EXHIBIT 10.1
 
LOAN AND SECURITY AGREEMENT
 
This Loan and Security Agreement (“Agreement”) is dated this 20TH day of
September, 2007, by and among NEW YORK HEALTH CARE, INC. a New York corporation
(“NYH”), and such other Persons joined hereto as a Borrower from time to time
(together with NYH, collectively, “Borrowers” and each individually a
“Borrower”) and CIT HEALTHCARE LLC, a Delaware limited liability company as
lender (“Lender”).
 
BACKGROUND
 
A. Borrowers have requested that Lender make available to them, on a joint and
several basis, a Credit Facility in the maximum amount of $5,000,000 which will
be secured by a first priority perfected security interest in the Accounts and
other Collateral of Borrowers. Lender is willing to make the Credit Facility
available to Borrowers pursuant to the terms and provisions hereinafter set
forth.
 
B. The parties desire to set forth the terms and conditions of their
relationship to writing.
 
NOW, THEREFORE, the parties hereto, intending to be legally bound, hereby agree
as follows:
 
SECTION 1. DEFINITIONS AND INTERPRETATION

 
1.1 Terms Defined: As used in this Agreement, the following terms have the
following respective meanings:
 
“Account(s)” means (a) all accounts, payment intangibles, instruments, chattel
paper and all other rights of Borrowers to receive payments including without
limitation, the third party reimbursable portion of accounts receivable owing to
a Borrower arising out of the delivery by such Borrower of medical, surgical,
diagnostic, treatment or other professional or medical or healthcare related
services and/or the supply of goods related to any of such services (whether
such services are supplied by a Borrower or a third party), including without
limitation all health-care-insurance-receivables and all other rights to
reimbursement under any agreements with an Obligor, (b) all accounts, general
intangibles, rights, remedies, guarantees, supporting obligations, letter of
credit rights, and security interests in respect of the foregoing and, all
rights of enforcement and collection, all books and records evidencing or
related to the foregoing, and all rights under this Agreement in respect of the
foregoing, (c) all information and data compiled or derived by such Borrower in
respect of such accounts receivable (other than any such information and data
subject to legal restrictions of patient confidentiality), and (d) all proceeds
of any of the foregoing.
 
“Accounts Detail File” has the meaning set forth in Section 2.2(b) hereof.
 
“Advance(s)” means any monies advanced or credit extended, including without
limitation the Loans to or for the benefit of Borrowers, or any of them by
Lender, under the Credit Facility.
 

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“Advance Rate” means 85% or such other percentage(s) resulting from an
adjustment pursuant to Section 2.1(d) below.
 
“Affiliate” means with respect to any Person (the “Specified Person”), (a) any
Person which directly or indirectly controls, or is controlled by, or is under
common control with, the Specified Person, and (b) any partner, director or
officer (or, in the case of a Person which is not a corporation, any individual
having analogous powers) of the Specified Person or of a Person who is an
Affiliate of the Specified Person within the meaning of the preceding clause
(a). For purposes of the preceding sentence, “control” of a Person shall mean
the possession, directly or indirectly, of the power to direct or cause the
direction of the management or policies of such Person, or direct or indirect
ownership (beneficially or of record) of, or direct or indirect power to vote,
10% or more of the outstanding shares of any class of capital stock of such
Person (or in the case of a Person that is not a corporation, 10% or more of any
class of partnership or other equity interest).
 
“Authorized Officer” means any officer, member or partner of a Borrower
authorized by specific resolution of Borrower to request Loans as set forth in
the incumbency certificate referred to in Section 4.1(d) of this Agreement.
 
“Billing Date” means (a) the last Business Day of the week in which goods or the
services giving rise to the corresponding Account were rendered or provided in
the case of out patient services and (b) the earlier of the discharge date or
the regular monthly billing date for billing the respective Obligor, or if none,
the last business day of a calendar month, in the case of inpatient services.
 
“BioBalance” means BioBalance Corp., a Delaware corporation and a wholly owned
Subsidiary of the Borrower.
 
“Borrowing Base” means, at any date, an amount equal to the lesser of (a) the
Revolving Loan Commitment, or (b) the product of (i) the applicable Advance Rate
then in effect, times (ii) the Estimated Net Value of all Eligible Accounts as
of such date.
 
“Borrowing Base Deficiency” means, as of any date, the amount, if any, by which
(a) the aggregate amount of all Advances outstanding as of such date exceeds (b)
the Borrowing Base as of such date.
 
“Borrowing Base Excess” means, as of any date, the amount, if any, by which (a)
the Borrowing Base as of such date exceeds (b) the aggregate amount of all
Advances outstanding as of such date.
 
“Borrowing Base Report” has the meaning set forth in Section 2.2(b) hereof.
 
“Business Associate Agreement” means that certain Business Associate Agreement
among Borrowers and Lender of even date herewith, as the same may be modified,
amended, restated or replaced from time to time.
 
“Business Day” means any day other than a Saturday, Sunday or any day on which
banking institutions in Philadelphia, Pennsylvania or New York City, New York
are permitted or required by law, executive order or governmental decree to
remain closed or a day on which Lender is closed for business.
 
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“CHAMPUS” means the Civilian Health and Medical Program of the Uniformed
Service, a part of TRICARE, a medical benefits program supervised by the U.S.
Department of Defense.
 
“Closing” has the meaning set forth in Section 4.6 hereof.
 
“Closing Date” has the meaning set forth in Section 4.6 hereof.
 
“Collateral” has the meaning set forth in Section 3.1 hereof.
 
“Collection Days” shall mean a period of three (3) Business Day(s) after the
deposit of Collections into the Collection Account, for which interest may be
charged on the aggregate amount of such deposits at the rate provided for in
Section 2.3 (a) (or Section 2.3(b) if applicable) hereof.
 
“Collections” means with respect to any Account, all cash collections on such
Account.
 
“Collection Account” has the meaning set forth in Section 2.7(a) hereof.
 
“Commercial Lockbox” means a lockbox in the name of Lender (or a nominee of
Lender) and maintained at the Lockbox Bank, or such other bank as is acceptable
to Lender, to which Collections on all Accounts, other than Government Accounts,
are sent.
 
“Commitment Fee” has the meaning set forth in Section 2.8 hereof.
 
“Concentration Limits” means the various financial tests, expressed as
percentages of the then current ENV of all Eligible Accounts, described on
Schedule 1 as in effect from time to time.
 
“Contract” means an agreement by which an Obligor is obligated to pay for
services rendered to patients of Borrower.
 
“Credit Facility” has the meaning set forth in Section 2.1(a) hereof.
 
“Default Rate” means 300 basis points above the interest rate otherwise
applicable on the Loans.
 
“Defaulted Account” means an Account as to which (a) the initial ENV has not
been received in full as Collections within 150 days of the Billing Date, or (b)
Lender reasonably deems uncollectible because of the bankruptcy or insolvency of
the Obligor or any other reason.
 
“Depository Agreement(s)” means those certain Depository Agreements entered into
in connection with this Agreement among Borrowers, Lender and the Lockbox Bank,
relating to the Commercial Lockbox and the Government Lockbox, as applicable.
 
“Distribution” means (a) dividends or other distributions on capital stock or
partnership or other equity interests of a Borrower; (b) the redemption,
repurchase or acquisition of such stock or partnership or other equity interests
or of warrants, rights or other options to purchase such stock or partnership or
other equity interest; and (c) loans made to any Shareholders, officers,
directors and/or Affiliates of such Borrower.
 
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“Download Date” has the meaning set forth in Section 2.2(b) hereof.
 
“EBITDA” means in any period, all earnings of the Borrowers for said period
before all interest, tax obligations and amortization and depreciation of the
Borrowers for said period, determined in accordance with GAAP on a consistent
basis with the latest audited financial statements of the Company, but excluding
the effect of non-operating income and extraordinary or non-reoccurring gains or
losses for such period.
 
“Eligible Account” means an Account of a Borrower:
 
(a) which is a liability of an Obligor which is (i) a commercial insurance
company acceptable to Lender, organized under the laws of any jurisdiction in
the United States, having its principal office in the United States, other than
those listed on Schedule 1 as ineligible, (ii) a Blue Cross/Blue Shield Plan
other than those listed on Schedule 1 as ineligible, (iii) CHAMPUS, Medicare or
Medicaid, or (iv) a HMO, PPO, or an institutional Obligor acceptable to Lender,
or any other type of obligor, not included in the categories of obligors listed
in the foregoing clauses (i) - (iii), organized under the laws of any
jurisdiction in the United States, having its principal office in the United
States, and is listed on Schedule 1 as an eligible Obligor,
 
(b) the Obligor of which is not an Affiliate of Borrower,
 
(c) the Obligor of which has received a letter substantially in the form of
Exhibit 4.2A, (in the case of all Accounts other than Government Accounts), or a
letter substantially in the form of Exhibit 4.2B (in the case of all Government
Accounts), 
 
(d) in an aggregate amount, as relating to an individual Obligor, not more than
$300,000, denominated and payable in dollars in the United States; provided,
however, that with respect to an Obligor which is (i) a commercial insurance
company rated by S&P as AAA or AA, or (ii) CHAMPUS, Medicare or Medicaid, the
limitation set forth in this subsection (d) shall not apply; 
 
(e) as to which the representations and warranties of Section 5.21 hereof are
true,
 
(f) the Account has been billed;
 
(g) which (i) does not arise from the delivery of cosmetic surgery services and
(ii) is not a workers’ compensation claim (unless expressly approved by Lender)
and (iii) does not arise from any services delivered for injury sustained in a
motor vehicle accident (unless the Obligor on such Account is a type of Obligor
permitted pursuant to clause (a) of this definition) and (iv) is not an
Individual Payor Account,
 
(h) which is not outstanding more than 150 days past the Billing Date in the
case of Accounts that have been billed; provided that in no event may the
Account be outstanding more than 195 days past the date the corresponding
services and/or goods were provided,
 
(i) the Obligor on which does not have fifty percent (50%) or more of its
Accounts owing to Borrowers constituting Defaulted Accounts,
 
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(j) to the extent such Account does not include late charges or finance charges,
 
(k) which complies with such other criteria and requirements as may be specified
from time to time by Lender in its reasonable discretion, and
 
(l) the Obligor of which is not HRA.
 
“Estimated Net Value” or “ENV” means on any date of calculation with respect to
any Account an amount equal to the anticipated cash collections as calculated by
Lender using the Value Track System™ (which system periodically adjusts such
amount to reflect Lender’s evaluation of the performance of similar Accounts and
to reflect payments received with respect thereto), except that if Lender
determines that all Obligor payments with respect to an Account have been made
or if an Account has become a Defaulted Account, the ENV of such Account shall
be zero.
 
“Event of Default” has the meaning set forth in Section 8.1 hereof.
 
“Expenses” has the meaning set forth in Section 9.5 hereof.
 
“Fixed Charge Coverage Ratio” means for any period, the ratio of (a) EBITDA for
such period to (b) Fixed Charges paid during such period.
 
“Fixed Charges” means, without duplication, for any period, (a) the aggregate of
all cash interest expense paid during such period, plus (b) scheduled payments
of principal with respect to Indebtedness (including capital lease obligations)
payable during the next twelve (12) months, and plus (c) Distributions paid or
payable during such period (other than Distributions paid to BioBalance as
permitted in Section 7.10), and plus (d) income taxes paid or payable in cash
with respect to such period.
 
“Funding Date” has the meaning set forth in Section 2.2(a) hereof.
 
“GAAP” means generally accepted accounting principles, consistently applied.
 
“Government Accounts” means Accounts on which any federal or state governmental
unit or any intermediary for federal or state governmental unit is the Obligor.
 
“Government Lockbox” means a lockbox and/or deposit account in the name of
Borrower(s) maintained at the Lockbox Bank, or such other bank as is acceptable
to Lender, to which Collections on all Government Accounts are sent.
 
“Hazardous Substances” means any substances defined or designated as hazardous
or toxic waste, hazardous or toxic material, hazardous or toxic substance or
similar term, by any environmental statute, rule or regulation of any
governmental entity presently in effect and applicable to such real property.
 
“HRA” means the New York City Human Resources Administration.
 
“Indebtedness” of a Person at a particular date shall mean all liabilities and
obligations of such Person, including without limitation, those which in
accordance with GAAP would be classified upon a balance sheet as liabilities and
all other indebtedness, debt and other similar monetary obligations of such
Person whether direct or guaranteed, contingent or liquidated, matured or
unmatured and all premiums, if any, due at the required prepayment dates of such
any indebtedness, and all indebtedness secured by a lien on assets owned by such
Person, whether or not such indebtedness actually shall have been created,
assumed or incurred by such Person. Any indebtedness of such Person resulting
from the acquisition by such Person of any assets subject to any lien shall be
deemed, for the purposes hereof, to be the equivalent of the creation,
assumption and incurring of the indebtedness secured thereby, whether or not
actually so created, assumed or incurred.
 
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“Individual Payor Account” means an Account owing by an Obligor who is the
individual patient or Person who received the goods or services rendered.
 
“Initial Term” has the meaning set forth in Section 2.1(c).
 
“JCAHO” means, as the context requires, the Joint Commission for Accreditation
of Healthcare Organizations, the Community Health Accreditation Program, Inc.,
Accreditation for Health Care, Inc., and/or any other organization (or any
successor entity or entities charged with performing its/their functions)
recognized by the Centers for Medicare and Medicaid Services as having authority
to provide accreditations to providers of home health services and other
healthcare services in which the Borrower may engage.
 
“Lender” has the meaning ascribed thereto in the preamble to the Agreement.
 
“LIBOR” means the rate per annum equal to the rate (rounded up to the nearest
one-sixteenth of one percent (1/16%)) determined by the Lender to be a rate at
which Dollar deposits are offered to major banks in the London interbank
eurodollar market for funds. “Loan(s)” has the meaning set forth in Section
2.1(a) hereof.
 
“Loan Documents” means this Agreement, the Revolving Credit Note, Depository
Agreements and all agreements relating to the Government Lockbox and the
Commercial Lockbox, all financing statements, the Subordination Agreement and
any other agreements, instruments, documents and certificates delivered in
connection with this Agreement.
 
“Loan Request” has the meaning set forth in Section 2.2(c) hereof.
 
“Lockbox Bank” means North Fork Bank, a Division of Capital One, N.A. or such
other bank that is acceptable to Lender.
 
“Maturity Date” has the meaning set forth in Section 2.1(c).
 
“Obligations” means all now existing or hereafter arising debts, obligations,
covenants, and duties of payment or performance of every kind, matured or
unmatured, direct or contingent, owing, arising, due, or payable to Lender, by
or from Borrowers, or any of them, whether arising out of this Agreement or any
other Loan Document or otherwise, including, without limitation, all obligations
to repay principal of and interest on all the Loans, and to pay interest, fees,
costs, charges, expenses, professional fees, and all sums chargeable to
Borrowers, or any of them, under the Loan Documents, whether or not evidenced by
any note or other instrument.
 
