Exhibit10.1

[EXECUTION COPY]

CREDIT AGREEMENT,

dated as of June 13, 2001,

among

USP DOMESTIC HOLDINGS, INC.,as the Borrower,

VARIOUS FINANCIAL INSTITUTIONS FROM TIME TO TIMEPARTIES HERETO,as the Lenders,

 

CREDIT SUISSE FIRST BOSTON,as the Administrative Agent for the Lenders,

LEHMAN COMMERCIAL PAPER INC.,as the Syndication Agent for the Lenders,

and

SOCIÉTÉ GÉNÉRALE,as the Documentation Agent for the Lenders.

----

CREDIT SUISSE FIRST BOSTON,as Lead Arranger and Sole Bookrunner.

TABLE OF CONTENTS

| Section                                      |                                     |   |
|----------------------------------------------|------------------------------------------|--------|
|                                              |                                     |   |
| ARTICLE  I  DEFINITIONS AND ACCOUNTING TERMS |
| 1.1.                                         | Defined Terms                            |   |
| 1.2.                                         | Use of Defined Terms                     |   |
| 1.3.                                         | Cross-References                         |   |
| 1.4.                                         | Accounting  and Financial Determinations |   |

 

| ARTICLE  II  COMMITMENTS, BORROWING AND ISSUANCE  PROCEDURES, NOTES AND LETTERS OF CREDIT |
|-------------------------------------------------------------------------------------------|
| 2.1.                                                                                      | Commitments |   |
| 2.1.1.                                                                                    | Revolving  Loan Commitment |   |
| 2.1.2.                                                                                    | Letter of  Credit Commitment |   |
| 2.2.                                                                                      | Reduction  of the Commitment Amounts |   |
| 2.2.1.                                                                                    | Optional |   |
| 2.2.2.                                                                                    | Mandatory |   |
| 2.3.                                                                                      | Borrowing Procedures |   |
| 2.4.                                                                                      | Continuation  and Conversion Elections |   |
| 2.5.                                                                                      | Funding |   |
| 2.6.                                                                                      | Issuance Procedures |   |
| 2.6.1.                                                                                    | Other  Lenders’ Participation |   |
| 2.6.2.                                                                                    | Disbursements |   |
| 2.6.3.                                                                                    | Reimbursement |   |
| 2.6.4.                                                                                    | Deemed  Disbursements |   |
| 2.6.5.                                                                                    | Nature  of Reimbursement Obligations |   |
| 2.7.                                                                                      | Revolving Notes |   |

 

| ARTICLE  III  REPAYMENTS, PREPAYMENTS, INTEREST AND FEES |
|----------------------------------------------------------|
| 3.1.                                                     | Repayments  and Prepayments; Application |   |
| 3.1.1.                                                   | Repayments  and Prepayments |   |
| 3.1.2.                                                   | Application |   |
| 3.2.                                                     | Interest Provisions |   |
| 3.2.1.                                                   | Rates |   |
| 3.2.2.                                                   | Post-Maturity Rates |   |
| 3.2.3.                                                   | Payment Dates |   |
| 3.3.                                                     | Fees |   |
| 3.3.1.                                                   | Commitment Fee |   |
| 3.3.2.                                                   | Agent’s Fee |   |
| 3.3.3.                                                   | Letter of Credit  Fee |   |

 

| ARTICLE  IV  CERTAIN LIBO RATE AND OTHER PROVISIONS |
|-----------------------------------------------------|
| 4.1.                                                | LIBO Rate  Lending Unlawful |   |
| 4.2.                                                | Deposits Unavailable |   |
| 4.3.                                                | Increased  LIBO Rate Loan Costs, etc. |   |
| 4.4.                                                | Funding Losses |   |
| 4.5.                                                | Increased Capital  Costs |   |
| 4.6.                                                | Taxes |   |
| 4.7.                                                | Payments,  Computations, etc. |   |
| 4.8.                                                | Sharing of Payments |   |
| 4.9.                                                | Setoff |   |

 

| ARTICLE V  CONDITIONS TO CREDIT EXTENSIONS |
|--------------------------------------------|
| 5.1.                                       | Initial Credit  Extension |   |
| 5.1.1.                                     | Resolutions, etc. |   |
| 5.1.2.                                     | Delivery of  Revolving Notes |   |
| 5.1.3.                                     | Subsidiary Guaranty |   |
| 5.1.4.                                     | Parent  Guaranty and Pledge Agreement |   |
| 5.1.5.                                     | Holdings  Guaranty and Pledge Agreement |   |
| 5.1.6.                                     | Borrower  Pledge and Security Agreement |   |
| 5.1.7.                                     | Subsidiary  Pledge and Security Agreement |   |
| 5.1.8.                                     | Filing Agent, etc. |   |
| 5.1.9.                                     | Closing Date  Certificate |   |
| 5.1.10.                                    | Solvency, etc. |   |
| 5.1.11.                                    | Insurance |   |
| 5.1.12.                                    | Financial  Information, etc. |   |
| 5.1.13.                                    | Opinions of  Counsel |   |
| 5.1.14.                                    | Consummation  of Transaction |   |
| 5.1.15.                                    | Transaction  Documents |   |
| 5.1.16.                                    | Payment  of Outstanding Indebtedness, etc. |   |
| 5.1.17.                                    | Closing  Fees, Expenses, etc. |   |
| 5.2.                                       | All Credit  Extensions |   |
| 5.2.1.                                     | Compliance  with Warranties, No Default, etc. |   |
| 5.2.2.                                     | Credit  Extension Request, etc. |   |
| 5.2.3.                                     | Satisfactory  Legal Form |   |

 

| ARTICLE  VI  REPRESENTATIONS AND WARRANTIES6.1.Organization, etc. 6.2.Due  Authorization, Non-Contravention, etc. 6.3.Government  Approval, Regulation, etc. 6.4.Validity,  etc. 6.5.Financial  Information 6.6.No Material  Adverse Change 6.7.Litigation,  Labor Controversies, etc. 6.8.Subsidiaries 6.9.Ownership of  Properties 6.10.Taxes 6.11.Pension and  Welfare Plans 6.12.Environmental  Warranties 6.13.Accuracy of  Information 6.14.Regulations T, U  and X 6.15.Absence  of Any Undisclosed Liabilities 6.16.Issuance  of Subordinated Debt; Status of Obligations as Senior Indebtedness, etc. 
 

 
ARTICLE VII  COVENANTS7.1.Affirmative  Covenants 7.1.1.Financial  Information, Reports, Notices, etc. 7.1.2.Maintenance  of Existence; Compliance with Laws, etc. 7.1.3.Maintenance  of Properties 7.1.4.Insurance 7.1.5.Books and Records 7.1.6.Environmental  Law Covenant 7.1.7.Use of Proceeds 7.1.8.Future  Guarantors, Security, etc. 7.1.9.Rate  Protection Agreements 7.1.10.Dispositions  of Real Property 7.1.11.Restricted  Entity Acknowledgments 7.2.Negative Covenants 7.2.1.Business Activities 7.2.2.Indebtedness 7.2.3.Liens 7.2.4.Financial  Condition and Operations 7.2.5.Investments 7.2.6.Restricted Payments 7.2.7.Capital  Expenditures 7.2.8.No  Prepayment of Subordinated Debt 7.2.9.Issuance  of Equity Interests 7.2.10.Consolidation,  Merger, etc. 7.2.11.Permitted  Dispositions 7.2.12.Modification  of Certain Agreements 7.2.13.Transactions  with Affiliates 7.2.14.Restrictive  Agreements, etc. 7.2.15.Sale and Leaseback 7.2.16.Foreign  Subsidiaries 7.2.17.Amendment  of Organic Documents 7.2.18.Fiscal Year 
 
ARTICLE VIII  EVENTS OF DEFAULT8.1.Listing of  Events of Default 8.1.1.Non-Payment  of Obligations 8.1.2.Breach of Warranty 8.1.3.Non-Performance  of Certain Covenants and Obligations 8.1.4.Non-Performance  of Other Covenants and Obligations 8.1.5.Default  on Other Indebtedness 8.1.6.Judgments 8.1.7.Pension Plans 8.1.8.Change in Control 8.1.9.Bankruptcy,  Insolvency, etc. 8.1.10.Impairment  of Security, etc. 8.1.11.Failure of  Subordination. 8.1.12.Parent  Total Debt to Parent Total Capitalization Ratio. 8.2.Action if Bankruptcy 8.3.Action  if Other Event of Default 
 
ARTICLE IX  THE ADMINISTRATIVE AGENT9.1.Actions 9.2.Funding Reliance,  etc. 9.3.Exculpation 9.4.Successor 9.5.Credit  Extensions by CSFB 9.6.Credit Decisions 9.7.Copies,  etc. 9.8.Reliance  by Administrative Agent 9.9.Defaults 9.10.Syndication  Agent and Documentation Agent 
 
ARTICLE X  MISCELLANEOUS PROVISIONS10.1.Waivers,  Amendments, etc. 10.2.Notices; Time 10.3.Payment of  Costs and Expenses 10.4.Indemnification 10.5.Survival 10.6.Severability 10.7.Headings 10.8.Execution  in Counterparts, Effectiveness, etc. 10.9.Governing  Law; Entire Agreement 10.10.Successors and  Assigns 10.11.Other Transactions 10.12.Forum  Selection and Consent to Jurisdiction 10.13.Waiver of Jury  Trial 10.14.Confidentiality 
 
SCHEDULE  I-Disclosure  ScheduleSCHEDULE  II-Notice  Information; Percentages; LIBOR OfficeEXHIBIT A-Form of Revolving  NoteEXHIBIT B-Form of  Borrowing RequestEXHIBIT C-Form of  Issuance RequestEXHIBIT D-Form of  Continuation/Conversion NoticeEXHIBIT E-Form of Borrower  Closing Date CertificateEXHIBIT  F-Form  of Compliance CertificateEXHIBIT  G-Form of  Subsidiary GuarantyEXHIBIT H-Form of Parent  Guaranty and Pledge AgreementEXHIBIT I-Form of Holdings  Guaranty and Pledge AgreementEXHIBIT J-Form of Borrower  Pledge and Security AgreementEXHIBIT K-Form of  Subsidiary Pledge and Security AgreementEXHIBIT L-Form of Lender Assignment  Agreement
 

CREDIT AGREEMENT

                THIS CREDIT AGREEMENT, dated asof June 13, 2001, is among USP DOMESTIC HOLDINGS, INC., a Delaware corporation(the “Borrower”), the various financial institutions and other Personsfrom time to time parties hereto (the “Lenders”), CREDIT SUISSE FIRSTBOSTON (“CSFB”), as administrative agent (in such capacity, the “AdministrativeAgent”) for the Lenders, LEHMAN COMMERCIAL PAPER INC. (“Lehman”), assyndication agent (in such capacity, the “Syndication Agent”) for theLenders, and SOCIÉTÉ GÉNÉRALE (“SG”), as documentation agent (in suchcapacity, the “Documentation Agent”) for the Lenders.

W I T N E S S E T H:

                WHEREAS, the Borrower is awholly-owned Subsidiary of United Surgical Partners Holdings, Inc., a Delawarecorporation (“Holdings”), and Holdings is a wholly-owned Subsidiary ofUnited Surgical Partners International, Inc., a Delaware corporation (“Parent”);

                WHEREAS, Parent intends to issueshares of its common stock in a public offering for gross cash proceeds of atleast $115,000,000 (the “Parent IPO”), the proceeds of which will beused in part to repay approximately $35,000,000 of indebtedness of Parent (the“Parent Refinancing”), repay approximately $44,100,000 of indebtednessof OrthoLink Physicians Corporation, a Delaware corporation (“OrthoLink”)(the “OrthoLink Refinancing”) and redeem approximately $33,400,000 ofpreferred stock of Parent (the “Parent Stock Redemption”);

                WHEREAS, on or prior to theClosing Date, OrthoLink shall become a direct, wholly owned Subsidiary of theBorrower; 

                WHEREAS, (i) Parent will issuepay-in-kind preferred stock in an amount equal to $20,000,000 and make a cashpayment in an amount equal to $120,000 in satisfaction of $20,120,000 ofcurrent subordinated Indebtedness of Parent owed to Welsh, Carson, Anderson& Stowe VII, L.P. and certain other holders (the “Parent Debt Conversion”),and (ii) the Borrower will issue a 10% subordinated note (the “WCAS Note”)to WCAS Capital Partners III, L.P. in an amount equal to $36,000,000 insatisfaction of certain intercompany indebtedness owed by the Borrower toParent (the “Borrower Debt Conversion”, and together with the ParentIPO, the Parent Refinancing, the OrthoLink Refinancing, the Parent StockRedemption, the Parent Debt Conversion, the Borrower Debt Conversion (includingthe issuance of the WCAS Note) and all transactions related to the foregoing,collectively referred to herein as the “Transaction”);

                WHEREAS,in connection with the Transaction and the ongoing working capital and generalcorporate needs of the Borrower and its Consolidated Entities, the Borrowerdesires to obtain a revolving loan commitment (to include availability forrevolving loans and letters of credit); and

                WHEREAS, the Lenders and theIssuer are willing, on the terms and subject to the conditions hereinafter setforth, to extend the Commitments and make Loans to the Borrower and issue (orparticipate in) Letters of Credit; 

                NOW, THEREFORE, the partieshereto agree as follows.

ARTICLEIDEFINITIONS AND ACCOUNTING TERMS

                SECTION1.1. Defined Terms. The following terms (whether or not underscored)when used in this Agreement, including its preamble and recitals, shall, exceptwhere the context otherwise requires, have the following meanings (suchmeanings to be equally applicable to the singular and plural forms thereof):

                “Administrative Agent” isdefined in the preamble and includes each other Person appointed as thesuccessor Administrative Agent pursuant to Section 9.4. 

                “Affiliate” of any Personmeans any other Person which, directly or indirectly, controls, is controlledby or is under common control with such Person. “Control” of a Person means thepower, directly or indirectly, (a) to vote 10% or more of the Equity Interests(on a fully diluted basis) of such Person having ordinary voting power for theelection of directors, managing members or general partners (as applicable); or(b) to direct or cause the direction of the management and policies of suchPerson (whether by contract or otherwise). 

                “Agents” means,collectively, the Administrative Agent, the Syndication Agent and theDocumentation Agent. 

                “Agreement” means, on anydate, this Credit Agreement as originally in effect on the Effective Date andas thereafter from time to time amended, supplemented, amended and restated orotherwise modified from time to time and in effect on such date.

                “AlternateBase Rate” means, on any date and with respect to all Base Rate Loans, afluctuating rate of interest per annum (rounded upward, if necessary, to thenext highest 1/16 of 1%) equal to the higher of 

                (a) the Base Rate in effect onsuch day; and 

                (b) the Federal Funds Rate ineffect on such day plus 1⁄2 of 1%. 

Changes in therate of interest on that portion of any Loans maintained as Base Rate Loanswill take effect simultaneously with each change in the Alternate Base Rate.The Administrative Agent will give notice promptly to the Borrower and theLenders of changes in the Alternate Base Rate; provided that the failureto give such notice shall not affect the Alternate Base Rate in effect aftersuch change. 

                “Annualized” means, (a)with respect to the end of the first Fiscal Quarter of the 2001 Fiscal Year,the applicable amount for such Fiscal Quarter multiplied by four, (b) withrespect to the second Fiscal Quarter of the 2001 Fiscal Year, the applicableamount for such Fiscal Quarter and the immediately preceding Fiscal Quartermultiplied by two, and (c) with respect to the third Fiscal Quarter of the 2001Fiscal Year, the applicable amount for such Fiscal Quarter and the twoimmediately preceding Fiscal Quarters multiplied by one and one-third. 

                Applicable Margin” meansthe applicable percentage set forth below corresponding to the relevant TotalDebt to EBITDA Ratio: 
Total Debt to  EBTIDA Ratio Applicable  Margin For  Base Rate Loans Applicable  Margin For  LIBO Rate Loans    33.00:1 2.25% 3.25% 32.25:1 and < 3.00:1 2.00% 3.00% 31.75:1 and < 2.25:1 1.75% 2.75% < 1.75:1 1.50% 2.50% 
Notwithstandinganything to the contrary set forth in this Agreement (including the theneffective Total Debt to EBITDA Ratio), the Applicable Margin for all Loans fromthe Effective Date through (and including) the date upon which the ComplianceCertificate for the second full Fiscal Quarter ending after the Closing Date isdelivered by the Borrower to the Administrative Agent pursuant to clause (c)of Section 7.1.1 shall be 2.00% for Base Rate Loans and 3.00% for LIBORate Loans. The Total Debt to EBITDA Ratio used to compute the ApplicableMargin shall be the Total Debt to EBITDA Ratio set forth in the ComplianceCertificate most recently delivered by the Borrower to the AdministrativeAgent.Changes in the Applicable Margin resulting from a change in the Total Debt toEBITDA Ratio. hall become effective upon delivery by the Borrower to theAdministrative Agent of a new Compliance Certificate pursuant to clause (c)of Section 7.1.1. If the Borrower shall fail to deliver a ComplianceCertificate within 45 days after the end of any Fiscal Quarter (or within 90days, in the case of the last Fiscal Quarter of the Fiscal Year), theApplicable Margin from and including the 46th (or 91st, as the case may be) dayafter the end of such Fiscal Quarter to but not including the date the Borrowerdelivers to the Administrative Agent a Compliance Certificate shallconclusively equal the highest Applicable Margin set forth above.

                “ApprovedFund” means any Person (other than a natural Person) that (a) is or will beengaged in making, purchasing, holding or otherwise investing in commercialloans and similar extensions of credit in the ordinary course of its business,and (b) is administered or managed by a Lender, an Affiliate of a Lender or anentity or an Affiliate of an entity that administers or manages a Lender.

                “Authorized Officer”means, relative to any Obligor, those of its officers, general partners ormanaging members (as applicable) whose signatures and incumbency shall havebeen certified to the Administrative Agent, the Lenders and the Issuer pursuantto Section 5.1.1. 

                “Base Rate” means, at anytime, the rate of interest then most recently established by the AdministrativeAgent in New York as its base rate for Dollars loaned in the United States. TheBase Rate is not necessarily intended to be the lowest rate of interestdetermined by the Administrative Agent in connection with extensions of credit.

                “Base Rate Loan” means aLoan bearing interest at a fluctuating rate determined by reference to theAlternate Base Rate.

                “Borrower” is defined inthe preamble.

                “Borrower Closing DateCertificate” means the closing date certificate executed and delivered byan Authorized Officer of the Borrower pursuant to the terms of this Agreement,substantially in the form of Exhibit E hereto.

                Borrower Debt Conversion”is defined in the fourth recital.

                Borrower Pledge and SecurityAgreement” means the pledge and security agreement executed and deliveredby an Authorized Officer of the Borrower pursuant to the terms of thisAgreement, substantially in the form of Exhibit J hereto, as amended,supplemented, amended and restated or otherwise modified from time to time.

                “Borrowing”means the Loans of the same type and, in the case of LIBO Rate Loans, havingthe same Interest Period made by all Lenders required to make such Loans on thesame Business Day and pursuant to the same Borrowing Request in accordance withSection 2.1.1.

                “Borrowing Request” meansa Loan request and certificate duly executed by an Authorized Officer of theBorrower, substantially in the form of Exhibit B hereto.

                “Business Day” means 

                (a) any day which is neither aSaturday or Sunday nor a legal holiday on which banks are authorized orrequired to be closed in New York, New York; and 

                (b) relative to the making,continuing, prepaying or repaying of any LIBO Rate Loans, any day which is aBusiness Day described in clause (a) above and which is also a day onwhich dealings in Dollars are carried on in the London interbank eurodollarmarket.

                “Capital Expenditures”means, for any period, the aggregate amount of (a) all expenditures of theBorrower and its Consolidated Entities for fixed or capital assets made duringsuch period which, in accordance with GAAP, would be classified as capital expendituresand (b) Capitalized Lease Liabilities incurred by the Borrower and itsConsolidated Entities during such period.

                “Capitalized LeaseLiabilities” means, with respect to any Person, all monetary obligations ofsuch Person under any leasing or similar arrangement which have been (or, inaccordance with GAAP, should be) classified as capitalized leases, and forpurposes of each Loan Document the amount of such obligations shall be thecapitalized amount thereof, determined in accordance with GAAP, and the statedmaturity thereof shall be the date of the last payment of rent or any otheramount due under such lease prior to the first date upon which such lease maybe terminated by the lessee without payment of a premium or a penalty.

                “Cash Collateralize”means, with respect to a Letter of Credit, the deposit of immediately availablefunds into a cash collateral account maintained with (or on behalf of) theAdministrative Agent on terms satisfactory to the Administrative Agent in anamount equal to the Stated Amount of such Letter of Credit.

                “Cash Equivalent Investment”means, at any time:

                (a) any direct obligation of (orunconditionally guaranteed by) the United States or a State thereof (or anyagency or political subdivision thereof, to the extent such obligations aresupported by the full faith and credit of the United States or a State thereof)maturing not more than one year after such time;

                (b)commercial paper maturing not more than 270 days from the date of issue, whichis issued by 

                (i) a corporation (other than anAffiliate of any Obligor) organized under the laws of any State of the UnitedStates or of the District of Columbia and rated A-1 or higher by S&P or P-1or higher by Moody’s, or 

                (ii) any Lender (or its holdingcompany);

                (c) any certificate of deposit,time deposit or bankers acceptance, maturing not more than one year after itsdate of issuance, which is issued by either 

                (i) any bank organized under thelaws of the United States (or any State thereof) and which has (x) a creditrating of A2 or higher from Moody’s or A or higher from S&P and (y) acombined capital and surplus greater than $500,000,000, or 

                (ii) any Lender; or

                (d) any repurchase agreementhaving a term of 30 days or less entered into with any Lender or any commercialbanking institution satisfying the criteria set forth in clause (c)(i)which 

   (i) is secured by a fully perfected securityinterest in any obligation of the type described in clause (a), and 

   (ii) has a market value at the time suchrepurchase agreement is entered into of not less than 100% of the repurchaseobligation of such commercial banking institution thereunder.

                “Casualty Event” meansthe damage, destruction or condemnation, as the case may be, of property of anyPerson or any of its Subsidiaries. 

                CERCLA” means theComprehensive Environmental Response, Compensation and Liability Act of 1980,as amended.

                CERCLIS” means theComprehensive Environmental Response Compensation Liability Information SystemList.

                Changein Control” means.

                (a) the failure of Parent at anytime to directly own beneficially and of record on a fully diluted basis 100%of the outstanding Equity Interests of Holdings, such Equity Interests to beheld free and clear of all Liens (other than Liens granted under a LoanDocument); or 

                (b) the failure of Holdings atany time to directly own beneficially and of record on a fully diluted basis100% of the outstanding Equity Interests of the Borrower, such Equity Intereststo be held free and clear of all Liens (other than Liens granted under a LoanDocument); or 

                (c) any person or group (withinthe meaning of Sections 13(d) and 14(d) under the Exchange Act), other thanWelsh, Carson, Anderson & Stowe VII, L.P. or its Affiliates, shall becomethe ultimate “beneficial owner” (as defined in Rules 13d-3 and 13d-5 under theExchange Act), directly or indirectly, of Equity Interests representing morethan 40% of the Equity Interests of Parent on a fully diluted basis; or 

                (d) during any period of 24consecutive months, individuals who at the beginning of such period constitutedthe Board of Directors of Parent (together with any new directors whoseelection to such Board or whose nomination for election by the stockholders ofParent was approved by a vote of a majority of the directors then still inoffice who were either directors at the beginning of such period or whoseelection or nomination for election was previously so approved) cease for anyreason to constitute a majority of the Board of Directors of Parent then in office;or 

                (e) the occurrence of any“Change of Control” (or similar term) under (and as defined in) any Sub DebtDocument. 

                “Closing Date” means June13, 2001.

                “Code” means the InternalRevenue Code of 1986, and the regulations thereunder, in each case as amended,reformed or otherwise modified from time to time.

                “Commitment” means, asthe context may require, the Revolving Loan Commitment or the Letter of CreditCommitment.

                “Commitment Amount”means, as the context may require, the Revolving Loan Commitment Amount or theLetter of Credit Commitment Amount.

                “CommitmentTermination Date” means the earliest of

                (a) July 15, 2001 (if theinitial Credit Extension has not occurred on or prior to such date);

                (b) June 13, 2004;

                (c) the date on which the RevolvingLoan Commitment Amount is terminated in full or reduced to zero pursuant to theterms of this Agreement; and

                (d) the date on which anyCommitment Termination Event occurs.

Upon theoccurrence of any event described in the preceding clauses (c) or (d),the Commitments shall terminate automatically and without any further action.

                “Commitment Termination Event”means

                (a) the occurrence of any Eventof Default with respect to the Borrower described in clauses (a) through(d) of Section 8.1.9; or

                (b) the occurrence andcontinuance of any other Event of Default and either

                (i) the declaration of all orany portion of the Loans to be due and payable pursuant to Section 8.3,or

                (ii) the giving of notice by theAdministrative Agent, acting at the direction of the Required Lenders, to theBorrower that the Commitments have been terminated.

                “Compliance Certificate”means a certificate duly completed and executed by an Authorized Officer of theBorrower, substantially in the form of Exhibit F hereto, together withsuch changes thereto as the Administrative Agent may from time to time requestfor the purpose of monitoring the Borrower’s compliance with the financialcovenants contained herein. 

                “Confidential Information”means information relating to the Borrower, any of its Subsidiaries or anyother Obligor obtained by any Secured Party pursuant to or in connection withthis Agreement, or otherwise from or on behalf of the Borrower or any of itsSubsidiaries or Affiliates (to the extent identified as Affiliates to theAdministrative Agent and the Lenders) (including any such information obtainedby either the Administrative Agent or any Lender in the course of any review ofthe books or records of the Borrower or any Subsidiary thereof as contemplatedherein), but excluding information (i) that was previously known to any SecuredParty (other than through a previous lending or other business relationshipwith the Borrower or any of its Subsidiaries), (ii) that is or subsequentlybecomes generally publicly known through no act or omission by any SecuredParty or any Person acting therefor or (iii) that has been disclosed to anySecured Party from a third party without contravening the terms of thisAgreement.

                “ConsolidatedEntities” means each of the Borrower’s Subsidiaries and each of theoperating partnerships, limited liability companies, joint ventures or similarentities in which the Borrower has, directly or indirectly, invested, in eachcase which are consolidated in the Borrower’s financial statements deliveredpursuant to Section 7.1.1.

                “Contingent Liability”means any agreement, undertaking or arrangement by which any Person guarantees,endorses or otherwise becomes or is contingently liable upon (by direct orindirect agreement, contingent or otherwise, to provide funds for payment, tosupply funds to, or otherwise to invest in, a debtor in connection with suchdebtor’s Indebtedness, or otherwise to assure a creditor against loss) theIndebtedness of any other Person (other than by endorsements of instruments inthe course of collection), or guarantees the payment of dividends or otherdistributions upon the Equity Interests of any other Person. The amount of anyPerson’s obligation under any Contingent Liability shall (subject to anylimitation set forth therein) be deemed to be the outstanding principal amountof the debt, obligation or other liability guaranteed thereby. 

                “Continuation/ConversionNotice” means a notice of continuation or conversion and certificate dulyexecuted by an Authorized Officer of the Borrower, substantially in the form ofExhibit D hereto.

                “Controlled Group” meansall members of a controlled group of corporations and all members of acontrolled group of trades or businesses (whether or not incorporated) undercommon control which, together with the Borrower, are treated as a singleemployer under Section 414(b) or 414(c) of the Code or Section 4001 of ERISA.

                “Copyright Security Agreement”means any copyright security agreement executed and delivered by any Obligor,substantially in the form of Exhibit C to any Pledge Agreement, as amended,supplemented, amended and restated or otherwise modified from time to time.

                “Credit Extension” means,as the context may require, (a) the making of a Loan by a Lender or (b) theissuance of any Letter of Credit, or the extension of any Stated Expiry Date ofany existing Letter of Credit, by an Issuer. 

                “CSFB” is defined in the preamble.

                “Default”means any Event of Default or any condition, occurrence or event which, afternotice or lapse of time or both, would constitute an Event of Default. 

                “Disbursement” is definedin Section 2.6.2.

                “Disbursement Date” isdefined in Section 2.6.2.

                “Disclosure Schedule”means the Disclosure Schedule attached hereto as Schedule I, as it maybe amended, supplemented, amended and restated or otherwise modified from timeto time by the Borrower with the written consent of the Required Lenders.

                “Disposition” (or similarwords such as “Dispose”) means any sale, transfer, lease, contributionor other conveyance (including by way of merger) of, or the granting ofoptions, warrants or other rights to, any of the Borrower’s or its ConsolidatedEntities’ assets (including accounts receivable and Equity Interests ofSubsidiaries, but excluding cash) to any other Person (other than to anotherObligor) in a single transaction or series of transactions.

                “Documentation Agent” isdefined in the preamble.

                “Dollar” and the sign “$”mean lawful money of the United States.

                “EBITDA” means, for anyapplicable period, the sum of (a) Net Income, plus (b) to the extentdeducted in determining Net Income, the sum of (i) amounts attributable toamortization, (ii) income tax expense, (iii) Interest Expense and (iv)depreciation of assets; provided that, for the first three FiscalQuarters of the 2001 Fiscal Year, EBITDA shall be Annualized; providedfurtherthat EBITDA shall be adjusted to give proforma effect toPermitted Acquisitions made during such period (such adjustment to besatisfactory to the Administrative Agent) as if such Permitted Acquisitions hadbeen made at the beginning of such period; and providedfurtherthat, for purposes of calculating the Fixed Charge Coverage Ratio and theInterest Coverage Ratio, EBITDA shall include amounts attributable to MinorityInterests to the extent deducted in determining Net Income.

                “Effective Date” meansthe date this Agreement becomes effective pursuant to Section 10.8.

                “Eligible Assignee” means(a) a Lender, (b) an Affiliate of a Lender, (c) an Approved Fund or (d) any otherPerson (other than a natural Person) approved (in the case of this clause(d)) by the Agents, the Issuer (but then only in the case of any assignmentof the Revolving Loan Commitment) and, unless (i) such Person is takingdelivery of an assignment in connection with physical settlement of a creditderivatives transaction or (ii) an Event of Default has occurred and iscontinuing, the Borrower (each such approval not to be unreasonably withheld ordelayed)

                “EnvironmentalLaws” means all applicable federal, state or local statutes, laws,ordinances, codes, rules, regulations and guidelines (including consent decreesand administrative orders) relating to public health and safety and protectionof the environment. 

                “Equity Interests” means,with respect to any Person, any and all shares, interests, participations orother equivalents (however designated, whether voting or non-voting) of suchPerson’s capital, whether now outstanding or issued after the Effective Date.

                “ERISA” means theEmployee Retirement Income Security Act of 1974, as amended, and any successorstatute thereto of similar import, together with the regulations thereunder, ineach case as in effect from time to time. References to Sections of ERISA alsorefer to any successor Sections thereto. 

                “Event of Default” isdefined in Section 8.1.

                “Excess Cash Flow” means,for any Fiscal Year, (a) EBITDA for such Fiscal Year less (b) the sum(for such Fiscal Year) of (i) Interest Expense actually paid in cash by theBorrower and its Consolidated Entities, (ii) principal repayments, to theextent actually made, of Indebtedness by the Borrower and its ConsolidatedEntities (including Revolving Loans pursuant to Section 3.1.1), (iii)all income Taxes actually paid in cash by the Borrower and its ConsolidatedEntities, (iv) Capital Expenditures actually made by the Borrower and itsConsolidated Entities in such Fiscal Year, (v) extraordinary non-recurring,non-cash charges acceptable to the Administrative Agent and (vi) the increase,if any, in current assets over current liabilities of the Borrower and itsConsolidated Entities during such Fiscal Year, plus (c) the decrease, ifany, of current assets over current liabilities of the Borrower and itsConsolidated Entities during such Fiscal Year.

                “Exemption Certificate”is defined in clause (e) of Section 4.6.

                “Exchange Act” means theSecurities Exchange Act of 1934, as amended.

                “Federal Funds Rate”means, for any period, a fluctuating interest rate per annum equal for each dayduring such period to 

                (a) the weighted average of therates on overnight federal funds transactions with members of the FederalReserve System arranged by federal funds brokers, as published for such day(or, if such day is not a Business Day, for the next preceding Business Day) bythe Federal Reserve Bank of New York; or

                (b) if such rate is not sopublished for any day which is a Business Day, the average of the quotationsfor such day on such transactions received by the Administrative Agent fromthree federal funds brokers of recognized standing selected by it.

                “FeeLetter” means the confidential letter, dated June 6, 2001, from the Agentsto the Borrower.

                “Filing Agent” is definedin Section 5.1.8.

                “Filing Statements” isdefined in Section 5.1.8.

                “Fiscal Quarter” means aquarter ending on the last day of March, June, September or December.

                “Fiscal Year” means anyperiod of twelve consecutive calendar months ending on December 31; referencesto a Fiscal Year with a number corresponding to any calendar year (e.g.,the “2001 Fiscal Year”) refer to the Fiscal Year ending on December 31 of suchcalendar year.

                “Fixed Charge Coverage Ratio”means, as of the close of any Fiscal Quarter, the ratio computed for the periodconsisting of such Fiscal Quarter and each of the three immediately precedingFiscal Quarters of (a) EBITDA (for all such Fiscal Quarters) minus MaintenanceCapital Expenditures made during such Fiscal Quarters to (b) the sum(for all such Fiscal Quarters) of (i) Interest Expense, (ii) scheduledprincipal repayments of Indebtedness made during such period, and (iii) allincome Taxes actually paid in cash by the Borrower and its ConsolidatedEntities; provided that, for the first three Fiscal Quarters of the 2001Fiscal Year, the amounts set forth in clauses (a) and (b) shallbe Annualized.

                “Foreign Subsidiary”means any Subsidiary that is not incorporated or organized under the laws ofthe United States or a state thereof.

                “F.R.S. Board” means theBoard of Governors of the Federal Reserve System or any successor thereto.

                “Ft. Worth” is defined inclause (j) of Section 7.2.5.

                “Ft. Worth Acquisition”is defined in clause (j) of Section 7.2.5.

                “GAAP” is defined in Section1.4.

                “Governmental Authority”means the government of the United States, any other nation or any politicalsubdivision thereof, whether state or local, and any agency, authority,instrumentality, regulatory body, court, central bank or other Personexercising executive, legislative, judicial, taxing, regulatory oradministrative powers or functions of or pertaining to government.

                “HazardousMaterial” means (a) any “hazardous substance”, as defined by CERCLA, (b)any “hazardous waste”, as defined by the Resource Conservation and RecoveryAct, as amended, or (c) any pollutant or contaminant or hazardous, dangerous ortoxic chemical, material or substance (including any petroleum product) withinthe meaning of any other applicable federal, state or local law, regulation,ordinance or requirement (including consent decrees and administrative orders)relating to or imposing liability or standards of conduct concerning anyhazardous, toxic or dangerous waste, substance or material, all as amended.

                “Hedging Obligations”means, with respect to any Person, all liabilities of such Person undercurrency exchange agreements, interest rate swap agreements, interest rate capagreements and interest rate collar agreements, and all other agreements orarrangements designed to protect such Person against fluctuations in interestrates or currency exchange rates.

                “herein”, “hereof”,“hereto”, “hereunder” and similar terms contained in any LoanDocument refer to such Loan Document as a whole and not to any particularSection, paragraph or provision of such Loan Document.

                “Holdings” is defined inthe first recital.

                “Holdings Guaranty and PledgeAgreement” means the guaranty and pledge agreement executed and deliveredby an Authorized Officer of Holdings pursuant to the terms of this Agreement,substantially in the form of Exhibit I hereto, as amended, supplemented,amended and restated or otherwise modified from time to time.

                “Impermissible Qualification”means any qualification or exception to the opinion or certification of anyindependent public accountant as to any financial statement of the Borrower (a)which is of a “going concern” or similar nature, (b) which relates to thelimited scope of examination of matters relevant to such financial statement,or (c) which relates to the treatment or classification of any item in suchfinancial statement and which, as a condition to its removal, would require anadjustment to such item the effect of which would be to cause the Borrower tobe in Default.

                “including” and “include”means including without limiting the generality of any description precedingsuch term, and, for purposes of each Loan Document, the parties hereto agreethat the rule of ejusdem generis shall not be applicable to limit a generalstatement, which is followed by or referable to an enumeration of specificmatters, to matters similar to the matters specifically mentioned.

                “Indebtedness” of anyPerson means:

                (a) all obligations of suchPerson for borrowed money or advances and all obligations of such Personevidenced by bonds, debentures, notes or similar instruments;.

                (b)all obligations, contingent or otherwise, relative to the face amount of allletters of credit, whether or not drawn, and banker’s acceptances issued forthe account of such Person; 

                (c) all Capitalized LeaseLiabilities of such Person;

                (d) for purposes of Section8.1.5 only, all other items which, in accordance with GAAP, would beincluded as liabilities on the balance sheet of such Person as of the date atwhich Indebtedness is to be determined;

                (e) net Hedging Obligations ofsuch Person;

                (f) whether or not so included asliabilities in accordance with GAAP, all obligations of such Person to pay thedeferred purchase price of property or services after receipt or performancethereof (excluding trade accounts payable in the ordinary course of businesswhich are not overdue for a period of more than 90 days or, if overdue for morethan 90 days, as to which a dispute exists and adequate reserves in conformitywith GAAP have been established on the books of such Person), and indebtednesssecured by (or for which the holder of such indebtedness has an existing right,contingent or otherwise, to be secured by) a Lien on property owned or beingacquired by such Person (including indebtedness arising under conditional salesor other title retention agreements, but excluding earn-outs or othercontingent purchase price adjustments in connection with acquisitions to theextent not yet determined), whether or not such indebtedness shall have beenassumed by such Person or is limited in recourse;

                (g) obligations arising underSynthetic Leases; and

                (h) all Contingent Liabilitiesof such Person in respect of any of the foregoing.

TheIndebtedness of any Person shall include the Indebtedness of any other Person(including any partnership in which such Person is a general partner) to the extentsuch Person is liable therefor as a result of such Person’s ownership interestin or other relationship with such Person, except to the extent the terms ofsuch Indebtedness provide that such Person is not liable therefor.

                “Indemnified Liabilities”is defined in Section 10.4.

                “Indemnified Parties” isdefined in Section 10.4.

                “Interest Coverage Ratio”means, as of the last day of any Fiscal Quarter, the ratio computed for theperiod consisting of such Fiscal Quarter and each of the three immediatelypreceding Fiscal Quarters of (a) EBITDA (for all such Fiscal Quarters) to (b)the sum (for all such Fiscal Quarters) of Interest Expense. 

                “InterestExpense” means, for any applicable period, without duplication, theaggregate interest expense (both accrued and paid and net of any interestincome paid during such period to the Borrower and its Consolidated Entities)of the Borrower and its Consolidated Entities for such applicable period,including the portion of any payments made in respect of Capitalized LeaseLiabilities allocable to interest expense.

                “Interest Period” means,relative to any LIBO Rate Loan, the period beginning on (and including) thedate on which such LIBO Rate Loan is made or continued as, or converted into, aLIBO Rate Loan pursuant to Sections 2.3 or 2.4 and shall end on(but exclude) the day which numerically corresponds to such date one, two,three or six months thereafter (or, if such month has no numericallycorresponding day, on the last Business Day of such month), as the Borrower mayselect in its relevant notice pursuant to Sections 2.3 or 2.4; providedthat 

                (a) the Borrower shall not bepermitted to select Interest Periods to be in effect at any one time which haveexpiration dates occurring on more than five different dates; 

                (b) if such Interest Periodwould otherwise end on a day which is not a Business Day, such Interest Periodshall end on the next following Business Day (unless such next followingBusiness Day is the first Business Day of a calendar month, in which case suchInterest Period shall end on the Business Day next preceding such numericallycorresponding day); and

                (c) no Interest Period for anyLoan may end later than the Stated Maturity Date for such Loan.

                “Investment” means,relative to any Person, (a) any loan, advance or extension of credit made bysuch Person to any other Person, including the purchase by such Person of anybonds, notes, debentures or other debt securities of any other Person, (b)Contingent Liabilities in favor of any other Person, and (c) any EquityInterests held by such Person in any other Person. The amount of any Investmentshall be the original principal or capital amount thereof less all returns ofprincipal or equity thereon and shall, if made by the transfer or exchange of propertyother than cash, be deemed to have been made in an original principal orcapital amount equal to the fair market value of such property at the time ofsuch Investment.

                “ISP Rules” is defined inSection 10.9.

                “Issuance Request” meansa Letter of Credit request and certificate duly executed by an AuthorizedOfficer of the Borrower, substantially in the form of Exhibit C hereto.

                “Issuer”means CSFB in its capacity as Issuer of the Letters of Credit. At the requestof CSFB and with the Borrower’s consent (not to be unreasonably withheld),another Lender or an Affiliate of CSFB may issue one or more Letters of Credithereunder. 

                “Lehman” is defined inthe preamble.

                “Lender Assignment Agreement”means an assignment agreement, substantially in the form of Exhibit Lhereto.

                “Lenders” is defined inthe preamble.

                “Lender’s EnvironmentalLiability” means any and all losses, liabilities, obligations, penalties,claims, litigation, demands, defenses, costs, judgments, suits, proceedings,damages (including consequential damages), disbursements or expenses of anykind or nature whatsoever (including reasonable attorneys’ fees at trial andappellate levels and experts’ fees and disbursements ands expenses incurred ininvestigating, defending against or prosecuting any litigation, claim orproceeding) which may at any time be imposed upon, incurred by or asserted orawarded against the Administrative Agent, any Lender or any Issuer or any ofsuch Person’s Affiliates, shareholders, directors, officers, employees, andagents in connection with or arising from:

                (a) any Hazardous Material on,in, under or affecting all or any portion of any property of the Borrower orany of its Consolidated Entities, the groundwater thereunder, or anysurrounding areas thereof to the extent caused by Releases from the Borrower’sor any of its Consolidated Entities’ or any of their respective predecessors’properties;

                (b) any misrepresentation,inaccuracy or breach of any warranty, contained or referred to in Section6.12;

                (c) any violation or claim ofviolation by the Borrower or any of its Consolidated Entities of anyEnvironmental Laws; or

                (d) the imposition of any lienfor damages caused by or the recovery of any costs for the cleanup, release orthreatened release of Hazardous Material by the Borrower or any of itsConsolidated Entities, or in connection with any property owned or formerlyowned by the Borrower or any of its Consolidated Entities.

                “Letter of Credit” isdefined in Section 2.1.2.

                “Letter of Credit Commitment”means the Issuer’s obligation to issue Letters of Credit pursuant to Section2.1.2.

                “Letterof Credit Commitment Amount” means, on any date, a maximum amount of$2,500,000, as such amount may be permanently reduced from time to timepursuant to Section 2.2.

                “Letter of CreditOutstandings” means, on any date, an amount equal to the sum of (a) thethen aggregate amount which is undrawn and available under all issued andoutstanding Letters of Credit, and (b) the then aggregate amount of all unpaidand outstanding Reimbursement Obligations.

                “LIBO Rate” means,relative to any Interest Period for LIBO Rate Loans, the rate of interest equalto the average of the rates per annum at which Dollar deposits in immediatelyavailable funds are offered to the Administrative Agent’s LIBOR Office in theLondon interbank market as at or about 11:00 a.m. London, England time twoBusiness Days prior to the beginning of such Interest Period for delivery onthe first day of such Interest Period, and in an amount approximately equal tothe amount of the Administrative Agent’s LIBO Rate Loan and for a periodapproximately equal to such Interest Period. 

                “LIBO Rate Loan” means aLoan bearing interest, at all times during an Interest Period applicable tosuch Loan, at a rate of interest determined by reference to the LIBO Rate(Reserve Adjusted).

                “LIBO Rate (Reserve Adjusted)”means, relative to any Loan to be made, continued or maintained as, orconverted into, a LIBO Rate Loan for any Interest Period, a rate per annumdetermined pursuant to the following formula:
LIBO Rate=LIBO Rate  (Reserve Adjusted) 1.00 - LIBOR Reserve Percentage
The LIBO Rate(Reserve Adjusted) for any Interest Period for LIBO Rate Loans will bedetermined by the Administrative Agent on the basis of the LIBOR ReservePercentage in effect two Business Days before the first day of such InterestPeriod.

                “LIBOR Office” means theoffice of a Lender designated as its “LIBOR Office” on Schedule IIhereto or in a Lender Assignment Agreement, or such other office designatedfrom time to time by notice from such Lender to the Borrower and theAdministrative Agent, whether or not outside the United States, which shall bemaking or maintaining the LIBO Rate Loans of such Lender. 

                “LIBOR Reserve Percentage”means, relative to any Interest Period for LIBO Rate Loans, the reservepercentage (expressed as a decimal) equal to the maximum aggregate reserverequirements (including all basic, emergency, supplemental, marginal and otherreserves and taking into account any transitional adjustments or otherscheduled changes in reserve requirements) specified under regulations issuedfrom time to time by the F.R.S. Board and then applicable to assets orliabilities consisting of or including “Eurocurrency Liabilities”, as currentlydefined in Regulation D of the F.R.S. Board, having a term approximately equalor comparable to such Interest Period.

                “Lien”means any security interest, mortgage, pledge, hypothecation, assignment,deposit arrangement, encumbrance, lien (statutory or otherwise), charge againstor interest in property, or other priority or preferential arrangement of anykind or nature whatsoever, to secure payment of a debt or performance of anobligation.

                “Loan” means a RevolvingLoan.

                “Loan Documents” means,collectively, this Agreement, the Revolving Notes, the Letters of Credit, eachRate Protection Agreement, the Fee Letter, the Subsidiary Guaranty, each PledgeAgreement, each Mortgage, each other agreement pursuant to which theAdministrative Agent is granted a Lien to secure the Obligations and each otheragreement, certificate, document or instrument delivered in connection with anyLoan Document, whether or not specifically mentioned herein or therein, butexcluding the commitment letter, dated June 6, 2001, from the Agents to theBorrower.

                “Maintenance CapitalExpenditures” means any Capital Expenditures made with respect to themaintenance of existing assets.

                “Material Adverse Effect”means a material adverse effect on (a) the business, condition (financial orotherwise), operations, performance, properties or prospects of the Borrower orthe Borrower and its Consolidated Entities taken as a whole, (b) the rights andremedies of any Secured Party under any Loan Document or (c) the ability of anyObligor to perform its Obligations under any Loan Document.

                “Minority Interests”means, with respect to Consolidated Entities, the Equity Interests held byPersons other than the Borrower or Subsidiary Guarantors as reflected in thefinancial statements of the Borrower in accordance with GAAP.

                “Moody’s” means Moody’sInvestors Service, Inc.

                “Mortgage” means eachmortgage, deed of trust or agreement executed and delivered by any Obligor infavor of the Administrative Agent for the benefit of the Secured Partiespursuant to the requirements of this Agreement, in form and substancesatisfactory to the Administrative Agent, under which a Lien is granted on thereal property and fixtures described therein, in each case as amended,supplemented, amended and restated or otherwise modified from time to time.

                “Net Casualty Proceeds”means, with respect to any Casualty Event, the amount of any insurance proceedsor condemnation awards received by the Borrower or any of its ConsolidatedEntities in connection with such Casualty Event in excess of $500,000,individually or in the aggregate over the course of a Fiscal Year (net of allreasonable and customary collection expenses thereof), but excluding anyproceeds or awards required to be paid to a creditor (other than the Lenders)which holds a first priority Lien permitted by Section 7.2.3 on theproperty which is the subject of such Casualty Event.

                “NetDisposition Proceeds” means, with respect to any Disposition pursuant to clause(d) of Section 7.2.11, the excess of (a) the gross cash proceedsreceived by the Borrower or any of its Consolidated Entities from suchDisposition and any cash payment received in respect of promissory notes orother non-cash consideration delivered to the Borrower or its ConsolidatedEntities in respect thereof, over (b) the sum of (i) all reasonable andcustomary legal, investment banking, brokerage and accounting fees and expensesincurred in connection with such Disposition, (ii) all taxes actually paid orestimated by the Borrower to be payable in cash within the next 12 months inconnection with such Disposition, (iii) payments made by the Borrower or any ofits Consolidated Entities to retire Indebtedness (other than the CreditExtensions) where payment of such Indebtedness is required in connection withsuch Disposition and (iv) amounts attributable to Minority Interests; providedthat if the amount of any estimated taxes pursuant to clause (ii)exceeds the amount of taxes actually required to be paid in cash in respect ofsuch Disposition, the aggregate amount of such excess shall constitute NetDisposition Proceeds.

                “Net Equity Proceeds”means, with respect to the sale or issuance after the Closing Date by theBorrower to any Person of any Equity Interests, warrants or options or theexercise of any such warrants or options, the excess of (a) the gross cashproceeds received by such Person from such sale, exercise or issuance, over(b) all reasonable and customary underwriting commissions and legal, investmentbanking, brokerage and accounting and other professional fees, salescommissions and disbursements actually incurred in connection with such sale orissuance which have not been paid to Affiliates of the Borrower in connectiontherewith.

                “Net Income” means, forany period, the aggregate of all amounts (exclusive of all amounts in respectof any extraordinary gains but including extraordinary losses) which would beincluded as net income on the consolidated financial statements of the Borrowerand its Consolidated Entities for such period.

                “Non-Consolidated Entities”means each of the operating partnerships, limited liability companies, jointventures or similar entities in which the Borrower has, directly or indirectly,invested, other than the Consolidated Entities.

                “Non-Excluded Taxes”means any Taxes other than net income and franchise taxes imposed with respectto any Secured Party by any Governmental Authority under the laws of which suchSecured Party is organized or in which it maintains its applicable lendingoffice.

                “Non-U.S.Lender” means any Lender that is not a “United States person”, as definedunder Section 7701(a)(30) of the Code.

                “Obligations” means allobligations (monetary or otherwise, whether absolute or contingent, matured orunmatured) of the Borrower and each other Obligor arising under or inconnection with a Loan Document, including Reimbursement Obligations and theprincipal of and premium, if any, and interest (including interest accruingduring the pendency of any proceeding of the type described in Section 8.1.9,whether or not allowed in such proceeding) on the Loans.

                “Obligor” means, as thecontext may require, the Borrower and each other Person (other than a SecuredParty) obligated under any Loan Document.

                “Operating Entities”means the operating partnerships, limited liability companies, joint venturesor similar entities in which the Borrower has, directly or indirectly, investedand which actively engage in business (other than solely in investment andmanagement activities).

                “Organic Document” means,relative to any Obligor, as applicable, its certificate of incorporation,by-laws, regulations, certificate of partnership, partnership agreement,certificate of formation, limited liability company agreement, operatingagreement and all shareholder agreements, voting trusts and similararrangements applicable to any of such Obligor’s partnership interests, limitedliability company interests or authorized shares of Equity Interests.

                “Other Taxes” means anyand all stamp, documentary or similar Taxes, or any other excise or propertyTaxes or similar levies that arise on account of any payment made or requiredto be made under any Loan Document or from the execution, delivery,registration, recording or enforcement of any Loan Document.

                “OrthoLink” is defined inthe second recital. 

                “OrthoLink Refinancing”is defined in the second recital.

                “Parent” is defined inthe first recital.

                “Parent Debt Conversion”is defined in the fourth recital.

                “Parent Guaranty and PledgeAgreement” means the guaranty and pledge agreement executed and deliveredby an Authorized Officer of Parent pursuant to the terms of this Agreement,substantially in the form of Exhibit H hereto, as amended, supplemented,amended and restated or otherwise modified from time to time.

                “ParentIPO” is defined in the second recital.

                “Parent Refinancing” isdefined in the second recital.

                “Parent Stock Redemption”is defined in the second recital.

                “Parent Total Capitalization”means, at any time, the sum of (a) the sum of all amounts (without duplication)which, in accordance with GAAP, would be included in Parent’s stockholders’equity (excluding unrealized gains or losses recorded pursuant to FAS 115) asrequired to be reported in Parent’s then most recent consolidated balancesheet, and (b) Parent Total Debt.

                “Parent Total Debt”means, on any date, the outstanding principal amount of all Indebtedness ofParent and its Subsidiaries of the type referred to in clauses (a), (b),(c) and (g), in each case of the definition of “Indebtedness” andany Contingent Liability in respect of any of the foregoing.

                “Parent Total Debt to ParentTotal Capitalization Ratio” means, as of the last day of any FiscalQuarter, the ratio of (a) Parent Total Debt outstanding on such day to(b) Parent Total Capitalization on such day.

                “Participant” is definedin clause (d) of Section 10.10.

                “Patent Security Agreement”means any patent security agreement executed and delivered by any Obligor,substantially in the form of Exhibit A to any Pledge Agreement, as amended,supplemented, amended and restated or otherwise modified from time to time.

                “PBGC” means the PensionBenefit Guaranty Corporation and any Person succeeding to any or all of itsfunctions under ERISA.

                “Pension Plan” means a“pension plan”, as such term is defined in Section 3(2) of ERISA, which issubject to Title IV of ERISA (other than a multiemployer plan as defined inSection 4001(a)(3) of ERISA), and to which the Borrower or any corporation,trade or business that is, along with the Borrower, a member of a ControlledGroup, may have liability, including any liability by reason of having been asubstantial employer within the meaning of Section 4063 of ERISA at any timeduring the preceding five years, or by reason of being deemed to be acontributing sponsor under Section 4069 of ERISA.

                “Percentage” means,relative to any Lender, the applicable percentage relating to Revolving Loansset forth opposite its name on Schedule II hereto under the Percentagecolumn or set forth in a Lender Assignment Agreement, as such percentage may beadjusted from time to time pursuant to Lender Assignment Agreements executed bysuch Lender and its assignee Lender and delivered pursuant to Section 10.10.A Lender shall not have any Revolving Loan Commitment if its Percentage iszero.

                “PermittedAcquisition” means an acquisition (whether pursuant to an acquisition ofEquity Interests, assets or otherwise) by the Borrower or any ConsolidatedEntity from any Person of a business (or an increase of an existing EquityInterest therein) in which the following conditions are satisfied:

   (a) immediately before and after givingeffect to such acquisition, no Default shall have occurred and be continuing orwould result therefrom (including under Section 7.2.1); and

   (b) the Borrower shall have delivered to theAdministrative Agent a Compliance Certificate for the period of four fullFiscal Quarters immediately preceding such acquisition (prepared in good faithand in a manner and using such methodology which is consistent with the mostrecent financial statements delivered pursuant to Section 7.1.1) giving proforma effect to the consummation of such acquisition and evidencingcompliance with the covenants set forth in Section 7.2.4.

                “Permitted Foreign Investment”means an Investment by the Borrower in Foreign Subsidiaries of Holdings locatedin Western Europe in which the following conditions are satisfied:

                (a) immediately before and aftergiving effect to such Investment, no Default shall have occurred and be continuingor would result therefrom; and

                (b) the Borrower shall havedelivered to the Administrative Agent a Compliance Certificate for the periodof four full Fiscal Quarters immediately preceding such Investment (prepared ingood faith and in a manner and using such methodology which is consistent withthe most recent financial statements delivered pursuant to Section 7.1.1)giving proforma effect to the consummation of such Investmentand evidencing compliance with the covenants set forth in Section 7.2.4.

                “Person” means anynatural person, corporation, limited liability company, partnership, jointventure, association, trust or unincorporated organization, GovernmentalAuthority or any other legal entity, whether acting in an individual, fiduciaryor other capacity.

                “Pledge Agreement” means,as the context may require, the Parent Guaranty and Pledge Agreement, theHoldings Guaranty and Pledge Agreement, the Borrower Pledge and SecurityAgreement or the Subsidiary Pledge and Security Agreement.

                “PledgedSubsidiary” means each Subsidiary in respect of which the AdministrativeAgent has been granted a security interest in or a pledge of (i) any of theEquity Interests of such Subsidiary or (ii) any intercompany notes of suchSubsidiary owing to the Borrower or another Subsidiary.

                “Quarterly Payment Date”means the last day of March, June, September and December, or, if any such dayis not a Business Day, the next succeeding Business Day.

                “Rate Protection Agreement”means, collectively, any interest rate swap, cap, collar or similar agreemententered into by the Borrower or any of its Consolidated Entities under whichthe counterparty of such agreement is (or at the time such agreement wasentered into, was) a Lender or an Affiliate of a Lender.

                “Register” is defined in clause(b) of Section 2.7.

                “Reimbursement Obligation”is defined in Section 2.6.3.

                “Release” means a “release”,as such term is defined in CERCLA.

                “Required Lenders” means(a) at any time in which there are three or less non-affiliated Lenders, allsuch Lenders and (b) at any time in which there are four or more non-affiliatedLenders, Lenders holding at least 51% of the Total Exposure Amount.

                “Resource Conservation andRecovery Act” means the Resource Conservation and Recovery Act, 42 U.S.C.Section 6901, et seq., as amended.

                “Restricted Entities”means those Consolidated Entities and Non-Consolidated Entities that, due torestrictions contained in their Organic Documents or in agreements to whichthey are a party, are unable to provide a guaranty of the Obligations or placea Lien on their assets and in which the Secured Parties are unable to obtain apledge of their Equity Interests.

                “Restricted Payment”means the declaration or payment of any dividend (other than dividends payablesolely in Equity Interests of the Borrower or any Consolidated Entity) on, orthe making of any payment or distribution on account of, or setting apartassets for a sinking or other analogous fund for, the purchase, redemption,defeasance, retirement or other acquisition of any class of Equity Interests ofthe Borrower or any Consolidated Entity or any warrants or options to purchaseany such Equity Interests, whether now or hereafter outstanding, or the makingof any other distribution in respect thereof, either directly or indirectly,whether in cash or property, obligations of the Borrower or any ConsolidatedEntity or otherwise.

                “Revolving Loan” isdefined in Section 2.1.1.

                “RevolvingLoan Commitment” means, relative to any Lender, such Lender’s obligation(if any) to make Revolving Loans pursuant to Section 2.1.1.

                “Revolving Loan CommitmentAmount” means, on any date, $55,000,000, as such amount may be reduced fromtime to time pursuant to Section 2.2.

                “Revolving Note” means apromissory note of the Borrower payable to any Lender, in the form of ExhibitA hereto (as such promissory note may be amended, endorsed or otherwisemodified from time to time), evidencing the aggregate Indebtedness of theBorrower to such Lender resulting from outstanding Revolving Loans, and alsomeans all other promissory notes accepted from time to time in substitutiontherefor or renewal thereof.

                “S&P” means Standard& Poor’s Rating Services, a division of McGraw-Hill, Inc.

                “SEC” means theSecurities and Exchange Commission.

                “Secured Parties” means,collectively, the Lenders, the Issuer, the Administrative Agent, eachcounterparty to a Rate Protection Agreement that is (or at the time such RateProtection Agreement was entered into, was) a Lender or an Affiliate thereof and(in each case), each of their respective successors, transferees and assigns. 

                “Senior Debt” means TotalDebt less all Subordinated Debt.

                “Senior Debt to EBITDA Ratio”means, as of the last day of any Fiscal Quarter, the ratio of (a) Senior Debtoutstanding on such day to (b) EBITDA computed for the period consistingof such Fiscal Quarter and each of the three immediately preceding FiscalQuarters. 

                “SG” is defined in the preamble.

                “Stated Amount” means, onany date and with respect to a particular Letter of Credit, the total amountthen available to be drawn under such Letter of Credit.

                “Stated Expiry Date” isdefined in Section 2.6.

                “Stated Maturity Date”means June 13, 2004.

                “Sub Debt Documents”means, collectively, the WCAS Note and any other loan agreements, indentures,note purchase agreements, promissory notes, guarantees, and other instrumentsand agreements evidencing the terms of Subordinated Debt, as amended,supplemented, amended and restated or otherwise modified in accordance with Section7.2.12.

                “SubordinatedDebt” means the WCAS Debt and other unsecured Indebtedness of the Borrowersubordinated in right of payment to the Obligations pursuant to documentationcontaining redemption and other prepayment events, maturities, amortizationschedules, covenants, events of default, remedies, acceleration rights,subordination provisions and other material terms satisfactory tothe Administrative Agent.

                “Subordination Provisions”is defined in Section 8.1.11.

                “Subsidiary” means, withrespect to any Person, any other Person of which more than 50% of theoutstanding Voting Interests of such other Person (irrespective of whether atthe time Equity Interests of any other class or classes of such other Personshall or might have voting power upon the occurrence of any contingency) is atthe time directly or indirectly owned or controlled by such Person, by suchPerson and one or more other Subsidiaries of such Person, or by one or moreother Subsidiaries of such Person. Unless the context otherwise specificallyrequires, the term “Subsidiary” shall be a reference to a Subsidiary of theBorrower.

                “Subsidiary Guarantor”means each Wholly-Owned Subsidiary.

                “Subsidiary Guaranty”means the subsidiary guaranty executed and delivered by each SubsidiaryGuarantor pursuant to the terms of this Agreement, substantially in the form ofExhibit G hereto, as amended, supplemented, amended and restated orotherwise modified from time to time.

                “Subsidiary Pledge andSecurity Agreement” means the pledge and security agreement executed anddelivered by each Subsidiary Guarantor pursuant to the terms of this Agreement,substantially in the form of Exhibit K hereto, as amended, supplemented,amended and restated or otherwise modified from time to time.

                “Syndication Agent” isdefined in the preamble.

                “Synthetic Lease” means,as applied to any Person, any lease (including leases that may be terminated bythe lessee at any time) of any property (whether real, personal or mixed) (a)that is not a capital lease in accordance with GAAP and (b) in respect of whichthe lessee retains or obtains ownership of the property so leased for federalincome tax purposes, other than any such lease under which that Person is thelessor.

                “Taxes” means all income,stamp or other taxes, duties, levies, imposts, charges, assessments, fees,deductions or withholdings, now or hereafter imposed, levied, collected,withheld or assessed by any Governmental Authority, and all interest, penaltiesor similar liabilities with respect thereto.

                “TerminationDate” means the date on which all Obligations have been paid in full incash, all Letters of Credit have been terminated or expired (or been CashCollateralized), all Rate Protection Agreements have been terminated and allCommitments shall have terminated.

                “Total Debt” means, onany date, the outstanding principal amount of all Indebtedness of the Borrowerand its Consolidated Entities of the type referred to in clause (a)(which, in the case of the Loans, shall be deemed to equal the average dailyamount of the Loans outstanding for the Fiscal Quarter ending on or immediatelypreceding the date of determination), clause (b) (which, in the case ofLetter of Credit Outstandings shall be deemed to equal the average daily amountof Letter of Credit Outstandings for the Fiscal Quarter ending on orimmediately preceding the date of determination), clause (c) and clause(g), in each case of the definition of “Indebtedness” (exclusive ofintercompany Indebtedness between the Borrower and its Consolidated Entities)and any Contingent Liability in respect of any of the foregoing.

                “Total Debt to EBITDA Ratio”means, as of the last day of any Fiscal Quarter, the ratio of (a) Total Debtoutstanding on such day to (b) EBITDA computed for the period consistingof such Fiscal Quarter and each of the three immediately preceding FiscalQuarters.

                “Total Exposure Amount”means, on any date of determination (and without duplication), the outstandingprincipal amount of all Loans, the aggregate amount of all Letter of CreditOutstandings and the unfunded amount of the Commitments.

                “Trademark Security Agreement”means any trademark security agreement executed and delivered by any Obligor,substantially in the form of Exhibit B to any Pledge Agreement, as amended, supplemented,amended and restated or otherwise modified from time to time.

                “Transaction” is definedin the fourth recital.

                “Transaction Documents”means, collectively, each document entered into in connection with any part theTransaction, in each case as amended, supplemented, amended and restated orotherwise modified from time to time in accordance with Section 7.2.12.

                “type” means, relative toany Loan, the portion thereof, if any, being maintained as a Base Rate Loan ora LIBO Rate Loan.

                “UCC” means the UniformCommercial Code as in effect from time to time in the State of New York; providedthat if, with respect to any Filing Statement or by reason of any provisions oflaw, the perfection or the effect of perfection or non-perfection of thesecurity interests granted to the Administrative Agent pursuant to theapplicable Loan Document is governed by the Uniform Commercial Code as ineffect in a jurisdiction of the United States other than New York, then “UCC”means the Uniform Commercial Code as in effect from time to time in such otherjurisdiction for purposes of the provisions of each Loan Document and anyFiling Statement relating to such perfection or effect of perfection ornon-perfection.

                “UnitedStates” or “U.S.” means the United States of America, its fiftystates and the District of Columbia.

                “Voting Interests” means,with respect to any Person, Equity Interests of any class or kind ordinarilyhaving the power to vote for the election of directors, managers or othervoting members of the governing body of such Person.

                “WCAS Debt” means thesubordinated Indebtedness of the Borrower owed to WCAS Capital Partners III,L.P. and evidenced by the WCAS Note.

                “WCAS Note” is defined inthe fourth recital.

                “Welfare Plan” means a“welfare plan”, as such term is defined in Section 3(1) of ERISA.

                “Wholly-Owned Subsidiary”means any Subsidiary all of the outstanding Equity Interests of which (otherthan any director’s qualifying shares) are owned directly or indirectly by theBorrower.

                SECTION 1.2. Use of Defined Terms.Unless otherwise defined or the context otherwise requires, terms for whichmeanings are provided in this Agreement shall have such meanings when used ineach other Loan Document and the Disclosure Schedule. 

                SECTION 1.3. Cross-References.Unless otherwise specified, references in a Loan Document to any Article orSection are references to such Article or Section of such Loan Document, andreferences in any Article, Section or definition to any clause are referencesto such clause of such Article, Section or definition.

                SECTION 1.4. Accounting andFinancial Determinations. Unless otherwise specified, all accountingterms used in each Loan Document shall be interpreted, and all accountingdeterminations and computations thereunder (including under Section 7.2.4and the definitions used in such calculations) shall be made, in accordancewith those generally accepted accounting principles (“GAAP”) applied inthe preparation of the financial statements referred to in clause (a) ofSection 5.1.12. Unless otherwise expressly provided, all financialcovenants and defined financial terms shall be computed on a consolidated basisfor the Borrower and its Consolidated Entities, in each case withoutduplication.

ARTICLE IICOMMITMENTS, BORROWING AND ISSUANCEPROCEDURES, NOTES AND LETTERS OF CREDIT

                SECTION2.1. Commitments. On the terms and subject to the conditions of thisAgreement, the Lenders and the Issuer severally agree to make Credit Extensionsas set forth below.

                SECTION 2.1.1. Revolving LoanCommitment. From time to time on any Business Day occurring from andafter the Effective Date but prior to the Commitment Termination Date, eachLender that has a Revolving Loan Commitment agrees that it will make loans(relative to such Lender, its “Revolving Loans”) to the Borrower equalto such Lender’s Percentage of the aggregate amount of each Borrowing of theRevolving Loans requested by the Borrower to be made on such day. On the termsand subject to the conditions hereof, the Borrower may from time to timeborrow, prepay and reborrow Revolving Loans. No Lender shall be permitted orrequired to make any Revolving Loan if, after giving effect thereto, theaggregate outstanding principal amount of all Revolving Loans of such Lender,together with such Lender’s Percentage of the aggregate amount of all Letter ofCredit Outstandings, would exceed such Lender’s Percentage of the then existingRevolving Loan Commitment Amount.

                SECTION 2.1.2. Letter ofCredit Commitment. From time to time on any Business Day occurring fromand after the Effective Date but prior to the Commitment Termination Date, therelevant Issuer agrees that it will 

                (a) issue one or more standbyletters of credit (relative to such Issuer, its “Letter of Credit”) forthe account of the Borrower or any Subsidiary Guarantor in the Stated Amountrequested by the Borrower on such day; or 

                (b) extend the Stated ExpiryDate of an existing standby Letter of Credit previously issued hereunder. 

No StatedExpiry Date shall extend beyond the earlier of (i) the Commitment TerminationDate and (ii) unless otherwise agreed to by the Issuer in its sole discretion,one year from the date of such extension. No Issuer shall be permitted orrequired to issue any Letter of Credit if, after giving effect thereto, (i) theaggregate amount of all Letter of Credit Outstandings would exceed the Letterof Credit Commitment Amount or (ii) the sum of the aggregate amount of allLetter of Credit Outstandings plus the aggregate principal amount of allRevolving Loans then outstanding would exceed the Revolving Loan CommitmentAmount. 

                SECTION 2.2. Reduction ofthe Commitment Amounts. The Commitment Amounts are subject to reductionfrom time to time as set forth below.

                SECTION 2.2.1. Optional. The Borrowermay, from time to time on any Business Day occurring after the Effective Date,voluntarily reduce the amount of the Revolving Loan Commitment Amount or theLetter of Credit Commitment Amount on the Business Day so specified by theBorrower; provided that all such reductions shall require at least oneBusiness Day’s prior notice to the Administrative Agent and be permanent, andany partial reduction of any Commitment Amount shall be in a minimum amount of$1,000,000 and in an integral multiple of $500,000. Any optional or mandatoryreduction of the Revolving Loan Commitment Amount pursuant to the terms of thisAgreement which reduces the Revolving Loan Commitment Amount below the Letterof Credit Commitment Amount shall result in an automatic and corresponding reductionof the Letter of Credit Commitment Amount (as directed by the Borrower in anotice to the Administrative Agent delivered together with the notice of suchvoluntary reduction in the Revolving Loan Commitment Amount) to an aggregateamount not in excess of the Revolving Loan Commitment Amount, as so reduced,without any further action on the part of the Issuer.

                SECTION2.2.2. Mandatory. The Revolving Loan Commitment Amount shall,without any further action, automatically and permanently be reduced on thedate that Revolving Loans are required to be prepaid with any Net EquityProceeds, Net Disposition Proceeds or Net Casualty Proceeds in an amount equalto the amount by which Revolving Loans are required to be prepaid.

                SECTION 2.3. Borrowing Procedures.By delivering a Borrowing Request to the Administrative Agent on or before10:00 a.m. on a Business Day, the Borrower may from time to time irrevocablyrequest, on such Business Day in the case of Base Rate Loans, or on not lessthan three Business Days’ notice in the case of LIBO Rate Loans, and in eithercase not more than five Business Days’ notice, that a Borrowing be made, in thecase of LIBO Rate Loans, in a minimum amount of $1,000,000 and an integralmultiple of $250,000, in the case of Base Rate Loans, in a minimum amount of$250,000 and an integral multiple of $100,000 or, in either case, in the unusedamount of the applicable Commitment; provided that all of the initialLoans shall be made as Base Rate Loans. On the terms and subject to the conditionsof this Agreement, each Borrowing shall be comprised of the type of Loans, andshall be made on the Business Day, specified in such Borrowing Request. On orbefore 11:00 a.m. on such Business Day, each Lender that has a Commitment tomake the Loans being requested shall deposit with the Administrative Agent sameday funds in an amount equal to such Lender’s Percentage of the requestedBorrowing. Such deposit will be made to an account which the AdministrativeAgent shall specify from time to time by notice to the Lenders. To the extentfunds are received from the Lenders, the Administrative Agent shall make suchfunds available to the Borrower by wire transfer to the accounts the Borrowershall have specified in its Borrowing Request. No Lender’s obligation to makeany Loan shall be affected by any other Lender’s failure to make any Loan.

                SECTION 2.4. Continuationand Conversion Elections. By delivering a Continuation/ConversionNotice to the Administrative Agent on or before 10:00 a.m. on a Business Day,the Borrower may from time to time irrevocably elect, on not less than oneBusiness Day’s notice in the case of Base Rate Loans, or three Business Days’notice in the case of LIBO Rate Loans, and in either case not more than fiveBusiness Days’ notice, that all, or any portion in an aggregate minimum amountof $250,000 and an integral multiple of $100,000 be, in the case of Base RateLoans, converted into LIBO Rate Loans or be, in the case of LIBO Rate Loans,converted into Base Rate Loans or continued as LIBO Rate Loans (in the absenceof delivery of a Continuation/Conversion Notice with respect to any LIBO RateLoan at least three Business Days (but not more than five Business Days) beforethe last day of the then current Interest Period with respect thereto, suchLIBO Rate Loan shall, on such last day, automatically convert to a Base RateLoan); provided that (x) each such conversion or continuation shall bepro rated among the applicable outstanding Loans of all Lenders that have madesuch Loans, and (y) no portion of the outstanding principal amount of any Loansmay be continued as, or be converted into, LIBO Rate Loans when any Default hasoccurred and is continuing.

                SECTION2.5. Funding. Each Lender may, if it so elects, fulfill itsobligation to make, continue or convert LIBO Rate Loans hereunder by causingone of its foreign branches or Affiliates (or an international banking facilitycreated by such Lender) to make or maintain such LIBO Rate Loan; providedthat such LIBO Rate Loan shall nonetheless be deemed to have been made and tobe held by such Lender, and the obligation of the Borrower to repay such LIBORate Loan shall nevertheless be to such Lender for the account of such foreignbranch, Affiliate or international banking facility. In addition, the Borrowerhereby consents and agrees that, for purposes of any determination to be madefor purposes of Sections 4.1, 4.2, 4.3 or 4.4, itshall be conclusively assumed that each Lender elected to fund all LIBO RateLoans by purchasing Dollar deposits in its LIBOR Office’s interbank eurodollarmarket.

                SECTION 2.6. Issuance Procedures.By delivering to the Administrative Agent an Issuance Request on or before10:00 a.m. on a Business Day, the Borrower may from time to time irrevocablyrequest on not less than three nor more than ten Business Days’ notice, in thecase of an initial issuance of a Letter of Credit and not less than threeBusiness Days’ prior notice, in the case of a request for the extension of theStated Expiry Date of a standby Letter of Credit (in each case, unless ashorter notice period is agreed to by the Issuer, in its sole discretion), thatan Issuer issue, or extend the Stated Expiry Date of, a Letter of Credit insuch form as may be requested by the Borrower and approved by such Issuer,solely for the purposes described in Section 7.1.7. Each Letter ofCredit shall by its terms be stated to expire on a date (its “Stated ExpiryDate”) no later than the earlier to occur of (i) the Commitment TerminationDate or (ii) (unless otherwise agreed to by an Issuer, in its sole discretion),one year from the date of its issuance. Each Issuer will make available to thebeneficiary thereof the original of the Letter of Credit which it issues.

                SECTION 2.6.1. Other Lenders’Participation. Upon the issuance of each Letter of Credit, and withoutfurther action, each Lender (other than such Issuer) shall be deemed to haveirrevocably purchased, to the extent of its Percentage, a participationinterest in such Letter of Credit (including the Contingent Liability and anyReimbursement Obligation with respect thereto), and such Lender shall, to theextent of its Percentage, be responsible for reimbursing within one BusinessDay the Issuer for Reimbursement Obligations which have not been reimbursed bythe Borrower in accordance with Section 2.6.3. In addition, such Lendershall, to the extent of its Percentage, be entitled to receive a ratableportion of the Letter of Credit fees payable pursuant to Section 3.3.3with respect to each Letter of Credit (other than the issuance fees payable toan Issuer of such Letter of Credit pursuant to the last sentence of Section3.3.3) and of interest payable pursuant to Section 3.2 with respectto any Reimbursement Obligation. To the extent that any Lender has reimbursedany Issuer for a Disbursement, such Lender shall be entitled to receive itsratable portion of any amounts subsequently received (from the Borrower orotherwise) in respect of such Disbursement.

                SECTION 2.6.2. Disbursements. AnIssuer will notify the Borrower and the Administrative Agent promptly of thepresentment for payment of any Letter of Credit issued by such Issuer, togetherwith notice of the date (the “Disbursement Date”) such payment shall bemade (each such payment, a “Disbursement”). Subject to the terms andprovisions of such Letter of Credit and this Agreement, the applicable Issuershall make such payment to the beneficiary (or its designee) of such Letter ofCredit. Prior to 11:00 a.m. on the first Business Day following the DisbursementDate, the Borrower will reimburse the Administrative Agent, for the account ofthe applicable Issuer, for all amounts which such Issuer has disbursed undersuch Letter of Credit, together with interest thereon at a rate per annum equalto the rate per annum then in effect for Base Rate Loans (with the thenApplicable Margin for Revolving Loans accruing on such amount) pursuant to Section3.2 for the period from the Disbursement Date through the date of suchreimbursement. Without limiting in any way the foregoing and notwithstandinganything to the contrary contained herein or in any separate application forany Letter of Credit, the Borrower hereby acknowledges and agrees that it shallbe obligated to reimburse the applicable Issuer upon each Disbursement of aLetter of Credit, and it shall be deemed to be the obligor for purposes of eachsuch Letter of Credit issued hereunder (whether the account party on suchLetter of Credit is the Borrower or a Subsidiary Guarantor).

                SECTION 2.6.3. Reimbursement. Theobligation (a “Reimbursement Obligation”) of the Borrower under Section2.6.2 to reimburse an Issuer with respect to each Disbursement (includinginterest thereon), and, upon the failure of the Borrower to reimburse anIssuer, each Lender’s obligation under Section 2.6.1 to reimburse anIssuer, shall be absolute and unconditional under any and all circumstances andirrespective of any setoff, counterclaim or defense to payment which theBorrower or such Lender, as the case may be, may have or have had against suchIssuer or any Lender, including any defense based upon the failure of anyDisbursement to conform to the terms of the applicable Letter of Credit (if, insuch Issuer’s good faith opinion, such Disbursement is determined to beappropriate) or any non-application or misapplication by the beneficiary of theproceeds of such Letter of Credit; provided that after paying in fullits Reimbursement Obligation hereunder, nothing herein shall adversely affectthe right of the Borrower or such Lender, as the case may be, to commence anyproceeding against an Issuer for any wrongful Disbursement made by such Issuerunder a Letter of Credit as a result of acts or omissions constituting grossnegligence or wilful misconduct on the part of such Issuer.

                SECTION 2.6.4. Deemed Disbursements.Upon the occurrence and during the continuation of any Default under Section8.1.9 or upon notification by the Administrative Agent (acting at thedirection of the Required Lenders) to the Borrower of its obligations underthis Section, following the occurrence and during the continuation of any otherEvent of Default, 

                (a) the aggregate Stated Amountof all Letters of Credit shall, without demand upon or notice to the Borroweror any other Person, be deemed to have been paid or disbursed by the Issuer ofsuch Letters of Credit (notwithstanding that such amount may not in fact havebeen paid or disbursed); and

                (b) the Borrower shall beimmediately obligated to reimburse the Issuer for the amount deemed to havebeen so paid or disbursed by such Issuer. Amounts payable by the Borrowerpursuant to this Section shall be deposited in immediately available funds withthe Administrative Agent and held as collateral security for the ReimbursementObligations. When all Defaults giving rise to the deemed disbursements underthis Section have been cured or waived the Administrative Agent shall return tothe Borrower all amounts then on deposit with the Administrative Agent pursuantto this Section which have not been applied to the satisfaction of theReimbursement Obligations.

                SECTION 2.6.5. Nature ofReimbursement Obligations. The Borrower, each other Obligor and, to theextent set forth in Section 2.6.1, each Lender shall assume all risks ofthe acts, omissions or misuse of any Letter of Credit by the beneficiarythereof. No Issuer (except to the extent of its own gross negligence or wilfulmisconduct) shall be responsible for:

                (a) the form, validity,sufficiency, accuracy, genuineness or legal effect of any Letter of Credit orany document submitted by any party in connection with the application for andissuance of a Letter of Credit, even if it should in fact prove to be in any orall respects invalid, insufficient, inaccurate, fraudulent or forged;

                (b) the form, validity, sufficiency,accuracy, genuineness or legal effect of any instrument transferring orassigning or purporting to transfer or assign a Letter of Credit or the rightsor benefits thereunder or the proceeds thereof in whole or in part, which mayprove to be invalid or ineffective for any reason;

                (c) failure of the beneficiaryto comply fully with conditions required in order to demand payment under aLetter of Credit;

                (d)errors, omissions, interruptions or delays in transmission or delivery of anymessages, by mail, cable, telegraph, telex or otherwise; or

                (e) any loss or delay in thetransmission or otherwise of any document or draft required in order to make aDisbursement under a Letter of Credit. 

None of theforegoing shall affect, impair or prevent the vesting of any of the rights orpowers granted to any Issuer or any Lender hereunder. In furtherance and not inlimitation or derogation of any of the foregoing, any action taken or omittedto be taken by an Issuer in good faith (and not constituting gross negligenceor willful misconduct) shall be binding upon each Obligor and each such SecuredParty, and shall not put such Issuer under any resulting liability to anyObligor or any Secured Party, as the case may be.

                SECTION 2.7. Revolving Notes. (a)The Borrower agrees that, upon the request to the Administrative Agent by anyLender, the Borrower will execute and deliver to such Lender a Revolving Noteevidencing the Loans made by, and payable to the order of, such Lender in amaximum principal amount equal to such Lender’s Percentage of the RevolvingLoan Commitment Amount. The Borrower hereby irrevocably authorizes each Lenderto make (or cause to be made) appropriate notations on the grid attached tosuch Lender’s Revolving Note (or on any continuation of such grid), whichnotations, if made, shall evidence, interalia, the date of, theoutstanding principal amount of, and the interest rate and Interest Periodapplicable to the Loans evidenced thereby. Such notations shall, to the extentnot inconsistent with notations made by the Administrative Agent in theRegister, be conclusive and binding on each Obligor absent manifest error; providedthat the failure of any Lender to make any such notations shall not limit orotherwise affect any Obligations of any Obligor. 

                (b) The Borrower herebydesignates the Administrative Agent to serve as the Borrower’s agent, solelyfor the purpose of this clause, to maintain a register (the “Register”)on which the Administrative Agent will record each Lender’s Commitment, theLoans made by each Lender and each repayment in respect of the principal amountof the Loans, annexed to which the Administrative Agent shall retain a copy ofeach Lender Assignment Agreement delivered to the Administrative Agent pursuantto Section 10.10. Failure to make any recordation, or any error in suchrecordation, shall not affect any Obligor’s Obligations. The entries in theRegister shall be conclusive, in the absence of manifest error, and theBorrower, the Administrative Agent and the Lenders shall treat each Person inwhose name a Loan is registered (or, if applicable, to which a Revolving Notehas been issued) as the owner thereof for the purposes of all Loan Documents,notwithstanding notice or any provision herein to the contrary. Any assignmentor transfer of a Commitment or the Loans made pursuant hereto shall beregistered in the Register only upon delivery to the Administrative Agent of aLender Assignment Agreement that has been executed by the requisite partiespursuant to Section 10.10. No assignment or transfer of a Lender’sCommitment or Loans shall be effective unless such assignment or transfer shallhave been recorded in the Register by the Administrative Agent as provided inthis Section.

ARTICLE IIIREPAYMENTS, PREPAYMENTS, INTEREST AND FEES

                SECTION 3.1. Repayments andPrepayments; Application. The Borrower agrees that the Loans shall berepaid and prepaid pursuant to the following terms.

                SECTION 3.1.1. Repayments andPrepayments. The Borrower shall repay in full the unpaid principalamount of each Loan upon the applicable Stated Maturity Date therefor. Priorthereto, payments and prepayments of the Loans shall or may be made as setforth below.

                (a) From time to time on anyBusiness Day, the Borrower may make a voluntary prepayment, in whole or inpart, of the outstanding principal amount of any Revolving Loans; providedthat (A) any such prepayment of Revolving Loans shall be made prorataamong the Revolving Loans of the same type and, if applicable, having the sameInterest Period of all Lenders that have made such Revolving Loans; (B) allsuch voluntary prepayments shall require at least one but no more than fiveBusiness Days’ prior notice to the Administrative Agent; and (C) all suchvoluntary partial prepayments shall be, in the case of LIBO Rate Loans, in anaggregate minimum amount of $1,000,000 and an integral multiple of $250,000and, in the case of Base Rate Loans, in an aggregate minimum amount of $250,000and an integral multiple of $100,000.

                (b) On each date when the sum of(i) the aggregate outstanding principal amount of all Revolving Loans and (ii)the aggregate amount of all Letter of Credit Outstandings exceeds the RevolvingLoan Commitment Amount (as it may be reduced from time to time pursuant to thisAgreement), the Borrower shall make a mandatory prepayment of Revolving Loansand, if necessary, Cash Collateralize all Letter of Credit Outstandings, in anaggregate amount equal to such excess.

                (c) Concurrently with thereceipt by the Borrower of any Net Equity Proceeds, the Borrower shall make amandatory prepayment of the Loans in an amount equal to 50% of such Net EquityProceeds, to be applied as set forth in Section 3.1.2; providedthat no such prepayment shall be required to be made beyond the extent that theamount of Total Debt as reduced by giving effect to such prepayment wouldresult, on a proforma basis, in a Total Debt to EBITDA Ratio of3.0:1 or less as of the end of the immediately preceding Fiscal Quarter.

                (d) Concurrently with thereceipt by the Borrower or any of its Subsidiary Guarantors of any NetDisposition Proceeds, the Borrower shall deliver to the Administrative Agent acalculation of the amount of such Net Disposition Proceeds and, to the extentthe amount of such Net Disposition Proceeds with respect to any singletransaction or series of related transactions exceeds $50,000 (up to a maximumaggregate amount equal to $250,000 in any Fiscal Year), make a mandatoryprepayment of the Loans in an amount equal to 100% of such Net DispositionProceeds, to be applied as set forth in Section 3.1.2; providedthat no mandatory prepayment on account of such Net Disposition Proceeds shallbe required under this clause if the Borrower informs the Administrative Agentno later than 30 days following the receipt of any Net Disposition Proceeds ofits or its Subsidiary Guarantor’s good faith intention to apply such NetDisposition Proceeds to the acquisition of other assets or property consistentwith the business permitted to be conducted pursuant to Section 7.2.1(including by way of merger or Investment) within 365 days following thereceipt of such Net Disposition Proceeds, with the amount of such NetDisposition Proceeds unused after such 365 day period being applied to theLoans as set forth in Section 3.1.2.

                (e)Concurrently with the receipt by the Borrower or any of its SubsidiaryGuarantors of any Net Casualty Proceeds, the Borrower shall make a mandatoryprepayment of the Loans in an amount equal to 100% of such Net CasualtyProceeds, to be applied as set forth in Section 3.1.2; providedthat no mandatory prepayment on account of Net Casualty Proceeds shall berequired under this clause if the Borrower informs the Administrative Agent nolater  than 30 days following theoccurrence of the Casualty Event resulting in such Net Casualty Proceeds of itsor its Subsidiary Guarantor’s good faith intention to apply such Net CasualtyProceeds to the rebuilding or replacement of the damaged, destroyed orcondemned assets or  property subject tosuch Casualty Event or the acquisition of other assets or property consistentwith the business permitted to be conducted pursuant to Section 7.2.1(including by way of  merger orInvestment) and in fact uses such Net Casualty Proceeds to rebuild or replacethe damaged, destroyed or condemned assets or property subject to such CasualtyEvent or to acquire such other property or assets within 365 days following thereceipt of such Net Casualty Proceeds, with the amount of such Net CasualtyProceeds unused after such 365 day period being applied to the Loans as setforth in Section 3.1.2; providedfurther, however,that at any time when any Event of Default shall have occurred and becontinuing or Net Casualty Proceeds not applied as provided above shall exceed$1,000,000, such Net Casualty Proceeds will be deposited in an accountmaintained with the Administrative Agent (over which the Administrative Agenthas sole dominion and control) for disbursement at the request of the Borrowerto pay for such rebuilding, replacement or acquisition.

                (f) No later than five BusinessDays following the delivery by the Borrower of its annual audited financialreports required pursuant to clause (b) of Section 7.1.1(beginning with the financial reports delivered in respect of the 2001 FiscalYear), the Borrower shall deliver to the Administrative Agent a calculation ofthe Excess Cash Flow for the Fiscal Year last ended and, no later than fiveBusiness Days following the delivery of such calculation, make or cause to bemade a mandatory prepayment of the Loans in an amount equal to 50% of theExcess Cash Flow (if any) for such Fiscal Year, to be applied as set forth in Section3.1.2; provided that no such prepayment shall be required to be madebeyond the extent that the amount of Total Debt as reduced by giving effect tosuch prepayment would result, on a pro forma basis, in a Total Debt toEBITDA Ratio of 3.0:1 or less as of the end of the immediately preceding FiscalQuarter.

                (g)Immediately upon any acceleration of the Stated Maturity Date of any Loanspursuant to Section 8.2 or Section 8.3, the Borrower shall repayall the Loans, unless, pursuant to Section 8.3, only a portion of allthe Loans is so accelerated (in which case the portion so accelerated shall beso repaid).

Each prepaymentof any Loans made pursuant to this Section shall be without premium or penalty,except as may be required by Section 4.4.

                SECTION 3.1.2. Application. Amountsprepaid pursuant to Section 3.1.1 shall be applied as set forth in thisSection.

                (a) Subject to clause (b),each prepayment or repayment of the principal of the Loans shall be applied, tothe extent of such prepayment or repayment, first, to the principalamount thereof being maintained as Base Rate Loans, and second, subjectto the terms of Section 4.4, to the principal amount thereof beingmaintained as LIBO Rate Loans.

                (b) Each prepayment of the Loansmade pursuant to clauses (c), (d) and (e) of Section3.1.1 shall result in a corresponding reduction of the Revolving LoanCommitment Amount in accordance with Section 2.2.2.

                SECTION 3.2. Interest Provisions.Interest on the outstanding principal amount of Loans shall accrue and bepayable in accordance with the terms set forth below.

                SECTION3.2.1. Rates. Pursuant to an appropriately delivered BorrowingRequest or Continuation/Conversion Notice, the Borrower may elect that Loanscomprising a Borrowing accrue interest at a rate per annum:

                (a) on that portion maintainedfrom time to time as a Base Rate Loan, equal to the sum of the Alternate BaseRate from time to time in effect plus the Applicable Margin; and 

                (b) on that portion maintainedas a LIBO Rate Loan, during each Interest Period applicable thereto, equal tothe sum of the LIBO Rate (Reserve Adjusted) for such Interest Period plus theApplicable Margin.

All LIBO RateLoans shall bear interest from and including the first day of the applicableInterest Period to (but not including) the last day of such Interest Period atthe interest rate determined as applicable to such LIBO Rate Loan.

                SECTION 3.2.2. Post-Maturity Rates.After the date any principal amount of any Loan or Reimbursement Obligation isdue and payable (whether on the Stated Maturity Date, upon acceleration orotherwise), or after any other monetary Obligation of the Borrower shall havebecome due and payable, the Borrower shall pay, but only to the extentpermitted by law, interest (after as well as before judgment) on such amountsat a rate per annum equal to (a) in the case of overdue principal on any Loan,the rate of interest that otherwise would be applicable to such Loan plus2% per annum; and (b) in the case of overdue interest, fees, and other monetaryObligations, the Alternate Base Rate plus 2% per annum.

                SECTION 3.2.3. Payment Dates.Interest accrued on each Loan shall be payable, without duplication:

                (a) on the Stated Maturity Datetherefor;

                (b) on the date of any paymentor prepayment, in whole or in part, of principal outstanding on such Loan onthe principal amount so paid or prepaid;

                (c) with respect to Base RateLoans, on each Quarterly Payment Date occurring after the Effective Date;

                (d) with respect to LIBO RateLoans, on the last day of each applicable Interest Period (and, if suchInterest Period shall exceed three months, on the date occurring on eachthree-month interval occurring after the first day of such Interest Period);

                (e) with respect to any BaseRate Loans converted into LIBO Rate Loans on a day when interest would nototherwise have been payable pursuant to clause (c), on the date of suchconversion; and

                (f) on that portion of any Loansthe Stated Maturity Date of which is accelerated pursuant to Section 8.2or Section 8.3, immediately upon such acceleration. 

Interestaccrued on Loans or other monetary Obligations after the date such amount isdue and payable (whether on the Stated Maturity Date, upon acceleration orotherwise) shall be payable upon demand.

                SECTION 3.3. Fees. The Borrower agrees topay the fees set forth below. All such fees shall be non-refundable.

                SECTION 3.3.1. Commitment Fee.The Borrower agrees to pay to the Administrative Agent for the account of eachLender, for the period (including any portion thereof when any of itsCommitments are suspended by reason of the Borrower’s inability to satisfy anycondition of Article V) commencing on the Effective Date and continuingthrough the Commitment Termination Date, a commitment fee in an amount perannum equal to 0.50% of such Lender’s Percentage of the sum of the averagedaily unused portion of the Revolving Loan Commitment Amount (net of Letter ofCredit Outstandings). All commitment fees payable pursuant to this Sectionshall be calculated on a year comprised of 360 days and payable by the Borrowerin arrears on the Effective Date and thereafter on each Quarterly Payment Date,commencing with the first Quarterly Payment Date following the Effective Date,and on the Commitment Termination Date.

                SECTION3.3.2. Agent’s Fee. The Borrower agrees to pay to the AdministrativeAgent, for its own account, the fees in the amounts and on the dates set forthin the Fee Letter.

                SECTION 3.3.3. Letter of Credit Fee.The Borrower agrees to pay to the Administrative Agent, for the prorataaccount of the applicable Issuer and each Lender, a Letter of Credit fee in anamount equal to the then effective Applicable Margin for Revolving Loansmaintained as LIBO Rate Loans, multiplied by the Stated Amount of each suchLetter of Credit, such fees being payable quarterly in arrears on eachQuarterly Payment Date following the date of issuance of each Letter of Creditand on the Commitment Termination Date. The Borrower further agrees to pay tothe applicable Issuer quarterly in arrears on each Quarterly Payment Datefollowing the date of issuance of each Letter of Credit and on the CommitmentTermination Date an issuance fee as specified in the Fee Letter or as otherwiseagreed to by the Borrower and such Issuer.

ARTICLE IVCERTAIN LIBO RATE AND OTHER PROVISIONS

                SECTION 4.1. LIBO Rate LendingUnlawful. If any Lender shall determine (which determination shall,upon notice thereof to the Borrower and the Administrative Agent, be conclusiveand binding on the Borrower) that the introduction of or any change in or inthe interpretation of any law makes it unlawful, or any Governmental Authorityasserts that it is unlawful, for such Lender to make or continue any Loan as,or to convert any Loan into, a LIBO Rate Loan, the obligations of such Lenderto make, continue or convert any such LIBO Rate Loan shall, upon suchdetermination, forthwith be suspended until such Lender shall notify theAdministrative Agent that the circumstances causing such suspension no longerexist, and all outstanding LIBO Rate Loans payable to such Lender shallautomatically convert into Base Rate Loans at the end of the then currentInterest Periods with respect thereto or sooner, if required by such law orassertion. 

                SECTION 4.2. Deposits Unavailable.If the Administrative Agent shall have determined that

                (a) Dollar deposits in therelevant amount and for the relevant Interest Period are not available to it inits relevant market; or

                (b) by reason of circumstancesaffecting it’s relevant market, adequate means do not exist for ascertainingthe interest rate applicable hereunder to LIBO Rate Loans;

then, uponnotice from the Administrative Agent to the Borrower and the Lenders, theobligations of all Lenders under Section 2.3 and Section 2.4 tomake or continue any Loans as, or to convert any Loans into, LIBO Rate Loansshall forthwith be suspended until the Administrative Agent shall notify theBorrower and the Lenders that the circumstances causing such suspension nolonger exist. 

                SECTION 4.3. Increased LIBO RateLoan Costs, etc. The Borrower agrees to reimburse each Lender andIssuer for any increase in the cost to such Lender or Issuer of, or anyreduction in the amount of any sum receivable by such Secured Party in respectof, such Secured Party’s Commitments and the making of Credit Extensionshereunder (including the making, continuing or maintaining (or of itsobligation to make or continue) any Loans as, or of converting (or of itsobligation to convert) any Loans into, LIBO Rate Loans) that arise inconnection with any change in, or the introduction, adoption, effectiveness,interpretation, reinterpretation or phase-in after the Closing Date of, any lawor regulation, directive, guideline, decision or request (whether or not havingthe force of law) of any Governmental Authority, except for such changes withrespect to increased capital costs and Taxes which are governed by Sections4.5 and 4.6, respectively. Each affected Secured Party shallpromptly notify the Administrative Agent and the Borrower in writing of theoccurrence of any such event, stating the reasons therefor and the additionalamount required fully to compensate such Secured Party for such increased costor reduced amount. Such additional amounts shall be payable by the Borrowerdirectly to such Secured Party within five days of its receipt of such notice,and such notice shall, in the absence of manifest error, be conclusive andbinding on the Borrower.

                SECTION 4.4. Funding Losses. In theevent any Lender shall incur any loss or expense (including any loss or expenseincurred by reason of the liquidation or reemployment of deposits or other fundsacquired by such Lender to make or continue any portion of the principal amountof any Loan as, or to convert any portion of the principal amount of any Loaninto, a LIBO Rate Loan) as a result of 

                (a) any conversion or repaymentor prepayment of the principal amount of any LIBO Rate Loan on a date otherthan the scheduled last day of the Interest Period applicable thereto, whetherpursuant to Article III or otherwise;

                (b) any Loans not being made asLIBO Rate Loans in accordance with the Borrowing Request therefor; or

                (c)any Loans not being continued as, or converted into, LIBO Rate Loans inaccordance with the Continuation/Conversion Notice therefor;

then, upon thewritten notice of such Lender to the Borrower (with a copy to theAdministrative Agent), the Borrower shall, within five days of its receiptthereof, pay directly to such Lender such amount as will (in the reasonabledetermination of such Lender) reimburse such Lender for such loss or expense.Such written notice shall, in the absence of manifest error, be conclusive andbinding on the Borrower.

                SECTION 4.5. Increased CapitalCosts. If any change in, or the introduction, adoption, effectiveness,interpretation, reinterpretation or phase-in of, any law or regulation,directive, guideline, decision or request (whether or not having the force oflaw) of any Governmental Authority affects or would affect the amount ofcapital required or expected to be maintained by any Secured Party or anyPerson controlling such Secured Party, and such Secured Party determines (ingood faith but in its sole and absolute discretion) that the rate of return onits or such controlling Person’s capital as a consequence of the Commitments orthe Credit Extensions made, or the Letters of Credit participated in, by suchSecured Party is reduced to a level below that which such Secured Party or suchcontrolling Person could have achieved but for the occurrence of any suchcircumstance, then upon notice from time to time by such Secured Party to theBorrower, the Borrower shall within five days following receipt of such noticepay directly to such Secured Party additional amounts sufficient to compensatesuch Secured Party or such controlling Person for such reduction in rate ofreturn. A statement of such Secured Party as to any such additional amount oramounts shall, in the absence of manifest error, be conclusive and binding onthe Borrower. In determining such amount, such Secured Party may use any methodof averaging and attribution that it (in its sole and absolute discretion)shall deem applicable. 

                SECTION4.6. Taxes. The Borrower covenants and agrees as follows withrespect to Taxes.

                (a) Any and all payments by theBorrower under each Loan Document shall be made without setoff, counterclaim orother defense, and free and clear of, and without deduction or withholding foror on account of, any Taxes. In the event that any Taxes are imposed andrequired to be deducted or withheld from any payment required to be made by anyObligor to or on behalf of any Secured Party under any Loan Document, then: 

                (i) subject to clause (f),if such Taxes are Non-Excluded Taxes, the amount of such payment shall beincreased as may be necessary so that such payment is made, after withholdingor deduction for or on account of such Taxes, in an amount that is not lessthan the amount provided for in such Loan Document; and

                (ii) the Borrower shall withholdthe full amount of such Taxes from such payment (as increased pursuant to clause(a)(i)) and shall pay such amount to the Governmental Authority imposingsuch Taxes in accordance with applicable law.

                (b)In addition, the Borrower shall pay all Other Taxes imposed to the relevantGovernmental Authority imposing such Other Taxes in accordance with applicablelaw. 

                (c) As promptly as practicableafter the payment of any Taxes or Other Taxes, and in any event within 45 daysof any such payment being due, the Borrower shall furnish to the AdministrativeAgent a copy of an official receipt (or a certified copy thereof) evidencing thepayment of such Taxes or Other Taxes. The Administrative Agent shall makecopies thereof available to any Lender upon request therefor.

                (d) Subject to clause (f),the Borrower shall indemnify each Secured Party for any Non-Excluded Taxes andOther Taxes levied, imposed or assessed on (and whether or not paid directlyby) such Secured Party whether or not such Non-Excluded Taxes or Other Taxesare correctly or legally asserted by the relevant Governmental Authority.Promptly upon having knowledge that any such Non-Excluded Taxes or Other Taxeshave been levied, imposed or assessed, and promptly upon notice thereof by anySecured Party, the Borrower shall pay such Non-Excluded Taxes or Other Taxesdirectly to the relevant Governmental Authority (provided that noSecured Party shall be under any obligation to provide any such notice to theBorrower). In addition, the Borrower shall indemnify each Secured Party for anyincremental Taxes that may become payable by such Secured Party as a result ofany failure of theBorrower to pay any Taxes when due to the appropriateGovernmental Authority or to deliver to the Administrative Agent, pursuant to clause(c), documentation evidencing the payment of Taxes or Other Taxes. Withrespect to indemnification for Non-Excluded Taxes and Other Taxes actually paidby any Secured Party or the indemnification provided in the immediatelypreceding sentence, such indemnification shall be made within 30 days after thedate such Secured Party makes written demand therefor. The Borroweracknowledges that any payment made to any Secured Party or to any GovernmentalAuthority in respect of the indemnification obligations of the Borrowerprovided in this clause shall constitute a payment in respect of which theprovisions of clause (a) and this clause shall apply.

                (e) Each Non-U.S. Lender, on orprior to the date on which such Non-U.S. Lender becomes a Lender hereunder (andfrom time to time thereafter upon the request of the Borrower or theAdministrative Agent, but only for so long as such non-U.S. Lender is legallyentitled to do so), shall deliver to the Borrower and the Administrative Agenteither (i) two duly completed copies of either (x) Internal Revenue ServiceForm W-8BEN claiming eligibility of the Non-U.S. Lender for benefits of anincome tax treaty to which the United States is a party or (y) Internal RevenueService Form W-8ECI, or in either case an applicable successor form; or (ii) inthe case of a Non-U.S. Lender that is not legally entitled to deliver eitherform listed in clause (e)(i), (x) a certificate to the effect that suchNon-U.S. Lender is not (A) a “bank” within the meaning of Section 881(c)(3)(A)of the Code, (B) a “10 percent shareholder” of the Borrower within the meaningof Section 881(c)(3)(B) of the Code, or (C) a controlled foreign corporationreceiving interest from a related person within the meaning of Section881(c)(3)(C) of the Code (referred to as an “Exemption Certificate”) and(y) two duly completed copies of Internal Revenue Service Form W-8BEN or applicablesuccessor form.

                (f)The Borrower shall not be obligated to pay any additional amounts to any Lenderpursuant to clause (a)(i), or to indemnify any Lender pursuant to clause(d), in respect of United States federal withholding taxes to the extentimposed as a result of (i) the failure of such Lender to deliver to theBorrower the form or forms and/or an Exemption Certificate, as applicable tosuch Lender, pursuant to clause (e), (ii) such form or forms and/orExemption Certificate not establishing a complete exemption from U.S. federalwithholding tax or the information or certifications made therein by the Lenderbeing untrue or inaccurate on the date delivered in any material respect, or(iii) the Lender designating a successor lending office at which it maintainsits Loans which has the effect of causing such Lender to become obligated fortax payments in excess of those in effect immediately prior to suchdesignation; provided that the Borrower shall be obligated to payadditional amounts to any such Lender pursuant to clause (a)(i), and toindemnify any such Lender pursuant to clause (d), in respect of UnitedStates federal withholding taxes if (i) any such failure to deliver a form orforms or an Exemption Certificate or the failure of such form or forms orExemption Certificate to establish a complete exemption from U.S. federalwithholding tax or inaccuracy or untruth contained therein resulted from achange in any applicable statute, treaty, regulation or other applicable law orany interpretation of any of the foregoing occurring after the Closing Date,which change rendered such Lender no longer legally entitled to deliver suchform or forms or Exemption Certificate or otherwise ineligible for a completeexemption from U.S. federal withholding tax, or rendered the information orcertifications made in such form or forms or Exemption Certificate untrue orinaccurate in a material respect, (ii) the redesignation of the Lender’slending office was made at the request of the Borrower or (iii) the obligationto pay any additional amounts to any such Lender pursuant to clause (a)(i)or to indemnify any such Lender pursuant to clause (d) is with respectto an assignee Lender that becomes a Lender as a result of an assignment madeat the request of the Borrower. 

                SECTION 4.7. Payments, Computations,etc. Unless otherwise expressly provided in a Loan Document, allpayments by the Borrower pursuant to each Loan Document shall be made by theBorrower to the Administrative Agent for the prorata account ofthe Secured Parties entitled to receive such payment. All payments shall bemade without setoff, deduction or counterclaim not later than 11:00 a.m. on thedate due in same day or immediately available funds to such account as theAdministrative Agent shall specify from time to time by notice to the Borrower;provided that failure by the Administrative Agent to provide such noticeshall not excuse any required payments. Funds received after that time shall bedeemed to have been received by the Administrative Agent on the next succeedingBusiness Day. The Administrative Agent shall promptly remit in same day fundsto each Secured Party its share, if any, of such payments received by theAdministrative Agent for the account of such Secured Party. All interest(including interest on LIBO Rate Loans) and fees shall be computed on the basisof the actual number of days (including the first day but excluding the lastday) occurring during the period for which such interest or fee is payable overa year comprised of 360 days (or, in the case of interest on a Base Rate Loan(calculated at other than the Federal Funds Rate), 365 days or, if appropriate,366 days). Payments due on other than a Business Day shall (except as otherwiserequired by clause (c) of the definition of “Interest Period”) be madeon the next succeeding Business Day and such extension of time shall beincluded in computing interest and fees in connection with that payment.

                SECTION 4.8. Sharing of Payments.If any Secured Party shall obtain any payment or other recovery (whethervoluntary, involuntary, by application of setoff or otherwise) on account ofany Credit Extension or Reimbursement Obligation (other than pursuant to theterms of Sections 4.3, 4.4, 4.5 or 4.6) in excessof its prorata share of payments obtained by all SecuredParties, such Secured Party shall purchase from the other Secured Parties suchparticipations in Credit Extensions made by them as shall be necessary to causesuch purchasing Secured Party to share the excess payment or other recoveryratably (to the extent such other Secured Parties were entitled to receive aportion of such payment or recovery) with each of them; provided that ifall or any portion of the excess payment or other recovery is thereafterrecovered from such purchasing Secured Party, the purchase shall be rescindedand each Secured Party which has sold a participation to the purchasing SecuredParty shall repay to the purchasing Secured Party the purchase price to theratable extent of such recovery together with an amount equal to such sellingSecured Party’s ratable share (according to the proportion of (a) the amount ofsuch selling Secured Party’s required repayment to the purchasing Secured Partyto (b) total amount so recovered from the purchasing Secured Party) ofany interest or other amount paid or payable by the purchasing Secured Party inrespect of the total amount so recovered. The Borrower agrees that any SecuredParty purchasing a participation from another Secured Party pursuant to this Sectionmay, to the fullest extent permitted by law, exercise all its rights of payment(including pursuant to Section 4.9) with respect to such participationas fully as if such Secured Party were the direct creditor of the Borrower inthe amount of such participation. If under any applicable bankruptcy,insolvency or other similar law any Secured Party receives a secured claim inlieu of a setoff to which this Section applies, such Secured Party shall, tothe extent practicable, exercise its rights in respect of such secured claim ina manner consistent with the rights of the Secured Parties entitled under thisSection to share in the benefits of any recovery on such secured claim.

                SECTION4.9. Setoff. Each Secured Party shall, upon the occurrence and duringthe continuance of any Default described in clauses (a) through (d)of Section 8.1.9 or, with the consent of the Required Lenders, upon theoccurrence and during the continuance of any other Event of Default, have theright to appropriate and apply to the payment of the Obligations owing to it(whether or not then due), and (as security for such Obligations) the Borrowerhereby grants to each Secured Party a continuing security interest in, any andall balances, credits, deposits, accounts or moneys of the Borrower then orthereafter maintained with such Secured Party; provided that any suchappropriation and application shall be subject to the provisions of Section4.8. Each Secured Party agrees promptly to notify the Borrower and theAdministrative Agent after any such setoff and application made by such SecuredParty; provided that the failure to give such notice shall not affectthe validity of such setoff and application. The rights of each Secured Partyunder this Section are in addition to other rights and remedies (includingother rights of setoff under applicable law or otherwise) which such SecuredParty may have.

ARTICLEVCONDITIONS TO CREDIT EXTENSIONS

                SECTION 5.1. Initial CreditExtension. The obligations of the Lenders and, if applicable, theIssuer to fund the initial Credit Extension shall be subject to the prior orconcurrent satisfaction of each of the conditions precedent set forth in thisArticle.

                SECTION 5.1.1. Resolutions, etc. TheAdministrative Agent shall have received from each Obligor, as applicable, (i)a copy of a good standing certificate, dated a date reasonably close to theClosing Date, for each such Obligor and (ii) a certificate, dated the ClosingDate, duly executed and delivered by such Obligor’s Secretary or AssistantSecretary, managing member or general partner, as applicable, as to 

                (a) resolutions of each suchObligor’s Board of Directors (or other managing body, in the case of other thana corporation) then in full force and effect authorizing, to the extent relevant,all aspects of the Transaction applicable to such Obligor and the execution,delivery and performance of each Loan Document to be executed by such Obligorand the transactions contemplated hereby and thereby; 

                (b) the incumbency andsignatures of those of its officers, managing member or general partner, asapplicable, authorized to act with respect to each Loan Document to be executedby such Obligor; and 

                (c) the full force and validityof each Organic Document of such Obligor and copies thereof; 

upon whichcertificates each Secured Party may conclusively rely until it shall havereceived a further certificate of the Secretary, Assistant Secretary, managingmember or general partner, as applicable, of any such Obligor canceling oramending the prior certificate of such Obligor.

                SECTION 5.1.2. Delivery ofRevolving Notes. The Administrative Agent shall have received, for theaccount of each Lender that has requested a Revolving Note, such Lender’sRevolving Notes, duly executed and delivered by an Authorized Officer of theBorrower.

                SECTION 5.1.3. Subsidiary Guaranty.The Administrative Agent shall have received the Subsidiary Guaranty, dated asof the date hereof, duly executed and delivered by an Authorized Officer ofeach Subsidiary Guarantor.

                SECTION 5.1.4. ParentGuaranty and Pledge Agreement. The Administrative Agent shall havereceived the Parent Guaranty and Pledge Agreement, dated as of the date hereof,duly executed and delivered by an Authorized Officer of Parent, together withcertificates evidencing all of the issued and outstanding Equity Interests ofHoldings, which certificates in each case shall be accompanied by undatedinstruments of transfer duly executed in blank. The Administrative Agent andits counsel shall be satisfied that (i) the Lien granted to the AdministrativeAgent, for the benefit of the Secured Parties, in the collateral describedabove is a first priority (or local equivalent thereof) security interest, and(ii) no Lien exists on any of the collateral described above other than theLien created in favor of the Administrative Agent, for the benefit of theSecured Parties, pursuant to a Loan Document.

                SECTION 5.1.5. HoldingsGuaranty and Pledge Agreement. The Administrative Agent shall havereceived the Holdings Guaranty and Pledge Agreement, dated as of the datehereof, duly executed and delivered by an Authorized Officer of Holdings,together with certificates evidencing all of the issued and outstanding EquityInterests of the Borrower and USP International Holdings, Inc., whichcertificates in each case shall be accompanied by undated instruments oftransfer duly executed in blank. The Administrative Agent and its counsel shallbe satisfied that (i) the Lien granted to the Administrative Agent, for thebenefit of the Secured Parties, in the collateral described above is a firstpriority (or local equivalent thereof) security interest, and (ii) no Lienexists on any of the collateral described above other than the Lien created infavor of the Administrative Agent, for the benefit of the Secured Parties,pursuant to a Loan Document.

                SECTION 5.1.6. BorrowerPledge and Security Agreement. The Administrative Agent shall havereceived the Borrower Pledge and Security Agreement, dated as of the datehereof, duly executed and delivered by an Authorized Officer of the Borrower,together with:

                (a) certificates evidencing allof the issued and outstanding Equity Interests owned by the Borrower in itsSubsidiaries (other than Restricted Entities), which certificates in each caseshall be accompanied by undated instruments of transfer duly executed in blank,or, if any Equity Interests are uncertificated Equity Interests, confirmationand evidence satisfactory to the Administrative Agent that the securityinterest therein has been transferred to and perfected by the AdministrativeAgent for the benefit of the Secured Parties in accordance with Articles 8 and9 of the UCC and all laws otherwise applicable to the perfection of the pledgeof such Equity Interests;

                (b)all Intercompany Notes (as defined in the Borrower Pledge and SecurityAgreement), if any, evidencing Indebtedness payable to the Borrower dulyendorsed to the order of the Administrative Agent, together with FilingStatements (or similar instruments) in respect of such Intercompany Notesexecuted by the Borrower to be filed in such jurisdictions as theAdministrative Agent may reasonably request; 

                (c) executed copies of FilingStatements naming the Borrower as a debtor and the Administrative Agent as thesecured party, or other similar instruments or documents to be filed under theUCC of all jurisdictions as may be necessary or, in the opinion of theAdministrative Agent, desirable to perfect the security interests of theAdministrative Agent pursuant to the Borrower Pledge and Security Agreement; 

                (d) executed copies of properUCC Form UCC-3 termination statements, if any, necessary to release all Liensand other rights of any Person (i) in any collateral described in the BorrowerPledge and Security Agreement previously granted by any Person, and (ii)securing any of the Indebtedness identified in Item 7.2.2(b) of the DisclosureSchedule, together with such other UCC Form UCC-3 termination statements as theAdministrative Agent may reasonably request from such Obligors; and

                (e) certified copies of UCCRequests for Information or Copies (Form UCC-11), or a similar search reportcertified by a party acceptable to the Administrative Agent, dated a datereasonably near to the Closing Date, listing all effective financing statementswhich name the Borrower (under its present name and any previous names) as thedebtor, together with copies of such financing statements (none of which shallcover any collateral described in any Loan Document).

TheAdministrative Agent and its counsel shall be satisfied that (i) the Liengranted to the Administrative Agent, for the benefit of the Secured Parties, inthe collateral described above is a first priority (or local equivalentthereof) security interest, and (ii) no Lien exists on any of the collateraldescribed above other than the Lien created in favor of the AdministrativeAgent, for the benefit of the Secured Parties, pursuant to a Loan Document.

                SECTION 5.1.7. SubsidiaryPledge and Security Agreement. The Administrative Agent shall havereceived the Subsidiary Pledge and Security Agreement, dated as of the datehereof, duly executed and delivered by an Authorized Officer of each SubsidiaryGuarantor, together with:

                (a) certificates evidencing allof the issued and outstanding Equity Interests owned by such SubsidiaryGuarantor in its Subsidiaries (other than Restricted Entities), whichcertificates in each case shall be accompanied by undated instruments oftransfer duly executed in blank, or, if any Equity Interests are uncertificatedEquity Interests, confirmation and evidence satisfactory to the AdministrativeAgent that the security interest therein has been transferred to and perfectedby the Administrative Agent for the benefit of the Secured Parties inaccordance with Articles 8 and 9 of the UCC and all laws otherwise applicableto the perfection of the pledge of such Equity Interests; 

                (b) all Intercompany Notes (asdefined in the Subsidiary Pledge and Security Agreement), if any, evidencingIndebtedness payable to a Subsidiary duly endorsed to the order of theAdministrative Agent, together with Filing Statements (or similar instruments)in respect of such Intercompany Notes executed by such Subsidiary to be filedin such jurisdictions as the Administrative Agent may reasonably request; 

                (c) executed copies of FilingStatements naming each such Subsidiary as a debtor and the Administrative Agentas the secured party, or other similar instruments or documents to be filedunder the UCC of all jurisdictions as may be necessary or, in the opinion ofthe Administrative Agent, desirable to perfect the security interests of theAdministrative Agent pursuant to the Borrower Pledge and Security Agreement; 

                (d) executed copies of properUCC Form UCC-3 termination statements, if any, necessary to release all Liensand other rights of any Person (i) in any collateral described in theSubsidiary Pledge and Security Agreement previously granted by any Person, and(ii) securing any of the Indebtedness identified in Item 7.2.2(b) of theDisclosure Schedule, together with such other UCC Form UCC-3 terminationstatements as the Administrative Agent may reasonably request from suchObligors; and

                (e) certified copies of UCCRequests for Information or Copies (Form UCC-11), or a similar search reportcertified by a party acceptable to the Administrative Agent, dated a datereasonably near to the Closing Date, listing all effective financing statementswhich name any such Subsidiary (under its present name and any previous names)as the debtor, together with copies of such financing statements (none of whichshall cover any collateral described in any Loan Document).

TheAdministrative Agent and its counsel shall be satisfied that (i) the Liengranted to the Administrative Agent, for the benefit of the Secured Parties, inthe collateral described above is a first priority (or local equivalentthereof) security interest, and (ii) no Lien exists on any of the collateraldescribed above other than the Lien created in favor of the Administrative Agent,for the benefit of the Secured Parties, pursuant to a Loan Document.Notwithstanding the foregoing, no Lien shall be granted by USP Chandler, Inc.on its Equity Interests in Warner Park Surgery Center, L.P., so long as suchEquity Interests are assigned by USP Chandler, Inc. to Orthopedic and SurgicalSpecialty Company, LLC on or before December 31, 2001.

                SECTION 5.1.8. Filing Agent, etc. AllUniform Commercial Code financing statements or other similar financingstatements and Uniform Commercial Code (Form UCC-3) termination statementsrequired pursuant to the Loan Documents (collectively, the “FilingStatements”) shall have been delivered to CT Corporation System or anothersimilar filing service company acceptable to the Administrative Agent (the “FilingAgent”). The Filing Agent shall have acknowledged in a writing satisfactoryto the Administrative Agent and its counsel (i) the Filing Agent’s receipt ofall Filing Statements, (ii) that the Filing Statements have either beensubmitted for filing in the appropriate filing offices or will be submitted forfiling in the appropriate offices within ten days following the Closing Dateand (iii) that the Filing Agent will notify the Administrative Agent and itscounsel of the results of such submissions within 30 days following the ClosingDate. 

                SECTION 5.1.9. Closing DateCertificate. The Administrative Agent shall have received the BorrowerClosing Date Certificate, dated the Closing Date, duly executed and deliveredby an Authorized Officer of the Borrower, in which certificate the Borrowershall agree and acknowledge that the statements made therein shall be deemed tobe true and correct representations and warranties of the Borrower as of suchdate, and, at the time each such certificate is delivered, such statementsshall in fact be true and correct. All documents and agreements required to beappended to the Borrower Closing Date Certificate shall be in form andsubstance satisfactory to the Administrative Agent. 

                SECTION5.1.10. Solvency, etc. The Administrative Agent shall have receiveda solvency certificate, dated the Closing Date, duly executed and delivered bythe chief financial or accounting Authorized Officer of the Borrower, in formand substance satisfactory to the Administrative Agent. 

                SECTION 5.1.11. Insurance. TheAdministrative Agent shall have received certified copies of the insurancepolicies (or binders in respect thereof), from one or more insurance companiessatisfactory to the Administrative Agent, evidencing coverage required to bemaintained pursuant to each Loan Document.

                SECTION 5.1.12. FinancialInformation, etc. The Administrative Agent shall have received

                (a) (i) audited consolidatedfinancial statements of OrthoLink as at December 31, 2000, (ii) an auditedconsolidated balance sheet of the Borrower and its Consolidated Entities as atDecember 31, 2000, and (iii) an unaudited income statement of the Borrower andits Consolidated Subsidiaries as December 31, 2000;

                (b)a pro forma unaudited consolidated balance sheet of the Borrower and itsConsolidated Entities as of April 30, 2001, certified by the chief financial oraccounting Authorized Officer of the Borrower, giving effect to theconsummation of the Transaction and all the transactions contemplated by thisAgreement (including the making of the initial Credit Extension), which shallbe satisfactory to the Administrative Agent; 

                (c) a pro forma ComplianceCertificate, dated the Closing Date, certified by the chief financial oraccounting Authorized Officer of the Borrower, giving effect to theconsummation of the Transaction and all the transactions contemplated by thisAgreement (including the making of the initial Credit Extension) as of April30, 2001, and as to such items therein as the Administrative Agent reasonablyrequests; 

                (d) a business plan for the 2001through 2003 Fiscal Years, together with cash flow projections for the 2001through 2006 Fiscal Years and a written analysis of the business and prospectsof Parent, Holdings, the Borrower and its Consolidated Entities for the periodfrom the Closing Date through the Stated Maturity Date, in each casesatisfactory to the Administrative Agent; and

                (e) evidence satisfactory to theAdministrative Agent that the Borrower’s consolidated proformaEBITDA, adjusted to give effect to the subtraction of amounts attributable toMinority Interests and the consummation of the acquisition of OrthoLink andinclusive of add-backs for certain one-time, non-recurring charges notexceeding $6,700,000, for the 2000 Fiscal Year is not less than $17,500,000.

                SECTION 5.1.13. Opinions of Counsel.The Administrative Agent shall have received opinions, dated the Closing Dateand addressed to the Administrative Agent and all Lenders, from 

                (a) Nossaman, Guthner, Knox& Elliott, LLP, special counsel to the Obligors, in form and substancesatisfactory to the Administrative Agent;

                (b) Reboul, MacMurray, Hewitt,Maynard & Kristol, New York counsel to the Obligors, in form and substancesatisfactory to the Administrative Agent;

                (c) Greenebaum, Doll, McDonald,PLCC, Tennessee counsel to the Obligors, in form and substance satisfactory tothe Administrative Agent; and

                (d) Donohoe, Jameson &Carroll, PC, Texas counsel to the Obligors, in form and substance satisfactoryto the Administrative Agent.

                SECTION 5.1.14. Consummationof Transaction. The Administrative Agent shall have received evidencesatisfactory to it that all actions necessary to consummate the Transactionshall have been taken in accordance with all applicable law and in accordancewith the terms of each applicable Transaction Document, without amendment orwaiver of any material provision thereof.

                SECTION 5.1.15. TransactionDocuments. The Administrative Agent shall have received copies of fullyexecuted versions of the Transaction Documents reasonably requested by theAdministrative Agent, certified to be true and complete copies thereof by anAuthorized Officer of the Borrower. Each Transaction Document shall be in fullforce and effect and shall not have been modified or waived in any materialrespect, nor shall there have been any forbearance to exercise any materialrights with respect to any of the terms or provisions relating to theconditions to the consummation of the Transaction, as applicable, unlessotherwise agreed to by the Required Lenders.

                SECTION 5.1.16. Payment ofOutstanding Indebtedness, etc. All Indebtedness identified in Item7.2.2(b) of the Disclosure Schedule, together with all interest, allprepayment premiums and other amounts due and payable with respect thereto,shall have been paid in full from the proceeds of the initial Credit Extensionand the commitments in respect of such Indebtedness shall have been terminated,and all Liens securing payment of any such Indebtedness have been released and theAdministrative Agent shall have received all Uniform Commercial Code Form UCC-3termination statements or other instruments as may be suitable or appropriatein connection therewith.

                SECTION 5.1.17. Closing Fees,Expenses, etc. The Administrative Agent shall have received for its ownaccount, or for the account of each Lender, as the case may be, all fees, costsand expenses due and payable pursuant to Sections 3.3 and, if theninvoiced, 10.3.

                SECTION 5.2. All Credit Extensions.The obligation of each Lender and each Issuer to make any Credit Extensionshall be subject to and the satisfaction of each of the conditions precedentset forth below.

                SECTION 5.2.1. Compliance withWarranties, No Default, etc. Both before and after giving effect to anyCredit Extension (but, if any Default of the nature referred to in Section8.1.5 shall have occurred with respect to any other Indebtedness, withoutgiving effect to the application, directly or indirectly, of the proceedsthereof) the following statements shall be true and correct: 

                (a) the representations andwarranties set forth in each Loan Document shall, in each case, be true andcorrect with the same effect as if then made (unless stated to relate solely toan earlier date, in which case such representations and warranties shall betrue and correct in all material respects as of such earlier date); and

                (b) no Default shall have thenoccurred and be continuing.

                SECTION 5.2.2. Credit ExtensionRequest, etc. The Administrative Agent shall have received a BorrowingRequest if Loans are being requested, or an Issuance Request if a Letter ofCredit is being requested or extended. Each of the delivery of a BorrowingRequest or Issuance Request and the acceptance by the Borrower of the proceedsof such Credit Extension shall constitute a representation and warranty by theBorrower that on the date of such Credit Extension (both immediately before andafter giving effect to such Credit Extension and the application of theproceeds thereof) the statements made in Section 5.2.1 are true andcorrect in all material respects.

                SECTION 5.2.3. Satisfactory LegalForm. All documents executed or submitted pursuant hereto by or onbehalf of any Obligor shall be reasonably satisfactory in form and substance tothe Administrative Agent and its counsel, and the Administrative Agent and itscounsel shall have received all information, approvals, opinions, documents orinstruments as the Administrative Agent or its counsel may reasonably request.

 

ARTICLEVIREPRESENTATIONS AND WARRANTIES

                In order to induce the SecuredParties to enter into this Agreement and to make Credit Extensions hereunder,the Borrower represents and warrants to each Secured Party as set forth in thisArticle.

                SECTION 6.1. Organization, etc. EachObligor is validly organized and existing and in good standing under the lawsof the state or jurisdiction of its incorporation or organization, is dulyqualified to do business and is in good standing as a foreign entity in eachjurisdiction where the nature of its business requires such qualification(except where the failure to so qualify would not, individually or in theaggregate, have a Material Adverse Effect), and has full power and authorityand holds all requisite governmental licenses, permits and other approvals toenter into and perform its Obligations under each Loan Document to which it isa party, to own and hold under lease its property and to conduct its businesssubstantially as currently conducted by it.

                SECTION 6.2. DueAuthorization, Non-Contravention, etc. The execution, delivery andperformance by each Obligor of each Loan Document executed or to be executed byit, each Obligor’s participation in the consummation of all aspects of theTransaction, and the execution, delivery and performance by the Borrower or (ifapplicable) any Obligor of the agreements executed and delivered by it inconnection with the Transaction are in each case within such Person’s powers,have been duly authorized by all necessary action, and do not 

                (a) contravene or result in adefault under any (i) Obligor’s Organic Documents, (ii) contractual restrictionbinding on or affecting any Obligor, (iii) court decree or order binding on oraffecting any Obligor or (iv) law or governmental regulation binding on oraffecting any Obligor; or

                (b)result in, or require the creation or imposition of, any Lien on any Obligor’sproperties (except as permitted by this Agreement).

                SECTION 6.3. GovernmentApproval, Regulation, etc. No authorization or approval or other actionby, and no notice to or filing with, any Governmental Authority or other Person(other than those that have been, or on the Closing Date will be, duly obtainedor made and which are, or on the Closing Date will be, in full force andeffect, and other than those filings required to be made after the ClosingDate) is required for the consummation of the Transaction or the due execution,delivery or performance by any Obligor of any Loan Document to which it is aparty, or for the due execution, delivery and/or performance of TransactionDocuments, in each case by the parties thereto or the consummation of theTransaction. Neither the Borrower nor any of its Consolidated Entities is an“investment company” within the meaning of the Investment Company Act of 1940,as amended, or a “holding company”, or a “subsidiary company” of a “holdingcompany”, or an “affiliate” of a “holding company” or of a “subsidiary company”of a “holding company”, within the meaning of the Public Utility HoldingCompany Act of 1935, as amended.

                SECTION6.4. Validity, etc. Each Loan Document and each Transaction Documentto which any Obligor is a party constitutes the legal, valid and bindingobligations of such Obligor, enforceable against such Obligor in accordancewith their respective terms (except, in any case, as such enforceability may belimited by applicable bankruptcy, insolvency, reorganization or similar lawsaffecting creditors’ rights generally and by principles of equity).

                SECTION 6.5. Financial Information.The financial statements of the Borrower and its Consolidated Entitiesfurnished to the Administrative Agent and each Lender pursuant to clause (a)of Section 5.1.12 have been prepared in accordance with GAAPconsistently applied, and present fairly the consolidated financial conditionof the Persons covered thereby as at the dates thereof and the results of theiroperations for the periods then ended. All balance sheets, all statements ofincome and of cash flow and all other financial information of each of theBorrower and its Consolidated Entities furnished pursuant to Section 7.1.1have been and will for periods following the Effective Date be prepared inaccordance with GAAP consistently applied with the financial statementsdelivered pursuant to clause (a) of Section 5.1.12, and do orwill present fairly the consolidated financial condition of the Persons coveredthereby as at the dates thereof and the results of their operations for theperiods then ended.

                SECTION 6.6. No Material AdverseChange. There has been no material adverse change in the condition(financial or otherwise), results of operations, assets, business, propertiesor prospects of the Borrower or the Borrower and its Consolidated Entities,taken as a whole, since December 31, 2000. 

                SECTION 6.7. Litigation, LaborControversies, etc. There is no pending or, to the knowledge of theBorrower or any of its Consolidated Entities, threatened litigation, action,proceeding or labor controversy 

                (a) except as disclosed in Item6.7 of the Disclosure Schedule, affecting any Obligor or any of itsproperties, businesses, assets or revenues, which could reasonably be expectedto have a Material Adverse Effect, and no adverse development has occurred inany labor controversy, litigation, arbitration or governmental investigation orproceeding disclosed in Item 6.7, or 

                (b) which purports to affect thelegality, validity or enforceability of any Loan Document, the TransactionDocuments or the Transaction. 

                SECTION 6.8. Subsidiaries. TheBorrower has no Subsidiaries, except those Subsidiaries which are identified inItem 6.8 of the Disclosure Schedule, or which are permitted to have beenorganized or acquired in accordance with Sections 7.2.5 or 7.2.10.Item 6.8 of the Disclosure Schedule sets forth each Consolidated Entity,Non-Consolidated Entity, Operating Entity and Restricted Entities.

                SECTION 6.9. Ownership ofProperties. The Borrower and each of its Consolidated Entities owns (a)in the case of owned real property, good fee title to, and (b) in the case ofowned personal property, good and valid title to, or, in the case of leasedreal or personal property, valid and enforceable leasehold interests (as thecase may be) in, all of its properties and assets, real and personal, tangibleand intangible, of any nature whatsoever, free and clear in each case of allLiens or claims, except for Liens permitted pursuant to Section 7.2.3.

                SECTION6.10. Taxes. The Borrower and each of its Consolidated Entities hasfiled all tax returns and reports required by law to have been filed by it andhas paid all material Taxes thereby shown to be due and owing, except any suchTaxes which are being diligently contested in good faith by appropriateproceedings and for which adequate reserves in accordance with GAAP shall havebeen set aside on its books. 

                SECTION 6.11. Pension and WelfarePlans. Except as disclosed in Item 6.11 of the DisclosureSchedule, during the twelve-consecutive-month period prior to the EffectiveDate and prior to the date of any Credit Extension hereunder, no steps havebeen taken to terminate any Pension Plan, and no contribution failure hasoccurred with respect to any Pension Plan sufficient to give rise to a Lienunder Section 302(f) of ERISA. No condition exists or event or transaction hasoccurred with respect to any Pension Plan which might result in the incurrenceby the Borrower or any member of the Controlled Group of any materialliability, fine or penalty. Except as disclosed in Item 6.11 of theDisclosure Schedule, neither the Borrower nor any member of the ControlledGroup has any contingent liability with respect to any post-retirement benefitunder a Welfare Plan, other than liability for continuation coverage describedin Part 6 of Title I of ERISA.

                SECTION 6.12. EnvironmentalWarranties. Except as set forth in Item 6.12 of the DisclosureSchedule:

                (a) all facilities and property(including underlying groundwater) owned or leased by the Borrower or any ofits Consolidated Entities have been, and continue to be, owned or leased by theBorrower and its Consolidated Entities in material compliance with allEnvironmental Laws;

                (b) there have been no past, andthere are no pending or threatened (i) claims, complaints, notices or requestsfor information received by the Borrower or any of its Consolidated Entitieswith respect to any alleged violation of any Environmental Law, or (ii)complaints, notices or inquiries to the Borrower or any of its ConsolidatedEntities regarding potential liability under any Environmental Law;

                (c) there have been no Releasesof Hazardous Materials at, on or under any property now or previously owned orleased by the Borrower or any of its Consolidated Entities that have, or couldreasonably be expected to have, a Material Adverse Effect; 

                (d) the Borrower and its ConsolidatedEntities have been issued and are in material compliance with all permits,certificates, approvals, licenses and other authorizations relating toenvironmental matters; 

                (e) no property now orpreviously owned or leased by the Borrower or any of its Consolidated Entitiesis listed or proposed for listing (with respect to owned property only) on theNational Priorities List pursuant to CERCLA, on the CERCLIS or on any similarstate list of sites requiring investigation or clean-up; 

                (f) there are no undergroundstorage tanks, active or abandoned, including petroleum storage tanks, on orunder any property now or previously owned or leased by the Borrower or any ofits Consolidated Entities that, singly or in the aggregate, have, or could reasonablybe expected to have, a Material Adverse Effect; 

                (g)neither the Borrower nor any Consolidated Entity has directly transported ordirectly arranged for the transportation of any Hazardous Material to anylocation which is listed or proposed for listing on the National PrioritiesList pursuant to CERCLA, on the CERCLIS or on any similar state list or whichis the subject of federal, state or local enforcement actions or otherinvestigations which may lead to material claims against the Borrower or suchConsolidated Entity for any remedial work, damage to natural resources orpersonal injury, including claims under CERCLA;

                (h) there are no polychlorinatedbiphenyls or friable asbestos present at any property now or previously ownedor leased by the Borrower or any Consolidated Entity that, singly or in theaggregate, have, or could reasonably be expected to have, a Material AdverseEffect; and

                (i) no conditions exist at, onor under any property now or previously owned or leased by the Borrower which,with the passage of time, or the giving of notice or both, would give rise tomaterial liability under any Environmental Law.

                SECTION 6.13. Accuracy ofInformation. The factual information heretofore or contemporaneouslyfurnished in writing to the Agents by or on behalf of any Obligor, taken as awhole, in connection with any Loan Document or any transaction contemplatedhereby (including the Transaction) does not contain any untrue statement of amaterial fact, or omits to state any fact necessary to make any materialstatement contained therein not misleading in any material respect, and noother factual information hereafter furnished in connection with any LoanDocument by or on behalf of any Obligor to any Secured Party will contain anyuntrue statement of a material fact or will omit to state any fact necessary tomake any material information contained therein not misleading in any materialrespect on the date as of which such information is dated or certified. 

                SECTION 6.14. Regulations T, U and X.No Obligor is engaged in the business of extending credit for the purpose ofpurchasing or carrying margin stock, and no proceeds of any Credit Extensionswill be used to purchase or carry margin stock or otherwise for a purpose whichviolates, or would be inconsistent with, F.R.S. Board Regulations T, U or X.Terms for which meanings are provided in F.R.S. Board Regulations T, U or X orany regulations substituted therefor, as from time to time in effect, are usedin this Section with such meanings. 

                SECTION 6.15. Absence of AnyUndisclosed Liabilities. As of the Closing Date, there are no materialliabilities of any Obligor of any kind whatsoever, whether accrued, contingent,absolute, determined, determinable or otherwise, and there is no existing condition,situation or set of circumstances which could be expected to result in such aliability, other than those liabilities provided for or disclosed in the mostrecently delivered financial statements or those liabilities that have beendisclosed to the Administrative Agent prior to the Closing Date.

                SECTION 6.16. Issuance ofSubordinated Debt; Status of Obligations as Senior Indebtedness, etc.The Borrower has the power and authority to incur the Subordinated Debt asprovided for under the Sub Debt Documents applicable thereto and has dulyauthorized, executed and delivered the Sub Debt Documents applicable to suchSubordinated Debt. The Borrower has issued, pursuant to due authorization, theSubordinated Debt under the applicable Sub Debt Documents, and such Sub DebtDocuments constitute the legal, valid and binding obligations of the Borrowerenforceable against the Borrower in accordance with its terms (except as suchenforceability may be limited by applicable bankruptcy, insolvency,reorganization or similar laws affecting creditors’ rights generally and byprinciples of equity). The subordination provisions of the Subordinated Debtcontained in the Sub Debt Documents are enforceable against the holders of theSubordinated Debt by the holder of any “Senior Indebtedness” or similar termreferring to the Obligations (as defined in the Sub Debt Documents). AllObligations, including those to pay principal of and interest (includingpost-petition interest, whether or not allowed as a claim under bankruptcy orsimilar laws) on the Loans and Reimbursement Obligations, and fees and expensesin connection therewith, constitute “Senior Indebtedness” or similar termrelating to the Obligations (as defined in the Sub Debt Documents) and all suchObligations are entitled to the benefits of the subordination created by theSub Debt Documents. The Borrower acknowledges that the Administrative Agent,each Lender and each Issuer is entering into this Agreement and is extendingits Commitments in reliance upon the subordination provisions of the Sub DebtDocuments.

 

ARTICLEVIICOVENANTS

                SECTION 7.1. Affirmative Covenants.The Borrower agrees with each Lender, each Issuer and the Administrative Agentthat until the Termination Date has occurred, the Borrower will, and will causeits Consolidated Entities to, perform or cause to be performed the obligationsset forth below. 

                SECTION 7.1.1. FinancialInformation, Reports, Notices, etc. The Borrower will furnish eachLender and the Administrative Agent copies of the following financialstatements, reports, notices and information: 

                (a) as soon as available and inany event within 45 days after the end of each Fiscal Quarter of each FiscalYear, (i) unaudited consolidated and consolidating balance sheets of theBorrower and its Consolidated Entities as of the end of such Fiscal Quarter andconsolidated statements of income and cash flow of the Borrower and itsConsolidated Entities for such Fiscal Quarter and for the period commencing atthe end of the previous Fiscal Year and ending with the end of such FiscalQuarter, and including (in each case), in comparative form the figures for thecorresponding Fiscal Quarter in, and year to date portion of, the immediatelypreceding Fiscal Year, and (ii) unaudited consolidated and consolidatingbalance sheets of Parent and its Subsidiaries as of the end of such FiscalQuarter and consolidated and consolidating statements of income and cash flowof Parent and its Subsidiaries for such Fiscal Quarter and for the periodcommencing at the end of the previous Fiscal Year and ending with the end ofsuch Fiscal Quarter, and including (in each case), in comparative form thefigures for the corresponding Fiscal Quarter in, and year to date portion of,the immediately preceding Fiscal Year, in the case of each of clauses (i)and (ii) certified as presenting fairly the consolidated financialcondition of the Persons covered thereby by the chief financial or accountingAuthorized Officer of the Borrower;

                (b)as soon as available and in any event within 90 days after the end of eachFiscal Year, a copy of the consolidated balance sheet of the Borrower and itsConsolidated Entities, and the related consolidated statements of income andcash flow of the Borrower and its Consolidated Entities for such Fiscal Year,setting forth in comparative form the figures for the immediately precedingFiscal Year, audited (without any Impermissible Qualification) by independentpublic accountants acceptable to the Administrative Agent, which shall includea calculation of the financial covenants set forth in Section 7.2.4 anda statement by such accountants that, in performing the examination necessaryto deliver the audited financial statements of the Borrower, no knowledge wasobtained of any Event of Default;

                (c) concurrently with thedelivery of the financial information pursuant to clauses (a) and (b),a Compliance Certificate, executed by the chief financial or accountingAuthorized Officer of the Borrower, showing compliance with the financialcovenants set forth in Section 7.2.4 and stating that no Default hasoccurred and is continuing (or, if a Default has occurred, specifying thedetails of such Default and the action that the Borrower or an Obligor hastaken or proposes to take with respect thereto); 

                (d) as soon as possible and inany event within three days after the Borrower or any other Obligor obtainsknowledge of the occurrence of a Default, a statement of an Authorized Officerof the Borrower setting forth details of such Default and the action which theBorrower or such Obligor has taken and proposes to take with respect thereto;

                (e) as soon as possible and inany event within three days after the Borrower or any other Obligor obtainsknowledge of (i) the occurrence of any material adverse development withrespect to any litigation, action, proceeding or labor controversy described inItem 6.7 of the Disclosure Schedule or (ii) the commencement of anylitigation, action, proceeding or labor controversy of the type and materialitydescribed in Section 6.7, notice thereof and, to the extent theAdministrative Agent requests, copies of all documentation relating thereto;

                (f)promptly after the sending or filing thereof, copies of all reports, notices,prospectuses and registration statements which any Obligor files with the SECor any national securities exchange; 

                (g) immediately upon becomingaware of (i) the institution of any steps by any Person to terminate anyPension Plan, (ii) the failure to make a required contribution to any PensionPlan if such failure is sufficient to give rise to a Lien under Section 302(f)of ERISA, (iii) the taking of any action with respect to a Pension Plan whichcould result in the requirement that any Obligor furnish a bond or othersecurity to the PBGC or such Pension Plan, or (iv) the occurrence of any eventwith respect to any Pension Plan which could result in the incurrence by anyObligor of any material liability, fine or penalty, notice thereof and copiesof all documentation relating thereto;

                (h) promptly upon receiptthereof, copies of all “management letters” submitted to the Borrower or anyother Obligor by the independent public accountants referred to in clause (b)in connection with each audit made by such accountants; 

                (i) promptly following the mailingor receipt of any notice or report delivered under the terms of anySubordinated Debt, copies of such notice or report; and 

                (j) such other financial andother information as any Lender or Issuer through the Administrative Agent mayfrom time to time reasonably request (including information and reports in suchdetail as the Administrative Agent may request with respect to the terms of andinformation provided pursuant to the Compliance Certificate).

                SECTION 7.1.2. Maintenanceof Existence; Compliance with Laws, etc. The Borrower will, and willcause each of its Consolidated Entities to, preserve and maintain its legalexistence (except as otherwise permitted by Section 7.2.10), and complyin all material respects with all applicable laws, rules, regulations andorders, including the payment (before the same become delinquent), of allTaxes, imposed upon the Borrower or its Consolidated Entities or upon theirproperty except to the extent being diligently contested in good faith byappropriate proceedings and for which adequate reserves in accordance with GAAPhave been set aside on the books of the Borrower or its Consolidated Entities,as applicable.

                SECTION 7.1.3. Maintenance ofProperties. The Borrower will, and will cause each of its ConsolidatedEntities to, maintain, preserve, protect and keep its and their respectiveproperties in good repair, working order and condition (ordinary wear and tearexcepted), and make necessary repairs, renewals and replacements so that thebusiness carried on by the Borrower and its Consolidated Entities may beproperly conducted at all times, unless the Borrower or such ConsolidatedEntity determines in good faith that the continued maintenance of such propertyis no longer economically desirable. 

                SECTION 7.1.4. Insurance. TheBorrower will, and will cause each of its Consolidated Entities to: 

                (a) maintain insurance on itsproperty with financially sound and reputable insurance companies against lossand damage in at least the amounts (and with only those deductibles)customarily maintained, and against such risks as are typically insured againstin the same general area, by Persons of comparable size engaged in the same orsimilar business as the Borrower and its Consolidated Entities; and

                (b) all worker’s compensation,employer’s liability insurance or similar insurance as may be required underthe laws of any state or jurisdiction in which it may be engaged in business.

Withoutlimiting the foregoing, all insurance policies required pursuant to thisSection that are maintained by the Borrower and the Subsidiary Guarantors withrespect to their operations and assets shall, if requested by theAdministrative Agent, (i) name the Administrative Agent on behalf of theSecured Parties as loss payee (in the case of property insurance) or additionalinsured (in the case of liability insurance), as applicable, and provide thatno cancellation or modification of the policies will be made without thirtydays’ prior written notice to the Administrative Agent and (ii) be in additionto any requirements to maintain specific types of insurance contained in theother Loan Documents. 

                SECTION 7.1.5. Books and Records.The Borrower will, and will cause each of its Consolidated Entities to, keepbooks and records in accordance with GAAP which accurately reflect all of itsbusiness affairs and transactions and permit each Secured Party or any of itsrepresentatives, at reasonable times and intervals upon reasonable notice tothe Borrower, to visit each Obligor’s offices, to discuss such Obligor’sfinancial matters with its officers, employees and independent publicaccountants (and the Borrower hereby authorizes such independent publicaccountant to discuss each Obligor’s financial matters with each Secured Partyand its representatives whether or not any representative of such Obligor ispresent) and to examine (and photocopy extracts from) any of its books andrecords. The Borrower shall pay any fees of such independent public accountantincurred in connection with any Secured Party’s exercise of its rights pursuantto this Section.

                SECTION 7.1.6. EnvironmentalLaw Covenant. The Borrower will, and will cause each of itsConsolidated Entities to, 

                (a) use and operate all of itsand their facilities and properties in material compliance with allEnvironmental Laws, keep all necessary permits, approvals, certificates,licenses and other authorizations relating to environmental matters in effectand remain in material compliance therewith, and handle all Hazardous Materialsin material compliance with all applicable Environmental Laws; and

                (b)promptly notify the Administrative Agent and provide copies upon receipt of allwritten claims, complaints, notices or inquiries relating to the condition ofits facilities and properties in respect of, or as to compliance with,Environmental Laws, and shall promptly resolve any non-compliance withEnvironmental Laws and keep its property free of any Lien imposed by anyEnvironmental Law.

                SECTION 7.1.7. Use of Proceeds.The Borrower will apply the proceeds of the Credit Extensions as follows:

                (a) to repay the Indebtednessidentified in Item 7.2.2(b) of the Disclosure Schedule;

                (b) for working capital andgeneral corporate purposes of the Borrower and the Subsidiary Guarantors,including Investments permitted by this Agreement; and

                (c) for issuing Letters ofCredit for the account of the Borrower and the Subsidiary Guarantors.

                SECTION 7.1.8. Future Guarantors,Security, etc. The Borrower will, and will cause each SubsidiaryGuarantor to, execute any documents, Filing Statements, agreements (includingany guaranty, security and/or pledge agreement) and instruments, and take allfurther action (including filing Mortgages within 150 days of the acquisitionof any real property) that may be required under applicable law, or that theAdministrative Agent may reasonably request, in order to effectuate thetransactions contemplated by the Loan Documents and in order to grant,preserve, protect and perfect the validity and first priority (subject to Lienspermitted by Section 7.2.3) of the Liens created or intended to becreated by the Loan Documents. The Borrower will cause any subsequentlyacquired or organized Wholly-Owned Subsidiary to execute the SubsidiaryGuaranty (or a supplement thereto) and each applicable Loan Document in favorof the Secured Parties. In addition, from time to time, the Borrower will, andwill cause each Subsidiary Guarantor to, at the Borrower’s cost and expense,promptly secure the Obligations by pledging or creating, or causing to bepledged or created, perfected Liens with respect to such of its assets andproperties as the Administrative Agent or the Required Lenders shall designate,it being agreed that it is the intent of the parties that the Obligations shallbe secured by, among other things, substantially all the assets of the Borrowerand Subsidiary Guarantors, including real and personal property acquiredsubsequent to the Effective Date. Such Liens will be created under the LoanDocuments in form and substance satisfactory to the Administrative Agent, andthe Borrower shall deliver or cause to be delivered to the Administrative Agentall such instruments and documents (including legal opinions, title insurancepolicies and lien searches) as the Administrative Agent shall reasonablyrequest to evidence compliance with this Section. Notwithstanding theforegoing, (a) the obligation to grant a Mortgage with respect to any realproperty shall be subject to Section 7.1.10, (b) this Section 7.1.8shall not apply to any Subsidiary Guarantor that is an Operating Entity (orwhich becomes an Operating Entity within six months after the formation orinitial acquisition of an Equity Interest in such Subsidiary) and (c) noSubsidiary Guarantor shall be obligated to grant a Lien with respect to anyEquity Interest in a partnership, joint venture or limited liability company inwhich an Equity Interest is also held by a Person that owns or is affiliatedwith a non-profit hospital. 

                SECTION 7.1.9. Rate ProtectionAgreements. No later than February 28, 2002, the Borrower will enterinto interest rate swap, cap, collar or similar arrangements designed toprotect the Borrower against fluctuations in interest rates with respect to atleast 50% of the average outstanding amount of the Borrower’s Indebtedness forthe Fiscal Quarter ending December 31, 2001 for a period and on termssatisfactory to the Administrative Agent. 

                SECTION 7.1.10. Dispositionsof Real Property. The Borrower shall Dispose of, or cause to beDisposed, the properties listed on Item 7.1.10 of the DisclosureSchedule no later than 150 days after the Closing Date or, if not Disposed ofby such time, the Borrower shall deliver to the Administrative Agent, asmortgagee for the ratable benefit of the Secured Parties, counterparts of aMortgage relating to each such property, each dated as of the date of suchdelivery, duly executed by the Borrower or the applicable Subsidiary Guarantor,together with (a) evidence of the completion (or satisfactory arrangements forthe completion) of all recordings and filings of such Mortgage as may benecessary or, in the reasonable opinion of the Administrative Agent, desirableeffectively to create a valid, perfected first priority Lien, subject to Lienspermitted by Section 7.2.3, against the properties purported to becovered thereby and (b) such other approvals, opinions or documents as theAgents may reasonably request.

                SECTION 7.1.11. RestrictedEntity Acknowledgments. The Borrower shall use commercially reasonableefforts to, no later than 90 days after the Closing Date, have anacknowledgment in form and substance reasonably satisfactory to theAdministrative Agent executed by each holder of Equity Interests of eachRestricted Entity (other than any Obligor) with respect to the restriction onthe ability to pledge the Equity Interests of such Restricted Entity and theagreement of such holder not to consent to the pledge by any Obligor of itsEquity Interests in such Restricted Entity. 

                SECTION 7.2. Negative Covenants.The Borrower covenants and agrees with each Lender, each Issuer and theAdministrative Agent that until the Termination Date has occurred, the Borrowerwill, and will cause its Consolidated Entities to, perform or cause to beperformed the obligations set forth below.

                SECTION 7.2.1. Business Activities.The Borrower will not, and will not permit any of its Consolidated Entities to,engage in any business activity except those business activities engaged in onthe Closing Date and activities reasonably related thereto.

                SECTION 7.2.2. Indebtedness. TheBorrower will not, and will not permit any of its Consolidated Entities to,create, incur, assume or permit to exist any Indebtedness, other than: 

                (a) Indebtedness in respect ofthe Obligations; 

                (b) until the Closing Date,Indebtedness that is to be repaid in full as further identified in Item7.2.2(b) of the Disclosure Schedule;

                (c) Indebtedness existing as ofthe Effective Date which is identified in Item 7.2.2(c) of theDisclosure Schedule, and refinancing of such Indebtedness in a principal amountnot in excess of that which is outstanding on the Effective Date (as suchamount has been reduced following the Effective Date);

                (d) unsecured Indebtedness (i)incurred in the ordinary course of business of the Borrower and itsConsolidated Entities (including open accounts extended by suppliers on normaltrade terms in connection with purchases of goods and services which are notoverdue for a period of more than 90 days or, if overdue for more than 90 days,as to which a dispute exists and adequate reserves in conformity with GAAP havebeen established on the books of the Borrower or such Consolidated Entity) and(ii) in respect of performance, surety or appeal bonds provided in the ordinarycourse of business, but excluding (in each case), Indebtedness incurred throughthe borrowing of money or Contingent Liabilities in respect thereof; 

                (e) Indebtedness of anySubsidiary Guarantor owing to the Borrower or any other Subsidiary Guarantor,which Indebtedness shall be either (i) evidenced by one or more promissorynotes in form and substance satisfactory to the Administrative Agent, dulyexecuted and delivered in pledge to the Administrative Agent pursuant to a LoanDocument, or (ii) reflected in an open account on the books and records of suchPerson, 

and shall, ineach case, not be forgiven or otherwise discharged for any consideration otherthan payment in full or in part in cash (provided that only the amountrepaid in part shall be discharged);

                (f) unsecured subordinatedIndebtedness (not evidenced by a note or other instrument) of the Borrowerowing to a Subsidiary so long as the agreement pursuant to which suchIndebtedness was incurred contains subordination provisions and other termswhich are reasonably satisfactory in all respects to the Administrative Agent;

                (g)unsecured Subordinated Debt of the Borrower incurred pursuant to the terms ofthe Sub Debt Documents in a principal amount not to exceed $36,000,000 andrefinancings of such Subordinated Debt which continue to satisfy the terms ofthe definition of “Subordinated Debt”; 

                (h) Indebtedness consisting ofobligations of the Borrower to Operating Entities in connection with any cashmanagement system operated by the Borrower in the ordinary course of businessunder which the Borrower receives and holds cash that belongs to such OperatingEntities pending disbursement of such cash to or for the benefit of therespective Operating Entities; 

                (i) other Indebtedness of theBorrower and its Consolidated Entities in an aggregate amount at any timeoutstanding not to exceed the greater of (i) $35,000,000 and (ii) an amountequal to EBITDA of the Borrower and its Consolidated Entities for the fourFiscal Quarters for which the most recent Compliance Certificate was deliveredto the Administrative Agent by the Borrower pursuant to clause (c) of Section7.1.1; provided that such Indebtedness shall, if payable to theBorrower or a Subsidiary Guarantor, be either (A) evidenced by one or morepromissory notes in form and substance satisfactory to the AdministrativeAgent, duly executed and delivered in pledge to the Administrative Agentpursuant to a Loan Document, or (B) reflected in an open account on the booksand records of such Person, and shall, in each case, not be forgiven orotherwise discharged for any consideration other than payment in full or inpart in cash (provided that only the amount repaid in part shall bedischarged); 

provided that no Indebtedness otherwise permittedby clauses (c), (e), (g) or (i) shall be assumed,created or otherwise incurred if a Default has occurred and is then continuingor would result therefrom. 

                SECTION7.2.3. Liens. The Borrower will not, and will not permit any of itsConsolidated Entities to, create, incur, assume or permit to exist any Lienupon any of its property (including Equity Interests of any Person), revenuesor assets, whether now owned or hereafter acquired, except: 

                (a) Liens securing payment ofthe Obligations;

                (b) until the Closing Date,Liens securing payment of Indebtedness of the type described in clause (b)of Section 7.2.2;

                (c) Liens existing as of theEffective Date and disclosed in Item 7.2.3(c) of the Disclosure Schedulesecuring Indebtedness described in clause (c) of Section 7.2.2,and refinancings of such Indebtedness; provided that no such Lien shallencumber any additional property and the amount of Indebtedness secured by suchLien is not increased from that existing on the Effective Date (as suchIndebtedness may have been permanently reduced subsequent to the EffectiveDate);

                (d)Liens securing Indebtedness of the type permitted under clause (i) of Section7.2.2; provided that (i) such Lien is granted within 60 days aftersuch Indebtedness is incurred and (ii) such Lien secures only the assets thatare the subject of the Indebtedness referred to in such clause; 

                (e) Liens in favor of carriers,warehousemen, mechanics, materialmen and landlords granted in the ordinarycourse of business for amounts not overdue or being diligently contested in goodfaith by appropriate proceedings and for which adequate reserves in accordancewith GAAP shall have been set aside on its books; 

                (f) Liens incurred or depositsmade in the ordinary course of business in connection with worker’scompensation, unemployment insurance or other forms of governmental insuranceor benefits, or to secure performance of tenders, statutory obligations, bids,leases or other similar obligations (other than for borrowed money) enteredinto in the ordinary course of business or to secure obligations on surety andappeal bonds or performance bonds;

                (g) judgment Liens in existencefor less than 45 days after the entry thereof or with respect to whichexecution has been stayed or the payment of which is covered in full (subjectto a customary deductible) by insurance maintained with responsible insurancecompanies and which do not otherwise result in an Event of Default under Section8.1.6; 

                (h) easements, rights-of-way,zoning restrictions, minor defects or irregularities in title and other similarencumbrances not interfering in any material respect with the value or use ofthe property to which such Lien is attached; and 

                (i) Liens for Taxes not at thetime delinquent or thereafter payable without penalty or being diligently contestedin good faith by appropriate proceedings and for which adequate reserves inaccordance with GAAP shall have been set aside on its books. 

                SECTION 7.2.4. FinancialCondition and Operations. The Borrower will not permit any of theevents set forth below to occur. 

                (a) The Borrower will not permitthe Total Debt to EBITDA Ratio as of the last day of any Fiscal Quarter setforth below to be greater than the ratio set forth opposite such FiscalQuarter:

 
Fiscal QuarterTotal Debt  to EBITDA Ratio  June 30, 2001  4.50:1  September 30, 2001  4.50:1  December 31, 2001  4.50:1  March 31, 2002  4.50:1  June 30, 2002  4.25:1  September 30, 2002  4.25:1  December 31, 2002  4.25:1  March 31, 2003  4.251  Each Fiscal Quarter thereafter  4.00:1
                (b) The Borrower will not permitthe Senior Debt to EBITDA Ratio as of the last day of any Fiscal Quarter setforth below to be greater than the ratio set forth opposite such FiscalQuarter: 
Fiscal QuarterSenior Debt   to EBITDA RatioJune 30, 2001  3.00:1September 30, 2001  3.00:1December 31, 2001  3.00:1March 31, 2002  3.00:1June 30, 2002  2.75:1September 30, 2002  2.75:1December 31, 2002  2.75:1March 31, 2003  2.75:1Each Fiscal Quarter thereafter  2.50:1
                (c)The Borrower will not permit the Fixed Charge Coverage Ratio as of the last dayof any Fiscal Quarter set forth below to be less than the ratio set forthopposite such Fiscal Quarter:
Fiscal QuarterFixed Charge Coverage RatioJune 30, 2001  1.00:1September 30, 2001  1.10:1December 31, 2001  1.10:1March 31, 2002  1.10:1June 30, 2002  1.25:1September 30, 2002  1.25:1December 31, 2002  1.25:1March 31, 2003  1.50:1Each Fiscal Quarter thereafter  1.50:1
                (d)The Borrower will not permit the Interest Coverage Ratio as of the last day ofany Fiscal Quarter set forth below to be less than the ratio set forth oppositesuch Fiscal Quarter: 
Fiscal QuarterInterest Coverage RatioJune 30, 2001  1.85:1September 30, 2001  1.85:1December 31, 2001  2.10:1March 31, 2002  2.25:1June 30, 2002  2.25:1September 30, 2002  2.25:1December 31, 2002  2.25:1March 31, 2003  2.50:1Each Fiscal Quarter thereafter  2.50:1
                SECTION 7.2.5. Investments. TheBorrower will not, and will not permit any of its Consolidated Entities to,purchase, make, incur, assume or permit to exist any Investment in any otherPerson, except:

                (a) Investments existing on theEffective Date and identified in Item 7.2.5(a) of the DisclosureSchedule; 

                (b) Cash Equivalent Investments;

                (c) Investments received inconnection with the bankruptcy or reorganization of, or settlement ofdelinquent accounts and disputes with, customers and suppliers, in each case inthe ordinary course of business; 

                (d) Investments permitted asCapital Expenditures pursuant to Section 7.2.7; 

                (e)Investments (i) by the Borrower in any Consolidated Entity, (ii) by anyConsolidated Entity in the Borrower or another Consolidated Entity, or (iii) bythe Borrower or any Consolidated Entity in any Non-Consolidated Entity to whichthe Borrower or a Consolidated Entity provides management services and receivesa fee therefor and which Non-Consolidated Entity has no restrictions on thepayment of dividends or distributions to holders of its Equity Interests; providedthat the aggregate amount of Investments under this clause (iii) (inaddition to any such Investments permitted pursuant to clause (a) ofthis Section 7.2.5) (A) at any time outstanding shall not exceed$12,500,000 plus (x) the reduction of the aggregate amount ofInvestments outstanding pursuant to clause (a) of this Section 7.2.5plus (y) 50% of the cumulative Net Equity Proceeds received by theBorrower since the Closing Date, and (B) incurred in any Fiscal Year shall notexceed $5,000,000 plus 15% of the cumulative Net Equity Proceedsreceived by the Borrower since the Closing Date; 

                (f) Investments constituting (i)accounts receivable arising, (ii) trade debt granted, or (iii) deposits made inconnection with the purchase price of goods or services, in each case in theordinary course of business;

                (g) Investments by way of theacquisition of Equity Interests constituting Permitted Acquisitions in anaggregate amount not to exceed $10,000,000 in cash (net of any amounts thathave been syndicated to other investors) during any twelve month periodfollowing the Closing Date; provided that the maximum aggregate amountset forth above shall be $5,000,000 for any twelve month period in which theFt. Worth Acquisition is consummated; providedfurther that (i) anysuch Investments shall result in the acquisition of a Wholly-Owned Subsidiaryand (ii) upon making such Investments, the provisions of Section 7.1.8are complied with; 

                (h) Investments consisting ofany deferred portion of the sales price received by the Borrower or anyConsolidated Entity in connection with any Disposition permitted under Section7.2.11; 

                (i) Investments constitutingPermitted Foreign Investments in an aggregate amount not to exceed $25,000,000during the term of this Agreement; provided that the aggregate amount ofsuch Investments incurred during the 2001 Fiscal Year shall not exceed$15,000,000 and incurred during each Fiscal Year thereafter shall not exceed$10,000,000; providedfurther that the aggregate amount of suchInvestments in any one country shall not exceed $10,000,000; 

                (j) an Investment by way of theacquisition (the “Ft. Worth Acquisition”) of Equity Interests in Ft.Worth Surgicare Partners Ltd., a Texas limited partnership (“Ft. Wort”)in an aggregate amount not to exceed $12,500,000 (with any excess amount of thepurchase price to be subject to clause (e) of this Section 7.2.5);

                (k) Investments constitutingIndebtedness permitted pursuant to Section 7.2.2; and

                (l) other Investments in anamount not to exceed $1,000,000 over the term of this Agreement;

provided that

                (m) any Investment which whenmade complies with the requirements of the definition of the term “CashEquivalent Investment” may continue to be held notwithstanding that suchInvestment if made thereafter would not comply with such requirements; and

                (n) no Investment otherwisepermitted by clauses (d), (e)(i), (e)(ii), (g), (i),(j) or (l) shall be permitted to be made if any Default hasoccurred and is continuing or would result therefrom.

                SECTION 7.2.6. Restricted Payments.The Borrower will not, and will not permit any of its Consolidated Entities to,declare or make a Restricted Payment, or make any deposit for any RestrictedPayment, other than (a) Restricted Payments made by Consolidated Entities toholders of their Equity Interests and (b) Restricted Payments in connectionwith the repurchase of individual investors’ Equity Interests in OperatingEntities.

                SECTION 7.2.7. Capital Expenditures.The Borrower will not, and will not permit any of its Consolidated Entities to,make or commit to make Capital Expenditures in excess of $10,000,000 in theaggregate during the portion of the 2001 Fiscal Year following the Closing Dateand $20,000,000 in the aggregate during any Fiscal Year thereafter. 

                SECTION 7.2.8. No Prepaymentof Subordinated Debt. The Borrower will not, and will not permit any ofits Consolidated Entities to, 

                (a) make any payment orprepayment of principal of, or premium or interest on, any Subordinated Debt(i) other than the stated, scheduled date for payment of interest set forth inthe applicable Sub Debt Documents, or (ii) which would violate the terms ofthis Agreement or the applicable Sub Debt Documents; 

                (b) redeem, retire, purchase,defease or otherwise acquire any Subordinated Debt; or 

                (c) make any deposit (includingthe payment of amounts into a sinking fund or other similar fund) for any ofthe foregoing purposes. 

Furthermore,neither the Borrower nor any Consolidated Entity will designate anyIndebtedness other than the Obligations as “Designated Senior Debt” (or anyanalogous term) in any Sub Debt Document. 

                SECTION 7.2.9. Issuance ofEquity Interests. The Borrower will not, and will not permit any of itsConsolidated Entities to, issue any Equity Interests (whether for value orotherwise) to any Person other than (i) in the case of Consolidated Entities,to the Borrower or a Subsidiary Guarantor, (ii) in the case of the Borrower, ifthe Net Equity Proceeds from such issuance are applied to prepay the Loans asrequired by the terms of this Agreement or (iii) in the case of OperatingEntities, to physicians in the ordinary course of business. 

                SECTION 7.2.10. Consolidation,Merger, etc. The Borrower will not, and will not permit any of itsConsolidated Entities to, liquidate or dissolve, consolidate with, or mergeinto or with, any other Person, or purchase or otherwise acquire all orsubstantially all of the assets of any Person (or any division thereof), except

                (a) any Consolidated Entity mayliquidate or dissolve voluntarily into, and may merge with and into, theBorrower or any other Consolidated Entity (provided that a SubsidiaryGuarantor may only liquidate or dissolve into, or merge with and into, theBorrower or another Subsidiary Guarantor), and the assets or Equity Interestsof any Subsidiary may be purchased or otherwise acquired by the Borrower or anyother Subsidiary (provided that the assets or Equity Interests of anySubsidiary Guarantor may only be purchased or otherwise acquired by theBorrower or another Subsidiary Guarantor); provided that in no eventshall any Pledged Subsidiary consolidate with or merge with and into anySubsidiary other than another Pledged Subsidiary unless after giving effectthereto, the Administrative Agent shall have a perfected pledge of, andsecurity interest in and to, at least the same percentage of the issued andoutstanding interests of Equity Interests (on a fully diluted basis) of thesurviving Person as the Administrative Agent had immediately prior to suchmerger or consolidation in form and substance satisfactory to theAdministrative Agent and its counsel, pursuant to such documentation andopinions as shall be necessary in the opinion of the Administrative Agent tocreate, perfect or maintain the collateral position of the Secured Partiestherein; 

                (b) so long as no Default hasoccurred and is continuing or would occur after giving effect thereto, theBorrower or any of its Consolidated Entities may (to the extent permitted by clauses(e) or (g) of Section 7.2.5) purchase all or substantiallyall of the assets or Equity Interests of any Person (or any division thereof),or acquire such Person by merger; and 

                (c) as permitted by Section7.2.11.

                SECTION 7.2.11. PermittedDispositions. The Borrower will not, and will not permit any of itsConsolidated Entities to, Dispose of any of the Borrower’s or such ConsolidatedEntity’s assets (including accounts receivable and Equity Interests ofConsolidated Entities) to any Person in one transaction or series oftransactions unless such Disposition is (a) inventory or obsolete propertyDisposed of in the ordinary course of its business, (b) permitted by Section7.2.10, (c) Dispositions of Equity Interests in Operating Entities tophysicians in the ordinary course of business or (d) (i) such Disposition isfor fair market value and, unless otherwise agreed to by the AdministrativeAgent, the consideration received shall consist of no less than 80% in cash,(ii) the Net Disposition Proceeds received from such Disposition, together withthe Net Disposition Proceeds of all other assets Disposed of pursuant to thisclause since the Closing Date, does not exceed (individually or in theaggregate) $5,000,000 in any Fiscal Year and (iii) the Net Disposition Proceedsfrom such Disposition are applied pursuant to Sections 3.1.1 and 3.1.2.

                SECTION 7.2.12. Modificationof Certain Agreements. The Borrower will not, and will not permit anyof its Consolidated Entities to, consent to any amendment, supplement, waiveror other modification of, or enter into any forbearance from exercising anyrights with respect to the terms or provisions contained in, 

                (a) the Sub Debt Documents,other than any amendment, supplement, waiver or modification for which no feeis payable to the holders of the Subordinated Debt and which (i) extends thedate or reduces the amount of any required repayment, prepayment or redemptionof the principal of such Subordinated Debt, (ii) reduces the rate or extendsthe date for payment of the interest, premium (if any) or fees payable on suchSubordinated Debt or (iii) makes the covenants, events of default or remediesin such Sub Debt Documents less restrictive on the Borrower; or 

                (b) any of the TransactionDocuments. 

                SECTION 7.2.13. Transactionswith Affiliates. The Borrower will not, and will not permit any of itsConsolidated Entities to, enter into or cause or permit to exist anyarrangement, transaction or contract (including for the purchase, lease orexchange of property or the rendering of services) with any of its otherAffiliates, unless such arrangement, transaction or contract (a) is on fair andreasonable terms no less favorable to the Borrower or such Consolidated Entitythan it could obtain in an arm’s-length transaction with a Person that is notan Affiliate and (b) is of the kind which would be entered into by a prudentPerson in the position of the Borrower or such Consolidated Entity with aPerson that is not one of its Affiliates. 

                SECTION 7.2.14. RestrictiveAgreements, etc. The Borrower will not, and will not permit any of itsConsolidated Entities to, enter into any agreement prohibiting 

                (a) the creation or assumptionof any Lien upon its properties, revenues or assets, whether now owned orhereafter acquired, other than with respect to Restricted Entities;

                (b) the ability of any Obligorto amend or otherwise modify any Loan Document; or 

                (c) the ability of anyConsolidated Entity to make any payments, directly or indirectly, to theBorrower, including by way of dividends, advances, repayments of loans,reimbursements of management and other intercompany charges, expenses andaccruals or other returns on investments.

The foregoing prohibitions shall notapply to restrictions contained (i) in any Loan Document or (ii) in the case ofclause (a), any agreement governing any Indebtedness permitted by clause(i) of Section 7.2.2 as to the assets financed with the proceeds ofsuch Indebtedness. 

                SECTION 7.2.15. Sale and Leaseback.The Borrower will not, and will not permit any of its Consolidated Entities to,directly or indirectly enter into any agreement or arrangement providing forthe sale or transfer by it of any property (other than real property), nowowned or hereafter acquired, to a Person and the subsequent lease or rental ofsuch property or other similar property from such Person. 

                SECTION 7.2.16. ForeignSubsidiaries. Notwithstanding any other provisions of this Agreement tothe contrary, the Borrower will not, and will not permit any of itsConsolidated Entities to, organize or acquire any Foreign Subsidiaries. 

                SECTION 7.2.17. Amendment ofOrganic Documents. The Borrower will not, and will not permit anyConsolidated Entity to, amend, supplement or otherwise modify, or permit,consent or suffer to occur any amendment, supplement or modification of anyterms or provisions contained in, or applicable to, any Organic Document of theBorrower or such Consolidated Entity if the effect thereof is to impair, or isin any manner adverse to, the rights, interests or obligations of any SecuredParty under any Loan Document. 

                SECTION 7.2.18. Fiscal Year. TheBorrower will not change its Fiscal Year.

ARTICLEVIIIEVENTS OF DEFAULT

                SECTION 8.1. Listing of Eventsof Default. Each of the following events or occurrences described inthis Article shall constitute an “Event of Default”. 

                SECTION 8.1.1. Non-Payment ofObligations. The Borrower shall default in the payment or prepaymentwhen due of 

                (a) any principal of any Loan,or any Reimbursement Obligation or any deposit of cash for collateral purposespursuant to Section 2.6.4; or 

                (b) any interest on any Loan orany fee described in Article III or any other monetary Obligation, andsuch default shall continue unremedied for a period of four days after suchamount was due.

                SECTION 8.1.2. Breach of Warranty.Any representation or warranty of any Obligor made or deemed to be made in anyLoan Document (including any certificates delivered pursuant to Article V)is or shall be incorrect when made or deemed to have been made in any materialrespect. 

                SECTION 8.1.3. Non-Performanceof Certain Covenants and Obligations. The Borrower shall default in thedue performance or observance of any of its obligations under Section 7.1.1,Section 7.1.7 or Section 7.2, or any Obligor shall default in thedue performance or observance of its obligations under Article IV of theSubsidiary Guaranty or Article IV of a Pledge Agreement.

                SECTION 8.1.4. Non-Performanceof Other Covenants and Obligations. Any Obligor shall default in thedue performance and observance of any other agreement contained in any LoanDocument executed by it, and such default shall continue unremedied for aperiod of 30 days after notice thereof shall have been given to the Borrower bythe Administrative Agent or any Lender.

                SECTION 8.1.5. Default onOther Indebtedness. A default shall occur in the payment of any amountwhen due (subject to any applicable grace period), whether by acceleration orotherwise, of any principal or stated amount of, or interest or fees on, anyIndebtedness (other than Indebtedness described in Section 8.1.1) of anyObligor having a principal or stated amount, individually or in the aggregate,in excess of $2,500,000, or a default shall occur in the performance orobservance of any obligation or condition with respect to such Indebtedness ifthe effect of such default is to accelerate the maturity of any suchIndebtedness or such default shall continue unremedied for any applicableperiod of time sufficient to permit the holder or holders of such Indebtedness,or any trustee or agent for such holders, to cause or declare such Indebtednessto become due and payable or to require such Indebtedness to be prepaid,redeemed, purchased or defeased, or require an offer to purchase or defeasesuch Indebtedness to be made, prior to its expressed maturity. 

                SECTION8.1.6. Judgments. Any judgment or order for the payment of moneyindividually or in the aggregate in excess of $1,000,000 (exclusive of anyamounts fully covered by insurance (less any applicable deductible) and as towhich the insurer has acknowledged its responsibility to cover such judgment ororder) shall be rendered against any Obligor and such judgment shall not havebeen vacated or discharged or stayed or bonded pending appeal within 30 daysafter the entry thereof or enforcement proceedings shall have been commenced byany creditor upon such judgment or order. 

                SECTION 8.1.7. Pension Plans. Anyof the following events shall occur with respect to any Pension Plan 

                (a) the institution of any stepsby the Borrower, any member of its Controlled Group or any other Person toterminate a Pension Plan if, as a result of such termination, the Borrower orany such member could be required to make a contribution to such Pension Plan,or could reasonably expect to incur a liability or obligation to such PensionPlan, in excess of $1,000,000; or

                (b)a contribution failure occurs with respect to any Pension Plan sufficient togive rise to a Lien under section 302(f) of ERISA.

                SECTION 8.1.8. Change in Control.Any Change in Control shall occur.

                SECTION 8.1.9. Bankruptcy,Insolvency, etc. Any Obligor shall 

                (a) become insolvent orgenerally fail to pay, or admit in writing its inability or unwillingnessgenerally to pay, debts as they become due; 

                (b) apply for, consent to, oracquiesce in the appointment of a trustee, receiver, sequestrator or othercustodian for any substantial part of the property of any thereof, or make ageneral assignment for the benefit of creditors; 

                (c) in the absence of suchapplication, consent or acquiescence in or permit or suffer to exist theappointment of a trustee, receiver, sequestrator or other custodian for asubstantial part of the property of any thereof, and such trustee, receiver,sequestrator or other custodian shall not be discharged within 60 days; providedthat each Obligor hereby expressly authorizes each Secured Party to appear inany court conducting any relevant proceeding during such 60-day period topreserve, protect and defend its rights under the Loan Documents;

                (d) permit or suffer to existthe commencement of any bankruptcy, reorganization, debt arrangement or othercase or proceeding under any bankruptcy or insolvency law or any dissolution,winding up or liquidation proceeding, in respect thereof, and, if any such caseor proceeding is not commenced by the Borrower, any Consolidated Entity or anyObligor, such case or proceeding shall be consented to or acquiesced in by theBorrower, such Consolidated Entity or such Obligor, as the case may be, orshall result in the entry of an order for relief or shall remain for 60 daysundismissed; provided that the Borrower, each Consolidated Entity andeach Obligor hereby expressly authorizes each Secured Party to appear in anycourt conducting any such case or proceeding during such 60-day period topreserve, protect and defend their rights under the Loan Documents; or 

                (e) take any action authorizing,or in furtherance of, any of the foregoing. 

                SECTION 8.1.10. Impairment ofSecurity, etc. Any Loan Document or any Lien granted thereunder shall(except in accordance with its terms), in whole or in part, terminate, cease tobe effective or cease to be the legally valid, binding and enforceableobligation of any Obligor party thereto; any Obligor or any other party shall,directly or indirectly, contest in any manner such effectiveness, validity,binding nature or enforceability; or, except as permitted under any LoanDocument, any Lien securing any Obligation shall, in whole or in part, cease tobe a perfected first priority Lien.

                SECTION 8.1.11. Failure ofSubordination. Unless otherwise waived or consented to by theAdministrative Agent, the Lenders and the Issuer in writing, the subordinationprovisions relating to any Subordinated Debt (the “Subordination Provisions”)shall fail to be enforceable by the Administrative Agent, the Lenders and theIssuer in accordance with the terms thereof, or the monetary Obligations shallfail to constitute “Senior Indebtedness” (or similar term) referring to theObligations; or the Borrower or any of its Consolidated Entities shall,directly or indirectly, disavow or contest in any manner (i) the effectiveness,validity or enforceability of any of the Subordination Provisions, (ii) thatthe Subordination Provisions exist for the benefit of the Administrative Agent,the Lenders and the Issuer or (iii) that all payments of principal of orpremium and interest on the Subordinated Debt, or realized from the liquidationof any property of any Obligor, shall be subject to any of such SubordinationProvisions. 

                SECTION 8.1.12. Parent TotalDebt to Parent Total Capitalization Ratio. The Parent Total Debt toParent Total Capitalization Ratio shall exceed 0.60:1, and such default shallcontinue unremedied for a period of 30 days. 

                SECTION 8.2. Action if Bankruptcy.If any Event of Default described in clauses (a) through (d) of Section8.1.9 with respect to the Borrower shall occur, the Commitments (if nottheretofore terminated) shall automatically terminate and the outstandingprincipal amount of all outstanding Loans and all other Obligations (includingReimbursement Obligations) shall automatically be and become immediately dueand payable, without notice or demand to any Person and each Obligor shallautomatically and immediately be obligated to Cash Collateralize all Letter ofCredit Outstandings.

                SECTION 8.3. Action if OtherEvent of Default. If any Event of Default (other than any Event ofDefault described in clauses (a) through (d) of Section 8.1.9with respect to the Borrower) shall occur for any reason, whether voluntary orinvoluntary, and be continuing, the Administrative Agent, upon the direction ofthe Required Lenders, shall by notice to the Borrower declare all or anyportion of the outstanding principal amount of the Loans and other Obligations(including Reimbursement Obligations) to be due and payable and/or theCommitments (if not theretofore terminated) to be terminated, whereupon thefull unpaid amount of such Loans and other Obligations which shall be sodeclared due and payable shall be and become immediately due and payable,without further notice, demand or presentment, and/or, as the case may be, theCommitments shall terminate and the Borrower shall automatically andimmediately be obligated to Cash Collateralize all Letter of CreditOutstandings.

ARTICLEIXTHE ADMINISTRATIVE AGENT

                SECTION9.1. Actions. Each Lender hereby appoints CSFB as its AdministrativeAgent under and for purposes of each Loan Document. Each Lender authorizes theAdministrative Agent to act on behalf of such Lender under each Loan Documentand, in the absence of other written instructions from the Required Lendersreceived from time to time by the Administrative Agent (with respect to whichthe Administrative Agent agrees that it will comply, except as otherwiseprovided in this Section or as otherwise advised by counsel in order to avoidcontravention of applicable law), to exercise such powers hereunder andthereunder as are specifically delegated to or required of the AdministrativeAgent by the terms hereof and thereof, together with such powers as may beincidental thereto. Each Lender hereby indemnifies (which indemnity shallsurvive any termination of this Agreement) the Administrative Agent, prorata according to such Lender’s proportionate Total Exposure Amount,from and against any and all liabilities, obligations, losses, damages, claims,costs or expenses of any kind or nature whatsoever which may at any time beimposed on, incurred by, or asserted against, the Administrative Agent in anyway relating to or arising out of any Loan Document, (including attorneys’fees), and as to which the Administrative Agent is not reimbursed by theBorrower; provided that no Lender shall be liable for the payment of anyportion of such liabilities, obligations, losses, damages, claims, costs orexpenses which are determined by a court of competent jurisdiction in a finalproceeding to have resulted from the Administrative Agent’s gross negligence orwilful misconduct. The Administrative Agent shall not be required to take anyaction under any Loan Document, or to prosecute or defend any suit in respectof any Loan Document, unless it is indemnified hereunder to its satisfaction.If any indemnity in favor of the Administrative Agent shall be or become, inthe Administrative Agent’s determination, inadequate, the Administrative Agentmay call for additional indemnification from the Lenders and cease to do theacts indemnified against hereunder until such additional indemnity is given. 

                SECTION 9.2. Funding Reliance, etc.Unless the Administrative Agent shall have been notified in writing by anyLender by 3:00 p.m. on the Business Day prior to a Borrowing that such Lenderwill not make available the amount which would constitute its Percentage ofsuch Borrowing on the date specified therefor, the Administrative Agent mayassume that such Lender has made such amount available to the AdministrativeAgent and, in reliance upon such assumption, make available to the Borrower acorresponding amount. If and to the extent that such Lender shall not have madesuch amount available to the Administrative Agent, such Lender and the Borrowerseverally agree to repay the Administrative Agent forthwith on demand suchcorresponding amount together with interest thereon, for each day from the datethe Administrative Agent made such amount available to the Borrower to the datesuch amount is repaid to the Administrative Agent, at the interest rateapplicable at the time to Loans comprising such Borrowing (in the case of theBorrower) and (in the case of a Lender), at the Federal Funds Rate (for thefirst two Business Days after which such amount has not been repaid), andthereafter at the interest rate applicable to Loans comprising such Borrowing.

                SECTION9.3. Exculpation.Neither the Administrative Agent nor any of its directors, officers, employeesor agents shall be liable to any Secured Party for any action taken or omittedto be taken by it under any Loan Document, or in connection therewith, exceptfor its own wilful misconduct or gross negligence, nor responsible for anyrecitals or warranties herein or therein, nor for the effectiveness,enforceability, validity or due execution of any Loan Document, nor for thecreation, perfection or priority of any Liens purported to be created by any ofthe Loan Documents, or the validity, genuineness, enforceability, existence,value or sufficiency of any collateral security, nor to make any inquiryrespecting the performance by any Obligor of its Obligations. Any such inquirywhich may be made by the Administrative Agent shall not obligate it to make anyfurther inquiry or to take any action. The Administrative Agent shall beentitled to rely upon advice of counsel concerning legal matters and upon anynotice, consent, certificate, statement or writing which the AdministrativeAgent believes to be genuine and to have been presented by a proper Person. 

                SECTION9.4. Successor. The Administrative Agent may resign as such at anytime upon at least 30 days’ prior notice to the Borrower and all Lenders. Ifthe Administrative Agent at any time shall resign, the Required Lenders mayappoint another Lender as a successor Administrative Agent which shallthereupon become the Administrative Agent hereunder. If no successorAdministrative Agent shall have been so appointed by the Required Lenders, andshall have accepted such appointment, within 30 days after the retiringAdministrative Agent’s giving notice of resignation, then the retiringAdministrative Agent may, on behalf of the Lenders, appoint a successorAdministrative Agent, which shall be one of the Lenders or a commercial bankinginstitution organized under the laws of the United States (or any Statethereof) or a United States branch or agency of a commercial bankinginstitution, and having a combined capital and surplus of at least$250,000,000; provided that if, such retiring Administrative Agent isunable to find a commercial banking institution which is willing to accept suchappointment and which meets the qualifications set forth in above, the retiringAdministrative Agent’s resignation shall nevertheless thereupon becomeeffective and the Lenders shall assume and perform all of the duties of theAdministrative Agent hereunder until such time, if any, as the Required Lendersappoint a successor as provided for above. Upon the acceptance of anyappointment as Administrative Agent hereunder by a successor AdministrativeAgent, such successor Administrative Agent shall be entitled to receive fromthe retiring Administrative Agent such documents of transfer and assignment assuch successor Administrative Agent may reasonably request, and shall thereuponsucceed to and become vested with all rights, powers, privileges and duties ofthe retiring Administrative Agent, and the retiring Administrative Agent shallbe discharged from its duties and obligations under the Loan Documents. Afterany retiring Administrative Agent’s resignation hereunder as the AdministrativeAgent, the provisions of this Article shall inure to its benefit as to anyactions taken or omitted to be taken by it while it was the AdministrativeAgent under the Loan Documents, and Section 10.3 and Section 10.4shall continue to inure to its benefit.

                SECTION 9.5. Credit Extensions byCSFB. CSFB shall have the same rights and powers with respect to (x)the Credit Extensions made by it or any of its Affiliates, and (y) theRevolving Notes held by it or any of its Affiliates as any other Lender and mayexercise the same as if it were not the Administrative Agent. CSFB and itsAffiliates may accept deposits from, lend money to, and generally engage in anykind of business with the Borrower or any Consolidated Entity or Affiliate ofthe Borrower as if CSFB were not the Administrative Agent hereunder. 

                SECTION 9.6. Credit Decisions.Each Lender acknowledges that it has, independently of the Administrative Agentand each other Lender, and based on such Lender’s review of the financialinformation of the Borrower, the Loan Documents (the terms and provisions ofwhich being satisfactory to such Lender) and such other documents, informationand investigations as such Lender has deemed appropriate, made its own creditdecision to extend its Commitments. Each Lender also acknowledges that it will,independently of the Administrative Agent and each other Lender, and based onsuch other documents, information and investigations as it shall deemappropriate at any time, continue to make its own credit decisions as toexercising or not exercising from time to time any rights and privilegesavailable to it under the Loan Documents. 

                SECTION9.7. Copies, etc. The Administrative Agent shall give prompt noticeto each Lender of each notice or request required or permitted to be given tothe Administrative Agent by the Borrower pursuant to the terms of the LoanDocuments (unless concurrently delivered to the Lenders by the Borrower). TheAdministrative Agent will distribute to each Lender each document or instrumentreceived for its account and copies of all other communications received by theAdministrative Agent from the Borrower for distribution to the Lenders by theAdministrative Agent in accordance with the terms of the Loan Documents. 

                SECTION 9.8. Reliance byAdministrative Agent. The Administrative Agent shall be entitled torely upon any certification, notice or other communication (including anythereof by telephone, telecopy, telegram or cable) believed by it to be genuineand correct and to have been signed or sent by or on behalf of the properPerson, and upon advice and statements of legal counsel, independentaccountants and other experts selected by the Administrative Agent. As to anymatters not expressly provided for by the Loan Documents, the AdministrativeAgent shall in all cases be fully protected in acting, or in refraining fromacting, thereunder in accordance with instructions given by the RequiredLenders or all of the Lenders as is required in such circumstance, and suchinstructions of such Lenders and any action taken or failure to act pursuantthereto shall be binding on all Secured Parties. For purposes of applyingamounts in accordance with this Section, the Administrative Agent shall beentitled to rely upon any Secured Party that has entered into a Rate ProtectionAgreement with any Obligor for a determination (which such Secured Party agreesto provide or cause to be provided upon request of the Administrative Agent) ofthe outstanding Obligations owed to such Secured Party under any RateProtection Agreement. Unless it has actual knowledge evidenced by way ofwritten notice from any such Secured Party and the Borrower to the contrary,the Administrative Agent, in acting in such capacity under the Loan Documents,shall be entitled to assume that no Rate Protection Agreements or Obligationsin respect thereof are in existence or outstanding between any Secured Partyand any Obligor. 

                SECTION 9.9. Defaults. TheAdministrative Agent shall not be deemed to have knowledge or notice of theoccurrence of a Default unless the Administrative Agent has received a writtennotice from a Lender or the Borrower specifying such Default and stating thatsuch notice is a “Notice of Default”. In the event that the AdministrativeAgent receives such a notice of the occurrence of a Default, the AdministrativeAgent shall give prompt notice thereof to the Lenders. The Administrative Agentshall (subject to Section 10.1) take such action with respect to suchDefault as shall be directed by the Required Lenders; provided thatunless and until the Administrative Agent shall have received such directions, theAdministrative Agent may (but shall not be obligated to) take such action, orrefrain from taking such action, with respect to such Default as it shall deemadvisable in the best interest of the Secured Parties except to the extent thatthis Agreement expressly requires that such action be taken, or not be taken,only with the consent or upon the authorization of the Required Lenders or allLenders. 

                SECTION 9.10. SyndicationAgent and Documentation Agent. The Lenders identified on the signaturepages of this Agreement as the “Syndication Agent” and the “DocumentationAgent” shall not have any right, power, obligation, liability, responsibilityor duty under this Agreement (or any other Loan Document) other than thoseapplicable to all Lenders as such. Without limiting the foregoing, the Lendersso identified as the “Syndication Agent” and the “Documentation Agent” shallnot have or be deemed to have any fiduciary relationship with any other Lender.Each Lender acknowledges that it has not relied, and will not rely, on theLenders so identified as the “Syndication Agent” and as the “DocumentationAgent” in deciding to enter into this Agreement and each other Loan Document towhich it is a party or in taking or not taking action hereunder or thereunder. 

ARTICLEXMISCELLANEOUS PROVISIONS

                SECTION 10.1. Waivers, Amendments, etc.The provisions of each Loan Document may from time to time be amended, modifiedor waived, if such amendment, modification or waiver is in writing andconsented to by the Borrower and the Required Lenders; provided that nosuch amendment, modification or waiver shall:

                (a) modify this Section withoutthe consent of all Lenders;

                (b) increase the aggregateamount of any Credit Extensions required to be made by a Lender pursuant to itsCommitments, extend the final Commitment Termination Date of Credit Extensionsmade (or participated in) by a Lender or extend the final Stated Maturity Datefor any Lender’s Loan, in each case without the consent of such Lender (itbeing agreed, however, that any vote to rescind any acceleration made pursuantto Section 8.2 and Section 8.3 of amounts owing with respect tothe Loans and other Obligations shall only require the vote of the RequiredLenders); 

                (c)reduce the principal amount of or rate of interest on any Lender’s Loan, reduceany fees described in Article III payable to any Lender or extend thedate on which interest or fees are payable in respect of such Lender’s Loans,in each case without the consent of such Lender; 

                (d) reduce the percentage setforth in the definition of “Required Lenders” or modify any requirementhereunder that any particular action be taken by all Lenders without theconsent of all Lenders; 

                (e) increase the Stated Amountof any Letter of Credit unless consented to by the Issuer of such Letter ofCredit;

                (f) except as otherwiseexpressly provided in a Loan Document, release (i) the Borrower from itsObligations under the Loan Documents, Parent from its obligations under theParent Guaranty and Pledge Agreement, Holdings from its obligations under theHoldings Guaranty and Pledge Agreement or any Subsidiary Guarantor from itsobligations under the Subsidiary Guaranty, or (ii) all or substantially all ofthe collateral security under the Loan Documents, in each case without theconsent of all Lenders; or 

                (g) affect adversely theinterests, rights or obligations of the Administrative Agent (in its capacityas the Administrative Agent) or any Issuer (in its capacity as Issuer), unlessconsented to by the Administrative Agent or such Issuer, as the case may be. 

No failure ordelay on the part of any Secured Party in exercising any power or right underany Loan Document shall operate as a waiver thereof, nor shall any single orpartial exercise of any such power or right preclude any other or furtherexercise thereof or the exercise of any other power or right. No notice to ordemand on any Obligor in any case shall entitle it to any notice or demand insimilar or other circumstances. No waiver or approval by any Secured Partyunder any Loan Document shall, except as may be otherwise stated in such waiveror approval, be applicable to subsequent transactions. No waiver or approvalhereunder shall require any similar or dissimilar waiver or approval thereafterto be granted hereunder. 

                SECTION 10.2. Notices; Time. Allnotices and other communications provided under each Loan Document shall be inwriting or by facsimile and addressed, delivered or transmitted to theapplicable Person at its address or facsimile number set forth on ScheduleII hereto or set forth in a Lender Assignment Agreement, or at such otheraddress or facsimile number as may be designated by such Person in a notice tothe other parties. Any notice, if mailed and properly addressed with postageprepaid or if properly addressed and sent by pre-paid courier service, shall bedeemed given when received; any notice, if transmitted by facsimile, shall bedeemed given when the confirmation of transmission thereof is received by thetransmitter. The parties hereto agree that delivery of an executed counterpartof a signature page to this Agreement and each other Loan Document by facsimileshall be effective as delivery of an original executed counterpart of thisAgreement or such other Loan Document. Unless otherwise indicated, allreferences to the time of a day in a Loan Document shall refer to New Yorktime. 

                SECTION 10.3. Payment of Costsand Expenses. The Borrower agrees to pay on demand all expenses of theAgents (including the fees and out-of-pocket expenses of Mayer, Brown &Platt, counsel to the Administrative Agent and of local counsel, if any, whomay be retained by or on behalf of the Administrative Agent) in connection with

                (a) the negotiation,preparation, execution, delivery and ongoing administration of each LoanDocument, including schedules and exhibits, and any amendments, waivers,consents, supplements or other modifications to any Loan Document as may fromtime to time hereafter be required, whether or not the transactionscontemplated hereby are consummated; and 

                (b) the filing or recording ofany Loan Document (including the Filing Statements) and all amendments,supplements, amendment and restatements and other modifications to any thereof,searches made following the Effective Date in jurisdictions where FilingStatements (or other documents evidencing Liens in favor of the SecuredParties) have been recorded and any and all other documents or instruments offurther assurance required to be filed or recorded by the terms of any Loan Document;and 

                (c) the preparation and reviewof the form of any document or instrument relevant to any Loan Document. 

The Borrowerfurther agrees to pay, and to save each Secured Party harmless from allliability for, any stamp or other taxes which may be payable in connection withthe execution or delivery of each Loan Document, the Credit Extensions or theissuance of the Revolving Notes. The Borrower also agrees to reimburse eachSecured Party upon demand for all reasonable out-of-pocket expenses (includingreasonable attorneys’ fees and legal expenses of counsel to each Secured Party)incurred by such Secured Party in connection with (x) the negotiation of anyrestructuring or “work-out” with the Borrower, whether or not consummated, ofany Obligations and (y) the enforcement of any Obligations.

                SECTION10.4. Indemnification. In consideration of the execution and deliveryof this Agreement by each Secured Party, the Borrower hereby indemnifies,exonerates and holds each Secured Party and each of their respective officers,directors, employees and agents (collectively, the “Indemnified Parties”)free and harmless from and against any and all actions, causes of action,suits, losses, costs, liabilities and damages, and expenses incurred inconnection therewith (irrespective of whether any such Indemnified Party is aparty to the action for which indemnification hereunder is sought), includingreasonable attorneys’ fees and disbursements, whether incurred in connectionwith actions between or among the parties hereto or the parties hereto andthird parties (collectively, the “Indemnified Liabilities”), incurred bythe Indemnified Parties or any of them as a result of, or arising out of, orrelating to 

                (a) any transaction financed orto be financed in whole or in part, directly or indirectly, with the proceedsof any Credit Extension, including all Indemnified Liabilities arising inconnection with the Transaction; 

                (b) the entering into andperformance of any Loan Document by any of the Indemnified Parties (includingany action brought by or on behalf of the Borrower as the result of anydetermination by the Required Lenders pursuant to Article V not to fundany Credit Extension; provided that any such action is resolved in favorof such Indemnified Party); 

                (c) any investigation,litigation or proceeding related to any acquisition or proposed acquisition byany Obligor or any Subsidiary thereof of all or any portion of the EquityInterests or assets of any Person, whether or not an Indemnified Party is partythereto; 

                (d) any investigation,litigation or proceeding related to any environmental cleanup, audit,compliance or other matter relating to the protection of the environment or theRelease by any Obligor or any Subsidiary thereof of any Hazardous Material;

                (e) the presence on or under, orthe escape, seepage, leakage, spillage, discharge, emission, discharging orreleases from, any real property owned or operated by any Obligor or anySubsidiary thereof of any Hazardous Material (including any losses, liabilities,damages, injuries, costs, expenses or claims asserted or arising under anyEnvironmental Law), regardless of whether caused by, or within the control of,such Obligor or Subsidiary; or 

                (f) each Lender’s EnvironmentalLiability (the indemnification herein shall survive repayment of theObligations and any transfer of the property of any Obligor or its Subsidiariesby foreclosure or by a deed in lieu of foreclosure for any Lender’sEnvironmental Liability, regardless of whether caused by, or within the controlof, such Obligor or such Subsidiary); 

except for Indemnified Liabilitiesarising for the account of a particular Indemnified Party by reason of therelevant Indemnified Party’s gross negligence or wilful misconduct. EachObligor and its successors and assigns hereby waive, release and agree not tomake any claim or bring any cost recovery action against, any Indemnified Partyunder CERCLA or any state equivalent, or any similar law now existing orhereafter enacted. It is expressly understood and agreed that to the extentthat any Indemnified Party is strictly liable under any Environmental Laws,each Obligor’s obligation to such Indemnified Party under this indemnity shalllikewise be without regard to fault on the part of any Obligor with respect tothe violation or condition which results in liability of an Indemnified Party.If and to the extent that the foregoing undertaking may be unenforceable forany reason, each Obligor agrees to make the maximum contribution to the paymentand satisfaction of each of the Indemnified Liabilities which is permissibleunder applicable law. 

                SECTION10.5. Survival. The obligations of the Borrower under Sections4.3, 4.4, 4.5, 4.6, 10.3 and 10.4, andthe obligations of the Lenders under Section 9.1, shall in each casesurvive any assignment from one Lender to another (in the case of Sections10.3 and 10.4) and the occurrence of the Termination Date. Therepresentations and warranties made by each Obligor in each Loan Document shallsurvive the execution and delivery of such Loan Document. 

                SECTION 10.6. Severability. Anyprovision of any Loan Document which is prohibited or unenforceable in anyjurisdiction shall, as to such provision and such jurisdiction, be ineffectiveto the extent of such prohibition or unenforceability without invalidating theremaining provisions of such Loan Document or affecting the validity orenforceability of such provision in any other jurisdiction. 

                SECTION10.7. Headings. The various headings of each Loan Document are insertedfor convenience only and shall not affect the meaning or interpretation of suchLoan Document or any provisions thereof. 

                SECTION 10.8. Execution inCounterparts, Effectiveness, etc. This Agreement may be executed by theparties hereto in several counterparts, each of which shall be an original andall of which shall constitute together but one and the same agreement. ThisAgreement shall become effective when counterparts hereof executed on behalf ofthe Borrower, the Administrative Agent and each Lender (or notice thereofsatisfactory to the Administrative Agent), shall have been received by theAdministrative Agent. 

                SECTION 10.9. Governing Law;Entire Agreement.**EACH LOAN DOCUMENT(OTHER THAN THE LETTERS OF CREDIT, TO THE EXTENT SPECIFIED BELOW AND EXCEPT ASOTHERWISE EXPRESSLY SET FORTH IN A LOAN DOCUMENT) WILL EACH BE DEEMED TO BE ACONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK(INCLUDING FOR SUCH PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERALOBLIGATIONS LAW OF THE STATE OF NEW YORK). EACH LETTER OF CREDIT SHALL BEGOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OR RULES DESIGNATED INSUCH LETTER OF CREDIT, OR IF NO LAWS OR RULES ARE DESIGNATED, THE INTERNATIONALSTANDBY PRACTICES (ISP98—INTERNATIONAL CHAMBER OF COMMERCE PUBLICATION NUMBER590 (THE “ISP RULES”)) AND, AS TO MATTERS NOT GOVERNED BY THE ISP RULES,THE INTERNAL LAWS OF THE STATE OF NEW YORK.** The Loan Documentsconstitute the entire understanding among the parties hereto with respect tothe subject matter thereof and supersede any prior agreements, written or oral,with respect thereto. 

                SECTION 10.10. Successors andAssigns. (a) The provisions of this Agreement shall be binding upon andinure to the benefit of the parties hereto and their respective successors andassigns permitted hereby, except that the Borrower may not assign or otherwisetransfer any of its rights or obligations hereunder without the prior writtenconsent of each Lender (and any attempted assignment or transfer by theBorrower without such consent shall be null and void). Nothing in thisAgreement, expressed or implied, shall be construed to confer upon any Person(other than the parties hereto, their respective successors and assignspermitted hereby and, to the extent expressly contemplated hereby, theIndemnified Parties) any legal or equitable right, remedy or claim under or byreason of this Agreement. 

                (b) Any Lender may assign to oneor more Eligible Assignees all or a portion of its rights and obligations underthis Agreement (including all or a portion of its Commitments and the Loans atthe time owing to it); provided that (i) except in the case of anassignment of the entire remaining amount of the assigning Lender’s Commitmentsand the Loans at the time owing to it or in the case of an assignment to aLender or an Affiliate of a Lender or an Approved Fund with respect to aLender, the aggregate amount of the Commitments (which for this purposeincludes Loans outstanding thereunder) or principal outstanding balance of theLoans of the assigning Lender subject to each such assignment (determined as ofthe date the Lender Assignment Agreement with respect to such assignment isdelivered to the Administrative Agent) shall not be less than $5,000,000 unlesseach of the Agents and, so long as no Event of Default has occurred and iscontinuing, the Borrower otherwise consent (each such consent not to beunreasonably withheld or delayed), (ii) each partial assignment shall be madeas an assignment of a proportionate part of all the assigning Lender’s rightsand obligations under this Agreement with respect to the Loans and/or theCommitments assigned, except that this clause (ii) shall not prohibit anyLender from assigning all or a portion of its rights and obligations amongseparate tranches, if applicable, on a non- prorata basis, and(iii) the parties to each assignment shall execute and deliver to theAdministrative Agent a Lender Assignment Agreement (including, if the EligibleAssignee is not a Lender, the completion of the administrative detailsinformation attached thereto and the provision of any required tax forms),together with, if requested by the Administrative Agent, a processing andrecordation fee of $3,500. Subject to acceptance and recording thereof by theAdministrative Agent pursuant to clause (c), from and after theeffective date specified in each Lender Assignment Agreement, the EligibleAssignee thereunder shall be a party hereto and, to the extent of the interestassigned by such Lender Assignment Agreement, have the rights and obligationsof a Lender under this Agreement, and the assigning Lender thereunder shall, tothe extent of the interest assigned by such Lender Assignment Agreement, bereleased from its obligations under this Agreement (and, in the case of aLender Assignment Agreement covering all of the assigning Lender’s rights andobligations under this Agreement, such Lender shall cease to be a party hereto,but shall continue to be entitled to the benefits of any provisions of this Agreementwhich by their terms survive the termination of this Agreement). Any assignmentor transfer by a Lender of rights or obligations under this Agreement that doesnot comply with this clause shall be treated for purposes of this Agreement asa sale by such Lender of a participation in such rights and obligations inaccordance with clause (d). If the consent of the Borrower to anassignment or to an Eligible Assignee is required hereunder (including aconsent to an assignment which does not meet the minimum assignment thresholdsspecified in this Section), the Borrower shall be deemed to have given itsconsent five Business Days after the date notice thereof has been delivered bythe assigning Lender (through the Administrative Agent) unless such consent isexpressly refused by the Borrower prior to such fifth Business Day. 

                (c)The Administrative Agent shall record each assignment made in accordance withthis Section in the Register pursuant to clause (b) of Section 2.7.The Register shall be available for inspection by the Borrower and any Lender,at any reasonable time and from time to time upon reasonable prior notice. 

                (d) Any Lender may, without theconsent of, or notice to, the Borrower or the Agents, sell participations toone or more banks or other entities (a “Participant”) in all or aportion of such Lender’s rights and/or obligations under this Agreement(including all or a portion of its Commitments and/or the Loans owing to it); providedthat (i) such Lender’s obligations under this Agreement shall remain unchanged,(ii) such Lender shall remain solely responsible to the other parties heretofor the performance of such obligations and (iii) the Borrower, the Agents andthe other Lenders shall continue to deal solely and directly with such Lenderin connection with such Lender’s rights and obligations under this Agreement.Any agreement or instrument pursuant to which a Lender sells such aparticipation shall provide that such Lender shall retain the sole right toenforce this Agreement and to approve any amendment, modification or waiver ofany provision of this Agreement; provided that such agreement orinstrument may provide that such Lender will not, without the consent of theParticipant, agree to any amendment, modification or waiver with respect to thefollowing: (i) any reduction in the interest rate or amount of fees that suchParticipant is otherwise entitled to, (ii) a decrease in the principal amountof, or an extension of the final Stated Maturity Date of, any Loan in whichsuch Participant has purchased a participating interest or (iii) a release ofall or substantially all of the collateral security under the Loan Documents,Parent from its obligations under the Parent Guaranty and Pledge Agreement,Holdings from its obligations under the Holdings Guaranty and Pledge Agreementor all or substantially all of the Subsidiary Guarantors from their obligationsunder the Subsidiary Guaranty, in each case except as otherwise specificallyprovided in a Loan Document. Subject to clause (e), the Borrower agreesthat each Participant shall be entitled to the benefits of Sections 4.3,4.4, 4.5, 4.6, 10.3 and 10.4 to the sameextend as if it were a Lender and had acquired its interest by assignmentpursuant to clause (b). To the extent permitted by law, each Participantalso shall be entitled to the benefits of Section 4.9 as though it werea Lender; provided such Participant agrees to be subject to Section4.8 as though it were a Lender. 

                (e)A Participant shall not be entitled to receive any greater payment underSection Sections 4.3, 4.4, 4.5, 4.6, 10.3and 10.4 than the applicable Lender would have been entitled to receivewith respect to the participation sold to such Participant, unless the sale ofthe participation to such Participant is made with the Borrower’s prior writtenconsent. A Participant that would be a Non-U.S. Lender if it were a Lendershall not be entitled to the benefits of clause (a) of Section 4.6unless the Borrower is notified of the participation sold to such Participantand such Participant agrees, for the benefit of the Borrower, to comply with clause(e) of Section 4.6 as though it were a Lender. 

                (f) Any Lender may at any timepledge or assign a security interest in all or any portion of its rights underthis Agreement to secure obligations of such Lender, including any pledge orassignment to secure obligations to a Federal Reserve Bank; providedthat no such pledge or assignment of a security interest shall release a Lenderfrom any of its obligations hereunder or substitute any such pledgee orassignee for such Lender as a party hereto. 

                SECTION 10.11. Other Transactions.Nothing contained herein shall preclude the Administrative Agent, any Issuer orany other Lender from engaging in any transaction, in addition to thosecontemplated by the Loan Documents, with the Borrower or any of its Affiliatesin which the Borrower or such Affiliate is not restricted hereby from engagingwith any other Person. 

                SECTION 10.12. ForumSelection and Consent to Jurisdiction.**ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTIONWITH, ANY LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING,STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE AGENT,THE LENDERS, ANY ISSUER OR THE BORROWER IN CONNECTION HEREWITH OR THEREWITH MAYBE BROUGHT AND MAINTAINED IN THE COURTS OF THE STATE OF NEW YORK OR IN THEUNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK; PROVIDEDTHAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY MAYBE BROUGHT, AT THE ADMINISTRATIVE AGENT’S OPTION, IN THE COURTS OF ANYJURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND. THE BORROWERHEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE COURTS OFTHE STATE OF NEW YORK, NEW YORK COUNTY AND OF THE UNITED STATES DISTRICT COURTFOR THE SOUTHERN DISTRICT OF NEW YORK FOR THE PURPOSE OF ANY SUCH LITIGATION ASSET FORTH ABOVE AND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT. RENDEREDTHEREBY IN CONNECTION WITH SUCH LITIGATION. THE BORROWER IRREVOCABLY CONSENTSTO THE SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONALSERVICE WITHIN OR WITHOUT THE STATE OF NEW YORK AT THE ADDRESS FOR NOTICESSPECIFIED IN SECTION 10.2. THE BORROWER HEREBY EXPRESSLY AND IRREVOCABLYWAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY HAVEOR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT INANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH LITIGATION HAS BEENBROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT THE BORROWER HAS ORHEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY COURT OR FROM ANYLEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT,ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO ITSELF OR ITSPROPERTY, THE BORROWER HEREBY IRREVOCABLY WAIVES TO THE FULLEST EXTENTPERMITTED BY LAW SUCH IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THE LOANDOCUMENTS.**

                SECTION 10.13. Waiver of Jury Trial.**THE ADMINISTRATIVE AGENT, EACH LENDER, EACHISSUER AND THE BORROWER HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVETO THE FULLEST EXTENT PERMITTED BY LAW ANY RIGHTS THEY MAY HAVE TO A TRIAL BYJURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR INCONNECTION WITH, EACH LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OFDEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVEAGENT, SUCH LENDER, SUCH ISSUER OR THE BORROWER IN CONNECTION THEREWITH. THEBORROWER ACKNOWLEDGES AND AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENTCONSIDERATION FOR THIS PROVISION (AND EACH OTHER PROVISION OF EACH OTHER LOANDOCUMENT TO WHICH IT IS A PARTY) AND THAT THIS PROVISION IS A MATERIALINDUCEMENT FOR THE ADMINISTRATIVE AGENT, EACH LENDER AND EACH ISSUER ENTERINGINTO THE LOAN DOCUMENTS.**

                SECTION 10.14. Confidentiality.Each of the Lenders, the Issuer and the Administrative Agent agrees (on behalfof itself and each of its affiliates, directors, officers, employees, agents,advisors and representatives) to (a) use any Confidential Information only inconnection with participating as a Lender, Issuer or the Administrative Agenthereunder and not for any other purpose and (b) keep confidential anyConfidential Information, and in connection therewith comply with its customaryprocedures for handling confidential information of this nature; providedthat nothing herein shall limit the disclosure of any such information (i) tothe extent required by statute, rule, regulation or judicial process, (ii) asrequested or required by any governmental agency or representative thereof,(iii) to counsel and other professional advisors for any of the Lenders, theIssuer or the Administrative Agent, (iv) to any Lender’s, the Issuer’s or theAdministrative Agent’s examiners, auditors or accountants, (v) to theAdministrative Agent, any other Lender or the Issuer, (vi) by theAdministrative Agent, any Lender or the Issuer to an Affiliate of such Person,(vii) in connection with any litigation relating to enforcement of the LoanDocuments or (viii) to any assignee Lender or Participant (or prospectiveassignee Lender or Participant) or to direct contractual counterparties in RateProtection Agreements entered into in connection with a portion or all of aLender’s rights to receive payments hereunder (or such contractualcounterparties’ professional advisors); providedfurther that, inthe case of the preceding clause (i), such Lender, the Issuer or theAdministrative Agent, as the case may be, shall, to the extent legallypermissible, use reasonable efforts to notify the Borrower of the proposeddisclosure as soon as is reasonably practicable under the circumstances at suchtime.

IN WITNESSWHEREOF, the parties hereto have caused this Agreement to be executed by theirrespective Authorized Officers as of the day and year first above written.

 
 USP  DOMESTIC HOLDINGS, INC.     By: /s/ Mark A. Kopser    Title:  Senior Vice President and Chief Financial Officer       CREDIT  SUISSE FIRST BOSTON,  as the Administrative Agent and a Lender     By: /s/ William S. Lutkins    Title:  Vice President       By: /s/ Bill O'Daly    Title:  Vice President       LEHMAN  COMMERCIAL PAPER INC.,  as the Syndication Agent and a Lender     By: /s/ Michele Swanson    Title:  Authorized Signaotory       SOCIÉTÉ  GÉNÉRALE,  as the Documentation Agent     By: /s/ Richard Bernal    Title:  Director  Corporate Banking
 
 SOCIÉTÉ  GÉNÉRALE FINANCIAL CORPORATION,  as a Lender     By: /s/ Powell Robinson III    Title:  First Vice President
 

SCHEDULE I

DISCLOSURE SCHEDULE TO CREDIT AGREEMENT
  ITEM 6.7.Litigation.  ITEM 6.8.Subsidiaries.  ITEM 6.11.Employee  Benefit Plans.  ITEM 6.12.Environmental  Matters.  ITEM 7.1.10.Properties.  ITEM 7.2.2(b).Indebtedness  to be Paid.  ITEM 7.2.2(c).Ongoing  Indebtedness.  ITEM 7.2.3(c).Ongoing  Liens.  ITEM 7.2.5(a).Ongoing  Investments
SCHEDULE II

NOTICE INFORMATION;PERCENTAGES; LIBOR OFFICE
NAME  AND NOTICE  ADDRESS OF LENDER LIBOR OFFICE PERCENTAGE    Credit  Suisse First Boston  Eleven Madison Avenue  New York, NY 10010  Attention:  Tel:  Fax: Credit  Suisse First Boston  Eleven Madison Avenue  New York, NY 10010 43.63636364%Lehman  Commercial Paper Inc.  3 World Financial Center  New York, NY 10285  Attention: Nancy Wong  Tel: 212-526-6535  Fax: 212-526-7365 Lehman  Commercial Paper Inc.  3 World Financial Center  New York, NY 10285 29.09090909%Société  Générale Financial Corporation  1221 Avenue of the Americas  New York, NY 10020  Attention: Paul Sottnik  Tel: 212-278-6446  Fax: 212-278-7320 Société  Générale  Financial Corporation  1221 Avenue of the Americas  New York, NY 10020 27.27272727%
 

 
BORROWER  AND  ADMINISTRATIVE AGENT  NOTICE ADDRESS    Borrower: USP  Domestic Holdings, Inc.  17103 Preston Road, Suite 200 North  Dallas, TX 75248  Attention: Donald E. Steen, CEO  Tel: 972-713-3500  Fax: 972-713-3550Administrative  Agent: Credit  Suisse First Boston  Eleven Madison Avenue  New York, NY 10010  Attention: Julia Kingsbury  Tel: 212-325-9937  Fax: 212-325-8304
 

BORROWERCLOSING DATE CERTIFICATEUSP DOMESTIC HOLDINGS, INC.

This certificate is delivered pursuant toSection 5.1.9 of the Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among USP Domestic Holdings, Inc., a Delawarecorporation (the “Borrower”), the Lenders, Credit Suisse First Boston,as Administrative Agent, Lehman Commercial Paper Inc., as Syndication Agent,and Société Générale, as Documentation Agent. Terms used herein, unlessotherwise defined herein, have the meanings provided in the Credit Agreement. 

The undersigned hereby certifies,represents and warrants that, as of the Closing Date:

   1. Authority. The undersigned is anAuthorized Officer of the Borrower and, in such capacity, is authorized andempowered to execute this certificate on behalf of the Borrower.

   2. Insurance. Attached hereto as AnnexI are true and complete certified copies of the insurance policies (orbinders in respect thereof) evidencing insurance in compliance with Section5.1.11 of the Credit Agreement.

   3. Consummation of Transaction. Allactions necessary to consummate the Transaction have been taken in accordancewith all applicable law and in accordance with the terms of each applicableTransaction Document, without amendment or waiver of any material provisionthereof. At and as of the Closing Date (after giving effect to the Transactionand the initial Credit Extensions), there exist no conditions that wouldconstitute a default or an event of default under any of the TransactionDocuments. In connection with the Transaction,

     (a)the Parent IPO has been consummated and Parent has received gross cash proceedsof at least $115,000,000 therefrom which proceeds have been used in part toconsummate the Parent Refinancing, the OrthoLink Refinancing, and the ParentStock Redemption;

     (b) OrthoLink has become a direct, whollyowned Subsidiary of the Borrower; and

     (c) the Parent Debt Conversion and theBorrower Debt Conversion have been consummated.

   4. Delivery of Transaction Documents.Attached hereto as Annex II are true and complete, fully executed copiesof the Transaction Documents relating to the Parent Debt Conversion and the BorrowerDebt Conversion and all certificates, opinions and other documents deliveredthereunder. Each Transaction Document is in full force and effect and has notbeen modified or waived in any material respect, nor has there been anyforbearance to exercise any material rights with respect to any of the terms orprovisions relating to the conditions to the consummation of the Transaction,as applicable.

   5. Payment of Outstanding Indebtedness,etc. All Indebtedness identified in Item 7.2.2(b) of the DisclosureSchedule to the Credit Agreement, together with all interest, all prepaymentpremiums and other amounts due and payable with respect thereto, has been (or,contemporaneously with the making of the initial Credit Extensions, will be)paid in full from the proceeds of the initial Credit Extension and thecommitments in respect of such Indebtedness have been terminated, and all Lienssecuring payment of any such Indebtedness have been (or, contemporaneously withthe making of the initial Credit Extensions, will be) released, and attachedhereto as Annex III are copies of all executed UCC terminationstatements (Form UCC-3) or other instruments as may be suitable or appropriatein connection therewith.

   6. Closing Fees, Expenses, etc. TheAdministrative Agent has received for its own account, or for the account ofeach Lender, as the case may be, all fees, costs and expenses due and payablepursuant to Sections 3.3 and 10.3 of the Credit Agreement, to the extentinvoiced.

   7. Financial Information, etc. Attachedhereto as Annex IV are each of the following:

     (a)(i) audited consolidated financialstatements of OrthoLink as at December 31, 2000, (ii) an audited consolidatedbalance sheet of the Borrower and its Consolidated Entities as at December 31,2000, and (iii) an unaudited income statement of the Borrower and itsConsolidated Subsidiaries as December 31, 2000;

     (b) a pro forma unauditedconsolidated balance sheet of the Borrower and its Consolidated Entities as ofApril 30, 2001, giving effect to the consummation of the Transaction and allthe other transactions contemplated by the Credit Agreement;

     (c) a pro forma ComplianceCertificate, dated the Closing Date, giving effect to the consummation of theTransaction and all the other transactions contemplated by the Credit Agreementas of April 30, 2001; and

     (d) a business plan for the 2001 through 2003Fiscal Years, together withcash flow projections for the 2001 through 2006Fiscal Years and a written analysis of the business and prospects of Parent,Holdings, the Borrower and its Consolidated Entities for the period from theClosing Date through the Stated Maturity Date.

   8. Pro Forma EBITDA. The Borrower’sconsolidated pro forma EBITDA, adjusted to give effect to thesubtraction of amounts attributable to Minority Interests and the consummationof the acquisition of OrthoLink and inclusive of add-backs for certainone-time, non-recurring charges not exceeding $6,700,000, for the 2000 FiscalYear is not less than $17,5000,000.

                9.Closing Conditions. All conditions precedent to the initial CreditExtensions set forth in Section 5.1 of the Credit Agreement have been satisfiedin full.

                
                INWITNESS WHEREOF, the undersigned has caused this Certificate to be executed anddelivered, and the certifications, representations and warranties containedherein to be made, by its duly Authorized Officer this 13th day of June, 2001.

 
  USP  DOMESTIC HOLDINGS, INC. By: /s/ Mark A. Kopser    Title: Senior Vice President and Chief  Finanical Officer
ANNEX I

Insurance Policies

ANNEX II

Transaction Documents

ANNEX III

UCC Termination Statements

ANNEX IV

Financial Information

 

[EXECUTIONCOPY]

BORROWERPLEDGE AND SECURITY AGREEMENT

                ThisBORROWER PLEDGE AND SECURITY AGREEMENT, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time,this “Security Agreement”), is made by USP DOMESTIC HOLDINGS, INC., aDelaware corporation (the “Grantor”), in favor of CREDIT SUISSE FIRSTBOSTON, as administrative agent (together with its successor(s) thereto in suchcapacity, the “Administrative Agent”) for each of the Secured Parties.

WITNESSETH :

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among the Grantor, the Lenders, Lehman CommercialPaper Inc., as the Syndication Agent, Société Générale, as the DocumentationAgent, and the Administrative Agent, the Lenders and the Issuer have extendedCommitments to make Credit Extensions to the Grantor; and

                WHEREAS,as a condition precedent to the making of the Credit Extensions under theCredit Agreement, the Grantor is required to execute and deliver this SecurityAgreement; and 

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich are hereby acknowledged, the Grantor agrees, for the benefit of eachSecured Party, as follows:

ARTICLEIDEFINITIONS

                SECTION1.1. Certain Terms. The following terms (whether or not underscored)when used in this Security Agreement, including its preamble and recitals,shall have the following meanings (such definitions to be equally applicable tothe singular and plural forms thereof):

                “AdministrativeAgent” is defined in the preamble.

                “Collateral”is defined in Section 2.1.

                “CollateralAccount” is defined in clause (c) of Section 4.3.

                “Computer Hardware and Software Collateral”means:

                (a) all computer and otherelectronic data processing hardware, integrated computer systems, centralprocessing units, memory units, display terminals, printers, features, computerelements, card readers, tape drives, hard and soft disk drives, cables,electrical supply hardware, generators, power equalizers, accessories and allperipheral devices and other related computer hardware;

                (b) all software programs(including both source code, object code and all related applications and datafiles), whether now owned, licensed or leased or hereafter acquired by theGrantor, designed for use on the computers and electronic data processinghardware described in clause (a) above;

                (c) all firmware associatedtherewith;

                (d) all documentation (includingflow charts, logic diagrams, manuals, guides and specifications) with respectto such hardware, software and firmware described in the preceding clauses(a) through (c); and

                (e) all rights with respect toall of the foregoing, including any and all copyrights, licenses, options,warranties, service contracts, program services, test rights, maintenancerights, support rights, improvement rights, renewal rights and indemnificationsand any substitutions, replacements, additions or model conversions of any ofthe foregoing.

                “ControlAgreement” means an agreement in form and substance satisfactory to theAdministrative Agent which provides for the Administrative Agent to have“control” (as defined in Section 8-106 of the UCC, as such term relates toinvestment property (other than certificated securities or commoditycontracts), or as used in Section 9-115(e) of the UCC, as such termrelates to commodity contracts).

                “CopyrightCollateral” means all copyrights of the Grantor, whether statutory orcommon law, registered or unregistered and whether published or unpublished,now or hereafter in force throughout the world including all of the Grantor’sright, title and interest in and to all copyrights registered in the UnitedStates Copyright Office or anywhere else in the world and also including thecopyrights referred to in Item A of Schedule V hereto, and registrationsand recordings thereof and all applications for registration thereof, whetherpending or in preparation, all copyright licenses, including each copyrightlicense referred to in Item B of Schedule V hereto, the right tosue for past, present and future infringements of any of the foregoing, allrights corresponding thereto, all extensions and renewals of any thereof andall proceeds of the foregoing, including licenses, royalties, income, payments,claims, damages and proceeds of suit.

                “Credit Agreement” is defined in the firstrecital.

                “Distributions”means all non-cash dividends paid on Equity Interests, liquidating dividendspaid on Equity Interests, shares of Equity Interests resulting from (or inconnection with the exercise of) stock splits, reclassifications, warrants,options, non-cash dividends, mergers, consolidations, and all otherdistributions (whether similar or dissimilar to the foregoing) on or withrespect to any Equity Interests constituting Collateral, but excluding Dividends.

                “Dividends”means cash dividends and cash distributions with respect to any EquityInterests constituting Collateral that are not a liquidating dividend.

                “Equipment”is defined in clause (c) of Section 2.1.

                “Grantor”is defined in the preamble.

                “IntellectualProperty Collateral” means, collectively, the Computer Hardware andSoftware Collateral, the Copyright Collateral, the Patent Collateral, theTrademark Collateral and the Trade Secrets Collateral.

                “IntercompanyNote” means a promissory note payable to the Grantor, either (a) in theform delivered to the Administrative Agent on the Closing Date or (b)substantially in the form of Exhibit A hereto (with such modificationsas agreed to by the Administrative Agent), as amended, modified or supplementedfrom time to time in accordance with clause (d) of Section 4.6,together with any notes delivered in extension or renewal thereof orsubstitution therefor.

                “Inventory”is defined in clause (d) of Section 2.1.

                “PatentCollateral” means:

                (a) all letters patent andapplications for letters patent throughout the world, including all patentapplications in preparation for filing and each patent and patent applicationreferred to in Item A of Schedule III hereto;

                (b) all reissues, divisions,continuations, continuations-in-part, extensions, renewals and reexaminationsof any of the items described in clause (a);

                (c) all patent licenses, andother agreements providing the Grantor with the right to use any items of thetype referred to in clauses (a) and (b) above, including each patent licensereferred to in Item B of Schedule III hereto; and

                (d) all proceeds of, and rightsassociated with, the foregoing (including license royalties and proceeds ofinfringement suits), the right to sue third parties for past, present or futureinfringements of any patent or patent application, and for breach orenforcement of any patent license.

                “Receivables”is defined in clause (e) of Section 2.1.

                “Related Contracts” is defined in clause(e) of Section 2.1.

                “SecuritiesAct” is defined in clause (a) of Section 6.2.

                “SecurityAgreement” is defined in the preamble.

                “SpecifiedEvent” means the occurrence and continuance of a Default under clauses (a)through (d) of Section 8.1.9 of the Credit Agreement or any other Event ofDefault.

                “TrademarkCollateral” means:

                (a) (i) all trademarks, tradenames, corporate names, company names, business names, fictitious businessnames, trade styles, service marks, certification marks, collective marks,logos and other source or business identifiers, and all goodwill of thebusiness associated therewith, now existing or hereafter adopted or acquiredincluding those referred to in Item A of Schedule IV hereto,whether currently in use or not, all registrations and recordings thereof and allapplications in connection therewith, whether pending or in preparation forfiling, including registrations, recordings and applications in the UnitedStates Patent and Trademark Office or in any office or agency of the UnitedStates of America or any State thereof or any other country or politicalsubdivision thereof or otherwise, and all common-law rights relating to theforegoing, and (ii) the right to obtain all reissues, extensions or renewals ofthe foregoing (collectively referred to as the “Trademark”);

                (b) all Trademark licenses forthe grant by or to the Grantor of any right to use any Trademark, includingeach Trademark license referred to in Item B of Schedule IVhereto; and

                (c) all of the goodwill of thebusiness connected with the use of, and symbolized by the items described in,clause (a), and to the extent applicable clause (b);

                (d) the right to sue thirdparties for past, present and future infringements of any Trademark Collateraldescribed in clause (a) and, to the extent applicable, clause (b); and

                (e) all proceeds of, and rightsassociated with, the foregoing, including any claim by any Grantor againstthird parties for past, present or future infringement or dilution of anyTrademark, Trademark registration or Trademark license, or for any injury tothe goodwill associated with the use of any such Trademark or for breach orenforcement of any Trademark license and all rights corresponding theretothroughout the world. 

                “TradeSecrets Collateral” means all common law and statutory trade secrets andall other confidential, proprietary or useful information and all know-howobtained by or used in or contemplated at any time for use in the business ofthe Grantor (all of the foregoing being collectively called a “Trade Secret”),whether or not such Trade Secret has been reduced to a writing or othertangible form, including all documents and things embodying, incorporating orreferring in any way to such Trade Secret, all Trade Secret licenses, includingeach Trade Secret license referred to in Schedule VI hereto, andincluding the right to sue for and to enjoin and to collect damages for theactual or threatened misappropriation of any Trade Secret and for the breach orenforcement of any such Trade Secret license.

                SECTION 1.2. Credit Agreement Definitions.Unless otherwise defined herein or the context otherwise requires, terms usedin this Security Agreement, including its preamble and recitals, have themeanings provided in the Credit Agreement.

                SECTION1.3. UCC Definitions. Unless otherwise defined herein or in the CreditAgreement or the context otherwise requires, terms for which meanings areprovided in the UCC are used in this Security Agreement, including its preambleand recitals, with such meanings.

ARTICLEIISECURITY INTEREST

                SECTION2.1. Grant of Security Interest. The Grantor hereby assigns, pledges,hypothecates, charges, mortgages, delivers, and transfers to the AdministrativeAgent, for its benefit and the ratable benefit of each other Secured Party, andhereby grants to the Administrative Agent, for its benefit and the ratablebenefit of each other Secured Party, a continuing security interest in all ofthe following property, whether now or hereafter existing or acquired by theGrantor (the “Collateral”):

                (a) all Intercompany Notes inwhich the Grantor has an interest (including each Intercompany Note describedin Item A of Schedule I hereto (including the right to receivepayment of the principal of and accrued interest on such Intercompany Note, andother rights of the Grantor arising in its capacity as the payee of suchIntercompany Note));

                (b) (i) all investment propertyin which the Grantor has an interest (including the Equity Interests of eachissuer of such Equity Interests described in Item B of Schedule Ihereto) and (ii) all other Equity Interests which are interests in limitedliability companies or partnerships in which the Grantor has an interest(including the Equity Interests of each issuer of such Equity Interestsdescribed in Item B of Schedule I hereto), in each case togetherwith Dividends and Distributions payable in respect of the Collateral describedin the foregoing clauses (b)(i) and (b)(ii);

                (c) all equipment of theGrantor, including all parts thereof and all accessions, additions, attachments,improvements, substitutions and replacements thereto and therefor and allaccessories related thereto (collectively referred to as the “Equipment”);

                (d) all inventory in all of its forms ofthe Grantor, including (i) all raw materials and work in process therefor,finished goods thereof, and materials used or consumed in the manufacture orproduction thereof, (ii) all goods in which the Grantor has an interest in massor a joint or other interest or right of any kind (including goods in which theGrantor has an interest or right as consignee), and (iii) all goods which arereturned to or repossessed by the Grantor, and all accessions thereto, productsthereof and documents therefor (all of the foregoing collectively referred toas the “Inventory”);

                (e) all accounts, contracts,contract rights, chattel paper, documents, instruments, and general intangibles(including tax refunds) of the Grantor, whether or not arising out of or inconnection with the sale or lease of goods or the rendering of services, andall rights of the Grantor now or hereafter existing in and to all securityagreements, guaranties, leases and other contracts securing or otherwiserelating to any such accounts, contracts, contract rights, chattel paper,documents, instruments, and general intangibles (all of the foregoingcollectively referred to as the “Receivables”, and any and all suchsecurity agreements, guaranties, leases and other contracts collectivelyreferred to as the “Related Contracts”);

                (f) all Intellectual Property Collateralof the Grantor;

                (g) the Collateral Account, allcash, checks, drafts, notes, bills of exchange, money orders, other likeinstruments and all investment property held in the Collateral Account (or inany sub-account thereof) and all interest, earnings and proceeds in respectthereof;

                (h) all books, records,writings, data bases, information and other property relating to, used oruseful in connection with, evidencing, embodying, incorporating or referringto, any of the foregoing in this Section;

                (i) all of the Grantor’s otherproperty and rights of every kind and description and interests therein; and

                (j) all products, offspring,rents, issues, profits, returns, income and proceeds of and from any and all ofthe foregoing Collateral (including proceeds which constitute property of thetypes described in clauses (a) through (i) above, and, to theextent not otherwise included, all payments under insurance (whether or not theAdministrative Agent is the loss payee thereof), or any indemnity, warranty orguaranty, payable by reason of loss or damage to or otherwise with respect toany of the foregoing Collateral).

Notwithstanding the foregoing,“Collateral” shall not include (i) the Grantor’s real property leaseholds, (ii)any general intangibles or other rights arising under any contracts,instruments, licenses or other documents as to which the grant of a securityinterest would (A) constitute a violation of a valid and enforceablerestriction in favor of a third party on such grant, unless and until anyrequired consents shall have been obtained or (B) give any other party to suchcontract, instrument, license or other document the right to terminate itsobligations thereunder, (iii) any Equity Interest in a Restricted Entity, and(iv) investment property consisting of Equity Interests of an issuer that is aForeign Subsidiary (other than a Foreign Subsidiary that (i) is treated as apartnership under the Code or (ii) is not treated as an entity that is separatefrom (A) the Grantor, (B) any Person that is treated as a partnership under theCode or (C) any “United States person” (as defined in Section 7701(a)(30) ofthe Code)) of the Grantor, in excess of 65% of the total combined voting powerof all Equity Interests of each such Foreign Subsidiary; provided further,that, in the event of any change in, or the introduction, adoption,effectiveness, interpretation, reinterpretation or phase in of, any law orregulation, directive or guideline of any Governmental Authority that couldreasonably be expected to alter the amount of United States federal income taxthat would otherwise be payable by the Grantor in the absence of such pledge,the Administrative Agent or the Required Lenders may require the Grantor topledge such Equity Interests.

                SECTION2.2. Security for Obligations. This Security Agreement and theCollateral in which the Administrative Agent for the benefit of the SecuredParties is granted a security interest hereunder by the Grantor secures thepayment of all Obligations of the Grantor now or hereafter existing.

                SECTION2.3. Grantor Remains Liable. Anything herein to the contrarynotwithstanding

                (a) the Grantor will remainliable under the contracts and agreements included in the Collateral to theextent set forth therein, and will perform all of its duties and obligationsunder such contracts and agreements to the same extent as if this SecurityAgreement had not been executed;

                (b) the exercise by theAdministrative Agent of any of its rights hereunder will not release theGrantor from any of its duties or obligations under any such contracts oragreements included in the Collateral; and

                (c) no Secured Party will haveany obligation or liability under any contracts or agreements included in theCollateral by reason of this Security Agreement, nor will any Secured Party beobligated to perform any of the obligations or duties of the Grantor thereunderor to take any action to collect or enforce any claim for payment assignedhereunder.

                SECTION 2.4. Security Interest Absolute, etc.This Security Agreement shall in all respects be a continuing, absolute,unconditional and irrevocable grant of security interest, and shall remain infull force and effect until the Termination Date. All rights of the SecuredParties and the security interests granted to the Administrative Agent (for itsbenefit and the ratable benefit of each other Secured Party) hereunder, and allobligations of the Grantor hereunder, shall, in each case, be absolute,unconditional and irrevocable irrespective of:

                (a) any lack of validity,legality or enforceability of any Loan Document;

                (b) the failure of any SecuredParty

                (i) to assert any claim ordemand or to enforce any right or remedy against any Obligor or any otherPerson (including any other Guarantor) under the provisions of any LoanDocument or otherwise, or 

                (ii) to exercise any right orremedy against any other guarantor (including any other Guarantor) of, orcollateral securing, any Obligations;

                (c) any change in the time,manner or place of payment of, or in any other term of, all or any part of theObligations, or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,impairment or termination of any Obligations for any reason, including anyclaim of waiver, release, surrender, alteration or compromise, and shall not besubject to (and the Grantor hereby waives any right to or claim of) any defenseor setoff, counterclaim, recoupment or termination whatsoever by reason of theinvalidity, illegality, nongenuineness, irregularity, compromise,unenforceability of, or any other event or occurrence affecting, anyObligations or otherwise;

                (e) any amendment to,rescission, waiver, or other modification of, or any consent to or departurefrom, any of the terms of any Loan Document;

                (f) any addition, exchange orrelease of any collateral or of any Person that is (or will become) a guarantor(including the Grantor hereunder) of the Obligations, or any surrender ornon-perfection of any collateral, or any amendment to or waiver or release oraddition to, or consent to or departure from, any other guaranty held by anySecured Partysecuring any of the Obligations; or

                (g) any other circumstance whichmight otherwise constitute a defense available to, or a legal or equitabledischarge of, any Obligor, any surety or any guarantor.

ARTICLEIIIREPRESENTATIONS AND WARRANTIES

                Inorder to induce the Secured Parties to enter into the Credit Agreement and makeCredit Extensions thereunder, and to induce Secured Parties to enter into RateProtection Agreements, the Grantor represents and warrants to each SecuredParty as set forth below.

                SECTION3.1. As to Equity Interests of the Grantor. With respect to anySubsidiary of the Grantor that is 

                (a) a corporation, businesstrust, joint stock company or similar Person, all Equity Interests issued bysuch Subsidiary are duly authorized and validly issued, fully paid andnon-assessable, and represented by a certificate; and

                (b) a partnership or limitedliability company, no Equity Interests issued by such Subsidiary (i) are dealtin or traded on securities exchanges or in securities markets, (ii) expresslyprovide that such Equity Interests are a security governed by Article 8 of theUCC, (iii) are held in a securities account, or (iv) are represented by acertificate.

The percentage of the issued andoutstanding Equity Interests of each Subsidiary pledged by the Grantorhereunder are as set forth on Schedule I hereto.

                SECTION3.2. Intercompany Notes. All Intercompany Notes have been duly authorized,executed, endorsed, issued and delivered, and are the legal, valid and bindingobligation of the Issuer thereof, and are not in default.

                SECTION3.3. Location of Collateral, etc. All of the Equipment, Inventory andlock boxes of the Grantor are located at the places specified in Item A,Item B and Item C, respectively, of Schedule II hereto, aseach such Item may be supplemented or otherwise modified from time to timepursuant to clause (a) of Section 4.2. None of the Equipment andInventory has, within the four months preceding the date of this SecurityAgreement, been located at any place other than the places specified in ItemA and Item B, respectively, of Schedule II hereto except asset forth in a footnote thereto. The place(s) of business and the chiefexecutive office of the Grantor and the office(s) where the Grantor keeps itsrecords concerning the Receivables, and all originals of all chattel paperwhich evidence Receivables, are located at the addresses set forth in Item Dof Schedule II hereto, as each such Item may be supplemented orotherwise modified from time to time pursuant to clause (a) of Section4.3. The Grantor has no trade names other than those set forth in Item Eof Schedule II hereto. During the four months preceding the date hereof,the Grantor has not been known by any legal name different from the one setforth on the signature page hereto, nor has the Grantor been the subject of anymerger or other corporate reorganization, except as set forth in Item Fof Schedule II hereto. The Grantor’s federal taxpayer identificationnumber is (and, during the four months preceding the date hereof, the Grantorhas not had a federal taxpayer identification number different from the one)set forth in Item G of Schedule II hereto. If the Collateral ofthe Grantor includes any Inventory located in the State of California, suchGrantor is not a “retail merchant” within the meaning of Section 9102 of theCalifornia UCC. [All Receivables evidenced by a promissory note or otherinstrument, negotiable document or chattel paper have been duly endorsed andaccompanied by duly executed instruments of transfer or assignment, all in formand substance satisfactory to the Administrative Agent and delivered andpledged to the Administrative Agent pursuant to Section 4.6.] TheGrantor is not a party to any federal, state or local government contractexcept as set forth in Item H of Schedule II hereto.

                SECTION 3.4. Ownership, No Liens, etc.The Grantor owns its Collateral free and clear of any Lien, except for Liens(a) created by this Security Agreement, and, in the case of Collateral otherthan any investment property (including Equity Interests) in which the Grantorhas an interest, (b) permitted by Section 7.2.3 of the Credit Agreement or (c)in favor of owners of Computer Software Collateral that is licensed to theGrantor. No effective financing statement or other filing similar in effectcovering any Collateral is on file in any recording office, except those filedin favor of the Administrative Agent relating to this Security Agreement orthose filed in connection with Liens permitted by Section 7.2.3 of the CreditAgreement.

                SECTION3.5. Possession of Inventory, etc. The Grantor agrees that it willmaintain exclusive possession of its goods, instruments and Inventory, otherthan Inventory in transit in the ordinary course of business and Inventorywhich is in the possession or control of a warehouseman, bailee agent or otherPerson (other than a Person controlled by or under common control with the Grantor)that has been notified of the security interest created in favor of the SecuredParties pursuant to this Security Agreement, and has agreed to hold suchInventory subject to the Secured Parties’ Lien and waive any Lien held by itagainst such Inventory.

                SECTION3.6. Negotiable Documents, Instruments and Chattel Paper. The Grantorhas delivered to the Administrative Agent possession of all originals of allnegotiable documents, instruments and chattel paper owned or held by theGrantor on the Closing Date and agrees that it will, promptly followingreceipt, deliver to the Administrative Agent possession of all originals ofnegotiable documents, instruments and chattel paper that it acquires followingthe Closing Date.

                SECTION3.7. Intellectual Property Collateral. With respect to any IntellectualProperty Collateral the loss, impairment or infringement of which couldreasonably be expected to have a Material Adverse Effect:

                (a) such Intellectual PropertyCollateral is subsisting and has not been adjudged invalid or unenforceable, inwhole or in part;

                (b) such Intellectual PropertyCollateral is valid and enforceable;

                (c) the Grantor has made all necessaryfilings and recordations to protect its interest in such Intellectual PropertyCollateral, including recordations of all of its interests in the PatentCollateral and Trademark Collateral in the United States Patent and TrademarkOffice and (subject to the terms of the Credit Agreement) in correspondingoffices throughout the world, and its claims to the Copyright Collateral in theUnited States Copyright Office and (subject to the terms of the CreditAgreement) in corresponding offices throughout the world;

                (d) the Grantor is the exclusiveowner of the entire and unencumbered right, title and interest in and to suchIntellectual Property Collateral and no claim has been made that the use ofsuch Intellectual Property Collateral does or may violate the asserted rightsof any third party; and

                (e) the Grantor has performedand will continue to perform all acts and has paid and will continue to pay allrequired fees and taxes to maintain each and every such item of IntellectualProperty Collateral in full force and effect throughout the world, asapplicable.

The Grantor owns directly or is entitledto use by license or otherwise, all patents, Trademarks, Trade Secrets,copyrights, mask works, licenses, technology, know-how, processes and rightswith respect to any of the foregoing used in, necessary for or of importance tothe conduct of the Grantor’s business.

                SECTION3.8. Validity, etc. This Security Agreement creates a valid securityinterest in the Collateral securing the payment of the Obligations. The Grantorhas filed or caused to be filed all Filing Statements in the appropriateoffices therefor (or has executed and delivered to the Administrative Agentoriginals thereof suitable for filing in such offices) and has taken all of theactions necessary to create perfected and (in the case of Collateral other thanEquity Interests pledged hereunder, subject to Section 7.2.3 of the CreditAgreement) first-priority security interests in the applicable Collateralincluding (a) in the case of Collateral comprised of certificated securities orinstruments, delivery of such Collateral to the Administrative Agent, dulyendorsed in blank and (b) in the case of Collateral comprised of uncertificatedsecurities and other investment property (other than certificated securities),such actions causing the Administrative Agent to have “control” (as defined inSection 8-106 of the UCC, as such term relates to investment property (otherthan certificated securities or commodity contracts), or as used in Section9-115(e) of the UCC, as such term relates to commodity contracts) of suchCollateral; provided that, notwithstanding any of the foregoing, withrespect to any Collateral which constitutes motor vehicles, the ownership ofwhich is evidenced by a certificate of title filed with a department of motorvehicles or similar agency of a Governmental Authority, following the executionand delivery by the Grantor of this Security Agreement, the AdministrativeAgent shall only have a valid security interest in such Collateral.

                SECTION 3.9. Authorization, Approval, etc.Except as have been obtained or made and are in full force and effect, noauthorization, approval or other action by, and no notice to or filing with,any Governmental Authority or regulatory body is required either

                (a) for the grant by the Grantorof the security interest granted hereby, the pledge by the Grantor of anyCollateral pursuant hereto or for the execution, delivery and performance ofthis Security Agreement by the Grantor;

                (b) for the perfection of or theexercise by the Administrative Agent of its rights and remedies hereunder; or

                (c) for the exercise by theAdministrative Agent of the voting or other rights provided for in thisSecurity Agreement, or, except (i) with respect to any securities issued by aSubsidiary of the Grantor, as may be required in connection with a dispositionof such securities by laws affecting the offering and sale of securitiesgenerally, the remedies in respect of the Collateral pursuant to this SecurityAgreement and (ii) any “change of control” or similar filings required by statelicensing agencies.

ARTICLEIVCOVENANTS

                TheGrantor covenants and agrees that, until the Termination Date, the Grantor willperform, comply with and be bound by the obligations set forth below. 

                SECTION4.1. As to Investment Property and Intercompany Notes, Etc.

                SECTION4.1.1. Equity Interests of Subsidiaries. The Grantor will cause each ofits Subsidiaries that is

                (a) a corporation, businesstrust, joint stock company or similar Person, to provide in its OrganicDocuments that all securities issued by such Subsidiary will be represented bya certificate; and

                (b) a partnership or limitedliability company, to require that none of the Equity Interests issued by suchSubsidiary will (i) be dealt in or traded on securities exchanges or insecurities markets, (ii) expressly provide that such Equity Interests aresecurities governed by Article 8 of the UCC, (iii) be held in a securitiesaccount, or (iv) be represented by a certificate.

                SECTION4.1.2. Investment Property (other than Certificated Securities). Withrespect to any investment property (other than certificated securities) ownedby the Grantor, the Grantor will cause a Control Agreement relating to suchinvestment property to be executed and delivered by the Grantor and theapplicable financial intermediary in favor of the Administrative Agent.

                SECTION 4.1.3. Stock Powers, etc. TheGrantor agrees that all certificated securities delivered by the Grantorpursuant to this Security Agreement will be accompanied by duly executedundated blank stock powers, or other equivalent instruments of transferacceptable to the Administrative Agent.

                SECTION4.1.4. Continuous Pledge. The Grantor will (subject to the terms of theCredit Agreement) deliver to the Administrative Agent and at all times keeppledged to the Administrative Agent pursuant hereto, on a first-priority,perfected basis all investment property constituting Collateral, all Dividendsand Distributions with respect thereto, all Intercompany Notes (duly endorsedby the Grantor to the order of the Administrative Agent), and all interest andprincipal with respect to the Intercompany Notes, and all proceeds and rightsfrom time to time received by or distributable to the Grantor in respect of anyof the foregoing Collateral.

                SECTION4.1.5. Voting Rights; Dividends, etc. The Grantor agrees: 

                (a) promptly upon receipt ofnotice of the occurrence and continuance of a Specified Event (as such term isdefined in the Credit Agreement) from the Administrative Agent and without anyrequest therefor by the Administrative Agent, so long as such Specified Eventshall continue, to deliver (properly endorsed where required hereby orrequested by the Administrative Agent) to the Administrative Agent allDividends and Distributions with respect to investment property, all interest,principal, other cash payments on Intercompany Notes, and all proceeds of theCollateral, in each case thereafter received by the Grantor, all of which shallbe held by the Administrative Agent as additional Collateral; and

                (b) subject to clause (c)(ii)of Section 3.9 and, with respect to Collateral consisting of generalpartner interests or limited liability company interests, modifications to therespective Organic Documents to admit the Administrative Agent as a generalpartner or member, respectively, immediately upon the occurrence andcontinuance of a Specified Event and so long as the Administrative Agent hasnotified the Grantor of the Administrative Agent’s intention to exercise itsvoting power under this clause,

                (i) that the AdministrativeAgent may exercise (to the exclusion of such Grantor) the voting power and allother incidental rights of ownership with respect to any investment propertyconstituting Collateral and the Grantor hereby grants the Administrative Agentan irrevocable proxy, exercisable under such circumstances, to vote suchinvestment property; and 

                (ii) to promptly deliver to theAdministrative Agent such additional proxies and other documents as may benecessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,principal, cash payments, and proceeds which may at any time and from time totime be held by the Grantor but which the Grantor is then obligated to deliverto the Administrative Agent, shall, until delivery to the Administrative Agent,be held by the Grantor separate and apart from its other property in trust forthe Administrative Agent. The Administrative Agent agrees that unless aSpecified Event shall have occurred and be continuing and the AdministrativeAgent shall have given the notice referred to in clause (b), the Grantorwill have the exclusive voting power with respect to any investment propertyconstituting Collateral and the Administrative Agent will, upon the writtenrequest of the Grantor, promptly deliver such proxies and other documents, ifany, as shall be reasonably requested by the Grantor which are necessary toallow the Grantor to exercise that voting power; provided that no voteshall be cast, or consent, waiver, or ratification given, or action taken bythe Grantor that would impair any such Collateral or be inconsistent with orviolate any provision of any Loan Document.

                SECTION 4.2. As to Equipment and Inventory.The Grantor hereby agrees that it will 

                (a) keep all the Equipment andInventory (other than Equipment and Inventory Disposed of in accordance withSection 7.2.11 of the Credit Agreement, motor vehicles and Inventory intransit) at the places therefor specified in Section 3.3 or, upon 30days’ prior written notice to the Administrative Agent, at such other places ina jurisdiction where all representations and warranties set forth in ArticleIII shall be true and correct, and all action required pursuant to Section4.6 shall have been taken with respect to the Equipment and Inventory;

                (b) cause the Equipment to bemaintained and preserved in good repair and working order, ordinary wear andtear excepted, and in accordance with any manufacturer’s manual unless theGrantor determines in good faith that the repair or maintenance of suchproperty is no longer economically feasible; and forthwith, or in the case ofany loss or damage to any of the Equipment, as quickly as practicable after theoccurrence thereof, make or cause to be made all repairs, replacements, andother improvements in connection therewith which are necessary or desirable tosuch end; and promptly furnish to the Administrative Agent a statementrespecting any loss or damage to any of the Equipment; and

                (c) pay promptly when due allproperty and other taxes, assessments and governmental charges or leviesimposed upon, and all claims (including claims for labor, materials andsupplies) against, the Equipment and Inventory, except to the extent thevalidity thereof is being contested in good faith by appropriate proceedingsand for which adequate reserves in accordance with GAAP have been set aside.

                SECTION4.3. As to Receivables. (a) The Grantor will keep its chief executiveoffice and the office(s) where it keeps its records concerning the Receivables,and all originals of all chattel paper which evidences Receivables located atthe addresses set forth in Item D of Schedule II hereto, or, upon30 days’ prior written notice to the Administrative Agent, at such otherlocations in a jurisdiction where all actions required by Section 4.6shall have been taken with respect to the Receivables and other Collateral. TheGrantor will not change its name or federal taxpayer identification numberexcept upon 30 days’ prior written notice to the Administrative Agent. Inaddition, the Grantor shall supplement the information contained in ScheduleII hereto on the Compliance Certificate on each date a ComplianceCertificate is required to be delivered to the Administrative Agent under theCredit Agreement, including any changes to the information set forth in Section3.3.

                (b) The Grantor shall have theright to collect all Receivables so long as no Specified Event shall haveoccurred and be continuing.

                (c) Upon (i) the occurrence andcontinuance of a Specified Event and (ii) the delivery of written notice by theAdministrative Agent to the Grantor, all proceeds of Collateral received by theGrantor shall be delivered in kind to the Administrative Agent for deposit to adeposit account (the “Collateral Account”) of the Grantor maintainedwith the Administrative Agent, and such Grantor shall not commingle any suchproceeds, and shall hold separate and apart from all other property, all suchproceeds in express trust for the benefit of the Administrative Agent untildelivery thereof is made to the Administrative Agent.

                (d) Following the delivery ofnotice pursuant to clause (c)(ii) of this Section, the AdministrativeAgent shall have the right to apply any amount in the Collateral Account to thepayment of any Obligations which are due and payable.

                (e) With respect to theCollateral Account, it is hereby confirmed and agreed that (i) deposits in eachCollateral Account are subject to a security interest as contemplated hereby,(ii) each such Collateral Account shall be under the sole dominion and controlof the Administrative Agent and (iii) the Administrative Agent shall have thesole right of withdrawal over such Collateral Account. 

                SECTION4.4. As to Collateral.

                (a) Subject to clause (b)of this Section, the Grantor (i) may in the ordinary course of its business, atits own expense, sell, lease or furnish under the contracts of service any ofthe Inventory normally held by the Grantor for such purpose, and use andconsume, in the ordinary course of its business, any raw materials, work inprocess or materials normally held by the Grantor for such purpose, (ii) will,at its own expense, endeavor to collect, as and when due, all amounts due withrespect to any of the Collateral, including the taking of such action withrespect to such collection as the Administrative Agent may reasonably requestfollowing the occurrence of a Specified Event or, in the absence of suchrequest, as the Grantor may deem advisable, and (iii) may grant, in theordinary course of business, to any party obligated on any of the Collateral,any rebate, refund or allowance to which such party may be lawfully entitled,and may accept, in connection therewith, the return of goods, the sale or leaseof which shall have given rise to such Collateral.

                (b) At any time following the occurrenceand during the continuance of a Specified Event, whether before or after thematurity of any of the Obligations, the Administrative Agent may (i) revoke anyor all of the rights of the Grantor set forth in clause (a), (ii) notifyany parties obligated on any of the Collateral to make payment to theAdministrative Agent of any amounts due or to become due thereunder and (iii)enforce collection of any of the Collateral by suit or otherwise and surrender,release, or exchange all or any part thereof, or compromise or extend or renewfor any period (whether or not longer than the original period) anyindebtedness thereunder or evidenced thereby.

                (c) Upon request of theAdministrative Agent following the occurrence and during the continuance of aSpecified Event, the Grantor will, at its own expense, notify any partiesobligated on any of the Collateral to make payment to the Administrative Agentof any amounts due or to become due thereunder.

                (d) The Grantor herebyauthorizes the Administrative Agent to endorse, in the name of the Grantor, anyitem, howsoever received by the Administrative Agent, representing any paymenton or other proceeds of any of the Collateral.

                SECTION4.5. As to Intellectual Property Collateral. The Each Grantor covenantsand agrees to comply with the following provisions as such provisions relate toany Intellectual Property Collateral material to the operations or business ofthe Grantor:

                (a) the Grantor will not (i) door fail to perform any act whereby any of the Patent Collateral may lapse orbecome abandoned or dedicated to the public or unenforceable, (ii) permit anyof its licensees to (A) fail to continue to use any of the Trademark Collateralin order to maintain all of the Trademark Collateral in full force free fromany claim of abandonment for non-use, (B) fail to maintain as in the past thequality of products and services offered under all of the Trademark Collateral,(C) fail to employ all of the Trademark Collateral registered with any federalor state or foreign authority with an appropriate notice of such registration,(D) adopt or use any other Trademark which is confusingly similar or acolorable imitation of any of the Trademark Collateral, (E) use any of theTrademark Collateral registered with any federal, state or foreign authorityexcept for the uses for which registration or application for registration ofall of the Trademark Collateral has been made or (F) do or permit any act orknowingly omit to do any act whereby any of the Trademark Collateral may lapseor become invalid or unenforceable, or (G) do or permit any act or knowinglyomit to do any act whereby any of the Copyright Collateral or any of the TradeSecrets Collateral may lapse or become invalid or unenforceable or placed inthe public domain except upon expiration of the end of an unrenewable term of aregistration thereof, unless, in the case of any of the foregoing requirementsin clauses (i), (ii) and (iii), the Grantor shall either(x) reasonably and in good faith determine that any of such IntellectualProperty Collateral is of negligible economic value to the Grantor, or (y) havea valid business purpose to do otherwise;

                (b) the Grantor shall promptly notify theAdministrative Agent if it knows, or has reason to know, that any applicationor registration relating to any material item of the Intellectual PropertyCollateral may become abandoned or dedicated to the public or placed in thepublic domain or invalid or unenforceable, or of any adverse determination ordevelopment (including the institution of, or any such determination ordevelopment in, any proceeding in the United States Patent and TrademarkOffice, the United States Copyright Office or any foreign counterpart thereofor any court) regarding the Grantor’s ownership of any of the IntellectualProperty Collateral, its right to register the same or to keep and maintain andenforce the same; 

                (c) in no event will the Grantoror any of its agents, employees, designees or licensees file an application forthe registration of any Intellectual Property Collateral with the United StatesPatent and Trademark Office, the United States Copyright Office or any similaroffice or agency in any other country or any political subdivision thereof,unless it promptly informs the Administrative Agent, and upon request of theAdministrative Agent (subject to the terms of the Credit Agreement), executesand delivers all agreements, instruments and documents as the AdministrativeAgent may reasonably request to evidence the Administrative Agent’s securityinterest in such Intellectual Property Collateral;

                (d) the Grantor will take allnecessary steps, including in any proceeding before the United States Patentand Trademark Office, the United States Copyright Office or (subject to theterms of the Credit Agreement) any similar office or agency in any othercountry or any political subdivision thereof, to maintain and pursue anyapplication (and to obtain the relevant registration) filed with respect to,and to maintain any registration of, the Intellectual Property Collateral,including the filing of applications for renewal, affidavits of use, affidavitsof incontestability and opposition, interference and cancellation proceedingsand the payment of fees and taxes (except to the extent that dedication, abandonmentor invalidation is permitted under the foregoing clause (a) or (b));and 

                (e) the Grantor will promptly(but no less than quarterly) execute and deliver to the Administrative Agent(as applicable) a Patent Security Agreement, Trademark Security Agreementand/or Copyright Security Agreement, as the case may be, in the forms of ExhibitB, Exhibit C and Exhibit D hereto following its obtaining aninterest in any such Intellectual Property, and shall execute and deliver tothe Administrative Agent any other document required to acknowledge or registeror perfect the Administrative Agent’s interest in any part of such item ofIntellectual Property Collateral.

                SECTION 4.6. Further Assurances, etc. TheGrantor agrees that, from time to time at its own expense, it will promptlyexecute and deliver all further instruments and documents, and take all furtheraction, that may be necessary or that the Administrative Agent may reasonablyrequest, in order to perfect, preserve and protect any security interest grantedor purported to be granted hereby or to enable the Administrative Agent toexercise and enforce its rights and remedies hereunder with respect to anyCollateral. Without limiting the generality of the foregoing, the Grantor will

                (a) from time to time upon therequest of the Administrative Agent, promptly deliver to the AdministrativeAgent such stock powers, instruments and similar documents, satisfactory inform and substance to the Administrative Agent, with respect to such Collateralas the Administrative Agent may reasonably request and will, from time to timeupon the request of the Administrative Agent after the occurrence and duringthe continuance of any Specified Event promptly transfer any securitiesconstituting Collateral into the name of any nominee designated by theAdministrative Agent; if any Receivable shall be evidenced by an instrument,negotiable document or chattel paper, deliver and pledge to the AdministrativeAgent hereunder such instrument, negotiable document or chattel paper dulyendorsed and accompanied by duly executed instruments of transfer orassignment, all in form and substance satisfactory to the Administrative Agent;

                (b) execute and file (or causeto be filed) such Filing Statements or continuation statements, or amendmentsthereto, and such other instruments or notices (including any assignment ofclaim form under or pursuant to the federal assignment of claims statute, 31U.S.C. § 3726, any successor or amended version thereof or any regulationpromulgated under or pursuant to any version thereof), as may be necessary orthat the Administrative Agent may reasonably request in order to perfect andpreserve the security interests and other rights granted or purported to begranted to the Administrative Agent hereby;

                (c) deliver to theAdministrative Agent and at all times keep pledged to the Administrative Agentpursuant hereto, on a first-priority, perfected basis, at the reasonablerequest of the Administrative Agent, all investment property constitutingCollateral, all Dividends and Distributions with respect thereto, allIntercompany Notes (duly endorsed by such Grantor to the order of theAdministrative Agent), and all interest and principal with respect to theIntercompany Notes, and all proceeds and rights from time to time received byor distributable to such Grantor in respect of any of the foregoing Collateral;

                (d) not enter into any agreementamending, supplementing or waiving any provision of any Intercompany Note(including any underlying instrument pursuant to which such Intercompany Noteis issued), or compromising, releasing or extending the time for payment of anyobligation of the maker thereof; 

                (e) not take or omit to take anyaction the taking or the omission of which would result in any impairment oralteration of any obligation of the maker of any Intercompany Note or otherinstrument constituting Collateral; and 

                (f) furnish to the Administrative Agent,from time to time at the Administrative Agent’s request, statements andschedules further identifying and describing the Collateral and such otherreports in connection with the Collateral as the Administrative Agent mayreasonably request, all in reasonable detail.

With respect to the foregoing and thegrant of the security interest hereunder, the Grantor hereby authorizes theAdministrative Agent to file one or more financing or continuation statements,and amendments thereto, relative to all or any part of the Collateral withoutthe signature of the Grantor where permitted by law. The Grantor agrees that acarbon, photographic or other reproduction of this Security Agreement or anyfinancing statement covering the Collateral or any part thereof shall besufficient as a financing statement where permitted by law.

ARTICLEVTHE ADMINISTRATIVE AGENT

                SECTION5.1. Administrative Agent Appointed Attorney-in-Fact. The Grantor herebyirrevocably appoints the Administrative Agent its attorney-in-fact, with fullauthority in the place and stead of the Grantor and in the name of the Grantoror otherwise, from time to time in the Administrative Agent’s discretion,following the occurrence and during the continuance of a Specified Event, totake any action and to execute any instrument which the Administrative Agentmay deem necessary or advisable to accomplish the purposes of this SecurityAgreement, including:

                (a) to ask, demand, collect, suefor, recover, compromise, receive and give acquittance and receipts for moneysdue and to become due under or in respect of any of the Collateral;

                (b) to receive, endorse, andcollect any drafts or other instruments, documents and chattel paper, inconnection with clause (a) above;

                (c) to file any claims or takeany action or institute any proceedings which the Administrative Agent may deemnecessary or desirable for the collection of any of the Collateral or otherwiseto enforce the rights of the Administrative Agent with respect to any of theCollateral; and

                (d) to perform the affirmativeobligations of the Grantor hereunder (including all obligations of the Grantorpursuant to Section 4.6).

The Grantor hereby acknowledges, consentsand agrees that the power of attorney granted pursuant to this Section isirrevocable and coupled with an interest.

                SECTION5.2. Administrative Agent May Perform. If the Grantor fails to performany agreement contained herein within 30 days after written notice from theAdministrative Agent, the Administrative Agent may itself perform, or causeperformance of, such agreement, and the expenses of the Administrative Agentincurred in connection therewith shall be payable by theGrantor pursuant to Section 6.4.

                SECTION 5.3. Administrative Agent Has No Duty.The powers conferred on the Administrative Agent hereunder are solely toprotect its interest (on behalf of the Secured Parties) in the Collateral andshall not impose any duty on it to exercise any such powers. Except forreasonable care of any Collateral in its possession and the accounting formoneys actually received by it hereunder, the Administrative Agent shall haveno duty as to any Collateral or responsibility for

                (a) ascertaining or takingaction with respect to calls, conversions, exchanges, maturities, tenders orother matters relative to any investment property, whether or not theAdministrative Agent has or is deemed to have knowledge of such matters, or

                (b) taking any necessary stepsto preserve rights against prior parties or any other rights pertaining to anyCollateral.

                SECTION5.4. Reasonable Care. The Administrative Agent is required to exercisereasonable care in the custody and preservation of any of the Collateral in itspossession; provided that the Administrative Agent shall be deemed tohave exercised reasonable care in the custody and preservation of any of theCollateral, if it takes such action for that purpose as the Grantor reasonablyrequests in writing at times other than upon the occurrence and during thecontinuance of any Specified Event, but failure of the Administrative Agent tocomply with any such request at any time shall not in itself be deemed a failureto exercise reasonable care.

ARTICLEVIREMEDIES

                SECTION6.1. Certain Remedies. If any Specified Event shall have occurred and becontinuing: 

                (a) The Administrative Agent mayexercise in respect of the Collateral, in addition to other rights and remediesprovided for herein or otherwise available to it, all the rights and remediesof a secured party on default under the UCC (whether or not the UCC applies tothe affected Collateral) and also may

                (i) require the Grantor to, andthe Grantor hereby agrees that it will, at its expense and upon request of theAdministrative Agent forthwith, assemble all or part of the Collateral asdirected by the Administrative Agent and make it available to theAdministrative Agent at a place to be designated by the Administrative Agentwhich is reasonably convenient to both parties, and

                (ii) without notice except as specifiedbelow, sell the Collateral or any part thereof in one or more parcels at publicor private sale, at any of the Administrative Agent’s offices or elsewhere, forcash, on credit or for future delivery, and upon such other terms as theAdministrative Agent may deem commercially reasonable. The Grantor agrees that,to the extent notice of sale shall be required by law, at least ten days priornotice to the Grantor of the time and place of any public sale or the timeafter which any private sale is to be made shall constitute reasonablenotification. The Administrative Agent shall not be obligated to make any saleof Collateral regardless of notice of sale having been given. TheAdministrative Agent may adjourn any public or private sale from time to timeby announcement at the time and place fixed therefor, and such sale may,without further notice, be made at the time and place to which it was so adjourned.

                (b) All cash proceeds receivedby the Administrative Agent in respect of any sale of, collection from, orother realization upon, all or any part of the Collateral shall be applied bythe Administrative Agent against, all or any part of the Obligations as setforth in Section 2.7 of the Subsidiary Guaranty.

                (c) The Administrative Agent may

                (i) transfer all or any part ofthe Collateral into the name of the Administrative Agent or its nominee, withor without disclosing that such Collateral is subject to the Lien hereunder,

                (ii) notify the partiesobligated on any of the Collateral to make payment to the Administrative Agentof any amount due or to become due thereunder,

                (iii) enforce collection of anyof the Collateral by suit or otherwise, and surrender, release or exchange allor any part thereof, or compromise or extend or renew for any period (whetheror not longer than the original period) any obligations of any nature of anyparty with respect thereto, 

                (iv) endorse any checks, drafts,or other writings in the Grantor’s name to allow collection of the Collateral,

                (v) take control of any proceedsof the Collateral, and

                (vi) execute (in the name, placeand stead of the Grantor) endorsements, assignments, stock powers and otherinstruments of conveyance or transfer with respect to all or any of theCollateral.

                SECTION 6.2. Securities Laws. If theAdministrative Agent shall determine to exercise its right to sell all or anyof the Collateral pursuant to Section 6.1, the Grantor agrees that, uponrequest of the Administrative Agent, the Grantor will, at its own expense:

                (a) use its best efforts toexempt the Collateral under the state securities or “Blue Sky” laws and toobtain all necessary governmental approvals for the sale of the Collateral, asrequested by the Administrative Agent; and

                (b) do or cause to be done allsuch other acts and things as may be necessary to make such sale of theCollateral or any part thereof valid and binding and in compliance withapplicable law.

The Grantor further acknowledges theimpossibility of ascertaining the amount of damages that would be suffered byany of the Secured Parties by reason of the failure of the Grantor to performany of the covenants contained in this Section and consequently, to the extentpermitted under applicable law, agrees that, if the Grantor shall fail toperform any of such covenants, it shall pay, as liquidated damages and not as apenalty, an amount equal to the value (as determined by the AdministrativeAgent) of the Collateral on the date the Administrative Agent shall demandcompliance with this Section.

                SECTION6.3. Compliance with Restrictions. The Grantor agrees that in any saleof any of the Collateral whenever a Specified Event shall have occurred and becontinuing, the Administrative Agent is hereby authorized to comply with anylimitation or restriction in connection with such sale as it may be advised bycounsel is necessary in order to avoid any violation of applicable law(including compliance with such procedures as may restrict the number ofprospective bidders and purchasers, require that such prospective bidders andpurchasers have certain qualifications, and restrict such prospective biddersand purchasers to Persons who will represent and agree that they are purchasingfor their own account for investment and not with a view to the distribution orresale of such Collateral), or in order to obtain any required approval of thesale or of the purchaser by any Governmental Authority or official, and theGrantor further agrees that such compliance shall not result in such sale beingconsidered or deemed not to have been made in a commercially reasonable manner,nor shall the Administrative Agent be liable nor accountable to the Grantor forany discount allowed by the reason of the fact that such Collateral is sold incompliance with any such limitation orrestriction.

                SECTION6.4. Protection of Collateral. The Administrative Agent may from time totime, at its option, perform any act which the Grantor fails to perform afterbeing requested in writing so to perform (it being understood that no suchrequest need be given after the occurrence and during the continuance of aSpecified Event) and the Administrative Agent may from time to time take anyother action which the Administrative Agent reasonably deems necessary for themaintenance, preservation or protection of any of the Collateral or of itssecurity interest therein.

ARTICLEVIIMISCELLANEOUS PROVISIONS

                SECTION7.1. Loan Document. This Security Agreement is a Loan Document executedpursuant to the Credit Agreement and shall (unless otherwise expresslyindicated herein) be construed, administered and applied in accordance with theterms and provisions thereof, including Article X thereof.

                SECTION7.2. Binding on Successors, Transferees and Assigns; Assignment. ThisSecurity Agreement shall remain in full force and effect until the TerminationDate has occurred, shall be binding upon the Grantor and its successors,transferees and assigns and shall inure to the benefit of and be enforceable byeach Secured Party and its successors, transferees and assigns; provided thatthe Grantor may not (unless otherwise permitted under the terms of the CreditAgreement) assign any of its obligations hereunder without the prior writtenconsent of all Lenders.

                SECTION7.3. Amendments, etc. No amendment to or waiver of any provision of thisSecurity Agreement, nor consent to any departure by the Grantor from itsobligations under this Security Agreement, shall in any event be effectiveunless the same shall be in writing and signed by the Administrative Agent (onbehalf of the Lenders or the Required Lenders, as the case may be, pursuant toSection 10.1 of the Credit Agreement) and then such waiver or consent shall beeffective only in the specific instance and for the specific purpose for whichgiven. 

                SECTION7.4. Notices. All notices and other communications provided forhereunder shall be in writing or by facsimile and addressed, delivered ortransmitted to the appropriate party at the address or facsimile number of suchparty (in the case of any Subsidiary, in care of the Grantor) specified in theCredit Agreement or at such other address or facsimile number as may bedesignated by such party in a notice to the other party. Any notice or othercommunication, if mailed and properly addressed with postage prepaid or ifproperly addressed and sent by pre-paid courier service, shall be deemed givenwhen received; any such notice or other communication, if transmitted byfacsimile, shall be deemed given when transmitted and electronically confirmed.

                SECTION7.5. Release of Liens. Upon (a) the Disposition of Collateral inaccordance with the Credit Agreement or (b) the occurrence of the TerminationDate, the security interests granted herein shall automatically terminate withrespect to (i) such Collateral (in the case of clause (a)) or (ii) allCollateral (in the case of clause (b)). Upon any such Disposition ortermination, the Administrative Agent will, at the Grantor’s sole expense,deliver to the Grantor, without any representations, warranties or recourse ofany kind whatsoever, all Collateral held by the Administrative Agent hereunder,and execute and deliver to the Grantor such documents as the Grantor shallreasonably request to evidence such termination. 

                SECTION7.6. No Waiver; Remedies. In addition to, and not in limitation of Section2.4, no failure on the part of any Secured Party to exercise, and no delayin exercising, any right hereunder shall operate as a waiver thereof, nor shallany single or partial exercise of any right hereunder preclude any other orfurther exercise thereof or the exercise of any other right. The remediesherein provided are cumulative and not exclusive of any remedies provided bylaw.

                SECTION 7.7. Section Captions. Sectioncaptions used in this Security Agreement are for convenience of reference only,and shall not affect the construction of this Security Agreement.

                SECTION7.8. Severability. Wherever possible each provision of this Security Agreementshall be interpreted in such manner as to be effective and valid underapplicable law, but if any provision of this Security Agreement shall beprohibited by or invalid under such law, such provision shall be ineffective tothe extent of such prohibition or invalidity, without invalidating theremainder of such provision or the remaining provisions of this SecurityAgreement.

                SECTION7.9. Governing Law, Entire Agreement, etc. THIS SECURITY AGREEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNEDBY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSESECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEWYORK). This Security Agreement and the other Loan Documents constitutethe entire understanding among the parties hereto with respect to the subjectmatter hereof and thereof and supersede any prior agreements, written or oral,with respect thereto.

                SECTION7.10. Counterparts. This Security Agreement may be executed by theparties hereto in several counterparts, each of which shall be deemed to be anoriginal and all of which shall constitute together but one and the sameagreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Security Agreement to be duly executed and delivered by itsAuthorized Officer as of the date first above written.
 USP DOMESTIC HOLDINGS, INC.    By: /s/ Mark A. Kopser    Title: Senior Vice President and Chief  Financial Officer       CREDIT SUISSE FIRST BOSTON, as Administrative Agent     By: /s/ Julia P. Kingsbury    Title: Vice President       By: /s/ William S. Lutkins    Title: Vice President
SCHEDULEIto Borrower Pledge and Security Agreement

Item A. Intercompany Notes

None.

Item B. Equity Interests
   Common Stock        # of Authorized Outstanding % of Shares Issuer  (corporate)Cert. # Shares Shares Shares Pledged      USP  North Texas, Inc.2 1,000 1,000 1,000 100%Health  Horizons of Nashville, Inc.8 1,000 1,000 1,000 100%Health  Horizons of Kansas City, Inc.4 1,000 1,000 1,000 100%Health  Horizons of Murfreesboro, Inc.3 1,000 1,000 1,000 100%Health  Horizons of Decatur, Inc.4 1,000 1,000 1,000 100%USP  Nevada, Inc.2 1,000 1,000 1,000 100%USP  Winter Park, Inc.2 1,000 10,000 1,000 100%USP  Long Island, Inc.1 1,000 1,000 1,000 100%USP  New Jersey, Inc.2 1,000 1,000 1,000 100%Texas  Outpatient Surgicare Center, Inc.34 2,600 100,000 2,600 100%USP  Chandler, Inc.2 1,000 1,000 1,000 100%USP  South Houston, Inc.2 1,000 1,000 1,000 100%USP  Pasadena, Inc.2 1,000 1,000 1,000 100%USP  Manhattan, Inc.1 1,000 1,000 1,000 100%USP  Las Cruces, Inc.1 1,000 1,000 1,000 100%OrthoLink  Physicians Corporation2 1,000 1,000 1,000 100%
 

SCHEDULEIIto Borrower Pledge and Security Agreement

Item A. Locations of Equipment

                None.

Item B. Location of Inventory

                None.

Item C. Location of Lock Boxes

                None.

Item D. Places of Business and ChiefExecutive Office

                17103Preston Road                Suite 200 North                Dallas, TX 75248

Item E. Trade Names

                None.

Item F. Merger or Other CorporateReorganization

                None.

Item G. Federal TaxpayerIdentification Number

                75-286611

Item H. Government Contracts

                None.

SCHEDULEIIIto Borrower Pledge and Security Agreement

Item A. Patents

                None.

Item B. Patent Licenses

                None.

SCHEDULEIVto Borrower Pledge and Security Agreement

Item A. Trademarks

                None.

Item B. Trademark Licenses

                None.

SCHEDULEVto Borrower Pledge and Security Agreement

Item A. Copyrights/Mask Works

                None.

Item B. Copyright/Mask Work Licenses

                None.

SCHEDULEVIto Borrower Pledge and Security Agreement

TradeSecret or Know-How Licenses

None.

EXHIBITAto Borrower Pledge and Security Agreement

DEMANDNOTE

$____________  ____________ ___, ____

                FORVALUE RECEIVED, the undersigned, [NAME OF MAKER], a ____________ [corporation](the “Maker”), promises to pay on demand to the order of USP DOMESTICHOLDINGS, INC., a ____________ corporation (the “Payee”), the principalsum of ____________________ DOLLARS ($____________) or such lesser amount whichequals the aggregate unpaid principal amount of all intercompany loans made bythe Payee to the Maker.

                Theunpaid principal amount of this demand note (this “Note”) shall bearinterest at a rate equal to such rate per annum as shall be agreed upon fromtime to time by the Payee and the Maker, payable at such times as shall beagreed upon by the Payee and the Maker, and all payments of principal of andinterest on this Note shall be payable in same day or immediately availablefunds in Dollars. Except as set forth in the next sentence, all payments onthis Note shall be made by the Maker to the Payee’s account as notified to theMaker from time to time, and shall be evidenced on the books and records of theMaker and the Payee. The Maker hereby agrees that upon Credit Suisse FirstBoston (including its successors, transferees or assigns, referred to as the “AdministrativeAgent”) notifying the Maker that a Specified Event has occurred and iscontinuing (collectively referred to as a “Payment Event”), it will make(and the Payee irrevocably instructs the Maker to make) all payments ofprincipal and accrued interest on this Note on demand to an account identifiedby the Administrative Agent, and upon the delivery of such notice (which caninclude a facsimile notice), the Administrative Agent shall have all rights ofthe Payee to demand (and collect) payment of, and enforce all rights withrespect to, the Indebtedness evidenced by this Note.

                ThisNote is one of the Intercompany Notes referred to in the Borrower Pledge andSecurity Agreement, dated as of June 13, 2001 (as amended, supplemented,amended and restated or otherwise modified from time to time, the “SecurityAgreement”), among various Persons (including the Payee) and theAdministrative Agent and has been pledged to the Administrative Agent (for itsbenefit and the ratable benefit of each other Secured Party) as security forthe Obligations outstanding from time to time under the Loan Documents. Unlessotherwise defined herein or the context otherwise requires, terms used in thisNote have the meanings provided in (or by reference in) the Security Agreement.

                THIS NOTE SHALL BE DEEMED TO BEA CONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEWYORK (INCLUDING FOR SUCH PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERALOBLIGATIONS LAW OF THE STATE OF NEW YORK). THE MAKER HEREBY KNOWINGLY,VOLUNTARILY AND INTENTIONALLY WAIVES ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURYIN RESPECT OF ANY LITIGATION BASED ON THIS NOTE. THE MAKER ACKNOWLEDGES ANDAGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THISPROVISION AND THAT THIS PROVISION IS A MATERIAL INDUCEMENT FOR THE PAYEE TOACCEPT THIS NOTE.
 [NAME OF MAKER]     By:     Title:       Pay to the order of CREDIT SUISSE FIRST  BOSTON, as Administrative Agent      USP DOMESTIC HOLDINGS, INC.     By:     Title:
EXHIBITBto Borrower Pledge and Security Agreement

PATENTSECURITY AGREEMENT

                ThisPATENT SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),is made between USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Grantor”),and CREDIT SUISSE FIRST BOSTON, as administrative agent (together with itssuccessor(s) thereto in such capacity, the “Administrative Agent”) foreach of the Secured Parties.

WITNESSETH :

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among the Grantor, the Lenders, Société Générale,as the Documentation Agent, Lehman Commercial Paper Inc., as the SyndicationAgent, and the Administrative Agent, the Lenders and the Issuer have extendedCommitments to make Credit Extensions to the Borrower; 

                WHEREAS,in connection with the Credit Agreement, the Grantor has executed and delivereda Borrower Pledge and Security Agreement, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, the “Security Agreement”);

                WHEREAS,pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 ofthe Security Agreement, the Grantor is required to execute and deliver thisAgreement and to grant to the Administrative Agent a continuing securityinterest in all of the Patent Collateral (as defined below) to secure allObligations; and

                WHEREAS,the Grantor has duly authorized the execution, delivery and performance of thisAgreement; and

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich are hereby acknowledged, the Grantor agrees, for the benefit of eachSecured Party, as follows:

                SECTION1. Definitions. Unless otherwise defined herein or the context otherwiserequires, terms used in this Agreement, including its preamble and recitals,have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,delivers, and transfers to the Administrative Agent, for its benefit and theratable benefit of each other Secured Party, and hereby grants to theAdministrative Agent, for its benefit and the ratable benefit of each otherSecured Party, a continuing security interest in all of the following property,whether now or hereafter existing or acquired by the Grantor (the “PatentCollateral”):

                (a) all of its letters patentand applications for letters patent throughout the world, including all patentapplications in preparation for filing and each patent and patent applicationreferred to in Item A of Schedule I attached hereto;

                (b) all reissues, divisions,continuations, continuations-in-part, extensions, renewals and reexaminationsof any of the items described in clause (a);

                (c) all of its patent licenses,and other agreements providing the Grantor with the right to use any items ofthe type referred to in clauses (a) and (b) above, including each patentlicense referred to in Item B of Schedule I attached hereto; and

                (d) all proceeds of, and rightsassociated with, the foregoing (including license royalties and proceeds ofinfringement suits), the right to sue third parties for past, present or futureinfringements of any patent or patent application, and for breach orenforcement of any patent license.

                SECTION3. Security Agreement. This Agreement has been executed and delivered bythe Grantor for the purpose of registering the security interest of theAdministrative Agent in the Patent Collateral with the United States Patent andTrademark Office and corresponding offices in other countries of the world. Thesecurity interest granted hereby has been granted as a supplement to, and notin limitation of, the security interest granted to the Administrative Agent forits benefit and the ratable benefit of each other Secured Party under theSecurity Agreement. The Security Agreement (and all rights and remedies of theAdministrative Agent and each Secured Party thereunder) shall remain in fullforce and effect in accordance with its terms.

                SECTION4. Release of Liens. Upon (i) the Disposition of Patent Collateral inaccordance with the Credit Agreement or (ii) the occurrence of the TerminationDate, the security interests granted herein shall automatically terminate withrespect to (A) such Patent Collateral (in the case of clause (i)) or (B)all Patent Collateral (in the case of clause (ii)). Upon any suchDisposition or termination, the Administrative Agent will, at the Grantor’ssole expense, deliver to the Grantor, without any representations, warrantiesor recourse of any kind whatsoever, all Patent Collateral held by theAdministrative Agent hereunder, and execute and deliver to the Grantor suchdocuments as the Grantor shall reasonably request to evidence such termination.

                SECTION5. Acknowledgment. The Grantor does hereby further acknowledge andaffirm that the rights and remedies of the Administrative Agent with respect tothe security interest in the Patent Collateral granted hereby are more fullyset forth in the Security Agreement, the terms and provisions of which(including the remedies provided for therein) are incorporated by referenceherein as if fully set forth herein.

                SECTION 6. Loan Document. This Agreementis a Loan Document executed pursuant to the Credit Agreement and shall (unlessotherwise expressly indicated herein) be construed, administered and applied inaccordance with the terms and provisions thereof, including Article X thereof.

                SECTION7. Counterparts. This Agreement may be executed by the parties hereto inseveral counterparts, each of which shall be deemed to be an original and allof which shall constitute together but one and the same agreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Agreement to be duly executed and delivered by its AuthorizedOfficers as of the date first above written.
 USP DOMESTIC HOLDINGS,INC.     By: /s/ Mark A. Kopser    Title: Senior Vice President and Chief  Financial Officer       CREDIT SUISSE FIRST BOSTON,  as Administrative Agent      By: /s/ Julia p. Kingsbury    Title: Vice President       By: /s/ William S. Lutkins    Title:   Vice President
SCHEDULEIto Patent Security Agreement

Item A. Patents
Issued Patents              CountryPatent No. Issue Date Inventor(s) Title     
 
Pending Patent Applications  CountrySerial No. Filing Date Inventor(s) Title     
 
Patent Applications in Preparation  CountryDocket No. Expected  Filing Date Inventor(s) Title     
 

Item B. Patent Licenses
Country or    Effective Expiration Subject TerritoryLicensor Licensee Date Date Matter      
EXHIBITCto Borrower Pledge and Security Agreement

TRADEMARKSECURITY AGREEMENT

                ThisTRADEMARK SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),is made between USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Grantor”),and CREDIT SUISSE FIRST BOSTON, as administrative agent (together with itssuccessor(s) thereto in such capacity, the “Administrative Agent”) foreach of the Secured Parties.

WI T N E S S E T H:

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among the Grantor, the Lenders, Société Générale,as the Documentation Agent, Lehman Commercial Paper Inc., as the SyndicationAgent, and the Administrative Agent, the Lenders and the Issuer have extendedCommitments to make Credit Extensions to the Borrower;

                WHEREAS,in connection with the Credit Agreement, the Grantor has executed and delivereda Borrower Pledge and Security Agreement, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, the “Security Agreement”);

                WHEREAS,pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 ofthe Security Agreement, the Grantor is required to execute and deliver thisAgreement and to grant to the Administrative Agent a continuing securityinterest in all of the Trademark Collateral (as defined below) to secure allObligations; and

                WHEREAS,the Grantor has duly authorized the execution, delivery and performance of thisAgreement; and

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich are hereby acknowledged, the Grantor agrees, for the benefit of eachSecured Party, as follows:

                SECTION1. Definitions. Unless otherwise defined herein or the context otherwiserequires, terms used in this Agreement, including its preamble and recitals,have the meanings provided in the Security Agreement.

                SECTION2. Grant of Security Interest. The Grantor hereby assigns, pledges,hypothecates, charges, mortgages, delivers, and transfers to the AdministrativeAgent, for its benefit and the ratable benefit of each other Secured Party, andhereby grants to the Administrative Agent, for its benefit and the ratable benefitof each other Secured Party, a continuing security interest in all of thefollowing property, whether now or hereafter existing or acquired by theGrantor (the “Trademark Collateral”):

                (a) (i) all of its trademarks,trade names, corporate names, company names, business names, fictitiousbusiness names, trade styles, service marks, certification marks, collectivemarks, logos and other source or business identifiers, and all goodwill of thebusiness associated therewith, now existing or hereafter adopted or acquiredincluding those referred to in Item A of Schedule I hereto,whether currently in use or not, all registrations and recordings thereof andall applications in connection therewith, whether pending or in preparation forfiling, including registrations, recordings and applications in the UnitedStates Patent and Trademark Office or in any office or agency of the UnitedStates of America or any State thereof or any other country or politicalsubdivision thereof or otherwise, and all common-law rights relating to theforegoing, and (ii) the right to obtain all reissues, extensions or renewals ofthe foregoing (collectively referred to as the “Trademark”);

                (b) all of the goodwill of thebusiness connected with the use of, and symbolized by the items described in,clause (a), and to the extent applicable clause (b);

                (c) the right to sue thirdparties for past, present and future infringements of any Trademark Collateraldescribed in clause (a) and, to the extent applicable, clause (b); and 

                (d) all proceeds of, and rightsassociated with, the foregoing, including any claim by the Grantor againstthird parties for past, present or future infringement or dilution of anyTrademark, Trademark registration or Trademark license, or for any injury tothe goodwill associated with the use of any such Trademark or for breach orenforcement of any Trademark license and all rights corresponding theretothroughout the world.

                SECTION3. Security Agreement. This Agreement has been executed and delivered bythe Grantor for the purpose of registering the security interest of theAdministrative Agent in the Trademark Collateral with the United States Patentand Trademark Office and corresponding offices in other countries of the world.The security interest granted hereby has been granted as a supplement to, andnot in limitation of, the security interest granted to the Administrative Agentfor its benefit and the ratable benefit of each other Secured Party under theSecurity Agreement. The Security Agreement (and all rights and remedies of theAdministrative Agent and each Secured Party thereunder) shall remain in fullforce and effect in accordance with its terms.

                SECTION 4. Release of Liens. Upon (i) theDisposition of Trademark Collateral in accordance with the Credit Agreement or(ii) the occurrence of the Termination Date, the security interests grantedherein shall automatically terminate with respect to (A) such TrademarkCollateral (in the case of clause (i)) or (B) all Trademark Collateral(in the case of clause (ii)). Upon any such Disposition or termination,the Administrative Agent will, at the Grantor’s sole expense, deliver to theGrantor, without any representations, warranties or recourse of any kindwhatsoever, all Trademark Collateral held by the Administrative Agenthereunder, and execute and deliver to the Grantor such documents as the Grantorshall reasonably request to evidence such termination.

                SECTION5. Acknowledgment. The Grantor does hereby further acknowledge andaffirm that the rights and remedies of the Administrative Agent with respect tothe security interest in the Trademark Collateral granted hereby are more fullyset forth in the Security Agreement, the terms and provisions of which(including the remedies provided for therein) are incorporated by referenceherein as if fully set forth herein.

                SECTION6. Loan Document. This Agreement is a Loan Document executed pursuant tothe Credit Agreement and shall (unless otherwise expressly indicated herein) beconstrued, administered and applied in accordance with the terms and provisionsthereof, including Article X thereof.

                SECTION7. Counterparts. This Agreement may be executed by the parties hereto inseveral counterparts, each of which shall be deemed to be an original and allof which shall constitute together but one and the same agreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Agreement to be duly executed and delivered by AuthorizedOfficer as of the date first above written.
 USP DOMESTIC HOLDINGS, INC.     By:     Title:       CREDIT SUISSE FIRST BOSTON,  as Administrative Agent      By:     Title:       By:     Title:
SCHEDULEIto Trademark Security Agreement

Item A. Trademarks
Registered Trademarks  CountryTrademark Registration No. Registration Date    
 

 
Pending Trademark Applications  CountryTrademark Serial No. Filing Date    
 
Trademark Applications in Preparation       Expected Products/ CountryTrademark Docket No. Filing Date Services     
 

Item B. Trademark Licenses
Country or      Effective Expiration TerritoryTrademark Licensor Licensee Date Date      
 

EXHIBITDto Borrower Pledge and Security Agreement

COPYRIGHTSECURITY AGREEMENT

                ThisCOPYRIGHT SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),is made between USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Grantor”),and CREDIT SUISSE FIRST BOSTON, as administrative agent (together with itssuccessor(s) thereto in such capacity, the “Administrative Agent”) foreach of the Secured Parties.

WI T N E S S E T H :

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among the Grantor, the Lenders, Société Générale,as the Documentation Agent, Lehman Commercial Paper Inc., as the SyndicationAgent, and the Administrative Agent, the Lenders and the Issuer have extended Commitmentsto make Credit Extensions to the Borrower; 

                WHEREAS,in connection with the Credit Agreement, the Grantor has executed and delivereda Borrower Pledge and Security Agreement, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, the “Security Agreement”);

                WHEREAS,pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 ofthe Security Agreement, the Grantor is required to execute and deliver thisAgreement and to grant to the Administrative Agent a continuing securityinterest in all of the Copyright Collateral (as defined below) to secure allObligations; and

                WHEREAS,the Grantor has duly authorized the execution, delivery and performance of thisAgreement; and

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich are hereby acknowledged, the Grantor agrees, for the benefit of eachSecured Party, as follows:

                SECTION1. Definitions. Unless otherwise defined herein or the context otherwiserequires, terms used in this Agreement, including its preamble and recitals,have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.The Grantor hereby assigns, pledges, hypothecates, charges, mortgages, delivers,and transfers to the Administrative Agent, for its benefit and the ratablebenefit of each other Secured Party, and hereby grants to the AdministrativeAgent, for its benefit and the ratable benefit of each other Secured Party, acontinuing security interest in all of the following Copyright Collateral (asdefined below), whether now or hereafter existing or acquired by the Grantor. 

                “CopyrightCollateral” means all copyrights of the Grantor, whether statutory orcommon law, registered or unregistered and whether published or unpublished,now or hereafter in force throughout the world including all of the Grantor’sright, title and interest in and to all copyrights registered in the UnitedStates Copyright Office or anywhere else in the world and also including thecopyrights referred to in Item A of Schedule I attached hereto,and registrations and recordings thereof and all applications for registrationthereof, whether pending or in preparation, all copyright licenses, includingeach copyright license referred to in Item B of Schedule Iattached hereto, the right to sue for past, present and future infringements ofany of the foregoing, all rights corresponding thereto, all extensions andrenewals of any thereof and all proceeds of the foregoing, including licenses,royalties, income, payments, claims, damages and proceeds of suit.

                SECTION3. Security Agreement. This Agreement has been executed and delivered bythe Grantor for the purpose of registering the security interest of theAdministrative Agent in the Copyright Collateral with the United StatesCopyright Office and corresponding offices in other countries of the world. Thesecurity interest granted hereby has been granted as a supplement to, and notin limitation of, the security interest granted to the Administrative Agent forits benefit and the ratable benefit of each other Secured Party under theSecurity Agreement. The Security Agreement (and all rights and remedies of theAdministrative Agent and each Secured Party thereunder) shall remain in fullforce and effect in accordance with its terms.

                SECTION4. Release of Liens. Upon (i) the Disposition of Copyright Collateral inaccordance with the Credit Agreement or (ii) the occurrence of the TerminationDate, the security interests granted herein shall automatically terminate withrespect to (A) such Copyright Collateral (in the case of clause (i)) or(B) all Copyright Collateral (in the case of clause (ii)). Upon any suchDisposition or termination, the Administrative Agent will, at the Grantor’ssole expense, deliver to the Grantor, without any representations, warrantiesor recourse of any kind whatsoever, all Copyright Collateral held by theAdministrative Agent hereunder, and execute and deliver to the Grantor suchdocuments as the Grantor shall reasonably request to evidence such termination.

                SECTION5. Acknowledgment. The Grantor does hereby further acknowledge andaffirm that the rights and remedies of the Administrative Agent with respect tothe security interest in the Copyright Collateral granted hereby are more fullyset forth in the Security Agreement, the terms and provisions of which(including the remedies provided for therein) are incorporated by referenceherein as if fully set forth herein. 

                SECTION6. Loan Document. This Agreement is a Loan Document executed pursuant tothe Credit Agreement and shall (unless otherwise expressly indicated herein) beconstrued, administered and applied in accordance with the terms and provisionsthereof, including Article X thereof.

                SECTION 7. Counterparts. This Agreement may beexecuted by the parties hereto in several counterparts, each of which shall bedeemed to be an original and all of which shall constitute together but one andthe same agreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Agreement to be duly executed and delivered by its AuthorizedOfficer as of the date first above written.
 USP DOMESTIC HOLDINGS, INC.      By:     Title:       CREDIT SUISSE FIRST BOSTON,  as Administrative Agent       By:_________________________________  Title:       By:_________________________________  Title:
SCHEDULEIto Copyright Security Agreement

Item A. Copyrights/Mask Works
Registered Copyrights/Mask Works  CountryRegistration No. Registration Date Author(s) Title     
 
Copyright/Mask Work Pending Registration  Applications  CountrySerial No. Filing Date Author(s) Title     
 
Copyright/Mask Work Registration Applications  in Preparation   Expected       CountryDocket No. Filing Date Author(s) Title     
 

Item B. Copyright/Mask Work Licenses
Country or    Effective Expiration TerritoryLicensor Licensee Date Date     
 

EXHIBITB

BORROWING REQUEST

Credit Suisse First Boston,  as Administrative Agent11 Madison AvenueNew York, New York 10010Attention:______________________

USPDOMESTIC HOLDINGS, INC.

Ladies and Gentlemen:

                ThisBorrowing Request is delivered to you pursuant to Section 2.3 of the CreditAgreement, dated as of June 13, 2001 (as amended, supplemented, amended andrestated or otherwise modified from time to time, the “Credit Agreement”),among USP Domestic Holdings, Inc., a Delaware corporation (the “Borrower”),the Lenders, Credit Suisse First Boston , as Administrative Agent, LehmanCommercial Paper Inc., as Syndication Agent, and Société Générale, asDocumentation Agent. Terms used herein, unless otherwise defined herein, havethe meanings provided in the Credit Agreement.

                TheBorrower hereby requests that a Revolving Loan be made in the aggregateprincipal amount of $____________ on _____________ ___, _________ as a [BaseRate Loan] [LIBO Rate Loanhaving an Interest Period of _____ months].

                TheBorrower hereby acknowledges that, pursuant to Section 5.2.2 of the CreditAgreement, each of the delivery of this Borrowing Request and the acceptance bythe Borrower of the proceeds of the Loans requested hereby constitutes arepresentation and warranty by the Borrower that, on the date of the making ofsuch Loans, and both before and after giving effect thereto and to theapplication of the proceeds therefrom, all statements set forth in Section5.2.1 of the Credit Agreement are true and correct in all material respects(unless stated to relate solely to an earlier date, in which case suchrepresentations and warranties shall be true and correct in all materialrespects as of such earlier date).

                The Borrower agrees that if prior to the time ofthe Borrowing requested hereby any matter certified to herein by it will not betrue and correct in all material respects at such time as if then made, it willimmediately so notify the Administrative Agent. Except to the extent, if any,that prior to the time of the Borrowing requested hereby the AdministrativeAgent shall receive written notice to the contrary from the Borrower, eachmatter certified to herein shall be deemed once again to be certified as trueand correct in all material respects at the date of such Borrowing as if thenmade.

                Pleasewire transfer the proceeds of the Borrowing to the accounts of the followingpersons at the fi nancial institutions indicated respectively:

 
 Person  to be Paid Amount  toName,  Address, etc.be  TransferredNameAccount  No.Of  Transferee Lender    $_______________________________________________________________________________________________________   __________________________   Attention: _________________    $_______________________________________________________________________________________________________   __________________________   Attention: _________________    $_______________________________________________________________________________________________________   __________________________   Attention: _________________Balance of such   proceedsThe Borrower _________________________   __________________________   Attention: _________________
 

                INWITNESS WHEREOF, the Borrower has caused this Borrowing Request to be executedand delivered, and the certifications and warranties contained herein to bemade, by its duly Authorized Officer this _____ day of ___________, ________.

 
 USP DOMESTIC HOLDINGS, INC.     By:     Title:
 

COMPLIANCECERTIFICATE

USPDOMESTIC HOLDINGS, INC.

                ThisCompliance Certificate is delivered pursuant to Clause (c) of Section 7.1.1 ofthe Credit Agreement, dated as of June 13, 2001 (as amended, supplemented,amended and restated or otherwise modified from time to time, the “CreditAgreement”), among USP Domestic Holdings, Inc., a Delaware corporation (the“Borrower”), the Lenders, Credit Suisse First Boston, as AdministrativeAgent, Lehman Commercial Paper Inc., as Syndication Agent, and SociétéGénérale, as Documentation Agent. Unless otherwise defined herein or thecontext otherwise requires, terms used herein or in any of the attachmentshereto have the meaningsprovided in the Credit Agreement.

                TheBorrower hereby certifies, represents and warrants in respect of the period(the “Computation Period”) of four Fiscal Quarters ending on ______ __,____ (such latter date being the “Computation Date”):
(a)As of the Computation Date, no Default  had occurred and was continuing[, except for ________________].  (b)The Total Debt to EBITDA Ratio was  ___:1, as computed on Attachment 1 hereto. The maximum Total Debt to  EBITDA Ratio permitted pursuant to clause (a) of Section 7.2.4 of the Credit  Agreement on the Computation Date is ___:1, and, accordingly, the covenant  [has][has not] been complied with.  (c)The Senior Debt to EBITDA Ratio was  __:1, as computed on Attachment 2 hereto. The maximum Senior Debt to  EBITDA Ratio permitted pursuant to clause (b) of Section 7.2.4 of the Credit  Agreement on the Computation Date is ___:1, and, accordingly, the covenant  [has][has not] been complied with.  (d)The Fixed Charge Coverage Ratio was  __:1, as computed on Attachment 3 hereto. The minimum Fixed Charge  Coverage Ratio required pursuant to clause (c) of Section 7.2.4 of the Credit  Agreement on the Computation Date is ___:1, and, accordingly, the covenant  [has][has not] been complied with.  (e)The Interest Coverage Ratio was __:1,  as computed on Attachment 4 hereto. The minimum Interest Coverage  Ratio required pursuant to clause (d) of Section 7.2.4 of the Credit Agreement  on the Computation Date is ___:1, and, accordingly, the covenant [has][has  not] been complied with.  (f)The Parent Total Debt to Parent Total  Capitalization Ratio was ___:1, as computed on Attachment 5 hereto.  The maximum Parent Total Debt to Parent Total Capitalization Ratio permitted  pursuant to Section 8.1.12 if the Credit Agreement is 0.60:1, and,  accordingly, [no][a] Default has occurred [and is continuing].
                IN WITNESS WHEREOF, the Borrower has caused thisCompliance Certificate to be executed and delivered, and the certification andwarranties contained herein to be made, by its officer thereunto dulyauthorized as of the date first above written.
 USP DOMESTIC HOLDINGS, INC.     By:     Title:
Attachment1(to _/_/_ ComplianceCertificate)

TOTALDEBT TO EBITDA RATIOon __________(the “Computation Date”)
A.Total Debt: the outstanding principal  amount of the following types of Indebtedness of the Borrower and its  Consolidated Entities (in each case exclusive of intercompany Indebtedness  between the Borrower and its Consolidated Entities):  (1)All obligations for borrowed money or  advances and all obligations evidenced by bonds, debentures, notes or other  similar instruments (which, in the case of the Loans, shall be deemed to  equal the average daily amount of the Loans outstanding for the Fiscal  Quarter ending on or immediately preceding the Computation Date)$__________ (2)All obligations, contingent or  otherwise, relative to the face amount of all letters of credit, whether or  not drawn, and banker’s acceptances, in each case issued for the account of  the Borrower and its Consolidated Entities (which, in the case of Letter of  Credit Outstandings, shall be deemed to equal the average daily amount of  Letter of Credit Outstandings for the Fiscal Quarter ending on or immediately  preceding the Computation Date)$__________ (3)All Capitalized Lease Liabilities (all  monetary obligations under any leasing or similar arrangement which have been  (or in accordance with GAAP should be) classified as capitalized leases and  for purposes of each Loan Document the amount of such obligations shall be  the capitalized amount thereof, determined in accordance with GAAP, and the  stated maturity thereof shall be the date of the last payment of rent or any  other amount due under such lease prior to the first date upon which such  lease may be terminated by the lessee without payment of a premium or  penalty)$__________
 
 (4)All obligations arising under Synthetic  Leases (any lease (including leases that may be terminated by the lessee at  any time) of any property (whether real, personal or mixed) (a) that is not a  capital lease in accordance with GAAP and (b) in respect of which the lessee  retains or obtains ownership of the property so leased for federal income tax  purposes, other than any such lease under which the Borrower or any of its  Consolidated Entities is the lessor)$__________ (5)Contingent Liabilities in respect of  any of the foregoing.$__________ (6)The sum of Items A(1) through A(5)$__________B.EBIDTA 1: the sum, for the Borrower and its  Consolidated Entities, of:  1EBITDA shall be adjusted to give pro  forma effect to Permitted Acquisitions made during any period as if such  Permitted Acquisitions had been made at the beginning of such period. In  addition, for the first three Fiscal Quarters of the 2001 Fiscal Year, EBITDA  shall be Annualized. (1)Net Income (the aggregate of all  amounts, exclusive of all amounts in respect of any extraordinary gains but  including extraordinary losses, which would be included as net income on the  consolidated financial statements of the Borrower and its Consolidated  Entities)$__________ (2)To the extent deducted in determining  Net Income, the sum of the following:   (a)Amounts attributable to amortization$__________  (b)Income tax expense$__________  (c)Interest Expense (without duplication,  the aggregate interest expense (both accrued and paid and net of any interest  income paid during such period to the Borrower and it Consolidated Entities)  of the Borrower and its Consolidated Entities for the Computation Period  (including the portion of any payments made in respect of Capitalized Lease  Liabilities allocable to interest expense)$__________  (d) Depreciation of assets$__________
 
 (3)The sum of Items B(2)(a) through  B(2)(d)$__________     (4)EBITDA: the sum of Items B(1)  and B(3)$__________    C.TOTAL DEBT TO EBITDA RATIO: the ratio  of Item A(6) to Item B(4)_________: 1
 

Attachment2(to _/_/_ ComplianceCertificate)

SENIORDEBT TO EBITDA RATIOon ___________(the “Computation Date”)

 
A.Senior Debt:  (1)Total Debt (see Item A(6) of Attachment  1)$___________ (2)Subordinated Debt (the WACS Debt and  other unsecured Indebtedness of the Borrower subordinated in right of payment  to the Obligations pursuant to documentation containing redemption and other  prepayment events, maturities, amortization schedules, covenants, events of  default, remedies, acceleration rights, subordination provisions and other  material terms satisfactory to the Administrative Agent)$___________ (3)Item A(1) less Item A(2)$___________B.EBITDA (see Item B(4) of Attachment  1)$___________C.SENIOR DEBT TO EBITDA RATIO: the ratio  of Item A(3) to Item B___________: 1
 

Attachment3(to _/_/_ ComplianceCertificate)

FIXEDCHARGE COVERAGE RATIOon ___________(the “Computation Date”)
A.EBITDA (see Item B(4) of Attachment  1)$ _________B.Amounts attributable to Minority  Interests to the extent deducted in determining Net Income$ _________C.Maintenance Capital Expenditures (any  Capital Expenditures made with respect to the maintenance of existing assets)$ _________D.The sum of Item A and Item B  less Item C$ _________E.Fixed Charges 2:$ _________ 2For the first three Fiscal Quarters of  the 2001 Fiscal Year, the amount of Fixed Charges shall be Annualized.  (1)Interest Expense (see Item B(2)(c)  of Attachment 1)$ _________ (2)All scheduled principal repayments of  Indebtedness made during the Computation Period$ _________ (3)All income Taxes actually paid in cash$ _________ (4)The sum of Items B(1) through B(3)$ _________F.FIXED CHARGE COVERAGE RATIO: the ratio  of Item D to Item E(4)_________: 1
Attachment4(to _/_/_ ComplianceCertificate)

INTERESTCOVERAGE RATIOon ___________(the “Computation Date”)
A.EBITDA (see Item B(4) of Attachment  1)$ _________B.Amounts attributable to Minority  Interests to the extent deducted in determining Net Income$____________C.The sum of Item A and Item B$____________D.Interest Expense (see Item B(2)(c)  of Attachment 1)$____________E.INTEREST COVERAGE RATIO: the ratio of Item  C to Item D___________:1
 

Attachment 5(to _/_/_ ComplianceCertificate)

PARENTTOTAL DEBT TO PARENT TOTAL CAPITALIZATION RATIOon ___________(the “Computation Date”)
A.Parent Total Debt: the outstanding  principal amount of the following types of Indebtedness of the Parent and its  Subsidiaries:$___________ (1)All obligations for borrowed money or  advances and all obligations evidenced by bonds, debentures, notes or other  similar instruments$___________ (2)All obligations, contingent or  otherwise, relative to the face amount of all letters of credit, whether or  not drawn, and banker’s acceptances, in each case issued for the account of  the Parent and its Subsidiaries$___________ (3)All Capitalized Lease Liabilities (all  monetary obligations under any leasing or similar arrangement which have been  (or in accordance with GAAP should be) classified as capitalized leases and  for purposes of each Loan Document the amount of such obligations shall be  the capitalized amount thereof, determined in accordance with GAAP, and the  stated maturity thereof shall be the date of the last payment of rent or any  other amount due under such lease prior to the first date upon which such  lease may be terminated by the lessee without payment of a premium or  penalty)$___________ (4)All obligations arising under Synthetic  Leases (any lease (including leases that may be terminated by the lessee at  any time) of any property (whether real, personal or mixed) (a) that is not a  capital lease in accordance with GAAP and (b) in respect of which the lessee  retains or obtains ownership of the property so leased for federal income tax  purposes, other than any such lease under which Parent and its Subsidiaries  is the lessor)$___________ (5)Contingent Liabilities in respect of  any of the foregoing.$___________B.The sum of Items A(1) through A(5) 
 

 
C.Parent Total Capitalization:  (1)All amounts (without duplication)  which, in accordance with GAAP, would be included in Parent’s stockholders’  equity (excluding unrealized gains or losses recorded pursuant to FAS 115) as  required to be reported in Parent’s then most recent consolidated balance  sheet$___________ (2)Parent Total Debt (see Item B)$___________D.The sum of Items C(1) and C(2)$___________E.PARENT TOTAL DEBT TO PARENT TOTAL  CAPITALIZATION RATIO: the ratio of Item B to Item D___________:1
 

 

EXHIBITD

CONTINUATION/CONVERSIONNOTICE

Credit Suisse First Boston,  as Administrative Agent11 Madison AvenueNew York, New York 10010Attention:______________________

USPDOMESTIC HOLDINGS, INC.

Ladies and Gentlemen:

                ThisContinuation/Conversion Notice is delivered to you pursuant to Section 2.4 ofthe Credit Agreement, dated as of June 13, 2001 (as amended, supplemented,amended and restated or otherwise modified from time to time, the “CreditAgreement”), among USP Domestic Holdings, Inc., a Delaware corporation (the “Borrower”),the Lenders, Credit Suisse First Boston, as Administrative Agent, LehmanCommercial Paper Inc., as Syndication Agent, and Société Générale, asDocumentation Agent. Terms used herein, unless otherwise defined herein, havethe meanings provided in the Credit Agreement.

                TheBorrower hereby requests that on ___________ ___, ________, 

                (1) $____________ of thepresently outstanding principal amount of the Revolving Loans originally madeon ____________ ___, _____, presently being maintained as [Base Rate Loans][LIBO Rate Loans], 

                (2) be [converted into][continued as], 

                (3) 1[LIBO Rate Loans having an Interest Period of_____ months] [Base Rate Loans].
1Insert  appropriate interest rate option and, if applicable, the number of months  with respect to LIBO Rate Loans.
 

TheBorrower hereby:

                (a) certifies and warrants that noDefault has occurred and is continuing; and

                (b) agrees that if prior to thetime of the [continuation] [conversion] requested hereby any matter certifiedto herein by it will not be true and correct at such time as if then made, itwill immediately so notify the Administrative Agent.

Except to the extent, if any, that priorto the time of the [continuation] [conversion] requested hereby theAdministrative Agent shall receive written notice to the contrary from theBorrower, each matter certified to herein shall be deemed once again to becertified as true and correct in all material respects at the date of such[continuation] [conversion] as if then made.

                IN WITNESS WHEREOF, the Borrower has caused thisContinuation/Conversion Notice to be executed and delivered, and thecertifications and warranties contained herein to be made, by its dulyAuthorized Officer this _____ day of ____________, _______.

 
 USP DOMESTIC HOLDINGS, INC.     By:     Title:
 

 

[EXECUTIONCOPY]

HOLDINGS GUARANTY AND PLEDGE AGREEMENT

                ThisHOLDINGS GUARANTY AND PLEDGE AGREEMENT, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time,this “Agreement”), is made by UNITED SURGICAL PARTNERS HOLDINGS, INC., aDelaware corporation (the “Pledgor”), in favor of CREDIT SUISSE FIRSTBOSTON, as administrative agent (together with any successor(s) thereto in suchcapacity, the “Administrative Agent”) for each of the Secured Parties. 

WI T N E S S E T H:

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among USP Domestic Holdings, Inc., a Delawarecorporation (the “Borrower”), the Lenders, Lehman Commercial Paper Inc.,as the Syndication Agent, Société Générale, as the Documentation Agent, and theAdministrative Agent, the Lenders and the Issuer have extended Commitments tomake Credit Extensions to the Borrower; 

                WHEREAS,the Borrower is a wholly-owned Subsidiary of the Pledgor; 

                WHEREAS,pursuant to the terms of the Credit Agreement, the Pledgor is required toexecute and deliver this Agreement;

                WHEREAS,the Pledgor has duly authorized the execution, delivery and performance of thisAgreement; and

                WHEREAS,it is in the best interests of the Pledgor to execute this Agreement inasmuchas the Pledgor will derive substantial direct and indirect benefits from theCredit Extensions made from time to time to the Borrower by the Lenders and theIssuer pursuant to the Credit Agreement;

                NOW, THEREFORE, for good and valuableconsideration, the receipt and sufficiency of which are hereby acknowledged,the Pledgor agrees, for the benefit of each Secured Party, as follows:

ARTICLEIDEFINITIONS

                SECTION1.1. Certain Terms. The following terms (whether or not underscored)when used in this Agreement, including its preamble and recitals, shall havethe following meanings (such definitions to be equally applicable to thesingular and plural forms thereof): 

                “AdministrativeAgent” is defined in the preamble. 

                “Agreement”is defined in the preamble. 

                “Borrower”is defined in the first recital. 

                “Collateral”is defined in Section 2.1. 

                “CreditAgreement” is defined in the first recital.

                “Distributions”means all non-cash dividends paid on Equity Interests, liquidating dividendspaid on Equity Interests, shares of Equity Interests resulting from (or inconnection with the exercise of) stock splits, reclassifications, warrants,options, non-cash dividends, mergers, consolidations, and all otherdistributions (whether similar or dissimilar to the foregoing) on or withrespect to any Equity Interests constituting Collateral, but excludingDividends.

                “Dividends”means cash dividends and cash distributions with respect to any EquityInterests constituting Collateral that are not a liquidating dividend.

                “EquityInterests Issuer” means each Person identified in Attachment 1 hereto asthe issuer of the Equity Interests identified opposite the name of such Person.

                “EquityInterests” means all of the Equity Interests in the Equity InterestsIssuer.

                “PermittedLiens” means Liens of the type referred to in clauses (b), (d) and (g) ofSection 7.2.3 of the Credit Agreement. 

                “Pledgor”is defined in the preamble.

                “SpecifiedEvent” means the occurrence and continuance of a Default under clauses (a)through (d) of Section 8.1.9 of the Credit Agreement or any other Event ofDefault.

                 SECTION 1.2. Credit Agreement Definitions.Unless otherwise defined herein or the context otherwise requires, terms usedin this Agreement, including its preamble and recitals, have the meaningsprovided in the Credit Agreement.

                SECTION 1.3. UCC Definitions. Unlessotherwise defined herein or in the Credit Agreement or the context otherwiserequires, terms for which meanings are provided in the UCC are used in thisAgreement, including its preamble and recitals, with such meanings. 

ARTICLEIIPLEDGE

                SECTION2.1. Grant of Security Interest. The Pledgor hereby assigns, pledges,hypothecates, charges, mortgages, delivers, and transfers to the AdministrativeAgent, for its benefit and the ratable benefit of each other Secured Party, andhereby grants to the Administrative Agent, for its benefit and the ratablebenefit of each other Secured Party, a continuing security interest in all ofthe following property, whether now or hereafter existing or acquired by theGrantor (the “Collateral”):

                (a) all investment property inwhich the Pledgor has an interest (including the Equity Interests of eachissuer of such Equity Interests described in Schedule I hereto); and;

                (b) all other Equity Interestswhich are interests in limited liability companies or partnerships in which thePledgor has an interest (including the Equity Interests of each EquityInterests Issuer described in Schedule I hereto), in each case togetherwith Dividends and Distributions payable in respect of the Collateral describedin the foregoing clauses (a) and (b) and all proceeds of each ofthe foregoing. 

                SECTION2.2. Pledgor Remains Liable. Anything herein to the contrarynotwithstanding

                (a) the Pledgor will remainliable under the contracts and agreements included in the Collateral to theextent set forth therein, and will perform all of its duties and obligationsunder such contracts and agreements to the same extent as if this Agreement hadnot been executed;

                (b) the exercise by theAdministrative Agent of any of its rights hereunder will not release thePledgor from any of its duties or obligations under any such contracts or agreementsincluded in the Collateral; and

                (c) no Secured Party will haveany obligation or liability under any contracts or agreements included in theCollateral by reason of this Agreement, nor will any Secured Party be obligatedto perform any of the obligations or duties of the Pledgor thereunder or totake any action to collect or enforce any claim for payment assigned hereunder.

                SECTION 2.3. Postponement of Subrogation.The Pledgor agrees that it will not exercise any rights which it may acquire byway of rights of subrogation under any Loan Document to which it is a party,nor shall the Pledgor seek or be entitled to seek any contribution orreimbursement from any Obligor, in respect of any payment made under any LoanDocument or otherwise, until following the Termination Date. Any amount paid tothe Pledgor on account of any such subrogation rights prior to the TerminationDate shall be held in trust for the benefit of the Secured Parties and shallimmediately be paid and turned over to the Administrative Agent for the benefitof the Secured Parties in the exact form received by the Pledgor (duly endorsedin favor of the Administrative Agent, if required), to be credited and appliedagainst the Obligations, whether matured or unmatured, in accordance with Section7.1; provided that if the Pledgor has made payment to the SecuredParties of all or any part of the Obligations and the Termination Date hasoccurred, then at the Pledgor’s request, the Administrative Agent (on behalf ofthe Secured Parties) will, at the expense of the Pledgor, execute and deliverto the Pledgor appropriate documents (without recourse and withoutrepresentation or warranty) necessary to evidence the transfer by subrogationto the Pledgor of an interest in the Obligations resulting from such payment.In furtherance of the foregoing, at all times prior to the Termination Date,the Pledgor shall refrain from taking any action or commencing any proceedingagainst any Obligor (or its successors or assigns, whether in connection with abankruptcy proceeding or otherwise) to recover any amounts in respect ofpayments made under this Agreement to any Secured Party. 

ARTICLEIII GUARANTY PROVISIONS

                SECTION3.1. Guaranty. The Pledgor hereby absolutely, unconditionally andirrevocably 

                (a) guarantees the full andpunctual payment when due, whether at stated maturity, by required prepayment,declaration, acceleration, demand or otherwise, of all Obligations of theBorrower and each other Obligor now or hereafter existing under the Credit Agreement,any Letter of Credit and each other Loan Document to which the Borrower or suchother Obligor is or may become a party (or, in the case of Letters of Credit,is or may become the account party), whether for principal, interest,Reimbursement Obligations, fees, expenses or otherwise (including all suchamounts which would become due but for the operation of any provision of anybankruptcy, insolvency, reorganization, moratorium or similar law relating toor affecting creditors’ rights generally, such as the automatic stay underSection 362(a) of the United States Bankruptcy Code, 11 U.S.C. §362(a), and theoperation of Sections 502(b) and 506(b) of the United States Bankruptcy Code,11 U.S.C. §502(b) and §506(b)); and

                (b) indemnifies and holds harmless eachSecured Party for any and all costs and expenses (including reasonableattorney’s fees and expenses) incurred by such Secured Party in enforcing anyrights under this Agreement, 

This Agreement constitutes a guaranty ofpayment when due and not of collection, and the Pledgor specifically agreesthat it shall not be necessary or required that any Secured Party exercise anyright, assert any claim or demand or enforce any remedy whatsoever against theBorrower or any other Obligor or any other Person before or as a condition tothe obligations of the Pledgor hereunder.

                SECTION3.2. Acceleration of Guaranty. The Pledgor agrees that, (a) in the eventof the occurrence of any Specified Event with respect to any Obligor, or (b)upon written notice from the Administrative Agent to the Pledgor of the breachby the Pledgor in any material respect of any of the representations,warranties or covenants contained herein, and if any such events shall occur ata time when any of the Obligations may not then be due and payable, the Pledgorwill pay to the Lenders forthwith the full amount which would be payablehereunder by the Pledgor if all such Obligations were then due and payable.

                SECTION3.3. Reinstatement, etc. The Pledgor agrees that this Agreement shall continueto be effective or be reinstated, as the case may be, if at any time anypayment (in whole or in part) of any of the Secured Obligations is rescinded ormust otherwise be restored by any Secured Party, upon the insolvency,bankruptcy or reorganization of any other Obligor or otherwise, all as thoughsuch payment had not been made. 

                SECTION3.4. Guaranty and Security Interest Absolute, etc. This Agreement shallin all respects be a continuing, absolute, unconditional and irrevocableguaranty of payment and shall remain in full force and effect until theTermination Date. The Pledgor guarantees that the Obligations will be paidstrictly in accordance with the terms of each Loan Document under which theyarise, regardless of any law, regulation or order now or hereafter in effect inany jurisdiction affecting any of such terms or the rights of any Secured Partywith respect thereto. The liability of the Pledgor under this Agreement, andall rights of the Administrative Agent and the security interests granted tothe Administrative Agent hereunder, and all obligations of the Pledgorhereunder, shall, to the extent permitted under applicable law, be absolute,unconditional and irrevocable irrespective of: 

                (a) any lack of validity,legality or enforceability of any Loan Document; 

                (b) the failure of any SecuredParty 

                (i) to assert any claim ordemand or to enforce any right or remedy against any Obligor or any otherPerson (including any other Guarantor) under the provisions of any LoanDocument or otherwise, or 

                (ii) to exercise any right or remedyagainst any other guarantor (including any other Guarantor) of, or collateralsecuring, any Obligations;

                (c) any change in the time,manner or place of payment of, or in any other term of, all or any part of theObligations or any other extension, compromise or renewal of any Obligation; 

                (d) any reduction, limitation,impairment or termination of any Obligations for any reason, including anyclaim of waiver, release, surrender, alteration or compromise, and shall not besubject to (and the Pledgor hereby waives any right to or claim of) any defenseor setoff, counterclaim, recoupment or termination whatsoever by reason of theinvalidity, illegality, nongenuineness, irregularity, compromise,unenforceability of, or any other event or occurrence affecting, anyObligations or otherwise;

                (e) any amendment to,rescission, waiver, or other modification of, or any consent to or departurefrom, any of the terms of any Loan Document;

                (f) any addition, exchange or releaseof any collateral or of any Person that is (or will become) a guarantor(including the Pledgor) of the Obligations, or any surrender or non-perfectionof any collateral, or any amendment to or waiver or release or addition to, orconsent to or departure from, any other guaranty held by any Secured Partysecuring any of the Obligations; or

                (g) any other circumstance whichmight otherwise constitute a defense available to, or a legal or equitabledischarge of, any Obligor, any surety or any guarantor. 

                SECTION3.5. Setoff. The Pledgor hereby irrevocably authorizes theAdministrative Agent and each Lender, without the requirement that any noticebe given to the Pledgor (such notice being expressly waived by the Pledgor),upon the occurrence and during the continuance of any Default described inSection 8.1.9 of the Credit Agreement or, with the consent of the RequiredLenders, upon the occurrence and during the continuance of any other SpecifiedEvent, to set-off and appropriate and apply to the payment of the Obligations(whether or not then due, and whether or not any Secured Party has made anydemand for payment of the Obligations), any and all balances, claims, credits,deposits (general or special, time or demand, provisional or final), accounts ormoney of the Pledgor then or thereafter maintained with such Secured Party; providedthat any such appropriation and application shall be subject to the provisionsof Section 4.8 of the Credit Agreement. Each Secured Party agrees to notify thePledgor and the Administrative Agent after any such setoff and application madeby such Secured Party; provided further that the failure to give suchnotice shall not affect the validity of such setoff and application. The rightsof each Secured Party under this Section are in addition to other rights andremedies (including other rights of setoff under applicable law or otherwise)which such Secured Party may have.

                SECTION 3.6. Waiver, etc. The Pledgorhereby waives promptness, diligence, notice of acceptance and any other noticewith respect to any of the Obligations and this Agreement and any requirementthat the Administrative Agent or any other Secured Party protect, secure,perfect or insure any security interest or Lien, or any property subjectthereto, or exhaust any right or take any action against the Borrower, anyother Obligor or any other Person (including any other guarantor) or anycollateral securing the Obligations.

ARTICLEIVREPRESENTATIONS AND WARRANTIES

                SECTION4.1. Representations and Warranties, etc. The Pledgor represents andwarrants unto each Secured Party, as at the date of each pledge and deliveryhereunder (including each pledge and delivery of Equity Interests) by thePledgor to the Administrative Agent of any Collateral, as set forth in thisArticle.

                SECTION4.1.1. Organization, etc. The Pledgor is validly organized and existingand in good standing under the laws of the state or jurisdiction of itsincorporation or organization, is duly qualified to do business and is in goodstanding as a foreign entity in each jurisdiction where the nature of itsbusiness requires such qualification (except where the failure to so qualifywould not, individually or in the aggregate, have a Material Adverse Effect),and has full power and authority and holds all requisite governmental licenses,permits and other approvals to enter into and perform its Obligations undereach Loan Document to which it is a party, to own and hold under lease itsproperty and to conduct its business substantially as currently conducted byit.

                SECTION4.1.2. Ownership, No Liens, etc. The Pledgor is the legal and beneficialowner of, and has good and marketable title to (and has full right andauthority to pledge and assign) the Collateral, free and clear of all Liensexcept (i) any Lien granted pursuant hereto in favor of the AdministrativeAgent and (ii) Permitted Liens.

                SECTION4.1.3. Valid Security Interest. The execution and delivery of thisAgreement, together with the delivery of such Collateral to the AdministrativeAgent, is effective to create a valid, perfected, first-priority securityinterest in such Collateral and all proceeds thereof, securing the SecuredObligations, subject only to Permitted Liens. Possession by the AdministrativeAgent of the Collateral is the only action necessary to perfect or protect suchsecurity interest in the Collateral, subject to Section 9-306 of the UCC.

                SECTION4.1.4. As to Equity Interests. In the case of any Equity Interestsconstituting Collateral, all of such Equity Interests are duly authorized andvalidly issued, fully paid and non-assessable, and constitute all of the EquityInterests of each Equity Interests Issuer owned by the Pledgor. On the ClosingDate, the Pledgor has no direct Subsidiary other than each Equity Interests Issuer.

                SECTION 4.1.5. Authorization, Approval, etc.Except as have been obtained or made and are in full force and effect, noauthorization, approval or other action by, and no notice to or filing with,any Governmental Authority or regulatory body is required either

                (a) for the grant by the Pledgorof the security interest granted hereby, the pledge by the Pledgor of anyCollateral pursuant hereto or for the execution, delivery and performance ofthis Agreement by the Pledgor;

                (b) for the perfection of or theexercise by the Administrative Agent of its rights and remedies hereunder; or 

                (c) for the exercise by theAdministrative Agent of the voting or other rights provided for in thisAgreement, except (i) with respect to any securities issued by a Subsidiary ofthe Pledgor, as may be required in connection with a disposition of suchsecurities by laws affecting the offering and sale of securities generally, theremedies in respect of the Collateral pursuant to this Agreement and (ii) any“change of control” or similar filings required by state licensing agenciesand, with respect to Ortholink Securities Corporation, the National Associationof Securities Dealers.

                SECTION4.1.6. Credit Agreement Representations and Warranties. Therepresentations and warranties contained in Article VI of the Credit Agreement,insofar as the representations and warranties contained therein are applicableto the Pledgor and its properties, are true and correct in all materialrespects, each such representation and warranty set forth in such Article(insofar as applicable as aforesaid) and all other terms of the CreditAgreement to which reference is made therein, together with all relateddefinitions and ancillary provisions, being hereby incorporated into thisAgreement by reference as though specifically set forth in this Section. 

ARTICLEVCOVENANTS

                SECTION5.1. Protect Collateral; Further Assurances, etc. The Pledgor will notsell, assign, transfer, pledge, or encumber in any other manner the Collateral(except in favor of the Administrative Agent hereunder) to the extentprohibited under the Credit Agreement. The Pledgor will warrant and defend theright and title herein granted unto the Administrative Agent in and to theCollateral (and all right, title, and interest represented by the Collateral)against the claims and demands of all Persons whomsoever. The Pledgor agreesthat at any time, and from time to time, at the expense of the Pledgor, thePledgor will promptly execute and deliver all further instruments, and take allfurther action, that may be necessary or desirable, or that the AdministrativeAgent may reasonably request, in order to perfect and protect any securityinterest granted or purported to be granted hereby or to enable theAdministrative Agent to exercise and enforce its rights and remedies hereunderwith respect to any Collateral.

                SECTION 5.2. Stock Powers, etc. ThePledgor agrees that all Equity Interests delivered by the Pledgor pursuant tothis Agreement will be accompanied by duly executed undated blank stock powers,or other equivalent instruments of transfer acceptable to the AdministrativeAgent. The Pledgor will, from time to time upon the request of theAdministrative Agent, promptly deliver to the Administrative Agent such stockpowers, instruments, and similar documents, satisfactory in form and substanceto the Administrative Agent, with respect to the Collateral as theAdministrative Agent may reasonably request and will, from time to time uponthe request of the Administrative Agent after the occurrence and during thecontinuation of any Specified Event, promptly transfer any Equity Interestsconstituting Collateral into the name of any nominee designated by theAdministrative Agent.

                SECTION5.3. Continuous Pledge. Subject to the Credit Agreement, the Pledgorwill, at all times, keep pledged to the Administrative Agent pursuant hereto,on a first-priority, perfected basis all investment property constitutingCollateral and, to the extent required under the Credit Agreement, all Dividendsand Distributions with respect thereto and all other Collateral and othersecurities, instruments, proceeds, and rights from time to time received by ordistributable to the Pledgor in respect of any Collateral, and will not permitthe Borrower to issue any Voting Stock which shall not have been immediatelyduly pledged hereunder on a first priority perfected basis. 

                SECTION5.4. Voting Rights; Dividends, etc. The Pledgor agrees: 

                (a) promptly upon receipt ofnotice of the occurrence and continuance of a Specified Event from theAdministrative Agent and without any request therefor by the AdministrativeAgent, so long as such Specified Event shall continue, to deliver (properlyendorsed where required hereby or requested by the Administrative Agent) to theAdministrative Agent all Dividends and Distributions with respect to investmentproperty, all interest, principal, and all proceeds of the Collateral, in eachcase thereafter received by the Pledgor, all of which shall be held by theAdministrative Agent as additional Collateral; and 

                (b) subject to clause (c)(ii)of Section 4.1.5 and, with respect to Collateral consisting of generalpartner interests or limited liability company interests, modifications to therespective Organic Documents to the admission of the Administrative Agent as ageneral partner or member, respectively, immediately upon the occurrence andcontinuance of a Specified Event and so long as the Administrative Agent hasnotified the Pledgor of the Administrative Agent’s intention to exercise itsvoting power under this clause,

 

                 (i) that the Administrative Agent may exercise (to the exclusionof the Pledgor) the voting power and all other incidental rights of ownershipwith respect to any investment property constituting Collateral and the Pledgorhereby grants the Administrative Agent an irrevocable proxy, exercisable undersuch circumstances, to vote such investment property; and 

                (ii) to promptly deliver to theAdministrative Agent such additional proxies and other documents as may benecessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,principal, cash payments, and proceeds which may at any time and from time totime be held by the Pledgor but which the Pledgor is then obligated to deliverto the Administrative Agent, shall, until delivery to the Administrative Agent,be held by the Pledgor separate and apart from its other property in trust forthe Administrative Agent. The Administrative Agent agrees that unless a SpecifiedEvent shall have occurred and be continuing and the Administrative Agent shallhave given the notice referred to in clause (b), the Pledgor will havethe exclusive voting power with respect to any investment property constitutingCollateral and the Administrative Agent will, upon the written request of thePledgor, promptly deliver such proxies and other documents, if any, as shall bereasonably requested by the Pledgor which are necessary to allow the Pledgor toexercise that voting power; provided that no vote shall be cast, orconsent, waiver, or ratification given, or action taken by the Pledgor thatwould impair any such Collateral or be inconsistent with or violate anyprovision of any Loan Document. 

                SECTION5.5. Amendment of Organic Documents. The Pledgor will not amend,upplement or otherwise modify, or permit, consent or suffer to occur anyamendment, supplement or modification of any terms or provisions contained in,or applicable to, any Organic Document of any issuer of any Security comprisingthe Collateral in which it has an equity interest if the effect thereof is toimpair, or is in any manner adverse to, the rights or interests of theAdministrative Agent or any other Senior Secured Party hereunder or under theCredit Agreement or any other Loan Document, without the prior written consentof the Administrative Agent and the Majority Lenders.

                 SECTION 5.6. Payment of Net EquityProceeds. Upon receipt of any Net Equity Proceeds, from the Borrower inviolation of Section 3.1.1 of the Credit Agreement, the Pledgor shall pay orrepay the Loans in the amounts and on the dates required pursuant to clause (c)of Section 3.1.1 of the Credit Agreement.

                SECTION 5.7. Compliance with Laws, etc.The Pledgor will comply in all material respects with all applicable laws,rules, regulations and orders, such compliance to include: 

                (a) the maintenance andpreservation of its corporate existence and qualification as a foreigncorporation; provided that this clause (a) will not prohibit anytransaction otherwise permitted under Section 5.9; and 

                (b) the payment, before the samebecome delinquent, of all material taxes, assessments and governmental chargesimposed upon it or upon its property except to the extent being contested ingood faith by appropriate proceedings and for which adequate reserves inaccordance with GAAP shall have been set aside on its books.

                SECTION5.8. No Defaults. The Pledgor will not, and will not permit the Borroweror any of its Subsidiaries to, take any action or fail to take any action ifsuch action or failure to act would result in a Default under the CreditAgreement. 

                SECTION5.9. Activities of the Pledgor. 

                (a) Without limiting the effectof any provision contained in this Article V, the Pledgor will notengage in any business activity other than its continuing ownership of all ofthe Equity Interests in the Borrower and USP International Holdings, Inc., itscompliance with the obligations applicable to it under the Loan Documents, itspayment of any dividends or other distributions in respect of, or itsrepurchase or redemption of, any of its Equity Interests not otherwiseprohibited hereunder, its issuance of any Equity Interests or Indebtedness nototherwise prohibited hereunder, its payment of principal and interest on anyIndebtedness not otherwise prohibited hereunder and its payment of overheadexpenses and taxes.

                (b) Without limiting thegenerality of clause (a) above, the Pledgor will not (i) create, assumeor suffer to exist any Lien upon, or grant any options or other rights withrespect to, any of its revenues, property or other assets, whether now owned orhereafter acquired other than as contemplated by the Loan Documents, wind-up,liquidate or dissolve itself (or suffer to exist any of the foregoing), or consolidateor amalgamate with or merge into or with any other Person, or Dispose of all orany part of its assets, in one transaction or a series of transactions, to anyPerson or Persons other than contemplated by the Loan Documents, (ii) withoutthe prior written consent of the Required Lenders, consent to any amendment,supplement, amendment and restatement, waiver or other modification of any ofthe terms or provisions contained in, or applicable to, any schedules, exhibitsor agreements, in each case which would adversely affect the rights or remediesof the Lenders or the Pledgor’s or any other Obligor’s ability to performhereunder or under any Loan Document, or increase the obligations of thePledgor thereunder to the detriment of the Lenders, or which would increase thePledgor’s, the Borrower’s or any of its Subsidiaries’ obligations orliabilities, contingent or otherwise, (iii) without the consent of the Agents,create, incur, assume or suffer to exist any Investment in any other Person,other than an Investment in the Borrower and USP International Holdings, Inc. 

                (c) The Pledgor agrees not to commence orcause the commencement of any of the actions described in clause (b), (c) or(d) of Section 8.1.9 of the Credit Agreement with respect to the Borrower orany of its Subsidiaries.

                SECTION5.10. Corporate Status. The Pledgor agrees not to change its passiveholding company status. 

ARTICLEVITHE ADMINISTRATIVE AGENT

                 SECTION 6.1. Administrative AgentAppointed Attorney-in-Fact. The Pledgor hereby irrevocably appoints theAdministrative Agent it’s attorney-in-fact, with full authority in the placeand stead of the Pledgor and in the name of the Pledgor or otherwise, from timeto time in the Administrative Agent’s discretion, following the occurrence andduring the continuance of a Specified Event and subject to delivery of noticeto the Pledgor, to take any action and to execute any instrument which theAdministrative Agent may deem necessary or advisable to accomplish the purposesof this Agreement, including: 

                (a) to ask, demand, collect, suefor, recover, compromise, receive and give acquittance and receipts for moneysdue and to become due under or in respect of any of the Collateral; 

                (b) to receive, endorse, andcollect any drafts or other instruments, documents and chattel paper, inconnection with clause (a) above; 

                (c) to file any claims or takeany action or institute any proceedings which the Administrative Agent may deemnecessary or desirable for the collection of any of the Collateral or otherwiseto enforce the rights of the Administrative Agent with respect to any of theCollateral; and

                (d) to perform the affirmativeobligations of the Pledgor hereunder (including all obligations of the Pledgorpursuant to Section 5.1).

The Pledgor hereby acknowledges, consentsand agrees that the power of attorney granted pursuant to this Section isirrevocable and coupled with an interest.

                SECTION6.2. Administrative Agent May Perform. If the Pledgor fails to performany agreement contained herein within 30 days after written notice from theAdministrative Agent, the Administrative Agent may itself perform, or causeperformance of, such agreement, and the expenses of the Administrative Agentincurred in connection therewith shall be payable by the Pledgor pursuant to Section8.4.

                SECTION 6.3. Administrative Agent Has No Duty.The powers conferred on the Administrative Agent hereunder are solely toprotect its interest (on behalf of the Secured Parties) in the Collateral andshall not impose any duty on it to exercise any such powers. Except forreasonable care of any Collateral in its possession and the accounting formoneys actually received by it hereunder, the Administrative Agent shall haveno duty as to any Collateral or responsibility for (a) ascertaining or takingaction with respect to calls, conversions, exchanges, maturities, tenders orother matters relative to any investment property, whether or not theAdministrative Agent has or is deemed to have knowledge of such matters, or (b)taking any necessary steps to preserve rights against prior parties or anyother rights pertaining to any Collateral. 

                SECTION6.4. Reasonable Care. The Administrative Agent is required to exercisereasonable care in the custody and preservation of any of the Collateral in itspossession; provided that the Administrative Agent shall be deemed tohave exercised reasonable care in the custody and preservation of any of theCollateral, if it takes such action for that purpose as the Pledgor reasonablyrequests in writing at times other than upon the occurrence and during thecontinuance of any Specified Event, but failure of the Administrative Agent tocomply with any such request at any time shall not in itself be deemed afailure to exercise reasonable care. 

ARTICLEVIIREMEDIES

                SECTION7.1. Certain Remedies. If any Specified Event shall have occurred and becontinuing: 

                (a) The Administrative Agent mayexercise in respect of the Collateral, in addition to other rights and remediesprovided for herein or otherwise available to it, all the rights and remediesof a secured party on default under the UCC (whether or not the UCC applies tothe affected Collateral) and also may 

                (i) require the Pledgor to, andthe Pledgor hereby agrees that it will, at its expense and upon request of theAdministrative Agent forthwith, assemble all or part of the Collateral asdirected by the Administrative Agent and make it available to theAdministrative Agent at a place to be designated by the Administrative Agentwhich is reasonably convenient to both parties, and 

                (ii) without notice except asspecified below, sell the Collateral or any part thereof in one or more parcelsat public or private sale, at any of the Administrative Agent’s offices orelsewhere, for cash, on credit or for future delivery, and upon such otherterms as the Administrative Agent may deem commercially reasonable. The Pledgoragrees that, to the extent notice of sale shall be required by law, at leastten days prior notice to the Pledgor of the time and place of any public saleor the time after which any private sale is to be made shall constitutereasonable notification. The Administrative Agent shall not be obligated tomake any sale of Collateral regardless of notice of sale having been given. TheAdministrative Agent may adjourn any public or private sale from time to timeby announcement at the time and place fixed therefor, and such sale may,without further notice, be made at the time and place to which it was soadjourned. 

                (b) All cash proceeds receivedby the Administrative Agent in respect of any sale of, collection from, orother realization upon, all or any part of the Collateral shall be applied bythe Administrative Agent against, all or any part of the Obligations as setforth in Section 2.7 of the Subsidiary Guaranty. 

                (c) The Administrative Agent may

                (i) transfer all or any part ofthe Collateral into the name of the Administrative Agent or its nominee, withor without disclosing that such Collateral is subject to the Lien hereunder, 

                (ii) notify the partiesobligated on any of the Collateral to make payment to the Administrative Agentof any amount due or to become due thereunder, 

                (iii) enforce collection of anyof the Collateral by suit or otherwise, and surrender, release or exchange allor any part thereof, or compromise or extend or renew for any period (whetheror not longer than the original period) any obligations of any nature of anyparty with respect thereto, 

                (iv) endorse any checks, drafts,or other writings in the Pledgor’s name to allow collection of the Collateral, 

                (v) take control of any proceedsof the Collateral, and 

                (vi) execute (in the name, placeand stead of the Pledgor) endorsements, assignments, stock powers and otherinstruments of conveyance or transfer with respect to all or any of theCollateral.

                 SECTION 7.2. Securities Laws. If theAdministrative Agent shall determine to exercise its right to sell all or anyof the Collateral pursuant to Section 7.1, the Pledgor agrees that, uponrequest of the Administrative Agent, the Pledgor will, at its own expense:

                (a) use its best efforts toexempt the Collateral under the state securities or “Blue Sky” laws and toobtain all necessary governmental approvals for the sale of the Collateral, asrequested by the Administrative Agent; and 

 

                (b) do or cause to be done allsuch other acts and things as may be necessary to make such sale of theCollateral or any part thereof valid and binding and in compliance withapplicable law.

The Pledgor further acknowledges the impossibilityof ascertaining the amount of damages that would be suffered by any of theSecured Parties by reason of the failure of the Pledgor to perform any of thecovenants contained in this Section and consequently, to the extent permittedunder applicable law, agrees that, if the Pledgor shall fail to perform any ofsuch covenants, it shall pay, as liquidated damages and not as a penalty, anamount equal to the value (as determined by the Administrative Agent) of theCollateral on the date the Administrative Agent shall demand compliance withthis Section. 

                SECTION7.3. Compliance with Restrictions. The Pledgor agrees that in any saleof any of the Collateral whenever a Specified Event shall have occurred and becontinuing, the Administrative Agent is hereby authorized to comply with anylimitation or restriction in connection with such sale as it may be advised bycounsel is necessary in order to avoid any violation of applicable law(including compliance with such procedures as may restrict the number ofprospective bidders and purchasers, require that such prospective bidders andpurchasers have certain qualifications, and restrict such prospective biddersand purchasers to persons who will represent and agree that they are purchasingfor their own account for investment and not with a view to the distribution orresale of such Collateral), or in order to obtain any required approval of thesale or of the purchaser by any Governmental Authority or official, and thePledgor further agrees that such compliance shall not result in such sale beingconsidered or deemed not to have been made in a commercially reasonable manner,nor shall the Administrative Agent be liable nor accountable to the Pledgor forany discount allowed by reason of the fact that such Collateral is sold incompliance with any such limitation or restriction. 

SECTION 7.4. Indemnity and Expenses.

                (a) The Pledgor agrees toindemnify the Administrative Agent from and against any and all claims, lossesand liabilities arising out of or resulting from this Agreement (includingenforcement of this Agreement), except claims, losses, or liabilities resultingfrom the Administrative Agent’s gross negligence or wilful misconduct.

                (b) The Pledgor, upon demand,will pay to the Administrative Agent the amount of any and all reasonableexpenses, including the reasonable fees and disbursements of its counsel and ofany experts and agents, which the Administrative Agent may incur in connectionwith 

                (i) the administration of eachLoan Document,

                (ii) the custody, preservation,use, or operation of, or the sale of, collection from, or other realizationupon, any of the Collateral, 

 

                (iii) the exercise orenforcement of any of the rights of the Administrative Agent or the SecuredParties hereunder, or

                (iv) the failure by the Pledgorto perform or observe any of the provisions hereof. 

ARTICLEVIII MISCELLANEOUS PROVISIONS

                SECTION8.1. Loan Document. This Agreement is a Loan Document executed pursuantto the Credit Agreement and shall (unless otherwise expressly indicated herein)be construed, administered and applied in accordance with the terms andprovisions thereof.

                SECTION8.2. Binding on Successors, Transferees and Assigns; Assignment. ThisAgreement shall remain in full force and effect until the Termination Date,shall be jointly and severally binding upon the Pledgor and its successors,transferees and assigns and shall inure to the benefit of and be enforceable byeach Secured Party and its successors, transferees and assigns; providedthat the Pledgor may not (unless otherwise permitted under the terms of theCredit Agreement) assign any of its obligations hereunder without the priorwritten consent of all Lenders.

                SECTION8.3. Amendments, etc. No amendment to or waiver of any provision of thisAgreement nor consent to any departure by the Pledgor from its obligationsunder this Agreement shall in any event be effective unless the same shall bein writing and signed by the Administrative Agent (on behalf of the Lenders orthe Required Lenders, as the case may be pursuant to Section 10.1 of the CreditAgreement), and then such waiver or consent shall be effective only in thespecific instance and for the specific purpose for which it is given.

                SECTION8.4. Protection of Collateral. The Administrative Agent may from time totime, at its option, perform any act which the Pledgor agrees hereunder toperform and which the Pledgor shall fail to perform within 30 days after beingrequested in writing so to perform and the Administrative Agent may from timeto time take any other action which the Administrative Agent reasonably deemsnecessary for the maintenance, preservation or protection of any of theCollateral or of its security interest therein.

                SECTION8.5. Notices. All notices and other communications provided forhereunder shall be in writing or by facsimile and addressed, delivered ortransmitted to the appropriate party at the address or facsimile number of suchparty specified in the Credit Agreement or at such other address or facsimilenumber as may be designated by such party in a notice to the other party. Anynotice or other communication, if mailed and properly addressed with postageprepaid or if properly addressed and sent by pre-paid courier service, shall bedeemed given when received; any such notice or other communication, iftransmitted by facsimile, shall be deemed given when transmitted andelectronically confirmed. 

                SECTION 8.6. No Waiver; Remedies. Inaddition to, and not in limitation of, Section 3.4 and Section 3.6,no failure on the part of any Secured Party to exercise, and no delay inexercising, any right hereunder shall operate as a waiver thereof, nor shallany single or partial exercise of any right hereunder preclude any other orfurther exercise thereof or the exercise of any other right. The remediesherein provided are cumulative and not exclusive of any remedies provided bylaw.

                SECTION8.7. Section Captions. Section captions used in this Agreement are forconvenience of reference only, and shall not affect the construction of thisAgreement.

                SECTION8.8. Severability. Wherever possible each provision of this Agreementshall be interpreted in such manner as to be effective and valid underapplicable law, but if any provision of this Agreement shall be prohibited byor invalid under such law, such provision shall be ineffective to the extent ofsuch prohibition or invalidity, without invalidating the remainder of suchprovision or the remaining provisions of this Agreement.

                SECTION8.9. Counterparts. This Agreement may be executed by the parties heretoin several counterparts, each of which shall be deemed to be an original andall of which shall constitute together but one and the same agreement. 

                SECTION8.10. Governing Law, Entire Agreement, etc. **THIS AGREEMENT SHALL BE DEEMED TO BE ACONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK(INCLUDING FOR SUCH PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERALOBLIGATIONS LAW OF THE STATE OF NEW YORK).** This Agreement and the other Loan Documents constitute the entireunderstanding among the parties hereto with respect to the subject matterhereof and supersede any prior agreements, written or oral, with respectthereto. 

                SECTION8.11. Forum Selection and Consent to Jurisdiction. **ANY LITIGATION BASED HEREON, OR ARISINGOUT OF, UNDER, OR IN CONNECTION WITH, THIS AGREEMENT OR ANY OTHER LOANDOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORALOR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE AGENT, THE LENDERS, ANY ISSUER ORTHE PLEDGOR IN CONNECTION HEREWITH OR THEREWITH MAY BE BROUGHT AND MAINTAINEDIN THE COURTS OF THE STATE OF NEW YORK OR IN THE UNITED STATES DISTRICT COURTFOR THE SOUTHERN DISTRICT OF NEW YORK; PROVIDED THAT ANY SUIT SEEKINGENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY MAY BE BROUGHT, AT THEADMINISTRATIVE AGENT’S OPTION, IN THE COURTS OF ANY JURISDICTION WHERE SUCHCOLLATERAL OR OTHER PROPERTY MAY BE FOUND. THE PLEDGOR HEREBY EXPRESSLY ANDIRREVOCABLY SUBMITS TO THE JURISDICTION OF THE COURTS OF THE STATE OF NEW YORK,NEW YORK COUNTY AND OF THE UNITED STATES DISTRICT COURT FOR THE SOUTHERNDISTRICT OF NEW YORK FOR THE PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVEAND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY IN CONNECTIONWITH SUCH LITIGATION. THE PLEDGOR IRREVOCABLY CONSENTS TO THE SERVICE OFPROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL SERVICE WITHIN ORWITHOUT THE STATE OF NEW YORK AT THE ADDRESS FOR NOTICES SPECIFIED FOR THEPLEDGOR IN SECTION 10.2 OF THE CREDIT AGREEMENT. THE PLEDGOR HEREBY EXPRESSLYAND IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTIONWHICH IT MAY HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCHLITIGATION BROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANYSUCH LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THATTHE PLEDGOR HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANYCOURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENTPRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TOITSELF OR ITS PROPERTY, THE PLEDGOR HEREBY IRREVOCABLY WAIVES TO THE FULLESTEXTENT PERMITTED BY LAW SUCH IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THISAGREEMENT AND THE OTHER LOAN DOCUMENTS.**

                SECTION8.12. Waiver of Jury Trial. **THE PLEDGOR HEREBY KNOWINGLY, VOLUNTARILY ANDINTENTIONALLY WAIVES TO THE FULLEST EXTENT PERMITTED BY LAW ANY RIGHTS IT MAYHAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISINGOUT OF, UNDER, OR IN CONNECTION WITH, EACH LOAN DOCUMENT, OR ANY COURSE OFCONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OFTHE ADMINISTRATIVE AGENT, SUCH LENDER, SUCH ISSUER OR THE PLEDGOR IN CONNECTIONTHEREWITH. THE PLEDGOR ACKNOWLEDGES AND AGREES THAT IT HAS RECEIVED FULL ANDSUFFICIENT CONSIDERATION FOR THIS PROVISION (AND EACH OTHER PROVISION OF EACHOTHER LOAN DOCUMENT TO WHICH IT IS A PARTY) AND THAT THIS PROVISION IS AMATERIAL INDUCEMENT FOR THE ADMINISTRATIVE AGENT, EACH LENDER AND EACH ISSUERENTERING INTO THE LOAN DOCUMENTS.**

** * * *

                IN WITNESS WHEREOF, each of the parties heretohave caused this Agreement to be duly executed and delivered by its AuthorizedOfficer as of the day and year first above written. 
 UNITED SURGICAL PARTNERS HOLDINGS, INC.      By: /s/ Mark A. Kopser    Title: Senior Vice President and Chief  Financial Officer          CREDIT SUISSE FIRST BOSTON,   as Administrative Agent       By: /s/ William S. Lutkins     Title: Vice President        By: /s/ Julia P. Kingsbury    Title: Vice President
ATTACHMENT1 to Holdings Guaranty and PledgeAgreement 

EquityInterests
   Description            % of         Outstanding   Certificate Authorized Outstanding Shares Equity Interests IssuerNo. Shares Shares Pledged     USP  Domestic Holdings, Inc.[                    ] [                    ] [                     ] 100% USP  International Holdings, Inc.[                     ] [                    ] [                     ] 100% 
 

EXHIBITC

ISSUANCE REQUEST

Credit Suisse First Boston,  as Administrative Agent11 Madison AvenueNew York, New York 10010Attention:______________________

USPDOMESTIC HOLDINGS, INC.

Ladies and Gentlemen:

                ThisIssuance Request is delivered to you pursuant to Section 2.6 of the CreditAgreement, dated as of June 13, 2001 (as amended, supplemented, amended andrestated or otherwise modified from time to time, the “Credit Agreement”),among USP Domestic Holdings, Inc., a Delaware corporation (the “Borrower”),the Lenders, Credit Suisse First Boston, as Administrative Agent, LehmanCommercial Paper Inc., as Syndication Agent, and Société Générale, asDocumentation Agent. Terms used herein, unless otherwise defined herein, havethe meanings provided in the Credit Agreement.

                The Borrower hereby requeststhat on ____________ ___, ______ (the “Date of Issuance”) [Name ofIssuer]1(the “Issuer”) [issue a Letter of Creditin the initial Stated Amount of $____________ with a Stated Expiry Date (asdefined therein) of ____________ ___, _____] [extend the Stated Expiry Date (asdefined under Letter of Credit No. ___, issued on ____________ ___, _____, inthe initial Stated Amount of $____________) to a revised Stated Expiry Date (asdefined therein) of ____________ ___, _____].
1USUALLY THE ADMINISTRATIVE AGENT.
 

                Thebeneficiary of the requested Letter of Credit will be_________________________, and such Letter of Credit will be in support of_________________________.

                TheBorrower hereby acknowledges that, pursuant to Section 5.2.2 of the CreditAgreement, each of the delivery of this Issuance Request and the acceptance bythe Borrower of the [issuance] [extension] of the Letter of Credit requestedhereby constitutes a representation and warranty by the Borrower that, on thedate of such [issuance] [extension], and both before and after giving effectthereto and to the application of the proceeds or benefits of the Letter ofCredit [issued] [extended] in accordance herewith, all statements set forth inSection 5.2.1 of the Credit Agreement are true and correct in all materialrespects (unless stated to relate solely to an earlier date, in which case suchrepresentations and warranties shall be true and correct in allmaterial respects as of such earlier date).

                The Borrower agrees that if prior to the time ofthe [issuance] [extension] of the Letter of Credit requested hereby any mattercertified to herein by it will not be true and correct in all material respectsat such time as if then made, it will immediately so notify the AdministrativeAgent. Except to the extent, if any, that prior to the time of the [issuance][extension] of the Letter of Credit requested hereby the Administrative Agentshall receive written notice to the contrary from the Borrower, each mattercertified to herein shall be deemed once again to be certified as true andcorrect in all material respects at the date of such [issuance] [extension] asif then made.

                IN WITNESS WHEREOF, the Borrower has caused thisIssuance Request to be executed and delivered, and the certifications andwarranties contained herein to be made, by its duly Authorized Officer this_____ day of ________________, ________.
 USP DOMESTIC HOLDINGS, INC. By:     Title:
 

EXHIBITL

LENDERASSIGNMENT AGREEMENT

______________, ______

USP Domestic Holdings, Inc.17103 Preston RoadSuite 200 NorthDallas, TX 75248Attention: Donald E. Steen

Credit Suisse First Boston,  as Administrative Agent11 Madison AvenueNew York, New York 10010Attention:______________________

USPDOMESTIC HOLDINGS, INC..

Ladies and Gentlemen:

                Werefer to clause (d) of Section 10.11.1 of the Credit Agreement, dated as ofJune 13, 2001 (as amended, supplemented, amended and restated or otherwisemodified from time to time, the “Credit Agreement”), among USP DomesticHoldings, Inc., a Delaware corporation (the “Borrower”), the Lenders,Credit Suisse First Boston, as Administrative Agent, Lehman Commercial PaperInc., as Syndication Agent, and Société Générale, as Documentation Agent. Termsused herein, unless otherwise defined herein, have the meanings provided in theCredit Agreement.

                Asof ______________ ___, ________ (the “Assignment Date”),___________________ (the “Assignor”) irrevocably sells, transfers,conveys and assigns, without recourse, representation or warranty (except asexpressly set forth herein), to ____________________ (the “Assignee”), and theAssignee irrevocably purchases from the Assignor that portion of the Loans andCommitments of the Assignor as set forth on Schedule I hereto (the “AssignedPortion”) with, if applicable, conveyances of the Revolving Loans toinclude the Assignor’s pro rata portion of any Letter of CreditOutstandings as of the Assignment Date under the Credit Agreement, so that,after giving effect to the foregoing assignment and delegation, the Assignor’sand the Assignee’s Percentages for the purposes of each Loan Document will beas set forth on Schedule I hereto.

                Inaddition, this agreement constitutes notice to each of you, pursuant to clause(c) of Section 10.11.1 of the Credit Agreement, of the assignment anddelegation to the Assignee of the Assigned Portion of the Credit Extensions andCommitments of the Assignor outstanding under the Credit Agreement as of theAssignment Date.

                Anyaccrued and unpaid interest, fees and other payments related to the AssignedPortion applicable to the period prior to the Assignment Date shall be for theaccount of the Assignor. Any accrued and unpaid interest, fees and otherpayments related to the Assigned Portion applicable to the period from andafter the Assignment Date shall be for the account of the Assignee. Each of theAssignor and the Assignee severally agrees that it will hold for the otherparty any interest, fees and other payments which it may receive to which theother party is entitled pursuant to any agreement between the parties and payto the other party any such amounts which it may receive promptly upon receiptthereof. In furtherance of the foregoing, the Administrative Agent will, and ishereby authorized to, pay over to the Assignee and the Assignor such amounts towhich each is entitled.

                TheAssignee hereby acknowledges and confirms that it has received a copy of theCredit Agreement and the exhibits related thereto, together with (to the extentrequested by the Assignee in writing) copies of the documents which wererequired to be delivered under the Credit Agreement as a condition to themaking of the Credit Extensions thereunder. The Assignee further confirms andagrees that in becoming a Lender and in making its Commitments and CreditExtensions under the Credit Agreement, such actions have and will be madewithout recourse to, or representation or warranty by, the AdministrativeAgent.

                TheAssignor represents and warrants that it is legally authorized to enter intoand deliver this agreement and represents that it is the legal and beneficialowner of the Assigned Portion and that such Assigned Portion is free and clearof any adverse claim. Except as set forth in the previous sentence, theAssignor makes no representation or warranty and assumes no responsibility withrespect to any statements, warranties or representations made pursuant to or inconnection with this agreement, or the execution, legality, validity,enforceability, genuineness, sufficiency or value of this agreement, any otherLoan Document or any other instrument or document furnished pursuant hereto orthereto, including the financial condition of the Borrower or any of itsSubsidiaries or the performance or observance by any Lender of any of itsobligations under any Loan Document or any other instrument or documentfurnished pursuant hereto or thereto. The Assignee represents and warrants thatit is legally authorized to enter into and deliver this agreement and confirmsthat it has received copies of the most recent financial statements deliveredpursuant to the Credit Agreement and such other documents and information as ithas deemed appropriate to make its own credit analysis and decision to enterinto this agreement. In addition, the Assignee independently and withoutreliance upon the Assignor, the Administrative Agent or any other Lender, andbased on such documents and information as it shall deem appropriate at thetime, shall continue to make its own credit decisions in taking or not takingaction under the Loan Documents and the other instruments and documentsdelivered in connection therewith.

                Exceptas otherwise provided in the Credit Agreement, effective as of the AssignmentDate,

                (a) the Assignee

                (i) shall be deemedautomatically to have become a party to the Credit Agreement and shall have allthe rights and obligations of a “Lender” under the Loan Documents as if it werean original signatory thereto to the extent specified in the second paragraphhereof; and 

                (ii) agrees to be bound by theterms and conditions set forth in the each of the Loan Documents as if it werean original signatory thereto; and

                (b) the Assignor shall bereleased from its obligations under the Loan Documents to the extent specifiedin the second paragraph hereof.

                [TheAssignor and the Assignee hereby agree that the [Assignor][Assignee] will payto the Administrative Agent the processing fee, if applicable, referred to inSection 10.11.1 of the Credit Agreement.]

                TheAssignee hereby advises each of you that the Assignee’s administrative detailswith respect to the Assigned Portion are on file with the Administrative Agent,and requests the Administrative Agent to acknowledge receipt of this document. 

                TheAssignee agrees (for the benefit of the Assignor, the Borrower and theAdministrative Agent) to furnish, if required by Section 4.6 of the CreditAgreement, the applicable Internal Revenue Service forms or other formsrequired thereunder no later than the date of acceptance hereof by theAdministrative Agent. In addition, the Assignee represents and warrants (forthe benefit of the Assignor, the Borrower and the Administrative Agent) that,under applicable law and treaties in effect as of the date hereof, no UnitedStates federal taxes will be required to be withheld by the AdministrativeAgent or the Borrower with respect to any payments to be made to the Assigneein respect of the Credit Agreement.

                Notwithstandingany other provisions hereof, to the extent the consents of or notice to theBorrower, the Administrative Agent and/or the Issuer are required under Section10.11.1 of the Credit Agreement, the assignment and delegation contemplated inthis agreement shall not be effective unless such consents or notices shallhave been obtained and in any event no such assignment and delegation shall beeffective unless and until such assignment has been recorded in the Register bythe Administrative Agent.

                ThisAgreement may be executed by the Assignor and Assignee (and, if applicable,accepted and agreed to by the Administrative Agent, the Issuer and theBorrower) in separate counterparts, each of which when so executed anddelivered shall be deemed to be an original and all of which taken togethershall constitute one and the same agreement.

**                THISAGREEMENT WILL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED BY THEINTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE SECTIONS5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW YORK).**

                IN WITNESS WHEREOF, the parties have caused thisLender Assignment Agreement to be duly executed and delivered as of the datefirst above written.
  [NAME OF ASSIGNOR]        By_________________________________   Title:          [NAME OF ASSIGNEE]        By:_________________________________       Title:        Accepted and Acknowledged  this _____ day of ________________,  _________:          USP DOMESTIC HOLDINGS, INC.        By:       Title:          CREDIT SUISSE FIRST BOSTON,  as Administrative Agent [and as Issuer]         By:       Title:          By:       Title:  
 

SCHEDULE I
 **ASSIGNOR’S** **ADJUSTED** **ADJUSTED**  **ORIGINAL** **ASSIGNOR** **ASSIGNEE**  **PERCENTAGE** **PERCENTAGE** **PERCENTAGE**  **** **** **** **REVOLVING LOAN COMMITMENT** ** ** ** **  **REVOLVING  LOANS OUTSTANDING** ** ** ** **  
 

[EXECUTIONCOPY]

PARENTGUARANTY AND PLEDGE AGREEMENT

                ThisPARENT GUARANTY AND PLEDGE AGREEMENT, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time,this “Agreement”), is made by UNITED SURGICAL PARTNERS INTERNATIONAL,INC., a Delaware corporation (the “Pledgor”), in favor of CREDIT SUISSEFIRST BOSTON, as administrative agent (together with any successor(s) theretoin such capacity, the “Administrative Agent”) for each of the SecuredParties.

WI T N E S S E T H:

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among USP Domestic Holdings, Inc., a Delawarecorporation (the “Borrower”), the Lenders, Lehman Commercial Paper Inc.,as the Syndication Agent, Société Générale, as the Documentation Agent, and theAdministrative Agent, the Lenders and the Issuer have extended Commitments tomake Credit Extensions to the Borrower; 

                WHEREAS,the Borrower is a wholly-owned Subsidiary of the Pledgor;

                WHEREAS,pursuant to the terms of the Credit Agreement, the Pledgor is required toexecute and deliver this Agreement;

                WHEREAS,the Pledgor has duly authorized the execution, delivery and performance of thisAgreement; and

                WHEREAS,it is in the best interests of the Pledgor to execute this Agreement inasmuchas the Pledgor will derive substantial direct and indirect benefits from theCredit Extensions made from time to time to the Borrower by the Lenders and theIssuer pursuant to the Credit Agreement;

                NOW, THEREFORE, for good and valuable consideration,the receipt and sufficiency of which are hereby acknowledged, the Pledgoragrees, for the benefit of each Secured Party, as follows:

ARTICLEIDEFINITIONS

                SECTION1.1. Certain Terms. The following terms (whether or not underscored)when used in this Agreement, including its preamble and recitals, shall havethe following meanings (such definitions to be equally applicable to thesingular and plural forms thereof):

                “AdministrativeAgent” is defined in the preamble. 

                “Agreement”is defined in the preamble. 

                “Borrower”is defined in the first recital. 

                “Collateral”is defined in Section 2.1. 

                “CreditAgreement” is defined in the first recital.

                “Distributions”means all non-cash dividends paid on Equity Interests, liquidating dividendspaid on Equity Interests, shares of Equity Interests resulting from (or inconnection with the exercise of) stock splits, reclassifications, warrants,options, non-cash dividends, mergers, consolidations, and all otherdistributions (whether similar or dissimilar to the foregoing) on or withrespect to any Equity Interests constituting Collateral, but excludingDividends.

                “Dividends”means cash dividends and cash distributions with respect to any EquityInterests constituting Collateral that are not a liquidating dividend.

                “EquityInterests Issuer” means each Person identified in Attachment 1hereto as the issuer of the Equity Interests identified opposite the name ofsuch Person.

                “EquityInterests” means all of the Equity Interests in the Equity InterestsIssuer.

                “PermittedLiens” means Liens of the type referred to in clauses (b), (d) and (g) ofSection 7.2.3 of the Credit Agreement. 

                “Pledgor”is defined in the preamble.

                “SpecifiedEvent” means the occurrence and continuance of a Default under clauses (a)through (d) of Section 8.1.9 of the Credit Agreement or any other Event ofDefault.

                SECTION1.2. Credit Agreement Definitions. Unless otherwise defined herein orthe context otherwise requires, terms used in this Agreement, including itspreamble and recitals, have the meanings provided in the Credit Agreement.

                SECTION 1.3. UCC Definitions. Unlessotherwise defined herein or in the Credit Agreement or the context otherwiserequires, terms for which meanings are provided in the UCC are used in thisAgreement, including its preamble and recitals, with such meanings. 

ARTICLEII PLEDGE

                SECTION2.1. Grant of Security Interest. The Pledgor hereby assigns, pledges,hypothecates, charges, mortgages, delivers, and transfers to the AdministrativeAgent, for its benefit and the ratable benefit of each other Secured Party, andhereby grants to the Administrative Agent, for its benefit and the ratablebenefit of each other Secured Party, a continuing security interest in all ofthe following property, whether now or hereafter existing or acquired by theGrantor (the “Collateral”):

                (a) all investment property inwhich the Pledgor has an interest (including the Equity Interests of eachissuer of such Equity Interests described in Schedule I hereto); and; 

                (b) all other Equity Interestswhich are interests in limited liability companies or partnerships in which thePledgor has an interest (including the Equity Interests of each EquityInterests Issuer described in Schedule I hereto), in each case togetherwith Dividends and Distributions payable in respect of the Collateral describedin the foregoing clauses (a) and (b) and all proceeds of each ofthe foregoing. 

                SECTION2.2. Pledgor Remains Liable. Anything herein to the contrarynotwithstanding

                (a) the Pledgor will remainliable under the contracts and agreements included in the Collateral to theextent set forth therein, and will perform all of its duties and obligationsunder such contracts and agreements to the same extent as if this Agreement hadnot been executed;

                (b) the exercise by theAdministrative Agent of any of its rights hereunder will not release thePledgor from any of its duties or obligations under any such contracts oragreements included in the Collateral; and 

                (c) no Secured Party will haveany obligation or liability under any contracts or agreements included in theCollateral by reason of this Agreement, nor will any Secured Party be obligatedto perform any of the obligations or duties of the Pledgor thereunder or totake any action to collect or enforce any claim for payment assigned hereunder.

                SECTION 2.3. Postponement of Subrogation.The Pledgor agrees that it will not exercise any rights which it may acquire byway of rights of subrogation under any Loan Document to which it is a party,nor shall the Pledgor seek or be entitled to seek any contribution orreimbursement from any Obligor, in respect of any payment made under any LoanDocument or otherwise, until following the Termination Date. Any amount paid tothe Pledgor on account of any such subrogation rights prior to the TerminationDate shall be held in trust for the benefit of the Secured Parties and shallimmediately be paid and turned over to the Administrative Agent for the benefitof the Secured Parties in the exact form received by the Pledgor (duly endorsedin favor of the Administrative Agent, if required), to be credited and appliedagainst the Obligations, whether matured or unmatured, in accordance with Section7.1; provided that if the Pledgor has made payment to the SecuredParties of all or any part of the Obligations and the Termination Date hasoccurred, then at the Pledgor’s request, the Administrative Agent (on behalf ofthe Secured Parties) will, at the expense of the Pledgor, execute and deliverto the Pledgor appropriate documents (without recourse and withoutrepresentation or warranty) necessary to evidence the transfer by subrogationto the Pledgor of an interest in the Obligations resulting from such payment.In furtherance of the foregoing, at all times prior to the Termination Date,the Pledgor shall refrain from taking any action or commencing any proceedingagainst any Obligor (or its successors or assigns, whether in connection with abankruptcy proceeding or otherwise) to recover any amounts in respect of paymentsmade under this Agreement to any Secured Party. 

ARTICLEIII GUARANTY PROVISIONS

                SECTION3.1. Guaranty. The Pledgor hereby absolutely, unconditionally andirrevocably 

                (a) guarantees the full andpunctual payment when due, whether at stated maturity, by required prepayment,declaration, acceleration, demand or otherwise, of all Obligations of theBorrower and each other Obligor now or hereafter existing under the CreditAgreement, any Letter of Credit and each other Loan Document to which theBorrower or such other Obligor is or may become a party (or, in the case ofLetters of Credit, is or may become the account party), whether for principal,interest, Reimbursement Obligations, fees, expenses or otherwise (including allsuch amounts which would become due but for the operation of any provision ofany bankruptcy, insolvency, reorganization, moratorium or similar law relatingto or affecting creditors’ rights generally, such as the automatic stay underSection 362(a) of the United States Bankruptcy Code, 11 U.S.C. §362(a), and theoperation of Sections 502(b) and 506(b) of the United States Bankruptcy Code,11 U.S.C. §502(b) and §506(b)); and.

                (b) indemnifies and holds harmless eachSecured Party for any and all costs and expenses (including reasonable attorney’sfees and expenses) incurred by such Secured Party in enforcing any rights underthis Agreement,

This Agreement constitutes a guaranty ofpayment when due and not of collection, and the Pledgor specifically agreesthat it shall not be necessary or required that any Secured Party exercise anyright, assert any claim or demand or enforce any remedy whatsoever against theBorrower or any other Obligor or any other Person before or as a condition tothe obligations of the Pledgor hereunder.

                SECTION3.2. Acceleration of Guaranty. The Pledgor agrees that, (a) in the eventof the occurrence of any Specified Event with respect to any Obligor, or (b)upon written notice from the Administrative Agent to the Pledgor of the breachby the Pledgor in any material respect of any of the representations,warranties or covenants contained herein, and if any such events shall occur ata time when any of the Obligations may not then be due and payable, the Pledgorwill pay to the Lenders forthwith the full amount which would be payablehereunder by the Pledgor if all such Obligations were then due and payable.

                SECTION3.3. Reinstatement, etc. The Pledgor agrees that this Agreement shallcontinue to be effective or be reinstated, as the case may be, if at any timeany payment (in whole or in part) of any of the Secured Obligations isrescinded or must otherwise be restored by any Secured Party, upon theinsolvency, bankruptcy or reorganization of any other Obligor or otherwise, allas though such payment had not been made.

                SECTION3.4. Guaranty and Security Interest Absolute, etc. This Agreement shallin all respects be a continuing, absolute, unconditional and irrevocableguaranty of payment and shall remain in full force and effect until theTermination Date. The Pledgor guarantees that the Obligations will be paidstrictly in accordance with the terms of each Loan Document under which theyarise, regardless of any law, regulation or order now or hereafter in effect inany jurisdiction affecting any of such terms or the rights of any Secured Partywith respect thereto. The liability of the Pledgor under this Agreement, andall rights of the Administrative Agent and the security interests granted tothe Administrative Agent hereunder, and all obligations of the Pledgor hereunder,shall, to the extent permitted under applicable law, be absolute, unconditionaland irrevocable irrespective of: 

                (a) any lack of validity,legality or enforceability of any Loan Document; 

                (b) the failure of any SecuredParty 

                (i) to assert any claim ordemand or to enforce any right or remedy against any Obligor or any otherPerson (including any other Guarantor) under the provisions of any LoanDocument or otherwise, or

                (ii) to exercise any right or remedyagainst any other guarantor (including any other Guarantor) of, or collateralsecuring, any Obligations;

                (c) any change in the time,manner or place of payment of, or in any other term of, all or any part of theObligations or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,impairment or termination of any Obligations for any reason, including anyclaim of waiver, release, surrender, alteration or compromise, and shall not besubject to (and the Pledgor hereby waives any right to or claim of) any defenseor setoff, counterclaim, recoupment or termination whatsoever by reason of theinvalidity, illegality, nongenuineness, irregularity, compromise,unenforceability of, or any other event or occurrence affecting, anyObligations or otherwise;

                (e) any amendment to,rescission, waiver, or other modification of, or any consent to or departurefrom, any of the terms of any Loan Document;

                (f) any addition, exchange orrelease of any collateral or of any Person that is (or will become) a guarantor(including the Pledgor) of the Obligations, or any surrender or non-perfectionof any collateral, or any amendment to or waiver or release or addition to, orconsent to or departure from, any other guaranty held by any Secured Partysecuring any of the Obligations; or

                (g) any other circumstance whichmight otherwise constitute a defense available to, or a legal or equitabledischarge of, any Obligor, any surety or any guarantor.

                SECTION3.5. Setoff. The Pledgor hereby irrevocably authorizes theAdministrative Agent and each Lender, without the requirement that any noticebe given to the Pledgor (such notice being expressly waived by the Pledgor),upon the occurrence and during the continuance of any Default described inSection 8.1.9 of the Credit Agreement or, with the consent of the RequiredLenders, upon the occurrence and during the continuance of any other SpecifiedEvent, to set-off and appropriate and apply to the payment of the Obligations(whether or not then due, and whether or not any Secured Party has made anydemand for payment of the Obligations), any and all balances, claims, credits,deposits (general or special, time or demand, provisional or final), accountsor money of the Pledgor then or thereafter maintained with such Secured Party; providedthat any such appropriation and application shall be subject to the provisionsof Section 4.8 of the Credit Agreement. Each Secured Party agrees to notify thePledgor and the Administrative Agent after any such setoff and application madeby such Secured Party; provided further that the failure to give suchnotice shall not affect the validity of such setoff and application. The rightsof each Secured Party under this Section are in addition to other rights andremedies (including other rights of setoff under applicable law or otherwise)which such Secured Party may have.

                SECTION 3.6. Waiver, etc. The Pledgorhereby waives promptness, diligence, notice of acceptance and any other noticewith respect to any of the Obligations and this Agreement and any requirementthat the Administrative Agent or any other Secured Party protect, secure,perfect or insure any security interest or Lien, or any property subjectthereto, or exhaust any right or take any action against the Borrower, anyother Obligor or any other Person (including any other guarantor) or anycollateral securing the Obligations. 

ARTICLEIV REPRESENTATIONS AND WARRANTIES

                SECTION4.1. Representations and Warranties, etc. The Pledgor represents andwarrants unto each Secured Party, as at the date of each pledge and deliveryhereunder (including each pledge and delivery of Equity Interests) by thePledgor to the Administrative Agent of any Collateral, as set forth in thisArticle.

                SECTION4.1.1. Organization, etc. The Pledgor is validly organized and existingand in good standing under the laws of the state or jurisdiction of itsincorporation or organization, is duly qualified to do business and is in goodstanding as a foreign entity in each jurisdiction where the nature of itsbusiness requires such qualification (except where the failure to so qualifywould not, individually or in the aggregate, have a Material Adverse Effect),and has full power and authority and holds all requisite governmental licenses,permits and other approvals to enter into and perform its Obligations undereach Loan Document to which it is a party, to own and hold under lease itsproperty and to conduct its business substantially as currently conducted byit.

                SECTION4.1.2. Ownership, No Liens, etc. The Pledgor is the legal and beneficialowner of, and has good and marketable title to (and has full right andauthority to pledge and assign) the Collateral, free and clear of all Liensexcept (i) any Lien granted pursuant hereto in favor of the AdministrativeAgent and (ii) Permitted Liens.

                SECTION4.1.3. Valid Security Interest. The execution and delivery of thisAgreement, together with the delivery of such Collateral to the AdministrativeAgent, is effective to create a valid, perfected, first-priority securityinterest in such Collateral and all proceeds thereof, securing the SecuredObligations, subject only to Permitted Liens. Possession by the AdministrativeAgent of the Collateral is the only action necessary to perfect or protect suchsecurity interest in the Collateral, subject to Section 9-306 of the UCC.

                SECTION4.1.4. As to Equity Interests. In the case of any Equity Interestsconstituting Collateral, all of such Equity Interests are duly authorized andvalidly issued, fully paid and non-assessable, and constitute all of the EquityInterests of each Equity Interests Issuer owned by the Pledgor. On the ClosingDate, the Pledgor has no direct Subsidiary other than each Equity InterestsIssuer.

                SECTION 4.1.5. Authorization, Approval, etc.Except as have been obtained or made and are in full force and effect, noauthorization, approval or other action by, and no notice to or filing with,any Governmental Authority or regulatory body is required either 

                (a) for the grant by the Pledgorof the security interest granted hereby, the pledge by the Pledgor of anyCollateral pursuant hereto or for the execution, delivery and performance ofthis Agreement by the Pledgor;

                (b) for the perfection of or theexercise by the Administrative Agent of its rights and remedies hereunder; or 

                (c) for the exercise by theAdministrative Agent of the voting or other rights provided for in thisAgreement, except (i) with respect to any securities issued by a Subsidiary ofthe Pledgor, as may be required in connection with a disposition of suchsecurities by laws affecting the offering and sale of securities generally, theremedies in respect of the Collateral pursuant to this Agreement and (ii) any“change of control” or similar filings required by state licensing agenciesand, with respect to Ortholink Securities Corporation, the National Associationof Securities Dealers. 

                SECTION4.1.6. Credit Agreement Representations and Warranties. Therepresentations and warranties contained in Article VI of the Credit Agreement,insofar as the representations and warranties contained therein are applicableto the Pledgor and its properties, are true and correct in all materialrespects, each such representation and warranty set forth in such Article(insofar as applicable as aforesaid) and all other terms of the CreditAgreement to which reference is made therein, together with all relateddefinitions and ancillary provisions, being hereby incorporated into thisAgreement by reference as though specifically set forth in this Section. 

ARTICLEV COVENANTS

                SECTION5.1. Protect Collateral; Further Assurances, etc. The Pledgor will notsell, assign, transfer, pledge, or encumber in any other manner the Collateral(except in favor of the Administrative Agent hereunder) to the extentprohibited under the Credit Agreement. The Pledgor will warrant and defend theright and title herein granted unto the Administrative Agent in and to theCollateral (and all right, title, and interest represented by the Collateral)against the claims and demands of all Persons whomsoever. The Pledgor agreesthat at any time, and from time to time, at the expense of the Pledgor, thePledgor will promptly execute and deliver all further instruments, and take allfurther action, that may be necessary or desirable, or that the AdministrativeAgent may reasonably request, in order to perfect and protect any securityinterest granted or purported to be granted hereby or to enable theAdministrative Agent to exercise and enforce its rights and remedies hereunderwith respect to any Collateral.

                SECTION 5.2. Stock Powers, etc. ThePledgor agrees that all Equity Interests delivered by the Pledgor pursuant tothis Agreement will be accompanied by duly executed undated blank stock powers,or other equivalent instruments of transfer acceptable to the AdministrativeAgent. The Pledgor will, from time to time upon the request of theAdministrative Agent, promptly deliver to the Administrative Agent such stockpowers, instruments, and similar documents, satisfactory in form and substanceto the Administrative Agent, with respect to the Collateral as theAdministrative Agent may reasonably request and will, from time to time uponthe request of the Administrative Agent after the occurrence and during thecontinuation of any Specified Event, promptly transfer any Equity Interestsconstituting Collateral into the name of any nominee designated by theAdministrative Agent.

                SECTION5.3. Continuous Pledge. Subject to the Credit Agreement, the Pledgorwill, at all times, keep pledged to the Administrative Agent pursuant hereto,on a first-priority, perfected basis all investment property constitutingCollateral and, to the extent required under the Credit Agreement, allDividends and Distributions with respect thereto and all other Collateral andother securities, instruments, proceeds, and rights from time to time receivedby or distributable to the Pledgor in respect of any Collateral, and will notpermit the Borrower to issue any Voting Stock which shall not have beenimmediately duly pledged hereunder on a first priority perfected basis. 

                SECTION5.4. Voting Rights; Dividends, etc. The Pledgor agrees: 

                (a) promptly upon receipt ofnotice of the occurrence and continuance of a Specified Event from theAdministrative Agent and without any request therefor by the AdministrativeAgent, so long as such Specified Event shall continue, to deliver (properlyendorsed where required hereby or requested by the Administrative Agent) to theAdministrative Agent all Dividends and Distributions with respect to investmentproperty, all interest, principal, and all proceeds of the Collateral, in eachcase thereafter received by the Pledgor, all of which shall be held by theAdministrative Agent as additional Collateral; and 

                (b) subject to clause (c)(ii)of Section 4.1.5 and, with respect to Collateral consisting of generalpartner interests or limited liability company interests, modifications to therespective Organic Documents to the admission of the Administrative Agent as ageneral partner or member, respectively, immediately upon the occurrence andcontinuance of a Specified Event and so long as the Administrative Agent hasnotified the Pledgor of the Administrative Agent’s intention to exercise itsvoting power under this clause, 

                (i) that the Administrative Agent mayexercise (to the exclusion of the Pledgor) the voting power and all otherincidental rights of ownership with respect to any investment propertyconstituting Collateral and the Pledgor hereby grants the Administrative Agentan irrevocable proxy, exercisable under such circumstances, to vote suchinvestment property; and 

                (ii) to promptly deliver to theAdministrative Agent such additional proxies and other documents as may benecessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,principal, cash payments, and proceeds which may at any time and from time totime be held by the Pledgor but which the Pledgor is then obligated to deliverto the Administrative Agent, shall, until delivery to the Administrative Agent,be held by the Pledgor separate and apart from its other property in trust forthe Administrative Agent. The Administrative Agent agrees that unless aSpecified Event shall have occurred and be continuing and the AdministrativeAgent shall have given the notice referred to in clause (b), the Pledgorwill have the exclusive voting power with respect to any investment propertyconstituting Collateral and the Administrative Agent will, upon the writtenrequest of the Pledgor, promptly deliver such proxies and other documents, ifany, as shall be reasonably requested by the Pledgor which are necessary toallow the Pledgor to exercise that voting power; provided that no voteshall be cast, or consent, waiver, or ratification given, or action taken bythe Pledgor that would impair any such Collateral or be inconsistent with orviolate any provision of any Loan Document.

                SECTION5.5. Amendment of Organic Documents. The Pledgor will not amend,supplement or otherwise modify, or permit, consent or suffer to occur anyamendment, supplement or modification of any terms or provisions contained in,or applicable to, any Organic Document of any issuer of any Security comprisingthe Collateral in which it has an equity interest if the effect thereof is toimpair, or is in any manner adverse to, the rights or interests of theAdministrative Agent or any other Senior Secured Party hereunder or under theCredit Agreement or any other Loan Document, without the prior written consentof the Administrative Agent and the Majority Lenders.

                SECTION5.6. Payment of Net Equity Proceeds. Upon receipt of any Net EquityProceeds, from the Borrower in violation of Section 3.1.1 of the CreditAgreement, the Pledgor shall pay or repay the Loans in the amounts and on thedates required pursuant to clause (c) of Section 3.1.1 of the Credit Agreement.

                SECTION 5.7. Compliance with Laws, etc.The Pledgor will comply in all material respects with all applicable laws,rules, regulations and orders, such compliance to include: 

                (a) the maintenance andpreservation of its corporate existence and qualification as a foreigncorporation; and 

                (b) the payment, before the samebecome delinquent, of all material taxes, assessments and governmental chargesimposed upon it or upon its property except to the extent being contested ingood faith by appropriate proceedings and for which adequate reserves inaccordance with GAAP shall have been set aside on its books.

                SECTION5.8. No Defaults. The Pledgor will not, and will not permit the Borroweror any of its Subsidiaries to, take any action or fail to take any action ifsuch action or failure to act would result in a Default under the CreditAgreement. 

ARTICLEVI THE ADMINISTRATIVE AGENT

                SECTION6.1. Administrative Agent Appointed Attorney-in-Fact. The Pledgor herebyirrevocably appoints the Administrative Agent it’s attorney-in-fact, with fullauthority in the place and stead of the Pledgor and in the name of the Pledgoror otherwise, from time to time in the Administrative Agent’s discretion,following the occurrence and during the continuance of a Specified Event andsubject to delivery of notice to the Pledgor, to take any action and to executeany instrument which the Administrative Agent may deem necessary or advisableto accomplish the purposes of this Agreement, including: 

                (a) to ask, demand, collect, suefor, recover, compromise, receive and give acquittance and receipts for moneysdue and to become due under or in respect of any of the Collateral; 

                (b) to receive, endorse, andcollect any drafts or other instruments, documents and chattel paper, inconnection with clause (a) above;

                (c) to file any claims or takeany action or institute any proceedings which the Administrative Agent may deemnecessary or desirable for the collection of any of the Collateral or otherwiseto enforce the rights of the Administrative Agent with respect to any of theCollateral; and

                (d) to perform the affirmativeobligations of the Pledgor hereunder (including all obligations of the Pledgorpursuant to Section 5.1).

The Pledgor hereby acknowledges, consentsand agrees that the power of attorney granted pursuant to this Section isirrevocable and coupled with an interest.

                SECTION6.2. Administrative Agent May Perform. If the Pledgor fails to performany agreement contained herein within 30 days after written notice from theAdministrative Agent, the Administrative Agent may itself perform, or causeperformance of, such agreement, and the expenses of the Administrative Agentincurred in connection therewith shall be payable by the Pledgor pursuant to Section8.4.

                SECTION6.3. Administrative Agent Has No Duty. The powers conferred on theAdministrative Agent hereunder are solely to protect its interest (on behalf ofthe Secured Parties) in the Collateral and shall not impose any duty on it toexercise any such powers. Except for reasonable care of any Collateral in itspossession and the accounting for moneys actually received by it hereunder, theAdministrative Agent shall have no duty as to any Collateral or responsibilityfor (a) ascertaining or taking action with respect to calls, conversions,exchanges, maturities, tenders or other matters relative to any investmentproperty, whether or not the Administrative Agent has or is deemed to have knowledgeof such matters, or (b) taking any necessary steps to preserve rights againstprior parties or any other rights pertaining to any Collateral.

                SECTION6.4. Reasonable Care. The Administrative Agent is required to exercisereasonable care in the custody and preservation of any of the Collateral in itspossession; provided that the Administrative Agent shall be deemed tohave exercised reasonable care in the custody and preservation of any of theCollateral, if it takes such action for that purpose as the Pledgor reasonablyrequests in writing at times other than upon the occurrence and during thecontinuance of any Specified Event, but failure of the Administrative Agent tocomply with any such request at any time shall not in itself be deemed a failureto exercise reasonable care. 

ARTICLEVIIREMEDIES

                SECTION7.1. Certain Remedies. If any Specified Event shall have occurred and becontinuing: 

                (a) The Administrative Agent mayexercise in respect of the Collateral, in addition to other rights and remediesprovided for herein or otherwise available to it, all the rights and remediesof a secured party on default under the UCC (whether or not the UCC applies tothe affected Collateral) and also may 

                (i) require the Pledgor to, andthe Pledgor hereby agrees that it will, at its expense and upon request of theAdministrative Agent forthwith, assemble all or part of the Collateral asdirected by the Administrative Agent and make it available to theAdministrative Agent at a place to be designated by the Administrative Agentwhich is reasonably convenient to both parties, and 

                (ii) without notice except as specifiedbelow, sell the Collateral or any part thereof in one or more parcels at publicor private sale, at any of the Administrative Agent’s offices or elsewhere, forcash, on credit or for future delivery, and upon such other terms as theAdministrative Agent may deem commercially reasonable. The Pledgor agrees that,to the extent notice of sale shall be required by law, at least ten days priornotice to the Pledgor of the time and place of any public sale or the timeafter which any private sale is to be made shall constitute reasonablenotification. The Administrative Agent shall not be obligated to make any saleof Collateral regardless of notice of sale having been given. TheAdministrative Agent may adjourn any public or private sale from time to timeby announcement at the time and place fixed therefor, and such sale may,without further notice, be made at the time and place to which it was so adjourned.

                (b) All cash proceeds receivedby the Administrative Agent in respect of any sale of, collection from, orother realization upon, all or any part of the Collateral shall be applied bythe Administrative Agent against, all or any part of the Obligations as setforth in Section 2.7 of the Subsidiary Guaranty. 

                (c) The Administrative Agent may

                (i) transfer all or any part ofthe Collateral into the name of the Administrative Agent or its nominee, withor without disclosing that such Collateral is subject to the Lien hereunder,

                (ii) notify the partiesobligated on any of the Collateral to make payment to the Administrative Agentof any amount due or to become due thereunder, 

                (iii) enforce collection of anyof the Collateral by suit or otherwise, and surrender, release or exchange allor any part thereof, or compromise or extend or renew for any period (whetheror not longer than the original period) any obligations of any nature of anyparty with respect thereto, 

                (iv) endorse any checks, drafts,or other writings in the Pledgor’s name to allow collection of the Collateral, 

                (v) take control of any proceedsof the Collateral, and 

                (vi) execute (in the name, placeand stead of the Pledgor) endorsements, assignments, stock powers and otherinstruments of conveyance or transfer with respect to all or any of theCollateral.

                SECTION 7.2. Securities Laws. If theAdministrative Agent shall determine to exercise its right to sell all or anyof the Collateral pursuant to Section 7.1, the Pledgor agrees that, uponrequest of the Administrative Agent, the Pledgor will, at its own expense:

                (a) use its best efforts toexempt the Collateral under the state securities or “Blue Sky” laws and toobtain all necessary governmental approvals for the sale of the Collateral, asrequested by the Administrative Agent; and

                (b) do or cause to be done allsuch other acts and things as may be necessary to make such sale of theCollateral or any part thereof valid and binding and in compliance withapplicable law.

The Pledgor further acknowledges theimpossibility of ascertaining the amount of damages that would be suffered byany of the Secured Parties by reason of the failure of the Pledgor to performany of the covenants contained in this Section and consequently, to the extentpermitted under applicable law, agrees that, if the Pledgor shall fail t operform any of such covenants, it shall pay, as liquidated damages and not as apenalty, an amount equal to the value (as determined by the AdministrativeAgent) of the Collateral on the date the Administrative Agent shall demandcompliance with this Section.

                SECTION7.3. Compliance with Restrictions. The Pledgor agrees that in any saleof any of the Collateral whenever a Specified Event shall have occurred and becontinuing, the Administrative Agent is hereby authorized to comply with anylimitation or restriction in connection with such sale as it may be advised bycounsel is necessary in order to avoid any violation of applicable law(including compliance with such procedures as may restrict the number ofprospective bidders and purchasers, require that such prospective bidders andpurchasers have certain qualifications, and restrict such prospective biddersand purchasers to persons who will represent and agree that they are purchasingfor their own account for investment and not with a view to the distribution orresale of such Collateral), or in order to obtain any required approval of thesale or of the purchaser by any Governmental Authority or official, and thePledgor further agrees that such compliance shall not result in such sale beingconsidered or deemed not to have been made in a commercially reasonable manner,nor shall the Administrative Agent be liable nor accountable to the Pledgor forany discount allowed by reason of the fact that such Collateral is sold incompliance with any such limitation or restriction. 

                SECTION7.4. Indemnity and Expenses.

                (a)The Pledgor agrees to indemnify the Administrative Agent from and against anyand all claims, losses and liabilities arising out of or resulting from thisAgreement (including enforcement of this Agreement), except claims, losses, orliabilities resulting from the Administrative Agent’s gross negligence orwilful misconduct.

                (b) The Pledgor, upon demand, will pay to theAdministrative Agent the amount of any and all reasonable expenses, includingthe reasonable fees and disbursements of its counsel and of any experts andagents, which the Administrative Agent may incur in connection with 

                (i) the administration of eachLoan Document,

                (ii) the custody, preservation,use, or operation of, or the sale of, collection from, or other realizationupon, any of the Collateral,

                (iii) the exercise orenforcement of any of the rights of the Administrative Agent or the SecuredParties hereunder, or

                (iv) the failure by the Pledgorto perform or observe any of the provisions hereof. 

ARTICLEVIIIMISCELLANEOUS PROVISIONS

                SECTION8.1. Loan Document. This Agreement is a Loan Document executed pursuantto the Credit Agreement and shall (unless otherwise expressly indicated herein)be construed, administered and applied in accordance with the terms andprovisions thereof.

                SECTION8.2. Binding on Successors, Transferees and Assigns; Assignment. ThisAgreement shall remain in full force and effect until the Termination Date,shall be jointly and severally binding upon the Pledgor and its successors,transferees and assigns and shall inure to the benefit of and be enforceable byeach Secured Party and its successors, transferees and assigns; provided thatthe Pledgor may not (unless otherwise permitted under the terms of the CreditAgreement) assign any of its obligations hereunder without the prior writtenconsent of all Lenders.

                SECTION8.3. Amendments, etc. No amendment to or waiver of any provision of thisAgreement nor consent to any departure by the Pledgor from its obligationsunder this Agreement shall in any event be effective unless the same shall bein writing and signed by the Administrative Agent (on behalf of the Lenders orthe Required Lenders, as the case may be pursuant to Section 10.1 of the CreditAgreement), and then such waiver or consent shall be effective only in thespecific instance and for the specific purpose for which it is given.

                SECTION8.4. Protection of Collateral. The Administrative Agent may from time totime, at its option, perform any act which the Pledgor agrees hereunder toperform and which the Pledgor shall fail to perform within 30 days after beingrequested in writing so to perform and the Administrative Agent may from timeto time take any other action which the Administrative Agent reasonably deemsnecessary for the maintenance, preservation or protection of any of theCollateral or of its security interest therein.

                SECTION 8.5. Notices. All notices andother communications provided for hereunder shall be in writing or by facsimileand addressed, delivered or transmitted to the appropriate party at the addressor facsimile number of such party specified in the Credit Agreement or at suchother address or facsimile number as may be designated by such party in anotice to the other party. Any notice or other communication, if mailed andproperly addressed with postage prepaid or if properly addressed and sent bypre-paid courier service, shall be deemed given when received; any such noticeor other communication, if transmitted by facsimile, shall be deemed given whentransmitted and electronically confirmed.

                SECTION8.6. No Waiver; Remedies. In addition to, and not in limitation of,Section 3.4 and Section 3.6, no failure on the part of any Secured Party toexercise, and no delay in exercising, any right hereunder shall operate as awaiver thereof, nor shall any single or partial exercise of any right hereunderpreclude any other or further exercise thereof or the exercise of any otherright. The remedies herein provided are cumulative and not exclusive of anyremedies provided by law.

                SECTION8.7. Section Captions. Section captions used in this Agreement are forconvenience of reference only, and shall not affect the construction of thisAgreement.

                SECTION8.8. Severability. Wherever possible each provision of this Agreementshall be interpreted in such manner as to be effective and valid underapplicable law, but if any provision of this Agreement shall be prohibited byor invalid under such law, such provision shall be ineffective to the extent ofsuch prohibition or invalidity, without invalidating the remainder of suchprovision or the remaining provisions of this Agreement.

                SECTION8.9. Counterparts. This Agreement may be executed by the parties heretoin several counterparts, each of which shall be deemed to be an original andall of which shall constitute together but one and the same agreement. 

                SECTION8.10. Governing Law, Entire Agreement, etc. THIS AGREEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNEDBY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSESECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEWYORK). This Agreement and the other Loan Documents constitute the entireunderstanding among the parties hereto with respect to the subject matterhereof and supersede any prior agreements, written or oral, with respectthereto.

                SECTION8.11. Forum Selection and Consent to Jurisdiction. ANY LITIGATION BASED HEREON, OR ARISING OUTOF, UNDER, OR IN CONNECTION WITH, THIS AGREEMENT OR ANY OTHER LOAN DOCUMENT, ORANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN)OR ACTIONS OF THE ADMINISTRATIVE AGENT, THE LENDERS, ANY ISSUER OR THE PLEDGORIN CONNECTION HEREWITH OR THEREWITH. MAY BE BROUGHT AND MAINTAINED IN THECOURTS OF THE STATE OF NEW YORK OR IN THE UNITED STATES DISTRICT COURT FOR THESOUTHERN DISTRICT OF NEW YORK; PROVIDED THAT ANY SUIT SEEKING ENFORCEMENTAGAINST ANY COLLATERAL OR OTHER PROPERTY MAY BE BROUGHT, AT THE ADMINISTRATIVEAGENT’S OPTION, IN THE COURTS OF ANY JURISDICTION WHERE SUCH COLLATERAL OROTHER PROPERTY MAY BE FOUND. THE PLEDGOR HEREBY EXPRESSLY AND IRREVOCABLYSUBMITS TO THE JURISDICTION OF THE COURTS OF THE STATE OF NEW YORK, NEW YORKCOUNTY AND OF THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEWYORK FOR THE PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVE AND IRREVOCABLYAGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY IN CONNECTION WITH SUCHLITIGATION. THE PLEDGOR IRREVOCABLY CONSENTS TO THE SERVICE OF PROCESS BYREGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL SERVICE WITHIN OR WITHOUT THESTATE OF NEW YORK AT THE ADDRESS FOR NOTICES SPECIFIED FOR THE PLEDGOR INSECTION 10.2 OF THE CREDIT AGREEMENT. THE PLEDGOR HEREBY EXPRESSLY ANDIRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICHIT MAY HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATIONBROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCHLITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT THEPLEDGOR HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANYCOURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENTPRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TOITSELF OR ITS PROPERTY, THE PLEDGOR HEREBY IRREVOCABLY WAIVES TO THE FULLESTEXTENT PERMITTED BY LAW SUCH IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THISAGREEMENT AND THE OTHER LOAN DOCUMENTS.

