Amendment No. 2 to the Credit Agreement



 Exhibit 10.1 
 AMENDMENT No. 2, dated as of August 24, 2012, to the Credit Agreement, dated as of October 20, 2010, among DAVITA INC., a Delaware corporation (the “Borrower”), the
several banks and other financial institutions or entities from time to time parties to the Credit Agreement (the “Lenders”), JPMORGAN CHASE BANK, N.A., as Administrative Agent (the “Administrative Agent”) and
Collateral Agent (the “Collateral Agent”), JPMORGAN CHASE BANK, N.A., as Issuing Lender and Swingline Lender, the other agents from time to time party thereto (as supplemented by the Increase Joinder Agreement, dated as of
August 26, 2011, and Amendment No. 1, dated as of August 14, 2012, and as further amended, restated, modified and supplemented from time to time, the “Credit Agreement”); capitalized terms used and not otherwise
defined herein shall have the meanings assigned to such terms in the Credit Agreement. 
 WHEREAS, the Borrower desires to amend
the Credit Agreement on the terms set forth herein, including without limitation to create Tranche A-3 Term Loans (as defined in Exhibit A) and Tranche B-2 Term Loans (as defined in Exhibit A) as new classes of Term Loans under the
Credit Agreement; 
 WHEREAS, Section 11.1 of the Credit Agreement provides that the relevant Loan Parties and the Required
Lenders may amend the Credit Agreement and the other Loan Documents for certain purposes including to permit additional extensions of credit to be included in the Credit Agreement; 

WHEREAS, in connection with the consummation of the 2012 Transactions, the Borrower has requested that (i) the Tranche A-3 Term
Lenders (as defined in Exhibit A) extend credit to the Borrower in the form of Tranche A-3 Term Loans (as defined in Exhibit A) in an aggregate principal amount of $1,350,000,000 and (ii) the Initial Tranche B-2 Term Lender (as
defined in Exhibit A) extend credit to the Borrower in the form of Tranche B-2 Term Loans (as defined in Exhibit A) in an aggregate principal amount of $1,650,000,000, the proceeds of which shall be used (x) to pay the
consideration in connection with the Acquisition, (y) to finance the 2012 Refinancing and (z) to pay fees and expenses in connection with the foregoing and for other corporate purposes; and 

WHEREAS, the Borrower has requested that additional amendments be made to the Credit Agreement pursuant to Section 11.1 of the
Credit Agreement. 
 NOW, THEREFORE, in consideration of the premises contained herein and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto, intending to be legally bound hereby, agree as follows: 
 Section 1. Section 1 Amendments. Subject to the satisfaction of the conditions set forth in Section 4(a) hereof, as of the Amendment No. 2 Effective Date the Credit
Agreement is hereby amended as follows (the “Section 1 Amendments”): 
 (a) to delete the stricken text
(indicated textually in the same manner as the following example: stricken text) and to add the double-underlined text (indicated textually in the same manner as the following example:
double-underlined text) as set forth in the pages of the Credit Agreement attached as Exhibit A hereto; and 

(b) to add, as a new Exhibit thereto, Exhibit Q attached to this Amendment. 







 Section 2. Section 2 Amendments. Subject to the satisfaction of
conditions set forth in Section 4(b) hereof, as of the Amendment No. 2 Effective Date the Credit Agreement is hereby amended as follows (the “Section 2 Amendments” and, together with the Section 1 Amendments, the
“Amendment”): 
 (a) Section 1.1 of the Credit Agreement is hereby amended by replacing the definition of
“ECF Percentage” with the following: 
 ““ECF Percentage” shall mean (i) with respect to
any Fiscal Year at the end of which the Leverage Ratio is greater than 4.25 to 1.00, 25%; and (ii) with respect to any Fiscal Year at the end of which the Leverage Ratio is less than or equal to 4.25 to 1.00, 0%.” 

Section 3. Representations and Warranties, No Default. By its execution of this Amendment, each Loan Party hereby
certifies that prior to and immediately after giving effect to this Amendment: 
 (a) the execution, delivery and
performance by each Loan Party of this Amendment, are within such Loan Party’s corporate, partnership or limited liability company powers, as applicable, have been duly authorized by all necessary corporate, partnership or limited liability
company action, as applicable, do not (i) contravene such Loan Party’s Constitutive Documents, (ii) violate any Requirements of Law, (iii) conflict with or result in the breach of, or constitute a default or require any payment
to be made under, any material contract, loan agreement, indenture, mortgage, deed of trust, lease or other instrument binding on or affecting any Loan Party or any of its properties that would reasonably be likely to have a Material Adverse Effect
or (iv) except for the Liens created under the Loan Documents, result in or require the creation or imposition of any Lien upon or with respect to any of the properties of any Loan Party; 

(b) no Default or Event of Default exists, or will result from the execution of this Amendment and the transactions
contemplated hereby; 
 (c) each of the representations and warranties made by any Loan Party set forth in
Section 4 of the Credit Agreement or in any other Loan Document shall be true and correct in all material respects (except that any representation and warranty that is qualified as to “materiality” or “Material Adverse
Effect” shall be true and correct in all respects) on and as of the Execution Date and the Amendment No.2 Effective Date with the same effect as though made on and as of such date, except to the extent such representations and warranties
expressly relate to an earlier date. 
 Section 4. Section 1 Amendments Effectiveness.

 (a) The Section 1 Amendments shall become effective on the date (such date, if any, the “Execution
Date”) that the following conditions have been satisfied; provided that the Section 1 Amendments shall not become operative until each of the conditions set forth in clause (b) below have been satisfied in accordance with
their terms: 
 (i) Section 1 Amendment Consents. With respect to the Section 1 Amendments only,
the Administrative Agent shall have received executed signature pages hereto 

  
 -2-









 
from Lenders constituting the Required Lenders and each Loan Party. Each Lender that submits an executed counterpart hereto acknowledges and agrees that in the absence of a change to the terms
and conditions of this Amendment (including Exhibit A hereto), in each case that is (x) materially adverse to the Lenders and (y) made after the submission of executed counterpart, such submission is irrevocable. 

(b) The Amendment shall become operative on the date (such date, if any, the “Amendment No. 2 Effective Date”) on
which each of the following conditions have been satisfied (provided that if such conditions are not satisfied on or prior to the earlier of (x) November 30, 2012, subject to extension as set forth below (the “Termination
Date”) and (y) the time at which the Acquisition Agreement has been irrevocably terminated, the Amendment shall terminate and no longer be in effect; provided further that the Borrower may elect to extend the Termination
Date for an additional 30 days on no more than 3 occasions so long as (i) two Business Days (as defined in the New Senior Notes Indenture (as defined in Amendment No. 1)) prior to the scheduled Termination Date it provides written notice
to the Administrative Agent, (ii) the Borrower has extended the Termination Date under the New Senior Notes Documents (as defined in Amendment No. 1) and complied with all the requirements therein allowing for such extension and
(iii) the Termination Date (as defined in the Acquisition Agreement) has been extended to match the extended Termination Date): 
 (i) Tranche B-2 Joinder Agreement. The Administrative Agent, the Borrower and the Initial Term B-2 Lender shall have entered into the Tranche B-2 Joinder Agreement (as defined in Exhibit A);

 (ii) Tranche A-3 Joinder Agreement. The Administrative Agent, the Borrower and the Tranche A-3 Term
Lenders shall have entered into the Tranche A-3 Joinder Agreement (as defined in Exhibit A). 
 (iii)
Fees. The Administrative Agent shall have received from the Borrower (x) a non-refundable fee (the “Consent Fee”), for the account of each Lender that has delivered an executed signature page hereto prior to the
Execution Date equal to 0.125% of the principal amount of Loans and Commitments, as applicable, held by Lenders on the Execution Date, such Consent Fee to be payable on the Amendment No. 2 Effective Date, and (y) all fees required to be
paid, and all expenses for which invoices have been presented (including the reasonable fees and expenses of legal counsel), on or before the Amendment No. 2 Effective Date; 

(iv) Legal Opinions. the Administrative Agent shall have received, on behalf of itself and the Lenders, an opinion
of (i) Sidley Austin, LLP, special counsel for the Loan Parties, (ii) Kim Rivera, General Counsel of the Borrower and (iii) opinions of counsel for the Loan Parties in their jurisdictions of organization as requested by the
Administrative Agent (to the extent not already covered by the opinions delivered pursuant to clauses (i) and (ii)) reasonably satisfactory to the Administrative Agent , in each case, addressed to the Administrative Agent and the Lenders and
dated the Amendment No. 2 Effective Date, with respect to such matters as the Administrative Agent may reasonably request; 

  
 -3-









 (v) Officer’s Certificate. the Administrative Agent shall have
received a certificate of the Borrower dated as of the Amendment No. 2 Effective Date signed by the chief executive officer and chief financial officer of the Borrower, in the corporate capacity of such Responsible Officer, confirming
compliance with the conditions set forth in Section 5.2 of the Credit Agreement; 
 (vi) Closing
Certificates. The Administrative Agent shall have received: 
 (1) a certificate of the secretary or
assistant secretary of each Loan Party dated the Amendment No. 2 Effective Date, certifying (A) that attached thereto is a true and complete copy of each Constitutive Document of such Loan Party and that either (x) such Constitutive
Documents have not been altered since delivery of such documents on the Closing Date (including certification, if any, by the Secretary of State of the state of its organization delivered on the Closing Date) or (y) such Constitutive Documents
are in full force and effect on the date hereof, (B) that attached thereto is a true and complete copy of resolutions duly adopted by the Board of Directors of such Loan Party authorizing the execution, delivery and performance of the Agreement
and, in the case of the Borrower, the borrowings hereunder, and that such resolutions have not been further modified, rescinded or amended and are in full force and effect and (C) as to the incumbency and specimen signature of each officer
executing the Agreement or any other document delivered in connection herewith on behalf of such Loan Party (together with a certificate of another officer as to the incumbency and specimen signature of the secretary or assistant secretary executing
the certificate in this clause (1)); 
 (2) a certificate as to the good standing of each Loan Party, to the
extent requested by the Administrative Agent (in so-called “long-form” if available), as of a recent date, from such Secretary of State (or other applicable Governmental Authority); and 

(3) such other documents as the Lenders or the Administrative Agent may reasonably request (including bring-down good
standing certificates); 
 (vii) Solvency Certificate. The Administrative Agent shall have received a
customary solvency certificate from the chief financial officer of the Borrower that shall document the solvency of the Borrower and its subsidiaries (on a consolidated basis) after giving effect to the 2012 Transactions and the other transactions
contemplated hereby; 
 (viii) Security Interests. The Collateral Agent shall have, unless extended in its
sole discretion, received: 

  
 -4-









 (1) all Pledged Collateral required to be delivered as a result of the
consummation of the Acquisition; 
 (2) UCC financing statements in appropriate form for filing under the UCC,
filings with the United States Patent and Trademark Office and United States Copyright Office and such other documents under applicable Requirements of Law in each jurisdiction as may be necessary or appropriate or, in the opinion of the Collateral
Agent, desirable to perfect the Liens created, or purported to be created, by the Security Documents and with respect to all UCC financing statements required to be filed pursuant to the Loan Documents; 

(3) copies of UCC, United States Patent and Trademark Office and United States Copyright Office, tax and judgment lien
searches, or equivalent reports or searches, each of a recent date listing all effective financing statements, lien notices or comparable documents that name any Loan Party as debtor and that are filed in those state and county jurisdictions in
which any property of any Loan Party is located and the state and county jurisdictions in which any Loan Party is organized or maintains its principal place of business and such other searches that the Collateral Agent deems necessary or
appropriate, none of which encumber the Collateral covered or intended to be covered by the Security Documents (other than Liens permitted pursuant to Section 7.1 or any other Liens acceptable to the Collateral Agent); and 

(4) evidence acceptable to the Collateral Agent of payment or arrangements for payment by the Loan Parties of all
applicable recording taxes, fees, charges, costs and expenses required for the recording of the Security Documents; 
 (ix) Financings and Other Transactions. 
 (1) The 2012
Refinancing shall have been consummated or shall be consummated on the Amendment No. 2 Effective Date, in each case in accordance with the terms hereof and the terms of the Credit Agreement (as amended by Amendment No. 2), without the
waiver or amendment of any such terms not approved by the Administrative Agent; provided that the Administrative Agent may waive or shorten the time period for delivery of any required notice in connection with the prepayment of Loans under
the Credit Agreement; 
 (2) Prior to or substantially concurrently with the funding of the Tranche A-3 Term
Loans and the Tranche B-2 Term Loans, the Acquisition shall be consummated in accordance with the Acquisition Agreement; 
 (3) The Escrowed Funds shall have been released from the Escrow Account on the Amendment No. 2 Effective Date; and 

  
 -5-









 (4) The Tranche A-3 Term Loans and the Tranche B-2 Term Loans shall have
been funded by the Tranche A-3 Term Lenders and the Tranche B-2 Term Lenders, respectively. 
 (x) USA Patriot
Act. The Administrative Agent shall have received, at least 5 days prior to the Amendment No. 2 Effective Date, all documentation and other information required by regulatory authorities under applicable “know your customer” and
anti-money laundering rules and regulations, including the PATRIOT Act, to the extent reasonably requested by the Lenders at least 10 days prior to the Amendment No. 2 Effective Date; and 

(xi) Borrowing Request. The Administrative Agent shall have received a Borrowing Request as required by
Section 2.2 of the Credit Agreement with respect to each of the Tranche A-3 Term Loans and the Tranche B-2 Term Loans; provided that the Administrative Agent may waive or shorten the time period for delivery of such Borrowing Notice.

 Section 5. Section 2 Amendment Effectiveness. The Section 2 Amendments shall become effective on
the date that the following conditions have been satisfied; provided that the Section 2 Amendments shall not become operative until each of the conditions set forth in Section 4(b) above have been satisfied in accordance with their
terms: 
 (a) Section 2 Amendment Consents. With respect to the Section 2 Amendments only, the Administrative
Agent shall have received executed signature pages hereto from Lenders constituting the Majority Facility Lenders with respect to each Facility and each Loan Party. Each Lender that submits an executed counterpart hereto acknowledges and agrees that
in the absence of a change to the terms and conditions of this Amendment (including Exhibit A hereto), in each case that is (x) materially adverse to the Lenders and (y) made after the submission of executed counterpart, such submission is
irrevocable. 
 Section 6. Counterparts. This Amendment may be executed in any number of counterparts and by
different parties hereto on separate counterparts, each of which when so executed and delivered shall be deemed to be an original, but all of which when taken together shall constitute a single instrument. Delivery of an executed counterpart of a
signature page of this Amendment by facsimile or any other electronic transmission shall be effective as delivery of a manually executed counterpart hereof. 
 Section 7. Governing Law and Waiver of Right to Trial by Jury. 

(a) THIS AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND
INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK (INCLUDING, WITHOUT LIMITATION, SECTIONS 5-1401 AND 5-1402 OF THE NEW YORK GENERAL OBLIGATIONS LAW, BUT OTHERWISE WITHOUT REGARD TO CONFLICTS OF LAWS PRINCIPLES THEREOF). The
jurisdiction and waiver of right to trial by jury provisions in Section 11.12 of the Credit Agreement are incorporated herein by reference mutatis mutandis. 

  
 -6-









 Section 8. Headings. The headings of this Amendment are for purposes of
reference only and shall not limit or otherwise affect the meaning hereof. 
 Section 9. Effect of Amendment.
Except as expressly set forth herein, (i) this Amendment shall not by implication or otherwise limit, impair, constitute a waiver of or otherwise affect the rights and remedies of the Lenders, the Administrative Agent, any other Agent or the
Issuing Lenders, in each case under the Credit Agreement or any other Loan Document, and (ii) shall not alter, modify, amend or in any way affect any of the terms, conditions, obligations, covenants or agreements contained in the Credit
Agreement or any other provision of any such agreement or any other Loan Document. Each and every term, condition, obligation, covenant and agreement contained in the Credit Agreement or any other Loan Document is hereby ratified and re-affirmed in
all respects and shall continue in full force and effect. Each Loan Party hereby expressly acknowledges the terms of this Amendment and reaffirms, as of the date hereof, (i) the covenants and agreements contained in each Loan Document to which
it is a party, including, in each case, such covenants and agreements as in effect immediately after giving effect to this Amendment and the transactions contemplated hereby and (ii) its guarantee of the Obligations (including, without
limitation, in respect of the Tranche A-3 Term Loans and the Tranche B-2 Term Loans) under the Guaranty, as applicable, and its grant of Liens on the Collateral to secure the Obligations (including, without limitation, in respect of the Tranche A-3
Term Loans and the Tranche B-2 Term Loans) pursuant to the Security Documents. This Amendment shall constitute a Loan Document for purposes of the Credit Agreement and from and after the Amendment No. 2 Effective Date, all references to the
Credit Agreement in any Loan Document and all references in the Credit Agreement to “this Agreement,” “hereunder”, “hereof” or words of like import referring to the Credit Agreement, shall, unless expressly provided
otherwise, refer to the Credit Agreement as amended by this Amendment. Each of the Loan Parties hereby consents to this Amendment and confirms that all obligations of such Loan Party under the Loan Documents to which such Loan Party is a party shall
continue to apply to the Credit Agreement as amended hereby. 

  
 -7-









 IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed by
their respective authorized officers as of the day and year first above written. 
  

			
	 DAVITA INC.

		
	 By:
	 	     /s/ James K. Hilger

		 	 Name: James K. Hilger

		 	 Title:   Interim Chief Financial Officer and

            Chief Accounting
Officer



 [Signature Page to Davita Amendment] 







 CARROLL COUNTY DIALYSIS FACILITY, INC. 

CONTINENTAL DIALYSIS CENTER, INC. 

CONTINENTAL DIALYSIS CENTER OF SPRINGFIELD-FAIRFAX, INC. 

DAVITA OF NEW YORK, INC. 

DIALYSIS HOLDINGS, INC. 

