Exhibit 10.1.2

EXECUTION VERSION

FOURTH AMENDMENT TO CREDIT AGREEMENT

THIS FOURTH AMENDMENT TO CREDIT AGREEMENT (this “Agreement”) dated as of
July 28, 2014 (the “Effective Date”), is entered into by and among AMEDISYS
HOLDING, L.L.C., a Louisiana limited liability company (the “Co-Borrower”),
AMEDISYS, INC., a Delaware corporation (the “Lead Borrower”, together with the
Co-Borrower, the “Borrowers”), each of the Subsidiaries of the Borrowers listed
on the signature pages hereof (the “Guarantors”), each of the Lenders (as such
term is hereafter defined) party hereto and JPMORGAN CHASE BANK, N.A., as
Administrative Agent for the Lenders (the “Administrative Agent”).

PRELIMINARY STATEMENT

WHEREAS, the Borrowers, the lenders party thereto (the “Lenders”) and the
Administrative Agent entered into that certain Credit Agreement dated as of
October 26, 2012 (as amended by that certain First Amendment to Credit Agreement
and Limited Waiver dated as of September 4, 2013, that certain Second Amendment
to Credit Agreement dated as of November 11, 2013, that certain Third Amendment
to Credit Agreement dated as of April 17, 2014 and as further amended from time
to time, the “Credit Agreement”; capitalized terms used in this Agreement and
not otherwise defined herein shall have the meanings ascribed to such terms in
the Credit Agreement); and

WHEREAS, the Borrowers, the Lenders party hereto and the Administrative Agent
desire to amend the Credit Agreement as hereinafter provided;

NOW, THEREFORE, in consideration of the premises and further valuable
consideration, the receipt and sufficiency of which is hereby acknowledged, the
parties hereto agree as follows:

1. Amendment to Section 1.1. Section 1.1 of the Credit Agreement is hereby
amended as follows:

(a) The following new definition of “Buyout Proceeding” is hereby added to
Section 1.1 of the Credit Agreement in proper alphabetical order:

“Buyout Proceeding”: means (a) any case commenced by or against a Borrower or
any other Loan Party under the Bankruptcy Code or any other bankruptcy law, any
other proceeding for the reorganization, recapitalization or adjustment or
marshalling of the assets or liabilities of a Borrower or any other Loan Party,
any receivership or assignment for the benefit of creditors relating to a
Borrower or any other Loan Party or any similar case or proceeding relative to a
Borrower or any other Loan Party or its creditors, as such, in each case whether
or not voluntary, provided in the case of any involuntary proceeding commenced
against a Borrower or any other Loan Party, such proceeding remains undismissed
for a period of 60 days, (b) any liquidation, dissolution, marshalling of assets
or liabilities or other winding up

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of or relating to a Borrower or any other Loan Party, in each case whether or
not voluntary and whether or not involving bankruptcy or insolvency, other than
such liquidations and dissolutions of Loan Parties as may be permitted by this
Agreement or (c) any other proceeding of any type or nature in which
substantially all claims of creditors of any Borrower or any other Loan Party
are determined and any payment or distribution is or may be made on account of
such claims.

(b) The definition of “Consolidated Adjusted EBITDA” is hereby amended to
restate the second sentence thereof in its entirety as follows:

“Consolidated Adjusted EBITDA shall be adjusted to add back to Consolidated Net
Income, to the extent deducted therefrom, (a) any one-time expenses relating to
restructuring (not to exceed $10,000,000 in the aggregate during any trailing
four-Fiscal Quarter period) and discontinued operations and any payments in
respect of either of the foregoing, in each case, that are approved by the
Administrative Agent, which approval shall not be unreasonably withheld or
delayed and (b) reserves set aside in anticipation of the settlement agreement
with respect to the U.S. Department of Justice Civil Investigative Demand
Pursuant to False Claims Act and Stark Law Matters, as disclosed to the
Administrative Agent in writing by the Borrowers prior to the Second Amendment
Effective Date, together with associated fees and expenses, in a maximum
aggregate amount not to exceed $175,000,000.”

(c) The following new definitions of “Corporate Headquarters”, “Effective Yield”
and “First Lien Leverage Ratio” are hereby added to Section 1.1 of the Credit
Agreement in proper alphabetical order:

“Corporate Headquarters”: that parcel of real property located at 5959 South
Sherwood Boulevard, Baton Rouge, Louisiana, together with all improvements now
or hereafter constructed thereon comprising the principal executive offices of
the Lead Borrower and its Subsidiaries.

“Effective Yield”: as to any Indebtedness, the effective yield on such
Indebtedness in the reasonable determination of the Borrower and, except as
otherwise set forth in this definition, consistent with generally accepted
financial practices, taking into account the applicable interest rate margins,
any interest rate floors (the effect of which floors shall be determined in a
manner set forth in the proviso below) or similar devices and all fees,
including (a) upfront or similar fees or original issue discount (amortized over
the shorter of (i) the remaining weighted average life to

 

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maturity of such Indebtedness and (ii) the four years following the date of
incurrence thereof) payable generally to the applicable lenders providing such
Indebtedness and (b) the payment of fees in consideration for any amendment,
consent, waiver or forbearance (to the extent not in excess of generally
prevailing market rates at such time for transactions under similar
circumstances) (amortized over the shorter of (i) the remaining weighted average
life to maturity of such Indebtedness and (ii) the four years following the date
of incurrence thereof), but excluding any arrangement, structuring, ticking or
other similar fees payable in connection therewith that are not generally shared
with the relevant lenders; provided that with respect to any Indebtedness that
includes a “LIBOR floor” or “base rate floor,” (x) to the extent that the LIBOR
rate or base rate (without giving effect to any floors in such definitions), as
applicable, on the date that the Effective Yield is being calculated is less
than such floor, the amount of such difference shall be deemed added to the
interest rate margin for such Indebtedness for the purpose of calculating the
Effective Yield and (y) to the extent that the LIBOR rate or base rate (without
giving effect to any floors in such definitions), as applicable, on the date
that the Effective Yield is being calculated is greater than such floor, then
the floor shall be disregarded in calculating the Effective Yield.