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“Obligor” means the party primarily obligated to pay an Account.
 
“Permitted Liens” means the following: (a) security interests and liens granted
to Lender; (b) liens incurred in the ordinary course of business in connection
with worker’s compensation, unemployment insurance or other forms of
governmental insurance or benefits, relating to employees, securing sums (i) not
overdue or (ii) being diligently contested in good faith provided that adequate
reserves with respect thereto are maintained on the books of the Borrower in
conformity with GAAP; (c) liens for taxes (i) not yet due or (ii) being
diligently contested in good faith by appropriate proceedings, provided that
adequate reserves with respect thereto are maintained on the books of the
Borrower in conformity with GAAP; and which have no effect on the priority of
liens in favor of Lender.
 
“Person” means any individual, corporation, partnership, limited liability
partnership, limited liability company, association, trust, unincorporated
organization, joint venture, court or government or political subdivision or
agency thereof, or other entity.
 
“Property” means an interest of Borrowers, or any of them, in any kind of
property or asset, whether real, personal or mixed, or tangible or intangible.
 
“Revolving Credit Note” has the meaning set forth in Section 2.1(b).
 
“Revolving Loan Commitment” means an amount equal to Five Million Dollars
($5,000,000).
 
“Securities” has the meaning set forth in Section 6.14 hereof.
 
“Shareholder” means, as applicable, a shareholder, member or partner of
Borrower.
 
“Subsidiary” means as to any Person, any corporation, partnership, joint
venture, limited liability company or other entity of which more than fifty
percent (50%) of the outstanding capital stock or other ownership interests
having ordinary voting power to elect a majority of the directors or other
managers of such corporation, partnership, joint venture, limited liability
company or other entity is at the time, directly or indirectly, owned by or the
management is otherwise controlled by such Person (irrespective of whether, at
the time, capital stock or other ownership interests of any other class or
classes of such corporation, partnership, limited liability company or other
entity shall have or might have voting power by reason of the happening of any
contingency). Unless the context otherwise requires, each reference to a
Subsidiary shall be a reference to a Subsidiary of the Borrowers.
 
“Subordinated Debt” means debt or other obligations of a Borrower that is
subordinated to the Obligations of the Borrowers to Lender on terms and
conditions that are satisfactory to the Lender in its sole discretion;
 
“Subordination Agreement” means, collectively and individually as context may
require, those certain Subordination Agreements executed by the holders of the
Subordinated Debt in favor of Lender.
 
“Termination Fee” has the meaning set forth in Section 2.3(c).
 
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“Total Liquidity” means the aggregate amount of all cash reported on Borrower’s
balance sheet plus any Borrowing Base Excess, measured as of the most recent
calendar month end.
 
“TRICARE” means the medical program for active duty members, qualified family
members, CHAMPUS eligible retirees and their family members and survivors, of
all uniformed services.
 
“Uniform Commercial Code” or “UCC” means the Uniform Commercial Code as in
effect from time to time in the State of New York.
 
“Unmatured Event of Default” means an event which with the passage of time,
giving of notice or both, would become an Event of Default.
 
“Unused Line Fee” has the meaning set forth in Section 2.3(d).
 
“Value Track System™” means the proprietary business system used by Lender to
value and record the status of Accounts.
 
1.2 Matters of Construction: The terms “herein,” “hereof” and “hereunder” and
other words of similar import refer to this Agreement as a whole and not to any
particular section, paragraph or subdivision. Any pronoun used shall be deemed
to cover all genders. Wherever appropriate in the context, terms used herein in
the singular also include the plural and vice versa. All references to statutes
and related regulations shall include any amendments of same and any successor
statutes and regulations. Unless otherwise provided, all references to any
instruments or agreements to which Lender and/or, where applicable, a Borrower,
is a party, including, without limitation, references to any of the Loan
Documents, shall include any and all modifications or amendments thereto and any
and all extensions or renewals thereof.
 
1.3 Accounting Principles: Where the character or amount of any asset or
liability or item of income or expense is required to be determined or any
consolidation or other accounting computation is required to be made for the
purposes of this Agreement, this shall be done in accordance with GAAP, to the
extent applicable, except as otherwise expressly provided in this Agreement.
 
1.4 Fiscal Quarters: For the purposes hereof, “fiscal quarter” shall mean each
quarterly accounting period during any fiscal year; provided that, all
references to the fiscal quarter ending March 31, June 30, September 30 or
December 31 shall mean the first, second, third or fourth fiscal quarter of the
applicable fiscal year, respectively, irrespective of the actual date on which
such fiscal quarter may end.
 
SECTION 2. THE LOANS

 
2.1 Credit Facility - Description:

 
(a) Subject to the terms and conditions of this Agreement, Lender hereby
establishes for the joint and several benefit of Borrowers, a credit facility
(“Credit Facility”) which shall include Advances which may be extended by Lender
to or for the benefit of Borrowers from time to time hereunder in the form of
revolving credit loans (“Loans”). The aggregate outstanding amount of all
Advances, shall not at any time exceed the Borrowing Base. In no event shall the
initial principal amount of any Loan be less than $25,000. Subject to such
limitation, the outstanding balance of all Advances may fluctuate from time to
time, to be reduced by repayments made by Borrowers, to be increased by future
Advances which may be made by Lender. If the aggregate outstanding amount of all
Advances exceeds the Borrowing Base, Borrowers shall immediately repay such
excess in full. Lender has the right at any time, and from time to time, in its
reasonable discretion (but without any obligation) to set aside reasonable
reserves against the Borrowing Base in such amounts as it may deem appropriate.
The Obligations of Borrowers under the Credit Facility and this Agreement are
joint and several and shall at all times be absolute and unconditional.
 
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(b) At Closing, Borrowers shall execute and deliver a promissory note to Lender
in the principal amount of FIVE MILLION DOLLARS ($5,000,000) (as may be amended,
modified or replaced from time to time, the “Revolving Credit Note”). The
Revolving Credit Note shall evidence Borrowers joint and several, absolute and
unconditional obligation to repay Lender for all Loans made by Lender under the
Credit Facility, with interest as herein and therein provided. Each and every
Loan under the Credit Facility shall be deemed evidenced by the Revolving Credit
Note, which is deemed incorporated herein by reference and made a part hereof.
The Revolving Credit Note shall be substantially in the form set forth in
Exhibit 2.1(b) attached hereto and made a part hereof.
 
(c) The term (“Initial Term”) of the Credit Facility shall expire on September
19, 2010. All Loans shall be repaid on or before the earlier of the last day of
the Initial Term or upon termination of the Credit Facility or termination of
this Agreement (“Maturity Date”). After the Maturity Date no further Loans shall
be available from Lender.
 
(d) From time to time, upon not less than three (3) Business Days notice to
Borrowers, Lender may adjust the Advance Rate in order to reflect, in Lender’s
reasonable judgment, the experience with Borrowers (including by way of
illustration, to adjust for any known or potential offsets by governmental
healthcare programs or the agencies that administer them) or the aggregate
amount or percentage of the Collections with respect to the Accounts.
 
2.2 Funding Procedures:

 
(a) Subject to the terms and conditions of this Agreement and so long as no
Event of Default or Unmatured Event of Default has occurred hereunder, Lender
will make Loans to Borrowers as requested by Borrower, which may be on a daily
basis if so requested by Borrower, but not more than once each Business Day,
each such day referred to herein as a “Funding Date”.
 
(b) Not later than 11:00 A.M. (Eastern Time) on a mutually agreeable Business
Day each calendar week (“Download Date”), Borrowers will deliver to Lender the
computer file data associated with the Accounts, which shall include without
limitation, the information (including changes in the Obligor reimbursement
rates and changes in federal or state laws or regulations affecting payment for
medical services) required by Lender to enable Lender to process and value the
outstanding Accounts of Borrowers on Lender’s Value Track System™, as well as
bill and collect such Accounts following an Event of Default (“Accounts Detail
File”). Upon completion of the processing of the data with respect to such
Accounts, Lender will prepare and deliver to Borrowers by no later than 5:00
p.m. (Eastern Time) on the first Business Day following the Download Date (or if
such Accounts Detail File is not delivered until after 11:00 A.M. (Eastern Time)
on the Download Date, the second Business Day following the Download Date), a
report regarding the Borrowing Base then in effect, which shall be substantially
in the form of Exhibit 2.2(b) (a “Borrowing Base Report”).
 
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(c) On the Funding Date, Borrowers will sign and return the Borrowing Base
Report to Lender. If Borrowers are requesting that a Loan be made on such
Funding Date, Borrowers shall also deliver to Lender, concurrently with the
Borrowing Base Report, a written request for such Loan substantially in the form
of Exhibit 2.2(c) (a “Loan Request”). The Borrowing Base Report and Loan Request
may be delivered via telecopy and Borrowers acknowledge that Lenders may rely on
Borrowers signatures by facsimile, which shall be legally binding upon
Borrowers.
 
(d) Subject to the terms and conditions of this Agreement, if the Borrowing Base
Report (if applicable) and Loan Request are delivered to Lender before 11:00
A.M. on the Funding Date, Lender will advance on the Funding Date (or the next
Business Day if the Borrowing Base Report and Loan Request are delivered after
11:00 A.M. (Eastern Time)) to Borrowers a Loan in the amount equal to the lesser
of (i) the amount of the Loan requested by Borrowers in the Loan Request, or
(ii) the Borrowing Base Excess as of such date. Any Advances made by Lender
hereunder shall be treated for all purposes as, and shall accrue interest at the
same rate applicable to, Loans.
 
(e) Lender’s determination of the Estimated Net Value of the Eligible Accounts
and other amounts to be determined or calculated under this Agreement shall, in
the absence of manifest error, be binding and conclusive.
 
2.3 Interest and Fees:

 
(a) Each Loan shall bear interest on the outstanding principal amount thereof
from the date made until such Loan is paid in full, at a rate per annum equal to
30-day LIBOR plus three and one half percent (3.50%). The interest rate
hereunder is variable and adjusted monthly based on the 30-day LIBOR published
in the Wall Street Journal, Eastern Edition on the first day of each fiscal
month.
 
(b) If any Event of Default shall occur and be continuing, the rate of interest
applicable to each Loan then outstanding shall be the Default Rate. The Default
Rate shall apply from the date of the Event of Default until the date such Event
of Default is waived, and interest accruing at the Default Rate shall be payable
upon demand.
 
(c) Should the Credit Facility be terminated for any reason prior to the last
day of the Initial Term, in addition to repayment of all Obligations then
outstanding and termination of Lender’s commitment hereunder, Borrowers shall
unconditionally be obligated to pay at the time of such termination, a fee
(“Termination Fee”) in an amount equal to the following percentage of the
Revolving Loan Commitment: one and one half percent (1.50%), if such early
termination occurs on or prior to the first anniversary date of this Agreement;
one percent (1.0%) if such early termination occurs after the first anniversary
date of this Agreement but on or before the second anniversary of this
Agreement; and one half of one percent (0.50%) if such early termination occurs
after the second anniversary of the date of this Agreement but prior to the last
day of the Initial Term. Borrowers acknowledge that the Termination Fee is an
estimate of Lender’s damages in the event of early termination and is not a
penalty. In the event of termination of the Credit Facility, all of the
Obligations shall be immediately due and payable upon the termination date
stated in any notice of termination. All undertakings, agreements, covenants,
warranties and representations of Borrowers contained in the Loan Documents
shall survive any such termination, and Lender shall retain its security
interests in the Collateral and all of its rights and remedies under the Loan
Documents notwithstanding such termination until Borrowers have paid the
Obligations to Lender, in full, in immediately available funds, together with
the applicable Termination Fee, if any. Notwithstanding the payment in full of
the Obligations, Lender shall not be required to terminate its security
interests in the Collateral unless, with respect to any loss or damage Lender
may incur as a result of dishonored checks or other items of payment received by
Lender from Borrowers or any Obligor and applied to the Obligations, Lender
shall, at its option, (i) have received a written agreement executed by
Borrowers and by any Person whose loans or other advances to Borrowers are used
in whole or in part to satisfy the Obligations, indemnifying Lender from any
such loss or damage; or (ii) have retained such monetary reserves and security
interests on the Collateral for such period of time as Lender, in its reasonable
discretion, may deem necessary to protect Lender from any such loss or damage.
 
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(d) Borrowers shall unconditionally pay to Lender (i) a fee (“Unused Line Fee”)
equal to one half of one percent (0.50%) per annum of the unused portion of the
Credit Facility and (ii) a collateral management fee (“Collateral Management
Fee”), equal to one half of one percent (0.50%) per annum of the average daily
outstanding balance of the Loans during each month (or portion thereof). The
unused portion of the Credit Facility shall be the difference between the
Revolving Loan Commitment and the average daily outstanding balance of the Loans
during each month (or portion thereof). The Unused Line Fee and the Collateral
Management Fee shall be calculated and payable monthly, in arrears, and shall be
due and payable on the first Business Day of each calendar month.
 
2.4 Additional Interest Provisions:

 
(a) Calculation of Interest: Interest on the Loans shall be based on a year of
three hundred sixty (360) days and charged for the actual number of days
elapsed.
 
(b) Continuation of Interest Charges: All contractual rates of interest
chargeable on outstanding Loans shall continue to accrue and be paid even after
default, maturity, acceleration, termination of the Credit Facility, judgment,
bankruptcy, insolvency proceedings of any kind or the happening of any event or
occurrence similar or dissimilar.
 
(c) Applicable Interest Limitations: In no contingency or event whatsoever shall
the aggregate of all amounts deemed interest hereunder and charged or collected
pursuant to the terms of this Agreement exceed the highest rate permissible
under any law which a court of competent jurisdiction shall, in a final
determination, deem applicable hereto. In the event that such court determines
Lender has charged or received interest hereunder in excess of the highest
applicable rate, Lender shall, in its sole discretion, apply and set off such
excess interest received by Lender against other Obligations due or to become
due and such rate shall automatically be reduced to the maximum rate permitted
by such law.
 
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2.5 Payments:

 
(a) All accrued interest on the Loans, including interest charges for Collection
Days, shall be due and payable monthly on the first Business Day of each month.
Any Unused Line Fees or Collateral Management Fees shall be due and payable
monthly on the first Business Day of each month with respect to Unused Line Fees
and Collateral Management Fees which accrued during the prior month.
 
(b) If at any time the aggregate principal amount of all Advances outstanding
exceeds the Borrowing Base then in effect, Borrowers shall immediately make such
principal prepayments of the Loans (subject to the terms of Sections 2.3(c) and
2.3(d)), as is necessary to eliminate such excess.
 
