Exhibit 10.1

 

EXECUTION COPY

 

 

$140,000,000

 

 

AMENDED AND RESTATED CREDIT AGREEMENT

 

among

 

MQ ASSOCIATES, INC.,

 

MEDQUEST, INC.,

 

as Borrower,

 

The Several Lenders from Time to Time Parties Hereto,

 

JPMORGAN CHASE BANK,

 

as Syndication Agent,

 

GENERAL ELECTRIC CAPITAL CORPORATION

and

WACHOVIA BANK, NATIONAL ASSOCIATION,

as Co-Documentation Agents

 

and

 

WACHOVIA BANK, NATIONAL ASSOCIATION,

 

as Administrative Agent

 

Dated as of September 3, 2003

 

 

 

J.P. MORGAN SECURITIES INC.,

 

as Sole Lead Arranger and Bookrunner

 

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TABLE OF CONTENTS

 

SECTION 1.

DEFINITIONS

 

 

 

 

1.1

Defined Terms

 

1.2

Other Definitional Provisions

 

 

 

SECTION 2.

AMOUNT AND TERMS OF COMMITMENTS

 

 

 

 

2.1

Term Commitments

 

2.2

Procedure for Term Loan Borrowings

 

2.3

Repayment of Term Loans

 

2.4

Revolving Commitments

 

2.5

Procedure for Revolving Loan Borrowing

 

2.6

Swingline Commitment

 

2.7

Procedure for Swingline Borrowing; Refunding of Swingline Loans

 

2.8

Commitment Fees, etc.

 

2.9

Termination or Reduction of Revolving Commitments

 

2.10

Optional Prepayments

 

2.11

Mandatory Prepayments and Commitment Reductions

 

2.12

Conversion and Continuation Options

 

2.13

Limitations on Eurodollar Tranches

 

2.14

Interest Rates and Payment Dates

 

2.15

Computation of Interest and Fees

 

2.16

Inability to Determine Interest Rate

 

2.17

Pro Rata Treatment and Payments

 

2.18

Requirements of Law

 

2.19

Taxes

 

2.20

Indemnity

 

2.21

Change of Lending Office

 

2.22

Replacement of Lenders

 

 

 

SECTION 3.

LETTERS OF CREDIT

 

 

 

 

3.1

L/C Commitment

 

3.2

Procedure for Issuance of Letter of Credit

 

3.3

Fees and Other Charges

 

3.4

L/C Participations

 

3.5

Reimbursement Obligation of the Borrower

 

3.6

Obligations Absolute

 

3.7

Letter of Credit Payments

 

3.8

Applications

 

 

 

SECTION 4.

REPRESENTATIONS AND WARRANTIES

 

 

 

 

4.1

Financial Condition

 

4.2

No Change

 

4.3

Existence; Compliance with Law

 

4.4

Power; Authorization; Enforceable Obligations

 

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4.5

No Legal Bar

 

4.6

Litigation

 

4.7

No Default

 

4.8

Ownership of Property; Liens

 

4.9

Intellectual Property

 

4.10

Taxes

 

4.11

Federal Regulations

 

4.12

Labor Matters

 

4.13

ERISA

 

4.14

Investment Company Act; Other Regulations

 

4.15

Subsidiaries

 

4.16

Use of Proceeds

 

4.17

Environmental Matters

 

4.18

Accuracy of Information, etc.

 

4.19

Security Documents

 

4.20

Solvency

 

4.21

Senior Indebtedness

 

4.22

Regulation H

 

4.23

Certain Documents

 

4.24

Inspections and Investigations

 

4.25

Medicare Participation

 

4.26

Fraud and Abuse

 

4.27

HIPAA Compliance

 

4.28

Prior Representations and Warranties

 

 

 

SECTION 5.

CONDITIONS PRECEDENT

 

 

 

 

5.1

Conditions to Effectiveness of Amended and Restated Credit Agreement

 

5.2

Conditions to Each Extension of Credit

 

 

 

SECTION 6.

AFFIRMATIVE COVENANTS

 

 

 

 

6.1

Financial Statements

 

6.2

Certificates; Other Information

 

6.3

Payment of Obligations

 

6.4

Maintenance of Existence; Compliance

 

6.5

Maintenance of Property; Insurance

 

6.6

Inspection of Property; Books and Records; Discussions

 

6.7

Notices

 

6.8

Environmental Laws

 

6.9

Additional Collateral, etc

 

6.10

Matters Relating to Collateral

 

6.11

USA PATRIOT Act Compliance

 

 

 

SECTION 7.

NEGATIVE COVENANTS

 

 

 

 

7.1

Financial Condition Covenants

 

7.2

Indebtedness

 

7.3

Liens

 

7.4

Fundamental Changes

 

7.5

Disposition of Property

 

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7.6

Restricted Payments

 

7.7

Investments

 

7.8

Optional Payments and Modifications of Certain Debt Instruments

 

7.9

Transactions with Affiliates

 

7.10

Sales and Leasebacks

 

7.11

Changes in Fiscal Periods

 

7.12

Negative Pledge Clauses

 

7.13

Clauses Restricting Subsidiary Distributions

 

7.14

Lines of Business

 

7.15

Amendments to Recapitalization Documents

 

 

 

SECTION 8.

EVENTS OF DEFAULT

 

 

 

SECTION 9.

THE AGENTS

 

 

 

 

9.1

Appointment

 

9.2

Delegation of Duties

 

9.3

Exculpatory Provisions

 

9.4

Reliance by Administrative Agent

 

9.5

Notice of Default

 

9.6

Non-Reliance on Agents and Other Lenders

 

9.7

Indemnification

 

9.8

Agents in Their Individual Capacities

 

9.9

Successor Administrative Agent

 

9.10

Closing Agent, Co-Documentation Agents and Syndication Agent

 

 

 

SECTION 10.

MISCELLANEOUS

 

 

 

 

10.1

Amendments and Waivers

 

10.2

Notices

 

10.3

No Waiver; Cumulative Remedies

 

10.4

Survival of Representations and Warranties

 

10.5

Payment of Expenses and Taxes

 

10.6

Successors and Assigns; Participations and Assignments

 

10.7

Adjustments; Set-off

 

10.8

Counterparts

 

10.9

Severability

 

10.10

Integration

 

10.11

GOVERNING LAW

 

10.12

Submission To Jurisdiction; Waivers

 

10.13

Acknowledgements

 

10.14

Releases of Guarantees and Liens

 

10.15

Confidentiality

 

10.16

WAIVERS OF JURY TRIAL

 

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ANNEX:

 

SCHEDULES:

 

1.1A

Commitments

1.1B

Mortgaged Property

1.1C

Excluded Subsidiaries

4.4

Consents, Authorizations, Filings and Notices

4.6

Litigation

4.9

Intellectual Property

4.15

Subsidiaries

4.19(a)

UCC Filing Jurisdictions

4.19(b)

Mortgage Filing Jurisdictions

7.2(d)

Existing Indebtedness

7.3(f)

Existing Liens

7.7

Existing Investments

7.9

Permitted Affiliate Transactions

 

EXHIBITS:

 

A

Form of Guarantee and Collateral Agreement

B

Form of Compliance Certificate

C

Form of Closing Certificate

D

Form of Assignment and Assumption

E

Form of Legal Opinion of O’Melveny & Myers LLP

F

Form of Exemption Certificate

G

Form of Solvency Certificate

H-1

Form of New Lender Supplement

H-2

Form of Incremental Facility Activation Notice

 

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AMENDED AND RESTATED CREDIT AGREEMENT (this “Agreement”), dated as of
September 3, 2003, among MQ ASSOCIATES, INC., a Delaware corporation
(“Holdings”), MEDQUEST, INC., a Delaware corporation (the “Borrower”), the
several banks and other financial institutions or entities from time to time
parties to this Agreement (the “Lenders”), JPMORGAN CHASE BANK, as syndication
agent (in such capacity, the “Syndication Agent”), GENERAL ELECTRIC CAPITAL
CORPORATION and WACHOVIA BANK, NATIONAL ASSOCIATION, as co-documentation agents
(in such capacities, the “Co-Documentation Agents”), and WACHOVIA BANK, NATIONAL
ASSOCIATION, as Administrative Agent (in such capacity, the “Administrative
Agent”).

 

W I T N E S S E T H:

 

WHEREAS, Holdings, the Borrower, the lenders parties thereto (the “Existing
Lenders”) and the Administrative Agent are parties to a Credit Agreement, dated
as of August 15, 2002 (the “Existing Credit Agreement”), as in effect
immediately prior to the Amendment Effective Date (as defined herein);

 

WHEREAS, Holdings and the Borrower have requested that the Existing Credit
Agreement be amended and restated to provide for a term loan facility in the
amount of $60,000,000 and as otherwise provided herein; and

 

NOW, THEREFORE, Holdings, the Borrower, the Existing Lenders, the Tranche B Term
Lenders, the Administrative Agent, the Co-Documentation Agents and the
Syndication Agent agree that, subject to the conditions to effectiveness hereof,
the Existing Credit Agreement is amended and restated in its entirety as
follows:

 

SECTION 1.  DEFINITIONS

 

1.1                                 Defined Terms. As used in this Agreement,
the terms listed in this Section 1.1 shall have the respective meanings set
forth in this Section 1.1.

 

“ABR”:  for any day, a rate per annum (rounded upwards, if necessary, to the
next 1/16 of 1%) equal to the greater of (a) the Prime Rate in effect on such
day and (b) the Federal Funds Effective Rate in effect on such day plus ½ of
1%.  For purposes hereof:  “Prime Rate” shall mean the rate of interest per
annum publicly announced from time to time by Wachovia Bank, National
Association as its prime rate in effect at its principal office in Charlotte,
North Carolina, (the Prime Rate not being intended to be the lowest rate of
interest charged by Wachovia Bank, National Association in connection with
extensions of credit to debtors).  Any change in the ABR due to a change in the
Prime Rate or the Federal Funds Effective Rate shall be effective as of the
opening of business on the effective day of such change in the Prime Rate or the
Federal Funds Effective Rate, respectively.

 

“ABR Loans”:  Loans the rate of interest applicable to which is based upon the
ABR.

 

“Adjustment Date”:  as defined in the Pricing Grid.

 

“Administrative Agent”:  Wachovia Bank, National Association, together with its
affiliates, as the administrative agent for the Lenders under this Agreement and
the other Loan Documents, together with any of its successors.

 

“Affiliate”:  as to any Person, any other Person that, directly or indirectly,
is in control of, is controlled by, or is under common control with, such
Person.  For purposes of this definition, “control”

 

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of a Person means the power, directly or indirectly, to direct or cause the
direction of the management and policies of such Person, whether by contract or
otherwise.

 

“Agents”:  the collective reference to the Syndication Agent, the
Co-Documentation Agents and the Administrative Agent.

 

“Aggregate Exposure”:  with respect to any Lender at any time, an amount equal
to (a) prior to the Amendment Effective Date, the aggregate amount of such
Lender’s Revolving Commitments at such time and (b) on the Amendment Effective
Date and thereafter, the sum of (i) the aggregate then unpaid principal amount
of such Lender’s Term Loans and (ii) the amount of such Lender’s Revolving
Commitment then in effect or, if the Revolving Commitments have been terminated,
the amount of such Lender’s Revolving Extensions of Credit then outstanding.

 

“Aggregate Exposure Percentage”:  with respect to any Lender at any time, the
ratio (expressed as a percentage) of such Lender’s Aggregate Exposure at such
time to the Aggregate Exposure of all Lenders at such time.

 

“Agreement”:  as defined in the preamble hereto.

 

“Amendment Effective Date”:  the date on which the conditions precedent set
forth in Section 5.1 shall have been satisfied or waived.

 

“Applicable Margin”:  (a)  with respect to Tranche B Term Loans that are (i) ABR
Loans, 2.75% per annum and (ii) Eurodollar Loans, 3.75% per annum, (b) with
respect to Revolving Loans and Swingline Loans, the rates per annum determined
pursuant to the Pricing Grid, and (c) with respect to Incremental Term Loans,
such per annum rates as shall be agreed to by the Borrower and the applicable
Incremental Term Lenders as shown in the applicable Incremental Facility
Activation Notice.

 

“Application”:  an application, in such form as the Issuing Lender may specify
from time to time, requesting the Issuing Lender to open a Letter of Credit.

 

“Approved Fund”:  as defined in Section 10.6(b).

 

“Asset Sale”:  any Disposition of property or series of related Dispositions of
property that yields Net Cash Proceeds to any Group Member in excess of
$150,000; provided that the following shall be excluded from this definition:
(i) any Disposition permitted by clause (a), (b), (d) or (g) of Section 7.5;
(ii) any Disposition permitted by Section 7.5(c) except to the extent such
Disposition relates to Section 7.4(e); (iii) any Disposition of an Investment
permitted under Section 7.5(f) except to the extent such Disposition relates to
an Investment made pursuant to Section 7.7(i)(C) or 7.7(k); and (iv) any
Disposition permitted by Section 7.5(h) to the extent that any Net Cash Proceeds
resulting from any such Disposition are not received, directly or indirectly, by
distribution, contribution or otherwise, by a Loan Party.

 

“Assignee”:  as defined in Section 10.6(b).

 

“Assignment and Assumption”:  an Assignment and Assumption, substantially in the
form of Exhibit D.

 

“Available Revolving Commitment”:  as to any Lender at any time, an amount equal
to the excess, if any, of (a) such Lender’s Revolving Commitment then in effect
over (b) such Lender’s Revolving Extensions of Credit then outstanding;
provided, that in calculating any Lender’s Revolving

 

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Extensions of Credit for the purpose of determining such Lender’s Available
Revolving Commitment pursuant to Section 2.8(a), other than with respect to the
Swingline Lender, the aggregate principal amount of Swingline Loans then
outstanding shall be deemed to be zero.

 

“Benefitted Lender”:  as defined in Section 10.7(a).

 

“Board”:  the Board of Governors of the Federal Reserve System of the United
States (or any successor).

 

“Borrower”:  as defined in the preamble hereto.

 

“Borrowing Date”:  any Business Day specified by the Borrower as a date on which
the Borrower requests the relevant Lenders to make Loans hereunder.

 

“Business”:  as defined in Section 4.17(b).

 

“Business Day”:  a day other than a Saturday, Sunday or other day on which
commercial banks in Charlotte are authorized or required by law to close,
provided, that with respect to notices and determinations in connection with,
and payments of principal and interest on, Eurodollar Loans, such day is also a
day for trading by and between banks in Dollar deposits in the interbank
eurodollar market.

 

“Capital Expenditures”:  for any period, with respect to any Person, the
aggregate of all expenditures by such Person and its Subsidiaries for the
acquisition or leasing (pursuant to a capital lease) of fixed or capital assets
or additions to equipment (including replacements, capitalized repairs and
improvements during such period) that should be capitalized under GAAP on a
consolidated balance sheet of such Person and its Subsidiaries.

 

“Capital Lease Obligations”:  as to any Person, the obligations of such Person
to pay rent or other amounts under any lease of (or other arrangement conveying
the right to use) real or personal property, or a combination thereof, which
obligations are required to be classified and accounted for as capital leases on
a balance sheet of such Person under GAAP and, for the purposes of this
Agreement, the amount of such obligations at any time shall be the capitalized
amount thereof at such time determined in accordance with GAAP.

 

“Capital Stock”:  any and all shares, interests, participations or other
equivalents (however designated) of capital stock of a corporation, any and all
equivalent ownership interests in a Person (other than a corporation).

 

“Cash Equivalents”:  (a) marketable direct obligations issued by, or
unconditionally guaranteed by, the United States Government or issued by any
agency thereof and backed by the full faith and credit of the United States, in
each case maturing within one year from the date of acquisition; (b)
certificates of deposit, time deposits, eurodollar time deposits or overnight
bank deposits having maturities of six months or less from the date of
acquisition issued by any Lender or by any commercial bank organized under the
laws of the United States or any state thereof having combined capital and
surplus of not less than $500,000,000; (c) commercial paper of an issuer rated
at least A-1 by Standard & Poor’s Ratings Services (“S&P”) or P-1 by Moody’s
Investors Service, Inc. (“Moody’s”), or carrying an equivalent rating by a
nationally recognized rating agency, if both of the two named rating agencies
cease publishing ratings of commercial paper issuers generally, and maturing
within six months from the date of acquisition; (d) repurchase obligations of
any Lender or of any commercial bank satisfying the requirements of clause (b)
of this definition, having a term of not more than six months, with respect to
securities issued or fully guaranteed or insured by the United States
government; (e) securities with

 

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maturities of one year or less from the date of acquisition issued or fully
guaranteed by any state, commonwealth or territory of the United States, by any
political subdivision or taxing authority of any such state, commonwealth or
territory or by any foreign government, the securities of which state,
commonwealth, territory, political subdivision, taxing authority or foreign
government (as the case may be) are rated at least A by S&P or A by Moody’s; (f)
securities with maturities of six months or less from the date of acquisition
backed by standby letters of credit issued by any Lender or any commercial bank
satisfying the requirements of clause (b) of this definition; (g) money market
mutual or similar funds that invest exclusively in assets satisfying the
requirements of clauses (a) through (f) of this definition; or (h) money market
funds that (i) comply with the criteria set forth in SEC Rule 2a-7 under the
Investment Company Act of 1940, as amended, (ii) are rated AAA by S&P and Aaa by
Moody’s and (iii) have portfolio assets of at least $5,000,000,000.

 

“Certificate of Need Regulations”:  regulations issued by any Governmental
Authority requiring a service provider to demonstrate the need for such services
in the local area prior to operating such services.

 

“CHAMPUS”:  collectively, the Civilian Health and Medical Program of the
Uniformed Service and Tricare, a program of medical benefits covering former and
active members of the uniformed services and certain of their dependents,
financed and administered by the United States Departments of Defense, Health
and Human Services and Transportation, and all laws, rules, regulations,
manuals, order, guidelines or requirements pertaining to such program including
(a) all federal statutes (whether set forth in 10 U.S.C. §§ 1071-1106 or
elsewhere) affecting such program; and (b) all rules, regulations (include 32
C.F.R. § 199), manuals, orders and administrative, reimbursement and other
guidelines of all Governmental Authorities promulgated in connection with such
program (whether or not having the force of law), in each case as the same may
be amended.

 

“CLO”:  as defined in Section 10.6(b).

 

“Closing Agent”:  JPMorgan Chase Bank, together with its affiliates (including,
without limitation, J.P. Morgan Securities Inc.), as the closing agent.

 

“CMS”:  the Centers for Medicare and Medicaid Services, formerly known as the
Health Care Financing Administration, the entity within the United States
Department of Health and Human Services responsible for administering the
Medicare program and the federal aspects of the Medicaid programs, directly and
through its fiscal intermediaries and agents, and any successor entities.

 

“Code”:  the Internal Revenue Code of 1986, as amended from time to time.

 

“Co-Documentation Agents”:  as defined in the preamble hereto.

 

 “Collateral”:  all property of the Loan Parties, now owned or hereafter
acquired, upon which a Lien is purported to be created by any Security Document.

 

“Commitment”:  as to any Lender, the sum of the Tranche B Term Commitment, any
Incremental Term Commitments and the Revolving Commitment of such Lender.

 

“Commitment Fee Rate”:  the rate per annum determined pursuant to the Pricing
Grid.

 

“Commonly Controlled Entity”:  an entity, whether or not incorporated, that is
under common control with the Borrower within the meaning of Section 4001 of
ERISA or is part of a group that includes the Borrower and that is treated as a
single employer under Section 414 of the Code.

 

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“Compliance Certificate”:  a certificate duly executed by a Responsible Officer
substantially in the form of Exhibit B.

 

“Conduit Lender”: any special purpose corporation organized and administered by
any Lender for the purpose of making Loans otherwise required to be made by such
Lender and designated by such Lender in a written instrument; provided, that the
designation by any Lender of a Conduit Lender shall not relieve the designating
Lender of any of its obligations to fund a Loan under this Agreement if, for any
reason, its Conduit Lender fails to fund any such Loan, and the designating
Lender (and not the Conduit Lender) shall have the sole right and responsibility
to deliver all consents and waivers required or requested under this Agreement
with respect to its Conduit Lender (including, without limitation, all consents
and waivers under Section 10.1), and provided, further, that no Conduit Lender
shall (a) be entitled to receive any greater amount pursuant to Section 2.18,
2.19, 2.20 or 10.5 than the designating Lender would have been entitled to
receive in respect of the extensions of credit made by such Conduit Lender (it
being understood that the designating Lender shall not be entitled to any such
amount) or (b) be deemed to have any Revolving Commitment.

 

“Consolidated Current Assets”:  at any date, all amounts (other than cash and
Cash Equivalents) that would, in conformity with GAAP, be set forth opposite the
caption “total current assets” (or any like caption) on a consolidated balance
sheet of the Borrower and its Subsidiaries at such date.

 

“Consolidated Current Liabilities”:  at any date, all amounts that would, in
conformity with GAAP, be set forth opposite the caption “total current
liabilities” (or any like caption) on a consolidated balance sheet of the
Borrower and its Subsidiaries at such date, but excluding (a) the current
portion of any Funded Debt of the Borrower and its Subsidiaries and (b) without
duplication of clause (a) above, all Indebtedness consisting of Revolving Loans
or Swingline Loans to the extent otherwise included therein.

 

“Consolidated EBITDA”:  for any period, Consolidated Net Income for such period
plus, without duplication and to the extent reflected as a charge in the
statement of such Consolidated Net Income for such period, the sum of (a) income
tax expense, (b) interest expense, amortization or writeoff of debt discount and
debt issuance costs and all commissions, discounts and other fees and charges
associated with Indebtedness (including the Loans, letters of credit, bankers’
acceptance financing), and net costs under Swap Agreements, (c) depreciation and
amortization expense, (d) amortization or write-off of intangibles (including,
but not limited to, goodwill) and organization costs, (e) any non-cash expenses
or losses, (f) any non-cash expenses or charges resulting from the grant of
stock options, equity or profit related employment incentives, (g) any
extraordinary, unusual or non-recurring cash expenses or losses, which, together
with any cash payments made during such period in respect of items reflected as
extraordinary, unusual or non-recurring non-cash expenses or losses in the
statement of Consolidated Net Income in a prior period, shall not exceed an
aggregate amount of $2,000,000 in any fiscal year, and (i) Excluded Charges and
minus, (a) to the extent included in the statement of such Consolidated Net
Income for such period, the sum of (i) interest income, (ii) any extraordinary,
unusual or non-recurring non-cash income or gains (including, whether or not
otherwise includable as a separate item in the statement of such Consolidated
Net Income for such period, gains on the sales of assets outside of the ordinary
course of business) and (iii) any other non-cash income and (b) any cash
payments made during such period in respect of items reflected as extraordinary,
unusual or non-recurring non-cash expenses or losses in the statement of
Consolidated Net Income in a prior period to the extent such non-cash expense or
loss was previously included in the calculation of Consolidated EBITDA and is in
excess of the limitation set forth in clause (h) above, all as determined on a
consolidated basis.  For the purposes of calculating Consolidated EBITDA for any
period of four consecutive fiscal quarters (each, a “Reference Period”) pursuant
to any determination of the Consolidated Leverage Ratio or the Consolidated
Senior Leverage Ratio, (i) if at any time during such Reference Period the
Borrower or any Subsidiary shall have made any

 

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Material Disposition, the Consolidated EBITDA for such Reference Period shall,
after giving Pro Forma Effect thereto, be reduced by an amount equal to the
Consolidated EBITDA (if positive) attributable to the property that is the
subject of such Material Disposition for such Reference Period or increased by
an amount equal to the Consolidated EBITDA (if negative) attributable thereto
for such Reference Period, in each case, to the same extent that the
Indebtedness attributable to such property was deducted from Consolidated Total
Debt in the determination of the Consolidated Leverage Ratio or the Consolidated
Senior Leverage Ratio, and (ii) if during such Reference Period the Borrower or
any Subsidiary shall have made a Material Acquisition, Consolidated EBITDA for
such Reference Period shall be calculated after giving Pro Forma Effect
thereto.  As used in this definition, “Material Acquisition” means any
acquisition of property or series of related acquisitions of property that (a)
constitutes assets comprising all or substantially all of an operating unit of a
business or constitutes all or substantially all of the common stock of a Person
and (b) involves the payment of consideration by the Borrower and its
Subsidiaries in excess of $300,000; and “Material Disposition” means any
Disposition of property or series of related Dispositions of property that
yields total consideration to the Borrower or any of its Subsidiaries in excess
of $300,000.

 

“Consolidated EBITDAR”:  for any period, Consolidated EBITDA plus, without
duplication, Consolidated Lease Expense for such period.

 

“Consolidated Fixed Charge Coverage Ratio”:  for any period, the ratio of (a)
Consolidated EBITDAR for such period to (b) Consolidated Fixed Charges for such
period.

 

“Consolidated Fixed Charges”:  for any period, the sum (without duplication) of
(a) Consolidated Interest Expense for such period, (b) Consolidated Lease
Expense for such period (c) income tax expenses for the Borrower and its
Subsidiaries for such period paid in cash and (d) scheduled payments made during
such period on account of principal of Indebtedness of the Borrower or any of
its Subsidiaries.

 

“Consolidated Interest Expense”:  for any period, (a) total cash interest
expense (including that attributable to Capital Lease Obligations) of the
Borrower and its Subsidiaries for such period with respect to all outstanding
Indebtedness of the Borrower and its Subsidiaries (including all commissions,
discounts and other fees and charges owed with respect to letters of credit and
bankers’ acceptance financing and net costs under Swap Agreements in respect of
interest rates to the extent such net costs are allocable to such period in
accordance with GAAP) minus (b) total cash interest income of the Borrower and
its Subsidiaries for such period.

 

“Consolidated Lease Expense”:  for any period, (a) the aggregate amount of fixed
and contingent rentals payable in cash by the Borrower and its Subsidiaries for
such period with respect to operating leases of real and personal property,
determined on a consolidated basis in accordance with GAAP minus (b) the
aggregate amount of rental income under leases of real and personal property,
determined on a consolidated basis in accordance with GAAP.

 

“Consolidated Leverage Ratio”:  as at the last day of any period of four
consecutive fiscal quarters, the ratio of (a) Consolidated Total Debt on such
day to (b) Consolidated EBITDA for such period.

 

“Consolidated Net Income”:  for any period, the consolidated net income (or
loss) of the Borrower and its Subsidiaries, determined on a consolidated basis
in accordance with GAAP; provided that there shall be excluded (a) the income
(or deficit) of any Person accrued prior to the date it becomes a Subsidiary of
the Borrower or is merged into or consolidated with the Borrower or any of its
Subsidiaries, (b) the income (or deficit) of any Person (other than a Subsidiary
of the Borrower) in which the Borrower

 

6

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or any of its Subsidiaries has an ownership interest, except to the extent that
any such income is actually received by the Borrower or such Subsidiary in the
form of dividends or similar distributions and (c) the undistributed earnings of
any Subsidiary of the Borrower to the extent that the declaration or payment of
dividends or similar distributions by such Subsidiary is not at the time
permitted by the terms of any Contractual Obligation (other than under any Loan
Document) or Requirement of Law applicable to such Subsidiary.

 

“Consolidated Senior Debt”:  all Consolidated Total Debt other than the Senior
Subordinated Notes and other subordinated debt.

 

“Consolidated Senior Leverage Ratio”:  as of the last day of any period of four
consecutive fiscal quarters, the ratio of (a) Consolidated Senior Debt on such
day to (b) Consolidated EBITDA for such period.

 

“Consolidated Total Debt”:  at any date, the aggregate principal amount of all
Indebtedness, without duplication, of the Borrower and its Subsidiaries at such
date, determined on a consolidated basis in accordance with GAAP, but excluding
Indebtedness of the type described in clause (f) of the definition thereof and,
to the extent relating to such clause (f), the types described in clauses (h)
and (i) of the definition thereof, unless such Indebtedness has been fully
liquidated and is no longer a contingent obligation.

 

“Consolidated Working Capital”:  at any date, the excess of Consolidated Current
Assets on such date over Consolidated Current Liabilities on such date.

 

“Continuing Directors”:  the directors of Holdings on the Original Closing Date,
and each other director, if, in each case, such other director either (i) was
nominated or recommended for election or appointed to the board of directors of
Holdings by a majority of the then Continuing Directors or by the Permitted
Investors, (ii) receives the vote of the Permitted Investors in his or her
election by the shareholders of Holdings, or (iii) was nominated or elected
pursuant to the terms of the Stockholders Agreement.

 

“Contractual Obligation”:  as to any Person, any provision of any security
issued by such Person or of any material agreement, instrument or other legally
binding undertaking to which such Person is a party or by which it or any of its
property is bound.

 

“Control Investment Affiliate”:  as to any Person, any other Person (including,
without limitation, any fund or investment vehicle) that (a) directly or
indirectly, is in control of, is controlled by, or is under common control with,
such Person and (b) is organized by such Person primarily for the purpose of
making equity or debt investments in one or more companies.  For purposes of
this definition, “control” of a Person means the power, directly or indirectly,
to direct or cause the direction of the management and policies of such Person
whether by contract or otherwise or acts as investment advisor or manager.

 

“Copyrights”:  as defined in the Guarantee and Collateral Agreement.

 

“Default”:  any of the events specified in Section 8, whether or not any
requirement for the giving of notice, the lapse of time, or both, has been
satisfied.

 

“Defaulting Lender”:  at any time, any Lender that, at such time, has failed to
make a Loan required to be made by such Lender pursuant to the terms of this
Agreement.

 

7

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“De Novo Facility”:  as of any time of determination, any Health Care Facility
that has been acquired (solely to the extent relating to a new construction or
development), developed or constructed by, or on behalf of, any Group Member.

 

“Disposition”:  with respect to any property, any sale, lease, sale and
leaseback, assignment, conveyance, transfer or other disposition thereof.  The
terms “Dispose” and “Disposed of” shall have correlative meanings.

 

“Disqualified Capital Stock”:  any Capital Stock that is not Qualified Capital
Stock.

 

“Dollars” and “$”:  dollars in lawful currency of the United States.

 

“Domestic Subsidiary”:  any Subsidiary of the Borrower organized under the laws
of any jurisdiction within the United States.

 

“Environmental Laws”:  any and all foreign, Federal, state, local or municipal
laws, rules, orders, regulations, statutes, ordinances, codes, decrees, lawful
requirements of any Governmental Authority or other Requirements of Law
(including common law) regulating, relating to or imposing liability or
standards of conduct concerning protection of human health from environmental or
workplace hazards or the protection of the environment, as now or may at any
time hereafter be in effect.

 

“ERISA”:  the Employee Retirement Income Security Act of 1974, as amended from
time to time.

 

“Eurocurrency Reserve Requirements”:  for any day as applied to a Eurodollar
Loan, the aggregate (without duplication) of the maximum rates (expressed as a
decimal fraction) of reserve requirements in effect on such day (including
basic, supplemental, marginal and emergency reserves) under any regulations of
the Board or other Governmental Authority having jurisdiction with respect
thereto dealing with reserve requirements prescribed for eurocurrency funding
(currently referred to as “Eurocurrency Liabilities” in Regulation D of the
Board) maintained by a member bank of the Federal Reserve System.

 

“Eurodollar Base Rate”:  with respect to each day during each Interest Period
pertaining to a Eurodollar Loan, the rate per annum determined on the basis of
the rate for deposits in Dollars for a period equal to such Interest Period
commencing on the first day of such Interest Period appearing on Page 3750 of
the Telerate screen as of 11:00 A.M., London time, two Business Days prior to
the beginning of such Interest Period.  In the event that such rate does not
appear on Page 3750 of the Telerate screen (or otherwise on such screen), the
“Eurodollar Base Rate” shall be determined by reference to such other comparable
publicly available service for displaying eurodollar rates as may be selected by
the Administrative Agent or, in the absence of such availability, by reference
to the rate at which the Administrative Agent is offered Dollar deposits at or
about 11:00 A.M., Charlotte time, two Business Days prior to the beginning of
such Interest Period in the interbank eurodollar market where its eurodollar and
foreign currency and exchange operations are then being conducted for delivery
on the first day of such Interest Period for the number of days comprised
therein.

 

“Eurodollar Loans”:  Loans the rate of interest applicable to which is based
upon the Eurodollar Rate.

 

“Eurodollar Rate”:  with respect to each day during each Interest Period
pertaining to a Eurodollar Loan, a rate per annum determined for such day in
accordance with the following formula (rounded upward to the nearest 1/100th
of 1%):

 

8

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Eurodollar Base Rate

 

1.00 - Eurocurrency Reserve Requirements

 

 

“Eurodollar Tranche”:  the collective reference to Eurodollar Loans having
Interest Periods which begin on the same date and end on the same later date
(whether or not such Loans shall originally have been made on the same day).

 

“Event of Default”:  any of the events specified in Section 8, provided that any
requirement for the giving of notice, the lapse of time, or both, has been
satisfied.

 

“Excess Cash Flow”:  for any fiscal year of the Borrower, the excess, if any, of
(a) the sum, without duplication, of (i) Consolidated Net Income for such fiscal
year, (ii) the amount of all non-cash charges (including depreciation and
amortization) deducted in arriving at such Consolidated Net Income, (iii) any
decrease in Consolidated Working Capital for such fiscal year, (iv) the
aggregate net amount of non-cash loss on the Disposition of property by the
Borrower and its Subsidiaries during such fiscal year (other than sales of
inventory in the ordinary course of business), to the extent deducted in
arriving at such Consolidated Net Income, and (v) the amount of all income tax
expense, interest expense, amortization or writeoff of debt discount and debt
issuance costs and all commissions, discounts and other fees and charges
associated with Indebtedness (including the Loans, letters of credit, bankers’
acceptance financing), and net costs under Swap Agreements, in each case to the
extent deducted in arriving at such Consolidated Net Income, over (b) the sum,
without duplication, of (i) the amount of all non-cash credits, income and gains
included in arriving at such Consolidated Net Income, (ii) the aggregate amount
actually paid by the Borrower and its Subsidiaries in cash during such fiscal
year on account of Capital Expenditures (excluding the principal amount of
Funded Debt (other than Funded Debt hereunder) incurred in connection with such
expenditures and any such expenditures financed with the proceeds of any
Reinvestment Deferred Amount or issuance of equity), (iii) the aggregate amount
actually paid by the Borrower and its Subsidiaries in cash during such fiscal
year on account of Permitted Acquisitions in such fiscal year (as such sum shall
be reduced by the principal amount of Funded Debt (other than Funded Debt
hereunder) incurred in connection with such Permitted Acquisitions and any such
expenditures for such Permitted Acquisitions financed with the proceeds of any
Reinvestment Deferred Amount or issuance of equity), (iv) (x) the aggregate
amount of all prepayments of Revolving Loans and Swingline Loans during such
fiscal year to the extent of accompanying permanent optional reductions of the
Revolving Commitments and all optional prepayments of the Term Loans (together
with any prepayment fees accompanying such prepayments) during such fiscal year,
in each such case, divided by (y) the Prepayment Percentage, (v) the aggregate
proceeds of Asset Sales and Recovery Events during such fiscal year, but only to
the extent that such Asset Sales and Recovery Events increased Consolidated Net
Income during such fiscal year, (vi) the aggregate amount of all regularly
scheduled principal payments of Funded Debt (including the Term Loans and Funded
Debt incurred to finance Capital Expenditures and Permitted Acquisitions) of the
Borrower and its Subsidiaries made during such fiscal year (other than in
respect of any revolving credit facility to the extent there is not an
equivalent permanent reduction in commitments thereunder), (vii) any increase in
Consolidated Working Capital for such fiscal year, (viii) any cash payments made
during such period in respect of items described in clauses (a)(ii) and (a)(iv)
above subsequent to the fiscal quarter in which such relevant non-cash expenses
or losses were reflected as a charge in the statement of Consolidated Net
Income, (ix) the aggregate net amount of non-cash gain on the Disposition of
property by the Borrower and its Subsidiaries during such fiscal year (other
than sales of inventory in the ordinary course of business), to the extent
included in arriving at such Consolidated Net Income, and (x) the aggregate
amount actually paid by the Borrower and its Subsidiaries in cash during such
fiscal year on account of income tax expense, interest expense and all
commissions, discounts and other fees and charges associated with Indebtedness
(including the Loans, letters of credit, bankers’ acceptance financing), and net
costs under Swap Agreements.

 

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“Excess Cash Flow Application Date”:  as defined in Section 2.11(c).

 

“Excluded Charges”:  without duplication, all (i) transaction fees, costs and
expenses incurred in connection with the Recapitalization Transactions and (ii)
with respect to any Permitted Acquisition or any Disposition of assets outside
of the ordinary course of business permitted by Section 7.5, all adjustments
(including, without limitation, operating and expense reductions and other
synergistic benefits) as would be permitted pursuant to Regulation S-X under the
Securities Act of 1933, as amended.