“First Lien Leverage Ratio”: the ratio as of the last day of any Fiscal Quarter
of (a) the sum of (i) Consolidated Total Debt as of such day plus (ii) the then
outstanding aggregate amount owing by the Borrowers and their Subsidiaries
pursuant to contractual settlement agreements, binding arbitration awards and
judicial or administrative judgments or awards, plus, without duplication, the
aggregate amount of reserves set aside in anticipation thereof, minus (iii) the
outstanding Second Lien Debt as of the such day, minus (iv) unsecured
Indebtedness as of such day, to (b) Consolidated Adjusted EBITDA for the
four-Fiscal Quarter period ending on such date.

(d) The definition of “Fixed Charge Coverage Ratio” is hereby amended to delete
the phrase “(not to exceed $30,000,000)” from clause (i) thereof.

(e) The following new definition of “Fourth Amendment Effective Date” is hereby
added to Section 1.1 of the Credit Agreement in proper alphabetical order:

 

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“Fourth Amendment Effective Date”: July 28, 2014.

(f) The definition of “Indebtedness” is hereby amended to add the following new
sentence to the end of said definition:

“Notwithstanding the foregoing, “Indebtedness” shall specifically exclude
guaranties and indemnities provided by the Borrowers or any of their respective
Subsidiaries in connection with Asset Sales permitted hereunder to the extent
that the liability of the Borrowers or any of their respective Subsidiaries
under any such guaranty or indemnification is expressly limited to an amount
that does not exceed the consideration received for such Asset Sale multiplied
by two; provided, however, that any such guaranty or indemnification provided as
to matters of fraud, intentional misrepresentation or similar misconduct shall
be excluded from the term “Indebtedness” regardless of whether there is any such
limitation on the amount.”

(g) The following new definitions of “Intercreditor Agreement” and “Permitted
Refinancing” are hereby added to Section 1.1 of the Credit Agreement in proper
alphabetical order:

“Intercreditor Agreement”: that certain Intercreditor Agreement dated as of the
Fourth Amendment Effective Date, among the Administrative Agent, the Second Lien
Agent and the Borrowers.

“Permitted Refinancing”: with respect to any Indebtedness, any refinancing,
refunding, renewal or replacement of such Indebtedness; provided that (a) the
principal amount (or accreted value, if applicable) thereof does not exceed the
principal amount (or accreted value, if applicable) of the Indebtedness so
refinanced, refunded, renewed or replaced; (b) the Effective Yield thereof is
not greater than 3.00% per annum above the Effective Yield of the Indebtedness
so refinanced, refunded, renewed or replaced that is in effect on the Fourth
Amendment Effective Date, excluding the imposition of a default rate of up to
2.00% per annum; (c) such refinancing, refunding, renewal or replacement has a
final maturity date equal to or later than the final maturity date of, and has a
weighted average life to maturity equal to or greater than the weighted average
life to maturity of, the Indebtedness so refinanced, refunded, renewed or
replaced; (d) such refinancing, refunding, renewal or replacement is subject to
the terms and provisions of the Intercreditor Agreement; (e) other than as set
forth above in clause (b), the terms and conditions of any such refinanced,
refunded, renewed or replaced Indebtedness are not more restrictive on the Loan
Parties in any material respect than those set forth in the Agreement and the
other Loan Documents and not materially less favorable to the Loan Parties or
the Lenders than the terms and conditions of the Indebtedness so refinanced,
refunded, renewed or replaced; (f) such refinancing, refunding, renewal or
replacement is incurred by Persons who are the obligors under the Indebtedness
so refinanced, refunded, renewed or replaced; and (g) at the time thereof, no
Default or Event of Default shall have occurred and be continuing.

 

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(h) The definition of “Revolving Commitment” is hereby amended to restate the
last sentence thereof in its entirety as follows:

“The amount of the Total Revolving Commitments as of the Fourth Amendment
Effective Date is $120,000,000.”

(i) The following new definitions of “Second Lien Agent”, “Second Lien Credit
Agreement”, “Second Lien Debt”, “Second Lien Loan Documents” and “Secured
Leverage Ratio” are hereby added to Section 1.1 of the Credit Agreement in
proper alphabetical order:

“Second Lien Agent”: Cortland Capital Market Services LLC, in its capacity as
administrative agent for the Second Lien Debt.

“Second Lien Credit Agreement”: that certain Credit Agreement dated as of the
Fourth Amendment Effective Date, among the Borrowers, the lenders party thereto
and the Second Lien Agent and any analogous agreement governing any Permitted
Refinancing.

“Second Lien Debt”: the Indebtedness and other obligations of the Borrowers and
their Subsidiaries evidenced by the Second Lien Loan Documents (including any
Permitted Refinancing).

“Second Lien Loan Documents”: the “Loan Documents”, as such term is defined in
the Second Lien Credit Agreement.

“Secured Leverage Ratio”: the ratio as of the last day of any Fiscal Quarter of
(a) the sum of (i) Consolidated Total Debt as of such day plus (ii) the then
outstanding aggregate amount owing by the Borrowers and their Subsidiaries
pursuant to contractual settlement agreements, binding arbitration awards and
judicial or administrative judgments or awards, plus, without duplication, the
aggregate amount of reserves set aside in anticipation thereof, minus
(iii) unsecured Indebtedness as of such day, to (b) Consolidated Adjusted EBITDA
for the four-Fiscal Quarter period ending on such date.

2. Amendment to Section 1.3. Section 1.3 of the Credit Agreement is hereby
amended to restate the second sentence thereof in its entirety as follows:

“For purposes of determining compliance with any provision of this Agreement,
the determination of whether a lease is to be treated as an operating lease or
capital lease shall be made without giving effect to any change in accounting
for leases pursuant to GAAP resulting from the implementation of proposed
Accounting Standards Update (ASU) Leases (Topic 842) issued May 16, 2013, or any
successor proposal.”

 

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3. Amendment to Section 6.1. Section 6.1 of the Credit Agreement is hereby
amended to restate clauses (a) and (b) thereof in their entirety as follows:

“(a) as soon as available, but in any event within 90 days after the end of each
Fiscal Year, a copy of the audited consolidated balance sheet of the Lead
Borrower and its consolidated Subsidiaries as at the end of such year and the
related audited consolidated statements of income and of cash flows for such
year, setting forth in each case in comparative form the figures for the
previous year, reported on without a “going concern” or like qualification or
exception, or qualification arising out of the scope of the audit, by a
Nationally Recognized Accounting Firm; and

(b) as soon as available, but in any event not later than 45 days after the end
of each of the first three Fiscal Quarters of each Fiscal Year, the unaudited
consolidated balance sheet of the Lead Borrower and its consolidated
Subsidiaries as at the end of such quarter and the related unaudited
consolidated statements of income and of cash flows for such quarter and the
portion of the Fiscal Year through the end of such quarter, setting forth in
each case in comparative form the figures for the previous year, certified by a
Responsible Officer as being fairly stated in all material respects (subject to
normal year-end audit adjustments).”

4. Amendment to Section 6.10. Section 6.10 of the Credit Agreement is hereby
amended to restate clause (ii) of the first sentence thereof in its entirety as
follows:

“(ii) any other Subsidiary that is a guarantor of the Second Lien Debt.”

5. Amendment to Section 7.1. Section 7.1 of the Credit Agreement is hereby
amended to restate paragraph (a) in its entirety as follows:

“(a) Total Leverage Ratio; First Lien Leverage Ratio.

(i) The Borrowers and their Subsidiaries will not permit the Total Leverage
Ratio as of the last day of any Fiscal Quarter to be greater than (A) 3.75 to
1.0 for the Fiscal Quarter ending June 30, 2014 and for the Fiscal Quarter
ending September 30, 2014, (B) 3.50 to 1.0 for the Fiscal Quarter ending
December 31, 2014 and for the Fiscal Quarter ending March 31, 2015, (C) 3.25 to
1.0 for the Fiscal Quarter ending June 30, 2015 and for the Fiscal Quarter
ending September 30, 2015 and (D) 3.00 to 1.0 for each Fiscal Quarter ending
thereafter.

 

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(ii) The Borrowers and their Subsidiaries will not permit the First Lien
Leverage Ratio as of the last day of any Fiscal Quarter to be greater than
(A) 2.50 to 1.0 for the Fiscal Quarter ending June 30, 2014 and for the Fiscal
Quarter ending September 30, 2014, (B) 2.25 to 1.0 for the Fiscal Quarter ending
December 31, 2014 and for the Fiscal Quarter ending March 31, 2015 and (C) 2.00
to 1.0 for each Fiscal Quarter ending thereafter.

(iii) With respect to any rolling four quarter period during which a Material
Asset Sale, a Material Acquisition or, in the Lead Borrower’s discretion, any
other Permitted Acquisition has occurred (each, a “Subject Transaction”), for
purposes of determining compliance with the Total Leverage Ratio and the First
Lien Leverage Ratio, Consolidated Adjusted EBITDA shall be calculated on a pro
forma basis (without duplication) giving effect to such Subject Transaction as
if it had been consummated or incurred or repaid at the beginning of the
relevant four quarter period. The determination of such pro forma Consolidated
Adjusted EBITDA shall be further modified pursuant to Section 7.1(c)(i).”

6. Amendment to Section 7.2.

(a) Section 7.2 of the Credit Agreement is hereby amended to restate subsections
(g), (i) and (p) in their entirety as follows and add the following new
subsection (q) in proper alphabetical order:

“(g) Indebtedness arising from a sale and leaseback of all or a portion of the
Corporate Headquarters;

(i) (i) Indebtedness of a Person that becomes a Subsidiary or Indebtedness
incurred to finance assets of a Person that are acquired by the Borrowers or any
of their Subsidiaries, in either case, as the result of a Permitted Acquisition
in an aggregate amount not to exceed at any time $20,000,000; provided that
(x) such Indebtedness existed at the time such Person became a Subsidiary or at
the time such assets were acquired by the Borrowers or any of their Subsidiaries
and, in each case, was not created in anticipation thereof and (y) such
Indebtedness is not guaranteed in any respect by the Borrowers or any of their
Subsidiaries (other than by any such Person that so becomes a Subsidiary), and
(ii) any refinancing, refunding, renewal or extension of any Indebtedness
specified in Section 7.2(f) or subclause (i) of this Section 7.2(i); provided,
that (1) the principal amount of any such Indebtedness is not increased above
the principal amount thereof outstanding immediately prior to such refinancing,
refunding, renewal or extension, (2) the direct and contingent obligors with
respect to such Indebtedness are not changed and (3) such Indebtedness shall not
be secured by any assets other than the assets securing the Indebtedness being
renewed, extended or refinanced;

 

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(p) the Second Lien Debt (including guarantees thereof), it being agreed the
principal amount of “Loans” (as defined in the Second Lien Credit Agreement)
shall not exceed $80,000,000 at any time outstanding; and

(q) unsecured Indebtedness of the Borrowers or any of their Subsidiaries owed to
sellers in connection with Permitted Acquisitions in an aggregate principal
amount not to exceed $20,000,000 at any time; provided that no such Indebtedness
shall require the Borrowers or any of their Subsidiaries to comply with any
financial covenants.”

(b) Section 7.2 of the Credit Agreement is hereby further amended to add the
following new sentence at the end of said Section:

“Notwithstanding anything in this Section 7.2 to the contrary, Subsidiaries that
are non-Guarantors may not incur Indebtedness for borrowed money under this
Section 7.2 (other than pursuant to clause (o) above) in an aggregate amount
outstanding at any time in excess of $5,000,000.”

7. Amendment to Section 7.3.

(a) Section 7.3 of the Credit Agreement is hereby amended to restate subsection
(o) in its entirety as follows:

“(o) Liens securing the Second Lien Debt as permitted by the Intercreditor
Agreement.”

(b) Section 7.3 of the Credit Agreement is hereby further amended to add the
following new sentence at the end of said Section:

“Notwithstanding anything in this Section 7.3 to the contrary, no Indebtedness
for borrowed money shall be permitted to be secured under this Section 7.3 if
after giving pro forma effect thereto the Secured Leverage Ratio exceeds 3.75 to
1.00.”

8. Amendment to Section 7.4. Section 7.4 of the Credit Agreement is hereby
amended to restate subsections (c) and (e) thereof in their entirety as follows,
delete the word “and” at the end of subsection (h) thereof, delete the period at
the end of subsection (i) thereof and insert a semicolon and the word “and” and
add the following new subsection (j) in proper alphabetical order:

 

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“(c) (i) Asset Sales pending as of the Fourth Amendment Effective Date and
described on Schedule 7.4 and (ii) other Asset Sales not permitted by any other
clause of this Section 7.4 made after the Fourth Amendment Effective Date, the
proceeds of which (valued at the principal amount thereof in the case of
non-cash proceeds consisting of notes or other debt Securities and valued at
fair market value in the case of other non-cash proceeds) when aggregated with
the proceeds of all other Asset Sales made pursuant to this clause (ii) after
the Fourth Amendment Effective Date and prior to the date of determination, are
less than $30,000,000; provided, in the case of Asset Sales made pursuant to
this clause (ii), (A) the consideration received for such assets shall be in an
amount at least equal to the fair market value thereof (if the value is greater
than $5,000,000, as determined in good faith by the Board of Directors of the
Lead Borrower) and (B) no less than 70% of such consideration shall be paid in
cash or in Cash Equivalents;

(e) (i) Permitted Acquisitions, the consideration for which may be in any
amount, so long as at the time of such Permitted Acquisition and after giving
pro forma effect thereto (including any Indebtedness incurred in connection
therewith), (A) the Total Leverage Ratio is less than 2.75 to 1.0 and (B) no
Default or Event of Default shall have occurred and be continuing and
(ii) Permitted Acquisitions for an aggregate consideration of up to $20,000,000
in any Fiscal Year if, at the time of such Permitted Acquisition and after
giving pro forma effect thereto (including any Indebtedness incurred in
connection therewith), (A) the Total Leverage Ratio is equal to or greater than
2.75 to 1.0 and (B) no Default or Event of Default shall have occurred and be
continuing;

(j) the sale and leaseback of the Corporate Headquarters in accordance with
Section 7.9.”

9. Amendment to Section 7.5. Section 7.5 of the Credit Agreement is hereby
amended to add the following new phrase immediately after the phrase “Loan
Document”:

“, in the Second Lien Loan Documents”.

10. Amendment to Section 7.6. Section 7.6 of the Credit Agreement is hereby
amended to restate subsection (a) thereof in its entirety as follows:

“(a) the Lead Borrower may make Restricted Payments in an aggregate amount
during the term hereof not to exceed at the time of such Restricted Payment,
(i) 50% of Consolidated Net Income for each Fiscal Quarter ending on or after
March 31, 2014, to the extent positive, minus (ii) 100% of Consolidated Net
Income for

 

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each Fiscal Quarter ending on or after March 31, 2014, to the extent negative,
minus (iii) the aggregate amount of voluntary and mandatory prepayments made in
respect of the Second Lien Debt during the term hereof; provided, immediately
prior to, and after giving pro forma effect to such Restricted Payment, (A) no
Default or Event of Default shall have occurred and be continuing or would
result therefrom, (B) the Total Leverage Ratio is less than 2.50 to 1.0 and
(C) Liquidity is greater than or equal to $50,000,000; and”.

11. Amendment to Section 7.9. Section 7.9 of the Credit Agreement is hereby
amended to add the following new sentence at the end of said Section:

“Notwithstanding the foregoing, the Borrowers may enter into a sale and
leaseback of the Corporate Headquarters so long as (i) 100% of the consideration
for such sale shall be paid in cash or Cash Equivalents and (ii) the Net Cash
Proceeds therefrom are applied in accordance with Section 2.11.”

12. Amendment to Section 7.12. Section 7.12 of the Credit Agreement is hereby
amended to restate clause (c) thereof in its entirety as follows:

“(c) the Second Lien Loan Documents,”.

13. Amendment to Section 7.16. Section 7.16 of the Credit Agreement is hereby
restated in its entirety as follows:

“7.16 Covenants Regarding Second Lien Debt.

(a) The Borrowers shall not amend or modify the Second Lien Credit Agreement or
any of the other Second Lien Loan Documents in any manner that would have the
effect of (i) increasing the principal amount of the Second Lien Debt,
(ii) increasing the Effective Yield of the Second Lien Debt to an amount greater
than 3.00% per annum above the Effective Yield that is in effect on the Fourth
Amendment Effective Date, excluding the imposition of a default rate of up to
2.00% per annum, (iii) amending the amortization provisions thereof (if any),
(iv) shortening the cure periods or times for performance contained therein,
(v) shortening the maturity date of the Second Lien Debt or the scheduled
payment date for any payment thereunder or time for performance of any material
obligation or condition, (vi) adding events of defaults, (vii) adding any Loan
Party other than the Borrowers as a borrower under the Second Lien Debt unless
such Loan Party also becomes a “Borrower” hereunder or (viii) causing the
covenants or events of default set forth in the Second Lien Loan Documents
(where analogous covenants and

 

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events of default exist) to be more restrictive on the Loan Parties unless the
analogous covenants or events of default under the Loan Documents are modified
to be more restrictive in a proportionate manner so that the “cushion” between
the applicable covenants and events of default in the Second Lien Loan Documents
and the Loan Documents remains the same.

(b) The Borrowers shall not repay or prepay any amounts owing in respect of the
Second Lien Debt except (i) regularly scheduled payments of interest as set
forth in the Second Lien Loan Documents as in effect on the Fourth Amendment
Effective Date, (ii) mandatory prepayments as set forth in the Second Lien Loan
Documents as in effect on the Fourth Amendment Effective Date and
(iii) voluntary prepayments so long as, after giving effect to such prepayment
and any prepayment penalty required in connection therewith, (A) the pro forma
Total Leverage Ratio is less than 2.00 to 1.0, (B) pro forma Liquidity is
greater than $75,000,000 and (C) the amount of such voluntary prepayment is less
than or equal to the amount of Restricted Payments permitted to be made by
Parent at such time as set forth in Section 7.6(a).

(c) Neither the Borrowers nor any other Loan Party shall grant a Lien in favor
of the Second Lien Agent or otherwise securing the Second Lien Debt on any of
its assets if those same assets are not subject to, and do not become subject
to, a Lien securing the Obligations.”

14. Amendment to Article 8. Article 8 of the Credit Agreement is hereby amended
as follows:

(a) Clause (ii) of subsection (i) is hereby restated in its entirety as follows:

“(ii) this Agreement or the Intercreditor Agreement ceases to be in full force
and effect (other than the satisfaction in full of the Obligations (or the
Second Lien Debt, as applicable) in accordance with the terms hereof) or shall
be declared null and void,”.

(b) Subsection (l) is hereby restated in its entirety as follows:

“(l) an “Event of Default” as defined in the Second Lien Credit Agreement shall
occur; or”.

15. Amendment to Section 10.6. Section 10.6 of the Credit Agreement is hereby
amended to restate clause (D) of subsection (b)(ii) thereof in its entirety as
follows:

“(D) no assignment shall be made to (1) a natural Person, (2) the Lead Borrower
or any of its Affiliates or Subsidiaries, (3) any Defaulting Lender or any of
its Subsidiaries, or any Person who,

 

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upon becoming a Lender hereunder, would constitute any of the foregoing Persons
described in this clause (3) or (4) the Second Lien Agent or any Person that is
a lender under the Second Lien Credit Agreement or any of their respective
Affiliates, except, in the case of this clause (4), in accordance with the
provisions set forth in Section 10.20.”

16. Amendment to Article 10. Article 10 of the Credit Agreement is hereby
amended to add the following new Sections 10.19 and 10.20 at the end of said
Article:

“10.19 Intercreditor Agreement. Each Lender hereby (a) acknowledges that it has
received a copy of the Intercreditor Agreement, (b) agrees that it will be bound
by and will take no action contrary to the provisions of the Intercreditor
Agreement to the extent then in effect and (c) authorizes and instructs the
Administrative Agent to enter into the Intercreditor Agreement (including any
modifications thereof necessary to permit any Permitted Refinancing) on behalf
of and without any further action by such Lender.

10.20 Purchase Right of Second Lien Secured Parties. Without prejudice to the
enforcement of the Secured Parties’ (as defined in the Security and Pledge
Agreement) remedies hereunder and under the other Loan Documents, each Lender,
on behalf of itself and its Affiliates that are Secured Parties, agrees that
following (a) the acceleration of the Obligations in accordance with the terms
of the Loan Documents or (b) the commencement of a Buyout Proceeding (each, a
“Purchase Event”), within thirty (30) days of the Purchase Event, one or more of
the Second Priority Secured Parties (as defined in the Intercreditor Agreement)
may request, and the Secured Parties shall offer the Second Priority Secured
Parties the option, to purchase all, but not less than all, of the aggregate
amount of Obligations outstanding at the time of purchase at par, without
warranty or representation or recourse (except for representations and
warranties required to be made by assigning lenders pursuant to the Assignment
and Assumption); provided that the following conditions are satisfied:

(i) each Secured Party shall receive payment of an amount equal to the
outstanding principal amount of its loans and participations in L/C
Disbursements and Swingline Loans (including, in the case of the Swingline
Lender, the outstanding principal amount of its Swingline Loans), accrued
interest thereon, accrued fees and all other amounts payable to it under the
Loan Documents, together with all other Obligations owed to it, including,
without limitation, such Obligations owed in respect of Specified Cash
Management Agreements, but excluding, at such Secured Party’s option,
Obligations owed in respect of Specified Swap Agreements, which may remain
outstanding and secured in accordance with the terms of the Loan Documents;

 

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(ii) the Second Priority Secured Parties shall have appointed a successor agent
that shall, effective as of the purchase of the Obligations, succeed to the
rights, powers and duties of the Administrative Agent, in its capacity as
administrative agent under the Loan Documents and in its capacity as “First
Priority Representative” under the Intercreditor Agreement, and the former
Administrative Agent’s rights, powers and duties as administrative agent under
Loan Documents and as First Priority Representative under the Intercreditor
Agreement shall be terminated (other than such rights that continue to inure to
its benefit as expressly provided in the Loan Documents), and the Administrative
Agent shall have no further obligations under the Loan Documents or under the
Intercreditor Agreement, in each case, without any other or further act or deed
on the part of such former Administrative Agent or any other Person; and

(iii) the Issuing Lender shall have received an amount of Cash Collateral equal
to 105% of the L/C Obligations of any Letters of Credit outstanding hereunder at
such time, to be held as security for payment of the Borrowers’ obligations to
reimburse the Issuing Lender for amounts drawn on such Letters of Credit.

If such right is exercised, the parties shall endeavor to close promptly
thereafter but in any event within ten (10) Business Days of the request. If one
or more of the Second Priority Secured Parties exercise such purchase right, it
shall be exercised pursuant to documentation mutually acceptable to each of the
Administrative Agent and the Second Lien Agent, subject to any consent rights of
the Borrowers under this Agreement. Such documentation shall include a release
in favor of the Secured Parties from the Second Priority Secured Parties of any
and all claims, demands, damages, actions, cross-actions, causes of action,
costs and expenses (including legal expenses), of any kind or nature whatsoever,
arising directly or indirectly out of the Loan Documents, or any other
documents, instruments or any other transactions relating thereto, except those
based on any representations and warranties expressly set forth in the
Assignment and Assumption. If none of the Second Priority Secured Parties timely
exercise such right, the Secured Parties shall have no further obligations
pursuant to this Section 10.20 for such Purchase Event and may take any further
actions in their sole discretion in accordance with the Loan Documents and the
Intercreditor Agreement.”

 

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17. Amendment to Credit Agreement. Schedules 1.1 and 7.4 of the Credit Agreement
are hereby deleted in their entirety and replaced with Schedules 1.1 and 7.4 in
the forms attached hereto.

18. Amendment to Exhibit B. Exhibit B of the Credit Agreement is hereby deleted
in its entirety and replaced with Exhibit B in the form attached hereto.

19. Conditions Precedent. The effectiveness of this Agreement is subject to the
satisfaction of the following conditions precedent:

(a) the Administrative Agent shall have received counterparts of this Agreement,
duly executed by the Borrowers, each Guarantor and the Required Lenders;

(b) the Administrative Agent shall have received all fees required to be paid to
it and to the Lenders, and all expenses for which invoices have been presented
(including the reasonable fees and expenses of legal counsel), on or before the
Effective Date;

(c) the Administrative Agent shall have received true and correct copies of the
documents evidencing the second lien term loan facility to the Borrower (such
facility, the “Second Lien Facility”, and such documents, the “Second Lien Loan
Documents”), which documents shall be executed by all parties thereto and be in
form and substance satisfactory to the Administrative Agent;

(d) the Administrative Agent, the Borrowers and the agent for the Second Lien
Facility shall have entered into an intercreditor agreement in form and
substance satisfactory to the Administrative Agent;

(e) the closing of the Second Lien Facility shall take place on the Effective
Date;

(f) the Borrower shall prepay, on the Effective Date and in accordance with the
provisions of Section 2.10 of the Credit Agreement, Revolving Loans in an amount
equal to 100% of the net proceeds of the Second Lien Facility, which amount
shall not be less than $65,000,000;

(g) the Administrative Agent shall have received such documents and certificates
as the Administrative Agent or its counsel may reasonably request relating to
the organization, existence and good standing of each Loan Party, authorization
of the transactions contemplated hereby, the authority of any natural Person
executing any of the Loan Documents on behalf of any Loan Party and any other
legal matters relating to the Loan Parties, this Agreement or the transactions
contemplated hereby, all in form and substance reasonably satisfactory to the
Administrative Agent and its counsel and to include, without limitation, copies
of good standing and existence certificates for the Loan Parties as may be
delivered as a condition to the closing of the Second Lien Facility; and

 

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(h) the Administrative Agent shall have received the executed legal opinions of
(i) King & Spalding, Delaware and New York counsel to the Borrowers and their
Subsidiaries, (ii) Kantrow Spaht Weaver & Blitzer (APLC), Louisiana counsel to
the Borrowers and their Subsidiaries and (iii) in-house counsel to the Borrowers
and their Subsidiaries, which opinions shall cover such other matters incident
to the transactions contemplated by this Agreement as the Administrative Agent
may reasonably require.

20. Ratification. Each of the Borrowers and Guarantors hereby ratifies all of
its obligations under the Credit Agreement and each of the Loan Documents to
which it is a party, and agrees and acknowledges that the Credit Agreement and
each of the Loan Documents to which it is a party are and shall continue to be
in full force and effect as amended and modified by this Agreement. Nothing in
this Agreement extinguishes, novates or releases any right, claim or entitlement
of any of the Lenders or the Administrative Agent created by or contained in any
of such documents nor is any Borrower or any Guarantor released from any
covenant, warranty or obligation created by or contained herein or therein.

21. Representations and Warranties. Each of the Borrowers and Guarantors hereby
represents and warrants to the Administrative Agent and the Lenders that
(a) this Agreement has been duly executed and delivered on behalf of the
Borrowers and each of the Guarantors, (b) this Agreement constitutes a valid and
legally binding agreement enforceable against each of the Borrowers and
Guarantors in accordance with its terms, subject to applicable bankruptcy,
insolvency, fraudulent transfer, reorganization, moratorium or other laws
affecting creditors’ rights generally and subject to general principles of
equity, regardless of whether considered in a proceeding in equity or at law,
(c) the representations and warranties made by it in the Credit Agreement and
the Loan Documents to which it is a party are true and correct on and as of the
date hereof in all material respects as though made as of the date hereof except
to the extent that such representations and warranties expressly relate to an
earlier date in which case they are true and correct as of such earlier date,
(d) after giving effect to this Agreement, no Default or Event of Default exists
under the Credit Agreement or under any Loan Document; (e) the Persons appearing
as Guarantors on the signature pages to this Agreement constitute all Persons
who are required to be Guarantors pursuant to the terms of the Credit Agreement
and each such Person has executed and delivered a Guaranty Agreement; and
(f) the execution, delivery and performance of this Agreement has been duly
authorized by each of the Borrowers and Guarantors.

22. Release and Indemnity.

(a) Each of the Borrowers and Guarantors hereby releases and forever discharges
the Administrative Agent and each of the Lenders and each Affiliate thereof and
each of their respective employees, officers, directors, trustees, agents,
attorneys, successors, assigns or other representatives from any and all claims,
demands, damages, actions, cross-actions, causes of action, costs and expenses
(including legal expenses), of any kind or nature whatsoever, whether based on
law or equity, which any of said parties has held or may now own or hold,
whether known or unknown, for or because of any matter or thing done, omitted or
suffered to be done on or before the actual date upon which this Agreement is
signed by any of such parties (i) arising directly or indirectly out of the Loan
Documents, or any other documents, instruments or any other transactions
relating thereto and/or (ii) relating directly or indirectly to all transactions
by and between the Borrowers, the Guarantors, or their representatives and the
Administrative Agent, and

 

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each Lender or any of their respective directors, officers, agents, employees,
attorneys or other representatives. Such release, waiver, acquittal and
discharge shall and does include, without limitation, any claims of usury,
fraud, duress, misrepresentation, lender liability, control, exercise of
remedies and all similar items and claims, which may, or could be, asserted by
any Borrower or any Guarantor including any such caused by the actions or
negligence of the indemnified party (other than its gross negligence or willful
misconduct).

(b) Each of the Borrowers and Guarantors hereby ratifies the indemnification
provisions contained in the Loan Documents, including, without limitation,
Section 10.5(b) of the Credit Agreement, and agrees that this Agreement, any
other documents executed in connection herewith and losses, claims, damages and
expenses related hereto and thereto shall be covered by such indemnities.

23. Counterparts. This Agreement may be signed in any number of counterparts,
which may be delivered in original, facsimile or electronic form each of which
shall be construed as an original, but all of which together shall constitute
one and the same instrument.

24. Governing Law. THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND
INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK.

25. Integration. This Agreement and the other Loan Documents represent the
entire agreement of the parties hereto with respect to the subject matter hereof
and thereof and there are no promises, undertakings, representations or
warranties by the Administrative Agent or any Lender relative to the subject
matter hereof not expressly set forth or referred to herein or in the other Loan
Documents.

26. Agreement is a Loan Document. This Agreement is a Loan Document as defined
in the Credit Agreement.

[Signature pages follow]

 

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

 

LEAD BORROWER: AMEDISYS, INC., a Delaware corporation By:   /s/ Ronald A.
LaBorde   Ronald A. LaBorde   President and   Interim Chief Executive Officer
CO-BORROWER: AMEDISYS HOLDING, L.L.C., a Louisiana limited liability company By:
  /s/ Ronald A. LaBorde   Ronald A. LaBorde   President

 

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GUARANTORS:

 

ADVENTA HOSPICE SERVICES OF FLORIDA, INC.,

a Florida corporation;

AMEDISYS HOME HEALTH, INC. OF ALABAMA,

an Alabama corporation;

AMEDISYS HOME HEALTH, INC. OF SOUTH CAROLINA,

a South Carolina corporation;

AMEDISYS HOME HEALTH, INC. OF VIRGINIA,

a Virginia corporation;

HMR ACQUISITION, INC.,

a Delaware corporation;

ACCUMED GENPAR, L.L.C.,

a Texas limited liability company;

ACCUMED HOLDING, L.L.C.,

a Delaware limited liability company;

ACCUMED HOME HEALTH OF GEORGIA, L.L.C.,

a Georgia limited liability company;

ACCUMED HOME HEALTH OF NORTH TEXAS, L.L.C.,

a Texas limited liability company;

ADVENTA HOSPICE, L.L.C.,

a Florida limited liability company;

ALBERT GALLATIN HOME CARE AND HOSPICE SERVICES, LLC,

a Delaware limited liability company;

AMEDISYS AIR, L.L.C.,

a Louisiana limited liability company;

AMEDISYS ALABAMA, L.L.C.,

an Alabama limited liability company;

AMEDISYS ALASKA, LLC,

an Alaska limited liability company;

AMEDISYS ARIZONA, L.L.C.,

an Arizona limited liability company;

AMEDISYS ARKANSAS, LLC,

an Arkansas limited liability company;

AMEDISYS BA, LLC,

a Delaware limited liability company;

AMEDISYS CALIFORNIA, L.L.C.,

a California limited liability company;

 

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AMEDISYS COLORADO, L.L.C.,

a Colorado limited liability company;

AMEDISYS CONNECTICUT, L.L.C.,

a Connecticut limited liability company;

AMEDISYS DELAWARE, L.L.C.,

a Delaware limited liability company;

AMEDISYS FLORIDA, L.L.C.,

a Florida limited liability company;

AMEDISYS GEORGIA, L.L.C.,

a Georgia limited liability company;

AMEDISYS HOSPICE, L.L.C.,

a Louisiana limited liability company;

AMEDISYS IDAHO, L.L.C.,

an Idaho limited liability company;

AMEDISYS ILLINOIS, L.L.C.,

an Illinois limited liability company;

AMEDISYS INDIANA, L.L.C.,

an Indiana limited liability company;

AMEDISYS IOWA, L.L.C.,

an Iowa limited liability company;

AMEDISYS KANSAS, L.L.C.,

a Kansas limited liability company;

AMEDISYS LA ACQUISITIONS, L.L.C.,

a Louisiana limited liability company;

AMEDISYS LOUISIANA, L.L.C.,

a Louisiana limited liability company;

AMEDISYS MAINE, P.L.L.C.,

a Maine professional limited liability company;

AMEDISYS MARYLAND, L.L.C.,

a Maryland limited liability company;

AMEDISYS MASSACHUSETTS, L.L.C.,

a Massachusetts limited liability company;

AMEDISYS MICHIGAN, L.L.C.,

a Michigan limited liability company;

AMEDISYS MINNESOTA, L.L.C.,

a Minnesota limited liability company;

AMEDISYS MISSISSIPPI, L.L.C.,

a Mississippi limited liability company;

AMEDISYS MISSOURI, L.L.C.,

a Missouri limited liability company;

AMEDISYS NEBRASKA, L.L.C.,

a Nebraska limited liability company;

AMEDISYS NEVADA, L.L.C.,

a Nevada limited liability company;

 

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AMEDISYS NEW HAMPSHIRE, L.L.C.,

a New Hampshire limited liability company;

AMEDISYS NEW JERSEY, L.L.C.,

a New Jersey limited liability company;

AMEDISYS NEW MEXICO, L.L.C.,

a New Mexico limited liability company;

AMEDISYS NORTH CAROLINA, L.L.C.,

a North Carolina limited liability company;

AMEDISYS NORTH DAKOTA, L.L.C.,

a North Dakota limited liability company;

AMEDISYS NORTHWEST, L.L.C.,

a Georgia limited liability company;

AMEDISYS OHIO, L.L.C.,

an Ohio limited liability company;

AMEDISYS OKLAHOMA, L.L.C.,

an Oklahoma limited liability company;

AMEDISYS OREGON, L.L.C.,

an Oregon limited liability company;

AMEDISYS PENNSYLVANIA, L.L.C.,

a Pennsylvania limited liability company;

AMEDISYS PROPERTY, L.L.C.,

a Louisiana limited liability company;