DIALYSIS SPECIALISTS OF DALLAS, INC. 

DOWNRIVER CENTERS, INC. 

DVA HEALTHCARE OF MARYLAND, INC. 

DVA HEALTHCARE OF MASSACHUSETTS, INC. 

DVA HEALTHCARE OF PENNSYLVANIA, INC. 

DVA HEALTHCARE PROCUREMENT SERVICES, INC. 

DVA HEALTHCARE RENAL CARE, INC. 

DVA LABORATORY SERVICES, INC. 

DVA OF NEW YORK, INC. 
 DVA RENAL HEALTHCARE, INC. 
 EAST END DIALYSIS CENTER,
INC. 
 ELBERTON DIALYSIS FACILITY, INC. 

FLAMINGO PARK KIDNEY CENTER, INC. 

KNICKERBOCKER DIALYSIS, INC. 

LIBERTY RC, INC. 
 LINCOLN PARK DIALYSIS SERVICES, INC. 
 MASON-DIXON
DIALYSIS FACILITIES, INC. 
 PHYSICIANS DIALYSIS ACQUISITIONS, INC. 

PHYSICIANS DIALYSIS, INC. 

PHYSICIANS DIALYSIS VENTURES, INC. 

RENAL LIFE LINK, INC. 
 RENAL TREATMENT CENTERS, INC. 
 RENAL TREATMENT CENTERS
— CALIFORNIA, INC. 
 RENAL TREATMENT CENTERS — HAWAII, INC. 

RENAL TREATMENT CENTERS — ILLINOIS, INC. 

RENAL TREATMENT CENTERS — MID-ATLANTIC, INC. 

RENAL TREATMENT CENTERS — NORTHEAST, INC. 

RENAL TREATMENT CENTERS — WEST, INC. 

RMS LIFELINE, INC. 
 [Signature Page to Amendment] 







 
			
	 SHINING STAR DIALYSIS, INC.
 THE DAVITA COLLECTION, INC.
 TOTAL ACUTE KIDNEY CARE, INC.

TOTAL RENAL CARE, INC.
 TOTAL RENAL
LABORATORIES, INC.
 TOTAL RENAL RESEARCH, INC.
 TRC OF NEW YORK, INC.
 TRC WEST, INC.

		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	 ALAMOSA DIALYSIS, LLC
 GREENSPOINT DIALYSIS, LLC

		
	 By:
	 	RENAL TREATMENT CENTERS — SOUTHEAST, LP
	 Its:
	 	Manager
		
	 By:
	 	RENAL TREATMENT CENTERS, INC.
	 Its:
	 	General Partner
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	DAVITA — WEST, LLC
		
	 By:
	 	RENAL TREATMENT CENTERS, INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance


 [Signature Page to Amendment] 







 
			
	 DAVITA RX, LLC

DNP MANAGEMENT COMPANY, LLC

FORT DIALYSIS, LLC

HILLS DIALYSIS, LLC

KIDNEY CARE SERVICES, LLC

MAPLE GROVE DIALYSIS, LLC

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC

PALO DIALYSIS, LLC

PATIENT PATHWAYS, LLC

TRC — INDIANA, LLC

TREE CITY DIALYSIS, LLC

VILLAGEHEALTH DM, LLC

		
	 By:
	 	TOTAL RENAL CARE, INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	 FREEHOLD ARTIFICIAL KIDNEY CENTER, LLC

	 NEPTUNE ARTIFICIAL KIDNEY CENTER, LLC

		
	 By:
	 	DVA RENAL HEALTHCARE, INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	HOUSTON KIDNEY CENTER/TOTAL RENAL CARE INTEGRATED SERVICE NETWORK LIMITED PARTNERSHIP
		
	 By:
	 	TOTAL RENAL CARE, INC.
	 Its:
	 	General Partner
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance


 [Signature Page to Amendment] 







 
			
	NEW HOPE DIALYSIS, LLC
		
	 By:
	 	RENAL LIFE LINK, INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	 NORTH ATLANTA DIALYSIS CENTER, LLC

SOUTHWEST ATLANTA DIALYSIS CENTERS, LLC

		 	
		
	 By:
	 	RENAL TREATMENT CENTERS — MID-ATLANTIC, INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	 Chetan P. Mehta
 Vice President of Finance

	
	 NORTH COLORADO SPRINGS DIALYSIS, LLC

	 ROCKY MOUNTAIN DIALYSIS SERVICES, LLC

	 SIERRA ROSE DIALYSIS CENTER, LLC

		
	 By:
	 	RENAL TREATMENT CENTERS — WEST, INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance


 [Signature Page to Amendment] 







 
			
	PHYSICIANS CHOICE DIALYSIS, LLC
		
	 By:
	 	PHYSICIANS MANAGEMENT, LLC
	 Its:
	 	Manager
		
	 By:
	 	PHYSICIANS DIALYSIS VENTURES, INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	 PHYSICIANS CHOICE DIALYSIS OF ALABAMA, LLC

		
	 By:
	 	PHYSICIANS CHOICE DIALYSIS, LLC
	 Its:
	 	Manager
		
	 By:
	 	PHYSICIANS MANAGEMENT, LLC
	 Its:
	 	Manager
		
	 By:
	 	PHYSICIANS DIALYSIS VENTURES,
		 	INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	PHYSICIANS MANAGEMENT, LLC
		
	 By:
	 	PHYSICIANS DIALYSIS VENTURES,
		 	INC.
	 Its:
	 	Manager
		
	 By:
	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance


 [Signature Page to Amendment] 







 
			
	 RENAL TREATMENT CENTERS — SOUTHEAST, L.P.

		
	By:	 	RENAL TREATMENT CENTERS, INC.
	Its:	 	General Partner
		
	By:	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	 TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP

		
	By:	 	TOTAL RENAL CARE, INC.
	Its:	 	General Partner
		
	By:	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance
	
	WESTVIEW DIALYSIS, LLC
		
	By:	 	RENAL TREATMENT CENTERS — ILLINOIS, INC.
	Its:	 	Manager
		
	By:	 	     /s/ Chetan P. Mehta

		 	Chetan P. Mehta
		 	Vice President of Finance


 [Signature Page to Amendment] 







 
			
	JPMORGAN CHASE BANK, N.A.,
	 as Administrative Agent and a Lender

		
	By:	 	 /s/ Vanessa Chiu

		 	Name: Vanessa Chiu
		 	Title: Executive Director


 [Signature Page to Davita Amendment] 








					
		  		  	
                         
                                         
                              ,
 as a Lender

			
		  	By:	  	  

		  		  	Name:
		  		  	Title:
	 For any institution requiring a

second signatory:
	  	  
 By:
	  	  

	  		  	Name:
		  		  	 Title:


 [Lender Signature Page to Davita Amendment] 







 EXECUTION
VERSIONExhibit A 
  

 
  

$3,000,000,000 
 CREDIT AGREEMENT 
 Dated as of October 20, 2010 

as Amended by Amendment No. 1 on August 14, 2012, 

among 
 DaVita
Inc., 
 as Borrower, 
 The Guarantors Party Hereto, 
 The Lenders Party Hereto, 

Credit Suisse AG 
 Barclays Bank PLC 
 Goldman Sachs Bank USA

 Wells Fargo Bank, National Association, 

Credit Agricole Corporate and Investment Bank 
 RBC Capital Markets* 
 Scotia Capital (USA) Inc.

 SunTrust Robinson Humphrey, Inc.and  

Union Bank, N.A.  
 as Co-Documentation Agents, 
 Bank of America,
N.A., 
 as Syndication Agent 
 andand 
 JPMorgan Chase Bank, N.A., 
 as Administrative Agent and Collateral Agent

  
  

J.P. Morgan Securities LLC 
 Banc of America Securities LLC, 
 as Amendment No. 2 Sole Lead Arranger and Sole Bookrunner 
 and 

Barclays Bank PLC, 

Credit Suisse Securities (USA) LLC 
 Barclays Capital, 
 Goldman Sachs Bank USA, 
 Merrill Lynch, Pierce, Fenner & Smith Incorporated, 
 Morgan Stanley Senior Funding, Inc., 
 SunTrust Robinson Humphrey, Inc. and 
 Wells Fargo Securities, LLC 
 as Joint
Lead, 

as 
 Amendment No. 2 Arrangers and Joint Bookrunners 

 
  

 
  

	*	RBC Capital Markets is a marketing name for the corporate and investment banking activities of Royal Bank of Canada and its subsidiaries









 TABLE OF CONTENTS 

 

							
	 	  	Page	 
	 SECTION 1 DEFINITIONS
	  	 	12	  
			
	 1.1
	  	Defined Terms	  	 	12	  
	 1.2
	  	Classification of Loans	  	 	4152	  
	 1.3
	  	Terms Generally	  	 	4152	  
	 1.4
	  	Accounting Terms; GAAP	  	 	4153	  
	 1.5
	  	Resolution of Drafting Ambiguities	  	 	4153	  
	 1.6
	  	Exchange Rates; Currency Equivalents	  	 	4153	  
	 1.7
	  	Additional Alternative Currencies	  	 	4253	  
	 1.8
	  	Change of Currency	  	 	4254	  
		
	 SECTION 2 AMOUNT AND TERMS OF COMMITMENTS
	  	 	4355	  
			
	 2.1
	  	Term Commitments	  	 	4355	  
	 2.2
	  	Procedure for Term Loan Borrowing	  	 	4355	  
	 2.3
	  	Repayment of Term Loans	  	 	4456	  
	 2.4
	  	Revolving Commitments	  	 	4556	  
	 2.5
	  	Procedure for Revolving Loan Borrowing	  	 	4557	  
	 2.6
	  	Swingline Commitment	  	 	4658	  
	 2.7
	  	Procedure for Swingline Borrowing; Refunding of Swingline Loans	  	 	4658	  
	 2.8
	  	Commitment Fees, etc.	  	 	4859	  
	 2.9
	  	Termination or Reduction of Revolving Commitments	  	 	4960	  
	 2.10
	  	Optional Prepayments	  	 	4961	  
	 2.11
	  	Mandatory Prepayments and Commitment Reductions	  	 	5061	  
	 2.12
	  	Conversion and Continuation Options	  	 	5263	  
	 2.13
	  	Limitations on Eurodollar Tranches	  	 	5264	  
	 2.14
	  	Interest Rates and Payment Dates	  	 	5364	  
	 2.15
	  	Computation of Interest and Fees	  	 	5364	  
	 2.16
	  	Inability to Determine Interest Rate	  	 	5365	  
	 2.17
	  	Pro Rata Treatment and Payments	  	 	5465	  
	 2.18
	  	Requirements of Law	  	 	5667	  
	 2.19
	  	Taxes	  	 	5768	  
	 2.20
	  	Indemnity	  	 	5969	  
	 2.21
	  	Change of Lending Office	  	 	5970	  
	 2.22
	  	Replacement of Lenders	  	 	5970	  
	 2.23
	  	Repayment of Loans; Evidence of Debt	  	 	6071	  
	 2.24
	  	Increase in Commitments	  	 	6171	  
	 2.25
	  	Extensions of Term Loans and Revolving Commitments	  	 	6374	  
	 2.26
	  	Defaulting Lenders	  	 	6576	  
	 2.27
	  	Refinancing Amendments.	  	 	77	  
		
	 SECTION 3 LETTERS OF CREDIT
	  	 	6778	  
			
	 3.1
	  	LC Commitment	  	 	6778	  
	 3.2
	  	Notice of Issuance, Amendment, Renewal, Extension; Certain Conditions	  	 	6879	  
	 3.3
	  	Fees and Other Charges	  	 	6879	  
	 3.4
	  	Participations	  	 	6879	  


  
 -i-










							
	 	  	 	  	Page	 
	 3.5
	  	Reimbursement	  	 	6880	  
	 3.6
	  	Obligations Absolute	  	 	6980	  
	 3.7
	  	Disbursement Procedures	  	 	7081	  
	 3.8
	  	Interim Interest	  	 	7081	  
	 3.9
	  	Replacement of the Issuing Lender	  	 	7081	  
	 3.10
	  	Cash Collateralization	  	 	7082	  
	 3.11
	  	Provisions Related to Extended Alternative Currency Revolving Commitments	  	 	7182	  
		
	 SECTION 4 REPRESENTATIONS AND WARRANTIES
	  	 	7183	  
			
	 4.1
	  	Organization; Power	  	 	7183	  
	 4.2
	  	Capital Stock; Subsidiaries	  	 	7283	  
	 4.3
	  	Authorization; No Conflicts	  	 	7283	  
	 4.4
	  	No Approvals	  	 	7284	  
	 4.5
	  	Enforceability	  	 	7284	  
	 4.6
	  	Litigation	  	 	7384	  
	 4.7
	  	Financial Statements; Projections	  	 	7384	  
	 4.8
	  	Properties	  	 	7385	  
	 4.9
	  	Intellectual Property	  	 	7485	  
	 4.10
	  	No Material Misstatements	  	 	7486	  
	 4.11
	  	Margin Stock	  	 	7486	  
	 4.12
	  	Investment Company Act	  	 	7586	  
	 4.13
	  	Solvency	  	 	7586	  
	 4.14
	  	Employee Benefit Plans	  	 	7586	  
	 4.15
	  	Environmental Laws	  	 	7687	  
	 4.16
	  	Taxes	  	 	7688	  
	 4.17
	  	Government Reimbursement Programs; Medicare/Medicaid/Tricare	  	 	7788	  
	 4.18
	  	Agreements	  	 	7890	  
	 4.19
	  	Use of Proceeds	  	 	7890	  
	 4.20
	  	Labor Matters	  	 	7890	  
	 4.21
	  	Insurance	  	 	7990	  
	 4.22
	  	Security Documents	  	 	7991	  
	 4.23
	  	Anti-Terrorism Law	  	 	7991	  
		
	 SECTION 5 CONDITIONS PRECEDENT
	  	 	8092	  
			
	 5.1
	  	Conditions to Initial Credit Extension	  	 	8092	  
	 5.2
	  	Conditions to All Credit Extensions	  	 	8294	  
		
	 SECTION 6 AFFIRMATIVE COVENANTS
	  	 	8395	  
			
	 6.1
	  	Reporting Requirements	  	 	8395	  
	 6.2
	  	Compliance with Laws, Etc.	  	 	8697	  
	 6.3
	  	Payment of Taxes, Etc.	  	 	8697	  
	 6.4
	  	Compliance with Environmental Laws	  	 	8698	  
	 6.5
	  	Insurance	  	 	8798	  
	 6.6
	  	Preservation of Corporate Existence, Etc.	  	 	8899	  
	 6.7
	  	Visitation Rights	  	 	8899	  
	 6.8
	  	Keeping of Books	  	 	8899	  


  
 -ii-










							
	 	  	 	  	Page	 
	 6.9
	  	Maintenance of Properties, Etc.	  	 	8899	  
	 6.10
	  	Transactions with Affiliates	  	 	8899	  
	 6.11
	  	Use of Proceeds	  	 	8899	  
	 6.12
	  	Additional Collateral; Additional Guarantors	  	 	88100	  
	 6.13
	  	Security Interests; Further Assurances	  	 	90101	  
	 6.14
	  	Information Regarding Collateral	  	 	91101	  
	 6.15
	  	Ratings	  	 	91102	  
		
	 SECTION 7 NEGATIVE COVENANTS
	  	 	91102	  
			
	 7.1
	  	Liens, Etc.	  	 	91102	  
	 7.2
	  	Debt	  	 	92104	  
	 7.3
	  	Change in Nature of Business	  	 	95106	  
	 7.4
	  	Mergers, Etc.	  	 	95106	  
	 7.5
	  	Sales, Etc., of Assets	  	 	95106	  
	 7.6
	  	Investments in Other Persons	  	 	98109	  
	 7.7
	  	Restricted Payments	  	 	100111	  
	 7.8
	  	Accounting Changes	  	 	101112	  
	 7.9
	  	Prepayments of Other Debt; Modifications of Constitutive Documents and Other Documents, etc.	  	 	102112	  
	 7.10
	  	Negative Pledge	  	 	102113	  
	 7.11
	  	Payment Restrictions Affecting Subsidiaries	  	 	103113	  
	 7.12
	  	Non-Guarantor Domestic Subsidiaries	  	 	103114	  
	 7.13
	  	Issuance of Additional Stock	  	 	103114	  
	 7.14
	  	Anti-Terrorism Law; Anti-Money Laundering	  	 	104115	  
	 7.15
	  	Embargoed Person	  	 	104115	  
	 7.16
	  	Financial Covenants	  	 	104115	  
		
	 SECTION 8 EVENTS OF DEFAULT
	  	 	105116	  
			
	 8.1
	  	Events of Default	  	 	105116	  
	 8.2
	  	Application of Proceeds	  	 	108119	  
		
	 SECTION 9 THE AGENTS
	  	 	109119	  
			
	 9.1
	  	Appointment and Authority	  	 	109119	  
	 9.2
	  	Rights as a Lender	  	 	109120	  
	 9.3
	  	Exculpatory Provisions	  	 	109120	  
	 9.4
	  	Reliance by Agent	  	 	110121	  
	 9.5
	  	Delegation of Duties	  	 	110121	  
	 9.6
	  	Resignation of Agent	  	 	110121	  
	 9.7
	  	Non-Reliance on Agent and Other Lenders	  	 	111122	  
	 9.8
	  	No Other Duties, etc	  	 	111122	  
		
	 SECTION 10 GUARANTEE
	  	 	111122	  
			
	 10.1
	  	The Guarantee	  	 	111122	  
	 10.2
	  	Obligations Unconditional	  	 	112123	  
	 10.3
	  	Reinstatement	  	 	113124	  
	 10.4
	  	Subrogation; Subordination	  	 	113124	  
	 10.5
	  	Remedies	  	 	113124	  