                SECTION8.12. Waiver of Jury Trial. THEPLEDGOR HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVES TO THE FULLESTEXTENT PERMITTED BY LAW ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OFANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH,EACH LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS(WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE AGENT, SUCH LENDER,SUCH ISSUER OR THE PLEDGOR IN CONNECTION THEREWITH. THE PLEDGOR ACKNOWLEDGESAND AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THISPROVISION (AND EACH OTHER PROVISION OF EACH OTHER LOAN DOCUMENT TO WHICH IT ISA PARTY) AND THAT THIS PROVISION IS A MATERIAL INDUCEMENT FOR THE.ADMINISTRATIVE AGENT, EACH LENDER AND EACH ISSUER ENTERING INTO THE LOANDOCUMENTS.

* * * * *

                IN WITNESS WHEREOF, each of the parties heretohave caused this Agreement to be duly executed and delivered by its AuthorizedOfficer as of the day and year first above written. 
 UNITED SURGICAL PARTNERS   INTERNATIONAL, INC.     By: /s/ Mark A. Kopser    Title: Senior Vice President and Chief  Financial Officer       CREDIT SUISSE FIRST BOSTON,  as Administrative Agent     By: /s/ Julia P. Kingsbury    Title: Vice President       By: /s/ William S. Lutkins    Title: Vice President
ATTACHMENT1 to Parent Guaranty and Pledge Agreement 

EquityInterests
 Description          % of        Outstanding  Certificate Authorized Outstanding Shares Equity Interests IssuerNo. Shares Shares Pledged     United  Surgical Partners Holdings, Inc.[                    ] [                    ] [                     ] 100% 
 

 

REVOLVING NOTE

 
$15,000,000.00June  13, 2001
                FORVALUE RECEIVED, USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Borrower”),promises to pay to the order of SOCIÉTÉ GÉNÉRALE FINANCIAL CORPORATION (the “Lender”)on the Stated Maturity Date the principal sum of FIFTEEN MILLION DOLLARS($15,000,000.00) or, if less, the aggregate unpaid principal amount of allRevolving Loans shown on the schedule attached hereto (and any continuationthereof) made (or continued) by the Lenders pursuant to that certain Credit Agreement,dated as of June 13, 2001 (as amended, supplemented, amended and restated orotherwise modified from time to time, the “Credit Agreement”), among theBorrower, the various financial institutions and other Persons from time totime parties hereto (including the Lender), Credit Suisse First Boston, asAdministrative Agent, Lehman Commercial Paper Inc., as Syndication Agent, andSociété Générale, as Documentation Agent. Terms used in this Note, unlessotherwise defined herein, have the meanings provided in the Credit Agreement.

                TheBorrower also promises to pay interest on the unpaid principal amount hereoffrom time to time outstanding from the date hereof until maturity (whether byacceleration or otherwise) and, after maturity, until paid, at the rates perannum and on the dates specified in the Credit Agreement.

                Paymentsof both principal and interest are to be made in Dollars in same day orimmediately available funds to the account designated by the AdministrativeAgent pursuant to the Credit Agreement.

                ThisNote is one of the Revolving Notes referred to in, and evidences Indebtednessincurred under, the Credit Agreement, to which reference is made for adescription of the security for this Note and for a statement of the terms andconditions on which the Borrower is permitted and required to make prepaymentsand repayments of principal of the Indebtedness evidenced by this Note and onwhich such Indebtedness may be declared to be immediately due and payable.

                Allparties hereto, whether as makers, endorsers, or otherwise, severally waivepresentment for payment, demand, protest and notice of dishonor.

                THIS NOTE HAS BEENDELIVERED IN NEW YORK, NEW YORK AND SHALL BE DEEMED TO BE A CONTRACT MADE UNDERAND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCHPURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATEOF NEW YORK).
 USP DOMESTIC HOLDINGS, INC.     By: /s/ Mark A. Kopser    Title: Senior Vice President and Chief  Financial Officer
REVOLVINGLOANS AND PRINCIPAL PAYMENTS
  Amount of Revolving Loan Made   Amount of Principal Repaid Unpaid Principal Balance               DateAlternate Base Rate LIBO Rate Interest Period Alternate Base Rate LIBO Rate Alternate Base Rate LIBO Rate Total Notation Made By                                                                                                                                                                                                                                                  
 

[EXECUTIONCOPY]

SOLVENCY CERTIFICATE

USPDOMESTIC HOLDING, INC.

                ThisSolvency Certificate (this “Certificate”), dated as of June 13, 2001, isdelivered pursuant to Section 5.1.10 of the Credit Agreement, dated as of June13, 2001, among USP Domestic Holdings, Inc., a Delaware corporation (the“Borrower”), the Lenders, Credit Suisse First Boston, as Administrative Agent,Lehman Commercial Paper Inc., as Syndication Agent, and Société Générale, asDocumentation Agent. Terms used herein, unless otherwise defined herein, havethe meanings provided in the Credit Agreement.

                Theundersigned hereby certifies that he is an Authorized Officer (in suchcapacity, the “Authorized Officer”) of the Borrower, and that, as such,he is authorized to execute this Certificate on behalf of the Borrower. Anyterm or provision hereof to the contrary notwithstanding, the AuthorizedOfficer is executing this Certificate in his capacity as an officer of, andsolely on behalf of, the Borrower, and not in his individual capacity. Onbehalf of the Borrower, the Authorized Officer further certifies that:

   1. The Authorized Officer has knowledge of,and has participated in, the preparation and negotiation of the CreditAgreement, each other Loan Document, and the agreements executed in connectiontherewith and the transactions contemplated thereunder.

   2. The Authorized Officer is familiar (bothbefore and after giving effect to the Transaction) with the finances of theBorrower and its Subsidiaries and has participated in the preparation of thefinancial statements of the Borrower and its Subsidiaries, including the proforma consolidated balance sheets and statements of income and cash flowsfor the Borrower and its Subsidiaries. The Authorized Officer has alsoparticipated in the development of financial projections for Parent, Holdings,the Borrower and its Subsidiaries giving effect to the Transaction and thefinancing and transactions contemplated pursuant to and in connection with theCredit Agreement.

   3. On a pro forma basis after givingeffect to the transactions contemplated under the Credit Agreement (includingthe Transaction), as of the Closing Date: 

     (a) the fair salable value of the assets ofthe Borrower and its Subsidiary Guarantors, on a consolidated and going concernbasis, is greater than the total amount of liabilities (including contingent,subordinated, unmatured and unliquidated liabilities) of the Borrower and itsSubsidiary Guarantors on a consolidated basis;

     (b)the fair salable value of the assets of the Borrower and its SubsidiaryGuarantors, on a consolidated and going concern basis, is not less than theamount that will be required to pay their probable liabilities on aconsolidated basis (including contingent, subordinated, unmatured andunliquidated liabilities) as they become absolute and matured;

     (c) the Borrower and its SubsidiaryGuarantors, on a consolidated basis, are not engaged in a business or atransaction, and are not about to be engaged in a business or a transaction forwhich their properties would constitute an unreasonably small capital; and

     (d) the Borrower and its SubsidiaryGuarantors, on a consolidated basis, do not intend to, and do not believe thatthey will, incur debts or liabilities (including contingent, subordinated,unmatured and unliquidated liabilities) beyond their ability to pay as suchdebts and liabilities mature in the ordinary course of business.

Forpurposes of the foregoing, the amount of contingent liabilities have beencomputed as the amount that, in light of all the facts and circumstancesexisting at the time hereof, can reasonably be expected to become an actual ormatured liability.

                IN WITNESS WHEREOF, the undersigned AuthorizedOfficer has executed and delivered this solvency certificate on behalf of theBorrower as of the date first written above.
 USP DOMESTIC HOLDINGS, INC. By: /s/ Mark A. Kopser    Title:  Senior Vice President and Chief Financial Officer
 

[EXECUTIONCOPY]

SUBSIDIARY GUARANTY

                ThisSUBSIDIARY GUARANTY, dated as of June 13, 2001 (as amended, supplemented,amended and restated or otherwise modified from time to time, this “Guaranty”),is made by each Subsidiary of USP Domestic Holdings, Inc., a Delawarecorporation (the “Borrower”), from time to time a party to this Guaranty(each individually a “Guarantor” and collectively, the “Guarantors”),in favor of CREDIT SUISSE FIRST BOSTON, as administrative agent (together withits successor(s) thereto in such capacity, the “Administrative Agent”)for each of the Secured Parties.

WI T N E S S E T H:

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among the Borrower, the Lenders, Lehman CommercialPaper Inc., as the Syndication Agent, Société Générale, as the Documentation Agent,and the Administrative Agent, the Lenders and the Issuer have extendedCommitments to make Credit Extensions to the Borrower;

                WHEREAS,pursuant to the terms of the Credit Agreement, each Guarantor is required toexecute and deliver this Guaranty;

                WHEREAS,each Guarantor has duly authorized the execution, delivery and performance ofthis Agreement; and

                WHEREAS,it is in the best interests of each Guarantor to execute this Agreementinasmuch as each Guarantor will derive substantial direct and indirect benefitsfrom the Credit Extensions made from time to time to the Borrower by theLenders and the Issuer pursuant to the Credit Agreement;

                NOW, THEREFORE, for good and valuableconsideration, the receipt and sufficiency of which are hereby acknowledged,each Guarantor agrees, for the benefit of each Secured Party, as follows:

ARTICLEIDEFINITIONS

                SECTION1.1. Certain Terms. The following terms (whether or not underscored)when used in this Guaranty, including its preamble and recitals, shall have thefollowing meanings (such definitions to be equally applicable to the singularand plural forms thereof):

                “AdministrativeAgent” is defined in the preamble.

                “Borrower” is defined inthe preamble.

                “CreditAgreement” is defined in the first recital.

                “Guarantor”and “Guarantors” are defined in the preamble.

                “Guaranty”is defined in the preamble.

                SECTION1.2. Credit Agreement Definitions. Unless otherwise defined herein orthe context otherwise requires, terms used in this Guaranty, including itspreamble and recitals, have the meanings provided in the Credit Agreement.

ARTICLEIIGUARANTY PROVISIONS

                SECTION2.1. Guaranty. Each Guarantor hereby jointly and severally absolutely,unconditionally and irrevocably

                (a) guarantees the full andpunctual payment when due, whether at stated maturity, by required prepayment,declaration, acceleration, demand or otherwise, of all Obligations of eachObligor now or hereafter existing, whether for principal, interest (includinginterest accruing at the then applicable rate provided in the Credit Agreementafter the occurrence of any Default set forth in Section 8.1.9 of the CreditAgreement, whether or not a claim for post-filing or post-petition interest isallowed under applicable law following the institution of a proceeding underbankruptcy, insolvency or similar laws), fees, Reimbursement Obligations,expenses or otherwise (including all such amounts which would become due butfor the operation of the automatic stay under Section 362(a) of the UnitedStates Bankruptcy Code, 11 U.S.C. §362(a), and the operation of Sections 502(b)and 506(b) of the United States Bankruptcy Code, 11 U.S.C. §502(b) and§506(b)); and

                (b) indemnifies and holds harmless eachSecured Party for any and all costs and expenses (including reasonableattorneys’ fees and expenses) incurred by such Secured Party in enforcing anyrights under this Guaranty; 

provided that each Guarantor shall only be liable underthis Guaranty for the maximum amount of such liability that can be herebyincurred without rendering this Guaranty, as it relates to such Guarantor,voidable under applicable law relating to fraudulent conveyance or fraudulenttransfer, and not for any greater amount. This Guaranty constitutes a guarantyof payment when due and not of collection, and each Guarantor specificallyagrees that it shall not be necessary or required that any Secured Partyexercise any right, assert any claim or demand or enforce any remedy whatsoeveragainst any Obligor or any other Person before or as a condition to theobligations of such Guarantor hereunder.

                SECTION2.2. Reinstatement, etc. Each Guarantor hereby jointly and severallyagrees that this Guaranty shall continue to be effective or be reinstated, asthe case may be, if at any time any payment (in whole or in part) of any of theObligations is invalidated, declared to be fraudulent or preferential, setaside, rescinded or must otherwise be restored by any Secured Party, includingupon the occurrence of any Default set forth in Section 8.1.9 of the CreditAgreement or otherwise, all as though such payment had not been made.

                SECTION2.3. Guaranty Absolute, etc. This Guaranty shall in all respects be acontinuing, absolute, unconditional and irrevocable guaranty of payment, andshall remain in full force and effect until the Termination Date. EachGuarantor jointly and severally guarantees that the Obligations will be paidstrictly in accordance with the terms of each Loan Document under which theyarise, regardless of any law, regulation or order now or hereafter in effect inany jurisdiction affecting any of such terms or the rights of any Secured Partywith respect thereto. The liability of each Guarantor under this Guaranty shallbe joint and several, absolute,unconditional and irrevocable irrespective of:

                (a) any lack of validity,legality or enforceability of any Loan Document;

                (b) the failure of any SecuredParty

                (i) to assert any claim ordemand or to enforce any right or remedy against any Obligor or any otherPerson (including any other Guarantor) under the provisions of any LoanDocument or otherwise, or

                (ii) to exercise any right orremedy against any other guarantor (including any other Guarantor) of, orcollateral securing, any Obligations;

                (c) any change in the time,manner or place of payment of, or in any other term of, all or any part of theObligations, or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,impairment or termination of any Obligations for any reason, including anyclaim of waiver, release, surrender, alteration or compromise, and shall not besubject to (and each Guarantor hereby waives any right to or claim of) anydefense or setoff, counterclaim, recoupment or termination whatsoever by reasonof the invalidity, illegality, nongenuineness, irregularity, compromise,unenforceability of, or any other event or occurrence affecting, anyObligations or otherwise;

                (e) any amendment to, rescission, waiver,or other modification of, or any consent to or departure from, any of the termsof any Loan Document;

                (f) any addition, exchange orrelease of any collateral or of any Person that is (or will become) a guarantor(including a Guarantor hereunder) of the Obligations, or any surrender ornon-perfection of any collateral, or any amendment to or waiver or release oraddition to, or consent to or departure from, any other guaranty held by anySecured Party securing any of the Obligations; or

                (g) any other circumstance whichmight otherwise constitute a defense available to, or a legal or equitabledischarge of, any Obligor, any surety or any guarantor.

                SECTION2.4. Setoff. Each Guarantor hereby irrevocably authorizes theAdministrative Agent and each Lender, without the requirement that any noticebe given to such Guarantor (such notice being expressly waived by eachGuarantor), upon the occurrence and during the continuance of any Defaultdescribed in Section 8.1.9 of the Credit Agreement or, with the consent of theRequired Lenders, upon the occurrence and during the continuance of any otherEvent of Default, to set-off and appropriate and apply to the payment of theObligations (whether or not then due, and whether or not any Secured Party hasmade any demand for payment of the Obligations), any and all balances, claims,credits, deposits (general or special, time or demand, provisional or final),accounts or money of such Guarantor then or thereafter maintained with suchSecured Party; provided that any such appropriation and applicationshall be subject to the provisions of Section 4.8 of the Credit Agreement. EachSecured Party agrees to notify the applicable Guarantor and the AdministrativeAgent after any such setoff and application made by such Secured Party; providedfurther that the failure to give such notice shall not affect the validityof such setoff and application. The rights of each Secured Party under thisSection are in addition to other rights and remedies (including other rights ofsetoff under applicable law or otherwise) which such Secured Party may have.

                SECTION2.5. Waiver, etc. Each Guarantor hereby waives promptness, diligence,notice of acceptance and any other notice with respect to any of theObligations and this Guaranty and any requirement that any Secured Partyprotect, secure, perfect or insure any Lien, or any property subject thereto,or exhaust any right or take any action against any Obligor or any other Person(including any other guarantor) or entity or any collateral securing theObligations, as the case may be.

                SECTION 2.6. Postponement of Subrogation, etc.Each Guarantor agrees that it will not exercise any rights which it may acquireby way of rights of subrogation under any Loan Document to which it is a party,nor shall any Guarantor seek or be entitled to seek any contribution orreimbursement from any Obligor, in respect of any payment made under any LoanDocument or otherwise, until following the Termination Date. Any amount paid toany Guarantor on account of any such subrogation rights prior to theTermination Date shall be held in trust for the benefit of the Secured Partiesand shall immediately be paid and turned over to the Administrative Agent forthe benefit of the Secured Parties in the exact form received by such Guarantor(duly endorsed in favor of the Administrative Agent, if required), to becredited and applied against the Obligations, whether matured or unmatured, inaccordance with Section 2.7; provided that if any Guarantor hasmade payment to the Secured Parties of all or any part of the Obligations andthe Termination Date has occurred, then at such Guarantor’s request, theAdministrative Agent (on behalf of the Secured Parties) will, at the expense ofsuch Guarantor, execute and deliver to such Guarantor appropriate documents(without recourse and without representation or warranty) necessary to evidencethe transfer by subrogation to such Guarantor of an interest in the Obligationsresulting from such payment. In furtherance of the foregoing, at all timesprior to the Termination Date, each Guarantor shall refrain from taking anyaction or commencing any proceeding against any Obligor (or its successors orassigns, whether in connection with a bankruptcy proceeding or otherwise) torecover any amounts in respect of payments made under this Guaranty to anySecured Party.

                SECTION2.7. Payments; Application. Each Guarantor hereby agrees with eachSecured Party as follows:

                (a) Each Guarantor agrees thatall payments made by such Guarantor hereunder will be made in Dollars to theAdministrative Agent, without set-off, counterclaim or other defense and inaccordance with Sections 4.6 and 4.7 of the Credit Agreement, free and clear ofand without deduction for any Taxes, each Guarantor hereby agreeing to complywith and be bound by the provisions of Sections 4.6 and 4.7 of the Credit Agreementin respect of all payments made by it hereunder and the provisions of whichSections are hereby incorporated into and made a part of this Guaranty by thisreference as if set forth herein; provided that references to the“Borrower” in such Sections shall be deemed to be references to each Guarantor,and references to “this Agreement” in such Sections shall be deemed to bereferences to this Guaranty.

                (b) All payments made hereundershall be applied upon receipt

                (i) first, to the payment of allObligations owing to the Administrative Agent, in its capacity as theAdministrative Agent (including the fees and expenses of counsel to theAdministrative Agent),

                (ii) second, after payment infull in cash of the amounts specified in clause (b)(i), to the ratablepayment of all interest and fees owing with respect to the Credit Extensionsand all costs and expenses owing to the Secured Parties pursuant to the termsof the Credit Agreement,

                (iii) third, after payment infull in cash of the amounts specified in clauses (b)(i) and (b)(ii),to the ratable payment of the principal amount of the Loans then outstanding,amounts owing to Secured Parties under Rate Protection Agreements, theaggregate Reimbursement Obligations then owing and Cash Collateralization forcontingent liabilities under Letter of Credit Outstandings,

                (iv) fourth, after payment in full incash of the amounts specified in clauses (b)(i) through (b)(iii),to the ratable payment of all other Obligations owing to the Secured Parties,

                (v) fifth, after payment in fullin cash of the amounts specified in clauses (b)(i) through (b)(iv),and following the Termination Date, to each applicable Guarantor or any otherPerson lawfully entitled to receive such surplus.

For purposes of this Guaranty, the“credit exposure” at any time of any Secured Party with respect to a RateProtection Agreement to which such Secured Party is a party shall be determinedat such time in accordance with the customary methods of calculating creditexposure under similar arrangements by the counterparty to such arrangements,taking into account potential interest rate movements and the respectivetermination provisions and notional principal amount and term of such RateProtection Agreement.

ARTICLEIIIREPRESENTATIONS AND WARRANTIES

                Inorder to induce the Secured Parties to enter into the Credit Agreement and makeCredit Extensions thereunder, and to induce the Secured Parties to enter intoRate Protection Agreements, each Guarantor represents and warrants to eachSecured Party as set forth below. 

                SECTION3.1. Credit Agreement Representations and Warranties. Therepresentations and warranties contained in Article VI of the Credit Agreement,insofar as the representations and warranties contained therein are applicableto such Guarantor and its properties, are true and correct in all materialrespects, each such representation and warranty set forth in such Article(insofar as applicable as aforesaid) and all other terms of the CreditAgreement to which reference is made therein, together with all relateddefinitions and ancillary provisions, being hereby incorporated into thisGuaranty by this reference as though specifically set forth in this Article.

                SECTION3.2. Financial Condition, etc. Each Guarantor has knowledge of eachother Obligor’s financial condition and affairs and has adequate means toobtain from the each such Obligor on an ongoing basis information relatingthereto and to such Obligor’s ability to pay and perform the Obligations, andagrees to assume the responsibility for keeping, and to keep, so informed forso long as this Guaranty is in effect. Each Guarantor acknowledges and agreesthat the Secured Parties shall have no obligation to investigate the financialcondition or affairs of any Obligor for the benefit of such Guarantor nor toadvise such Guarantor of any fact respecting, or any change in, the financialcondition or affairs of any other Obligor that might become known to anySecured Party at any time, whether or not such Secured Party knows or believesor has reason to know or believe that any such fact or change is unknown tosuch Guarantor, or might (or does) materially increase the risk of suchGuarantor as guarantor, or might (or would) affect the willingness of suchGuarantor to continue as a guarantor of the Obligations.

                SECTION 3.3. Best Interests. It is in thebest interests of each Guarantor to execute this Guaranty inasmuch as suchGuarantor will, as a result of being a Subsidiary of the Borrower, derivesubstantial direct and indirect benefits from the Credit Extensions made fromtime to time to the Borrower by the Lenders and the Issuer pursuant to theCredit Agreement and the execution and delivery of Rate Protection Agreementsbetween the Borrower, other Obligors and certain Secured Parties, and eachGuarantor agrees that the Secured Parties are relying on this representation inagreeing to make Credit Extensions to the Borrower.

ARTICLEIVCOVENANTS, ETC.

                EachGuarantor covenants and agrees that, at all times prior to the Termination Date,it will perform, comply with and be bound by all of the agreements, covenantsand obligations contained in the Credit Agreement (including Article VII andSection 8.1.9 of the Credit Agreement) which are applicable to such Guarantoror its properties, each such agreement, covenant and obligation contained inthe Credit Agreement and all other terms of the Credit Agreement to whichreference is made in this Article, together with all related definitions andancillary provisions, being hereby incorporated into this Guaranty by thisreference as thoughspecifically set forth in this Article.

ARTICLEVMISCELLANEOUS PROVISIONS

                SECTION5.1. Loan Document. This Guaranty is a Loan Document executed pursuantto the Credit Agreement and shall (unless otherwise expressly indicated herein)be construed, administered and applied in accordance with the terms andprovisions thereof, including Article X thereof.

                SECTION5.2. Binding on Successors, Transferees and Assigns; Assignment. ThisGuaranty shall remain in full force and effect until the Termination Date,shall be jointly and severally binding upon each Guarantor and its successors,transferees and assigns and shall inure to the benefit of and be enforceable byeach Secured Party and its successors, transferees and assigns; providedthat no Guarantor may (unless otherwise permitted under the terms of the CreditAgreement) assign any of its obligations hereunder without the prior writtenconsent of all Lenders.

                SECTION 5.3. Amendments, etc. Noamendment to or waiver of any provision of this Guaranty, nor consent to anydeparture by any Guarantor from its obligations under this Guaranty, shall inany event be effective unless the same shall be in writing and signed by theAdministrative Agent (on behalf of the Lenders or the Required Lenders, as thecase may be, pursuant to Section 10.1 of the Credit Agreement) and then suchwaiver or consent shall be effective only in the specific instance and for thespecific purpose for which given.

                SECTION5.4. Notices. All notices and other communications provided forhereunder shall be in writing or by facsimile and addressed, delivered ortransmitted to the appropriate party at the address or facsimile number of suchparty (in the case of any Guarantor, in care of the Borrower) specified in theCredit Agreement or at such other address or facsimile number as may bedesignated by such party in a notice to the other party. Any notice or othercommunication, if mailed and properly addressed with postage prepaid or ifproperly addressed and sent by pre-paid courier service, shall be deemed givenwhen received; any such notice or other communication, if transmitted byfacsimile, shall be deemed given when transmitted and electronically confirmed.

                SECTION5.5. Additional Guarantors. Upon the execution and delivery by any otherPerson of a supplement in the form of Annex I hereto, such Person shallbecome a “Guarantor” hereunder with the same force and effect as if it wereoriginally a party to this Guaranty and named as a “Guarantor” hereunder. Theexecution and delivery of such supplement shall not require the consent of anyother Guarantor hereunder, and the rights and obligations of each Guarantorhereunder shall remain in full force and effect notwithstanding the addition ofany new Guarantor as a party to this Guaranty.

                SECTION5.6. Release of Guarantor. Upon the occurrence of the Termination Date,this Guaranty and all obligations of each Guarantor hereunder shall terminate,without delivery of any instrument or performance of any act by any party. Inaddition, at the request of the Borrower, and at the sole expense of theBorrower, a Guarantor shall be released from its obligations hereunder in theevent that the Equity Interests of such Guarantor are Disposed of in a transactionpermitted by the Credit Agreement; provided that the Borrower shall havedelivered to the Administrative Agent, at least three Business Days prior tothe date of the proposed release, a written request for release identifying therelevant Guarantor and a certification by the Borrower stating that suchtransaction is in compliance with the Loan Documents.

                SECTION5.7. No Waiver; Remedies. In addition to, and not in limitation of, Sections2.3 and 2.5, no failure on the part of any Secured Party to exercise,and no delay in exercising, any right hereunder shall operate as a waiverthereof, nor shall any single or partial exercise of any right hereunderpreclude any other or further exercise thereof or the exercise of any otherright. The remedies herein provided are cumulative and not exclusive of anyremedies provided by law.

                SECTION 5.8. Section Captions. Sectioncaptions used in this Guaranty are for convenience of reference only, and shallnot affect the construction of this Guaranty. 

                SECTION5.9. Severability. Wherever possible each provision of this Guarantyshall be interpreted in such manner as to be effective and valid underapplicable law, but if any provision of this Guaranty shall be prohibited by orinvalid under such law, such provision shall be ineffective to the extent ofsuch prohibition or invalidity, without invalidating the remainder of suchprovision or the remaining provisions of this Guaranty.

                SECTION5.10. Governing Law, Entire Agreement, etc. **THIS GUARANTY SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED BYTHE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE SECTIONS5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW YORK).**ThisGuaranty and the other Loan Documents constitute the entire understanding amongthe parties hereto with respect to the subject matter hereof and supersede anyprior agreements, written or oral, with respect thereto. 

                SECTION5.11. Forum Selection and Consent to Jurisdiction. **ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER,OR IN CONNECTION WITH, THIS GUARANTY OR ANY OTHER LOAN DOCUMENT, OR ANY COURSEOF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONSOF ANY SECURED PARTY OR ANY GUARANTOR IN CONNECTION HEREWITH OR THEREWITH MAY BEBROUGHT AND MAINTAINED IN THE COURTS OF THE STATE OF NEW YORK OR IN THE UNITEDSTATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK; PROVIDEDTHAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY MAYBE BROUGHT, AT THE ADMINISTRATIVE AGENT’S OPTION, IN THE COURTS OF ANYJURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND. EACHGUARANTOR HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THECOURTS OF THE STATE OF NEW YORK, NEW YORK COUNTY AND OF THE UNITED STATESDISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK FOR THE PURPOSE OF ANYSUCH LITIGATION AS SET FORTH ABOVE AND IRREVOCABLY AGREES TO BE BOUND BY ANYJUDGMENT RENDERED THEREBY IN CONNECTION WITH SUCH LITIGATION. EACH GUARANTORIRREVOCABLY CONSENTS TO THE SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGEPREPAID, OR BY PERSONAL SERVICE WITHIN OR WITHOUT THE STATE OF NEW YORK AT THEADDRESS FOR NOTICES SPECIFIED FOR THE BORROWER IN SECTION 10.2 OF THE CREDITAGREEMENT. EACH GUARANTOR HEREBY EXPRESSLY AND IRREVOCABLY WAIVES, TO THEFULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY HAVE OR HEREAFTERMAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT IN ANY SUCHCOURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH LITIGATION HAS BEEN BROUGHTIN AN INCONVENIENT FORUM. TO THE EXTENT THAT ANY GUARANTOR HAS OR HEREAFTER MAYACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY COURT OR FROM ANY LEGAL PROCESS(WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT, ATTACHMENT INAID OF EXECUTION OR OTHERWISE) WITH RESPECT TO ITSELF OR ITS PROPERTY, SUCHGUARANTOR HEREBY IRREVOCABLY WAIVES TO THE FULLEST EXTENT PERMITTED BY LAW SUCHIMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THIS GUARANTY AND THE OTHER LOANDOCUMENTS.**

                SECTION 5.12. Waiver of Jury Trial. **EACH GUARANTOR HEREBY KNOWINGLY, VOLUNTARILY ANDINTENTIONALLY WAIVE TO THE FULLEST EXTENT PERMITTED BY LAW ANY RIGHTS THEY MAYHAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISINGOUT OF, UNDER, OR IN CONNECTION WITH, EACH LOAN DOCUMENT, OR ANY COURSE OFCONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OFTHE ADMINISTRATIVE AGENT, SUCH LENDER, THE ISSUER OR SUCH GUARANTOR INCONNECTION THEREWITH. EACH GUARANTOR ACKNOWLEDGES AND AGREES THAT IT HASRECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION (AND EACH OTHERPROVISION OF EACH OTHER LOAN DOCUMENT TO WHICH IT IS A PARTY) AND THAT THISPROVISION IS A MATERIAL INDUCEMENT FOR THE ADMINISTRATIVE AGENT, EACH LENDERAND THE ISSUER ENTERING INTO THE LOAN DOCUMENTS.**

                SECTION5.13. Counterparts. This Guaranty may be executed by the parties heretoin several counterparts, each of which shall be deemed to be an original andall of which shall constitute together but one and the same agreement.

** * * *

                 WHEREOF,each Guarantor has caused this Guaranty to be duly executed and delivered byits Authorized Officer as of the date first above written.
 USP NEVADA HOLDINGS, LLC USP TEXAS, L.P. HEALTH HORIZONS OF NASHVILLE, INC. HEALTH HORIZONS OF KANSAS CITY, INC. HEALTH HORIZONS OF MURFREESBORO, INC. HEALTH HORIZONS OF DECATUR, INC. USP NEVADA, INC. USP WINTER PARK, INC. USP LONG ISLAND, INC. USP NORTH TEXAS, INC. USP NEW JERSEY, INC. TEXAS OUTPATIENT SURGICARE CENTER, INC. USP CHANDLER, INC. USP SOUTH HOUSTON, INC. USP PASADENA, INC. USP MANHATTAN, INC. ORTHOLINK PHYSICIANS CORPORATION ORTHOEXCEL, INC. GEORGIA MUSCULOSKELETAL NETWORK, INC. TENNESSEE MUSCULOSKELETAL NETWORK, INC. ORTHOLINK OCCUPATIONAL MEDICINE SERVICES  CORPORATION ORTHOLINK SECURITIES CORPORATION ORTHOLINK OF COLORADO, INC. SOUTHWEST SPINE CENTER, INC. NEURO-SURGICAL ASSOCIATES, INC. ORTHOLINK ASC CORPORATION ORTHOLINK/GEORGIA ASC, INC. ORTHOLINK/NEW MEXICO ASC, INC. ORTHOLINK/TN ASC, INC. DAY-OP SURGERY CONSULTING COMPANY, LLC DAY-OP MANAGEMENT COMPANY, INC. USP LAS CRUCES, INC. MEDICAL DOCUMENTATING SYSTEMS, INC. MEDCENTER MANAGEMENT SERVICES, INC.      By: /s/ Mark A. Kopser    Name: Mark A. Kopser  Title: Chief Financial Officer and Vice  President
 

 
ACCEPTED AND AGREED FOR ITSELF AND ON BEHALF OF THE SECURED PARTIES:     CREDIT SUISSE FIRST BOSTON, as Administrative Agent       By: /s/ Julia P. Kingsbury    Title: Vice President       By: /s/ Williams S. Lutkins    Title: Vice President 
ANNEXI tothe Subsidiary Guaranty

                THISSUPPLEMENT, dated as of ____________ ___, _____ (this “Supplement”), isto the Subsidiary Guaranty, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Guaranty”), among the Guarantors (such capitalized term, and otherterms used in this Supplement, to have the meanings set forth in Article I ofthe Guaranty) from time to time party thereto, in favor of CREDIT SUISSE FIRSTBOSTON, as administrative agent (together with its successor(s) thereto in suchcapacity, the “Administrative Agent”) for each of the Secured Parties.

WITNESSETH :

                WHEREAS,pursuant to the provisions of Section 5.5 of the Guaranty, each of theundersigned is becoming a Guarantor under the Guaranty; and

                WHEREAS,each of the undersigned desires to become a “Guarantor” under the Guaranty inorder to induce the Secured Parties to continue to extend Credit Extensionsunder the Credit Agreement;

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich is hereby acknowledged, each of the undersigned agrees, for the benefitof each Secured Party, as follows.

                SECTION1. Party to Guaranty, etc. In accordance with the terms of the Guaranty,by its signature below, each of the undersigned hereby irrevocably agrees tobecome a Guarantor under the Guaranty with the same force and effect as if itwere an original signatory thereto and each of the undersigned hereby (a)agrees to be bound by and comply with all of the terms and provisions of theGuaranty applicable to it as a Guarantor and (b) represents and warrants thatthe representations and warranties made by it as a Guarantor thereunder aretrue and correct as of the date hereof. In furtherance of the foregoing, eachreference to a “Guarantor” and/or “Guarantors” in the Guaranty shall be deemedto include each of the undersigned.

                SECTION2. Representations. Each of the undersigned hereby represents andwarrants that this Supplement has been duly authorized, executed and deliveredby it and that this Supplement and the Guaranty constitute the legal, valid andbinding obligation of each of the undersigned, enforceable against it inaccordance with its terms.

                SECTION3. Full Force of Guaranty. Except as expressly supplemented hereby, theGuaranty shall remain in full force and effect in accordance with its terms.                SECTION 4. Severability.Wherever possible each provision of this Supplement shall be interpreted insuch manner as to be effective and valid under applicable law, but if anyprovision of this Supplement shall be prohibited by or invalid under such law,such provision shall be ineffective to the extent of such prohibition orinvalidity, without invalidating the remainder of such provision or theremaining provisions of this Supplement or the Guaranty. 
                SECTION5. Governing Law, Entire Agreement, etc. **THIS SUPPLEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNEDBY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSESECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEWYORK).**This Supplement and the other Loan Documents constitute theentire understanding among the parties hereto with respect to the subjectmatter thereof and supersede any prior agreements, written or oral, withrespect thereto.

                SECTION6. Counterparts. This Supplement may be executed by the parties heretoin several counterparts, each of which shall be deemed to be an original andall of which shall constitute together but one and the same agreement.

** * * *

                IN WITNESS WHEREOF, each of the undersigned hascaused this Supplement to be duly executed and delivered by its AuthorizedOfficer as of the date first above written.
 [NAME OF ADDITIONAL SUBSIDIAR**Y]**     By:     Title:       [NAME OF ADDITIONAL SUBSIDIAR**Y]**     By:     Title:       [NAME OF ADDITIONAL SUBSIDIAR**Y]**     By:     Title:      ACCEPTED AND AGREED FOR ITSELF  AND ON BEHALF OF THE SECURED PARTIES:   CREDIT SUISSE FIRST BOSTON,  as Administrative Agent      By:     Title:       By:     Title: 
 

[EXECUTIONCOPY]

SUBSIDIARYPLEDGE AND SECURITY AGREEMENT

                ThisSUBSIDIARY PLEDGE AND SECURITY AGREEMENT, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, this “Security Agreement”), is made by each Subsidiary of USPDomestic Holdings, Inc., a Delaware corporation (the “Borrower”), fromtime to time party hereto (each individually a “Grantor” andcollectively, the “Grantors”), in favor of CREDIT SUISSE FIRST BOSTON,as administrative agent (together with its successor(s) thereto in suchcapacity, the “Administrative Agent”) for each of the Secured Parties.

WITNESSETH:

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among the Borrower, the Lenders, Lehman CommercialPaper Inc., as the Syndication Agent, Société Générale, as the DocumentationAgent, and the Administrative Agent, the Lenders and the Issuer have extendedCommitments to make Credit Extensions to the Borrower; and

                WHEREAS,as a condition precedent to the making of the Credit Extensions under theCredit Agreement, each Grantor is required to execute and deliver this SecurityAgreement; and

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich is hereby acknowledged, each Grantor agrees, for the benefit of eachSecured Party, as follows:

ARTICLEIDEFINITIONS

                SECTION1.1. Certain Terms. The following terms (whether or not underscored)when used in this Security Agreement, including its preamble and recitals,shall have the following meanings (such definitions to be equally applicable tothe singular and plural forms thereof):

                “AdministrativeAgent” is defined in the preamble.

                “Borrower”is defined in the preamble.

                “Collateral”is defined in Section 2.1.

                “CollateralAccount” is defined in clause (c) of Section 4.3.

                “ComputerHardware and Software Collateral” means:

                (a) all computer and otherelectronic data processing hardware, integrated computer systems, centralprocessing units, memory units, display terminals, printers, features, computerelements, card readers, tape drives, hard and soft disk drives, cables,electrical supply hardware, generators, power equalizers, accessories and allperipheral devices and other related computer hardware;

                (b) all software programs(including both source code, object code and all related applications and datafiles), whether now owned, licensed or leased or hereafter acquired by anyGrantor, designed for use on the computers and electronic data processinghardware described in clause (a) above;

                (c) all firmware associatedtherewith;

                (d) all documentation (includingflow charts, logic diagrams, manuals, guides and specifications) with respectto such hardware, software and firmware described in the preceding clauses(a) through (c); and

                (e) all rights with respect toall of the foregoing, including any and all copyrights, licenses, options,warranties, service contracts, program services, test rights, maintenancerights, support rights, improvement rights, renewal rights and indemnificationsand any substitutions, replacements, additions or model conversions of any ofthe foregoing.

                “ControlAgreement” means an agreement in form and substance satisfactory to theAdministrative Agent which provides for the Administrative Agent to have“control” (as defined in Section 8-106 of the UCC, as such term relates toinvestment property (other than certificated securities or commoditycontracts), or as used in Section 9-115(e) of the UCC, as such term relates tocommodity contracts).

                “CopyrightCollateral” means all copyrights of each Grantor, whether statutory orcommon law, registered or unregistered and whether published or unpublished,now or hereafter in force throughout the world including all of such Grantor’sright, title and interest in and to all copyrights registered in the UnitedStates Copyright Office or anywhere else in the world and also including thecopyrights referred to in Item A of Schedule V hereto, andregistrations and recordings thereof and all applications for registrationthereof, whether pending or in preparation, all copyright licenses, includingeach copyright license referred to in Item B of Schedule Vhereto, the right to sue for past, present and future infringements of any ofthe foregoing, all rights corresponding thereto, all extensions and renewals ofany thereof and all proceeds of the foregoing, including licenses, royalties,income, payments, claims, damages and proceeds of suit.

                “CreditAgreement” is defined in the first recital.

                “Distributions”means all non-cash dividends paid on Equity Interests, liquidating dividendspaid on Equity Interests, shares of Equity Interests resulting from (or inconnection with the exercise of) stock splits, reclassifications, warrants, options,non-cash dividends, mergers, consolidations, and all other distributions(whether similar or dissimilar to the foregoing) on or with respect to anyEquity Interests constituting Collateral, but excluding Dividends.

                “Dividends”means cash dividends and cash distributions with respect to any EquityInterests constituting Collateral that are not a liquidating dividend.

                “Equipment”is defined in clause (c) of Section 2.1.

                “Grantor”and “Grantors” are defined in the preamble.

                “IntellectualProperty Collateral” means, collectively, the Computer Hardware andSoftware Collateral, the Copyright Collateral, the Patent Collateral, theTrademark Collateral and the Trade Secrets Collateral.

                “IntercompanyNote” means a promissory note payable to any Grantor, either (a) in theform delivered to the Administrative Agent on the Closing Date or (b)substantially in the form of Exhibit A hereto (with such modificationsas agreed to by the Administrative Agent), as amended, modified or supplementedfrom time to time in accordance with clause (d) of Section 4.6,together with any notes delivered in extension or renewal thereof orsubstitution therefor.

                “Inventory”is defined in clause (d) of Section 2.1.

                “PatentCollateral” means: 

                (a) all letters patent and applicationsfor letters patent throughout the world, including all patent applications inpreparation for filing and each patent and patent application referred to in ItemA of Schedule III hereto;

                (b) all reissues, divisions,continuations, continuations-in-part, extensions, renewals and reexaminationsof any of the items described in clause (a);

                (c)all patent licenses, and other agreements providing each Grantor with the rightto use any items of the type referred to in clauses (a) and (b) above, includingeach patent license referred to in Item B of Schedule III hereto;and

                (d) all proceeds of, and rightsassociated with, the foregoing (including license royalties and proceeds ofinfringement suits), the right to sue third parties for past, present or futureinfringements of any patent or patent application, and for breach orenforcement of any patent license.

                “Receivables”is defined in clause (e) of Section 2.1.

                “RelatedContracts” is defined in clause (e) of Section 2.1.

                “SecuritiesAct” is defined in clause (a) of Section 6.2.

                “SecurityAgreement” is defined in the preamble.

                “SpecifiedEvent” means the occurrence and continuance of a Default under clauses (a)through (d) of Section 8.1.9 of the Credit Agreement or any other Event ofDefault.

                “TrademarkCollateral” means:

                (a) (i) all trademarks, tradenames, corporate names, company names, business names, fictitious businessnames, trade styles, service marks, certification marks, collective marks,logos and other source or business identifiers, and all goodwill of thebusiness associated therewith, now existing or hereafter adopted or acquiredincluding those referred to in Item A of Schedule IV hereto,whether currently in use or not, all registrations and recordings thereof andall applications in connection therewith, whether pending or in preparation forfiling, including registrations, recordings and applications in the UnitedStates Patent and Trademark Office or in any office or agency of the UnitedStates of America or any State thereof or any other country or politicalsubdivision thereof or otherwise, and all common-law rights relating to theforegoing, and (ii) the right to obtain all reissues, extensions or renewals ofthe foregoing (collectively referred to as the “Trademark”);

                (b) all Trademark licenses forthe grant by or to any Grantor of any right to use any Trademark, includingeach Trademark license referred to in Item B of Schedule IVhereto; and

                (c) all of the goodwill of thebusiness connected with the use of, and symbolized by the items described in,clause (a), and to the extent applicable clause (b);

                (d)the right to sue third parties for past, present and future infringements ofany Trademark Collateral described in clause (a) and, to the extent applicable,clause (b); and

                (e) all proceeds of, and rightsassociated with, the foregoing, including any claim by any Grantor againstthird parties for past, present or future infringement or dilution of anyTrademark, Trademark registration or Trademark license, or for any injury tothe goodwill associated with the use of any such Trademark or for breach orenforcement of any Trademark license and all rights corresponding theretothroughout the world.

                “TradeSecrets Collateral” means all common law and statutory trade secrets andall other confidential, proprietary or useful information and all know-howobtained by or used in or contemplated at any time for use in the business ofany Grantor (all of the foregoing being collectively called a “Trade Secret”),whether or not such Trade Secret has been reduced to a writing or othertangible form, including all documents and things embodying, incorporating orreferring in any way to such Trade Secret, all Trade Secret licenses, includingeach Trade Secret license referred to in Schedule VI hereto, andincluding the right to sue for and to enjoin and to collect damages for theactual or threatened misappropriation of any Trade Secret and for the breach orenforcement of any such Trade Secret license.

                SECTION1.2. Credit Agreement Definitions. Unless otherwise defined herein orthe context otherwise requires, terms used in this Security Agreement,including its preamble and recitals, have the meanings provided in the CreditAgreement.

                SECTION1.3. UCC Definitions. Unless otherwise defined herein or in the CreditAgreement or the context otherwise requires, terms for which meanings areprovided in the UCC are used in this Security Agreement, including its preambleand recitals, with such meanings.

ARTICLEIISECURITY INTEREST

                SECTION2.1. Grant of Security Interest. Each Grantor hereby assigns, pledges,hypothecates, charges, mortgages, delivers, and transfers to the AdministrativeAgent, for its benefit and the ratable benefit of each other Secured Party, andhereby grants to the Administrative Agent, for its benefit and the ratablebenefit of each other Secured Party, a continuing security interest in all ofthe following property, whether now or hereafter existing or acquired by suchGrantor (the “Collateral”):

                (a) all Intercompany Notes inwhich such Grantor has an interest (including each Intercompany Note describedin Item A of Schedule I hereto (including the right to receivepayment of the principal of and accrued interest on such Intercompany Note, andother rights of such Grantor arising in its capacity as the payee of suchIntercompany Note));

                (b)(i) all investment property in which such Grantor has an interest (includingthe Equity Interests of each issuer of such Equity Interests described in ItemB of Schedule I hereto) and (ii) all other Equity Interests whichare interests in limited liability companies or partnerships in which suchGrantor has an interest (including the Equity Interests of each issuer of suchEquity Interests described in Item B of Schedule I hereto), ineach case together with Dividends and Distributions payable in respect of theCollateral described in the foregoing clauses (b)(i) and (b)(ii);

                (c) all equipment of suchGrantor, including all parts thereof and all accessions, additions,attachments, improvements, substitutions and replacements thereto and thereforand all accessories related thereto (collectively referred to as the “Equipment”);

                (d) all inventory in all of itsforms of such Grantor, including (i) all raw materials and work in process therefor,finished goods thereof, and materials used or consumed in the manufacture orproduction thereof, (ii) all goods in which such Grantor has an interest inmass or a joint or other interest or right of any kind (including goods inwhich such Grantor has an interest or right as consignee), and (iii) all goodswhich are returned to or repossessed by such Grantor, and all accessionsthereto, products thereof and documents therefor (all of the foregoingcollectively referred to as the “Inventory”);

                (e) all accounts, contracts,contract rights, chattel paper, documents, instruments, and general intangibles(including tax refunds) of such Grantor, whether or not arising out of or inconnection with the sale or lease of goods or the rendering of services, andall rights of such Grantor now or hereafter existing in and to all securityagreements, guaranties, leases and other contracts securing or otherwiserelating to any such accounts, contracts, contract rights, chattel paper,documents, instruments, and general intangibles (all of the foregoingcollectively referred to as the “Receivables”, and any and all suchsecurity agreements, guaranties, leases and other contracts collectivelyreferred to as the “Related Contracts”);

                (f) all Intellectual PropertyCollateral of such Grantor;

                (g) the Collateral Account, allcash, checks, drafts, notes, bills of exchange, money orders, other likeinstruments and all investment property held in the Collateral Account (or inany sub-account thereof) and all interest, earnings and proceeds in respectthereof;

                (h)all books, records, writings, data bases, information and other propertyrelating to, used or useful in connection with, evidencing, embodying,incorporating or referring to, any of the foregoing in this Section;

                (i) all of such Grantor’s otherproperty and rights of every kind and description and interests therein; and

                (j) all products, offspring,rents, issues, profits, returns, income and proceeds of and from any and all ofthe foregoing Collateral (including proceeds which constitute property of thetypes described in clauses (a) through (i) above, and, to theextent not otherwise included, all payments under insurance (whether or not theAdministrative Agent is the loss payee thereof), or any indemnity, warranty orguaranty, payable by reason of loss or damage to or otherwise with respect toany of the foregoing Collateral).

Notwithstanding the foregoing,“Collateral” shall not include (i) each Grantor’s real property leaseholds,(ii) any general intangibles or other rights arising under any contracts,instruments, licenses or other documents as to which the grant of a securityinterest would (A) constitute a violation of a valid and enforceablerestriction in favor of a third party on such grant, unless and until anyrequired consents shall have been obtained or (B) give any other party to suchcontract, instrument, license or other document the right to terminate itsobligations thereunder, (iii) any Equity Interest in a Restricted Entity or inWarner Park Surgery Center, L.P., and (iv) investment property consisting ofEquity Interests of an issuer that is a Foreign Subsidiary (other than aForeign Subsidiary that (i) is treated as a partnership under the Code or (ii)is not treated as an entity that is separate from (A) any Grantor, (B) anyPerson that is treated as a partnership under the Code or (C) any “UnitedStates person” (as defined in Section 7701(a)(30) of the Code)) of suchGrantor, in excess of 65% of the total combined voting power of all Equity Interestsof each such Foreign Subsidiary; provided further, that, in the event ofany change in, or the introduction, adoption, effectiveness, interpretation,reinterpretation or phase in of, any law or regulation, directive or guidelineof any Governmental Authority that could reasonably be expected to alter theamount of United States federal income tax that would otherwise be payable bysuch Grantor in the absence of such pledge, the Administrative Agent or theRequired Lenders may require such Grantor to pledge such Equity Interests.

                SECTION2.2. Security for Obligations. This Security Agreement and theCollateral in which the Administrative Agent for the benefit of the SecuredParties is granted a security interest hereunder by each Grantor secures thepayment of all Obligations of such Grantor now or hereafter existing.

                SECTION2.3. Grantors Remain Liable. Anything herein to the contrarynotwithstanding

                (a) each Grantor will remainliable under the contracts and agreements included in the Collateral to theextent set forth therein, and will perform all of its duties and obligationsunder such contracts and agreements to the same extent as if this SecurityAgreement had not been executed;

                (b) the exercise by theAdministrative Agent of any of its rights hereunder will not release anyGrantor from any of its duties or obligations under any such contracts oragreements included in the Collateral; and

                (c) no Secured Party will haveany obligation or liability under any contracts or agreements included in theCollateral by reason of this Security Agreement, nor will any Secured Party beobligated to perform any of the obligations or duties of any Grantor thereunderor to take any action to collect or enforce any claim for payment assignedhereunder.

                SECTION2.4. Security Interest Absolute, etc. This Security Agreement shall inall respects be a continuing, absolute, unconditional and irrevocable grant ofsecurity interest, and shall remain in full force and effect until theTermination Date has occurred. All rights of the Secured Parties and thesecurity interests granted to the Administrative Agent (for its benefit and theratable benefit of each other Secured Party) hereunder, and all obligations ofeach Grantor hereunder, shall, in each case, be absolute, unconditional andirrevocable irrespective of:

                (a) any lack of validity,legality or enforceability of any Loan Document;

                (b) the failure of any SecuredParty

                (i) to assert any claim ordemand or to enforce any right or remedy against any Obligor or any otherPerson (including any other Grantor) under the provisions of any Loan Documentor otherwise, or

                (ii) to exercise any right orremedy against any other guarantor (including any other Grantor) of, orcollateral securing, any Obligations;

                (c) any change in the time,manner or place of payment of, or in any other term of, all or any part of theObligations, or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,impairment or termination of any Obligations for any reason, including anyclaim of waiver, release, surrender, alteration or compromise, and shall not besubject to (and each Grantor hereby waives any right to or claim of) anydefense or setoff, counterclaim, recoupment or termination whatsoever by reasonof the invalidity, illegality, nongenuineness, irregularity, compromise,unenforceability of, or any other event or occurrence affecting, anyObligations or otherwise; 

                (e)any amendment to, rescission, waiver, or other modification of, or any consentto or departure from, any of the terms of any Loan Document;

                (f) any addition, exchange orrelease of any collateral or of any Person that is (or will become) a guarantor(including a Grantor hereunder) of the Obligations, or any surrender or non-perfectionof any collateral, or any amendment to or waiver or release or addition to, orconsent to or departure from, any other guaranty held by any Secured Partysecuring any of the Obligations; or

                (g) any other circumstance whichmight otherwise constitute a defense available to, or a legal or equitabledischarge of, any Obligor, any surety or any guarantor. 

                SECTION2.5. Postponement of Subrogation, etc. Each Grantor agrees that it willnot exercise any rights which it may acquire by way of rights of subrogationunder any Loan Document to which it is a party, nor shall any Grantor seek orbe entitled to seek any contribution or reimbursement from any Obligor, inrespect of any payment made under any Loan Document or otherwise, untilfollowing the Termination Date. Any amount paid to any Grantor on account ofany such subrogation rights prior to the Termination Date shall be held intrust for the benefit of the Secured Parties and shall immediately be paid andturned over to the Administrative Agent for its benefit and the ratable benefitof each other Secured Party in the exact form received by such Grantor (dulyendorsed in favor of the Administrative Agent, if required), to be credited andapplied against the Obligations, whether matured or unmatured, in accordancewith clause (b) of Section 6.1; provided that if anyGrantor has made payment to the Secured Parties of all or any part of theObligations and the Termination Date has occurred, then at such Grantor’srequest, the Administrative Agent (on behalf of the Secured Parties) will, atthe expense of such Grantor, execute and deliver to such Grantor appropriatedocuments (without recourse and without representation or warranty) necessaryto evidence the transfer by subrogation to such Grantor of an interest in theObligations resulting from such payment. In furtherance of the foregoing, atall times prior to the Termination Date, each Grantor shall refrain from takingany action or commencing any proceeding against any Obligor (or its successorsor assigns, whether in connection with a bankruptcy proceeding or otherwise) torecover any amounts in respect of payments made under this Security Agreementto any Secured Party. 

ARTICLEIIIREPRESENTATIONS AND WARRANTIES

                Inorder to induce the Secured Parties to enter into the Credit Agreement and makeCredit Extensions thereunder, and to induce Secured Parties to enter into RateProtection Agreements, each Grantor represents and warrants to each SecuredParty as set forth below.

                SECTION3.1. As to Equity Interests of Subsidiaries. With respect to anySubsidiary of any Grantor that is

                (a) a corporation, businesstrust, joint stock company or similar Person, all Equity Interests issued bysuch Subsidiary are duly authorized and validly issued, fully paid and non-assessable,and represented by a certificate; and 

                (b) a partnership or limitedliability company, no Equity Interests issued by such Subsidiary (i) are dealtin or traded on securities exchanges or in securities markets, (ii) expresslyprovide that such Equity Interests are a security governed by Article 8 of theUCC, (iii) are held in a securities account, or (iv) are represented by acertificate.

The percentage of the issued andoutstanding Equity Interests of each Subsidiary pledged by each Grantor hereunderare as set forth on Schedule I hereto.

                SECTION3.2. Intercompany Notes. All Intercompany Notes have been dulyauthorized, executed, endorsed, issued and delivered, and are the legal, validand binding obligation of the Issuer thereof, and are not in default.

                SECTION3.3. Location of Collateral, etc. All of the Equipment, Inventory andlock boxes of each Grantor are located at the places specified in Item A,Item B and Item C, respectively, of Schedule II hereto, aseach such Item may be supplemented or otherwise modified from time to timepursuant to clause (a) of Section 4.2. None of the Equipment andInventory has, within the four months preceding the date of this SecurityAgreement, been located at any place other than the places specified in ItemA and Item B, respectively, of Schedule II hereto except asset forth in a footnote thereto. The place(s) of business and the chiefexecutive office of each Grantor and the office(s) where such Grantor keeps itsrecords concerning the Receivables, and all originals of all chattel paperwhich evidence Receivables, are located at the addresses set forth in Item Dof Schedule II hereto, as each such Item may be supplemented orotherwise modified from time to time pursuant to clause (a) of Section4.3. No Grantor has any trade names other than those set forth in Item Eof Schedule II hereto. During the four months preceding the date hereof,no Grantor has been known by any legal name different from the one set forth onthe signature page hereto, nor has any Grantor been the subject of any mergeror other corporate reorganization, except as set forth in Item F of ScheduleII hereto. Each Grantor’s federal taxpayer identification number is (and,during the four months preceding the date hereof, such Grantor has not had afederal taxpayer identification number different from the one) set forth in ItemG of Schedule II hereto. If the Collateral of any Grantor includesany Inventory located in the State of California, such Grantor is not a “retailmerchant” within the meaning of Section 9102 of the California UCC. AllReceivables evidenced by a promissory note or other instrument, negotiabledocument or chattel paper have been duly endorsed and accompanied by dulyexecuted instruments of transfer or assignment, all in form and substancesatisfactory to the Administrative Agent and delivered and pledged to theAdministrative Agent pursuant to Section 4.6. No Grantor is a party toany federal, state or local government contract except as set forth in ItemH of Schedule II hereto.

                SECTION3.4. Ownership, No Liens, etc. Each Grantor owns its Collateral free andclear of any Lien, except for Liens (a) created by this Security Agreement,and, in the case of Collateral other than any investment property (includingEquity Interests of any Subsidiary of such Grantor) in which such Grantor hasan interest, (b) permitted by Section 7.2.3 of the Credit Agreement or (c) infavor of owners of Computer Software Collateral that is licensed to suchGrantor. No effective financing statement or other filing similar in effectcovering any Collateral is on file in any recording office, except those filedin favor of the Administrative Agent relating to this Security Agreement orthose filed in connection with Liens permitted by Section 7.2.3 of the CreditAgreement.

                SECTION3.5. Possession of Inventory, etc. Each Grantor agrees that it willmaintain exclusive possession of its goods, instruments and Inventory, otherthan Inventory in transit in the ordinary course of business and Inventorywhich is in the possession or control of a warehouseman, bailee agent or otherPerson (other than a Person controlled by or under common control with suchGrantor) that has been notified of the security interest created in favor ofthe Secured Parties pursuant to this Security Agreement, and has agreed to holdsuch Inventory subject to the Secured Parties’ Lien and waive any Lien held byit against such Inventory.

                SECTION3.6. Negotiable Documents, Instruments and Chattel Paper. Each Grantorhas delivered to the Administrative Agent possession of all originals of allnegotiable documents, instruments and chattel paper owned or held by suchGrantor on the Closing Date and agrees that it will, promptly followingreceipt, deliver to the Administrative Agent possession of all originals ofnegotiable documents, instruments and chattel paper that it acquires followingthe Closing Date.

                SECTION3.7. Intellectual Property Collateral. With respect to any IntellectualProperty Collateral the loss, impairment or infringement of which couldreasonably be expected to have a Material Adverse Effect:

                (a) such Intellectual PropertyCollateral is subsisting and has not been adjudged invalid or unenforceable, inwhole or in part;

                (b) such Intellectual PropertyCollateral is valid and enforceable;

                (c) each Grantor has made allnecessary filings and recordations to protect its interest in such IntellectualProperty Collateral, including recordations of all of its interests in thePatent Collateral and Trademark Collateral in the United States Patent andTrademark Office and (subject to the terms of the Credit Agreement) incorresponding offices throughout the world, and its claims to the CopyrightCollateral in the United States Copyright Office and (subject to the terms ofthe Credit Agreement) in corresponding offices throughout the world;

                (d)each Grantor is the exclusive owner of the entire and unencumbered right, titleand interest in and to such Intellectual Property Collateral and no claim hasbeen made that the use of such Intellectual Property Collateral does or mayviolate the asserted rights of any third party; and 

                (e) each Grantor has performedand will continue to perform all acts and has paid and will continue to pay allrequired fees and taxes to maintain each and every such item of IntellectualProperty Collateral in full force and effect throughout the world, asapplicable.

Each Grantor owns directly or is entitledto use by license or otherwise, all patents, Trademarks, Trade Secrets,copyrights, mask works, licenses, technology, know-how, processes and rightswith respect to any of the foregoing used in, necessary for or of importance tothe conduct of such Grantor’s business.

                SECTION3.8. Validity, etc. This Security Agreement creates a valid securityinterest in the Collateral securing the payment of the Obligations. EachGrantor has filed or caused to be filed all Filing Statements in theappropriate offices therefor (or has executed and delivered to theAdministrative Agent originals thereof suitable for filing in such offices) andhas taken all of the actions necessary to create perfected and (in the case ofCollateral other than Equity Interests pledged hereunder, subject to Section7.2.3 of the Credit Agreement) first-priority security interests in theapplicable Collateral including (a) in the case of Collateral comprised ofcertificated securities or instruments, delivery of such Collateral to theAdministrative Agent, duly endorsed in blank and (b) in the case of Collateralcomprised of uncertificated securities and other investment property (otherthan certificated securities), such actions causing the Administrative Agent tohave “control” (as defined in Section 8-106 of the UCC, as such term relates toinvestment property (other than certificated securities or commoditycontracts), or as used in Section 9-115(e) of the UCC, as such term relates tocommodity contracts) of such Collateral; provided that, notwithstandingany of the foregoing, with respect to any Collateral which constitutes motor vehicles,the ownership of which is evidenced by a certificate of title filed with adepartment of motor vehicles or similar agency of a Governmental Authority,following the execution and delivery by each Grantor of this SecurityAgreement, the Administrative Agent shall only have a valid security interestin such Collateral.

                SECTION3.9. Authorization, Approval, etc. Except as have been obtained or madeand are in full force and effect, no authorization, approval or other actionby, and no notice to or filing with, any Governmental Authority or regulatorybody is required either 

                (a) for the grant by eachGrantor of the security interest granted hereby, the pledge by each Grantor ofany Collateral pursuant hereto or for the execution, delivery and performanceof this Security Agreement by each Grantor;

                (b) for the perfection of or theexercise by the Administrative Agent of its rights and remedies hereunder; or

                (c) for the exercise by theAdministrative Agent of the voting or other rights provided for in thisSecurity Agreement, except (i) with respect to any securities issued by aSubsidiary of any Grantor, as may be required in connection with a dispositionof such securities by laws affecting the offering and sale of securitiesgenerally, the remedies in respect of the Collateral pursuant to this SecurityAgreement and (ii) any “change of control” or similar filings required by statelicensing agencies and, with respect to Ortholink Securities Corporation, theNational Association of Securities Dealers.

                SECTION3.10. Best Interests. It is in the best interests of each Grantor toexecute this Security Agreement inasmuch as such Grantor will, as a result ofbeing a Subsidiary of the Borrower, derive substantial direct and indirectbenefits from the Credit Extensions made from time to time to the Borrower bythe Lenders and the Issuer pursuant to the Credit Agreement and the executionand delivery of Rate Protection Agreements between the Borrower, other Obligorsand certain Secured Parties, and each Grantor agrees that the Secured Partiesare relying on this representation in agreeing to make Credit Extensions to theBorrower.

ARTICLEIVCOVENANTS

Each Grantor covenants and agrees that,until the Termination Date, such Grantor will perform, comply with and be boundby the obligations set forth below.

                SECTION4.1. As to Investment Property and Intercompany Notes, Etc.

                SECTION4.1.1. Equity Interests of Subsidiaries. Each Grantor will cause each ofits Subsidiaries that is

                (a) a corporation, businesstrust, joint stock company or similar Person, to provide in its OrganicDocuments that all securities issued by such Subsidiary will be represented bya certificate; and

                (b) a partnership or limitedliability company, to require that none of the Equity Interests issued by suchSubsidiary will (i) be dealt in or traded on securities exchanges or insecurities markets, (ii) expressly provide that such Equity Interests aresecurities governed by Article 8 of the UCC, (iii) be held in a securitiesaccount, or (iv) be represented by a certificate.

                SECTION4.1.2. Investment Property (other than Certificated Securities). Withrespect to any investment property (other than certificated securities) ownedby any Grantor, such Grantor will cause a Control Agreement relating to suchinvestment property to be executed and delivered by such Grantor and theapplicable financial intermediary in favor of the Administrative Agent.

                SECTION4.1.3. Stock Powers, etc. Each Grantor agrees that all certificatedsecurities delivered by such Grantor pursuant to this Security Agreement willbe accompanied by duly executed undated blank stock powers, or other equivalentinstruments of transfer acceptable to the Administrative Agent.

                SECTION4.1.4. Continuous Pledge. Each Grantor will (subject to the terms of theCredit Agreement) deliver to the Administrative Agent and at all times keeppledged to the Administrative Agent pursuant hereto, on a first-priority,perfected basis all investment property constituting Collateral, all Dividends andDistributions with respect thereto, all Intercompany Notes (duly endorsed bysuch Grantor to the order of the Administrative Agent), and all interest andprincipal with respect to the Intercompany Notes, and all proceeds and rightsfrom time to time received by or distributable to such Grantor in respect ofany of the foregoing Collateral.

                SECTION4.1.5. Voting Rights; Dividends, etc. Each Grantor agrees:

                (a) promptly upon receipt ofnotice of the occurrence and continuance of a Specified Event from theAdministrative Agent and without any request therefor by the AdministrativeAgent, so long as such Specified Event shall continue, to deliver (properlyendorsed where required hereby or requested by the Administrative Agent) to theAdministrative Agent all Dividends and Distributions with respect to investmentproperty, all interest, principal, other cash payments on Intercompany Notes,and all proceeds of the Collateral, in each case thereafter received by suchGrantor, all of which shall be held by the Administrative Agent as additionalCollateral; and

                (b) subject to clause (c)(ii)of Section 3.9 and, with respect to Collateral consisting of generalpartner interests or limited liability company interests, modifications to therespective Organic Documents to the admission of the Administrative Agent as ageneral partner or member, respectively, immediately upon the occurrence andcontinuance of a Specified Event and so long as the Administrative Agent hasnotified such Grantor of the Administrative Agent’s intention to exercise itsvoting power under this clause, 

                (i)that the Administrative Agent may exercise (to the exclusion of such Grantor)the voting power and all other incidental rights of ownership with respect toany investment property constituting Collateral and such Grantor hereby grantsthe Administrative Agent an irrevocable proxy, exercisable under suchcircumstances, to vote such investment property; and 

                (ii) to promptly deliver to theAdministrative Agent such additional proxies and other documents as may benecessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,principal, cash payments, and proceeds which may at any time and from time totime be held by any Grantor but which such Grantor is then obligated to deliverto the Administrative Agent, shall, until delivery to the Administrative Agent,be held by such Grantor separate and apart from its other property in trust forthe Administrative Agent. The Administrative Agent agrees that unless aSpecified Event shall have occurred and be continuing and the AdministrativeAgent shall have given the notice referred to in clause (b), eachGrantor will have the exclusive voting power with respect to any investmentproperty constituting Collateral and the Administrative Agent will, upon thewritten request of such Grantor, promptly deliver such proxies and otherdocuments, if any, as shall be reasonably requested by such Grantor which arenecessary to allow such Grantor to exercise that voting power; providedthat no vote shall be cast, or consent, waiver, or ratification given, oraction taken by such Grantor that would impair any such Collateral or beinconsistent with or violate any provision of any Loan Document.

                SECTION4.2. As to Equipment and Inventory. Each Grantor hereby agrees that itwill 

                (a) keep all the Equipment andInventory (other than Equipment and Inventory Disposed of in accordance withSection 7.2.11 of the Credit Agreement, motor vehicles and Inventory intransit) at the places therefor specified in Section 3.3 or, upon 30days’ prior written notice to the Administrative Agent, at such other places ina jurisdiction where all representations and warranties set forth in ArticleIII shall be true and correct, and all action required pursuant to Section4.6 shall have been taken with respect to the Equipment and Inventory;

                (b) cause the Equipment to bemaintained and preserved in good repair and working order, ordinary wear andtear excepted, and in accordance with any manufacturer’s manual unless suchGrantor determines in good faith that the repair or maintenance of suchproperty is no longer economically feasible; and forthwith, or in the case ofany loss or damage to any of the Equipment, as quickly as practicable after theoccurrence thereof, make or cause to be made all repairs, replacements, andother improvements in connection therewith which are necessary or desirable tosuch end; and promptly furnish to the Administrative Agent a statementrespecting any loss or damage to any of the Equipment; and

                (c)pay promptly when due all property and other taxes, assessments andgovernmental charges or levies imposed upon, and all claims (including claimsfor labor, materials and supplies) against, the Equipment and Inventory, exceptto the extent the validity thereof is being contested in good faith byappropriate proceedings and for which adequate reserves in accordance with GAAPhave been set aside.

                SECTION4.3. As to Receivables. (a) Each Grantor will keep its chief executiveoffice and the office(s) where it keeps its records concerning the Receivables,and all originals of all chattel paper which evidences Receivables located atthe addresses set forth in Item D of Schedule II hereto, or, upon30 days’ prior written notice to the Administrative Agent, at such otherlocations in a jurisdiction where all actions required by Section 4.6shall have been taken with respect to the Receivables and other Collateral. NoGrantor will change its name or federal taxpayer identification number exceptupon 30 days’ prior written notice to the Administrative Agent. In addition,each Grantor shall supplement the information contained in Schedule II heretoon the Compliance Certificate on each date a Compliance Certificate is requiredto be delivered to the Administrative Agent under the Credit Agreement,including any changes to the information set forth in Section 3.3. 

                (b) Each Grantor shall have theright to collect all Receivables so long as no Specified Event shall haveoccurred and be continuing.

                (c) Upon (i) the occurrence andcontinuance of a Specified Event and (ii) the delivery of written notice by theAdministrative Agent to each Grantor, all proceeds of Collateral received bysuch Grantor shall be delivered in kind to the Administrative Agent for depositto a deposit account (the “Collateral Account”) of such Grantormaintained with the Administrative Agent, and such Grantor shall not commingleany such proceeds, and shall hold separate and apart from all other property,all such proceeds in express trust for the benefit of the Administrative Agentuntil delivery thereof is made to the Administrative Agent.

                (d) Following the delivery ofnotice pursuant to clause (c)(ii) of this Section, the AdministrativeAgent shall have the right to apply any amount in the Collateral Account to thepayment of any Obligations which are due and payable. 

                (e) With respect to theCollateral Account, it is hereby confirmed and agreed that (i) deposits in eachCollateral Account are subject to a security interest as contemplated hereby,(ii) each such Collateral Account shall be under the sole dominion and controlof the Administrative Agent and (iii) the Administrative Agent shall have thesole right of withdrawal over such Collateral Account.

                SECTION4.4. As to Collateral. 

                (a) Subject to clause (b)of this Section, each Grantor (i) may in the ordinary course of its business,at its own expense, sell, lease or furnish under the contracts of service anyof the Inventory normally held by such Grantor for such purpose, and use andconsume, in the ordinary course of its business, any raw materials, work inprocess or materials normally held by such Grantor for such purpose, (ii) will,at its own expense, endeavor to collect, as and when due, all amounts due withrespect to any of the Collateral, including the taking of such action withrespect to such collection as the Administrative Agent may reasonably requestfollowing the occurrence of a Specified Event or, in the absence of suchrequest, as such Grantor may deem advisable, and (iii) may grant, in theordinary course of business, to any party obligated on any of the Collateral,any rebate, refund or allowance to which such party may be lawfully entitled,and may accept, in connection therewith, the return of goods, the sale or leaseof which shall have given rise to such Collateral.

                (b) At any time following theoccurrence and during the continuance of a Specified Event, whether before orafter the maturity of any of the Obligations, the Administrative Agent may (i)revoke any or all of the rights of any Grantor set forth in clause (a),(ii) notify any parties obligated on any of the Collateral to make payment tothe Administrative Agent of any amounts due or to become due thereunder and (iii)enforce collection of any of the Collateral by suit or otherwise and surrender,release, or exchange all or any part thereof, or compromise or extend or renewfor any period (whether or not longer than the original period) anyindebtedness thereunder or evidenced thereby.

                (c) Upon request of theAdministrative Agent following the occurrence and during the continuance of aSpecified Event, each Grantor will, at its own expense, notify any partiesobligated on any of the Collateral to make payment to the Administrative Agentof any amounts due or to become due thereunder.

                (d) Each Grantor herebyauthorizes the Administrative Agent to endorse, in the name of such Grantor,any item, howsoever received by the Administrative Agent, representing anypayment on or other proceeds of any of the Collateral.

                SECTION4.5. As to Intellectual Property Collateral. Each Grantor covenants andagrees to comply with the following provisions as such provisions relate to anyIntellectual Property Collateral material to the operations or business of suchGrantor:

                (a) such Grantor will not (i) door fail to perform any act whereby any of the Patent Collateral may lapse orbecome abandoned or dedicated to the public or unenforceable, (ii) permit anyof its licensees to (A) fail to continue to use any of the Trademark Collateralin order to maintain all of the Trademark Collateral in full force free fromany claim of abandonment for non-use, (B) fail to maintain as in the past thequality of products and services offered under all of the Trademark Collateral,(C) fail to employ all of the Trademark Collateral registered with any federalor state or foreign authority with an appropriate notice of such registration,(D) adopt or use any other Trademark which is confusingly similar or acolorable imitation of any of the Trademark Collateral, (E) use any of theTrademark Collateral registered with any federal, state or foreign authorityexcept for the uses for which registration or application for registration ofall of the Trademark Collateral has been made or (F) do or permit any act orknowingly omit to do any act whereby any of the Trademark Collateral may lapseor become invalid or unenforceable, or (G) do or permit any act or knowinglyomit to do any act whereby any of the Copyright Collateral or any of the TradeSecrets Collateral may lapse or become invalid or unenforceable or placed inthe public domain except upon expiration of the end of an unrenewable term of aregistration thereof, unless, in the case of any of the foregoing requirementsin clauses (i), (ii) and (iii), such Grantor shall either(x) reasonably and in good faith determine that any of such IntellectualProperty Collateral is of negligible economic value to such Grantor, or (y)have a valid business purpose to do otherwise;

                (b) such Grantor shall promptlynotify the Administrative Agent if it knows, or has reason to know, that anyapplication or registration relating to any material item of the IntellectualProperty Collateral may become abandoned or dedicated to the public or placedin the public domain or invalid or unenforceable, or of any adversedetermination or development (including the institution of, or any suchdetermination or development in, any proceeding in the United States Patent andTrademark Office, the United States Copyright Office or any foreign counterpartthereof or any court) regarding such Grantor’s ownership of any of theIntellectual Property Collateral, its right to register the same or to keep andmaintain and enforce the same; 

                (c) in no event will suchGrantor or any of its agents, employees, designees or licensees file anapplication for the registration of any Intellectual Property Collateral withthe United States Patent and Trademark Office, the United States CopyrightOffice or any similar office or agency in any other country or any politicalsubdivision thereof, unless it promptly informs the Administrative Agent, andupon request of the Administrative Agent (subject to the terms of the CreditAgreement), executes and delivers all agreements, instruments and documents asthe Administrative Agent may reasonably request to evidence the AdministrativeAgent’s security interest in such Intellectual Property Collateral;

                (d) such Grantor will take allnecessary steps, including in any proceeding before the United States Patentand Trademark Office, the United States Copyright Office or (subject to theterms of the Credit Agreement) any similar office or agency in any othercountry or any political subdivision thereof, to maintain and pursue anyapplication (and to obtain the relevant registration) filed with respect to,and to maintain any registration of, the Intellectual Property Collateral,including the filing of applications for renewal, affidavits of use, affidavitsof incontestability and opposition, interference and cancellation proceedingsand the payment of fees and taxes (except to the extent that dedication,abandonment or invalidation is permitted under the foregoing clause (a)or (b)); and

                (e)such Grantor will promptly (but no less than quarterly) execute and deliver tothe Administrative Agent (as applicable) a Patent Security Agreement, TrademarkSecurity Agreement and/or Copyright Security Agreement, as the case may be, inthe forms of Exhibit B, Exhibit C and Exhibit D heretofollowing its obtaining an interest in any such Intellectual Property, andshall execute and deliver to the Administrative Agent any other documentrequired to acknowledge or register or perfect the Administrative Agent’sinterest in any part of such item of Intellectual Property Collateral.

                SECTION4.6. Further Assurances, etc. Each Grantor agrees that, from time totime at its own expense, it will promptly execute and deliver all furtherinstruments and documents, and take all further action, that may be necessaryor that the Administrative Agent may reasonably request, in order to perfect,preserve and protect any security interest granted or purported to be grantedhereby or to enable the Administrative Agent to exercise and enforce its rightsand remedies hereunder with respect to any Collateral. Without limiting thegenerality of the foregoing, each Grantor will

                (a) from time to time upon therequest of the Administrative Agent, promptly deliver to the AdministrativeAgent such stock powers, instruments and similar documents, satisfactory inform and substance to the Administrative Agent, with respect to such Collateralas the Administrative Agent may reasonably request and will, from time to timeupon the request of the Administrative Agent after the occurrence and duringthe continuance of any Specified Event promptly transfer any securitiesconstituting Collateral into the name of any nominee designated by theAdministrative Agent; if any Receivable shall be evidenced by an instrument, negotiabledocument or chattel paper, deliver and pledge to the Administrative Agenthereunder such instrument, negotiable document or chattel paper duly endorsedand accompanied by duly executed instruments of transfer or assignment, all inform and substance satisfactory to the Administrative Agent;

                (b) execute and file (or causeto be filed) such Filing Statements or continuation statements, or amendmentsthereto, and such other instruments or notices (including any assignment ofclaim form under or pursuant to the federal assignment of claims statute, 31U.S.C. § 3726, any successor or amended version thereof or any regulationpromulgated under or pursuant to any version thereof), as may be necessary orthat the Administrative Agent may reasonably request in order to perfect andpreserve the security interests and other rights granted or purported to begranted to the Administrative Agent hereby;

                (c)deliver to the Administrative Agent and at all times keep pledged to theAdministrative Agent pursuant hereto, on a first-priority, perfected basis, atthe reasonable request of the Administrative Agent, all investment propertyconstituting Collateral, all Dividends and Distributions with respect thereto,all Intercompany Notes (duly endorsed by such Grantor to the order of theAdministrative Agent), and all interest and principal with respect to theIntercompany Notes, and all proceeds and rights from time to time received byor distributable to such Grantor in respect of any of the foregoing Collateral;

                (d) not enter into any agreementamending, supplementing or waiving any provision of any Intercompany Note(including any underlying instrument pursuant to which such Intercompany Noteis issued), or compromising, releasing or extending the time for payment of anyobligation of the maker thereof;

                (e) not take or omit to take anyaction the taking or the omission of which would result in any impairment oralteration of any obligation of the maker of any Intercompany Note or otherinstrument constituting Collateral; and

                (f) furnish to theAdministrative Agent, from time to time at the Administrative Agent’s request,statements and schedules further identifying and describing the Collateral andsuch other reports in connection with the Collateral as the AdministrativeAgent may reasonably request, all in reasonable detail. 

With respect to the foregoing and thegrant of the security interest hereunder, each Grantor hereby authorizes theAdministrative Agent to file one or more financing or continuation statements,and amendments thereto, relative to all or any part of the Collateral withoutthe signature of such Grantor where permitted by law. Each Grantor agrees thata carbon, photographic or other reproduction of this Security Agreement or anyfinancing statement covering the Collateral or any part thereof shall besufficient as a financing statement where permitted by law.

ARTICLEVTHE ADMINISTRATIVE AGENT

                SECTION5.1. Administrative Agent Appointed Attorney-in-Fact. Each Grantorhereby irrevocably appoints the Administrative Agent its attorney-in-fact, withfull authority in the place and stead of such Grantor and in the name of suchGrantor or otherwise, from time to time in the Administrative Agent’sdiscretion, following the occurrence and during the continuance of a SpecifiedEvent, to take any action and to execute any instrument which theAdministrative Agent may deem necessary or advisable to accomplish the purposesof this Security Agreement, including:

                (a) to ask, demand, collect, suefor, recover, compromise, receive and give acquittance and receipts for moneysdue and to become due under or in respect of any of the Collateral;

                (b) to receive, endorse, andcollect any drafts or other instruments, documents and chattel paper, inconnection with clause (a) above;

                (c) to file any claims or takeany action or institute any proceedings which the Administrative Agent may deemnecessary or desirable for the collection of any of the Collateral or otherwiseto enforce the rights of the Administrative Agent with respect to any of theCollateral; and 

                (d) to perform the affirmativeobligations of such Grantor hereunder (including all obligations of suchGrantor pursuant to Section 4.6).

Each Grantor hereby acknowledges,consents and agrees that the power of attorney granted pursuant to this Sectionis irrevocable and coupled with an interest.

                SECTION5.2. Administrative Agent May Perform. If any Grantor fails to performany agreement contained herein within 30 days after written notice from theAdministrative Agent, the Administrative Agent may itself perform, or causeperformance of, such agreement, and the expenses of the Administrative Agentincurred in connection therewith shall be payable by suchGrantor pursuant to Section 6.4.

                SECTION5.3. Administrative Agent Has No Duty. The powers conferred on theAdministrative Agent hereunder are solely to protect its interest (on behalf ofthe Secured Parties) in the Collateral and shall not impose any duty on it toexercise any such powers. Except for reasonable care of any Collateral in itspossession and the accounting for moneys actually received by it hereunder, theAdministrative Agent shall have no duty as to any Collateral or responsibilityfor

                (a) ascertaining or takingaction with respect to calls, conversions, exchanges, maturities, tenders orother matters relative to any investment property, whether or not theAdministrative Agent has or is deemed to have knowledge of such matters, or

                (b) taking any necessary stepsto preserve rights against prior parties or any other rights pertaining to anyCollateral.

                SECTION5.4. Reasonable Care. The Administrative Agent is required to exercisereasonable care in the custody and preservation of any of the Collateral in itspossession; provided that the Administrative Agent shall be deemed tohave exercised reasonable care in the custody and preservation of any of theCollateral, if it takes such action for that purpose as any Grantor reasonablyrequests in writing at times other than upon the occurrence and during thecontinuance of any Specified Event, but failure of the Administrative Agent tocomply with any such request at any time shall not in itself be deemed afailure to exercise reasonable care.

ARTICLEVIREMEDIES

                SECTION6.1. Certain Remedies. If any Specified Event shall have occurred and becontinuing: 

                (a) The Administrative Agent mayexercise in respect of the Collateral, in addition to other rights and remediesprovided for herein or otherwise available to it, all the rights and remediesof a secured party on default under the UCC (whether or not the UCC applies tothe affected Collateral) and also may

                (i) require each Grantor to, andsuch Grantor hereby agrees that it will, at its expense and upon request of theAdministrative Agent forthwith, assemble all or part of the Collateral asdirected by the Administrative Agent and make it available to theAdministrative Agent at a place to be designated by the Administrative Agentwhich is reasonably convenient to both parties, and

                (ii) without notice except asspecified below, sell the Collateral or any part thereof in one or more parcelsat public or private sale, at any of the Administrative Agent’s offices orelsewhere, for cash, on credit or for future delivery, and upon such otherterms as the Administrative Agent may deem commercially reasonable. EachGrantor agrees that, to the extent notice of sale shall be required by law, atleast ten days prior notice to such Grantor of the time and place of any publicsale or the time after which any private sale is to be made shall constitutereasonable notification. The Administrative Agent shall not be obligated tomake any sale of Collateral regardless of notice of sale having been given. TheAdministrative Agent may adjourn any public or private sale from time to timeby announcement at the time and place fixed therefor, and such sale may,without further notice, be made at the time and place to which it was soadjourned.

                (b)All cash proceeds received by the Administrative Agent in respect of any sale of,collection from, or other realization upon, all or any part of the Collateralshall be applied by the Administrative Agent against, all or any part of theObligations as set forth in Section 2.7 of the Subsidiary Guaranty.

                (c) The Administrative Agent may

                (i) transfer all or any part ofthe Collateral into the name of the Administrative Agent or its nominee, withor without disclosing that such Collateral is subject to the Lien hereunder, 

                (ii) notify the partiesobligated on any of the Collateral to make payment to the Administrative Agentof any amount due or to become due thereunder,

                (iii) enforce collection of anyof the Collateral by suit or otherwise, and surrender, release or exchange allor any part thereof, or compromise or extend or renew for any period (whetheror not longer than the original period) any obligations of any nature of anyparty with respect thereto,

                (iv) endorse any checks, drafts,or other writings in any Grantor’s name to allow collection of the Collateral,

                (v) take control of any proceedsof the Collateral, and

                (vi) execute (in the name, placeand stead of any Grantor) endorsements, assignments, stock powers and otherinstruments of conveyance or transfer with respect to all or any of theCollateral.

                SECTION6.2. Securities Laws. If the Administrative Agent shall determine toexercise its right to sell all or any of the Collateral pursuant to Section6.1, each Grantor agrees that, upon request of the Administrative Agent,such Grantor will, at its own expense:

                (a) use its best efforts toexempt the Collateral under the state securities or “Blue Sky” laws and toobtain all necessary governmental approvals for the sale of the Collateral, asrequested by the Administrative Agent; and

                (b) do or cause to be done allsuch other acts and things as may be necessary to make such sale of theCollateral or any part thereof valid and binding and in compliance withapplicable law.

Each Grantor further acknowledges theimpossibility of ascertaining the amount of damages that would be suffered byany of the Secured Parties by reason of the failure of such Grantor to performany of the covenants contained in this Section and consequently, to the extentpermitted under applicable law, agrees that, if such Grantor shall fail toperform any of such covenants, it shall pay, as liquidated damages and not as apenalty, an amount equal to the value (as determined by the AdministrativeAgent) of the Collateral on the date the Administrative Agent shall demandcompliance with this Section.

                SECTION6.3. Compliance with Restrictions. Each Grantor agrees that in any saleof any of the Collateral whenever a Specified Event shall have occurred and becontinuing, the Administrative Agent is hereby authorized to comply with anylimitation or restriction in connection with such sale as it may be advised bycounsel is necessary in order to avoid any violation of applicable law(including compliance with such procedures as may restrict the number ofprospective bidders and purchasers, require that such prospective bidders andpurchasers have certain qualifications, and restrict such prospective biddersand purchasers to Persons who will represent and agree that they are purchasingfor their own account for investment and not with a view to the distribution orresale of such Collateral), or in order to obtain any required approval of thesale or of the purchaser by any Governmental Authority or official, and suchGrantor further agrees that such compliance shall not result in such sale beingconsidered or deemed not to have been made in a commercially reasonable manner,nor shall the Administrative Agent be liable nor accountable to such Grantorfor any discount allowed by the reason of the fact that such Collateral is soldin compliance with any such limitation or restriction.

                SECTION6.4. Protection of Collateral. The Administrative Agent may from time totime, at its option, perform any act which any Grantor fails to perform afterbeing requested in writing so to perform (it being understood that no such requestneed be given after the occurrence and during the continuance of a SpecifiedEvent) and the Administrative Agent may from time to time take any other actionwhich the Administrative Agent reasonably deems necessary for the maintenance,preservation or protection of any of the Collateral or of its security interesttherein.

ARTICLEVIIMISCELLANEOUS PROVISIONS

                SECTION7.1. Loan Document. This Security Agreement is a Loan Document executedpursuant to the Credit Agreement and shall (unless otherwise expresslyindicated herein) be construed, administered and applied in accordance with theterms and provisions thereof, including Article X thereof.

                SECTION7.2. Binding on Successors, Transferees and Assigns; Assignment. ThisSecurity Agreement shall remain in full force and effect until the TerminationDate has occurred, shall be binding upon each Grantor and its successors,transferees and assigns and shall inure to the benefit of and be enforceable byeach Secured Party and its successors, transferees and assigns; providedthat no Grantor may (unless otherwise permitted under the terms of the CreditAgreement) assign any of its obligations hereunder without the prior writtenconsent of all Lenders.

                SECTION7.3. Amendments, etc. No amendment to or waiver of any provision of thisSecurity Agreement, nor consent to any departure by any Grantor from itsobligations under this Security Agreement, shall in any event be effectiveunless the same shall be in writing and signed by the Administrative Agent (onbehalf of the Lenders or the Required Lenders, as the case may be, pursuant toSection 10.1 of the Credit Agreement) and then such waiver or consent shall beeffective only in the specific instance and for the specific purpose for whichgiven.

                SECTION7.4. Notices. All notices and other communications provided forhereunder shall be in writing or by facsimile and addressed, delivered ortransmitted to the appropriate party at the address or facsimile number of suchparty (in the case of any Grantor, in care of the Borrower) specified in theCredit Agreement or at such other address or facsimile number as may bedesignated by such party in a notice to the other party. Any notice or othercommunication, if mailed and properly addressed with postage prepaid or ifproperly addressed and sent by pre-paid courier service, shall be deemed givenwhen received; any such notice or other communication, if transmitted byfacsimile, shall be deemed given when transmitted and electronically confirmed.

                SECTION7.5. Release of Liens. Upon (a) the Disposition of Collateral inaccordance with the Credit Agreement or (b) the occurrence of the TerminationDate, the security interests granted herein shall automatically terminate withrespect to (i) such Collateral (in the case of clause (a)) or (ii) allCollateral (in the case of clause (b)). Upon any such Disposition ortermination, the Administrative Agent will, at the applicable Grantor’s soleexpense, deliver to such Grantor, without any representations, warranties orrecourse of any kind whatsoever, all Collateral held by the AdministrativeAgent hereunder, and execute and deliver to such Grantor such documents as suchGrantor shall reasonably request to evidence such termination.

                SECTION7.6. Additional Grantors. Upon the execution and delivery by any otherPerson of a supplement in the form of Annex I hereto, such Person shallbecome a “Grantor” hereunder with the same force and effect as if it wereoriginally a party to this Security Agreement and named as a “Grantor” hereunder.The execution and delivery of such supplement shall not require the consent ofany other Grantor hereunder, and the rights and obligations of each Grantorhereunder shall remain in full force and effect notwithstanding the addition ofany new Grantor as a party to this Security Agreement.

                SECTION7.7. No Waiver; Remedies. In addition to, and not in limitation of Section2.4, no failure on the part of any Secured Party to exercise, and no delayin exercising, any right hereunder shall operate as a waiver thereof, nor shallany single or partial exercise of any right hereunder preclude any other orfurther exercise thereof or the exercise of any other right. The remediesherein provided are cumulative and not exclusive of any remedies provided bylaw. 

                SECTION7.8. Section Captions. Section captions used in this Security Agreementare for convenience of reference only, and shall not affect the construction ofthis Security Agreement.

                SECTION7.9. Severability. Wherever possible each provision of this SecurityAgreement shall be interpreted in such manner as to be effective and validunder applicable law, but if any provision of this Security Agreement shall beprohibited by or invalid under such law, such provision shall be ineffective tothe extent of such prohibition or invalidity, without invalidating theremainder of such provision or the remaining provisions of this SecurityAgreement.

                SECTION7.10. Governing Law, Entire Agreement, etc. **THIS SECURITY AGREEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER ANDGOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCHPURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATEOF NEW YORK).**This Security Agreement and the other Loan Documentsconstitute the entire understanding among the parties hereto with respect tothe subject matter hereof and thereof and supersede any prior agreements,written or oral, with respect thereto. 

                SECTION7.11. Counterparts. This Security Agreement may be executed by theparties hereto in several counterparts, each of which shall be deemed to be anoriginal and all of which shall constitute together but one and the sameagreement.

** * * *

                INWITNESS WHEREOF, each of the parties hereto has caused this Security Agreementto be duly executed and delivered 

by its Authorized Officer as of the datefirst above written.
 USP NEVADA HOLDINGS, LLC USP TEXAS, L.P. HEALTH HORIZONS OF NASHVILLE, INC. HEALTH HORIZONS OF KANSAS CITY, INC. HEALTH HORIZONS OF MURFREESBORO, INC. HEALTH HORIZONS OF DECATUR, INC. USP NEVADA, INC. USP WINTER PARK, INC. USP LONG ISLAND, INC. USP NORTH TEXAS, INC. USP NEW JERSEY, INC. TEXAS OUTPATIENT SURGICARE CENTER, INC. USP CHANDLER, INC. USP SOUTH HOUSTON, INC. USP PASADENA, INC. USP MANHATTAN, INC. ORTHOLINK PHYSICIANS CORPORATION ORTHOEXCEL, INC. GEORGIA MUSCULOSKELETAL NETWORK, INC. TENNESSEE MUSCULOSKELETAL NETWORK, INC. ORTHOLINK OCCUPATIONAL MEDICINE SERVICES CORPORATION ORTHOLINK SECURITIES CORPORATION ORTHOLINK OF COLORADO, INC. SOUTHWEST SPINE CENTER, INC. NEURO-SURGICAL ASSOCIATES, INC. ORTHOLINK ASC CORPORATION ORTHOLINK/GEORGIA ASC, INC. ORTHOLINK/NEW MEXICO ASC, INC. ORTHOLINK/TN ASC, INC. DAY-OP SU RGERY CONSULTING COMPANY, LLC DAY-OP MANAGEMENT COMPANY, INC. USP LAS CRUCES, INC. MEDICAL DOCUMENTATING SYSTEMS, INC. MEDCENTER MANAGEMENT SERVICES, INC.       By: /s/ Mark A. Kopser    Name: Mark A. Kopser  Title: Chief Financial Officer and Vice  President
 

 
 CREDIT SUISSE FIRST BOSTON, as Administrative Agent      By: /s/ Williams S. Lutkins    Title: Vice President          By: /s/ Julia P. Kingsbury    Title: Vice President
 

SCHEDULEIto Subsidiary Pledge and Security Agreement

                ItemA. Intercompany Notes
MakerPayee Maximum  Amount of Intercompany Loans Evidenced Thereby Date          Day-Op  Acquisition Corp. (subsequently merged into Day-Op Center of Long Island,  Inc.)Day-Op  Surgery Consulting Company, L.L.C. (f/k/a USP Administrative Subsidiary, LLC) $950,000 1/4/2000        Day-Op  Acquisition Corp. (subsequently merged into Day-Op Center of Long Island,  Inc.)Day-Op  Surgery Consulting Company, L.L.C. (f/k/a USP Administrative Subsidiary, LLC) $10,450,000 1/4/2000        DeSoto  Surgicare Partners, Ltd.USP  Texas, L.P. $989,000 7/1/2000        
 

                ItemB. Equity Interests

 
      Common Stock            # of Authorized Outstanding % of Shares PledgorIssuer  (corporate)Cert. # Shares Shares Shares Pledged                  Day-Op  Surgery Consulting Company, L.L.C.Day-Op  Management Company, Inc.3 200 200 200 100%             OrthoLink  Physicians CorporationOrtho  Excel, Inc. AB101 648.1113 10,000,000 648.1113 100%             OrthoExcel,  Inc.Medical  Documenting Systems, Inc.A002   100   1,000   100   100% OrthoExcel,  Inc.MedCenter  Management Services, Inc.2     100     750     750     100%             
 

 
      Common Stock            # of Authorized Outstanding % of Shares PledgorIssuer  (corporate)Cert. # Shares Shares Shares Pledged                  OrthoLink  Physicians CorporationGeorgia  Musculoskeletal Network, Inc.1 1,000 1,000 1,000 100%             OrthoLink  Physicians CorporationTennessee  Musculoskeletal Network, Inc.2 1,000 1,000 1,000 100%             OrthoLink  Physicians CorporationOrthoLink  Occupational Medicine Services Corporation1 1,000 1,000 1,000 100%             OrthoLink  Physicians CorporationOrthoLink  Securities Corp.1 1,000 1,000 1,000 100%             OrthoLink  Physicians CorporationOrthoLink  of Colorado, Inc.14 440.772 750 440.772 100%             OrthoLink  Physicians CorporationSouthwest  Spine Center, Inc.3 675 1,000 675 100%             OrthoLink  Physicians CorporationNeuro-Surgical  Associates, Inc.3 80 25,000 80 100%             OrthoLink  Physicians CorporationOrthoLink  ASC Corporation1 1,000 1,000 1,000 100%             OrthoLink  ASC CorporationOrthoLink/Georgia  ASC, Inc.1 1,000 1,000 1,000 100%             OrthoLink  ASC CorporationOrthoLink/New  Mexico ASC, Inc.1 1,000 1,000 1,000 100%             OrthoLink  ASC CorporationOrthoLink/TN  ASC, Inc.1 100 1,000 100 100% 
 

 
   Limited Liability Company Interests     PledgorIssuer   (limited liability company) % of Interests Owned % of Interests Pledged    USP  North Texas, Inc.USP  Nevada Holdings, LLC 100% 100%        USP  Long Island, Inc.Day-Op  Surgery Consulting Company, L.L.C 100% 100%        USP  Manhattan, Inc. NYCAS  Administrative Services, L.L.C. 100% 100%        USP  Las Cruces, Inc.Las  Cruces Surgical Center, LLC 50% 100%        OrthoLink  ASC CorporationOrthoLink/Baptist  ASC, LLC 49% 100%        OrthoLink  ASC CorporationOrthoLink/Murfreeboro  ASC, LLC 31% 100% 
 
   Partnership Interests   PledgorIssuer   (partnership) % of Partnership Interests Owned % of Partnership  Interests Pledged  USP  North Texas, Inc.USP  Texas, L.P. 1% 100%      USP  Nevada Holdings, LLCUSP  Texas, L.P. 99% 100%      Health  Horizons of Nashville, Inc.Physicians  Pavilion, L.P. 72.4% 100%      Health  Horizons of Kansas City, Inc.Creekwood  Surgery Center, L.P. 75% 100%      Health  Horizons of Murfreesboro, Inc.Middle  Tennessee Ambulatory Surgery Center, L.P. 36.5% 100%      Health  Horizons of Decatur, Inc.Decatur  Surgery Center, L.P. 66% 100%      USP  Winter Park, Inc.University  Surgery Center, Ltd. 70% 100%      Texas  Outpatient Surgicare Center, Inc.TOPS  Specialty Hospital, Ltd. 55% 100%      USP  South Houston, Inc. United  Surgery Center - Southeast Ltd. 94.5% 100%      USP  Pasadena, Inc. Doctors  Outpatient Surgicenter, Ltd. 91.25% 100%      OrthoLink  Physicians CorporationMiddle  Tennessee Ambulatory Surgery Center, L.P. 2.48% 100%      OrthoLink/Georgia  ASC, IncEast-West  Surgery Center, L.P. 99% 100%      OrthoLink/New  Mexico ASC, Inc.New  Mexico Orthopaedic Surgery Center, L.P. 51% 100%
 

 

SCHEDULEIIto Subsidiary Pledge and Security Agreement

Item A. Location of Equipment

 
GrantorDescriptionLocation
 

                SeeItem D.

Item B. Location of Inventory

                SeeItem D.

Item C. Location of Lock Boxes

                None.

Item D. Places of Business and ChiefExecutive Office

 
   Federal Taxpayer GrantorAddress Identification Number   Day-Op  Management Company, Inc.Day-Op  Center of Long Island  110 Willis Avenue  Mineola, NY 11501 11-2908189      Day-Op  Surgery Consulting Company, LLCDay-Op  Center of Long Island  110 Willis Avenue  Mineola, NY 11501 75-2790863      Georgia  Muscoloskeletal Network, Inc.5901  Peachtree Dunwoody Road  Suite 300  Atlanta, GA 30328 62-1749874      Health  Horizons of Decatur, Inc. Decatur  Surgery Center  2828 Highway 31 South (35603)  P.O. Box 747  Decatur, AL 35602 62-1497774      Health  Horizons of Kansas City, Inc.Creekwood  Surgery Center  211 Northeast 54thStreet  Suite 100  Kansas City, MO 64118 62-1545988      Health  Horizons of Murfreesboro, Inc.Middle  Tennessee Ambulatory Surgery Center  503 E. Bell St., Suite 100  Murfreesboro, TN 37130 62-1699666      Health  Horizons of Nashville, Inc.Physicians  Pavilion Surgery Ctr  360 Wallace Road  Nashville, TN 37211 62-1481503      MedCenter  Management Services, Inc.103  Powell Court, Suite 350  Brentwood, TN 37027 31-1277552      Medical  Documenting Systems, Inc.103  Powell Court, Suite 350  Brentwood, TN 37027 41-1636501      Neuro-Surgical  Associates, Inc.201  Cedar St. S.E.  Suite 7650  Albuquerque, NM 87106 85-0213432      OrthoExcel,  Inc.103  Powell Court, Suite 350  Brentwood, TN 37027 31-1447996      OrthoLink  ASC Corporation103  Powell Court, Suite 350  Brentwood, TN 37027 62-1691093      OrthoLink  Occupational  Medicine Services Corporation103  Powell Court, Suite 350  Brentwood, TN 37027 62-1723531      OrthoLink  of Colorado, Inc.8200  E. Belleview Ave  Suite 615  Englewood, CO 80111 84-1415404      OrthoLink  Physicians Corporation103  Powell Court, Suite 350  Brentwood, TN 37027 62-1646034      OrthoLink  Securities Corporation103  Powell Court, Suite 350  Brentwood, TN 37027 62-1781381      OrthoLink/Georgia  ASC, Inc.103  Powell Court, Suite 350 Brentwood, TN  37027 62-1832694      OrthoLink/New  Mexico ASC, Inc.201  Cedar St. S.E.  Suite 7650  Albuquerque, NM 87106 62-1807450      OrthoLink/TN  ASC, Inc.103  Powell Court, Suite 350  Brentwood, TN 37027 62-1825621      Southwest  Spine Center, Inc.201  Cedar St. S.E.  Suite 7650  Albuquerque, NM 87106 85-0255325      Tennessee  MusculoskeletalNetwork, Inc.103  Powell Court, Suite 350  Brentwood, TN 37027 62-1709381      Texas  Outpatient Surgicare Center, Inc.TOPS  Surgical Specialty Hospital  17080 Red Oak Dr.  Houston, TX 77090 74-2112653      USP  Chandler, Inc. Warner  Park Surgery Center  604 W. Warner Rd., Bldg. A  Chandler, AZ 85225 75-282457      USP  Las Cruces, Inc. 1205  S. Telshor Blvd.  Las Cruces, NM 88011 75-2924966      USP  Long Island, Inc.Day-Op  Center of Long Island  110 Willis Avenue  Mineola, NY 11501 75-2853167      USP  Manhattan, Inc.Day-Op  Center of Long Island  110 Willis Avenue  Mineola, NY 11501 13-4090380      USP  Nevada Holdings, LLC101  Convention Center Dr.  Suite 850  Las Vegas, NV 89109 88-0452476      USP  Nevada, Inc.Parkway  Surgery Center  100 N. Green Valley Parkway  # 125  Henderson, NV 89014 88-0401393      USP  New Jersey, Inc.Shrewsbury  Surgery Center  655 Shrewsbury Avenue  Shrewsbury, NJ 07702 75-2839367      USP  North Texas, Inc.17103  Preston Road  Suite 200 North  Dallas, TX 75248 75-2851636      USP  Pasadena, Inc.Doctors  Outpatient Surgicenter  3534 Vista Boulevard  Pasadena, TX 77504 75-2832362      USP  South Houston, Inc.United  Surgery Center - Southeast  12700 N. Featherwood Dr.  Suite 100  Houston, TX 77034 75-2832364      USP  Texas, L.P.17103  Preston Road  Suite 200 North  Dallas, TX 75248 75-2850832      USP  Winter Park, Inc. University  Surgical Center  7251 University Blvd., Suite 100  Winter Park, FL 32792 75-2785714 
Item E. Trade Names

                None.

Item F. Merger or Other CorporateReorganization

                None.

Item G. Federal TaxpayerIdentification Number

                SeeItem D.

Item H. Government Contracts

                None.

SCHEDULEIIIto Subsidiary Pledge and Security Agreement

Item A. Patents

None.

Item B. Patent Licenses

None.

SCHEDULEIVto Subsidiary Pledge and Security Agreement

Item A. Trademarks

None.

Item B. Trademark Licenses

None.

SCHEDULEVto Subsidiary Pledge and Security Agreement

Item A. Copyrights/Mask Works

None.

Item B. Copyright/Mask Work Licenses

None.

SCHEDULEVIto Subsidiary Pledge and Security Agreement

TradeSecret or Know-How Licenses

None.

EXHIBITAto Subsidiary Pledge and Security Agreement

DEMANDNOTE

$____________ ____________ ___, ____

 

                FORVALUE RECEIVED, the undersigned, [NAME OF MAKER], a ____________ [corporation](the “Maker”), promises to pay on demand to the order of [NAME OFAPPLICABLE SUBSIDIARY], a ____________ [corporation] (the “Payee”), theprincipal sum of ____________________ DOLLARS ($____________) or such lesseramount which equals the aggregate unpaid principal amount of all intercompanyloans made by the Payee to the Maker.

                Theunpaid principal amount of this demand note (this “Note”) shall bearinterest at a rate equal to such rate per annum as shall be agreed upon fromtime to time by the Payee and the Maker, payable at such times as shall beagreed upon by the Payee and the Maker, and all payments of principal of andinterest on this Note shall be payable in same day or immediately availablefunds in Dollars. Except as set forth in the next sentence, all payments onthis Note shall be made by the Maker to the Payee’s account as notified to theMaker from time to time, and shall be evidenced on the books and records of theMaker and the Payee. The Maker hereby agrees that upon Credit Suisse FirstBoston (including its successors, transferees or assigns, referred to as the “AdministrativeAgent”) notifying the Maker that a Specified Event has occurred and iscontinuing (collectively referred to as a “Payment Event”), it will make(and the Payee irrevocably instructs the Maker to make) all payments ofprincipal and accrued interest on this Note on demand to an account identifiedby the Administrative Agent, and upon the delivery of such notice (which caninclude a facsimile notice), the Administrative Agent shall have all rights ofthe Payee to demand (and collect) payment of, and enforce all rights withrespect to, the Indebtedness evidenced by this Note.

                ThisNote is one of the Intercompany Notes referred to in the Subsidiary Pledge andSecurity Agreement, dated as of June 13, 2001 (as amended, supplemented,amended and restated or otherwise modified from time to time, the “SecurityAgreement”), among various Persons (including the Payee) and theAdministrative Agent and has been pledged to the Administrative Agent (for itsbenefit and the ratable benefit of each other Secured Party) as security forthe Obligations outstanding from time to time under the Loan Documents. Unlessotherwise defined herein or the context otherwise requires, terms used in thisNote have the meanings provided in (or by reference in) the Security Agreement.

**                THIS NOTE SHALL BE DEEMED TO BE A CONTRACT MADE UNDERAND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCHPURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATEOF NEW YORK). THE MAKER HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVESANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED ONTHIS NOTE. THE MAKER ACKNOWLEDGES AND AGREES THAT IT HAS RECEIVED FULL ANDSUFFICIENT CONSIDERATION FOR THIS PROVISION AND THAT THIS PROVISION IS AMATERIAL INDUCEMENT FOR THE PAYEE TO ACCEPT THIS NOTE.**
 [NAME OF MAKER]     By:     Title:       Pay to the order of CREDIT SUISSE FIRST  BOSTON, as Administrative Agent     [NAME OF APPLICABLE SUBSIDIARY]   By:     Title:
 

EXHIBITBto Subsidiary Pledge and Security Agreement

PATENTSECURITY AGREEMENT

                ThisPATENT SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),is made between [NAME OF APPLICABLE SUBSIDIARY], a ____________ [corporation](the “Grantor”), and CREDIT SUISSE FIRST BOSTON, as administrative agent(together with its successor(s) thereto in such capacity, the “AdministrativeAgent”) for each of the Secured Parties.

WI T N E S S E T H :

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among USP Domestic Holdings, Inc. (the “Borrower”),the Lenders, Lehman Commercial Paper Inc., as the Syndication Agent, SociétéGénérale, as the Documentation Agent, and the Administrative Agent, the Lendersand the Issuer have extended Commitments to make Credit Extensions to theBorrower;

                WHEREAS,in connection with the Credit Agreement, the Grantor has executed and delivereda Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, the “Security Agreement”);

                WHEREAS,pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 ofthe Security Agreement, the Grantor is required to execute and deliver thisAgreement and to grant to the Administrative Agent a continuing securityinterest in all of the Patent Collateral (as defined below) to secure allObligations; and

                WHEREAS,the Grantor has duly authorized the execution, delivery and performance of thisAgreement; and

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich are hereby acknowledged, the Grantor agrees, for the benefit of eachSecured Party, as follows:

                SECTION1. Definitions. Unless otherwise defined herein or the context otherwiserequires, terms used in this Agreement, including its preamble and recitals,have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,delivers, and transfers to the Administrative Agent, for its benefit and theratable benefit of each other Secured Party, and hereby grants to theAdministrative Agent, for its benefit and the ratable benefit of each otherSecured Party, a continuing security interest in all of the following property,whether now or hereafter existing or acquired by the Grantor (the “PatentCollateral”):

   (a) all of its letters patent andapplications for letters patent throughout the world, including all patentapplications in preparation for filing and each patent and patent applicationreferred to in Item A of Schedule I attached hereto; 

   (b) all reissues, divisions, continuations,continuations-in-part, extensions, renewals and reexaminations of any of theitems described in clause (a); 

   (c) all of its patent licenses, and otheragreements providing each Grantor with the right to use any items of the typereferred to in clauses (a) and (b) above, including each patent licensereferred to in Item B of Schedule I attached hereto; and

   (d) all proceeds of, and rights associatedwith, the foregoing (including license royalties and proceeds of infringementsuits), the right to sue third parties for past, present or future infringementsof any patent or patent application, and for breach or enforcement of anypatent license.

                SECTION3. Security Agreement. This Agreement has been executed and delivered bythe Grantor for the purpose of registering the security interest of the AdministrativeAgent in the Patent Collateral with the United States Patent and TrademarkOffice and corresponding offices in other countries of the world. The securityinterest granted hereby has been granted as a supplement to, and not inlimitation of, the security interest granted to the Administrative Agent forits benefit and the ratable benefit of each other Secured Party under theSecurity Agreement. The Security Agreement (and all rights and remedies of theAdministrative Agent and each Secured Party thereunder) shall remain in fullforce and effect in accordance with its terms.

                SECTION4. Release of Liens. Upon (i) the Disposition of Patent Collateral inaccordance with the Credit Agreement or (ii) the occurrence of the TerminationDate, the security interests granted herein shall automatically terminate withrespect to (A) such Patent Collateral (in the case of clause (i)) or (B)all Patent Collateral (in the case of clause (ii)). Upon any suchDisposition or termination, the Administrative Agent will, at the Grantor’ssole expense, deliver to the Grantor, without any representations, warrantiesor recourse of any kind whatsoever, all Patent Collateral held by theAdministrative Agent hereunder, and execute and deliver to the Grantor suchdocuments as the Grantor shall reasonably request to evidence such termination.

                SECTION 5. Acknowledgment. The Grantordoes hereby further acknowledge and affirm that the rights and remedies of theAdministrative Agent with respect to the security interest in the PatentCollateral granted hereby are more fully set forth in the Security Agreement,the terms and provisions of which (including the remedies provided for therein)are incorporated by reference herein as if fully set forth herein. 

                SECTION6. Loan Document. This Agreement is a Loan Document executed pursuant tothe Credit Agreement and shall (unless otherwise expressly indicated herein) beconstrued, administered and applied in accordance with the terms and provisionsthereof, including Article X thereof.

                SECTION7. Counterparts. This Agreement may be executed by the parties hereto inseveral counterparts, each of which shall be deemed to be an original and allof which shall constitute together but one and the same agreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Agreement to be duly executed and delivered by its AuthorizedOfficer as of the date first above written.
 [NAME OF APPLICABLE SUBSIDIARY]     By:     Title:       CREDIT SUISSE FIRST BOSTON,  as Administrative Agent       By: /s/ William S. Lutkins    Title: Vice President       By: /s/ Julia P. Kingsbury    Title: Vice President
 

SCHEDULEIto Patent Security Agreement

Item A. Patents
Issued  Patents      10/ CountryPatent  No.Issue  DateInventor(s)Title
 
Pending  Patent Applications10/ CountrySerial  No.Filing  DateInventor(s)Title
 
Patent  Applications in Preparation  Expected  10/ CountryDocket  No.Filing  DateInventor(s)Title
 

Item B. Patent Licenses
1/ Country or  EffectiveExpirationSubjectTerritoryLicensorLicenseeDateDateMatter
 
1/List items related to the United States  first for ease of recordation. List items related to other countries next,  grouped by country and in alphabetical order by country name.
 

EXHIBITCto Subsidiary Pledge and Security Agreement

TRADEMARKSECURITY AGREEMENT

                ThisTRADEMARK SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),is made between [NAME OF APPLICABLE SUBSIDIARY], a ____________ [corporation](the “Grantor”), and CREDIT SUISSE FIRST BOSTON, as administrative agent(together with its successor(s) thereto in such capacity, the “AdministrativeAgent”) for each of the Secured Parties.

WI T N E S S E T H :

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among USP Domestic Holdings, Inc. (the “Borrower”),the Lenders, Lehman Commercial Paper Inc., as the Syndication Agent, SociétéGénérale, as the Documentation Agent, and the Administrative Agent, the Lendersand the Issuer have extended Commitments to make Credit Extensions to theBorrower;

                WHEREAS,in connection with the Credit Agreement, the Grantor has executed and delivereda Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, the “Security Agreement”);

                WHEREAS,pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 ofthe Security Agreement, the Grantor is required to execute and deliver thisAgreement and to grant to the Administrative Agent a continuing securityinterest in all of the Trademark Collateral (as defined below) to secure allObligations; and

                WHEREAS,the Grantor has duly authorized the execution, delivery and performance of thisAgreement; and

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich are hereby acknowledged, the Grantor agrees, for the benefit of eachSecured Party, as follows:

                SECTION1. Definitions. Unless otherwise defined herein or the context otherwiserequires, terms used in this Agreement, including its preamble and recitals,have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,delivers, and transfers to the Administrative Agent, for its benefit and theratable benefit of each other Secured Party, and hereby grants to theAdministrative Agent, for its benefit and the ratable benefit of each otherSecured Party, a continuing security interest in all of the following property,whether now or hereafter existing or acquired by the Grantor (the “TrademarkCollateral”):

   (a) (i) all of its trademarks, trade names,corporate names, company names, business names, fictitious business names,trade styles, service marks, certification marks, collective marks, logos andother source or business identifiers, and all goodwill of the businessassociated therewith, now existing or hereafter adopted or acquired includingthose referred to in Item A of Schedule I hereto, whethercurrently in use or not, all registrations and recordings thereof and allapplications in connection therewith, whether pending or in preparation forfiling, including registrations, recordings and applications in the UnitedStates Patent and Trademark Office or in any office or agency of the UnitedStates of America or any State thereof or any other country or politicalsubdivision thereof or otherwise, and all common-law rights relating to theforegoing, and (ii) the right to obtain all reissues, extensions or renewals ofthe foregoing (collectively referred to as the “Trademark”);

   (b) all of the goodwill of the businessconnected with the use of, and symbolized by the items described in, clause(a), and to the extent applicable clause (b);

   (c) the right to sue third parties for past,present and future infringements of any Trademark Collateral described inclause (a) and, to the extent applicable, clause (b); and

   (d) all proceeds of, and rights associatedwith, the foregoing, including any claim by any Grantor against third partiesfor past, present or future infringement or dilution of any Trademark,Trademark registration or Trademark license, or for any injury to the goodwillassociated with the use of any such Trademark or for breach or enforcement ofany Trademark license and all rights corresponding thereto throughout theworld. 

                SECTION3. Security Agreement. This Agreement has been executed and delivered bythe Grantor for the purpose of registering the security interest of theAdministrative Agent in the Trademark Collateral with the United States Patentand Trademark Office and corresponding offices in other countries of the world.The security interest granted hereby has been granted as a supplement to, andnot in limitation of, the security interest granted to the Administrative Agentfor its benefit and the ratable benefit of each other Secured Party under theSecurity Agreement. The Security Agreement (and all rights and remedies of theAdministrative Agent and each Secured Party thereunder) shall remain in fullforce and effect in accordance with its terms.

                SECTION 4. Release of Liens. Upon (i) theDisposition of Trademark Collateral in accordance with the Credit Agreement or(ii) the occurrence of the Termination Date, the security interests grantedherein shall automatically terminate with respect to (A) such TrademarkCollateral (in the case of clause (i)) or (B) all Trademark Collateral(in the case of clause (ii)). Upon any such Disposition or termination,the Administrative Agent will, at the Grantor’s sole expense, deliver to theGrantor, without any representations, warranties or recourse of any kindwhatsoever, all Trademark Collateral held by the Administrative Agenthereunder, and execute and deliver to the Grantor such documents as the Grantorshall reasonably request to evidence such termination.

                SECTION5. Acknowledgment. The Grantor does hereby further acknowledge andaffirm that the rights and remedies of the Administrative Agent with respect tothe security interest in the Trademark Collateral granted hereby are more fullyset forth in the Security Agreement, the terms and provisions of which(including the remedies provided for therein) are incorporated by referenceherein as if fully set forth herein.

                SECTION6. Loan Document. This Agreement is a Loan Document executed pursuant tothe Credit Agreement and shall (unless otherwise expressly indicated herein) beconstrued, administered and applied in accordance with the terms and provisionsthereof, including Article X thereof.

                SECTION7. Counterparts. This Agreement may be executed by the parties hereto inseveral counterparts, each of which shall be deemed to be an original and allof which shall constitute together but one and the same agreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Agreement to be duly executed and delivered by its AuthorizedOfficer as of the date first above written.
 [NAME OF APPLICABLE SUBSIDIARY]     By:     Title:       CREDIT SUISSE FIRST BOSTON,  as Administrative Agent       By:     Title:       By:     Title:
 

SCHEDULEIto Trademark Security Agreement

Item A. Trademarks
Registered Trademarks  12/CountryTrademark Registration No. Registration Date    
 

 
Pending Trademark Applications  12/CountryTrademark Serial No. Filing Date    
 
Trademark Applications in Preparation       Expected Products/ 12/CountryTrademark Docket No. Filing Date Services     
 

Item B. Trademark Licenses
2/Country or      Effective Expiration TerritoryTrademark Licensor Licensee Date Date      2/List items related to the United States  first for ease of recordation. List items related to other countries next,  grouped by country and in alphabetical order by country name.
 

EXHIBITDto Subsidiary Pledge and Security Agreement

COPYRIGHTSECURITY AGREEMENT

                ThisCOPYRIGHT SECURITY AGREEMENT, dated as of ____________ ___, __ (this “Agreement”),is made between [NAME OF APPLICABLE SUBSIDIARY], a ____________ [corporation](the “Grantor”), and CREDIT SUISSE FIRST BOSTON, as administrative agent(together with its successor(s) thereto in such capacity, the “AdministrativeAgent”) for each of the Secured Parties.

WI T N E S S E T H :

                WHEREAS,pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,supplemented, amended and restated or otherwise modified from time to time, the“Credit Agreement”), among USP Domestic Holdings, Inc. (the “Borrower”),the Lenders, Lehman Commercial Paper Inc., as the Syndication Agent, SociétéGénérale, as the Documentation Agent, and the Administrative Agent, the Lendersand the Issuer have extended Commitments to make Credit Extensions to theBorrower;

                WHEREAS,in connection with the Credit Agreement, the Grantor has executed and delivereda Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, the “Security Agreement”);

                WHEREAS,pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 ofthe Security Agreement, the Grantor is required to execute and deliver thisAgreement and to grant to the Administrative Agent a continuing securityinterest in all of the Copyright Collateral (as defined below) to secure allObligations; and

                WHEREAS,the Grantor has duly authorized the execution, delivery and performance of thisAgreement; and

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich are hereby acknowledged, the Grantor agrees, for the benefit of eachSecured Party, as follows:

                SECTION1. Definitions. Unless otherwise defined herein or the context otherwiserequires, terms used in this Agreement, including its preamble and recitals,have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,delivers, and transfers to the Administrative Agent, for its benefit and theratable benefit of each other Secured Party, and hereby grants to theAdministrative Agent, for its benefit and the ratable benefit of each otherSecured Party, a continuing security interest in all of the following CopyrightCollateral (as defined below), whether now or hereafter existing or acquired bythe Grantor. 

                “CopyrightCollateral” means all copyrights of the Grantor, whether statutory orcommon law, registered or unregistered and whether published or unpublished,now or hereafter in force throughout the world including all of the Grantor’sright, title and interest in and to all copyrights registered in the UnitedStates Copyright Office or anywhere else in the world and also including thecopyrights referred to in Item A of Schedule I hereto, andregistrations and recordings thereof and all applications for registrationthereof, whether pending or in preparation, all copyright licenses, includingeach copyright license referred to in Item B of Schedule Ihereto, the right to sue for past, present and future infringements of any ofthe foregoing, all rights corresponding thereto, all extensions and renewals ofany thereof and all proceeds of the foregoing, including licenses, royalties,income, payments, claims, damages and proceeds of suit.

                SECTION3. Security Agreement. This Agreement has been executed and delivered bythe Grantor for the purpose of registering the security interest of theAdministrative Agent in the Copyright Collateral with the United StatesCopyright Office and corresponding offices in other countries of the world. Thesecurity interest granted hereby has been granted as a supplement to, and notin limitation of, the security interest granted to the Administrative Agent forits benefit and the ratable benefit of each other Secured Party under theSecurity Agreement. The Security Agreement (and all rights and remedies of theAdministrative Agent and each Secured Party thereunder) shall remain in fullforce and effect in accordance with its terms.

                SECTION4. Release of Liens. Upon (i) the Disposition of Copyright Collateral inaccordance with the Credit Agreement or (ii) the occurrence of the TerminationDate, the security interests granted herein shall automatically terminate withrespect to (A) such Copyright Collateral (in the case of clause (i)) or(B) all Copyright Collateral (in the case of clause (ii)). Upon any suchDisposition or termination, the Administrative Agent will, at the Grantor’ssole expense, deliver to the Grantor, without any representations, warrantiesor recourse of any kind whatsoever, all Copyright Collateral held by theAdministrative Agent hereunder, and execute and deliver to the Grantor suchdocuments as the Grantor shall reasonably request to evidence such termination.

                SECTION5. Acknowledgment. The Grantor does hereby further acknowledge andaffirm that the rights and remedies of the Administrative Agent with respect tothe security interest in the Copyright Collateral granted hereby are more fullyset forth in the Security Agreement, the terms and provisions of which(including the remedies provided for therein) are incorporated by referenceherein as if fully set forth herein.

                SECTION 6. Loan Document. This Agreementis a Loan Document executed pursuant to the Credit Agreement and shall (unlessotherwise expressly indicated herein) be construed, administered and applied inaccordance with the terms and provisions thereof, including Article X thereof.

                SECTION7. Counterparts. This Agreement may be executed by the parties hereto inseveral counterparts, each of which shall be deemed to be an original and allof which shall constitute together but one and the same agreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Agreement to be duly executed and delivered by its AuthorizedOfficer as of the date first above written.
 [NAME OF APPLICABLE SUBSIDIARY]     By:     Title:       CREDIT SUISSE FIRST BOSTON,  as Administrative Agent       By:     Title:       By:     Title:
 

SCHEDULEIto Copyright Security Agreement

Item A. Copyrights/Mask Works
Registered Copyrights/Mask Works  14/CountryRegistration No. Registration Date Author(s) Title     
 
Copyright/Mask Work Pending Registration  Applications  14/CountrySerial No. Filing Date Author(s) Title     
 
Copyright/Mask Work Registration Applications  in Preparation   Expected       14/CountryDocket No. Filing Date Author(s) Title     
 

Item B. Copyright/Mask Work Licenses
3/Country or    Effective Expiration TerritoryLicensor Licensee Date Date     
 
3/List items related to the United States  first for ease of recordation. List items related to other countries next,  grouped by country and in alphabetical order by country name.
 

ANNEXIto the Subsidiary Pledge and Security Agreement

SUPPLEMENTNO. [ ] TO SUBSIDIARYPLEDGE AND SECURITY AGREMENT

                ThisSUPPLEMENT, dated as of ____________ ___, _____ (this “Supplement”), isto the Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (asamended, supplemented, amended and restated or otherwise modified from time totime, the “Subsidiary Pledge and Security Agreement”), among theGrantors (such capitalized term, and other terms used in this Supplement, tohave the meanings set forth in Article I of the Subsidiary Pledge and SecurityAgreement) from time to time party thereto, in favor of CREDIT SUISSE FIRSTBOSTON, as administrative agent (together with its successor(s) thereto in suchcapacity, the “Administrative Agent”) for each of the Secured Parties.

WITNESSETH :

                WHEREAS,pursuant to the provisions of Section 7.7 of the Subsidiary Pledge and SecurityAgreement, each of the undersigned is becoming a Grantor under the SubsidiaryPledge and Security Agreement; and

                WHEREAS,each of the undersigned desires to become a “Grantor” under the SubsidiaryPledge and Security Agreement in order to induce the Secured Parties tocontinue to extend Credit Extensions under the Credit Agreement;

                NOW,THEREFORE, for good and valuable consideration, the receipt and sufficiency ofwhich is hereby acknowledged, each of the undersigned agrees, for the benefitof each Secured Party, as follows.

                SECTION1. Party to Subsidiary Pledge and Security Agreement, etc. In accordancewith the terms of the Subsidiary Pledge and Security Agreement, by itssignature below each of the undersigned hereby irrevocably agrees to become aGrantor under the Subsidiary Pledge and Security Agreement with the same forceand effect as if it were an original signatory thereto and each of theundersigned hereby (a) agrees to be bound by and comply with all of the termsand provisions of the Subsidiary Pledge and Security Agreement applicable to itas a Grantor and (b) represents and warrants that the representations andwarranties made by it as a Grantor thereunder are true and correct as of thedate hereof, unless stated to relate solely to an earlier date, in which casesuch representations and warranties shall be true and correct as of suchearlier date. In furtherance of the foregoing, each reference to a “Grantor”and/or “Grantors” in the Subsidiary Pledge and Security Agreement shall bedeemed to include each of the undersigned.

                SECTION 2. Representations. Each of theundersigned Grantor hereby represents and warrants that this Supplement hasbeen duly authorized, executed and delivered by it and that this Supplement andthe Subsidiary Pledge and Security Agreement constitute the legal, valid andbinding obligation of each of the undersigned, enforceable against it inaccordance with its terms.

                SECTION3. Full Force of Subsidiary Pledge and Security Agreement. Except asexpressly supplemented hereby, the Subsidiary Pledge and Security Agreementshall remain in full force and effect in accordance with its terms.

                SECTION4. Severability. Wherever possible each provision of this Supplementshall be interpreted in such manner as to be effective and valid underapplicable law, but if any provision of this Supplement shall be prohibited byor invalid under such law, such provision shall be ineffective to the extent ofsuch prohibition or invalidity, without invalidating the remainder of suchprovision or the remaining provisions of this Supplement or the SubsidiaryPledge and Security Agreement.

                SECTION5. Governing Law, Entire Agreement, etc. **THIS SUPPLEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNEDBY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSESECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEWYORK).**This Supplement and the other Loan Documents constitute theentire understanding among the parties hereto with respect to the subjectmatter thereof and supersede any prior agreements, written or oral, withrespect thereto.

                SECTION6. Counterparts. This Supplement may be executed by the parties heretoin several counterparts, each of which shall be deemed to be an original andall of which shall constitute together but one and the same agreement.

** * * *

                IN WITNESS WHEREOF, each of the parties heretohas caused this Agreement to be duly executed and delivered by its AuthorizedOfficer as of the date first above written.
 [NAME OF ADDITIONAL SUBSIDIARY]     By:     Title:       [NAME OF ADDITIONAL SUBSIDIARY]     By:     Title:      ACCEPTED AND AGREED FOR ITSELF  AND ON BEHALF OF THE SECURED PARTIES:   CREDIT SUISSE FIRST BOSTON,  as Administrative Agent      By: /s/ Julia P. Kingsbury    Title: Vice President       By: /s/ William S. Lutkins     Title: Vice President 
SCHEDULEIto Supplement No. ___to Subsidiary Pledge and Security Agreement([Name of Additional Subsidiary])

Item A. Intercompany Notes
Maker Maximum  Amount of Intercompany Loans Evidenced Thereby Date          
 

Item B. Equity Interests
  Common Stock      Authorized Outstanding % of Shares PledgorIssuer  (corporate)Shares Shares Pledged            
 
   Limited Liability Company Interests     PledgorIssuer   (limited liability company) % of Limited Liability Company Interests  Pledged Type of Limited Liability Company Interests  Pledged    
 
   Partnership Interests   PledgorIssuer   (partnership) % of Partnership Interests Owned % of Partnership  Interests Pledged  
 

SCHEDULEIIto Supplement No. ___to Subsidiary Pledge and Security Agreement([Name of Additional Subsidiary])

Item A. Location of Equipment
 DescriptionLocation 1.     2.     
 

Item B. Location of Inventory
 DescriptionLocation 1.     2.     
Item C. Location of Lock Boxes
Bank  Name and AddressAccount  NumberContact  Person1.     2.     
Item D. Places of Business and ChiefExecutive Office

Item E. Trade Names

Item F. Merger or Other CorporateReorganization

Item G. Federal TaxpayerIdentification Number

Item H. Government Contracts

SCHEDULEIIIto Supplement No. ___to Subsidiary Pledge and Security Agreement([Name of Additional Subsidiary])

Item A. Patents
Issued Patents              15/CountryPatent No. Issue Date Inventor(s) Title     
 
Pending Patent Applications  15/CountrySerial No. Filing Date Inventor(s) Title     
 
Patent Applications in Preparation  15/CountryDocket No. Expected  Filing Date Inventor(s) Title     
Item B. Patent Licenses
4/Country or    Effective Expiration Subject TerritoryLicensor Licensee Date Date Matter                                                  4/List items related to the United States  first for ease of recordation. List items related to other countries next,  grouped by country and in alphabetical order by country name.
 

SCHEDULEIVto Supplement No. ___to Subsidiary Pledge and Security Agreement([Name of Additional Subsidiary])

Item A. Trademarks
Registered Trademarks  5/CountryTrademark Registration No. Registration Date    
 

 
Pending Trademark Applications  16/CountryTrademark Serial No. Filing Date    
 
Trademark Applications in Preparation       Expected Products/ 16/CountryTrademark Docket No. Filing Date Services     
 

Item B. Trademark Licenses
16/Country or      Effective Expiration TerritoryTrademark Licensor Licensee Date Date                                                  5/List items related to the United States  first for ease of recordation. List items related to other countries next,  grouped by country and in alphabetical order by country name.
SCHEDULEVto Supplement No. ___to Subsidiary Pledge and Security Agreement([Name of Additional Subsidiary])

Item A. Copyrights/Mask Works
Registered Copyrights/Mask Works  17/CountryRegistration No. Registration Date Author(s) Title     
 
Copyright/Mask Work Pending Registration  Applications  17/CountrySerial No. Filing Date Author(s) Title     
 
Copyright/Mask Work Registration Applications  in Preparation   Expected       17/CountryDocket No. Filing Date Author(s) Title     
 

Item B. Copyright/Mask Work Licenses
6/Country or    Effective Expiration Subject TerritoryLicensor Licensee Date Date Matter      6/List items related to the United States  first for ease of recordation. List items related to other countries next,  grouped by country and in alphabetical order by country name.
 

SCHEDULEVIto Supplement No. ___to Subsidiary Pledge and Security Agreement([Name of Additional Subsidiary])

TradeSecret or Know-How Licenses
7/ Country or  EffectiveExpirationSubjectTerritoryLicensorLicenseeDateDateMatter                              7/*List items related to the United States  first for ease of recordation. List items related to other countries next,  grouped by country and in alphabetical order by country name.
 

 

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