’s beneficial owners that is claiming the portfolio interest exemption. By executing this certificate, the undersigned agrees that (1) if the information provided on this certificate
changes, the undersigned shall promptly so inform such Lender and (2) the undersigned shall have at all times furnished such Lender with a properly completed and currently effective certificate in either the calendar year in which each payment
is to be made to the undersigned, or in either of the two calendar years preceding such payments. 
 Unless otherwise defined herein, terms
defined in the Credit Agreement and used herein shall have the meanings given to them in the Credit Agreement. 
  

					
	[NAME OF PARTICIPANT]
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

 Date:              , 20     

  
 F-3-1 

 EXHIBIT F-4 

FORM OF U.S. TAX COMPLIANCE CERTIFICATE 

(For Foreign Lenders That Are Partnerships For U.S. Federal Income Tax Purposes) 

Reference is hereby made to the Amended and Restated Revolving Credit and Term Loan Agreement dated as of February 1, 2017 (as amended,
supplemented or otherwise modified from time to time, the “Credit Agreement”), among Medical Properties Trust, Inc., MPT Operating Partnership, L.P., as Borrower, JPMorgan Chase Bank, N.A., as Administrative
Agent, and each lender from time to time party thereto. 
 Pursuant to the provisions of Section 2.19(f)(ii)(B)(4) of the Credit Agreement,
the undersigned hereby certifies that (i) it is the sole record owner of the Loan(s) (as well as any Note(s) evidencing such Loan(s)) in respect of which it is providing this certificate, (ii) its direct or indirect partners/members are
the sole beneficial owners of such Loan(s) (as well as any Note(s) evidencing such Loan(s)), (iii) with respect to the extension of credit pursuant to this Credit Agreement or any other Loan Document, neither the undersigned nor any of its direct or
indirect partners/members is a bank extending credit pursuant to a loan agreement entered into in the ordinary course of its trade or business within the meaning of Section 881(c)(3)(A) of the Code, (iv) none of its direct or indirect
partners/members is a ten percent shareholder of the Borrower within the meaning of Section 871(c)(3)(B) of the Code and (v) none of its direct or indirect partners/members is a controlled foreign corporation related to the Borrower as
described in Section 881(c)(3)(C) of the Code. 
 The undersigned has furnished the Administrative Agent and the Borrower with IRS Form W-8IMY accompanied by one of the following forms from each of its partners/members that is claiming the portfolio interest exemption: (i) an IRS Form W-8BEN or IRS Form W-8BEN-E, as applicable, or (ii) an IRS Form W-8IMY accompanied by an IRS Form W-8BEN or
IRS Form W-8BEN-E, as applicable, from each of such partner’s/member’s beneficial owners that is claiming the portfolio interest exemption. By executing this
certificate, the undersigned agrees that (1) if the information provided on this certificate changes, the undersigned shall promptly so inform the Borrower and the Administrative Agent, and (2) the undersigned shall have at all times
furnished the Borrower and the Administrative Agent with a properly completed and currently effective certificate in either the calendar year in which each payment is to be made to the undersigned, or in either of the two calendar years preceding
such payments. 
 Unless otherwise defined herein, terms defined in the Credit Agreement and used herein shall have the meanings given to
them in the Credit Agreement. 
  

					
	[NAME OF LENDER]
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

 Date:              , 20     

  
 F-4-1 

 EXHIBIT G 

FORM OF ADHERENCE AGREEMENT 

ADHERENCE AGREEMENT (this “Agreement”) dated as of      by     , a
    , which is a new Subsidiary Borrower (the “New Borrower”), and MPT Operating Partnership, L.P., a Delaware limited partnership (“MOP”), the direct or indirect parent of the New Borrower, in
favor of JPMorgan Chase Bank, N.A., as Administrative Agent for the Lenders. 
 Reference is made to the Amended and Restated Revolving
Credit and Term Loan Agreement dated as of February 1, 2017 among Medical Properties Trust, Inc., MOP, the Subsidiary Borrowers from time to time party thereto, the Lenders from time to time party thereto, the Issuing Lenders party thereto, JPMorgan
Chase Bank, N.A., as Administrative Agent, and the other agents party thereto (as amended, supplemented, or otherwise modified from time to time, the “Credit Agreement”). Terms used herein as defined terms and not otherwise defined
herein shall have the meanings given thereto in the Credit Agreement. 
 Section 10.22 of the Credit Agreement provides that, subject
to certain conditions, the undersigned New Borrower may become a party to, and a “Subsidiary Borrower” under, the Credit Agreement by entering into an agreement in the form of this Agreement. 