  
 -iii-










							
	 	  	 	  	Page	 
	 10.6
	  	Instrument for the Payment of Money	  	 	113124	  
	 10.7
	  	Continuing Guarantee	  	 	113124	  
	 10.8
	  	General Limitation on Guaranteed Obligations	  	 	114125	  
	 10.9
	  	Release of Guarantors	  	 	114125	  
		
	 SECTION 11 MISCELLANEOUS
	  	 	114125	  
			
	 11.1
	  	Amendments and Waivers	  	 	114125	  
	 11.2
	  	Notices	  	 	116127	  
	 11.3
	  	No Waiver; Cumulative Remedies	  	 	118129	  
	 11.4
	  	Survival	  	 	118129	  
	 11.5
	  	Expenses; Indemnity; Damage Waiver	  	 	118129	  
	 11.6
	  	Successors and Assigns; Participations and Assignments	  	 	119130	  
	 11.7
	  	Adjustments; Set-off	  	 	123133	  
	 11.8
	  	Counterparts; Integration; Effectiveness	  	 	123134	  
	 11.9
	  	Severability	  	 	123134	  
	 11.10
	  	WAIVER OF JURY TRIAL	  	 	124134	  
	 11.11
	  	GOVERNING LAW	  	 	124134	  
	 11.12
	  	Submission to Jurisdiction; Waivers	  	 	124135	  
	 11.13
	  	Acknowledgments	  	 	125135	  
	 11.14
	  	Releases of Guarantees and Liens	  	 	125135	  
	 11.15
	  	Confidentiality	  	 	125136	  
	 11.16
	  	Headings	  	 	126136	  
	 11.17
	  	USA PATRIOT Act	  	 	126136	  
	 11.18
	  	Interest Rate Limitation	  	 	126136	  
	 11.19
	  	Delivery of Addenda	  	 	126137	  
	 11.20
	  	Third Party Beneficiary	  	 	126137	  


  
 -iv-










			
	SCHEDULES:	  	
		
	 1.1
	  	Existing Letters of Credit
	 1.2
	  	Mandatory Cost
	 4.4
	  	Consents, Authorizations, Filings and Notices
	 4.8
	  	Real Property
	 7.1(c)
	  	Existing Liens
	 7.2(b)
	  	Existing Debt
	 7.6
	  	Investments
		
	EXHIBITS:	  	
		
	A	  	 Form of Security Agreement

	 B
	  	Form of Compliance Certificate
	 C
	  	Form of Solvency Certificate
	 D
	  	[Reserved]
	 E
	  	Form of Assignment and Assumption
	 F-1
	  	Form of Legal Opinion of Special Counsel
	 F-2
	  	Form of Legal Opinion of General Counsel
	 G
	  	Form of Prepayment Option Notice
	 H
	  	Form of Borrowing Request
	 I
	  	Form of Addendum
	 J
	  	Form of Exemption Certificate
	 K-1
	  	Form of Perfection Certificate
	 K-2
	  	Form of Perfection Certificate Supplement
	 L
	  	Form of Joinder Agreement
	 M
	  	Form of Intercompany Note
	 N-1
	  	Form of Revolving Loan Note
	 N-2
	  	Form of Tranche A Term Loan Note
	 N-3
	  	Form of Tranche B Term Loan Note
	 N-4
	  	Form of Swingline Note
	 O
	  	Form of LC Request
	 P
	  	Form of Interest Election Request
	 Q
	  	Form of First Lien Intercreditor Agreement


  
 -v-









 This CREDIT AGREEMENT, dated as of October 20, 2010 (as amended by that certain
Increase Joinder Agreement on August 26, 2011, as further amended by Amendment No. 1 on August 14, 20122012, and as may be further amended,
restated, supplemented or otherwise modified from time to time, this “Agreement”), among DaVita Inc., a Delaware corporation (the “Borrower”), the Guarantors (as defined in Section 1.1) party hereto, the
several banks and other financial institutions or entities from time to time lenders under this Agreement by execution hereof or of an Addendum or pursuant to Section 11.19 (the “Lenders”), Credit Suisse AG, Barclays
Bank PLC, Goldman Sachs Bank USA and Wells Fargo Bank, National Association, as co-documentation agents (in such capacity, the “Documentation Agents”), Bank of America, N.A., as syndication agent (in such capacity, the
“Syndication Agent”), and JPMorgan Chase Bank, N.A., as administrative agent and collateral agent.1 

WITNESSETH: 
 WHEREAS, the Borrower, the guarantors party thereto, the lenders party thereto from time to time and JPMorgan Chase Bank, N.A., as administrative agent and collateral agent, are party to that certain
credit agreement, dated as of October 5, 2005, as amended and restated as of February 23, 2007 (the “Existing Credit Agreement”); 
 WHEREAS, the Borrower has made a tender offer (the “Tender Offer”) for any and all of its outstanding 6-5/8% senior notes due 2013 (the “Existing Senior Notes”) and
7-1/4% senior subordinated notes due 2015 (the “Existing Senior Subordinated Notes” and together with the Existing Senior Notes, the “Existing Notes”); 

WHEREAS, in connection with the Transactions, the Borrower will issue (i) $775,000,000 aggregate principal amount of 6-3/8% Senior
Notes due 2018 (the “2018
Notes”) and (ii) $775,000,000 aggregate principal amount of 6-5/8% Senior Notes due 2020
(collectivelythe “2020
Notes” and, together with the 2018 Notes, the “Senior Notes”), in each case, pursuant to the
Senior Notes Indenture.; 
 WHEREAS, in
connection with the consummation of the Transactions, the Borrower has requested the Lenders to extend credit in the form of (a) Tranche A Term Loans on the Closing Date, in an aggregate principal amount of $1,000,000,000, (b) Tranche B
Term Loans on the Closing Date in an aggregate principal amount of $1,750,000,000, (c) Dollar Revolving Commitments in an aggregate principal amount of $100,000,000 and (d) Alternative Currency Revolving Commitments in an aggregate
principal amount of $150,000,000; and  
 WHEREAS,
in connection with the 2012 Transactions, the Borrower will issue 5.75% Senior Notes due 2022 pursuant to the New Senior Notes Indenture; 
 WHEREAS, in connection with the consummation of the 2012 Transactions, the Borrower has requested the Lenders to extend additional credit in the
form of (a) Tranche A-3 Term Loans on the Amendment No. 2 Effective Date, in an aggregate principal amount of $1,350,000,000 and (b) Tranche B-2 Term Loans on the
Amendment No. 2 Effective Date in an aggregate principal amount of $1,650,000,000; and 
  

	1 	 Note that this blackline is run against an unofficial conformed copy of the Credit
Agreement which included the Tranche A-2 Term Loans. 









 WHEREAS, the proceeds of the Loans are to be used in accordance with
Section 4.19. 
 NOW, THEREFORE, the Lenders are willing to extend such credit to Borrower and the Issuing Lender is
willing to issue letters of credit for the account of Borrower on the terms and subject to the conditions set forth herein. Accordingly, the parties hereto agree as follows: 
 SECTION 1  
 DEFINITIONS 

1.1 Defined Terms. As used in this Agreement, the terms listed in this Section 1.1 shall have the respective meanings
set forth in this Section 1.1. 
 “2012 Refinancing” shall mean (i) the repayment of all
outstanding Debt under the Tranche A-2 Term Facility and (ii) the repayment of all outstandingcertain Debt of Healthcare Partners Holdings, LLC. 

“2012 Transactions” shall mean collectively, (a) the Acquisition and other related transactions contemplated by the
Acquisition Agreement, (b) the funding of newthe Tranche A-3 Term Loans and the Tranche B-2 Term Loans
on the Amendment No. 2 Effective Date and the execution and delivery of an Amendment No. 2 to the Credit
Agreementbe entered into on the Amendment No. 2 Effective Date; (c) the 2012 Refinancing; (d) the issuance of the New Senior Notes; (e) the payment of all
fees and expenses owing in connection with the foregoing. 

“2018
Notes” shall have the meaning given to such term in the recitals hereto. 

“2020
Notes” shall have the meaning given to such term in the recitals hereto. 

“ABR” shall mean for any day, a rate per annum (rounded upwards, if necessary, to the next 1/100 of
1%) equal to the greatest of (a) the Prime Rate in effect on such day, (b) the Federal Funds Effective Rate in effect on such day plus
 1/2 of 1% and (c) the Eurodollar Base Rate applicable on such day (or, if such date is not a Business Day, the immediately preceding Business Day) if a Eurodollar Loan with an Interest Period of one
month were being made on such day plus 1%. For purposes hereof: “Prime Rate” shall mean the rate of interest per annum publicly announced from time to time by the Person serving as Administrative Agent as its prime rate in
effect at its principal office in New York City (the Prime Rate not being intended to be the lowest rate of interest charged by the Person serving as Administrative Agent in connection with extensions of credit to debtors). Any change in the ABR due
to a change in the Prime Rate or the Federal Funds Effective Rate shall be effective as of the opening of business on the effective day of such change in the Prime Rate or the Federal Funds Effective Rate, respectively. Notwithstanding the
foregoing, the ABR with respect to (i) any Tranche B Term Loan will be deemed to be 2.50% per annum if the ABR calculated pursuant to this definition would otherwise be less than 2.50% per annum and (ii) any Tranche
AB-2 Term Loan or Tranche B-2 Term Loan will be deemed to be 2.00% per
annumthe amount set forth in the Tranche B-2 Joinder Agreement if the ABR calculated pursuant to this definition would otherwise be less than 1.00% per
annumsuch amount. 

  
 -2-









 “ABR Loans” shall mean Loans the rate of interest applicable to which is
based upon the ABR. ABR Loans shall be denominated in Dollars. 
 “Acquisition”
shall mean the acquisition of Healthcare Partners Holdings, LLC pursuant to the Acquisition Agreement. 
 “Acquisition Agreement” shall mean the Agreement and Plan of Merger (together with all exhibits and schedules thereto, collectively, the “Acquisition Agreement”), dated
as of May 20, 2012, among the Borrower, Seismic Acquisition LLC, a newly formed limited liability company (“Merger Sub”) and a wholly-owned subsidiary of the Borrower, and Healthcare Partners Holdings, LLC (“Healthcare
Partners”). 
 “Addendum” shall mean an instrument in the form of Exhibit I by which a Lender
becomes a party to this Agreement on the Closing Date. 
 “Additional Escrow
Amount” shall mean an amount equal to (a) all interest that could accrue on the New Senior Notes from and including the date of issuance thereof to and including the Termination Date and (b) all fees and expenses that
are incurred in connection with the issuance of the New Senior Notes and all fees, expenses or other amounts payable in connection with the New Senior Notes Redemption. 

“Additional Excluded Taxes” shall have the meaning given to such term in Section 2.19. 

“Additional Refinancing
Lender” shall mean, at any time, any bank, financial institution or other institutional lender or investor (other
than any such bank, financial institution or other institutional lender or investor that is a Lender at such time) that agrees to provide any portion of Credit Agreement Refinancing Debt pursuant to a Refinancing Amendment in accordance with
Section 2.27, provided that each Additional Refinancing Lender shall be subject to the approval of (i) the Administrative Agent, such approval not to be unreasonably withheld or delayed, to the extent that each such Additional Refinancing
Lender is not then an existing Lender, an Affiliate of a then existing Lender or an Approved Fund, (ii) in the case of any Other Revolving Commitments, the Issuing Lender and the Swingline Lender and (iii) the Borrower. 

“Adjustment
 Date” shall have the meaning given to such term in the definition of “Pricing Grid.” 

“Administrative Agent” shall mean JPMorgan Chase Bank, N.A., together with its affiliates, as the arranger of the
Commitments and as the administrative agent for the Lenders under this Agreement and the other Loan Documents, together with any of its successors. 
 “Administrative Questionnaire” shall mean an Administrative Questionnaire in a form supplied by the Administrative Agent. 

“Affiliate” shall mean as to any Person, any other Person that, directly or indirectly, is in control of, is controlled
by, or is under common control with, such Person. For purposes of this definition, “control” of a Person shall mean the power, directly or indirectly, to direct or cause the direction of the management and policies of such Person, whether
by contract or otherwise. 
 “Agents” shall mean, collectively, the Syndication Agent, the Documentation
Agents, the Collateral Agent and the Administrative Agent. 

  
 -3-









 “Aggregate Exposure” shall mean with respect to any Lender at any time, an
amount equal to the sum of (i) the aggregate then unpaid principal amount of such Lender’s Term Loans and (ii) the amount of such Lender’s Revolving Commitment then in effect or, if the Revolving Commitments have been terminated,
the amount of such Lender’s Revolving Extensions of Credit then outstanding. 
 “Aggregate Exposure
Percentage” shall mean with respect to any Lender at any time, the ratio (expressed as a percentage) of such Lender’s Aggregate Exposure at such time to the Aggregate Exposure of all Lenders at such time. 

“Agreement” shall have the meaning given to such term in the preamble hereto. 

“Alternative Currency” shall mean each of Dollars, Euro and Sterling and each other currency that is approved in
accordance with Section 1.7. 
 “Alternative Currency Equivalent” shall mean at any time, with
respect to any amount denominated in Dollars, (i) if the applicable Alternative Currency is other than Dollars, the equivalent amount thereof in such Alternative Currency as determined by the Administrative Agent at such time on the basis of
the Spot Rate (determined in respect of the most recent Revaluation Date) for the purchase of such Alternative Currency with Dollars or (ii) if the applicable Alternative Currency is Dollars, such amount. 

“Alternative Currency Revolving Commitment” shall mean, as to any Lender, the obligation of such Lender, if any, to make
Alternative Currency Revolving Loans and participate in Swingline Loans and Letters of Credit in an aggregate principal and/or face amount not to exceed the amount set forth under the heading “Alternative Currency Revolving Commitment” on
such Lender’s Addendum, in an Increase Joinder or in the Assignment and Assumption pursuant to which such Lender became a party hereto, as the same may be changed from time to time pursuant to the terms hereof. 

“Alternative Currency Revolving Extensions of Credit” shall mean, as to any Alternative Currency Revolving Lender at any
time, an amount equal to the sum of (a) the aggregate principal amount of all Alternative Currency Revolving Loans held by such Lender then outstanding, (b) such Lender’s Alternative Currency Revolving Percentage of the LC Obligations
then outstanding and (c) such Lender’s Alternative Currency Revolving Percentage of the aggregate principal amount of Swingline Loans then outstanding. 
 “Alternative Currency Revolving Facility” shall mean the Alternative Currency Revolving Commitments and the Alternative Currency Revolving Loans made thereunder. 

“Alternative Currency Revolving Lender” shall mean each Lender that has an Alternative Currency Revolving Commitment or
holds Alternative Currency Revolving Loans. 
 “Alternative Currency Revolving Loans” shall have the meaning
given to such term in Section 2.4(a). 
 “Alternative Currency Revolving Percentage” shall mean, as
to any Alternative Currency Revolving Lender at any time, the percentage which such Lender’s Alternative Currency Revolving Commitment then constitutes of the Total Alternative Currency Revolving Commitments or, at any time after the
Alternative Currency Revolving Commitments shall have expired or terminated, the percentage which the aggregate principal amount of such Lender’s Alternative Currency Revolving Loans then


  
 -4-









 
outstanding constitutes of the aggregate principal amount of the Alternative Currency Revolving Loans then outstanding; provided that, in the event that the Alternative Currency Revolving
Loans are paid in full prior to the reduction to zero of the Total Alternative Currency Revolving Extensions of Credit, the Alternative Currency Revolving Percentages shall be the Alternative Currency Revolving Percentages in effect immediately
prior to such payment in full. 
 “Amendment
No. 2” shall mean Amendment No. 2, dated as of August 24, 2012, to this Agreement. 

“Amendment
 No. 2 Effective Date” shall mean the date on which all the conditions have been satisfied pursuant to
Section 4(b) of Amendment No. 2.  

“Amendment
 No. 2 Lead Arrangers” shall mean J.P. Morgan Securities LLC, Barclays Bank PLC, Credit Suisse Securities (USA)
LLC, Goldman Sachs Bank USA, Merrill Lynch, Pierce, Fenner & Smith Incorporated, Morgan Stanley Senior Funding, Inc., SunTrust Robinson Humphrey, Inc. and Wells Fargo
Securities, LLC. 
 “Anti-Terrorism Laws”
shall have the meaning given to such term in Section 4.23. 
 “Applicable Margin” shall
mean, for each Type of Loan, the rate per annum set forth under the relevant column heading below: 
  

									
	 	  	ABR Loans	 	 	Eurodollar Loans	 
	 Revolving Loans and Swingline Loans
	  	 	1.75	% 	 	 	2.75	% 
	 Tranche A Term Loans
	  	 	1.75	% 	 	 	2.75	% 
	 Tranche B Term Loans
	  	 	2.00	% 	 	 	3.00	% 
	 Tranche A-2 Term Loans
	  	 	2.50	% 	 	 	3.50	% 


provided; that the
Applicable Margins for (i) the Tranche A-3 Term Loans shall be set forth in the Tranche A-3 Joinder Agreement and (ii) the Tranche B-2 Term Loans shall be set forth in the Tranche B-2 Joinder Agreement; provided further that
(i) on and after the first Adjustment Date occurring after the completion of the Fiscal Quarter of the Borrower ending June 30, 2011, the Applicable Margin in respect of all Loans (other than the Tranche B Term
Loans, Tranche A-3 Term Loans and Tranche AB-2 Term, Loans) will be determined pursuant
to the Pricing Grid and (ii) during any period in which the Borrower’s corporate family rating from Moody’s is Ba2 or better and the Borrower’s corporate credit rating from S&P is BB or better, in each case with a positive or
stable outlook, the Applicable Margin with respect to (x) Tranche B Term Loans shall be reduced to (A) 1.75% for ABR loans and (B) 2.75% for
Eurodollar Loans and (y) Tranche A-2 Term Loans shall be reduced to (A) 2.25% for ABR loans and (B) 3.25% for Eurodollar Loans; provided that each change in the Applicable Margin with respect to Tranche B Term
Loans and Tranche A-2 Term Loans, as applicable, resulting from a change in the such rating shall be effective, in the case of an upgrade, during the period commencing on the date of delivery by the Borrower to the Administrative
Agent of written notice thereof and ending on the date immediately preceding the effective date of the next such change and, in the case of a downgrade, during the period commencing on the date of the public announcement thereof and ending on the
date immediately preceding the effective date of the next such change. 
 “Applicable Time” shall mean with
respect to any borrowings and payments in any Alternative Currency, the local time in the place of settlement for such Alternative Currency as may be determined by the Administrative Agent to be necessary for timely settlement on the relevant date
in accordance with normal banking procedures in the place of payment. 

