ARTICLE I DEFINED TERMS

1.1.

Certain Defined Terms.

1.2.

Interpretation; Terms Generally. 

ARTICLE II FUNDING AND DEVELOPMENT

2.1.

Funding and Development.

2.2.

Selection of Real Properties.

2.3.

Final Approval of Real Properties

2.4

Existing Facility Acquisitions

2.5

Distressed Facility Acquisitions.

2.6

Commitment Fee.

ARTICLE III PURCHASE AND SALE OF ASSETS; PURCHASE PRICE

3.1.

Purchase and Sale of Assets. 

3.2.

No Assumption of Liabilities.

3.3.

Project Purchase Price. 

3.4.

Taxes, Rentals, Utilities. 

ARTICLE IV REPRESENTATIONS, WARRANTIES AND COVENANTS OF THE ADEPTUS PARTIES

4.1.

Organization. 

4.2.

Authorization; Enforcement. 

4.3.

Absence of Conflicts.

4.4.

Consents and Approvals. 

4.5.

Financial Statements. 

4.6.

No Undisclosed Liabilities; Guaranties.

4.7.

Absence of Changes.

4.8.

Reserved.

4.9.

Taxes. 

4.10.

Litigation.

4.11.

Contracts, Obligations and Commitments.

4.12.

Permits. 

4.13.

Compliance with Law.

4.14.

Brokers. 

4.15.

Agreements with Affiliates and Certain Other Persons. 

4.16.

Patriot Act Compliance.

4.17.

Representations Complete. 

ARTICLE V REPRESENTATIONS AND WARRANTIES BY MPT

5.1.

Organization. 

5.2.

Authorization; Enforcement, Absence of Conflicts.  .

5.3.

Binding Agreement. 

5.4.

Litigation. 

5.5.

Brokers. 

5.6.

Compliance with Law. 

5.7.

Patriot Act Compliance.

5.8.

Representations Complete. 

ARTICLE VI PRE CLOSING COVENANTS

6.1.

Intentionally Omitted.

6.2.

Access; Confidentiality.

6.3.

Schedule Updates. 

6.4.

Conduct of Business by Adeptus Parties. 

6.5.

Cooperation.

6.6.

Regulatory and other Authorizations, Notices and Consents.

6.7.

Mutual Covenants. 

ARTICLE VII CLOSING CONDITIONS

7.1.

Conditions to the Obligations of Adeptus.

7.2.

Conditions to the Obligations of MPT. 

ARTICLE VIII CLOSINGS

8.1.

Applicable Closing Dates.

8.2.

Adeptus Parties' Closing Date Deliverables. 

8.3.

MPT Parties' Closing Date Deliverables. 

ARTICLE IX TERMINATION

9.1.

Termination.

9.2.

Notice and Effect. 

ARTICLE X CERTAIN POST CLOSING COVENANTS

10.1.

HIPAA Compliance.

10.2.

Post‑Closing Access to Information. 

10.3.

Real Estate Contract Indemnification.

10.4.

Joinder of New Projects.

ARTICLE XI INDEMNIFICATION

11.1.

Adeptus Parties' Agreement to Indemnify.

11.2.

MPT's Agreement to Indemnify.

11.3.

Notification and Defense of Claims.

11.4.

Investigations. 

11.5.

Exclusive Remedy. 

ARTICLE XII DISPUTE RESOLUTION

12.1.

Governing Law.

12.2.

Jurisdiction and Venue. 

12.3.

Waiver of Jury Trial. 

ARTICLE XIII MISCELLANEOUS

13.1.

Assignment.

13.2.

Notice. 

13.3.

Calculation of Time Period. 

13.4.

Captions. 

13.5.

Entire Agreement; Modification. 

13.6.

Schedules and Exhibits. 

13.7.

Further Assurances. 

13.8.

Counterparts. 

13.9.

Expenses.

13.10.

Public Announcements.

13.11.

Right to Specific Performance.

13.12.

Binding Effect; No‑Third Party Beneficiaries. 

13.13.

Construction. 

13.14.

Joint and Several Obligations. 

ARTICLE I

DEFINED TERMS

1.1. Certain Defined Terms.  Capitalized terms used herein shall have the respective meanings ascribed to them in this Section 1.1.

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 parties, Articles, Sections, Schedules and Exhibits shall be deemed to refer to parties, 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.

ARTICLE II

FUNDING AND DEVELOPMENT

2.1. Funding and Development.  Based upon the representations and warranties set forth herein, and subject to the terms and conditions hereof, MPT shall cause the MPT Lessors to fund the applicable Project Purchase Price (or Existing Facility Purchase Price), all Closing Costs, Pursuit Costs for the Assets, any items with respect to which Adeptus is responsible pursuant to Section 3.4) and all hard and soft costs for the construction of Improvements in connection with New Development Projects, relating to (a) the acquisition of Real Property and the construction of additional Improvements relating to ER Facilities, (b) the acquisition of Real Property and the construction of additional Improvements relating to Hospital Facilities, and (c) the acquisition of Real Property relating to existing Hospital Facilities, with a maximum aggregate funding of $150,000,000.00 (the "Maximum Funding Amount").  All acquisitions and funding relating to New Development Projects will be pursuant to the terms of the applicable Project Development Agreement.  All funding relating to Existing Facility Acquisitions will be pursuant to the terms of the applicable Hospital Property Contract.  During the Commitment Period, MPT shall have the sole and exclusive right of first refusal to finance the acquisition and development of real property for the Business (the "MPT Right of Refusal"); provided, however, that the MPT Right of First Refusal shall be subject to the following exceptions (collectively, the "Exclusivity Exception"):

2.2. Selection of Real Properties; Initial Approval.  From the date hereof until the first to occur of (a) January 31, 2016, (b) the Termination Date, or (c) the Applicable Closing Date of the Final Closing (the "Commitment Period"), Adeptus shall have the right to select parcels of real property for New Projects that it desires an MPT Lessor to acquire pursuant to the provisions of this Agreement (each, a "Target Property").  Adeptus shall provide written notice to MPT identifying each Target Property, together with the information described in the schedule attached hereto as Schedule 2.2(a), at least thirty (30) days prior to the anticipated Applicable Closing Date for such Target Property (each, an "Initial Target Property Notice").  Within ten (10) Business Days after MPT's receipt of each Initial Target Property Notice, MPT shall have the right to initially approve or reject such Target Property, which approval shall not be unreasonably withheld or conditioned.  If MPT shall fail to initially approve or reject any Target Property within said ten (10) Business Day period, MPT shall be deemed to have rejected such Target Property.  Adeptus Buyer shall have the right to enter into a Real Estate Contract in accordance with Section 2.3 below.

2.3. Final Approval of Real Properties.  In connection with each Target Property that has been initially approved by MPT, if a Real Estate Contract has not previously been entered into, Adeptus (a) shall use its commercially reasonable efforts to cause the applicable Adeptus Buyer to enter a Real Estate Contract for the purchase thereof, and (b) shall provide MPT promptly with the additional information (the “Final Approval Information”) described in the schedule attached hereto as Schedule 2.2(b).  Within ten (10) Business Days after receipt of the Final Approval Information, MPT shall have the right to determine, which determination shall not be unreasonably withheld or conditioned, if it desires to acquire the Target Property.  If MPT shall fail to finally approve or reject such Target Property within said ten (10) Business Day period, then MPT shall be deemed to have rejected such Target Property; provided, however, that if MPT rejects or is deemed to have rejected a Target Property, Adeptus Buyer, at its option, may proceed to acquire the Target Property with other funds.  Provided that MPT approves the Final Approval Information, MPT and Adeptus shall endeavor in good faith to close such acquisition subject to the terms and conditions of this Agreement and the applicable Real Estate Contract.

2.4. Existing Facility Acquisitions.  In the event that any Target Property approved by MPT in accordance with Section 2.3 relates to an Existing Facility Acquisition, the Existing Facility Purchase Price, along with all representations, warranties, terms, conditions, deliveries, closing procedures and indemnities relating thereto shall be addressed in the applicable Hospital Purchase Contract and the remaining provisions of this Agreement after Section 2.5 shall not apply to such Existing Facility Acquisition.

2.5. Distressed Facility Acquisitions.  In the event of any Distressed Facility Acquisition, the purchase price, along with all representations, warranties, terms, conditions, deliveries, closing procedures and indemnities relating thereto shall be addressed in the applicable Distressed Facility Agreement and the remaining provisions of this Agreement after this Section 2.5 shall not apply to such Distressed Facility Acquisition.

2.6. Commitment Fee.  In addition to any other amounts required to be paid by Adeptus hereunder, at the First Closing, Adeptus shall pay to MPT or its designee a commitment fee in the amount of Three Hundred Seventy-Five Thousand and No/100 Dollars ($375,000.00) (the "Commitment Fee"), which Commitment Fee shall be deemed fully earned and nonrefundable if

the First Closing occurs.  Notwithstanding the foregoing, Adeptus' payment of the Commitment Fee shall be deferred solely to the extent necessary for Adeptus to remain in compliance with the provisions of ASC 840‑40‑55 and Adeptus shall make monthly payments of the Commitment Fee to MPT on the first (1) day of each month after the First Closing, provided that the Commitment Fee shall be paid in full no later than the date of Completion (as defined in the applicable Project Development Agreement) of the first New Development Project.  Contemporaneously with each payment, Adeptus shall deliver to MPT a written explanation of the payment amount and the current calculation of the payment limitations under ASC 840‑40‑55, which explanation shall be in such detail as reasonably necessary for MPT to confirm the prevailing payment limitation.

ARTICLE III

PURCHASE AND SALE OF ASSETS; PURCHASE PRICE

3.1. Purchase and Sale of Assets.  Based upon the representations and warranties of Adeptus as set forth herein, and subject to the terms and conditions hereof, at each Applicable Closing relating to a New Development Project, the applicable MPT Lessor shall acquire from the Unrelated Seller, free and clear of all Liens other than the Permitted Exceptions, the following assets (collectively, the "Assets"):

(a)

the applicable Real Property;

(b)

to the extent assignable, all rights in all intangible property relating exclusively to such Real Property, including, but not limited to, zoning rights, Permits and indemnification or similar rights and all Warranties affecting or inuring to the benefit of such Real Property or the owner thereof (including, without limitation, any indemnification or similar rights and Warranties related to such Real Property);

(c)

all right, title and interest in and to any site plans, surveys, soil and substrata studies, architectural drawings, plans and specifications, inspection reports, engineering and environmental plans and studies, title reports, floor plans, landscape plans and other plans relating to such Real Property; and

(d)

all right, title and interest in and to all causes of action, claims and rights in litigation (or which could result in litigation against any party) pertaining or relating to such Real Property (including, without limitation, any causes of action, claims or rights in litigation or other rights related to or arising under any purchase contracts respecting the Real Property).

3.2. No Assumption of Liabilities.  Notwithstanding anything in this Agreement to the contrary other than Section 6.2(a) below, no MPT Lessor shall assume or agree to pay, satisfy, discharge or perform, or shall be deemed by virtue of the execution and delivery of this Agreement or any other document delivered at the Applicable Closing pursuant to this Agreement, or as a result of the consummation of the transactions contemplated by this Agreement or such other document, to have assumed, or to have agreed to pay, satisfy, discharge or perform, or shall be liable for, any liability, obligation, contract or Indebtedness of any of the Adeptus Parties, any Unrelated Seller or any other Person, whether primary or secondary, direct or indirect, including, without limitation, any liability or obligation relating to the ownership, use or operation of any of the Assets prior to the Applicable Closing, any liability or obligation arising out of or related to any breach, default, tort or similar act committed by any Adeptus Party, any Unrelated Seller, or any Affiliate of any Adeptus Party or Unrelated Seller, or for any failure of any Adeptus Party, any Unrelated Seller, or any Affiliate of any Adeptus Party or Unrelated Seller, to perform any covenant or obligation for or during any period prior to the Applicable Closing, and any liability arising out of the ownership and operation of the Assets by any Unrelated Seller, any Adeptus Party or any other Person prior to the Applicable Closing (collectively, the "Excluded Liabilities"); provided, however, that the foregoing shall not limit MPT's indemnification obligations under Section 6.2(a) below.

3.3. Project Purchase Price.  With respect to each New Development Project, the purchase price for each Real Property and the other Assets related thereto, shall be the purchase price reflected in the applicable Real Estate Contract or as otherwise agreed by the parties, subject to prorations, credits and adjustments as provided therein (each a "Project Purchase Price").  Subject to the terms and conditions hereof, at each Applicable Closing, the applicable MPT Lessor shall pay the Project Purchase Price (less any applicable Earnest Money Deposit) to the Unrelated Seller (or to the applicable Adeptus Party in connection with a Direct Sale Alternative) as specified in the applicable Real Estate Contract, the applicable MPT Lessor shall reimburse Adeptus or its designee in an amount equal to the applicable Earnest Money Deposit and the applicable MPT Lessor shall pay all Closing Costs and Pursuit Costs (either by reimbursing Adeptus or paying the applicable person to whom such Closing Costs or Pursuit Costs are owed).

3.4. Taxes, Rentals, Utilities.  The parties acknowledge that, to the extent the applicable Real Estate Contract imposes any obligation to pay such items on the purchaser, all utility charges and all real and personal property Taxes related to the applicable Real Property shall be included in the Development Budget (as defined in the applicable Project Development Agreement) for such Real Property.

ARTICLE IV

REPRESENTATIONS, WARRANTIES AND
COVENANTS OF THE ADEPTUS PARTIES

4.1. Organization.  Adeptus is a limited liability company duly organized, validly existing and in good standing under the laws of the State of Delaware and is qualified to do business in every jurisdiction where such qualification is necessary.  Each other existing Adeptus Party is a limited liability company duly organized, validly existing and in good standing under the laws of the State of Texas and is qualified to do business in every jurisdiction where such qualification is necessary.  Each existing Adeptus Lessee is, and has at all times since its organization been, a Special Purpose Entity.  Schedule 4.1(a) sets forth the ownership of each existing Adeptus Party and, except as set forth therein, no other Person has, and no such Adeptus Party has offered to any Person, any equity interest in any Adeptus Party or any option, warrant or other right to acquire the same.  Schedule 4.1(b) contains a list of all direct and indirect Subsidiaries of Adeptus.

