EXHIBIT 10.1

 

SALE AND PURCHASE AGREEMENT OF THE MÉDI-PARTENAIRES GROUP

 

This AGREEMENT is made

 

On April 21, 2005,

 

BETWEEN THE UNDERSIGNED:

 

1. UHS INTERNATIONAL INC.,

 

A corporation organized under the laws of Delaware (United States of America),

With its registered offices at 1209 Orange Street, Wilmington, DE 19801 (USA),

Represented by Mr. Steve Filton,

Who represents and warrants that he is fully authorized for the purposes hereof,

 

Hereinafter referred to as the “MAJORITY SHAREHOLDER”,

 

2. SANTÉ ET LOISIRS,

 

A société à responsabilité limitée organized under the laws of France,

With a share capital of EUR 7,500,

With registered offices at 7, rue Royale, 75008 Paris (France),

Registered with the Paris Trade Registry under the number 339 896 243,

Represented by Mr. Frédéric DUBOIS,

Who represents and warrants that he is fully authorized for the purposes hereof,

 

3. CMS STAFF,

 

A société civile organized under the laws of France,

With a variable share capital,

With registered offices at 7, rue Royale, 75008 Paris (France),

Registered with the Paris Trade Registry under the number 379 042 740,

Represented by Mr. Frédéric DUBOIS,

Who represents and warrants that he is fully authorized for the purposes hereof,

 

4. SF STAFF,

 

A société civile organized under the laws of France,

With a variable share capital,

With registered offices at 7, rue Royale, 75008 Paris (France),

Registered with the Paris Trade Registry under the number 439 835 265,

Represented by Mr. Frédéric DUBOIS,

Who represents and warrants that he is fully authorized for the purposes hereof,

 

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5. MP STAFF,

 

A société civile organized under the laws of France,

With a variable share capital,

With registered offices at 7, rue Royale, 75008 Paris (France),

Registered with the Paris Trade Registry under the number 447 813 171,

Represented by Mr. Frédéric DUBOIS,

Who represents and warrants that he is fully authorized for the purposes hereof,

 

Parties 2 to 5, acting severally and not jointly (conjointement et non
solidairement) are hereinafter collectively referred to as the“MINORITY
SHAREHOLDERS”,

 

Parties 1 to 5, acting severally and not jointly (conjointement et non
solidairement) are hereinafter collectively referred to as the “SELLERS”,

 

6. FINANCIERE OPALE,

 

A société par actions simplifiée organized under the laws of France,

With a share capital of EUR 38,000,

With registered offices at 73, avenue des Champs-Elysées, 75008 Paris (France),

Registered with the Paris Trade Registry under the number 481 557 874,

Represented by Mr. Frédéric DUBOIS,

Who represents and warrants that he is fully authorized for the purposes hereof,

 

Hereinafter referred to as the “PURCHASER”.

 

The PURCHASER and the SELLERS are hereinafter collectively referred to as the
“PARTIES” and individually referred to as a“PARTY”.

 

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WHEREAS

 

  A. The SELLERS are the owners of the SHARES TRANSFERRED (as defined in section
1.26).

 

  B. The COMPANY specializes in the acquisition of holding companies, themselves
specializing in the administration and acquisition of private acute care
hospitals throughout France.

 

  C. The COMPANY has shareholdings directly and indirectly in the SUBSIDIARIES
which operate these private acute care hospitals, as defined in section 1.28 and
listed in EXHIBIT 1.28 which sets out the holding percentage as well as the
corporate name and location for each of the SUBSIDIARIES concerned.

 

  D. The PURCHASER and its advisors had access to (i) a data room located 10,
place Vendôme, 75001 Paris, between March 7 and 11, 2005 and (ii) a data room
located 7, rue Royale, 75008 Paris, held on March 18, 2005 (hereinafter referred
to as the “DATA ROOM”). In this DATA ROOM, they were provided with certain
documents and information of an accounting, financial, operating, legal, tax,
real estate and environmental nature regarding the COMPANY and its SUBSIDIARIES
(the “DATA ROOM DOCUMENTATION”), so as to perform a due diligence exercise with
the assistance of external professional advisors, a copy of the index of the
DATA ROOM DOCUMENTATION being attached as EXHIBIT D hereto. Moreover, the
PURCHASER and its advisors were able to ask questions and obtain the responses
regarding the DATA ROOM DOCUMENTATION. The PURCHASER and its advisors also
attended a management presentation on March 9, 2005.

 

  E. Following the completion of the above-mentioned due diligence exercise, the
PURCHASER confirmed its wish to acquire the SHARES TRANSFERRED. The PARTIES have
thus come together in order to enter into this AGREEMENT and to determine the
terms and conditions of the sale referred to herein (hereinafter referred to as
the “SALE”), as well as their respective rights and obligations.

 

  F. It is specified that the MINORITY SHAREHOLDERS have shown interest in
reinvesting part of the CONSIDERATION they will receive on COMPLETION as further
detailed under sections 3.2 and 4.3 of this AGREEMENT, and in contributing part
of their shareholding as further detailed under section 2.1.2 of this AGREEMENT

 

NOW THEREFORE IT HAS BEEN AGREED AS FOLLOWS:

 

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TABLE OF CONTENTS

 

1.    Definitions    5 2.    Acquisition of the Shares Transferred    8 3.   
Conditions Precedent    8 4.    Completion    10 5.    Consideration - Payment
Terms    9 6.    Sellers’ Representations and Warranties    12 7.    Purchaser’s
Representations and Warranties    14 8.    Provisions relating to the luxcos   
14 9.    Confidentiality    15 10.   

Costs

   16 11.   

Registration taxes

   16 12.   

Caducity of Prior Agreements

   16 13.   

Amendments - Waiver

   16 14.   

Notices - Delays

   16 15.   

Autonomy

   18 16.   

Entire Agreement

   18 17.   

Cooperation

   18 18.   

Language

   18 19.   

Applicable Law

   18 20.   

Conciliatory Proceedings - Jurisdiction

   18 21.   

Number of Original Copies

   19

 

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1. DEFINITIONS

 

1.1 Principles

 

The following words shall have the meanings set out hereafter but only when the
corresponding words are written in upper case letters.

 

1.2 “ACQUISITION DEBTS”

 

Any debt to be repaid or settled at COMPLETION as detailed in EXHIBIT 1.2.

 

1.3 “01A WARRANT(s)”

 

Any class A warrant(s) initially attached to shares of the COMPANY held by the
MINORITY SHAREHOLDERS (which can be detached from them at any time) and to be
exercised subject to condition between March 31, 2004 and March 31, 2009,
pursuant to the SHAREHOLDERS AGREEMENTS and the decisions of the COMPANY’
shareholders meeting held on June 7, 2001.

 

1.4 “01B WARRANT(S)”

 

Any class B warrant(s) initially attached to shares of the COMPANY held by the
MINORITY SHAREHOLDERS (which can be detached from them at any time) and to be
exercised subject to condition between March 31, 2006 and March 31, 2009,
pursuant to the SHAREHOLDERS AGREEMENTS and the decisions of the COMPANY’s
shareholders meeting held on June 7, 2001.

 

1.5 “01 WARRANTS”

 

The 01A warrants and the 01B warrants.

 

1.6 “AGREEMENT”

 

This agreement.

 

1.7 “BUSINESS DAY(S)”

 

Any day(s) on which banks are open for business in Paris.

 

1.8 “COMPANY”

 

MEDI-PARTENAIRES,

 

A société par actions simplifiée incorporated under the laws of France,

With a share capital of EUR 51,618,000,

With registered offices at 7, rue Royale, 75008 Paris (France),

Registered with the Paris Trade Registry under the number 435 037 551.

 

1.9 “COMPLETION”

 

The completion of the transfer of the SHARES TRANSFERRED as per section 5
hereafter.

 

1.10 “CONSIDERATION”

 

The consideration for the SHARES TRANSFERRED stipulated under section 4
hereafter.

 

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1.11 “CONTRIBUTED SHAREs”

 

162,762 shares of the COMPANY, with a par value of fifteen (15) Euros each held
by the CONTRIBUTING SHAREHOLDERS and contributed in kind to the PURCHASER in the
proportions mentioned in EXHIBIT 2.

 

1.12 “CONTRIBUTING SHAREHOLDERS”

 

Santé et Loisirs, CMS Staff, SF Staff and MP Staff.

 

1.13 “DATA ROOM”

 

As such term is defined in paragraph D of the recitals.

 

1.14 “DATA ROOM DOCUMENTATION”

 

As such term is defined in paragraph D of the recitals.

 

1.15 “EXHIBIT(S)”

 

Any exhibit attached to this AGREEMENT, it being specified that each time that
the representations contained in a section of this AGREEMENT need to be
documented, this is done via an EXHIBIT carrying the same number as the relevant
representation.

 

1.16 “FRENCH MERGER CONTROL RULES”

 

As defined in section 3.1 below.

 

1.17 “GROUP” or “GROUP COMPANIES”

 

The COMPANY, the SUBSIDIARIES and the LUXCOS.

 

1.18 “LIQUIDATION COSTS”

 

As such term is defined in section 4.2 below.

 

1.19 “LUXCOS”

 

The following companies:

 

UHS HEALTH PARTNERS SARL,

 

A société à responsabilité limitée organized under the laws of Luxemburg,

With a share capital of EUR 58,437,725,

With registered offices at 23, avenue Monterey, L-2086 Luxemburg,

Registered with the Luxemburg Trade Registry under section B number 82377,

 

and,

 

SANTE PARTENAIRES SARL,

 

A société à responsabilité limitée organized under the laws of Luxemburg,

With a share capital of EUR 45,181,675,

With registered offices at 23, avenue Monterey, L-2086 Luxemburg,

Registered with the Luxemburg Trade Registry under section B number 82375.

 

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1.20 “SALE”

 

As such term is defined in paragraph E of the recitals.

 

1.21 “SANTE FINANCE”

 

A société par actions simplifiée organized under the laws of France, with a
share capital of EUR 59,478,000, registered offices at 7, rue Royale, 75008
Paris (France) and registered with the Paris Trade Registry under the number 381
745 025.

 

1.22 “SANTE INVESTISSEMENT”

 

A société en commandite simple organized under the laws of France, with a share
capital of EUR 30,000, registered offices at 7, rue Royale, 75008 Paris (France)
and registered with the Paris Trade Registry under the number 379 085 848.

 

1.23 “SECURITY INTERESTS”

 

The security interests listed in EXHIBIT 1.23.

 

1.24 “SGG”

 

Services Généraux de Gestion S.A., 23, avenue Monterey, L-2086 Luxemburg.

 

1.25 “SHAREHOLDERS AGREEMENTS”

 

The agreements entered into between SANTE PARTENAIRES SARL and each of the
MINORITY SHAREHOLDERS on June 7, 2001 in respect of the COMPANY, as listed in
EXHIBIT 1.25.

 

1.26 “SHARES TRANSFERRED”

 

The SOLD SHAREs and the CONTRIBUTED SHAREs altogether, representing on
COMPLETION:

 

(i) 2,337,509 shares of UHS HEALTH PARTNERS SARL, representing 100% of the
issued and outstanding share capital and voting rights of UHS HEALTH PARTNERS
SARL, and

 

(ii) 637,082 shares of the COMPANY representing 18,51% of the issued and
outstanding voting rights of the COMPANY,

 

together granting the PURCHASER a direct and indirect ownership of 3,441,200
shares of the COMPANY, representing 100% of the COMPANY’S share capital and
voting rights.