  
 -5-









 “Application” shall mean an application, in such form as the Issuing Lender
may specify from time to time, requesting the Issuing Lender to open a Letter of Credit. 
 “Approved Fund”
shall have the meaning given to such term in Section 11.6(b). 
 “Asset Sale” shall mean any
Disposition of property (including sales and issuances of Capital Stock of any Subsidiary (other than sales and issuances that do not decrease the percentage ownership of the Borrower and its Subsidiaries in each class of Capital Stock of such
Subsidiary)) or series of related Dispositions of property (excluding any such Disposition permitted by clause (a), (b), (c), (d), (e), (i) or (j)(ii) of Section 7.5)
that yields Net Cash Proceeds to any Group Member (valued at the initial principal amount thereof in the case of non-cash proceeds consisting of notes or other debt securities and valued at fair market value in the case of other non-cash proceeds)
in excess of $10,000,000 (provided that the issuance and sale of the Borrower’s stock by the Borrower shall not be deemed an “Asset Sale”). 
 “Assignee” shall have the meaning given to such term in Section 11.6(b). 
 “Assignment and Assumption” shall mean an Assignment and Assumption, substantially in the form of Exhibit E. 

“Available Amount” shall mean at any time, an amount equal to the sum of
Borrower’s Share of Excess Cash Flow for each Fiscal Year commencing with the Fiscal Year ending December 31, 2011.date, an amount equal
to (a) Cumulative Consolidated Net Income minus (b) the aggregate sum of (i) Investments made pursuant to Section 7.6(k)(ii) outstanding as of such date, (ii) the amount of purchases, redemptions, acquisitions, dividends and
distributions made pursuant to Section 7.7(d)(ii) as of such date and (iii) the amount of payments, prepayments, redemptions or acquisitions of Debt pursuant to Section 7.9(a)(ii)(y) as of such date. For the avoidance of doubt, if the
Available Amount is a negative amount, it shall not reduce availability hereunder under any other exception or provision not based on the Available Amount.  
 “Available Alternative Currency Revolving Commitment” shall mean as to any Alternative Currency Revolving Lender at any time, an amount equal to (a) such Lender’s Alternative
Currency Revolving Commitment then in effect minus (b) such Lender’s Alternative Currency Revolving Extensions of Credit then outstanding; provided that in calculating any Lender’s Alternative Currency Revolving Extensions of
Credit for the purpose of determining such Lender’s Available Alternative Currency Revolving Commitment pursuant to Section 2.8(a), the aggregate principal amount of Swingline Loans then outstanding shall be deemed to be zero.

 “Available Dollar Revolving Commitment” shall mean as to any Dollar Revolving Lender at any time, an amount
equal to (a) such Lender’s Dollar Revolving Commitment then in effect minus (b) such Lender’s Dollar Revolving Extensions of Credit then outstanding. 
 “Available Revolving Commitment” shall mean, collectively, the Available Dollar Revolving Commitment and the Available Alternative Currency Revolving Commitment. 

“Bailee Letter” shall have the meaning assigned thereto in the Security Agreement. 

  
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 “Bankruptcy Event” shall mean, with respect to any Person, such Person has
become the subject of a bankruptcy or insolvency proceeding, or has had a receiver, conservator, trustee, administrator, custodian, assignee for the benefit of creditors or similar Person charged with the reorganization or liquidation of its
business appointed for it, or, in the good faith determination of the Administrative Agent, has taken any action in furtherance of, or indicating its consent to, approval of, or acquiescence in, any such proceeding or appointment; provided
that a Bankruptcy Event shall not result solely by virtue of any ownership interest, or the acquisition of any ownership interest, in such Person by a Governmental Authority or instrumentality thereof if such ownership interest does not result in or
provide such Person with immunity from the jurisdiction of courts within the United States or from the enforcement of judgments or writs of attachment on its assets or permit such Person (or such Governmental Authority or instrumentality) to reject,
repudiate, disavow or disaffirm any contracts or agreements made by such Person. 
 “Benefitted Lender” shall
have the meaning given to such term in Section 11.7(a). 
 “Board” shall mean the Board of
Governors of the Federal Reserve System of the United States (or any successor). 
 “Board of Directors” shall
mean with respect to any Person, (i) in the case of any corporation, the board of directors of such Person, (ii) in the case of any limited liability company, the board of managers of such Person, (iii) in the case of any partnership,
the Board of Directors of the general partner of such Person and (iv) in any other case, the functional equivalent of the foregoing. 
 “Borrower” shall have the meaning given to such term in the preamble hereto. 
 “Borrower’s Share of Excess Cash Flow” shall mean for any Fiscal Year the product of (A) Excess Cash Flow for such Fiscal Year multiplied by (B) a percentage equal
to 100% minus the ECF Percentage for such Fiscal Year. 
 “Borrowing Date” shall mean any Business Day
specified by the Borrower as a date on which the Borrower requests the relevant Lenders to make Loans hereunder. 

“Borrowing Request” shall mean a Borrowing Request substantially in the form of Exhibit H. 

“Business Associate Agreement” shall have the meaning given to such term in Section 5.1(k). 

“Business Day” shall mean (i) with respect to Obligations denominated in Dollars, a day other than a Saturday,
Sunday or other day on which commercial banks in New York City are authorized or required by law to close and (ii) with respect to Obligations denominated in an Alternative Currency (other than Dollars), a day on which banks are open for
general business in London and, in each case, 
 (a) if such day relates to any interest rate settings as to a
Eurodollar Loan denominated in Dollars, any fundings, disbursements, settlements and payments in Dollars in respect of any such Eurodollar Loan, or any other dealings in Dollars to be carried out pursuant to this Agreement in respect of any such
Eurodollar Loan, means any such day on which dealings in deposits in Dollars are conducted by and between banks in the London interbank eurodollar market; 

  
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 (b) if such day relates to any interest rate settings as to a Eurodollar
Loan denominated in Euro, any fundings, disbursements, settlements and payments in Euro in respect of any such Eurodollar Loan, or any other dealings in Euro to be carried out pursuant to this Agreement in respect of any such Eurodollar Loan, means
(i) a TARGET Day and (ii) a day on which banks are open for general business in London; 
 (c) if such
day relates to any interest rate settings as to a Eurodollar Loan denominated in Sterling, means any such day on which dealings in deposits in Sterling are conducted by and between banks in the London or other applicable offshore interbank market
for Sterling; and 
 (d) if such day relates to any fundings, disbursements, settlements and payments in Sterling
in respect of a Eurodollar Loan denominated in Sterling, or any other dealings in Sterling to be carried out pursuant to this Agreement in respect of any such Eurodollar Loan (other than any interest rate settings), means any such day on which banks
are open for foreign exchange business in London. 
 “Capital Assets” shall mean with respect to any Person,
all equipment, fixed assets and Real Property or improvements of such Person, or replacements or substitutions therefor or additions thereto, that, in accordance with GAAP, have been or should be reflected as additions to property, plant or
equipment on the balance sheet of such Person. 
 “Capital Expenditures” shall mean with respect to any Person
for any period, all expenditures made directly or indirectly by such Person during such period for Capital Assets related to maintaining, replacing or repairing existing property or assets (including any Dialysis Facility) of such Person (whether
paid in cash or other consideration or accrued as a liability), but, for the avoidance of doubt, excluding any Investments permitted by Section 7.6(e),
(f) or,
(k) and (m) and development of the Denver Headquarters. For purposes of this definition, the purchase
price of equipment or other fixed assets that are purchased simultaneously with the trade-in of existing assets or with insurance proceeds shall be included in Capital Expenditures only to the extent of the amount by which such purchase price
exceeds the credit granted by the seller of such assets for the assets being traded in at such time or the amount of such insurance proceeds, as the case may be. 
 “Capital Stock” shall mean any and all shares, interests, participations or other equivalents (however designated) of capital stock of a corporation, any and all equivalent ownership
interests in a Person (other than a corporation) and any and all warrants, rights or options to purchase any of the foregoing. 

“Capitalized Lease” shall mean any lease with respect to which the lessee is required to recognize concurrently the
acquisition of property or an asset and the incurrence of a liability in accordance with GAAP (provided that, if there is a change in GAAP with respect to “Capitalized
Leases” after the date of this Agreement and the Borrower shall deliver an irrevocable written notice electing to disregard such change, each reference in this Agreement to a
“Capitalized Lease” shall be determined based on GAAP as in effect on the date of this Agreement; provided further that if there is a change in GAAP with
respect to “Capitalized Leases” after the date of this Agreement, the Borrower shall provide to the Administrative Agent and the Lenders a
written reconciliation between the calculation of any affected item in amounts required to be reported under Sections 6.01(b) and (c) (including any Compliance Certificate) before and after giving effect to such change in GAAP).

 “Capitalized Lease Obligations” shall mean with respect to any Capitalized Lease, the amount required to be
capitalized in the financial statements of the lessee in accordance with GAAP (provided that, each reference in this Agreement to “Capitalized Lease Obligations” shall be determined


  
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based on GAAP as in effect on the date of this Agreement; provided that if there is a change in GAAP with respect to “Capitalized Lease Obligations” after the date of this
Agreement, the Borrower shall provide to the Administrative Agent and the Lenders a written reconciliation between the calculation of any affected item in amounts required to be reported under Sections 6.01(b) and (c) (including
any Compliance Certificate) before and after giving effect to such change in GAAP). 
 “Cash Equivalents” shall
mean (a) securities with maturities of one year or less from the date of acquisition, issued, fully guaranteed or insured by the United States of America (or any agency or instrumentality thereof), or any foreign government or supranational
organization, in each case, rated AAA by S&P and Aaa by Moody’s, (b) securities with maturities of one year or less from the date of acquisition issued, fully guaranteed by any State of the United States of America or any political
subdivision thereof either (i) rated at least AA- or SP1 by S&P or Aa3 or MIG1 by Moody’s, or carrying an equivalent rating by a nationally recognized rating agency if both of the two named rating agencies cease publishing ratings of
investments or (ii) fully collateralized by securities described in clause (a) and/or cash, (c) certificates of deposit, time deposits, overnight bank deposits, bankers’ acceptances and repurchase agreements issued by a Qualified
Issuer or fully insured or guaranteed by the United States of America (or any agency or instrumentality thereof) to the extent the same are backed by the full faith and credit of the United States of America having maturities of 270 days or less
from the date of acquisition, (d) commercial paper of an issuer rated at least A-2 by S&P or P-2 by Moody’s, or carrying an equivalent rating by a nationally recognized rating agency if both of the two named rating agencies cease
publishing ratings of investments, and having maturities of 270 days or less from the date of acquisition, (e) money market accounts or funds, a substantial portion of the assets of which constitute Cash Equivalents described in clauses
(a) through (d) above, with, issued by or managed by Qualified Issuers, (f) money market accounts or funds, a substantial portion of the assets of which constitute Cash Equivalents described in clauses (a) through (d) above,
which money market accounts or funds have net assets of not less than $500,000,000 and have the highest rating available of either S&P or Moody’s, or carrying an equivalent rating by a nationally recognized rating agency if both of the two
named rating agencies cease publishing ratings of investments and (g) money market accounts or funds rated at least AA by S&P and at least Aa by Moody’s. 
 “Cash Flow from Operating Activities” shall mean the net cash provided by operating activities of the Borrower and its Subsidiaries, determined on a Consolidated basis in accordance with
GAAP, as set forth on the financial statements delivered by the Borrower pursuant to Section 6.1(b). 
 “Cash
Management Agreement” shall mean any agreement to provide cash management services, including treasury, depository, overdraft, purchasing card, travel and entertainment card, credit or debit card, electronic funds transfer and other cash
management arrangements. 
 “Cash Management Bank” shall mean any Person that, at the time it enters into a
Cash Management Agreement, is a Lender or an Affiliate of a Lender, in its capacity as a party to such Cash Management Agreement. 
 “CERCLA” shall mean the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended, 42 U.S.C. § 9601 et seq., and all implementing regulations.

 “CERCLIS” shall mean the Comprehensive Environmental Response, Compensation and Liability Information System
maintained by the U.S. Environmental Protection Agency. 

  
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 “Change in Law” shall have the meaning given to such term in
Section 2.18(b). 
 “Change of Control” shall mean at any time: 

(a) any “person” or “group” (each as used in Sections 13(d)(3) and 14(d)(2) of the Exchange Act)
(i) becomes the “beneficial owner” (as defined in Rule 13d-3 of the Exchange Act), directly or indirectly, of Voting Interests in the Borrower (including through securities convertible into or exchangeable for such Voting Interests)
representing 35% or more of the combined voting power of all of the Voting Interests in the Borrower (on a fully diluted basis) or (ii) otherwise has the ability, directly or indirectly, to elect a majority of the Board of Directors of the
Borrower; 
 (b) during any period of two consecutive years, individuals who at the beginning of such period
constituted the Board of Directors of the Borrower (together with any new directors whose election to such Board of Directors or whose nomination for election was approved by a vote of a majority of the members of the Board of Directors of the
Borrower, which members comprising such majority were either directors at the beginning of such period or were elected or nominated by such directors) have ceased for any reason to constitute a majority of the Board of Directors of the Borrower; or

 (c) the occurrence of a Specified Change of Control; 
 provided that notwithstanding the foregoing the occurrence of a reorganization that results in all the Capital Stock of the Borrower being held by a Parent Entity shall not result in a Change of
Control; provided further that the shareholders of the Parent Entity immediately after such reorganization are substantially the same as the shareholders of the Borrower (with substantially equivalent ownership percentages) immediately
preceding such reorganization. 
 “Charges” shall have the meaning given to such term in
Section 11.18. 
 “Closing Date” shall mean the date on which the conditions precedent set forth in
Sections 5.1 and 5.2 shall have been satisfied. 
 “Code” shall mean the Internal Revenue Code of
1986, as amended from time to time. 
 “Collateral” shall mean all property of the Loan Parties, now owned or
hereafter acquired, upon which a Lien is purported to be created by any Security Document provided; that the Collateral shall not include the Escrowed Funds, the Escrow Account or any of the New Senior Notes Documents. 

“Collateral Agent” shall mean JPMorgan Chase Bank, N.A., in its capacity as collateral agent for the Secured Parties and
the Issuing Lender, and its successors. 
 “Commitment” shall
mean, as to any Lender, the sum of the Tranche A Term Commitment, the Tranche B Term Commitment, the Tranche A-3 Term
Commitment, the Tranche B-2 Term Commitment and the Revolving CommitmentsCommitment of such Lender and any Commitment extended by such Lender as provided in
Section 2.24. 
 “Commitment Fee Rate” shall mean  1/2 of 1% per annum; provided that on and after the first Adjustment Date occurring after the completion of the first Fiscal Quarter of the Borrower ending at least three months after the Closing
Date, the Commitment Fee Rate will be determined pursuant to the Pricing Grid. 

  
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 “Communications” shall have the meaning given to such term in
Section 11.2(d). 
 “Compliance Certificate” shall mean a certificate duly executed by a
Responsible Officer substantially in the form of Exhibit B. 
 “Conduit Lender” shall mean any special
purpose corporation organized and administered by any Lender for the purpose of making Loans otherwise required to be made by such Lender and designated by such Lender in a written instrument; provided that the designation by any Lender of a
Conduit Lender shall not relieve the designating Lender of any of its obligations to fund a Loan under this Agreement if, for any reason, its Conduit Lender fails to fund any such Loan, and the designating Lender (and not the Conduit Lender) shall
have the sole right and responsibility to deliver all consents and waivers required or requested under this Agreement with respect to its Conduit Lender, and provided, further, that no Conduit Lender shall (a) be entitled to
receive any greater amount pursuant to Section 2.18, 2.19, 2.20 or 11.5 than the designating Lender would have been entitled to receive in respect of the extensions of credit made by such Conduit Lender or
(b) be deemed to have any Commitment. 
 “Confidential Information Memorandum” shall mean the Confidential
Information Memorandum dated October 2010, and furnished to certain Lenders. 
 “Consolidated” or
“consolidated” shall mean the consolidation of accounts in accordance with GAAP.; provided that, except for purposes of Consolidated financial statements
delivered pursuant to Section 6.1, the Physician Groups (and their respective Subsidiaries) will not be Consolidated for any purpose under the Loan Documents.  
 “Consolidated Current Assets” shall mean at any date, all amounts (other than cash and Cash Equivalents) that would, in conformity with GAAP, be set forth opposite the caption “total
current assets” (or any like caption) on a consolidated balance sheet of the Borrower and its Subsidiaries at such date. 

“Consolidated Current Liabilities” shall mean at any date, all amounts that would, in conformity with GAAP, be set forth
opposite the caption “total current liabilities” (or any like caption) on a consolidated balance sheet of the Borrower and its Subsidiaries at such date, but excluding (a) the current portion of any Funded Debt of the Borrower and its
Subsidiaries and (b) without duplication of clause (a) above, all Debt consisting of Revolving Loans or Swingline Loans to the extent otherwise included therein. 
 “Consolidated EBITDA” shall mean with respect to any Person for any period, the amount equal to the sum of (a) the Consolidated Net Income of such Person and its Subsidiaries for
such period plus (b) the sum of each of the following expenses that have been deducted in the determination of the Consolidated Net Income of such Person and its Subsidiaries for such period: (i) the Consolidated Interest Expense of
such Person and its Subsidiaries for such period and any cash charges for refinancing any of the Obligations, (ii) all income tax expense (whether federal, state, local, foreign or otherwise) of such Person and its Subsidiaries for such period,
(iii) all depreciation expense of such Person and its Subsidiaries for such period, (iv) all amortization expense of such Person and its Subsidiaries for such period, (v) cash fees, expenses, charges, debt extinguishment costs and
other costs incurred in connection with the Transactions; provided that such fees, expenses, charges and costs are expensed before January 1, 2011, (vi) all non-cash charges otherwise deducted in determining the Consolidated Net
Income of such Person and its Subsidiaries for such period (excluding any non-cash charge that 

  
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results in an accrual of a reserve for cash charges in any future period or amortization of a prepaid cash expense that was paid in a prior period not included in the calculation);
provided that for any period, the amount of non-cash charges arising from the write-off of current assets shall not be included in this subclause (vi), (vii) consolidated expenses for valuation adjustments or impairment charges,
(viii) all expenses and charges relating to non-controlling interests and equity income in Subsidiaries, (ix) all extraordinary losses subtracted in determining the Consolidated Net Income of such Person and its Subsidiaries for such
period, (x) any losses of a Person (other than a Subsidiary) in which the Borrower or any of its Subsidiaries has an ownership interest that is accounted for using the equity method
and, (xi) cash fees, expenses, charges, debt extinguishment costs and other costs incurred in connection with any Investments permitted by Section 7.6(e),
(f) or (j), (j),(k) or (m) and (xii) unusual or nonrecurring losses or charges for such period minus (c) all extraordinary
gains added in determining the Consolidated Net Income of such Person and its Subsidiaries for such period, minus (d) the aggregate amount of all non-cash items increasing Consolidated Net Income (other than the accrual of revenue or
recording of receivables in the ordinary course of business) for such period, minus (e) unusual or nonrecurring gains for such period. 

For purposes of the Pricing Grid and Section 7 only, Consolidated EBITDA shall be calculated on a
Pro Forma Basis to give effect to (a) any acquisition of any Subsidiary permitted under Section 7.6(e) or (j) and (b) Asset Sales (in each case, only to the extent
Consolidated EBITDA can be ascertained in respect of such acquisition or Asset Sale) consummatedSpecified Transactions that have been made at any time on or after the first day
of the Measurement Period thereof as if each such acquisition had been effected on the first day of such period and as if each such Asset Salebut prior to or
contemporaneously with the event for which the calculation is made (such date, the “Reference
Date”) as if each such Specified Transaction had been consummated on the day prior to the first day of such
period. For purposes of Investments made pursuant to Section 7.6(m), Consolidated EBITDA shall be calculated to give effect to any Pro Forma Physician Group Adjustments.
Notwithstanding anything to the contrary contained in this paragraph, when calculating the Leverage Ratio and the Consolidated Interest Coverage Ratio, each as applicable, for purposes of (i) the Pricing Grid (ii) the ECF Percentage and
(iii) determining actual compliance (and not compliance on a Pro Forma Basis) with any covenant pursuant to Section 7.16, (A) any Specified Transactions that occurred subsequent to the end of the applicable Measurement Period shall
not be given pro forma effect and (B) such calculations shall be based on the financial statements delivered
pursuant to Section 6.1(b) or (c), as applicable, for the relevant Measurement Period. 
 “Consolidated
Interest Coverage Ratio” shall mean for any period, the ratio of (a) Consolidated EBITDA for such period to (b) Consolidated Interest Expense for such period. 

“Consolidated Interest Expense” shall mean with respect to any Person for any period, the gross interest expense accrued
on all Debt of such Person and its Subsidiaries during such period, determined on a Consolidated basis and in accordance with GAAP for such period, including, without limitation, (a) in the case of the Borrower, all fees paid or payable
pursuant to Section 2.8, (b) commissions, discounts and other fees and charges paid or payable in connection with letters of credit (including, without limitation, the Letters of Credit), (c) all amortization of original issue
discount in respect of all Debt of such Person and its Subsidiaries, (d) all dividends on Redeemable Preferred Interests, to the extent paid or payable in cash, (e) commissions, discounts, yield and other fees and charges incurred in
connection with any Permitted Receivables Financing which are payable to any Person other than the Borrower or a Guarantor, (f) imputed interest on Capitalized Lease Obligations of the Borrower and its Subsidiaries for such period and
(g) cash contributions to any employee stock 

  
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ownership plan or similar trust to the extent such contributions are used by such plan or trust to pay interest or fees to any Person (other than such Person and its Subsidiaries) in connection
with Debt incurred by such plan or trust, minus interest income of the Borrower and its Subsidiaries received upon cash and Cash Equivalents during such period. 
 For purposes of the Pricing Grid and Section 7 only, Consolidated Interest Expense shall be calculated on a Pro Forma Basis to give effect to any Debt
incurred, assumed or permanently repaid or extinguished duringSpecified Transactions that have been made during or after the relevant Measurement Period in connection
with (a) any acquisitions of any Subsidiary permitted under Section 7.6(e) or (k) and (b) Asset Sales as if such incurrence, assumption, repayment
or extinguishingbut prior to or contemporaneously with the Reference Date as if each such Specified Transaction had been effected on the first day of such period; it being
understood that for purposes of such calculations (i) any Debt newly incurred during such Measurement Period that bears interest at a floating rate will be assumed to bear interest
for the entire Measurement Period at the rate borne by such Debt on the date of incurrence and (ii) the amount of Debt under any revolving credit facility drawn for working capital
purposes in the ordinary course of business outstanding on the Reference Date will be deemed to be (x) the average daily balance of such Debt during such Measurement Period or such shorter period for which such facility was outstanding or
(y) if such facility was created after the end of such Measurement Period, the average daily balance of such Debt during the period from the date of creation of such facility to the Reference Date. For all purposes under this Agreement and
notwithstanding anything in the foregoing to the contrary (but subject to the immediately preceding sentence), Consolidated Interest Expense shall mean (a) for the Measurement Period ending December 31,
2010,2011, Consolidated Interest Expense for the Fiscal Quarter ending December 31,
20102011 (“First Quarter Consolidated Interest Expense”), multiplied by 4, (b) for the Measurement Period ending March 31,
2011,2012, the sum of First Quarter Consolidated Interest Expense plus Consolidated Interest Expense for the Fiscal Quarter ending March 31,
20112012 (“Second Quarter Consolidated Interest Expense”), multiplied by 2, and (c) for the Measurement Period ending June 30,
2011,2012, the sum of First Quarter Consolidated Interest Expense, Second Quarter Consolidated Interest Expense and Consolidated Interest Expense for the Fiscal Quarter
ending June 30, 2011,2012, divided by 3, multiplied by 4. Notwithstanding anything to the contrary
contained in this paragraph, when calculating the Consolidated Interest Coverage Ratio determining actual compliance (and not compliance on a Pro Forma Basis) with Section 7.16(b), (A) any Specified Transaction that occurred subsequent to
the end of the applicable Measurement Period shall not be given pro forma effect and (B) such calculation
shall be based on the financial statements delivered pursuant to Section 6.1(b) or (c), as applicable, for the relevant Measurement Period. 
 “Consolidated Net Income” shall mean for any period, the consolidated net income (or net loss) of the Borrower and its Subsidiaries, determined on a Consolidated basis in accordance with
GAAP; provided that there shall be excluded (a) the income (or deficit) of any Person accrued prior to the date it becomes a Subsidiary of the Borrower or is merged into or consolidated with the Borrower or any of its Subsidiaries
(provided that such income (or deficit) may be included in pro forma calculations as otherwise provided in this Agreement), (b) the income (or deficit) of any Person (other than a Subsidiary of the Borrower) in which the Borrower
or any of its Subsidiaries has an ownership interest, except to the extent that any such income is actually received by the Borrower or such Subsidiary in the form of dividends or similar distributions and (c) the undistributed earnings of any
Subsidiary of the Borrower to the extent that the declaration or payment of dividends or similar distributions by such Subsidiary is not at the time permitted by the terms of any Contractual Obligation (other than under any Loan Document) or
Requirement of Law applicable to such Subsidiary. 

  
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 “Consolidated Tangible Assets” shall mean, with respect to any Person, the
consolidated assets of such Person and its Subsidiaries as determined in accordance with GAAP (and if applicable as appearing within the Required Financial Information) minus goodwill and other amortizable intangible assets. 

“Consolidated Working Capital” shall mean at any date, Consolidated Current Assets on such date minus Consolidated
Current Liabilities on such date. 
 “Constitutive Documents” shall mean with respect to any Person, the
certificate of incorporation or registration (including, if applicable, certificate of change of name), articles of incorporation or association, memorandum of association, charter, bylaws, certificate of limited partnership, partnership agreement,
trust agreement, joint venture agreement, certificate of formation, articles of organization, limited liability company operating or members agreement, joint venture agreement or one or more similar agreements, instruments or documents constituting
the organizational or governing documents of such Person. 
 “Contingent Obligation” shall mean with respect to
any Person, any obligation or arrangement of such Person to guarantee or intended to guarantee any Debt, (“primary obligations”) of any other Person (the “primary obligor”) in any manner, whether directly or
indirectly, including, without limitation, (a) the direct or indirect guarantee, endorsement (other than for collection or deposit in the ordinary course of business), co-making, discounting with recourse or sale with recourse by such Person of
the primary obligations of a primary obligor, (b) the obligation to make take-or-pay or similar payments, if required, regardless of non-performance by any other party or parties to an agreement or (c) any obligation of such Person,
whether or not contingent, (i) to purchase any such primary obligation or any property constituting direct or indirect security therefor, (ii) to advance or supply funds (A) for the purchase or payment of any such primary obligation
or (B) to maintain working capital, equity capital, net worth or other balance sheet condition or any income statement condition of the primary obligor or otherwise to maintain the solvency of the primary obligor, (iii) to purchase, lease
or otherwise acquire property, assets, securities or services primarily for the purpose of assuring the owner of any such primary obligation of the ability of the primary obligor to make payment of such primary obligation or (iv) otherwise to
assure or hold harmless the holder of such primary obligation against loss in respect thereof. The amount of any Contingent Obligation shall be deemed to be an amount equal to the stated or determinable amount of the primary obligation in respect of
which such Contingent Obligation is made (or, if less, the maximum amount of such primary obligation for which such Person may be liable pursuant to the terms of the agreement, instrument or other document evidencing such Contingent Obligation) or,
if not stated or determinable, the maximum reasonably anticipated liability in respect thereof (assuming such Person is required to perform thereunder), as determined by such Person in good faith. 

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

“Control” shall mean the possession, directly or indirectly, of the power to direct or cause the direction of the
management or policies of a Person, whether through the ownership of voting securities, by contract or otherwise, and the terms “Controlling” and “Controlled” shall have meanings correlative thereto. 

  
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 “Credit Agreement
Refinancing Debt” shall mean (a) Permitted First Priority Refinancing Debt, (b) Permitted Second Priority
Refinancing Debt, (c) Permitted Unsecured Refinancing Debt or (d) other Debt incurred pursuant to a Refinancing Amendment, in each case, issued, incurred or otherwise obtained (including by means of the extension or renewal of existing
Debt) in exchange for, or to extend, renew, replace, repurchase, retire or refinance, in whole or part, existing Term Loans or existing Revolving Loans (or unused Revolving Commitments), or any then-existing Credit Agreement Refinancing Debt
(“Refinanced
Debt”); provided that (i) such Debt has a maturity no earlier than, and a Weighted Average Life to Maturity
equal to or greater than, the Refinanced Debt, (ii) such Debt shall not have a greater principal amount than the principal amount of the Refinanced Debt plus accrued interest, fees, premiums (if any) and penalties thereon and reasonable fees
and expenses associated with the refinancing, (iii) the terms and conditions of such Debt (except as otherwise provided in clause (ii) above and with respect to pricing, premiums and optional prepayment or redemption terms) are
substantially identical to, or (taken as a whole) are no more materially favorable, taken as a whole, to the lenders or holders providing such Debt in the good faith determination of the Borrower than, those applicable to the Refinanced Debt being
refinanced (except for covenants or other provisions applicable only to periods after the Latest Maturity Date at the time of incurrence of such Debt), (iv) such Debt is not at any time guaranteed by any Subsidiaries other than Subsidiaries
that are Guarantors, (v) such Debt does not have scheduled amortization payments of principal or payments of principal and is not subject to mandatory redemption, repurchase, prepayment, sinking fund obligations or prepayments at the option of
the holders thereof (except customary asset sale or change of control provisions that provide for the prior repayment in full of the Loans and all other Obligations), in each case prior to the Latest Maturity Date at the time such Debt is incurred,
(vi) to the extent secured, the security agreements relating to such Debt are substantially the same as or more favorable to the Loan Parties than the Security Documents (with such differences as are reasonably satisfactory to the
Administrative Agent) and (vii) such Refinanced Debt shall be repaid, repurchased, retired, defeased or satisfied and discharged, and all accrued interest, fees, premiums (if any) and penalties in connection therewith shall be paid, on the date
such Credit Agreement Refinancing Debt is issued, incurred or obtained. 

“Credit Extension” shall mean as the context may
require, (i) the making of a Loan by a Lender or (ii) the issuance of any Letter of Credit, or the amendment, extension or renewal of any existing Letter of Credit, by the Issuing Lender. 

“Credit Party” shall mean the Administrative Agent, the Issuing Lender, the Swingline Lender or any other Lender.

 “Cumulative Consolidated Net
Income” means, as of any date, 50% of the cumulative Consolidated Net Income (or, if such Cumulative Consolidated
Net Income shall be a loss, 100% of such loss) of the Borrower and its Subsidiaries since the fiscal quarter beginning January 1, 2012 to the end of the last fiscal period (taken as one accounting period) for which financial statements have
been provided to the Lenders pursuant to Section 6.1(b) or (c) prior to such date. 

“Debt” shall mean with respect to any Person (without
duplication), (a) all indebtedness of such Person for borrowed money, (b) all Obligations of such Person for the deferred purchase price of property or services (other than current trade payables or other accrued liabilities incurred in
the ordinary course of such Person’s business, (c) all obligations of such Person evidenced by notes, bonds, debentures or other similar instruments, or upon which interest payments are customarily made, (d) all obligations of such
Person created or arising under any conditional sale or other title retention agreement with respect to property acquired by such Person (even though the rights and remedies of 

  
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the seller or lender under such agreement in the event of default are limited to repossession or sale of such property), (e) all Capitalized Lease Obligations of such Person, (f) all
obligations, contingent or otherwise, of such Person under acceptance, letter of credit or similar facilities (excluding reimbursement obligations thereunder to the extent issued in relation to trade payables and that are discharged within 30 days
after they become due), (g) the amount of all obligations of such Person with respect to the redemption, repayment or other repurchase of any Redeemable Preferred Interest, valued at the greater of its voluntary or involuntary liquidation
preference plus accrued and unpaid dividends, (h) for purposes of Section 7.2 and 8.1(f) only, all net obligations of such Person in respect of Swap Agreements, take-or-pay agreements or other similar arrangements,
(i) all obligations of such Person under any synthetic lease, tax retention operating lease, off-balance sheet loan or similar off-balance sheet financing if the transaction giving rise to such obligation is considered indebtedness for borrowed
money for tax purposes but is classified as an operating lease in accordance with GAAP, (j) all Contingent Obligations of such Person, and (k) all indebtedness and other payment obligations referred to in clauses (a) through
(j) above of another Person secured by (or for which the holder of such indebtedness or other payment obligations has an existing right, contingent or otherwise, to be secured by) any Lien on property (including, without limitation, accounts
and contract rights) owned by such Person, even though such Person has not assumed or become liable for the payment of such indebtedness or other payment obligations; provided that for the purposes of this subclause (k) the amount
thereof shall be equal to the lesser of (i) the amount of such indebtedness or other payment obligations and (ii) the fair market value of the property subject to such Lien. The Debt of any Person shall include the Debt of any other entity
(including any partnership in which such Person is a general partner) to the extent such Person is liable therefor as a result of such Person’s ownership interest in or other relationship with such entity, except to the extent the terms of such
Debt expressly provide that such Person is not liable therefor. To the extent not otherwise included, Debt shall include the amount of any Permitted Receivables Financing. For the avoidance of doubt, and without any implication to the contrary, no
Intercompany Receivables or any transactions giving rise thereto shall constitute Debt. 
 “Default” shall mean
any Event of Default, whether or not any requirement for the giving of notice, the lapse of time, or both, has been satisfied. 

“Defaulting Lender” shall mean any Lender that (a) has failed, within two Business Days of the date required to be
funded or paid, to (i) fund any portion of its Loans, (ii) fund any portion of its participations in Letters of Credit or Swingline Loans or (iii) pay over to any Credit Party any other amount required to be paid by it hereunder,
unless, in the case of clause (i) above, such Lender notifies the Administrative Agent in writing that such failure is the result of such Lender’s good faith determination that a condition precedent to funding (specifically identified and
including the particular default, if any) has not been satisfied, or, in the case of clause (iii) above, such Lender notifies the Administrative Agent in writing that such failure is the result of such Lender’s good faith dispute
concerning the amount of costs and expenses claimed by the Administrative Agent to be reimbursed pursuant to Section 11.5(c), (b) has notified the Borrower or any Credit Party in writing, or has made a public statement to the
effect, that it does not intend or expect to comply with any of its funding obligations under this Agreement (unless such writing or public statement indicates that such position is based on such Lender’s good faith determination that a
condition precedent (specifically identified and including the particular default, if any) to funding a loan under this Agreement cannot be satisfied) or generally under other agreements in which it commits to extend credit, (c) has failed,
within three Business Days after request by a Credit Party, acting in good faith, to provide a certification in writing from an authorized officer of such Lender that it will comply with its obligations (and is financially able to meet such
obligations) to fund prospective Loans and participations in then outstanding Letters of 

  
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Credit and Swingline Loans under this Agreement; provided that such Lender shall cease to be a Defaulting Lender pursuant to this clause (c) upon such Credit Party’s receipt of
such certification in form and substance satisfactory to it and the Administrative Agent; or (d) has become the subject of a Bankruptcy Event. 
 “Denver Headquarters” shall mean that certain real property owned by the Borrower and located at 2000 16th Street, Denver, Colorado. 
 “Designated Non-Cash Consideration” shall mean the fair market value of non-cash consideration as determined by the Borrower in good faith received by the Borrower or any of its
Subsidiaries in connection with a lease, sale, transfer or other disposition of any assets pursuant to Section 7.5(f) that is designated as Designated Non-Cash Consideration pursuant to a certificate of a Responsible Officer of the
Borrower, setting forth the basis of such valuation. 
 “Dialysis Facilities” shall have the meaning given to
such term in Section 4.17(a). 
 “Disposition” shall mean with respect to any property, any sale,
lease, sale and leaseback, assignment, conveyance, transfer or other disposition thereof. The terms “Dispose” and “Disposed of” shall have correlative meanings. 