4.2. Authorization; Enforcement.  Each existing Adeptus Party has the requisite corporate or limited liability company power and authority (a) to conduct its business as it is now being conducted and as proposed to be conducted, (b) to execute, deliver and carry out the terms of this Agreement, all documents and agreements necessary to give effect to the provisions of this Agreement, including the Master Lease and any Project Development Agreement, and to consummate the transactions contemplated hereby and thereby, to the extent such Adeptus Party is a signatory thereto, and (c) to execute, deliver and carry out the terms of each Real Estate Contract to which it is a party and all documents and agreements necessary to give effect to the provisions of such Real Estate Contract, and to consummate the transactions contemplated thereby.  All actions required to be taken by any existing Adeptus Party (i) to authorize the execution, delivery and performance of this Agreement, the Master Lease, the Project Development Agreement, as well as all other Adeptus Instruments and all transactions contemplated hereby and thereby, and (ii) to authorize the execution, delivery and performance of such Real Estate Contract and all other documents, agreements and instruments executed by any Adeptus Party which are necessary to give effect thereto, have been or shall be duly and properly taken or obtained in accordance and in yet compliance with such Adeptus Party’s Governing Documents.  Adeptus has delivered to MPT true and correct copies of each existing Adeptus Party’s Governing Documents.  No other action on the part of any existing Adeptus Party or any of such Adeptus Party’s directors, managers or Equity Constituents is necessary to authorize the execution, delivery and performance of this Agreement, the other Adeptus Instruments, the Real Estate Contracts (upon approval thereof in accordance with this Agreement) and all transactions contemplated hereby and thereby.  This Agreement, all other Adeptus Instruments to which any Adeptus Party will become a party hereunder and each Real Estate Contract to which any Adeptus Party will become a party shall constitute the valid and legally binding obligations of such Adeptus Party, and are and will be enforceable against such Adeptus Party in accordance with the respective terms hereof or thereof, except as enforceability

may be restricted, limited or delayed by applicable bankruptcy, insolvency or other similar laws affecting creditors' rights generally and except as enforceability may be subject to and limited by general principles of equity (regardless of whether considered in a proceeding in equity or at law).

4.3. Absence of Conflicts.  Each existing Adeptus Party’s execution, delivery and performance of this Agreement and the other Adeptus Instruments to which such Adeptus Party will become a party, and each Real Estate Contract to which such Adeptus Party is a party, and the consummation of the transactions contemplated hereby and thereby will not, with or without the giving of notice and/or the passage of time:  (a) violate or conflict with any provision of such Adeptus Party’s Governing Documents; (b) violate or conflict with any provision of any Law to which such Adeptus Party or any of its Equity Constituents is subject; (c) violate or conflict with any judgment, order, writ or decree of any court applicable to such Adeptus Party; (d) result in or cause the creation of a Lien on any portion of any of the Real Properties or any of the other Assets, except as contemplated hereunder; or (e) result in the breach or termination of any provision of, or create rights of acceleration or constitute a default under, the terms of any indenture, mortgage, deed of trust, contract, agreement or other instrument to which such Adeptus Party is a party.

4.4. Consents and Approvals.  Except as set forth on Schedule 4.4, and except as may be required for the development, construction, use and occupancy of the Real Properties, no license, permit, qualification, order, consent, authorization, approval or waiver of, or registration, declaration or filing with, or notification to, any Governmental Body or other Person is required to be made or obtained, which has not been made or obtained, by or with respect to any existing Adeptus Party in connection with the execution, delivery and performance of this Agreement, the other Adeptus Instruments, or the Real Estate Contracts or the consummation of the transactions contemplated hereby or thereby.

4.5. Financial Statements.  Prior to execution of this Agreement, Adeptus has delivered to MPT the audited balance sheets and audited statement of income and cash flows of Adeptus for the fiscal year 2013 (collectively, the "Annual Financial Statements").  Schedule 4.5 sets forth (a) the unaudited balance sheet of Adeptus on a consolidated basis for the most recent fiscal quarter (the aforementioned balance sheets being herein referred to, collectively, as the "Balance Sheets"), and (b) the unaudited statement of income and cash flows of Adeptus on a consolidated basis for the most recent fiscal quarter (the financial statements described in this sentence, together with the Annual Financial Statements are referred to, collectively, as the "Financial Statements").  Except as set forth on Schedule 4.5, the Financial Statements have been prepared in accordance with GAAP, are based on the books, records and accounts of Adeptus and fairly present the financial condition and results of operations, cash flows and members' equity of Adeptus as of the respective dates thereof and for the respective periods indicated therein, except (i) that the unaudited interim statements do not include complete note (including footnote) disclosure as required by GAAP; and (ii) that the unaudited interim statements are subject to normal, year‑end adjustments which are not, and will not be, material in amount or effect, either individually or in the aggregate.

4.6. No Undisclosed Liabilities; Guaranties.  Except as set forth on Schedule 4.6(a), other than any liabilities and obligations under this Agreement and the other Adeptus Instruments, no

existing Adeptus Party has any material liability or obligation (other than obligations to consummate the transactions contemplated by this Agreement), whether absolute, accrued, contingent or otherwise, including any potential future liability arising out of acts or omissions which have already occurred, which is not fully and accurately reflected or reserved against in the Balance Sheets, except for liabilities or obligations that may have arisen in the Ordinary Course of Business since the latest date of the Financial Statements (none of which results from, arises out of, relates to, is in the nature of, or was caused by any breach of contract, breach of warranty, tort, infringement or violation of law), and to the Knowledge of each existing Adeptus Party no fact, condition or circumstance could form the basis of any Claim in respect of any such material liability or obligation.  Schedule 4.6(b) sets forth a list of all Guaranties entered into by each existing Adeptus Party, true and correct copies of which have been delivered to MPT.

4.7. Absence of Changes.  Except as set forth on Schedule 4.7 and except as contemplated by this Agreement, since the date of the latest Financial Statements, each existing Adeptus Party has:

(a)

preserved its legal existence and retained its business organization intact;

(b)

conducted its business only in the Ordinary Course of Business;

(c)

complied in all material respects with all applicable Laws;

(d)

not suffered any change, event or circumstance which has had, or would be reasonably expected to have, a Material Adverse Effect; and

(e)

not agreed or offered, whether in writing or otherwise, to take, and no existing Adeptus Party or any of their respective members, managers or officers have authorized the taking of, any action described in subsection (d) above.

4.8. Reserved.

4.9. Taxes.  Each existing Adeptus Party has filed or caused to be filed all Tax Returns of such Adeptus Party which have become due (taking into account valid extensions of time to file) prior to the date of this Agreement, except where the failure to file would not have a Material Adverse Effect on such Adeptus Party or prevent or impede the consummation of the transactions contemplated hereby or under the Adeptus Instruments.  Such Tax Returns are accurate and complete in all material respects, and each existing Adeptus Party has paid or caused to be paid all Taxes for the periods covered thereby, whether or not shown to be due on such Tax Returns, except where the failure to file would not have a Material Adverse Effect on such Adeptus Party or prevent or impede the consummation of the transactions contemplated hereby or under the Adeptus Instruments.    

4.10. Litigation.  Except as set forth on Schedule 4.10, there is no dispute, suit, action, proceeding, inquiry or investigation (a “Claim”) against or involving any existing Adeptus Party or, to the Knowledge of Adeptus, threatened, which would have a Material Adverse Effect (including, without limitation any suit, action, proceeding or investigation pursuant to Title 11 of the Civil Rights Act of 1964, the Americans with Disabilities Act, the Age Discrimination in Employment Act, the Family and Medical Leave Act of 1993, or any other Law regulating

employment) or prevent or impede the consummation of the transactions contemplated hereby or by the Adeptus Instruments, and no existing Adeptus Party has Knowledge of any fact, condition or circumstance which reasonably could be expected to form the basis of any such Claim which would have a Material Adverse Effect.    

4.11. Contracts, Obligations and Commitments.

(a) Schedule 4.11(a)(i) sets forth a list of all contracts and agreements entered into by any Adeptus Party or any Affiliates of any Adeptus Party relating to (i) the acquisition of any current Target Property and (ii) the design, development and construction of the Improvements relating to such Target Property (including, without limitation, any contracts and agreements with architects, engineers, design professionals, developers, general contractors or development escrows or other similar agreements) (collectively the "Development Contracts").  Except as set forth on Schedule 4.11(a)(ii), (A) the Development Contracts are free and clear of all Liens and are assignable by the applicable Adeptus Parties (or alternatively, the existing Adeptus Parties may grant a first priority security interest therein to the MPT Parties), (B) the Development Contracts are legally valid, binding and enforceable in accordance with their respective terms (except as such enforceability may be limited by bankruptcy, insolvency, reorganization, moratorium and similar laws affecting creditors' rights generally and by general equitable principles, regardless of whether enforcement is sought in a proceeding at law or in equity); (C) each of the Development Contracts is in full force and effect; (D) to the Knowledge of Adeptus, there are no defaults by any party to the Development Contracts; (E) no existing Adeptus Party has received notice of any default, offset, counterclaim or defense claimed by any other party under any Development Contract; and (F) to the Knowledge of Adeptus, no condition or event has occurred which with the passage of time or the giving of notice or both would constitute a default or breach under the terms of any Development Contract.

(b) The existing Adeptus Parties have delivered to MPT complete and correct copies of all written contractual agreements to which any existing Adeptus Party is a party relating to indebtedness secured by, or which purports to be secured by, any of the assets of such Adeptus Party thereunder (collectively, the "Material Contracts").  Except as set forth on Schedule 4.11(b), (i) each of the Material Contracts is legally valid, binding and enforceable against the parties thereto in accordance with its respective terms (except as such enforceability may be limited by bankruptcy, insolvency, reorganization, moratorium and similar laws affecting creditors' rights generally and by general equitable principles, regardless of whether enforcement is sought in a proceeding at law or in equity); (ii) each of the Material Contracts is in full force and effect; (iii) to the Knowledge of Adeptus, there are no defaults by any party to the Material Contracts; (iv) no existing Adeptus Party has received notice of any default, offset, counterclaim or defense under any Material Contract; and (v) to the Knowledge of Adeptus, no condition or event has occurred which with the passage of time or the giving of notice or both would constitute a default or breach under the terms of any Material Contract.

4.12. Permits.  The existing Adeptus Parties have all licenses, permits, certificates of need and other authorizations of Governmental Bodies that are required for the operation of the Business as currently conducted (collectively, the "Permits").  Except as set forth on Schedule 4.12, the Permits are in full force and effect and the applicable Adeptus Parties may grant a first priority security interest therein to the MPT Parties, subject to all applicable laws.

4.13. Compliance with Law.  Adeptus and the other existing Adeptus Parties are in compliance in all material respects with every applicable Law, including, without limitation, as applicable, Chapter 254 of the Texas Health and Safety Code and Chapter 131 of the Texas Administrative Code, and any other Law governing the construction, licensure, or operation of freestanding emergency medical care facilities, and every order, writ, and decree of every Governmental Body in connection with the ownership, conduct, operation and maintenance of the Business and their respective ownership and use of their assets, and, to the Knowledge of each existing Adeptus Party, no event has occurred or circumstance exists which (without notice or lapse of time) would result in any material noncompliance with any such Law order, writ or decree.

4.14. Brokers.  Except as set forth on Schedule 4.14, no Person is or will be entitled to any brokerage, finder's or other fee, commission or payment in connection with or as a result of the transactions contemplated by this Agreement based upon arrangements made by or on behalf of any existing Adeptus Party or any Unrelated Seller, and MPT shall not be liable or obligated to pay any of such amounts to such Person unless and until the applicable Real Property is acquired.

4.15. Agreements with Affiliates and Certain Other Persons.  Schedule 4.14(a) sets forth a list of all agreements relating to the acquisition, financing, development, construction, operation or management of the Facilities or otherwise relating to the transactions contemplated in this Agreement that have been entered into by each existing Adeptus Party with any Person that is an Affiliate of any existing Adeptus Party (including, without limitation, any officer, director, employee, partner, member, manager or trustee of such Adeptus Party or any other Affiliate of such Adeptus Party).  Schedule 4.14(b) sets forth a list of all agreements entered into by any officer, director, employee, partner, member, manager or trustee of each existing Adeptus Party or any other Affiliate of such existing Adeptus Party, on the one hand, with any vendor, supplier, seller, contractor or service provider of any existing Adeptus Party, on the other hand.

4.16. Patriot Act Compliance.    

(a) Each existing Adeptus Party has complied in all material respects with the International Money Laundering Abatement and Anti‑Terrorist Financing Act of 2001, which comprises Title III of the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001 (the "Patriot Act") and the regulations promulgated thereunder, and the rules and regulations administered by the U.S. Treasury Department's Office of Foreign Assets Control ("OFAC"), to the extent the same are applicable to such Adeptus Parties.

(b) No existing Adeptus Party is included on the List of Specially Designated Nationals and Blocked Persons maintained by the OFAC, or is a resident in, or organized or chartered under the laws of, (i) a jurisdiction that has been designated by the U.S.  Secretary of the Treasury under Section 311 or 312 of the Patriot Act as warranting special measures due to money laundering concerns or (ii) any foreign country that has been designated as non‑cooperative with international anti‑money laundering principles or procedures by an intergovernmental group or organization, such as the Financial Action Task Force on Money

Laundering, of which the United States is a member and with which designation the United States representative to the group or organization continues to concur.