(c) The entire principal balance of all of the Advances, together with all
unpaid accrued interest thereon and the Termination Fee, if any, and any unpaid
Unused Line Fees, shall be due and payable on the Maturity Date.
 
(d) Subject to the terms of Sections 2.3(c) and 2.3(d) above, Borrowers may
prepay the principal of the Loans on any Funding Date by giving Lender written
notice of the proposed prepayment two Business Days’ prior to such Funding Date.
 
(e) All payments and prepayments shall be applied first to any unpaid interest
and fees and thereafter to the principal of the Loans and to other amounts due
Lender. Except as otherwise provided herein, all payments of principal,
interest, fees, or other amounts payable by Borrowers hereunder shall be
remitted to Lender in immediately available funds not later than 11:00 a.m.
(Eastern Time) on the day due. Whenever any payment is stated as due on a day
which is not a Business Day, the maturity of such payment shall be extended to
the next succeeding Business Day and interest shall continue to accrue during
such extension.
 
(f) The Borrowers hereby authorize the Lender, without notice to the Borrowers,
to charge the Loans with all payments and expenses due under Sections 2.3, 2.5,
6.9 and 9.5 hereof as such amounts become due. The Borrowers confirm that any
charges which Lender may make to the Loans as provided herein will be made as an
accommodation to the Borrowers and solely at the Lender’s discretion.
 
2.6 Use of Proceeds: The Borrowers shall use the extensions of credit under and
proceeds of the Credit Facility to pay off in its entirety any of Borrower’s
obligations giving rise to a lien on the Collateral described herein and to pay
the costs of closing. Thereafter, the Borrower shall use the extensions of
credit under and proceeds of the Credit Facility for working capital and general
business purposes of the Borrowers and may not be used for the benefit of any
Affiliate or Subsidiary that is not a Borrower hereunder, including without
limitation, BioBalance.
 
2.7 Lockboxes and Collections:

 
(a) Borrowers will enter into lockbox agreements in respect of the Government
Lockbox and Commercial Lockbox in such form and with the Lockbox Bank or such
other bank as is reasonably acceptable to Lender. Borrowers shall instruct the
Lockbox Bank maintaining the Government Lockbox that all collections sent to the
Government Lockbox shall be deposited into a bank account at the Lockbox Bank in
which Lender has a first priority perfected security interest and all
Collections sent to the Commercial Lockbox shall be deposited into a bank
account at the Lockbox Bank in the name of Lender. Borrower shall also instruct
the Lockbox Bank to initiate, or accept an initiation from Lender which
effectuates, a daily transfer of all available funds to an account of Lender to
be designated by Lender (“Collection Account”).
 
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(b) Borrowers will cause all Collections with respect to all of the Accounts,
other than Government Accounts, to be sent directly to the Commercial Lockbox,
and will cause all Collections with respect to all of the Government Accounts to
be sent directly to the Government Lockbox (which may be effectuated by
electronic transfer directly to the Government Lockbox). In the event that a
Borrower receives any Collections that should have been sent to the Commercial
Lockbox or the Government Lockbox, such Borrower will, promptly upon receipt and
in any event within one Business Day of receipt, forward such Collections
directly to the Commercial Lockbox or Government Lockbox, as applicable, in the
form received, and if requested by Lender, promptly notify Lender of such event.
Until so forwarded, such Collections not generated from Government Accounts
shall be held in trust for the benefit of Lender.
 
(c) No Borrower shall withdraw any amounts from the accounts into which the
Collections remitted to the Commercial Lockbox are deposited nor shall any
Borrower change the procedures under the agreements governing the Commercial
Lockbox and related accounts.
 
(d) Borrowers will cooperate with Lender in the identification and
reconciliation on a daily basis of all amounts received in the Commercial
Lockbox and the Government Lockbox. If more than ten percent (10%) of the
Collections since the most recent Funding Date is not identified or reconciled
to the satisfaction of Lender within ten (10) Business Days of receipt, Lender
shall not be obligated to make further Loans until such amount is identified or
is reconciled to the reasonable satisfaction of Lender, as the case may be. In
addition, if any such amount cannot be identified or reconciled to the
satisfaction of Lender, Lender may utilize its own staff or, if it deems
necessary, engage an outside auditor, in either case at Borrowers’ expense
(which in the case of Lender’s own staff shall be in accordance with Lender’s
then prevailing customary charges (plus expenses), to make such examination and
report as may be necessary to identify and reconcile such amount.
 
(e) No Borrower will send to or deposit in the Commercial Lockbox or the
Government Lockbox any funds other than payments made with respect to Accounts.
 
(f) Subject to charges for Collections Days, all amounts received from a
Government Lockbox or Commercial Lockbox and any other proceeds of the
Collateral deposited into the Collection Account will, for the purposes of
calculating the Borrowing Base and interest, be credited to the aggregate
outstanding amount of the Loans on the date of deposit in the Collection
Account. No checks, drafts or other instruments received by Lender shall
constitute final payment to Lender unless and until such instruments have
actually been collected.
 
2.8 Application of Proceeds of Collateral:

 
(a) Unless this Agreement expressly provides otherwise, so long as no Event of
Default shall have occurred and remain outstanding, Lender agrees to apply (i)
all Collections to the aggregate outstanding amount of the Loans and (ii) any
other payment received by Lender with respect to the Obligations, in such order
and manner as Lender shall elect in the exercise of its reasonable business
judgment.
 
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(b) If an Event of Default shall have occurred and remain outstanding, Lender
may apply Collections, any other proceeds of Collateral and all other payments
received by Lender to the payment of the Obligations in such manner and in such
order as CIT may elect in its sole discretion.
 
2.9 Fees: Lender has fully earned a non-refundable commitment fee (“Commitment
Fee”) equal to Fifty Thousand Dollars ($50,000). Lender acknowledges receipt of
Fifteen Thousand Dollars ($15,000) of the Commitment Fee and a deposit of Ten
Thousand Dollars ($10,000) towards the amount required to be paid by the
Borrowers pursuant to Section 9.5(a) for the fees and expenses of legal counsel
for Lender. Borrowers agree and acknowledge that the balance of the Commitment
Fee ($35,000) is due and payable on or before Closing.
 
SECTION 3. COLLATERAL 

 
3.1 Description: To secure the payment, promptly when due, and the punctual
performance, of all of the Obligations, each Borrower assigns to Lender, and
grants to it a security interest in all of its right, title and interest in and
to the following property of such Borrower: (i) all accounts, payment
intangibles, instruments and other rights to receive payments of Borrower
(including without limitation the Accounts), whether now existing or hereafter
arising or acquired, (ii) all general intangibles (including without limitation,
contract rights and intellectual property), chattel paper, documents, supporting
obligations, letter of credit rights, commercial tort claims, investment
property, rights, remedies, guarantees and collateral evidencing, securing or
otherwise relating to or associated with the foregoing, including without
limitation all rights of enforcement and collection, (iii) all Commercial
Lockboxes, all Government Lockboxes, all Collection Accounts and other deposit
accounts into which any of the Collections or Advances are deposited, all funds
received thereby or deposited therein, and any checks or instruments from time
to time representing or evidencing the same, (iv) all books and records of
Borrower evidencing or relating to or associated with any of the foregoing, (v)
all information and data compiled or derived by Borrower with respect to any of
the foregoing (other than any such information and data subject to legal
restrictions of patient confidentiality), and (vi) all collections, receipts and
other proceeds (cash and noncash) derived from any of the foregoing
(collectively, the “Collateral”). For the avoidance of doubt, Collateral does
not include any assets or property of BioBalance.
 
3.2 Lien Documents: At Closing and thereafter as Lender deems necessary, each
Borrower shall execute (if required) and deliver to Lender, or shall have
executed (if required) and delivered (all in form and substance reasonably
satisfactory to Lender):
 
(a) Financing Statements - Financing statements pursuant to the UCC, which
Lender may file in the jurisdiction where such Borrower is organized and in any
other jurisdiction that Lender deems appropriate; and
 
(b) Other Agreements - Any other agreements, documents, instruments and
writings, including, without limitation, security agreements, deposit account
control agreements, deeds of trust, mortgages, and assignment agreements,
reasonably required by Lender to evidence, perfect or protect Lender’s liens and
security interest in the Collateral or as Lender may reasonably request from
time to time, including, without limitation, a waiver agreement from each
landlord with respect to any real property of Borrower, in form and substance
satisfactory to Lender.
 
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3.3 Other Actions: 
 
(a) In addition to the foregoing, each Borrower shall do anything further that
may be lawfully and reasonably required by Lender to perfect its security
interests and to effectuate the intentions and objectives of this Agreement,
including, but not limited to, the execution (if required) and delivery of
continuation statements, amendments to financing statements, security
agreements, contracts and any other documents required hereunder. At Lender’s
request, each Borrower shall also immediately deliver (with execution by such
Borrower of all necessary documents or forms to reflect Lender’s security
interest therein) to Lender, all items for which Lender must or may receive
possession to obtain a perfected security interest.
 
(b) Lender is hereby authorized to file financing statements naming Borrower as
debtor, in accordance with the Uniform Commercial Code, and if necessary, to the
extent applicable, to otherwise file financing statements without Borrower’s
signature if permitted by law. Each Borrower hereby authorizes Lender to file
all financing statements and amendments to financing statements describing the
Collateral in any filing office as Lender, in its sole discretion may determine,
including financing statements describing the Collateral and containing language
indicating that the acquisition by a third party of any right, title or interest
in or to the Collateral without Lender’s consent shall be a violation of
Lender’s rights. Borrowers agree to comply with the requirements of all federal
and state laws and requests of Lender in order for Lender to have and maintain a
valid and perfected first priority security interest in the Collateral
including, without limitation, executing and causing any other Person to execute
such documents as Lender may require to obtain Control (as defined in the UCC)
over all deposit accounts, electronic chattel paper, letter-of-credit rights and
investment property.
 
3.4 Searches: Lender shall, prior to or at Closing, and thereafter as Lender may
reasonably request from time to time, at Borrowers’ expense, obtain the
following searches (the results of which are to be consistent with the
warranties made by Borrowers in this Agreement):
 
(a) UCC Searches: With respect to each Borrower, UCC searches with the Secretary
of State and local filing office of each state where such Borrower maintains its
chief executive office, its jurisdiction of organization and/or a place of
business or assets;
 
(b) Judgments, Etc.: Judgment, federal tax lien and corporate tax lien searches
against each Borrower, in all applicable filing offices of each state searched
under subparagraph (a) above.
 
3.5 Good Standing Certificates: Borrowers shall, prior to or at Closing and at
its expense, obtain and deliver to Lender good standing or equivalent
certificates showing each Borrower to be in good standing in its state of
incorporation or organization and authorized to transact business as a foreign
corporation or entity in each other state or foreign country in which it is
doing and presently intends to do business for which such Borrower's failure to
be so qualified might have material adverse effect on such Borrower's business,
financial condition, Property or Lender's rights hereunder.
 
3.6 Filing Security Agreement: A carbon, photographic or other reproduction or
other copy of this Agreement or of a financing statement is sufficient as and
may be filed in lieu of a financing statement.
 
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3.7 Power of Attorney: Each of the officers of Lender is hereby irrevocably
made, constituted and appointed the true and lawful attorney for each Borrower
(without requiring any of them to act as such) with full power of substitution
to do the following (such power to be deemed coupled with an interest): (1)
endorse the name of such Borrower upon any and all checks, drafts, money orders
and other instruments for the payment of monies that are payable to such
Borrower and constitute collections on the Collateral; (2) execute in the name
of such Borrower any financing statements, schedules, assignments, instruments,
documents and statements that such Borrower is obligated to give Lender
hereunder or is necessary to perfect Lender’s security interest or lien in the
Collateral; (3) to verify validity, amount or any other matter relating to the
Collateral by mail, telephone, telecopy or otherwise; and (4) do such other and
further acts and deeds in the name of such Borrower that Lender may reasonably
deem necessary or desirable to enforce its right with respect to any Collateral.
 
SECTION 4. CLOSING AND CONDITIONS PRECEDENT TO ADVANCES

 
Closing under this Agreement and the making of each Loan are subject to the
following conditions precedent (all documents to be in form and substance
satisfactory to Lender and Lender’s counsel):
 
4.1 Resolutions, Opinions, and Other Documents: Prior to the Closing, Borrowers
shall have delivered to Lender the following:
 
(a) this Agreement and the Revolving Credit Note, each properly executed;
 
(b) each document and agreement required to be executed under any provision of
this Agreement or any of the other Loan Documents;
 
(c) certified copies of (i) resolutions of each Borrower’s board of directors,
or manager, as applicable authorizing the execution of this Agreement, the
Revolving Credit Note, and each other document to which it is a party, required
to be delivered by any Section hereof and (ii) each Borrower’s Articles of
Incorporation and By laws or certificate of organization and operating agreement
(as applicable);
 
(d) incumbency certificates identifying all Authorized Officers of each
Borrower, with specimen signatures;
 
(e) a written opinion of Borrowers’ independent counsel addressed to Lender in
the form attached hereto as Exhibit 4.1, which shall include without limitation,
an opinion that Lender has a perfected security interest in the Collateral;
 
(f) payment by Borrowers of all Expenses associated with the Credit Facility
incurred to the Closing Date and the Commitment Fee;
 
(g) the Business Associate Agreement properly executed;
 
(h) the Lockbox Agreements required pursuant to Section 2.7 hereof;
 
(i) Uniform Commercial Code, judgment, federal and state tax lien searches
pursuant to Section 3.4 above;
 
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(j) to the extent applicable, payoff letter and Lender shall have received
releases from all Persons having a security interest or other interest in the
Collateral, together with all UCC-3 terminations or partial releases necessary
to terminate such Persons’ interests in the Collateral;
 
(k) certification by Borrowers that all past due payroll and unemployment taxes
have been paid in full and that Borrowers remain current on such taxes;
 
(l) copies of each of the accreditations, licenses, certifications required by
Section 5.3 below, and all Contracts requested by Lender;
 
(m) the fully executed Subordination Agreements;
 
(n) monthly and year to date consolidated and consolidating financial statements
for the most recent month end prior to Closing (within 15 days prior to closing
or such shorter period as Lender may determine);
 
(o) background checks on the senior management of Borrowers;
 
(p) Landlord Waivers with respect to the location of Borrowers’ chief executive
office and each other location where any books and records of Borrowers may be
kept; and
 
(q) all other documents, information and reports reasonably required or
requested to be executed and/or delivered by Borrowers under any provision of
this Agreement or any of the Loan Documents.
 
4.2 Additional Preconditions to Loans: Lender’s obligation to make the initial
Loan and each subsequent Loan shall be subject to the satisfaction of each of
the following conditions:
 
(a) After giving effect to each such Loan:
 
(i) the aggregate principal amount of all Advances outstanding shall not exceed
the Borrowing Base then in effect; and
 
(ii) the ENV of all Eligible Accounts shall not exceed any of the Concentration
Limits.
 