 

“Excluded Foreign Subsidiary”:  (i) any Foreign Subsidiary designated as such on
Schedule 4.15 in respect of which either (a) the pledge of all of the Capital
Stock of such Subsidiary as Collateral or (b) the guaranteeing by such
Subsidiary of the Obligations, would, in the good faith judgment of the
Borrower, result in material adverse tax consequences to the Borrower, and (ii)
any Subsidiary of an Excluded Foreign Subsidiary as designated on Schedule 4.15.

 

“Existing Credit Agreement”:  as defined in the recitals. hereto.

 

“Existing Lenders”:  as defined in the recitals hereto.

 

“Facility”:  each of (a) the aggregate Tranche B Term Commitments of all Lenders
and the Tranche B Term Loans made thereunder (the “Tranche B Term Facility”),
(b) the aggregate Incremental Term Loan Commitments of all Lenders having the
same Incremental Term Facility Closing Date and the Incremental Term Loans made
thereunder (each, an “Incremental Term Loan Facility”) and (c) the Total
Revolving Commitments and the Revolving Extensions of Credit made thereunder
(the “Revolving Facility”).

 

“Federal Funds Effective Rate”:  for any day, the weighted average of the rates
on overnight federal funds transactions with members of the Federal Reserve
System arranged by federal funds brokers, as published on the next succeeding
Business Day by the Federal Reserve Bank of New York, or, if such rate is not so
published for any day that is a Business Day, the average of the quotations for
the day of such transactions received by Wachovia Bank from three federal funds
brokers of recognized standing selected by it.

 

“Fee Payment Date”:  (a) the last day of each March, June, September and
December and (b) the last day of the Revolving Commitment Period.

 

“Foreign Subsidiary”:  any Subsidiary of the Borrower that is not a Domestic
Subsidiary.

 

“Funded Debt”:  as to any Person, without duplication, all Indebtedness of such
Person that matures more than one year from the date of its creation or arises
under a revolving credit or similar agreement that obligates the lender or
lenders to extend credit during a period of more than one year from such date
and, in the case of the Borrower, Indebtedness in respect of the Loans.

 

“Funding Office”:  the office of the Administrative Agent specified in
Section 10.2 or such other office as may be specified from time to time by the
Administrative Agent as its funding office by written notice to the Borrower and
the Lenders.

 

“GAAP”:  generally accepted accounting principles in the United States as in
effect from time to time, except that for purposes of Section 7.1, GAAP shall be
determined on the basis of such principles in effect on the date hereof and
consistent with those used in the preparation of the most recent audited
financial statements referred to in Section 4.1(b).  In the event that any
“Accounting Change” (as defined below) shall occur and such change results in a
change in the method of calculation of financial

 

10

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covenants, standards or terms in this Agreement, then the Borrower and the
Administrative Agent agree to enter into negotiations in order to amend such
provisions of this Agreement so as to reflect equitably such Accounting Changes
with the desired result that the criteria for evaluating the Borrower’s
financial condition shall be the same after such Accounting Changes as if such
Accounting Changes had not been made.  Until such time as such an amendment
shall have been executed and delivered by the Borrower, the Administrative Agent
and the Required Lenders, all financial covenants, standards and terms in this
Agreement shall continue to be calculated or construed as if such Accounting
Changes had not occurred.  “Accounting Changes” refers to changes in accounting
principles required by the promulgation of any rule, regulation, pronouncement
or opinion by the Financial Accounting Standards Board of the American Institute
of Certified Public Accountants or, if applicable, the SEC.

 

“Governmental Authority”:  any nation or government, any state or other
political subdivision thereof, any agency, authority, instrumentality,
regulatory body, court or other entity exercising executive, legislative,
judicial, taxing, regulatory or administrative functions of or pertaining to
government, and, with respect to any Lender, including any central bank, any
securities exchange and any self-regulatory organization (including the National
Association of Insurance Commissioners).

 

“Group Members”:  the collective reference to Holdings, the Borrower and their
respective Subsidiaries, other than those Subsidiaries listed on Schedule 1.1C.

 

“Guarantee and Collateral Agreement”:  the Guarantee and Collateral Agreement
dated as of August 15, 2002, as executed and delivered by Holdings, the Borrower
and each Subsidiary Guarantor, substantially in the form of Exhibit A.

 

“Guarantee Obligation”:  as to any Person (the “guaranteeing person”), without
duplication, any obligation of the guaranteeing person guaranteeing or in effect
guaranteeing (including through reimbursement, counterindemnity or similar
obligation) any Indebtedness, leases, dividends or other obligations (the
“primary obligations”) of any other third Person (the “primary obligor”),
including any issuing bank under any letter of credit, in any manner, whether
directly or indirectly, including any obligation of the guaranteeing person,
whether or not contingent, (i) to purchase any such primary obligation or any
property constituting direct or indirect security therefor, (ii) to advance or
supply funds (1) for the purchase or payment of any such primary obligation or
(2) to maintain working capital or equity capital of the primary obligor or
otherwise to maintain the net worth or solvency of the primary obligor, (iii) to
purchase property, securities or services primarily for the purpose of assuring
the owner of any such primary obligation of the ability of the primary obligor
to make payment of such primary obligation or (iv) otherwise to assure or hold
harmless the owner of any such primary obligation against loss in respect
thereof; provided, however, that the term Guarantee Obligation shall not include
endorsements of instruments for deposit or collection in the ordinary course of
business.  The amount of any Guarantee Obligation of any guaranteeing person
shall be deemed to be an amount equal to the stated or determinable amount of
the primary obligation in respect of which such Guarantee Obligation is made
unless such primary obligation for which such guaranteeing person may be liable
are not stated or determinable, in which case the amount of such Guarantee
Obligation shall be such guaranteeing person’s maximum reasonably anticipated
liability in respect thereof as determined by the Borrower in good faith.

 

“Guarantors”:  the collective reference to Holdings and the Subsidiary
Guarantors.

 

“Health Care Facility”:  any facility, whether licensed as a skilled nursing
facility, intermediate care facility, personal care facility, out-patient
clinic, diagnostic center or hospital (including, without limitation, any
long-term acute care hospital) which provides any level of medical care,
diagnostic or rehabilitative services or any products or services reasonably
related thereto.

 

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“Health Care Permits”:  any and all licenses, provisional licenses, JCAHO and/or
other accreditations, franchising rights to conduct business, approvals by a
Governmental Authority, authorizations, certificates of need, consents,
qualifications, operating authority, and/or any other permit that is related to
the provision of health care services required by any applicable Governmental
Authority or otherwise necessary for any Group Member to operate its business or
to own, lease, operate or manage a Health Care Facility of any Group Member.

 

“HIPAA”:  the Health Insurance Portability and Accountability Act of 1996, as
the same may be amended, modified or supplemented from time to time, and any
successor statute thereto, and any and all rules or regulations promulgated from
time to time thereunder.

 

“Holdings”:  as defined in the preamble hereto.

 

“Incremental Facility Activation Notice”:  a notice substantially in the form of
Exhibit H-2.

 

“Incremental Facility Closing Date”:  any Business Day designated as such in an
Incremental Facility Activation Notice.

 

“Incremental Term Commitment”:  as to any Lender, the obligation of such Lender,
if any, to make an Incremental Term Loan to the Borrower hereunder in a
principal amount not to exceed the amount set forth in the applicable
Incremental Facility Activation Notice.

 

“Incremental Term Lender”:  (a) on any Incremental Facility Closing Date
relating to Incremental Term Loans, the Lenders signatories to the relevant
Incremental Facility Activation Notice and (b) thereafter, each Lender that is a
holder of an Incremental Term Loan.

 

“Incremental Term Loan”:  as defined in Section 2.1(a).

 

“Incremental Term Maturity Date”:  with respect to the Incremental Term Loans to
be made pursuant to any Incremental Facility Activation Notice, the maturity
date specified in such Incremental Facility Activation Notice, which date shall
be on or after the Tranche B Term Maturity Date.

 

“Incremental Term Percentage”:  as to any Lender in respect of any Incremental
Term Loan Facility, the percentage which the aggregate principal amount of such
Lender’s Incremental Term Loans under such Facility then outstanding constitutes
of the aggregate principal amount of the Incremental Term Loans then outstanding
under such Facility.

 

“Indebtedness”:  of any Person at any date, without duplication, (a) all
indebtedness of such Person for borrowed money, (b) all obligations of such
Person for the deferred purchase price of property or services (other than trade
payables and other current liabilities incurred in the ordinary course of such
Person’s business and contingent purchase price adjustments), (c) all
obligations of such Person evidenced by notes, bonds, debentures or other
similar instruments, (d) all indebtedness created or arising under any
conditional sale or other title retention agreement with respect to property
acquired by such Person (even though the rights and remedies of the seller or
lender under such agreement in the event of default are limited to repossession
or sale of such property), (e) all Capital Lease Obligations of such Person, (f)
all obligations of such Person, contingent or otherwise, as an account party or
applicant under or in respect of acceptances, letters of credit, surety bonds or
similar arrangements, (g) the liquidation value of all Disqualified Capital
Stock of such Person, (h) all Guarantee Obligations of such Person in respect of
obligations of the kind referred to in clauses (a) through (g) above, (i) all
obligations of the kind referred to in clauses (a) through (h) above secured by
(or for which the holder of such obligation has an

 

12

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existing right, contingent or otherwise, to be secured by) any Lien on property
(including accounts and contract rights) owned by such Person, whether or not
such Person has assumed or become liable for the payment of such obligation, and
(j) for the purposes of Section 8(e) only, all obligations of such Person in
respect of Swap Agreements.  The Indebtedness of any Person shall include the
Indebtedness of any other entity (including any partnership in which such Person
is a general partner) to the extent such Person is liable therefor as a result
of such Person’s ownership interest in or other relationship with such entity,
except to the extent the terms of such Indebtedness expressly provide that such
Person is not liable therefor.

 

“Insolvency”:  with respect to any Multiemployer Plan, the condition that such
Plan is insolvent within the meaning of Section 4245 of ERISA.

 

“Insolvent”:  pertaining to a condition of Insolvency.

 

“Intellectual Property”:  the collective reference to all rights, priorities and
privileges relating to intellectual property, whether arising under United
States, multinational or foreign laws or otherwise, including copyrights,
copyright licenses, patents, patent licenses, trademarks, trademark licenses,
technology, know-how and processes, and all rights to sue at law or in equity
for any infringement or other impairment thereof, including the right to receive
all proceeds and damages therefrom.

 

“Interest Payment Date”:  (a) as to any ABR Loan, the last day of each March,
June, September and December to occur while such Loan is outstanding and the
final maturity date of such Loan, (b) as to any Eurodollar Loan having an
Interest Period of three months or less, the last day of such Interest Period,
(c) as to any Eurodollar Loan having an Interest Period longer than three
months, each day that is three months, or a whole multiple thereof, after the
first day of such Interest Period and the last day of such Interest Period and
(d) as to any Loan (other than any Revolving Loan that is an ABR Loan and any
Swingline Loan), the date of any repayment or prepayment made in respect
thereof.

 

“Interest Period”:  as to any Eurodollar Loan, (a) initially, the period
commencing on the borrowing or conversion date, as the case may be, with respect
to such Eurodollar Loan and ending one, two, three or six months thereafter, as
selected by the Borrower in its notice of borrowing or notice of conversion, as
the case may be, given with respect thereto; and (b) thereafter, each period
commencing on the last day of the next preceding Interest Period applicable to
such Eurodollar Loan and ending one, two, three or six months thereafter, as
selected by the Borrower by irrevocable notice to the Administrative Agent not
later than 11:00 A.M., Charlotte time, on the date that is three Business Days
prior to the last day of the then current Interest Period with respect thereto;
provided that, all of the foregoing provisions relating to Interest Periods are
subject to the following:

 

(i)                                     if any Interest Period would otherwise
end on a day that is not a Business Day, such Interest Period shall be extended
to the next succeeding Business Day unless the result of such extension would be
to carry such Interest Period into another calendar month in which event such
Interest Period shall end on the immediately preceding Business Day;

 

(ii)                                  the Borrower may not select an Interest
Period under a particular Facility that would extend beyond the Revolving
Termination Date or beyond the date final payment is due on the Term Loans, as
the case may be; and

 

(iii)                               any Interest Period that begins on the last
Business Day of a calendar month (or on a day for which there is no numerically
corresponding day in the calendar month at the end of such Interest Period)
shall end on the last Business Day of a calendar month.

 

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“Investments”:  as defined in Section 7.7.

 

“Issuing Lender”:  Wachovia Bank, National Association or any affiliate thereof,
in its capacity as issuer of any Letter of Credit.

 

“JCAHO”:   the Joint Commission on Accreditation of Healthcare Organizations.

 

“Joint Venture”:  as to any Person, any other Person or any arrangement in which
such Person has any direct or indirect interest and that is not a Subsidiary of
such Person.

 

“Junior Capital”:  any Qualified Capital Stock of the Borrower or Holdings and
any subordinated Indebtedness of Holdings or the Borrower that has a final
maturity date at least 180 days after the later of the Tranche B Term Maturity
Date and the latest Incremental Term Maturity Date and no payments in cash of
principal or interest thereon (other than in the circumstances described in the
proviso of the definition of Qualified Capital Stock) prior to the later of the
Tranche B Term Maturity Date and the latest Incremental Term Maturity Date
issued to, or placed by, the Sponsor or its Control Investment Affiliates.

 

“L/C Commitment”:  $5,000,000.

 

“L/C Obligations”:  at any time, an amount equal to the sum of (a) the aggregate
then undrawn and unexpired amount of the then outstanding Letters of Credit and
(b) the aggregate amount of drawings under Letters of Credit that have not then
been reimbursed pursuant to Section 3.5.

 

“L/C Participants”:  the collective reference to all the Revolving Lenders other
than the Issuing Lender.

 

“Lenders”:  as defined in the preamble hereto; provided, that unless the context
otherwise requires, each reference herein to the Lenders shall be deemed to
include any Conduit Lender.

 

“Letters of Credit”:  as defined in Section 3.1(a).

 

“Lien”:  any mortgage, pledge, hypothecation, assignment, deposit arrangement,
encumbrance, lien (statutory or other), charge or other security interest or
other security agreement of any kind or nature whatsoever (including any
conditional sale or other title retention agreement and any capital lease having
substantially the same economic effect as any of the foregoing).

 

“Loan”:  any loan made by any Lender pursuant to this Agreement.

 

“Loan Documents”:  this Agreement, the Security Documents, the Notes and any
other document related thereto to which a Loan Party is party which expressly
provides that such document is a Loan Document hereunder.

 

“Loan Parties”:  Each Group Member other than the Excluded Foreign Subsidiaries.

 

“Majority Facility Lenders”:  with respect to any Facility, the holders of more
than 50% of the aggregate unpaid principal amount of the Term Loans or the Total
Revolving Extensions of Credit, as the case may be, outstanding under such
Facility (or, in the case of the Revolving Facility, prior to any termination of
the Revolving Commitments, the holders of more than 50% of the Total Revolving
Commitments then in effect); provided, however, that if any Lender shall be a
Defaulting Lender at such time, then there shall be excluded from the
determination of the Majority Facility Lenders such

 

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Defaulting Lender’s Term Loans then outstanding and such Defaulting Lender’s
Revolving Commitments, or after termination of the Total Revolving Commitments,
the Revolving Extensions of Credit of such Defaulting Lender then outstanding.

 

“Material Adverse Effect”:  a material adverse effect on (a) the business,
property, operations or condition (financial or otherwise) of the Borrower and
its Subsidiaries taken as a whole or (b) the validity or enforceability of this
Agreement or any of the other Loan Documents or the rights or remedies of the
Administrative Agent or the Lenders hereunder or thereunder.

 

“Materials of Environmental Concern”:  any gasoline or petroleum (including
crude oil or any fraction thereof) or petroleum products or any hazardous or
toxic substances, materials or wastes, defined or regulated as such in or under
any Environmental Law, including asbestos and polychlorinated biphenyls.

 

“Medicaid”:  collectively, the healthcare assistance program established by
Title XIX of the Social Security Act (42 U.S.C. §§1396 et seq.) and any statutes
succeeding thereto, and all laws, rules, regulations, manuals, orders,
guidelines or requirements pertaining to such program including (a) all federal
statutes (whether set forth in Title XIX of the Social Security Act or
elsewhere) regulating such program; (b) all state statutes, regulations and
plans for medical assistance enacted in connection with such program and federal
rules and regulations promulgated in connection with such program; and (c) all
applicable provisions of all rules, regulations, manuals, orders and
administrative, reimbursement, guidelines and requirements of all Governmental
Authorities promulgated in connection with such program (whether or not having
the force of law), in each case as the same may be amended, supplemented or
otherwise modified from time to time.

 

“Medicaid Provider Agreement”:  an agreement entered into between a Health Care
Facility, supplier or physician and CMS or any federal or state agency or other
entity administering Medicaid in such state, or any other grant of authority by
CMS or any federal or state agency or other entity administering Medicaid in
such state, under which the Health Care Facility, supplier or physician is
authorized to provide medical goods and services to Medicaid recipients and to
be reimbursed by Medicaid for such goods and services.

 

“Medicare”:  collectively, the health insurance program for the aged and
disabled established by Title XVIII of the Social Security Act (42 U.S.C.
§§ 1395 et seq.) and any statutes succeeding thereto, and all laws, rules,
regulations, manuals, orders or guidelines pertaining to such program including
(a) all federal statutes (whether set forth in Title XVIII of the Social
Security Act or elsewhere) regulating such program; and (b) all applicable
provisions of all rules, regulations, manuals, orders and administrative,
reimbursement, guidelines and requirements of all Governmental Authorities
promulgated in connection with such program (whether or not having the force of
law), in each case as the same may be amended, supplemented or otherwise
modified from time to time.

 

“Medicare Provider Agreement”:  an agreement entered into between a Health Care
Facility, supplier or physician and CMS or any federal or state agency or other
entity administering Medicare in such state, or other grant of authority by CMS
or any federal or state agency or other entity administering Medicare in such
state, under which the Health Care Facility, supplier or physician is authorized
to provide medical goods and services to Medicare patients and to be reimbursed
by Medicare for such goods and services.

 

“Mortgaged Properties”:  the real properties listed on Schedule 1.1B, as to
which the Administrative Agent for the benefit of the Lenders shall be granted a
Lien pursuant to the Mortgages.

 

15

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“Mortgages”:  each of the mortgages and deeds of trust made by any Loan Party in
favor of, or for the benefit of, the Administrative Agent for the benefit of the
Lenders, in form and substance reasonably satisfactory to the Administrative
Agent.

 

“Multiemployer Plan”:  a Plan that is a multiemployer plan as defined in
Section 4001(a)(3) of ERISA.

 

“Net Cash Proceeds”:  in connection with any Asset Sale or any Recovery Event or
any incurrence of Indebtedness, the proceeds thereof in the form of cash and
Cash Equivalents (including any such proceeds received by way of deferred
payment of principal pursuant to a note or installment receivable or purchase
price adjustment receivable or otherwise, but only as and when received) of such
Asset Sale or Recovery Event or incurrence of Indebtedness, net of (i)
attorneys’ fees, accountants’ fees, investment banking fees and all other
professionals’ and advisors’ fees, (ii) all reasonable costs and expenses
arising therefrom (including, without limitation, all underwriting, brokerage,
commitment, arrangement, consent, title, filing, recording,  and similar fees,
premiums, commissions and discounts), (iii) amounts required to be applied to
the repayment of Indebtedness secured by a Lien expressly permitted hereunder on
any asset that is the subject of such Asset Sale or Recovery Event, including,
without limitation, all premiums, penalties, breakage, indemnity, consent fees
and similar amounts in connection therewith, and distributions or other payments
required to be made to any minority interest holders in Subsidiaries (which
shall not exceed such holders’ ratable interests), (iv) all reserves reasonably
established by the Borrower in respect of post-closing adjustments, payments,
indemnities and other contingent liabilities, provided that upon the date upon
which such reserve is no longer required to be maintained, the remaining amount
of such reserve shall then be deemed Net Cash Proceeds, and (v) all other
customary fees and expenses actually incurred in connection therewith and net of
taxes paid or reasonably estimated to be payable as a result thereof (after
taking into account any available tax credits or deductions and any tax sharing
arrangements).

 

“New Lender”:  as defined in Section 2.1(c).

 

“Non-Excluded Taxes”:  as defined in Section 2.19(a).

 

“Non-U.S. Lender”:  as defined in Section 2.19(d).

 

“Notes”:  the collective reference to any promissory note evidencing Loans.

 

“Obligations”:  the unpaid principal of and interest on (including interest
accruing after the maturity of the Loans and Reimbursement Obligations and
interest accruing after the filing of any petition in bankruptcy, or the
commencement of any insolvency, reorganization or like proceeding, relating to
the Borrower, whether or not a claim for post-filing or post-petition interest
is allowed in such proceeding) the Loans and all other obligations and
liabilities of the Borrower to the Administrative Agent or to any Lender (or, in
the case of Specified Swap Agreements, any affiliate of any Lender), whether
direct or indirect, absolute or contingent, due or to become due, or now
existing or hereafter incurred, which may arise under, out of, or in connection
with, this Agreement, any other Loan Document, the Letters of Credit, any
Specified Swap Agreement (to the extent that, after giving effect to such
Specified Swap Agreement, the aggregate principal amount of outstanding Loans
and Senior Subordinated Notes bearing interest at a fixed rate is not less than
35% of such aggregate principal amount) or any other document made, delivered or
given in connection herewith or therewith, whether on account of principal,
interest, reimbursement obligations, fees, indemnities, costs, expenses
(including all fees, charges and disbursements of counsel to the Administrative
Agent or to any Lender that are required to be paid by the Borrower pursuant
hereto) or otherwise.

 

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“Original Closing Date”:  August 15, 2002.

 

“Other Taxes”:  any and all present or future stamp or documentary taxes or any
other excise or property taxes, charges or similar levies arising from any
payment made hereunder or from the execution, delivery or enforcement of, or
otherwise with respect to, this Agreement or any other Loan Document.

 

“Patents”:  as defined in the Guarantee and Collateral Agreement.

 

“Participant”:  as defined in Section 10.6(c).

 

“PBGC”:  the Pension Benefit Guaranty Corporation established pursuant to
Subtitle A of Title IV of ERISA (or any successor).

 

“Permitted Acquisition”: any acquisition of property or series of related
acquisitions of property that (a) constitutes assets constituting all or
substantially all of a business unit or constitutes all or substantially all of
the Capital Stock of a Person, and (b) is permitted by and consummated in
compliance with the requirements of Section 7.7(g).

 

“Permitted Investor Preferred Stock”:  the Series A Redeemable Preferred Stock
and the Series B Redeemable Preferred Stock of Holdings as set forth in the
Fourth Amended and Restated Certificate of Incorporation of Holdings, as further
amended and modified from time to time.

 

“Permitted Investors”:  the collective reference to (i) the Sponsor and its
Control Investment Affiliates and (ii) senior management of Holdings and the
Borrower as of the Amendment Effective Date, together with any other members of
such senior management approved by the Board of Directors of Holdings or the
Borrower, as the case may be.

 

“Person”:  an individual, partnership, corporation, limited liability company,
business trust, joint stock company, trust, unincorporated association, joint
venture, Governmental Authority or other entity of whatever nature.

 

“Plan”:  at a particular time, any employee benefit plan that is covered by
ERISA and in respect of which the Borrower or a Commonly Controlled Entity is
(or, if such plan were terminated at such time, would under Section 4069 of
ERISA be deemed to be) an “employer” as defined in Section 3(5) of ERISA.

 

“Prepayment Percentage”:  75%; provided, that, the Prepayment Percentage shall
be reduced to 50% if the Consolidated Leverage Ratio as of the last day of such
fiscal year is not greater than 3.75 to 1.0.

 

“Pricing Grid”:  the table set forth below.

 

Consolidated
Leverage Ratio

 

Applicable Margin for
Eurodollar Loans

 

Applicable Margin for
ABR Loans

 

Commitment Fee Rate

 

Greater than or equal to 4.0 to 1.0

 

2.75

%

1.75

%

.500

%

Less than 4.0 but greater than or equal to 3.25 to 1.0

 

2.50

%

1.50

%

.500

%

Less than 3.25 but greater than 2.5 to 1.0

 

2.25

%

1.25

%

.500

%

Equal to or less than 2.5 to 1.0

 

2.00

%

1.00

%

.375

%

 

17

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For the purposes of the Pricing Grid, changes in the Applicable Margin resulting
from changes in the Consolidated Leverage Ratio shall become effective on the
date (the “Adjustment Date”) that is three Business Days after the date on which
financial statements are delivered to the Lenders pursuant to Section 6.1 and
shall remain in effect until the next change to be effected pursuant to this
paragraph.  If any financial statements referred to above are not delivered
within the time periods specified in Section 6.1, then, until the date that is
three Business Days after the date on which such financial statements are
delivered, the highest rate set forth in each column of the Pricing Grid shall
apply.  In addition, at all times while an Event of Default shall have occurred
and be continuing, the highest rate set forth in each column of the Pricing Grid
shall apply.  Each determination of the Consolidated Leverage Ratio pursuant to
the Pricing Grid shall be made in a manner consistent with the determination
thereof pursuant to Section 7.1.  As of the Amendment Effective Date, and until
adjustment as provided herein, the Applicable Margins shall be determined based
on the financial statements most recently delivered to the Lenders pursuant to
Section 6.1 of the Existing Credit Agreement (which reflect a Consolidated
Leverage Ratio greater than 4.0 to 1.0).

 

“Pro Forma Balance Sheet”:  as defined in Section 4.1(a).

 

“Pro Forma Effect”:  with respect to any event or transaction occurring during
any period of four consecutive fiscal quarters, such event or transaction
(including any other transactions consummated in connection therewith or
required thereby) shall be deemed to have been made on the first day of such
period of four consecutive fiscal quarters.

 

“Projections”:  as defined in Section 6.2(c).

 

“Properties”:  as defined in Section 4.17(a).

 

“Qualified Capital Stock”:  any Capital Stock that by its terms (or by the terms
of any security into which it is convertible or for which it is exchangeable or
exercisable) or upon the happening of any event does not provide for scheduled
payments of dividends in cash and does not (i) mature or becomes mandatorily
redeemable pursuant to a sinking fund obligation or otherwise; (ii) become
convertible or exchangeable at the option of the holder thereof for Indebtedness
or Capital Stock that is not Qualified Capital Stock; or (iii) become redeemable
at the option of the holder thereof, in whole or in part, in each case, on or
prior to the later of (A) the date that is 180 days after the later of the
Tranche B Term Maturity Date and the latest Incremental Term Maturity Date and
(B) the final maturity date of the Senior Subordinated Notes; provided, that any
Capital Stock that would not constitute Qualified Capital Stock solely because
the holders thereof have the right to require Holdings to repurchase such
Capital Stock upon the occurrence of a change of control or asset sale (each
defined in a substantially similar manner to the description of change of
control in Section 8(k) of this Agreement and to the corresponding definition of
Asset Sale in this Agreement) shall nonetheless constitute Qualified Capital
Stock.  Notwithstanding anything to the contrary, the Permitted Investor
Preferred Stock shall be deemed to be Qualified Capital Stock.

 

“Qualified Public Offering”: any QPO as such term is defined in the Fourth
Amended and Restated Certificate of Incorporation of Holdings, as further
amended and modified from time to time.

 

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“Recapitalization”:  (i) the purchase by MQ Investment Holdings, LLC (together
with any other Control Investment Affiliates of the Sponsor) of equity
securities of Holdings representing approximately 70.5% of the post-closing
equity of Holdings, (ii) the exchange by the Rollover Stockholders of existing
equity in Holdings for newly issued shares in Holdings representing
approximately 29.5% of the post-closing equity of Holdings and (iii) the
redemption or repurchase by Holdings of the Seller Shares (other than the Seller
Shares held by the Rollover Stockholders exchanged for “rollover equity” as
contemplated by clause (ii) above), in each case, in accordance with the
Recapitalization Agreement.

 

“Recapitalization Agreement”:  the Recapitalization Agreement among MQ
Investment Holdings, LLC, Holdings, the stockholders of Holdings signatory
thereto and Gene Venesky and David Lang, as the stockholders’ representatives,
dated as of July 16, 2002 and amended as of August 8, 2002.

 

“Recapitalization Documentation”:  collectively, the Recapitalization Agreement
and all schedules, exhibits and annexes thereto and all side letters and
agreements modifying or supplementing the terms thereof or entered into in
connection therewith.

 

“Recapitalization Transactions”:  collectively, the Recapitalization, the
repayment of certain Indebtedness and the other transactions contemplated by the
Recapitalization Documentation, any other transactions consummated in connection
with any of the foregoing (including, without limitation, the payment of
transaction fees and expenses) and the financing of any of the foregoing.

 

“Receivable”:  as defined in the Guarantee and Collateral Agreement.

 

“Recovery Event”:  any settlement of or payment in respect of any property or
casualty insurance claim or any condemnation proceeding relating to any asset of
any Group Member.

 

“Refunded Swingline Loans”:  as defined in Section 2.7.

 

“Register”:  as defined in Section 10.6(b).

 

“Regulation U”:  Regulation U of the Board as in effect from time to time.

 

“Reimbursement Approvals”:  with respect to all Third Party Payor Arrangements,
any and all certifications, provider numbers, provider agreements (including,
without limitation, Medicare Provider Agreements and Medicaid Provider
Agreements), participation agreements, accreditations (including JCAHO
accreditation) and/or any other agreements with or approvals by organizations
and Governmental Authorities.

 

“Reimbursement Obligation”:  the obligation of the Borrower to reimburse the
Issuing Lender pursuant to Section 3.5 for amounts drawn under Letters of
Credit.

 

“Reinvestment Deferred Amount”:  with respect to any Reinvestment Event, the
aggregate Net Cash Proceeds received by any Group Member in connection therewith
that, as a result of the delivery of a Reinvestment Notice, are not applied to
prepay the Term Loans and the Revolving Loans and, if applicable, reduce the
Revolving Commitments pursuant to Sections 2.11(b) and 2.11(d).

 

“Reinvestment Event”:  any Asset Sale or Recovery Event in respect of which the
Borrower has delivered a Reinvestment Notice.

 

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“Reinvestment Notice”:  a written notice executed by a Responsible Officer
stating that no Event of Default has occurred and is continuing and that the
Borrower (directly or indirectly through a Subsidiary) intends and expects to
use all or a specified portion of the Net Cash Proceeds of an Asset Sale or
Recovery Event to acquire, maintain, develop, construct, improve, upgrade or
repair assets useful in the business of any Group Member (other than Holdings).

 

“Reinvestment Prepayment Amount”:  with respect to any Reinvestment Event, the
Reinvestment Deferred Amount relating thereto less any amount expended prior to
the relevant Reinvestment Prepayment Date to acquire, maintain, develop,
construct, improve, upgrade or repair assets useful in the business of any Group
Member (other than Holdings).

 

“Reinvestment Prepayment Date”:  with respect to any Reinvestment Event, the
earlier of (a) the date occurring twelve months after such Reinvestment Event
and (b) the date on which the Borrower shall have determined not to, or shall
have otherwise ceased to, acquire, maintain, develop, construct, improve,
upgrade or repair assets useful in the business of any Group Member (other than
Holdings) with all or any portion of the relevant Reinvestment Deferred Amount.

 

“Reorganization”:  with respect to any Multiemployer Plan, the condition that
such plan is in reorganization within the meaning of Section 4241 of ERISA.

 

“Reportable Event”:  any of the events set forth in Section 4043(c) of ERISA,
other than those events as to which the thirty day notice period is waived under
subsections .27, .28, .29, .30, .31, .32, .34 or .35 of PBGC Reg. § 4043.

 

“Required Lenders”:  at any time, the holders of more than 50% of (a) prior to
the Amendment Effective Date, the Total Revolving Commitments and (b) on the
Amendment Effective Date and thereafter, the sum of (i) the aggregate unpaid
principal amount of the Term Loans then outstanding and (ii) the Total Revolving
Commitments then in effect or, if the Revolving Commitments have been
terminated, the Total Revolving Extensions of Credit then outstanding; provided,
however, that if any Lender shall be a Defaulting Lender at such time, then
there shall be excluded from the determination of Required Lenders such
Defaulting Lender’s Revolving Commitments, or after termination of the Total
Revolving Commitments, the Revolving Extensions of Credit of such Defaulting
Lender then outstanding.

 

“Requirement of Law”:  as to any Person, the Certificate of Incorporation and
By-Laws or other organizational or governing documents of such Person, and any
law, treaty, rule or regulation or legally binding determination of an
arbitrator or a court or other Governmental Authority, in each case applicable
to or binding upon such Person or any of its property or to which such Person or
any of its property is subject.

 

“Responsible Officer”:  the chief executive officer, president or chief
financial officer of the Borrower, but in any event, with respect to financial
matters, the chief financial officer of the Borrower.

 

“Restricted Payments”:  as defined in Section 7.6.

 

“Revolving Commitment”:  as to any Lender, the obligation of such Lender, if
any, to make Revolving Loans and participate in Swingline Loans and Letters of
Credit in an aggregate principal and/or face amount not to exceed the amount set
forth under the heading “Revolving Commitment” opposite such Lender’s name on
Schedule 1.1A or in the Assignment and Assumption pursuant to which

 

20

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such Lender became a party hereto, as the same may be changed from time to time
pursuant to the terms hereof.  The original amount of the Total Revolving
Commitments is $80,000,000.

 

“Revolving Commitment Period”:  the period from and including the Original
Closing Date to the Revolving Termination Date.

 

“Revolving Extensions of Credit”:  as to any Lender at any time, an amount equal
to the sum of (a) the aggregate principal amount of all Revolving Loans held by
such Lender then outstanding, (b) such Lender’s Revolving Percentage of the L/C
Obligations then outstanding and (c) such Lender’s Revolving Percentage of the
aggregate principal amount of Swingline Loans then outstanding.

 

“Revolving Lender”:  each Lender that has a Revolving Commitment or that holds
any Revolving Extension of Credit.

 

“Revolving Loans”:  as defined in Section 2.4(a).

 

“Revolving Percentage”:  as to any Revolving Lender at any time, the percentage
which such Lender’s Revolving Commitment then constitutes of the Total Revolving
Commitments or, at any time after the Revolving Commitments shall have expired
or terminated, the percentage which the aggregate principal amount of such
Lender’s Revolving Loans then outstanding constitutes of the aggregate principal
amount of the Revolving Loans then outstanding, provided, that, in the event
that the Revolving Loans are paid in full prior to the reduction to zero of the
Total Revolving Extensions of Credit, the Revolving Percentages shall be
determined in a manner designed to ensure that the other outstanding Revolving
Extensions of Credit shall be held by the Revolving Lenders on a comparable
basis.

 

“Rollover Stockholders”:  as defined in the Recapitalization Agreement.

 

“Revolving Termination Date”:  August 15, 2007.

 

“Sale-Leaseback Transaction”:  as defined in Section 7.10.

 

“SEC”:  the Securities and Exchange Commission, any successor thereto and any
analogous Governmental Authority.

 

“Security Documents”:  the collective reference to the Guarantee and Collateral
Agreement, the Mortgages and all other security documents hereafter delivered to
the Administrative Agent granting a Lien on any property of any Person to secure
the obligations and liabilities of any Loan Party under any Loan Document.

 

“Seller Shares”:  the Existing Common Stock, the Existing Class B Common Stock,
the Existing Series A Preferred Stock, and the Existing Series C Preferred
Stock, as such terms are defined in the Recapitalization Agreement.

 

“Senior Subordinated Note Indenture”:  the Indenture dated August 15, 2002
entered into by the Borrower and certain of its Subsidiaries in connection with
the issuance of the Senior Subordinated Notes, together with all instruments and
other agreements entered into by the Borrower or such Subsidiaries in connection
therewith.

 

21

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“Senior Subordinated Notes”:  the subordinated notes of the Borrower issued
pursuant to the Senior Subordinated Note Indenture and any Exchange Notes (as
defined in the Senior Subordinated Note Indenture) as contemplated therein.

 

“Single Employer Plan”:  any Plan that is covered by Title IV of ERISA, but that
is not a Multiemployer Plan.

 

“Solvent”:  when used with respect to any Person, means that, as of any date of
determination, (a) the amount of the “present fair saleable value” of the assets
of such Person will, as of such date, exceed the amount of all “liabilities of
such Person, contingent or otherwise”, as of such date, as such quoted terms are
determined in accordance with applicable federal and state laws governing
determinations of the insolvency of debtors, (b) the present fair saleable value
of the assets of such Person will, as of such date, be greater than the amount
that will be required to pay the liability of such Person on its debts as such
debts become absolute and matured, (c) such Person will not have, as of such
date, an unreasonably small amount of capital with which to conduct its
business, and (d) such Person will be able to pay its debts as they mature.  For
purposes of this definition, (i) “debt” means liability on a “claim”, and (ii)
“claim” means any (x) right to payment, whether or not such a right is reduced
to judgment, liquidated, unliquidated, fixed, contingent, matured, unmatured,
disputed, undisputed, legal, equitable, secured or unsecured or (y) right to an
equitable remedy for breach of performance if such breach gives rise to a right
to payment, whether or not such right to an equitable remedy is reduced to
judgment, fixed, contingent, matured or unmatured, disputed, undisputed, secured
or unsecured.

