Credit Agreement



 Exhibit 10.2 
 CREDIT AGREEMENT 
 THIS CREDIT AGREEMENT (the “Agreement”) is made and dated as of the
18th day of July, 2006, by and among BANK OF THE WEST (“BOW”) and the other lenders from time to time
party hereto (each of BOW and such other lenders, being referred to herein individually as a “Lender” and, collectively, as the “Lenders”), BOW, as agent for the Lenders (in such capacity, the “Agent”), BOW, as the
issuer of letters of credit hereunder (in such capacity, the “L/C Issuing Bank”), and SPACELABS HEALTHCARE, INC., a Delaware corporation (the “Company”). 
 RECITALS 
 A. Credit has previously been extended to the Company and OSI (as
such term and other capitalized terms not otherwise defined are defined in Paragraph 15 below) pursuant to that certain Second Amended and Restated Credit Agreement dated as of May 18, 2005 by and among the Agent, certain of the Lenders,
OSI and the Company (as amended to date, the “Existing Credit Agreement”). 
 B. The Company has requested that the Lenders provide
credit to the Company under new terms and separate and apart from credit extended to OSI, and the Lenders are willing to do so on the terms and conditions set forth herein. 
 NOW, THEREFORE, in consideration of the above Recitals and for other good and valuable consideration, the receipt and adequacy of which are hereby
acknowledged, the parties hereto hereby agree that the agreements of the Company in the Existing Credit Agreement, as incorporated herein, is amended and restated to read as follows and credit to the Company outstanding thereunder shall remain
outstanding on the following terms and conditions: 
 AGREEMENT 
 1. Revolving Credit Facility. 
 1(a) Credit Amount. 
 (1) On the terms and subject to the conditions set forth herein, the Lenders severally
agree that they shall from time to time to but not including the Revolving Loan Maturity Date (as that term and capitalized terms not otherwise defined herein are defined in Paragraph 15 below), make revolving loans (the “Revolving
Loans” or a “Revolving Loan”) to the Company, pro rata in accordance with their respective Percentage Shares; provided that, the aggregate amount of Revolving Loans and Swing Line Loans extended to the Company at any one time
outstanding may not exceed any of the following: 
 (A) (i) the Revolving Facility Credit Limit minus (ii) the aggregate
amount of all Outstanding Letters of Credit and unpaid L/C Drawings on such date; 
 (B) in the case of Revolving Loans
Outstanding Letters of Credit and unrepaid L/C Drawings denominated in an Agreed Currency other than Dollars, 90% of the Multicurrency Sublimit. 
 (2) On the terms and subject to the conditions set forth herein, the Swing Line Lender agrees to make swing line loans denominated in Dollars (the “Swing Line Loans” or a “Swing Line Loan”) to the
Company in an aggregate amount at any one time outstanding not to 










 
exceed the lesser of (i) the Swing Line Sublimit and (ii) the amount of the risk participations that the Lenders will be deemed to have purchased
therein. The Company shall make all payments of principal and interest in respect of the Swing Line Loans directly to the Swing Line Lender in Dollars. No Swing Line Loan may be refinanced with another Swing Line Loan. Each Lender shall be deemed
to, and hereby irrevocably and unconditionally agrees to purchase from the Swing Line Lender a risk participation in each Swing Line Loan and an amount equal to such Lender’s Percentage Share of such Swing Line Loan, in an aggregate amount
that, when added to such Lender’s Percentage Share of all Revolving Loans, Swing line Loans, Outstanding Letters of Credit and unreimbursed L/C Drawings does not exceed the amount of Revolving Loans that such Lender would be obligated to make
pursuant to the preceding subpagaraph (1). 
 (3) On the terms and subject to the conditions set forth herein, the Lenders
severally agree that they shall make term loans (the “Acquisition Loans or an “Acquisition Loan” and, collectively, with the Revolving Loans and Swing Line Loans, the “Loans”) to the Company in an initial installment of
$25,412,800 disbursed no later than August 31, 2006 and a second installment of no more than $1,987,200 disbursed no later than November 30, 2006, pro rata in accordance with their respective Percentage Shares; provided that, the
aggregate amount of Acquisition Loans extended to the Company may not exceed the Acquisition Facility Credit Limit. The Acquisition Loans are term loans and, once repaid, may not be reborrowed. 
 1(b) Principal Repayment. 
 (1) The Company shall pay the principal amount of each Revolving Loan on the Revolving Loan Maturity Date. 
 (2) The Company shall repay each Swing Line Loan to the Swing Line Lender, for its own account, on the earlier of five Business Days after the date such Swing Line Loan is made and the Revolving Loan Maturity Date.

 (3) The Company shall repay the amount of Acquisition Loans initially disbursed in an initial repayment installment of
$907,600 on the last Business Day of September, 2006; thereafter, Acquisition Loans shall be repaid in installments equal to (i) the amount of such initial Acquisition Loans remaining outstanding plus the amount of any second disbursement of
Term Loans divided by (ii) twenty-seven (27), payable on the last Business Day of December, 2006 and on the last Business Day of each March, June, September and December thereafter. Acquisition Loans remaining outstanding on the Acquisition
Loan Maturity Date shall then be repayable in full. 
 (4) Principal amounts of Revolving Loans and Swing Line Loans prepaid
hereunder may be reborrowed on the terms and subject to the conditions set forth in Paragraph 8(b) below. 
 1(c)
Payment of Interest. Interest on Loans shall be payable as provided in Paragraphs 5(b) and 5(d) below. 
 1(d) Use of Proceeds. The proceeds of Revolving Loans and Swing line Loans shall be used for working capital and general corporate needs. The proceeds of Revolving Loans may be used to repay Swing Line Loans as provided herein. The
proceeds of the Acquisition Loans will be used to finance the Transaction. 









 1(e) Swing Line Loan Terms. 
 (1) Until the earlier of the Maturity Date and the occurrence and continuance of a Potential Default or an Event of Default, the Swing
Line Lender, in its sole and absolute discretion, may request on behalf of the Company (which hereby irrevocably authorizes the Swing Line Lender to so request on its behalf) that each Lender make a Revolving Loan that is a Prime Rate Loan, in an
amount equal to such Lender’s Percentage Share of the Swing Line Loans outstanding. Such request shall be made in writing (which written request shall be deemed a Loan Request for purposes hereof) and in accordance with the requirements of this
Agreement, without regard to the minimum and multiples specified herein for the principal amount of Prime Rate Loans. The Swing Line Lender shall furnish the Company with a copy of such request after delivering the same to the Agent. Each Lender
shall make an amount equal to its Percentage Share of the Swing Lines Loans available to the Agent in immediately available funds for the account of the Swing Line Lender not later than the time when similar notices from the Company are to be
honored under this Agreement, whereupon each such Lender that makes funds available shall be deemed to have made a Revolving Loan to the Company in such amount. The Agent shall remit the funds so received to the Swing Line Lender. 
 (2) If for any reason any Swing Line Loan cannot be refinanced with a Revolving Loan, the Loan Request from the Swing Line Lender shall be
deemed a request by the Swing Line Lender that each of the Lenders fund its risk participation in the relevant Swing Line Loan and each Lender’s payment to the Agent for the account of the Swing Line Lender pursuant to this Agreement shall be
deemed payment in respect of such participation. 
 (3) If any Lender fails to make available to the Agent for the account of
the Swing Line Lender any amount required to be paid by such Lender pursuant to the foregoing provisions, the Swing Line Lender shall be entitled to recover from such Lender (acting through the Agent), on demand, such amount with interest thereon
for the period from the date such payment is required to the date on which such payment is immediately available to the Swing Line Lender at a rate per annum equal to the Federal Funds Rate (as determined by Agent in accordance with its customary
practices) from time to time in effect. A certificate of the Swing Line Lender submitted to any Lender (through the Administrative Agent) with respect to any amounts owing under this Paragraph 1(e) shall be conclusive absent manifest error.

 (4) Each Lender’s obligation to make Revolving Loans to re-finance Swing Line Loans or to purchase and fund risk
participations in Swing Line Loans pursuant to this Agreement shall be absolute and unconditional and shall not be affected by any circumstance, including (i) any set-off, counterclaim, recoupment, defense or other right which such Lender may
have against the Swing Line Lender, the Company or any other Person for any reason whatsoever, (ii) the occurrence or continuance of an Event of Default or Potential Default, or (iii) any other occurrence, event or condition, whether or
not similar to any of the foregoing; provided, however, that each Lender’s obligation to make Revolving Loans pursuant to this Paragraph 1(e) is subject to the conditions set forth in Paragraph 8(b). No such funding
of risk participations shall relieve or otherwise impair the obligation of the Company to repay Swing Line Loans, together with interest as provided herein. 
 (5) At any time after any Lender has purchased and funded a risk participation in a Swing Line Loan, if the Swing Line Lender receives any
payment on account of such Swing Line Loan, the Swing Line Lender will promptly distribute to such Lender its Percentage Share of such payment (appropriately adjusted, in the case of interest payments, to 










 
reflect the period of time during which such Lender’s risk participation was funded) in Same Day Funds or other equivalent of those received by the
Swing Line Lender. If any payment received by the Swing Line Lender in respect of principal or interest on any Swing Line Loan is required to be returned by the Swing Line Lender under any of the circumstances (including pursuant to any settlement
entered into by the Swing Line Lender with the consent of the Majority Lenders), each Lender shall pay to the Swing Line Lender its Percentage Share thereof on demand of the Administrative Agent, plus interest thereon from the date of such demand to
the date such amount is returned, at a rate per annum equal to the Federal Funds Rate. The Administrative Agent will make such demand upon the request of the Swing Line Lender. 
 The Swing Line Lender shall be responsible for invoicing the Company for interest on the Swing Line Loans. Until each Lender funds its
Revolving Loan or risk participation pursuant to this Agreement to refinance such Lender’s Percentage Share of any Swing Line Loan, interest in respect of such Percentage Share shall be solely for the account of the Swing Line Lender.

 2. Hedging Facility. BOW has, and may from time to time in the future elect to enter into FX Transactions, interest rate swap and
other hedging arrangements with the Company and/or the Guarantors on such terms and conditions as may be agreed to between BOW and such Persons (BOW acting in such capacity, the “Counterparty”). The parties hereto hereby acknowledge that
all now existing and hereafter obligations of the Company and the Guarantors with respect to such existing and future FX Transactions, interest rate swaps and other hedging arrangements with Bank of the West (the “Swap Obligations”) shall
constitute “Obligations” hereunder for all purposes of this Agreement and the other Loan Documents. 
 3. Letter of Credit
Facility. 
 3(a) Credit Limit. On the terms and subject to the conditions set forth herein, the L/C Issuing Bank
shall from time to time from and after the Effective Date up to the Revolving Facility Maturity Date, issue standby and commercial/documentary letters of credit for the account of the Company (each a “Letter of Credit” and, collectively,
the “Letters of Credit”); provided, however, that in no event shall the L/C Issuing Bank issue any Letter of Credit hereunder if after giving effect to such issuance, the aggregate amount of all Outstanding Letters of Credit (including all
Outstanding Pre-Existing Letters of Credit) and unrepaid L/C Drawings would exceed the Revolving Credit Limit minus the aggregate amount of all Revolving Loans and Swing Line Loans outstanding on such date; provided, further, that in no event may
all Outstanding Letters of Credit and unpaid L/C Drawings on any date when credit is extended to the Company exceed the L/C Sublimit nor may the Dollar amount and Dollar Amount of Revolving Loans, Outstanding Letters of Credit and unpaid L/C
Drawings exceed 90% of the Multicurrency Sublimit. 
 3(b) Issuance of Letters of Credit. Unless otherwise approved by
the L/C Issuing Bank, each Letter of Credit, and any amendment, renewal or extension thereof, shall be requested by the Company at least three (3) Business Days prior to the proposed issuance, amendment, renewal or extension date by delivery to
the L/C Issuing Bank of a duly executed Letter of Credit Application, with a copy to the Agent, accompanied by all other L/C Documents which the L/C Issuing Bank may require as a condition to the requested action. No Letter of Credit shall have a
stated expiration date (or provide for the extension of such stated expiration date or the issuance of any replacement therefor) later than thirty-six (36) months following the earlier to occur of: (a) its issuance date, and (b) the
regularly scheduled Revolving Loan Maturity Date; provided, however that with respect to any Letter of Credit with a stated expiration date later than the Revolving Loan Maturity Date, no later than two months prior to the Revolving Loan Maturity
Date, the Company agrees to deposit a Dollar amount equal to the face 










 
amount of such Letter of Credit into a no-access account with the Agent (the “Letter of Credit Cash Collateral Account”) or deliver to the Agent a
backing standby letter of credit that is in form, and issued by an institution, acceptable to the Agent. The Company hereby pledges, assigns and grants to the Agent on behalf of the Lenders a security interest in the Letter of Credit Cash Collateral
Account, any and all funds from time to time contained therein, and all products and proceeds of the foregoing. At such time the Obligations with respect to any Letter of Credit for which the Company is required to cash collateralize in accordance
with this Paragraph 3(b) shall have been fully satisfied or otherwise terminated, the Agent shall release its Lien on the portion of the funds contained in the Letter of Credit Cash Collateral Account attributable to such Letter of Credit and
remit such funds to the Company. 
 3(c) Repayment of L/C Drawings. Any L/C Drawing under a Letter of Credit shall be
payable in full by the Company on the date of such L/C Drawing. 
 3(d) Purchase of Participation Interests; Risk
Sharing. Upon the issuance of each Letter of Credit (and upon the deemed issuance hereunder of the Pre-Existing Letters of Credit), the Lenders shall be automatically deemed to have purchased an undivided participation interest therein and in
all rights and obligations relating thereto, pro rata in accordance with their respective Percentage Shares. The Lenders hereby absolutely and unconditionally (including, without limitation, following the occurrence of an Event of Default) agree to
purchase and sell among themselves the Dollar amount of any L/C Drawing which is not paid on the date when due by the Company so that each unrepaid L/C Drawing shall be held and participated in by the Lenders in accordance with their respective
Percentage Shares. 
 3(e) Absolute Obligation to Repay. The Company’s obligation to repay L/C Drawings shall be
absolute, irrevocable and unconditional under any and all circumstances whatsoever and irrespective of any set-off, counterclaim or defense to payment which the Company may have or have had, against any Lender or any other Person, including, without
limitation, any set-off, counterclaim or defense based upon or arising out of: 
 (1) Any lack of validity or enforceability
of this Agreement or any of the other Loan Documents; 
 (2) Any amendment or waiver of or any consent to departure from the
terms of any Letter of Credit; 
 (3) The existence of any claim, setoff, defense or other right which the Company or any
other Person may have at any time against any beneficiary or any transferee of any Letter of Credit (or any Person for whom any such beneficiary or any such transferee may be acting); 
 (4) Any allegation that any demand, statement or any other document presented under any Letter of Credit is forged, fraudulent, invalid or
insufficient in any respect, or that any statement therein is untrue or inaccurate in any respect whatsoever or that variations in punctuation, capitalization, spelling or format were contained in the drafts or any statements presented in connection
with any L/C Drawing; 
 (5) Any payment by the L/C Issuing Bank under any Letter of Credit against presentation of a draft or
certificate that does not strictly comply with the terms of such Letter of Credit, or any payment made by the L/C Issuing Bank under any Letter of Credit to any Person purporting to be a trustee in bankruptcy, debtor-in-possession, assignee for the
benefit of 










 
creditors, liquidator, receiver or other representative of or successor to any beneficiary or any transferee of any Letter of Credit, including any arising
in connection with any Insolvency Proceeding; 
 (6) Any exchange, release or non-perfection of any Collateral; or 

(7) Any other circumstance or happening whatsoever, whether or not similar to any of the foregoing, including any other circumstance
that might otherwise constitute a defense available to, or a discharge of the Company. 
 Nothing contained herein shall constitute a waiver of the
Company’s rights against the L/C Issuing Bank arising out of the gross negligence or willful misconduct of the L/C Issuing Bank in connection with any Letter of Credit issued hereunder; provided, however, that it is expressly acknowledged and
agreed by the Company that the exercise of any such rights is subject to and conditioned upon the prior payment in full of all Obligations, including, without limitation, unrepaid L/C Drawings, and the termination of the credit facility evidenced
hereby. 
 3(f) Uniform Customs and Practice. The Uniform Customs and Practice for Documentary Credits as published by
the International Chamber of Commerce most recently at the time of issuance of any Letter of Credit shall (unless otherwise expressly provided in such Letter of Credit) apply to such Letter of Credit. 
 3(g) Relationship to Letter of Credit Applications. In the event of any inconsistency between the terms and provisions of this
Agreement and the terms and provisions of any Letter of Credit Application, the terms and provisions of this Agreement shall supersede and govern. 
 3(h) Use of Letters of Credit. The Letters of Credit may be requested by the Company on its own behalf or on behalf of any of the Guarantors. The Letters of Credit shall be used to support the working capital
and general corporate needs of the Company and the Guarantors. 
 4. Requests for and Funding of Loans; Pricing Provisions.

 4(a) Requests for and Funding of Loans. 
 (1) If the Company desires to borrow Revolving Loans, the Company shall deliver a Revolving Loan Request to the Agent, no later than:
(i) in the case of Revolving Loans to be funded as Prime Rate Loans, 12:00 p.m. (Los Angeles time) on the proposed funding date, and (ii) in the case of Revolving Loans to be funded as LIBO Rate Loans, 12:00 p.m. (Los Angeles time) on the
third LIBOR Business Day preceding the proposed funding date. If the Company desires to borrow Swing Line Loans, the Company shall deliver to the Agent irrevocable written notice of such request not later than: 2:00 p.m. (Pacific time) on the
Business Day such Loan is requested, and, if the Agent is not the Swing Line Lender, the Agent shall promptly notify the Swing Line Lender of receipt of such request. 
 (2) The principal amount of each LIBO Rate Loan (including Prime Rate Loans which are converted into LIBO Rate Loans) shall be in the
minimum amount of $100,000 and whole multiples of $100,000 in excess thereof. 
 (3) All Loan Requests shall be irrevocable
and shall be delivered in writing (which may be by facsimile transmission) or, but only with the prior agreement of the Agent, 










 
telephonically, with any Loan Request delivered telephonically to be promptly confirmed in writing (which may be by facsimile transmission). Upon receipt of
a Loan Request (other than for a Swing Line Loan), the Agent shall notify each of the Lenders of the receipt of such Loan Request by facsimile transmission no later than 2:00 p.m. (Los Angeles time) on the date received. 
 (4) The Lenders shall make available their applicable Percentage Shares of each proposed Revolving Loan by crediting the amount thereof,
in immediately available same day funds, to the Funding Account no later than 10:30 a.m. (Los Angeles time) on the funding date. 
 (5) The failure of any Lender to advance its Percentage Share of any Revolving Loan shall not relieve any other Lender of its obligation hereunder to advance its Percentage Share of the principal amount thereof, but
no Lender shall be responsible for the failure of any other Lender to make its required advance. 
 4(b) Applicable
Interest Rates. The Company shall pay interest on all Revolving Loans outstanding hereunder from the date disbursed to but not including the date of payment, at a rate per annum equal to, at the option of and as selected by the Company from time
to time (subject to the provisions of Paragraphs 4(c) and 4(e) below): 
 (1) The daily average
Applicable Prime Rate during the applicable computation period; or 
 (2) The Applicable LIBO Rate for the selected Interest
Period therefor. 
 The Company shall pay interest on all Swing Line Loans outstanding hereunder from the date disbursed to but not including the date of
payment at a rate per annum equal to the daily average Applicable Prime Rate during the applicable computation period. 
 4(c)
Conversion and Continuation Options. 
 (1) The Company may elect from time to time to convert Revolving Loans
outstanding (or portions thereof): (i) as LIBO Rate Loans to Prime Rate Loans by giving the Agent irrevocable notice of such election pursuant to a Notice of Conversion/Continuation no later than 9:00 a.m. (Los Angeles time) on the last day of
the Interest Period for such LIBO Rate Loan, and (ii) as Prime Rate Loans to LIBO Rate Loans by giving the Agent irrevocable notice of such election no later than 12:00 noon (Los Angeles time) on the third (3rd) LIBOR Business Day
preceding the proposed conversion date. Any conversion of LIBO Rate Loans may only be made on the last day of the applicable Interest Period. No Prime Rate Loan may be converted into a LIBO Rate Loan if an Event of Default or Potential Default has
occurred and is continuing at the requested conversion date. All or any part of outstanding Revolving Loans may be converted as provided herein, provided that partial conversions shall be in an amount not less than the amount required pursuant to
Paragraph 4(a)(2) above. 
 (2) The Company may elect from time to time to have any LIBO Rate Loan continued as such
upon the expiration of the Interest Period applicable thereto by giving the Agent irrevocable notice of such election pursuant to a Notice of Conversion/Continuation no later than 12:00 noon (Los Angeles time) on the third (3rd) LIBOR Business
Day preceding the last day of such Interest Period; provided, however, that no LIBO Rate Loan may be continued as 