(b) All representations and warranties of Borrowers shall be deemed reaffirmed
as of the making of such Loan and shall be true both before and after giving
effect to such Loan, and no Event of Default or Unmatured Event of Default shall
have occurred and be continuing, Borrowers shall be in compliance with this
Agreement and the other Loan Documents, and Borrowers shall have certified such
matters to Lender.
 
(c) Each Borrower shall have signed and delivered to Lender notices, in the form
of Exhibit 4.2A, directing the Obligors (other than Obligors with respect to
Government Accounts) to make payment to the Commercial Lockbox; and, in the form
of Exhibit 4.2B, directing the Obligors with respect to Government Accounts to
make payment to the Government Lockbox.
 
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(d) Borrowers shall have taken all actions necessary to permit Lender to record
all of the Eligible Accounts in Lender’s Value Track System™.
 
(e) The lockbox arrangements required by Section 2.7 hereof shall be in effect,
and the amounts received in the lockboxes shall have been identified or
reconciled to Lender’s satisfaction, as required by Section 2.7(d) hereof.
 
(f) Borrowers shall have taken such other actions, including the delivery of
documents and opinions as Lender may reasonably request.
 
4.3 Absence of Certain Events: As of the Closing Date and prior to each Loan, no
Event of Default or Unmatured Event of Default hereunder shall have occurred and
be continuing.
 
4.4 Compliance with this Agreement: Borrowers shall have performed and complied
with all agreements, covenants and conditions contained herein including,
without limitation, the provisions of Sections 6 and 7 hereof, which are
required to be performed or complied with by Borrowers before or at the Closing
Date and as of the date of each Loan.
 
4.5 Closing Certificate: Lender shall have received a certificate dated the
Closing Date and signed by the chief executive officer of Borrowers certifying
that all of the conditions specified in this Section have been fulfilled and
that there has not occurred any material adverse change in the operations and
conditions (financial or otherwise) of Borrowers since May 31, 2007.
 
4.6 Closing: Subject to the conditions of this Section 4, the Credit Facility
shall be made available on the date (“Closing Date”) this Agreement is executed
and all of the conditions contained in Section 4.1 hereof are completed
(“Closing”).
 
4.7 Non-Waiver of Rights: By completing the Closing hereunder, or by making
Advances hereunder, Lender does not thereby waive a breach of any warranty,
representation or covenant made by Borrowers hereunder or under any agreement,
document, or instrument delivered to Lender or otherwise referred to herein, and
any claims and rights of Lender resulting from any breach or misrepresentation
by Borrowers are specifically reserved by Lender.
 
4.8 Additional Closing Date Precondition: After considering all closing fees and
expenses and other current obligations, Borrower shall have a Borrowing Base
Excess in an amount not less than One Million Five Hundred Thousand Dollars
($1,500,000). This requirement shall apply only to Lender’s obligation to make
the initial Loan and shall not apply to each subsequent Loan after the Closing
Date.
 
SECTION 5. REPRESENTATIONS AND WARRANTIES

 
To induce Lender to complete the Closing and make the Loans under the Credit
Facility to Borrowers, Borrowers warrant and represent to Lender that:
 
5.1 Organization and Validity: 

 
(a) Each Borrower is duly organized as either a partnership, corporation or
limited liability company and validly existing under the laws of its state of
organization, incorporation or formation, is duly qualified, is validly existing
and, to the extent applicable, in good standing and has lawful power and
authority to engage in the business it conducts in each state and other
jurisdiction where the nature and extent of its business requires qualification,
except where the failure to so qualify would not have a material adverse effect
on such Borrower’s business, financial condition, Property or prospects. A list
of all states and other jurisdictions where each Borrower is qualified to do
business is attached hereto as Schedule 2 and made a part hereof.
 
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(b) The making and performance of this Agreement and related agreements, and
each document required by any Section hereof will not violate any law,
government rule or regulation, or the charter, minutes, partnership agreement,
operating agreement or bylaw provisions of any Borrower violate or result in a
default (immediately or with the passage of time) under any contract, agreement
or instrument to which Borrower is a party, or by which a Borrower is bound. No
Borrower is in violation of nor has knowingly caused any Person to violate any
term of any agreement or instrument to which it or such Person is a party or by
which it may be bound or of its charter, minutes, partnership agreement,
operating agreement or bylaws, which violation could have a material adverse
effect on any Borrower’s business, financial condition, Property or prospects.
 
(c) Each Borrower has all requisite power and authority to enter into and
perform this Agreement and the other Loan Documents and to incur the obligations
herein provided for, and has taken all proper and necessary action to authorize
the execution, delivery and performance of this Agreement and the other Loan
Documents.
 
(d) This Agreement, the Revolving Credit Note and the other Loan Documents
required to be executed and delivered by any Borrower(s) hereunder, when
delivered, will be valid and binding upon all such Borrowers a party thereto and
enforceable in accordance with their respective terms.
 
5.2 Places of Business: Each Borrower’s jurisdiction of organization is as set
forth in Schedule 2 and each Borrower’s chief executive office and the only
other places of business of each such Borrower are located at the corresponding
addresses set forth on Schedule 2. Except as disclosed on Schedule 2: (i) no
Borrower has been organized in any other jurisdiction nor changed any such
location in the last five years, (ii) no Borrower has changed its name in the
last five years, and (iii) during such period no Borrower used, nor does any
Borrower now use, any fictitious or trade name.
 
5.3 Operation of Facilities: Each Borrower provides health care services and (a)
maintains Medicare and Medicaid provider status and is the holder of the
provider identification numbers identified on Schedule 2 hereto, all of which
are current and valid and such Borrower has not allowed, permitted, authorized
or caused any other Person to use any such provider identification number, (b)
has obtained all material licenses, accreditations, certificates of need and
approvals of governmental authorities and all other Persons necessary for such
Borrower to own its assets, to carry on its business, to execute, deliver and
perform the Loan Documents, and to receive payments from the Obligors and, if
organized as a not-for-profit entity, has and maintains its status, if any, as
an organization exempt from federal taxation under Section 501(c)(3) of the
Internal Revenue Code, and (c) only employs and engages certified health care
aides or nurses aides who (i) have received appropriate certification through a
training program licensed by the Department of Health or the State Education
Department, and (ii) such certification is current and in good standing with any
required governmental authority, including the Department of Health or the State
Education Department. No Borrower has been notified by any such governmental
authority or other Person during the immediately preceding 24 month period that
such party has rescinded or not renewed, or intends to rescind or not renew, any
such license or approval.
 
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5.4 Pending Litigation: There are no judgments or judicial or administrative
orders, subpoenas, proceedings or investigations (civil or criminal) pending, or
to the knowledge of any Borrower, threatened, against any Borrower in any court
or before any governmental authority or arbitration board or tribunal, other
than as set forth on Schedule 2 hereto, none of which, if adversely determined
would have a material adverse effect on such Borrower. No Borrower is in default
with respect to any order of any court, governmental authority, regulatory
agency or arbitration board or tribunal. No Shareholder or executive officer of
any Borrower has been indicted or convicted in connection with or is engaging in
any criminal conduct, or is currently subject to any lawsuit or proceeding or
under investigation in connection with any anti-racketeering or other criminal
conduct or activity.
 
5.5 Medicaid and Medicare Cost Reporting: The Medicaid and Medicare cost reports
of each Borrower for all cost reporting periods have been submitted when and as
required to (i) as to Medicaid, the state agency, or other CMS-designated agent
or agent of such state agency, charged with such responsibility or (ii) as to
Medicare, the Medicare intermediary or other CMS-designated agent charged with
such responsibility. No audit conducted after the Closing Date has resulted in
any determination that any Borrower was overpaid for Medicaid and Medicare by
$300,000 or more in any single year covered by such audit (the “Overpayment
Representation”); provided, however, that so long as (1) an Unmatured Event of
Default or Event of Default has not occurred and is continuing, and (2) Total
Liquidity has been greater than $1,000,000 for the previous six (6) consecutive
calendar months and after giving effect to any amount determined to be an
overpayment by such audit, the Borrower shall not be obligated to make the
Overpayment Representation.
 
5.6 Title to Collateral: Each Borrower has good and marketable title to all the
Collateral it respectively purports to own, free from liens, claims and
encumbrances, except those of Lender, Permitted Liens and those other liens
listed on Schedule 2 hereto.
 
5.7 Governmental Consent: Neither the nature of any Borrower or of any
Borrower’s business or Property, nor any relationship between any Borrower and
any other Person, nor any circumstance affecting any Borrower in connection with
the execution, issuance and/or delivery of this Agreement or the Revolving
Credit Note is such as to require a consent, approval or authorization of, or
filing, registration or qualification with, any governmental authority on the
part of any such Borrower in connection with the execution and delivery of this
Agreement or the issuance or delivery of the Revolving Credit Note or other Loan
Documents.
 
5.8 Taxes: All tax returns required to be filed by Borrowers, or any of them, in
any jurisdiction have in fact been filed, and all taxes, assessments, fees and
other governmental charges upon Borrowers, or any of them, or upon any of their
respective Property, income or franchises, which are shown to be due and payable
on such returns have been paid, except for those taxes being contested in good
faith with due diligence by appropriate proceedings and for which appropriate
reserves have been maintained under GAAP. No Borrower is aware of any proposed
additional tax assessment or tax to be assessed against or applicable to any
Borrower that might have a material adverse effect on such Borrower’s business,
financial condition, Property or prospects.
 
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5.9 Financial Statements: Borrowers’ annual audited consolidated and
consolidating balance sheet as of December 31, 2006, accompanied by reports
thereon from Borrowers’ independent certified public accountants, and the
quarterly consolidated balance sheet as of June 30, 2007 and the related income
statements and statements of cash flows as of such dates (complete copies of
which have been delivered to Lender), have been prepared in accordance with GAAP
and present fairly, accurately and completely the financial position of
Borrowers as of such dates and the results of their operations for such periods.
The fiscal year for each Borrower currently ends on the date set forth on
Schedule 2 hereto. Each Borrower’s federal tax identification number and
organization number are as set forth on Schedule 2 hereto.
 
5.10 Full Disclosure: Neither the financial statements referred to in Section
5.9, nor this Agreement or related agreements and documents or any written
statement furnished by any Borrower to Lender in connection with the negotiation
of the Credit Facility and contained in any financial statements or documents
relating to any Borrower contain any untrue statement of a material fact or omit
a material fact necessary to make the statements contained therein or herein not
misleading.
 
5.11 Guarantees, Contracts, etc.: 

 
(a) No Borrower owns nor holds partnership interests or equity or long term debt
investments in, has any outstanding advances to, or serves as guarantor, surety
or accommodation maker for the obligations of, or has any outstanding borrowings
from, any Person except as described in Schedule 2 hereto.
 
(b) No Borrower is a party to any contract or agreement, or subject to any
charter or other entity restriction, which materially and adversely affects its
business, financial condition, Property or prospects.
 
(c) Except as otherwise specifically provided in this Agreement, no Borrower has
agreed or consented to cause or permit any of the Collateral whether now owned
or hereafter acquired to be subject in the future (upon the happening of a
contingency or otherwise) to a lien or encumbrance not permitted by this
Agreement.
 
5.12 Compliance with Laws: 

 
(a) No Borrower is in violation of, has received written notice that it is in
violation of, or has knowingly caused any Person to violate, any applicable
statute, regulation or ordinance of the United States of America, or of any
state, city, town, municipality, county or of any other jurisdiction, or of any
agency, or department thereof, (including without limitation, environmental laws
and regulations), which may materially and adversely affect its business,
financial condition, Property or prospects.
 
(b) Each Borrower is current with all reports and documents required to be filed
with any state or federal securities commission (if any) or similar agency and
is in full compliance in all material respects with all applicable rules and
regulations of such commissions.
 
5.13 Other Associations: No Borrower is engaged in nor has an interest in any
joint venture or partnership with any other Person or has any subsidiaries or
Affiliates, except as described on Schedule 2 hereto.
 
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5.14 Environmental Matters: Except as disclosed on Schedule 2 hereto, no
Borrower has knowledge:
 
(a) of the presence of any Hazardous Substances on any of the real property
where any Borrower maintains operations or has its personal property, or
 
(b) of any on-site spills, releases, discharges, disposal or storage of
Hazardous Substances that have occurred or are presently occurring on any of
such real property where any Collateral is located, or
 
(c) of any spills, releases, discharges or disposal of Hazardous Substances that
have occurred, are presently occurring on any other real property as a result of
the conduct, action or activities of any Borrower.
 
5.15 Capital Stock and Equity Interests: The authorized and outstanding shares
of capital stock and other equity interests of (a) the officers and directors of
each Borrower and (b) to the best of Borrower’s knowledge based upon any and all
Schedule 13-D documents filed under the Securities Exchange Act of 1934, any
Person owning an amount equal to or more than 5% of the authorized and
outstanding shares of capital stock and other equity interests any Borrower is
as set forth on Schedule 2 hereto. All of the capital stock and equity interests
of each Borrower have been duly and validly authorized and issued and is fully
paid and non-assessable and have been sold and delivered to the holders thereof
in compliance with, or under valid exemption from, all Federal and state laws
and the rules and regulations of all regulatory bodies thereof governing the
sale and delivery of securities. Except for the rights and obligations set forth
in Schedule 2, there are no subscriptions, warrants, options, calls,
commitments, rights or agreements by which any Borrower or any of the
Shareholders of any Borrower is bound relating to the issuance, transfer, voting
or redemption of shares of its capital stock, membership units or any
pre-emptive rights held by any Person with respect to the shares of capital
stock or membership units of any such Borrower. Except as set forth in Schedule
2, no Borrower has issued any securities convertible into or exchangeable for
shares of its capital stock or membership units or any options, warrants or
other rights to acquire such shares or membership units or securities
convertible into or exchangeable for such shares.
 
5.16 Lockboxes: The Government Lockbox and the Commercial Lockbox are the only
lockbox accounts maintained by Borrowers, and each Obligor of an Eligible
Account has been directed by the notice attached as Exhibit 4.2A to this
Agreement, and is required to, remit all payments with respect to such Account
for deposit in the Commercial Lockbox (other than the Obligors of Government
Accounts which have been directed by the notice attached as Exhibit 4.2B to this
Agreement to remit all payments with respect to such Accounts for deposit in the
Government Lockbox).
 
5.17 Borrowing Base Reports: Each Borrowing Base Report signed by Borrowers, on
behalf of Borrowers, contains and will contain an accurate summary of all
Eligible Accounts of Borrowers contained in the Borrowing Base as of its date.
 