4.17. Representations Complete.  The representations and warranties made or to be made by Adeptus and each other existing Adeptus Party in this Agreement or in any Adeptus Instrument and the statements made in or information contained on any Schedule or certificates furnished by Adeptus or any other Adeptus Party pursuant to this Agreement do not contain and, subject to Section 6.3, will not contain, as of their respective dates and as of the Applicable Closing Dates, any untrue statement of a material fact, nor do they omit or will they omit, as of their respective dates or, subject to Section 6.3, as of such Applicable Closing Dates, to state any material fact necessary to make the statements contained herein or therein, in the light of the circumstances under which they were made, not misleading.

ARTICLE V

REPRESENTATIONS AND WARRANTIES BY MPT

5.1. Organization.  MPT is a limited partnership duly organized, validly existing and in good standing under the laws of the State of Delaware and is qualified to do business in every jurisdiction where such qualification is necessary.  Each other existing MPT Party is a limited liability company or limited partnership duly organized, validly existing and in good standing under the laws of the State of Delaware and is qualified to do business in every jurisdiction where such qualification is necessary.

5.2. Authorization; Enforcement, Absence of Conflicts.  Each existing MPT Party has the requisite power and authority to execute, deliver and carry out the terms of this Agreement, all documents and agreements necessary to give effect to the provisions of this Agreement, including the Master Lease and any Project Development Agreement, to which it is a signatory, and to consummate the transactions contemplated hereby and thereby, and to conduct its businesses as now being conducted and as proposed to be conducted.  All actions required to be taken by each existing MPT Party to authorize the execution, delivery and performance of this Agreement, all documents executed by it which are necessary to give effect to this Agreement and all transactions contemplated hereby and thereby, have been or shall be duly and properly taken or obtained.  No other action on the part of any existing MPT Party is necessary to authorize the execution, delivery and performance of this Agreement, all documents necessary to give effect to this Agreement and all transactions contemplated hereby and thereby.  The execution and delivery of this Agreement and the consummation of the transactions contemplated hereby will not, with or without the giving of notice and/or the passage of time:  (a) violate or conflict with any provision of the Governing Documents of any existing MPT Party; (b) violate any provision of law, statute, rule or regulation to which any existing MPT Party is subject; (c) violate or conflict with any judgment, order, writ or decree of any court applicable to any existing MPT Party; (d) violate or conflict with any law or regulation applicable to any MPT Party; or (e) result in the breach or termination of any provision of, or

create rights of acceleration or constitute a default under, the terms of any debt or obligation to which any existing MPT Party is a party or by which any existing MPT Party is bound.

5.3. Binding Agreement.  This Agreement and all agreements to which each existing MPT Party will become a party hereunder are and will constitute the valid and legally binding obligations of such MPT Party, and are and will be enforceable against such MPT Party in accordance with the respective terms hereof or thereof, except as enforceability may be restricted, limited or delayed by applicable bankruptcy, insolvency or other laws affecting creditors’ rights generally and except as enforceability may be subject to and limited by general principles of equity (regardless of whether considered in a proceeding in equity or at law).

5.4. Litigation.  There is no Claim pending or, to the Knowledge of MPT, against or involving any existing MPT Party or, to the Knowledge of MPT, threatened, which would have a Material Adverse Effect or prevent or impede the consummation of the transactions contemplated hereby, and MPT has no Knowledge of any fact, condition or circumstance which reasonably could be expected to form the basis of any such Claim which would have a Material Adverse Effect.

5.5. Brokers.  Other than commissions or other fees payable to employees or independent contractors of any existing MPT Party for which such MPT Parties shall be responsible, no Person is or will be entitled to any brokerage, finder’s or other fee, commission or payment in connection with or as a result of the transactions contemplated by this Agreement based upon arrangements made by or on behalf of MPT or any other existing MPT Party.

5.6. Compliance with Law.  MPT and the other existing MPT Parties are in compliance in all material respects with every applicable Law, order, writ or decree, and to the Knowledge of MPT, no event has occurred or circumstance exists which (without notice or lapse of time) would result in any material noncompliance with any such Law, order, writ or decree which would have a Material Adverse Effect.

5.7. Patriot Act Compliance.    

(a) Each existing MPT Party has complied in all material respects with the Patriot Act and regulations promulgated thereunder, and the rules and regulations administered by OFAC, to the extent the same are applicable to such MPT Parties.

(b) No existing MPT Party is included on the List of Specially Designated Nationals and Blocked Persons maintained by the OFAC, or is a resident in, or organized or chartered under the laws of, (i) a jurisdiction that has been designated by the U.S. Secretary of the Treasury under Section 311 or 312 of the Patriot Act as warranting special measures due to money laundering concerns or (ii) any foreign country that has been designated as non‑cooperative with international anti‑money laundering principles or procedures by an intergovernmental group or organization, such as the Financial Action Task Force on Money Laundering, of which the United States is a member and with which designation the United States representative to the group or organization continues to concur.

5.8. Representations Complete.  The representations and warranties made or to be made by MPT and each other existing MPT Party in this Agreement or in any related agreement and the

statements made in or information contained on any Schedule or certificates furnished by MPT or any other MPT Party pursuant to this Agreement do not contain and will not contain, as of their respective dates and as of the Applicable Closing Dates, any untrue statement of a material fact, nor do they omit or will they omit, as of their respective dates or as of such Applicable Closing Dates, to state any material fact necessary to make the statements contained herein or therein, in the light of the circumstances under which they were made, not misleading.

ARTICLE VI

PRE‑CLOSING COVENANTS

6.1. Intentionally Omitted.  

6.2. Access; Confidentiality.    

(a) Between the date hereof until the expiration of the Commitment Period (it being understood that the access provisions hereof shall no longer remain effective with respect to Assets and Unrelated Sellers for which an Applicable Closing shall have occurred), each existing Adeptus Party shall (A) afford MPT and its authorized representatives reasonable access to such Adeptus Parties and to all books, records, offices and other facilities of such Adeptus Parties; (B) permit MPT and its authorized representatives to make such inspections and to make copies of such books and records as they may reasonably require, in each case subject to compliance with applicable confidentiality requirements; (C) furnish MPT and its authorized representatives with such financial and operating data and other information related to the Real Properties, the Business, and such Adeptus Parties as the MPT Parties may from time to time reasonably request; and (D) use their commercially reasonable efforts to cause all Unrelated Sellers to permit the existing MPT Parties and their authorized representatives (including their designated engineers, architects, surveyors and/or consultants), upon reasonable notice to enter into and upon all or any portion of any of the Real Properties in order to investigate and assess, as such MPT Parties deem necessary or appropriate in their sole and absolute discretion, the Real Properties and to complete their due diligence review with respect to the satisfaction all of the conditions set forth in Section 7.2.  The existing Adeptus Parties shall cooperate, and shall use commercially reasonable efforts to cause the Unrelated Sellers to cooperate, with the existing MPT Parties and their authorized representatives in conducting such investigations, and shall provide (or use commercially reasonable efforts to cause the Unrelated Sellers to provide) to such MPT Parties and their authorized representatives all information maintained by such Adeptus Parties or provided by the Unrelated Sellers to such Adeptus Parties and related to their due diligence review and other matters referenced above.  MPT shall indemnify, defend and hold harmless the existing Adeptus Parties from and against all demands, claims, losses, damages, costs and expenses asserted against or incurred by such Adeptus Parties or any of them arising out of or resulting from any physical damage to the applicable Real Properties caused by any of the MPT Parties’ or their respective consultants’ or agents’ inspections thereof.

(b) Notwithstanding any provision of the 2013 Master Funding Agreement to the contrary, the provisions of the Confidentiality Agreement dated as of July 13, 2012 (the "Confidentiality Agreement") shall remain binding and in full force and effect until the Completion of the Real Property that is the subject of the Final Closing.  The information contained herein, in the Schedules or delivered to MPT or its authorized representatives pursuant hereto shall be subject to the Confidentiality Agreement as Information (as defined and subject to the exceptions contained therein) and, for that purpose and to that extent, the terms of the Confidentiality Agreement are incorporated herein by reference.

6.3. Schedule Updates.  From the date of this Agreement until the expiration of the Commitment Period, the existing MPT Parties, on the one hand, and the existing Adeptus Parties on the other hand, shall immediately advise the other in writing of any additions or changes to any Schedule, or the need to provide additional Schedules, to reflect any deficiencies or inaccuracies in the applicable representations, warranties or Schedules or to reflect circumstances or matters which occur after the date of this Agreement which, if existing prior to such date, would have been required to be described on such Schedule; provided, however, that no additions or changes made to any Schedule by any party to correct deficiencies or inaccuracies on such Schedule shall be deemed to cure any breach or inaccuracy of a representation or warranty, covenant or agreement or to satisfy any condition unless otherwise agreed to in writing by the other party, but provided further, however, that an addition or change made to any Schedule by any Party to reflect circumstances or matters which occur after the date of this Agreement shall be deemed to cure a breach or inaccuracy of a representation or warranty, covenant or agreement, but shall not be deemed to satisfy any condition unless agreed to in writing by the other party, which agreement shall not be unreasonably withheld, conditioned or delayed.

6.4. Conduct of Business by Adeptus Parties.  Each existing Adeptus Party covenants and agrees that, during the period from the date hereof until the earlier of (i) the Final Closing Date or (ii) the expiration of the Commitment Period, unless MPT shall otherwise agree in writing, such Adeptus Party shall conduct its businesses only in, and it shall not take any action except in, the Ordinary Course of Business and in compliance in all material respects with all applicable laws and regulations.  Further, no existing Adeptus Party shall do or propose to do, directly or indirectly, any of the following without the prior written consent of MPT, which consent shall not be unreasonably withheld, conditioned or delayed:

(a) amend, repeal or otherwise change in any material way the Governing Documents of any such Adeptus Party, except for an amendment or other change (i) that would not materially adversely affect such Adeptus Party's ability to perform its obligations under the Master Lease or other Adeptus Instruments to which it is a party, or (ii) is effected in connection with a transaction that is otherwise permitted by this Agreement or the Master Lease (provided that it would not materially adversely affect such Adeptus Party's ability to perform its obligations under the Master Lease or other Adeptus Instruments to which it is a party);

(b) fail to perform its material obligations in all respects under agreements to which it is a party relating to or respecting any of the Real Properties, including any Real Estate Contracts;

(c) reduce the coverage of, fail to timely renew or pay the premiums on or cancel any insurance policy relating to any of the Real Properties;

(d) cause to lapse or fail to renew any material license and certification necessary to conduct the Business of any of the Real Properties;

(e) fail to timely make all required material filings (or to obtain applicable extensions) with Governmental Bodies relating to any of the Real Properties;

(f) create, assume, or permit to exist any Lien upon any of the Real Properties, other than those presently in existence or being contested by the applicable Adeptus Parties in accordance with the Master Lease;

(g) except as otherwise expressly permitted herein, enter into or agree to enter into any lease, option, agreement or other arrangement granting any rights with respect to the Assets or the development or construction of any Improvements, including, without limitation entering into any construction contracts or any agreements with a contractor or subcontractor, but excluding contracts with third party consultants relating to due diligence;

(h) terminate or modify in any respect any Real Estate Contract after MPT has notified Adeptus that it desires to acquire the Target Property pursuant to Section 2.2(b) above, or any Development Contract or Material Contract relating to any of the Real Properties; or

(i) take, agree or offer, in writing or otherwise, to take, any of the actions described in Sections 6.4(a) through (h) above, or any action which would make any of the representations or warranties of Adeptus contained in this Agreement untrue, incorrect or incomplete in any material respect or prevent Adeptus from performing or cause any other Adeptus Parties not to perform their respective covenants hereunder, in each case, such that the conditions set forth in Sections 7.2(a) or 7.2(b), as the case may be, would not be satisfied.

6.5. Cooperation.  From the date hereof until the earlier of (a) the Final Closing Date or (b) the expiration of the Commitment Period, (i) upon request from MPT, each existing Adeptus Party shall confer on a reasonably frequent basis with one or more representatives of MPT to report material matters respecting the transactions contemplated hereby including any and all material developments with any Unrelated Seller with respect to any Real Estate Contract and (ii) MPT and Adeptus shall promptly provide the other or their counsel with copies of all filings made by such party with any Governmental Body in connection with this Agreement and the transactions contemplated hereby.

6.6. Regulatory and other Authorizations, Notices and Consents.    

(a) Each party shall use all commercially reasonable efforts to obtain all authorizations, consents, orders and approvals of all Governmental Bodies and other Persons that may be or become necessary for its execution and delivery of, and the performance of its obligations pursuant to, this Agreement and each such party will cooperate fully with the other parties in promptly seeking to obtain all such authorizations, consents, orders and approvals.

(b) The existing MPT Parties shall cooperate and use commercially reasonable efforts to assist the existing Adeptus Parties in giving such notices and obtaining such consents and estoppel certificates; provided, however, that such MPT Parties shall have no obligation to give any guarantee or other consideration of any nature in connection with any such notice, consent or estoppel certificate.

6.7. Mutual Covenants.  The parties shall use their good faith reasonable efforts to satisfy the conditions to the closing of the transactions contemplated hereby.  Without limiting the generality of the foregoing, the respective parties shall execute and/or deliver, or use their respective good faith reasonable efforts to cause to be executed and/or delivered at Applicable Closing, the documents contemplated to be executed and/or delivered by them hereunder.

ARTICLE VII

CLOSING CONDITIONS

7.1. Conditions to the Obligations of Adeptus.  The obligations of the existing Adeptus Parties to effect the transactions contemplated hereby with respect to each Applicable Closing shall be further subject to the fulfillment of the following conditions, any one or more of which may be waived by Adeptus:

(a) all of the representations and warranties of the existing MPT Parties set forth in this Agreement shall be true and correct in all material respects when made and as of the Applicable Closing Date as if made on such Applicable Closing Date, subject to updates under Section 6.3;

(b) the existing MPT Parties shall have delivered, performed, observed and complied in all material respects with all of the items, instruments, documents, covenants, agreements and conditions required by this Agreement to be delivered, performed, observed and complied with by it prior to, or as of, the Applicable Closing; and

(c) the applicable MPT Parties shall have executed, where applicable, and delivered to Adeptus the documents referenced in Section 8.3.