“Disqualified Lenders” shall mean those Persons who are competitors of the Borrower and who are identified in writing to
the Administrative Agent for further distribution to the Lenders; provided that, with respect to any competitor identified in writing to the Administrative Agent after the Closing Date, if the Required Lenders instruct the Administrative
Agent to object to such competitor within 60 days after receipt of such identification by the Borrower, such competitor shall not be a “Disqualified Lender” hereunder. 

“Documentation Agents” shall have the meaning given to such term in the preamble hereto. 

“Dollars” and “$” shall mean lawful currency of the United States. 

“Dollar Equivalent” shall mean at any time, (a) with respect to any amount denominated in Dollars, such amount, and
(b) with respect to any amount denominated in any Alternative Currency (other than Dollars), the equivalent amount thereof in Dollars as determined by the Administrative Agent at such time on the basis of the Spot Rate (determined in respect of
the most recent Revaluation Date) for the purchase of Dollars with such Alternative Currency. 
 “Dollar Revolving
Commitment” shall mean, as to any Lender, the obligation of such Lender, if any, to make Dollar Revolving Loans in an aggregate principal and/or face amount not to exceed the amount set forth under the heading “Dollar Revolving
Commitment” on such Lender’s Addendum, in an Increase Joinder or in the Assignment and Assumption pursuant to which such Lender became a party hereto, as the same may be changed from time to time pursuant to the terms hereof. 

“Dollar Revolving Extensions of Credit” shall mean, as to any Dollar Revolving Lender at any time, an amount equal to
the aggregate principal amount of all Dollar Revolving Loans held by such Lender then outstanding. 

  
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 “Dollar Revolving Facility” shall mean the Dollar Revolving Commitments and
the Dollar Revolving Loans made thereunder. 
 “Dollar Revolving Lender” shall mean each Lender that has a
Dollar Revolving Commitment or holds Dollar Revolving Loans. 
 “Dollar Revolving Loans” shall have the meaning
given to such term in Section 2.4(a). 
 “Dollar Revolving Percentage” shall mean, as to any Dollar
Revolving Lender at any time, the percentage which such Lender’s Dollar Revolving Commitment then constitutes of the Total Dollar Revolving Commitments or, at any time after the Dollar Revolving Commitments shall have expired or terminated, the
percentage which the aggregate principal amount of such Lender’s Dollar Revolving Loans then outstanding constitutes of the aggregate principal amount of the Dollar Revolving Loans then outstanding; provided that, in the event that the
Dollar Revolving Loans are paid in full prior to the reduction to zero of the Total Dollar Revolving Extensions of Credit, the Dollar Revolving Percentages shall be the Dollar Revolving Percentages in effect immediately prior to such payment in
full. 
 “Domestic Person” shall mean a Person that is organized under the laws of, or whose property is
located in, a jurisdiction within the United States. 
 “Domestic Subsidiary” shall mean any Subsidiary of the
Borrower organized under the laws of any jurisdiction within the United States. 
 “ECF Percentage” shall mean
(i) with respect to any Fiscal Year at the end of which the Leverage Ratio is greater than 4.0 to 1.00, 25%; and (ii) with respect to any Fiscal Year at the end of which the Leverage Ratio is less than or equal to 4.0 to 1.00, 0%.

 “Eligible Escrow Investments” shall mean
(1) U.S. Government Obligations maturing no later than the Business Day preceding Termination Date and (2) securities representing an interest or interests in money market funds registered under the Investment Company Act of 1940 whose
shares are registered under the Securities Act as investing exclusively in direct obligations of the United States. 

“Embargoed Person” shall have the meaning assigned to such term in Section 7.15. 

“EMU” shall mean the economic and monetary union in accordance with the Treaty of Rome 1957, as amended by the Single
European Act 1986, the Maastricht Treaty of 1992 and the Amsterdam Treaty of 1998. 
 “EMU Legislation” shall
mean the legislative measures of the European Council for the introduction of, changeover to or operation of a single or unified European currency. 
 “Environmental Action” shall mean any outstanding action, suit, demand, demand letter, claim, notice of noncompliance or violation, notice of liability or potential liability,
investigation, proceeding, consent order or consent agreement, abatement order or other order or directive (conditional or otherwise) relating in any way to any Environmental Law, any Environmental Permit or any Hazardous Materials or arising from
alleged injury or threat to health, safety, natural resources or the environment, including, (a) by any Governmental Authority for enforcement, cleanup, removal, response, remedial or other actions or damages and (b) by any applicable
Governmental Authority or any other third party for damages, contribution, indemnification, cost recovery, compensation or injunctive relief. 

  
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 “Environmental Law” shall mean any Requirement of Law relating to
(a) the generation, use, handling, transportation, treatment, storage, disposal or Release of Hazardous Materials, (b) pollution or the protection of the Environment or health or safety or (c) occupational safety and health,
industrial hygiene, land use or the protection of human, plant or animal health or welfare, including, without limitation, CERCLA, in each case as amended from time to time, and including the regulations promulgated and the rulings issued from time
to time thereunder. 
 “Environment” shall mean ambient air, indoor air, surface water, groundwater, drinking
water, soil, land surface and subsurface strata, and natural resources such as wetlands, flora and fauna. 

“Environmental Liability” shall mean any liability, contingent or otherwise (including any liability for damages, costs
of environmental remediation, fines, penalties or indemnities), of any Group Member directly or indirectly resulting from or based upon (a) violation of any Environmental Law, (b) the generation, use, handling, transportation, storage or
treatment of any Hazardous Materials, (c) exposure to any Hazardous Materials, (d) the Release or threatened Release of any Hazardous Materials or (e) any contract, agreement or other consensual arrangement pursuant to which liability
is assumed or imposed with respect to any of the foregoing. 
 “Environmental Permit” shall mean any permit,
approval, identification number, license or other authorization required under any Environmental Law. 

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

“ERISA Affiliate” shall mean any Person that for purposes of Title IV of ERISA is a member of the controlled group of
any Loan Party, or under common control with any Loan Party, within the meaning of Section 414 of the Code. 

“ERISA Event” shall mean (a) (i) the occurrence of a reportable event, within the meaning of Section 4043
of ERISA, with respect to any Plan unless the 30-day notice requirement with respect to such event has been waived by the PBGC under the regulations in effect on the date hereof or (ii) the requirements of Section 4043(b) of ERISA are met
with respect to a contributing sponsor, as defined in Section 4001(a)(13) of ERISA, of a Plan, and an event described in paragraph (9), (10), (11), (12) or (13) of Section 4043(c) of ERISA could reasonably be expected to occur
with respect to such Plan within the following 30 days; (b) with respect to any Plan, the failure to satisfy the minimum funding standard under Section 412 of the Code and Section 302 of ERISA, whether or not waived, or the failure to
make any required contribution to a Multiemployer Plan; (c) the application for a minimum funding waiver with respect to a Plan; (d) the provision by the administrator of any Plan of a notice of intent to terminate such Plan pursuant to
Section 4041(a)(2) of ERISA (including any such notice with respect to a plan amendment referred to in Section 4041(e) of ERISA); (e) the cessation of operations at a facility of any Loan Party or any ERISA Affiliate in the
circumstances described in Section 4062(e) of ERISA; (f) the partial or complete withdrawal by any Loan Party or any ERISA Affiliate from a Multiemployer Plan; (g) the conditions for imposition of a lien under Section 303(k) of
ERISA shall have been met with respect to any Plan; (h) the institution by the PBGC of proceedings to terminate a Plan pursuant to Section 4042 of ERISA, or the occurrence of any event or condition described in Section 4042 of ERISA,
that constitutes grounds for the termination of, or the appointment of a trustee to administer, a Plan; or (i) the 

  
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occurrence of a nonexempt prohibited transaction with respect to an employee benefit plan maintained or contributed to by a Group Member (within the meaning of Section 4975 of the Code or
Section 406 of ERISA) which could result in material liability to any Loan Party. 
 “Escrow
Account” shall mean a deposit or securities account at a financial institution reasonably satisfactory to the Administrative Agent (such institution, the “Escrow
Agent”) into which the Escrowed Funds are deposited. 

“Escrow Agent” shall have the meaning given to such term in the
definition of the term “Escrow Account.” 

“Escrowed Funds” shall mean an amount, in cash or Eligible Escrow Investments, not to
exceed the sum of (a) the issue price of the New Senior Notes, plus (b) the Additional Escrow Amount, plus (c) so long as they are retained in the Escrow Account, any income, proceeds or products of the foregoing. 

“Euro” and “€” shall mean the lawful currency of the Participating Member States introduced in
accordance with the EMU Legislation. 
 “Eurocurrency Reserve Requirements” shall mean for any day as applied
to a Eurodollar Loan, the aggregate (without duplication) of the maximum rates (expressed as a decimal fraction) of reserve requirements in effect on such day (including basic, supplemental, marginal and emergency reserves) under any regulations of
the Board or other Governmental Authority having jurisdiction with respect thereto dealing with reserve requirements prescribed for eurocurrency funding (currently referred to as “Eurocurrency Liabilities” in Regulation D of the Board)
maintained by a member bank of the Federal Reserve System. 
 “Eurodollar Base Rate” shall mean with respect to
each day during each Interest Period pertaining to a Eurodollar Loan, the rate per annum determined on the basis of the rate for deposits in relevant currency for a period equal to such Interest Period commencing on the first day of such Interest
Period appearing on Reuters Screen LIBOR01 Page as of 11:00 A.M., London time, two Business Days prior to the beginning of such Interest Period. In the event that such rate does not appear on Reuters Screen LIBOR01 Page (or otherwise on such
screen), the “Eurodollar Base Rate” shall be determined by reference to such other comparable publicly available service for displaying eurodollar rates as may be selected by the Administrative Agent or, in the absence of such
availability, by reference to the rate at which the Person serving as Administrative Agent is offered deposits in the relevant currency at or about 11:00 A.M., New York City time, two Business Days prior to the beginning of such Interest Period
in the interbank eurodollar market where its eurodollar and foreign currency and exchange operations are then being conducted for delivery on the first day of such Interest Period for the number of days comprised therein. Notwithstanding the
foregoing, the Eurodollar Base Rate with respect to any (i) any Tranche B Term Loan for any applicable Interest Period will be deemed to be 1.50% per annum if
the Eurodollar Base Rate for such Interest Period determined pursuant to this definition would otherwise be less than 1.50% per annum and (ii) any Tranche
AB-2 Term Loan for any applicable Interest Period will be deemed to be 1.00% per
annumthe amount set forth in the Tranche B-2 Joinder Agreement if the Eurodollar Base Rate for such Interest Period determined pursuant to this definition would otherwise be
less than 1.00% per annum.such amount.  

  
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 “Eurodollar Loans” shall mean Loans the rate of interest applicable to
which is based upon the Eurodollar Rate. Eurodollar Loans may be denominated in Dollars or an Alternative Currency (other than Dollars). 
 “Eurodollar Rate” shall mean, with respect to each day during each Interest Period pertaining to a Eurodollar Loan, a rate per annum determined for such day in accordance with the
following formula (rounded upward to the nearest 1/100th of 1%): 
  

	
	 Eurodollar Base Rate

	1.00 - Eurocurrency Reserve Requirements

 “Eurodollar Tranche” shall mean, collectively, Eurodollar Loans under a particular
Facility the then current Interest Periods with respect to all of which begin on the same date and end on the same later date (whether or not such Loans shall originally have been made on the same day). 

“Events of Default” shall have the meaning given to such term in Section 8.1. 

“Excess Cash Flow” shall mean, for any Fiscal Year of the Borrower, the excess, if any, of (a) Cash Flow from
Operating Activities over (b) the sum, without duplication, of (i) the aggregate amount (A) actually paid by the Borrower and its Subsidiaries during such Fiscal Year and (B) expected as of the last day of such Fiscal Year
to be paid in the first Fiscal Quarter following such Fiscal Year, on account of Capital Expenditures or any other expenditures for Capital Assets (excluding the principal amount of Debt incurred in connection with such expenditures and any such
expenditures financed with the proceeds of any Reinvestment Deferred Amount); provided that (I) any amount deducted on account of such committed expenditure pursuant to clause (B) shall not be deducted in the calculation of Excess
Cash Flow for the following Fiscal Year to the extent such amount is actually paid in the first Fiscal Quarter of the following Fiscal Year, and (II) to the extent any such committed amount is not actually paid in the first Fiscal Quarter of the
following Fiscal Year, such unspent amount shall not be deducted in the calculation of Excess Cash Flow for the preceding Fiscal Year, (ii) the aggregate amount of all prepayments of Revolving Loans and Swingline Loans during such Fiscal Year
to the extent of accompanying permanent optional reductions of the Revolving Commitments and all optional prepayments of the Term Loans during such Fiscal Year, (iii) the aggregate amount of all regularly scheduled principal payments of Funded
Debt (including the Term Loans) of the Borrower and its Subsidiaries made during such Fiscal Year (other than in respect of any revolving credit facility to the extent there is not an equivalent permanent reduction in commitments thereunder),
(iv) the aggregate amount actually paid during such Fiscal Year, or expected to be paid in the first Fiscal Quarter of the following Fiscal Year pursuant to letters of intent or acquisition agreements, on Investments pursuant to
SectionsSection 7.6(e), (f) and,
(j), (k) or (m) pursuant to this clause (iv) without giving effect to any part of an Investment that was permitted by utilizing the Available Amount; provided that
(I) any amount deducted on account of such letter of intent or acquisition agreement shall not be deducted in the calculation of Excess Cash Flow for the following Fiscal Year to the extent such amount is actually paid in the first Fiscal
Quarter of the following Fiscal Year and (II) to the extent any such committed amount is not actually paid in the first Fiscal Quarter of the following Fiscal Year, such unspent amount shall not be deducted in the calculation of Excess Cash Flow for
the preceding Fiscal Year and (v) the aggregate amount of distributions on account of non-controlling interests in Subsidiaries. 
 “Excess Cash Flow Application Date” shall have the meaning given to such term in Section 2.11(c). 

  
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 “Exchange Act” shall mean the Securities Exchange Act of 1934, as amended
from time to time, and the regulations promulgated and the rulings issued thereunder. 
 “Executive Order”
shall have the meaning given to such term in Section 4.23. 
 “Existing Credit Agreement” shall
have the meaning given to such term in the recitals hereto. 
 “Existing Issuing Bank” shall mean each bank
which issued Existing Letters of Credit. 
 “Existing Letters of Credit” shall mean all letters of credit
outstanding on the Closing Date, as more fully described on Schedule 1.1 hereto. 
 “Existing Notes”
shall have the meaning given to such term in the recitals hereto. 
 “Existing Senior Notes” shall have the
meaning given to such term in the recitals hereto. 
 “Existing Senior Subordinated Notes” shall have the
meaning given to such term in the recitals hereto. 
 “Extended Revolving Commitment” shall have the meaning
given to such term in Section 2.25(a). 
 “Extended Term Loans” shall have the meaning given to
such term in Section 2.25(a). 
 “Extending Revolving Lender” shall have the meaning given to such
term in Section 2.25(a). 
 “Extending Term Lender” shall have the meaning given to such term in
Section 2.25(a). 
 “Extension” shall have the meaning given to such term in
Section 2.25(a). 
 “Extension Offer” shall have the meaning given to such term in
Section 2.25(a). 
 “Facility” shall mean each of (a) the Tranche A Term Commitments and the
Tranche A Term Loans made thereunder (the “Tranche A Term Facility”), (b) the Tranche B Term Commitments and the Tranche B Term Loans made thereunder (the “Tranche B Term Facility”), (c) the Tranche
A-23 Term Commitments and the Tranche A-23 Term Loans made thereunder (the
“Tranche A-23 Term Facility”), (d) the Tranche B-2 Term Commitments and the Tranche B-2 Term Loans made thereunder (the
“Tranche B-2 Term
Facility”), (e) the Revolving Facility,
(ef) the Extended Term Loans, if any, and (fg) the Extended Revolving Commitments, if
any, as the case may be. 
 “Federal Funds Effective Rate” shall mean for any day, the weighted average of the
rates on overnight federal funds transactions with members of the Federal Reserve System arranged by federal funds brokers, as published on the next succeeding Business Day by the Federal Reserve Bank of New York, or, if such rate is not so
published for any day that is a Business Day, the average of the quotations for the day of such transactions received by the Administrative Agent from three federal funds brokers of recognized standing selected by it. 

  
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 “Fee Payment Date” shall mean (a) the third Business Day following the
last day of each March, June, September and December and (b) the last day of the Revolving Commitment Period. 

“FIRREA” shall mean the Financial Institutions Reform, Recovery and Enforcement Act of 1989, as amended. 

“First Lien Intercreditor
Agreement” shall mean an intercreditor agreement substantially in the form of Exhibit Q hereto (which agreement in
such form or with immaterial changes thereto the Administrative Agent is authorized to enter into) together with any material changes thereto in light of prevailing market conditions, which material changes shall be posted to the Lenders not less
than five (5) Business Days before execution thereof and, if the Required Lenders shall not have objected to such changes within five (5) Business Days after posting, then the Required Lenders shall be deemed to have agreed that the
Administrative Agent entry into such intercreditor agreement (with such changes) is reasonable and to have consented to such intercreditor agreement (with such changes) and to the Administrative
Agent’s execution thereof. 
 “Fiscal Quarter” shall mean with respect to the Borrower or any of its Subsidiaries, the period commencing January 1
in any Fiscal Year and ending on the next succeeding March 31, the period commencing April 1 in any Fiscal Year and ending on the next succeeding June 30, the period commencing July 1 in any Fiscal Year and ending on the next
succeeding September 30 or the period commencing October 1 in any Fiscal Year and ending on the next succeeding December 31, as the context may require, or, if any such Subsidiary was not in existence on the first day of any such
period, the period commencing on the date on which such Subsidiary is incorporated, organized, formed or otherwise created and ending on the last day of such period. 
 “Fiscal Year” shall mean with respect to the Borrower or any of its Subsidiaries, the period commencing on January 1 in any calendar year and ending on the next succeeding
December 31 or, if any such Subsidiary was not in existence on January 1 in any calendar year, the period commencing on the date on which such Subsidiary is incorporated, organized, formed or otherwise created and ending on the next
succeeding December 31. 
 “Foreign Subsidiary” shall mean any Subsidiary of the Borrower that is not a
Domestic Subsidiary. 
 “Funded Debt” of any Person shall mean all Debt as set forth on the balance sheet of
such Person determined on a Consolidated basis in accordance with GAAP, including, without limitation, (i) the aggregate amount of Government Reimbursement Program Costs (exclusive of, with respect to the determination of Funded Debt in any
period, the portion of Government Reimbursement Program Costs paid in such period), (ii) in the case of the Borrower, the Loans, (iii) any Receivables Transaction Amount and (iv) all obligations of such Person to purchase, redeem,
retire, defease or otherwise make any payment in respect of any preferred Capital Stock in such Person or any other Person; provided, however, that the term “Funded Debt” shall not include any Contingent Obligations of such
Person (if and to the extent such Contingent Obligations would otherwise be included in such term on any date of determination) that are incurred solely to support any obligations, Debt or Government Reimbursement Program Costs of the Borrower or
one or more Subsidiaries of the Borrower to the extent such Contingent Obligations are otherwise expressly permitted to be incurred under Section 7.2. 

  
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 “Funding Office” shall mean with respect to any currency, the office of the
Administrative Agent specified in Section 11.2 or such other office as may be specified from time to time by the Administrative Agent as its funding office by written notice to the Borrower and the Lenders. 

“GAAP” shall mean generally accepted accounting principles in the United States as in effect from time to time applied
on a consistent basis, subject to Section 1.4. 
 “Government Reimbursement Program Costs” shall
mean with respect to any payable of the Borrower and its Subsidiaries, the sum of: 
 (i) all amounts (including
punitive and other similar amounts) agreed to be paid in settlement or payable as a result of a final, non-appealable judgment, award or similar order relating to participation in Medical Reimbursement Programs; 

(ii) all final, non-appealable fines, penalties, forfeitures or other amounts rendered pursuant to criminal indictments or
other criminal proceedings relating to participation in Medical Reimbursement Programs; and 
 (iii) the amount
of final, non-appealable recovery, damages, awards, penalties, forfeitures or similar amounts rendered in any litigation, suit, arbitration, investigation or other legal or administrative proceeding of any kind relating to participation in Medical
Reimbursement Programs. 
 “Government Reimbursement Programs” shall have the meaning given to such term in
Section 4.17(a). 
 “Governmental Authority” shall mean any nation or government, any state or
other political subdivision thereof, any agency, authority, instrumentality, regulatory body, court, central bank or other entity exercising executive, legislative, judicial, taxing, regulatory or administrative functions of or pertaining to
government, any securities exchange and any self-regulatory organization (including the National Association of Insurance Commissioners). 
 “Governmental Authorization” shall mean any authorization, approval, consent, franchise, license, covenant, order, ruling, permit, certification, exemption, notice, declaration or similar
right, undertaking or other action of, to or by, or any filing, qualification or registration with, any Governmental Authority. 

“Group Members” shall mean the reference to the Borrower and its Subsidiaries. 

“Guaranteed Obligations” shall have the meaning given to such term in Section 10.1. 

“Guarantor” shall mean except as permitted by Section 6.12 or Section 7.12, each Subsidiary of
the Borrower (other than any Special Purpose Receivables Subsidiary and any Regulated Subsidiary). 
 “Hazardous Materials” shall mean (a) petroleum or petroleum products, by-products or breakdown products, radioactive materials, asbestos, asbestos-containing materials,
polychlorinated biphenyls and radon gas and (b) any other chemicals, materials, substances, wastes (including medical and human waste), constituents, pollutants or contaminants subject to regulation or which can give rise to liability under any
Environmental Law. 

  
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 “HCP
LLC” shall mean HealthCare Partners, LLC. 

“HCPAMG
” shall mean HealthCare Partners Affiliates Medical Group, a
California general partnership. 
 “HPMGI”
 shall mean HealthCare Partners Medical Group, Inc. 

“HIPAA” shall have the meaning given to such term in
Section 4.17(b). 
 “Increase Effective Date” shall have the meaning given to such term in
Section 2.24(a). 
 “Increase Joinder” shall have the meaning given to such term in
Section 2.24(c). 
 “Incremental Term Loan Commitment” shall have the meaning given to such term in
Section 2.24(a). 
 “Incremental Term Loans” shall have the meaning given to such term in
Section 2.24(c). 
 “Indemnitee” shall have the meaning given to such term in
Section 11.5(b). 
 “Information” shall have the meaning given to such term in
Section 11.15. 
 “Initial Tranche B-2 Term
Lender” means the Person identified as such in the Tranche B-2 Joinder Agreement. 

“Insurance Policies” shall mean the insurance policies
and coverages required to be maintained by each Loan Party which is an owner of Mortgaged Property with respect to the applicable Mortgaged Property pursuant to Section 6.5 and all renewals and extensions thereof. 

“Insurance Requirements” shall mean collectively, all provisions of the Insurance Policies, all requirements of the
issuer of any of the Insurance Policies and all orders, rules, regulations and any other requirements of the National Board of Fire Underwriters (or any other body exercising similar functions) binding upon each Loan Party which is an owner of
Mortgaged Property and applicable to the Mortgaged Property or any use or condition thereof. 
 “Intellectual
Property” shall mean, collectively, all rights, priorities and privileges relating to intellectual property, whether arising under United States, multinational or foreign laws or otherwise, including copyrights, copyright licenses, patents,
patent licenses, trademarks, trademark licenses, trade names, service marks, domain names, trade secrets, proprietary information, technology, know-how and processes, and all rights to sue at law or in equity for any infringement or other impairment
thereof, including the right to receive all proceeds and damages therefrom. 
 “Intercompany Note” shall mean a
promissory note substantially in the form of Exhibit M. 
 “Intercompany Receivables” shall mean any
debits or credits by and among the Borrower and its Subsidiaries arising in connection with any centralized purchasing, payment or other cash management or treasury services, in each case, in the ordinary course of business. 

  
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 “Intercreditor
Agreements” shall mean the First Lien Intercreditor Agreement and the Junior Lien Intercreditor Agreement,
collectively, in each case to the extent in effect. 

“Interest Election Request” shall mean an Interest
Election Request, substantially in the form of Exhibit P. 
 “Interest Payment Date” shall mean
(a) as to any ABR Loan (other than any Swingline Loan), the last day of each March, June, September and December to occur while such Loan is outstanding and the final Maturity Date of the Facility under which such Loan was made, (b) as to
any Eurodollar Loan having an Interest Period of three months or less, the last day of such Interest Period and the Maturity Date of the Facility under which such Loan was made, (c) as to any Eurodollar Loan having an Interest Period longer
than three months, each day that is three months, or a whole multiple thereof, after the first day of such Interest Period, the last day of such Interest Period and the Maturity Date of the Facility under which such Loan was made, (d) as to any
Loan (other than any Revolving Loan that is an ABR Loan and any Swingline Loan), the date of any repayment or prepayment made in respect thereof and (e) as to any Swingline Loan, the day that such Loan is required to be repaid. 

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

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

(b) the Borrower may not select an Interest Period under a particular Facility that would extend beyond the Maturity Date
of such Facility; and 
 (c) any Interest Period that begins on the last Business Day of a calendar month (or on
a day for which there is no numerically corresponding day in the calendar month at the end of such Interest Period) shall end on the last Business Day of a calendar month. 
 “Investment” shall mean with respect to any Person, any loan or advance to such Person, any purchase or other acquisition of Capital Stock or Debt of, or the property and assets
comprising a division or business unit or all or a substantial part of the business of, such Person, any capital contribution to such Person or any other investment in such Person, including, without limitation, any acquisition by way of a merger or
consolidation (or similar transaction) and any arrangement pursuant to which the investor incurs Debt of the types referred to in clause (j) or (k) of the definition of “Debt” set forth in this Section 1.1 in respect
of such Person, but excluding advances or extensions of credit to customers and receivables arising in the ordinary course of business and in 


  
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connection with any Physician Group. For the avoidance of doubt, without any implication to the contrary, no Intercompany
Receivables or any transactions giving rise thereto shall constitute Investments. 
 “Issuing Lender” shall
mean any of (i) JPMorgan Chase Bank, N.A. or any affiliate thereof, in its capacity as issuer of any Letter of Credit, (ii) any other Lender reasonably satisfactory to the Administrative Agent that from time to time agrees in writing to
issue Letters of Credit hereunder; provided that, if any Extension or Extensions of Alternative Currency Revolving Commitments is or are effected in accordance with Section 2.25, then on the occurrence of the Revolving Termination
Date and on each later date which is or was at any time a Maturity Date with respect to Alternative Currency Revolving Commitments (each, an “Issuing Lender/Swingline Termination Date”), each Issuing Lender at such time shall have
the right to resign as an Issuing Lender on, or on any date within twenty (20) Business Days after, the respective Issuing Lender/Swingline Termination Date, in each case upon not less than ten (10) days’ prior written notice thereof
to the Borrower and the Administrative Agent and, in the event of any such resignation and upon the effectiveness thereof, the respective entity so resigning shall retain all of its rights hereunder and under the other Loan Documents as an Issuing
Lender with respect to all Letters of Credit theretofore issued by it (which Letters of Credit shall remain outstanding in accordance with the terms hereof until their respective expirations) but shall not be required to issue any further Letters of
Credit hereunder, and (iii) solely with respect to the Existing Letters of Credit, each Existing Issuing Bank. If at any time and for any reason (including as a result of resignations as contemplated by the last proviso to the preceding
sentence), each Issuing Lender has resigned in such capacity in accordance with the preceding sentence, then no Person shall be an Issuing Lender hereunder obligated to issue Letters of Credit unless and until (and only for so long as) a Lender (or
affiliate of a Lender) reasonably satisfactory to the Administrative Agent and the Borrower agrees to act as Issuing Lender hereunder. 
 “Issuing Lender/Swingline Termination Date” shall have the meaning given to such term in the definition of “Issuing Lender.” 

“Joinder Agreement” shall mean a joinder agreement substantially in the form of Exhibit L. 

“Junior Lien Intercreditor
Agreement” shall mean an intercreditor agreement by
and among the Collateral Agent and the collateral agents or other representatives for the holders of Indebtedness secured by Liens on the Collateral that are intended to rank junior to the Liens securing the Obligations and that are otherwise Liens
permitted pursuant to Section 7.1, providing that all proceeds of Collateral shall first be applied to repay the Obligations in full prior to being applied to any obligations under the Indebtedness secured by such junior Liens and that until
the termination of the Commitments and the repayment in full (or cash collateralization of outstanding Letters of Credit) of all Obligations (other than contingent obligations not then due and payable), the Collateral Agent shall have the sole right
to exercise remedies against the Collateral (subject to customary exceptions and the expiration of any standstill periods) and otherwise in form and substance reasonably satisfactory to the Collateral
Agent. 

“Latest
Maturity Date” means, at any date of determination, the latest Maturity Date applicable to any Loan or Commitment
hereunder at such time, including the latest maturity date of any Refinancing Term Loan, any Refinancing Term Commitment, any Extended Term Loan, any Extended Revolving Commitment, any Incremental Term Loans, any Increased Revolving Commitments or
any Other Revolving Commitments, in each case as extended in accordance with this Agreement from time to time. 

  
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 “LC
Commitment” shall mean $125,000,000. 
 “LC Disbursement” shall mean a payment by the Issuing Lender
pursuant to a Letter of Credit. 
 “LC Obligations” shall mean at any time, an amount equal to the sum of
(a) the aggregate then undrawn and unexpired amount of the then outstanding Letters of Credit and (b) the aggregate amount of LC Disbursements that have not then been reimbursed pursuant to Section 3.5. The LC Obligations of
any Lender at any time shall be its Alternative Currency Revolving Percentage of the total LC Obligations at such time. 

“LC Request” shall mean an LC Request, substantially in the form of Exhibit O. 

“Lenders” shall have the meaning given to such term in the preamble hereto; provided that unless the context
otherwise requires, each reference herein to the Lenders shall be deemed to include any Conduit Lender. 
 “Lending
Office” shall mean as to any Lender, the office or offices of such Lender described as such in such Lender’s Administrative Questionnaire, or such other office or offices as a Lender may from time to time notify the Borrower and the
Administrative Agent. 
 “Letters of Credit” shall have the meaning given to such term in
Section 3.1(a). 
 “Leverage Ratio” shall mean at any date of determination, the ratio of
(a) (i) all Funded Debt of the Borrower and its Subsidiaries plus (ii) to the extent not otherwise included in subclause (a)(i) of this definition, the face amount of all Letters of Credit issued for the account of the Borrower
or any of its Subsidiaries minus (iii) cash and Cash Equivalents of the Borrower and its Subsidiaries on a Consolidated basis to (b) Consolidated EBITDA of the Borrower and its Subsidiaries for the most recently completed
Measurement Period prior to such date. 
 The Leverage Ratio shall
be calculated on a Pro Forma Basis to give effect to any Debt incurred, assumed or permanently repaid or extinguished after the relevant Measurement Period but prior to or contemporaneously with the Reference Date as if such incurrence, assumption,
repayment or extinguishment had been effected on the last day of such period. Notwithstanding anything to the contrary contained in this paragraph, when calculating the Leverage Ratio for purposes of (i) the Pricing Grid (ii) the ECF
Percentage and (iii) determining actual compliance (and not compliance on a Pro Forma Basis) with Section 7.16(a), (A) any Debt incurred, assumed or permanently repaid or extinguished subsequent to the end of the applicable
Measurement Period shall not be given pro forma effect and (B) such calculations shall be based on the
financial statements delivered pursuant to Section 6.1(b) or (c), as applicable, for the relevant Measurement Period.  

“Lien” shall mean any mortgage, deed of trust, pledge, hypothecation, assignment, deposit arrangement, encumbrance, lien
(statutory or other), charge or other security interest or any preference, priority or other security agreement or preferential arrangement of any kind or nature whatsoever (including any conditional sale or other title retention agreement and any
capital lease having substantially the same economic effect as any of the foregoing). 
 “Loan” shall mean any
loan made by any Lender pursuant to this Agreement (including pursuant to Section 2.24). 

  
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 “Loan Documents” shall mean this Agreement, the Security Documents and the
Notes. 
 “Loan Parties” shall mean each Group Member that is a party to a Loan Document. 

“Local Time” shall mean the local time in (i) London with respect to Obligations denominated in an Alternative
Currency and (ii) New York City, otherwise. 
 “Majority Facility Lenders” shall mean with respect to any
Facility, the holders of more than 50% of the aggregate unpaid principal amount of the Term Loans, Extended Term Loans or the Total Revolving Extensions of Credit, as the case may be, outstanding under such Facility (or, in the case of the Dollar
Revolving Facility or the Alternative Currency Revolving Facility, prior to any termination, respectively, of the Dollar Revolving Commitments or the Alternative Currency Revolving Commitments, the holders of more than 50% of the Total Dollar
Revolving Commitments or Total Alternative Currency Revolving Commitments, respectively). 

“Management Services
Agreement” shall mean each of those certain agreements by and between a Group Member (or any Physician Group with an
existing agreement with a Group Member for the provision of management services) and any Physician Group pursuant to which such Group Member (or Physician Group) provides management services to such Physician Group; provided that each Management
Services Agreement (i) existing on the Amendment No. 2 Effective Date and (ii) entered into in connection with an acquisition of a Physician Group pursuant to Section 7.2(m) shall, in each case, provide that a substantial portion
of the management fees (which, for the avoidance of doubt and without any implication to the contrary, shall not include any fees for reimbursement of expenses and other cost sharing arrangements) payable thereunder shall be paid to a Loan Party (or
any Physician Group with an existing agreement to pay fees to a Loan Party for the provision of management services).  

“Mandatory Cost” shall mean with respect to any period,
the percentage rate per annum calculated in accordance with Schedule 1.2. 
 “Mandatory Prepayment Date”
shall have the meaning given to such term in Section 2.11(e). 
 “Margin Stock” shall mean
“margin stock” as defined in Regulation U of the Board, as the same may be amended or supplemented from time to time. 

“Material Adverse Effect” shall mean a material adverse effect on (a) the business, property, operations, or
financial condition of the Borrower and its Subsidiaries taken as a whole, (b) the validity or enforceability of this Agreement or any of the other Loan Documents or the rights or remedies of the Administrative Agent, the Collateral Agent or
the Lenders hereunder or thereunder or (c) the Collateral or the Liens in favor of the Collateral Agent (for its benefit and for the benefit of the other Secured Parties) on the Collateral or on the priority of such Liens. 