 
such when any Event of Default or Potential Default has occurred and is continuing, but shall be automatically converted to a Prime Rate Loan on the last day
of the Interest Period applicable thereto. If the Company shall fail to give notice of its election to continue a LIBO Rate Loan as such as provided above, the Company shall be deemed to have elected to convert the affected LIBO Rate Loan to a Prime
Rate Loan on the last day of the applicable Interest Period. 
 (3) Each request for the conversion or continuation of a
Revolving Loan (or portion thereof) shall be evidenced by the timely delivery by the Company to the Agent of a duly executed Notice of Conversion/Continuation (which delivery may be by facsimile transmission) or, but only with the prior agreement of
the Agent, telephonically, with any Notice of Conversion/Continuation delivered telephonically to be promptly confirmed in writing (which may be by facsimile transmission). 
 4(d) Interest Billing and Payment Requirements. 
 (1) Interest accruing on Loans (or portions thereof) which are Prime Rate Loans shall be payable quarterly, in arrears on the last
Business Day of each March, June, September and December in the amount set forth in an interest billing for such Prime Rate Loans delivered by the Agent to the Company (which delivery may be telephonic and later confirmed in writing). 
 (2) Interest accruing on LIBO Rate Loans shall be payable, in arrears, on the last day of the applicable Interest Period therefor, or in
the case of LIBO Rate Loans with Interest Periods ending later than three months from the date funded, at the end of each three month period from the date funded and at the end of the applicable Interest Period therefor. 
 4(e) Illegality. Notwithstanding any other provisions herein, if any law, regulation, treaty or directive or any change therein or
in the interpretation or application thereof, shall make it unlawful for any Lender to make or maintain LIBO Rate Loans as contemplated by this Agreement: (1) the commitment of such Lender hereunder to make or to continue LIBO Rate Loans or to
convert Prime Rate Loans to LIBO Rate Loans shall forthwith be canceled and (2) such Lender’s Percentage Share of Revolving Loans then outstanding as LIBO Rate Loans, if any, shall be converted automatically to Prime Rate Loans at the end
of their respective Interest Periods or within such earlier period as may be required by law. In the event of a conversion of any LIBO Rate Loan prior to the end of its applicable Interest Period, the Company hereby agrees promptly to pay any Lender
affected thereby, upon demand, the amounts required pursuant to Paragraph 4(h) below, it being agreed and understood that such conversion shall constitute a prepayment for all purposes hereof. The provisions hereof shall survive the
termination of this Agreement and payment of all outstanding Loans, unrepaid L/C Drawings and all other Obligations. 
 4(f)
Requirements of Law; Increased Costs. In the event that any applicable law, order, regulation, treaty or directive issued by any central bank or other governmental authority, agency or instrumentality or in the governmental or judicial
interpretation or application thereof, or compliance by any Lender with any request or directive (whether or not having the force of law) issued by any central bank or other governmental authority, agency or instrumentality: 
 (1) Does or shall subject any Lender to any tax of any kind whatsoever with respect to this Agreement or any Loan made or Letter of Credit
issued hereunder, or change the basis of taxation of payments to such Lender of principal, fee, interest or any other amount 










 
payable hereunder (except for change in the rate of tax on the overall net income of such Lender); 
 (2) Does or shall impose, modify or hold applicable any reserve, capital requirement, special deposit, compulsory loan or similar
requirements against assets held by, or deposits or other liabilities in or for the account of, advances or loans by, or other credit extended by, or any other acquisition of funds by, any office of such Lender which are not otherwise included in
the determination of interest payable on the Obligations; or 
 (3) Does or shall impose on such Lender any other condition;

 and the result of any of the foregoing is to increase the cost to such Lender of making, renewing or maintaining any Loan, or issuing, renewing or
maintaining any Letter of Credit, or to reduce any amount receivable in respect thereof or the rate of return on the capital of such Lender or any corporation controlling such Lender, then, in any such case, the Company shall promptly pay to such
Lender, upon its written demand made through the Agent, any additional amounts necessary to compensate such Lender for such additional cost or reduced amounts receivable or rate of return as determined by such Lender with respect to this Agreement,
or Loans made, or Letters of Credit issued hereunder. If a Lender becomes entitled to claim any additional amounts pursuant to this Paragraph 5(f), it shall promptly notify the Company of the event by reason of which it has become so
entitled. A certificate as to any additional amounts payable pursuant to the foregoing sentence containing the calculation thereof in reasonable detail submitted by a Lender to the Company shall be conclusive in the absence of manifest error. The
provisions hereof shall survive the termination of this Agreement and payment of all outstanding Loans, unrepaid L/C Drawings and all other Obligations. 
 4(g) Funding. Subject to the provisions of Paragraph 5 below, each Lender shall be entitled to fund all or any portion of the Loans in any manner it may determine in its sole discretion, including,
without limitation, within the London inter-bank market and within the United States. 









 4(h) Prepayment Premium. In addition to all other payment obligations hereunder,
in the event: (1) if any LIBO Rate Loan is prepaid prior to the last day of the applicable Interest Period, whether following the occurrence of an Event of Default or otherwise, or (2) the Company shall fail to continue or to make a
conversion to a LIBO Rate Loan after the Company has given notice thereof as provided in Paragraph 4(c) above, then the Company shall immediately pay to the Lenders holding the Revolving Loans prepaid or not made, continued or converted,
through the Agent, an additional premium sum compensating each Lender for losses, costs and expenses incurred by such Lender in connection with such prepayment or such failure to borrow, continue or convert. The Company acknowledges that such
losses, costs and expenses are difficult to quantify and that, in the case of the prepayment of or failure to continue or convert to a LIBO Rate Loan, the following formula represents a fair and reasonable estimate of such losses, costs and
expenses: 
  

																	
	Amount Being Prepaid or Being Not Converted or Continued	  	x	  	 [    
 [    
 [    
 [    
 [    
 [    
 [    
 [    
 [    
	  	 Applicable LIBO
 Rate for Increment
 Being Prepaid or Not
 Converted (as quoted
 on the first LIBOR
 Business Day
 following Lenders’
 receipt of notice
 thereof)
	  	__	  	LIBO Rate for such Increment for Days Remaining in Interest Period	  	   ]
   ]
   ]
   ]
   ]
   ]
   ]
	  	x	  	  
  
 Days Remaining in Interest Period
 ______________
 360


 For purposes of calculating the current LIBO Rate for the days remaining in the Interest Period for the increment
being prepaid or not converted or continued, such current LIBO Rate shall be an interest rate interpolated between LIBO Rates quoted for standard calendar periods for subsequent months’ maturities in accordance with normal conventions. A
certificate as to any additional amounts payable pursuant to the foregoing sentence containing the calculation thereof in reasonable detail submitted by a Lender to the Company shall be conclusive in the absence of manifest error. The provisions
hereof shall survive the termination of this Agreement and payment of all outstanding Revolving Loans and unrepaid L/C Drawings and all other Obligations. 
 4(i) Default Interest. At the option of the Agent on behalf of the Lenders, notwithstanding anything to the contrary contained herein, on any date that there shall have occurred and be continuing an Event of
Default, any and all Obligations outstanding shall bear interest at a per annum rate equal to two percent (2%) in excess of the highest rate applicable to Loans then outstanding under this Agreement, or, if such Obligations do not otherwise
bear interest, at a per annum rate equal to two percent (2%) in excess of the Prime Rate. 
 4(j) Fees. The
Company shall pay the following fees: 
 (1) Letter of Credit Fees. 
 (i) To the Agent for the pro rata benefit of the Lenders in accordance with their respective Percentage Shares: 
 (x) On or before the date of issuance by the L/C Issuing Bank of a Letter of Credit which is in the nature of a standby (as opposed to
commercial/documentary) letter of credit, a non-refundable issuance fee in an amount equal to the Applicable L/C Fee Percentage multiplied by the face amount of such Letter of Credit for the effective term of such Letter of Credit; 
 (y) With respect to each Letter of Credit which is in the nature of a commercial/documentary letter of credit, such reasonable and
standard costs and charges relating to the issuance, presentation, amendment and processing as the L/C Issuing Bank may require; and 
 (z) Such renewal, increase and extension fees relating to any Letter of Credit as are customarily charged by the L/C Issuing Bank to its customers from time to time. 









 (ii) Directly to the L/C Issuing Bank, from time to time upon demand, such fees and
charges, including, without limitation, miscellaneous charges and transfer fees, relating to the Letters of Credit as the L/C Issuing Bank customarily charges with respect to similar letters of credit issued by it. 
 (2) Agent’s Fee. To the Agent for its own account an agent’s fee in such amount and payable on such as may be agreed in
writing by the Company and the Agent. 
 (3) Unused Fee. To the Agent for the pro rata benefit of the Lenders in
accordance with their respective Percentage Shares, on the last Business Day of each calendar quarter and on the Revolving Loan Maturity Date, a non-usage fee for such calendar quarter (or portion thereof) in the amount set forth in a fee billing
delivered by the Agent to the Company, which non-usage fee shall equal: (i) the average Aggregate Credit Limit in effect during such calendar quarter (or portion thereof), minus the daily average amount of Loans and Outstanding Letters
of Credit during such calendar quarter (or portion thereof) multiplied by (ii) the product of: (y) the applicable percentage set forth in the Pricing Matrix, and (z) a fraction, the numerator of which is the number of days in the
applicable calculation period and the denominator of which is 360. 
 4(k) Computations. All computations of interest
and fees payable hereunder shall be based upon a year of three hundred and sixty (360) days for the actual number of days elapsed. 
 5.
Multicurrency Provisions. Upon the request of the Company, and subject to Agent’s standard procedures regarding the funding of Revolving Loans in any Agreed Currency as well as the provisions of this Paragraph 5, the Lenders will
fund Revolving Loans in any Agreed Currency so requested. Notwithstanding any provision of this Agreement to the contrary, with respect to Revolving Loans requested to be funded in an Agreed Currency: 
 5(a) Loan Requests. Each Loan Request for a Revolving Loan to be denominated in an Agreed Currency must be submitted to the Agent
no less than three (3) Business Days prior to the requested funding date of such Revolving Loan. Each Revolving Loan to be funded in an Agreed Currency other than Dollars shall be funded at the Applicable LIBO Rate for such Revolving Loan. At
no time shall Revolving Loans be outstanding hereunder in more than three (3) different Agreed Currencies. 
 5(b)
Limitations on Agreed Currency Loans and Letters of Credit. 
 (1) No Revolving Loan will be made or Letter of Credit
issued if, after giving effect thereto, the Dollar amount or Equivalent Amount of of all outstanding Revolving Loans, all Outstanding Letters of Credit and unpaid L/C Drawings would exceed 90% of the Multicurrency Sublimit for the Revolving Facility
Credit Limit. 
 (2) If notwithstanding the preceding subparagraph (1), at any date, the aggregate Dollar amount and
Equivalent Amount of outstanding Revolving Loans, Outstanding Letters of Credit and unpaid L/C Drawings exceeds the Revolving Facility Credit Limit or, to the extent denominated in an Agreed Currency other than Dollars, the aggregate amount of
Revolving Loans, Outstanding Letters of Credit and unpaid L/C Drawings exceeds the Multicurrency Sublimit, the Company shall immediately repay Revolving Loans in an aggregate principal amount sufficient to eliminate any such excess. 









 (3) Each Revolving Loan requested to be funded in an Agreed Currency other than Dollars
shall be in a minimum Approximate Equivalent Amount of $100,000 and in multiples of an Approximate Equivalent Amount of $100,000 if in excess thereof. 
 (4) During the existence of an Event of Default, at the Agent’s election or upon the direction of the Majority Lenders, all or any part of any outstanding Revolving Loans denominated in any Agreed Currency other
than Dollars shall be redenominated and converted into Revolving Loans made in Dollars. 
 5(c) Computations. The Agent
will determine the Dollar Amount of each such Revolving Loan pursuant to its customary procedures for funding loans made in such Agreed Currency and advise the Company and the Lenders as to such Dollar Amount prior to the requested funding date of
such Revolving Loan. In respect of Revolving Loans and other amounts denominated in an Agreed Currency, all references to Dollar amounts in this Agreement shall be construed as a reference to the Dollar Amount that is the Equivalent thereof as of
the relevant date. 
 5(d) Repayments, etc. Each Revolving Loan shall be repaid and each payment of interest thereon
shall be paid in the Agreed Currency in which such Revolving Loan was funded or, if such Revolving Loan was converted into another Agreed Currency, such other Agreed Currency. If specified by the Agent to the Company in writing, payments of any
Revolving Loan funded in an Agreed Currency shall be paid at the Lending Installation so specified by the Agent. Each payment delivered to the Agent for the account of any Lender shall be delivered promptly by the Agent to such Lender in the same
type of funds that the Agent received, such funds to be delivered, if requested by such Lender in a writing to the Agent, at such Lender’s specified Lending Installation. 
 5(e) Conversions. Notwithstanding anything herein to the contrary, if, after the making of any Revolving Loan in any Agreed
Currency other than Dollars, currency control or exchange regulations are imposed in the country which issues such currency with the result that the type of currency in which the Revolving Loan was made (the “Original Currency”) no
longer exists or the Company is not able to make payment to the Agent for the account of the Lenders in such Original Currency, then all payments to be made by the Company hereunder in such currency shall instead be made when due in Dollars in an
amount equal to the Dollar Amount (as of the date of repayment and any conversion being determined at the then prevailing market rate, as determined by Agent in accordance with its customary practices) of such payment due, it being the intention of
the parties hereto that the Company take all risks of the imposition of any such currency control or exchange regulations. If Agent shall have notified the Company and the Lenders that any currency has ceased being an Agreed Currency (in accordance
with the definitions of the terms “Agreed Currency” and “Eligible Currency”) then promptly, but in any event within five (5) Business Days of receipt of such notice from the Agent, the Company shall repay all Revolving Loans
in such affected currency or convert (at the then prevailing market rate, as determined by Agent in accordance with its customary practices) such Revolving Loans into Revolving Loans in Dollars or another Agreed Currency, subject to the other terms
set forth in this Paragraph 5. If any Revolving Loan made (or to be made) would, but for the provisions of this Paragraph 5, be capable of being made in either the Euro or in a National Currency Unit, such Revolving Loan shall be made
in the Euro. 
 5(f) Lending Installations. Each Lender will book its Revolving Loans at the appropriate Lending
Installation listed on Annex 5 or such other Lending Installation designated by such Lender in accordance with this subparagraph (9). All terms of this Agreement shall apply to any such Lending Installation and the Revolving Loans
issued hereunder shall be deemed held by each Lender for the benefit of any such Lending Installation. Each Lender may, by written notice to the Agent and the 










 
Company in accordance with Paragraph 14(f) below, designate replacement or additional Lending Installations through which Revolving Loans will be made
by it and for whose account Revolving Loan payments are to be made. 
 5(g) Change in Conditions. Notwithstanding the
satisfaction of all conditions set forth in this Agreement regarding the funding of Revolving Loans, with respect to any Revolving Loan in any Agreed Currency other than Dollars, if there shall occur on or prior to the date of such Revolving Loan
any change in national or international financial, political or economic conditions or currency exchange rates or exchange controls which would in the reasonable opinion of the Agent or the Majority Lenders make it impracticable for such Revolving
Loan to be denominated in the Agreed Currency specified by the Company, then the Agent shall forthwith give notice thereof to the Company and the Lenders, and such Revolving Loans shall not be denominated in such Agreed Currency but shall be made in
Dollars, in an aggregate principal amount equal to the Dollar Amount of the aggregate principal amount specified in the related Loan Request unless the Company notifies the Agent at least one Business Day before such date that (i) it elects not
to borrow on such date or (ii) it elects to borrow on such date in a different Agreed Currency, as the case may be, in which the denomination of such Revolving Loans would in the opinion of the Agent and the Majority Lenders be practicable and
in an aggregate principal amount equal to the Dollar Amount of the aggregate principal amount specified in the related Loan Request. 
 6.
Miscellaneous Provisions. 
 6(a) Open Book Account. The obligation of the Company to repay the Loans and L/C
Drawings shall be evidenced by notations on the books and records of the Agent and each Lender. The Agent shall deliver a statement of account to the Company and each Lender monthly setting forth the unpaid balance of Loans, L/C Drawings, and
settlement prices outstanding hereunder. Such statement shall (absent clerical error) be deemed conclusively correct and accepted by the Company and the Lenders unless any of such Persons notifies the Agent to the contrary within thirty
(30) Business Days following delivery of such statement. Upon any advance, conversion or prepayment with respect to any Loan, each Lender is hereby authorized to record the date and amount of each such advance and conversion made by such
Lender, or the date and amount of each such payment or prepayment of principal of the Loan made by such Lender, the applicable Interest Period (if any) and interest rate with respect thereto, on its books (or by any analogous method any Lender may
elect consistent with its customary practices) and any such recordation shall constitute prima facie evidence of the accuracy of the information so recorded absent manifest error. The failure of the Agent or any Lender to make any such
notation shall not affect in any manner or to any extent the Company’s Obligations hereunder. 
 6(b) Nature and Place
of Payments. All payments made on account of the Obligations shall be made by the Company to the Agent for the account of the Lenders or the L/C Issuing Bank, as applicable, without setoff or counterclaim, in Dollars in immediately available
same day funds, free and clear of and without deduction for any taxes, fees or other charges of any nature whatsoever imposed by any taxing authority and must be received by the Agent by 2:00 p.m. (Los Angeles time) on the day of payment, it being
expressly agreed and understood that if a payment is received after 2:00 p.m. (Los Angeles time) by the Agent, such payment will be considered to have been made by the Company on the next succeeding Business Day and interest thereon shall be payable
by the Company at the then applicable rate during such extension. All payments on account of the Obligations shall be made to the Agent through its Contact Office. If any payment required to be made by the Company hereunder becomes due and payable
on a day other than a Business Day, the due date thereof shall be extended to the next succeeding Business Day and interest thereon shall be payable at the then applicable rate during such extension. The Agent is hereby irrevocably authorized by the
Company to debit the general 










 
operating account of the Company, if any, maintained with the Agent for the full amount of monthly and periodic interest billings, fees and other Obligations
payable hereunder; provided, however, that the failure of the Agent to so debit such account shall not in any manner or to any extent affect the obligation of the Company to pay such Obligations as provided herein and in the other Loan Documents.

 6(c) Prepayments. 
 (1) The Company shall prepay Acquisition Loans and, after prepayment in full of Acquisition Loans, Revolving Loans (and after prepayment in full of Revolving Loans shall cash collateralize Letters of Credit) upon
receipt of Net Proceeds of any Debt Securities Issuance or Equity Securities Issuance (other than from Equity Securities Issuances made pursuant to employee stock plans, issuances to management in connection with the commencement of employment or as
an incentive) in an amount equal to 100% of the Net Proceeds of such Debt Securities Issuance and 50% of such Equity Securities Issuance (other than any Equity Securities Issuance (i) made pursuant to employee stock plans, (ii) made to
management in connection with commencement of employment or otherwise as an incentive), (iii) the proceeds of which are promptly applied to make a Permitted Acquisition or Permitted Investment, (iv) prior to which the Company notifies the
Lenders that the proceeds will be applied to make a Permitted Acquisition or Permitted Investment and concurrently with which the Company pledges to the Agent, as cash collateral (and the Company hereby grants to the Agent a first priority perfected
security interest as collateral security for the Obligations) the Net Cash Proceeds that will be subject to release upon consummation of such Permitted Acquisition or Permitted Investment, or (v) for strategic reasons approved in writing by the
Majority Lenders; provided, that to the extent that any prepayment premium or penalty would be payable by the Company pursuant to Paragraph 4(h) above as a result of making any such prepayment as required by this subparagraph (1) on a
date other than the last day of one or more Interest Payment(s), such prepayment may, at the option of the Company, be deposited with the Agent to be held as cash collateral for the Obligations of the Company under this Agreement (and the Company
hereby grants to the Agent for the benefit of the Lenders a first priority perfected security interest therein) until the end of the then applicable Interest Period(s), and on the last day of each such Interest Period, the amount so deposited shall
be applied in repayment of the relevant Loans until applied in full to prepayments as contemplated by this subparagraph (1). 
 (2) The Company may prepay Prime Rate Loans in whole or in part at any time, it being acknowledged and agreed that LIBO Rate Loans may not be voluntarily prepaid prior to the last day of their applicable Interest Periods. 
 (3) Revolving Loans are subject to mandatory prepayment by the Company upon demand of the Agent on any date upon which the sum of:
(i) the aggregate principal balance of Revolving Loans and Swing line Loans, plus (ii) the Dollar amount of all Outstanding Letters of Credit, plus (iii) the Dollar amount unrepaid L/C Drawings exceeds the Revolving Facility Credit
Limit. 
 (4) If, as of any date and for any reason, the Dollar amount and Equivalent Amount of Revolving Loans, Swing Line
Loans, Outstanding Letters of Credit and unrepaid L/C Drawings exceed the Revolving Facility Credit Limit, the Company shall immediately prepay Revolving Loans and Swing Line Loans in an aggregate amount equal to such excess and, to the extent that
outstanding Loans are less than such excess amount, deliver to the Agent cash collateral in an amount not less than such differential to be held in a non-interest bearing account 










 
as collateral (and the Company hereby grants to the Agent a first priority security interest in such cash collateral) for the remaining Obligations.