7.2. Conditions to the Obligations of MPT.  The obligations of the existing MPT Parties to effect the transactions contemplated hereby, with respect to each Applicable Closing, shall be further subject to the fulfillment of the following conditions, any one or more of which may be waived by MPT:

(a) all of the representations and warranties of the existing Adeptus Parties set forth in this Agreement shall be true and correct in all material respects when made and as of the Applicable Closing Date as if made on the Applicable Closing Date, subject to updates under Section 6.3;

(b) the existing Adeptus Parties shall have delivered, performed, observed and complied in all material respects with all of the items, instruments, documents, covenants, agreements and conditions required by this Agreement to be delivered, performed, observed and complied with by them prior to, or as of, such Applicable Closing;

(c) no existing Adeptus Party shall have suffered any change, event or circumstance which has had, or could have, a Material Adverse Effect;

(d) the existing MPT Parties shall have satisfactorily completed their due diligence investigations of all aspects of each transaction, including the Assets, the applicable Adeptus Lessee, the applicable Developer and the proposed construction contracts and contractors, in accordance with the time periods established in this Agreement and shall be satisfied with the results of such investigations in their sole discretion;

(e) all necessary approvals, consents and estoppel certificates of third parties to the validity and effectiveness of the transactions contemplated hereby have been obtained;

(f) no portion of the Assets relating to the applicable Real Property shall have been damaged or destroyed by fire or casualty;

(g) the existing MPT Parties shall have received copies of all permits, licenses, certificates of need and other approvals of Governmental Bodies received or obtained by the Adeptus Parties that are required for the construction and development of Improvements that customarily would have been issued or given prior to the Applicable Closing considering the current stage of the development of such Improvements, together with written evidence satisfactory to such MPT Parties that the licensing, operations and use of such Improvements will be available in the ordinary course of business and will be in accordance with all applicable state and other governmental requirements;

(h) the existing MPT Parties shall have received copies of an environmental report for the applicable Real Property and a property condition report for any existing improvements, which reports shall be in form and substance acceptable to the MPT Parties in their sole discretion;

(i) no condemnation, eminent domain or similar proceedings shall have been commenced or threatened in writing with respect to any material portion of the applicable Real Property;

(j) the existing Adeptus Parties shall have executed where applicable, and delivered to MPT the documents referenced in Section 8.2;

(k) there shall not have been instituted by any creditor of any existing Adeptus Party or any Unrelated Seller, any Governmental Body or any other Person, any suit, action or proceeding which would affect the Assets or seek to restrain, enjoin or invalidate the transactions contemplated by this Agreement;

(l) subject to the requirements under Section 38.14 of the Master Lease, and to the extent then applicable, Adeptus or the existing Adeptus Lessees shall have obtained, or cause to be obtained, a letter of credit securing the obligations of such Adeptus Lessees under the Master Lease, in a form and from a financial institution acceptable to MPT in its reasonable discretion, as more fully described in the Master Lease;

(m) Adeptus shall have executed and delivered the applicable Cost Overrun Guaranty and the Guaranty (it being understood that, with respect to all Applicable Closings following the First Closing, delivery of the Guaranty shall not be required);

(n) to the extent the acquisition of any of the Real Properties has already been closed at the time of the Applicable Closing, no "Event of Default" shall have occurred under the Master Lease or the other Project Development Agreements and no event, condition or circumstance shall have occurred that with notice or the passage of time would constitute such an Event of Default, and the Adeptus Parties shall have delivered a certificate to that effect in form and substance satisfactory to MPT (the "New Closing Certificate");

(o) MPT shall have agreed upon the terms of all necessary modifications, amendments and restatements of the Intercreditor Agreement and Subordination Agreement, as determined in MPT's sole discretion; and

(p) the transaction contemplated by the applicable Real Estate Contract shall have closed.

ARTICLE VIII

CLOSINGS

8.1. Applicable Closing Dates.  The closing of the purchase and sale of each Real Property and other Assets related thereto pursuant to this Agreement (each an "Applicable Closing") shall be handled through escrow deliveries to the applicable Title Company on the date required for closing pursuant to the applicable Real Estate Contract for such Real Property and other Assets (the actual date of each Applicable Closing being herein referred to as the "Applicable Closing Date").  The date of the final Applicable Closing of any Real Property and other Assets related thereto hereunder shall be referred to as the "Final Closing."    

8.2. Adeptus Parties' Closing Date Deliverables.  On the Applicable Closing Date for a particular Real Property, in addition to all documents and agreements to be delivered by the Unrelated Seller under the applicable Real Estate Contract, Adeptus shall deliver, or cause to be delivered, to the applicable MPT Parties the following:

(a) an Assignment and Assumption Agreement to effect the Partial Assignment with respect to the applicable Real Estate Contract, in form and substance mutually satisfactory to the parties (it being understood that, with respect to any Real Property acquired utilizing the Direct Sale Alternative, this delivery shall not be required but additional deliveries shall be required as described below);

(b) a Joinder Agreement;

(c) a certified copy of the resolutions of the governing body of each applicable existing Adeptus Party dated prior to the Applicable Closing Date and authorizing such Adeptus Party's execution, delivery and performance of this Agreement and all other documents to be executed in connection herewith;

(d) certificates of existence and good standing of each existing Adeptus Party and the applicable Developer from the appropriate Governmental Body, along with certificates of good standing and foreign qualification of each existing Adeptus Lessee and such Developer from the Secretary of State of the state in which the applicable Real Property is located, if applicable, in each case dated the most recent practical date prior to the Applicable Closing Date;

(e) a certificate from each existing Adeptus Party dated the Applicable Closing Date to the effect that all of the representations and warranties of such Adeptus Party contained in this Agreement, as such representations and warranties may have been updated under Section 6.3 above, remain in all material respects true and correct as of the Applicable Closing Date as if made on such date and that such Adeptus Party has performed and satisfied in all material respects all covenants and conditions required by this Agreement to be performed or satisfied by such Adeptus Party on or prior to such Applicable Closing;

(f) the Master Lease, together with a Memorandum of Lease Agreement, in form and substance mutually satisfactory to the parties (it being understood that, with respect to all Applicable Closings following the First Closing, this delivery shall be limited to an amendment of the Master Lease and an amendment of the Memorandum of Lease Agreement, each for the purpose of including the legal description of the applicable Real Property);

(g) a Project Development Agreement for such New Development Project;

(h) a Cost Overrun Guaranty for such New Development Project;

(i) the Guaranty (it being understood that, with respect to all Applicable Closings following the First Closing, this delivery shall not be required);

(j) an Assignment of Rents and Leases in form and substance mutually satisfactory to the parties (it being understood that, with respect to all Applicable Closings following the First Closing, this delivery shall be limited to an amendment of such Assignment of Rents and Leases for the purpose of including the legal description of the applicable Real Property or the applicable assignees thereunder);

(k) an executed Security Agreement in form and substance mutually satisfactory to the parties (it being understood that, with respect to all Applicable Closings following the First Closing, this delivery shall be limited to an amendment of the Security Agreement for the purpose of including the legal description of the applicable Real Property and the secured parties thereunder);

(l) a Noncompete Agreement by Adeptus in form and substance mutually satisfactory to the parties (it being understood that, with respect to all Applicable Closings following the First Closing, this delivery shall not be required);

(m) a Management Subordination Agreement in form and substance mutually satisfactory to the parties; provided, however, that to the extent the parties acknowledge that no Management Agreement exists at the time of the First Closing or other Applicable Closings, this condition shall be waived until such time as a Management Agreement exists;

(n) the Omnibus Amendment to the 2013 Master Funding Obligation Documents and all other amendments to the 2013 Master Funding Obligation Documents which are deemed necessary by MPT in its reasonable discretion and in a form mutually agreeable to the parties;

(o) any necessary joinder, amendment and restatement of the Intercreditor Agreement as required by MPT, in form mutually agreeable to the parties;

(p) any necessary joinder, amendment and restatement of the Subordination Agreement as required by MPT, in form mutually agreeable to the parties;

(q) if applicable, Lien waiver affidavits and certifications in form and substance acceptable to MPT and the Title Company from all contractors, subcontractors and other third parties who performed work on or supplied materials and/or labor to or for the Real Property and verifying that all work, supplies, materials and labor have been paid in full and there are no liens on the Real Property nor any potential liens on the Real Property;

(r) the New Closing Certificate; and

(s) such other instruments and documents consistent with the terms of this Agreement as MPT reasonably deems necessary to effect the transactions contemplated hereby.

8.3. MPT Parties' Closing Date Deliverables.  On the Applicable Closing Date, the existing MPT Parties shall deliver or cause to be delivered to the existing Adeptus Parties the following:

(a) an Assignment and Assumption Agreement to effect the Partial Assignment with respect to the applicable Real Estate Contract, in form and substance mutually satisfactory to the parties;

(b) a Joinder Agreement;

(c) the MPT Guaranty (it being understood that, with respect to all Applicable Closings following the First Closing, this delivery shall not be required);

(d) certificates of existence and good standing of MPT and each MPT Lessor from the Delaware Secretary of State of the State of Delaware, dated the most recent practical date prior to the Applicable Closing Date;

(e) certificates of good standing and foreign qualification of each MPT Lessor from the Secretary of State of the state in which the applicable Real Property is located, dated the most recent practical date prior to the Applicable Closing Date;

(f) a certified copy of the resolutions of the governing body of MPT and each MPT Lessor dated prior to the Applicable Closing Date and authorizing such MPT Lessors' execution, delivery and performance of this Agreement and all other documents to be executed in connection herewith;

(g) a certificate dated the Applicable Closing Date signed by MPT and the applicable MPT Lessor to the effect that all of the representations and warranties of such MPT Lessor contained in the Agreement, as such representations and warranties may have been updated under Section 6.3 above, remain in all material respects true and correct as of the Closing Date as if made on such date and that such MPT Lessor has performed and satisfied in all material respects all covenants and conditions required by this Agreement to be performed or satisfied by such MPT Lessor on or prior to the Applicable Closing; and

(h) all other documents identified in Section 8.2 above to which any new or existing MPT Party is a party.

ARTICLE IX

TERMINATION

9.1. Termination.  Notwithstanding anything to the contrary in this Agreement and in addition to any termination rights provided for elsewhere in this Agreement, the obligations of the parties hereunder may be terminated and the transactions contemplated hereby abandoned at any time prior to an Applicable Closing:  (a) by mutual written consent of the parties; (b) by Adeptus if (i) the conditions set forth in Section 7.1 shall not have been satisfied with respect to any Applicable Closing on or before January 31, 2016, or (ii) MPT shall have rejected and not acquired at least five (5) Target Properties proposed by Adeptus (provided that any such rejection is not based solely on the failure of the applicable Real Estate Contract to comply with the requirements described in Schedule 1.1, or the refusal of the Adeptus Parties to enter into a mutually acceptable Hospital Purchase Contract with respect to an Existing Facility Acquisition), or (c) by MPT if the conditions set forth in Section 7.2 shall not have been satisfied with respect to any Applicable Closing on or before January 31, 2016 (the date of any such termination under subsection (a), (b) or (c) being referred to herein as the "Termination Date").    

9.2. Notice and Effect.  In the event of the termination of this Agreement pursuant to this Article IX, the party terminating this Agreement shall give prompt written notice thereof to the parties, and the transactions contemplated hereby relating to a Real Property that has not yet been acquired that shall be abandoned without further action by any party.  Notwithstanding any statement contained in this Agreement to the contrary, termination of this Agreement shall not relieve any party from liability for any breach or violation of this Agreement.

ARTICLE X

CERTAIN POST‑CLOSING COVENANTS

10.1. HIPAA Compliance.  Each of the Facilities shall, upon the applicable Operational Date (as defined in the applicable Project Development Agreement), comply with the standards for

privacy of individually‑identifiable health information which were promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA").

10.2. Post‑Closing Access to Information.  The parties acknowledge that, subsequent to an Applicable Closing, each may need access to the Assets subject to such Applicable Closing and to information, documents or computer data in the control or possession of the other for purposes of concluding the transactions contemplated herein and for audits, investigations, compliance with governmental requirements, regulations and requests, the prosecution or defense of third party claims.  Accordingly, the parties agree that upon prior reasonable notice and during regular business hours they will make available to the other and their agents, independent auditors and/or governmental entities such documents and information as may be available relating to such Assets and will permit the other to make copies of such documents and information at the requesting party's expense, provided that none of the foregoing will interfere with the operation of the Business.