Accordingly, and for other good and lawful consideration the receipt and sufficiency of which are hereby acknowledged, the parties hereto
hereby agree as follows: 
 1. In accordance with Section 10.22 of the Credit Agreement, the New Borrower by its signature below
becomes a “Subsidiary Borrower” under the Credit Agreement with the same force and effect as if originally named therein as a Subsidiary Borrower. The New Borrower hereby agrees to all of the terms and provisions of the Credit Agreement
applicable to it as a Subsidiary Borrower thereunder. Hereafter, each reference to a “Subsidiary Borrower” in the Credit Agreement shall be deemed to include the New Borrower. The Credit Agreement is hereby incorporated herein by
reference. 
 2. The New Borrower represents and warrants to the Administrative Agent and the Lenders that (a) this Agreement has been
duly authorized, executed and delivered by it and constitutes its legal, valid and binding obligation, enforceable against it in accordance with its terms, subject to (i) the effects of bankruptcy, insolvency, fraudulent conveyance,
reorganization, moratorium and other similar laws relating to or affecting creditors’ rights generally and (ii) general equitable principles (whether considered in a proceeding in equity or at law); (b) no Event of Default has occurred and
is continuing immediately after giving effect to the execution and delivery of this Agreement; (c) the Baseline Conditions relating to it are satisfied in all material respects on and as of the date hereof; and (d) it is a Wholly Owned
Subsidiary of MOP. 
 3. This Agreement may be executed in counterparts (and by different parties hereto on different counterparts), each of
which shall constitute an original, but all of which, when taken together, shall constitute but one agreement. This Agreement shall become effective 

  
 G-1 

 
when the Administrative Agent shall have received counterparts of this Agreement that bear the signatures of the New Borrower and MOP. Delivery of an executed counterpart of a signature page of
this Agreement by any electronic means that reproduces an image of the actual executed signature page shall be effective as delivery of a manually executed counterpart of this Agreement. 

4. Except as expressly supplemented hereby, the Credit Agreement shall remain in full force and effect. 

5. THIS AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND
INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 
 6. If any one or more of the provisions contained in this Agreement
should be held invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions contained herein and in any other Loan Document shall not in any way be affected or impaired. The parties hereto
shall endeavor in good faith negotiations to replace the invalid, illegal or unenforceable provisions with valid provisions the economic effect of which comes as close as possible to that of the invalid, illegal or unenforceable provisions. 

7. All communications and notices hereunder shall be in writing and given as provided in Section 10.2 of the Credit Agreement. All
communications and notices hereunder to the New Borrower shall be given to it at the address set forth under its signature hereto. 
 9.
Neither this Agreement nor any provision hereof may be waived, amended or modified except pursuant to an agreement or agreements in writing entered into by all of the Borrowers at the time thereof and the Administrative Agent. 

10. The New Borrower agrees to reimburse the Administrative Agent for its expenses to the extent required by Section 10.5 of the Credit
Agreement. 
 [SIGNATURE PAGE FOLLOWS] 

  
 G-2 

 IN WITNESS WHEREOF, the parties hereto have caused this Adherence Agreement to be duly executed
and delivered as of the day and year first above written. 
  

					
	[NEW BORROWER]
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	
	
	Address:
	
	  

	  

	  

	
	MPT OPERATING PARTNERSHIP, L.P.
			
		 	By:	 	Medical Properties Trust, LLC, its
		 		 	general partner
			
		 		 	By: Medical Properties Trust, Inc.,
		 		 	its sole member
		
	By:	 	  

		 	Name:	 	
		 	Title:	 	

  

			
	Acknowledged By:
	
	MEDICAL PROPERTIES TRUST, INC.
		