 (5) If, as of any date and for any reason, the Equivalent Amount of Revolving Loans, Swing Line Loans, Outstanding Letters
of Credit and unrepaid L/C Drawings denominated in an Agreed Currency other than Dollars exceed the Multicurrency Sublimit, the Company shall immediately prepay Swing Line Loans and Revolving Loans in an aggregate amount equal to such excess and, to
the extent that outstanding Swing Line Loans and Revolving Loans are less than such excess amount, deliver to the Agent cash collateral in an amount not less than the differential to be held in a non-interest bearing account as collateral (and the
Company hereby grants to the Agent a first priority security interest in such cash collateral) for the remaining Obligations. 
 (6) The Company shall pay in connection with any prepayment hereunder all interest accrued but unpaid on Loans to which such prepayment is applied, and all prepayment premiums, if any, on LIBO Rate Loans to which such prepayment is applied,
concurrently with payment to the Agent of any principal amounts. 
 (7) All prepayments of Acquisition Loans shall be applied
to installments payable thereon in the inverse order of their occurrence. 
 6(d) Allocation of Payments Received.
Prior to the occurrence of an Event of Default and acceleration of the Obligations, all amounts received by the Agent on account of the Loans shall be applied against Loans in such order as the Company may direct in writing, subject to the
requirement that disbursements to the Lenders shall be in accordance with their respective Percentage Shares. Such amounts shall be disbursed by the Agent to the Lenders pro rata in accordance with their respective Percentage Shares by wire transfer
on the date of receipt if received by the Agent before 10:00 a.m. (Los Angeles time) or if received later, by 12:00 noon (Los Angeles time) on the next succeeding Business Day, without further interest payable by the Agent. Following the occurrence
of an Event of Default and acceleration of the Obligations, all amounts received by the Agent on account of the Obligations shall be disbursed by the Agent as follows: 
 (1) First, to the payment of reasonable expenses incurred by the Agent in the performance of its duties and enforcement of its rights
under the Loan Documents, including, without limitation, all costs and expenses of collection, attorneys’ fees, court costs and foreclosure expenses; 
 (2) Then, to the Lenders, pro rata in accordance with the principal amount of Loans and L/C Drawings held by the Lenders, until all outstanding Loans, unrepaid L/C Drawings, and interest accrued thereon have been paid
in full, said amounts to be allocated first to interest and then, but only after all accrued interest has been paid in full, to principal of Loans and unrepaid L/C Drawings; 
 (3) Then, to the Agent to hold as cash collateral for the obligation of the Company to reimburse future L/C Drawings as the same may
occur, until there are no further Outstanding Letters of Credit, with the Agent hereby irrevocably authorized by the Company to debit from time to time the amounts so held and to apply the same on account of such L/C Drawings; 









 (4) Then, to the Lenders on account of all other outstanding Obligations, and 

(5) Then, to such Persons as may be legally entitled thereto. 
 6(e) Telephonic/Facsimile Communications. Any agreement of the Agent and the Lenders herein to receive certain notices by telephone
or facsimile is solely for the convenience and at the request of the Company. The Agent and the Lenders shall be entitled to rely on the authority of any Person purporting to be an authorized Person and the Agent and the Lenders shall not have any
liability to the Company or other Person on account of any action taken or not taken by the Agent or the Lenders in reliance upon such telephonic or facsimile notice. The obligation of the Company to repay the Loans or any unpaid L/C Drawings shall
not be affected in any way or to any extent by any failure by the Agent and the Lenders to receive written confirmation of any telephonic or facsimile notice or the receipt by the Agent and the Lenders of a confirmation which is at variance with the
terms understood by the Agent and the Lenders to be contained in the telephonic or facsimile notice. 
 6(f) Rollover of
Existing Obligations. There are currently outstanding under the Existing Credit Agreement those “Revolving Loans,” “Letters of Credit” and unrepaid “L/C Drawings” described on Annex 1 attached hereto.
Effective as of the Effective Date, all “Revolving Loans,” “Letters of Credit” and unrepaid “L/C Drawings” outstanding under the Existing Credit Agreement shall automatically be deemed to be outstanding hereunder, in
each case for all purposes of this Agreement and the other Loan Documents on and after the Effective Date. 
 7. Security and Additional
Credit Support. 
 7(a) Collateral Security. As collateral security for the Obligations, the Company has previously
executed and delivered to the Agent for the benefit of the Lenders: (1) a Security Agreement dated December 1, 2003 (as previously amended, extended or replaced, the “Existing Security Agreement”) to this Agreement pursuant to
which the Company has granted to the Agent for the benefit of the Lenders a perfected security interest in the Collateral of the Company with a priority acceptable to the Agent, and (2) UCC-1 financing statements, notices to and consents of
third parties, landlord and mortgagee waivers the property access agreements and such additional and supplemental security agreements, including, without limitation, supplemental security agreements covering Collateral consisting of federally
registered trademarks, copyrights and patents for filing with the Patent and Trademark Office or the U.S. Copyright Office, as the Agent has previously required (the “Existing Additional Company Collateral Documents”). 
 7(b) Existing Medical Guarantors; Guaranties; Guarantor Security Agreements. As additional credit and collateral support for the
Obligations, each of the Existing Medical Guarantors have each executed and delivered to the Agent for the benefit of the Lenders: (1) a credit guaranty (each as previously amended, extended or replaced, an “Existing Medical
Guaranty”), (2) a guarantor security agreement (each as previously amended, extended or replaced, an “Existing Medical Guarantor Security Agreement”) pursuant to which such Existing Medical Guarantor has granted to the Agent for
the benefit of the Lenders a perfected security interest in the Collateral of such Existing Medical Guarantor with a priority acceptable to the Agent, and (3) UCC-1 financing statements, notices to and consents of third parties, landlord and
mortgagee waivers the property access agreements and such additional and supplemental security agreements as the Agent has previously required (the “Existing Additional Guarantor Collateral Documents”). Upon the Effective Date,
(1) any guaranties, security agreements and other Loan Documents under, and as defined in the Existing Credit Agreement, from Subsidiaries of the Company that comprise the Non-Medical Group shall automatically comprise Loan Documents under,











 
and as defined in the Non Medical Group Credit Agreement, and (2) the Company, its Subsidiaries and the Agent (at the cost of the Company) are
authorized to execute, deliver, file and record such documents as shall be reasonably necessary to effectuate the foregoing. 
 7(c) Amended and Restated Security Agreement and Guaranty. In addition to and not in replacement (except to the extent expressly in conflict) of the Existing Security Agreement, the Existing Additional Company Collateral Documents,
the Existing Medical Guaranties, the Existing Medical Guarantor Security Agreements and the Existing Additional Guarantor Collateral Documents, on or prior to the Effective Date, the Company will execute and deliver or cause to be executed and
delivered a Security Agreement substantially in the form of Exhibit A to this Agreement and, from the Guarantors a Guaranty substantially in the form of Exhibit B to this Agreement. 
 7(d) Additional Documents. The Company agrees to execute and deliver and to cause to be executed and delivered to the Agent on
behalf of the Lenders from time to time: 
 (1) From each Domestic Subsidiary in the Medical Group organized or acquired
following the Effective Date, a Guaranty substantially in the form of Exhibit B to this Agreement, a security agreement substantially in the form of Exhibit A to this Agreement, and UCC financing statements, such documents to be
delivered immediately upon the formation or acquisition of such Subsidiary, accompanied by Stock certificates, Stock powers and other documents, instruments and agreements required thereunder; 
 (2) From each Lender with which the Company or any Guarantor maintains deposits, including, without limitation, future Lenders hereunder,
an account control agreement in form and substance acceptable to the Agent; 
 (3) From the Company and each Domestic
Subsidiary, the Stock certificates and Stock transfer powers therefor of each Material Foreign Subsidiary which becomes such following the Effective Date required to be delivered pursuant to the Security Agreement or the Guarantor Security
Agreements, as applicable; and 
 (4) From the Company and the Subsidiaries of the Company and such Persons as the Agent may
request, such confirmatory or supplementary security agreements, financing statements, account control agreements, consents and acknowledgements of third parties, intercreditor agreements and such other documents, instruments or agreements as the
Agent may reasonably request, which are in the Agent’s judgment necessary or desirable to obtain for the Agent on behalf of the Lenders, the benefit of the Collateral and the Loan Documents (the “Supplemental Collateral Documents”).

 8. Conditions to Credit Events. 
 8(a) First Credit Event. As conditions precedent to the first Credit Event hereunder: 
 (1) The Company shall have delivered or shall have had delivered to the Agent, in form and substance satisfactory to the Agent and its counsel, each of the following (with sufficient copies for each of the Lenders) and duly executed and
certified as required: 
 (i) This Agreement; 









 (ii) A Security Agreement and Guaranties substantially in the forms of Exhibits A
and B to this Agreement; 
 (iii) Such Supplemental Collateral Documents as may be requested of the Company and the
Existing Medical Guarantors by the Agent; 
 (iv) Such UCC searches showing the filing and priority of all UCC filings made
on behalf of the Agent for the benefit of the Lenders in connection with the Existing Credit Agreement subject only to the security interests in and liens acceptable to the Agent in its sole and absolute discretion; 
 (v) Certified copies of resolutions of the Board of Directors of the Company, each of the Existing Medical Guarantors and each of the
Existing Foreign Subsidiaries approving the execution and delivery of the Loan Documents to which such Person is party, the performance of the Obligations and the consummation of the transactions contemplated by the Loan Documents; 
 (vi) A certificate of the Secretary or an Assistant Secretary of the Company and of each of the Existing Medical Guarantors certifying
the names and true signatures of the officers of such Person authorized to execute and deliver the Loan Documents to which such Person is party; 
 (vii) Certificates of good standing as of a recent date for the Company and each of the Guarantors from the Secretaries of State of California and each State in which such Person is incorporated or does business;

 (viii) A certificate of a Responsible Financial Officer of the Company in the form of that attached hereto as
Exhibit C to this Agreement dated as of the Effective Date; 
 (ix) Such opinions of counsel to the Company and
the Guarantors as the Agent may request; 
 (x) Such Stock certificates and Stock powers not previously delivered to the
Agent as are required pursuant to the Existing Security Agreement, as amended and reaffirmed hereby and by the other Loan Documents; 
 (xi) Compliance Certificates, as defined in the Existing Credit Agreement and the Non- Medical Group Credit Agreement, prepared as of a recent date acceptable to the Agent and, in the case of the Non- Medical Group
Credit Agreement, on a pro forma basis as of March 31, 2006; 
 (xii) Consolidated and consolidating financial
statements for the Company as of December 31, 2005 and March 31, 2006, all prepared and presented in a form and being in substance satisfactory to Agent and the Lenders; and 
 (xiii) Evidence satisfactory to the Agent that concurrently with the effectiveness of this Agreement the Non-Medical Group Credit
Agreement shall also have become effective. 









 (2) The Company shall have paid to the Agent such fees and other amounts as may have been
separately agreed upon in a fee letter between the Company and the Agent. 
 (3) All acts and conditions (including, without
limitation, the obtaining of any necessary regulatory approvals and the making of any required filings, recordings or registrations) required to be done and performed and to have happened precedent to the execution, delivery and performance of the
Loan Documents and to constitute the same legal, valid and binding obligations, enforceable in accordance with their respective terms, shall have been done and performed and shall have happened in due and strict compliance with all applicable laws.

 (4) All documentation, including, without limitation, documentation for corporate and legal proceedings in connection with
the transactions contemplated by the Loan Documents shall be satisfactory in form and substance to the Agent and its counsel. 
 If the Effective Date shall
not have occurred and the first Credit Event consummated on or before July 19, 2006, as a result of the failure of the conditions precedent thereto set forth above to have been met to the satisfaction of the Agent or otherwise, then this Credit
Agreement and any right of the Company to receive credit hereunder shall automatically terminate and be of no further force or effect and the Agent and the Lenders shall be entitled to exercise all rights, powers and remedies available to them under
the Existing Credit Agreement. Notwithstanding the foregoing, it is expressly acknowledged and agreed by the Agent and the Lenders that the conditions precedent described on Schedule 8(a) may not be satisfied on or prior to July 19, 2006
as required by this Paragraph 8(a) but may be satisfied as specified in Schedule 8(a). 
 8(b) All Credit
Events. As conditions precedent to each Lender’s obligation to make any Loan, including the first Loan and including the conversion of any Loan to another type of Loan or the continuation of any LIBO Rate Loan after the end of its
applicable Interest Period, or of the L/C Issuing Bank to issue, amend, renew or extend any Letter of Credit, at and as of the date of such action: 
 (1) There shall have been delivered to the Agent a Loan Request or a Letter of Credit Application and any required L/C Documents, as applicable; 
 (2) The representations and warranties contained in the Loan Documents shall be accurate and complete in all material respects as if made
on and as of the date of such advance, conversion, continuance or issuance or, with respect to any representation made as of a specific date, shall have been accurate and complete as of such date; 
 (3) There shall not have occurred an Event of Default or Potential Default; 
 (4) After giving effect to such Credit Event the Company shall be in compliance with the limitations of Paragraphs 1(a),
2(a), 3(a) and 4(a) above; 
 (5) If such credit event is the making of Acquisition Loans, a certificate
of a Responsible Officer of the Company certifying that (i) attached thereto is a true, complete and correct copy of the Transaction Documents, (ii) each Transaction Document is in full force and effect, (iii) all conditions precedent
to the effectiveness of the Transaction Documents have been satisfied or waived, (iv) the Transaction has been, or concurrently with the extension of credit being requested, will be consummated as contemplated by the Transaction Documents,
(v) upon the consummation of the Transaction, the Guaranty by the Merger Subsidiary will remain in full 










 
force and effect in accordance with its terms, and (vi) upon consummation of the Transaction, all equity interests acquired, directly or indirectly by
the Company, in connection with such Transaction have been pledged to the Agent as Collateral; 
 (6) If such credit event is
the making of Acquisition Loans, the Agent shall have determined to its satisfaction that the Transactions shall have been consummated or, after giving effect to such Acquisition Loans, will have been consummated concurrently with the making of such
Acquisition Loans, in all material respects in accordance with the terms hereof, the terms of the Transaction Documents and applicable law (and without the waiver of any terms not approved by the Agent). 
 By delivering a Loan Request or Letter of Credit Application hereunder, the Company shall be deemed to have represented and warranted the accuracy and completeness of
the statements set forth in subparagraphs (b)(2) through (b)(4) above, as applicable. 
 9. Representations and Warranties
of the Company. As an inducement to the Agent and each Lender to enter into this Agreement, the Company represents and warrants to the Agent and each Lender that: 
 9(a) Financial Condition. The financial statements, dated the Statement Date and the Interim Date, copies of which have heretofore
been furnished to each Lender by the Agent, are complete and correct and present fairly in accordance with GAAP the financial condition of the Company and its consolidated Subsidiaries at such dates and the consolidated and consolidating results of
their operations and changes in financial position for the fiscal periods then ended. 
 9(b) No Change. Since the
Statement Date no Material Adverse Effect has occurred. Except as expressly disclosed in writing to the Agent and the Lenders prior to the Effective Date, from the Statement Date through the Effective Date, neither the Company nor any of its
Subsidiaries has entered into, incurred or assumed any material long-term debt, mortgages, leases or oral or written commitments, nor commenced any significant project, nor made any purchase or acquisition of any significant property. 
 9(c) Legal Existence; Compliance with Law. The Company and each of its Subsidiaries: (1) is duly organized, validly existing
and in good standing as a corporation or other legal entity under the laws of the jurisdiction of its organization and is qualified to do business in each jurisdiction where its ownership of property or conduct of business requires such
qualification and where failure to qualify is reasonably likely to have a Material Adverse Effect, (2) has the corporate or other power and authority and the legal right to own and operate its property and to conduct business in the manner in
which it does and proposes so to do, and (3) is in compliance with all Requirements of Law and Contractual Obligations, the failure to comply with which could have a Material Adverse Effect. 
 9(d) Power; Authorization; Enforceable Obligations. The Company and each of its Subsidiaries has the corporate power and authority
and the legal right to execute, deliver and perform the Loan Documents to which it is a party and has taken all necessary corporate action to authorize the execution, delivery and performance of such Loan Documents. The Loan Documents to which the
Company and each of its Subsidiaries is party have been duly executed and delivered on behalf of such Person and constitute legal, valid and binding obligations of such Person enforceable against such Person in accordance with their respective
terms, subject to the effect of applicable bankruptcy and other similar laws affecting the rights of creditors generally and the effect of equitable principles whether applied in an action at law or a suit in equity. 









 9(e) No Legal Bar. The execution, delivery and performance of the Loan Documents
to which the Company or any of its Subsidiaries is party, the borrowing hereunder and the use of the proceeds thereof, will not violate any Requirement of Law or any Contractual Obligation of the Company or any of its Subsidiaries the violation of
which could have a Material Adverse Effect or create or result in the creation of any Lien on any assets of the Company or any of its Subsidiaries (other than any Lien created by the Security Documents). 
 9(f) No Material Litigation. Except as disclosed on Schedule 9(f) attached hereto, no litigation, investigation or
proceeding of or before any arbitrator, court or Governmental Authority is pending or, to the knowledge of the Company, threatened by or against the Company or any of its Subsidiaries or against any of such parties’ properties or revenues which
is likely to be adversely determined and which, if adversely determined, is likely to have a Material Adverse Effect. 
 9(g)
Taxes. The Company and each of its Subsidiaries have filed or caused to be filed all tax returns that are required to be filed and have paid all taxes shown to be due and payable on said returns or on any assessments made against them or any
of their property other than taxes which are being contested in good faith by appropriate proceedings and as to which the Company or applicable Subsidiary has established adequate reserves in conformity with GAAP. 
 9(h) Investment Company Act. The Company is not an “investment company” or a company “controlled” by an
“investment company” within the meaning of the Investment Company Act of 1940, as amended. 
 9(i)
Subsidiaries. Attached hereto as Schedule 9(i) is an accurate and complete list of the Company’s direct and indirect Subsidiaries (whether constituting Domestic Subsidiaries or Foreign Subsidiaries), their respective jurisdictions
of incorporation and the percentage of their capital stock owned by the Company or other Subsidiaries or Affiliates of the Company. All of the issued and outstanding shares of capital stock or other equity interests of such Subsidiaries have been
duly authorized and issued and are fully paid and non-assessable. 
 9(j) Federal Reserve Board Regulations. Neither
the Company nor any of its Subsidiaries is engaged or will engage, principally or as one of its important activities, in the business of extending credit for the purpose of “purchasing” or “carrying” any “margin stock”
within the respective meanings of such terms under Regulation U. No part of the proceeds of any Loan will be used for “purchasing” or “carrying” “margin stock” as so defined or for any purpose which violates, or which
would be inconsistent with, the provisions of the Regulations of the Board of Governors of the Federal Reserve System. 
 9(k)
ERISA. The Company and each of its Subsidiaries are in compliance in all respects with the requirements of ERISA and no Reportable Event has occurred under any Plan maintained by the Company or any of its Subsidiaries which is likely to
result in the termination of such Plan for purposes of Title IV of ERISA. 
 9(l) Assets. The Company and each of its
Subsidiaries has good and marketable title to all property and assets reflected in the financial statements dated the Statement Date referred to in Paragraph 9(a) above, except property and assets sold or otherwise disposed of in compliance
with Paragraph 11(g) below subsequent to the Statement Date. Neither the Company nor any of its Subsidiaries has outstanding Liens on any of its properties or assets nor are there any security agreements to which the Company or any of
its Subsidiaries is a party, or title retention agreements, whether in the 










 
form of leases or otherwise, of any personal property except as reflected in the financial statements referred to in Paragraph 9(a) above or as
permitted under Paragraph 11(a) below. 
 9(m) Securities Acts. The Company has not issued any unregistered
securities in violation of the registration requirements of Section 5 of the Securities Act of 1933, as amended, or any other law, and is not violating any rule, regulation or requirement under the Securities Act of 1933, as amended, or the
Securities and Exchange Act of 1934, as amended. The Company is not required to qualify an indenture under the Trust Indenture Act of 1939, as amended, in connection with its execution and delivery of the Loan Documents. 
 9(n) Consents, Etc. No consent, approval, authorization of, or registration, declaration or filing with any Governmental Authority
or any other Person is required on the part of the Company or any of its Subsidiaries in connection with the execution and delivery of the Loan Documents or the performance of or compliance with the terms, provisions and conditions hereof or thereof
other than such as have been obtained prior to the Effective Date. 
 9(o) Copyrights, Patents, Trademarks and Licenses,
etc. The Company owns or is licensed or otherwise has the right to use all of the patents, trademarks, service marks, trade names, copyrights, contractual franchises, authorizations and other rights that are reasonably necessary for the
operation of its business, without conflict with the rights of any other Person. To the best knowledge of the Company, no slogan or other advertising device, product, process, method, substance, part or other material now employed, or now
contemplated to be employed, by the Company infringes upon any rights held by any other Person. Except as specifically disclosed in Schedule 9(f) hereto, no claim or litigation regarding any of the foregoing is pending or, to the knowledge of
the Company, threatened, and, to the knowledge of the Company, no patent, invention, device, application, principle or any statute, law, rule, regulation, standard or code is pending or proposed, which, in either case, could, reasonably be expected
to have a Material Adverse Effect. 
 9(p) Hazardous Materials. To the best of its knowledge, the operations of the
Company and its Subsidiaries comply substantially, and during the term of this Agreement will at all times comply substantially, in all respects with all applicable Environmental Laws; the Company and each of its Subsidiaries has obtained licenses,
permits, authorizations and registrations required under applicable Environmental Law (“Environmental Permits”) and necessary for its ordinary operations, all such Environmental Permits are in good standing, and the Company and each of its
Subsidiaries is in compliance with all material terms and conditions of such Environmental Permits; neither the Company, any of its Subsidiaries nor any of their respective present properties or operations are subject to any outstanding written
order from or agreement with any Governmental Authority nor subject to any judicial or docketed administrative proceeding, respecting any Environmental Law, Environmental Claim or Hazardous Material not previously disclosed; there are no Hazardous
Materials or other conditions or circumstances existing, or arising from operations prior to the date of this Agreement, with respect to any property of the Company or any of its Subsidiaries that would reasonably be expected to give rise to
Environmental Claims; provided, however, that with respect to property leased from an unrelated third party, the foregoing representation is made to the best knowledge of the Company. In addition, to the best of its knowledge: (1) neither the
Company nor any of its Subsidiaries has or maintains any underground storage tanks which are not properly registered or permitted under applicable Environmental Laws or which are leaking or disposing of Hazardous Materials off-site, and (2) the
Company and each of its Subsidiaries has notified all of its employees of the existence, if any, of any health hazard arising from the conditions of their employment and have met all notification requirements under Title III of CERCLA and all other
applicable Environmental Laws. 









