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87- 102311 Such principal and interest are payable at the principal corporate trust office of FirsTier Bank, N.A., (formerly known as Commercial National Bank & Trust Company), Grand Island, Nebraska, as trustee. The Corporation shall receive credit on its required payments on this Series 1987A Master Note to the extent principal and interest payments are made by Saint Francis pursuant to the Sublease and Assumption Agreement dated as of April 1, 1987 (the "Sublease ") between Saint Francis Medical Center ( "Saint Francis "), as sublessee, and Lutheran Hospitals and Homes Society of America ( "LHHS") as lessee. Upon payment in full of the principal and interest due under the Sublease, this Series 1987A Master Note shall be deemed paid in full and shall no longer be outstanding under the provisions of the Master Indenture. The Series 1987A Master Note is issued under and secured by and entitled to the security of a Master Trust Indenture dated as of August 1, 1984, as amended and supplemented by a First Supplemental Master Trust Indenture dated as of December 1, 1985 and by a Second Supplemental Master Trust Indenture dated as of April 1, 1987 (the "Second Supplemental Master Indenture ") as from time to time further supplemented and amended (as so supplemented and amended, the "Master Indenture "), duly executed and delivered by the Corporation to Mellon Hank, N.A., Pittsburgh, Pennsylvania, as Master Trustee (the "Master Trustee "). Reference is made to the Master Indenture, to all indentures supplemental thereto and to all amendments thereto for the provisions, among others, with respect to the nature and extent of the security for the Series 1987A Master Note, the rights, duties and obligations of the Corporation and the Master Trustee and the rights of the holders of the Series 1987A Master Note, and to all the provisions of which the holder hereof by the acceptance of this Series 1987A Master Note assents. Reference is made to the Master Indenture for the definition of certain terms used herein. This Series 1987A Master Note is transferable by the registered holder hereof in person or by duly authorized attorney at the principal office of the Master Trustee, but only in the manner, subject to the limitations and upon payment of the charges provided in the Master Indenture, and upon surrender and cancellation of this Series 1987A Master Note. Upon such transfer a new registered Master Note or Master Notes without coupons of the same series and of authorized denomination or denominations, for the same aggregate principal amount will be issued to the transferee in exchange therefor. The Master Trustee may deem and treat the registered holder hereof as the absolute owner hereof for the purpose of receiving payment of or on account of principal hereof and premium, if any, hereon and -2- In I M