 

1.27 “SOLD SHARES”

 

(i) 2,337,509 shares of UHS HEALTH PARTNERS SARL with a par value of twenty-five
(25) Euros each held by the MAJORITY SHAREHOLDER, representing 100% of the share
capital and voting rights of UHS HEALTH PARTNERS SARL, which holds 1,807,267
shares representing 100% of the issued and outstanding share capital and voting
rights of SANTÉ PARTENAIRES SARL, which in turn holds 2,804,118 shares of the
COMPANY with a par value of fifteen (15) Euros each, and

 

(ii) 474,320 shares of the COMPANY with a par value of fifteen (15) Euros each
held by the MINORITY SHAREHOLDERS, and sold to the PURCHASER in the proportions
mentioned in EXHIBIT 2.

 

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1.28 “SUBSIDIARY(IES)”

 

Any company, grouping or other entity controlled directly or indirectly by the
COMPANY and/or SANTÉ FINANCE, within the meaning of section L. 233-3 of the
French Commercial Code (Code de commerce), as well as SANTÉ INVESTISSEMENT, as
listed in EXHIBIT 1.28.

 

1.29 “UHS IRELAND”

 

As such term is defined in section 5.2.1 below.

 

2. ACQUISITION OF THE SHARES TRANSFERRED

 

2.1 ON COMPLETION, subject to the conditions precedent set out under section 3
hereafter, the SELLERS shall:

 

2.1.1 sell, transfer, assign, convey and deliver the SOLD SHARES to the
PURCHASER, free and clear of all encumbrances, and

 

2.1.2 contribute in kind the CONTRIBUTED SHARES to the PURCHASER, free and clear
of all encumbrances.

 

The detailed allocation of the SHARES TRANSFERRED (together with the
sub-allocation between the SOLD SHARES and the CONTRIBUTED SHARES by each of the
SELLERS is shown in EXHIBIT 2).

 

2.2 The PURCHASER shall purchase, assume and acquire the SHARES TRANSFERRED free
and clear of all encumbrances for the CONSIDERATION.

 

2.3 The SELLERS acknowledge that it is essential for the PURCHASER that the sale
and contribution of 100% of the TRANSFERRED SHARES occur simultaneously failing
which the PURCHASER would not have entered into the AGREEMENT with the SELLERS.

 

2.4 All rights to dividends attached to the SHARES TRANSFERRED voted out with
respect to financial year 2004 and to previous but undistributed and subsequent
profits will be vested in the PURCHASER.

 

2.5 Transfer of title to the SHARES TRANSFERRED will take place upon (i) payment
in full of that portion of the CONSIDERATION which is payable in cash on the
date of COMPLETION, as per section 4.3 hereafter, with respect to the SOLD
SHARES and (ii) issuance and allocation of the shares to be issued by the
PURCHASER on the date of COMPLETION in consideration for the CONTRIBUTED SHARES.

 

3. CONDITIONS PRECEDENT

 

The acquisition of the SHARES TRANSFERRED shall take place subject to the
fulfillment of the following conditions precedent:

 

3.1 French merger control approval

 

A decision of the French Ministry for Economy and Finance (the “MINISTRY”)
pursuant to Article L. 430-1 et seq. of the French Commercial Code (the “FRENCH
MERGER CONTROL RULES”) approving the SALE, shall have been obtained either
expressly or tacitly, if the MINISTRY does not notify the PURCHASER within the
required time period any decision in respect of the SALE whether approving or
disapproving it.

 

The PURCHASER undertakes to (i) make full and accurate filing with the MINISTRY,
within two (2) BUSINESS DAYS as from the date of this AGREEMENT (or earlier, if
the SELLERS so agree), at its own expenses,

 

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seeking its approval, of the SALE under the FRENCH MERGER CONTROL RULES and (ii)
use its best endeavors in order to satisfy the condition precedent set out
hereinabove, as soon as possible so that the date of COMPLETION set by the
PARTIES for June 17, 2005 at the latest, is met. The SELLERS shall provide the
PURCHASER with all necessary information for this purpose and the PURCHASER
shall immediately inform the SELLERS of the fulfillment of the condition
precedent.

 

If on June 17, 2005 at the latest, this condition precedent has not been
fulfilled, the AGREEMENT shall lapse and become null and void subject to the
SELLERS waiving their right to such lapse in the event that the non-fulfillment
of said condition precedent may be attributed to the PURCHASER.

 

3.2 Contribution of the CONTRIBUTED SHARES

 

The CONTRIBUTED SHARES shall have been contributed to the PURCHASER in
consideration for that number of shares of the COMPANY as agreed with the
CONTRIBUTING SHAREHOLDERS under the terms and conditions of EXHIBIT 3.2.

 

The PURCHASER undertakes to take all necessary steps so that the issuance of new
shares of the PURCHASER to be issued to the CONTRIBUTING SHAREHOLDERS in
consideration for the contribution of the CONTRIBUTED SHARES has been finally
approved on the tentative date of May 18, 2005, it being agreed by the
CONTRIBUTING SHAREHOLDERS and the PURCHASER that (i) should the latter fail to
notify the SELLERS in writing that such issuance has been approved within the
time period mentioned above, and/or that (ii) should the CONTRIBUTING
SHAREHOLDERS fail to tender the CONTRIBUTED SHARES to the PURCHASER on the date
of COMPLETION in consideration for newly issued shares of the PURCHASER, the
PURCHASER shall have the obligation to acquire the SOLD SHARES and the
CONTRIBUTED SHARES which the CONTRIBUTING SHAREHOLDERS then undertake to sell,
transfer and deliver for a cash consideration equal to that payable for each of
the SOLD SHARES.

 

4. CONSIDERATION - PAYMENT TERMS

 

4.1 Amount of the CONSIDERATION

 

4.1.1 Subject to the provisions of sections 4.1.2 and 4.2 below, the
CONSIDERATION for all the SHARES TRANSFERRED, which is two hundred million
fifteen thousand Euros (EUR 215,000,000), is not subject to any upwards or
downwards adjustment.

 

The allocation of the CONSIDERATION between the SOLD SHARES and the CONTRIBUTED
SHARES shall be as follows:

 

  •   One hundred seventy eight million seven hundred thirteen thousand seven
hundred ninety nine Euros and eighty four cents (EUR 178,713,799.84) for the
SOLD SHARES transferred by the MAJORITY SHAREHOLDER,

 

  •   twenty seven million fifteen thousand seven hundred eighty five Euros and
nineteen cents (EUR 27,015,785.19) for the SOLD SHARES transferred by the
MINORITY SHAREHOLDERS;

 

  •   Nine million two hundred seventy thousand four hundred fourteen Euros and
ninety seven cents (EUR 9,270,414.97) for the CONTRIBUTED SHARES for which the
PURCHASER shall (i) issue nine million two hundred seventy thousand four hundred
and thirteen (9,270,413) new shares to be allocated among the CONTRIBUTING
SHAREHOLDERS, and (ii) pay to the CONTRIBUTING SHAREHOLDERS cash amount of one
Euro and ninety seven cents (EUR 1.97).

 

Details of the allocation of the CONSIDERATION between the SELLERS are set forth
in EXHIBIT 2 to the AGREEMENT.

 

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4.1.2 The CONSIDERATION to be paid to the MAJORITY SHAREHOLDER shall be
increased by the amount of the debt (principal of EUR 40,125,219.46 plus accrued
interest up to the date of COMPLETION) owed by the COMPANY to UHS HEALTH
PARTNERS SARL pursuant to a loan agreement dated May 10, 2001, it being
specified that such loan shall remain in force between the COMPANY and UHS
HEALTH PARTNERSSARL after the date of COMPLETION.

 

4.2 Costs of liquidation of the LUXCOS

 

All costs associated with the termination of the operations and the liquidation
of the LUXCOS, including but not limited to all outstanding and unpaid
liabilities and provisions for liabilities of any nature whatsoever vis-à-vis
third parties (the “LIQUIDATION COSTS”) shall be borne by the MAJORITY
SHAREHOLDER. The MAJORITY SHAREHOLDER shall provide the PURCHASER no later than
four (4) BUSINESS DAYS prior to COMPLETION with an itemized list (with the
corresponding amounts) of the LIQUIDATION COSTS, duly certified by SGG, it being
agreed that the LIQUIDATION COSTS shall be deducted from the portion of the
CONSIDERATION payable to the MAJORITY SHAREHOLDER as set forth in section 4.1
above.

 

In the event the LIQUIDATION COSTS should be determined in the future to exceed
the amount of the LIQUIDATION COSTS provided by the MAJORITY SHAREHOLDER on
COMPLETION, the MAJORITY SHAREHOLDER shall pay to the PURCHASER, on first demand
and upon provision of appropriate supporting documentation, the amount of such
excess. Conversely, in the event the LIQUIDATION COSTS should be determined in
the future to be less than the amount of the LIQUIDATION COSTS provided by the
MAJORITY SHAREHOLDER on COMPLETION, the PURCHASER shall pay to the MAJORITY
SHAREHOLDER, on first demand and upon provision of appropriate supporting
documentation, the amount of such difference.

 

4.3 Payment of the CONSIDERATION

 

The portion of the CONSIDERATION due in respect of the SOLD SHARES shall be
paid, subject to the provisions of section 4.2 above; by the PURCHASER to the
SELLERS on the date of COMPLETION in immediately available funds by bank wire
transfer to such accounts as the SELLERS shall have notified in writing to the
PURCHASER no later than four (4) BUSINESS DAYS prior to COMPLETION.

 

The portion of the CONSIDERATION due in respect of the CONTRIBUTED SHARES shall
be paid by the PURCHASER to the CONTRIBUTING SHAREHOLDERS on the date of
COMPLETION by way of issuance of nine million two hundred seventy thousand four
hundred and thirteen (9,270,413) new shares to be allocated among the
CONTRIBUTING SHAREHOLDERS as shown in EXHIBIT 2, as well as the payment to the
CONTRIBUTING SHAREHOLDERS of a cash amount of one Euro and ninety seven cents
(EUR 1.97), subject however to the provisions of section 3.2 above.

 

5. COMPLETION

 

5.1 Date and place

 

COMPLETION shall take place at the offices of Linklaters, 25, rue de Marignan,
75008 Paris, within five (5) BUSINESS DAYS following the fulfillment of the
conditions precedent referred to under section 3 above and in any event no later
than June 17, 2005 or on any other place or date as shall be agreed upon by the
PARTIES.

 

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5.2 Instruments to be signed and delivered on COMPLETION

 

  5.2.1  On COMPLETION, the SELLERS shall deliver to the PURCHASER:

 

  •   original certificates of OBC bank certifying that it has released the
pledges (as detailed in EXHIBIT 5.2.1a) granted by the MINORITY SHAREHOLDERS
over part of their SHARES TRANSFERRED as security for the complete repayment of
the loans granted by said bank to the MINORITY SHAREHOLDERS,

 

  •   upon full repayment of the relevant part of the ACQUISITION DEBTS by the
PURCHASER, a deed of release from the relevant banks and lenders confirming
release of the SECURITY INTERESTS,

 

  •   original executed copies of share transfer forms for all of the SOLD
SHARES and CONTRIBUTED SHARES held by the MINORITY SHAREHOLDERS,

 

  •   a letter signed by UHS HEALTH PARTNERS SARL approving the transfer to the
PURCHASER of the SOLD SHARES of UHS HEALTH PARTNERS SARL,

 

  •   regarding the COMPANY, SANTE FINANCE, SANTE INVESTISSEMENT and the LUXCOS,
where applicable, the shareholders’ registers (registres des mouvements de
titres) and the shareholders’ individual accounts (comptes d’actionnaires), the
minute books for their supervisory and executive boards or boards of directors,
and shareholders’ meetings (registre des procès-verbaux du conseil de
surveillance et du directoire or registre des procès-verbaux du conseil
d’administration and registre des procès-verbaux des assemblées générales),

 

  •   the original executed copies of the resignation letters as at the date of
COMPLETION from the GROUP COMPANIES’ representatives and/or members of any board
or committee, the names of which are set out in EXHIBIT 5.2.1b, said letters
specifying that the resigning representatives and/or members have no claim
whatsoever against any of the GROUP COMPANIES,

 

  •   the irrevocable and unconditional waiver by each and all SELLERS of all
rights under the SHAREHOLDERS AGREEMENTS including the acknowledgment (i) that
the same will cease to be of any effect as from the date of COMPLETION and (ii)
that the MINORITY SHAREHOLDERS have irrevocably waived their rights to exercise
the 01WARRANTS in the form set forth in EXHIBIT 5.2.1c,

 

  •   the tax forms relating to the transfer of the SOLD SHARES referred to in
section 1.27 (ii), for the purposes of registration with the French tax
authorities,

 

  •   a copy of the agreement relating to the transfer of 100% of the issued and
outstanding share capital and voting rights of UHS Ireland Ltd, a company
organized under the laws of the Republic of Ireland (hereinafter “UHS IRELAND”),
to the MAJORITY SHAREHOLDER or any other entity designated by the MAJORITY
SHAREHOLDER, for a consideration equal to the amount of the receivable held by
UHS IRELAND against UHS HEALTH PARTNERS SARL, such transfer not resulting in a
taxable capital gain for UHS HEALTH PARTNERS SARL or evidence that UHS IRELAND
has been effectively liquidated into UHS HEALTH PARTNERS SARL, it being agreed
that the PURCHASER shall not bear, directly or indirectly, any cost with respect
to said transfer or liquidation,

 

  •   a certificate issued by SGG certifying the existence and the amount of the
receivable (principal of EUR 40,125,219.46 plus accrued interest up to the date
of COMPLETION) held by UHS HEALTH PARTNERS SARL against the COMPANY, pursuant to
a loan agreement dated May 10, 2001,

 

  •   the duly approved financial statements of each of the LUXCOS as at
December 31, 2004,

 

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  •   a written confirmation by the MAJORITY SHAREHOLDER. that none of the
LUXCOS has, since January 1, 2005, incurred any liability other than those
resulting from its ongoing and current operations, nor has acquired or disposed
of any assets prior to COMPLETION except as contemplated under this AGREEMENT,

 

  •   the written confirmation that the MINORITY SHAREHOLDERS have caused the
full repayment to SANTE PARTENAIRES SARL of the collateral (principal plus
accrued interest up to COMPLETION) granted by SANTÉ PARTENAIRES SARL to OBC bank
in guarantee of the loans granted by said bank to the MINORITY SHAREHOLDERS,

 

  •   the written confirmation that, to the extent applicable to the MAJORITY
SHAREHOLDER, the ACQUISITION DEBTS are fully repaid or settled (in principal and
accrued but unpaid interest and other accessories owed at the date of
COMPLETION) as provided in EXHIBIT 1.2, parts I and II,

 

  •   a certificate of reiteration issued by the SELLERS reiterating the
representations and warranties granted under section 6 below, and

 

  •   a certificate of reiteration issued by the MAJORITY SHAREHOLDER
reiterating the representations and warranties granted under section 8.1 below.

 

  5.2.2  Following delivery of the documents referred to in section 5.2.1 above,
the PURCHASER shall:

 

  •   in consideration for the SOLD SHARES by the MAJORITY SHAREHOLDER, pay (i)
one hundred seventy eight million seven hundred thirteen thousand seven hundred
ninety nine Euros and eighty four cents (EUR 178,713,799.84), plus (ii) the
amount referred to in section 4.1.2, this global amount being reduced by the
amount of the LIQUIDATION COSTS, as initially certified by SGG, as set forth in
section 4.2,

 

  •   pay twenty seven million fifteen thousand seven hundred eighty five Euros
and nineteen cents (EUR 27,015,785,19) to the MINORITY SHAREHOLDERS,
corresponding to the payment of that portion of the CONSIDERATION relating to
the SOLD SHARES transferred by the MINORITY SHAREHOLDERS,

 

  •   procure that, to the extent applicable to the PURCHASER, the ACQUISITION
DEBTS be fully repaid or settled (in principal and accrued but unpaid interest
and other accessories owed at the date of COMPLETION) as provided in EXHIBIT
1.2,

 

  •   issue a certificate of reiteration issued by the PURCHASER reiterating the
representations and warranties granted under section 7 below.

 

6. SELLERS’ REPRESENTATIONS AND WARRANTIES

 

The SELLERS make and grant the representations and warranties as follows, on a
several basis (responsabilité conjointe et non solidaire), as at the date
hereof.

 

The PURCHASER hereby acknowledges that (i) the representations and warranties
made by the SELLERS are limited to the ones contained in this section 6 and that
it does not enter into this AGREEMENT in reliance on any other representations,
warranties, covenants or undertakings, and that (ii) the representations and
warranties made by the MAJORITY SHAREHOLDER under section 8.1 below, in respect
of the LUXCOS, shall be of no effect on the MINORITY SHAREHOLDERS, which shall
bear no liability hereunder.

 

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6.1 Authority of SELLERS

 

  6.1.1  The execution, delivery and performance of this AGREEMENT by the
SELLERS have been duly authorized and approved by the SELLERS’ corporate bodies
where applicable and do not require any further authorization or consent of the
SELLERS or their shareholders.

 

  6.1.2  This AGREEMENT will, when executed, constitute a valid and binding
obligation of the SELLERS.

 

6.2 No violation, consents and approvals

 

Subject to the fulfillment of the conditions precedent provided in section 3
above, neither the execution and the delivery of this AGREEMENT, nor its
performance by the SELLERS shall contravene or violate any requirements of law,
court orders, or orders of any governmental authority.

 

6.3 Share capital

 

EXHIBIT 6.3 sets forth the amount of the GROUP COMPANIES’ share capital,
detailing all the securities issued by the GROUP COMPANIES, the categories and
respective rights thereof and holders thereof.

 

The MAJORITY SHAREHOLDER represents that it is the full and sole owner of
2,337,509 shares of UHS HEALTH PARTNERS SARL, representing 100% of the issued
and outstanding share capital and voting rights of UHS HEALTH PARTNERS SARL,
which owns 1,807,267 shares of SANTE PARTENAIRES SARL, representing 100% of the
issued and outstanding share capital and voting rights of SANTE PARTENAIRES
SARL, itself the full and sole owner of 2,804,118 shares of the COMPANY,
representing 81.49% of the issued and outstanding voting rights of the COMPANY.

 

The MINORITY SHAREHOLDERS represent that they are the full and sole owners of
637,082 shares of the COMPANY which they transfer to the PURCHASER, as set out
in EXHIBIT 2, representing 18.51% of the issued and outstanding voting rights of
the COMPANY.

 

The transfer of the shares representing (i) 100% of the issued and outstanding
share capital and voting rights of UHS HEALTH PARTNERS SARL by the MAJORITY
SHAREHOLDER together with the shares representing (ii) 18,51% of the issued and
outstanding voting rights of the COMPANY by the MINORITY SHAREHOLDERS, grants
the PURCHASER a direct and indirect ownership of 3,441,200 shares of the
COMPANY, representing 100% of the COMPANY’S share capital and voting rights, on
a fully diluted basis.

 

The CONTRIBUTED SHARES and the portion of the SOLD SHARES to be transferred by
the MINORITY SHAREHOLDERS, as set out in EXHIBIT 2 (i.e. 474,320 shares of the
COMPANY) are freely transferable subject to the provisions of EXHIBIT 6.3 and,
as at COMPLETION, will not be subject to any pledge, lien, third party right and
other encumbrances.

 

The COMPANY has not issued any securities other than the 3,441,200 shares
representing 100% of its issued and outstanding share capital.

 

Except for the 01WARRANTS, the exercise of which will be waived by the MINORITY
SHAREHOLDERS as set out in EXHIBIT 5.2.1c, none of the GROUP COMPANIES has
issued any right, option, warrant, bond, security or instrument which could
eventually grant the holder thereof, directly or indirectly, any right to shares
of each of the GROUP COMPANIES, investment certificates, claims or voting rights
at the GROUP COMPANIES shareholders’ or bond holders’ meetings.

 

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6.4 T2A

 

The PURCHASER is aware of the recent changes in the French Social Security
system of reimbursement (pricing per medical treatment or T2A) and of the
related consequences of such changes on the cash-flows of the GROUP.

 

7. PURCHASER’S REPRESENTATIONS AND WARRANTIES

 

The PURCHASER makes the following representations and warranties as at the date
hereof.

 

7.1 The execution, delivery and performance of this AGREEMENT by the PURCHASER
have been duly authorized and approved by the PURCHASER’s corporate bodies and
do not require any further authorization or consent of the PURCHASER or its
shareholders. This AGREEMENT will, when executed by Mr. Frédéric Dubois who is
fully authorized for such purposes, constitute a valid and binding obligation of
the PURCHASER.

 

7.2 The PURCHASER is a société par actions simplifiée duly incorporated and
validly existing in accordance with the laws of France. The PURCHASER, which has
the full legal capacity to carry out its business activities, in the manner in
which they are currently carried out, represents, moreover, that it has the full
authority, capacity and power to sign the AGREEMENT and carry out the SALE.

 

7.3 The PURCHASER is not insolvent (état de cessation des paiements), and is not
subject to any court-ordered reorganization or liquidation proceedings, or to
any proceedings within the scope of the prevention and out-of-court settlement
of corporate difficulties, or any other conciliation or proceedings that affect
the rights of creditors.

 

7.4 The PURCHASER has the funds necessary to carry out the SALE contemplated in
this AGREEMENT in accordance with the terms and conditions as set out here
above.

 

8. PROVISIONS RELATING TO THE LUXCOS

 

8.1 MAJORITY SHAREHOLDER’S REPRESENTATIONS AND WARRANTIES RELATING TO THE LUXCOS

 

The MAJORITY SHAREHOLDER makes the following representations, grants the
following warranties concerning the LUXCOS as at the date hereof, and undertakes
to indemnify the PURCHASER in the manner set forth below.

 

The MAJORITY SHAREHOLDER is the full and sole owner of 2,337,509 shares of UHS
HEALTH PARTNERS SARL, REPRESENTING 100% of the issued and outstanding share
capital and voting rights of UHS HEALTH PARTNERS SARL, which owns 1,807,267
shares of SANTE PARTENAIRES SARL, representing 100% of the issued and
outstanding share capital and voting rights of SANTE PARTENAIRES SARL.

 

UHS HEALTH PARTNERS SARL has not issued any securities other than the 2,337,509
shares representing 100% of its issued and outstanding share capital and the
said shares are not be subject to any pledge, lien, third party right and other
encumbrances.

 

SANTE PARTENAIRES SARL has not issued any securities other than the 1,807,267
shares representing 100% of its issued and outstanding share capital and the
said shares will not be subject to any pledge, lien, third party right and other
encumbrances on the date of COMPLETION.

 

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The 2,804,118 shares of the COMPANY, being held by SANTÉ PARTENAIRES SARL, are
freely transferable and as at COMPLETION will not be subject to any pledge,
lien, third party rights and other encumbrances.

 

Since the date of incorporation of the LUXCOS and up to the date hereof, the
activities carried on by said LUXCOS have been exclusively limited to (i) the
participation in financing operations involving the UHS group incurred in
connection with the acquisition, development and operations of the GROUP
COMPANIES, resulting on the date hereof in the ACQUISITION DEBTS detailed in
EXHIBIT 1.2 and (ii) the holding of shares in the following companies: the GROUP
COMPANIES and UHS IRELAND.

 

The financial statements of the LUXCOS drawn up as at December 31, 2004 and
attached as EXHIBIT 8.1 were prepared in accordance with the Luxemburg generally
accepted accounting principles and give a true and fair view of the assets and
liabilities and financial situation of the LUXCOS as at such date.

 

8.2 INDEMNIFICATION RELATING TO THE ACQUISITION AND LIQUIDATION OF THE LUXCOS

 

Notwithstanding the provisions of section 4.2 above, the MAJORITY SHAREHOLDER
shall indemnify and hold harmless the PURCHASER for (i) any amount (including
any liability of any nature whatsoever, whether current or deferred) that may be
due by the LUXCOS, or the PURCHASER (following its acquisition of said LUXCOS),
in connection with the LUXCOS’ activities, operations, assets, liabilities prior
and up to COMPLETION and (ii) any amounts or costs (including taxes, rights or
duties) relating to or resulting from (a) the disposal of any assets of the
LUXCOS completed prior to, or on COMPLETION pursuant to the terms of this
AGREEMENT and (b) the winding-up and liquidation of any of the LUXCOS,
comprising the payment of any amount (including for the repayment of any
indebtedness of any of the LUXCOS) due to any third party or the MAJORITY
SHAREHOLDER or any affiliate thereof, in connection with, as a result of, or at
the time of, the winding-up or liquidation of any of the LUXCOS, in excess of or
other than the LIQUIDATION COSTS, as finally determined pursuant to section 4.2.
Any amount due hereunder by the MAJORITY SHAREHOLDER shall be payable to the
PURCHASER within thirty (30) BUSINESS DAYS of receipt of a notification in
writing from the PURCHASER requesting such payment by the MAJORITY SHAREHOLDER,
together with satisfactory supporting documentation.

 

8.3 MODIFICATIONS TO THE STRUCTURE OF THE TRANSACTION

 

The PARTIES acknowledge that the MAJORITY SHAREHOLDER has not yet finalized the
tax and legal analysis which it is currently performing in order to set up the
most optimized transaction structure at its level for the transaction.
Therefore, in the event where the MAJORITY SHAREHOLDER would propose, after the
date hereof, that modifications be made to the structure of the transaction
(including the elements described in Part II of EXHIBIT 1.2), the PURCHASER
undertakes to consider them in good faith and make its best efforts to respond
favorably to any such proposal, it being understood that the PURCHASER’s
undertakings are given under the condition that such modifications have no
impact on the state of COMPLETION and have no financial adverse consequence,
whether immediate or deferred, for the PURCHASER.

 

9. CONFIDENTIALITY

 

9.1 Announcements

 

No announcement in connection with this AGREEMENT shall be made by or on behalf
of any of the PARTIES hereto or their respective groups otherwise than with the
prior approval of the other (such approval not to be unreasonably withheld or
delayed), except as required by law.

 

15

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9.2 Other confidentiality undertaking

 

Except in order to satisfy any legal or regulatory obligation binding upon the
PARTIES, or for the purpose of defending their interest in the event of a
dispute between the PARTIES, the PARTIES shall keep this AGREEMENT and its
EXHIBITS confidential.

 

10. COSTS

 

Subject to section 11, each PARTY hereto shall bear the costs and expenses
incurred by it in connection with this AGREEMENT and the transactions
contemplated hereunder.

 

11. REGISTRATION TAXES

 

Registration taxes and stamp duties due in connection with the transfer of the
SHARES TRANSFERRED shall be borne by the PURCHASER.

 

12. CADUCITY OF PRIOR AGREEMENTS

 

This AGREEMENT supersedes and replaces any prior agreements entered into between
the PARTIES in connection with the scope of this AGREEMENT and the transactions
contemplated hereunder.

 

13. AMENDMENTS - WAIVER

 

Any amendment to this AGREEMENT shall be made by means of a written instrument
signed by the PARTIES.

 

No failure to act or request performance from one PARTY shall be deemed a waiver
to any of its rights under this AGREEMENT.

 

14. NOTICES - DELAYS

 

14.1 Representation of the MINORITY SHAREHOLDERS

 

In order to facilitate all communication between the PARTIES in respect of the
AGREEMENT, the MINORITY SHAREHOLDERS irrevocably grant powers to Mr. Frédéric
Dubois, who accepts, to represent them within the scope of the performance of
the AGREEMENT, in particular with respect to (i) all notifications to be made,
(ii) all actions to be taken and (iii) the follow up of all procedures to be
carried out within the scope of the AGREEMENT.

 

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14.2 Form of the notices

 

Any notification in respect of the AGREEMENT shall be made in writing and shall
be considered to have been duly sent and received (i) on the same day if it is
hand-delivered, (ii) within one (1) BUSINESS DAY of it being sent if it is sent
by fax or e-mail, followed by a confirmation by registered letter with return
receipt requested within twenty four (24) hours, (iii) within five (5) BUSINESS
DAYS of it being sent if it is sent by an international courier service (such as
Federal Express), or (iv) on the date of first presentation thereof if it is
sent by registered letter with return receipt requested, to the following
addresses:

 

For the purposes of this section, the addresses of the PARTIES are the
following:

 

The MAJORITY SHAREHOLDER:

 

UHS INTERNATIONAL INC.

For the attention of the Chief Financial Officer

Mr. Steve Filton

Address: 367 South Gulph Road

King of Prussia, PA

USA

Fax: 00 1 610 768 33 18

Email: steve.filton@uhsinc.com

 

Copied to Alain Decombe

Coudert Frères

52 avenue des Champs-Elysées

75008 Paris

Email: alain.decombe@coudert.com

Fax: 33.1.53.83.60.60

 

The MINORITY SHAREHOLDERS:

 

Mr. Frédéric Dubois

Address: c/o MEDI-PARTENAIRES, 7, rue Royale, 75008 Paris

Fax: 33.1.43.12.34.32

Email: f.dubois@medi-partenaires.fr

 

Copied to GATIENNE BRAULT & ASSOCIÉS

144 rue de Courcelles

75017 Paris

Fax : 33.1.55.651.652

Email : gb@brault.net

 

The PURCHASER:

 

FINANCIÈRE OPALE

For the attention of the President

Mr. Frédéric Dubois

Address: 7 rue Royale, 75008 Paris

Fax: 33.1.43.12.34.32

 

Copied to Michel Frieh

LINKLATERS

25 rue de Marignan

75008 Paris

Fax : 33.1.43.59.50.63

Email : michel.frieh@linklaters.com

 

In the event of a change of address or addressee, the relevant PARTY shall
notify the other PARTIES in the form set out above.