 

“Specified Change of Control”:  a “Change of Control” (or any other defined term
having a similar purpose) as defined in the Senior Subordinated Note Indenture.

 

“Specified Swap Agreement”:  any Swap Agreement entered into by the Borrower and
any Lender or affiliate thereof in respect of interest rates, currency exchange
rates or commodity prices, so long as any such Swap Agreement is not entered
into for speculative purposes.

 

“Sponsor”:  J.P. Morgan Partners (BHCA), L.P.

 

“Stockholders Agreement”:  the Stockholders’ Agreement, dated as of August 15,
2002, among Holdings and each of the stockholders party thereto, as further
amended and modified from time to time.

 

“Subsidiary”:  as of any date of determination, as to any Person, a corporation,
partnership, limited liability company or other entity the accounts of which
would be consolidated with those of such Person in such Person’s consolidated
financial statements prepared in accordance with GAAP as of such date, as well
as any other corporation, limited liability company, partnership, association or
other entity of which securities or other ownership interests representing more
than 50% of the equity or more than 50% of the ordinary voting power or, in the
case of general partnership interests, more than 50% of the general partnership
interests, are owned by such Person.  Unless otherwise qualified, all references
to a “Subsidiary” or to “Subsidiaries” in this Agreement shall refer to a
Subsidiary or Subsidiaries of the Borrower.

 

“Subsidiary Guarantor”:  each Subsidiary of the Borrower other than any Excluded
Foreign Subsidiary and any Subsidiary that is not a Group Member.

 

“Supermajority Lenders”:  at any time, the holders of more than 75% of (a) prior
to the Amendment Effective Date, the Total Revolving Commitments and (b) on the
Amendment Effective Date and thereafter, the sum of (i) the aggregate unpaid
principal amount of the Term Loans then outstanding

 

22

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and (ii) the Total Revolving Commitments then in effect or, if the Revolving
Commitments have been terminated, the Total Revolving Extensions of Credit then
outstanding; provided, however, that if any Lender shall be a Defaulting Lender
at such time, then there shall be excluded from the determination of
Supermajority Lenders such Defaulting Lender’s Revolving Commitments, or after
termination of the Total Revolving Commitments, the Revolving Extensions of
Credit of such Defaulting Lender then outstanding.

 

 “Swap Agreement”:  any agreement with respect to any swap, forward, future or
derivative transaction or option or similar agreement involving, or settled by
reference to, one or more rates, currencies, commodities, equity or debt
instruments or securities, or economic, financial or pricing indices or measures
of economic, financial or pricing risk or value or any similar transaction or
any combination of these transactions; provided that no phantom stock or similar
plan providing for payments only on account of services provided by current or
former directors, officers, employees or consultants of the Borrower or any of
its Subsidiaries shall be a “Swap Agreement”.

 

“Swingline Commitment”:  the obligation of the Swingline Lender to make
Swingline Loans pursuant to Section 2.6 in an aggregate principal amount at any
one time outstanding not to exceed $5,000,000.

 

“Swingline Lender”:  Wachovia Bank, National Association, in its capacity as the
lender of Swingline Loans.

 

“Swingline Loans”:  as defined in Section 2.6.

 

“Swingline Participation Amount”:  as defined in Section 2.7.

 

“Syndication Agent”:  as defined in the preamble hereto.

 

“Term Lenders”:  the collective reference to the Tranche B Term Lenders and the
Incremental Term Lenders.

 

“Term Loans”:  the collective reference to the Tranche B Term Loans and the
Incremental Term Loans.

 

“Third Party Payor Arrangements”:  any and all arrangements with Medicare,
Medicaid, and any other Governmental Authority, or quasi-public agency, Blue
Cross, Blue Shield, any and all managed care plans and organizations, including
but not limited to health maintenance organizations and preferred provider
organizations, private commercial insurance companies, employee assistance
programs and/or any other third party arrangements, plans or programs for
payment or reimbursement in connection with health care services, products or
supplies.

 

“Total Revolving Commitments”:  at any time, the aggregate amount of the
Revolving Commitments then in effect.

 

“Total Revolving Extensions of Credit”:  at any time, the aggregate amount of
the Revolving Extensions of Credit of the Lenders outstanding at such time.

 

“Trademarks”:  as defined in the Guarantee and Collateral Agreement.

 

“Tranche B Term Commitment”:  as to any Lender, the obligation of such Lender,
if any, to make a Tranche B Term Loan to the Borrower in a principal amount not
to exceed the amount set forth

 

23

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under the heading “Tranche B Term Commitment” opposite such Lender’s name on
Schedule 1.1A.  The original aggregate amount of the Tranche B Term Commitments
is $60,000,000.

 

“Tranche B Term Lender”:  each Lender that has a Tranche B Term Commitment or
that holds a Tranche B Term Loan.

 

“Tranche B Term Loan”:  as defined in Section 2.1(a).

 

“Tranche B Term Maturity Date”:  September 3, 2009.

 

“Tranche B Term Percentage”:  as to any Tranche B Term Lender at any time, the
percentage which such Lender’s Tranche B Term Commitment then constitutes of the
aggregate Tranche B Term Commitments (or, at any time after the Amendment
Effective Date, the percentage which the aggregate principal amount of such
Lender’s Tranche B Term Loans then outstanding constitutes of the aggregate
principal amount of the Tranche B Term Loans then outstanding).

 

“Transferee”:  any Assignee or Participant.

 

“Type”:  as to any Loan, its nature as an ABR Loan or a Eurodollar Loan.

 

“United States”:  the United States of America.

 

“Wholly Owned Subsidiary”:  as to any Person, any other Person, all of the
Capital Stock of which (other than directors’ qualifying shares required by law)
is owned by such Person directly and/or through other Wholly Owned Subsidiaries.

 

1.2                                 Other Definitional Provisions.(a)  Unless
otherwise specified therein, all terms defined in this Agreement shall have the
defined meanings when used in the other Loan Documents or any certificate or
other document made or delivered pursuant hereto or thereto.

 

(b)                                 As used herein and in the other Loan
Documents, and any certificate or other document made or delivered pursuant
hereto or thereto, (i) accounting terms relating to any Group Member not defined
in Section 1.1 and accounting terms partly defined in Section 1.1, to the extent
not defined, shall have the respective meanings given to them under GAAP, (ii)
the words “include”, “includes” and “including” shall be deemed to be followed
by the phrase “without limitation”, (iii) the word “incur” shall be construed to
mean incur, create, issue, assume, become liable in respect of or suffer to
exist (and the words “incurred” and “incurrence” shall have correlative
meanings), (iv) the words “asset” and “property” shall be construed to have the
same meaning and effect and to refer to any and all tangible and intangible
assets and properties, including cash, Capital Stock, securities, revenues,
accounts, leasehold interests and contract rights, and (v) references to
agreements or other Contractual Obligations shall, unless otherwise specified,
be deemed to refer to such agreements or Contractual Obligations as amended,
supplemented, restated or otherwise modified from time to time.

 

(c)                                  The words “hereof”, “herein” and
“hereunder” and words of similar import, when used in this Agreement, shall
refer to this Agreement as a whole and not to any particular provision of this
Agreement, and Section, Schedule and Exhibit references are to this Agreement
unless otherwise specified.

 

(d)                                 The meanings given to terms defined herein
shall be equally applicable to both the singular and plural forms of such terms.

 

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SECTION 2.  AMOUNT AND TERMS OF COMMITMENTS

 

2.1                                 Term Commitments.(a)  Subject to the terms
and conditions hereof, (i) each Tranche B Term Lender severally agrees to make
one or more term loans (each, a “Tranche B Term Loan”) to the Borrower (A) on
the Amendment Effective Date in an amount equal to but not to exceed the amount
of the Tranche B Term Commitment of such Lender and (B) from time to time to the
extent provided in Section 2.1(b), and (ii) each Incremental Term Lender
severally agrees to make one or more term loans (each, an “Incremental Term
Loan”) to the Borrower to the extent provided in Section 2.1(b).  The Term Loans
may from time to time be Eurodollar Loans or ABR Loans, as determined by the
Borrower and notified to the Administrative Agent in accordance with Sections
2.2 and 2.12.

 

(b)                                 The Borrower and any one or more Lenders
(including New Lenders) may from time to time agree that without the consent of
the other Lenders hereunder (w) such Lenders shall make Revolving Commitments or
shall increase the amount of their Revolving Commitments, (x) such Lenders shall
make Tranche B Term Loans or shall increase the amount of their Tranche B Term
Loans, (y) such Lenders shall make Incremental Term Loans or shall increase the
amount of their Incremental Term Loans or (z) such Lenders may effect any
combination of the foregoing clauses (w), (x) and (y).  The Borrower shall
effect the same by executing and delivering to the Administrative Agent an
Incremental Facility Activation Notice specifying (i) the details with respect
to the Facility or Facilities involved, (ii) the applicable Incremental Facility
Closing Date, (iii) in the case of Incremental Term Loans, (A) the applicable
Incremental Term Maturity Date, (B) the amortization schedule for such
Incremental Term Loans, and (C) the Applicable Margin for such Incremental Term
Loans; provided that, (1) no Default or Event of Default has occurred and is
continuing or would result after giving effect to the increase of Revolving
Commitments or the making or increase of the Term Loans or the application of
the proceeds therefrom, (2) after giving pro forma effect to any Revolving Loans
actually made pursuant to such increased Revolving Commitments or the making or
increase of the Term Loans, the repayment of Indebtedness with the proceeds
therefrom, and any Permitted Acquisition consummated in connection therewith,
(x) the Borrower would be able to borrow at least $5,000,000 of Revolving Loans
and no Default or Event of Default would result therefrom, and (y) the Borrower
and its Subsidiaries are in compliance with the covenants contained in
Section 7.1 as of the last day of and for the most recent four consecutive
fiscal quarters of the Borrower for which financial statements have been
delivered pursuant to Section 6.1 (as demonstrated by delivery to the
Administrative Agent of a certificate to such effect showing such calculation in
reasonable detail), (3) in the case of Incremental Term Loans, in the event that
Incremental Term Loans are issued that have an Applicable Margin (which, for
such purposes only, shall be deemed to include all original issue discount
payable to all Lenders providing such Incremental Term Loans, amortized over the
actual life of such Incremental Term Loans) greater than 0.25% above the
Applicable Margin then in effect for the Tranche B Term Loans (which, for such
purposes only, shall be deemed to include all original issue discount paid to
the relevant Lenders, amortized over the actual life of such Tranche B Term
Loans), the Applicable Margin for the Tranche B Term Loans shall, as of the
applicable Incremental Facility Closing Date, automatically be adjusted (without
any further action acquired under this Agreement) to be 0.25% less than the
Applicable Margin for such Incremental Term Loans, (4) other than with respect
to amortization, maturity date and pricing, such Incremental Term Loans shall
have the same terms and conditions as those applicable to Tranche B Term Loans,
(5) without the consent of the Supermajority Lenders, the aggregate amount of
increases of Revolving Commitments, borrowings of incremental Tranche B Term
Loans and borrowings of Incremental Term Loans pursuant to this Section 2.1(b)
shall not exceed $40,000,000, and (6) unless otherwise consented to by the
Supermajority Lenders, each increase in Revolving Commitments and each borrowing
of incremental Tranche B Term Loans or Incremental Term Loans pursuant to this
Section 2.1(b) shall be in a minimum amount of at least $20,000,000.  No Lender
shall have any obligation to participate in any increase described in this
paragraph unless it agrees in writing to do so in its sole discretion.

 

25

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(c)                                  Any additional bank, financial institution
or other entity that, with the consent of the Borrower and the Administrative
Agent (which consent shall not be unreasonably withheld), elects to become a
“Lender” under this Agreement in connection with any transaction described in
Section 2.1(b) shall execute a New Lender Supplement (each, a “New Lender
Supplement”), substantially in the form of Exhibit H-1, whereupon such bank,
financial institution or other entity (a “New Lender”) shall become a Lender for
all purposes and shall be bound by and entitled to the benefits of this
Agreement.

 

(d)                                 Any incremental Revolving Commitments and
incremental Tranche B Term Loans shall be governed by this Agreement and the
other Loan Documents.  The terms and conditions applicable to any Incremental
Term Loan Facility shall be set forth in the applicable Incremental Facility
Activation Notice which shall become a part hereof when executed and delivered
by the Borrower, the Lenders providing such Incremental Term Loan Facility and
the Administrative Agent and after giving effect thereto, any Incremental Term
Loan Facility shall be governed by this Agreement and the other Loan Documents.

 

(e)                                  On each Incremental Facility Closing Date,
the Borrower shall borrow (i) Revolving Loans under the increased Revolving
Commitments, (ii) incremental Tranche B Term Loans and (iii) Incremental Term
Loans, in each case from each Lender participating in the relevant increase (A)
if ABR Loans under the relevant Facility are outstanding on the relevant
Incremental Facility Closing Date, in an amount of ABR Loans that will result in
each such participating Lender having ABR Loans outstanding in a principal
amount equal to its Revolving Percentage, Tranche B Term Percentage or
Incremental Term Percentage, as applicable, of the aggregate outstanding
principal amount of ABR Loans and (B) if Eurodollar Loans under the relevant
Facility are outstanding on the relevant Incremental Facility Closing Date, in
an amount of Eurodollar Loans on such date (if a Eurodollar Tranche is being
continued for another Interest Period on such date) and/or such later date on
which a Eurodollar Tranche outstanding on the Incremental Facility Closing Date
is continued for another Interest Period that will result, in each case, in each
such participating Lender having Eurodollar Loans made by it included in such
extended Eurodollar Tranche in a principal amount equal to its Revolving
Percentage, Tranche B Term Percentage or Incremental Term Percentage, as
applicable, of the aggregate outstanding principal amount of Eurodollar Loans
included in such Eurodollar Tranche.

 

2.2                                 Procedure for Term Loan Borrowings. The
Borrower shall give the Administrative Agent irrevocable notice (which notice
must be received by the Administrative Agent prior to 11:00 A.M., Charlotte
time, (a) not less than three Business Days prior to the Amendment Effective
Date (or, in the case of any Term Loan to be made after the Amendment Effective
Date pursuant to Section 2.1(b), the requested Borrowing Date), in the case of
Eurodollar Loans, or (b) one Business Day prior to the Amendment Effective Date
(or, in the case of any Term Loan to be made after the Amendment Effective Date
pursuant to Section 2.1(b), the requested Borrowing Date), in the case of ABR
Loans), requesting that the relevant Term Lenders make the relevant Term Loans
on such date and specifying (i) the amount and Type of Term Loans to be borrowed
and (ii) in the case of Eurodollar Loans, the respective amounts of each such
Type of Loan and the respective lengths of the initial Interest Period
therefor.  Upon receipt of such notice the Administrative Agent shall promptly
notify each Term Lender thereof.  Each relevant Term Lender will make the amount
of its Term Loan available to the Administrative Agent for the account of the
Borrower at the Funding Office prior to 12:00 Noon, Charlotte time, on the
relevant Borrowing Date in funds immediately available to the Administrative
Agent.  Such borrowing will then be made available to the Borrower by the
Administrative Agent crediting the account of the Borrower on the books of such
office with the aggregate of the amounts made available to the Administrative
Agent by such Term Lenders and in like funds as received by the Administrative
Agent.

 

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2.3                                 Repayment of Term Loans.(a)  The Tranche B
Term Loan of each Tranche B Term Lender shall mature in 23 consecutive quarterly
installments and a final installment on the Tranche B Term Maturity Date, each
of which shall be in an amount equal to such Lender’s Tranche B Term Percentage
multiplied by the amount set forth below opposite such installment:

 

Installment

 

Principal Amount

 

 

 

 

 

September 30, 2003

 

$

150,000

 

December 31, 2003

 

$

150,000

 

March 31, 2004

 

$

150,000

 

June 30, 2004

 

$

150,000

 

September 30, 2004

 

$

150,000

 

December 31, 2004

 

$

150,000

 

March 31, 2005

 

$

150,000

 

June 30, 2005

 

$

150,000

 

September 30, 2005

 

$

150,000

 

December 31, 2005

 

$

150,000

 

March 31, 2006

 

$

150,000

 

June 30, 2006

 

$

150,000

 

September 30, 2006

 

$

150,000

 

December 31, 2006

 

$

150,000

 

March 31, 2007

 

$

150,000

 

June 30, 2007

 

$

150,000

 

September 30, 2007

 

$

150,000

 

December 31, 2007

 

$

150,000

 

March 31, 2008

 

$

150,000

 

June 30, 2008

 

$

150,000

 

September 30, 2008

 

$

14,250,000

 

December 31, 2008

 

$

14,250,000

 

March 31, 2009

 

$

14,250,000

 

Tranche B Term Maturity Date

 

$

14,250,000

 

 

(b)                                 The Incremental Term Loans of each
Incremental Term Lender shall mature in consecutive installments as specified in
the Incremental Facility Activation Notice pursuant to which such Incremental
Term Loans were made; provided that no Incremental Term Maturity Date shall
occur prior to the Tranche B Term Maturity Date.

 

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2.4                                 Revolving Commitments.(a)  Subject to the
terms and conditions hereof, each Revolving Lender severally agrees to make
revolving credit loans (“Revolving Loans”) to the Borrower from time to time
during the Revolving Commitment Period in an aggregate principal amount at any
one time outstanding which, when added to such Lender’s Revolving Percentage of
the sum of (i) the L/C Obligations then outstanding and (ii) the aggregate
principal amount of the Swingline Loans then outstanding (except to the extent
that such Revolving Loans are to be applied to repay outstanding Swingline
Loans), does not exceed the amount of such Lender’s Revolving Commitment. 
During the Revolving Commitment Period the Borrower may use the Revolving
Commitments by borrowing, prepaying the Revolving Loans in whole or in part, and
reborrowing, all in accordance with the terms and conditions hereof.  The
Revolving Loans may from time to time be Eurodollar Loans or ABR Loans, as
determined by the Borrower and notified to the Administrative Agent in
accordance with Sections 2.5 and 2.12.  Revolving Loans outstanding under the
Existing Credit Agreement on the Amendment Effective Date and not repaid on such
date shall continue thereafter hereunder with the same respective Interest
Periods.

 

(b)                                 The Borrower shall repay all outstanding
Revolving Loans on the Revolving Termination Date.

 

2.5                                 Procedure for Revolving Loan Borrowing.The
Borrower may borrow under the Revolving Commitments during the Revolving
Commitment Period on any Business Day, provided that the Borrower shall give the
Administrative Agent irrevocable notice (which notice must be received by the
Administrative Agent prior to 11:00 A.M., Charlotte time, (a) three Business
Days prior to the requested Borrowing Date, in the case of Eurodollar Loans, or
(b) one Business Day prior to the requested Borrowing Date, in the case of ABR
Loans), specifying (i) the amount and Type of Revolving Loans to be borrowed,
(ii) the requested Borrowing Date and (iii) in the case of Eurodollar Loans, the
respective amounts of each such Type of Loan and the respective lengths of the
initial Interest Period therefor.  Each borrowing under the Revolving
Commitments shall be in an amount equal to (x) in the case of ABR Loans,
$1,000,000 or a whole multiple thereof (or, if the then aggregate Available
Revolving Commitments are less than $1,000,000, such lesser amount) and (y) in
the case of Eurodollar Loans, $2,000,000 or a whole multiple of $500,000 in
excess thereof; provided, that the Swingline Lender may request, on behalf of
the Borrower, borrowings under the Revolving Commitments that are ABR Loans in
other amounts pursuant to Section 2.7.  Upon receipt of any such notice from the
Borrower pursuant to the first sentence of this Section 2.5, the Administrative
Agent shall promptly notify each Revolving Lender thereof.  Subject to
Section 2.1(e), each Revolving Lender will make the amount of its pro rata share
of each borrowing available to the Administrative Agent for the account of the
Borrower at the Funding Office prior to 2:00 P.M., Charlotte time, on the
Borrowing Date requested by the Borrower in funds immediately available to the
Administrative Agent.  Such borrowing will then be made available to the
Borrower by the Administrative Agent crediting the account of the Borrower on
the books of such office with the aggregate of the amounts made available to the
Administrative Agent by the Revolving Lenders and in like funds as received by
the Administrative Agent.

 

2.6                                 Swingline Commitment.(a)  Subject to the
terms and conditions hereof, the Swingline Lender agrees to make a portion of
the credit otherwise available to the Borrower under the Revolving Commitments
from time to time during the Revolving Commitment Period by making swing line
loans (“Swingline Loans”) to the Borrower; provided that (i) the aggregate
principal amount of Swingline Loans outstanding at any time shall not exceed the
Swingline Commitment then in effect (notwithstanding that the Swingline Loans
outstanding at any time, when aggregated with the Swingline Lender’s other
outstanding Revolving Loans, may exceed the Swingline Commitment then in effect)
and (ii) the Borrower shall not request, and the Swingline Lender shall not
make, any Swingline Loan if, after giving effect to the making of such Swingline
Loan, the aggregate amount of the Available Revolving Commitments would be less
than zero.  During the Revolving Commitment Period, the Borrower may use

 

28

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the Swingline Commitment by borrowing, repaying and reborrowing, all in
accordance with the terms and conditions hereof.  Swingline Loans shall be ABR
Loans only.  Swingline Loans outstanding under the Existing Credit Agreement on
the Amendment Effective Date and not repaid on such date shall continue
thereafter hereunder.

 

(b)                                 The Borrower shall repay to the Swingline
Lender the then unpaid principal amount of each Swingline Loan on the earlier of
the Revolving Termination Date and the first date after such Swingline Loan is
made that is the 15th or last day of a calendar month and is at least two
Business Days after such Swingline Loan is made; provided that on each date that
a Revolving Loan is borrowed, the Borrower shall repay all Swingline Loans then
outstanding.

 

2.7                                 Procedure for Swingline Borrowing; Refunding
of Swingline Loans.(a)  Whenever the Borrower desires that the Swingline Lender
make Swingline Loans it shall give the Swingline Lender irrevocable telephonic
notice confirmed promptly in writing (which telephonic notice must be received
by the Swingline Lender not later than 1:00 P.M., Charlotte time, on the
proposed Borrowing Date), specifying (i) the amount to be borrowed and (ii) the
requested Borrowing Date (which shall be a Business Day during the Revolving
Commitment Period).  Each borrowing under the Swingline Commitment shall be in
an amount equal to $250,000 or a whole multiple of $50,000 in excess thereof. 
Not later than 3:00 P.M., Charlotte time, on the Borrowing Date specified in a
notice in respect of Swingline Loans, the Swingline Lender shall make available
to the Administrative Agent at the Funding Office an amount in immediately
available funds equal to the amount of the Swingline Loan to be made by the
Swingline Lender.  The Administrative Agent shall make the proceeds of such
Swingline Loan available to the Borrower on such Borrowing Date by depositing
such proceeds in the account of the Borrower with the Administrative Agent on
such Borrowing Date in immediately available funds.

 

(b)                                 The Swingline Lender, at any time and from
time to time in its sole and absolute discretion may, on behalf of the Borrower
(which hereby irrevocably directs the Swingline Lender to act on its behalf), on
one Business Day’s notice given by the Swingline Lender no later than 12:00
Noon, Charlotte time, request each Revolving Lender to make, and each Revolving
Lender hereby agrees to make, a Revolving Loan, in an amount equal to such
Lender’s Revolving Percentage of the aggregate amount of the Swingline Loans
(the “Refunded Swingline Loans”) outstanding on the date of such notice, to
repay the Swingline Lender.  Each Revolving Lender shall make the amount of such
Revolving Loan available to the Administrative Agent at the Funding Office in
immediately available funds, not later than 2:00 P.M., Charlotte time, one
Business Day after the date of such notice.  The proceeds of such Revolving
Loans shall be immediately made available by the Administrative Agent to the
Swingline Lender for application by the Swingline Lender to the repayment of the
Refunded Swingline Loans.  The Borrower irrevocably authorizes the Swingline
Lender to charge the Borrower’s accounts with the Administrative Agent (up to
the amount available in each such account) in order to immediately pay the
amount of such Refunded Swingline Loans to the extent amounts received from the
Revolving Lenders are not sufficient to repay in full such Refunded Swingline
Loans.

 

(c)                                  If prior to the time a Revolving Loan would
have otherwise been made pursuant to Section 2.7(b), one of the events described
in Section 8(f) shall have occurred and be continuing with respect to the
Borrower or if for any other reason, as determined by the Swingline Lender in
its sole discretion, Revolving Loans may not be made as contemplated by
Section 2.7(b), each Revolving Lender shall, on the date such Revolving Loan was
to have been made pursuant to the notice referred to in Section 2.7(b), purchase
for cash an undivided participating interest in the then outstanding Swingline
Loans by paying to the Swingline Lender an amount (the “Swingline Participation
Amount”) equal to (i) such Revolving Lender’s Revolving Percentage times (ii)
the sum of the aggregate principal amount of Swingline Loans then outstanding
that were to have been repaid with such Revolving Loans.

 

29

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(d)                                 Whenever, at any time after the Swingline
Lender has received from any Revolving Lender such Revolving Lender’s Swingline
Participation Amount, the Swingline Lender receives any payment on account of
the Swingline Loans, the Swingline Lender will distribute to such Revolving
Lender its Swingline Participation Amount (appropriately adjusted, in the case
of interest payments, to reflect the period of time during which such Revolving
Lender’s participating interest was outstanding and funded and, in the case of
principal and interest payments, to reflect such Revolving Lender’s pro rata
portion of such payment if such payment is not sufficient to pay the principal
of and interest on all Swingline Loans then due); provided, however, that in the
event that such payment received by the Swingline Lender is required to be
returned, such Revolving Lender will return to the Swingline Lender any portion
thereof previously distributed to it by the Swingline Lender.

 

(e)                                  Each Revolving Lender’s obligation to make
the Loans referred to in Section 2.7(b) and to purchase participating interests
pursuant to Section 2.7(c) shall be absolute and unconditional and shall not be
affected by any circumstance, including (i) any setoff, counterclaim,
recoupment, defense or other right that such Revolving Lender or the Borrower
may have against the Swingline Lender, the Borrower or any other Person for any
reason whatsoever; (ii) the occurrence or continuance of a Default or an Event
of Default or the failure to satisfy any of the other conditions specified in
Section 5; (iii) any adverse change in the condition (financial or otherwise) of
the Borrower; (iv) any breach of this Agreement or any other Loan Document by
the Borrower, any other Loan Party or any other Lender; or (v) any other
circumstance, happening or event whatsoever, whether or not similar to any of
the foregoing.

 

2.8                                 Commitment Fees, etc.(a)  The Borrower
agrees to pay to the Administrative Agent for the account of each Revolving
Lender a commitment fee for the period from and including the Original Closing
Date to the last day of the Revolving Commitment Period, computed at the
Commitment Fee Rate on the average daily amount of the Available Revolving
Commitment of such Lender during the period for which payment is made, payable
quarterly in arrears on each Fee Payment Date, commencing on the first such date
to occur after the Original Closing Date; provided, that no Defaulting Lender
shall be entitled to accrue or receive any such commitment fee for so long as
such Lender is a Defaulting Lender.

 

(b)                                 The Borrower agrees to pay to the
Administrative Agent the fees in the amounts and on the dates previously agreed
to in writing by the Borrower and the Administrative Agent.

 

2.9                                 Termination or Reduction of Revolving
Commitments.The Borrower shall have the right, upon not less than three Business
Days’ notice to the Administrative Agent, to terminate the Revolving Commitments
or, from time to time, to reduce the amount of the Revolving Commitments;
provided that no such termination or reduction of Revolving Commitments shall be
permitted if, after giving effect thereto and to any prepayments of the
Revolving Loans and Swingline Loans made on the effective date thereof, the
Total Revolving Extensions of Credit would exceed the Total Revolving
Commitments.  Any such reduction shall be in an amount equal to $1,000,000, or a
whole multiple thereof, and shall reduce permanently the Revolving Commitments
then in effect.

 

2.10                           Optional Prepayments.The Borrower may at any time
and from time to time prepay the Loans (either the Revolving Loans, the Term
Loans or both), in whole or in part, without premium or penalty, upon
irrevocable notice delivered to the Administrative Agent no later than 11:00
A.M., Charlotte time, three Business Days prior thereto, in the case of
Eurodollar Loans, and no later than 11:00 A.M., Charlotte time, one Business Day
prior thereto, in the case of ABR Loans, which notice shall specify the date and
amount of prepayment and whether the prepayment is of Eurodollar Loans or ABR
Loans; provided, that if a Eurodollar Loan is prepaid on any day other than the
last day of the Interest Period applicable thereto, the Borrower shall also pay
any amounts owing pursuant to Section 2.20.  Upon

 

30

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receipt of any such notice the Administrative Agent shall promptly notify each
relevant Lender thereof.  If any such notice is given, the amount specified in
such notice shall be due and payable on the date specified therein, together
with (except in the case of Revolving Loans that are ABR Loans and Swingline
Loans) accrued interest to such date on the amount prepaid.  Partial prepayments
of Term Loans and Revolving Loans shall be in an aggregate principal amount of
$1,000,000 or a whole multiple thereof.  Partial prepayments of Swingline Loans
shall be in an aggregate principal amount of $100,000 or a whole multiple
thereof.  Any Revolving Loans or Swingline Loans prepaid hereunder may be
reborrowed.

 

2.11                           Mandatory Prepayments and Commitment
Reductions.(a)  If any Indebtedness shall be incurred by any Group Member
(excluding any Indebtedness incurred in accordance with Section 7.2 or permitted
by the Required Lenders pursuant to Section 10.1 (except as may be otherwise
agreed to by the Required Lenders in connection with their approval of such
Indebtedness pursuant to Section 10.1)), an amount equal to 100% of the Net Cash
Proceeds thereof shall be applied on the date of such incurrence toward the
prepayment of the Loans and, if applicable, the reduction of the Revolving
Commitments as set forth in Section 2.11(d).

 

(b)                                 If on any date any Group Member shall
receive Net Cash Proceeds from any Asset Sale or Recovery Event then, unless a
Reinvestment Notice shall be delivered in respect thereof, such Net Cash
Proceeds shall be applied on such date toward the prepayment of the Loans and,
if applicable, the reduction of the Revolving Commitments as set forth in
Section 2.11(d); provided, that, notwithstanding the foregoing, on each
Reinvestment Prepayment Date, an amount equal to the Reinvestment Prepayment
Amount with respect to the relevant Reinvestment Event shall be applied toward
the prepayment of the Loans and, if applicable, the reduction of the Revolving
Commitments as set forth in Section 2.11(d).

 

(c)                                  If, for any fiscal year of the Borrower
commencing with the fiscal year ending December 31, 2004, there shall be Excess
Cash Flow, the Borrower shall, on the relevant Excess Cash Flow Application
Date, apply the Prepayment Percentage of such Excess Cash Flow toward the
prepayment of the Loans and, if applicable, the reduction of the Revolving
Commitments as set forth in Section 2.11(d).  Each such prepayment and reduction
of Revolving Commitments, if applicable, shall be made on a date (an “Excess
Cash Flow Application Date”) no later than five Business Days after the earlier
of (i) the date on which the financial statements of the Borrower referred to in
Section 6.1(a), for the fiscal year with respect to which such prepayment and,
if applicable, reduction in Revolving Commitments is made, are required to be
delivered to the Lenders and (ii) the date such financial statements are
actually delivered.

 

(d)                                 Amounts to be applied in connection with
prepayments and Revolving Commitment reductions pursuant to this Section 2.11
and Section 7.5(a)(v) shall be applied, (i) first, to the prepayment of the Term
Loans in accordance with Section 2.17(b) until all Term Loans have been paid in
full, provided that, notwithstanding the foregoing (x) an aggregate amount of
Net Cash Proceeds from Asset Sales and Recovery Events not to exceed $20,000,000
and (y) an aggregate amount of Excess Cash Flow not to exceed $20,000,000 that
would otherwise be applied toward the prepayment of the Term Loans may be
applied to prepay outstanding Revolving Loans without reduction of the Revolving
Commitments, and, (ii) second, to the permanent reduction of Revolving
Commitments as set forth in this Section 2.11(d).  Any such reduction of the
Revolving Commitments shall be accompanied by prepayment of the Revolving Loans
and/or Swingline Loans to the extent, if any, that the Total Revolving
Extensions of Credit exceed the amount of the Total Revolving Commitments as so
reduced, provided that, in the case of any such permanent reduction of the
Revolving Commitments, if the aggregate principal amount of Revolving Loans and
Swingline Loans then outstanding is less than the amount by which the Total
Revolving Extensions of Credit exceeds the amount of Total Revolving Commitments
as so reduced (because L/C Obligations constitute a portion thereof), the
Borrower shall, if an Event of

 

31

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DEFAULT SHALL HAVE OCCURRED AND BE CONTINUING, TO THE EXTENT OF THE BALANCE OF
SUCH EXCESS, REPLACE OUTSTANDING LETTERS OF CREDIT AND/OR DEPOSIT AN AMOUNT IN
CASH IN A CASH COLLATERAL ACCOUNT ESTABLISHED WITH THE ADMINISTRATIVE AGENT FOR
THE BENEFIT OF THE LENDERS ON TERMS AND CONDITIONS SATISFACTORY TO THE
ADMINISTRATIVE AGENT.  THE APPLICATION OF ANY PREPAYMENT PURSUANT TO THIS
SECTION 2.11 OR SECTION 7.5(A)(V) SHALL BE MADE, FIRST, TO ABR LOANS AND,
SECOND, TO EURODOLLAR LOANS.  EACH PREPAYMENT OF THE LOANS UNDER THIS
SECTION 2.11 OR SECTION 7.5(A)(V) (EXCEPT IN THE CASE OF REVOLVING LOANS THAT
ARE ABR LOANS AND SWINGLINE LOANS) SHALL BE ACCOMPANIED BY ACCRUED INTEREST TO
THE DATE OF SUCH PREPAYMENT ON THE AMOUNT PREPAID.   UNLESS REQUIRED AS A RESULT
OF THE PERMANENT REDUCTION OF REVOLVING COMMITMENTS, ANY REVOLVING LOANS PREPAID
HEREUNDER MAY BE REBORROWED.

 

2.12                           Conversion and Continuation Options.(a)  The
Borrower may elect from time to time to convert Eurodollar Loans to ABR Loans by
giving the Administrative Agent prior irrevocable notice of such election no
later than 11:00 A.M., Charlotte time, on the Business Day preceding the
proposed conversion date, provided that any such conversion of Eurodollar Loans
may only be made on the last day of an Interest Period with respect thereto. 
The Borrower may elect from time to time to convert ABR Loans to Eurodollar
Loans by giving the Administrative Agent prior irrevocable notice of such
election no later than 11:00 A.M., Charlotte time, on the third Business Day
preceding the proposed conversion date (which notice shall specify the length of
the initial Interest Period therefor), provided that no ABR Loan under a
particular Facility may be converted into a Eurodollar Loan when any Event of
Default has occurred and is continuing and the Administrative Agent or the
Majority Facility Lenders in respect of such Facility have determined in its or
their sole discretion not to permit such conversions.  Upon receipt of any such
notice the Administrative Agent shall promptly notify each relevant Lender
thereof.

 

(b)                                 Any Eurodollar Loan may be continued as such
upon the expiration of the then current Interest Period with respect thereto by
the Borrower giving irrevocable notice to the Administrative Agent, in
accordance with the applicable provisions of the term “Interest Period” set
forth in Section 1.1, of the length of the next Interest Period to be applicable
to such Loans, provided that no Eurodollar Loan under a particular Facility may
be continued as such when any Event of Default has occurred and is continuing
and the Administrative Agent has or the Majority Facility Lenders in respect of
such Facility have determined in its or their sole discretion not to permit such
continuations, and provided, further, that if the Borrower shall fail to give
any required notice as described above in this paragraph or if such continuation
is not permitted pursuant to the preceding proviso such Loans shall be
automatically converted to ABR Loans on the last day of such then expiring
Interest Period.  Upon receipt of any such notice the Administrative Agent shall
promptly notify each relevant Lender thereof.

 

2.13                           Limitations on Eurodollar
Tranches.Notwithstanding anything to the contrary in this Agreement, all
borrowings, conversions and continuations of Eurodollar Loans and all selections
of Interest Periods shall be in such amounts and be made pursuant to such
elections so that, (a) after giving effect thereto, the aggregate principal
amount of the Eurodollar Loans comprising each Eurodollar Tranche shall be equal
to $2,000,000 or a whole multiple of $500,000 in excess thereof and (b) no more
than eight Eurodollar Tranches shall be outstanding at any one time.

