SECOND AMENDMENT TO
LEASE AGREEMENT FOR A GAMMA KNIFE UNIT
This SECOND AMENDMENT TO LEASE AGREEMENT FOR A GAMMA KNIFE UNIT (this
“Second Amendment”) is dated effective as of May 15, 2009 (the “Effective Date”) and is entered into by and
between Yale-New Haven Hospital, Inc. a/k/a Yale-New Haven Hospital, a Connecticut corporation
(“YNHH”) and GK Financing, LLC, a California limited liability company (“GKF”).
A. On April 10, 1997 GKF and Yale-New Haven Ambulatory Services Corporation, a
Connecticut corporation (“ASC”), entered into a Lease Agreement For A Gamma Knife Unit, which was
amended pursuant to (i) a certain Addendum dated as of October 25, 2005 (the “Addendum”); and (ii) a certain
Assignment, Assumption And Amendment of Lease Agreement For A Gamma Knife Unit dated effective as of
June 30, 2006 (the “First Amendment”). The original Lease Agreement, as amended by the Addendum and the
First Amendment, is referred to herein as the “Lease.”
B. Pursuant to the First Amendment, ASC transferred and assigned its interest in the Lease to its
affiliate, YNHH, and YNHH assumed all of ASC’s rights and obligations thereunder.
C. YNHH and GKF desire to further amend the Lease to provide for the replacement and
upgrade of the existing Leksell Gamma Knife, Model 4C (the “Model 4C”) that is currently being leased by GKF
to YNHH pursuant to the Lease, with a Leksell Gamma Knife Perfexion unit (such Perfexion unit leased
hereunder is referred to as the “Perfexion”), which will be installed at the new Yale-New Haven Cancer Center
to be known as The Smilow Cancer Hospital, located at Park Street and South Frontage Road (the “New Site”)
contemporaneously with the de-installation of the Model 4C.
NOW, THEREFORE , in consideration of the mutual covenants and agreements set forth herein, and
for other good and valuable consideration, the receipt and sufficiency of which are