SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT

Exhibit 10.3

SECOND AMENDMENT TO

PURCHASE AND SALE AGREEMENT

THIS SECOND AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “First Amendment”) is made by and between GR IRF I, LP, a Texas limited partnership (“Seller”), and GLOBAL REHAB DALLAS, LP, a Delaware limited partnership (“Buyer”).  Terms appearing herein with the first letter thereof capitalized and which are not otherwise defined shall have the respective meanings set forth in the Contract.

R E C I T A L S:

A.           WHEREAS, Seller and Buyer entered into that certain Purchase and Sale Agreement, dated effective as of July 14, 2010, amended by that certain First Amendment to Purchase and Sale Agreement dated July 19, 2010 (the “Contract”), for the purchase and sale of real property and certain improvements thereon located at 0000 Xxxxxx Xxxxxxx Xxxxx, Xxxxxx, Xxxxxx Xxxxxx, Xxxxx (the “Property”);

B.           WHEREAS, Seller and Buyer desire to amend the Contract, all as more particularly set forth herein.

A G R E E M E N T S:

NOW, THEREFORE, for Ten Dollars ($10.00) and other good and valuable consideration, receipt and sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows:

1.           The Contract is hereby amended to provide that Section 9.2(i) shall survive Closing for one (1) year.

2.           Except as expressly modified herein, all of the terms and conditions of the Contract shall remain in full force and effect.

3.           This Second Amendment may be executed in multiple counterparts, each of which shall be deemed an original but all of which, together, shall constitute one and the same instrument.

[SIGNATURES ON FOLLOWING PAGE ]

IN WITNESS WHEREOF, Seller and Buyer have executed this Second Amendment as of the 17th day of August, 2010.

	SELLER:
	GR IRF I, LP,
	a Texas limited partnership
	By:	GR IRF Managers, LLC,
		a Texas limited liability company,
		its General Partner
		By:	/s/ Xxxxx X. Xxxx
			Xxxxx X. Xxxx, Manager

	BUYER:
	GLOBAL REHAB DALLAS, LP,
	a Delaware limited partnership
	By:	Global Rehab Dallas GP, LLC, sole
		general partner
		By:	CGI Healthcare Operating Partnership, LP,
			sole member
			By:	Cornerstone Healthcare Plus
				REIT, Inc., sole general partner
				By:	/s/ Xxxxx X. Xxxxxxx
					Xxxxx X. Xxxxxxx
					President and CEO

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