10.3. Real Estate Contract Indemnification.  The parties acknowledge that there may be indemnification rights and claims against the Unrelated Sellers pursuant to the terms of the Real Estate Contracts.  In the event that any such indemnification right or claim under a Real Estate Contract (an "Unrelated Seller Claim") shall arise or accrue in favor of any Adeptus Party at any time hereafter with respect to or affecting any of the Assets or otherwise resulting in any demands, claims, actions, losses, damages, liabilities, penalties, Taxes, costs and expenses (including, without limitation, reasonable attorneys' and accountants' fees, settlement costs, arbitration costs and any reasonable other expenses for investigating or defending any action or threatened action) (collectively, "Unrelated Seller Damages"), Adeptus shall, after notification to MPT, (a) promptly notify the applicable Unrelated Seller of the Unrelated Seller Claim (including all material facts related thereto) and make a claim for indemnity against such Unrelated Seller with respect thereto pursuant to the terms of the applicable Real Estate Contract; (b) promptly notify MPT of any and all material communications, notices or other information, whether written or oral, any of the Adeptus Parties receives with respect to such Unrelated Seller Claim; (c) coordinate with MPT in the exercise of all of the Adeptus Parties' rights with respect to such Unrelated Seller Claim (including, without limitation, the selection, engagement and/or approval of counsel) it being understood and agreed that no Adeptus Party shall take any action with respect to any such Unrelated Seller Claim (except for those actions set forth in clauses (a) and (b) above) without the MPT's prior written consent; (d) account for any amounts received by any Adeptus Party in respect of any such Unrelated Seller Claim; and (e) not take or agree to take any action which would conflict with its obligations to the MPT Parties with respect to such Unrelated Seller Claim pursuant to this Section 10.3 or which would otherwise adversely affect any rights of the MPT Parties with respect to such Unrelated Seller Claim.  MPT shall reasonably cooperate with the Adeptus Parties in connection with any Unrelated Seller Claims, which cooperation shall be at Adeptus' sole cost and expense.  The provisions of this Section 10.3 shall be in addition to any rights or remedies of the MPT Parties provided in Article XIII hereof, and shall survive any termination of this Agreement for a period concurrent with the survival period of any indemnification obligations of the respective Unrelated Sellers under the Real Estate Contracts.

10.4. Joinder of New Projects.  In connection with each New Project, the parties shall add such New Project to this Agreement upon the following terms and conditions:

(a) a new MPT Lessor and a new Adeptus Lessee shall be joined to this Agreement (each, a "New Party");

(b) the existing MPT Parties and Adeptus Parties, and each New Party shall execute a Joinder Agreement in form to be mutually agreed upon by the parties (each, a "Joinder Agreement"), which shall provide, among other things, that the acquisition, funding and development of the applicable Real Property is subject to the terms, representations, warranties, covenants, conditions and deliveries as set forth in this Agreement; it being further understood and agreed, however, that any such New Parties shall not be required to reaffirm or satisfy the representations, warranties, covenants and conditions with respect to any previously closed Real Property, and all representations, warranties, covenants and conditions relating to any such New Party shall not apply with respect to any previously closed Real Property.

ARTICLE XI

INDEMNIFICATION

11.1. Adeptus Parties' Agreement to Indemnify.

(a) Subject to the limitations set forth in this Article XI, the existing Adeptus Parties, jointly and severally, shall indemnify, defend and hold harmless MPT, the other existing MPT Parties, their Affiliates and their respective officers, managers, members, (general and limited) partners, shareholders, employees, agents and representatives (collectively, the "MPT Indemnified Parties") from and against all demands, claims, actions, losses, damages, liabilities, penalties, taxes, costs and expenses (including, without limitation, attorneys' and accountants' fees, settlement costs, arbitration costs and any reasonable other expenses for investigating or defending any action or threatened action) asserted against or incurred by the MPT Indemnified Parties or any of them arising out of or in connection with or resulting from (i) any breach of, misrepresentation associated with or failure to perform under any covenant, representation, warranty or agreement under this Agreement, the Adeptus Instruments, or the other agreements contemplated hereby or thereby on the part of the existing Adeptus Parties; (ii) any claims asserted against or damages suffered by the MPT Indemnified Parties as a result of any breach by any existing Adeptus Party of its representations, warranties, covenants or obligations under this Agreement; or (iii) any Excluded Liabilities (collectively, "MPT Party Damages"); provided, however, that (A) MPT Party Damages shall not apply to any matters resulting from or caused by the gross negligence or willful misconduct of any MPT Indemnified Party, and (B) the obligations of Adeptus under this Section 11.1(a) with respect to the Master Lease shall exclude any MPT Party Damages arising under the Master Lease, all of which must be pursued against Adeptus (if at all) pursuant to the terms of the Master Lease and the Guaranty.

(b) The indemnification of the MPT Indemnified Parties by the Adeptus Parties provided for under this Article XI as to a particular Real Property shall terminate on the date that is the second (2nd) anniversary after the date of the Applicable Closing of such Real Property (the "MPT Party Indemnity Periods"); provided, however, if a particular Real Property is not Completed (as defined in the applicable Project Funding Agreement) prior to the second anniversary of the applicable Closing Date, such termination date shall be extended for one year following the date of Completion.  The limitation in the preceding sentence shall not apply to

any MPT Party Damages arising or resulting from (i) any act or omission of the Adeptus Parties which constitutes fraud, (ii) any breach by Adeptus Parties of their respective post‑closing covenants under Sections 10.1,  10.2 or 10.3, or (iii) the Excluded Liabilities.  Notwithstanding the foregoing, the obligations of the Adeptus Parties for indemnification pursuant to this Section 11.1 with respect to any Real Property prior to the Completion thereof shall not in the aggregate exceed the Guaranty Limitation (as defined in the Project Development Agreement for such Real Property), except and to the extent otherwise provided for in the Cost Overrun Guaranty.

11.2. MPT's Agreement to Indemnify.    

(a) Subject to the limitations set forth in this Article XI, the existing MPT Parties shall indemnify, defend and hold harmless Adeptus, the other Adeptus Parties, their respective Affiliates and their respective officers, managers, members, (general and limited) partners, shareholders, employees, agents and representatives (collectively, the "Adeptus Indemnified Parties") from and against all demands, claims, actions, losses, damages, liabilities, penalties, Taxes, costs and expenses (including, without limitation, reasonable attorneys' fees, settlement costs, arbitration costs and any reasonable other expenses for investigating or defending any action or threatened action) asserted against or incurred by any of the Adeptus Indemnified Parties or any of them arising out of or in connection with or resulting from (i) any breach of, misrepresentation associated with or failure to perform under any covenant, representation, warranty or agreement under this Agreement or the other agreements contemplated hereby on the part of any existing MPT Party; or (ii) any claims asserted against or damages suffered by the Adeptus Parties as a result of any breach by any MPT Party its representations, warranties, covenants or obligations under this Agreement (collectively, "Adeptus Damages"); provided, however, that Adeptus Damages shall not apply to any matters resulting from or caused by the gross negligence or willful misconduct of any Adeptus Indemnified Party.

(b) The indemnification of the Adeptus Indemnified Parties by the existing MPT Parties provided for under this Section 11.2 shall terminate on the second (2nd) anniversary of the Applicable Closing (the "Adeptus Indemnity Period").  The limitation in the preceding sentence shall not apply to any Adeptus Damages arising or resulting from (i) any act or omission of any MPT Indemnified Party which constitutes fraud, or (ii) any breach by any MPT Party of its post‑closing covenants under Section 10.3.

11.3. Notification and Defense of Claims.    

(a) A party entitled to be indemnified pursuant to this Article XI (the "Indemnified Party") shall notify the party liable for such indemnification (the "Indemnifying Party") in writing of any claim or demand which the Indemnified Party has determined has given or could give rise to a right of indemnification under this Agreement, as soon as possible after the Indemnified Party becomes aware of such claim or demand; provided, that, the Indemnified Party's failure to give such notice to the Indemnifying Party in a timely fashion shall not result in the loss of the Indemnified Party's rights with respect thereto except to the extent the Indemnifying Party is materially prejudiced by the delay.

(b) If the Indemnified Party shall notify the Indemnifying Party of any claim or demand pursuant to the provisions hereof, and if such claim or demand relates to a claim or

demand asserted by a third party against the Indemnified Party (a "Third Party Claim"), the Indemnifying Party shall have the obligation either (i) to pay such claim or demand, or (ii) defend any such Third Party Claim with counsel reasonably satisfactory to the Indemnified Party.  After the Indemnifying Party has assumed the defense of such Third Party Claim, the Indemnifying Party shall not be liable to the Indemnified Party under this Article XI for any legal or other expenses subsequently incurred by the Indemnified Party in connection with the defense thereof other than reasonable costs of investigation, provided that the Indemnified Party shall have the right to employ counsel, at the Indemnifying Party's expense, to represent it if (A) in the Indemnified Party's reasonable opinion the Indemnifying Party is not diligently prosecuting the defense of such Third Party Claim, (B) such Third Party Claim involves remedies other than monetary damages and such remedies, in the Indemnified Party's reasonable judgment, could have a Material Adverse Effect on such Indemnified Party, (C) the Indemnified Party may have available to it one or more defenses or counterclaims that are inconsistent with one or more defenses or counterclaims that may be alleged by the Indemnifying Party, or (D) the Indemnified Party believes in its reasonable discretion that a conflict of interest exists between the Indemnifying Party and the Indemnified Party with respect to such Third‑Party Claim or action, and in any such event the reasonable fees and expenses of such separate counsel for the Indemnified Party shall be paid by the Indemnifying Party.  The Indemnified Party shall make available to the Indemnifying Party or its agents all records and other materials in the Indemnified Party's possession reasonably required by it for its use in contesting any Third‑Party Claim or demand.

(c) No Indemnified Party may settle or compromise any claim or consent to the entry of any judgment with respect to which indemnification is being sought hereunder without the prior written consent of the Indemnifying Party, unless (i) the Indemnifying Party fails to assume and diligently prosecute the defense of such claim or (ii) such settlement, compromise or consent includes an unconditional release of the Indemnifying Party from all liability arising out of such claim and does not contain any equitable order, judgment or term which includes any admission of wrongdoing or could result in any liability (including regulatory liability) of the Indemnifying Party or which would otherwise in any manner affect, restrain or interfere with the business of the Indemnifying Party or any Affiliate of the Indemnifying Party.  An Indemnifying Party may not, without the prior written consent of the Indemnified Party, settle or compromise any claim or consent to the entry of any judgment with respect to which indemnification is being sought hereunder unless such settlement, compromise or consent includes an unconditional release of the Indemnified Party from all liability arising out of such claim and does not contain any equitable order, judgment or term which includes any admission of wrongdoing or could result in any liability (including regulatory liability) of the Indemnified Party or which would otherwise in any manner affect, restrain or interfere with the business of the Indemnified Party or any of the Indemnified Party's Affiliates.

11.4. Investigations.  The right to indemnification based upon breaches or inaccuracies of representations, warranties and covenants will not be affected by any investigation conducted with respect to, or knowledge acquired (or capable of being acquired) at any time, whether before or after the execution and delivery of this Agreement or the Applicable Closing Date, whether as a result of disclosure by a party pursuant to this Agreement or otherwise, the accuracy or inaccuracy of or compliance with any such representation, warranty or covenant.  The waiver of any condition based on the accuracy of any representation or warranty, or on the performance

of or compliance with any covenant, will not affect a party's right to indemnification, payment of damages or other remedies based on such representations, warranties and covenants.

11.5. Exclusive Remedy.  FROM AND AFTER THE APPLICABLE CLOSING, THE PARTIES AGREE AND ACKNOWLEDGE THAT THE INDEMNIFICATION RIGHTS PROVIDED IN THIS ARTICLE XI SHALL BE THE SOLE AND EXCLUSIVE REMEDY OF THE PARTIES TO THIS AGREEMENT FOR BREACHES OF THIS AGREEMENT AND FOR ALL DISPUTES ARISING UNDER OR RELATING TO THIS AGREEMENT AND ANY ADDITIONAL AGREEMENTS OR DOCUMENTS EXECUTED OR DELIVERED IN OR ARISING OUT OF THE TRANSACTIONS CONTEMPLATED HEREBY, EXCEPT FOR POST‑CLOSING COVENANTS, CASES WHERE SPECIFIC PERFORMANCE IS AVAILABLE AS A REMEDY AND EXCEPT IN CASES OF FRAUD.

ARTICLE XII

DISPUTE RESOLUTION

12.1. Governing Law.  EXCEPT AS PROVIDED IN THIS SECTION 12.1, 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 HERETO AGREE THAT ALL PROVISIONS OF THIS AGREEMENT OR THE LEASE RELATING TO THE CREATION OF THE LEASEHOLD ESTATE AND ALL REMEDIES RELATING TO THE RECOVERY OF POSSESSION OF ALL OR ANY PORTION OF THE REAL PROPERTY (SUCH AS AN ACTION FOR UNLAWFUL DETAINER OR OTHER SIMILAR ACTION) SHALL BE GOVERNED BY, CONSTRUED AND ENFORCED IN ACCORDANCE WITH THE LAWS OF THE STATE WHERE THE APPLICABLE PORTION OF THE REAL PROPERTY IS LOCATED.

12.2. Jurisdiction and Venue.  THE PARTIES CONSENT TO PERSONAL JURISDICTION IN THE STATE OF ALABAMA.  EXCEPT AS PROVIDED IN THIS SECTION 12.12, THE PARTIES AGREE THAT ANY ACTION OR PROCEEDING ARISING UNDER THIS AGREEMENT SHALL BE BROUGHT AND TRIED EXCLUSIVELY IN THE STATE OR FEDERAL COURTS LOCATED IN THE STATE OF ALABAMA.  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.  FURTHER, THE PARTIES 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 SECTION 13.2 SHALL BE EFFECTIVE SERVICE OF PROCESS AGAINST SUCH PARTY FOR ANY ACTION OR PROCEEDING BROUGHT IN 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 CREATION OF THE LEASEHOLD ESTATE AND ALL REMEDIES RELATING TO THE RECOVERY OF POSSESSION OF ALL OR ANY PORTION OF THE REAL PROPERTY (SUCH AS AN ACTION FOR UNLAWFUL DETAINER OR OTHER SIMILAR ACTION) MAY BE BROUGHT IN ANY STATE OR FEDERAL COURT OF THE STATE WHERE THE APPLICABLE PORTION OF THE REAL PROPERTY IS LOCATED.

12.3. Waiver of Jury Trial.  TO THE MAXIMUM EXTENT PERMITTED BY LAW, THE PARTIES 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 ANY PARTY OR ANY EXERCISE OF ANY PARTY OF THEIR RESPECTIVE RIGHTS HEREUNDER OR IN ANY WAY RELATING TO THIS AGREEMENT OR THE ASSETS (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 MPT TO ENTER INTO THIS AGREEMENT.