5.18 Security Interest: Each Borrower has granted to Lender a valid, perfected
first priority and only security interest in the Accounts and the other
Collateral subject to no other liens, claims or encumbrances, other than
Permitted Liens.
 
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5.19 Accounts:

 
(a) No Borrower has done nor shall do anything to interfere with the collection
of the Accounts and no Borrower shall amend or waive the terms or conditions of
any Account or any related Contract in any materially adverse manner without
Lender’s prior written consent.
 
(b) Each Borrower has made and will continue to make all payments to Obligors
necessary to prevent any Obligor from offsetting any earlier overpayment to such
Borrower against any amounts such Obligor owes on an Account, except for bona
fide disputes being diligently contested in good faith by Borrower provided that
(i) Borrower has provided written notice to Lender, (ii) Lender has had the
opportunity to set aside reasonable reserves against the Borrowing Base in such
amounts as it may deem appropriate with respect to such disputes, and (iii) such
bona fide disputes are in an aggregate amount less than $300,000 in any single
year or $900,000 over any three year period.
 
5.20 Pension Plans: Each pension or profit sharing plan, if any, to which any
Borrower is a party has been and will be funded in accordance with the
obligations of such Borrower(s) set forth in such plan.
 
5.21 Representations and Warranties for each Loan: As of each date that
Borrowers shall request any Loan, each Borrower shall be deemed to make, with
respect to each Eligible Account included in the Borrowing Base, each of the
following representations and warranties:
 
(a) Such Account satisfies each of the conditions of an Eligible Account.
 
(b) All information relating to such Account that has been delivered to Lender
is true and correct in all material respects. With respect to each such Account
that has been billed, the corresponding Borrower has delivered to the Obligor
all requested supporting claim documents and all information set forth in the
bill and supporting claim documents is true, complete and correct in all
material respects.
 
(c) There is no lien or adverse claim in favor of any third party, nor any
filing against any Borrower, as debtor, covering or purporting to cover any
interest in such Account.
 
(d) Such Account is (i) payable in an amount not less than its Estimated Net
Value by the Obligor identified by Borrowers as being obligated to do so, and is
recognized as such by the Obligor, (ii) the legally enforceable obligation of
such Obligor, and (iii) an account receivable or general intangible within the
meaning of the UCC of the state in which the corresponding Borrower has its
chief executive office, or is a right to payment under a policy of insurance or
proceeds thereof, and is not evidenced by any instrument or chattel paper. There
is no payor other than the Obligor identified by Borrowers as the payor
primarily liable on such Account.
 
(e) No such Account (i) requires the approval of any third person for such
Account to be assigned to Lender hereunder, (ii) is subject to any legal action,
proceeding or investigation (pending or threatened), dispute, set-off,
counterclaim, defense, abatement, suspension, deferment, deductible, reduction
or termination by the Obligor, or (iii) is past, or within 180 days of, the
statutory limit for collection applicable to the Obligor.
 
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(f) Such Borrower does not have any guaranty of, letter of credit support for,
or collateral security for, such Account, other than any such guaranty, letter
of credit or collateral security as has been assigned to Lender.
 
(g) The services constituting the basis of such Account (i) were medically
necessary for the patient and (ii) at the time such services were rendered, were
fully covered by the insurance policy or Contract obligating the applicable
Obligor to make payment with respect to such Account (and the corresponding
Borrower has verified such determination), and (iii) the patient received such
services in the ordinary course of such Borrower’s business.
 
(h) The fees and charges charged for the services constituting the basis for
such Account were when rendered and are currently consistent with (i) the usual,
customary and reasonable fees charged by Borrowers or (ii) pursuant to
negotiated fee contracts, or imposed fee schedules, with or by the applicable
Obligors.
 
(i) The Obligor with respect to such Account is located in the United States,
and is (i) a party which in the ordinary course of its business or activities
agrees to pay for healthcare services received by individuals, including,
commercial insurance companies and non-profit insurance companies issuing
health, or other types of insurance, employers or unions, self-insured
healthcare organizations, preferred provider organizations, and health insured,
prepaid maintenance organizations, (ii) a state, an agency or instrumentality of
a state or a political subdivision of a state, or (iii) the United States or an
agency or instrumentality of the United States.
 
(j) The insurance policy or Contract obligating an Obligor to make payment (i)
does not prohibit the transfer of such payment obligation from the patient to
the corresponding Borrower and (ii) is and was in full force and effect and
applicable to the patient at the time the services constituting the basis for
such Account were performed.
 
(k) The representations and warranties made by Borrowers in the Loan Documents
and all financial or other information delivered to Lender with respect to
Borrowers and such Account do not contain any untrue statement of material fact
or omit to state a material fact necessary to make the statement made not
misleading.
 
(l) If requested by Lender, a copy of each related Contract to which each
Borrower is a party has been delivered to Lender unless any such Borrower shall
have, prior to the related Funding Date, certified in an Officer’s Certificate
that such delivery is prohibited by the terms of the Contract or by law, and the
circumstances of such prohibition.
 
(m) If such Account has not been billed, the services giving rise to such
Account have been properly recorded in the corresponding Borrower’s accounting
system.
 
(n) Such Account was (or if unbilled, will be) in any event billed no later than
45 days after the date the services or goods giving rise to such Account were
rendered as provided, as applicable, and each bill contains an express direction
requiring the Obligor to remit payments to either the Government Lockbox or
Commercial Lockbox, as applicable.
 
(o) Such Account has an Estimated Net Value which, when added to the Estimated
Net Value of all other Accounts owing by the same Obligor and which constitute
Eligible Accounts hereunder, does not exceed any applicable Concentration Limit.
 
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(p) Neither such Account nor the related Contract contravenes any laws, rules or
regulations applicable thereto (including, without limitation, laws, rules and
regulations relating to usury, consumer protection, truth-in-lending, fair
credit billing, fair credit reporting, equal credit opportunity, fair debt
collection practices and privacy) and no party to such related Contract is in
violation of any such law, rule or regulation in connection with such Contract.
 
(q) As of the applicable Funding Date, to the best of Borrowers’ knowledge, no
Obligor on such Account is bankrupt, insolvent, or is unable to make payment of
its obligations when due, and no other fact exists which would cause any
Borrower reasonably to expect that the amount billed to the related Obligor for
such Account will not be paid in full when due.
 
5.22 Interrelatedness of Borrowers: The business operations of each Borrower are
interrelated and complement one another, and such companies have a common
business purpose, with intercompany bookkeeping and accounting adjustments used
to separate their respective Properties, liabilities and transactions. To permit
their uninterrupted and continuous operation, such companies now require and
will from time to time hereafter require funds for general business purposes.
The proceeds of Advances under the Credit Facility will directly or indirectly
benefit each Borrower hereunder severally and jointly, regardless of which
Borrower requests or receives part or all of the proceeds of such Loan.
 
5.23 Commercial Tort Claims: Borrowers have no commercial tort claims against
any third parties, except as shown on Schedule 2 hereto.
 
5.24 Letter of Credit Rights: Borrowers have no letter of credit rights except
as shown on Schedule 2 hereto.
 
5.25 Intellectual Property: Except as shown on Schedule 2 attached hereto and
made part hereof, (i) Borrowers do not require any copyrights, patents,
trademarks or other intellectual property, or any license(s) to use any patents,
trademarks or other intellectual property in order to provide services to their
customers or to bill Obligors and collect therefrom, in the ordinary course of
business, and (ii) Lender will not require any copyrights, patents, trademarks
or other intellectual property or any licenses to use the same in order to
provide such services or bill and collect the Accounts, after the occurrence of
an Event of Default.
 
5.26 Solvency: On the Closing Date, and immediately prior to and after giving
effect to each borrowing hereunder and the use of the proceeds thereof, with
respect to each Borrower (a) the fair value of its assets is greater than the
amount of its liabilities (including disputed, contingent and unliquidated
liabilities) as such value is established and liabilities evaluated, (b) the
present fair saleable value of its assets is not less than the amount that will
be required to pay the probable liability on its debts as they become absolute
and matured, (c) it is able to realize upon its assets and pay its debts and
other liabilities (including disputed, contingent and unliquidated liabilities)
as they mature in the normal course of business, (d) it does not intend to, and
does not believe that it will, incur debts or liabilities beyond its ability to
pay as such debts and liabilities mature, and (e) it is not engaged in business
or a transaction, and is not about to engage in business or a transaction, for
which its property would constitute unreasonably small capital.
 
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SECTION 6. BORROWER’S AFFIRMATIVE COVENANTS

 
Each Borrower covenants that until all of Borrowers’ Obligations to Lender are
paid and satisfied in full and the Credit Facility has been terminated:
 
6.1 Payment of Taxes and Claims: Each Borrower shall pay, before they become
delinquent, all taxes, assessments and governmental charges or levies imposed
upon it or upon such Borrower’s Property, except for those being contested in
good faith with due diligence by appropriate proceedings and for which
appropriate reserves have been maintained under GAAP.
 
6.2 Maintenance of Insurance, Financial Records and Existence:

 
(a) Property Insurance - Borrowers shall maintain or cause to be maintained
insurance on its Property against fire, flood, casualty and such other hazards
in such amounts, with such deductibles and with such insurers as are customarily
used by companies operating in the same industry as Borrowers The policies of
all such casualty insurance shall contain standard Lender Loss Payable and
additional insured clauses issued in favor of Lender pursuant to which all
losses thereunder shall be paid to Lender as Lender’s interests may appear. Such
policies shall expressly provide that the requisite insurance cannot be altered
or canceled without thirty (30) days prior written notice to Lender and shall
insure Lender notwithstanding the act or neglect of the insured. At or prior to
Closing, Borrowers shall furnish Lender with insurance certificates certified as
true and correct and being in full force and effect as of the Closing Date or
such other evidence of insurance as Lender may require. In the event Borrowers
fail to procure or cause to be procured any such insurance or to timely pay or
cause to be paid the premium(s) on any such insurance, Lender may do so for
Borrowers, but Borrowers shall continue to be liable for the same. Borrowers
further covenant that all insurance premiums owing under its current casualty
policy have been paid. Borrowers also agree to notify Lender, promptly, upon
Borrowers’ receipt of a notice of termination, cancellation or non-renewal from
its insurance company of any such policy. Each Borrower hereby appoints Lender
as its attorney-in-fact, exercisable at Lender’s option, to endorse any check
which may be payable to such Borrower in order to collect the proceeds of such
insurance.
 
(b) Public Liability and Business Interruption Insurance - Borrowers shall
maintain, and shall deliver to Lender upon Lender’s request evidence of public
liability and business interruption insurance in such amounts as is customary
for companies in the same or similar businesses located in the same or similar
area.
 
(c) Financial Records - Borrowers shall keep current and accurate books of
records and accounts in which full and correct entries will be made of all of
its business transactions, and will reflect in its financial statements adequate
accruals and appropriations to reserves, all in accordance with GAAP. No
Borrower shall change its respective fiscal year end date without the prior
written notice to Lender.
 
(d) Existence and Rights - Each Borrower shall do (or cause to be done) all
things necessary to preserve and keep in full force and effect its legal
existence, good standing, rights and franchises.
 
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(e) Compliance with Laws - Each Borrower shall be in material compliance with
any and all laws, ordinances, governmental rules and regulations, and court or
administrative orders or decrees to which it is subject, whether federal, state
or local (including without limitation all environmental or
environmental-related laws, statutes, ordinances, rules, regulations and
notices), and shall obtain and maintain any and all licenses, permits,
franchises, certificates of need or other governmental authorizations necessary
to the ownership of its Property or to the conduct of its businesses, which
violation or failure to obtain may materially adversely affect the business,
Property, financial conditions or prospects of such Borrower, the Collateral, or
Lender’s rights with respect to the Collateral.
 
6.3 Business Conducted: Each Borrower shall continue in the business presently
operated by it using its best efforts to maintain its customers. No Borrower
shall engage, directly or indirectly, in any material respect in any line of
business substantially different from the businesses conducted by it immediately
prior to the Closing Date.
 
6.4 Litigation: Borrowers shall give prompt notice to Lender of any (a)
litigation claiming in excess of $50,000 from Borrowers, or any of them, or
which may otherwise have a material adverse effect on the business, financial
condition, Property or prospects of Borrowers, or any of them, and (b) subpoena
received by any Borrower from any governmental authority, including the Office
of the Inspector General, the Department of Justice or the Centers for Medicare
and Medicaid Services.
 
6.5 Taxes: Borrowers shall pay all taxes (other than taxes based upon or
measured by Lender’s income or revenues), if any, in connection with the Loans
and/or the recording of any financing statements or other Loan Documents. The
Obligations of Borrowers under this section shall survive the payment of
Borrowers’ Obligations under this Agreement and the termination of this
Agreement.
 
6.6 Financial Covenants: Borrowers shall perform and comply with each of the
following financial covenants as reflected and computed from their financial
statements, it being acknowledged and agreed that such financial covenants shall
be calculated solely on the financial results of NYH, and shall exclude the
financial results of BioBalance:
 
(a) Fixed Charge Coverage Ratio. Borrowers shall maintain at all times a Fixed
Charge Coverage Ratio of not less than 1.25 to 1.00, measured on a trailing four
quarter basis commencing with the fiscal quarter ending September 30, 2007 and
measured on the last day of each fiscal quarter thereafter.
 
(b) Minimum EBITDA. Borrowers shall maintain at all times EBITDA in an amount
not less than $750,000, measured on a trailing four quarter basis commencing
with the fiscal quarter ending September 30, 2007 and measured on the last day
of each fiscal quarter thereafter.
 
6.7 Financial and Business Information: Borrowers shall deliver to Lender the
following (all to be in form and substance satisfactory to Lender):
 
(a) Financial Statements and Collateral Reports:
 
(i) as soon as available but in any event, within one hundred and twenty (120)
days after the end of each fiscal year of Borrowers, deliver financial
statements of Borrowers for such year which present fairly Borrowers’ financial
condition including the balance sheet of Borrowers as at the end of such fiscal
year and a statement of cash flows and income statement for such fiscal year,
all on a consolidated and consolidating basis, setting forth in the consolidated
statements in comparative form, the corresponding figures as at the end of and
for the previous fiscal year, all in reasonable detail, including all supporting
schedules, and audited by independent public accountants of recognized standing,
selected by Borrowers and reasonably satisfactory to Lender, and prepared in
accordance with GAAP;
 
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(ii) as soon as available but in any event within forty-five (45) days after the
end of each calendar month, deliver to Lender Borrowers’ internally prepared
monthly consolidated and consolidating financial statements, along with year to
date information, including a balance sheet, income statement and statement of
cash flows with respect to the periods measured;
 
(iii) promptly upon request, deliver such other information concerning Borrowers
as Lender may from time to time request, including Medicare and Medicaid cost
reports and audits, annual reports, security law filings and reports to any
security holders; and
 
(iv) at least thirty (30) days after the first day of each fiscal year, annual
consolidated and consolidating projections for Borrowers for such year,
including a balance sheet, income statement and statement of cash flow and a
Borrowing Base Availability projections, all prepared on a monthly basis; and
 
(v) contemporaneously with delivery of the annual financial statements referred
to in clause (i) above, census data for each Borrower and a good standing
certificate from each Borrower’s jurisdiction of organization evidencing that
such Borrower remain in good standing in, and continue to be organized under the
laws of, such jurisdiction; and
 
(vi) as soon as available, copies of: (A) all financial statements, reports,
notices and proxy statements made publicly available by any Borrower to its
security holders; (B) all regular and periodic reports and all registration
statements and prospectuses, if any, filed by any Borrower with any securities
exchange or with the Securities and Exchange Commission or any governmental or
private regulatory authority; and (C) all press releases and other statements
made available by any Borrower to the public concerning material changes or
developments in the business of such Borrower or its Subsidiaries or Affiliates.
 