 

2.14                           Interest Rates and Payment Dates.(a)  Each
Eurodollar Loan shall bear interest for each day during each Interest Period
with respect thereto at a rate per annum equal to the Eurodollar Rate determined
for such day plus the Applicable Margin.

 

(b)                                 Each ABR Loan shall bear interest at a rate
per annum equal to the ABR plus the Applicable Margin.

 

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(c)                                  (i) If all or a portion of the principal
amount of any Loan or Reimbursement Obligation shall not be paid when due
(whether at the stated maturity, by acceleration or otherwise), all outstanding
Loans and Reimbursement Obligations (whether or not overdue) shall bear interest
at a rate per annum equal to (x) in the case of the Loans, the rate that would
otherwise be applicable thereto pursuant to the foregoing provisions of this
Section plus 2% or (y) in the case of Reimbursement Obligations, the rate
applicable to ABR Loans under the Revolving Facility plus 2%, and (ii) if all or
a portion of any interest payable on any Loan or Reimbursement Obligation or any
commitment fee or other amount payable hereunder shall not be paid when due
(whether at the stated maturity, by acceleration or otherwise), such overdue
amount shall bear interest at a rate per annum equal to the rate then applicable
to ABR Loans under the relevant Facility plus 2% (or in the case of any such
other amounts that do not relate to a particular Facility, the rate then
applicable to ABR Loans under the Revolving Facility plus 2%), in each case,
with respect to clauses (i) and (ii) above, from the date of such non-payment
until such amount is paid in full (as well after as before judgment).

 

(d)                                 Interest shall be payable in arrears on each
Interest Payment Date, provided that interest accruing pursuant to paragraph (c)
of this Section shall be payable from time to time on demand.

 

2.15                           Computation of Interest and Fees.(a)  Interest
and fees payable pursuant hereto shall be calculated on the basis of a 360-day
year for the actual days elapsed, except that, with respect to ABR Loans the
rate of interest on which is calculated on the basis of the Prime Rate, the
interest thereon shall be calculated on the basis of a 365- (or 366-, as the
case may be) day year for the actual days elapsed.  The Administrative Agent
shall as soon as practicable notify the Borrower and the relevant Lenders of
each determination of a Eurodollar Rate.  Any change in the interest rate on a
Loan resulting from a change in the ABR or the Eurocurrency Reserve Requirements
shall become effective as of the opening of business on the day on which such
change becomes effective.  The Administrative Agent shall as soon as practicable
notify the Borrower and the relevant Lenders of the effective date and the
amount of each such change in interest rate.

 

(b)                                 Each determination of an interest rate by
the Administrative Agent pursuant to any provision of this Agreement shall be
conclusive and binding on the Borrower and the Lenders in the absence of
manifest error.  The Administrative Agent shall, at the request of the Borrower,
deliver to the Borrower a statement showing the quotations used by the
Administrative Agent in determining any interest rate pursuant to
Section 2.14(a).

 

2.16                           Inability to Determine Interest Rate.If prior to
the first day of any Interest Period:

 

(a)                                  the Administrative Agent shall have
determined (which determination shall be conclusive and binding upon the
Borrower) that, by reason of circumstances affecting the relevant market,
adequate and reasonable means do not exist for ascertaining the Eurodollar Rate
for such Interest Period, or

 

(b)                                 the Administrative Agent shall have received
notice from the Majority Facility Lenders in respect of the relevant Facility
that the Eurodollar Rate determined or to be determined for such Interest Period
will not adequately and fairly reflect the cost to such Lenders (as conclusively
certified by such Lenders) of making or maintaining their affected Loans during
such Interest Period,

 

the Administrative Agent shall give telecopy or telephonic notice thereof to the
Borrower and the relevant Lenders as soon as practicable thereafter.  If such
notice is given (x) any Eurodollar Loans under the relevant Facility requested
to be made on the first day of such

 

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Interest Period shall be made as ABR Loans, (y) any Loans under the relevant
Facility that were to have been converted on the first day of such Interest
Period to Eurodollar Loans shall be continued as ABR Loans and (z) any
outstanding Eurodollar Loans under the relevant Facility shall be converted, on
the last day of the then-current Interest Period, to ABR Loans.  Until such
notice has been withdrawn by the Administrative Agent, no further Eurodollar
Loans under the relevant Facility shall be made or continued as such, nor shall
the Borrower have the right to convert Loans under the relevant Facility to
Eurodollar Loans.

 

2.17                           Pro Rata Treatment and Payments.(a)  Each
borrowing by the Borrower from the Lenders hereunder, each payment by the
Borrower on account of any commitment fee and any reduction of the Commitments
of the Lenders shall be made pro rata according to the respective Tranche B Term
Percentages, Incremental Term Percentages or Revolving Percentages, as the case
may be, of the relevant Lenders.

 

(b)                                 Each scheduled payment by the Borrower on
account of principal of and interest on the Term Loans of any Facility shall be
made pro rata according to the respective outstanding principal amounts of the
Term Loans of such Facility then held by the relevant Term Lenders, and each
prepayment by the Borrower pursuant to Section 2.10 or 2.11 on account of
principal of and interest on the Term Loans shall be made pro rata according to
the respective outstanding principal amounts of the Term Loans then held by the
Term Lenders.  The amount of each principal prepayment of the Term Loans shall
be applied to reduce the then remaining installments of the Term Loans, pro rata
based upon the then remaining principal amounts thereof; provided that any
prepayments in respect of the principal of and interest on the Term Loans made
by the Borrower pursuant to Section 2.10 shall be applied in forward
chronological order of scheduled installments in accordance with the then
outstanding amounts thereof.  Amounts prepaid on account of the Term Loans may
not be reborrowed.

 

(c)                                  Each payment (including each prepayment) by
the Borrower on account of principal of and interest on the Revolving Loans
shall be made pro rata according to the respective outstanding principal amounts
of the Revolving Loans then held by the Revolving Lenders.

 

(d)                                 All payments (including prepayments) to be
made by the Borrower hereunder, whether on account of principal, interest, fees
or otherwise, shall be made without setoff or counterclaim and shall be made
prior to 1:00 P.M., Charlotte time, on the due date thereof to the
Administrative Agent, for the account of the Lenders, at the Funding Office, in
Dollars and in immediately available funds.  The Administrative Agent shall
distribute such payments to the Lenders promptly upon receipt in like funds as
received.  If any payment hereunder (other than payments on the Eurodollar
Loans) becomes due and payable on a day other than a Business Day, such payment
shall be extended to the next succeeding Business Day.  If any payment on a
Eurodollar Loan becomes due and payable on a day other than a Business Day, the
maturity thereof shall be extended to the next succeeding Business Day unless
the result of such extension would be to extend such payment into another
calendar month, in which event such payment shall be made on the immediately
preceding Business Day.  In the case of any extension of any payment of
principal pursuant to the preceding two sentences, interest thereon shall be
payable at the then applicable rate during such extension.

 

(e)                                  Unless the Administrative Agent shall have
been notified in writing by any Lender prior to a borrowing that such Lender
will not make the amount that would constitute its share of such borrowing
available to the Administrative Agent, the Administrative Agent may assume that
such Lender is making such amount available to the Administrative Agent, and the
Administrative Agent may, in reliance upon such assumption, make available to
the Borrower a corresponding amount.  If such amount is not made available to
the Administrative Agent by the required time on the Borrowing Date therefor,
such Lender shall pay to the Administrative Agent, on demand, such amount with
interest thereon, at a rate equal to the greater of (i) the Federal Funds
Effective Rate and (ii) a rate determined by the Administrative Agent in
accordance with banking industry rules on interbank compensation, for the

 

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PERIOD UNTIL SUCH LENDER MAKES SUCH AMOUNT IMMEDIATELY AVAILABLE TO THE
ADMINISTRATIVE AGENT.  A CERTIFICATE OF THE ADMINISTRATIVE AGENT SUBMITTED TO
ANY LENDER WITH RESPECT TO ANY AMOUNTS OWING UNDER THIS PARAGRAPH SHALL BE
CONCLUSIVE IN THE ABSENCE OF MANIFEST ERROR.  IF SUCH LENDER’S SHARE OF SUCH
BORROWING IS NOT MADE AVAILABLE TO THE ADMINISTRATIVE AGENT BY SUCH LENDER
WITHIN THREE BUSINESS DAYS AFTER SUCH BORROWING DATE, THE ADMINISTRATIVE AGENT
SHALL ALSO BE ENTITLED TO RECOVER SUCH AMOUNT WITH INTEREST THEREON AT THE RATE
PER ANNUM APPLICABLE TO ABR LOANS UNDER THE RELEVANT FACILITY, ON DEMAND, FROM
THE BORROWER.

 

(f)                                    Unless the Administrative Agent shall
have been notified in writing by the Borrower prior to the date of any payment
due to be made by the Borrower hereunder that the Borrower will not make such
payment to the Administrative Agent, the Administrative Agent may assume that
the Borrower is making such payment, and the Administrative Agent may, but shall
not be required to, in reliance upon such assumption, make available to the
Lenders their respective pro rata shares of a corresponding amount.  If such
payment is not made to the Administrative Agent by the Borrower within three
Business Days after such due date, the Administrative Agent shall be entitled to
recover, on demand, from each Lender to which any amount which was made
available pursuant to the preceding sentence, such amount with interest thereon
at the rate per annum equal to the daily average Federal Funds Effective Rate. 
Nothing herein shall be deemed to limit the rights of the Administrative Agent
or any Lender against the Borrower.

 

2.18                           Requirements of Law.(a)  If the adoption of or
any change in any Requirement of Law or in the interpretation or application
thereof or compliance by any Lender with any request or directive (whether or
not having the force of law) from any central bank or other Governmental
Authority made subsequent to the Original Closing Date:

 

(I)                                     SHALL SUBJECT ANY LENDER TO ANY TAX OF
ANY KIND WHATSOEVER WITH RESPECT TO THIS AGREEMENT, ANY LETTER OF CREDIT, ANY
APPLICATION OR ANY EURODOLLAR LOAN MADE BY IT, OR CHANGE THE BASIS OF TAXATION
OF PAYMENTS TO SUCH LENDER IN RESPECT THEREOF (EXCEPT FOR NON-EXCLUDED TAXES
COVERED BY SECTION 2.19 AND CHANGES IN THE RATE OF TAX ON THE OVERALL NET INCOME
OF SUCH LENDER);

 

(II)                                  SHALL IMPOSE, MODIFY OR HOLD APPLICABLE
ANY RESERVE, SPECIAL DEPOSIT, COMPULSORY LOAN OR SIMILAR REQUIREMENT AGAINST
ASSETS HELD BY, DEPOSITS OR OTHER LIABILITIES IN OR FOR THE ACCOUNT OF,
ADVANCES, LOANS OR OTHER EXTENSIONS OF CREDIT BY, OR ANY OTHER ACQUISITION OF
FUNDS BY, ANY OFFICE OF SUCH LENDER THAT IS NOT OTHERWISE INCLUDED IN THE
DETERMINATION OF THE EURODOLLAR RATE; OR

 

(III)                               SHALL IMPOSE ON SUCH LENDER ANY OTHER
CONDITION;

 

and the result of any of the foregoing is to increase the cost to such Lender,
by an amount that such Lender deems to be material, of making, converting into,
continuing or maintaining Eurodollar Loans or issuing or participating in
Letters of Credit, or to reduce any amount receivable hereunder in respect
thereof, then, in any such case, the Borrower shall promptly pay such Lender,
upon its demand, any additional amounts necessary to compensate such Lender for
such increased cost or reduced amount receivable.  If any Lender becomes
entitled to claim any additional amounts pursuant to this paragraph, it shall
promptly notify the Borrower (with a copy to the Administrative Agent) of the
event by reason of which it has become so entitled.

 

(b)                                 If any Lender shall have determined that the
adoption of or any change in any Requirement of Law regarding capital adequacy
or in the interpretation or application thereof or compliance by such Lender or
any corporation controlling such Lender with any request or directive

 

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REGARDING CAPITAL ADEQUACY (WHETHER OR NOT HAVING THE FORCE OF LAW) FROM ANY
GOVERNMENTAL AUTHORITY MADE SUBSEQUENT TO THE ORIGINAL CLOSING DATE SHALL HAVE
THE EFFECT OF REDUCING THE RATE OF RETURN ON SUCH LENDER’S OR SUCH CORPORATION’S
CAPITAL AS A CONSEQUENCE OF ITS OBLIGATIONS HEREUNDER OR UNDER OR IN RESPECT OF
ANY LETTER OF CREDIT TO A LEVEL BELOW THAT WHICH SUCH LENDER OR SUCH CORPORATION
COULD HAVE ACHIEVED BUT FOR SUCH ADOPTION, CHANGE OR COMPLIANCE (TAKING INTO
CONSIDERATION SUCH LENDER’S OR SUCH CORPORATION’S POLICIES WITH RESPECT TO
CAPITAL ADEQUACY) BY AN AMOUNT DEEMED BY SUCH LENDER TO BE MATERIAL, THEN FROM
TIME TO TIME, AFTER SUBMISSION BY SUCH LENDER TO THE BORROWER (WITH A COPY TO
THE ADMINISTRATIVE AGENT) OF A WRITTEN REQUEST THEREFOR, THE BORROWER SHALL PAY
TO SUCH LENDER SUCH ADDITIONAL AMOUNT OR AMOUNTS AS WILL COMPENSATE SUCH LENDER
OR SUCH CORPORATION FOR SUCH REDUCTION.

 

(c)                                  A certificate as to any additional amounts
payable pursuant to this Section submitted by any Lender to the Borrower (with a
copy to the Administrative Agent) shall be conclusive in the absence of manifest
error.  Notwithstanding anything to the contrary in this Section, the Borrower
shall not be required to compensate a Lender pursuant to this Section for any
amounts incurred more than six months prior to the date that such Lender
notifies the Borrower of such Lender’s intention to claim compensation therefor;
provided that, if the circumstances giving rise to such claim have a retroactive
effect, then such six-month period shall be extended to include the period of
such retroactive effect.  The obligations of the Borrower pursuant to this
Section shall survive the termination of this Agreement and the payment of the
Loans and all other amounts payable hereunder.

 

2.19                           Taxes.(a)  All payments made by the Borrower
under this Agreement shall be made free and clear of, and without deduction or
withholding for or on account of, any present or future income, stamp or other
taxes, levies, imposts, duties, charges, fees, deductions or withholdings, now
or hereafter imposed, levied, collected, withheld or assessed by any
Governmental Authority, excluding net income taxes, branch profits and similar
franchise taxes, imposed on the Administrative Agent or any Lender as a result
of a present or former connection between the Administrative Agent or such
Lender and the jurisdiction of the Governmental Authority imposing such tax or
any political subdivision or taxing authority thereof or therein (other than any
such connection arising solely from the Administrative Agent or such Lender
having executed, delivered or performed its obligations or received a payment
under, or enforced, this Agreement or any other Loan Document).  If any such
non-excluded taxes, levies, imposts, duties, charges, fees, deductions or
withholdings (“Non-Excluded Taxes”) or Other Taxes are required to be withheld
from any amounts payable to the Administrative Agent or any Lender hereunder,
the amounts so payable to the Administrative Agent or such Lender shall be
increased to the extent necessary to yield to the Administrative Agent or such
Lender (after payment of all Non-Excluded Taxes and Other Taxes) interest or any
such other amounts payable hereunder at the rates or in the amounts specified in
this Agreement, provided, however, that the Borrower shall not be required to
increase any such amounts payable to any Lender with respect to any Non-Excluded
Taxes (i) that are attributable to such Lender’s failure to comply with the
requirements of paragraph (d) or (e) of this Section or (ii) that are United
States withholding taxes imposed on amounts payable to such Lender at the time
such Lender becomes a party to this Agreement (or, in the case of any
Participant, on or before the date such Participant purchases the related
participation), except to the extent that such Lender’s assignor (if any) was
entitled, at the time of assignment, to receive additional amounts from the
Borrower with respect to such Non-Excluded Taxes pursuant to this paragraph.

 

(b)                                 In addition, the Borrower shall pay any
Other Taxes to the relevant Governmental Authority in accordance with applicable
law.

 

(c)                                  Whenever any Non-Excluded Taxes or Other
Taxes are payable by the Borrower, the Borrower shall promptly send to the
Administrative Agent for its own account or for the account of the relevant
Lender, as the case may be, a certified copy of an original official receipt
received by the Borrower showing payment thereof.  If the Borrower fails to pay
any Non-Excluded Taxes or Other

 

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TAXES WHEN DUE TO THE APPROPRIATE TAXING AUTHORITY OR FAILS TO REMIT TO THE
ADMINISTRATIVE AGENT THE REQUIRED RECEIPTS OR OTHER REQUIRED DOCUMENTARY
EVIDENCE, THE BORROWER SHALL INDEMNIFY THE ADMINISTRATIVE AGENT AND THE LENDERS
FOR ANY INCREMENTAL TAXES, INTEREST OR PENALTIES THAT MAY BECOME PAYABLE BY THE
ADMINISTRATIVE AGENT OR ANY LENDER AS A RESULT OF ANY SUCH FAILURE.

 

(d)                                 Each Lender (or Transferee) that is not a
“U.S. Person” as defined in Section 7701(a)(30) of the Code (a “Non-U.S.
Lender”) shall deliver to the Borrower and the Administrative Agent (or, in the
case of a Participant, to the Lender from which the related participation shall
have been purchased) two copies of either U.S. Internal Revenue Service Form
W-8BEN or Form W-8ECI, or, in the case of a Non-U.S. Lender claiming exemption
from U.S. federal withholding tax under Section 871(h) or 881(c) of the Code
with respect to payments of “portfolio interest”, a statement substantially in
the form of Exhibit G and a Form W-8BEN, or any subsequent versions thereof or
successors thereto, properly completed and duly executed by such Non-U.S. Lender
claiming complete exemption from, or a reduced rate of, U.S. federal withholding
tax on all payments by the Borrower under this Agreement and the other Loan
Documents.  Such forms shall be delivered by each Non-U.S. Lender on or before
the date it becomes a party to this Agreement (or, in the case of any
Participant, on or before the date such Participant purchases the related
participation).  In addition, each Non-U.S. Lender shall deliver such forms
promptly upon the obsolescence or invalidity of any form previously delivered by
such Non-U.S. Lender.  Each Non-U.S. Lender shall promptly notify the Borrower
at any time it determines that it is no longer in a position to provide any
previously delivered certificate to the Borrower (or any other form of
certification adopted by the U.S. taxing authorities for such purpose). 
Notwithstanding any other provision of this paragraph, a Non-U.S. Lender shall
not be required to deliver any form pursuant to this paragraph that such
Non-U.S. Lender is not legally able to deliver.

 

(e)                                  A Lender that is entitled to an exemption
from or reduction of non-U.S. withholding tax under the law of the jurisdiction
in which the Borrower is located, or any treaty to which such jurisdiction is a
party, with respect to payments under this Agreement shall deliver to the
Borrower (with a copy to the Administrative Agent), at the time or times
prescribed by applicable law or reasonably requested by the Borrower, such
properly completed and executed documentation prescribed by applicable law as
will permit such payments to be made without withholding or at a reduced rate,
provided that such Lender is legally entitled to complete, execute and deliver
such documentation and in such Lender’s judgment such completion, execution or
submission would not materially prejudice the legal position of such Lender.

 

(f)                                    If the Administrative Agent or any Lender
determines, in its sole discretion, that it has received a refund of any
Non-Excluded Taxes or Other Taxes as to which it has been indemnified by the
Borrower or with respect to which the Borrower has paid additional amounts
pursuant to this Section 2.19, it shall pay over such refund to the Borrower
(but only to the extent of indemnity payments made, or additional amounts paid,
by the Borrower under this Section 2.19 with respect to the Non-Excluded Taxes
or Other Taxes giving rise to such refund), net of all out-of-pocket expenses of
the Administrative Agent or such Lender and without interest (other than any
interest paid by the relevant Governmental Authority with respect to such
refund); provided, that the Borrower, upon the request of the Administrative
Agent or such Lender, agrees to repay the amount paid over to the Borrower (plus
any penalties, interest or other charges imposed by the relevant Governmental
Authority) to the Administrative Agent or such Lender in the event the
Administrative Agent or such Lender is required to repay such refund to such
Governmental Authority. This paragraph shall not be construed to require the
Administrative Agent or any Lender to make available its tax returns (or any
other information relating to its taxes which it deems confidential) to the
Borrower or any other Person.

 

(g)                                 The agreements in this Section shall survive
the termination of this Agreement and the payment of the Loans and all other
amounts payable hereunder.

 

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2.20                           Indemnity.The Borrower agrees to indemnify each
Lender for, and to hold each Lender harmless from, any loss or expense that such
Lender may sustain or incur as a consequence of (a) default by the Borrower in
making a borrowing of, conversion into or continuation of Eurodollar Loans after
the Borrower has given a notice requesting the same in accordance with the
provisions of this Agreement, (b) default by the Borrower in making any
prepayment of or conversion from Eurodollar Loans after the Borrower has given a
notice thereof in accordance with the provisions of this Agreement or (c) the
making of a prepayment of Eurodollar Loans on a day that is not the last day of
an Interest Period with respect thereto.  Such indemnification may include an
amount equal to the excess, if any, of (i) the amount of interest that would
have accrued on the amount so prepaid, or not so borrowed, converted or
continued, for the period from the date of such prepayment or of such failure to
borrow, convert or continue to the last day of such Interest Period (or, in the
case of a failure to borrow, convert or continue, the Interest Period that would
have commenced on the date of such failure) in each case at the applicable rate
of interest for such Loans provided for herein (excluding, however, the
Applicable Margin included therein, if any) over (ii) the amount of interest (as
reasonably determined by such Lender) that would have accrued to such Lender on
such amount by placing such amount on deposit for a comparable period with
leading banks in the interbank eurodollar market.  A certificate as to any
amounts payable pursuant to this Section submitted to the Borrower by any Lender
shall be conclusive in the absence of manifest error.  This covenant shall
survive the termination of this Agreement and the payment of the Loans and all
other amounts payable hereunder.

 

2.21                           Change of Lending Office.Each Lender agrees that,
upon the occurrence of any event giving rise to the operation of Section 2.18 or
2.19(a) with respect to such Lender, it will, if requested by the Borrower, use
reasonable efforts (subject to overall policy considerations of such Lender) to
designate another lending office for any Loans affected by such event with the
object of avoiding the consequences of such event; provided, that such
designation is made on terms that, in the sole judgment of such Lender, cause
such Lender and its lending office(s) to suffer no economic, legal or regulatory
disadvantage, and provided, further, that nothing in this Section shall affect
or postpone any of the obligations of the Borrower or the rights of any Lender
pursuant to Section 2.18 or 2.19(a).

 

2.22                           Replacement of Lenders.The Borrower shall be
permitted to replace any Lender that (a) requests reimbursement for amounts
owing pursuant to Section 2.18 or 2.19(a) or (b) is a Defaulting Lender, with a
replacement financial institution; provided that (i) such replacement does not
conflict with any Requirement of Law, (ii) no Event of Default shall have
occurred and be continuing at the time of such replacement, (iii) prior to any
such replacement, such Lender shall have taken no action under Section 2.21 so
as to eliminate the continued need for payment of amounts owing pursuant to
Section 2.18 or 2.19(a), (iv) the replacement financial institution shall
purchase, at par, all Loans and other amounts owing to such replaced Lender on
or prior to the date of replacement, (v) the Borrower shall be liable to such
replaced Lender under Section 2.20 if any Eurodollar Loan owing to such replaced
Lender shall be purchased other than on the last day of the Interest Period
relating thereto, (vi) the replacement financial institution, if not already a
Lender, shall be reasonably satisfactory to the Administrative Agent, (vii) the
replaced Lender shall be obligated to make such replacement in accordance with
the provisions of Section 10.6 (provided that the Borrower shall be obligated to
pay the registration and processing fee referred to therein), (viii) until such
time as such replacement shall be consummated, the Borrower shall pay all
additional amounts (if any) required pursuant to Section 2.18 or 2.19(a), as the
case may be, and (ix) any such replacement shall not be deemed to be a waiver of
any rights that the Borrower, the Administrative Agent or any other Lender shall
have against the replaced Lender.

 

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SECTION 3.  LETTERS OF CREDIT

 

3.1                                 L/C Commitment.(a)  Subject to the terms and
conditions hereof, the Issuing Lender, in reliance on the agreements of the
other Revolving Lenders set forth in Section 3.4(a), agrees to issue letters of
credit (“Letters of Credit”) for the account of the Borrower on any Business Day
during the Revolving Commitment Period in such form as may be approved from time
to time by the Issuing Lender; provided that the Issuing Lender shall have no
obligation to issue any Letter of Credit if, after giving effect to such
issuance, (i) the L/C Obligations would exceed the L/C Commitment or (ii) the
aggregate amount of the Available Revolving Commitments would be less than
zero.  Each Letter of Credit shall (A) be denominated in Dollars and (B) expire
no later than the earlier of (x) the first anniversary of its date of issuance
and (y) the date that is five Business Days prior to the Revolving Termination
Date, provided that any Letter of Credit with a one-year term may provide for
the renewal thereof for additional one-year periods (which shall in no event
extend beyond the date referred to in clause (y) above).  The Letters of Credit
outstanding on the Amendment Effective Date under the Existing Credit Agreement
shall be deemed to be Letters of Credit for all purposes of this Agreement and
the other Loan Documents.

 

(b)                                 The Issuing Lender shall not at any time be
obligated to issue any Letter of Credit if such issuance would conflict with, or
cause the Issuing Lender or any L/C Participant to exceed any limits imposed by,
any applicable Requirement of Law.

 

3.2                                 Procedure for Issuance of Letter of
Credit.The Borrower may from time to time request that the Issuing Lender issue
a Letter of Credit by delivering to the Issuing Lender at its address for
notices specified herein an Application therefor, completed to the satisfaction
of the Issuing Lender, and such other certificates, documents and other papers
and information as the Issuing Lender may request.  Upon receipt of any
Application, the Issuing Lender will process such Application and the
certificates, documents and other papers and information delivered to it in
connection therewith in accordance with its customary procedures and shall
promptly issue the Letter of Credit requested thereby (but in no event shall the
Issuing Lender be required to issue any Letter of Credit earlier than three
Business Days after its receipt of the Application therefor and all such other
certificates, documents and other papers and information relating thereto) by
issuing the original of such Letter of Credit to the beneficiary thereof or as
otherwise may be agreed to by the Issuing Lender and the Borrower.  The Issuing
Lender shall furnish a copy of such Letter of Credit to the Borrower promptly
following the issuance thereof.  The Issuing Lender shall promptly furnish to
the Administrative Agent, which shall in turn promptly furnish to the Lenders,
notice of the issuance of each Letter of Credit (including the amount thereof).

 

3.3                                 Fees and Other Charges.(a)  The Borrower
will pay a fee on all outstanding Letters of Credit at a per annum rate equal to
the Applicable Margin then in effect with respect to Eurodollar Loans under the
Revolving Facility, shared ratably among the Revolving Lenders and payable
quarterly in arrears on each Fee Payment Date after the issuance date.  In
addition, if requested by the Issuing Lender, the Borrower shall pay to the
Issuing Lender for its own account a fronting fee not to exceed 1/4 of one
percent per annum on the undrawn and unexpired amount of each Letter of Credit,
payable quarterly in arrears on each Fee Payment Date after the issuance date.

 

(b)                                 In addition to the foregoing fees, the
Borrower shall pay or reimburse the Issuing Lender for such normal and customary
costs and expenses as are incurred or charged by the Issuing Lender in issuing,
negotiating, effecting payment under, amending or otherwise administering any
Letter of Credit.

 

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3.4                                 L/C Participations.(a)  The Issuing Lender
irrevocably agrees to grant and hereby grants to each L/C Participant, and, to
induce the Issuing Lender to issue Letters of Credit, each L/C Participant
irrevocably agrees to accept and purchase and hereby accepts and purchases from
the Issuing Lender, on the terms and conditions set forth below, for such L/C
Participant’s own account and risk an undivided interest equal to such L/C
Participant’s Revolving Percentage in the Issuing Lender’s obligations and
rights under and in respect of each Letter of Credit and the amount of each
draft paid by the Issuing Lender thereunder.  Each L/C Participant
unconditionally and irrevocably agrees with the Issuing Lender that, if a draft
is paid under any Letter of Credit for which the Issuing Lender is not
reimbursed in full by the Borrower in accordance with the terms of this
Agreement, such L/C Participant shall pay to the Issuing Lender upon demand at
the Issuing Lender’s address for notices specified herein an amount equal to
such L/C Participant’s Revolving Percentage of the amount of such draft, or any
part thereof, that is not so reimbursed.

 

(b)                                 If any amount required to be paid by any L/C
Participant to the Issuing Lender pursuant to Section 3.4(a) in respect of any
unreimbursed portion of any payment made by the Issuing Lender under any Letter
of Credit is paid to the Issuing Lender within three Business Days after the
date such payment is due, such L/C Participant shall pay to the Issuing Lender
on demand an amount equal to the product of (i) such amount, times (ii) the
daily average Federal Funds Effective Rate during the period from and including
the date such payment is required to the date on which such payment is
immediately available to the Issuing Lender, times (iii) a fraction the
numerator of which is the number of days that elapse during such period and the
denominator of which is 360.  If any such amount required to be paid by any L/C
Participant pursuant to Section 3.4(a) is not made available to the Issuing
Lender by such L/C Participant within three Business Days after the date such
payment is due, the Issuing Lender shall be entitled to recover from such L/C
Participant, on demand, such amount with interest thereon calculated from such
due date at the rate per annum applicable to ABR Loans.  A certificate of the
Issuing Lender submitted to any L/C Participant with respect to any amounts
owing under this Section shall be conclusive in the absence of manifest error.

 

(c)                                  Whenever, at any time after the Issuing
Lender has made payment under any Letter of Credit and has received from any L/C
Participant its pro rata share of such payment in accordance with
Section 3.4(a), the Issuing Lender receives any payment related to such Letter
of Credit (whether directly from the Borrower or otherwise, including proceeds
of collateral applied thereto by the Issuing Lender), or any payment of interest
on account thereof, the Issuing Lender will distribute to such L/C Participant
its pro rata share thereof; provided, however, that in the event that any such
payment received by the Issuing Lender shall be required to be returned by the
Issuing Lender, such L/C Participant shall return to the Issuing Lender the
portion thereof previously distributed by the Issuing Lender to it.

 

3.5                                 Reimbursement Obligation of the Borrower.If
any draft is paid under any Letter of Credit, the Borrower shall reimburse the
Issuing Lender for the amount of (a) the draft so paid and (b) any taxes, fees,
charges or other costs or expenses incurred by the Issuing Lender in connection
with such payment, not later than 1:00 p.m., Charlotte time, on (i) the Business
Day following the date that the Borrower receives notice of such draft, if such
notice is received on such day prior to 10:00 A.M., Charlotte time, or (ii) if
clause (i) above does not apply, the second Business Day immediately following
the day that the Borrower receives such notice.  Each such payment shall be made
to the Issuing Lender at its address for notices referred to herein in Dollars
and in immediately available funds.  Interest shall be payable on any such
amounts from the date on which the relevant draft is paid until payment in full
at the rate set forth in (x) until the Business Day next succeeding the date of
the relevant notice, Section 2.14(b) and (y) thereafter, Section 2.14(c).

 

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3.6                                 Obligations Absolute.The Borrower’s
obligations under this Section 3 shall be absolute and unconditional under any
and all circumstances and irrespective of any setoff, counterclaim or defense to
payment that the Borrower may have or have had against the Issuing Lender, any
beneficiary of a Letter of Credit or any other Person.  The Borrower also agrees
with the Issuing Lender that the Issuing Lender shall not be responsible for,
and the Borrower’s Reimbursement Obligations under Section 3.5 shall not be
affected by, among other things, the validity or genuineness of documents or of
any endorsements thereon, even though such documents shall in fact prove to be
invalid, fraudulent or forged, or any dispute between or among the Borrower and
any beneficiary of any Letter of Credit or any other party to which such Letter
of Credit may be transferred or any claims whatsoever of the Borrower against
any beneficiary of such Letter of Credit or any such transferee.  The Issuing
Lender shall not be liable for any error, omission, interruption or delay in
transmission, dispatch or delivery of any message or advice, however
transmitted, in connection with any Letter of Credit, except for errors or
omissions found by a final decision of a court of competent jurisdiction to have
resulted from the gross negligence or willful misconduct of the Issuing Lender. 
The Borrower agrees that any action taken or omitted by the Issuing Lender under
or in connection with any Letter of Credit or the related drafts or documents,
if done in the absence of gross negligence or willful misconduct and in
accordance with the standards of care specified in the Uniform Commercial Code
of the State of New York, shall be binding on the Borrower and shall not result
in any liability of the Issuing Lender to the Borrower.

 

3.7                                 Letter of Credit Payments.If any draft shall
be presented for payment under any Letter of Credit, the Issuing Lender shall
promptly notify the Borrower of the date and amount thereof.  The responsibility
of the Issuing Lender to the Borrower in connection with any draft presented for
payment under any Letter of Credit shall, in addition to any payment obligation
expressly provided for in such Letter of Credit, be limited to determining that
the documents (including each draft) delivered under such Letter of Credit in
connection with such presentment are substantially in conformity with such
Letter of Credit.

 

3.8                                 Applications.To the extent that any
provision of any Application related to any Letter of Credit is inconsistent
with the provisions of this Section 3, the provisions of this Section 3 shall
apply.

 

SECTION 4.  REPRESENTATIONS AND WARRANTIES

 

To induce the Administrative Agent and the Lenders to enter into this Agreement
and to make the Loans and issue or participate in the Letters of Credit, from
and after the Amendment Effective Date, Holdings and the Borrower hereby jointly
and severally represent and warrant to the Administrative Agent and each Lender
(provided that the representations and warranties set forth in Section 4.28
shall be made solely for the benefit of the Administrative Agent and the
Revolving Lenders) that:

 

4.1                                 Financial Condition.

 

(a)                                  (i)  The audited consolidated balance sheet
of Holdings as at December 31, 2002, and the related consolidated statements of
income and of cash flows for the fiscal year ended on such date, reported on by
and accompanied by an unqualified report from PricewaterhouseCoopers LLP,
present fairly the consolidated financial condition of Holdings as at such date,
and the consolidated results of its operations and its consolidated cash flows
for the fiscal year then ended, (ii) the unaudited consolidated balance sheet of
Holdings as at March 31, 2003, and the related unaudited consolidated statements
of income and cash flows for the three-month period ended on such date, present
fairly the consolidated financial condition of Holdings as at such date, and the
consolidated results of its operations and its consolidated cash flows for the
three-month period then ended (subject to normal year-end audit adjustments) and
(iii) all such financial statements, including any related schedules and notes
thereto,

 

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HAVE BEEN PREPARED IN ACCORDANCE WITH GAAP APPLIED CONSISTENTLY THROUGHOUT THE
PERIODS INVOLVED (EXCEPT AS APPROVED BY THE AFOREMENTIONED FIRM OF ACCOUNTANTS
AND DISCLOSED THEREIN AND, IN THE CASE OF CLAUSE (II), EXCEPT FOR THE ABSENCE OF
FOOTNOTES).  AS OF THE AMENDMENT EFFECTIVE DATE, NO GROUP MEMBER HAS ANY
MATERIAL GUARANTEE OBLIGATIONS, CONTINGENT LIABILITIES AND LIABILITIES FOR
TAXES, OR ANY LONG-TERM LEASES OR UNUSUAL FORWARD OR LONG-TERM COMMITMENTS,
INCLUDING ANY INTEREST RATE OR FOREIGN CURRENCY SWAP OR EXCHANGE TRANSACTION OR
OTHER OBLIGATION IN RESPECT OF DERIVATIVES, THAT ARE NOT REFLECTED IN THE
FINANCIAL STATEMENTS REFERRED TO IN THIS PARAGRAPH, ANY FINANCIAL STATEMENTS FOR
ANY PERIODS AFTER MARCH 31, 2003 DELIVERED PRIOR TO THE AMENDMENT EFFECTIVE DATE
OR THE CONFIDENTIAL INFORMATION MEMORANDUM DATED JUNE 26, 2003 RELATING TO THE
SYNDICATION OF THE TRANCHE B TERM LOANS (IT BEING UNDERSTOOD THAT “MATERIAL”
SHALL BE CONSTRUED IN THE CONTEXT OF ALL GROUP MEMBERS TAKEN AS A WHOLE). 
DURING THE PERIOD FROM DECEMBER 31, 2002 TO AND INCLUDING THE DATE HEREOF, THERE
HAS BEEN NO DISPOSITION BY ANY GROUP MEMBER OF ANY MATERIAL PART OF THE BUSINESS
OR PROPERTY OF THE GROUP MEMBERS TAKEN AS A WHOLE.

 

4.2                                 No Change.Since December 31, 2002, there has
been no development or event that has had or is reasonably expected to have a
Material Adverse Effect.