ARTICLE XIII

MISCELLANEOUS

13.1. Assignment.  Except as expressly permitted herein, this Agreement is not assignable by any party without the prior written consent of the other parties.  Notwithstanding the foregoing, the MPT Parties may at any time and without the consent of Adeptus or any other Adeptus Party assign all of their rights and obligations hereunder to any Person other than any Person whose primary business is the provision of physician‑staffed emergency room or urgent care medical services (a "Non‑Permissible Assignee"); provided, however, that (a) no such assignment shall relieve or release the MPT Parties from their obligations hereunder, and (b) if there shall exist any Event of Default (under and as defined in the Master Lease), the MPT Parties may assign all of their rights and obligations hereunder to any Person, including, without limitation, a Non‑Permissible Assignee.  Notwithstanding the foregoing, so long as no Event of Default (as defined in the Master Lease) is outstanding under the Master Lease, the Adeptus Parties may at any time and without the consent of MPT or any of the MPT Parties assign all or any portion of their respective rights and obligations hereunder to any Person in connection with (i) a Permitted Sale Transaction (as defined in the Master Lease), or (ii) any other transfer (be it by merger, consolidation, sale, assignments or otherwise) of all or substantially all of the assets of Adeptus, so long as following the consummation of such transfer, the assignee of Adeptus is in pro forma compliance with the covenants set forth in Section 16.1(l) of the Master Lease.

13.2. Notice.  All notices, demands, consents, approvals, requests and other communications required or permitted to be provided under this Agreement shall be in writing (except where specifically stated otherwise herein) and shall be (a) delivered in person, (b) sent by certified mail, return receipt requested, (c) delivered by a recognized delivery service, or (d) sent by facsimile transmission and addressed as follows:

If to any Adeptus

Party:

c/o Adeptus Health LLC

2491 S. Lake Vista, Suite 200

Lewisville, Texas  75067

Attn:  Chief Development Officer

Telephone: (972) 899-6666

Facsimile: (972) 899-6664

With a copy to:

Adeptus Health LLC

2491 S. Lake Vista, Suite 200

Lewisville, Texas  75067

Attn:  Legal Department

Telephone: (972) 899-6666

Facsimile: (972) 899-6664

With a copy to:

DLA Piper LLP (US)

203 North LaSalle Street, Suite 1900

Chicago, Illinois 60601 1293

Attn:  Merle Teitelbaum Cowin, Esq.

Telephone: (312) 368‑4089

Facsimile:  (312) 630‑7419

If to any MPT Party:

c/o MPT Operating Partnership, L.P.

1000 Urban Center Drive, Suite 501

Birmingham, AL  35242

Attn:  Legal Department

Telephone: (205) 969‑3755

Facsimile: (205) 969‑3756

With a copy to:

Baker, Donelson, Bearman, Caldwell & Berkowitz, PC

420 20th Street North, Suite 1400

Birmingham, Alabama  35203

Attn:  Thomas O.  Kolb, Esq.

Telephone: (205) 250‑8321

Facsimile: (205) 488‑3721

13.3. Calculation of Time Period.  When calculating the period of time before which, within which or following which any act is to be done or step taken, the date that is the reference date in calculating such period shall be excluded.  If the last day of such period is a non‑Business Day, the period in question shall end of the next succeeding Business Day.

13.4. Captions.  The section and paragraph headings or captions appearing in this Agreement are for convenience only, are not a part of this Agreement, and are not to be considered in interpreting this Agreement.

13.5. Entire Agreement; Modification.  This Agreement, including the Exhibits attached hereto, and other written agreements executed and delivered in connection herewith by the parties, constitute the entire agreement and understanding of the parties with respect to the subject matter of this Agreement.  This Agreement supersedes any prior oral or written agreements between the parties with respect to the subject matter of this Agreement. It is expressly agreed that there are no verbal understandings or agreements which in any way change the terms, covenants, and conditions set forth in this Agreement, and that no modification of this Agreement and no waiver of any of its terms and conditions shall be effective unless it is made in writing and duly executed by the parties.  The parties have not relied upon, and shall not be entitled to rely upon, any prior or contemporaneous agreements, understandings, representations or statements (oral or written) other than this Agreement in effecting the transactions contemplated herein or otherwise.

13.6. Schedules and Exhibits.  All Schedules and Exhibits referred to in this Agreement shall be deemed a part of this Agreement and are hereby incorporated herein by reference.  The statements in the Schedules referred to in this Agreement, and those in any supplement thereto, relate only to the provisions in the Section of this Agreement to which they expressly relate and not to any other provision in this Agreement.  Further, nothing set forth in such Schedule shall be deemed adequate to disclose an exception to a representation or warranty related thereto unless such Schedule identifies the exception with reasonable particularity and describes the relevant facts in reasonable detail.

13.7. Further Assurances.  From time to time after the Applicable Closing and without further consideration, each party shall execute and deliver to the other such instruments of sale, transfer, conveyance, assignment, consent or other instruments as may be reasonably requested in order to carry out the purpose and intent of this Agreement.

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

instrument.  Executed signature pages to this Agreement may be delivered by facsimile transmission or by e‑mail and any such signature page shall be deemed an original.

13.9. Expenses.  Adeptus shall be responsible for the payment of all Closing Costs, Pursuit Costs and all other reasonable expenses incurred by the parties in connection with the transactions contemplated hereby; provided, that such costs and expenses with respect to each Real Property shall be included in the budget for each New Project and funded by the MPT Lessors in accordance with the applicable Project Development Agreement.  The parties acknowledge that Adeptus has delivered to MPT an expense deposit in the amount of One Hundred Thousand Dollars ($100,000) (the "Expense Deposit").  At the First Closing, MPT shall refund the Expense Deposit to Adeptus.  The provisions of this Section 13.9 shall survive the termination of this Agreement.

13.10. Public Announcements.  Adeptus and MPT agree that public announcements, if any, concerning the subject matter of this Agreement shall be mutually approved in advance; provided, however, that, notwithstanding any provision hereof to the contrary, but subject to the provisions of the Confidentiality Agreement, without the prior approval of the other party, Adeptus or MPT or their respective Affiliates, may (a) disclose that it has entered into this Agreement and may provide and disclose information regarding this Agreement, the parties to this Agreement, the Master Lease, the Real Property, the Assets and such additional information which such party may reasonably deem necessary, to its proposed investors in connection with a public offering or private offering of securities, or any current or prospective lenders with respect to its financing, and to investors, analysts and other parties in connection with earnings calls and other normal communications with investors, analysts and other parties, (b) release information required to be disclosed pursuant to applicable law, including, without limitation, federal and state securities laws and the rules and regulations of the NYSE or NASDAQ, and (c) include any information in a prospectus, prospectus supplement or other offering circular or memorandum in connection with public or private capital raising or other activities undertaken by such party.

13.11. Right to Specific Performance.  Each of the parties hereto agree that irreparable damage, for which monetary damages (even if available) would not be an adequate remedy, would occur if a party breaches its obligations under this Agreement (including failing to take such actions as are required of it hereunder to consummate the transactions contemplated herein).  Accordingly, each party acknowledges and agrees that the other parties shall be entitled to an injunction, specific performance and other equitable relief to prevent any such breaches of this Agreement and to enforce specifically the terms and provisions hereof, in addition to any other remedy to which they are entitled at law or in equity (including the recovery of damages from the other party), without proving actual damages or posting any bond or other security in connection with any such order or injunction.  Each party agrees that it will not oppose the granting of an injunction, specific performance or other equitable relief on the basis that any other party has an adequate remedy at law or that any award of specific performance is not an appropriate remedy for any reason at law or in equity.

13.12. Binding Effect; No‑Third Party Beneficiaries.  This Agreement shall bind and inure to the benefit of the parties and their successors and assigns; 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 not a party to this Agreement or such other agreement any rights or remedies contained in this Agreement or such other agreement as a third party beneficiary hereof, thereof, or otherwise.

13.13. Construction.  The parties hereto have participated jointly in the negotiation and drafting of this Agreement.  In the event an ambiguity or question of intent or interpretation arises, this Agreement shall be construed as if drafted jointly by the parties hereto and no presumption or burden of proof shall arise favoring or disfavoring any party by virtue of authorship of any of the provisions of this Agreement.

13.14. Joint and Several Obligations.  Whenever any provision of this Agreement refers to the joint and several liability of parties hereto, the other parties hereto may enforce such provision against any one or more or all of such parties.

MPT:

MPT OPERATING PARTNERSHIP, L.P.

By:

/s/ R. Steven Hammer

Name:

R. Steven Hamner

Title:

Executive Vice President and CFO

ADEPTUS:

ADEPTUS HEALTH LLC

By:

/s/ Tim Fielding

Name:

Tim Fielding

Title:

CFO and Treasurer

A. Owner owns fee title to the real property located in                   County,               (the “Property”).

B. Owner,Guarantor,                               , a                       (“Lessee”), and                 , a                     (“Developer”), have entered into that certain Project Funding and Development Agreement, dated as of the date hereof (as the same may be modified, amended or restated from time to time, the “PFDA”), pursuant to which Developer has agreed develop and improve the Property as an approximately                  square foot standalone emergency room facility [or acute care hospital facility] (the “Project”) and Owner has agreed to fund the development and construction of the Project, upon the terms and conditions set forth therein. Capitalized terms that are not otherwise defined in this Guaranty shall have the respective meanings that such terms have in the PFDA.

C. Owner and Lessee have joined and become parties to that certain Master Lease Agreement, dated as of, 2014 (as the same may be modified, amended or restated from time to time, the “Master Lease”), pursuant to which Lessee has agreed to lease the Project from Owner, upon the terms and conditions set forth therein.

D. As a condition to entering into the PFDA and the Master Lease, Owner requires that Guarantor provide this Guaranty.

E. Guarantor is an affiliate of Lessee and will derive substantial economic and other benefits from the development of the Project and the Master Lease.

1. Guaranty.  Subject to the terms and condition of this Guaranty, Guarantor absolutely, unconditionally and irrevocably guarantees to Owner the following (the “Guaranteed Obligations”):

a. the payment to Owner of all Cost Overruns (defined below), such payment to be made to Owner within ten (I 0) days after demand from Owner, provided, however, that at no time shall the aggregate liability of Guarantor for Cost Overruns and for obligations owing under the PFDA exceed the Construction Period Maximum Liability (defined below); and

b. the payment of all Enforcement Costs (as defined below). As used in this Guaranty:

(i) “Cost Overruns”  shall mean the amount, if any, by which the aggregate amount of Actual Development and Construction Costs (defined below) for the Project exceeds the aggregate amount of Budgeted Development and Construction Costs (defined below) for the Project.

(ii) “Actual Development and Construction Costs”  shall mean the actual out-of-pocket costs and expenses incurred by Owner for construction and development costs (including both hard and soft costs) of the Project in accordance with the PFDA, through Completion, but excluding (x) any Construction Period Accrual, (y) any acquisition costs for the Property, and (z) any Force Majeure Costs (defined below).

(iii) “Budgeted Development and Construction Costs”  shall mean the Total Funding Amount, less (x) the amount of the Construction Period Accrual (in any) set forth in the Development Budget, and (y) any acquisition costs for the Property.

(iv) “Construction Period Maximum Liability”  as of any date shall mean the sum of (A) 89.95% of the then incurred Actual Development and Construction Costs for the Project that are properly capitalizable under US GAAP incurred as of such date, minus (B) the sum of (i) any payments previously paid by Guarantor or Master Lessee in connection with the Project which have been future valued at 9.875% to such point in time, and (ii) the present value of any future payments in connection with the Project, discounted at 9.875% , that Guarantor or Master Lessee is obligated to make, but in each case excluding payments that are not required to be included in the calculation of Guarantor's or Master Lessee's maximum guaranty amount under ASC 840-40-55 (EITF 97-10).

(v) “Force Majeure Costs”  shall mean shall mean (A) all costs and expenses incurred by Owner or Developer to restore the Project in connection with a Force Majeure Event (including (1) all capitalized interest and other collateral costs and carrying costs accruing on such cost necessary to repair and restore damage caused by such Force Majeure Event, and (2) all capitalized interest and other collateral costs and carrying costs accruing as a result of time delays necessary to repair and restore damage caused by such Force Majeure Event) less the amount of all insurance proceeds applied to the restoration of the Project and (B) to the extent the

Project is not restored following such Force Majeure Event, the reduction, if any, in fair market value of the Project as a result of such Force Majeure Event.

(vi) “Force Majeure Event"  shall mean the occurrence of one or more events that causes damage to the Project or any portion thereof caused by Owner or Owner's employees, act of God, including fire, floods, tornadoes, hurricanes or any other causes, unless such damage was caused by Guarantor, Master Lessee or any of their respective employees.