(vii) such other data, reports, statements and information (financial or
otherwise), as Lender may reasonably request.
 
(b) Notice of Event of Default - promptly upon becoming aware of the existence
of any condition or event which constitutes a default or an Event of Default or
Unmatured Event of Default under this Agreement, a written notice specifying the
nature and period of existence thereof and what action Borrowers are taking (and
propose to take) with respect thereto;
 
(c) Notice of Claimed Default - promptly upon receipt by any Borrower, notice of
default, oral or written, given to such Borrower by any creditor for borrowed
money in excess of $50,000.
 
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(d) Notice of Sales of Capital Stock or Equity Interest - promptly upon becoming
aware of the sale of capital stock and other equity interests of any Borrower by
(a) any officer or director who is a Shareholder, (b) any Person owning an
amount equal to or more than 5% of the authorized and outstanding shares of
capital stock and other equity interests of any Borrower, (c) any Person who
acquires any classes of capital stock or other equity interests of such Borrower
which requires such purchaser to file a Schedule 13-D under the Securities
Exchange Act of 1934 or (d) any Person set forth on Schedule 2.
 
6.8 Officers’ Certificates: Along with the set of financial statements delivered
to Lender at the end of each fiscal quarter and fiscal year pursuant to Section
6.7(a) hereof, deliver to Lender a certificate (in the form of Exhibit 6.8
attached hereto and made a part hereof) from the chief financial officer of
Borrowers setting forth:
 
(a) Covenant Compliance - the information (including detailed calculations)
required in order to establish whether Borrowers are in compliance with the
requirements of Sections 6.6 as of the end of the period covered by the
financial statements then being furnished (and any exhibits appended thereto)
under Section 6.7; and
 
(b) Event of Default - that the signer in his capacity as an officer of
Borrowers has reviewed the relevant terms of this Agreement, and has made (or
caused to be made under his supervision) a review of the transactions and
conditions of Borrowers from the beginning of the accounting period covered by
the financial statements being delivered therewith to the date of the
certificate, and that such review has not disclosed the existence during such
period of any condition or event which constitutes an Event of Default or
Unmatured Event of Default or if any such condition or event existed or exists,
specifying the nature and period of existence thereof and what action Borrowers
have taken or propose to take with respect thereto.
 
6.9 Inspection: Borrowers will permit any of Lender’s officers or other
representatives to visit and inspect any Borrowers’ location(s) or where any
Collateral is kept during regular business hours to examine and audit all of
such Borrower’s books of account, records, reports and other papers, to make
copies and extracts therefrom and to discuss its affairs, finances and accounts
with its officers, employees and independent certified public accountants and
attorneys (each an “Audit”). Borrowers shall pay to Lender all reasonable fees
based on standard rates for each Audit; provided, however, that Borrowers shall
only be obligated to pay such fees (a) two times during each twelve (12) month
period, so long as (1) an Unmatured Event of Default or Event of Default has not
occurred and is continuing, and (2) Total Liquidity has been greater than
$1,750,000 for the previous six (6) consecutive calendar months, or (b) four
times during each twelve (12) month period, so long as (1) an Unmatured Event of
Default or Event of Default has not occurred and is continuing, and (2) Total
Liquidity is less than $1,750,000; provided, further, that any reimbursements
made by the Borrower pursuant to subsection (b) shall not count towards the
Borrowers' reimbursement obligations under subsection (a).
 
6.10 Tax Returns and Reports: At Lender’s request from time to time, Borrowers
shall promptly furnish Lender with copies of the annual federal and state income
tax returns of Borrowers.
 
6.11 Material Adverse Developments: Each Borrower agrees that immediately upon
it or any of its officers becoming aware of any development or other information
which would reasonably be expected to materially and adversely affect the
businesses, financial condition, Property, prospects of a Borrower or a
Borrowers’ ability to perform under this Agreement, it shall give to Lender
telephonic or facsimile notice specifying the nature of such development or
information and such anticipated effect. In addition, such verbal communication
shall be confirmed by written notice thereof to Lender on the next Business Day
after such verbal notice is given.
 
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6.12 Places of Business: Each Borrower shall give thirty (30) days prior written
notice to Lender of any changes (a) its jurisdiction of organization, (b) in the
location of any of its chief executive office or any other places of business,
or the establishment of any new, or the discontinuance of any existing place of
business, and (c) its name.
 
6.13 Notice of Action: Each Borrower will promptly notify Lender in the event of
any legal action, dispute, setoff, counterclaim, defense or reduction in excess
of $100,000 that is or may be asserted by an Obligor with respect to any Account
that may have a material adverse effect on the collectibility of such Account or
all Accounts collectively.
 
6.14 Verification of Information: At the request of Lender, Borrowers will
promptly provide and verify the accuracy of information concerning Borrowers and
their Affiliates of the type provided to Lender in connection with Lender’s
decision to enter into this Agreement and such other information concerning
Borrowers and their Affiliates as Lender may reasonably request in connection
with any offering documents with respect to the contemplated securitization of,
and sale of securities backed by, the Eligible Accounts (the “Securities”),
including, without limitation, all information necessary to provide full and
complete disclosure of all material facts pertaining to an investment in the
Securities in compliance with federal and state securities and blue sky laws,
and such information may be published in such offering documents and relied upon
by Lender and any party arranging the offering of such Securities by Lender or
its assignee. Such information will be true and complete in all material
respects and will not omit to state a material fact necessary to make the
statements contained in such information, in light of the circumstances under
which they were made, not misleading.
 
6.15 Value Track System™: Borrowers shall permit Lender to interface its Value
Track System™ to Borrowers’ data files and will assist Lender in completing and
maintaining such interface such that the interface can interpret, track and
reconcile the Accounts Detail File provided by Borrowers.
 
6.16 Commercial Tort Claim: Borrowers shall provide written notice to Lender of
any commercial tort claim in excess of $100,000 to which a Borrower is or
becomes a party or which otherwise inures to the benefit of a Borrower. Such
notice shall contain a sufficient description of such commercial tort claim
including the parties, the court in which the claim was commenced (if
applicable), the docket number assigned to the case (if applicable), and a
detailed explanation of the events giving rise to such claim. Borrowers shall
grant Lender a security interest in such commercial tort claim to secure payment
of the Obligations. Borrowers shall execute and deliver such instruments,
documents and agreements as Lender may require in order to obtain and perfect
such security interest including, without limitation, a security agreement or
amendment to this Agreement all in form and substance satisfactory to Lender.
Each Borrower authorizes Lender to file (without such Borrower’s signature)
financing statements or amendments to existing financing statements as Lender
deems necessary to perfect the security interest in such commercial tort claim.
 
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6.17 Post-Closing Covenants:
 
(a)  The Borrowers agree to
 
(a) close for deposit all bank accounts other than those maintained at Lockbox
Bank by no later than 90 days after the Closing Date; provided, however, that
Borrowers may keep such bank accounts open for the limited purpose of permitting
the clearance of checks that were issued by the Borrowers prior to the Closing
Date;
 
(b) on or before the 60th day following the Closing Date, use best efforts to
obtain executed landlord waivers in form and substance satisfactory to the
Lender for any location where any books and records of Borrowers may be kept.
 
SECTION 7. BORROWERS’ NEGATIVE COVENANTS

 
Each Borrower covenants that until all of Borrowers’ Obligations to Lender are
paid and satisfied in full and the Credit Facility has been terminated, that:
 
7.1 Merger, Consolidation, Dissolution or Liquidation: 

 
(a) No Borrower shall sell, lease, license, transfer or otherwise dispose of its
Property other than inventory sold in the ordinary course or ordinary operation
of such Borrower’s business, without Lender’s prior written consent.
 
(b) No Borrower shall merge or consolidate with, or acquire, any other Person or
commence a dissolution or liquidation, other than through a merger with another
Borrower, without Lender’s prior written consent.
 
(c) For the avoidance of doubt, the restrictions set forth in this Section 7.1
shall not apply to any assets or property of Borrowers’ Subsidiary, BioBalance
or the capital stock of BioBalance; provided, however, that under no
circumstance shall NYH be permitted to merge or consolidate with or into, or
acquire any of the assets of BioBalance.
 
7.2 Liens and Encumbrances: No Borrower shall: (i) execute a negative pledge
agreement with any Person covering any of the Collateral, or (ii) cause or
permit or agree or consent to cause or permit in the future (upon the happening
of a contingency or otherwise) the Collateral, whether now owned or hereafter
acquired, to be subject to any lien, claim or encumbrance other than those of
Lender and Permitted Liens.
 
7.3 Negative Pledge: No Borrower shall permit a lien or security interest to
exist on its common stock, partnership interests or membership units nor shall
any such Borrower permit, pledge or grant a lien or security interest to exist
on the common stock, partnership interests or membership units of its
subsidiaries and/or Affiliates.
 
7.4 Transactions With Affiliates or Subsidiaries: 
 
(a) No Borrower shall enter into any transaction with any Subsidiary or other
Affiliate (other than another Borrower) including, without limitation, the
purchase, sale, lease or exchange of Property, or the loaning, capitalization or
giving of funds to any such Affiliate or any Subsidiary, unless (i) such
Subsidiary or Affiliate is engaged in a business substantially related to the
business conducted by such Borrower, (ii) the transaction is in the ordinary
course of and pursuant to the reasonable requirements of such Borrower’s
business and upon terms substantially the same and no less favorable to such
Borrower as it would obtain in a comparable arm’s-length transactions with any
Person not an Affiliate or a subsidiary and (iii) such transaction is not
prohibited hereunder.
 
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(b) Notwithstanding anything contained in Section 7.4(a), Borrowers may loan,
capitalize or give funds to BioBalance so long as (i) an Unmatured Event of
Default or Event of Default has not occurred, (ii) such transaction is not
otherwise prohibited hereunder, and (iii) Total Liquidity as of the end of the
most recent calendar month has been not less than One Million Seven Hundred
Fifty Thousand Dollars ($1,750,000).
 
(c) Subject in any event to the limitations of Section 7.4(a) above and except
with the prior written consent of Lender, no Borrower shall create or acquire
any Subsidiary unless such Subsidiary engages in a business substantially
related to the business of such Borrower as conducted immediately prior to the
Closing Date, and if required by Lender, such Subsidiary becomes a Borrower
hereunder.
 
7.5 Guarantees: No Borrower shall become or be liable, directly or indirectly,
primarily or secondarily, matured or contingent, in any manner, whether as
guarantor, surety, accommodation maker, or otherwise, for the existing or future
indebtedness of any kind of any other Person, except endorsements in the
ordinary course of business of negotiable instruments for deposit or collection.
 
7.6 Indebtedness: Without Lender’s prior written consent, no Borrower shall
create, incur, assume or suffer to exist any Indebtedness (exclusive of trade
debt) except (subject to compliance with Section 6.6 hereof):
 
(a) Indebtedness to Lender,
 
(b) Indebtedness specifically identified on Schedule 2 hereto and any
refinancings, refundings, renewals, or extensions thereof;
 
(c) Indebtedness constituting purchase money indebtedness for the financing of
capital expenditures in an aggregate principal amount not to exceed $250,000, so
long as (i) such Indebtedness is secured only by a security interest in the
equipment being financed, (ii) the terms of such Indebtedness are reasonably
satisfactory to Lender, and (iii) such Indebtedness does not cause, or result
in, an Event of Default or Unmatured Event of Default; and
 
(d) Indebtedness of any Borrower to any other Borrower.
 
7.7 Loans to Other Persons: No Borrower shall make or be permitted to have
outstanding any loans, advances or extensions of credit to any Person (other
than another Borrower).
 
7.8 Change in Ownership/Management: No Borrower, unless consented to in writing
by Lender, shall permit any current or future Shareholder together with any
Affiliate of such Shareholder, to own an aggregate amount greater than 15% of
all of the outstanding capital stock or other equity interests of such Borrower.
In addition, unless consented to by Lender, or if a replacement acceptable to
Lender is employed within 90 days of any terminations (such consent not to be
unreasonably withheld) current senior management shall continue as senior
management of Borrowers actively involved in the date to day management of such
Borrowers.  
 
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7.9 Subordinated Debt Payments: No Borrower shall make any payment in
contravention of the terms and conditions of the Subordination Agreements.
 
7.10 Distributions: Borrowers shall not declare or pay or make any forms of
Distributions to its Shareholders, Subsidiaries, Affiliates, officers or
directors or their respective successors or assigns; provided, however, that
Borrowers shall be permitted to make Distributions or capital contributions to
BioBalance so long as an Unmatured Event of Default or Event of Default has not
occurred and Total Liquidity, as of the end of the most recent calendar month
and after giving effect to such Distribution, is not less than One Million Seven
Hundred Fifty Thousand Dollars ($1,750,000).
 