AMEDISYS PUERTO RICO, L.L.C.,

a Puerto Rican limited liability company;

AMEDISYS QUALITY OKLAHOMA, L.L.C.,

an Oklahoma limited liability company;

AMEDISYS RHODE ISLAND, L.L.C.,

a Rhode Island limited liability company;

AMEDISYS SC, L.L.C.,

a South Carolina limited liability company;

AMEDISYS SOUTH DAKOTA, L.L.C.,

a South Dakota limited liability company;

AMEDISYS SOUTH FLORIDA, L.L.C.,

a Florida limited liability company;

AMEDISYS SPECIALIZED MEDICAL SERVICES, L.L.C.,

a Louisiana limited liability company;

AMEDISYS SP-IN, L.L.C.,

an Indiana limited liability company;

AMEDISYS SP-KY, L.L.C.,

a Kentucky limited liability company;

AMEDISYS SP-OH, L.L.C.,

an Ohio limited liability company;

 

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AMEDISYS SP-TN, L.L.C.,

a Tennessee limited liability company;

AMEDISYS TENNESSEE, L.L.C.,

a Tennessee limited liability company;

AMEDISYS TEXAS, L.L.C.,

a Texas limited liability company;

AMEDISYS TLC, ACQUISITION, L.L.C.,

a Louisiana limited liability company;

AMEDISYS UTAH, L.L.C.,

a Utah limited liability company;

AMEDISYS VENTURES, L.L.C.,

a Delaware limited liability company;

AMEDISYS VIRGINIA, L.L.C.,

a Virginia limited liability company;

AMEDISYS WASHINGTON, L.L.C.,

a Washington limited liability company;

AMEDISYS WESTERN, L.L.C.,

a Delaware limited liability company;

AMEDISYS WEST VIRGINIA, L.L.C.,

a West Virginia limited liability company;

AMEDISYS WISCONSIN, L.L.C.,

a Wisconsin limited liability company;

ANMC VENTURES, L.L.C.,

a Louisiana limited liability company;

AVENIR VENTURES, L.L.C.,

a Louisiana limited liability company;

BEACON HOSPICE, L.L.C.,

a Delaware limited liability company;

BROOKSIDE HOME HEALTH, LLC,

a Virginia limited liability company;

COMPREHENSIVE HOME HEALTHCARE SERVICES, L.L.C.,

a Tennessee limited liability company;

EMERALD CARE, L.L.C.,

a North Carolina limited liability company;

FAMILY HOME HEALTH CARE, L.L.C.,

a Kentucky limited liability company;

HHC, L.L.C.,

a Tennessee limited liability company;

HOME HEALTH OF ALEXANDRIA, L.L.C.,

a Louisiana limited liability company;

HORIZONS HOSPICE CARE, L.L.C.,

an Alabama limited liability company;

 

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HOUSECALL, L.L.C.,

a Tennessee limited liability company;

HOUSECALL HOME HEALTH, L.L.C.,

a Tennessee limited liability company;

HOUSECALL MEDICAL RESOURCES, L.L.C.,

a Delaware limited liability company;

HOUSECALL MEDICAL SERVICES, L.L.C.,

a Tennessee limited liability company;

HOUSECALL SUPPORTIVE SERVICES, L.L.C.,

a Florida limited liability company;

MC VENTURES, LLC,

a Mississippi limited liability company;

M.M. ACCUMED VENTURES, L.L.C.,

a Texas limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES INTERNATIONAL, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES MIDWEST, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF BROWARD, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF DADE, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF ERIE NIAGARA, LLC,

a New York limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF GEORGIA, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF LONG ISLAND, LLC,

a New York limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF MICHIGAN, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF NASSAU SUFFOLK, LLC,

a New York limited liability company;

 

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TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES OF WEST VIRGINIA, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES SOUTHEAST, LLC,

a Delaware limited liability company;

TENDER LOVING CARE HEALTH CARE SERVICES WESTERN, LLC,

a Delaware limited liability company;

TLC HOLDINGS I, L.L.C.,

a Delaware limited liability company;

TLC HEALTH CARE SERVICES, L.L.C.,

a Delaware limited liability company;

ACCUMED HEALTH SERVICES, L.L.C.,

a Texas limited liability company;

NINE PALMS 1, L.L.C.,

a Virginia limited liability company; and

NINE PALMS 2, LLP,

a Mississippi limited liability partnership

By: MC VENTURES, LLC, its general partner By:  

/s/ Ronald A. LaBorde

  Ronald A. LaBorde   President

 

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ADMINISTRATIVE AGENT AND LENDER: JPMORGAN CHASE BANK, N.A. By:  

/s/ John Kushnerick

Name:   John Kushnerick Title   Vice President

 

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LENDER: BANK OF AMERICA, N.A. By:  

/s/ Dan Penkar

Name:   Dan Penkar Title:   Senior Vice President

 

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LENDER: FIFTH THIRD BANK By:  

/s/ Joshua N. Livingston

Name:   Joshua N. Livingston Title:   Duly Authorized Signatory

 

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LENDER: COMPASS BANK By:  

/s/ Latrice Tubbs

Name:   Latrice Tubbs Title:   Vice President

 

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LENDER: BOKF, NA dba BANK OF TEXAS By:  

/s/ Gary Whitt

Name:   Gary Whitt Title:   Senior Vice President

 

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LENDER: RBS CITIZENS, N.A. By:  

/s/ Cheryl Carangelo

Name:   Cheryl Carangelo Title:   Senior Vice President

 

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LENDER: UNION BANK, N.A. By:  

/s/ Michael Tschida

Name:   Michael Tschida Title:   Vice President

 

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LENDER: REGIONS BANK By:  

/s/ Peter D. Little

Name:   Peter D. Little Title:   Vice President

 

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LENDER: RAYMOND JAMES BANK, N.A. By:  

/s/ H. Fred Coble, Jr.

Name:   H. Fred Coble, Jr. Title:   Senior Vice President

 

Signature Page to Fourth Amendment to Credit Agreement