Exhibit 10.18
 

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WAIVER AND NINTH AMENDMENT
DATED AS OF OCTOBER 13, 2010
IN RESPECT OF
AMENDED AND RESTATED LOAN AGREEMENT

BY AND AMONG

CFWH (Delaware), LLC, CFWH (Massachusetts), LLC, CFWH (New Jersey) LLC,
CFWH (New York) LLC, New York Hyperbaric And Wound Care Centers, L.L.C., The
Square Hyperbaric LLC, CFWH (Pennsylvania), LLC, and THE CENTER FOR WOUND
HEALING, INC.

AND

SIGNATURE BANK

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THIS WAIVER AND NINTH AMENDMENT (the “Waiver-Amendment”) made as of the 13th day
of October, 2010 by and among CFWH (Delaware), LLC, CFWH (Massachusetts), LLC,
CFWH (New Jersey) LLC, CFWH (New York) LLC, New York Hyperbaric And Wound Care
Centers, L.L.C., The Square Hyperbaric LLC, CFWH (Pennsylvania), LLC, and THE
CENTER FOR WOUND HEALING, INC., each with a place of business at 155 White
Plains Road, Tarrytown, NY  10591 (the foregoing Persons, individually and
collectively, the “Borrower”), and SIGNATURE BANK, a New York bank having an
office at 1225 Franklin Avenue, Garden City, New York 11530 (the “Bank”).

WITNESSETH:

WHEREAS, certain of the entities comprising the Borrower and the Bank entered
into a Amended and Restated Loan Agreement dated as of June 17, 2005 as amended
by a First Amendment dated as of April 7, 2006, a Second Amendment dated as of
February 1, 2007, a Third Amendment and Waiver dated as of May 29, 2007, a
Fourth Amendment and Waiver dated as of July 31, 2007, a Fifth Amendment dated
as of October 11, 2007, a Sixth Amendment dated as of March 19, 2008, a Seventh
Amendment dated as of June 30, 2008 and an Eighth Amendment dated as of December
18, 2008 (collectively, the “Agreement”), providing for certain financial
accommodations to the Borrower and which Agreement is now in full force and
effect;

WHEREAS, the Borrower has failed to comply with the provisions of Sections 6.1,
6.3 and 6.5 of the Agreement, and the Borrower has informed the Bank that it
will in the future fail to comply with the provisions of Section 6.4 of the
Agreement, all as described below;

WHEREAS, the Borrower and the Bank desire that the Bank waives the Borrowers’
non-compliance with such provisions of the Agreement on the terms and conditions
hereinafter set forth; and

WHEREAS, the Borrower and the Bank desire to extend the Termination Date on the
terms and conditions hereinafter set forth;

NOW, THEREFORE, in consideration of the premises and the agreements hereinafter
set forth and for other good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, the parties hereto agree as
follows:

1.           As used in this Waiver-Amendment, capitalized terms, unless
otherwise defined, shall have the meanings ascribed thereto in the Agreement.

