MPT Operating Partnership, L.P. Sample Contracts

UNDERWRITING AGREEMENT MEDICAL PROPERTIES TRUST, INC. 50,000,000 shares of common stock, par value $0.001 per share
Underwriting Agreement • November 8th, 2019 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York
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UNDERWRITING AGREEMENT MEDICAL PROPERTIES TRUST, INC. 45,000,000 shares of common stock, par value $0.001 per share
Underwriting Agreement • July 19th, 2019 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

This certificate is being furnished to the Underwriters to assist the Underwriters in conducting and documenting their investigation of the affairs of the Company in connection with the offering of the Shares.

UNDERWRITING AGREEMENT MEDICAL PROPERTIES TRUST, INC. 10,000,000 shares of common stock, par value $0.001 per share Underwriting Agreement
Underwriting Agreement • August 20th, 2013 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

Medical Properties Trust, Inc., a Maryland corporation (the “Company”), proposes to issue and sell to the several Underwriters listed in Schedule 1 hereto (the “Underwriters”), for whom you are acting as representatives (the “Representatives”), an aggregate of 10,000,000 shares of common stock, par value $0.001 per share, of the Company (the “Underwritten Shares”) and, at the option of the Underwriters, up to an additional 1,500,000 shares of common stock, par value $0.001 per share of the Company (the “Option Shares”). The Underwritten Shares and the Option Shares are herein referred to as the “Shares.” The shares of common stock of the Company to be outstanding after giving effect to the sale of the Shares are referred to herein as the “Stock.”

MPT OPERATING PARTNERSHIP, L.P. MPT FINANCE CORPORATION UNDERWRITING AGREEMENT
Underwriting Agreement • September 28th, 2021 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

MPT Operating Partnership, L.P., a Delaware limited partnership (the “Company”), and MPT Finance Corporation, a Delaware corporation (“Finco” and, together with the Company, the “Issuers”), propose to issue and sell to the several underwriters listed in Schedule 1 hereto (the “Underwriters”), for whom you are acting as representatives (the “Representatives”), €500,000,000 in aggregate principal amount of their 0.993% Senior Notes due 2026 (the

MPT OPERATING PARTNERSHIP, L.P. and MPT FINANCE CORPORATION, as Issuers, MEDICAL PROPERTIES TRUST, INC., as Parent and a Guarantor WILMINGTON TRUST, NATIONAL ASSOCIATION, as Trustee and ELAVON FINANCIAL SERVICES DAC, as Paying Agent, Registrar and...
Supplemental Indenture • March 29th, 2021 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

THIS EIGHTEENTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”) dated as of March 24, 2021, by and among MPT Operating Partnership, L.P., a Delaware limited partnership (“Opco”), MPT Finance Corporation, a Delaware corporation (“Finco” and, together with Opco, the “Issuers”, and each, an “Issuer”), Medical Properties Trust, Inc., a Maryland corporation (the “Parent Guarantor” or “Parent”), as Guarantor, Wilmington Trust, National Association, existing under the laws of the United States of America, as Trustee under the Base Indenture referred to below, and Elavon Financial Services DAC, as initial Paying Agent, initial Registrar and initial Transfer Agent.

MPT OPERATING PARTNERSHIP, L.P. MPT FINANCE CORPORATION
MPT Operating Partnership, L.P. • March 16th, 2017 • Real estate investment trusts • New York

MPT Operating Partnership, L.P., a Delaware limited partnership (the “Company”), and MPT Finance Corporation, a Delaware corporation (“Finco” and, together with the Company, the “Issuers”), propose to issue and sell to the several underwriters listed in Schedule 1 hereto (the “Underwriters”), for whom you are acting as representatives (the “Representatives”), €500,000,000 in aggregate principal amount of its 3.325% Senior Notes due 2025 (the “Notes”). The Notes will be issued pursuant to an Indenture, dated as of October 10, 2013 (the “Base Indenture”), among the Issuers, Medical Properties Trust, Inc., a Maryland corporation (“MPT”), as guarantor, the other Guarantors party thereto and Wilmington Trust, National Association, as trustee (the “Trustee”), as supplemented by the Eleventh Supplemental Indenture, to be dated as of March 24, 2017 (the “Supplemental Indenture” and, the Base Indenture, as amended and supplemented by the Supplemental Indenture, the “Indenture”), among the Issue