 

17

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14.3 Computation of delays

 

Delays shall be computed by applying the rules set by the French New Code of
Civil Procedure.

 

15. AUTONOMY

 

The invalidity or inapplicable nature (in full or in part) of any provision of
the AGREEMENT shall not have an impact on the validity or applicability of the
other provisions of the AGREEMENT, which shall retain their full effect and
scope. In the event that the validity of any of the provisions of the AGREEMENT
is called into question, the PARTIES commonly agree to amend the provision that
has become invalid in order that (i) this provision be valid and (ii) the
initial scope of this provision and of the AGREEMENT be maintained.

 

16. ENTIRE AGREEMENT

 

The AGREEMENT (as well as any document and instrument to which reference is made
in the AGREEMENT) and its EXHIBITS are indivisible and constitute the entire
agreement between the PARTIES in respect of the SALE.

 

17. COOPERATION

 

The PARTIES shall cooperate with respect to the performance of any steps or
formalities that may be required for the implementation of the AGREEMENT or for
the consequences hereof.

 

18. LANGUAGE

 

This AGREEMENT shall be executed in English, except for some of the EXHIBITS
which are drafted in French.

 

19. APPLICABLE LAW

 

This AGREEMENT shall be governed by and construed in accordance with the laws of
France.

 

20. CONCILIATORY PROCEEDINGS – JURISDICTION

 

Any dispute which may arise in the context of this AGREEMENT or relating thereto
shall be settled in accordance with the procedures stipulated under this section
20, which shall constitute the sole and exclusive procedures for settling
disputes of this nature.

 

20.1 Conciliatory Proceedings

 

  (i)

The PARTIES undertake to resolve rapidly and in good faith any disputes arising
in the context of the AGREEMENT or relating thereto by negotiations between the
PARTIES concerned, and their designated representatives. To this effect, any
PARTY shall give to the other PARTY a written notice of any dispute which has
not been settled in the ordinary course of business. Within fifteen (15)
BUSINESS DAYS of the delivery of such notice, the PARTY having received such
notice shall reply to the other PARTY in writing. The notice and reply shall
include (a) a declaration of the position of the PARTY issuing the notice or
reply, as the case may be, and a summary of the

 

18

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arguments in support of such position and (b) the name and the position of the
person who will represent such PARTY in connection with the dispute concerned
and any other person who shall accompany said person (including external
advisors). Within thirty (30) BUSINESS DAYS of the receipt of the above notice,
the representatives of the PARTIES concerned shall meet at a mutually acceptable
time and place, and subsequently, as often as the PARTIES deem reasonable and
necessary to settle the dispute. All reasonable requests for information made by
either PARTY to the other PARTY shall be complied with.

 

  (ii) If the issue has not been settled within sixty (60) BUSINESS DAYS of the
receipt of the initial notice or if the PARTIES have not succeeded in meeting
within thirty (30) BUSINESS DAYS of receipt of such notice, either PARTY may
institute legal proceedings as provided for in section 20.2 below.

 

  (iii) All negotiations carried out in accordance with this section shall be
confidential and shall be treated as negotiations for compromise and settlement
for the purposes of all applicable regulations.

 

20.2 Legal proceedings

 

If a dispute has not been settled by the conciliatory proceedings provided for
in section 20.1 above within the timeframe mentioned in section 20.1 (ii),
either PARTY involved in the above conciliatory procedure may institute
proceedings before the competent courts of Paris (subject to a thirty (30)-
BUSINESS DAY prior notice to the other PARTY); with the exception of, however,
the situation of the PARTY which, having requested that the other PARTY
participate in a conciliatory procedure and having met with a refusal on the
part of the other PARTY, may institute proceedings before the expiration of the
above-mentioned deadline.

 

20.3 Conservatory measures

 

The procedures specified in this section 20 shall be the sole and exclusive
procedures for settling disputes between the PARTIES arising in the context of
this AGREEMENT or relating thereto. However, a PARTY may, without prejudice to
the above procedures, (i) initiate any necessary action in order to avoid the
opposition of a statute of limitations and (ii) undertake any legal action,
notably of a conservatory nature, such as summary procedure, if according to its
personal appreciation of the facts, said action is necessary to protect its
rights, avoid an immediate loss or maintain the status quo.

 

21. NUMBER OF ORIGINAL COPIES

 

The PARTIES agree that they shall depart from the rules of evidence as set by
the French Civil Code, and in particular by section 1325 thereof. They shall not
request that one original be signed per PARTY as evidence of their commitments
hereunder.

 

There shall be:

 

  •   One original copy remitted to the MAJORITY SHAREHOLDER,

 

  •   One original copy remitted to Mr. Frédéric DUBOIS for the parties
collectively referred to as the MINORITY SHAREHOLDERS,

 

  •   One original copy remitted to the PURCHASER.

 

These three (3) original copies and the remittance of a photocopy of this
AGREEMENT to all the PARTIES shall sufficiently constitute the non rebuttable
evidence of their commitments hereunder.

 

19

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Executed in three (3) original copies

 

UHS INTERNATIONAL INC.        

/s/ Steve Filton

           

By:

 

Steve Filton

           

Signed in King of Prussia, PA, USA

            SANTE ET LOISIRS       CMS STAFF

/s/ Frédéric Dubois

     

/s/ Frédéric Dubois

By:

 

Mr. Frédéric DUBOIS

     

By:

 

Mr. Frédéric DUBOIS

Signed in Luxemburg

     

Signed in Luxemburg

SF STAFF       MP STAFF

/s/ Frédéric Dubois

     

/s/ Frédéric Dubois

By:

 

Mr. Frédéric DUBOIS

      By:  

Mr. Frédéric DUBOIS

Signed in Luxemburg

     

Signed in Luxemburg

FINANCIERE OPALE        

/s/ Frédéric Dubois

           

By:

 

Mr. Frédéric DUBOIS

           

Signed in Luxemburg