	By:	 	  

	Name:	 	
	Title:	 	

  
 G-3 

 EXHIBIT H 

FORM OF QUALIFIED BORROWER GUARANTY 
 This
Guaranty is made as of                      by MPT Operating Partnership, L.P., a Delaware limited partnership (the “Guarantor”), to
and for the benefit of JPMorgan Chase Bank, N.A., as Administrative Agent (“Administrative Agent”) for itself and the lenders under the Credit Agreement (as defined below) and their respective successors and assigns (collectively,
the “Lenders”). 
 RECITALS 

A. The Guarantor has requested and Lenders have agreed to make available to the Guarantor a revolving credit and term loan facility (the
“Facility”) pursuant to the terms and conditions set forth in an Amended and Restated Revolving Credit and Term Loan Agreement dated as of February 1, 2017, among Medical Properties Trust, Inc., Guarantor, as borrower, the
Administrative Agent, and the Lenders named therein (as amended, modified or restated from time to time, the “Credit Agreement”). All capitalized terms used herein and not otherwise defined shall have the meanings ascribed to such
terms in the Credit Agreement. 
 B. The Credit Agreement allows, among other things, for Subsidiary Borrowers to request Loans under the Facility provided,
among other things, that Guarantor execute and deliver this Guaranty. Each Subsidiary Borrower from time to time will execute and deliver to the Lenders promissory notes as evidence of such Subsidiary Borrower’s indebtedness to each such Lender
with respect to the Facility (the promissory notes described above, together with any amendments or allonges thereto, or restatements, replacements or renewals thereof, and/or new promissory notes to new Lenders under the Credit Agreement, are
collectively referred to herein as the “Notes”). 
 C. Each Subsidiary Borrower is directly or indirectly wholly owned by Guarantor. 

AGREEMENTS 
 NOW, THEREFORE, Guarantor, in
consideration of the matters described in the foregoing Recitals, which Recitals are incorporated herein and made a part hereof, and for other good and valuable consideration, hereby agrees as follows: 

1. Guarantor absolutely, unconditionally, and irrevocably guaranties to each of the Lenders: 

(a) the full and prompt payment of the principal of and interest on the Notes when due, whether at stated maturity, upon
acceleration or otherwise, and at all times thereafter, and the prompt payment of all sums which may now be or may hereafter become due and owing from each Subsidiary Borrower under the Notes, the Credit Agreement, and the other Loan Documents; 

(b) the payment of all Enforcement Costs (as hereinafter defined in Paragraph 7 hereof); and 

(c) the full, complete, and punctual observance, performance, and satisfaction of all of the obligations, duties, covenants,
and agreements of each Subsidiary Borrower under the Credit Agreement and the Loan Documents. 

  
 H-1 

 All amounts due, debts, liabilities, and payment obligations described in subparagraphs (a) and (b) of this
Paragraph 1 are referred to herein as the “Facility Indebtedness.” All obligations described in subparagraph (c) of this Paragraph 1 are referred to herein as the
“Obligations.” 
 2. In the event of any default by a Subsidiary Borrower in making payment of the Facility Indebtedness, or in performance
of the Obligations, as aforesaid, in each case beyond the expiration of any applicable grace period, Guarantor agrees, on demand by the Administrative Agent or the holder of a Note, to pay all the Facility Indebtedness and to perform all the
Obligations as are then or thereafter become due and owing or are to be performed under the terms of the Notes, the Credit Agreement, and the other Loan Documents. All references to Borrower in this Guaranty shall refer to each Subsidiary Borrower.