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, NATIONAL ASSOCIATION, as Trustee INDENTURE...
MPT Operating Partnership, L.P. • February 24th, 2012 • Real estate investment trusts • New York

INDENTURE dated as of February 17, 2012, among MPT Operating Partnership, L.P., a Delaware limited partnership (“Opco”), MPT Finance Corporation, a Delaware corporation (“Finco” and, together with Opco, the “Issuers”, each, an “Issuer”), Medical Properties Trust, Inc., a Maryland corporation (the “Parent”), as Guarantor, each of the other Guarantors named herein, as Guarantors, and Wilmington Trust, National Association, existing under the laws of the United States of America, as Trustee (the “Trustee”).

MPT OPERATING PARTNERSHIP, L.P. MPT FINANCE CORPORATION
MPT Operating Partnership, L.P. • October 1st, 2013 • Real estate investment trusts • New York

MPT Operating Partnership, L.P., a Delaware limited partnership (the “Company”), and MPT Finance Corporation, a Delaware corporation (“Finco” and, together with the Company, the “Issuers”), propose to issue and sell to the several underwriters listed in Schedule 1 hereto (the “Underwriters”), for whom you are acting as representative (the “Representative”), €200,000,000 in aggregate principal amount of its 5.750% Senior Notes due 2020 (the “Securities”). The Securities will be issued pursuant to an Indenture, to be dated as of October 10, 2013 (the “Base Indenture”), as supplemented by the First Supplemental Indenture, to be dated as of October 10, 2013, (the “Supplemental Indenture” and, together with the Base Indenture, the “Indenture”), among the Issuers, Medical Properties Trust, Inc., a Maryland corporation (“MPT”), and the other guarantors listed on the signature pages hereto (the “Subsidiary Guarantors” and, together with MPT, the “Guarantors”), Wilmington Trust, National Associ

REAL PROPERTY ASSET PURCHASE AGREEMENT BY AND AMONG IASIS HEALTHCARE CORPORATION, as “IASIS” AND THE ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO, collectively as the “Sellers” AND THE ENTITIES LISTED ON SCHEDULE 1 ATTACHED HERETO, collectively as...
Real Property Asset Purchase Agreement • August 9th, 2017 • MPT Operating Partnership, L.P. • Real estate investment trusts • Delaware

THIS REAL PROPERTY ASSET PURCHASE AGREEMENT (“Agreement”) made and entered into as of May 18, 2017 (the “Effective Date”), by and among IASIS HEALTHCARE CORPORATION, a Delaware corporation (“IASIS”), the entities listed on Schedule 1 hereto under the heading “Sellers” (individually and collectively as the context may require, the “Sellers”) (together with IASIS, individually and collectively as the context may require, the “IASIS Parties”), and the entities listed on Schedule 1 hereto under the heading “Buyers” (individually and collectively as the context may require, the “Buyers” or the “MPT Parties”). IASIS, the Sellers, and the MPT Parties are herein sometimes collectively referred to as the “Parties.” An index of defined terms used in this Agreement is attached as Annex A hereto.

MPT OPERATING PARTNERSHIP, L.P. and MPT FINANCE CORPORATION, as Issuers, MEDICAL PROPERTIES TRUST, INC. as Parent Guarantor, the SUBSIDIARY GUARANTORS party hereto, and WILMINGTON TRUST, NATIONAL ASSOCIATION, as Trustee BASE INDENTURE Dated as of...
MPT Operating Partnership, L.P. • October 16th, 2013 • Real estate investment trusts • New York

THIS INDENTURE IS AMONG MPT Operating Partnership, L.P., a Delaware limited partnership (“Opco” or the “Partnership”), MPT Finance Corporation, a Delaware corporation (“Finco” or “Finance Corporation”), and, together with Opco, the “Issuers”, each, an “Issuer”), Medical Properties Trust, Inc., a Maryland corporation (the “Parent” or “Parent Guarantor”), as Guarantor, each of the other Guarantors named herein, as Guarantors, and Wilmington Trust, National Association, existing under the laws of the United States of America, as Trustee (the “Trustee”).