 
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2.           The Borrower failed to comply with the provisions of Section 6.1 of
the Agreement for the four fiscal quarter period of the Borrower ended June 30,
2010, as the ratio which is the subject of such section was 0.26:1.00 for such
period.  Such non-compliance is hereby waived, for the four fiscal quarter
period of the Borrower ended June 30, 2010, for each of the four fiscal quarter
periods ending subsequent to June 30, 2010 through and including the four fiscal
quarter period ending June 30, 2011, and for July 1, 2011, provided that (a)
such ratio was not less than 0.26:1.00 for the four fiscal quarter period of the
Borrower ended June 30, 2010, and (b) such ratio will not be, for the four
fiscal quarter period ending: (i) September 30, 2010, less than 0.45:1.00; (ii)
December 31, 2010, less than 0.20:1.00; (iii) March 31, 2011, less than
0.35:1.00; or (iv) June 30, 2011, or for July 1, 2011, less than
0.50:1.00.  Notwithstanding anything contained in this Waiver-Amendment or in
the Agreement to the contrary, solely for purposes of determining the Borrower’s
compliance with the provisions of the section of the Agreement which is the
subject of this paragraph, and solely for the periods or date(s) which are the
subject of this paragraph, there shall be added to EBITDA of the Borrower,
without duplication, the following items for the periods or date(s) to which
such items relate (as determined in accordance with GAAP):  (1) $228,000
relating solely to and comprised solely of litigation expenses and 2009 10-K
restatement expenses incurred during the fiscal quarter ended September 30,
2009; (2) $276,000 relating solely to and comprised solely of litigation
expenses, 2009 10-K restatement expenses and expenses relating solely and
directly to the sale of the Borrower incurred during the fiscal quarter ended
December 31, 2009; (3) $2,131,000 relating solely to and comprised solely of bad
debt write-offs taken during the fiscal quarter ended March 31, 2010, litigation
expenses and expenses relating solely and directly to the sale of the Borrower
incurred during the fiscal quarter ended March 31, 2010, and the Borrower’s
correction of the Apligraph billing error by refunding the applicable amount
during the fiscal quarter ended March 31, 2010; and (4) $132,000 relating solely
to litigation expenses and expenses relating solely and directly to the sale of
the Borrower incurred during the fiscal quarter ended June 30, 2010.

3.           The Borrower failed to comply with the provisions of Section 6.3 of
the Agreement as of the last day of the fiscal quarter of the Borrower ended
June 30, 2010, as the Effective Tangible Net Worth as the Borrower as of June
30, 2010 was $12,035,342.  Such non-compliance is hereby waived, as of the last
day of the fiscal quarter of the Borrower ended June 30, 2010, as of the last
day of each fiscal quarter of the Borrower occurring subsequent to June 30, 2010
through and including June 30, 2011, and as of July 1, 2011, provided that (a)
the Effective Tangible Net Worth of the Borrower as of June 30, 2010 was not
less than $12,035,342, and (b) the Effective Tangible Net Worth of the Borrower
will not be, as of: (i) September 30, 2010, less than $12,000,000; (ii) December
31, 2010, less than $11,300,000; (iii) March 31, 2011, less than $8,500,000; or
(iv) June 30, 2011 or July 1, 2011, less than $8,800,000.

4.           The Borrower has informed the Bank that it is in compliance with
the provisions of Section 6.4 of the Agreement for the four fiscal quarter
period of the Borrower ended June 30, 2010, as the ratio which is the subject of
such section was 0.24:1.00 for such period and as of such date, but that the
Borrower will fail to be in compliance with the provisions of such section for
the four fiscal quarter periods ending March 31, 2011 and June 30, 2011 (and as
of such dates).  Such non-compliance is hereby waived, provided that such ratio
will not be, for the four fiscal quarter period ending: (i) March 31, 2011 (or
as of such date), more than 1.50:1.00; or (ii) June 30, 2011 (or as of such
date), or for July 1, 2011 (or as of such date), more than
1.25:1.00.  Notwithstanding anything contained in this Waiver-Amendment or in
the Agreement to the contrary, solely for purposes of determining the Borrower’s
compliance with the provisions of the section of the Agreement which is the
subject of this paragraph, and solely for the periods or date(s) which are the
subject of this paragraph, there shall be added to EBITDA of the Borrower,
without duplication, the following items for the periods or date(s) to which
such items relate (as determined in accordance with GAAP):  (1) $228,000
relating solely to and comprised solely of litigation expenses and 2009 10-K
restatement expenses incurred during the fiscal quarter ended September 30,
2009; (2) $276,000 relating solely to and comprised solely of litigation
expenses, 2009 10-K restatement expenses and expenses relating solely and
directly to the sale of the Borrower incurred during the fiscal quarter ended
December 31, 2009; (3) $2,131,000 relating solely to and comprised solely of bad
debt write-offs taken during the fiscal quarter ended March 31, 2010, litigation
expenses and expenses relating solely and directly to the sale of the Borrower
incurred during the fiscal quarter ended March 31, 2010, and the Borrower’s
correction of the Apligraph billing error by refunding the applicable amount
during the fiscal quarter ended March 31, 2010; and (4) $132,000 relating solely
to litigation expenses and expenses relating solely and directly to the sale of
the Borrower incurred during the fiscal quarter ended June 30, 2010.

 
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5.           The Borrower failed to comply with the provisions of Section 6.5 of
the Agreement for the four fiscal quarter period of the Borrower ended June 30,
2010, as the ratio which is the subject of such section was 6.97:1.00 for such
period and as of such date.  Such non-compliance is hereby waived, for the four
fiscal quarter period of the Borrower ended June 30, 2010 (and as of such date),
for each of the four fiscal quarter periods ending subsequent to June 30, 2010
(and as of such dates) through and including the four fiscal quarter period
ending June 30, 2011 (and as of such date), and for July 1, 2011 (and as of such
date), provided that (a) the ratio which is the subject of such section was not
more than 6.97:1.00 for the four fiscal quarter period of the Borrower ended
June 30, 2010 (or as of such date), and (b) such ratio will not be, for the four
fiscal quarter period ending: (i) September 30, 2010 (or as of such date), more
than 3.85:1.00; (ii) December 31, 2010 (or as of such date), more than
5.25:1.00; (iii) March 31, 2011 (or as of such date), more than 4.50:1.00; or
(iv) June 30, 2011 (or as of such date), or for July 1, 2011 (or as of such
date), more than 4.00:1.00.  Notwithstanding anything contained in this
Waiver-Amendment or in the Agreement to the contrary, solely for purposes of
determining the Borrower’s compliance with the provisions of the section of the
Agreement which is the subject of this paragraph, and solely for the periods or
date(s) which are the subject of this paragraph, there shall be added to EBITDA
of the Borrower, without duplication, the following items for the periods or
date(s) to which such items relate (as determined in accordance with GAAP):  (1)
$228,000 relating solely to and comprised solely of litigation expenses and 2009
10-K restatement expenses incurred during the fiscal quarter ended September 30,
2009; (2) $276,000 relating solely to and comprised solely of litigation
expenses, 2009 10-K restatement expenses and expenses relating solely and
directly to the sale of the Borrower incurred during the fiscal quarter ended
December 31, 2009; (3) $2,131,000 relating solely to and comprised solely of bad
debt write-offs taken during the fiscal quarter ended March 31, 2010, litigation
expenses and expenses relating solely and directly to the sale of the Borrower
incurred during the fiscal quarter ended March 31, 2010, and the Borrower’s
correction of the Apligraph billing error by refunding the applicable amount
during the fiscal quarter ended March 31, 2010; and (4) $132,000 relating solely
to litigation expenses and expenses relating solely and directly to the sale of
the Borrower incurred during the fiscal quarter ended June 30, 2010.

6.           Notwithstanding anything contained in this Waiver-Amendment to the
contrary, the Borrowers’ non-compliance with Section 6, for all fiscal quarters
and financial covenant testing dates ending/occurring subsequent to June 30,
2010 and ending/occurring on or prior to July 1, 2011, is hereby waived to the
extent and solely to the extent resulting from the required adoption by the
Borrower of changes in GAAP (relating to GAAP Codification of Accounting
Standards Codification Topic 470:Debt) from and after June 30, 2009 and through
and including July 1, 2011.

 
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7.           The definition of the term “Termination Date” shall be deleted, and
in lieu thereof, the following shall be inserted:

“Termination Date” shall mean the earlier of (a) July 1, 2011, or if such date
is not a Business Day, the Business Day next succeeding such date; or (b) the
date the Commitment is terminated pursuant to Section 8 hereof.

8.           As an inducement for the Bank to enter into this Waiver-Amendment,
the Borrower hereby represents and warrants as follows:

(A)           There are no defenses or offsets to its obligations under the
Agreement, the Note or any of the other agreements in favor of the Bank referred
to in the Agreement, and if any such defenses or offsets exist without the
knowledge of the Borrower, the same are hereby waived.

(B)           All the representations and warranties made by the Borrower in the
Agreement are true and correct in all material respects as if made on the date
hereof.

8.           It is expressly understood and agreed that all collateral security
for the Loans set forth in the Agreement prior to the waiver provided for
herein, is and shall continue to be collateral security for the Loans and other
extensions of credit provided under the Agreement as herein modified.  Without
limiting the generality of the foregoing, the Borrower hereby absolutely and
unconditionally confirms that each document and instrument executed by the
Borrower pursuant to the Agreement continues in full force and effect, is
ratified and confirmed and is and shall continue to be applicable to the
Agreement (both before and after giving effect to this Waiver-Amendment).

9.           By their execution of this letter in the space provided below, the
Guarantors (if any) hereby consent to this Waiver-Amendment and reaffirm their
continuing liability under their guarantees in respect of the Agreement, as
amended hereby, and all documents, instruments and agreements executed pursuant
thereto or in connection therewith, without offset, defense or counterclaim (any
such offset, defense or counterclaim as may exist being hereby irrevocably
waived by any such Guarantors).

10.         The Waiver-Amendment set forth herein is limited precisely as
written and shall not be deemed (except as the Agreement is modified by this
Waiver-Amendment) to (a) be a consent to or a waiver of any term or condition of
the Agreement (i.e., only non-compliance with the above-referenced sections of
the Agreement, but not with any other sections of the Agreement is waived hereby
or any of the documents referred to therein, or (b) prejudice any right or
rights which the Bank may now have or may have in the future under or in
connection with the Agreement or any documents referred to therein.  Whenever
the Agreement is referred to in the Agreement or any of the instruments,
agreements or other documents or papers executed and delivered in connection
therewith, it shall be deemed to mean the Agreement as modified by this
Waiver-Amendment.  This Waiver-Amendment may be signed in one or more
counterparts which, when taken together, shall constitute one and the same
document.  The parties to this Waiver-Amendment agree that, for purposes of the
execution of this Waiver-Amendment, facsimile signatures and scanned signatures
through email will constitute original signatures.

 
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11.         This Waiver-Amendment shall become effective on such date as all of
the following conditions have been satisfied:

(A)           Waiver-Amendment Fee.  The Borrower shall have paid to the Bank a
waiver-amendment fee in the amount of $10,000.00; and
 
(B)           Fees and Expenses.  The Bank shall have received evidence of
payment of the fees and disbursements of the Bank’s counsel (if invoiced by the
Bank’s counsel on or prior to the date hereof).

12.         This Waiver-Amendment is dated of October 13, 2010 and shall be
effective on the date of execution by the Bank.  Except as modified by this
Waiver-Amendment, the Agreement is in all respects ratified and confirmed.

 
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IN WITNESS WHEREOF, the parties hereto have caused this Waiver-Amendment to be
executed by their duly authorized officers as of the date first written above.

Borrower:
CFWH (Delaware), LLC
CFWH (Massachusetts), LLC
CFWH (New Jersey) LLC
CFWH (New York) LLC
New York Hyperbaric And Wound Care Centers, L.L.C.
The Square Hyperbaric LLC
CFWH (Pennsylvania), LLC
Each by its manager/member,
THE CENTER FOR WOUND HEALING, INC.
   
By:
/s/ Andrew G. Barnett
 
Andrew G. Barnett
 
Chief Executive Officer
   
THE CENTER FOR WOUND HEALING, INC.
   
By:
/s/ Andrew G. Barnett
 
Andrew G. Barnett
 
Chief Executive Officer
   
Bank:
SIGNATURE BANK
   
By:
/s/ Lori Cabana
 
Lori Cabana
 
Vice President and Lender

 
 
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