 3. Guarantor does hereby waive (i) notice of acceptance of this Guaranty by the Administrative Agent and the Lenders and any and all notices and
demands of every kind which may be required to be given by any statute, rule or law, (ii) any defense, right of set-off or other claim which Guarantor may have against Borrower or which Guarantor or
Borrower may have against the Administrative Agent or the Lenders or the holder of a Note, (iii) presentment for payment, demand for payment (other than as provided for in Paragraph 2 above), notice of nonpayment
(other than as provided for in Paragraph 2 above) or dishonor, protest and notice of protest, diligence in collection and any and all formalities which otherwise might be legally required to charge Guarantor with liability,
(iv) any failure by the Administrative Agent and the Lenders to inform Guarantor of any facts the Administrative Agent and the Lenders may now or hereafter know about Borrower, the Facility, or the transactions contemplated by the Credit
Agreement, it being understood and agreed that the Administrative Agent and the Lenders have no duty so to inform and that Guarantor is fully responsible for being and remaining informed by Borrower of all circumstances bearing on the existence or
creation, or the risk of nonpayment of the Facility Indebtedness or the risk of nonperformance of the Obligations, and (v) any and all right to cause a marshalling of assets of Borrower or any other action by any court or governmental body with
respect thereto, or to cause the Administrative Agent and the Lenders to proceed against any other security given to a Lender in connection with the Facility Indebtedness or the Obligations. Credit may be granted or continued from time to time by
the Lenders to Borrower without notice to or authorization from Guarantor, regardless of the financial or other condition of Borrower at the time of any such grant or continuation. The Administrative Agent and the Lenders shall have no obligation to
disclose or discuss with Guarantor the Lenders’ assessment of the financial condition of Borrower. Guarantor acknowledges that no representations of any kind whatsoever have been made by the Administrative Agent and the Lenders to Guarantor. No
modification or waiver of any of the provisions of this Guaranty shall be binding upon the Administrative Agent and the Lenders except as expressly set forth in a writing duly signed and delivered on behalf of the Administrative Agent and the
Lenders. Guarantor further agrees that any exculpatory language contained in the Credit Agreement, the Notes, and the other Loan Documents shall in no event apply to this Guaranty, and will not prevent the Administrative Agent and the Lenders from
proceeding against Guarantor to enforce this Guaranty. 

  
 H-2 

 4. Guarantor further agrees that Guarantor’s liability as guarantor shall in no way be impaired by any
renewals or extensions which may be made from time to time, with or without the knowledge or consent of Guarantor of the time for payment of interest or principal under a Note or by any forbearance or delay in collecting interest or principal under
a Note, or by any waiver by the Administrative Agent and the Lenders under the Credit Agreement, or any other Loan Documents, or by the Administrative Agent or the Lenders’ failure or election not to pursue any other remedies they may have
against Borrower, or by any change or modification in a Note, the Credit Agreement, or any other Loan Documents, or by the acceptance by the Administrative Agent or the Lenders of any security or any increase, substitution or change therein, or by
the release by the Administrative Agent and the Lenders of any security or any withdrawal thereof or decrease therein, or by the application of payments received from any source to the payment of any obligation other than the Facility Indebtedness,
even though a Lender might lawfully have elected to apply such payments to any part or all of the Facility Indebtedness, it being the intent hereof that Guarantor shall remain liable as principal for payment of the Facility Indebtedness and
performance of the Obligations until all indebtedness has been paid in full and the other terms, covenants and conditions of the Credit Agreement, and other Loan Documents and this Guaranty have been performed, notwithstanding any act or thing which
might otherwise operate as a legal or equitable discharge of a surety. Guarantor further understands and agrees that the Administrative Agent and the Lenders may at any time enter into agreements with Borrower to amend and modify a Note, the Credit
Agreement or any of the other Loan Documents, or any thereof, and may waive or release any provision or provisions of a Note, the Credit Agreement, or any other Loan Document and, with reference to such instruments, may make and enter into any such
agreement or agreements as the Administrative Agent, the Lenders and Borrower may deem proper and desirable, without in any manner impairing this Guaranty or any of the Administrative Agent and the Lenders’ rights hereunder or any of
Guarantor’s obligations hereunder. 
 5. This is an absolute, unconditional, complete, present and continuing guaranty of payment and performance and
not of collection. Guarantor agrees that its obligations hereunder shall be joint and several with any and all other guarantees given in connection with the Facility from time to time. Guarantor agrees that this Guaranty may be enforced by the
Administrative Agent and the Lenders without the necessity at any time of resorting to or exhausting any security or collateral, if any, given in connection herewith or with a Note, the Credit Agreement, or any of the other Loan Documents or by or
resorting to any other guaranties, and Guarantor hereby waives the right to require the Administrative Agent and the Lenders to join Borrower in any action brought hereunder or to commence any action against or obtain any judgment against Borrower
or to pursue any other remedy or enforce any other right. Guarantor further agrees that nothing contained herein or otherwise shall prevent the Administrative Agent and the Lenders from pursuing concurrently or successively all rights and remedies
available to them at law and/or in equity or under a Note, the Credit Agreement or any other Loan Documents, and the exercise of any of their rights or the completion of any of their remedies shall not constitute a discharge of any of
Guarantor’s obligations hereunder, it being the purpose and intent of Guarantor that the obligations of Guarantor hereunder shall be primary, absolute, independent and unconditional under any and all circumstances whatsoever. Neither
Guarantor’s obligations under this Guaranty nor any remedy for the enforcement thereof shall be impaired, modified, changed or released in any manner whatsoever by any impairment, modification, change, release or limitation of the liability of
Borrower under a Note, the Credit Agreement or any other Loan 