 

4.3                                 Existence; Compliance with Law.Each Group
Member (a) is duly organized, validly existing and in good standing under the
laws of the jurisdiction of its organization, (b) has the power and authority,
and the legal right, to own and operate its property, to lease the property it
operates as lessee and to conduct the business in which it is currently engaged,
(c) is duly qualified as a foreign corporation and in good standing under the
laws of each jurisdiction where its ownership, lease or operation of property or
the conduct of its business requires such qualification except to the extent
that the failure to be so qualified could not reasonably be expected to have a
Material Adverse Effect, and (d) is in compliance with all Requirements of Law
(including, without limitation, Certificate of Need Regulations and any
requirement to timely file reports, data and other information with any relevant
Governmental Authority) except to the extent that the failure to comply
therewith could not, in the aggregate, reasonably be expected to have a Material
Adverse Effect.

 

4.4                                 Power; Authorization; Enforceable
Obligations.Each Loan Party has the power and authority to make, deliver and
perform the Loan Documents to which it is a party and, in the case of the
Borrower, to obtain extensions of credit hereunder.  Each Loan Party has taken
all necessary organizational action to authorize the execution, delivery and
performance of the Loan Documents to which it is a party and, in the case of the
Borrower, to authorize the extensions of credit on the terms and conditions of
this Agreement.  No material consent or authorization of, filing with, notice to
or other act by or in respect of, any Governmental Authority or any other Person
is required in connection with the extensions of credit hereunder or with the
execution, delivery, performance, validity or enforceability of this Agreement
or any of the Loan Documents, except (i) consents, authorizations, filings and
notices described in Schedule 4.4, which consents, authorizations, filings and
notices have been obtained or made and are in full force and effect, and (ii)
the filings referred to in Section 4.19.  Each Loan Document has been duly
executed and delivered on behalf of each Loan Party party thereto.  This
Agreement constitutes, and each other Loan Document upon execution will
constitute, a legal, valid and binding obligation of each Loan Party party
thereto, enforceable against each such Loan Party in accordance with its terms,
except as enforceability may be limited by applicable bankruptcy, insolvency,
reorganization, moratorium or similar laws affecting the enforcement of
creditors’ rights generally and by general equitable principles (whether
enforcement is sought by proceedings in equity or at law).

 

4.5                                 No Legal Bar.The execution, delivery and
performance of this Agreement and the other Loan Documents, the issuance of
Letters of Credit, the borrowings hereunder and the use of the proceeds thereof
will not violate any Health Care Permit, Reimbursement Approval, Requirement of
Law or any Contractual Obligation of any Group Member in any material respect
and will not result in, or require, the creation or imposition of any Lien on
any of their respective properties or revenues pursuant

 

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to any Requirement of Law or any such Contractual Obligation (other than the
Liens created by the Security Documents).  No Requirement of Law or Contractual
Obligation applicable to the Borrower or any of its Subsidiaries could
reasonably be expected to have a Material Adverse Effect.

 

4.6                                 Litigation.Except as set forth in
Schedule 4.6, no litigation, investigation or proceeding of or before any
arbitrator or Governmental Authority is pending or, to the knowledge of Holdings
or the Borrower, threatened by or against any Group Member or against any of
their respective properties or revenues (a) with respect to any of the Loan
Documents or any of the transactions contemplated hereby or thereby, or (b) that
could reasonably be expected to have a Material Adverse Effect.

 

4.7                                 No Default.No Group Member is in default
under or with respect to any of its Contractual Obligations in any respect that
could reasonably be expected to have a Material Adverse Effect.  As of the
Amendment Effective Date, no Default or Event of Default (as each is defined in
the Existing Credit Agreement) has occurred and is continuing under the Existing
Credit Agreement.  No Default or Event of Default has occurred and is
continuing.

 

4.8                                 Ownership of Property; Liens.Each Group
Member has title in fee simple to, or a valid leasehold interest in, all its
material real property, and good title to, or a valid leasehold interest in, all
its other material property, in each case, except for minor defects which do not
materially interfere with the conduct of the business of such Group Member, and
none of such property is subject to any Lien except as permitted by Section 7.3.

 

4.9                                 Intellectual Property.Except as, in the
aggregate, could not reasonably be expected to have a Material Adverse Effect,
or as set forth on Schedule 4.9, (a) each Group Member owns, or is licensed or
otherwise has the right to use, all Intellectual Property necessary for the
conduct of its business as currently conducted, (b) no material claim has been
asserted and is pending by any Person challenging or questioning the use of any
Intellectual Property or the validity or effectiveness of any Intellectual
Property, nor does Holdings or the Borrower know of any valid basis for any such
claim, and (c) the use of Intellectual Property by each Group Member does not
infringe on the rights of any Person in any material respect.

 

4.10                           Taxes.Each Group Member has filed or caused to be
filed all Federal, material state and other material tax returns that are
required (which, for the avoidance of doubt, does not include tax returns for
which a filing extension has been received) to be filed and has paid all taxes
shown to be due and payable on said returns or on any material assessments made
against it or any of its property and all other material taxes, fees or other
charges imposed on it or any of its property by any Governmental Authority
(other than any the amount or validity of which are currently being contested in
good faith by appropriate proceedings and with respect to which reserves in
conformity with GAAP have been provided on the books of the relevant Group
Member); no tax Lien has been filed, and, to the knowledge of Holdings and the
Borrower, no claim is being asserted, with respect to any such tax, fee or other
charge.

 

4.11                           Federal Regulations.No part of the proceeds of
any Loans, and no other extensions of credit hereunder, will be used for
“buying” or “carrying” any “margin stock” within the respective meanings of each
of the quoted terms under Regulation U as now and from time to time hereafter in
effect or for any purpose that violates the provisions of the Regulations of the
Board.  If requested by any Lender or the Administrative Agent, the Borrower
will furnish to the Administrative Agent and each Lender a statement to the
foregoing effect in conformity with the requirements of FR Form G-3 or FR Form
U-1, as applicable, referred to in Regulation U.

 

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4.12                           Labor Matters.Except as, in the aggregate, could
not reasonably be expected to have a Material Adverse Effect:  (a) there are no
strikes or other labor disputes against any Group Member pending or, to the
knowledge of Holdings or the Borrower, threatened; (b) hours worked by and
payment made to employees of each Group Member have not been in violation of the
Fair Labor Standards Act or any other applicable Requirement of Law dealing with
such matters; and (c) all payments due from any Group Member on account of
employee health and welfare insurance have been paid or accrued as a liability
on the books of the relevant Group Member.

 

4.13                           ERISA.Except as could not reasonably be expected
to have a Material Adverse Effect:  (a) neither a Reportable Event nor an
“accumulated funding deficiency” (within the meaning of Section 412 of the Code
or Section 302 of ERISA) has occurred during the five-year period prior to the
date on which this representation is made or deemed made with respect to any
Plan, and each Plan has complied in all material respects with the applicable
provisions of ERISA and the Code, (b) no termination of a Single Employer Plan
has occurred, and no Lien in favor of the PBGC or a Plan has arisen, during such
five-year period, (c) the present value of all accrued benefits under each
Single Employer Plan (based on those assumptions used to fund such Plans) did
not, as of the last annual valuation date prior to the date on which this
representation is made or deemed made, exceed the value of the assets of such
Plan allocable to such accrued benefits by a material amount, (d) neither the
Borrower nor any Commonly Controlled Entity has had a complete or partial
withdrawal from any Multiemployer Plan that has resulted or could reasonably be
expected to result in liability under ERISA, and neither the Borrower nor any
Commonly Controlled Entity would become subject to any liability under ERISA if
the Borrower or any such Commonly Controlled Entity were to withdraw completely
from all Multiemployer Plans as of the valuation date most closely preceding the
date on which this representation is made or deemed made, and (e) no such
Multiemployer Plan is in Reorganization or Insolvent.

 

4.14                           Investment Company Act; Other Regulations.No Loan
Party is an “investment company”, or a company “controlled” by an “investment
company”, within the meaning of the Investment Company Act of 1940, as amended. 
No Loan Party is subject to regulation under any Requirement of Law (other than
Regulation X of the Board) that limits its ability to incur Indebtedness.

 

4.15                           Subsidiaries.Except as disclosed to the
Administrative Agent by the Borrower in writing from time to time after the
Amendment Effective Date, (a) Schedule 4.15 sets forth the name and jurisdiction
of incorporation of each Subsidiary and, as to each such Subsidiary, the
percentage of each class of Capital Stock owned by any Loan Party and (b) there
are no outstanding subscriptions, options, warrants, calls, rights or other
agreements or commitments (other than stock options granted to employees or
directors and directors’ qualifying shares) of any nature relating to any
Capital Stock of the Borrower or any Subsidiary, except as created by the Loan
Documents.

 

4.16                           Use of Proceeds.The proceeds of the Revolving
Loans, Swingline Loans, the Letters of Credit and of any Incremental Term Loan
shall be used to finance the working capital needs and general corporate
purposes (including certain acquisitions permitted pursuant to Section 7.8 of
this Agreement) of the Borrower and its Subsidiaries in the ordinary course of
business.  The proceeds of the Tranche B Term Loans received on the Amendment
Effective Date shall be used to repay outstanding Revolving Loans under the
Existing Credit Agreement (but not to reduce the Revolving Commitments), to pay
fees and expenses related to the Tranche B Term Loans and to the extent there
are remaining proceeds, for general corporate purposes.

 

4.17                           Environmental Matters.Except as, in the
aggregate, could not reasonably be expected to have a Material Adverse Effect:

 

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(a)                                  the facilities and properties owned, leased
or operated by any Group Member (the “Properties”) do not contain, and, to the
knowledge of Holdings and the Borrower, have not previously contained, any
Materials of Environmental Concern in amounts or concentrations or under
circumstances that constitute or constituted a violation of any Environmental
Law;

 

(b)                                 no Group Member has received or is aware of
any written notice of violation, alleged violation, non-compliance, liability or
potential liability regarding environmental matters or compliance with
Environmental Laws with regard to any of the Properties or the business operated
by any Group Member (the “Business”), nor does Holdings or the Borrower have
knowledge or reason to believe that any such notice will be received or is being
threatened;

 

(c)                                  Materials of Environmental Concern have not
been transported or disposed of from the Properties in violation of, or in a
manner or to a location that could reasonably be expected to give rise to
liability under, any Environmental Law, nor have any Materials of Environmental
Concern been generated, treated, stored or disposed of at, on or under any of
the Properties in violation of, or in a manner that could reasonably be expected
to give rise to liability under, any applicable Environmental Law;

 

(d)                                 no judicial proceeding or governmental or
administrative action is pending or, to the knowledge of Holdings and the
Borrower, threatened, under any Environmental Law to which any Group Member is
or, to the knowledge of Holdings and the Borrower, will be named as a party with
respect to the Properties or the Business, nor are there, to the knowledge of
Holdings and the Borrower, any consent decrees or other decrees, consent orders,
administrative orders or other orders outstanding under any Environmental Law
with respect to the Properties or the Business;

 

(e)                                  there has been no release or threat of
release of Materials of Environmental Concern at or from the Properties, or
arising from or related to the operations of any Group Member in connection with
the Properties or otherwise in connection with the Business, in violation of or
in amounts or in a manner that could reasonably be expected to give rise to
liability under Environmental Laws;

 

(f)                                    the Properties and all operations at the
Properties are in compliance, and have in the last five years been in
compliance, with all applicable Environmental Laws; and

 

(g)                                 no Group Member has contractually assumed
any liability of any other Person under Environmental Laws.

 

This Section 4.17 contains the sole representations and warranties of Holdings
and the Borrower concerning environmental matters.

 

4.18                           Accuracy of Information, etc.The information
(other than projections and pro forma financial information) contained in this
Agreement, any other Loan Document or any other document, certificate or written
statement furnished by or on behalf of any Loan Party to the Administrative
Agent or the Lenders, or any of them, as modified and supplemented by other
information so furnished, taken as a whole, did not contain as of the date so
furnished any untrue statement of a material fact or omit to state a material
fact necessary to make the statements contained herein or therein not materially
misleading in light of the circumstances under which the statements in such
information were made.  The projections and pro forma financial information
contained in the materials referenced above are based upon good faith estimates
and assumptions believed by management of the Borrower to be reasonable at the
time made, it being recognized by the Lenders that such financial information as
it relates to future events is not to be viewed as fact and that actual results
during the period or periods covered by such financial information may differ
from the projected results set forth therein by a material

 

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amount.  There is no fact known to any Loan Party (including, without
limitation, proposed laws or rules in respect of healthcare regulations that are
generally considered to be reasonably likely to be passed or adopted) that could
reasonably be expected to have a Material Adverse Effect that has not been
expressly disclosed herein, in the other Loan Documents or in any other
documents, certificates and statements furnished to the Administrative Agent and
the Lenders for use in connection with the transactions contemplated hereby and
by the other Loan Documents.

 

4.19                           Security Documents.(a)  The Guarantee and
Collateral Agreement is effective to create in favor of the Administrative
Agent, for the benefit of the Lenders, a legal, valid and enforceable security
interest in the Collateral described therein and proceeds thereof (except as
expressly provided in the Guarantee and Collateral Agreement).  In the case of
the Pledged Stock described in the Guarantee and Collateral Agreement, stock
certificates representing such Pledged Stock having been delivered to the
Administrative Agent, and in the case of the other Collateral described in the
Guarantee and Collateral Agreement, financing statements and other filings
specified on Schedule 4.19(a) in appropriate form having been filed in the
offices specified on Schedule 4.19(a), the Guarantee and Collateral Agreement
constitutes a fully perfected Lien on, and security interest in, all right,
title and interest of the Loan Parties in such Collateral and the proceeds
thereof, as security for the Obligations (as defined in the Guarantee and
Collateral Agreement), in each case prior and superior in right to any other
Person (except, in the case of Collateral other than Pledged Stock, Liens
permitted by Section 7.3).

 

(b)                                 Each of the Mortgages is effective to create
in favor of the Administrative Agent, for the benefit of the Lenders, a legal,
valid and enforceable Lien on the Mortgaged Properties described therein and
proceeds thereof, and when the Mortgages are filed in the offices specified on
Schedule 4.19(b), each such Mortgage shall constitute a fully perfected Lien on,
and security interest in, all right, title and interest of the Loan Parties in
the Mortgaged Properties and the proceeds thereof, as security for the
Obligations (as defined in the relevant Mortgage), in each case prior and
superior in right to any other Person.  Schedule 1.1B lists, as of the Amendment
Effective Date, each parcel of owned real property located in the United States
and held by the Borrower or any of its Subsidiaries that has a value, in the
reasonable opinion of the Borrower, in excess of $300,000.

 

4.20                           Solvency.The Loan Parties, taken as a whole,
after giving effect to the incurrence of all Indebtedness and obligations being
incurred in connection herewith are and will be and will continue to be,
Solvent.

 

4.21                           Senior Indebtedness.The Obligations constitute
“Senior Indebtedness” and “Designated Senior Indebtedness” of the Borrower under
and as defined in the Senior Subordinated Note Indenture.  The obligations of
each Subsidiary Guarantor under the Guarantee and Collateral Agreement
constitute “Guarantor Senior Indebtedness” of such Subsidiary Guarantor under
and as defined in the Senior Subordinated Note Indenture.

 

4.22                           Regulation H.No Mortgage encumbers improved real
property that is located in an area that has been identified by the Secretary of
Housing and Urban Development as an area having special flood hazards and in
which flood insurance has been made available under the National Flood Insurance
Act of 1968.

 

4.23                           Certain Documents.The Borrower has delivered to
the Administrative Agent a complete and correct copy of the Senior Subordinated
Note Indenture including any amendments, supplements or modifications with
respect thereto.

 

4.24                           Inspections and Investigations.Except as could
not reasonably be expected to have a Material Adverse Effect, (a) neither the
Borrower’s nor any Subsidiary’s right to receive

 

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reimbursements pursuant to any government program or private program has been
terminated or otherwise adversely affected as a result of any investigation or
action, whether by any Governmental Authority or other third party; (b) neither
the Borrower nor any Subsidiary has, during the past three years, been the
subject of any inspection, investigation, survey, audit, monitoring, or other
form of review by any Governmental Authority based upon any alleged improper
activity on the part of such Person, nor has the Borrower or any Subsidiary
received any notice of deficiency during the past three years in connection with
the operations of its business; (c) there are not any outstanding deficiencies
or work orders of any Governmental Authority having jurisdiction over the
Borrower or any Subsidiary, or requiring conformity to any applicable agreement
with any Governmental Authority or Requirement of Law; and (d) there is not any
notice of any claim, requirement, or demand of any licensing or certifying
agency or other third party supervising or having authority over the Borrower or
any Subsidiary to rework or redesign any part thereof or to provide additional
furniture, fixtures, equipment, appliances, or inventory so as to conform to or
comply with any existing Requirement of Law.

 

4.25                           Medicare Participation.Except as could not
reasonably be expected to have a Material Adverse Effect, the Borrower and its
Subsidiaries are qualified for participation in the Medicare and Medicaid
programs, have current and valid provider contracts with the Medicare and
Medicaid programs, are in compliance with all conditions of participation in
such programs, and have received all approvals or qualifications necessary for
reimbursement.

 

4.26                           Fraud and Abuse.To the knowledge of Holdings and
the Borrower, no Group Member has engaged in any material activities that are
prohibited under federal Medicare and Medicaid statutes, including, but not
limited to, 42 U.S.C. § § 1320a-7, 1320a-7a, 1320a-7b, 1395nn and 1396b, or 31
U.S.C. § § 3729-3733, the federal statutes regulating CHAMPUS, or the
regulations promulgated thereunder pursuant to such statutes, or any similar
federal, state, or local statutes or regulations promulgated pursuant to such
statutes, including, but not limited to the following:

 

(a)                                  knowingly and willfully making or causing
to be made a false statement or representation of a material fact in any
application for any benefit or payment;

 

(b)                                 knowingly and willfully making or causing to
be made any false statement or representation of a material fact for use in
determining rights to any benefit or payment;

 

(c)                                  failing to disclose knowledge by a claimant
of the occurrence of any event affecting the initial or continued right to any
benefit or payment on its own behalf or on behalf of another, with intent to
secure such benefit or payment fraudulently; and

 

(d)                                 knowingly and willfully soliciting or
receiving any remuneration (including any kickback, bribe, or rebate), directly
or indirectly, overtly or covertly, in cash or in kind, or offering to pay such
remuneration (i) in return for referring an individual to a person for the
furnishing or arranging for the furnishing of any item or service for which
payment may be made in whole or in part by Medicare, Medicaid, or other
applicable third party payors, or (ii) in return for purchasing, leasing, or
ordering or arranging for or recommending the purchasing, leasing or order of
any good, facility, service, or item for which payment may be made in whole or
in part by Medicare, Medicaid, or other applicable third party payors.

 

4.27                           HIPAA Compliance.To the extent that and for so
long as (a) any Group Member is a “covered entity” within the meaning of HIPAA
or (b) any Group Member and/or its business and operations are subject to or
covered by the so-called “Administrative Simplification” provisions of HIPAA,
except as could not reasonably be expected to have a Material Adverse Effect,
such Group Member, (i) has undertaken all necessary surveys, audits,
inventories, reviews, analyses and/or

 

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assessments (including any necessary risk assessments) of all areas of its
business and operations required by HIPAA; (ii) has developed a detailed plan
and time line for becoming HIPAA Compliant (as defined below) (a “HIPAA
Compliance Plan”); and (iii) has implemented those provisions of such HIPAA
Compliance Plan in all material respects necessary to ensure that such Group
Member is or becomes HIPAA Compliant.   For purposes hereof, “HIPAA Compliant”
shall mean that such Group Member (x) is or will be in material compliance with
each of the applicable requirements of the so-called “Administrative
Simplification” provisions of HIPAA on and as of each date that any part
thereof, or any final rule or regulation thereunder, becomes effective in
accordance with its or their terms, as the case may be (each such date, a “HIPAA
Compliance Date”) and (y) is not, as of any date following any such HIPAA
Compliance Date, the subject of any civil or criminal penalty, process, claim,
action or proceeding, or any administrative or other regulatory review, survey,
process or proceeding (other than routine surveys or reviews conducted by any
government health plan or other accreditation entity).

 

4.28                           Prior Representations and Warranties.As of the
Amendment Effective Date, the representations and warranties set forth in
Sections 4.1, 4.2, 4.4, 4.18, 4.20, 4.23 and 4.24 of the Existing Credit
Agreement are true and correct in all material respects, as if made on and as of
such date.

 

SECTION 5.  CONDITIONS PRECEDENT

 

5.1                                 Conditions to Effectiveness of Amended and
Restated Credit Agreement.In addition to the conditions set forth in
Section 5.2, each of the effectiveness of this Agreement to amend and restate
the Existing Credit Agreement and the agreement of each Tranche B Term Lender to
make the Tranche B Term Loan requested to be made by it is subject to the prior
or concurrent satisfaction, or waiver of the following conditions precedent:

 

(a)                                  Credit Agreement.  The Administrative Agent
shall have received (i) this Agreement, executed and delivered by the Agents,
Holdings, the Borrower, all Existing Lenders and all Tranche B Term Lenders and
(ii) an acknowledgment and consent, executed and delivered by each Subsidiary
Guarantor, acknowledging receipt of this Agreement, consenting to the
transactions contemplated hereby and confirming that its obligations under each
Loan Document to which it is a party shall remain in full force and effect.

 

(b)                                 Financial Statements; Projections.  The
Lenders shall have received, or shall have been provided or offered access to,
(i) unaudited interim consolidated financial statements of Holdings for each
quarterly period that has ended after the Original Closing Date and 45 or more
days prior to the Amendment Effective Date, and such financial statements and
the unaudited consolidated financial statements for the same period of the prior
fiscal year shall not reflect any material adverse change in the consolidated
financial condition of Holdings, as reflected in the financial statements or
projections previously furnished to the Lenders and (ii) recent projections with
respect to fiscal years 2003 through and including 2009 of the Borrower and its
Subsidiaries.

 

(c)                                  Approvals.  All material governmental and
third party approvals necessary in connection with the Tranche B Term Facility
shall have been obtained and be in full force and effect without any action
being taken or threatened by any competent authority that would restrain,
prevent or otherwise impose material adverse conditions on the financing
contemplated hereby.

 

(d)                                 Fees.  The Lenders and the Administrative
Agent shall have received all fees required to be paid, and all expenses
required to be paid for which invoices have been presented (including the
reasonable fees and expenses of legal counsel), on or before the Amendment
Effective Date.  All such amounts will be paid with proceeds of Tranche B Term
Loans made on

 

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the Amendment Effective Date and will be reflected in the funding instructions
given by the Borrower to the Administrative Agent on or before the Amendment
Effective Date.

 

(e)                                  Officer’s Certificate; Closing
Certificates.  The Administrative Agent shall have received (i) a certificate of
a Responsible Officer of each of Holdings and the Borrower, dated the Amendment
Effective Date, substantially in the form of Exhibit C, with appropriate
insertions and attachments, (ii) a long form good standing certificate for each
Loan Party from its jurisdiction of incorporation, and (iii) a certificate of a
Responsible Officer of the Borrower, certifying that the execution and delivery
of this Agreement and the consummation of the transactions contemplated hereby
will not violate the terms of any other instrument governing Indebtedness of
Holdings, the Borrower and its Subsidiaries (including, without limitation, the
Senior Subordinated Note Indenture), and accompanied by calculations in
reasonable detail evidencing compliance with the Senior Subordinated Note
Indenture.

 

(f)                                    Legal Opinion.  The Administrative Agent
shall have received an executed legal opinion of O’Melveny & Myers LLP, counsel
to the Borrower and the other Loan Parties, substantially in the form of Exhibit
E.

 

(g)                                 Filings, Registration and Recordings.  Each
document (including any Uniform Commercial Code financing statement) required by
the Security Documents or under law or reasonably requested by the
Administrative Agent to be filed, registered or recorded in order to create in
favor of the Administrative Agent, for the benefit of the Lenders (including the
Tranche B Term Lenders), a perfected Lien on the Collateral described therein,
prior and superior in right to any other Person (other than with respect to
Liens expressly permitted by Section 7.3), shall have been filed, registered or
recorded on or prior to the Amendment Effective Date or any amendments thereto
required in connection with the transactions contemplated hereby shall have been
delivered to the Administrative Agent in proper form for filing, registration or
recordation.

 

(h)                                 Solvency Certificate.  The Administrative
Agent shall have received a solvency certificate of the Borrower, dated the
Amendment Effective Date, substantially in the form of Exhibit G.

 

(i)                                     Insurance.  The Administrative Agent
shall have received (and the Lenders shall have received final forms of)
insurance certificates satisfying the requirements of Section 6.5.

 

5.2                                 Conditions to Each Extension of Credit.The
agreement of each Lender to make any extension of credit requested to be made by
it on any date (including its initial extension of credit) is subject to the
satisfaction of the following conditions precedent:

 

(a)                                  Representations and Warranties.  Each of
the representations and warranties made by any Loan Party in or pursuant to the
Loan Documents shall be true and correct in all material respects on and as of
such date as if made on and as of such date except to the extent such
representations and warranties expressly relate to an earlier date in which case
such representations and warranties shall be true and correct in all material
respects as of such earlier date.

 

(b)                                 No Default.  No Default or Event of Default
shall have occurred and be continuing on such date or after giving effect to the
extensions of credit requested to be made on such date.

 

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(c)                                  Other Documents.  In the case of any
extension of credit made on an Incremental Facility Closing Date, the
Administrative Agent shall have received such documents and information as it
may reasonably request.

 

Each borrowing by and issuance of a Letter of Credit on behalf of the Borrower
hereunder shall constitute a representation and warranty by the Borrower as of
the date of such extension of credit that the conditions contained in this
Section 5.2 have been satisfied.

 

SECTION 6.  AFFIRMATIVE COVENANTS

 

From and after the Amendment Effective Date, Holdings and the Borrower hereby
jointly and severally agree that, so long as any Commitments remain in effect,
any Letter of Credit remains outstanding or any Loan or other amount (other than
any contingent or unliquidated obligations or liabilities) is owing to any
Lender or the Administrative Agent hereunder, each of Holdings and the Borrower
shall and shall cause each of its Subsidiaries to:

 

6.1                                 Financial Statements.Furnish to the
Administrative Agent and each Lender:

 

(a)                                  as soon as available, but in any event
within 90 days after the end of each fiscal year of the Borrower, a copy of the
audited consolidated balance sheet of the Borrower and its consolidated
Subsidiaries as at the end of such year and the related audited consolidated
statements of income and of cash flows for such year, setting forth in each case
in comparative form the figures for the previous year, reported on without a
“going concern” or like qualification or exception, or qualification arising out
of the scope of the audit, by PricewaterhouseCoopers LLP, or other independent
certified public accountants of nationally recognized standing, reasonably
satisfactory to the Administrative Agent; and

 

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

 

All such financial statements shall be prepared in reasonable detail and in
accordance with GAAP (except, in the case of unaudited financial statements, for
the absence of footnotes) applied (except as approved by such accountants or
officer, as the case may be, and disclosed in reasonable detail therein)
consistently throughout the periods reflected therein and with prior periods.

 

6.2                                 Certificates; Other Information.Furnish to
the Administrative Agent and each Lender (or, in the case of clause (f), to the
relevant Lender):

 

(a)                                  concurrently with the delivery of the
financial statements referred to in Section 6.1(a), a certificate of the
independent certified public accountants reporting on such financial statements
stating that in making the examination necessary therefor no knowledge was
obtained of any Default or Event of Default, except as specified in such
certificate;

 

(b)                                 concurrently with the delivery of any
financial statements pursuant to Section 6.1, (i) a certificate of a Responsible
Officer stating that such Responsible Officer has obtained no

 

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knowledge of any Default or Event of Default except as specified in such
certificate, (ii) a Compliance Certificate containing all information and
calculations necessary for determining compliance by the Borrower with the
provisions of Section 7.1, and (iii) to the extent not previously disclosed to
the Administrative Agent, a description of any change in the jurisdiction of
organization of any Loan Party;

 

(c)                                  as soon as available, and in any event no
later than 45 days after the end of each fiscal year of the Borrower, a detailed
consolidated budget for the following fiscal year prepared on a quarterly basis
(including a projected consolidated balance sheet of the Borrower and its
Subsidiaries as of the end of the following fiscal year, the related
consolidated statements of projected cash flow, projected changes in financial
position and projected income and a description of the underlying assumptions
applicable thereto), and, as soon as available, significant revisions, if any,
of such budget and projections with respect to such fiscal year (collectively,
the “Projections”), which Projections shall in each case be accompanied by a
certificate of a Responsible Officer stating that such Projections are based on
estimates, information and assumptions believed to be reasonable when made;

 

(d)                                 within five Business Days after the same are
sent, copies of all financial statements and reports that Holdings or the
Borrower sends to the holders of any class of its debt securities or public
equity securities and, within ten days after the same are filed, copies of all
financial statements and reports that Holdings or the Borrower may make to, or
file with, the SEC;

 

(e)                                  within five Business Days (i) after
obtaining knowledge thereof, the occurrence of any event that would (with the
giving of notice, the passage of time, or both) be a violation of any Health
Care Permit necessary for the lawful conduct of the business or operations of
any Group Member, including, without limitation, the ownership and operation of
its Health Care Facilities, (ii) after receipt thereof, any notice of any
violation of any Requirements of Law which would (with the giving of notice, the
passage of time, or both) cause any of the Health Care Permits referred to in
clause (i) to be modified, rescinded or revoked, (iii) after receipt thereof,
any notice, summons, citation or other proceeding seeking to adversely modify in
any material respect, revoke, or suspend any Medicare Provider Agreement,
Medicaid Provider Agreement, Medicare certification or Medicaid certification
applicable to any of the Health Care Facilities of any Group Member, or (iv)
after obtaining knowledge thereof, any revocation or involuntary termination of
any Medicare Provider Agreement, Medicaid Provider Agreement, Medicare
certification or Medicaid certification applicable to any of the Health Care
Facilities of any Group Member, in each case, which could reasonably be expected
to have a Material Adverse Effect;

 

(f)                                    promptly, such additional financial and
other information as any Lender may from time to time reasonably request; and

 

(g)                                 any accountants’ management letters received
by any Group Member.

 

6.3                                 Payment of Obligations.Pay, discharge or
otherwise satisfy at or before maturity or before they become delinquent, as the
case may be, all its obligations of whatever nature, except where the amount or
validity thereof is currently being contested in good faith by appropriate
proceedings and reserves in conformity with GAAP with respect thereto have been
provided on the books of the relevant Group Member except to the extent that
failure to pay, discharge or otherwise satisfy such obligations could not, in
the aggregate, reasonably be expected to have a Material Adverse Effect.

 

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6.4                                 Maintenance of Existence;
Compliance.(a)  (i)  Preserve, renew and keep in full force and effect its
organizational existence and (ii) take all reasonable action to maintain all
rights, privileges and franchises necessary or desirable in the normal conduct
of its business (including, without limitation, all Health Care Permits and
Reimbursement Approvals reasonably necessary for the lawful conduct of its
business or operations where now conducted and as planned to be conducted,
including the ownership and operation of its Health Care Facilities, pursuant to
all Requirements of Law), except, in each case, as otherwise permitted by
Section 7.4 and except, in the case of clause (ii) above, to the extent that
failure to do so could not reasonably be expected to have a Material Adverse
Effect; (b) ensure that all Health Care Facilities owned, leased, managed or
operated by any Group Member are entitled to participate in, and receive payment
under, the appropriate Medicare, Medicaid and related reimbursement programs,
and any similar state or local government-sponsored program, to the extent any
Group Member has decided to participate in any such program, and to receive
reimbursement from private and commercial payers and health maintenance
organizations to the extent applicable thereto, except where a failure to do so
could not reasonably be expected to have a Material Adverse Effect; and (c)
comply with all Contractual Obligations and Requirements of Law except to the
extent that failure to comply therewith could not, in the aggregate, reasonably
be expected to have a Material Adverse Effect.

 

6.5                                 Maintenance of Property; Insurance.(a)  Keep
all property useful and necessary in its business in reasonable working order
and condition, ordinary wear and tear excepted, (b) if requested by the Lenders,
maintain with financially sound and reputable insurance companies key man life
insurance on certain officers of the Borrower and (c) maintain with financially
sound and reputable insurance companies insurance on all its property in at
least such amounts and against at least such risks (but including in any event
public liability, product liability and business interruption) as are usually
insured against in the same general area by companies engaged in the same or a
similar business. All such insurance shall (i) provide that no cancellation,
material reduction in amount or material change in coverage thereof shall be
effective until at least 30 days after receipt by the Administrative Agent of
written notice thereof, (ii) name the Administrative Agent as insured party or
loss payee, and (iii) be reasonably satisfactory in all other respects to the
Administrative Agent.  The Borrower shall deliver to the Administrative Agent
and the Lenders a report of a reputable insurance broker with respect to such
insurance substantially concurrently with each delivery of the Borrower’s
financial statements referred to in Section 6.1(a) and such supplemental reports
with respect thereto as the Administrative Agent may from time to time
reasonably request.

 

6.6                                 Inspection of Property; Books and Records;
Discussions.(a)  Keep proper books of records and account in which full, true
and correct entries in all material respects are made of all dealings and
transactions in relation to its business and activities and (b) upon reasonable
prior notice, permit representatives of any Lender to visit and inspect any of
its properties and examine and make abstracts from any of its books and records
at any reasonable time and as often as may reasonably be desired (so long as
such visits and inspections do not disrupt the business and operations of the
Group Members) and to discuss the business, operations, properties and financial
and other condition of the Group Members with officers and senior management of
the Group Members and with their independent certified public accountants  (and
the Borrower shall be provided the opportunity to participate in any discussions
with such independent certified public accountants).

 

6.7                                 Notices.Promptly give notice to the
Administrative Agent and each Lender of:

 

(a)                                  the occurrence of any Default or Event of
Default;

 

(b)                                 any (i) default or event of default under
any Contractual Obligation of any Group Member or (ii) litigation, investigation
or proceeding that may exist at any time between any

 

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Group Member and any Governmental Authority, that in either case, could
reasonably be expected to have a Material Adverse Effect;

 

(c)                                  any litigation or proceeding affecting any
Group Member (i) in which the amount involved is $1,000,000 or more and not
covered by insurance, (ii) in which injunctive or similar relief is sought or
(iii) which relates to any Loan Document;

 

(d)                                 the following events, as soon as practicable
after a Responsible Officer knows or has reason to know thereof:  (i) the
occurrence of any Reportable Event with respect to any Plan, a failure to make
any required contribution to a Plan, the creation of any Lien in favor of the
PBGC or a Plan or any withdrawal from, or the termination, Reorganization or
Insolvency of, any Multiemployer Plan or (ii) the institution of proceedings or
the taking of any other action by the PBGC or the Borrower or any Commonly
Controlled Entity or any Multiemployer Plan with respect to the withdrawal from,
or the termination, Reorganization or Insolvency of, any Plan; and

 

(e)                                  any development or event that has had or
could reasonably be expected to have a Material Adverse Effect.

 

Each notice pursuant to this Section 6.7 shall be accompanied by a statement of
a Responsible Officer setting forth details of the occurrence referred to
therein and stating what action the relevant Group Member proposes to take with
respect thereto.

 

6.8                                 Environmental Laws.(a)  Except as could not
reasonably be expected to have a Material Adverse Effect, (i) comply with, and
ensure compliance by all tenants and subtenants, if any, with, all applicable
Environmental Laws, and (ii) obtain and comply with and maintain, and ensure
that all tenants and subtenants obtain and comply with and maintain, any and all
licenses, approvals, notifications, registrations or permits required by
applicable Environmental Laws.

 

(B)                                 EXCEPT AS COULD NOT REASONABLY BE EXPECTED
TO HAVE A MATERIAL ADVERSE EFFECT, CONDUCT AND COMPLETE ALL INVESTIGATIONS,
STUDIES, SAMPLING AND TESTING, AND ALL REMEDIAL, REMOVAL AND OTHER ACTIONS
REQUIRED UNDER ENVIRONMENTAL LAWS AND PROMPTLY COMPLY WITH ALL LAWFUL ORDERS AND
DIRECTIVES OF ALL GOVERNMENTAL AUTHORITIES REGARDING ENVIRONMENTAL LAWS.

 

6.9                                 Additional Collateral, etc.(a)  With respect
to any property acquired after the Amendment Effective Date by any Group Member
(other than (x) any property described in paragraph (b), (c), (d) or (e) below,
(y) any property subject to a Lien expressly permitted by Section 7.3(g) or (l),
and (z) property acquired by any Excluded Foreign Subsidiary) as to which the
Administrative Agent, for the benefit of the Lenders, does not have a perfected
Lien, promptly (i) execute and deliver to the Administrative Agent such
amendments to the Guarantee and Collateral Agreement or such other documents as
the Administrative Agent reasonably deems necessary or advisable to grant to the
Administrative Agent, for the benefit of the Lenders, a security interest in
such property and (ii) take all actions necessary or reasonably advisable to
grant to the Administrative Agent, for the benefit of the Lenders, a perfected
first priority security interest in such property, including the filing of
Uniform Commercial Code financing statements in such jurisdictions as may be
required by the Guarantee and Collateral Agreement or by law or as may be
reasonably requested by the Administrative Agent.

 

(B)                                 WITH RESPECT TO ANY FEE INTEREST IN ANY REAL
PROPERTY HAVING A VALUE (TOGETHER WITH IMPROVEMENTS THEREOF) OF AT LEAST
$300,000 ACQUIRED AFTER THE AMENDMENT EFFECTIVE DATE BY ANY GROUP MEMBER (OTHER
THAN (X) ANY SUCH REAL PROPERTY SUBJECT TO A LIEN EXPRESSLY PERMITTED BY
SECTION 7.3(G) OR (L) AND (Y) REAL PROPERTY ACQUIRED BY ANY EXCLUDED FOREIGN
SUBSIDIARY), PROMPTLY (I) EXECUTE AND DELIVER A

 

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FIRST PRIORITY MORTGAGE, IN FAVOR OF THE ADMINISTRATIVE AGENT, FOR THE BENEFIT
OF THE LENDERS, COVERING SUCH REAL PROPERTY, (II) IF REQUESTED BY THE
ADMINISTRATIVE AGENT, PROVIDE THE LENDERS WITH (A) TITLE AND EXTENDED COVERAGE
INSURANCE COVERING SUCH REAL PROPERTY IN AN AMOUNT AT LEAST EQUAL TO THE
PURCHASE PRICE OF SUCH REAL PROPERTY (OR SUCH OTHER AMOUNT AS SHALL BE
REASONABLY SPECIFIED BY THE ADMINISTRATIVE AGENT) AS WELL AS A CURRENT ALTA
SURVEY THEREOF, TOGETHER WITH A SURVEYOR’S CERTIFICATE AND (B) ANY CONSENTS OR
ESTOPPELS REASONABLY DEEMED NECESSARY OR ADVISABLE BY THE ADMINISTRATIVE AGENT
IN CONNECTION WITH SUCH MORTGAGE, EACH OF THE FOREGOING IN FORM AND SUBSTANCE
REASONABLY SATISFACTORY TO THE ADMINISTRATIVE AGENT AND (III) IF REQUESTED BY
THE ADMINISTRATIVE AGENT, DELIVER TO THE ADMINISTRATIVE AGENT LEGAL OPINIONS
RELATING TO THE MATTERS DESCRIBED ABOVE, WHICH OPINIONS SHALL BE IN FORM AND
SUBSTANCE, AND FROM COUNSEL, REASONABLY SATISFACTORY TO THE ADMINISTRATIVE
AGENT.

 

(C)                                  WITH RESPECT TO ANY NEW SUBSIDIARY (OTHER
THAN AN EXCLUDED FOREIGN SUBSIDIARY) CREATED OR ACQUIRED AFTER THE AMENDMENT
EFFECTIVE DATE BY ANY GROUP MEMBER (WHICH, FOR THE PURPOSES OF THIS PARAGRAPH
(C), SHALL INCLUDE ANY EXISTING SUBSIDIARY THAT CEASES TO BE AN EXCLUDED FOREIGN
SUBSIDIARY), PROMPTLY (I) EXECUTE AND DELIVER TO THE ADMINISTRATIVE AGENT SUCH
AMENDMENTS TO THE GUARANTEE AND COLLATERAL AGREEMENT AS THE ADMINISTRATIVE AGENT
DEEMS NECESSARY OR ADVISABLE TO GRANT TO THE ADMINISTRATIVE AGENT, FOR THE
BENEFIT OF THE LENDERS, A PERFECTED FIRST PRIORITY SECURITY INTEREST IN THE
CAPITAL STOCK OF SUCH NEW SUBSIDIARY THAT IS OWNED BY ANY GROUP MEMBER, (II)
DELIVER TO THE ADMINISTRATIVE AGENT THE CERTIFICATES (IF ANY) REPRESENTING SUCH
CAPITAL STOCK, TOGETHER WITH (IF APPLICABLE) UNDATED STOCK POWERS, IN BLANK,
EXECUTED AND DELIVERED BY A DULY AUTHORIZED OFFICER OF THE RELEVANT GROUP
MEMBER, (III) CAUSE SUCH NEW SUBSIDIARY (A) TO BECOME A PARTY TO THE GUARANTEE
AND COLLATERAL AGREEMENT, (B) TO TAKE SUCH ACTIONS NECESSARY OR ADVISABLE TO
GRANT TO THE ADMINISTRATIVE AGENT FOR THE BENEFIT OF THE LENDERS A PERFECTED
FIRST PRIORITY SECURITY INTEREST IN THE COLLATERAL DESCRIBED IN THE GUARANTEE
AND COLLATERAL AGREEMENT WITH RESPECT TO SUCH NEW SUBSIDIARY, INCLUDING THE
FILING OF UNIFORM COMMERCIAL CODE FINANCING STATEMENTS IN SUCH JURISDICTIONS AS
MAY BE REQUIRED BY THE GUARANTEE AND COLLATERAL AGREEMENT OR BY LAW OR AS MAY BE
REQUESTED BY THE ADMINISTRATIVE AGENT AND (C) TO DELIVER TO THE ADMINISTRATIVE
AGENT A CERTIFICATE OF SUCH SUBSIDIARY, SUBSTANTIALLY IN THE FORM OF EXHIBIT C,
WITH APPROPRIATE INSERTIONS AND ATTACHMENTS, AND (IV) IF REQUESTED BY THE
ADMINISTRATIVE AGENT, DELIVER TO THE ADMINISTRATIVE AGENT LEGAL OPINIONS
RELATING TO THE MATTERS DESCRIBED ABOVE, WHICH OPINIONS SHALL BE IN FORM AND
SUBSTANCE, AND FROM COUNSEL, REASONABLY SATISFACTORY TO THE ADMINISTRATIVE
AGENT.

 

(D)                                 WITH RESPECT TO ANY NEW EXCLUDED FOREIGN
SUBSIDIARY CREATED OR ACQUIRED AFTER THE AMENDMENT EFFECTIVE DATE BY ANY GROUP
MEMBER (OTHER THAN BY ANY GROUP MEMBER THAT IS AN EXCLUDED FOREIGN SUBSIDIARY),
PROMPTLY (I) EXECUTE AND DELIVER TO THE ADMINISTRATIVE AGENT SUCH AMENDMENTS TO
THE GUARANTEE AND COLLATERAL AGREEMENT AS THE ADMINISTRATIVE AGENT DEEMS
NECESSARY OR ADVISABLE TO GRANT TO THE ADMINISTRATIVE AGENT, FOR THE BENEFIT OF
THE LENDERS, A PERFECTED FIRST PRIORITY SECURITY INTEREST IN THE CAPITAL STOCK
OF SUCH NEW SUBSIDIARY THAT IS OWNED BY ANY SUCH GROUP MEMBER (PROVIDED THAT IN
NO EVENT SHALL MORE THAN 65% OF THE TOTAL OUTSTANDING VOTING CAPITAL STOCK OF
ANY SUCH NEW SUBSIDIARY BE REQUIRED TO BE SO PLEDGED), (II) DELIVER TO THE
ADMINISTRATIVE AGENT THE CERTIFICATES (IF ANY) REPRESENTING SUCH CAPITAL STOCK,
TOGETHER WITH (IF APPLICABLE) UNDATED STOCK POWERS, IN BLANK, EXECUTED AND
DELIVERED BY A DULY AUTHORIZED OFFICER OF THE RELEVANT GROUP MEMBER, AND TAKE
SUCH OTHER ACTION AS MAY BE NECESSARY OR, IN THE REASONABLE OPINION OF THE
ADMINISTRATIVE AGENT, DESIRABLE TO PERFECT THE ADMINISTRATIVE AGENT’S SECURITY
INTEREST THEREIN, (III) IF REQUESTED BY THE ADMINISTRATIVE AGENT, DELIVER TO THE
ADMINISTRATIVE AGENT LEGAL OPINIONS RELATING TO THE MATTERS DESCRIBED ABOVE,
WHICH OPINIONS SHALL BE IN FORM AND SUBSTANCE, AND FROM COUNSEL, REASONABLY
SATISFACTORY TO THE ADMINISTRATIVE AGENT, AND (IV) DELIVER TO THE ADMINISTRATIVE
AGENT AN UPDATED SCHEDULE 4.15.

 

(E)                                  NOTWITHSTANDING ANY OF THE FOREGOING
PROVISIONS, THE ADMINISTRATIVE AGENT MAY, IN ITS SOLE DISCRETION, WAIVE THE
REQUIREMENTS OF PARAGRAPHS (A) THROUGH (D) OF THIS SECTION 6.9 WITH RESPECT TO
ANY PROPERTY ACQUIRED AFTER THE AMENDMENT EFFECTIVE DATE BY ANY GROUP MEMBER IF
THE

 

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ADMINISTRATIVE AGENT DETERMINES THAT THE COSTS OF OBTAINING A SECURITY INTEREST
IN SUCH PROPERTY ARE EXCESSIVE IN RELATION TO THE VALUE OF SUCH PROPERTY.

 

6.10                           Matters Relating to Collateral.(a)  Promptly
following (but in any event no later than 20 Business Days after the occurrence
thereof) the date upon which any Loan Party changes its jurisdiction of
organization or changes its name, notify the Administrative Agent of such change
and deliver to the Administrative Agent all additional executed financing
statements and other documents reasonably requested by the Administrative Agent
to maintain the validity, perfection and priority of the security interests
provided for herein.

 

(B)                                 PROMPTLY DELIVER TO THE ADMINISTRATIVE AGENT
A COPY OF EACH MATERIAL DEMAND, NOTICE OR DOCUMENT RECEIVED BY ANY LOAN PARTY
THAT QUESTIONS OR CALLS INTO DOUBT THE VALIDITY OR ENFORCEABILITY OF MORE THAN
THE GREATER OF (X) $4,000,000 IN NET AMOUNT OF OUTSTANDING RECEIVABLES AND (Y)
10% OF THE AGGREGATE NET AMOUNT OF THE THEN OUTSTANDING RECEIVABLES.

 

(C)                                  EXCEPT AS COULD NOT REASONABLY BE EXPECTED
TO HAVE A MATERIAL ADVERSE EFFECT, EACH LOAN PARTY SHALL NOT (A) GRANT ANY
EXTENSION OF THE TIME OF PAYMENT OF ANY RECEIVABLE, (B) COMPROMISE OR SETTLE ANY
RECEIVABLE FOR LESS THAN THE FULL AMOUNT THEREOF, (C) RELEASE, WHOLLY OR
PARTIALLY, ANY PERSON LIABLE FOR THE PAYMENT OF ANY RECEIVABLE, (D) ALLOW ANY
CREDIT OR DISCOUNT WHATSOEVER ON ANY RECEIVABLE OR (E) AMEND, SUPPLEMENT OR
MODIFY ANY RECEIVABLE IN ANY MANNER THAT COULD ADVERSELY AFFECT THE VALUE
THEREOF.

 

(D)                                 EXCEPT AS COULD NOT REASONABLY BE EXPECTED
TO HAVE A MATERIAL ADVERSE EFFECT, EACH LOAN PARTY (EITHER ITSELF OR THROUGH
LICENSEES) WILL (I) CONTINUE TO USE EACH MATERIAL TRADEMARK ON EACH AND EVERY
TRADEMARK CLASS OF GOODS APPLICABLE TO ITS CURRENT LINE AS REFLECTED IN ITS
CURRENT CATALOGS, BROCHURES AND PRICE LISTS IN ORDER TO MAINTAIN SUCH TRADEMARK
IN FULL FORCE FREE FROM ANY CLAIM OF ABANDONMENT FOR NON-USE, (II) MAINTAIN AS
IN THE PAST THE QUALITY OF PRODUCTS AND SERVICES OFFERED UNDER SUCH TRADEMARK,
(III) USE SUCH TRADEMARK WITH THE APPROPRIATE NOTICE OF REGISTRATION AND ALL
OTHER NOTICES AND LEGENDS REQUIRED BY APPLICABLE REQUIREMENTS OF LAW, (IV) NOT
ADOPT OR USE ANY MARK WHICH IS CONFUSINGLY SIMILAR OR A COLORABLE IMITATION OF
SUCH TRADEMARK UNLESS THE ADMINISTRATIVE AGENT, FOR THE RATABLE BENEFIT OF THE
LENDERS, SHALL OBTAIN A PERFECTED SECURITY INTEREST IN SUCH MARK PURSUANT TO
THIS AGREEMENT, AND (V) NOT (AND NOT PERMIT ANY LICENSEE OR SUBLICENSEE THEREOF
TO) DO ANY ACT OR KNOWINGLY OMIT TO DO ANY ACT WHEREBY SUCH TRADEMARK MAY BECOME
INVALIDATED OR IMPAIRED IN ANY WAY.

 

(E)                                  EXCEPT AS COULD NOT REASONABLY BE EXPECTED
TO HAVE A MATERIAL ADVERSE EFFECT, EACH LOAN PARTY (EITHER ITSELF OR THROUGH
LICENSEES) WILL NOT DO ANY ACT, OR OMIT TO DO ANY ACT, WHEREBY ANY MATERIAL
PATENT MAY BECOME FORFEITED, ABANDONED OR DEDICATED TO THE PUBLIC.

 

(F)                                    EXCEPT AS COULD NOT REASONABLY BE
EXPECTED TO HAVE A MATERIAL ADVERSE EFFECT, EACH LOAN PARTY (EITHER ITSELF OR
THROUGH LICENSEES) (I) WILL EMPLOY EACH MATERIAL COPYRIGHT AND (II) WILL NOT
(AND WILL NOT PERMIT ANY LICENSEE OR SUBLICENSEE THEREOF TO) DO ANY ACT OR
KNOWINGLY OMIT TO DO ANY ACT WHEREBY ANY MATERIAL PORTION OF THE COPYRIGHTS MAY
BECOME INVALIDATED OR OTHERWISE IMPAIRED.  NO LOAN PARTY WILL (EITHER ITSELF OR
THROUGH LICENSEES) DO ANY ACT WHEREBY ANY MATERIAL PORTION OF THE COPYRIGHTS MAY
FALL INTO THE PUBLIC DOMAIN.

 

(G)                                 WHENEVER ANY LOAN PARTY, EITHER BY ITSELF OR
THROUGH ANY AGENT, EMPLOYEE, LICENSEE OR DESIGNEE, SHALL FILE AN APPLICATION FOR
THE REGISTRATION OF ANY MATERIAL INTELLECTUAL PROPERTY WITH THE UNITED STATES
PATENT AND TRADEMARK OFFICE, THE UNITED STATES COPYRIGHT OFFICE, SUCH LOAN PARTY
SHALL REPORT SUCH FILING TO THE ADMINISTRATIVE AGENT WITHIN FIVE BUSINESS DAYS
AFTER THE LAST DAY OF THE FISCAL QUARTER IN WHICH SUCH FILING OCCURS.  SUCH LOAN
PARTY SHALL EXECUTE AND DELIVER, AND HAVE RECORDED, ANY AND ALL AGREEMENTS,
INSTRUMENTS, DOCUMENTS, AND PAPERS AS THE ADMINISTRATIVE AGENT MAY REASONABLY

 

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REQUEST TO EVIDENCE THE ADMINISTRATIVE AGENT’S AND THE LENDERS’ SECURITY
INTEREST IN ANY MATERIAL COPYRIGHT, PATENT OR TRADEMARK AND THE GOODWILL AND
GENERAL INTANGIBLES OF SUCH LOAN PARTY RELATING THERETO OR REPRESENTED THEREBY.

 

(H)                                 EXCEPT AS COULD NOT REASONABLY BE EXPECTED
TO HAVE A MATERIAL ADVERSE EFFECT, EACH LOAN PARTY WILL TAKE ALL REASONABLE AND
NECESSARY STEPS, INCLUDING, WITHOUT LIMITATION, IN ANY PROCEEDING BEFORE THE
UNITED STATES PATENT AND TRADEMARK OFFICE, THE UNITED STATES COPYRIGHT OFFICE OR
ANY SIMILAR OFFICE OR AGENCY IN ANY OTHER COUNTRY OR ANY POLITICAL SUBDIVISION
THEREOF, TO MAINTAIN AND PURSUE EACH APPLICATION (AND TO OBTAIN THE RELEVANT
REGISTRATION) AND TO MAINTAIN EACH REGISTRATION OF THE MATERIAL INTELLECTUAL
PROPERTY, INCLUDING, WITHOUT LIMITATION, FILING OF APPLICATIONS FOR RENEWAL,
AFFIDAVITS OF USE AND AFFIDAVITS OF INCONTESTABILITY.

 

6.11                           USA PATRIOT Act Compliance.Holdings and the
Borrower shall, and shall cause each of their Subsidiaries and Affiliates to,
provide, to the extent commercially reasonable, such information and take such
actions as are reasonably requested by the Administrative Agent or any Lenders
in order to assist the Administrative Agent and the Lenders in maintaining
compliance with the Uniting and Strengthening America by Providing Appropriate
Tools Required to Intercept and Obstruct Terrorism Act of 2001 or similar laws,
rules or regulations.

 

SECTION 7.  NEGATIVE COVENANTS

 

From and after the Amendment Effective Date, Holdings and the Borrower hereby
jointly and severally agree that, so long as any Commitments remain in effect,
any Letter of Credit remains outstanding or any Loan or other amount (other than
any contingent or unliquidated obligations or liabilities) is owing to any
Lender or the Administrative Agent hereunder, each of Holdings and the Borrower
shall not, and shall not permit any of its Subsidiaries to, directly or
indirectly:

 

7.1                                 Financial Condition Covenants.

 

(A)                                  CONSOLIDATED LEVERAGE RATIO.  PERMIT THE
CONSOLIDATED LEVERAGE RATIO AS AT THE LAST DAY OF ANY PERIOD OF FOUR CONSECUTIVE
FISCAL QUARTERS OF THE BORROWER ENDING WITH ANY FISCAL QUARTER SET FORTH BELOW
TO EXCEED THE RATIO SET FORTH BELOW OPPOSITE SUCH FISCAL QUARTER:

 

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Fiscal Quarters Ending

 

Consolidated
Leverage Ratio

 

June 30, 2003

 

4.50

 

September 30, 2003

 

4.50

 

December 30, 2003

 

4.50

 

March 31, 2004

 

4.25

 

June 30, 2004

 

4.25

 

September 30, 2004

 

4.25

 

December 31, 2004

 

4.25

 

March 31, 2005

 

4.25

 

June 30, 2005

 

4.25

 

September 30, 2005

 

4.25

 

December 31, 2005

 

4.25

 

March 31, 2006

 

4.00

 

June 30, 2006

 

4.00

 

September 30, 2006

 

4.00

 

December 31, 2006

 

4.00

 

March 31, 2007

 

3.75

 

 

(B)                                 CONSOLIDATED SENIOR LEVERAGE RATIO.  PERMIT
THE CONSOLIDATED SENIOR LEVERAGE RATIO FOR ANY PERIOD OF FOUR CONSECUTIVE FISCAL
QUARTERS OF THE BORROWER ENDING WITH ANY FISCAL QUARTER SET FORTH BELOW TO
EXCEED THE RATIO SET FORTH BELOW OPPOSITE SUCH FISCAL QUARTER:

 

Fiscal Quarters Ending

 

Consolidated Senior
Leverage Ratio

 

June 30, 2003

 

2.25

 

September 30, 2003

 

2.25

 

December 30, 2003

 

2.25

 

March 31, 2004 and thereafter

 

2.00

 

 

(C)                                  CONSOLIDATED FIXED CHARGE COVERAGE RATIO. 
PERMIT THE CONSOLIDATED FIXED CHARGE COVERAGE RATIO FOR ANY PERIOD OF FOUR
CONSECUTIVE FISCAL QUARTERS OF THE BORROWER ENDING WITH ANY FISCAL QUARTER SET
FORTH BELOW TO BE LESS THAN THE RATIO SET FORTH BELOW OPPOSITE SUCH FISCAL
QUARTER:

 

Fiscal Quarter Ending

 

Consolidated Fixed
Charge Coverage Ratio

 

June 30, 2003

 

1.35

 

September 30, 2003

 

1.35

 

December 31, 2003

 

1.35

 

March 31, 2004

 

1.45

 

June 30, 2004

 

1.45

 

September 30, 2004

 

1.45

 

December 31, 2004

 

1.45

 

March 31, 2005

 

1.45

 

June 30, 2005

 

1.45

 

 

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Fiscal Quarter Ending

 

Consolidated Fixed
Charge Coverage Ratio

 

September 30, 2005

 

1.45

 

December 31, 2005

 

1.45

 

March 31, 2006

 

1.50

 

June 30, 2006

 

1.50

 

September 30, 2006

 

1.50

 

December 31, 2006

 

1.50

 

March 31, 2007

 

1.55

 

 

7.2                                 Indebtedness.Create, issue, incur, assume,
become liable in respect of or suffer to exist any Indebtedness, except:

 

(a)                                  Indebtedness of any Loan Party pursuant to
any Loan Document;

 

(b)                                 Indebtedness (i) of Holdings to the Borrower
in connection with Investments permitted in Section 7.7(f)(i), (ii) of any Loan
Party (other than Holdings) to the Borrower or any Subsidiary, and (iii) of any
Subsidiary that is not a Loan Party to (x) any Loan Party (other than Holdings)
to the extent such Investment is permitted under Section 7.7(f), and (y) any
Person that is not a Loan Party, provided that Indebtedness incurred under this
clause (y) shall not exceed $10,000,000 at any one time outstanding;

 

(c)                                  Guarantee Obligations incurred in respect
of any Indebtedness permitted hereunder;

 

(d)                                 Indebtedness outstanding as of the Original
Closing Date and listed on Schedule 7.2(d) and any refinancings, refundings,
renewals or extensions thereof (without increasing, or shortening the maturity
of, the principal amount thereof);

 

(e)                                  Indebtedness incurred to finance the
acquisition, construction, development, maintenance, upgrade or improvement of
any assets (including, without limitation, Capital Lease Obligations and as
incurred pursuant to Sale-Leaseback Transactions), which may be secured by Liens
permitted by Section 7.3(g), in an aggregate principal amount, when aggregated
with the amount of Indebtedness outstanding under clause (ii) of Section 7.2(i)
at such time, not to exceed $25,000,000 at any one time outstanding;

 

(f)                                    (i) Indebtedness of the Borrower in
respect of the Senior Subordinated Notes in an aggregate principal amount not to
exceed $200,000,000 and (ii) Guarantee Obligations of any Subsidiary Guarantor
in respect of such Indebtedness, provided that such Guarantee Obligations are
subordinated to the same extent as the obligations of the Borrower in respect of
the Senior Subordinated Notes;

 

(g)                                 additional subordinated Indebtedness of the
Borrower that (i) has a final maturity date at least 180 days after the later of
the Tranche B Term Maturity Date and the latest Incremental Term Maturity Date
and no scheduled payments of principal thereon prior to the later of the Tranche
B Term Maturity Date and the latest Incremental Term Maturity Date and (ii) is
subject to terms (other than as to interest rate and equity components, which
shall be consistent with transactions of a similar nature conducted at such
time) substantially similar to (or less restrictive taken as a whole to the Loan
Parties than) the Senior Subordinated Notes so long as after giving effect to
the incurrence thereof, the Borrower would be in compliance with the

 

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covenants set forth in Section 7.1 after giving Pro Forma Effect to the
incurrence of such Indebtedness and the use of the proceeds thereof;

 

(h)                                 Indebtedness arising from agreements of the
Borrower or any Subsidiary providing for indemnification, adjustment of purchase
price or similar obligations incurred or assumed in connection with Permitted
Acquisitions or any Disposition permitted under Section 7.5;

 

(i)                                     Indebtedness of any Person that becomes
a Subsidiary Guarantor in connection with a Permitted Acquisition after the
Original Closing Date and any refinancings, refundings, renewals or extensions
thereof (without increasing the principal amount thereof) in an aggregate
principal amount not to exceed $20,000,000 at any one time outstanding; provided
that such Indebtedness (i) exists at the time such Person becomes a Subsidiary
Guarantor and is not created in contemplation of or in connection with such
Person becoming a Subsidiary Guarantor and (ii) may exceed $20,000,000 to the
extent that the aggregate principal amount of such additional Indebtedness, when
aggregated with the amount of Indebtedness outstanding under Section 7.2(e) at
such time, does not exceed $25,000,000 at any one time outstanding;

 

(j)                                     Indebtedness with respect to surety,
appeal and performance bonds and similar arrangements in the ordinary course of
business; and

 

(k)                                  unsecured Indebtedness (including, without
limitation, overdraft facilities) not otherwise permitted hereunder in an
aggregate principal amount not exceeding $5,000,000 at any time outstanding.

 

7.3                                 Liens.Create, incur, assume or suffer to
exist any Lien upon any of its property, whether now owned or hereafter
acquired, except:

 

(a)                                  Liens for taxes and other charges of a
Governmental Authority not yet due or that are being contested in good faith by
appropriate proceedings, provided that adequate reserves with respect thereto
are maintained on the books of the Borrower or its Subsidiaries, as the case may
be, in conformity with GAAP;

 

(b)                                 carriers’, warehousemen’s, mechanics’,
materialmen’s, repairmen’s, landlords’ or other like Liens arising in the
ordinary course of business that are not overdue for a period of more than 90
days or that are being contested in good faith by appropriate proceedings;

 

(c)                                  pledges or deposits in connection with
workers’ compensation, unemployment insurance and other social security
legislation;

 

(d)                                 deposits to secure the performance of bids,
trade contracts, leases, statutory obligations, surety and appeal bonds,
performance bonds and other obligations and arrangements  of a like nature
incurred in the ordinary course of business;

 

(e)                                  (i) easements, rights-of-way, restrictions
and other similar encumbrances incurred in the ordinary course of business that,
in the aggregate, are not substantial in amount and that do not in any case
materially detract from the value of the property subject thereto or materially
interfere with the ordinary conduct of the business of the Borrower or any of
its Subsidiaries and (ii) as permitted in the reasonable discretion of the
Administrative Agent, Liens disclosed on any title policy in respect of a
Mortgaged Property and any other Lien permitted by a Mortgage;

 

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(f)                                    Liens in existence on the Original
Closing Date listed on Schedule 7.3(f), provided that no such Lien is spread to
cover any additional property after the Original Closing Date and that the
amount of obligations secured thereby is not increased (other than in respect of
assets financed by the same financing source);

 

(g)                                 Liens securing Indebtedness of the Borrower
or any other Subsidiary incurred pursuant to Section 7.2(e); provided that (i)
such Liens shall be created not later than six months following the acquisition,
construction, development, maintenance, upgrade or improvement of the assets
financed with such Indebtedness (provided, that such Liens may be created at any
time with respect to real property), (ii) such Liens do not at any time encumber
any assets other than the assets financed by such Indebtedness except for other
assets financed by the same financing source, and (iii) the amount of
Indebtedness secured thereby is not increased except in respect of other asset
financings from the same financing source;

 

(h)                                 Liens created pursuant to the Security
Documents;

 

(i)                                     (i) any interest or title of a lessor
under any lease entered into by the Borrower or any other Subsidiary in the
ordinary course of its business and covering only the assets so leased, and (ii)
leases and licenses of assets (including, without limitation, intellectual
property rights) in the ordinary course of business which do not interfere in
any material respect with the conduct of business;

 

(j)                                     Liens in respect of judgments that do
not constitute an Event of Default under Section 8(h) (other than judgments in
excess of $2,000,000 which have been stayed or bonded pending appeal solely as a
result of the imposition of such Liens);

 

(k)                                  Liens of a collection bank arising in the
ordinary course of business under Section 4-208 of the Uniform Commercial Code
in effect in the relevant jurisdiction;

 

(l)                                     any Lien existing on any asset prior to
the acquisition thereof by the Borrower or any Subsidiary or on any asset of any
Person that becomes a Subsidiary; provided that (i) such Lien is not created in
contemplation of, or in connection with, such acquisition or such Person
becoming a Subsidiary Guarantor and (ii) such Liens shall not apply to any other
assets except assets financed by the same financing source);

 

(m)                               any Lien of a Group Member (i) in favor of any
Loan Party, and (ii) if such Group Member is not a Loan Party, in favor of any
other Person, provided that the aggregate fair market value (determined as of
the date such Lien is incurred) of the assets encumbered by such Liens under
this clause (ii) shall not exceed $10,000,000 at any one time;

 

(n)                                 any Liens securing obligations under
Specified Swap Agreements (to the extent not otherwise secured pursuant to
clause (h) above) so long as such Liens are subject and subordinate to any Liens
created pursuant to the Security Documents; and

 

(o)                                 Liens not otherwise permitted by this
Section so long as neither (i) the aggregate outstanding principal amount of the
obligations secured thereby nor (ii) the aggregate fair market value (determined
as of the date such Lien is incurred) of the assets subject thereto exceeds (as
to the Borrower and all Subsidiaries) $5,000,000 at any one time.

 

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7.4                                 Fundamental Changes.Enter into any merger,
consolidation or amalgamation, or liquidate, wind up or dissolve itself (or
suffer any liquidation or dissolution), or Dispose of all or substantially all
of its property or business, except that:

 

(a)                                  (i) any Subsidiary of the Borrower may be
merged, consolidated, amalgamated, or liquidated with or into the Borrower
(provided that the Borrower shall be the continuing or surviving entity) or with
or into any Loan Party (provided that the Loan Party shall be the continuing or
surviving entity), and (ii) any Subsidiary of the Borrower which is not a Loan
Party may be merged, consolidated or liquidated with or into any other
Subsidiary of the Borrower which is not a Loan Party;

 

(b)                                 any Subsidiary of the Borrower may Dispose
of any or all of its assets (upon voluntary liquidation or otherwise) (i) to any
Loan Party (other than Holdings), and (ii) if such Subsidiary is not a Loan
Party, to any other Subsidiary;

 

(c)                                  any Disposition permitted by Section 7.5;

 

(d)                                 any Investment expressly permitted by
Section 7.7 may be structured as a merger, consolidation or amalgamation
(including, without limitation, any Disposition resulting in an Investment
permitted under Section 7.7); and

 

(e)                                  any Subsidiary may liquidate, wind-up or
dissolve if the Borrower determines in good faith, and the Administrative Agent
concurs with such determination if such Subsidiary has contributed more than 5%
to Consolidated EBITDA in the immediately preceding twelve months, that such
liquidation, winding-up or dissolution is in the best interests of the Borrower
and is not adverse to the interests of the Lenders hereunder in any material
respect, provided that any remaining assets of such Subsidiary are transferred
to a Loan Party or are otherwise disposed of in accordance with to Section 7.5.

 

7.5                                 Disposition of Property.Dispose of any of
its property, whether now owned or hereafter acquired, or, in the case of any
Subsidiary, issue or sell any shares of such Subsidiary’s Capital Stock to any
Person, except:

 

(a)                                  the Disposition of (i) obsolete or worn out
property in the ordinary course of business, (ii) equipment which the Borrower
determines in good faith is no longer useful to the conduct of business, (iii)
assets subject to a Recovery Event, (iv) assets consisting of trade-ins and
exchanges for similar assets, and (v) within twelve months after the
consummation of a Permitted Acquisition, assets acquired in connection with such
Permitted Acquisition so long as the Borrower applies the Net Cash Proceeds of
the Disposition of such assets acquired in connection with such Permitted
Acquisition to repay any outstanding Term Loans, Revolving Loans and/or
Swingline Loans in accordance with Section 2.11;

 

(b)                                 in the ordinary course of business, (i) the
sale of inventory and supplies, (ii) leases and licenses of assets (including,
without limitation, intellectual property rights) which do not interfere in any
material respect with the conduct of business, and (iii) the Disposition of
accounts receivable in connection with the compromise, settlement or collection
thereof;

 

(c)                                  Dispositions permitted by Sections 7.4(a),
(b) and (e);

 

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(d)                                 the sale or issuance of any Subsidiary’s
Capital Stock (i) to the Borrower or any Loan Party, and (ii) to the extent such
sale or issuance is an Investment permitted by Section 7.7(f), to any other
Subsidiary;

 

(e)                                  the Disposition of other property
(including, without limitation, Capital Stock of Subsidiaries) so long as the
aggregate fair market value of all property Disposed of pursuant to this
paragraph (e), after giving effect to such Disposition, does not exceed (i) in
any fiscal year, 15% of the consolidated tangible assets of the Borrower and its
Subsidiaries for such fiscal year as determined immediately prior to the time of
such Disposition and (ii) at any time, 25% of the greater of (x) consolidated
tangible assets of the Borrower and its Subsidiaries as determined immediately
prior to the time of such Disposition, and (y) consolidated tangible assets of
the Borrower and its Subsidiaries at the Original Closing Date;

 

(f)                                    the Disposition of Investments permitted
pursuant to clauses (b), (i), (j), (k) and (l) of Section 7.7;

 

(g)                                 the Disposition of assets in connection with
Sale-Leaseback Transactions permitted by Section 7.10;

 

(h)                                 the Disposition of foreign assets and
Dispositions by Excluded Foreign Subsidiaries; and

 

(i)                                     the Disposition of (i) surplus property
in the ordinary course of business and (ii) equipment which the Borrower
determines in good faith is uneconomic.

 

7.6                                 Restricted Payments.Declare or pay any
dividend (other than dividends payable solely in shares of Qualified Capital
Stock or equivalent equity interests) on, or make any payment on account of, or
set apart assets for a sinking or other analogous fund for, the purchase,
redemption, defeasance, retirement or other acquisition of, any Capital Stock of
any Group Member, whether now or hereafter outstanding, or make any other
distribution in respect thereof, either directly or indirectly, whether in cash
or property or in obligations of any Group Member (collectively, “Restricted
Payments”), except that:

 

(a)                                  any Subsidiary may make Restricted Payments
(i) to the Borrower or any other Loan Party, (ii) as may be required by
applicable law, or (iii) in the case of Excluded Foreign Subsidiaries, to its
immediate stockholders, and (iv) in the case of any Subsidiary which is not a
Loan Party, to its immediate stockholders solely on a ratable basis in
accordance with the equity interests therein;

 

(b)                                 so long as no Default or Event of Default
shall have occurred and be continuing, the Borrower may pay dividends and
distributions to Holdings to permit Holdings to, and Holdings may, purchase
Holdings’ Capital Stock or options in respect of Qualified Capital Stock from
present or former directors, officers, employees or consultants of any Group
Member in connection with the death, disability, or termination of employment or
engagement of such director, officer, employee or consultant, provided, that the
aggregate amount of payments under this paragraph (b) after the Original Closing
Date (net of any proceeds received by Holdings after the Original Closing Date
in connection with resales of any Capital Stock or options so purchased) shall
not exceed $5,000,000 in the aggregate; provided, further, that, notwithstanding
the foregoing, additional payments may be made under this Section 7.6(b) after
the Original Closing Date so long as the Consolidated Senior Leverage Ratio,
after giving effect to any such payment, does not exceed the ratio set forth in
Section 7.1(b) for the period in which such

 

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payment is made minus 0.25 and the aggregate of all such payments made pursuant
to this Section 7.6(b) does not exceed $15,000,000 in the aggregate;

 

(c)                                  the Borrower may pay dividends to Holdings
to permit Holdings to (i) pay corporate overhead expenses incurred in the
ordinary course of business not to exceed $1,000,000 in any fiscal year and (ii)
pay any taxes that are due and payable by Holdings and the Borrower as part of a
consolidated group;

 

(d)                                 the Borrower may make Restricted Payments
with Qualified Capital Stock (or equivalent equity interests), including,
without limitation, the conversion, exchange, exercise, surrender or similar
transaction of any Qualified Capital Stock or any option or similar right in
respect thereof, provided that Restricted Payments with Qualified Capital Stock
shall not be permitted to the extent such a payment would result in a Default
under Section 8(k)(iv);

 

(e)                                  so long as no Default or Event of Default
shall have occurred and be continuing or would result therefrom, Holdings may
redeem or repurchase the Permitted Investor Preferred Stock to the extent such
redemption or repurchase is made with the proceeds of the sale or issuance of
any Qualified Capital Stock of Holdings; and

 

(f)                                    so long as no Default or Event of Default
shall have occurred and be continuing, the Borrower may pay dividends to
Holdings to permit Holdings to, and Holdings may, purchase Holdings’ Capital
Stock or options from present or former directors, officers, employees or
consultants of any Group Member upon the death of such director, officer,
employee or consultant from the proceeds of any “key-man” life insurance
policies with respect to such person received by the Borrower or Holdings.

 

7.7                                 Investments.Make any advance, loan,
extension of credit (by way of guaranty or otherwise) or capital contribution
to, or purchase any Capital Stock, bonds, notes, debentures or other debt
securities of, or any assets constituting a business unit of, or make any other
investment in, any Person (all of the foregoing, “Investments”), except:

 

(a)                                  extensions of trade credit in the ordinary
course of business;

 

(b)                                 investments in Cash Equivalents;

 

(c)                                  (i) Guarantee Obligations in respect of
Indebtedness permitted by Section 7.2 and other Guarantee Obligations in the
ordinary course of business, and (ii) payment in respect of such Guarantee
Obligations, together with any repayment, reimbursement, indemnification or
similar right arising out of such payment;

 

(d)                                 loans and advances to employees of any Group
Member (i) in the ordinary course of business (including for travel,
entertainment and relocation expenses) in an aggregate amount for all Group
Members not to exceed $1,000,000 at any one time outstanding, and (ii) for the
purpose of acquiring Capital Stock of Holdings; provided, that if such
acquisition of Capital Stock by such employee is from a party other than a Group
Member then such loans and advances shall not exceed an aggregate amount for all
Group Members of $1,000,000 at any one time outstanding;

 

(e)                                  Investments in assets useful in the
business of the Borrower and its Subsidiaries made by the Borrower or any of its
Subsidiaries with the proceeds of any Reinvestment Deferred Amount;

 

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(f)                                    Investments by (i) the Borrower in
Holdings to permit Holdings to make any Restricted Payment permitted under
Section 7.6, (ii) any Loan Party in any other Loan Party (other than Holdings)
and (iii) any Subsidiary which is not a Loan Party in any other Subsidiary or
Joint Venture;

 

(g)                                 the Borrower and any Subsidiary Guarantor
may make Permitted Acquisitions, and may create and make Investments in
Subsidiaries to own, directly or indirectly, the property acquired thereby;
provided that (i) any acquisition of Capital Stock results in the issuer thereof
becoming a Subsidiary, (ii) any Domestic Subsidiary created or acquired in
connection therewith shall become a Subsidiary Guarantor and the requirements of
Section 6.9 shall be satisfied prior to or concurrently with the consummation of
such Permitted Acquisition, (iii) no Permitted Acquisition shall be consummated
unless, after giving Pro Forma Effect to such Permitted Acquisition (and the
related Indebtedness incurred or assumed), the Borrower and its Subsidiaries
would be in compliance with the covenants contained in Section 7.1 during such
period (as demonstrated by delivery to the Administrative Agent of a certificate
to such effect showing such calculation in reasonable detail), (iv) no Default
or Event of Default exists at the time thereof or would result therefrom, (v)
immediately prior to and after giving effect to any such Permitted Acquisition,
the Borrower and its Subsidiaries shall be in compliance with the provisions of
Section 7.14, (vi) each such Permitted Acquisition shall be made on a consensual
(meaning, in the case of a Person to be acquired, approved by the majority in
interest of the board of directors or analogous governing body of such Person)
basis between the Borrower and its Subsidiaries, on the one hand, and the Person
or Persons being so acquired and the seller or sellers of such assets or such
business, on the other hand and (viii) immediately after giving effect to such
Permitted Acquisition, the Borrower shall be able to borrow at least $5,000,000
under the Total Revolving Commitments and no Default or Event of Default would
result therefrom;

 

(h)                                 Investments in receivables and other trade
payables owing to the Borrower or any of its Subsidiaries and loans and advances
made to customers and suppliers, in each case, if created, acquired or made in
the ordinary course of business and payable or dischargeable in accordance with
customary trade terms;

 

(i)                                     Investments received in connection with
(A) the bankruptcy, insolvency or reorganization of suppliers and customers, (B)
in settlement of delinquent obligations of, and other disputes with, or
judgments against customers and suppliers arising in the ordinary course of
business and (C) the Disposition of assets permitted under Section 7.5 (other
than Section 7.5(g); provided, that the consideration for any such Disposition
under Section 7.5(e) shall consist of at least 75% cash and cash equivalents
(for purposes of this clause (i), assumption of any Indebtedness related to the
assets subject to such Disposition shall be deemed to be cash);

 

(j)                                     (i) Investments under Swap Agreements,
so long as any such Swap Agreement is not entered into for speculative purposes,
and (ii) pledges, deposits and similar arrangements with respect to leases and
utilities in the ordinary course of business or arising out of Liens permitted
under Sections 7.3(c) and (d);

 

(k)                                  Investments (i) existing on the Original
Closing Date and set forth on Schedule 7.7 attached hereto, and (ii) of any
Person existing at the time such Person becomes a Subsidiary of the Borrower or
consolidates or merges with the Borrower or any of its Subsidiaries (including,
without limitation, in connection with a Permitted Acquisition) so long as such
Investments were not made in contemplation of such Person becoming a Subsidiary
or of such merger; and

 

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(l)                                     in addition to Investments otherwise
expressly permitted by this Section, Investments by the Borrower or any of its
Subsidiaries in an aggregate amount (net of all repayments, returns, interest,
distributions, income, profits and similar amounts realized therefrom) not to
exceed $10,000,000 at any time outstanding.

 

7.8                                 Optional Payments and Modifications of
Certain Debt Instruments.(a)  Make or offer to make any optional or voluntary
payment, prepayment, repurchase or redemption of or otherwise optionally or
voluntarily defease or segregate funds with respect to the Senior Subordinated
Notes; (b) amend, modify, waive or otherwise change, or consent or agree to any
amendment, modification, waiver or other change to, any of the terms of the
Senior Subordinated Notes if the effect thereof could reasonably be expected to
be adverse or disadvantageous to the Lenders in any material respect; (c) amend,
modify, waive or otherwise change, or consent or agree to any amendment,
modification, waiver or other change to, any of the terms of any Disqualified
Capital Stock or Permitted Investor Preferred Stock if the effect thereof could
reasonably be expected to be adverse or disadvantageous to the Lenders in any
material respect; or (d) designate any Indebtedness (other than obligations of
the Loan Parties pursuant to the Loan Documents) as “Designated Senior
Indebtedness” (or any other defined term having a similar purpose) for the
purposes of the Senior Subordinated Note Indenture.

 

7.9                                 Transactions with Affiliates.Enter into any
transaction, including any purchase, sale, lease or exchange of property, the
rendering of any service or the payment of any management, advisory or similar
fees, with any Affiliate (other than any Group Member) unless such transaction
is (a) otherwise permitted under this Agreement and (b) upon terms no less
favorable to the relevant Group Member than it would obtain in a comparable
arm’s length transaction with a Person that is not an Affiliate; provided, that
notwithstanding the foregoing, Holdings and its Subsidiaries may enter into the
transactions set forth in Schedule 7.9 attached hereto.

 

7.10                           Sales and Leasebacks.Enter into any arrangement
with any Person providing for the leasing by any Loan Party of personal property
that has been or is to be sold or transferred by such Loan Party to such Person
or to any other Person to whom funds have been or are to be advanced by such
Person on the security of such property or rental obligations of such Loan Party
(a “Sale-Leaseback Transaction”) other than as permitted pursuant to
Section 7.2(e); provided that in the case of any Sale-Leaseback Transaction
resulting in an operating lease, solely for purposes of determining whether such
lease would be permitted pursuant to Section 7.2(e) as contemplated by this
Section 7.10, the present value of the rent payments during the term of such
lease shall be deemed to constitute Capital Lease Obligations.

 

7.11                           Changes in Fiscal Periods.Permit the fiscal year
of the Borrower to end on a day other than December 31 or change the Borrower’s
method of determining fiscal quarters.

 

7.12                           Negative Pledge Clauses.Enter into or suffer to
exist or become effective any agreement that prohibits or limits the ability of
any Group Member to create, incur, assume or suffer to exist any Lien upon any
of its property or revenues, whether now owned or hereafter acquired, other than
(a) this Agreement and the other Loan Documents, (b) any agreements governing
(i) any purchase money Liens or Capital Lease Obligations otherwise permitted
hereby (in which case, any prohibition or limitation shall only be effective
against the assets financed thereby together with any other assets financed by
the same financing source), (ii) any Indebtedness permitted under Sections
7.2(f), (g) and (i), and (iii) the Permitted Investor Preferred Stock, (c) any
document governing any Lien permitted under Section 7.3 so long as such
restriction is limited to the assets subject to such Lien, (d) customary
provisions in leases, licenses, and similar arrangements in the ordinary course
of business, (e) customary provisions in agreements for the Disposition of
assets pending the consummation of such Disposition,

 

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(f) as imposed by any Requirement of Law, and (g) as relating to the assets of
any Excluded Foreign Subsidiary.

 

7.13                           Clauses Restricting Subsidiary
Distributions.Enter into or suffer to exist or become effective any consensual
encumbrance or restriction on the ability of any Subsidiary of the Borrower to
(a) make Restricted Payments in respect of any Capital Stock of such Subsidiary
held by, or pay any Indebtedness owed to, the Borrower or any other Subsidiary
of the Borrower, (b) make loans or advances to, or other Investments in, the
Borrower or any other Subsidiary of the Borrower or (c) transfer any of its
assets to the Borrower or any other Subsidiary of the Borrower, except for such
encumbrances or restrictions existing under or by reason of (i) any restrictions
existing under the Loan Documents, (ii) any restrictions with respect to a
Subsidiary imposed pursuant to an agreement that has been entered into in
connection with the Disposition of all or substantially all of the Capital Stock
or assets of such Subsidiary, (iii) any restrictions existing under any
agreements governing (x) any Indebtedness permitted under Section 7.2(f), (g)
and (i), and (y) the Permitted Investor Preferred Stock, (iv) as imposed by any
Requirement of Law, and (v) as relating to any Excluded Foreign Subsidiary.

 

7.14                           Lines of Business.Enter into any business, either
directly or through any Subsidiary, except for those businesses in which the
Borrower and its Subsidiaries are engaged on the date of this Agreement or that
are reasonably related, incidental or ancillary to diagnostic imaging services
(other than any businesses acquired as a result of a Permitted Acquisition,
which other businesses, if not permitted under this Section 7.14, shall be
disposed of in accordance with Section 7.5(a)(v)).

 

7.15                           Amendments to Recapitalization Documents.Amend,
supplement or otherwise modify (pursuant to a waiver or otherwise) the terms and
conditions of the Recapitalization Documentation, in a manner which could
reasonably be expected to have a Material Adverse Effect.

 

SECTION 8.  EVENTS OF DEFAULT

 

If any of the following events shall occur and be continuing:

 

(a)                                  the Borrower shall fail to pay any
principal of any Loan or Reimbursement Obligation when due in accordance with
the terms hereof; or the Borrower shall fail to pay any interest on any Loan or
Reimbursement Obligation, or any other amount payable hereunder or under any
other Loan Document, within five Business Days after any such interest or other
amount becomes due in accordance with the terms hereof; or

 

(b)                                 any representation or warranty made or
deemed made by any Loan Party herein or in any other Loan Document or that is
contained in any certificate, document or financial or other statement furnished
by it at any time under or in connection with this Agreement or any such other
Loan Document shall prove to have been inaccurate in any material respect on or
as of the date made or deemed made; or

 

(c)                                  any Loan Party shall default in the
observance or performance of any agreement contained in clause (i) or (ii) of
Section 6.4(a) (with respect to Holdings and the Borrower only), Section 6.6(b),
Section 6.7(a), 6.10(a) or Section 7 of this Agreement; or

 

(d)                                 any Loan Party shall default in the
observance or performance of any other agreement contained in this Agreement or
any other Loan Document (other than as provided in paragraphs (a) through (c) of
this Section), and such default shall continue unremedied for a

 

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period of 30 days after notice to the Borrower from the Administrative Agent or
the Required Lenders; or

 

(e)                                  any Group Member shall (i) default in
making any payment of any principal of any Indebtedness (including any Guarantee
Obligation of any Group Member in respect thereof, but excluding the Loans) on
the scheduled or original due date with respect thereto beyond the period of
grace, if any, provided in the instrument or agreement under which such
Indebtedness was created; or (ii) default in making any payment of any interest
on any such Indebtedness beyond the period of grace, if any, provided in the
instrument or agreement under which such Indebtedness was created; or
(iii) default in the observance or performance of any other agreement or
condition relating to any such Indebtedness or contained in any instrument or
agreement evidencing, securing or relating thereto, or any other event shall
occur or condition exist, the effect of which default or other event or
condition is to cause, or to permit the holder or beneficiary of such
Indebtedness (or a trustee or agent on behalf of such holder or beneficiary) to
cause, with the giving of notice if required, such Indebtedness to become due
prior to its stated maturity or (in the case of any such Indebtedness
constituting a Guarantee Obligation) to become payable; provided, that a
default, event or condition described in clause (i), (ii) or (iii) of this
paragraph (e) shall not at any time constitute an Event of Default unless, at
such time, one or more defaults, events or conditions of the type described in
clauses (i), (ii) and (iii) of this paragraph (e) shall have occurred and be
continuing with respect to Indebtedness the outstanding principal amount of
which exceeds in the aggregate $2,000,000; or

 

(f)                                    other than in connection with any
transaction permitted under Section 7.4(e) (so long as such transaction does not
affect any other Group Member and the value of the Subsidiary subject to such
transaction, when aggregated with the value of all other Subsidiaries
liquidated, wound up or dissolved pursuant to Section 7.4(e) does not exceed 5%
of the consolidated total assets of the Group Members), (i) any Group Member
shall commence any case, proceeding or other action (A) under any existing or
future law of any jurisdiction, domestic or foreign, relating to bankruptcy,
insolvency, reorganization or relief of debtors, seeking to have an order for
relief entered with respect to it, or seeking to adjudicate it a bankrupt or
insolvent, or seeking reorganization, arrangement, adjustment, winding-up,
liquidation, dissolution, composition or other relief with respect to it or its
debts, or (B) seeking appointment of a receiver, trustee, custodian, conservator
or other similar official for it or for all or any substantial part of its
assets, or any Group Member shall make a general assignment for the benefit of
its creditors; or (ii) there shall be commenced against any Group Member any
case, proceeding or other action of a nature referred to in clause (i) above
that (A) results in the entry of an order for relief or any such adjudication or
appointment or (B) remains undismissed, undischarged or unbonded for a period of
60 days; or (iii) there shall be commenced against any Group Member any case,
proceeding or other action seeking issuance of a warrant of attachment,
execution, distraint or similar process against all or any substantial part of
its assets that results in the entry of an order for any such relief that shall
not have been vacated, discharged, or stayed or bonded pending appeal within 60
days from the entry thereof; or (iv) any Group Member shall take any action in
furtherance of, or indicating its consent to, approval of, or acquiescence in,
any of the acts set forth in clause (i), (ii), or (iii) above; or (v) any Group
Member shall generally not, or shall be unable to, or shall admit in writing its
inability to, pay its debts as they become due; or

 

(g)                                 (i) any Person shall engage in any
“prohibited transaction” (as defined in Section 406 of ERISA or Section 4975 of
the Code) involving any Plan, (ii) any “accumulated funding deficiency” (as
defined in Section 302 of ERISA), whether or not waived, shall exist with
respect to any Plan or any Lien in favor of the PBGC or a Plan shall arise on
the assets of any Group Member or any Commonly Controlled Entity, (iii) a
Reportable Event shall occur with respect to,

 

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or proceedings shall commence to have a trustee appointed, or a trustee shall be
appointed, to administer or to terminate, any Single Employer Plan, which
Reportable Event or commencement of proceedings or appointment of a trustee is,
in the reasonable opinion of the Required Lenders, likely to result in the
termination of such Plan for purposes of Title IV of ERISA, (iv) any Single
Employer Plan shall terminate for purposes of Title IV of ERISA, (v) any Group
Member or any Commonly Controlled Entity shall, or in the reasonable opinion of
the Required Lenders is likely to, incur any liability in connection with a
withdrawal from, or the Insolvency or Reorganization of, a Multiemployer Plan or
(vi) any other event or condition shall occur or exist with respect to a Plan;
and in each case in clauses (i) through (vi) above, such event or condition,
together with all other such events or conditions, if any, could, in the sole
judgment of the Required Lenders, reasonably be expected to have a Material
Adverse Effect; or

 

(h)                                 one or more judgments or decrees shall be
entered against any Group Member involving in the aggregate a liability (not
paid or fully covered by insurance as to which the relevant insurance company
has not denied coverage) of $2,000,000 or more, and all such judgments or
decrees shall not have been vacated, discharged, stayed or bonded pending appeal
within 30 days from the entry thereof; or

 

(i)                                     any of the Security Documents shall
cease, for any reason, to be in full force and effect, or any Loan Party or any
Affiliate of any Loan Party shall so assert, or any Lien created by any of the
Security Documents shall cease to be enforceable and of the same effect and
priority purported to be created thereby; or

 

(j)                                     the guarantee contained in Section 2 of
the Guarantee and Collateral Agreement shall cease, for any reason, to be in
full force and effect or any Loan Party or any Affiliate of any Loan Party shall
so assert; or

 

(k)                                  (i)  at any time prior to the initial
public offering of Holdings, the Sponsor and its Control Investment Affiliates,
collectively, shall cease to have the power to vote or direct the voting of
securities having a majority of the ordinary voting power for the election of
directors of Holdings (determined on a fully diluted basis); (ii) at any time
after the initial public offering of Holdings, (x) the Sponsor shall cease to be
the “beneficial owner” (as defined in Rules 13(d)-3 and 13(d) –5 of the
Securities Exchange Act of 1934, as amended (the “Exchange Act”)), directly or
indirectly, of at least 20% of the outstanding common stock of Holdings having
ordinary voting power for the election of directors of Holdings, or (y) any
“person” or “group” (as such terms are used in Sections 13(d) and 14(d) of the
Exchange Act), excluding the Sponsor and its Control Investment Affiliates,
shall become the “beneficial owner” (as defined in Rules 13(d)-3 and 13(d)-5 of
the Exchange Act), directly or indirectly, of more than 35% of the outstanding
common stock of Holdings having ordinary voting power for the election of
directors of Holdings and the Sponsor and its Control Investment Affiliates,
collectively, shall own beneficially and of record a lesser amount of common
stock of Holdings having ordinary voting power for the election of directors of
Holdings; (iii) the board of directors of Holdings shall cease to consist of a
majority of Continuing Directors; (iv) Holdings shall cease to own and control,
of record and beneficially, directly, 100% of each class of outstanding Capital
Stock of the Borrower free and clear of all Liens (except Liens created by the
Guarantee and Collateral Agreement); or (v) a Specified Change of Control shall
occur; or

 

(l)                                     Holdings shall (i) conduct, transact or
otherwise engage in, or commit to conduct, transact or otherwise engage in, any
business or operations other than those (x) incidental to its ownership of the
Capital Stock of the Borrower and beneficial ownership of the other Group
Members, and (y) relating to the administration of the businesses of the Group
Members taken as

 

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a whole, including, without limitation the engagement of professionals, advisors
and consultants, (ii) incur, create, assume or suffer to exist any Indebtedness
or other material liabilities or financial obligations, except (v) parent
guarantees and similar arrangements of a parent company for the benefit of its
subsidiaries, (w) nonconsensual obligations imposed by operation of law
(including, without limitation, any judgments, orders, decrees, writs or
injunctions), (x) obligations pursuant to the Loan Documents to which it is a
party, (y) obligations expressly permitted or contemplated for it by Section 7
and (z) obligations with respect to its Capital Stock, or (iii) own, lease,
manage or otherwise operate any properties or assets (including cash (other than
cash received in connection with dividends made by the Borrower in accordance
with Section 7.6 pending application in the manner contemplated by said Section)
and cash equivalents) other than the ownership of shares of Capital Stock of the
Borrower or otherwise in connection with or incidental to any of the foregoing;
or

 

(m)                               the Senior Subordinated Notes or the
guarantees thereof shall cease, for any reason, to be validly subordinated to
the Obligations or the obligations of the Subsidiary Guarantors under the
Guarantee and Collateral Agreement, as the case may be, as provided in the
Senior Subordinated Note Indenture, or any Loan Party, the trustee in respect of
the Senior Subordinated Notes or the holders of at least 25% in aggregate
principal amount of the Senior Subordinated Notes shall so assert;

 

then, and in any such event, (A) if such event is an Event of Default specified
in clause (i) or (ii) of paragraph (f) above with respect to the Borrower,
automatically the Revolving Commitments shall immediately terminate and the
Loans (with accrued interest thereon) and all other amounts owing under this
Agreement and the other Loan Documents (including all amounts of L/C
Obligations, whether or not the beneficiaries of the then outstanding Letters of
Credit shall have presented the documents required thereunder) shall immediately
become due and payable, and (B) if such event is any other Event of Default,
either or both of the following actions may be taken:  (i) with the consent of
the Required Lenders, the Administrative Agent may, or upon the request of the
Required Lenders, the Administrative Agent shall, by notice to the Borrower
declare the Revolving Commitments to be terminated forthwith, whereupon the
Revolving Commitments shall immediately terminate; and (ii) with the consent of
the Required Lenders, the Administrative Agent may, or upon the request of the
Required Lenders, the Administrative Agent shall, by notice to the Borrower,
declare the Loans (with accrued interest thereon) and all other amounts owing
under this Agreement and the other Loan Documents (including all amounts of L/C
Obligations, whether or not the beneficiaries of the then outstanding Letters of
Credit shall have presented the documents required thereunder) to be due and
payable forthwith, whereupon the same shall immediately become due and payable. 
With respect to all Letters of Credit with respect to which presentment for
honor shall not have occurred at the time of an acceleration pursuant to this
paragraph, the Borrower shall at such time deposit in a cash collateral account
opened by the Administrative Agent an amount equal to the aggregate then undrawn
and unexpired amount of such Letters of Credit.  Amounts held in such cash
collateral account shall be applied by the Administrative Agent to the payment
of drafts drawn under such Letters of Credit, and the unused portion thereof
after all such Letters of Credit shall have expired or been fully drawn upon, if
any, shall be applied to repay other obligations of the Borrower hereunder and
under the other Loan Documents.  After all such Letters of Credit shall have
expired or been fully drawn upon, all Reimbursement Obligations shall have been
satisfied and all other obligations of the Borrower hereunder and under the
other Loan Documents (other than any contingent or unliquidated obligations or
liabilities) shall have been paid in full, the balance, if any, in such cash
collateral account shall be returned to the Borrower (or such other Person as
may be lawfully entitled thereto).  Except as expressly provided above in this
Section, presentment, demand, protest and all other notices of any kind are
hereby expressly waived by the Borrower.

 

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SECTION 9.  THE AGENTS

 

9.1                                 Appointment.Each Lender hereby irrevocably
designates and appoints the Administrative Agent as the agent of such Lender
under this Agreement and the other Loan Documents, and each such Lender
irrevocably authorizes the Administrative Agent, in such capacity, to take such
action on its behalf under the provisions of this Agreement and the other Loan
Documents and to exercise such powers and perform such duties as are expressly
delegated to the Administrative Agent by the terms of this Agreement and the
other Loan Documents, together with such other powers as are reasonably
incidental thereto.   Notwithstanding any provision to the contrary elsewhere in
this Agreement, the Administrative Agent shall not have any duties or
responsibilities, except those expressly set forth herein, or any fiduciary
relationship with any Lender, and no implied covenants, functions,
responsibilities, duties, obligations or liabilities shall be read into this
Agreement or any other Loan Document or otherwise exist against the
Administrative Agent.

 

9.2                                 Delegation of Duties.The Administrative
Agent may execute any of its duties under this Agreement and the other Loan
Documents by or through agents or attorneys-in-fact and shall be entitled to
advice of counsel concerning all matters pertaining to such duties.  The
Administrative Agent shall not be responsible for the negligence or misconduct
of any agents or attorneys in-fact selected by it with reasonable care.

 

9.3                                 Exculpatory Provisions.Neither any Agent nor
any of their respective officers, directors, employees, agents,
attorneys-in-fact or affiliates shall be (i) liable for any action lawfully
taken or omitted to be taken by it or such Person under or in connection with
this Agreement or any other Loan Document (except to the extent that any of the
foregoing are found by a final and nonappealable decision of a court of
competent jurisdiction to have resulted from its or such Person’s own gross
negligence or willful misconduct) or (ii) responsible in any manner to any of
the Lenders for any recitals, statements, representations or warranties made by
any Loan Party or any officer thereof contained in this Agreement or any other
Loan Document or in any certificate, report, statement or other document
referred to or provided for in, or received by the Agents under or in connection
with, this Agreement or any other Loan Document or for the value, validity,
effectiveness, genuineness, enforceability or sufficiency of this Agreement or
any other Loan Document or for any failure of any Loan Party a party thereto to
perform its obligations hereunder or thereunder.  The Agents shall not be under
any obligation to any Lender to ascertain or to inquire as to the observance or
performance of any of the agreements contained in, or conditions of, this
Agreement or any other Loan Document, or to inspect the properties, books or
records of any Loan Party.

 

9.4                                 Reliance by Administrative Agent.The
Administrative Agent shall be entitled to rely, and shall be fully protected in
relying, upon any instrument, writing, resolution, notice, consent, certificate,
affidavit, letter, telecopy, telex or teletype message, statement, order or
other document or conversation believed by it to be genuine and correct and to
have been signed, sent or made by the proper Person or Persons and upon advice
and statements of legal counsel (including counsel to Holdings or the Borrower),
independent accountants and other experts selected by the Administrative Agent. 
The Administrative Agent may deem and treat the payee of any Note as the owner
thereof for all purposes unless a written notice of assignment, negotiation or
transfer thereof shall have been filed with the Administrative Agent.  The
Administrative Agent shall be fully justified in failing or refusing to take any
discretionary action under this Agreement or any other Loan Document unless it
shall first receive such advice or concurrence of the Required Lenders (or, if
so specified by this Agreement, the Majority Facility Lenders or all Lenders) as
it deems appropriate or it shall first be indemnified to its satisfaction by the
Lenders against any and all liability and expense that may be incurred by it by
reason of taking or continuing to take any such action.  The Administrative
Agent shall in all cases be fully protected in acting, or in refraining from
acting, under this Agreement and the other Loan Documents in accordance

 

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with a request of the Required Lenders (or, if so specified by this Agreement,
the Majority Facility Lenders or all Lenders), and such request and any action
taken or failure to act pursuant thereto shall be binding upon all the Lenders
and all future holders of the Loans.

 

9.5                                 Notice of Default.The Administrative Agent
shall not be deemed to have knowledge or notice of the occurrence of any Default
or Event of Default unless the Administrative Agent has received notice from a
Lender, Holdings or the Borrower referring to this Agreement, describing such
Default or Event of Default and stating that such notice is a “notice of
default”.  In the event that the Administrative Agent receives such a notice,
the Administrative Agent shall give notice thereof to the Lenders.  The
Administrative Agent shall take such action with respect to such Default or
Event of Default as shall be reasonably directed by the Required Lenders (or, if
so specified by this Agreement, the Majority Facility Lenders or all Lenders);
provided that unless and until the Administrative Agent shall have received such
directions, the Administrative Agent may (but shall not be obligated to) take
such action, or refrain from taking such action, with respect to such Default or
Event of Default as it shall deem advisable in the best interests of the
Lenders.

 

9.6                                 Non-Reliance on Agents and Other
Lenders.Each Lender expressly acknowledges that neither the Agents nor any of
their respective officers, directors, employees, agents, attorneys-in-fact or
affiliates have made any representations or warranties to it and that no act by
any Agent hereafter taken, including any review of the affairs of a Loan Party
or any affiliate of a Loan Party, shall be deemed to constitute any
representation or warranty by any Agent to any Lender.  Each Lender represents
to the Agents that it has, independently and without reliance upon any Agent or
any other Lender, and based on such documents and information as it has deemed
appropriate, made its own appraisal of and investigation into the business,
operations, property, financial and other condition and creditworthiness of the
Loan Parties and their affiliates and made its own decision to make its Loans
hereunder and enter into this Agreement.  Each Lender also represents that it
will, independently and without reliance upon any Agent or any other Lender, and
based on such documents and information as it shall deem appropriate at the
time, continue to make its own credit analysis, appraisals and decisions in
taking or not taking action under this Agreement and the other Loan Documents,
and to make such investigation as it deems necessary to inform itself as to the
business, operations, property, financial and other condition and
creditworthiness of the Loan Parties and their affiliates.  Except for notices,
reports and other documents expressly required to be furnished to the Lenders by
the Administrative Agent hereunder, the Administrative Agent shall not have any
duty or responsibility to provide any Lender with any credit or other
information concerning the business, operations, property, condition (financial
or otherwise), prospects or creditworthiness of any Loan Party or any affiliate
of a Loan Party that may come into the possession of the Administrative Agent or
any of its officers, directors, employees, agents, attorneys-in-fact or
affiliates.

 

9.7                                 Indemnification.The Lenders severally agree
to indemnify each Agent in its capacity as such (to the extent not reimbursed by
Holdings or the Borrower and without limiting the obligation of Holdings or the
Borrower to do so), ratably according to their respective Aggregate Exposure
Percentages in effect on the date on which indemnification is sought under this
Section (or, if indemnification is sought after the date upon which the
Commitments shall have terminated and the Loans shall have been paid in full,
ratably in accordance with such Aggregate Exposure Percentages immediately prior
to such date), from and against any and all liabilities, obligations, losses,
damages, penalties, actions, judgments, suits, costs, expenses or disbursements
of any kind whatsoever that may at any time (whether before or after the payment
of the Loans) be imposed on, incurred by or asserted against such Agent in any
way relating to or arising out of, the Revolving Commitments, this Agreement,
any of the other Loan Documents or any documents contemplated by or referred to
herein or therein or the transactions contemplated hereby or thereby or any
action taken or omitted by such Agent under or in connection with any of the
foregoing; provided that no Lender shall be liable for the payment of any

 

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portion of such liabilities, obligations, losses, damages, penalties, actions,
judgments, suits, costs, expenses or disbursements that are found by a final and
nonappealable decision of a court of competent jurisdiction to have resulted
from such Agent’s gross negligence or willful misconduct.  The agreements in
this Section shall survive the payment of the Loans and all other amounts
payable hereunder.

 

9.8                                 Agents in Their Individual Capacities.Each
Agent and its affiliates may make loans to, accept deposits from and generally
engage in any kind of business with any Loan Party as though such Agent were not
an Agent.  With respect to its Loans made or renewed by it and with respect to
any Letter of Credit issued or participated in by it, each Agent shall have the
same rights and powers under this Agreement and the other Loan Documents as any
Lender and may exercise the same as though it were not an Agent, and the terms
“Lender” and “Lenders” shall include each Agent in its individual capacity.

 

9.9                                 Successor Administrative Agent.The
Administrative Agent may resign as Administrative Agent upon 30 days’ notice to
the Lenders and the Borrower.  If the Administrative Agent shall resign as
Administrative Agent under this Agreement and the other Loan Documents, then the
Required Lenders shall appoint from among the Lenders a successor agent for the
Lenders, which successor agent shall (unless an Event of Default under
Section 8(a) or Section 8(f) with respect to the Borrower shall have occurred
and be continuing) be subject to approval by the Borrower (which approval shall
not be unreasonably withheld or delayed), whereupon such successor agent shall
succeed to the rights, powers and duties of the Administrative Agent, and the
term “Administrative Agent” shall mean such successor agent effective upon such
appointment and approval, and the former Administrative Agent’s rights, powers
and duties as Administrative Agent shall be terminated, without any other or
further act or deed on the part of such former Administrative Agent or any of
the parties to this Agreement or any holders of the Loans.  If no successor
agent has accepted appointment as Administrative Agent by the date that is 30
days following a retiring Administrative Agent’s notice of resignation, then the
retiring Administrative Agent may, on behalf of the Lenders and after consulting
with the Lenders, appoint a successor Administrative Agent, which successor
agent shall (unless an Event of Default under Section 8(a) or Section 8(f) with
respect to the Borrower shall have occurred and be continuing) be subject to
approval by the Borrower (which approval shall not be unreasonably withheld or
delayed).  If no successor to the Administrative Agent has accepted appointment
as Administrative Agent by the date that is forty-five (45) days following a
retiring Administrative Agent’s notice of resignation, the retiring
Administrative Agent’s resignation shall nevertheless thereupon become
effective, and the Lenders shall assume and perform all of the duties of the
Administrative Agent hereunder until such time, if any, as the Required Lenders
appoint a successor agent as provided for above.  After any retiring
Administrative Agent’s resignation as Administrative Agent, the provisions of
this Section 9 shall inure to its benefit as to any actions taken or omitted to
be taken by it while it was Administrative Agent under this Agreement and the
other Loan Documents.

 

9.10                           Closing Agent, Co-Documentation Agents and
Syndication Agent.JPMorgan Chase Bank and its affiliates, in their capacity as
Closing Agent shall be entitled to the protections, rights and benefits of this
Section 9 to the same extent as Wachovia Bank, National Association and its
affiliates in their capacity as the Administrative Agent.  Neither the
Co-Documentation Agents nor the Syndication Agent shall have any duties or
responsibilities hereunder in its capacity as such.

 

SECTION 10.  MISCELLANEOUS

 

10.1                           Amendments and Waivers.Neither this Agreement,
any other Loan Document, nor any terms hereof or thereof may be amended,
supplemented or modified except in accordance with the provisions of this
Section 10.1.  The Required Lenders and each Loan Party party to the relevant
Loan Document may, or, with the written consent of the Required Lenders, the
Administrative Agent and each

 

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Loan Party party to the relevant Loan Document may, from time to time, (a) enter
into written amendments, supplements or modifications hereto and to the other
Loan Documents for the purpose of adding any provisions to this Agreement or the
other Loan Documents or changing in any manner the rights of the Lenders or of
the Loan Parties hereunder or thereunder or (b) waive, on such terms and
conditions as the Required Lenders or the Administrative Agent, as the case may
be, may specify in such instrument, any of the requirements of this Agreement or
the other Loan Documents or any Default or Event of Default and its
consequences; provided, however, that no such waiver and no such amendment,
supplement or modification shall (i) forgive the principal amount of any Loan or
extend the final scheduled maturity date of any Loan, the scheduled date of any
amortization payment in respect of any Term Loan or the Revolving Termination
Date, reduce the stated rate of any interest or fee payable hereunder (except
(x) in connection with the waiver of applicability of any post-default increase
in interest rates (which waiver shall be effective with the consent of the
Majority Facility Lenders of each adversely affected Facility) and (y) that any
amendment or modification of defined terms used in the financial covenants in
this Agreement shall not constitute a reduction in the rate of interest or fees
for purposes of this clause (i)) or extend the scheduled date of any payment
thereof, or increase the amount or extend the expiration date of any Lender’s
Revolving Commitment, in each case without the written consent of each Lender
directly affected thereby;  (ii) eliminate or reduce the voting rights of any
Lender under this Section 10.1 without the written consent of such Lender (other
than through an increase of the Commitments of other Lenders pursuant to
Section 2.1(b) or with respect to any Defaulting Lender); (iii) reduce any
percentage specified in the definition of Required Lenders or Supermajority
Lenders, consent to the assignment or transfer by the Borrower of any of its
rights and obligations under this Agreement and the other Loan Documents,
release all or a material portion of the Collateral (other than in connection
with any transaction permitted pursuant to Section 7.5) or release any
significant Guarantor from its obligations under the Guarantee and Collateral
Agreement (other than in connection with any transaction permitted pursuant to
Section 7.5), in each case without the written consent of all Lenders (other
than Defaulting Lenders); (iv) modify Section 2.1(b) without the consent of the
Supermajority Lenders; (v) amend, modify or waive any provision of Section 2.17
without the written consent of the Majority Facility Lenders in respect of each
Facility adversely affected thereby; (vi) change the allocation of any
prepayment under this Agreement to any Facility or to the installments of such
Facility without the written consent of the Majority Facility Lenders with
respect to each relevant Facility; (vii) reduce the percentage specified in the
definition of Majority Facility Lenders with respect to any Facility without the
written consent of all Lenders under such Facility; (viii) amend, modify or
waive any provision of Section 9 without the written consent of the
Administrative Agent; (ix) amend, modify or waive any provision of Section 2.6
or 2.7 without the written consent of the Swingline Lender; or (x) amend, modify
or waive any provision of Section 3 without the written consent of the Issuing
Lender and provided, further, that except as otherwise provided therein, the
consent of the Lenders shall not be required for any increase in Commitments
pursuant to Section 2.1(b).  Any such waiver and any such amendment, supplement
or modification shall apply equally to each of the Lenders and shall be binding
upon the Loan Parties, the Lenders, the Administrative Agent and all future
holders of the Loans.  In the case of any waiver, the Loan Parties, the Lenders
and the Administrative Agent shall be restored to their former position and
rights hereunder and under the other Loan Documents, and any Default or Event of
Default waived shall be deemed to be cured and not continuing; but no such
waiver shall extend to any subsequent or other Default or Event of Default, or
impair any right consequent thereon.

