FIFTH AMENDMENT TO AGREEMENT FOR LEASE OF REAL PROPERTY

THIS FIFTH AMENDMENT TO AGREEMENT FOR LEASE OF REAL PROPERTY (this “Amendment”) is made as of October 22, 2014, by and among PINNACLE HEALTH HOSPITALS, a Pennsylvania non-profit corporation (“Lessor”), and AMERICAN REALTY CAPITAL VII, LLC, a Delaware limited liability company (“ARC VII”), ARHC BRHBGPA01, LLC, a Delaware limited liability company (“Brady Lessee”), ARHC FOMBGPA01, LLC, a Delaware limited liability company (“FOC Lessee”), ARHC LMHBGPA01, LLC, a Delaware limited liability company (“Landis Lessee”), and ARHC CHHBGPA01, LLC, a Delaware limited liability company (“Community Lessee,” and together with ARC VII, Brady Lessee, FOC Lessee and Landis Lessee, collectively, “Lessee”).

WHEREAS, ARC VII and Lessor entered into that certain Agreement for Lease of Real Property, having an effective date of June 16, 2014 (the “Initial Agreement”), that certain First Amendment to Agreement for Lease of Real Property, dated as of July 16, 2014 (the “First Amendment”), that certain Second Amendment to Agreement for Lease of Real Property, dated as of August 1, 2014 (the “Second Amendment”), that certain Third Amendment to Agreement for Lease of Real Property, dated as of September 26, 2014 (the “Third Amendment”), and that certain Fourth Amendment to Agreement for Lease of Real Property, dated as of October 10, 2014 (the “Fourth Amendment”; the Initial Agreement, as amended by the First Amendment, the Second Amendment, the Third Amendment and the Fourth Amendment, the “Agreement”), with regard to the Property, as more particularly described in the Agreement.

WHEREAS, ARC VII assigned its interest under the Agreement (a) with respect to the Brady Property, to Brady Lessee, (b) with respect to the Community Health Property, to Community Lessee, (c) with respect to the FOC Property, to the FOC Lessee, and (d) with respect to the Landis Property, to the Landis Lessee. Lessee and Lessor wish to amend the Agreement as provided herein.

NOW, THEREFORE, in consideration of the mutual promise contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereby agree that the Agreement shall be amended as follows: