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NOTICE: THIS AGREEMENT IS SUBJECT TO ARBITRATION PURSUANT TO THE SOUTH CAROLINA UNIFORM
ARBITRATION ACT, SECTION 15-48-10 ET SEQ. OF THE CODE OF LAWS OF SOUTH CAROLINA

RIGHT OF FIRST OPPORTUNITY

THIS RIGHT OF FIRST OPPORTUNITY (this “ Agreement ”) is made as of September 9, 2009 by and between HTA — GREENVILLE, LLC, a Delaware limited liability company (“ REIT ”), and GREENVILLE HOSPITAL SYSTEM, a political subdivision organized under the laws of South Carolina (“ GHS ”). REIT and GHS are sometimes collectively referred to herein as the “ Parties ” and individually as a “ Party ”.

In consideration of good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Parties agree as follows:

1.  General Provisions .

(a)  Right of Opportunity . If at any time during the “Term” (as defined in that certain Future Development Agreement, by and between REIT and GHS, dated as of September   , 2009 (the “ Future Development Agreement ”)), GHS desires to develop and/or sell any of the properties set forth on Exhibit A hereto (the “ Properties ”) with “Outside Funding” (as hereinafter defined) (any such development or sale, an “ Opportunity ”), GHS shall offer REIT such Opportunity on the terms set forth in the Future Development Agreement and this Agreement. If REIT is offered any such Opportunity to develop and/or purchase such Property, REIT may elect, in its sole and absolute discretion, to accept such Opportunity. For purposes of this Agreement, “ Outside Funding ” shall mean funding for the applicable development and/or sale of a Property which comes from sources other than (A) GHS itself, (B) joint venture relationships with other healthcare providers or (C) physicians or other tenants of space occupied by GHS.

(b)  Future Cancer Center . In addition to the terms and conditions set forth in the Future Development Agreement, in the event the Parties elect for REIT to fund development of or purchase the Future Cancer Center Project, the terms and condition set forth in Exhibit B hereto shall apply.

2.  Miscellaneous .

(a)  Notices . Any notice to be given or document to be delivered under this Agreement, except as otherwise herein provided, shall be (i


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