 

10.2                           Notices.All notices, requests and demands to or
upon the respective parties hereto to be effective shall be in writing
(including by telecopy), and, unless otherwise expressly provided herein, shall
be deemed to have been duly given or made when delivered, or five Business Days
after being deposited in the mail, postage prepaid; or, in the case of courier
via guaranteed next-day delivery, the next Business Day; or, in the case of
telecopy notice, when received, addressed as follows in the case of Holdings,
the Borrower and the Administrative Agent, and as set forth in an administrative

 

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questionnaire delivered to the Administrative Agent in the case of the Lenders,
or to such other address as may be hereafter notified by the respective parties
hereto:

 

Holdings:

 

MQ Associates, Inc.
4300 North Point Parkway
Alpharetta, Georgia 30022
Attention: J. Kenneth Luke, President
Telecopy: 770-246-0202
Telephone: 770-300-0101

 

 

 

 

 

with a copy to:
O’Melveny & Myers LLP
30 Rockefeller Plaza, 41st Floor
NY, NY 10112
Attention: Christopher P. Giordano, Esq.
Telecopy: 212-408-2420

 

 

 

Borrower:

 

MedQuest, Inc.
4300 North Point Parkway
Alpharetta, Georgia 30022
Attention: J. Kenneth Luke, President
Telecopy: 770-246-0202
Telephone: 770-300-0101

 

 

 

 

 

with a copy to:
O’Melveny & Myers LLP
30 Rockefeller Plaza, 41st Floor
NY, NY 10112
Attention: Christopher P. Giordano, Esq.
Telecopy: 212-408-2420

 

 

 

Administrative Agent:

 

Wachovia Bank, National Association
Syndication Agency Services
201 South College Street, 8th Floor
Charlotte, North Carolina  28288-0608
Attention:  Syndication Agency Services
Telecopy:  704-383-0288
Telephone:  704-374-2698

 

 

 

 

 

with a copy to:

 

 

 

 

 

Wachovia Bank, National Association
Healthcare Agency Management
One Wachovia Center, 5th Floor
301 South College Street, NC 0760
Charlotte, North Carolina  28288-0760
Attention:  Ms. Leanne Phillips
Telecopy:  704-383-7611
Telephone:  704-374-6278

 

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provided that any notice, request or demand to or upon the Administrative Agent
or the Lenders shall not be effective until received.

 

Notices and other communications to the Lenders hereunder may be delivered or
furnished by electronic communications pursuant to procedures approved by the
Administrative Agent; provided that the foregoing shall not apply to notices
pursuant to Section 2 unless otherwise agreed by the Administrative Agent and
the applicable Lender.  The Administrative Agent or the Borrower may, in its
discretion, agree to accept notices and other communications to it hereunder by
electronic communications pursuant to procedures approved by it; provided that
approval of such procedures may be limited to particular notices or
communications.

 

10.3                           No Waiver; Cumulative Remedies.No failure to
exercise and no delay in exercising, on the part of the Administrative Agent or
any Lender, any right, remedy, power or privilege hereunder or under the other
Loan Documents shall operate as a waiver thereof; nor shall any single or
partial exercise of any right, remedy, power or privilege hereunder preclude any
other or further exercise thereof or the exercise of any other right, remedy,
power or privilege.  The rights, remedies, powers and privileges herein provided
are cumulative and not exclusive of any rights, remedies, powers and privileges
provided by law.

 

10.4                           Survival of Representations and Warranties.All
representations and warranties made hereunder, in the other Loan Documents and
in any document, certificate or statement delivered pursuant hereto or in
connection herewith shall survive the execution and delivery of this Agreement
and the making of the Loans and other extensions of credit hereunder.

 

10.5                           Payment of Expenses and Taxes.The Borrower agrees
(a) to pay or reimburse each Agent for all its out-of-pocket costs and expenses
incurred in connection with the development, preparation and execution of, and
any amendment, supplement or modification to this Agreement, and the other Loan
Documents and any other documents prepared in connection herewith or therewith,
and the consummation and administration of the transactions contemplated hereby
and thereby, including the reasonable fees and disbursements of counsel to each
Agent and filing and recording fees and expenses, with statements with respect
to the foregoing to be submitted to the Borrower prior to the Amendment
Effective Date (in the case of amounts to be paid on the Amendment Effective
Date) and from time to time thereafter on a quarterly basis or such other
periodic basis as each Agent shall deem appropriate, (b) to pay or reimburse
each Lender and the Administrative Agent for all its costs and expenses incurred
in connection with the enforcement or preservation of any rights under this
Agreement, the other Loan Documents and any such other documents, including the
fees and disbursements of counsel (including the allocated fees and expenses of
in-house counsel) to each Lender and of counsel to the Administrative Agent, (c)
to pay, indemnify, and hold each Lender and the Administrative Agent harmless
from, any and all recording and filing fees and any and all liabilities with
respect to, or resulting from any delay in paying, stamp, excise and other
taxes, if any, that may be payable or determined to be payable in connection
with the execution and delivery of, or consummation or administration of any of
the transactions contemplated by, or any amendment, supplement or modification
of, or any waiver or consent under or in respect of, this Agreement, the other
Loan Documents and any such other documents, and (d) to pay, indemnify, and hold
each Lender and the Administrative Agent and their respective officers,
directors, employees, affiliates, agents and controlling persons (each, an
“Indemnitee”) harmless from and against any and all other liabilities,
obligations, losses, damages, penalties, actions, judgments, suits, costs,
expenses or disbursements of any kind or nature whatsoever with respect to the
execution, delivery, enforcement, performance and administration of this
Agreement, the other Loan Documents and any such other documents, including any
of the foregoing relating to the use of proceeds of the Loans or the violation
of, noncompliance with or liability under, any Environmental Law applicable to
the operations of any Group Member or any of the Properties and the reasonable
fees and expenses of legal

 

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counsel in connection with claims, actions or proceedings by any Indemnitee
against any Loan Party under any Loan Document (all the foregoing in this clause
(d), collectively, the “Indemnified Liabilities”), provided, that the Borrower
shall have no obligation hereunder to any Indemnitee with respect to Indemnified
Liabilities to the extent such Indemnified Liabilities resulted from the gross
negligence or willful misconduct of such Indemnitee.  All amounts due under this
Section 10.5 shall be payable not later than 10 days after written demand
therefor.  Statements payable by the Borrower pursuant to this Section 10.5
shall be submitted to J. Kenneth Luke (Telephone No. 770-300-0101) (Telecopy
No. 770-246-0202), at the address of the Borrower set forth in Section 10.2, or
to such other Person or address as may be hereafter designated by the Borrower
in a written notice to the Administrative Agent.  The agreements in this
Section 10.5 shall survive repayment of the Loans and all other amounts payable
hereunder.

 

10.6                           Successors and Assigns; Participations and
Assignments.(a)  The provisions of this Agreement shall be binding upon and
inure to the benefit of the parties hereto and their respective successors and
assigns permitted hereby (including any affiliate of the Issuing Lender that
issues any Letter of Credit), except that (i) the Borrower may not assign or
otherwise transfer any of its rights or obligations hereunder without the prior
written consent of each Lender (and any attempted assignment or transfer by the
Borrower without such consent shall be null and void) and (ii) no Lender may
assign or otherwise transfer its rights or obligations hereunder except in
accordance with this Section.

 

(B)                                 (I)  SUBJECT TO THE CONDITIONS SET FORTH IN
PARAGRAPH (B)(II) BELOW, ANY LENDER MAY ASSIGN TO ONE OR MORE ASSIGNEES (EACH,
AN “ASSIGNEE”) ALL OR A PORTION OF ITS RIGHTS AND OBLIGATIONS UNDER THIS
AGREEMENT (INCLUDING ALL OR A PORTION OF ITS REVOLVING COMMITMENTS AND THE LOANS
AT THE TIME OWING TO IT) WITH THE PRIOR WRITTEN CONSENT (SUCH CONSENT NOT TO BE
UNREASONABLY WITHHELD) OF:

 

(A)                              THE BORROWER, PROVIDED THAT NO CONSENT OF THE
BORROWER SHALL BE REQUIRED FOR AN ASSIGNMENT TO A LENDER, AN AFFILIATE OF A
LENDER, AN APPROVED FUND (AS DEFINED BELOW) OR, IF AN EVENT OF DEFAULT HAS
OCCURRED AND IS CONTINUING, ANY OTHER PERSON; AND

 

(B)                                THE ADMINISTRATIVE AGENT, PROVIDED THAT NO
CONSENT OF THE ADMINISTRATIVE AGENT SHALL BE REQUIRED FOR AN ASSIGNMENT, TO A
LENDER, AN AFFILIATE OF A LENDER OR AN APPROVED FUND.

 

(II)                                  ASSIGNMENTS SHALL BE SUBJECT TO THE
FOLLOWING ADDITIONAL CONDITIONS:

 

(A)                              EXCEPT IN THE CASE OF AN ASSIGNMENT TO A
LENDER, AN AFFILIATE OF A LENDER OR AN APPROVED FUND OR AN ASSIGNMENT OF THE
ENTIRE REMAINING AMOUNT OF THE ASSIGNING LENDER’S COMMITMENTS OR LOANS UNDER ANY
FACILITY, THE AMOUNT OF THE COMMITMENTS OR LOANS OF THE ASSIGNING LENDER SUBJECT
TO EACH SUCH ASSIGNMENT (DETERMINED AS OF THE DATE THE ASSIGNMENT AND ASSUMPTION
WITH RESPECT TO SUCH ASSIGNMENT IS DELIVERED TO THE ADMINISTRATIVE AGENT) SHALL
NOT BE LESS THAN $5,000,000 (OR, IN THE CASE OF THE TRANCHE B TERM FACILITY OR
ANY INCREMENTAL TERM LOAN FACILITY, $1,000,000) UNLESS EACH OF THE BORROWER AND
THE ADMINISTRATIVE AGENT OTHERWISE CONSENT, PROVIDED THAT (1) NO SUCH CONSENT OF
THE BORROWER SHALL BE REQUIRED IF AN EVENT OF DEFAULT UNDER SECTIONS 8(A), (F)
OR (K) HAS OCCURRED AND IS CONTINUING AND (2) SUCH AMOUNTS SHALL BE AGGREGATED
IN RESPECT OF EACH LENDER AND ITS AFFILIATES OR APPROVED FUNDS, IF ANY;

 

(B)                                THE PARTIES TO EACH ASSIGNMENT SHALL EXECUTE
AND DELIVER TO THE ADMINISTRATIVE AGENT AN ASSIGNMENT AND ASSUMPTION, TOGETHER
WITH A PROCESSING AND RECORDATION FEE OF $3,500;

 

(C)                                THE ASSIGNEE, IF IT SHALL NOT BE A LENDER,
SHALL DELIVER TO THE ADMINISTRATIVE AGENT AN ADMINISTRATIVE QUESTIONNAIRE; AND

 

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(D)                               IN THE CASE OF AN ASSIGNMENT TO A CLO (AS
DEFINED BELOW), THE ASSIGNING LENDER SHALL RETAIN THE SOLE RIGHT TO APPROVE ANY
AMENDMENT, MODIFICATION OR WAIVER OF ANY PROVISION OF THIS AGREEMENT AND THE
OTHER LOAN DOCUMENTS, PROVIDED THAT THE ASSIGNMENT AND ASSUMPTION BETWEEN SUCH
LENDER AND SUCH CLO MAY PROVIDE THAT SUCH LENDER WILL NOT, WITHOUT THE CONSENT
OF SUCH CLO, AGREE TO ANY AMENDMENT, MODIFICATION OR WAIVER THAT (1) REQUIRES
THE CONSENT OF EACH LENDER DIRECTLY AFFECTED THEREBY PURSUANT TO THE PROVISO TO
THE SECOND SENTENCE OF SECTION 10.1 AND (2) DIRECTLY AFFECTS SUCH CLO.

 

For the purposes of this Section 10.6, the terms “Approved Fund” and “CLO” have
the following meanings:

 

“Approved Fund” means (a) a CLO and (b) with respect to any Lender that is a
fund which invests in bank loans and similar extensions of credit, any other
fund that invests in bank loans and similar extensions of credit and is managed
by the same investment advisor as such Lender or by an Affiliate of such
investment advisor.

 

“CLO” means any entity (whether a corporation, partnership, trust or otherwise)
that is engaged in making, purchasing, holding or otherwise investing in bank
loans and similar extensions of credit in the ordinary course of its business
and is administered or managed by a Lender or an Affiliate of such Lender.

 

(III)                               SUBJECT TO ACCEPTANCE AND RECORDING THEREOF
PURSUANT TO PARAGRAPH (B)(IV) BELOW, FROM AND AFTER THE EFFECTIVE DATE SPECIFIED
IN EACH ASSIGNMENT AND ASSUMPTION THE ASSIGNEE THEREUNDER SHALL BE A PARTY
HERETO AND, TO THE EXTENT OF THE INTEREST ASSIGNED BY SUCH ASSIGNMENT AND
ASSUMPTION, HAVE THE RIGHTS AND OBLIGATIONS OF A LENDER UNDER THIS AGREEMENT,
AND THE ASSIGNING LENDER THEREUNDER SHALL, TO THE EXTENT OF THE INTEREST
ASSIGNED BY SUCH ASSIGNMENT AND ASSUMPTION, BE RELEASED FROM ITS OBLIGATIONS
UNDER THIS AGREEMENT (AND, IN THE CASE OF AN ASSIGNMENT AND ASSUMPTION COVERING
ALL OF THE ASSIGNING LENDER’S RIGHTS AND OBLIGATIONS UNDER THIS AGREEMENT, SUCH
LENDER SHALL CEASE TO BE A PARTY HERETO BUT SHALL CONTINUE TO BE ENTITLED TO THE
BENEFITS OF SECTIONS 2.18, 2.19, 2.20 AND 10.5).  ANY ASSIGNMENT OR TRANSFER BY
A LENDER OF RIGHTS OR OBLIGATIONS UNDER THIS AGREEMENT THAT DOES NOT COMPLY WITH
THIS SECTION 10.6 SHALL BE TREATED FOR PURPOSES OF THIS AGREEMENT AS A SALE BY
SUCH LENDER OF A PARTICIPATION IN SUCH RIGHTS AND OBLIGATIONS IN ACCORDANCE WITH
PARAGRAPH (C) OF THIS SECTION.

 

(IV)                              THE ADMINISTRATIVE AGENT, ACTING FOR THIS
PURPOSE AS AN AGENT OF THE BORROWER, SHALL MAINTAIN AT ONE OF ITS OFFICES A COPY
OF EACH ASSIGNMENT AND ASSUMPTION DELIVERED TO IT AND A REGISTER FOR THE
RECORDATION OF THE NAMES AND ADDRESSES OF THE LENDERS, AND THE REVOLVING
COMMITMENTS OF, AND PRINCIPAL AMOUNT OF THE LOANS AND L/C OBLIGATIONS OWING TO,
EACH LENDER PURSUANT TO THE TERMS HEREOF FROM TIME TO TIME (THE “REGISTER”). 
THE ENTRIES IN THE REGISTER SHALL BE CONCLUSIVE, AND THE BORROWER, THE
ADMINISTRATIVE AGENT, THE ISSUING LENDER AND THE LENDERS MAY TREAT EACH PERSON
WHOSE NAME IS RECORDED IN THE REGISTER PURSUANT TO THE TERMS HEREOF AS A LENDER
HEREUNDER FOR ALL PURPOSES OF THIS AGREEMENT, NOTWITHSTANDING NOTICE TO THE
CONTRARY.  THE REGISTER SHALL BE AVAILABLE FOR INSPECTION BY THE BORROWER, THE
ISSUING LENDER AND ANY LENDER, AT ANY REASONABLE TIME AND FROM TIME TO TIME UPON
REASONABLE PRIOR NOTICE.

 

(V)                                 UPON ITS RECEIPT OF A DULY COMPLETED
ASSIGNMENT AND ASSUMPTION EXECUTED BY AN ASSIGNING LENDER AND AN ASSIGNEE, THE
ASSIGNEE’S COMPLETED ADMINISTRATIVE QUESTIONNAIRE (UNLESS THE ASSIGNEE SHALL
ALREADY BE A LENDER HEREUNDER), THE PROCESSING AND RECORDATION FEE REFERRED TO
IN PARAGRAPH (B) OF THIS SECTION AND ANY WRITTEN CONSENT TO SUCH ASSIGNMENT
REQUIRED BY PARAGRAPH (B) OF THIS SECTION, THE ADMINISTRATIVE AGENT SHALL ACCEPT
SUCH ASSIGNMENT AND ASSUMPTION AND RECORD THE INFORMATION CONTAINED THEREIN IN
THE REGISTER.  NO ASSIGNMENT SHALL BE EFFECTIVE FOR PURPOSES OF THIS AGREEMENT
UNLESS IT HAS BEEN RECORDED IN THE REGISTER AS PROVIDED IN THIS PARAGRAPH.

 

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(C)                                  (I)  ANY LENDER MAY, WITHOUT THE CONSENT OF
THE BORROWER OR THE ADMINISTRATIVE AGENT, SELL PARTICIPATIONS TO ONE OR MORE
BANKS OR OTHER ENTITIES (A “PARTICIPANT”) IN ALL OR A PORTION OF SUCH LENDER’S
RIGHTS AND OBLIGATIONS UNDER THIS AGREEMENT (INCLUDING ALL OR A PORTION OF ITS
REVOLVING COMMITMENTS AND THE LOANS OWING TO IT); PROVIDED THAT (A) SUCH
LENDER’S OBLIGATIONS UNDER THIS AGREEMENT SHALL REMAIN UNCHANGED, (B) SUCH
LENDER SHALL REMAIN SOLELY RESPONSIBLE TO THE OTHER PARTIES HERETO FOR THE
PERFORMANCE OF SUCH OBLIGATIONS AND (C) THE BORROWER, THE ADMINISTRATIVE AGENT,
THE ISSUING LENDER AND THE OTHER LENDERS SHALL CONTINUE TO DEAL SOLELY AND
DIRECTLY WITH SUCH LENDER IN CONNECTION WITH SUCH LENDER’S RIGHTS AND
OBLIGATIONS UNDER THIS AGREEMENT.  ANY AGREEMENT PURSUANT TO WHICH A LENDER
SELLS SUCH A PARTICIPATION SHALL PROVIDE THAT SUCH LENDER SHALL RETAIN THE SOLE
RIGHT TO ENFORCE THIS AGREEMENT AND TO APPROVE ANY AMENDMENT, MODIFICATION OR
WAIVER OF ANY PROVISION OF THIS AGREEMENT; PROVIDED THAT SUCH AGREEMENT MAY
PROVIDE THAT SUCH LENDER WILL NOT, WITHOUT THE CONSENT OF THE PARTICIPANT, AGREE
TO ANY AMENDMENT, MODIFICATION OR WAIVER THAT (1) REQUIRES THE CONSENT OF EACH
LENDER DIRECTLY AFFECTED THEREBY PURSUANT TO THE PROVISO TO THE SECOND SENTENCE
OF SECTION 10.1 AND (2) DIRECTLY AFFECTS SUCH PARTICIPANT.  SUBJECT TO PARAGRAPH
(C)(II) OF THIS SECTION, THE BORROWER AGREES THAT EACH PARTICIPANT SHALL BE
ENTITLED TO THE BENEFITS OF SECTIONS 2.18, 2.19 AND 2.20 TO THE SAME EXTENT AS
IF IT WERE A LENDER AND HAD ACQUIRED ITS INTEREST BY ASSIGNMENT PURSUANT TO
PARAGRAPH (B) OF THIS SECTION.  TO THE EXTENT PERMITTED BY LAW, EACH PARTICIPANT
ALSO SHALL BE ENTITLED TO THE BENEFITS OF SECTION 10.7(B) AS THOUGH IT WERE A
LENDER, PROVIDED SUCH PARTICIPANT SHALL BE SUBJECT TO SECTION 10.7(A) AS THOUGH
IT WERE A LENDER.

 

(II)                                  A PARTICIPANT SHALL NOT BE ENTITLED TO
RECEIVE ANY GREATER PAYMENT UNDER SECTION 2.18 OR 2.19 THAN THE APPLICABLE
LENDER WOULD HAVE BEEN ENTITLED TO RECEIVE WITH RESPECT TO THE PARTICIPATION
SOLD TO SUCH PARTICIPANT, UNLESS THE SALE OF THE PARTICIPATION TO SUCH
PARTICIPANT IS MADE WITH THE BORROWER’S PRIOR WRITTEN CONSENT.  ANY PARTICIPANT
THAT IS A NON-U.S. LENDER SHALL NOT BE ENTITLED TO THE BENEFITS OF SECTION 2.19
UNLESS SUCH PARTICIPANT COMPLIES WITH SECTION 2.19(D).

 

(D)                                 ANY LENDER MAY AT ANY TIME PLEDGE OR ASSIGN
A SECURITY INTEREST IN ALL OR ANY PORTION OF ITS RIGHTS UNDER THIS AGREEMENT TO
SECURE OBLIGATIONS OF SUCH LENDER, INCLUDING ANY PLEDGE OR ASSIGNMENT TO SECURE
OBLIGATIONS TO A FEDERAL RESERVE BANK, AND THIS SECTION SHALL NOT APPLY TO ANY
SUCH PLEDGE OR ASSIGNMENT OF A SECURITY INTEREST; PROVIDED THAT ANY SUCH PLEDGE
OR ASSIGNMENT (OTHER THAN TO SECURE OBLIGATIONS TO A FEDERAL RESERVE BANK) SHALL
BE IN CONNECTION WITH A BONA FIDE PLEDGE OR ASSIGNMENT OF A SECURITY INTEREST IN
ALL OR A SUBSTANTIAL PORTION OF SUCH LENDER’S LENDING PORTFOLIO; PROVIDED
FURTHER THAT NO SUCH PLEDGE OR ASSIGNMENT OF A SECURITY INTEREST SHALL RELEASE A
LENDER FROM ANY OF ITS OBLIGATIONS HEREUNDER OR SUBSTITUTE ANY SUCH PLEDGEE OR
ASSIGNEE FOR SUCH LENDER AS A PARTY HERETO.

 

(E)                                  THE BORROWER, UPON RECEIPT OF WRITTEN
NOTICE FROM THE RELEVANT LENDER, AGREES TO ISSUE NOTES TO ANY LENDER REQUIRING
NOTES TO FACILITATE TRANSACTIONS OF THE TYPE DESCRIBED IN PARAGRAPH (D) ABOVE.

 

(F)                                    NOTWITHSTANDING THE FOREGOING, ANY
CONDUIT LENDER MAY ASSIGN ANY OR ALL OF THE LOANS IT MAY HAVE FUNDED HEREUNDER
TO ITS DESIGNATING LENDER WITHOUT THE CONSENT OF THE BORROWER OR THE
ADMINISTRATIVE AGENT AND WITHOUT REGARD TO THE LIMITATIONS SET FORTH IN
SECTION 10.6(B).  EACH OF HOLDINGS, THE BORROWER, EACH LENDER AND THE
ADMINISTRATIVE AGENT HEREBY CONFIRMS THAT IT WILL NOT INSTITUTE AGAINST A
CONDUIT LENDER OR JOIN ANY OTHER PERSON IN INSTITUTING AGAINST A CONDUIT LENDER
ANY BANKRUPTCY, REORGANIZATION, ARRANGEMENT, INSOLVENCY OR LIQUIDATION
PROCEEDING UNDER ANY STATE BANKRUPTCY OR SIMILAR LAW, FOR ONE YEAR AND ONE DAY
AFTER THE PAYMENT IN FULL OF THE LATEST MATURING COMMERCIAL PAPER NOTE ISSUED BY
SUCH CONDUIT LENDER; PROVIDED, HOWEVER, THAT EACH LENDER DESIGNATING ANY CONDUIT
LENDER HEREBY AGREES TO INDEMNIFY, SAVE AND HOLD HARMLESS EACH OTHER PARTY
HERETO FOR ANY LOSS, COST, DAMAGE OR EXPENSE ARISING OUT OF ITS INABILITY TO
INSTITUTE SUCH A PROCEEDING AGAINST SUCH CONDUIT LENDER DURING SUCH PERIOD OF
FORBEARANCE.

 

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10.7                           Adjustments; Set-off.(a)  Except to the extent
that this Agreement expressly provides for payments to be allocated to a
particular Lender or to the Lenders, if any Lender (a “Benefitted Lender”)
shall, at any time after the Loans and other amounts payable hereunder shall
immediately become due and payable pursuant to Section 8, receive any payment of
all or part of the Obligations owing to it, or receive any collateral in respect
thereof (whether voluntarily or involuntarily, by set-off, pursuant to events or
proceedings of the nature referred to in Section 8(f), or otherwise), in a
greater proportion than any such payment to or collateral received by any other
Lender, if any, in respect of the Obligations owing to such other Lender, such
Benefitted Lender shall purchase for cash from the other Lenders a participating
interest in such portion of the Obligations owing to each such other Lender, or
shall provide such other Lenders with the benefits of any such collateral, as
shall be necessary to cause such Benefitted Lender to share the excess payment
or benefits of such collateral ratably with each of the Lenders; provided,
however, that if all or any portion of such excess payment or benefits is
thereafter recovered from such Benefitted Lender, such purchase shall be
rescinded, and the purchase price and benefits returned, to the extent of such
recovery, but without interest.

 

(B)                                 IN ADDITION TO ANY RIGHTS AND REMEDIES OF
THE LENDERS PROVIDED BY LAW, UPON THE OCCURRENCE AND DURING THE CONTINUANCE OF
AN EVENT OF DEFAULT, EACH LENDER SHALL HAVE THE RIGHT, WITHOUT PRIOR NOTICE TO
HOLDINGS OR THE BORROWER, ANY SUCH NOTICE BEING EXPRESSLY WAIVED BY HOLDINGS AND
THE BORROWER TO THE EXTENT PERMITTED BY APPLICABLE LAW, UPON ANY AMOUNT BECOMING
DUE AND PAYABLE BY HOLDINGS OR THE BORROWER HEREUNDER (WHETHER AT THE STATED
MATURITY, BY ACCELERATION OR OTHERWISE), TO SET OFF AND APPROPRIATE AND APPLY
AGAINST SUCH AMOUNT ANY AND ALL DEPOSITS (GENERAL OR SPECIAL, TIME OR DEMAND,
PROVISIONAL OR FINAL), IN ANY CURRENCY, AND ANY OTHER CREDITS, INDEBTEDNESS OR
CLAIMS, IN ANY CURRENCY, IN EACH CASE WHETHER DIRECT OR INDIRECT, ABSOLUTE OR
CONTINGENT, MATURED OR UNMATURED, AT ANY TIME HELD OR OWING BY SUCH LENDER OR
ANY BRANCH OR AGENCY THEREOF TO OR FOR THE CREDIT OR THE ACCOUNT OF HOLDINGS OR
THE BORROWER, AS THE CASE MAY BE.  EACH LENDER AGREES PROMPTLY TO NOTIFY THE
BORROWER AND THE ADMINISTRATIVE AGENT AFTER ANY SUCH SETOFF AND APPLICATION MADE
BY SUCH LENDER, PROVIDED THAT THE FAILURE TO GIVE SUCH NOTICE SHALL NOT AFFECT
THE VALIDITY OF SUCH SETOFF AND APPLICATION.

 

10.8                           Counterparts.This Agreement may be executed by
one or more of the parties to this Agreement on any number of separate
counterparts, and all of said counterparts taken together shall be deemed to
constitute one and the same instrument.  Delivery of an executed signature page
of this Agreement by facsimile transmission shall be effective as delivery of a
manually executed counterpart hereof.  A set of the copies of this Agreement
signed by all the parties shall be lodged with the Borrower and the
Administrative Agent.

 

10.9                           Severability.Any provision of this Agreement that
is prohibited or unenforceable in any jurisdiction shall, as to such
jurisdiction, be ineffective to the extent of such prohibition or
unenforceability without invalidating the remaining provisions hereof, and any
such prohibition or unenforceability in any jurisdiction shall not invalidate or
render unenforceable such provision in any other jurisdiction.

 

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

 

10.11                     GOVERNING LAW.THIS AGREEMENT AND THE RIGHTS AND
OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED BY, AND
CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK.

 

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10.12                     Submission To Jurisdiction; Waivers.Each of Holdings
and the Borrower hereby irrevocably and unconditionally:

 

(a)                                  submits for itself and its property in any
legal action or proceeding relating to this Agreement and the other Loan
Documents to which it is a party, or for recognition and enforcement of any
judgment in respect thereof, to the non-exclusive general jurisdiction of the
courts of the State of New York, the courts of the United States for the
Southern District of New York, and appellate courts from any thereof;

 

(b)                                 consents that any such action or proceeding
may be brought in such courts and waives any objection that it may now or
hereafter have to the venue of any such action or proceeding in any such court
or that such action or proceeding was brought in an inconvenient court and
agrees not to plead or claim the same;

 

(c)                                  agrees that service of process in any such
action or proceeding may be effected by mailing a copy thereof by registered or
certified mail (or any substantially similar form of mail), postage prepaid, to
Holdings or the Borrower, as the case may be at its address set forth in
Section 10.2 or at such other address of which the Administrative Agent shall
have been notified pursuant thereto;

 

(d)                                 agrees that nothing herein shall affect the
right to effect service of process in any other manner permitted by law or shall
limit the right to sue in any other jurisdiction; and

 

(e)                                  waives, to the maximum extent not
prohibited by law, any right it may have to claim or recover in any legal action
or proceeding referred to in this Section any special, exemplary, punitive or
consequential damages.

 

10.13                     Acknowledgements.Each of Holdings and the Borrower
hereby acknowledges that:

 

(a)                                  it has been advised by counsel in the
negotiation, execution and delivery of this Agreement and the other Loan
Documents;

 

(b)                                 neither the Administrative Agent nor any
Lender has any fiduciary relationship with or duty to Holdings or the Borrower
arising out of or in connection with this Agreement or any of the other Loan
Documents, and the relationship between Administrative Agent and Lenders, on one
hand, and Holdings and the Borrower, on the other hand, in connection herewith
or therewith is solely that of debtor and creditor; and

 

(c)                                  no joint venture is created hereby or by
the other Loan Documents or otherwise exists by virtue of the transactions
contemplated hereby among the Lenders or among Holdings, the Borrower and the
Lenders.

 

10.14                     Releases of Guarantees and Liens.(a)  Notwithstanding
anything to the contrary contained herein or in any other Loan Document, the
Administrative Agent is hereby irrevocably authorized by each Lender (without
requirement of notice to or consent of any Lender except as expressly required
by Section 10.1) to take any action requested by the Borrower having the effect
of releasing any Collateral or Guarantee Obligations (i) to the extent necessary
to permit consummation of any transaction not prohibited by any Loan Document or
that has been consented to in accordance with Section 10.1 or (ii) under the
circumstances described in paragraph (b) below.

 

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(B)                                 AT SUCH TIME AS THE LOANS, THE REIMBURSEMENT
OBLIGATIONS AND ALL FEES DUE AND OWING UNDER THE LOAN DOCUMENTS SHALL HAVE BEEN
PAID IN FULL, THE REVOLVING COMMITMENTS HAVE BEEN TERMINATED AND NO LETTERS OF
CREDIT SHALL BE OUTSTANDING, THE COLLATERAL SHALL BE RELEASED FROM THE LIENS
CREATED BY THE SECURITY DOCUMENTS, AND THE SECURITY DOCUMENTS AND ALL
OBLIGATIONS (OTHER THAN THOSE EXPRESSLY STATED TO SURVIVE SUCH TERMINATION) OF
THE ADMINISTRATIVE AGENT AND EACH LOAN PARTY UNDER THE SECURITY DOCUMENTS SHALL
TERMINATE, ALL WITHOUT DELIVERY OF ANY INSTRUMENT OR PERFORMANCE OF ANY ACT BY
ANY PERSON.

 

10.15                     Confidentiality.Each of the Administrative Agent and
each Lender agrees to keep confidential all non-public information provided to
it by any Loan Party pursuant to this Agreement that is designated by such Loan
Party as confidential; provided that nothing herein shall prevent the
Administrative Agent or any Lender from disclosing any such information (a) to
the Administrative Agent, any other Lender or any affiliate thereof, (b) subject
to an agreement to comply with the provisions of this Section, to any actual or
prospective Transferee or any direct or indirect counterparty to any Swap
Agreement (or any professional advisor to such counterparty), (c) on a
confidential basis, to its employees, directors, agents, attorneys, accountants
and other professional advisors or those of any of its affiliates, (d) upon the
request or demand of any Governmental Authority, (e) in response to any order of
any court or other Governmental Authority or as may otherwise be required
pursuant to any Requirement of Law, (f) if requested or required to do so in
connection with any litigation or similar proceeding, (g) that has been publicly
disclosed other than by the Administrative Agent, any Lender or their respective
affiliates, (h) to the National Association of Insurance Commissioners or any
similar organization or any nationally recognized rating agency that requires
access to information about a Lender’s investment portfolio in connection with
ratings issued with respect to such Lender, or (i) in connection with the
exercise of any remedy hereunder or under any other Loan Document.  Each Lender
shall have the right to review and approve any public announcement made after
the date hereof relating to such Lender or any of its affiliates or to any
matters contemplated hereby, before any such announcement is made (such approval
not to be unreasonably withheld or delayed); provided that this paragraph shall
not apply to the extent any such disclosure may be compelled in a judicial or
administrative proceeding or as otherwise required by law (including any filings
required by the SEC). Notwithstanding anything herein to the contrary, any party
to this Agreement (and any employee, representative, or other agent of any party
to this Agreement) may disclose to any and all persons, without limitation of
any kind, the tax treatment and tax structure of the transactions contemplated
by this Agreement and all materials of any kind (including opinions or other tax
analyses) that are provided to it relating to such tax treatment and tax
structure.  However, any such information relating to the tax treatment or tax
structure is required to be kept confidential to the extent necessary to comply
with any applicable federal or state securities laws.

 

10.16                     WAIVERS OF JURY TRIAL.HOLDINGS, THE BORROWER, THE
ADMINISTRATIVE AGENT AND THE LENDERS HEREBY IRREVOCABLY AND UNCONDITIONALLY
WAIVE TRIAL BY JURY IN ANY LEGAL ACTION OR PROCEEDING RELATING TO THIS AGREEMENT
OR ANY OTHER LOAN DOCUMENT AND FOR ANY COUNTERCLAIM THEREIN.

 

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IN WITNESS WHEREOF, the parties hereto have caused this Amended and Restated
Credit Agreement to be duly executed and delivered by their proper and duly
authorized officers as of the day and year first above written.

 

 

MQ ASSOCIATES, INC.

 

 

 

By:

/s/ John K. Luke

 

 

 

Name: John K. Luke

 

 

Title: President

 

 

 

 

 

 

 

MEDQUEST, INC.

 

 

 

By:

/s/ Gene Venesky

 

 

 

Name:  Gene Venesky

 

 

Title: CEO

 

 

 

 

 

 

 

JPMORGAN CHASE BANK, as Syndication Agent

 

 

 

By:

/s/ Dawn Lee Lum

 

 

 

Name:  Dawn Lee Lum

 

 

Title:  Vice President

 

 

 

 

 

 

 

WACHOVIA BANK, NATIONAL ASSOCIATION, as
Administrative Agent, Co-Documentation Agent
and as a Lender

 

 

 

By:

/s/ Leanne S. Phillips

 

 

 

Name:  Leanne S. Phillips

 

 

Title:  Vice President

 

 

 

 

 

 

 

GENERAL ELECTRIC CAPITAL CORPORATION,
as a Lender

 

 

 

By:

/s/  illegible

 

 

 

Name:

 

 

Title:

 

 

 

 

 

 

 

CHASE LINCOLN FIRST COMMERCIAL CORP.,
as a Lender

 

 

 

By:

/s/  Thomas Kozlark

 

 

 

Name:  Thomas Kozlark

 

 

Title:  Vice President

 

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UBS AG, STAMFORD BRANCH, as a Lender

 

 

 

By:

/s/  Wilfred V. Saint

 

 

 

Name:  Wilfred V. Saint

 

 

Title:  Associate Director,

 

 

Banking Products Services, US

 

 

 

 

 

 

 

By:

/s/  Juan Zuniga

 

 

 

Name:  Juan Zuniga

 

 

Title:  Associate Director,

 

 

Banking Products Services, US

 

 

 

 

 

 

 

Foothill Income Trust, L.P.

 

By FIT GP, LLC, Its General Partner

 

 

 

By:

/s/  M.E. Stearns

 

 

 

Name:  M.E. Stearns

 

 

Title:  Managing Member

 

 

 

 

 

 

 

KZH Cypress Tree-1 LLC

 

 

 

By:

/s/  Dorian Herrera

 

 

 

Name:  Dorian Herrera

 

 

Title:  Authorized Agent

 

 

 

 

 

 

 

KZH ING-2 LLC

 

 

 

By:

/s/  Dorian Herrera

 

 

 

Name:  Dorian Herrera

 

 

Title:  Authorized Agent

 

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