AMENDED AND RESTATED MASTER LEASE AGREEMENT BY AND AMONG THE ENTITIES LISTED ON SCHEDULE 1-A ATTACHED HERETO, collectively, jointly and severally, Lessor AND THE ENTITIES LISTED ON SCHEDULE 1-B ATTACHED HERETO, collectively, jointly and severally, as...
Master Lease Agreement • May 10th, 2016 • MPT Operating Partnership, L.P. • Real estate investment trusts • Delaware

This AMENDED AND RESTATED MASTER LEASE AGREEMENT (the “Lease”) is dated this 21st day of March, 2016 (to become immediately effective upon the Effective Date (as herein defined), and is by and among the entities listed on Schedule 1-A attached hereto and made a part hereof by reference and incorporation (collectively, jointly and severally, the “Lessor”), having their principal office at 1000 Urban Center Drive, Suite 501, Birmingham, Alabama 35242, and the entities listed on Schedule 1-B attached hereto and made a part hereof by reference and incorporation (collectively, jointly and severally, the “Lessee”), having their principal office at 510 Corporate Drive, Suite 200, Franklin, TN 37067.

MPT OPERATING PARTNERSHIP, L.P. and MPT FINANCE CORPORATION, as Issuers, MEDICAL PROPERTIES TRUST, INC., as Parent and a Guarantor, and WILMINGTON TRUST, NATIONAL ASSOCIATION, as Trustee 5.000% Senior Notes due 2027 TWELFTH SUPPLEMENTAL INDENTURE...
Twelfth Supplemental Indenture • November 9th, 2017 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

THIS TWELFTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”) dated as of September 21, 2017, by and among MPT Operating Partnership, L.P., a Delaware limited partnership (“Opco”), MPT Finance Corporation, a Delaware corporation (“Finco” and, together with Opco, the “Issuers”, and each, an “Issuer”), Medical Properties Trust, Inc., a Maryland corporation (the “Parent Guarantor” or “Parent”), as Guarantor, and Wilmington Trust, National Association, existing under the laws of the United States of America, as Trustee under the Indenture referred to below.

IASIS (PROJECT IGNITE) MASTER AGREEMENT BY AND AMONG STEWARD HEALTH CARE SYSTEM LLC (“STEWARD”) AND MPT OF MESA, LLC, MPT OF WEST MONROE, LLC, MPT OF PORT ARTHUR, LLC, MPT OF WEST VALLEY CITY, LLC, MPT OF HOPE-STEWARD, LLC, MPT OF ODESSA-STEWARD, LLC,...
) Master Agreement • August 9th, 2017 • MPT Operating Partnership, L.P. • Real estate investment trusts • Delaware

THIS IASIS (PROJECT IGNITE) MASTER AGREEMENT (“Agreement”) is made and entered into effective as of the 18th day of May, 2017, by and among STEWARD HEALTH CARE SYSTEM LLC, a Delaware corporation (“Steward”), and MPT OF MESA, LLC, MPT OF WEST MONROE, LLC, MPT OF PORT ARTHUR, LLC, MPT OF WEST VALLEY CITY, LLC, MPT OF HOPE-STEWARD, LLC, MPT OF ODESSA-STEWARD, LLC, MPT OF HOUSTON-STEWARD, LLC, MPT OF PHOENIX-STEWARD, LLC, MPT OF PHOENIX BEHAVIORAL-STEWARD, LLC, MPT OF SALT LAKE CITY-STEWARD, LLC, MPT OF SAN ANTONIO-STEWARD, LLC, MPT OF TEMPE-STEWARD, LLC, MPT OF TEXARKANA-STEWARD, LLC, MPT OF LAS VEGAS-STEWARD, LLC, MPT OF LAYTON-STEWARD, LLC, MPT OF WEST JORDAN-STEWARD, LLC, MPT OF HOUSTON RE - STEWARD, LLC, MPT OF LAYTON RE - STEWARD, LLC, MPT OF MARICOPA RE - STEWARD, LLC, MPT OF ODESSA RE - STEWARD, LLC, MPT OF OGDEN RE - STEWARD, LLC, MPT OF PHOENIX RE - STEWARD, LLC, MPT OF PORT ARTHUR RE - STEWARD, LLC, MPT OF WOODLAND PARK RE - STEWARD, LLC, MPT OF SAN ANTONIO RE - STEWARD, LLC, MP

AMENDMENT NO. 1 TO AMENDED AND RESTATED REVOLVING CREDIT AND TERM LOAN AGREEMENT
Revolving Credit and Term Loan Agreement • March 2nd, 2015 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

This AMENDMENT NO. 1 TO AMENDED AND RESTATED REVOLVING CREDIT AND TERM LOAN AGREEMENT, dated as of October 17, 2014 (this “Amendment No. 1”), is by and among MEDICAL PROPERTIES TRUST, INC., a Maryland corporation (“Holdings”), MPT OPERATING PARTNERSHIP, L.P., a Delaware limited partnership (the “Borrower”), the financial institutions listed on the signature pages hereof (the “Lenders”) and JPMORGAN CHASE BANK, N.A., as administrative agent for the Lenders (the “Administrative Agent”). Reference is made to that certain Amended and Restated Revolving Credit and Term Loan Agreement, dated as of June 19, 2014 (as amended, restated, replaced, supplemented or modified from time to time, the “Credit Agreement”), by and among Holdings, the Borrower, the Lenders referenced therein and the Administrative Agent. Capitalized terms used herein without definition shall have the same meanings as set forth in the Credit Agreement, as amended hereby.

JOINDER AND AMENDMENT TO MASTER LEASE AGREEMENT (Master Sublease)
Master Lease Agreement • February 29th, 2016 • MPT Operating Partnership, L.P. • Real estate investment trusts • Delaware

THIS JOINDER AND AMENDMENT TO MASTER LEASE AGREEMENT is dated this 30th day of October, 2015 (this “Amendment”), by and among certain affiliates of MPT Development Services, Inc., as further described on the signature pages hereto (collectively, jointly and severally, “Lessor”), and certain affiliates of Capella Holdings, Inc., a Delaware corporation (“Capella Holdings”), as further described on the signature pages hereto (collectively, jointly and severally, “Lessee”).

MPT OF MISSOURI CITY-DULLES FCER, 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...
Supplemental Indenture • August 11th, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

SIXTH SUPPLEMENTAL INDENTURE (this “Sixth Supplemental Indenture”), dated as of June 30, 2014, by and among MPT of Missouri City-Dulles FCER, LLC, a Delaware limited liability company (the “New Guaranteeing Subsidiary”), 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, National Association, existing under the laws of the United States of America, as Trustee (the “Trustee”).

MPT OF CORPUS CHRISTI, 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,...
Eleventh Supplemental Indenture • March 3rd, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

ELEVENTH SUPPLEMENTAL INDENTURE (this “Eleventh Supplemental Indenture”), dated as of August , 2013, by and among MPT of Corpus Christi, LLC, a Delaware limited liability company (the “New Guaranteeing Subsidiary”), 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, National Association (formerly known as Wilmington Trust Company), existing under the laws of the United States of America, as Trustee (the “Trustee”).

JOINDER AND AMENDMENT TO REAL ESTATE LOAN AGREEMENT (IASIS Properties - Permitted Exceptions)
Real Estate Loan Agreement • November 9th, 2017 • MPT Operating Partnership, L.P. • Real estate investment trusts

THIS JOINDER AND AMENDMENT TO REAL ESTATE LOAN AGREEMENT is dated this 29th day of September, 2017 (this “Amendment”), by and among certain Affiliates of MPT OPERATING PARTNERSHIP, L.P., a Delaware limited partnership (“MPT”), as further described on the signature pages hereto (collectively, jointly and severally, “Lender”), and certain Affiliates of STEWARD HEALTH CARE SYSTEM LLC, a Delaware limited liability company (“Steward Health”), as further described on the signature pages hereto (collectively, jointly and severally, “Borrower”).

MPT OF LAFAYETTE, LLC MPT OF NORTH CYPRESS, L.P. and MPT OF NORTH CYPRESS, LLC as Guarantors, MPT OPERATING PARTNERSHIP, L.P. and MPT FINANCE CORPORATION, as Issuers, MEDICAL PROPERTIES TRUST, INC., as Parent and a Guarantor, the other GUARANTORS...
Supplemental Indenture • March 3rd, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

SIXTH SUPPLEMENTAL INDENTURE (this “Sixth Supplemental Indenture”), dated as of June , 2012, by and among MPT of Lafayette, LLC, a Delaware limited liability company, MPT of North Cypress L. P., a Delaware limited partnership and MPT of North Cypress, 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, National Association (formerly known as Wilmington Trust Company), existing under the laws of the United States of America, as Trustee (the “Trustee”).

TERM LOAN AGREEMENT DATED AS OF MARCH 9, 2012 among MEDICAL PROPERTIES TRUST, INC., and MPT OPERATING PARTNERSHIP, L.P., as Borrower, and THE SEVERAL LENDERS FROM TIME TO TIME PARTIES HERETO, and ROYAL BANK OF CANADA, as Syndication Agent, and...
Term Loan Agreement • March 15th, 2012 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

TERM LOAN AGREEMENT (this “Agreement”), dated as of March 9, 2012, among MEDICAL PROPERTIES TRUST, INC., a Maryland corporation (“Holdings”), MPT OPERATING PARTNERSHIP, L.P., a Delaware limited partnership (the “Borrower”), the several banks and other financial institutions or entities from time to time parties to this Agreement (the “Lenders”), ROYAL BANK OF CANADA, as syndication agent (in such capacity, the “Syndication Agent”), and JPMORGAN CHASE BANK, N.A., as administrative agent.

AMENDMENT NO. 2 TO AMENDED AND RESTATED REVOLVING CREDIT AND TERM LOAN AGREEMENT
Credit and Term Loan Agreement • November 9th, 2015 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

This AMENDMENT NO. 2 TO AMENDED AND RESTATED REVOLVING CREDIT AND TERM LOAN AGREEMENT, dated as of August 4, 2015 (this “Amendment No. 2”), is by and among MEDICAL PROPERTIES TRUST, INC., a Maryland corporation (“Holdings”), MPT OPERATING PARTNERSHIP, L.P., a Delaware limited partnership (the “Borrower”), the financial institutions listed on the signature pages hereof (the “Lenders”), GOLDMAN SACHS BANK USA (the “New Lender”), and JPMORGAN CHASE BANK, N.A., as administrative agent for the Lenders (the “Administrative Agent”). Reference is made to that certain Amended and Restated Revolving Credit and Term Loan Agreement, dated as of June 19, 2014, as amended by Amendment No. 1 to Amended and Restated Revolving Credit and Term Loan Agreement dated as of October 17, 2014 (as so amended and as further amended, restated, replaced, supplemented or modified from time to time, the “Credit Agreement”), by and among Holdings, the Borrower, the Lenders referenced therein and the Administrative A

MPT OF MISSOURI CITY-DULLES FCER, 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...
Fifteenth Supplemental Indenture • August 11th, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

FIFTEENTH SUPPLEMENTAL INDENTURE (this “Fifteenth Supplemental Indenture”), dated as of June 30, 2014, by and among MPT of Missouri City-Dulles FCER, LLC, a Delaware limited liability company (the “New Guaranteeing Subsidiary”), 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, a Delaware chartered trust company, as Trustee (the “Trustee”).

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AMENDMENT NO. 3 TO AMENDED AND RESTATED REVOLVING CREDIT AND TERM LOAN AGREEMENT
Revolving Credit and Term Loan Agreement • November 9th, 2015 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

This AMENDMENT NO. 3 TO AMENDED AND RESTATED REVOLVING CREDIT AND TERM LOAN AGREEMENT, dated as of September 30, 2015 (this “Amendment No. 3”), is by and among MEDICAL PROPERTIES TRUST, INC., a Maryland corporation (“Holdings”), MPT OPERATING PARTNERSHIP, L.P., a Delaware limited partnership (the “Borrower”), the financial institutions listed on the signature pages hereof (the “Lenders”), THE BANK OF TOKYO-MITSUBISHI UFJ, LTD. (the “New Lender”), and JPMORGAN CHASE BANK, N.A., as administrative agent for the Lenders (the “Administrative Agent”). Reference is made to that certain Amended and Restated Revolving Credit and Term Loan Agreement, dated as of June 19, 2014, as amended by Amendment No. 1 to Amended and Restated Revolving Credit and Term Loan Agreement dated as of October 17, 2014 and Amendment No. 2 to Amended and Restated Revolving Credit and Term Loan Agreement dated as of August 4, 2015 (as so amended and as further amended, restated, replaced, supplemented or modified from

MPT OF OGDEN, LLC, MPT OF LITTLE ELM FCER, LLC and MPT OF BRODIE FCER, LLC, as Guarantors, MPT OPERATING PARTNERSHIP, L.P. and MPT FINANCE CORPORATION, as Issuers, MEDICAL PROPERTIES TRUST, INC., as Parent and a Guarantor, the other GUARANTORS named...
Supplemental Indenture • March 3rd, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

TWELFTH SUPPLEMENTAL INDENTURE (this “Twelfth Supplemental Indenture”), dated as of October 30, 2013, by and among MPT of Ogden, LLC, a Delaware limited liability company, MPT of Little Elm FCER, LLC, a Delaware limited liability company, and MPT of Brodie FCER, 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, a Delaware chartered trust company, as Trustee (the “Trustee”).

MPT OPERATING PARTNERSHIP, L.P. and MPT FINANCE CORPORATION, as Issuers, MEDICAL PROPERTIES TRUST, INC., as Parent and a Guarantor, and WILMINGTON TRUST, NATIONAL ASSOCIATION, as Trustee 3.500% Senior Notes due 2031 SIXTEENTH SUPPLEMENTAL INDENTURE...
Sixteenth Supplemental Indenture • December 7th, 2020 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

THIS SIXTEENTH SUPPLEMENTAL INDENTURE (this “Supplemental Indenture”) dated as of December 4, 2020, by and among MPT Operating Partnership, L.P., a Delaware limited partnership (“Opco”), MPT Finance Corporation, a Delaware corporation (“Finco” and, together with Opco, the “Issuers”, and each, an “Issuer”), Medical Properties Trust, Inc., a Maryland corporation (the “Parent Guarantor” or “Parent”), as Guarantor, and Wilmington Trust, National Association, existing under the laws of the United States of America, as Trustee under the Indenture referred to below.

MPT OF BILLINGS, LLC MPT OF BOISE, LLC MPT OF BROWNSVILLE, LLC MPT OF CASPER, LLC MPT OF COMAL COUNTY, LLC MPT OF GREENWOOD, LLC MPT OF JOHNSTOWN, LLC MPT OF LAREDO, LLC MPT OF LAS CRUCES, LLC MPT OF MESQUITE, LLC MPT OF POST FALLS, LLC MPT OF...
Supplemental Indenture • March 3rd, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts

FIFTH SUPPLEMENTAL INDENTURE (this “Fifth Supplemental Indenture”), dated as of April 9, 2012, by and among MPT of Billings, LLC, MPT of Boise, LLC, MPT of Brownsville, LLC, MPT of Casper, LLC, MPT of Comal County, LLC, MPT of Greenwood, LLC, MPT of Johnstown, LLC, MPT of Laredo, LLC, MPT of Las Cruces, LLC, MPT of Mesquite, LLC, MPT of Post Falls, LLC, MPT of Prescott Valley, LLC and MPT of Provo, LLC, each 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, National Association (formerly known as Wilmington Trust Company), existing under the laws of the United States of America, as Trustee (the “Trustee”).

JOINDER AND AMENDMENT TO MASTER LEASE AGREEMENT (CHS Properties)
Master Lease Agreement • August 9th, 2017 • MPT Operating Partnership, L.P. • Real estate investment trusts

THIS JOINDER AND AMENDMENT TO MASTER LEASE AGREEMENT is dated this 1st day of May, 2017 (this “Amendment”), by and among certain Affiliates of MPT OPERATING PARTNERSHIP, L.P., as further described on the signature pages hereto (collectively, jointly and severally, “Lessor”), and certain Affiliates of STEWARD HEALTH CARE SYSTEM LLC, a Delaware limited liability company, “Steward”) as further described on the signature pages hereto (collectively, jointly and severally, “Lessee”).

MASTER LEASE AGREEMENT I BY AND AMONG THE ENTITIES LISTED ON SCHEDULE 1-A ATTACHED HERETO, collectively, Lessor AND THE ENTITIES LISTED ON SCHEDULE 1-B ATTACHED HERETO, collectively, jointly and severally, as Lessee July 3, 2012
Master Lease Agreement • November 9th, 2012 • MPT Operating Partnership, L.P. • Real estate investment trusts • Delaware

This MASTER LEASE AGREEMENT II (the “Lease”) is dated this 3rd day of July, 2012 (the “Commencement Date”), and is by and among the entities listed on Schedule 1-A attached hereto and made a part hereof by reference and incorporation (collectively, the “Lessor”), having their principal office at 1000 Urban Center Drive, Suite 501, Birmingham, Alabama 35242, and the entities listed on Schedule 1-B attached hereto and made a part hereof by reference and incorporation (collectively, jointly and severally, the “Lessee”), having their principal office at 3300 E. Guasti Road, 3rd Floor, Ontario, California 91761.

MPT OF MOUNTAIN VIEW, 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...
MPT Operating Partnership, L.P. • March 3rd, 2014 • Real estate investment trusts • New York

SECOND SUPPLEMENTAL INDENTURE (this “Second Supplemental Indenture”), dated as of October 3, 2011, by and among MPT of Mountain View, LLC, a Delaware limited liability company (the “New Guaranteeing Subsidiary”), 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”).

REAL ESTATE LOAN AGREEMENT BY AND AMONG THE ENTITIES LISTED ON SCHEDULE 1-A ATTACHED HERETO, (collectively, jointly and severally, “Lender”) AND THE ENTITIES LISTED ON SCHEDULE 1-B ATTACHED HERETO, (collectively, jointly and severally, the “Borrower”)...
Real Estate Loan Agreement • March 1st, 2017 • MPT Operating Partnership, L.P. • Real estate investment trusts • Delaware

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

MPT OF NACOGDOCHES FCER, LLC, MPT OF MESA, LLC MPT OF PORT ARTHUR, LLC, MPT OF WEST MONROE, LLC, MPT OF DALLAS, LLC MPT RHM HOLDCO, MPT RHM SONNENWENDE, MPT RHM KLAUS, MPT RHM VESALIUS, MPT RHM PARK, MPT RHM FONTANA, MPT RHM HILLERSBACH and MPT RHM...
Indenture • March 3rd, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

THIRD SUPPLEMENTAL INDENTURE (this “Third Supplemental Indenture”), dated as of December 20, 2013, by and among MPT of Nacogdoches FCER, LLC, a Delaware limited liability company, MPT of Mesa, LLC, a Delaware limited liability company, MPT of Port Arthur, LLC, a Delaware limited liability company, MPT of West Monroe, LLC, a Delaware limited liability company, MPT of Dallas, LLC, a Delaware limited liability company (the “Domestic Guarantors”), and MPT RHM Holdco, MPT RHM Sonnenwende, MPT RHM Klaus, MPT RHM Vesalius, MPT RHM Park, MPT RHM Fontana, MPT RHM Hillersbach, MPT RHM Christiaan, each a société à responsabilité limitée incorporated and existing under the laws of the Grand Duchy of Luxembourg (the “Lux Guarantors” and together with the Domestic Guarantors, 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 Propertie

MPT OPERATING PARTNERSHIP, L.P. MPT FINANCE CORPORATION
Underwriting Agreement • April 16th, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

MPT Operating Partnership, L.P., a Delaware limited partnership (the “Company”), and MPT Finance Corporation, a Delaware corporation (“Finco” and, together with the Company, the “Issuers”), propose to issue and sell to the several underwriters listed in Schedule 1 hereto (the “Underwriters”), for whom you are acting as representative (the “Representative”), $300 million in aggregate principal amount of its 5.50% Senior Notes due 2024 (the “Securities”). The Securities will be issued pursuant to an Indenture dated as of the date hereof (the “Indenture”), among the Issuers, Medical Properties Trust, Inc., a Maryland corporation (“MPT”), and the other guarantors listed on the signature pages hereto (the “Subsidiary Guarantors” and, together with MPT, the “Guarantors”) and Wilmington Trust, National Association, as trustee (the “Trustee”), and will be guaranteed on an unsecured senior basis, jointly and severally, by each of the Guarantors (the “Guarantees”).

MPT OF COMMERCE CITY FCER, LLC MPT OF FORT WORTH FCER, LLC, MPT OF SUMMERWOOD FCER, LLC MPT OF FAIRMOUNT – ALECTO, LLC MPT OF HOOVER – MEDICAL WEST, LLC MPT UK HOLDCO MPT BATH MPT RHM HOHENLOHE MPT RHM BUCHBERG and MPT RHM HEINRICH MANN as Guarantors,...
Sixteenth Supplemental Indenture • March 2nd, 2015 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

SIXTEENTH SUPPLEMENTAL INDENTURE (this “Sixteenth Supplemental Indenture”), dated as of October 3, 2014, by and among MPT of Commerce City FCER, LLC, a Delaware limited liability company, MPT of Fort Worth FCER, LLC, a Delaware limited liability company, MPT of Summerwood FCER, LLC, a Delaware limited liability company, MPT of Fairmount – Alecto, LLC, a Delaware limited liability company, MPT of Hoover – Medical West, LLC, a Delaware limited liability company (the “Domestic Guarantors”), and MPT UK Holdco, MPT Bath, MPT RHM Hohenlohe, MPT RHM Buchberg and MPT RHM Heinrich Mann, each a société à responsabilité limitée incorporated and existing under the laws of the Grand Duchy of Luxembourg (the ‘Lux Guarantors” and together with the Domestic Guarantors, 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,

MPT OF NACOGDOCHES FCER, LLC, MPT OF MESA, LLC MPT OF PORT ARTHUR, LLC, MPT OF WEST MONROE, LLC, MPT OF DALLAS, LLC MPT RHM HOLDCO, MPT RHM SONNENWENDE, MPT RHM KLAUS, MPT RHM VESALIUS, MPT RHM PARK, MPT RHM FONTANA, MPT RHM HILLERSBACH and MPT RHM...
Tenth Supplemental Indenture • March 3rd, 2014 • MPT Operating Partnership, L.P. • Real estate investment trusts • New York

TENTH SUPPLEMENTAL INDENTURE (this “Tenth Supplemental Indenture”), dated as of December 20, 2013, by and among MPT of Nacogdoches FCER, LLC, a Delaware limited liability company, MPT of Mesa, LLC, a Delaware limited liability company, MPT of Port Arthur, LLC, a Delaware limited liability company, MPT of West Monroe, LLC, a Delaware limited liability company, MPT of Dallas, LLC, a Delaware limited liability company (the “Domestic Guarantors”), and MPT RHM Holdco, MPT RHM Sonnenwende, MPT RHM Klaus, MPT RHM Vesalius, MPT RHM Park, MPT RHM Fontana, MPT RHM Hillersbach, MPT RHM Christiaan, each a société à responsabilité limitée incorporated and existing under the laws of the Grand Duchy of Luxembourg (the “Lux Guarantors” and together with the Domestic Guarantors, 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 Propertie

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