 9(q) Regulated Entities. Neither the Company nor any of its Subsidiaries is
subject to regulation under the Public Utility Holding Company Act of 1935, the Federal Power Act, the Interstate Commerce Act, any state public utilities code, or any other Federal or state statute or regulation limiting its ability to incur
Indebtedness. 
 9(r) Foreign Asset Control Regulations, Etc. Neither the borrowings hereunder nor the use of the
proceeds thereof will violate the Trading with the Enemy Act, as amended, or any of the foreign assets control regulations of the United States Treasury Department (31 CFR, Subtitle B, Chapter V, as amended) or the Anti-Terrorism
Order or any enabling legislation or executive order relating to any of the same. Without limiting the generality of the foregoing, neither the Company nor any of its Subsidiaries: (1) is or will become a blocked person described in
Section 1 of Anti-Terrorism Order, or (2) engages or will engage in any dealings or transactions or be otherwise associated with any such blocked person. 
 10. Affirmative Covenants. The Company hereby covenants and agrees with the Agent and each Lender that, as long as any Obligations remain unpaid, any Letter of Credit is Outstanding, any Lender has any
obligation to make Loans or the L/C Issuing Bank has any obligation to issue Letters of Credit, the Company shall: 
 10(a)
Financial Statements and Reports. Furnish or cause to be furnished to the Agent and to each of the Lenders directly: 
 (1) as soon as available, but in any event within 90 days after the end of each fiscal year of the Company, a consolidated and consolidating balance sheet of the Company and its Subsidiaries as at the end of such fiscal year, and the
related consolidated and consolidating statements of income or operations, consolidated statements of shareholders’ equity and consolidated statements of cash flows for such fiscal year, setting forth in each case in comparative form the
figures for the previous fiscal year, all in reasonable detail and prepared in accordance with GAAP, such consolidated statements to be audited and accompanied by a report and opinion of an independent certified public accountant of nationally
recognized standing reasonably acceptable to the Lender, which report and opinion shall be prepared in accordance with generally accepted auditing standards and shall not be subject to any “going concern” or like qualification or exception
or any qualification or exception as to the scope of such audit; and such consolidating statements to be certified by a Responsible Financial Officer of the Company to the effect that such statements are fairly stated in all material respects when
considered in relation to the consolidated financial statements of the Company and its Subsidiaries; 
 (2) as soon as
available, but in any event within 45 days after the end of each December 31st, a consolidated and consolidating balance sheet of the Company and its Subsidiaries as at the end of such date, and the related consolidated and consolidating
statements of income or operations, consolidated statements of shareholders’ equity and consolidated statements of cash flows for the two fiscal quarters just ended and for the portion of the Company’s fiscal year then ended, setting forth
in each case in comparative form the consolidated and consolidating statements of the balance sheet and income statements, the consolidated cash flows and consolidated shareholders’ equity, which shall include the figures for the corresponding
period of the previous fiscal year and the corresponding portion of the previous fiscal year, all in reasonable detail and certified by a Responsible Financial Officer of the Company as fairly presenting the financial condition, results of
operations, shareholders’ equity and cash flows of the Company and its Subsidiaries in accordance with GAAP, subject only to normal year-end audit adjustments and the absence of footnotes; 









 (3) as soon as available, but in any event within 90 days after the end of each fiscal
year of the Company, a consolidated balance sheet of OSI and its Subsidiaries comprising the Non- Medical Group prepared by or on behalf of OSI as at the end of such fiscal year, and the related consolidated statements of income or operations,
shareholders’ equity and cash flows for such fiscal year, setting forth in each case in comparative form the figures for the preceding fiscal year, all in reasonable detail and certified by a Responsible Financial Officer of OSI to the effect
that such statements are fairly stated in all material respects when considered in relation to the consolidated financial statements of the Non-Medical Group; 
 (4) as soon as available, but in any event within 45 days after the end of each of the first three fiscal quarters of each fiscal year of
OSI, a consolidated balance sheet of OSI and its Subsidiaries comprising the Non- Medical Group prepared by or on behalf of OSI as at the end of such fiscal quarter, and the related consolidated statements of income or operations, shareholders’
equity and cash flows for such fiscal quarter and for the portion of OSI’s fiscal year then ended, setting forth in each case in comparative form the figures for the corresponding fiscal quarter of the previous fiscal year and the corresponding
portion of the previous fiscal year, all in reasonable detail and certified by a Responsible Financial Officer of OSI as fairly presenting the financial condition, results of operations, shareholders’ equity and cash flows of the Non- Medical
Group in accordance with GAAP, subject only to normal year-end audit adjustments and the absence of footnotes; 
 (5)
Concurrently with the delivery of each of the financial statements delivered pursuant to subparagraphs (1) and (2) above: (i) a certificate of a Responsible Financial Officer of the Company, stating that such financial statements are
presented fairly in accordance with GAAP, confirming as of the last day of such fiscal period the continuing accuracy and completeness of all representations and warranties of the Company set forth in the Loan Documents or, with respect to any
representation and warranty made as of a specific date, the accuracy and completeness as of such date, and that there does not exist a Potential Default or an Event of Default hereunder, (ii) a Compliance Certificate dated as of the date of
such financial statements, and (iii) a certificate listing all Material Foreign Subsidiaries of the Company and specifically identifying any Foreign Subsidiaries on such schedule which have become Material Foreign Subsidiaries since the date of
the most recent certificate delivered hereunder; and 
 (6) concurrently with delivery of financial statements under the
Non-Medical Group Credit Agreement, copies thereof; 
 provided, however, the Company shall not be required to furnish or cause to be furnished to any Lender
information described in subparagraphs (3), (4) or (6) above so long as such Lender is a party to the Non-Medical Credit Agreement. 
 10(b) Other Information. Promptly furnish or cause to be furnished to the Agent (with the Agent providing the same to each of the Lenders) 
 (1) Promptly after the same are available but in any event within 15 days of filing, copies of each annual report, proxy or financial
statement or other report or communication sent to the stockholders of OSI and/or to stockholders of the Company, and copies of all annual, regular, periodic and special reports and registration statements which OSI and/or the Company may file or be
required to file with the SEC under Section 13 or 15(d) of the Securities Exchange Act of 1934, including without limitations forms 10-K and 10-Q, or other 










 
applicable Requirements of Law and not otherwise required to be delivered to the Administrative Agent pursuant hereto. 
 (2) Within 105 days after the end of each fiscal year of the Company, one year quarterly projections and five year annual projections that
are in form and substance satisfactory to the Agent. 
 (3) such additional financial and other information, including,
without limitation, financial statements of the Company and the Guarantors as the Agent or any Lender (through the Agent) may from time to time reasonably request, including, without limitation, such information as is necessary to enable any Lender
to participate out any of its interests in the Loans and other Obligations hereunder or to enable other financial institutions to become signatories hereto. 
 10(c) Payment of Indebtedness. Itself, and shall cause each of its Subsidiaries to, pay, discharge or otherwise satisfy at or
before maturity or before it becomes delinquent, defaulted or accelerated, as the case may be, all its Indebtedness (including taxes), except: (1) Indebtedness being contested in good faith and for which provision is made to the satisfaction of
the Agent for the payment thereof in the event the Company or such Subsidiary is found to be obligated to pay such Indebtedness and which Indebtedness is thereupon promptly paid by the Company or such Subsidiary, and (2) Subordinated Debt not
permitted to be paid pursuant to the terms of any applicable subordination agreement. 
 10(d) Maintenance of Existence and
Properties. Itself, and shall cause each of its Subsidiaries to, maintain its corporate or other such existence as a legal entity and maintain all rights, privileges, licenses, approvals, franchises, properties and assets necessary or desirable
in the normal conduct of its business, and comply with all Contractual Obligations and Requirements of Law the failure to comply with which could have a Material Adverse Effect on the business, operations, assets or financial or other condition of
the Company or the Company and its Subsidiaries taken as a whole. 
 10(e) Inspection of Property; Books and Records;
Discussions. Itself and cause each of its Subsidiaries to: 
 (1) (1) keep books of record and account in which full, true
and correct entries in conformity with GAAP and all Requirements of Law, the failure to comply with which could have a Material Adverse Effect on the business, operations, assets or financial or other condition of the Company or the Company and its
Subsidiaries taken as a whole shall be made of all dealings and transactions in relation to its business and activities, and permit representatives of the Agent or any Lender to visit and inspect any of its properties and examine and make abstracts
from any of its books and records at any reasonable time and as often as may reasonably be desired by the Agent or any Lender and to discuss the business, operations, properties and financial and other condition of the Company and any of its
Subsidiaries with officers and employees of such parties and with their independent certified public accountants. 
 (2)
cooperate with the Agent, the Lenders, their agents and representatives and provide such access as the Agent, the Lenders or any of their agents or representatives may reasonably request in connection with collateral and field audits and other
examinations of property, books and records, and pay, on demand, whether in advance or in arrears, the costs and expenses associated any such collateral or field audits by the Agent; provided that, so long as no Event of Default or Potential Default
has occurred and is continuing, the Company shall be under no duty to pay costs and expenses associated with more than one field audit in any 12 month period. 









 (3) if the Agent provides to any Lender or the Company a copy of any such field audit or
examination report (each a “Report” and collectively, “Reports”) prepared by or at the request of Agent, each of the Lenders and the Company expressly agrees and acknowledges that (i) Agent does not make any
representation or warranty as to the accuracy of any Report, and shall not be liable for any information contained in any Report, (ii) expressly agrees and acknowledges that the Reports are not comprehensive audits or examinations, that Agent
or other party performing any audit or examination will inspect only specific information and will rely significantly upon the books and records of others, as well as on representations of such Person’s personnel, (iii) agrees to keep all
Reports and other material, non-public information regarding the Credit Parties and their respective Subsidiaries and their operations, assets, and existing and contemplated business plans in a confidential manner in accordance with this Agreement.

 10(f) Notices. Promptly give written notice to the Agent (with the Agent providing the same to each of the Lenders)
of: 
 (1) The occurrence of any Potential Default or Event of Default under this Agreement or under, and as defined in, the
Non-Medical Credit Agreement; 
 (2) Any litigation or proceeding in which the Company or any its Subsidiaries is the
defendant or in which the Company or any its Subsidiaries is otherwise at financial risk involving amounts in excess of $250,000 in the aggregate; and 
 (3) Any other event constituting a material adverse change in the business, operations, property or financial or other condition of the Company or the Company and its Subsidiaries taken as a whole. 
 10(g) Expenses. Except as may otherwise be set forth in any fee letter between the Company and the Agent, pay all reasonable
out-of-pocket expenses (including fees and disbursements of counsel): (1) of the Agent incident to the preparation, negotiation and administration of the Loan Documents and the protection of the rights of the Lenders and the Agent under the
Loan Documents, and (2) of the Agent and, following the occurrence of an Event of Default, each of the Lenders incident to the enforcement of payment of the Obligations, whether by judicial proceedings or otherwise, including, without
limitation, in connection with bankruptcy, insolvency, liquidation, reorganization, moratorium or other similar proceedings involving the Company or a “workout” of the Obligations. The obligations of the Company under this Paragraph
10(g) shall be effective and enforceable whether or not any Loan is funded or any Letter of Credit is issued or hereunder and shall survive payment of all other Obligations. 
 10(h) Loan Documents. Comply with and observe all terms and conditions of the Loan Documents. 
 10(i) Insurance. (1) Obtain and maintain insurance with responsible companies in such amounts and against such risks as are
usually carried by corporations engaged in similar businesses similarly situated, (2) at all times maintain in full force and effect insurance on Accounts that is acceptable to the Agent, in its discretion, and (3) furnish any of the
Lenders on request (made through the Agent) full information as to all such insurance. 









 10(j) Hazardous Materials. Itself, and shall cause each of its Subsidiaries to:

 (1) Conduct its operations and keep and maintain all its Properties in compliance with all applicable Environmental Laws.

 (2) Give prompt written notice to the Agent, but in no event later than ten days after becoming aware thereof, of the
following: (i) any enforcement, cleanup, removal or other governmental or regulatory actions instituted, completed or threatened against the Company or any of its Affiliates or any of their respective properties pursuant to any applicable
Environmental Laws, (ii) all other Environmental Claims, and (iii) any environmental or similar condition on any real property adjoining or in the vicinity of the property of the Company or its Affiliates that could reasonably be
anticipated to cause such property or any part thereof to be subject to any restrictions on the ownership, occupancy, transferability or use of such property under any Environmental Laws. 
 (3) Upon the written request of the Agent, submit to the Agent, at the Company’s sole cost and expense, at reasonable intervals, a
report providing an update of the status of any environmental, health or safety compliance, hazard or liability issue identified in any notice required pursuant to this section. 
 (4) At all times indemnify and hold harmless the Agent and the Lenders from and against all liability arising out of any Environmental
Claims, except those Environmental Claims caused as a primary and direct result of the gross negligence or willful misconduct of the Agent or any of the Lenders. 
 10(k) ERISA. Furnish to the Agent: 
 (1) Promptly and in any event within thirty (30) days after the Company knows or has reason to know of the occurrence of a Reportable Event with respect to a Plan with regard to which notice must be provided to
the PBGC, a copy of such materials required to be filed with the PBGC with respect to such Reportable Event and in each such case a statement of a Responsible Financial Officer of the Company setting forth details as to such Reportable Event and the
action which the Company proposes to take with respect thereto; 
 (2) Promptly and in any event within thirty (30) days
after the Company knows or has reason to know of any condition existing with respect to a Plan which presents a material risk of termination of the Plan, imposition of an excise tax, requirement to provide security to the Plan or incurrence of other
liability by the Company or any ERISA Affiliate, a statement of a Responsible Financial Officer of the Company describing such condition; 
 (3) At least ten (10) days prior to the filing by a plan administrator of a Plan of a notice of intent to terminate such Plan, a copy of such notice; 
 (4) Promptly and in no event more than thirty (30) days after the filing thereof with the Secretary of the Treasury, a copy of any
application by the Company or an ERISA Affiliate for a waiver of the minimum funding standard under Section 412 of the Code; 
 (5) Promptly and in any event within thirty (30) days after the Company knows or has reason to know of any event or condition which might constitute grounds under section 4042 of ERISA for the termination of, or the appointment of a
trustee to administer, any Plan, a statement of a Responsible Financial Officer of the Company describing such event or condition; 









 (6) Promptly and in no event more than thirty (30) days after receipt thereof by the
Company or any ERISA Affiliate, a copy of each notice received by the Company or an ERISA Affiliate concerning the imposition of any withdrawal liability under section 4202 of ERISA; and 
 (7) Promptly after receipt thereof a copy of any notice the Company or any ERISA Affiliate may receive from the PBGC or the Internal
Revenue Service with respect to any Plan or Multiemployer Plan; provided, however, that this subparagraph (7) shall not apply to notices of general application promulgated by the PBGC or the Internal Revenue Service. 
 10(l) Compliance with Laws. Itself, and shall cause each of its Subsidiaries to, comply, in all material respects with all
Requirements of Law and Contractual Obligations the failure to comply with which could have a Material Adverse Effect on the business, operations, assets or financial or other condition of the Company or the Company and its consolidated Subsidiaries
taken as a whole. 
 11. Negative Covenants. The Company hereby covenants and agrees with the Agent and each Lender that, as long as
any Obligations remain unpaid, any Letter of Credit is Outstanding, any Lender has any obligation to make Loans or the L/C Issuing Bank has any obligation to issue Letters of Credit, the Company shall not, directly or indirectly: 
 11(a) Liens. And shall not permit any Subsidiary to, create, incur, assume or suffer to exist any Lien upon any of its property and
assets except: 
 (1) Liens or charges for current taxes, assessments or other governmental charges which are not delinquent
or which remain payable without penalty, or the validity of which are contested in good faith by appropriate proceedings upon stay of execution of the enforcement thereof, provided the Company or such Subsidiary, as applicable, shall have set aside
on its books and shall maintain adequate reserves for the payment of same in conformity with GAAP; 
 (2) Liens, deposits or
pledges made to secure statutory obligations, surety or appeal bonds, or bonds to obtain, or to obtain the release of, attachments, writs of garnishment or for stay of execution, or to secure the performance of bids, tenders, contracts (other than
for the payment of borrowed money), leases or for purposes of like general nature in the ordinary course of the business of the Company or such Subsidiary; 
 (3) Purchase money security interests for property hereafter acquired, conditional sale agreements, or other title retention agreements, with respect to property hereafter acquired; provided, however, that no such
security interest or agreement shall extend to any property other than the property acquired; 
 (4) Statutory Liens of
landlord’s, carriers, warehousemen, mechanics, materialmen and other similar Liens imposed by law and created in the ordinary course of business for amounts not yet due or which are being contested in good faith by appropriate proceedings and
with respect to which adequate reserves are being maintained in conformity with GAAP; 
 (5) Attachment and judgment Liens not
otherwise constituting an Event of Default any of which Liens are in existence less than thirty (30) days after the entry thereof or with respect to which execution has been stayed, payment is covered in full by insurance, or the 










 
Company or such Subsidiary shall in good faith be prosecuting an appeal or proceedings for review and shall have set aside on its books such reserves as may
be required by GAAP with respect to such judgment or award; and 
 (6) Liens securing Indebtedness of the Medical Group
permitted to be incurred as secured Indebtedness pursuant to subparagraphs (5) and (6) of Paragraph 11(b) below; provided, however, that in no event shall any such Liens affect the Collateral or any portion thereof
and, provided further, that in no event shall any Liens be permitted on the outstanding capital stock or other equity interests in any of the Foreign Subsidiaries other than in favor of the Agent for the benefit of the Lenders. 
 11(b) Indebtedness. And shall not permit any Subsidiary to, create, incur, assume or suffer to exist, or otherwise become or be
liable in respect of any Indebtedness except: 
 (1) The Obligations; 
 (2) Indebtedness reflected in the financial statements referred to in Paragraph 9(a) above; 
 (3) Trade debt incurred in the ordinary course of business; 
 (4) Indebtedness secured by Liens permitted under Paragraph 11(a) (other than subparagraph (6) thereof) above;

 (5) (i) Secured and unsecured Indebtedness of Domestic Subsidiaries of the Company (including guaranties, contingent
obligations and recourse obligations) in the nature of reimbursement obligations for letters of credit and purchase money obligations (other than for real estate) incurred in the ordinary course of business in an aggregate amount not to exceed
$5,000,000 and (ii) secured and unsecured Indebtedness (including guaranties, contingent obligations and recourse obligations) of Foreign Subsidiaries of the Company incurred in the ordinary course of business in an aggregate amount not to
exceed $5,000,000; and 
 (6) Unsecured Indebtedness in the nature of guaranties and other contingent recourse obligations of
the Company and its Domestic Subsidiaries in the Medical Group relating to Indebtedness permitted pursuant to subparagraph (5) above; provided that the contingent obligations of the Company and its Domestic Subsidiaries in the Medical
Group thereunder shall not exceed $2,000,000 in the aggregate at any date. 
 11(c) Merger, Etc. And shall not permit
any Subsidiary to, dissolve, merge or consolidate with any Person or permit any Person to merger into it, except that: 
 (1)
Any Subsidiary of the Company in the Medical Group may merge into or consolidate with the Company so long as the surviving Person is the Company; 
 (2) Any Domestic Subsidiary of the Company in the Medical Group may merge into or consolidate with another Domestic Subsidiary in the Medical Group, so long as the surviving Person is a wholly-owned Domestic
Subsidiary in the Medical Group; and 









 (3) Any Foreign Subsidiary of the Company in the Medical Group may merge into or
consolidate with another Foreign Subsidiary in the Medical Group, so long as the surviving Person is a wholly-owned Foreign Subsidiary in the Medical Group. 
 provided, however, that as a condition precedent to any transaction set forth in subparagraphs (1) through (3) above, the Company shall have delivered in writing to the Agent evidence satisfactory to the Agent, including, without
limitation, pro forma financial projections in form and detail satisfactory to the Agent, that both before and immediately after giving effect to such transaction there shall not exist any Event of Default or Potential Default. 
 11(d) Acquisitions. And shall not permit any Subsidiary to, purchase or acquire or incur liability for the purchase or acquisition
of any or all of the assets or business of any Person other than Permitted Acquisitions. 
 11(e) Payment of Restricted
Payments. Except as permitted by Paragraph 11(f), make any Restricted Payments. 
 11(f) Purchase or Retirement
of Stock; Declaration of Rights, Preferences and Privileges; Retirement of Indebtedness. 
 (1) Acquire, purchase, redeem
or retire, or suffer to be acquired, purchased, redeemed or retired, any shares of its capital stock now or hereafter outstanding unless at the date thereof there does not exist an Event of Default or Potential Default and the aggregate value of
shares of the capital stock acquired, purchased, redeemed or retired does not exceed $4,000,000. 
 (2) Issue any preferred
stock or declare or fix any rights, preferences or privileges as to any preferred stock, including preferred stock of Company without the prior written consent of the Agent. 
 (3) Pay, prepay, retire, acquire, purchase or redeem or suffer to be paid, prepaid, retired, acquired purchased or redeemed Inter-Company
Indebtedness, except, so long as no Event of Default has occurred and is continuing and after giving effect to any proposed repayment or prepayment the Company will be in compliance with the requirements of this Agreement on a Pro Forma Basis,
Indebtedness in an aggregate principal amount in any fiscal year in excess of $5,000,000. 
 11(g) Sale of Assets.
Without the prior written consent of the Agent, permit any Subsidiary to sell, lease, assign, transfer or otherwise dispose of its assets, whether now owned or hereafter acquired and whether in connection with the transfer, spin off or restructure
of a portion of the business of such Person or otherwise, except sales and other dispositions (1) of inventory in the ordinary course of business as presently conducted for fair market value, (2) of obsolete or worn out property,
(3) from a Foreign Subsidiary to the Company or a Domestic Subsidiary. 
 11(h) Relocation of Assets. And shall
not permit any of its Domestic Subsidiaries, except in the case of equipment with a fair market value not to exceed $1,000,000, to change the physical location of any of its assets to a jurisdiction outside of the United States of America without
prior notice to the Agent and the consent of the Agent. 