SECTION 8. DEFAULT

 
8.1 Events of Default: Each of the following events shall constitute an event of
default (“Event of Default”) and Lender shall thereupon have the option to
declare the Obligations immediately due and payable, all without demand, notice,
presentment or protest or further action of any kind (it also being understood
that the occurrence of any of the events or conditions set forth in
subparagraphs (j), (k), (l) or (r) shall automatically cause an acceleration of
the Obligations without notice or demand):
 
(a) Payments - if Borrowers fail to make any payment of principal or interest on
the date when such payment is due and payable and such failure continues for a
period of one (1) Business Day; provided, however, that the one (1) Business Day
grace period shall not be applicable if such payments are due and payable due to
maturity, acceleration or demand, whether following an Event of Default or
otherwise; or
 
(b) Other Charges - if Borrowers fail to pay any other charges, fees, Expenses
or other monetary obligations owing to Lender, arising out of or incurred in
connection with this Agreement on the date when such payment is due and payable,
whether upon maturity, acceleration, demand or otherwise and such failure
continues for a period of five (5) Business Days after the earlier of a Borrower
becoming aware of such failure or a Borrower receiving written notice of such
failure; provided, however, that the five (5) Business Day grace period shall
not be applicable if such payments are due and payable due to maturity,
acceleration or demand, whether following an Event of Default, or otherwise; or
 
(c) Particular Covenant Defaults - if any Borrower fails to perform, comply with
or observe any covenant or undertaking contained in this Agreement not otherwise
described in this Section 8.1, and such failure continues for a period of five
(5) Business Days after the earlier of a Borrower becoming aware of such failure
or a Borrower receiving written notice of such failure; or
 
(d) Financial Information - if any statement, report, financial statement, or
certificate made or delivered by a Borrower or any of their officers, employees
or agents, to Lender is not true and correct, in all material respects, when
made; or
 
(e) Uninsured Loss - if there shall occur any uninsured damage to or loss,
theft, or destruction in excess of $100,000 with respect to any portion of any
Borrower’s Property; or
 
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(f) Warranties or Representations - if any warranty, representation or other
statement by or on behalf of Borrowers, or any of them, contained in or pursuant
to this Agreement, or in any document, agreement or instrument furnished in
compliance with, relating to, or in reference to this Agreement, is false,
erroneous, or misleading in any material respect when made; or
 
(g) Agreements with Others - if Borrowers, or any of them, shall default beyond
any grace period under any agreement with respect to any Indebtedness not to
exceed $250,000 in the aggregate and (i) such default consists of the failure to
pay any principal, premium or interest with respect to such Indebtedness for
borrowed money or (ii) such default consists of the failure to perform any
covenant or agreement with respect to such Indebtedness for borrowed money, if
the effect of such default is to cause or permit such Indebtedness to become due
prior to its maturity date or prior to its regularly scheduled date of payment;
 
(h) Other Agreements with Lender - if Borrowers, or any of them, breach or
violate the terms of, or if a default or an event of default, occurs under, any
other existing or future agreement (related or unrelated) between or among
Borrowers, or any of them and Lender, including without limitation, any lease
agreements or finance agreements with any affiliate of Lender; or
 
(i) Judgments - if any final judgment for the payment of money in excess of
$50,000 shall be rendered against Borrowers, or any of them, which is not fully
and unconditionally covered by insurance or an appeal bond, or for which such
Person has not established a cash or cash equivalent reserve in the amount of
such judgment;
 
(j) Assignment for Benefit of Creditors, etc. - if Borrowers, or any of them,
make or propose an assignment for the benefit of creditors generally, offers a
composition or extension to creditors, or makes or sends notice of an intended
bulk sale of any business or assets now or hereafter owned or conducted by any
Borrower which might materially and adversely affect such Person; or
 
(k) Bankruptcy, Dissolution, etc. - upon the commencement of any action for the
dissolution or liquidation of Borrowers, or any of them, or the commencement of
any proceeding to avoid any transaction entered into by Borrowers, or any of
them, or the commencement of any case or proceeding for reorganization or
liquidation of Borrowers’, or any of their debts under the Bankruptcy Code or
any other state or federal law, now or hereafter enacted for the relief of
debtors, whether instituted by or against any Borrower; provided, however, that
Borrowers shall have forty-five (45) days to obtain the dismissal or discharge
of involuntary proceedings filed against a Borrower, it being understood that
during such forty-five (45) day period, Lender shall be not obligated to make
Advances hereunder and Lender may seek adequate protection in any bankruptcy
proceeding; or
 
(l) Receiver - upon the appointment of a receiver, liquidator, custodian,
trustee or similar official or fiduciary for Borrowers, or any of them, or for
any of any such Borrower’s Property; or
 
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(m) Execution Process, Seizure, etc. - the issuance of any execution or
distraint process against any Borrower, or any of them, or any Property of any
such Borrower is seized by any governmental entity, federal, state or local; or
 
(n) Termination of Business - if Borrowers, or any of them, cease any material
portion of their business operations as presently conducted; or
 
(o) Pension Benefits, etc. - if Borrowers, or any of them, fail to comply with
ERISA, so that grounds exist to permit the appointment of a trustee under ERISA
to administer Borrower’s employee plans or to allow the Pension Benefit Guaranty
Corporation to institute proceedings to appoint a trustee to administer such
plan(s), or to permit the entry of a Lien to secure any deficiency or claim; or
 
(p) Investigations - any indication or evidence received by Lender that
reasonably leads it to believe Borrowers, or any of them, may have directly or
indirectly been engaged in any type of activity which would be reasonably likely
to result in the forfeiture of any Property of Borrowers, or any of them, to any
governmental entity, federal, state or local; or
 
(q) Material Adverse Events -
 
(i) Lender reasonably determines that an event which adversely affects the
collectibility of a material portion of the Accounts has occurred; or
 
(ii) a material adverse change occurs in the business or condition of Borrowers,
or any of them.
 
(r) Lockbox Instructions - any instruction or agreement regarding the Commercial
Lockbox or the Government Lockbox or the bank accounts related thereto is
amended or terminated without the written consent of Lender, or if any Borrower
fails, within one Business Day of receipt, to forward Collections it receives
with respect to any Accounts to the Commercial Lockbox or the Government
Lockbox, as the case may be.
 
8.2 Cure: Nothing contained in this Agreement or the Loan Documents shall be
deemed to compel Lender to accept a cure of any Event of Default hereunder.
 
8.3 Rights and Remedies on Default: 

 
(a) In addition to all other rights, options and remedies granted or available
to Lender under this Agreement or the Loan Documents, or otherwise available at
law or in equity, upon or at any time after the occurrence and during the
continuance of an Event of Default or Unmatured Event of Default, Lender may, in
its discretion, withhold or cease making Advances under the Credit Facility.
 
(b) In addition to all other rights, options and remedies granted or available
to Lender under this Agreement or the Loan Documents (each of which is also then
exercisable by Lender), Lender may, in its discretion, upon or at any time after
the occurrence of an Event of Default, terminate the Credit Facility (it also
being understood that the occurrence of any of the events or conditions set
forth in subparagraphs (j), (k) or (l) of Section 8.1 hereof shall automatically
cause a termination of the Credit Facility without notice or demand).
 
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(c) In addition to all other rights, options and remedies granted or available
to Lender under this Agreement or the Loan Documents (each of which is also then
exercisable by Lender), Lender may, upon or at any time after the occurrence of
an Event of Default, exercise all rights under the UCC and any other applicable
law or in equity, and under all Loan Documents permitted to be exercised after
the occurrence of an Event of Default, including the following rights and
remedies (which list is given by way of example and is not intended to be an
exhaustive list of all such rights and remedies):
 
(i) Subject to all applicable laws and regulations governing payment of Medicare
and Medicaid receivables, the right to “take possession” of the Collateral, and
notify all Obligors of Lender’s security interest in the Collateral and require
payment under the Accounts to be made directly to Lender and Lender may, in its
own name or in the name of the applicable Borrower, exercise all rights of a
secured party with respect to the Collateral and collect, sue for and receive
payment on all Accounts, and settle, compromise and adjust the same on any terms
as may be satisfactory to Lender, in its sole and absolute discretion for any
reason or without reason and Lender may do all of the foregoing with or without
judicial process (including without limitation notifying the United States
postal authorities to redirect mail addressed to Borrowers, or any of them, to
an address designated by Lender); or
 
(ii) Require Borrowers at Borrowers’ expense, to assemble all or any part of the
Collateral and make it available to Lender at any place designated by Lender,
which may include providing Lender or any entity designated by Lender with
access (either remote or direct) to Borrowers’ information system for purposes
of monitoring, posting payments and rebilling Accounts to the extent deemed
desirable by Lender in its sole discretion; or
 
(iii) The right to reduce or modify the Revolving Loan Commitment, Borrowing
Base or any portion thereof or the Advance Rates or to modify the terms and
conditions upon which Lender may be willing to consider making Advances under
the Credit Facility or to take additional reserves in the Borrowing Base for any
reason.
 
(d) Borrowers hereby agree that a notice received by them at least ten (10) days
before the time of any intended public sale or of the time after which any
private sale or other disposition of the Collateral is to be made, shall be
deemed to be reasonable notice of such sale or other disposition. If permitted
by applicable law, any Collateral which threatens to speedily decline in value
or which is sold on a recognized market may be sold immediately by Lender
without prior notice to Borrowers. Each Borrower covenants and agrees not to
interfere with or impose any obstacle to Lender’s exercise of its rights and
remedies with respect to the Collateral.
 
(e) Lender is hereby granted, until the Obligations are paid in full and all
obligations of Lender hereunder are terminated, a worldwide license to use,
after the occurrence and during the continuance of an Event of Default and
without charge, all of Borrowers’ labels, trademarks (and associated goodwill),
copyrights, patents and advertising matter, as they pertain to the Collateral,
in completing production of, advertising for sale and selling of any Collateral.
 
8.4 Nature of Remedies: All rights and remedies granted Lender hereunder and
under the Loan Documents, or otherwise available at law or in equity, shall be
deemed concurrent and cumulative, and not alternative remedies, and Lender may
proceed with any number of remedies at the same time until all Obligations are
satisfied in full. The exercise of any one right or remedy shall not be deemed a
waiver or release of any other right or remedy, and Lender, upon or at any time
after the occurrence of an Event of Default, may proceed against Borrowers, or
any of them, at any time, under any agreement, with any available remedy and in
any order.
 
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8.5 Set-Off: If any bank account or other Property held by or with Lender, or
any Affiliate of Lender, or any participant is attached or otherwise liened or
levied upon by any third party, Lender (and such participant) shall have and be
deemed to have, without notice to Borrowers, the immediate right of set-off and
may apply the funds or other amounts or property thus set off against any of
Borrowers’ Obligations hereunder.
 
SECTION 9. MISCELLANEOUS

 
9.1 GOVERNING LAW: THIS AGREEMENT, AND ALL MATTERS ARISING OUT OF OR RELATING TO
THIS AGREEMENT, SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS
OF THE STATE OF NEW YORK. THE PROVISIONS OF THIS AGREEMENT, THE OTHER LOAN
DOCUMENTS AND ALL OTHER AGREEMENTS AND DOCUMENTS REFERRED TO HEREIN ARE TO BE
DEEMED SEVERABLE, AND THE INVALIDITY OR UNENFORCEABILITY OF ANY PROVISION SHALL
NOT AFFECT OR IMPAIR THE REMAINING PROVISIONS WHICH SHALL CONTINUE IN FULL FORCE
AND EFFECT.
 
9.2 Integrated Agreement: The Revolving Credit Note, the other Loan Documents,
all related agreements, and this Agreement shall be construed as integrated and
complementary of each other, and as augmenting and not restricting Lender’s
rights and remedies. If, after applying the foregoing, an inconsistency still
exists, the provisions of this Agreement shall constitute an amendment thereto
and shall control.
 
9.3 Waiver and Indemnity: 

 
(a) No omission or delay by Lender in exercising any right or power under this
Agreement or any related agreements and documents will impair such right or
power or be construed to be a waiver of any default, or Event of Default or an
acquiescence therein, and any single or partial exercise of any such right or
power will not preclude other or further exercise thereof or the exercise of any
other right, and as to any Borrower no waiver will be valid unless in writing
and signed by Lender and then only to the extent specified.
 
(b) Each Borrower releases and shall indemnify, defend and hold harmless Lender,
and its respective officers, employees and agents, of and from any claims,
demands, liabilities, obligations, judgments, injuries, losses, damages and
costs and expenses (including, without limitation, reasonable legal fees)
resulting from (i) acts or conduct of a Borrower under, pursuant or related to
this Agreement and the other Loan Documents, (ii) any Borrower’s breach, or
alleged breach, or violation of any representation, warranty, covenant or
undertaking contained in this Agreement or the other Loan Documents, and (iii)
any Borrower’s failure, or alleged failure, to comply with any or all laws,
statutes, ordinances, governmental rules, regulations or standards, whether
federal, state or local, or court or administrative orders or decrees (including
without limitation environmental laws, etc.), and all costs, expenses, fines,
penalties or other damages resulting therefrom, unless resulting from acts or
conduct of Lender constituting willful misconduct or gross negligence.
 
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(c) Lender shall not be liable for, and Borrowers hereby agree that Lender’s
liability in the event of a breach by Lender of this Agreement shall be limited
to Borrowers’ direct damages suffered and shall not extend to, any consequential
or incidental damages. In the event Borrowers bring suit against Lender in
connection with the transactions contemplated hereunder, and Lender is found not
to be liable, Borrowers shall indemnify and hold Lender harmless from all costs
and expenses, including reasonable attorneys’ fees, incurred by Lender in
connection with such suit.
 
9.4 Time: Whenever Borrowers, or any of them, shall be required to make any
payment, or perform any act, on a day which is not a Business Day, such payment
may be made, or such act may be performed, on the next succeeding Business Day.
Time is of the essence in Borrowers’ performance under all provisions of this
Agreement and all related agreements and documents.
 
9.5 Expenses of Lender: 

 
(a) At Closing and from time to time thereafter, Borrowers will pay all
reasonable expenses of Lender on demand and in no event later than three (3)
days after such demand is made (including, without limitation, search costs,
audit fees, appraisal fees, and the fees and expenses of legal counsel for
Lender) relating to this Agreement, and all related agreements and documents,
including, without limitation, expenses incurred in the analysis, negotiation,
preparation, closing, administration and enforcement of this Agreement and the
other Loan Documents, the enforcement, protection and defense of the rights of
Lender in and to the Loans and Collateral or otherwise hereunder, and any
reasonable expenses relating to extensions, amendments, waivers or consents
pursuant to the provisions hereof, or any related agreements and documents or
relating to agreements with other creditors, or termination of this Agreement
(collectively, the “Expenses”). Any Expenses not paid upon demand by Lender
shall bear interest at the highest per annum rate of interest applicable to the
Loans.
 
(b) In addition, at any time following the date of this Agreement, Borrowers
effect any changes which results in a change in the format or sequence of
Borrowers’ data, Borrowers shall pay to Lender its reasonable charge for
implementing such changes as are necessary to accommodate the changes in the
format or sequence of the data such that the Value Track System™ is capable of
importing such data, including an hourly fee of $125.
 
9.6 Confidentiality: Except as provided in Section 9.19 hereof or to the extent
required by law or applicable regulations, Borrowers and Lender agree to
maintain the confidentiality of this Agreement and not to disclose the contents
hereof or provide a copy hereof to any third party, except (i) accountants,
lawyers and financial advisers of the parties who are informed of and agree to
be bound by this Section 9.6, and (ii) that copies hereof may be provided to any
assignee or participant (or potential assignee or participant) of Lender’s
interests herein, any investors or prospective investors who acquire or may
acquire Securities backed by Accounts and any parties which facilitate the
issuance of such Securities, including rating agencies, guarantors and insurers.
Lender agrees to maintain the confidentiality of patient information obtained as
a result of its interests in, or duties with respect to, the Accounts and as
otherwise may be required pursuant to the Business Associate Agreement.
 