  
 H-3 

 
Document or by reason of Borrower’s bankruptcy or by reason of any creditor or bankruptcy proceeding instituted by or against Borrower. This Guaranty shall continue to be effective and be
deemed to have continued in existence or be reinstated (as the case may be) if at any time payment of all or any part of any sum payable pursuant to a Note, the Credit Agreement or any other Loan Document is rescinded or otherwise required to be
returned by the payee upon the insolvency, bankruptcy, or reorganization of the payor, all as though such payment to such Lender had not been made, regardless of whether such Lender contested the order requiring the return of such payment. The
obligations of Guarantor pursuant to the preceding sentence shall survive any termination, cancellation, or release of this Guaranty. 
 6. This Guaranty
shall be assignable by a Lender to any assignee of all or a portion of such Lender’s rights under the Loan Documents made in accordance with the Credit Agreement. 

7. If: (i) this Guaranty, a Note, or any of the Loan Documents are placed in the hands of an attorney for collection or is collected through any legal
proceeding; (ii) an attorney is retained to represent the Administrative Agent or any Lender in any bankruptcy, reorganization, receivership, or other proceedings affecting creditors’ rights and involving a claim under this Guaranty, a
Note, the Credit Agreement, or any Loan Document; (iii) an attorney is retained to enforce any of the other Loan Documents or to provide advice or other representation with respect to the Loan Documents in connection with an enforcement action
or potential enforcement action; or (iv) an attorney is retained to represent the Administrative Agent or any Lender in any other legal proceedings whatsoever in connection with this Guaranty, a Note, the Credit Agreement, any of the Loan
Documents, or any property subject thereto (other than any action or proceeding brought by any Lender or participant against the Administrative Agent alleging a breach by the Administrative Agent of its duties under the Loan Documents), then
Guarantor shall pay to the Administrative Agent or such Lender all its documented out-of-pocket costs and expenses incurred in connection with the enforcement or
preservation of any rights under this Guaranty, the other Loan Documents and any other such documents (including any workout or restructuring or negoatiaions in respect thereof), including the documented fees and disbursements and other out-of-pocket costs of counsel to each Lender and of counsel to the Administrative Agent. 

8. The parties hereto intend that each provision in this Guaranty comports with all applicable local, state and federal laws and judicial decisions. However,
if any provision or provisions, or if any portion of any provision or provisions, in this Guaranty is found by a court of law to be in violation of any applicable local, state or federal ordinance, statute, law, administrative or judicial decision,
or public policy, and if such court should declare such portion, provision or provisions of this Guaranty to be illegal, invalid, unlawful, void or unenforceable as written, then it is the intent of all parties hereto that such portion, provision or
provisions shall be given force to the fullest possible extent that they are legal, valid and enforceable, that the remainder of this Guaranty shall be construed as if such illegal, invalid, unlawful, void or unenforceable portion, provision or
provisions were not contained therein, and that the rights, obligations and interest of the Administrative Agent and the Lender or the holder of a Note under the remainder of this Guaranty shall continue in full force and effect. 

9. Any indebtedness of Borrower to Guarantor now or hereafter existing is hereby subordinated to the Facility Indebtedness. Guarantor will not seek, accept,
or retain for Guarantor’s own account, any payment from Borrower on account of such subordinated debt at 

  
 H-4 

 
any time when a Default exists under the Credit Agreement or the Loan Documents, and any such payments to Guarantor made while any Default then exists under the Credit Agreement or the Loan
Documents on account of such subordinated debt shall be collected and received by Guarantor in trust for the Lenders and shall be paid over to the Administrative Agent on behalf of the Lenders on account of the Facility Indebtedness without
impairing or releasing the obligations of Guarantor hereunder. 
 10. Guarantor hereby subordinates to the Facility Indebtedness any and all claims and
rights, including, without limitation, subrogation rights, contribution rights, reimbursement rights and set-off rights, which Guarantor may have against Borrower arising from a payment made by Guarantor under
this Guaranty and agree that, until the entire Facility Indebtedness is paid in full, not to assert or take advantage of any subrogation rights of Guarantor or the Lenders or any right of Guarantor or the Lenders to proceed against (i) Borrower
for reimbursement, or (ii) any other guarantor or any collateral security or guaranty or right of offset held by the Lenders for the payment of the Facility Indebtedness and performance of the Obligations, nor shall Guarantor seek or be
entitled to seek any contribution or reimbursement from Borrower or any other guarantor in respect of payments made by Guarantor hereunder. It is expressly understood that the agreements of Guarantor set forth above constitute additional and
cumulative benefits given to the Lenders for their security and as an inducement for their extension of credit to Borrower. 
 11. Any amounts received by a
Lender from any source on account of any indebtedness may be applied by such Lender toward the payment of such indebtedness, and in such order of application, as a Lender may from time to time elect. 

12. Guarantor hereby: 
 (a)
submits, for itself and its property, to the exclusive jurisdiction of the Supreme Court of the State of New York sitting in New York County, Borough of Manhattan, and of the United States District Court for the Southern District of New York, and
any appellate court from any thereof, in any action or proceeding arising out of or relating to this Agreement, or for recognition or enforcement of any judgment, and Guarantor hereto hereby irrevocably and unconditionally agrees that all claims in
respect of any such action or proceeding may be heard and determined in such New York State or, to the extent permitted by law, in such Federal court. Guarantor hereto agrees that a final judgment in any such action or proceeding shall be conclusive
and may be enforced in other jurisdictions by suit on the judgment or in any other manner provided by law. 
 (b) consents
that any such action or proceeding may be brought in such courts and waives any objection that it may now or hereafter have to the venue of any such action or proceeding in any such court or that such action or proceeding was brought in an
inconvenient court and agrees not to plead or claim the same; 
 (c) agrees that service of process in any such action or
proceeding may be effected by mailing a copy thereof by registered or certified mail (or any substantially similar form of mail), postage prepaid, to Holdings or the Borrower, as the case may be at its address set forth in Section 10.2 of the
Credit Agreement or at such other address of which the Administrative Agent shall have been notified pursuant thereto; 

  
 H-5 

 (d) agrees that nothing herein shall affect the right to effect service of
process in any other manner permitted by law or shall limit the right to sue in any other jurisdiction; and 
 (e) waives, to
the maximum extent not prohibited by law, any right it may have to claim or recover in any legal action or proceeding referred to in this Section any special, exemplary, punitive or consequential damages. 

13. All notices and other communications provided to any party hereto under this Agreement or any other Loan Document shall be in writing or by telex or by
facsimile and addressed or delivered to such party at its address set forth below or at such other address as may be designated by such party in a notice to the other parties. Any notice, if mailed and properly addressed with postage prepaid, shall
be deemed given when received; any notice, if transmitted by facsimile, shall be deemed given when transmitted. Notice may be given as set forth in the Credit Agreement. 

14. This Guaranty shall be binding upon the successors and assigns of Guarantor and shall inure to the benefit of the Administrative Agent and the
Lenders’ permitted successors and assigns. 
 15. THIS GUARANTY AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED
BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 
 16. GUARANTOR, THE ADMINISTRATIVE AGENT AND THE LENDERS, BY THEIR
ACCEPTANCE HEREOF, IRREVOCABLY AND UNCONDITIONALLY WAIVE TRIAL BY JURY IN ANY LEGAL ACTION OR PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AGREEMENT OR ANY OTHER LOAN DOCUMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY AND FOR
ANY COUNTERCLAIM THEREIN. EACH PARTY HERETO (A) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE
FOREGOING WAIVER AND (B) ACKNOWLEDGES THAT IT AND THE OTHER PARTIES HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION. 

[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] 

  
 H-6 

 IN WITNESS WHEREOF, Guarantor has delivered this Guaranty as of the date first written above. 

 

					
	MPT OPERATING PARTNERSHIP, L.P.
		
	By:	 	Medical Properties Trust, LLC,
		 	its general partner
			
		 	By:	 	Medical Properties Trust, Inc.,
		 		 	its sole member
		
	By:	 	  

	Name:	 		 	
	Title:	 		 	

  
 H-7

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