 11(i) Financial Covenants. Permit, for the Company on a consolidated basis for the
Medical Group only (calculated disregarding the effect of non-cash stock option expense and non-recurring and extraordinary non-cash items): 
 (1) as of the end of any semi annual fiscal period beginning with the period ending June 30, 2006, the Net Worth to be less than the sum of (i) $36,000,000.00 plus (ii) on a cumulative basis, as of the
end of each June 30th and December 31st beginning with December 31, 2006, 75% of the Company’s consolidated net profit after taxes, determined in accordance with GAAP (if positive and with no reduction in the event of loss) for
the two fiscal quarters just ended excluding foreign currency transaction losses or gains during such two fiscal quarters. 
 (2) as of the end of any semi annual fiscal period beginning with the period ending June 30, 2006, the ratio of current assets to current liabilities (including Outstanding Loans and Letters of Credit), determined in accordance with
GAAP, to be less than 1.40 to 1.00. 
 (3) as of the end of any semi annual fiscal period beginning with the period ending
June 30, 2006, the Fixed Charge Coverage Ratio to be less than 1.25 to 1.00. 
 (4) as of the end of any of the following
semi annual fiscal periods, the Leverage Ratio to be greater than: 
  

			
	As of the end of the semi-annual fiscal period ending:	  	The Leverage Ratio is not to be greater than:
		
	June 30, 2006, December 31, 2006, June 30, 2007 and December 31, 2007	  	3.25 to 1.00
	June 30, 2008 and December 31, 2008	  	3.00 to 1.00
	June 30, 2009 and thereafter	  	2.50 to 1.00

 (5) as of the end of any semi-annual fiscal period, the Senior Leverage Ratio to be
greater than: 
  

			
	As of the end of the semi-annual fiscal period ending:	  	The Senior Leverage Ratio is not to be greater than:
		
	June 30, 2006, December 31, 2006, June 30, 2007 and December 31, 2007	  	2.50 to 1.00
	June 30, 2008, December 31, 2008, June 30, 2009, December 31, 2009	  	2.25 to 1.00
	June 30, 2010 and thereafter	  	2.00 to 1.00

 11(j) Investments and Loans. And shall not permit any Subsidiary to,
following the Effective Date, make or commit to make any advance, loan or extension of credit or capital contribution to, or purchase any stock, bonds, notes, debentures or other securities of, or make any other investment in, any Person, except
Permitted Investments. 
 11(k) Change in Business. And shall not permit any Subsidiaries to, make any change in the
principal nature of their respective businesses. 







 11(l) Transactions with Non-Medical Group and Affiliates. And shall not permit any
Subsidiary to, make any payment to, or sell, lease, transfer or otherwise dispose of any of its properties or assets to, or purchase any property or assets from, or enter into or make or amend any contract, agreement, understanding, loan, advance or
guarantee with, or for the benefit of, any Affiliate (each of the foregoing, an “Affiliate Transaction”), unless such Affiliate Transaction is on terms that are no less favorable to the Company or the relevant Subsidiary than those
that would have been obtained in a comparable transaction by the Company or such Subsidiary with an unrelated Person. 
 12. Events of
Default. Upon the occurrence of any of the following events (an “Event of Default”): 
 12(a) The Company shall
fail to pay any principal on the Loans, any L/C Drawing, or pay any Swap Obligations on the date when due, or fail to pay within five days of the date when due any other Obligation under the Loan Documents; or 
 12(b) Any representation or warranty made by the Company in any Loan Document shall be inaccurate or incomplete in any material respect on
or as of the date made; or 
 12(c) The Company shall fail to maintain its corporate existence or shall default in the
observance or performance of any covenant or agreement contained in Paragraph 11 above; or 
 12(d) The Company
shall fail to observe or perform any other term or provision contained in the Loan Documents and such failure shall continue for thirty (30) days; or 
 12(e) (1) The Company or any of its Subsidiaries shall default in any payment of principal of or interest on any Indebtedness (other than the Obligations), or (2) any Person shall default in the payment of
any Indebtedness upon which the Company or any of its Subsidiaries is contingently liable, or (3) any other event shall occur, the effect of which is to permit such Indebtedness to be declared or otherwise to become due prior to its stated
maturity; or 
 12(f) (1) The Company, any of its Subsidiaries, or any Guarantor shall commence any case, proceeding or
other action (i) under any existing or future law of any jurisdiction, domestic or foreign, relating to bankruptcy, insolvency, reorganization or relief of debtors, seeking to have an order for relief entered with respect to it, or seeking to
adjudicate it a bankrupt or insolvent, or seeking reorganization, arrangement, adjustment, winding-up, liquidation, dissolution, composition or other relief with respect to it or its debts, or (ii) seeking appointment of a receiver, trustee,
custodian or other similar official for it or for all or any substantial part of its assets, or the Company, any of its Subsidiaries, or any Guarantor shall make a general assignment for the benefit of its creditors; or (2) there shall be
commenced against the Company, any of its Subsidiaries, or any Guarantor, any case, proceeding or other action of a nature referred to in clause (1) above which (i) results in the entry of an order for relief or any such adjudication or
appointment, or (ii) remains undismissed, undischarged or unbonded for a period of thirty (30) days; or (3) there shall be commenced against the Company, any of its Subsidiaries, or any Guarantor, any case, proceeding or other action
seeking issuance of a warrant of attachment, execution, distraint or similar process against all or substantially all of its assets which results in the entry of an order for any such relief which shall not have been vacated, discharged, stayed,
satisfied or bonded pending appeal within sixty (60) days from the entry thereof; or (4) the Company, any of its Subsidiaries, or any Guarantor, shall take any action in furtherance of, or indicating its consent to, approval of, or
acquiescence in (other than in connection with a final settlement), any of the acts set forth in clause (1), (2) or (3) above; or (5) the Company, any of its Subsidiaries, or any Guarantor, shall generally not, or shall be unable to,
or shall admit in writing its inability to pay its debts as they become due; or 







 12(g) (1) Any Person shall engage in any “prohibited transaction” (as
defined in Section 406 of ERISA or Section 4975 of the Code) involving any Plan, (2) any “accumulated funding deficiency” (as defined in Section 302 of ERISA), whether or nor waived, shall exist with respect to any
Plan, (3) a Reportable Event shall occur with respect to, or proceedings shall commence to have a trustee appointed, or a trustee shall be appointed, to administer or to terminate, any Single Employer Plan, which Reportable Event or institution
of proceedings is, in the reasonable opinion of the Agent, likely to result in the termination of such Plan for purposes of Title IV of ERISA, and, in the case of a Reportable Event, the continuance of such Reportable Event unremedied for ten days
after notice of such Reportable Event pursuant to Section 4043(a), (c) or (d) of ERISA is given or the continuance of such proceedings for ten days after commencement thereof, as the case may be, (4) any Single Employer Plan
shall terminate for purposes of Title IV of ERISA, (5) any withdrawal liability to a Multiemployer Plan shall be incurred by the Company or (6) any other event or condition shall occur or exist; and in each case in clauses (1) through
(6) above, such event or condition, together with all other such events or conditions, if any, is likely to subject the Company or any of its Subsidiaries to any tax, penalty or other liabilities in the aggregate material in relation to the
business, operations, property or financial or other condition of the Company or the Company and its Subsidiaries taken as a whole; or 
 12(h) One or more judgments or decrees shall be entered against the Company or any of its Subsidiaries and such judgments or decrees shall not have been vacated, discharged, stayed, satisfied or bonded pending appeal
within thirty (30) days from the entry thereof; or 
 12(i) Any Guarantor shall fail to observe or perform any provision
of any Loan Document to which it is a party or shall attempt to rescind or revoke any Loan Document to which it is a party, with respect to future transactions or otherwise, or any representation or warranty set forth any Loan Document to which any
Guarantor is party shall be inaccurate or incomplete in any material respect as of the date made; or 
 12(j) There shall
occur a Change of Control; or 
 12(k) The conditions precedent described on Schedule 8(a) shall not have been timely
satisfied in accordance with Paragraph 8(a) above. 
 THEN, automatically upon the occurrence of an Event of Default under Paragraph 12(f)
above, at the option of any Lender upon the occurrence of an Event of Default under Paragraph 12(a) above and, in all other cases, at the option of the Majority Lenders, each Lender’s obligation to make Loans and the L/C Issuing
Bank’s obligation to issue Letters of Credit with the Company hereunder shall terminate and the principal balance of outstanding Loans and interest accrued but unpaid thereon and the aggregate contingent liability of the Company to reimburse
the L/C Issuing Bank and the Lenders for future L/C Drawings with respect to Outstanding Letters of Credit and the aggregate contingent liability of the Company to make any payment with respect to Swap Obligations and all other Obligations shall
become immediately due and payable, without demand upon or presentment to the Company, which are expressly waived by the Company and the Agent and the Lenders may immediately exercise all rights, powers and remedies available to them at law, in
equity or otherwise. All amounts paid by the Company on account of the aggregate contingent liability of the Company under Outstanding Letters of Credit and outstanding FX Transactions, interest rate swap and other hedging arrangements with Bank of
the West shall be held by the Agent as collateral security for the benefit of the L/C Issuing Bank, the Lenders, and the Counterparty until there are no Letters of Credit Outstanding, all unrepaid L/C Drawings have been paid in full with interest
thereon as provided herein, and all FX Transactions, interest rate swap and other hedging arrangements have matured and all Swap Obligations have been paid in full, the Company hereby being automatically deemed to have granted to the Agent, the L/C
Issuing Bank, the Lenders and 








 
the Counterparty a first priority, perfected security interest in all such monies and to have authorized the Agent to debit such monies in satisfaction of
the obligation of the Company to repay L/C Drawings and Obligations connected with FX Transactions, interest rate swaps and other hedging obligations; provided, that, nothing contained herein shall in any manner or to any extent affect the liability
of the Company with respect to L/C Drawings, FX Transactions, interest rate swaps or other hedging arrangements in the event for whatever reason the Agent does not so debit such monies on account thereof. 
 13. The Agent. 
 13(a)
Appointment. Each Lender hereby irrevocably designates and appoints the Agent as the agent of such Lender under the Loan Documents and each such Lender hereby irrevocably authorizes the Agent, as the agent for such Lender, to take such action
on its behalf under the provisions of the Loan Documents and to exercise such powers and perform such duties as are expressly delegated to the Agent by the terms of the Loan Documents, together with such other powers as are reasonably incidental
thereto. Notwithstanding any provision to the contrary elsewhere in the Loan Documents, the Agent shall not have any duties or responsibilities, except those expressly set forth herein or therein, or any fiduciary relationship with any Lender, and
no implied covenants, functions, responsibilities, duties, obligations or liabilities shall be read into the Loan Documents or otherwise exist against the Agent. The Company shall pay to the Agent an agency fee in such amount and at such times as
the Agent and the Company may from time to time agree in writing. 
 13(b) Delegation of Duties. The Agent may execute
any of its duties under the Loan Documents by or through agents or attorneys-in-fact and shall be entitled to advice of counsel concerning all matters pertaining to such duties. The Agent shall not be responsible for the negligence or misconduct of
any agents or attorneys-in-fact selected by it with reasonable care. 
 13(c) Exculpatory Provisions. Neither the Agent
nor any of its officers, directors, employees, agents, attorneys-in-fact or Affiliates shall be (1) liable for any action lawfully taken or omitted to be taken by it or such Person under or in connection with the Loan Documents (except for its
or such Person’s own gross negligence or willful misconduct), or (2) responsible in any manner to any of the Lenders for any recitals, statements, representations or warranties made by the Company or any officer thereof contained in the
Loan Documents or in any certificate, report, statement or other document referred to or provided for in, or received by the Agent under or in connection with the Loan Documents or for the value, validity, effectiveness, genuineness, enforceability
or sufficiency of the Loan Documents or for any failure of the Company to perform its obligations hereunder. The Agent shall not be under any obligation to any Lender to ascertain or to inquire as to the observance or performance of any of the
agreements contained in, or conditions of, the Loan Documents or to inspect the properties, books or records of the Company. 
 13(d) Reliance by Agent. The Agent shall be entitled to rely, and shall be fully protected in relying, upon any note, writing, resolution, notice, consent, certification, affidavit, letter, cablegram, telegram, telecopy, telex or
teletype message, statement, order or other document or conversation reasonably believed by it to be genuine and correct and to have been signed, sent or made by the proper Person or Persons and upon advice and statements of legal counsel
(including, without limitation, counsel to the Company), independent accountants and other experts selected by the Agent. The Agent may deem and treat the payee of any note as the owner thereof for all purposes. As to the Lenders: (1) the Agent
shall be fully justified in failing or refusing to take any action under the Loan Documents unless it shall first receive such advice or concurrence of the Majority Lenders or all of the Lenders, as appropriate, or it shall first be indemnified to
its satisfaction by the Lenders ratably in accordance with their respective Percentage Shares against any and all liability and expense which may 








 
be incurred by it by reason of taking or continuing to take any action (except for liabilities and expenses resulting from the Agent’s gross negligence
or willful misconduct), and (2) the Agent shall in all cases be fully protected in acting, or in refraining from acting, under the Loan Documents in accordance with a request of the Majority Lenders or all of the Lenders, as appropriate, and
such request and any action taken or failure to act pursuant thereto shall be binding upon all the Lenders. 
 13(e) Notice
of Default. The Agent shall not be deemed to have knowledge or notice of the occurrence of any Potential Default or Event of Default hereunder unless the Agent has received notice from a Lender or the Company referring to the Loan Documents,
describing such Potential Default or Event of Default and stating that such notice is a “notice of default.” In the event that the Agent receives such a notice, the Agent shall give notice thereof to the Lenders. The Agent shall take such
action with respect to such Potential Default or Event of Default as shall be reasonably directed by the Majority Lenders provided that such action is consistent with the provisions of this Agreement; provided that, unless and until the Agent shall
have received such directions, the Agent may (but shall not be obligated to) take such action, or refrain from taking such action, with respect to such Potential Default or Event of Default as it shall deem advisable in the best interest of the
Lenders. 
 13(f) Non-Reliance on Agent and Other Lenders. Each Lender expressly acknowledges that neither the Agent
nor any of its officers, directors, employees, agents, attorneys-in-fact or Affiliates has made any representations or warranties to it and that no act by the Agent hereinafter taken, including any review of the affairs of the Company, shall be
deemed to constitute any representation or warranty by the Agent to any Lender. Each Lender represents to the Agent that it has, independently and without reliance upon the Agent or any other Lender, and based on such documents and information as it
has deemed appropriate, made its own appraisal of and investigation into the business, operations, property, financial and other condition and creditworthiness of the Company and made its own decision to make its loans hereunder and enter into this
Agreement. Each Lender also represents that it will, independently and without reliance upon the Agent or any other Lender, and based on such documents and information as it shall deem appropriate at the time, continue to make its own credit
analysis, appraisals and decisions in taking or not taking action under this Agreement, and to make such investigation as it deems necessary to inform itself as to the business, operations, property, financial and other condition and
creditworthiness of the Company. Except for notices, reports and other documents expressly required to be furnished to the Lenders by the Agent hereunder, the Agent shall not have any duty or responsibility to provide any Lender with any credit or
other information concerning the business, operations, property, financial and other condition or creditworthiness of the Company which may come into the possession of the Agent or any of its officers, directors, employees, agents, attorneys-in-fact
or Affiliates. 
 13(g) Indemnification. The Lenders agree to indemnify the Agent in its capacity as such (to the
extent not reimbursed by the Company and without limiting the obligation of the Company to do so), ratably according to the respective amounts of their Percentage Shares, from and against any and all liabilities, obligations, losses, damages,
penalties, actions, judgments, suits, costs, expenses or disbursements of any kind whatsoever which may at any time (including without limitation at any time following the payment of the Obligations) be imposed on, incurred by or asserted against
the Agent in any way relating to or arising out of the Loan Documents or any documents contemplated by or referred to herein or the transactions contemplated hereby or any action taken or omitted by the Agent under or in connection with any of the
foregoing; provided that no Lender shall be liable for the payment of any portion of such liabilities, obligations, losses, damages, penalties, actions, judgments, suits, costs, expenses or disbursements resulting from the Agent’s gross
negligence or willful misconduct. The agreements in this subsection shall survive the payment of the Obligations. 







 13(h) Agent in Its Individual Capacity. The Agent and its Affiliates may make
loans to, accept deposits from and generally engage in any kind of business with the Company as though the Agent were not the Agent hereunder. With respect to such loans made or renewed by them, the Agent shall have the same rights and powers under
the Loan Documents as any Lender and may exercise the same as though it were not the Agent, and the terms “Lender” and “Lenders” shall include the Agent in its individual capacity and the Swing Line Lender, and the term
“Agent” shall include the Swing Line Lender. 
 13(i) Successor Agent. The Agent may resign as Agent under
the Loan Documents upon sixty (60) days’ notice to the Lenders and agrees that it will so resign in the event it ceases to hold any Percentage Share of the Obligations. If the Agent shall resign as provided herein, then the Lenders (other
than the Agent) shall appoint from among the Lenders a successor agent or, if such Lenders are unable to agree on the appointment of a successor agent, the Agent shall appoint a successor agent for the Lenders (which successor agent shall, in either
case and assuming that there does not exist a Potential Default or Event of Default, be reasonably acceptable to the Company), whereupon such successor agent shall succeed to the rights, powers and duties of the Agent, and the term “Agent”
shall mean such successor agent effective upon its appointment, and the former Agent’s rights, powers and duties as Agent shall be terminated, without any other or further act or deed on the part of such former Agent or any of the parties to
this Agreement or any of the Loan Documents or successors thereto. After any retiring Agent’s resignation hereunder as Agent, the provisions of this Paragraph 13 shall inure to its benefit as to any actions taken or omitted to be taken
by it while it was Agent under the Loan Documents. 
 14. Miscellaneous Provisions. 
 14(a) No Assignment. The Company may not assign its rights or obligations under this Agreement without the prior written consent of
one hundred percent (100%) of the Agent and the Lenders. Any attempted assignment in violation of this provision shall automatically be deemed null and void. Subject to the foregoing, all provisions contained in this Agreement or any document
or agreement referred to herein or relating hereto shall inure to the benefit of each Lender, its successors and assigns, and shall be binding upon the Company, its successors and assigns. 
 14(b) Amendment. This Agreement may not be amended or terms or provisions hereof waived unless such amendment or waiver is in
writing and signed by the Majority Lenders, the Agent and the Company; provided, however, that without the prior written consent of one hundred percent (100%) of the Agent and the Lenders, no amendment or waiver shall: (1) reduce the
principal of, or rate of interest or fees on, the Loans or any Letter of Credit or extend or otherwise modify the required amount or due date for any Loan or any L/C Drawing, (2) modify any Lender’s Percentage Share (except as the result
of an assignment permitted under Paragraph 14(h)(1) below), (3) modify any provision of the Loan Documents requiring one hundred percent (100%) of the Lenders to act, (4) modify the definition of “Majority
Lenders,” (5) release any Guarantor from its obligations under its Guaranty or Guarantor Security Agreement or, except as expressly contemplated by the Loan Documents, release any collateral at any time held for the Obligations,
(6) amend this Paragraph 14(b) or (7) increase or extend any of the Lenders’ commitments to provide Loans, Letters of Credit or other financing hereunder. It is expressly agreed and understood that the failure by the
Majority Lenders to elect to accelerate amounts outstanding hereunder and/or to terminate the obligation of the Lenders to make Loans or the L/C Issuing Bank to issue Letters of Credit with the Company hereunder shall not constitute an amendment or
waiver of any term or provision of this Agreement. 
 14(c) Cumulative Rights; No Waiver. The rights, powers and
remedies of the Lenders hereunder are cumulative and in addition to all rights, power and remedies provided under any and all 








 
agreements between the Company and the Lenders relating hereto, at law, in equity or otherwise. Any delay or failure by the Lenders to exercise any right,
power or remedy shall not constitute a waiver thereof by the Lenders, and no single or partial exercise by the Lenders of any right, power or remedy shall preclude other or further exercise thereof or any exercise of any other rights, powers or
remedies. 
 14(d) Entire Agreement. This Agreement and the documents and agreements referred to herein embody the
entire agreement and understanding between the parties hereto and supersede all prior agreements and understandings relating to the subject matter hereof and thereof. 
 14(e) Survival. All representations, warranties, covenants and agreements herein contained on the part of the Company shall survive
the termination of this Agreement and shall be effective until the Obligations are paid and performed in full or longer as expressly provided herein. 
 14(f) Notices. All notices given by any party to the others shall be in writing unless otherwise provided for herein, delivered by facsimile transmission, by personal delivery or by overnight courier, addressed
to the party as set forth on Annex 2 attached hereto, as such Annex 2 may be amended from time to time. Any party may change the address to which notices are to be sent by notice of such change to each other party given as provided
herein. Such notices shall be effective on the date received. 
 14(g) Governing Law. This Agreement shall be governed
by and construed in accordance with the laws of the State of California without giving effect to its choice of law rules. 
 14(h) Assignments, Participations, Etc. 
 (1) Any Lender may at any time, with the consent of the Agent and,
but only so long as there does not exist an Event of Default, the Company (which consent shall not be unreasonably withheld by the Company), assign and delegate to one or more financial institutions (each an “Assignee”) all, or any ratable
part of all, of the Loans and the other rights and obligations of such Lender hereunder in a minimum amount of $4,000.000.00; provided, however, that the Company and the Agent may continue to deal solely and directly with such Lender in connection
with the interest so assigned to an Assignee until (i) written notice of such assignment, together with payment instructions, addresses and related information with respect to the Assignee, shall have been given to the Company and the Agent by
such Lender and the Assignee; (ii) such Lender and its Assignee shall have delivered to the Company and the Agent an Assignment and Assumption Agreement; and (iii) the Assignee has paid to the Agent a processing fee in the amount of
$3,500.00. From and after the date that the Agent notifies the assignor Lender that it has received an executed Assignment and Assumption Agreement, (y) the Assignee thereunder shall be a party hereto and, to the extent that rights and
obligations hereunder and under the other Loan Documents have been assigned to it pursuant to such Assignment and Assumption Agreement, shall have the rights and obligations of a Lender under the Loan Documents, and (z) the assignor Lender
shall, to the extent that rights and obligations hereunder and under the other Loan Documents have been assigned by it pursuant to such Assignment and Assumption Agreement, relinquish its rights and be released from its obligations under the Loan
Documents. Upon the effective date of such assignment, this Agreement and the other Loan Documents shall be deemed to be amended to the extent, but only to the extent, necessary to reflect the addition of the Assignee and the resulting adjustment of
the Percentage Share arising therefrom. 
 (2) Any Lender may at any time sell to one or more financial institutions or other
Persons (each a “Participant”) participating interests in any Loans, the funding commitment 








 
of that Lender and the other interests of that Lender (the “originating Lender”) hereunder and under the other Loan Documents; provided, however,
that (i) the originating Lender’s obligations under this Agreement shall remain unchanged, (ii) the originating Lender shall remain solely responsible for the performance of such obligations, (iii) the Company and the Agent shall
continue to deal solely and directly with the originating Lender in connection with the originating Lender’s rights and obligations under this Agreement and the other Loan Documents, (iv) following such sale that Lender shall continue to
hold for its own account a Percentage Share of the Aggregate Credit Limit of not less than $4,000,000.00 and (v) the terms of any documentation governing such participation shall not provide for such Participant to have any voting rights on any
amendments to the Credit Agreement or other Loan Documents other than any such amendment which purports to (A) forgive principal of, or interest on any Loan, (B) postpone any date fixed for the payment of principal of or interest on, any
Loan, (C) decrease the rates at which interest or fees are payable under the Credit Agreement or (D) release all or substantially all of the Collateral. 
 (3) Notwithstanding any other provision contained in this Agreement or any other Loan Document to the contrary, any Lender may assign all
or any portion of the Loans held by it to any Federal Reserve Lender or the United States Treasury as collateral security pursuant to Regulation A of the Board of Governors of the Federal Reserve System and any Operating Circular issued by such
Federal Reserve Lender. 
 14(i) Counterparts. This Agreement and the other Loan Documents may be executed in any
number of counterparts, all of which together shall constitute one agreement. 
 14(j) Sharing of Payments. If any
Lender shall receive and retain any payment, whether by setoff, application of deposit balance or security, or otherwise, in respect of the Obligations in excess of such Lender’s Percentage Share thereof, then such Lender shall purchase from
the other Lenders for cash and at face value and without recourse, such participation in the Obligations held by them as shall be necessary to cause such excess payment to be shared ratably as aforesaid with each of them; provided, that if such
excess payment or part thereof is thereafter recovered from such purchasing Lender, the related purchases from the other Lenders shall be rescinded ratably and the purchase price restored as to the portion of such excess payment so recovered, but
without interest. Each Lender is hereby authorized by the Company to exercise any and all rights of setoff, counterclaim or bankers’ lien against the full amount of the Obligations, whether or not held by such Lender. Each Lender hereby agrees
to exercise any such rights first against the Obligations and only then to any other Indebtedness of the Company to such Lender. 
 14(k) Consent to Jurisdiction. ANY LEGAL ACTION OR PROCEEDING WITH RESPECT TO THIS AGREEMENT OR ANY OTHER LOAN DOCUMENT MAY BE BROUGHT IN THE COURTS OF THE STATE OF CALIFORNIA OR OF THE UNITED STATES FOR THE CENTRAL DISTRICT OF
CALIFORNIA, AND BY EXECUTION AND DELIVERY OF THIS AGREEMENT, EACH OF THE COMPANY, THE AGENT AND THE LENDERS CONSENTS, FOR ITSELF AND IN RESPECT OF ITS PROPERTY, TO THE NON-EXCLUSIVE JURISDICTION OF THOSE COURTS. EACH OF THE COMPANY, THE AGENT AND
THE LENDERS IRREVOCABLY WAIVES ANY OBJECTION, INCLUDING ANY OBJECTION TO THE LAYING OF VENUE OR BASED ON THE GROUNDS OF FORUM NON CONVENIENS, WHICH IT MAY NOW OR HEREAFTER HAVE TO THE BRINGING OF ANY ACTION OR PROCEEDING IN SUCH JURISDICTION
IN RESPECT OF THIS AGREEMENT OR ANY DOCUMENT RELATED HERETO. THE COMPANY, THE AGENT AND THE LENDERS EACH WAIVE PERSONAL SERVICE OF 








 
ANY SUMMONS, COMPLAINT OR OTHER PROCESS, WHICH MAY BE MADE BY ANY OTHER MEANS PERMITTED BY CALIFORNIA LAW. 
 14(l) Waiver of Jury Trial. TO THE EXTENT PERMITTED BY LAW, THE COMPANY, THE LENDERS AND THE AGENT EACH WAIVE THEIR RESPECTIVE
RIGHTS TO A TRIAL BY JURY OF ANY CLAIM OR CAUSE OF ACTION BASED UPON OR ARISING OUT OF OR RELATED TO THIS AGREEMENT, THE OTHER LOAN DOCUMENTS, OR THE TRANSACTIONS CONTEMPLATED HEREBY OR THEREBY, IN ANY ACTION, PROCEEDING OR OTHER LITIGATION OF ANY
TYPE BROUGHT BY ANY OF THE PARTIES AGAINST ANY OTHER PARTY OR ANY PARTICIPANT OR ASSIGNEE, WHETHER WITH RESPECT TO CONTRACT CLAIMS, TORT CLAIMS, OR OTHERWISE. THE COMPANY, THE LENDERS AND THE AGENT EACH AGREE THAT ANY SUCH CLAIM OR CAUSE OF ACTION
SHALL BE TRIED BY A COURT TRIAL WITHOUT A JURY. WITHOUT LIMITING THE FOREGOING, THE PARTIES FURTHER AGREE THAT THEIR RESPECTIVE RIGHT TO A TRIAL BY JURY IS WAIVED BY OPERATION OF THIS SECTION AS TO ANY ACTION, COUNTERCLAIM OR OTHER PROCEEDING WHICH
SEEKS, IN WHOLE OR IN PART, TO CHALLENGE THE VALIDITY OR ENFORCEABILITY OF THIS AGREEMENT OR THE OTHER LOAN DOCUMENTS OR ANY PROVISION HEREOF OR THEREOF. THIS WAIVER SHALL APPLY TO ANY SUBSEQUENT AMENDMENTS, RENEWALS, SUPPLEMENTS OR MODIFICATIONS TO
THIS AGREEMENT AND THE OTHER LOAN DOCUMENTS. 
 14(m) Indemnity. Whether or not the transactions contemplated hereby
are consummated, the Company shall indemnify and hold the Agent and each Lender and each of their respective officers, directors, employees, counsel, agents and attorneys-in-fact (each, an “Indemnified Person”) harmless from and against
any and all liabilities, obligations, losses, damages, penalties, actions, judgments, suits, costs, charges, expenses and disbursements (including reasonable attorney’s fees and expenses, including the documented cost of internal counsel) of
any kind or nature whatsoever which may at any time (including at any time following repayment of the Loans and the termination, resignation or replacement of the Agent or replacement of any Lender) be imposed on, incurred by or asserted against any
such Person in any way relating to or arising out of this Agreement or any document contemplated by or referred to herein, or the transactions contemplated hereby, or any action taken or omitted by any such Person under or in connection with any of
the foregoing, including with respect to any investigation, litigation or proceeding (including any insolvency proceeding or appellate proceeding) related to or arising out of this Agreement, the Loans or any Letter of Credit issued hereunder, or
the use of the proceeds thereof, whether or not any Indemnified Person is a party thereto (all the foregoing, collectively, the “Indemnified Liabilities”); provided, however, that the Company shall have no obligation hereunder to any
Indemnified Person with respect to Indemnified Liabilities resulting from the gross negligence or willful misconduct of such Indemnified Person. The agreements in this Paragraph 14(m) shall survive payment of all other Obligations and the
termination of this Agreement. 
 14(n) Marshalling; Payments Set Aside. Neither the Agent nor the Lenders shall be
under any obligation to marshal any assets in favor of the Company or any other Person or against or in payment of any or all of the Obligations. To the extent that the Company makes a payment or payments to the Agent or the Lenders (through the
Agent), or the Agent on behalf of the Lenders enforces their Liens or exercise their rights of set-off, and such payment or payments or the proceeds of such enforcement or set-off or any part thereof are subsequently invalidated, declared to be
fraudulent or preferential, set aside or required (including pursuant to any settlement entered into by the Agent in its discretion) to be repaid to a trustee, receiver or any other party in connection with any insolvency proceeding, or otherwise,
then (1) to the extent of such recovery the obligation or part thereof originally intended to be satisfied shall be revived and continued in full force and effect as if such payment had not 








 
been made or such enforcement or set-off had not occurred, and (2) each Lender severally agrees to pay to the Agent upon demand its ratable share of the
total amount so recovered from or repaid by the Agent. 
 14(o) Set-off. In addition to any rights and remedies of the
Lenders provided by law, if an Event of Default exists, each Lender is authorized at any time and from time to time, without prior notice to the Company, any such notice being waived by the Company to the fullest extent permitted by law, to set off
and apply any and all deposits (general or special, time or demand, provisional or final) at any time held by, and other indebtedness at any time owing to, such Lender to or for the credit or the account of the Company against any and all
Obligations owing to such Lender, now or hereafter existing, irrespective of whether or not the Agent or such Lender shall have made demand under this Agreement or any Loan Document and although such Obligations may be contingent or unmatured. Each
Lender agrees promptly to notify the Company and the Agent after any such set-off and application made by such Lender; provided, however, that the failure to give such notice shall not affect the validity of such set-off and application. 

14(p) Severability. The illegality or unenforceability of any provision of this Agreement or any other Loan Document or any
instrument or agreement required hereunder or thereunder shall not in any way affect or impair the legality or enforceability of the remaining provisions hereof or thereof. 
 14(q) No Third Parties Benefited. This Agreement and the other Loan Documents are made and entered into for the sole protection and
legal benefit of the Company, the Lenders and the Agent, and their permitted successors and assigns, and no other Person shall be a direct or indirect legal beneficiary of, or have any direct or indirect cause of action or claim in connection with,
this Agreement or any of the other Loan Documents. Neither the Agent nor any Lender shall have any obligation to any Person not a party to this Agreement or other Loan Documents. 
 14(r) Judgment Currency. If for the purposes of obtaining judgment in any court it is necessary to convert a sum due from the
Company hereunder in the currency expressed to be payable herein (the “specified currency”) into another currency, the parties hereto agree, to the fullest extent that they may effectively do so, that the rate of exchange used shall be
that at which in accordance with normal banking procedures the Agent could purchase the specified currency with such other currency at the Agent’s main office on the Business Day preceding that on which final, non-appealable judgment is given.
The obligations of the Company in respect of any sum due to any Lender or the Agent hereunder shall, notwithstanding any judgment in a currency other than the specified currency, be discharged only to the extent that on the Business Day following
receipt by such Lender or the Agent (as the case may be) of any sum adjudged to be so due in such other currency such Lender or the Agent (as the case may be) may in accordance with normal, reasonable banking procedures purchase the specified
currency with such other currency. If the amount of the specified currency so purchased is less than the sum originally due to such Lender or the Agent, as the case may be, in the specified currency, the Company agrees, to the fullest extent that it
may effectively do so, as a separate obligation and notwithstanding any such judgment, to indemnify such Lender or the Agent, as the case may be, against such loss, and if the amount of the specified currency so purchased exceeds (a) the sum
originally due to any Lender or the Agent, as the case may be, in the specified currency and (b) any amounts shared with other Lenders as a result of allocations of such excess as a disproportionate payment to such Lender under terms of this
Agreement, such Lender or the Agent, as the case may be, agrees to remit such excess to the Company. 
 14(s)
Confidentiality. Each of the Agent and the Lenders agrees to maintain the confidentiality of the Information (as defined below), except that Information may be disclosed (1) to its Affiliates and to its and its Affiliates’
respective partners, directors, officers, employees, agents, advisors 








 
and other representatives (it being understood that the Persons to whom such disclosure is made will be informed of the confidential nature of such
Information and instructed to keep such Information confidential), (2) to the extent required to be provided to any regulatory authority purporting to have jurisdiction over it (including any self-regulatory authority, such as the National
Association of Insurance Commissioners), (3) to the extent required by applicable laws or regulations or by any subpoena or similar legal process, (4) to any other party hereto, (5) in connection with the exercise by any Lenders or
the Agent of any remedies hereunder or under any other Loan Document or any action or proceeding adverse to the Company, any of its Subsidiaries or Affiliates relating to this Agreement or any other Loan Document or the enforcement by any
Lender’s or the Agent’s rights hereunder or thereunder, (6) subject to an agreement containing provisions substantially the same as those of this Paragraph 14(s), to any assignee of or Participant in, or any prospective
assignee of or Participant in, any of its rights or obligations under this Agreement or any actual or prospective counterparty (or its advisors) to any swap or derivative transaction relating to the Company or any Guarantor and its Obligations,
(7) with the consent of the Company or (8) to the extent such Information (i) becomes publicly available other than as a result of a breach of this Paragraph 14(s) or (ii) becomes available to the Agent or any Lender or
any of their respective Affiliates on a nonconfidential basis from a source (other than from the Company or any Guarantor). 
 For purposes of this Paragraph 14(s), “Information” means all information received from the Company or any of its Subsidiaries relating to the Company or any of its Subsidiaries or any of their respective businesses,
other than any such information that is available to the Administrative Agent or any Lender on a nonconfidential basis prior to disclosure by the Company or any of its Subsidiaries. Any Person required to maintain the confidentiality of Information
as provided in this Paragraph 14(s) shall be considered to have complied with its obligation to do so if such Person has exercised the same degree of care to maintain the confidentiality of such Information as such Person would accord to its
own confidential information. 
 14(t) Incorporation of Existing Loan Documents. By execution of this Agreement, each
of the Company, its Subsidiaries and the members of the Non-Medical Group acknowledging below agrees that: 
 (1) All Loan
Documents, as defined in the Existing Credit Agreement, with or relating to the Company or any member of the Medical Group, including, without limitation, those documents listed on Schedule 14(t) executed in connection with the Existing
Credit Agreement are incorporated by reference into the Loan Documents and shall continue to be Loan Documents hereunder and in full force and effect, except to the extent expressly modified hereby; 
 (2) All Loan Documents, as defined in the Existing Credit Agreement, with or relating to OSI or any member of the Non-Medical Group,
including, without limitation, those documents listed on Schedule 14(t) executed in connection with the Existing Credit Agreement to the Non-Medical Group Credit Agreement are incorporated by reference into the Loan Documents (as defined in
the Non-Medical Group Credit Agreement) and shall continue to be Loan Documents hereunder and in full force and effect, except to the expressly modified thereby; and 
 (3) To the extent necessary or desirable to give effect to the intent of the parties under this Agreement and any Existing Loan Documents
(including, without limitation, any collateral document included therein), this Agreement and the other Loan Documents shall construed as an amendment to the Existing Credit Agreement and other Existing Loan 








 
Documents, it being the intent of the parties that, without further action, collateral security in which the Agent and/or Lenders were granted a Lien under
any Existing Loan Documents (i) from the Company shall continue secure the Obligations of the Company under this Agreement, (ii) from any member of the Medical Group other than the Company shall continue to secure the obligations of such
member under its guaranty of the obligations of the Company, (iii) from OSI shall continue to secure the Obligations of the Company, and as defined in, the Non-Medical Group Credit Agreement and (iv) from any member of the Non-Medical
Group other than OSI shall continue to secure the obligations of such member under its guaranty of the obligations of OSI. 
 14(u) USA PATRIOT Act Notice. Each Lender that is subject to the Act (as hereinafter defined) and the Agent (for itself and not on behalf of any Lender) hereby notifies the Company that pursuant to the requirements of the USA Patriot
Act (Title III of Pub. L. 107-56 (signed into law October 26, 2001) (the “Act”), it is required to obtain, verify and record information that identifies the Company, which information includes the name and address of the Company and
other information that will allow such Lender or Agent, as applicable, to identify the Company in accordance with the Act. 
 15.
Definitions. All references in this Agreement to “amounts” of Loans and analogous terms shall mean, in the case of amount denominated in an Agreed Currency other than Dollars, the Equivalent Amount of Dollars. For purposes of this
Agreement, the terms set forth below shall have the following meanings: 
 “Account” shall mean and account
(as that term is defined in the UCC) and any and all supporting obligations in respect thereof. 
 “Acquisition” shall mean any transaction, or any series of related transactions, consummated on or after the Effective Date, by which the Company or any of its Domestic Subsidiaries: (a) acquires any going business or
all or substantially all of the assets of any firm, corporation or limited liability company, or division thereof, whether through purchase of assets, merger or otherwise or (b) directly or indirectly acquires (in one transaction or as the most
recent transaction in a series of transactions) at least a majority (in number of votes) of the securities of a corporation which have ordinary voting power for the election of directors (other than securities having such power only by reason of the
happening of a contingency) or a majority (by percentage or voting power) of the outstanding ownership interests of a partnership or limited liability company. 
 “Acquisition Facility Credit Limit” shall mean $27,400,000. 
 “Acquisition Loan” shall have the meaning given in Paragraph 1(a) above. 
 “Acquisition Loan Maturity Date” shall mean July 18, 2011. 
 “Affiliate” shall mean, as to any Person, any other Person directly or indirectly controlling, controlled by or under
direct or indirect common control with, such Person. “Control” as used herein means with respect to any business entity the power to direct the management and policies of such business entity. 
 “Agent” shall have the meaning given such term in the introductory paragraph hereof and shall include any successor to
BOW as the initial “Agent” hereunder. 







 “Aggregate Credit Limit” shall mean $10,000,000.00, as such amount may
be increased or decreased by the mutual written agreement of the Agent, the Company and one hundred percent (100%) of the Lenders. 
 “Agreed Currencies” shall mean (a) Dollars, (b) so long as such currencies remain Eligible Currencies, Australian Dollars, British Pounds Sterling, Canadian Dollars, Danish Kroners, Euros,
Japanese Yen, New Zealand Dollars, Norwegian Kroners, Singapore Dollars, Swiss Francs, Swedish Kroners, and (c) any other Eligible Currency which the Company requests the Agent to include as an Agreed Currency hereunder and which is acceptable
to all of the Lenders. For the purposes of this definition, each of the specific currencies referred to in clause (b), above, shall mean and be deemed to refer to the lawful currency of the jurisdiction referred to in connection with such currency,
e.g., “Australian Dollars” means the lawful currency of Australia. 
 “Agreement” shall mean
this Agreement, as the same may be amended, extended or replaced from time to time. 
 “Anti-Terrorism Order”
shall mean Executive Order No. 13,224, 66 Fed. Reg. 49,079 (2001) issued by the President of the United States of America (Executive Order Blocking Property and Prohibiting Transactions With Persons Who Commit, Threaten to Commit, or
Support Terrorism). 
 “Applicable L/C Fee Percentage” shall mean the percentage amount calculated in
accordance with the Pricing Matrix. 
 “Applicable LIBO Rate” shall mean, with respect to any LIBO Rate Loan
for the Interest Period applicable to such LIBO Rate Loan, the rate per annum (rounded upward, if necessary, to the next higher 1/16 of one percent) calculated as of the first day of such Interest Period in accordance with the following formula:

  

					
		 	 Applicable LIBO Rate =
	 	     LR      +    ALS

		 		 	   1-LRP

		 	 where

		 	 LR   = LIBO Rate

		 	 LRP = LIBOR Reserve Percentage

		 	 ALS = Applicable LIBOR Spread


 “Applicable LIBOR Spread” shall mean the percentage amount
calculated in accordance with the Pricing Matrix. 
 “Applicable Prime Rate” shall mean a floating rate per
annum equal to the daily average Prime Rate on each day of the applicable calculation period plus the Applicable Prime Rate Spread. 
 “Applicable Prime Rate Spread” shall mean the percentage amount calculated in accordance with the Pricing Matrix. 
 “Approximate Equivalent Amount” of any currency with respect to any amount of Dollars shall mean the Equivalent Amount of such currency with respect to such amount of Dollars on or as of such date,
rounded up to the nearest amount of such currency as determined by the Agent from time to time. 
 “Assignee”
shall have the meaning given such term in Paragraph 14(h)(1) above. 







 “Assignment and Assumption Agreement” shall mean an agreement in the
form of that attached hereto as Exhibit D 
 “Bankruptcy Code” shall mean the U.S. Bankruptcy Code, as
in effect from time to time, and any analogous law in any other jurisdiction. 
 “Business Day” shall mean
(a) with respect to any borrowing, payment or rate selection of Loans funded in any Agreed Currency, any day other than a Saturday, a Sunday or a day on which banks in Los Angeles, California, Chicago, Illinois or New York, New York are
authorized or obligated to close their regular banking business, on which interbank wire transfers can be made on the Fedwire system and dealings in Dollars and the other Agreed Currencies are carried on in the London interbank market, and
(b) for all other purposes, any day other than a Saturday, a Sunday or a day on which banks in Los Angeles, California, Chicago, Illinois or New York, New York are authorized or obligated to close their regular banking business. 
 “Capital Expenditures” shall mean, for any period, the aggregate of all expenditures by the Company and its Subsidiaries
for the acquisition or leasing of fixed or capital assets or additions to equipment (including replacements, capitalized repairs and improvements during such period) which should be capitalized under GAAP on a consolidated balance sheet of the
Company and its Subsidiaries, less net proceeds from sales of fixed or capital assets received by the Company or any of its Subsidiaries during such period. 
 “Cash” shall mean money, currency or a credit balance in a deposit account. 
 “Cash Proceeds” shall mean, with respect to any Disposition, Equity Securities Issuance or Debt Securities Issuance, Cash
payments (including any Cash received by way of deferred payment pursuant to, or monetization of, a note receivable or otherwise, but only as and when so received) received in respect thereof. 
 “Change of Control” shall mean: 
 (a) As to the Company: (1)(a) the sale, lease, transfer, conveyance or other disposition (other than by way of merger or
consolidation), in one or more related transactions, of all or substantially all of the properties and assets of the Company and its Subsidiaries taken as a whole to any “person” (as such term is used in Section 13(d)(3) of the
Exchange Act), (2) the adoption of a plan relating to the liquidation or dissolution of the Company, (3) the consummation of any transaction or other event (including, without limitation, any merger or consolidation) the result of which is
that any “person” (as defined above) becomes the “beneficial owner” (as such term is defined in Rule 13d-3 and Rule 13d-5 under the Exchange Act), directly or indirectly, of more than thirty five percent (35%) of the voting
shares or economic value of the Stock of the Company, 
 (b) As to any Domestic Subsidiary, if the Company shall cease to own
one hundred percent (100%) or, if less, the percentage owned as of the Effective Date, of the outstanding capital stock of such Person, directly or indirectly through other Domestic Subsidiaries, 
 (c) As to any Foreign Subsidiary, if the Company shall cease to own one hundred percent (100%) of the outstanding capital stock of
such Foreign Subsidiary, directly or indirectly through other Subsidiaries, or 







 (d) If Deepak Chopra shall cease to be actively involved in the day to day management of
the business of the Company and its Subsidiaries. 
 “Collateral” shall have the meaning given such term in
the Security Agreement and the Guarantor Security Agreements, as applicable. 
 “Collateral Access Agreement”
shall mean a landlord waiver, bailee letter, or acknowledgement agreement of any lessor, warehouseman, processor, consignee, or other Person in possession of, having a Lien upon, or having rights or interests in any Collateral, in each case, in form
and substance satisfactory to Agent. 
 “Commonly Controlled Entity” of a Person shall mean a Person, whether
or not incorporated, which is under common control with such Person within the meaning of Section 411(c) of the Internal Revenue Code. 
 “Company” shall have the meaning given such term in the preamble hereto. 
 “Compliance Certificate” shall mean a certificate in the form of that attached hereto as Exhibit F. 
 “Contact Office” shall mean the office of the Agent located at 300 South Grand Avenue, Suite 700, Los Angeles, California 90071 or such other office as the Agent may notify the Company and the Lenders from time to time in
writing. 
 “Contractual Obligation” as to any Person shall mean any provision of any security issued by such
Person or of any agreement, instrument or undertaking to which such Person is a party or by which it or any of its property is bound. 
 “CPLTD” shall mean sum of the current portion of long-term debt and the current portion of capitalized lease obligations. 
 “Credit Event” shall mean the funding, continuation or conversion of any Loan or the issuance of any Letter of Credit.

 “Debt” of any Person shall mean: (a) liabilities for borrowed money; (b) liabilities for the
deferred purchase price of property acquired by such Person (excluding accounts payable arising in the ordinary course of business but including, without limitation, all liabilities created or arising under any conditional sale or other title
retention agreement with respect to any such property); (c) capitalized lease obligations; (d) all liabilities for borrowed money secured by any lien with respect to any property owned by such Person (whether or not it has assumed or
otherwise become liable for such liabilities); (e) liabilities with respect to letters of credit, foreign exchange transactions and net exposure in respect to interest rate swaps, currency swaps and similar obligations; and (f) any
guaranty or other contingent liability of such Person with respect to liabilities described in subparagraphs (a) through (e) above. 
 “Debt Securities Issuance” shall mean the issuance by the Company or any of its Subsidiaries of Securities evidencing Indebtedness. 







 “Disposition” shall mean a sale, lease, transfer, abandonment, loss,
destruction, exchange or other disposition by the Company or any of its Subsidiaries, directly or indirectly, voluntarily or involuntarily, in one or a series of related transactions of a material portion of its assets. 
 “Domestic Subsidiary” shall mean any Subsidiary of the Company which is not a Foreign Subsidiary. 
 “Dollar Amount” shall mean, with respect to any amount of currency, (a) the amount of such currency if such currency
is Dollars or (b) the equivalent in such currency of such amount of Dollars if such currency is any currency other than Dollars, calculated according to the Agent’s customary procedures. 
 “Dollars” and “$” shall mean the lawful currency of the United States of America. 
 “EBITDA” shall mean, with respect to any specified fiscal period, the Company’s (a) consolidated net earnings
(or loss) for such period, minus (b) the sum of, for such period, (1) extraordinary gains and (2) interest income, plus (c) the sum of, for such period, (1) interest expense, (2) net income tax expense,
(3) depreciation and amortization, (4) non-cash stock option expenses and (5) non-cash, non-recurring extraordinary expenses, in each case as determined in accordance with GAAP. 
 “Effective Date” shall mean the date on which all conditions precedent to the occurrence of the first Credit Event set
forth in Paragraph 8(a) above have been met to the satisfaction of the Agent and the Lenders. 
 “Effective
Tangible Net Worth” shall mean for any Person at any date the sum of (a) Tangible Net Worth plus (b) Subordinated Debt. Effective Tangible Net Worth shall be calculated to include minority interests. 
 “Eligible Currency” shall mean any currency other than Dollars (a) that is readily available, (b) that is
freely traded, (c) in which deposits are customarily offered to banks in the London interbank market, (d) which is convertible into Dollars in the international interbank market and (e) as to which an Equivalent Amount may be readily
calculated. If, after the designation by the Agent of any currency as an Agreed Currency, (x) currency control or other exchange regulations are imposed in the country in which such currency is issued with the result that different types of
such currency are introduced, (y) such currency is, in the determination of the Agent, no longer readily available or freely traded or (z) in the determination of the Agent, an Equivalent Amount of such currency is not readily calculable,
the Agent shall promptly notify the Lenders and the Company, and such currency shall no longer be an Agreed Currency until such time as Agent and all of the Lenders agree to reinstate such currency as an Agreed Currency. 
 “Environmental Claims” shall mean all claims, however asserted, by any governmental authority or other person alleging
potential liability or responsibility for violation of any Environmental Law or for release or injury to the environment or threat to public health, personal injury (including sickness, disease or death), property damage, natural resources damage,
or otherwise alleging liability or responsibility for damages (punitive or otherwise), cleanup, removal, remedial or response costs, restitution, civil or criminal penalties, injunctive relief, or other type of relief, resulting from or based upon
(i) the presence, placement, discharge, emission or release (including intentional and unintentional, negligent and non-negligent, sudden or non-sudden, accidental or non-accidental placement, spills, leaks, discharges, emissions or releases)
of any Hazardous Materials at, in, or from property owned, operated or 








 
controlled by the Company or any of its Subsidiaries, or (ii) any other circumstances forming the basis of any violation, or alleged violation, of any
Environmental Law. 
 “Environmental Laws” shall mean all federal, state or local laws, statutes, common law
duties, rules, regulations, ordinances and codes, together with all administrative orders, directed duties, requested, licenses, authorizations and permits of, and agreements with, any governmental authorities, in each case relating to
environmental, health, safety and land use matters; including the Comprehensive Environmental Response, Compensation and Liability Act of 1980 (“CERCLA”), the Clean Air Act, the Federal Water Pollution Control Act of 1972, the Solid Waste
Disposal Act, the Federal Resource Conservation and Recovery Act, the Toxic Substances Control Act, the Emergency Planning and Community Right-to-Know Act, the California Waste Control Law, the California Solid Waste Management, Resource, Recovery
and Recycling Act, the California Water Code and the California Health and Safety Code. 
 “Environmental
Permits” shall have the meaning given such term in Paragraph 9(p) above. 
 “Equity Securities
Issuance” shall mean the issuance by the Company or any of its Subsidiaries of capital stock, including common and preferred stock, limited liability company membership interests, partnership interests or other similar equity interests,
regardless of associated voting rights, and Securities convertible into such capital stock, limited liability company membership interests, partnership interests or other similar equity interests. 
 “Equivalent Amount” of any currency with respect to any amount of Dollars at any date shall mean the equivalent in such
currency of such amount in Dollars, calculated according to the Agent’s customary procedures. 
 “ERISA”
shall mean the Employee Retirement Income Security Act of 1974, as the same may from time to time be supplemented or amended. 
 “Event of Default” shall have the meaning given such term in Paragraph 12 above. 
 “Euro” shall mean the euro referred to in Council Regulation (EC) No. 1103/97 dated June 17, 1997 passed by the Council of the European Union, or, if different, the then lawful currency of the member states of the
European Union that participate in the third stage of Economic and Monetary Union. 
 “Exchange Act” shall
mean the Securities Exchange Act of 1934, as in effect from time to time. 
 “Existing Additional Company Collateral
Documents” shall have the meaning given such term in Paragraph 7(a) above. 
 “Existing Additional
Guarantor Collateral Documents” shall have the meaning given such term in Paragraph 7(b) above. 
 “Existing Credit Agreement” shall have the meaning given such term in Recital A above. 
 “Existing Medical Guarantors” shall mean each Subsidiary listed on as a member of the Medical Group on Schedule 9(i) to this Agreement. 







 “Existing Medical Guaranty” shall have the meaning given such term in
Paragraph 7(b) above. 
 “Existing Security Agreement” shall have the meaning given such term in
Paragraph 7(a) above. 
 “Fixed Charge Coverage Ratio” shall mean, as of the end of any semi annual
period, the ratio of (a) EBITDA minus non-financed Capital Expenditures minus Restricted Payments paid or declared, all calculated for the 12 months just ended, to (b) interest paid (including payments on capitalized leases properly
treated as interest pursuant to GAAP and including interest paid on intercompany debt) as reported in monthly financial statements during the 12 months just ended plus CPLTD as of such date plus taxes paid during the 12 months just ended.

 “Foreign Subsidiary” shall mean any Subsidiary of a Person which Subsidiary is not organized in the United
States of America. 
 “Funded Debt” shall mean for any Person at any date of calculation the aggregate amount
of Indebtedness (excluding Indebtedness to Subsidiaries and Affiliates) of such Person which has actually been funded and is outstanding at such time, whether or not such amount is due and payable on such date and including, without limitation, the
aggregate amount available for drawing under outstanding letters of credit on which such Person is the account party. 
 “Funding Account” shall mean such account or accounts maintained in the Company’s name with the Agent as the Agent and the Company may from time to time agree. 
 “FX Transaction” shall mean any transaction between the BOW and the Company or a Guarantor pursuant to which the FX
Lender has agreed to sell to or to purchase from the Company or such Guarantor a foreign currency which BOW regularly trades of an agreed amount at an agreed price in Dollars or such other agreed upon foreign currency, deliverable and payable on an
agreed date. 
 “GAAP” shall mean generally accepted accounting principles in the United States of America in
effect from time to time. 
 “General Intangible” shall mean an account (as that term is defined in the UCC),
and any and all supporting obligations in respect thereof. 
 “Governmental Authority” shall mean any nation
or government, any state or other political subdivision thereof, or any entity exercising executive, legislative, judicial, regulatory or administrative functions of or pertaining to government. 
 “Guarantee” shall mean, as to any Person, any (a) any obligation, contingent or otherwise, of such Person
guaranteeing or having the economic effect of guaranteeing any Indebtedness or other obligation payable or performable by another Person (the “primary obligor”) in any manner, whether directly or indirectly, and including any obligation of
such Person, direct or indirect, (i) to purchase or pay (or advance or supply funds for the purchase or payment of) such Indebtedness or other obligation, (ii) to purchase or lease property, securities or services for the purpose of
assuring the obligee in respect of such Indebtedness or other obligation of the payment or performance of such Indebtedness or other obligation, (iii) to maintain working capital, equity capital or any other financial statement condition or
liquidity or level of income or cash flow of the primary obligor so as to enable the primary obligor to pay such Indebtedness or other obligation, or (iv) entered into for the purpose of assuring in 








 
any other manner the obligee in respect of such Indebtedness or other obligation of the payment or performance thereof or to protect such obligee against
loss in respect thereof (in whole or in part), or (b) any Lien on any assets of such Person securing any Indebtedness or other obligation of any other Person, whether or not such Indebtedness or other obligation is assumed by such Person. The
amount of any Guarantee shall be deemed to be an amount equal to the stated or determinable amount of the related primary obligation, or portion thereof, in respect of which such Guarantee is made or, if not stated or determinable, the maximum
reasonably anticipated liability in respect thereof as determined by the guaranteeing Person in good faith. The term “Guarantee” as a verb has a corresponding meaning. 
 “Guarantor” shall mean any of the Existing Medical Guarantors and any Domestic Subsidiary executing a Guaranty following
the Effective Date as required pursuant to Paragraph 7(d) above. 
 “Guarantor Security Agreement”
shall mean each of the Existing Medical Guarantor Security Agreements, and each security agreement executed and delivered in the future pursuant to this Agreement, as the same may be amended, extended and replaced from time to time. 
 “Guaranty” shall mean each of the Existing Medical Guaranties and each other guaranty of Obligations executed and
delivered by the Merger Subsidiary or any other Person in accordance with this Agreement, as the same may be amended, extended and replaced from time to time. 
 “Hazardous Materials” shall mean: 
 (a) “Hazardous substances,” “hazardous wastes,” “hazardous materials,” or “toxic substances,” as
defined in any of the Hazardous Material Laws; 
 (b) Any pollutant or contaminant, or hazardous, dangerous or toxic chemical,
material, waste or substance (“pollutant”) which Hazardous Material Laws prohibit, limit or otherwise regulate as to use, exposure, release, generation, manufacture, sale, transport, handling, storage, treatment, reuse, presence, disposal
or recycling; 
 (c) Petroleum, crude oil or any fraction of petroleum or crude oil; 
 (d) Any radioactive material, including any source, special nuclear or by-product material, as defined at 42 U.S.C. §2011 et
seq., and amendments thereto and reauthorizations thereof; 
 (e) Asbestos-containing materials in any form or condition;
and 
 (f) Polychlorinated biphenyls. 
 “Indebtedness” of any Person shall mean all items of indebtedness which, in accordance with GAAP and practices, would be
included in determining liabilities as shown on the liability side of a statement of condition of such Person as of the date as of which indebtedness is to be determined, including, without limitation, all obligations for money borrowed and
capitalized lease obligations, and shall also include all indebtedness and liabilities of others assumed or guaranteed by such Person or in respect of which such Person is secondarily or contingently liable (other than by endorsement of instruments
in the course of collection) whether by reason of any agreement to acquire such indebtedness or to supply or advance sums or otherwise. 







 “Insolvency Proceeding” shall mean any proceeding commenced by or
against any Person under any provision of the Bankruptcy Code or under any other State or federal bankruptcy or insolvency law, assignments for the benefit of creditors, formal or informal moratoria, compositions, extensions generally with creditors
or proceedings seeking reorganization, arrangement or similar relief. 
 “Inter-Company Indebtedness” shall
mean Indebtedness of the Company and any of its Subsidiaries to each other or to any Affiliates of the Company or any of its Subsidiaries, including, without limitation, Indebtedness to OSI and its Subsidiaries. 
 “Interest Period” shall mean with respect to any Revolving Loan which is being maintained as a LIBO Rate Loan, the period
commencing on the date such Revolving Loan is advanced and ending one, two, three or six months thereafter, as designated in the related Loan Request; provided, however, that (a) any Interest Period which would otherwise end on a day which is
not a LIBOR Business Day shall be extended to the next succeeding LIBOR Business Day unless by such extension it would fall in another calendar month, in which case such Interest Period shall end on the immediately preceding LIBOR Business Day,
(b) any Interest Period which begins on a day for which there is no numerically corresponding day in the calendar month in which such Interest Period is to end shall, subject to the provisions of clause (a) above, end on the last day of
such calendar month, and (c) no Interest Period shall end after the regularly scheduled Revolving Loan Maturity Date. 
 “Interim Date” shall mean March 31, 2006. 
 “Inventory” shall mean inventory
(as that term is defined in the UCC). 
 “Investment” shall mean, with respect to any Person, any investment
by such Person in any other Person (including Affiliates) in the form of loans, guarantees, advances, capital contributions deferred payments and projected earn-out payments (excluding (a) commission, travel, and similar advances to officers
and employees of such Person made in the ordinary course of business, and (b) bona fide accounts receivable arising in the ordinary course of business consistent with past practice), purchases or other acquisitions of Indebtedness, Stock, or
assets or business of such other Person, and any other items that are or would be classified as investments on a balance sheet prepared in accordance with GAAP. 
 “L/C Documents” shall mean any and all documents, instruments and agreements as the L/C Issuing Bank may require be
delivered to it as a condition precedent to the issuance by the L/C Issuing Bank of a Letter of Credit. 
 “L/C
Drawing” shall mean any drawing under a Letter of Credit. 
 “L/C Issuing Bank” shall mean that
Lender which has agreed, with the consent of the remaining Lenders, to issue the Letters of Credit, with the initial L/C Issuing Bank being BOW. 
 “L/C Sublimit” shall mean $10,000,000. 
 “Lending
Installation” means, with respect to a Lender or the Agent, the office, branch, subsidiary or affiliate of such Person with respect to each Agreed Currency listed on Annex 5 or otherwise selected by such Lender or the Agent pursuant
to Paragraph 5. 
 “Letter of Credit” shall have the meaning given such term in Paragraph 3(a)
above, and shall include, without limitation, the Pre-Existing Letters of Credit. 







 “Letter of Credit Application” shall mean an application for the
issuance of a Letter of Credit in form satisfactory to the L/C Issuing Bank. 
 “Leverage Ratio” shall mean,
as of any date of determination the ratio of the Company’s (a) consolidated Funded Debt (calculated including Indebtedness to Subsidiaries and Affiliates of the Company and Outstanding Loans, Letters of Credit and unreimbursed L/C
Drawings) to (b) consolidated EBITDA for the four fiscal quarters most recently ended. 
 “LIBO Rate”
shall mean, with respect to any LIBO Rate Loan for any Interest Period: 
 (a) If such LIBO Rate Loan is to be funded in
Dollars, the rate per annum determined by the Agent to be the rate as of approximately 11:00 a.m. (London time) on the date that is two LIBOR Business Days prior to the beginning of the relevant Interest Period quoted as the British Bankers
Association Interest Settlement Rate for deposits in Dollars (as set forth in any service selected by the Agent which has been nominated by the British Bankers’ Association as an authorized information vendor for purpose of displaying such
rates) for a period equal to such Interest Period, and 
 (b) If such LIBO Rate Loan is to be funded in an Agreed Currency
other than Dollars, the rate per annum determined by the Agent in accordance with its customary practices on the date that is two LIBOR Business Days prior to the beginning of the relevant Interest Period for deposits in such Agreed Currency for a
period equal to such Interest Period in a recognized market trading such Agreed Currency; 
 provided, however, that, to the extent that an interest rate is
not ascertainable pursuant to the foregoing provisions of this definition, the “LIBO Rate” shall be the interest rate per annum determined by the Agent to be in its reasonable business judgment as an equivalent rate. 
 “LIBO Rate Loans” shall mean Revolving Loans outstanding hereunder at such time as they are made and/or being maintained
at a rate of interest based upon the LIBO Rate. 
 “LIBOR Business Day” shall mean a Business Day upon which
commercial banks in London, England are open for domestic and international business. 
 “LIBOR Reserve
Percentage” shall mean with respect to an Interest Period for a LIBO Rate Loan, the maximum aggregate reserve requirement (including all basic, supplemental, marginal and other reserves and taking into account any transitional adjustments)
which is imposed under Regulation D on liabilities applicable to such LIBO Rate Loan. 
 “Lien” shall mean
any security interest, mortgage, pledge, lien, claim on property, charge or encumbrance (including any conditional sale or other title retention agreement), any lease in the nature thereof, and the filing of or agreement to give any financial
statement under the Uniform Commercial Code of any jurisdiction. 
 “Loan Documents” shall mean this
Agreement, the Security Documents, the Guaranties, the Letters of Credit, the Letter of Credit Applications and other L/C Documents, agreements in respect of FX Transactions and interest rate swap and other hedging arrangements with Bank of the
West, and each other document, instrument or agreement executed by the Company and/or any Guarantor in connection herewith or therewith, as any of the same may be amended, extended or replaced from time to time. 







 “Loan Request” shall mean a request for a Loan by the Company to the
Agent in the form of Exhibit G hereto, duly executed on behalf of the Company by a Responsible Officer. 
 “Loans” shall have the meaning given in Paragraph 1(a) above. 
 “Majority
Lenders” shall mean the Lenders holding not less than fifty one percent (51%) of the Percentage Shares; provided, however, that at any time during which the number of Lenders hereunder are less than three, the term “Majority
Lenders” shall mean one hundred percent (100%) of the Lenders. 
 “Material Adverse Effect” shall
mean a material adverse change in, or a material adverse effect upon, any of: (a) the operations, business, properties, condition (financial or otherwise) or prospects of the Company; (b) a material impairment of the ability of the Company
or any Guarantor to perform under any Loan Document to which it is party and to avoid any Event of Default; or (c) a material adverse effect upon the legality, validity, binding effect or enforceability of any Loan Document or the perfection or
priority of the Lender’s security interest in the Collateral. 
 “Material Foreign Subsidiary” shall
mean, at any date, any Foreign Subsidiary in the Non-Medical Group that (a) has assets the net book value of which constitutes five percent (5%) or more of the Company’s consolidated net book value, in each case based upon the
Company’s most recent annual or quarterly financial statements delivered to the Agent pursuant to Paragraph 10(a) above or (b) has sales (other than sales to Subsidiaries and Affiliates) in an aggregate amount, in any fiscal year,
in excess of 15% of the aggregate sales for the entire Medical Group. 
 “Medical Group” shall mean the
Company, Dolphin Medical, Inc., Dolphin Merger Corporation, Spacelabs Medical, Inc., Osteometer Meditech, Inc., and each Subsidiary of the Company determined by the Agent, in its discretion, to be engaged in a medical line of business. 

“Merger Subsidiary shall mean a Subsidiary of the Company formed for the purposes of consummating the Transaction in
accordance with the Transaction Documents. 
 “Multicurrency Sublimit” shall mean $5,000,000. 
 “Multiemployer Plan” as to any Person shall mean a Plan of such Person which is a multiemployer plan as defined in
Section 4001(a)(3) of ERISA. 
 “National Currency Unit” shall mean the unit of currency (other than a
Euro unit) of each member state of the European Union that participates in the third stage of Economic and Monetary Union. 
 “Net Proceeds” shall mean the Cash Proceeds received by the Company or any of its Subsidiaries from any Person other than a wholly owned Subsidiary of the Company net of the sum of (a) reasonable fees, commissions,
expenses and costs paid or payable by the Company or any of its Subsidiaries to third parties in connection with the event giving rise to such Cash Proceeds, (b) in the case of a Disposition giving rise to such Cash Proceeds, the amount of all
payments required to be made by the Company or any of its Subsidiaries as a result of such Disposition to repay Indebtedness secured by the property disposed of or otherwise subject to mandatory payment as a result of such Disposition, and
(c) the amount of all taxes paid (or reasonably estimated to be payable) by the Company and its Subsidiaries in connection with the event giving rise to such Cash Proceeds. 







 “Net Worth” shall mean, as of any date, total asset minus total
liabilities, determined for the Company on a consolidated basis. 
 “Non-Medical Group” shall mean OSI, a
California corporation, and each Subsidiary of OSI Systems, Inc. that is not included in the Medical Group. 
 “Non-Medical Group Credit Agreement” shall mean a Credit Agreement dated substantially concurrently with this Agreement among OSI, the Agent, and the Lenders party thereto. 
 “Notice of Conversion/Continuation” shall mean a request to the Agent by the Company in the form of Exhibit H
hereto, duly executed on behalf of the Company by a Responsible Officer. 
 “Obligations” shall mean any and
all debts, obligations and liabilities of the Company to the Lenders (whether now existing or hereafter arising, voluntary or involuntary, whether or not jointly owed with others, direct or indirect, absolute or contingent, liquidated or
unliquidated, and whether or not from time to time decreased or extinguished and later increased, created or incurred), arising out of or related to the Loan Documents and including, without any limitation, any obligations of the Company to any
Lender with respect to any Swap Agreement related to the Obligations and the Swap Obligations. 
 “OSI” shall
mean OSI Systems, Inc., a California corporation. 
 “Outstanding” shall mean with respect to Letters of
Credit, any Letter of Credit which has not been canceled, expired unutilized or fully drawn upon and reference to the “amount” of any Outstanding Letter of Credit shall be deemed to mean the amount available for drawing thereunder.

 “Participant” shall have the meaning given such term in Paragraph 14(h)(2) above. 

“PBGC” shall mean the Pension Benefit Guaranty Corporation established pursuant to Subtitle A of Title IV of ERISA and
any successor thereto. 
 “Percentage Share” shall mean, for any Lender at any date that percentage agreed to
by such Lender in writing, with the initial Percentage Shares of the Lenders being set forth on Annex 4 attached hereto. 
 “Permitted Acquisitions” shall mean an Acquisition by the Company or any of its Subsidiaries which satisfies each of the following conditions: 
 (a) Both before and after giving effect to such Acquisition, no Potential Default and no Event of Default exists or would exist upon the
consummation thereof, both on an actual and a Pro Forma Basis; 
 (b) The Company shall have provided Agent and the Lenders
with written confirmation, supported by reasonably detailed calculations, that on a pro forma basis, created by adding the combined financial projections of the Company and its Subsidiaries, on a consolidated basis (including the combined financial
projections of any other Person or assets that were the subject of a prior Permitted Acquisition not already reflected on the financial projections most recently delivered to Agent for the Company), to the consolidated financial projections of the
Person to be acquired (or the financial projections related to the assets to be acquired) pursuant to the proposed Acquisition (adjusted to eliminate expense items that would not be incurred and to include income items that would be recognized, in
each case, if the combination had been accomplished at the beginning of the relevant 








 
period; such eliminations and inclusions to be mutually agreed upon by the Company and Agent), the Company and its Subsidiaries will be in compliance with
all financial covenants set forth in Paragraph 11(i) above for the twelve (12) months following the proposed date of consummation of such proposed Acquisition, together with copies of all such financial projections of the Person or
Person whose assets are being acquired; 
 (c) The Acquisition shall be of a Person engaged in, or assets used in, the same,
similar or a complimentary business to that of the Company and/or any of its Subsidiaries; 
 (d) Without the prior written
consent of the Majority Lenders, the aggregate consideration paid by the Company or any of its Affiliates in connection with such Acquisition, when aggregated with other Permitted Investments does not exceed the limitation contained in paragraph
(a)(3) of the definition of “Permitted Investment;” 
 (e) The Agent shall be satisfied that all acts necessary to
perfect the Agent’s Liens granted pursuant to the Security Agreement or the Guarantor Security Agreements, as applicable, in the assets or Stock being purchased in connection with such Acquisition have been taken and that if the Acquisition
involves the formation or Acquisition of a Subsidiary, such Subsidiary will, promptly following the consummation of such acquisition, deliver the Security Documents required pursuant to Paragraph 7(d) above and such Supplemental Collateral
Documents as the Agent may require; 
 (f) The Company shall have updated the schedules and annexes hereto and to each of the
other Loan Documents (to the extent permitted by the terms hereof and thereof), as applicable; provided, that in no event may any schedule be updated in a manner that would reflect or evidence a Potential Default or Event of Default;

 (g) The Agent shall have reviewed and approved the Acquisition or other purchase documentations therefor; 
 (h) Such Acquisition has been duly authorized by all necessary corporate or other organizational requirements of the Company and its
Subsidiaries, as applicable; and 
 (i) Such Acquisition is consensual and will have been approved by the board of directors
of the Person whose Stock or assets are proposed to be acquired upon consummation thereof. 
 “Permitted
Investments” shall mean: 
 (a) any Investment made by the Company or any of its Subsidiaries comprising the Medical
Group, which satisfies each of the following conditions: 
 (1) At the time of such Investment, no Potential Default and no
Event of Default exists, or would exist upon the consummation thereof, both on an actual and a pro forma basis; 
 (2) Such
Investment is made in connection with the consummation of a Permitted Acquisition or to acquire a non-controlling interest in a Person engaged in the same, similar or a complimentary business to that of the Company and/or any of its Subsidiaries in
the Medical Group for purposes of acquiring research and development technology or related products; 







 (3) Without the prior written consent of the Majority Lenders, such Investment, when
aggregated with all other Permitted Investments made in any fiscal year of the Company, does not exceed $5,000,000 in cash or $10,000,0000 in the aggregate for cash and other consideration; and 
 (4) The Agent shall be satisfied that all acts necessary to perfect the Agent’s Liens in any Stock acquired pursuant to such
Investment have been taken; 
 (b) any investment by the Company or any of its Subsidiaries comprising the Medical Group that
constitutes a loan or advance to an employee of the Company or any of its Domestic Subsidiaries in the Medical Group made in the normal course of business which loan or advance, when taken together with all other such loans and advances outstanding
does not exceed $500,000 in the aggregate; 
 (c) investments by the Company and its Subsidiaries comprising the Medical Group
in the Company and in wholly-owned Domestic Subsidiaries comprising the Medical Group. 
 “Person” shall mean
any corporation, legally recognized entity, natural person, firm, joint venture, partnership, limited liability company, trust, unincorporated organization, government or any department or agency of any government. 
 “Plan” shall mean as to any Person, any pension plan that is covered by Title IV of ERISA and in respect of which such
Person or a Commonly Controlled Entity of such Person is an “employer” as defined in Section 3(5) of ERISA. 
 “Potential Default” shall mean an event which but for the lapse of time or the giving of notice, or both, would constitute an Event of Default. 
 “Pre-Existing Letters of Credit” shall mean the Letters of Credit identified on Annex 1. 
 “Pricing Matrix” shall mean the matrix attached hereto as Annex 3. 
 “Prime Rate” shall mean the fluctuating per annum rate announced from time to time by the Agent in Los Angeles,
California, as its “Prime Rate”. The Prime Rate is a rate set by the Agent based upon various factors including the Agent’s costs and desired return, general economic conditions, and other factors, and is used as a reference point for
pricing some loans, which may be priced at, above or below the Prime Rate. 
 “Prime Rate Loans” shall mean
Loans hereunder during such time as they are made and/or being maintained at a rate of interest based upon the Prime Rate. 
 “Pro Forma Basis” shall mean, with respect to compliance with any test or covenant hereunder, compliance with such covenant or test after giving effect to any test or covenant hereunder, compliance with such covenant or
test after giving effect to any proposed Disposition, Acquisition, payment or other event or action (including pro forma adjustments arising out of events which are directly attributable to such event or action, are factually supportable and are
expected to have a continuing impact, in each case determined on a basis which may include cost savings resulting from head count reductions, closure of facilities and similar restructuring charges or integration activities or other adjustments
certified by a Responsible Office of the Company, together with such other pro forma adjustments certified by a Responsible Officer of the Borrower as being reasonable and having been 








 
made in good faith as may be reasonably acceptable to the Agent) using, for purposes of determining such compliance, the historical financial statements of
all entities or assets so acquired or to be acquired and the consolidated financial statement of the Company and its Subsidiaries which shall be reformulated as if such event or action had been taken, had occurred or had been consummated during the
period, and any Indebtedness or other liabilities incurred in connection therewith had been incurred at the beginning of such period and assuming that such Indebtedness bears interest during any period of the applicable measurement period prior to
the relevant acquisition at the weighted average of the interest rates applicable to outstanding Loans during such period; provided, that the Company shall, and the Company’s option may, provide Pro Forma Basis information and
calculations on such other basis as shall be reasonably acceptable to the Agent. 
 “Property” shall mean,
collectively and severally, any and all real property, including all improvements and fixtures thereon, owned or occupied by the Company or any of its Subsidiaries. 
 “Regulation D” shall mean Regulation D of the Board of Governors of the Federal Reserve System (12 C.F.R. § 221), as
the same may from time to time be amended, supplemented or superseded. 
 “Regulation U” shall mean
Regulation U of the Board of Governors of the Federal Reserve System (12 C.F.R. § 221), as the same may from time to time be amended, supplemented or superseded. 
 “Reportable Event” shall mean a reportable event as defined in Title IV of ERISA, except actions of general applicability
by the Secretary of Labor under Section 110 of ERISA. 
 “Requirements of Law” shall mean as to any
Person the Certificate of Incorporation and ByLaws or other organizational or governing documents of such Person, and any law, treaty, rule or regulation, or a final and binding determination of an arbitrator or a determination of a court or other
Governmental Authority, in each case applicable to or binding upon such Person or any of its property or to which such Person or any of its property is subject. 
 “Responsible Officer” shall mean a Responsible Financial officer or any other duly authorized officer or employee of the
relevant Person. 
 “Responsible Financial Officer” shall mean as to any Person, the chief financial officer,
treasurer, assistant treasurer, comptroller, controller, or any other senior officer of such Person having the same general duties and responsibilities of any of the foregoing. 
 “Restricted Payments” shall mean means any dividend or other distribution (whether in cash, securities or other property)
with respect to any capital stock or other equity interest of the Borrower or any Subsidiary, or any payment (whether in cash, securities or other property), including any sinking fund or similar deposit, on account of the purchase, redemption,
retirement, acquisition, cancellation or termination of any such capital stock or other equity interest or of any option, warrant or other right to acquire any such capital stock or other equity interest. 
 “Revolving Facility Credit Limit” shall mean $10,000,000.00. 
 “Revolving Loan” shall have the meaning given such term in Paragraph 1(a) above. 
 “Revolving Loan Maturity Date” shall mean the earlier of: (a) July 18, 2009, as such date may be extended from
time to time in writing by one hundred percent (100%) of the Lenders, in 








 
their sole discretion, and (b) the date the Lenders terminate their obligation to make further Loans hereunder pursuant to Paragraph 12
above. 
 “SEC” shall mean the Securities and Exchange Commission, or any Governmental Authority succeeding
to any of its principal functions. 
 “Securities” shall mean any stock, shares, partnership interests,
limited liability company interests, voting trust certificates, certificates of interest or participation in any profit sharing agreement or arrangement, options, warrants, bonds, debentures, notes, or other evidences of indebtedness, secured or
unsecured, convertible, subordinated or otherwise, or in general any instruments commonly known as “securities” or any certificates of interest, shares or participations in temporary or interim certificates for the purchase or acquisition
of, or any right to subscribe to, purchase or acquire, any of the foregoing. 
 “Security Agreement” shall
mean the Existing Security Agreement, as amended and reaffirmed by Paragraph 14(t) and as further amended, extended and replaced from time to time. 
 “Security Documents” shall mean the Security Agreement, the Existing Additional Company Collateral Documents, the Guarantor Security Agreements, the Existing Additional Guarantor Collateral Documents,
the Supplemental Collateral Documents, one or more promissory notes in form and substance satisfactory, and duly endorsed, to the Agent from time to time evidencing Inter-Company Indebtedness and any document, instrument, or agreement executed
and/or delivered from time to time, whether prior to or following the Effective Date, in connection with any of the foregoing. 
 “Senior Leverage Ratio” shall mean, as of any date of determination the ratio of the Company’s (a) consolidated Funded Debt (calculated excluding Indebtedness to Subsidiaries and Affiliates of the Company but
including Outstanding Loans, Letters of Credit and unreimbursed L/C Drawings) minus Subordinated Debt included in such Funded Debt to (b) consolidated EBITDA for the four fiscal quarters most recently ended. 
 “Single Employer Plan” shall mean as to any Person any Plan of such Person which is not a Multiemployer Plan. 

“Statement Date” shall mean June 30, 2005. 
 “Stock” shall mean all shares, options, warrants, interests, participations, or other equivalents (regardless of how
designated) of or in a Person, whether voting or nonvoting, including common stock, preferred stock, or any other equity security. 
 “Subordinated Debt” shall mean Indebtedness subordinated to the Obligations pursuant to a written subordination agreement in form and substance acceptable to the Agent, in its sole and absolute discretion. 
 “Subsidiary” shall mean with respect to any Person, any other Person with respect to which more than fifty percent
(50%) of the voting Stock (as of any date of determination) able to elect or appoint the applicable governing body of such other Person is owned by such Person, either directly or through Subsidiaries (irrespective of whether or not at the time
of determination any other class or classes of such Person’s Stock shall have or might have voting power by reason of the happening of any contingency). 







 “Swap Agreement” shall mean an interest rate swap agreement on the
International Swap Dealers Association, Inc. (“ISDA”) Master Agreement form and subject to the terms and conditions therein with schedules and confirmations attached (such agreement, together with all confirmations incorporated therein,
and all amendments, modifications, supplements, riders, exhibits, schedules and attachments thereto). 
 “Swap
Obligations” shall have the meaning given in Paragraph 2 above. 
 “Swing Line Lender” means
Bank of the West or such other Lender as shall be appointed Swing Line Lender pursuant hereto. 
 “Swing Line
Loan” shall have the meaning given in Paragraph 1(a) above. 
 “Swing Line Sublimit” shall
mean $5,000,000. 
 “Tangible Net Worth” shall mean for any Person at any time of determination, net worth
(exclusive of notes receivable from Affiliates, goodwill, patents, trademarks, trade names, organization expense, treasury stock, unamortized debt discount and premium, deferred charges and other like intangibles). 
 “Total Liabilities” shall mean for any Person at any time of determination, all liabilities of such Person which in
accordance with GAAP would be shown on the liability side of a balance sheet of such Person, determined in accordance with GAAP, but including in any event the maximum amount available for drawing under all Outstanding Letters of Credit and
excluding Subordinated Debt. 
 “Transaction” shall mean the acquisition all or substantially all of the
issued and outstanding Equity Interests in Del Mar Reynolds Medical, Inc. and Del Mar Reynolds Medical Limited by the Company pursuant to a Share Sale Agreement between the Ferraris Group PLC and the Company dated not later than the date that the
initial Acquisition Loans are made. 
 “Transaction Documents” shall mean the definitive documents evidencing
the transaction(s) to be financed with the Acquisition Loans. 
 “UCC” shall mean the Uniform Commercial Code
as in effect in the applicable jurisdiction. 
 [Signature Page Following] 







 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of the day and year
first above written. 
  

			
	SPACELABS HEALTHCARE, INC., as the Company
		
	By:	 	  
	 Name:
	 	  
	Title:	 	  
	
	 BANK OF THE WEST, as Agent

		
	By	 	  
		 	 Chuck Weerasooriya, Senior Vice President

	
	BANK OF THE WEST, as L/C Issuing Bank and Lender
		
	By	 	  
		 	 Shikha Rehman, Vice President

	
	 THE NORTHERN TRUST COMPANY, as Lender

		
	By:	 	  
	 Name:
	 	  
	Title:	 	  
	
	 MANUFACTURERS BANK

		
	By:	 	  
	 Name:
	 	  
	Title: