Exhibit 4.7
WICHITA HEALTH ASSOCIATES LIMITED PARTNERSHIP
as Guarantor,
MPT OF WICHITA, LLC
as Guarantor,
MPT DESOTO HOSPITAL, LLC
as Guarantor,
MPT OF HOBOKEN TRS, LLC
as Guarantor,
MPT OPERATING PARTNERSHIP, L.P.
and
MPT FINANCE CORPORATION,
as Issuers,
MEDICAL PROPERTIES TRUST, INC.,
as Parent and a Guarantor,
the other GUARANTORS named herein,
as Guarantors,
and
WILMINGTON TRUST COMPANY,
as Trustee
FOURTH SUPPLEMENTAL INDENTURE
Dated as of January 19, 2012
To
INDENTURE
Dated as of April 26, 2011
6.875% Senior Notes due 2021
FOURTH SUPPLEMENTAL INDENTURE
FOURTH SUPPLEMENTAL INDENTURE (this “Fourth Supplemental Indenture”), dated as of January 19, 2012, by and among Wichita Health Associates Limited Partnership, a Delaware limited partnership, MPT of Wichita, LLC, a Delaware limited liability company, MPT DeSoto Hospital, LLC, a Delaware limited liability company and MPT of Hoboken TRS, LLC, a Delaware limited liability company (the “New Guaranteeing Subsidiaries”), MPT Operating Partnership, L.P., a Delaware limited partnership (“Opco”), MPT Finance Corporation, a Delaware corporation (“Finco” and, together with Opco, the “Issuers”), Medical Properties Trust, Inc., a Maryland corporation (the “Parent”), as Guarantor, each of the other Guarantors (as defined in the Indenture), as Guarantors, and Wilmington Trust Company, existing under the laws of the United States of America, as Trustee (the “Trustee”).
WITNESSETH
WHEREAS, the Issuers and the Guarantors have heretofore executed and delivered an Indenture, dated as of April 26, 2011 (the “Base Indenture”), as supplemented by that certain First Supplemental Indenture, dated as of August 10, 2011 (the “First Supplemental Indenture”), by that certain Second Supplemental Indenture, dated as of October 3, 2011 (the “Second Supplemental Indenture”) and by that certain Third Supplemental Indenture, dated as of December 2, 2011 (the “Third Supplemental Indenture,” together with the Base Indenture, the First Supplemental Indenture and the Second Supplemental Indenture, the “Indenture”), providing for the issuance by the Issuers of the 6.875% Senior Notes due 2021 (the “Notes”);
WHEREAS, pursuant to Section 9.01(a)(4) of the Indenture, the Issuers, the Guarantors and the Trustee may supplement the Indenture without the consent of any Holders in order to add Guarantees with respect to the Notes;
WHEREAS, as of November 4, 2011, the New Guaranteeing Subsidiaries guaranteed the Credit Agreement, and pursuant to Section 4.14(a) of the Indenture, the New Guaranteeing Subsidiaries are required to become Guarantors under the Indenture;
WHEREAS, the Indenture requires that an entity that constitutes a Guarantor shall join the Issuers and the existing Guarantors in executing and delivering to the Trustee a supplemental indenture pursuant to which such entity shall unconditionally Guarantee, on a joint and several basis, the full and prompt payment of the principal of, premium, if any, and interest in respect of the Notes on a senior basis and all other obligations under the Indenture; and
WHEREAS, pursuant to Section 9.01 of the Indenture, the Trustee is authorized to execute and deliver this Fourth Supplemental Indenture.
NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuers, the Guarantors, the Trustee and the New Guaranteeing Subsidiaries mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:
1. CAPITALIZED TERMS. Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture. The rules of interpretation set forth in the Indenture shall be applied here as if set forth in full herein.
2. AGREEMENTTO GUARANTEE. The New Guaranteeing Subsidiaries hereby agree to provide unconditional Guarantees on the terms and subject to the conditions set forth in the Indenture including but not limited to Article 10 thereof.
3. MISCELLANEOUS PROVISIONS.
(a) The Trustee makes no undertaking or representation in respect of, and shall not be responsible in any manner whatsoever for and in respect of, the validity or sufficiency of this Fourth Supplemental Indenture or the proper authorization or the due execution hereof by the Issuers or for or in respect of the recitals and statements contained herein, all of which recitals and statements are made solely by the Issuers.
(b) On the date hereof, the Indenture shall be supplemented and amended in accordance herewith, and this Fourth Supplemental Indenture shall form part of the Indenture for all purposes, and the Holder of every Note heretofore or hereafter authenticated and delivered under the Indenture shall be bound thereby. The Trustee accepts the trusts created by the Indenture, as amended and supplemented by this Fourth Supplemental Indenture, and agrees to perform the same upon the terms and conditions of the Indenture, as amended and supplemented by this Fourth Supplemental Indenture.
(c) This Fourth Supplemental Indenture shall be deemed to be incorporated in, and made a part of, the Indenture. The Indenture, as amended and supplemented by this Fourth Supplemental Indenture, shall be read, taken and construed as one and the same instrument and all the provisions of the Indenture shall remain in full force and effect in accordance with the terms thereof and as amended and supplemented by this Fourth Supplemental Indenture.
(d)THIS FOURTH SUPPLEMENTAL INDENTURE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.
(e) This Fourth Supplemental Indenture may be executed in any number of counterparts, each of which so executed shall be deemed to be an original, but all such counterparts shall together constitute but one and the same instrument.
[Signature Pages Follow]
3
IN WITNESS WHEREOF, the parties hereto have caused this Fourth Supplemental Indenture to be duly executed and attested, all as of the date first above written.
MPT OPERATING PARTNERSHIP, L.P., | ||||
as Issuer, | ||||
By: | /s/ R. Steven Hamner | |||
Name: | R. Steven Hamner | |||
Title: | Executive Vice President and Chief Financial Officer | |||
MPT FINANCE CORPORATION, as Issuer, | ||||
By: | /s/ R. Steven Hamner | |||
Name: | R. Steven Hamner | |||
Title: | Executive Vice President and Chief Financial Officer | |||
MEDICAL PROPERTIES TRUST, INC., as Parent and a Guarantor, | ||||
By: | /s/ R. Steven Hamner | |||
Name: | R. Steven Hamner | |||
Title: | Executive Vice President and Chief Financial Officer | |||
MEDICAL PROPERTIES TRUST, INC. | ||||
By: | /s/ R. Steven Hamner | |||
Name: | R. Steven Hamner | |||
Title: | Executive Vice President and Chief Financial Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF DESOTO, LLC MPT OF VICTORVILLE, LLC MPT OF BUCKS COUNTY, LLC MPT OF BLOOMINGTON, LLC MPT OF COVINGTON, LLC MPT OF DENHAM SPRINGS, LLC MPT OF REDDING, LLC MPT OF CHINO, LLC MPT OF DALLAS LTACH, LLC MPT OF PORTLAND, LLC MPT OF WARM SPRINGS, LLC MPT OF VICTORIA, LLC MPT OF LULING, LLC MPT OF HUNTINGTON BEACH, LLC MPT OF WEST ANAHEIM, LLC MPT OF LA PALMA, LLC MPT OF PARADISE VALLEY, LLC MPT OF SOUTHERN CALIFORNIA, LLC MPT OF TWELVE OAKS, LLC MPT OF SHASTA, LLC MPT OF WEBSTER, LLC MPT OF TUCSON, LLC MPT OF BOSSIER CITY, LLC MPT OF WEST VALLEY CITY, LLC MPT OF IDAHO FALLS, LLC MPT OF POPLAR BLUFF, LLC MPT OF BENNETTSVILLE, LLC MPT OF DETROIT, LLC MPT OF BRISTOL, LLC MPT OF NEWINGTON, LLC MPT OF ENFIELD, LLC MPT OF PETERSBURG, LLC MPT OF FAYETTEVILLE, LLC 4499 ACUSHNET AVENUE, LLC 8451 PEARL STREET, LLC MPT OF GARDEN GROVE HOSPITAL, LLC MPT OF GARDEN GROVE MOB, LLC MPT OF SAN DIMAS HOSPITAL, LLC MPT OF SAN DIMAS MOB, LLC MPT OF CHERAW, LLC MPT OF FT. LAUDERDALE, LLC. MPT OF PROVIDENCE, LLC MPT OF SPRINGFIELD, LLC MPT OF WARWICK, LLC MPT OF RICHARDSON, LLC MPT OF ROUND ROCK, LLC |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF SHENANDOAH, LLC | ||||||||||
MPT OF HILLSBORO, LLC | ||||||||||
MPT OF FLORENCE, LLC | ||||||||||
MPT OF CLEAR LAKE, LLC | ||||||||||
MPT OF TOMBALL, LLC | ||||||||||
MPT OF GILBERT, LLC | ||||||||||
MPT OF CORINTH, LLC | ||||||||||
MPT OF BAYONNE, LLC | ||||||||||
MPT OF ALVARADO, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., sole member of each of the above entities | |||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF DESOTO, L.P. | ||||||||
By: | MPT OF DESOTO, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF BUCKS COUNTY, L.P. | ||||||||
By: | MPT OF BUCKS COUNTY, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF DALLAS LTACH, L.P. | ||||||||
By: | MPT OF DALLAS LTACH, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC | |||||||
its sole member | ||||||||
MPT OF WARM SPRINGS, L.P. | ||||||||
By: | MPT OF WARM SPRINGS, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF VICTORIA, L.P. | ||||||||
By: | MPT OF VICTORIA, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF LULING, L.P. | ||||||||
By: | MPT OF LULING, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF HUNTINGTON BEACH, L.P. | ||||||||
By: | MPT OF HUNTINGTON BEACH, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF WEST ANAHEIM, L.P. | ||||||||
By: | MPT OF WEST ANAHEIM, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF LA PALMA, L.P. | ||||||||
By: | MPT OF LA PALMA, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF PARADISE VALLEY, L.P. | ||||||||
By: | MPT OF PARADISE VALLEY, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF SOUTHERN CALIFORNIA, L.P. | ||||||||
By: | MPT OF SOUTHERN CALIFORNIA, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF TWELVE OAKS, L.P. | ||||||||
By: | MPT OF TWELVE OAKS, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF SHASTA, L.P. | ||||||||
By: | MPT OF SHASTA, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF WEBSTER, L.P. | ||||||||
By: | MPT OF WEBSTER, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF GARDEN GROVE HOSPITAL, L.P. | ||||||||
By: | MPT OF GARDEN GROVE HOSPITAL, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF GARDEN GROVE MOB, L.P. | ||||||||
By: | MPT OF GARDEN GROVE MOB, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF SAN DIMAS HOSPITAL, L.P. | ||||||||
By: | MPT OF SAN DIMAS HOSPITAL, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF SAN DIMAS MOB, L.P. | ||||||||
By: | MPT OF SAN DIMAS MOB, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF RICHARDSON, L.P. | ||||||||
By: | MPT OF RICHARDSON, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF ROUND ROCK, L.P. | ||||||||
By: | MPT OF ROUND ROCK, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF SHENANDOAH, L.P. | ||||||||
By: | MPT OF SHENANDOAH, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF HILLSBORO, L.P. | ||||||||
By: | MPT OF HILLSBORO, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF CLEAR LAKE, L.P. | ||||||||
By: | MPT OF CLEAR LAKE, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF TOMBALL, L.P. | ||||||||
By: | MPT OF TOMBALL, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member | ||||||||
MPT OF CORINTH, L.P. | ||||||||
By: | MPT OF CORINTH, LLC, its general partner | |||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||
its sole member | ||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||
its general partner | ||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||
its sole member |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF ALVARADO, L.P. | ||||||||||||
By: | MPT OF ALVARADO, LLC, its general partner | |||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||||
its sole member | ||||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||||
its general partner | ||||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||||
its sole member | ||||||||||||
By: | /s/ R. Steven Hamner | |||||||||||
Name: | R. Steven Hamner | |||||||||||
Title: | Executive Vice President and Chief Financial Officer | |||||||||||
MPT OF MOUNTAIN VIEW, LLC | ||||||||||||
By: | MPT OF IDAHO FALLS, LLC, its managing member | |||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||||
its sole member | ||||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||||
its general partner | ||||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||||
its sole member | ||||||||||||
By: | /s/ R. Steven Hamner | |||||||||||
Name: | R. Steven Hamner | |||||||||||
Title: | Executive Vice President and Chief Financial Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF HAUSMAN, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President | |||||||||
and Chief Financial Officer | ||||||||||
MPT OF HOBOKEN HOSPITAL, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer | |||||||||
MPT OF HOBOKEN REAL ESTATE, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT OF OVERLOOK PARKWAY, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer | |||||||||
MPT OF NEW BRAUNFELS, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer | |||||||||
MPT OF WESTOVER HILLS, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
WICHITA HEALTH ASSOCIATES LIMITED PARTNERSHIP | ||||||||||||
By: | MPT OF WICHITA, LLC, its general partner | |||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||||
its sole member | ||||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, its general partner | |||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, its sole member | |||||||||||
By: | /s/ R. Steven Hamner | |||||||||||
Name: | R. Steven Hamner | |||||||||||
Title: | Executive Vice President and Chief Financial Officer | |||||||||||
MPT OF WICHITA, LLC | ||||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||||
its sole member | ||||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||||
its general partner | ||||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, its sole member | |||||||||||
By: | /s/ R. Steven Hamner | |||||||||||
Name: | R. Steven Hamner | |||||||||||
Title: | Executive Vice President and Chief Financial Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
MPT DESOTO HOSPITAL, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer | |||||||||
MPT OF HOBOKEN TRS, LLC | ||||||||||
By: | MPT OPERATING PARTNERSHIP, L.P., | |||||||||
its sole member | ||||||||||
By: | MEDICAL PROPERTIES TRUST, LLC, | |||||||||
its general partner | ||||||||||
By: | MEDICAL PROPERTIES TRUST, INC, | |||||||||
its sole member | ||||||||||
By: | /s/ R. Steven Hamner | |||||||||
Name: | R. Steven Hamner | |||||||||
Title: | Executive Vice President and Chief Financial Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE
WILMINGTON TRUST COMPANY, as Trustee, | ||||
By: | /s/ Michael H. Wass | |||
Name: | Michael H. Wass | |||
Title: | Financial Services Officer |
FOURTH SUPPLEMENTAL INDENTURE SIGNATURE PAGE