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9.7 Notices: 

 
(a) Any notices or consents required or permitted by this Agreement shall be in
writing and shall be deemed given if delivered in person or if sent by telecopy
or by nationally recognized overnight courier, or via first class, Certified or
Registered mail, postage prepaid, to the address of such party set forth on the
signature pages hereof, unless such address is changed by written notice
hereunder.
 
(b) Any notice sent by Lender or Borrowers, or any of them, by any of the above
methods shall be deemed to be given when so received.
 
(c) Lender shall be fully entitled to rely upon any facsimile transmission or
other writing purported to be sent by any Authorized Officer (whether requesting
an Advance or otherwise) as being genuine and authorized.
 
9.8 Brokerage: Borrowers represent that Borrowers have not committed Lender to
the payment of any brokerage fee, commission or charge in connection with this
transaction. If any such claim is made on Lender by any broker, finder or agent
or other Person, each Borrower hereby indemnifies, defends and saves Lender
harmless against such claim and further will defend, with counsel satisfactory
to Lender, any action or actions to recover on such claim, at Borrowers’ own
cost and expense, including Lender’s reasonable counsel fees. Each Borrower
further agrees that until any such claim or demand is adjudicated in Lender’s
favor, the amount demanded shall be deemed an Obligation of Borrowers under this
Agreement.
 
9.9 Headings: The headings of any paragraph or Section of this Agreement are for
convenience only and shall not be used to interpret any provision of this
Agreement.
 
9.10 Survival: All warranties, representations, and covenants made by any or all
Borrowers and/herein, or in any agreement referred to herein or on any
certificate, document or other instrument delivered by it or on its behalf under
this Agreement, shall be considered to have been relied upon by Lender, and
shall survive the delivery to Lender of the Revolving Credit Note, regardless of
any investigation made by Lender or on its behalf. All statements in any such
certificate or other instrument prepared and/or delivered for the benefit of
Lender shall constitute warranties and representations by Borrowers hereunder.
Except as otherwise expressly provided herein, all covenants made by any or all
Borrowers hereunder or under any other agreement or instrument shall be deemed
continuing until all Obligations are satisfied in full.
 
9.11 Successors and Assigns: This Agreement shall inure to the benefit of and be
binding upon the successors and assigns of each of the parties. No Borrower may
transfer, assign or delegate any of its duties or obligations hereunder.
 
9.12 Duplicate Originals: Two or more duplicate originals of this Agreement may
be signed by the parties, each of which shall be an original but all of which
together shall constitute one and the same instrument. This Agreement may be
executed in counterparts, all of which counterparts taken together shall
constitute one completed fully executed document.
 
9.13 Modification: No modification hereof or any agreement referred to herein
shall be binding or enforceable unless in writing and signed by Borrowers and
Lender.
 
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9.14 Signatories: Each individual signatory hereto represents and warrants that
he is duly authorized to execute this Agreement on behalf of his principal and
that he executes the Agreement in such capacity and not as a party.
 
9.15 Third Parties: No rights are intended to be created hereunder, or under any
related agreements or documents for the benefit of any third party donee,
creditor or incidental beneficiary of any Borrower. Nothing contained in this
Agreement shall be construed as a delegation to Lender of any Borrower’s duty of
performance, including, without limitation, such Borrower’s duties under any
account or contract with any other Person.
 
9.16 Waivers: 

 
(a) Borrowers each hereby irrevocably, unconditionally and fully subordinate in
favor of Lender, any and all rights they or any of them, may have at any time
(whether arising directly or indirectly, by operation of law or contract) to
assert or receive payment on any claim against each other or any of them, on
account of payments made under this Agreement, including without limitation, any
and all rights of subrogation, reimbursement, exoneration, contribution or
indemnity. Each Borrower waives any event or circumstances which might
constitute a legal or equitable defense of, or discharge of, such Borrower.
Furthermore, each Borrower agrees that if any payment on the Obligations is
recovered from or repaid by Lender in whole or in part in any bankruptcy,
insolvency or similar proceeding instituted by or against any Borrower, the
remaining Borrowers and/shall be obligated to the same extent as if the
recovered or repaid payment had never been originally made on such Obligation.
Each Borrower consents and agrees that Lender shall be under no obligation to
marshal any assets or Collateral in favor of such Borrower or against or in
payment of any or all of the Obligations.
 
(b) Each Borrower hereby consents and agrees that Lender, at any time or from
time to time in its discretion may: (i) settle, compromise or grant releases for
liabilities of other Borrowers, and/or any other Person or Persons liable for
any Obligations, (ii) exchange, release, surrender, sell, subordinate or
compromise any Collateral of any party now or hereafter securing any of the
Obligations, and (iii) following an Event of Default, apply any and all payments
received at any time against the Obligations in any order as Lender may
determine; all of the foregoing in such manner and upon such terms as Lender may
see fit, without notice to or further consent from such Borrower who hereby
agrees and shall remain bound upon this Agreement notwithstanding any such
action on Lender’s part.
 
(c) The liability of each Borrower hereunder is absolute and unconditional and
shall not be reduced, impaired or affected in any way by reason of (i) any
failure to obtain, retain or preserve, or the lack of prior enforcement of, any
rights against any Person or Persons (including other Borrowers), or in any
Property, (ii) the invalidity or unenforceability of any Obligations or rights
in any Collateral, (iii) any delay in making demand upon other Borrowers or any
delay in enforcing, or any failure to enforce, any rights against other
Borrowers or in any Collateral even if such rights are thereby lost, (iv) any
failure, neglect or omission to obtain, perfect or retain any lien upon,
protect, exercise rights against, or realize on, any Property of any Borrower,
or any other party securing the Obligations, (v) the existence or non-existence
of any defenses which may be available to the other Borrowers with respect to
the Obligations, or (vi) the commencement of any bankruptcy, reorganization,
liquidation, dissolution or receivership proceeding or case filed by or against
any of Borrowers.
 
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9.17 CONSENT TO JURISDICTION: EACH BORROWER AND LENDER HEREBY IRREVOCABLY
CONSENT TO THE NON-EXCLUSIVE JURISDICTION OF ANY STATE OR FEDERAL COURT LOCATED
IN THE STATE OF NEW YORK IN ANY AND ALL ACTIONS AND PROCEEDINGS WHETHER ARISING
HEREUNDER OR UNDER ANY OTHER AGREEMENT OR UNDERTAKING. BORROWERS WAIVE ANY
OBJECTION TO IMPROPER VENUE AND FORUM NON-CONVENIENS TO PROCEEDINGS IN ANY SUCH
COURT AND ALL RIGHTS TO TRANSFER FOR ANY REASON. EACH BORROWER IRREVOCABLY
AGREES TO SERVICE OF PROCESS BY CERTIFIED MAIL, RETURN RECEIPT REQUESTED TO THE
ADDRESS OF THE APPROPRIATE PARTY SET FORTH HEREIN.
 
9.18 WAIVER OF JURY TRIAL: EACH BORROWER AND LENDER HEREBY WAIVE ANY AND ALL
RIGHTS IT MAY HAVE TO A JURY TRIAL IN CONNECTION WITH ANY LITIGATION COMMENCED
BY OR AGAINST LENDER WITH RESPECT TO RIGHTS AND OBLIGATIONS OF THE PARTIES
HERETO OR UNDER THE LOAN DOCUMENTS, WHETHER SOUNDING IN TORT, CONTRACT OR
OTHERWISE.
 
9.19 Publication: Borrowers grant Lender the right to publish and/or advertise
information to the effect that this transaction has closed, which information
may include, without limit, (i) the names of Borrowers and Lender, (ii) the size
of the transaction and (iii) those items of information commonly included within
a “tombstone advertisement” of the type customarily published in financial or
business periodicals.
 
9.20 Discharge of Taxes, Borrower’s Obligations, Etc.: Lender, in its sole
discretion, shall have the right at any time, and from time to time, with prior
notice to Borrowers, if Borrowers fail to do so five (5) Business Days after
requested in writing to do so by Lender, to: (a) pay for the performance of any
of Borrowers’ obligations hereunder, and (b) discharge taxes or liens, at any
time levied or placed on any of Borrowers’ Property in violation of this
Agreement unless Borrowers are in good faith with due diligence by appropriate
proceedings contesting such taxes or liens and have established appropriate
reserves therefore under GAAP. Expenses and advances shall be deemed Advances
hereunder and shall be deemed Advances hereunder and shall bear interest at the
highest rate applied to the Loans until reimbursed to Lender. Such payments and
advances made by Lender shall not be construed as a waiver by Lender of an Event
of Default under this Agreement.
 
9.21 Injunctive Relief: The parties acknowledge and agree that, in the event of
a breach or threatened breach of any party’s obligations hereunder, may have no
adequate remedy in money damages and, accordingly, shall be entitled to an
injunction (including without limitation, a temporary restraining order,
preliminary injunction, writ of attachment, or order compelling an audit)
against such breach or threatened breach, including without limitation,
maintaining the cash management and collection procedure described herein.
However, no specification in this Agreement of a specific legal or equitable
remedy shall be construed as a waiver or prohibition against any other legal or
equitable remedies in the event of a breach or threatened breach of any
provision of this Agreement.
 
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SECTION 10. SPECIAL INTER-BORROWER AND GUARANTOR PROVISIONS

 
10.1 Certain Borrower Acknowledgments and Agreements:

 
(a) Each Borrower acknowledges that it will enjoy significant benefits from the
business conducted by the other Borrowers because of, inter alia, their combined
ability to bargain with other Persons including without limitation their ability
to receive the Credit Facility on favorable terms granted by this Agreement and
other Loan Documents which would not have been available to an individual
Borrower acting alone. Each Borrower has determined that it is in its best
interest to procure the Credit Facility which each Borrower may utilize directly
and which receive the credit support of the other Borrowers as contemplated by
this Agreement and the other Loan Documents.
 
(b) Lender has advised Borrowers that it is unwilling to enter into this
Agreement and the other Loan Documents and make available the Credit Facility
extended hereby to any Borrower unless each Borrower agrees, among other things,
to be jointly and severally liable for the due and proper payment of the
Obligations of each Borrower under this Agreement and other Loan Documents. Each
Borrower has determined that it is in its best interest and in pursuit of its
purposes that it so induce Lender to extend credit pursuant to this Agreement
and the other documents executed in connection herewith (i) because of the
desirability to each Borrower of the Credit Facility, the interest rates and the
modes of borrowing available hereunder, (ii) because each Borrower may engage in
transactions jointly with other Borrowers and (iii) because each Borrower may
require, from time to time, access to funds under this Agreement for the
purposes herein set forth.
 
(c) Each Borrower has determined that it has and, after giving effect to the
transactions contemplated by this Agreement and the other Loan Documents
(including, without limitation, the inter-Borrower arrangement set forth in this
Section 10.1) will have, assets having a fair saleable value in excess of the
amount required to pay its probable liability on its existing debts as they fall
due for payment and that the sum of its debts is not and will not then be
greater than all of its Property at a fair valuation, that such Borrower has,
and will have, access to adequate capital for the conduct of its business and
the ability to pay its debts from time to time incurred in connection therewith
as such debts mature and that the value of the benefits to be derived by such
Borrower from the access to funds under this Agreement (including, without
limitation, the inter-Borrower arrangement set forth in this Section 10.1) is
reasonably equivalent to the obligations undertaken pursuant hereto.
 
(d) NYH (on behalf of each Borrower) shall maintain records specifying (a) all
Obligations incurred by each Borrower, (b) the date of such incurrence, (c) the
date and amount of any payments made in respect of such Obligations and (d) all
inter-Borrower obligations pursuant to this Section 10. NYH shall make copies of
such records available to Lender, upon request.
 
10.2 Maximum Amount Of Joint and Several Liability: To the extent that
applicable law otherwise would render the full amount of the joint and several
obligations of any Borrower hereunder and under the other Loan Documents invalid
or unenforceable, such Borrower’s obligations hereunder and under the other Loan
Documents shall be limited to the maximum amount which does not result in such
invalidity or unenforceability, provided, however, that each Borrower’s
obligations hereunder and under the other Loan Documents shall be presumptively
valid and enforceable to their fullest extent in accordance with the terms
hereof or thereof, as if this Section 10.2 were not a part of this Agreement.
 
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10.3 Authorization of NYH_by Borrowers: 

 
(a) Each of Borrowers hereby irrevocably authorizes NYH to give notices, make
requests, make payments, receive payments and notices, give receipts and execute
agreements, make agreements or take any other action whatever on behalf of such
Borrower under and with respect to any Loan Document and each Borrower shall be
bound thereby. This authorization is coupled with an interest and shall be
irrevocable, and Lender may rely on any notice, request, information supplied by
NYH every document executed by NYH every agreement made by NYH or other action
taken by NYH in respect of Borrowers or any thereof as if the same were
supplied, made or taken by any or all Borrowers. Without limiting the generality
of the foregoing, the failure of one or more Borrowers to join in the execution
of any writing in connection herewith shall not, unless the context clearly
requires, relieve any such Borrower from obligations in respect of such writing.
 
(b) Borrowers acknowledge that the credit provided hereunder is on terms more
favorable than any Borrower acting alone would receive and that each Borrower
benefits directly and indirectly from all Advances hereunder. Each of Borrowers,
shall be jointly and severally liable for all Obligations, regardless of,
inter alia, which Borrower requested (or received the proceeds of) a particular
Advance.
 
10.4 Single Borrower. Notwithstanding anything to the contrary contained in this
Agreement, as of the Closing Date the parties contemplate a single Borrower,
namely, NYH, which shall be liable in all respects for all Obligations. In the
event one or more additional Borrowers join this Agreement and become liable for
the Obligations hereunder, the plural term “Borrowers” shall be applicable in
all respects and all Borrowers shall be jointly and severally liable for all
Obligations as otherwise provided herein.
 
[Remainder of Page Intentionally Left Blank]
 
 
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IN WITNESS WHEREOF, this Agreement has been duly executed as of the day and year
first above written.
 

      BORROWER:
NEW YORK HEALTH CARE, INC.
Address for notices to Borrowers:  
   
  1850 McDonald Avenue By:   /s/ Murry Englard New York, NY 11223
Attn: Murry Englard Name:

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Murry Englard
Fax: 718-375-4007
Title:
Chief Executive Officer

 

      LENDER:
CIT HEALTHCARE LLC
Address for notices to Lender:
 
   
  CIT Healthcare LLC By:   /s/ Norman R. Smith 305 Fellowship Road, Suite 300
Mount Laurel, NJ 08054 Name:

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Norman R. Smith
Attention: Portfolio Manager
Title:
Vice President
Facsimile: 856-727-5170
   

 
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