2. Waiver of Defenses.  Guarantor agrees that the obligations, covenants and agreements of Guarantor under this Guaranty shall not be affected or impaired by any act of Owner, or any event or condition except full performance of the Guaranteed Obligations. Guarantor agrees that, without full performance of the Guaranteed Obligations, the liability of Guarantor hereunder shall not be discharged, and Guarantor waives any defense based on (a) lack of authority or bankruptcy or insolvency of the Owner, Developer, Master Lessee or any other person or entity; (b) any failure of Owner to commence action against the Developer or any other person or entity, or to file or enforce a claim against the estate (either in administration, bankruptcy, or any other proceeding) of Developer or any other person or entity; (c) any election of remedies by the Owner or any other person or entity which destroys or otherwise impairs any subrogation rights of Guarantor or the right of Guarantor to proceed against Developer, Owner or any other person or entity for reimbursement; (d) any failure on the part of the Owner to ascertain the extent or nature of the liability of any person or entity liable for the obligations of Developer under the PFDA, or any failure on the part of Owner or any other person or entity to disclose to Guarantor any material facts affecting the obligations of Developer under the PFDA; (e) any lack of acceptance or notice of acceptance of this Guaranty by Owner; (f) any lack of presentment, demand, protest, or notice of demand, protest, nonpayment or nonperformance with respect to the obligations of Developer under the PFDA; (g) any lack of due diligence by Owner in obtaining reimbursement from any person or entity now or hereafter liable for the obligations of Developer under the PFDA; (h) any deficiency in the ability of Owner to collect from any persons or entities now or hereafter liable for the obligations of Developer under the PFDA; (i) the renewal or extension of time for the payment or performance of the Guaranteed Obligations or any other agreement relating to the Guaranteed Obligations, whether made with or without the knowledge or consent of Guarantor; G) any transfer, waiver, compromise, settlement, surrender or release of the provisions of the PFDA (provided that the PFDA shall not be modified or amended and no Change Order will be approved by Owner without the prior written consent of Guarantor); (k) the existence of any defenses to enforcement of the provisions of the PFDA other than mandatory counter-claims; (1) the existence of any set-off, claim, reduction or diminution of the Guaranteed Obligations, or any defense of any kind or nature, which Guarantor may have against Developer, Owner or any other person or entity or which any party has against Owner; (m) the addition of any and all other indorsers, guarantors, obligors and other persons liable for the payment and performance of the Guaranteed Obligations and the acceptance of any and all other security for the payment and performance of the Guaranteed Obligations; all whether or not Guarantor shall have had notice or knowledge or any act or omission referred to in the foregoing clauses (a) through (m) of this Paragraph. Guarantor intends that Guarantor shall remain liable hereunder as a principal until all Guaranteed Obligations shall have been satisfied in full, notwithstanding any fact, act, event or occurrence which might otherwise operate as a legal or equitable discharge of a surety or guarantor.

3. Unconditional Liability.  This is a guaranty of payment and performance and not a guaranty of collection. The liability of Guarantor under this Guaranty shall be direct and immediate and not conditional or contingent on the pursuit of any remedies against Developer, Master Lessee or any other person or entity. Upon a default in payment or performance of any of the Guaranteed Obligations, Owner may enforce its rights, powers and remedies under the PFDA or hereunder, in any order, without demand or notice of any kind (except notice and cure periods as may be required by the PFDA), and without exercising any rights or remedies against Developer or any other person or entity, and all such rights, powers and remedies available to the Owner shall be nonexclusive and cumulative of all other available rights, powers and remedies. If any of the Guaranteed Obligations are partially paid or partially performed, for whatever reason, this Guaranty shall remain in full effect, and Guarantor shall remain liable for the entire remaining unpaid or unperformed Guaranteed Obligations.

4. Waiver of Exemptions.  Guarantor waives, to the fullest extent permitted by law, all rights to the benefits of any moratorium, reinstatement, marshaling, forbearance, valuation, stay, extension, redemption, appraisement, and exemption now or hereafter provided by any applicable law.

5. Enforcement Costs.  If: (i) this Guaranty is placed in the hands of one or more attorneys for collection or is collected through any legal proceeding; (ii) one or more attorneys is retained to represent Owner in any bankruptcy, reorganization, receivership, or other proceedings affecting creditors' rights and involving a claim under this Guaranty or (iii) one or more attorneys is retained to represent Owner in any other proceedings whatsoever in connection with this Guaranty, then Guarantor shall pay to Owner upon demand all reasonable attorneys' fees, costs and expenses, including, without limitation, court costs, filing fees, and all other costs and expenses incurred in connection therewith (all of which are referred to herein as “Enforcement Costs”), in addition to all other amounts due hereunder.

6. Modification of Guaranty.  This Guaranty may not be changed orally and no obligation of Guarantor can be released or waived by Owner except by a writing signed by the Owner. This Guaranty shall be irrevocable by Guarantor until all Guaranteed Obligations have been completely satisfied. This Guaranty shall be reinstated if any payment received Owner from Guarantor is returned or rescinded due to any law relating to bankruptcy, insolvency or other relief of debtors or for any other reason.

7. Subrogation.  Until all of the Guaranteed Obligations guaranteed hereunder have been satisfied and discharged in full, (a) Guarantor shall not exercise its right of subrogation and (b) Guarantor waives any right to enforce any remedy which it now has or may hereafter have against Lessee, any other guarantor or any other party to any of the Transaction Documents, or any other documents entered into in connection therewith, and any benefit of, and any right to participate in, any security or other assets now or hereafter held by Owner with respect to the Master Lease, the other Transaction Documents or any other document or instrument entered into in connection therewith.

8. Binding Effect; No Third Party Beneficiaries.  This Guaranty shall bind and inure to the benefit of Owner and its successors and assigns, and Owner's successors and permitted assigns shall be entitled to enforce performance and observance of this Guaranty to the same extent Owner is entitled to do so; provided, however, that (a) this Guaranty shall not inure to the benefit of any assignee pursuant to an assignment which violates the terms of this Guaranty; and (b) this Guaranty shall not be deemed to confer any rights or remedies contained in this Guaranty upon any Person not a party or made subject to this Guaranty (other than Owner).

9. Governing Law; Jurisdiction.  This Guaranty and the obligations ansmg hereunder shall be governed by, and construed in accordance with, the laws of the State of Delaware applicable to contracts made and performed in such State, without giving effect to conflicts of law principles. To the fullest extent permitted by law, Guarantor hereby unconditionally and irrevocably waives any claim to assert that the law of any other jurisdiction governs this Guaranty. Any legal suit, action or proceeding against Guarantor or Owner arising out of or relating to this Guaranty shall be instituted in any federal or state court in the State of Alabama, and Guarantor waives any objection which it may now or hereafter have to the laying of venue of any such suit, action or proceeding and hereby irrevocably submits to the jurisdiction of any such court in any suit, action or proceeding.

10. Notices.  All notices, demands, consents, approvals, requests and other communications under this Guaranty shall be in writing and shall be either (a) delivered in person, (b) sent by certified mail, return receipt requested, (c) delivered by a recognized delivery service, or (d) sent by facsimile transmission and addressed as follows:

Address of Owner:

c/o MPT Operating Partnership, L.P.

1000 Urban Center Drive, Suite 501

Birmingham, Alabama 35242

Fax:

(205) 969-3756

Attn:

Legal Department

With a copy to:

Baker, Donelson, Bearman, Caldwell & Berkowitz, PC

1400 Wells Fargo Tower

420 North 20th Street

Birmingham, Alabama 35203

Attn:

Thomas O. Kolb, Esq.

Fax:

(205) 488-3721

Address of Guarantor:

c/o Adeptus Health LLC

2941 S. Lake Vista, Suite 200

Lewisville, Texas 75067

Attn:

Chief Development Officer

Fax:

(972) 899-6664

With copies to:

Adeptus Health LLC

2491 S. Lake Vista, Suite 200

Lewisville, Texas 75067

Attn:

Legal Department

Fax:

(972) 899-6664

DLA Piper LLP (US)

203 N. LaSalle Street, Suite 1900

Chicago, Illinois 60601

Attn:

Merle Teitelbaum Cowin, Esq.

Fax:

(312) 630-7419

11. Severability.  Any provision of this Guaranty 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 or affecting the validity or enforceability of such provision in any other jurisdiction.

12. No Waiver.  No failure by any party to insist upon the strict performance of any term of this Guaranty 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 Guaranty 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 Guaranty, 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.

13. Tolling of Statute of Limitations.  Any act or circumstance that shall toll any statute of limitations applicable to the Guaranteed Obligations shall also toll the statute of limitations applicable to the liability of Guarantor for the Guaranteed Obligations.

14. Assignment.  This Guaranty is not assignable by Guarantor without the prior written consent of Owner. Owner may at any time and without the consent of Guarantor assign all of its rights and obligations hereunder to any other Person in connection with an assignment of the applicable Project Development Agreement in accordance with the terms thereof.

15. Necessary Action.  Guarantor and Owner shall perform any further acts and execute and deliver any documents that may be reasonably necessary to carry out the provisions of this Guaranty.

16. Joint and Several Obligations.  Adeptus and FirstChoice, each as a Guarantor, shall be jointly and severally liable for all of the liabilities and obligations of the Guarantor under this Guaranty.

17. Entire Agreement.  This Guaranty supersedes all prior discussions and agreements among the parties with respect to the subject matter hereof and contains, together with the PFDA and the Master Lease, the entire understanding among the parties with respect to the subject matter hereof. It is expressly agreed that there are no verbal understandings or agreements which in any way change the terms, covenants, and conditions set forth in this Guaranty, and that no modification of this Guaranty and no waiver of any of its terms and conditions shall be effective unless it is made in writing and duly executed by the parties. The parties have not relied upon, and shall not be entitled to rely upon, any prior or contemporaneous agreements, understandings, representations or statements (oral or written) other than this Guaranty in effecting the transactions contemplated herein or otherwise

18. Descriptive Headings.  Headings and other similar references are for the purpose of facilitating reference to this Guaranty and do not supplement, limit or otherwise vary the text of this Guaranty.

19. References.  References to Sections shall be deemed to refer to the appropriate Sections of this Guaranty. Unless otherwise specified in this Guaranty, the terms "herein," "hereof," "hereunder" and other terms of like or similar import, shall be deemed to refer to this Guaranty as a whole, and not to any particular Section hereof. The term "including" shall mean including, without limitation.

20. Individual Enforcement.  Owner shall be entitled to enforce this Guaranty and to take any action with respect hereto without any requirement to join any party (other than Guarantor) in any such enforcement or other action.

21. Time of Essence.  Time is of the essence with respect to payment and performance of the Guaranteed Obligations.

FIRST CHOICE ER, LLC, a Texas limited liability company

By:

Name:

Title:

ADEPTUS HEALTH LLC, a Delaware limited liability company

By:

Name:

Title:

1.

Defined Terms.  The following terms shall have the respective meanings ascribed to them in this Section 1:

2.

Guaranty.  Guarantor hereby absolutely, unconditionally and irrevocably guarantees to and for the benefit of Beneficiary, the full and prompt payment, performance and discharge of the Obligations. Upon the occurrence of an Event of Default (as defined herein), Guarantor shall perform or cause Lessees to perform such obligations, as if they constituted the direct and primary obligations of Guarantor. Beneficiary may, in its sole discretion, seek satisfaction of such Obligations from all or any of Lessees and Guarantor. The obligations and liabilities of Guarantor hereunder are continuing, absolute and unconditional, shall not be subject to any counterclaim, recoupment, set-off, reduction or defense based upon any claim that Guarantor may have against Lessees, Lessors or any of their respective Affiliates, officers, directors, members, shareholders, employees, agents and representatives, and shall remain in full force and effect until all of the Obligations guaranteed hereby have been paid, performed and discharged in full, without regard to, and without being released, discharged, impaired, modified or in any way affected by, the occurrence from time to time of the following events, circumstances or conditions, whether or not Guarantor shall have knowledge or notice thereof or shall have consented thereto:

(a) the failure or refusal to give notice to Guarantor;

(b) the compromise, settlement, release or termination with Lessees of any or all of the obligations, covenants or agreements of Lessee under the Master Lease, the 2013 Master Lease or a Hospital Purchase Contract, or the amendment, modification, restatement or forgiveness of the Master Lease, the 2013 Master Lease or a Hospital Purchase Contract;

(c) any consent, extension or indulgence under or in respect of any exercise or non- exercise of any right, remedy, power or privilege under or with respect to any of the Obligations guaranteed hereby;

(d) the assignment of the Master Funding and Development Agreement, the Master Lease or the 2013 Master Lease by MPT or any applicable Beneficiary or Lessee (to the extent permitted under the Master Funding and Development Agreement, the Master Lease or the 2013 Master Lease); or

(e) the voluntary or involuntary liquidation or dissolution of, sale or other disposition of all or substantially all of the assets of, or the marshalling of assets and liabilities, receivership, insolvency, bankruptcy, assignment for the benefit of creditors, reorganization, arrangement, composition or readjustment of, or other similar proceeding affecting, the Beneficiary, Guarantor, Lessee, or any of their respective assets, or any action taken by any trustee or receiver or by any

court in any such proceeding, or the disaffirmance, rejection or postponement in any such proceeding, of any of the Beneficiary’s, Guarantor’s or Lessee’s covenants, obligations, undertakings or agreements.

3.

Representations and Warranties of Guarantor.  Guarantor hereby represents and warrants to Beneficiary that (a) Guarantor has full legal right, power and authority to enter into this Guaranty, to incur the obligations provided for herein, and to execute and deliver the same to Beneficiary; (b) this Guaranty has been duly executed and delivered by Guarantor and constitutes Guarantor’s valid and legally binding obligation, enforceable against Guarantor in accordance with its terms, subject to bankruptcy, insolvency, reorganization, and similar laws affecting the enforcement of creditor’s rights or contractual obligations generally and, as to enforcement, to general principles of equity, regardless of whether applied in a proceeding at law or in equity; (c) no approval or consent of any foreign, federal, state, county, local or other governmental or regulatory body, and no approval or consent of any other Person is required in connection with the execution and delivery by Guarantor of this Guaranty or the consummation and performance by Guarantor of the transactions contemplated hereby (other than consents and approvals that have been obtained); (d) the execution and delivery of this Guaranty and the obligations created hereby have been duly authorized by all necessary proceedings on the part of Guarantor, and will not conflict with or result in the breach or violation of any of the terms or conditions of, or constitute (or with notice or lapse of time or both would constitute) a default under the governing documents of Guarantor, any instrument, contract or other agreement to which Guarantor is a party or by or to which Guarantor or Guarantor’s assets or properties are bound or subject; or any statute or any regulation, order, judgment or decree of any court or governmental or regulatory body; and (e) Guarantor is not a party to or, to the knowledge of Guarantor, threatened in writing with any litigation or judicial, administrative or arbitration proceeding which, if decided adversely to Guarantor, would restrain, prohibit or materially delay the transactions contemplated hereby.

4.

Events of Default.  An occurrence of any of the following shall constitute an “Event of Default” hereunder:

(a) There shall occur an “Event of Default” under and within the meaning of the Master Lease, the 2013 Master Lease or any Hospital Purchase Contract .

(b) If Guarantor shall fail, refuse or neglect to perform and discharge fully and timely any of its monetary obligations hereunder and, in the case of a non-monetary failure, such failure, refusal or neglect is not cured by Guarantor within a period of thirty (30) days after receipt by Guarantor of written notice thereof from MPT, unless such failure cannot with due diligence be cured within a period of thirty (30) days (in MPT’s reasonable discretion), in which case such failure shall not be deemed to continue so long as Guarantor commences to cure such failure within the thirty (30) day period and proceeds with due diligence to complete the curing thereof within sixty (60) days after receipt by Guarantor of MPT’s notice of default (or such longer period as is reasonably required in the determination of MPT to effect such cure if Guarantor is diligently proceeding to do so); provided however, in no event shall MPT be required to give more than one (1) notice and cure period for Guarantor’s failure to observe or perform the same (or repetitive) covenant or condition in any consecutive twelve (12) month period.

5. Remedies.  Upon the occurrence of an Event of Default, the Beneficiary shall have any and all rights and remedies available in law or equity to enforce any failure by Guarantor to fulfill its obligations hereunder. No remedy herein conferred upon or reserved to the Beneficiary hereunder is intended to be exclusive of any other available remedy or remedies, but each and every such remedy shall be cumulative and shall be in addition to every such remedy now or hereafter existing at law or in equity.

6. Waiver of Acceptance, Etc.  Guarantor waives diligence, presentment, protest, demand for payment and notice of default or nonpayment to or upon Lessee, and/or Guarantor with respect to the Obligations guaranteed hereunder. Without limiting the other provisions of this Section 6, this Guaranty shall be construed as a continuing, absolute and unconditional guarantee of performance and payment without regard to the validity, regularity or enforceability of any obligations or any other collateral security thereof (if any) or other guarantee thereof (if any) or any other circumstance whatsoever (with or without notice to or knowledge of Guarantor) which constitutes, or might be construed to constitute, an equitable or legal discharge of the obligations of Guarantor under this Guaranty, in bankruptcy or in any other instance, and the obligations and liabilities of Guarantor hereunder shall not be conditioned or contingent upon the pursuit by Beneficiary or any other person at any time of any right or remedy against Lessee, or against any other person (if any) which may be or become liable in respect of all or any part of the obligations or against any collateral security therefor or guarantee thereof or right of offset with respect thereto (if any). This Guaranty is not merely a guarantee of collection and the obligations of Guarantor hereunder are primary and this guarantee constitutes a guarantee of payment.

7. Subrogation.  Until all of the Obligations guaranteed hereunder have been satisfied and discharged in full, (a) Guarantor shall not exercise its right of subrogation and (b) Guarantor waives any right to enforce any remedy which Beneficiary now has or may hereafter have against Lessee, or any other guarantor or any other party to the Master Lease, the 2013 Master Lease or any Hospital Purchase Contract , or any other documents entered into in connection therewith, and any benefit of, and any right to participate in, any security or other assets now or hereafter held by Beneficiary with respect to the Master Lease, the 2013 Master Lease, any Hospital Purchase Contract or any other document or instrument entered into in connection therewith.

8. Severability.  Any provision of this Guaranty 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 or affecting the validity or enforceability of such provision in any other jurisdiction.

9. No Waiver.  No failure by any party to insist upon the strict performance of any term of this Guaranty 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 Guaranty 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 Guaranty, 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.

10. Tolling of Statute of Limitations.  Any act or circumstance that shall toll any statute of limitations applicable to the Obligations guaranteed hereby shall also toll the statute of limitations applicable to the liability of Guarantor for the Obligations guaranteed by this Guaranty.

11. Notices.  All notices, demands, consents, approvals, requests and other communications under this Guaranty shall be in writing and shall be either (a) delivered in person, (b) sent by certified mail, return receipt requested, (c) delivered by a recognized delivery service, or (d) sent by facsimile transmission and addressed as follows:

if to either Guarantor:

Adeptus Health LLC
2941 S. Lake Vista, Suite 200
Lewisville, Texas 75067
Attn: Chief Development Officer

Phone:

(972) 899-6666

Fax:

(972) 899-6664

With copies to:

Adeptus Health LLC
2491 S. Lake Vista, Suite 200
Lewisville, Texas 75067
Attn: Legal Department

Phone:

(972) 899-6666

Fax:

(972) 899-6664

DLA Piper LLP (US)
203 North LaSalle Street, Suite 1900
Chicago, Illinois 60601-1293

Attn:

Merle Teitelbaum Cowin, Esq.

Phone:

(312) 368-4089

Fax:

(312) 630-7419

if to any Beneficiary:

c/o MPT Operating Partnership, L.P.
1000 Urban Center Drive, Suite 501
Birmingham, Alabama 35242

Attn:

Legal Department

Phone:

(205) 969-3755

Fax:

(205) 969-3756

With a copy to:

Baker, Donelson, Bearman, Caldwell & Berkowitz, PC
1400 Wells Fargo Tower
420 North 20th Street
Birmingham, Alabama 35203

Attn:

Thomas O. Kolb, Esq.

Phone:

(205) 250-8321

Fax:

(205) 488-3721

12. Governing Law.  THIS GUARANTY 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.

13. Jurisdiction and Venue.  GUARANTOR CONSENTS TO PERSONAL JURISDICTION IN THE STATE OF ALABAMA. GUARANTOR AGREES THAT ANY ACTION OR PROCEEDING ARISING FROM OR RELATED TO THIS GUARANTY SHALL BE BROUGHT AND TRIED EXCLUSIVELY IN THE STATE OR FEDERAL COURTS LOCATED IN JEFFERSON COUNTY, ALABAMA. GUARANTOR IRREVOCABLY AND UNCONDITIONALLY WAIVES ANY OBJECTION TO THE LAYING OF VENUE OF ANY SUCH ACTION OR PROCEEDING BROUGHT IN ANY SUCH COURT. GUARANTOR EXPRESSLY ACKNOWLEDGES THAT THE STATE OF ALABAMA IS A FAIR, JUST AND REASONABLE FORUM AND AGREE NOT TO SEEK REMOVAL OR TRANSFER OF ANY ACTION FILED BY ANY OF THE OTHER PARTIES IN SAID COURTS. FURTHER, GUARANTOR IRREVOCABLY AND UNCONDITIONALLY WAIVES 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 GUARANTOR AT THE ADDRESS DESIGNATED PURSUANT TO SECTION 11 SHALL BE EFFECTIVE SERVICE OF PROCESS AGAINST GUARANTOR FOR ANY ACTION OR PROCEEDING BROUGHT IN 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.

14. Expenses.  The Beneficiary shall be entitled to recover all reasonable costs associated with enforcing the provisions of this Guaranty in the event of a breach hereof by Guarantor, including, without limitation, courts costs and reasonable attorneys’ fees.

15. Entire Agreement; Modification.  This Guaranty and other written agreements executed and delivered by the parties in connection with this Guaranty, constitute the entire agreement and

understanding of the parties with respect to the subject matter of this Guaranty. This Guaranty supersedes any prior oral or written agreements between the parties with respect to the subject matter of this Guaranty. It is expressly agreed that there are no verbal understandings or agreements which in any way change the terms, covenants, and conditions set forth in this Guaranty, and that no modification of this Guaranty and no waiver of any of its terms and conditions shall be effective unless it is made in writing and duly executed by the parties. The parties have not relied upon, and shall not be entitled to rely upon, any prior or contemporaneous agreements, understandings, representations or statements (oral or written) other than this Guaranty in effecting the transactions contemplated herein or otherwise.

16. Assignment.  This Guaranty is not assignable by Guarantor without the prior written consent of Beneficiary. Beneficiary may at any time and without the consent of Guarantor assign all of its rights and obligations hereunder to any Person to whom the Master Lease or 2013 Master Lease has been assigned in accordance with the provisions thereof.

17. Binding Effect; No Third Party Beneficiaries.  This Guaranty shall bind and inure to the benefit of the parties and their successors and assigns, and the Beneficiary’s permitted successors and permitted assigns shall be entitled to enforce performance and observance of this Guaranty to the same extent Beneficiary is entitled to do so; provided, however, that (a) this Guaranty shall not inure to the benefit of any assignee pursuant to an assignment which violates the terms of this Guaranty, the Master Lease, the 2013 Master Lease or any Hospital Purchase Contract; and (b) this Guaranty shall not be deemed to confer any rights or remedies contained in this Guaranty upon any Person not a party or made subject to this Guaranty (other than any Person which constitutes a Beneficiary).

18. Counterparts.  This Guaranty may be executed in counterparts, each of which shall be an original and all of which taken together shall constitute one and the same instrument.

19. Necessary Action.  Guarantor and Beneficiary shall perform any further acts and execute and deliver any documents that may be reasonably necessary to carry out the provisions of this Guaranty.

20.

Joint Drafting.  Guarantor and Beneficiary and their respective counsel have participated in the drafting and redrafting of this Guaranty and the general rules of construction which would construe any provisions of this Guaranty in favor of or to the advantage of one party as opposed to the other as a result of one party drafting this Guaranty 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 Guaranty are hereby expressly waived by all parties to this Guaranty.

GUARANTOR:

ADEPTUS HEALTH LLC

By:

Name:

Title:

Page

Article I

DEFINITIONS

Article II

LEASED PROPERTY; TERM

Article III

RENT

3.1

Rent

3.2

Additional Charges

Article IV

IMPOSITIONS

4.1

Payment of Impositions

4.2

Adjustment of Impositions

4.3

Utility Charges

4.4

Insurance Premiums

Article V

ABSOLUTE NET LEASE; NO TERMINATION; TERMINATION WITH RESPECT TO FEWER THAN ALL FACILITIES

5.1

Absolute Net Lease; No Termination

5.2

Termination with Respect to Fewer than all Facilities

Article VI

OWNERSHIP OF LEASED PROPERTY AND PERSONAL PROPERTY

6.1

Ownership of the Leased Property

6.2

Lessee's Personal Property

Article VII

CONDITION AND USE OF LEASED PROPERTY

7.1

Condition of the Leased Property

7.2

Use of the Leased Property

7.3

Lessor to Grant Easements

Article VIII

LEGAL AND INSURANCE REQUIREMENTS

8.1

Compliance with Legal and Insurance Requirements

8.2

Hazardous Materials

8.3

Healthcare Laws

8.4

Single Purpose Entity

8.5

Organizational Covenants

Article IX

REPAIRS; RESTRICTIONS

9.1

Maintenance and Repair

9.2

Encroachments; Restrictions

Article X

CONSTRUCTION OF LEASED IMPROVEMENTS; CAPITAL ADDITIONS

10.1

Construction of Capital Additions to the Leased Property

10.2

Capital Additions Financed by Lessee

10.3

Capital Additions Financed by Lessor

10.4

Salvage

Article XI

LIENS

Article XII

PERMITTED CONTESTS

12.1

Permitted Contests

Article XIII

INSURANCE

Page

13.1

General Insurance Requirements

13.2

Additional Insurance

13.3

Waiver of Subrogation

13.4

Form of Insurance

13.5

Increase in Limits

13.6

No Separate Insurance

Article XIV

FIRE AND CASUALTY

14.1

Insurance Proceeds

14.2

Reconstruction in the Event of Damage or Destruction Covered by Insurance

14.3

Reconstruction in the Event of Damage or Destruction Not Covered by Insurance

14.4

Lessee's Personal Property

14.5

Restoration of Lessee's Property

14.6

No Abatement of Rent

14.7

Waiver

Article XV

CONDEMNATION

15.1

Parties' Rights and Obligations

15.2

Total Taking

15.3

Partial Taking

15.4

Award Distribution

Article XVI

DEFAULT

16.1

Events of Default

16.2

Additional Expenses

16.3

No Waiver by Lessor

16.4

Waiver of Statutory Rights

Article XVII

LESSOR'S RIGHT TO CURE

Article XVIII

PURCHASE OF THE LEASED PROPERTY

Article XIX

HOLDING OVER

Article XX

RISK OF LOSS

Article XXI

INDEMNIFICATION

Article XXII

ASSIGNMENTS AND SUBLEASING

22.1

Assignment and Subleasing

22.2

Sublease Limitations

22.3

Sublease Subordination and Non‑Disturbance

Article XXIII

OFFICER'S CERTIFICATES; FINANCIAL STATEMENTS; NOTICES AND OTHER CERTIFICATES

Article XXIV

INSPECTION

Article XXV

NO WAIVER

Article XXVI

REMEDIES CUMULATIVE

Page

Article XXVII

SURRENDER

Article XXVIII

NO MERGER OF TITLE

Article XXIX

TRANSFERS BY LESSOR; LESSOR SEVERANCE RIGHTS

29.1

Transfers by Lessor

29.2

Severance Rights

Article XXX

QUIET ENJOYMENT

Article XXXI

NOTICES

Article XXXII

APPRAISAL

Article XXXIII

PURCHASE RIGHTS

33.1

Lessee's Option to Purchase

33.2

Lessor's Option to Purchase Lessee's Personal Property

Article XXXIV

SUBSTITUTION RIGHTS

34.1

Lessee's Property Substitution Right

34.2

Conditions Precedent to Lessee's Property Substitution Right

34.3

Procedures for Property Substitution

34.4

Lessor Costs

Article XXXV

FINANCING OF THE LEASED PROPERTY

Article XXXVI

RESERVED

Article XXXVII

LICENSES AND COMPLIANCE WITH HEALTHCARE LAWS

37.1

Maintenance of Licenses

37.2

No Transfers or Alterations of Licenses

37.3