“Material Subsidiary” shall mean, as of any date, (a) any Subsidiary of the Borrower that accounted for more than
5% of Consolidated Net Income of the Borrower and its Subsidiaries for the most recently completed Fiscal Quarter on or prior to such date as reflected in the Required Financial Information most recently delivered to the Administrative Agent and the
Lenders on or prior to such date and determined in accordance with GAAP for such period and (b) each other Subsidiary of the Borrower that, when combined with any other Subsidiary, each of which at the time of determination is the subject of an
Event of Default under Section 8.1(g), would constitute a Material Subsidiary under clause (a) above. 

  
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 “Maturity Date” shall mean (i) with respect to the Tranche A Term
Loans that have not been extended pursuant to Section 2.25, the Tranche A Term Loan Maturity Date, (ii) with respect to the Tranche B Term Loans that have not been extended pursuant to Section 2.25, the Tranche B Term
Loan Maturity Date, (iii) with respect to the Tranche A-23 Term Loans that have not been extended pursuant to Section 2.25, the Tranche
A-23 Term Loan Maturity Date, (iv) with respect to the Tranche B-2 Term Loans that have not been
extended pursuant to Section 2.25, the Tranche B-2 Term Loan Maturity Date, (v) with respect to the Revolving Commitments that have not been extended pursuant to Section 2.25, the Revolving Termination Date and
(vvi) with respect to any tranche of Extended Term Loans or Extended Revolving Commitments, the final maturity date as specified in the applicable Extension Offer
accepted by the respective Lender or Lenders; provided that if any such day is not a Business Day, the applicable Maturity Date shall be the Business Day immediately succeeding such day. 

“Maximum Rate” shall have the meaning given to such term in Section 11.18. 

“Measurement Period” shall mean at any date of determination, the most recently completed four consecutive Fiscal
Quarters ended prior to such date for which financial information is (or is required to be) available. 

“Medicaid” shall mean that means-tested entitlement program under Title XIX of the Social Security Act that provides
federal grants to states for medical assistance based on specific eligibility criteria (Social Security Act of 1965, Title XIX, P.L. 89-87, as amended; 42 U.S.C. § 1396 et seq.). 

“Medical Reimbursement Programs” shall mean the Medicare, Medicaid and Tricare programs and any other health care
program operated by or financed in whole or in part by any federal, state or local government. 
 “Medicare”
shall mean that government-sponsored entitlement program under Title XVIII of the Social Security Act that provides for a health insurance system for eligible elderly and disabled individuals (Social Security Act of 1965, Title XVIII, P.L. 89-87, as
amended; 42 U.S.C. § 1395 et seq.). 
 “Minimum Extension Condition” shall have the meaning given
to such term in Section 2.25(b). 
 “Minority Investment” shall have the meaning given to such term
in Section 7.6(f). 
 “Moody’s” shall mean Moody’s Investors Service, Inc. 

“Mortgaged Properties” shall mean each Real Property, if any, which shall be subject to a Mortgage delivered after the
Closing Date pursuant to Section 6.12(c). 
 “Mortgages” shall mean each of the mortgages and deeds
of trust made by any Loan Party in favor of, or for the benefit of, the Collateral Agent for the benefit of the Secured Parties, in a form reasonably satisfactory to the Collateral Agent. 

  
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 “Multiemployer Plan” shall mean a multiemployer plan as defined in
Section 4001(a)(3) of ERISA to which any Group Member or ERISA Affiliate is required to contribute or could otherwise have liability. 
 “Net Cash Proceeds” shall mean (a) in connection with any Asset Sale or any Recovery Event, the proceeds thereof in the form of cash and Cash Equivalents (including any such proceeds
received by way of deferred payment of principal pursuant to a note or installment receivable or purchase price adjustment receivable or otherwise, but only as and when received) of such Asset Sale or Recovery Event, net of attorneys’ fees,
accountants’ fees, investment banking fees, amounts required to be applied to the repayment of Debt secured by a Lien expressly permitted hereunder on any asset that is the subject of such Asset Sale or Recovery Event (other than any Lien
pursuant to a Security Document) and other customary fees and expenses actually incurred (or estimated by the Borrower in good faith) in connection therewith, and net of (i) taxes paid or reasonably estimated to be payable as a result thereof
(after taking into account any available tax credits or deductions and any tax sharing arrangements), (ii) amounts reserved in accordance with GAAP against liabilities relating to breaches of representations and warranties and indemnification
obligations, liabilities related to environmental matters or other liabilities associated with the property and liabilities relating to assets subject to such sale, lease, transfer or other disposition that are not assumed by the purchaser in such
Asset Sale and (iii) in the case of any Asset Sale by a Subsidiary, the amount of any payments or distributions required to be made in respect of such transaction to owners of Capital Stock in such Subsidiary other than the Borrower or any
other Subsidiary and (b) in connection with any issuance or sale of Capital Stock or any incurrence of Debt, the cash proceeds received from such issuance or incurrence, net of attorneys’ fees, investment banking fees, accountants’
fees, underwriting discounts and commissions and other customary fees and expenses actually incurred in connection therewith. 

“New Senior Notes” shall mean debt securities issued after the Amendment No. 1 Effective Date of the
Borrower to finance part of the 2012 Transactions (which may be guaranteed by one or more other Loan Parties, but may not be guaranteed or receive credit support from any Person other than another Loan Party);
provided that the net proceeds of such debt securities are deposited into the Escrow Account upon the issuance thereof. the 5.75% Senior
Notes due 2022 in an aggregate principal amount of up to $1,250,000,000.  
 “New Senior Notes Indenture”
shall mean the indenture dated as of the Amendment No. 2 Effective Date by and among the Borrower, the Guarantors named therein pursuant to which
each series of the New Senior Notes shall bewas issued. 

“New Senior Notes Documents” shall mean the New Senior
Notes, the New Senior Notes Indenture, the New Senior Notes Escrow DocumentsGuarantees and
anyall other documents entered into by the Borrower in connection withexecuted and
delivered with respect to the New Senior Notes; provided that such documents shall require that (a) if the 2012 Transactions shall not be consummated on or before the Termination Date, the
New Senior Notes shall be redeemed in full (the “New Senior Notes Redemption”) no later than the second Business Day after the Termination Date and (b) the Escrowed Funds shall be
released from the Escrow Account before the Termination Date or within two Business Days after the Termination Date (A) upon the consummation of the 2012 Transactions and applied to finance part of the 2012 Transactions or (B) to
effectuate the New Senior Notes Redemption or the New Senior Notes Indenture. 

  
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 “New Senior Notes Escrow
Documents” shall mean the agreement(s) governing the Escrow Account and any other documents entered into in order to provide the Escrow Agent (or its designee) a Lien on the Escrowed
FundsGuarantees” shall mean the guarantees of
the Guarantors of the New Senior Notes pursuant to the New Senior Notes Indenture. 
 “New Senior Notes
Redemption” shall have the meaning given to such term in the definition of the term New Senior Notes DocumentsNominee
Agreement” shall mean, with respect to any Physician Group, any agreement pursuant to which the Borrower or one of
its Subsidiaries has the right, or has the right to appoint another party (a “designated
physician”) with the right, to require the owners of Physician Group to transfer all of their interests in the
Physician Group to a Person, who may be required to have certain qualifications, designated by the Borrower or one of its Subsidiaries or a designating physician, as the case may be. 

“Non-Excluded Taxes” shall have the meaning given to such term in Section 2.19(a). 

“Non-Guarantor Domestic Subsidiary” shall mean a Domestic Subsidiary of the Borrower that is not a Guarantor.

 “Non-Guarantor Subsidiary” shall mean a Subsidiary of the Borrower that is not a Guarantor. 

“Non-U.S. Lender” shall have the meaning given to such term in Section 2.19(e). 

“Notes” shall mean, collectively, each promissory note in the form of Exhibit N-1, N-2, N-3 or
N-4, as applicable, evidencing Loans. 
 “NPL” shall mean the National Priorities List under CERCLA.

 “Obligations” shall mean (a) obligations of the Borrower and the other Loan Parties from time to time
arising under or in respect of the due and punctual payment of (i) the principal of and premium, if any, and interest (including interest accruing during the pendency of any bankruptcy, insolvency, receivership or other similar proceeding,
regardless of whether allowed or allowable in such proceeding) on the Loans, when and as due, whether at maturity, by acceleration, upon one or more dates set for prepayment or otherwise, (ii) each payment required to be made by the Borrower
and the other Loan Parties under this Agreement in respect of any Letter of Credit, when and as due, including payments in respect of Reimbursement Obligations, interest thereon and obligations to provide cash collateral and (iii) all other
monetary obligations, including fees, costs, expenses and indemnities, whether primary, secondary, direct, contingent, fixed or otherwise (including monetary obligations incurred during the pendency of any bankruptcy, insolvency, receivership or
other similar proceeding, regardless of whether allowed or allowable in such proceeding), of the Borrower and the other Loan Parties under this Agreement and the other Loan Documents, and (b) the due and punctual performance of all covenants,
agreements, obligations and liabilities of the Borrower and the other Loan Parties under or pursuant to this Agreement and the other Loan Documents. 
 “OFAC” shall have the meaning given to such term in Section 4.23. 
 “OID” shall have the meaning given to such term in Section 2.24(c)(v). 

  
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 “Other Revolving
Commitments” shall mean one or more classes of revolving credit commitments hereunder that result from a Refinancing
Amendment. 

“Other
Revolving Loans” shall mean one or more classes of Revolving Loans that result from a Refinancing Amendment.

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

“Other Term Loan
Commitments” shall mean one or more classes of term loan commitments hereunder that result from a Refinancing
Amendment. 

“Other
Term Loans” shall mean one or more classes of Term Loans that result from a Refinancing Amendment. 

“Parent” shall mean with respect to any Lender, any
Person as to which such Lender is, directly or indirectly, a Subsidiary. 
 “Parent Entity”
meansshall mean, for purposes of the proviso to the definition of “Change of Control”, a newly created entity having, at the time of consummation of a
reorganization transaction permitted by such proviso, no assets with a fair market value in excess of $1.0 million (other than Capital Stock of the Borrower and its Subsidiaries) and no liabilities with a fair market value in excess of $1.0 million,
in each case that would be reflected on an unconsolidated balance sheet of such entity at such time. 

“Participant” shall have the meaning given to such term in Section 11.6(c)(i). 

“Participant Register” shall have the meaning given to such term in Section 11.6(c)(iii). 

“Participating Member State” shall mean each state so described in any EMU Legislation. 

“Patriot Act” shall have the meaning given to such term in Section
11.17.4.23. 
 “PBGC” shall mean the Pension Benefit Guaranty Corporation established pursuant to Subtitle A of Title IV of ERISA (or any successor). 

“Perfection Certificate” shall mean a certificate in the form of Exhibit K-1 or any other form approved by the
Collateral Agent, as the same shall be supplemented from time to time by a Perfection Certificate Supplement or otherwise. 

“Perfection Certificate Supplement” shall mean a certificate supplement in the form of Exhibit K-2 or any other
form approved by the Collateral Agent. 
 “Permitted First
Priority Refinancing Debt” shall mean any secured Debt (including any Registered Equivalent Notes) incurred by the Borrower in the form of one or more series of senior secured notes; provided that (i) such Debt otherwise constitutes Credit
Agreement Refinancing Debt, (ii) 

  
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such Debt is secured by the Collateral on a pari
passu basis (but without regard to the control of remedies) with the Obligations and is not secured by any property or assets of the Borrower or any Subsidiary other than the
Collateral, and (iii) a Senior Representative acting on behalf of the holders of such Debt shall have become party to or otherwise subject to the provisions of a First Lien Intercreditor Agreement; provided that if such Debt is the initial
Permitted First Priority Refinancing Debt incurred by the Borrower, then the Borrower, the Subsidiary Guarantors, the Administrative Agent and the Senior Representative for such Debt shall have executed and delivered a First Lien Intercreditor
Agreement. Permitted First Priority Refinancing Debt will include any Registered Equivalent Notes issued in exchange therefor. 
 “Permitted Liens” shall mean the following types of Liens (excluding any such Lien imposed pursuant to Section 430(k)
of the Code or by ERISA or any such Lien relating to or imposed in connection with any Environmental Action): (a) Liens for taxes, assessments and governmental charges or levies to the extent not otherwise required to be paid under
Section 6.3; (b) Liens imposed by law, such as materialmen’s, mechanics’, carriers’, landlords’, workmen’s and repairmen’s Liens and other similar Liens arising in the ordinary course of business
securing obligations (other than Debt for borrowed money) (i) that are not overdue for a period of more than 60 days or (ii) the amount, applicability or validity of which are being contested in good faith and with respect to which the
Borrower or any of its Subsidiaries, as the case may be, has established reserves in accordance with GAAP; (c) pledges or deposits to secure obligations incurred in the ordinary course of business under workers’ compensation laws,
unemployment insurance or similar social security legislation (other than in respect of employee benefit plans subject to ERISA) or to secure public or statutory obligations; (d) Liens, pledges and deposits securing the performance of, or
payment in respect of, bids, tenders, leases, contracts (other than for the repayment of borrowed money), surety and appeal bonds, letters of credit, and other obligations of a similar nature incurred in the ordinary course of business; (e) any
interest or title of a lessor or sublessor and any restriction or encumbrance to which the interest or title of such lessor or sublessor may be subject that is incurred in the ordinary course of business and, either individually or when aggregated
with all other Permitted Liens in effect on any date of determination, could not be reasonably expected to have a Material Adverse Effect; (f) Liens in favor of customs and revenue authorities arising as a matter of law or pursuant to a bond to
secure payment of customs duties in connection with the importation of goods; (g) Liens arising out of judgments or awards that do not constitute an Event of Default under Section 8.1(i) and in respect of which the Borrower or any
of its Subsidiaries subject thereto shall be prosecuting an appeal or proceedings for review in good faith and, pending such appeal or proceedings, shall have secured within 30 days after the entry thereof a subsisting stay of execution and shall be
maintaining reserves, in accordance with GAAP, with respect to any such judgment or award; (h) unperfected Liens of suppliers and vendors to secure the purchase price of the property or assets sold; (i) protective UCC filings by lessors
under operating leases; (j) any easements, rights of way, restrictions, defects, encroachments and other encumbrances on title to Real Property which either individually or when aggregated with all other Permitted Liens, would not be reasonably
expected to have a Material Adverse Effect; and (k) bankers’ Liens, rights of setoff and other similar Liens with respect to cash and Cash Equivalents. 
 “Permitted Physician Group
Loans” shall mean loans or advances to any Physician Group which funds may be used contemporaneously to finance the
acquisition of the equity interests or assets of one or more additional Physician Groups and any Subsidiaries thereof (excluding Subsidiaries organized or acquired in contemplation of such transaction); provided that (1) immediately before and
immediately after giving pro forma effect to any such loan or advance, no Default shall have occurred and be continuing, (2) immediately after giving effect to such loan or advance and any incurrence of 


  
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Debt by the Borrower or any Subsidiary made to fund such loan or advance, the Borrower and its Subsidiaries shall be in compliance on a
Pro Forma Basis with Section 7.12 and Section 7.16,(3) any such loan or advance shall be evidenced by a Physician Group Note that, if such loan or advance is greater than $5,000,000, will be delivered to the Collateral Agent for the
benefit of the Secured Parties, (4) any additional Physician Group acquired as an entity pursuant to the foregoing shall enter into a Management Services Agreement with a Group Member (or a Physician Group with a Management Services Agreement
with a Group Member) and Nominee Agreements, (5) any acquisition of an additional Physician Group shall be consummated in compliance with all applicable laws in all material respects and (6) the Borrower shall deliver a certificate of a
Responsible Officer, in form and substance reasonably satisfactory to the Administrative Agent, certifying in the corporate capacity of such Responsible Officer that all of the requirements set forth in clauses (1) through (4) and, to its
knowledge based on advice of counsel, (5) have been satisfied or will be satisfied on or prior to the consummation of such purchase or other acquisition. 
 “Permitted Ratio
Debt” shall mean Debt of the Borrower or any Loan Party, provided that immediately after giving pro forma effect
thereto and to the use of the proceeds thereof, (i) no Event of Default shall be continuing or result therefrom, (ii) the Borrower and the Subsidiaries will be in compliance on a Pro Forma Basis with the covenants set forth in
Section 7.16, (iii) the Senior Secured Leverage Ratio is no greater than 3.50:1.00, (iv) such Debt does not mature prior to the date that is ninety-one (91) days after the Latest Maturity Date at the time such Debt is incurred or
the maturity date of such Debt can be extended subject to any customary conditions to a date that is ninety-one (91) days after the Latest Maturity Date at the time such Debt is incurred, (v) such Debt shall be in the form of debt
securities or junior lien credit facility, (vi) if such Debt is secured, such Debt is secured by the Collateral on a pari
passu or junior basis (but without regard to the control of remedies) with the Obligations and is not secured by any property or assets of the Borrower or any Subsidiary other than
the Collateral, (vii) such Debt shall have terms and conditions (other than pricing, rate floors, discounts, fees, premiums and optional prepayment or redemption provisions) that in the good faith determination of the Borrower are not
materially less favorable (when taken as a whole) to the Borrower than the terms and conditions of the Loan Documents (when taken as a whole) and (viii) such Debt is subject to an Intercreditor Agreement. 

“Permitted Receivables Documents” shall mean all
documents and agreements evidencing, relating to or otherwise governing a Permitted Receivables Financing. 
 “Permitted
Receivables Financing” shall mean one or more transactions pursuant to which (i) Receivables Assets or interests therein are sold to or financed by one or more Special Purpose Receivables Subsidiaries, and (ii) such Special
Purpose Receivables Subsidiaries finance their acquisition of such Receivables Assets or interests therein, or the financing thereof, by selling or borrowing against such Receivables Assets; provided that (A) recourse to Borrower or any
Subsidiary (other than the Special Purpose Receivables Subsidiaries) and any obligations or agreements of Borrower or any Subsidiary (other than the Special Purpose Receivables Subsidiaries) in connection with such transactions shall be limited to
the extent customary for similar transactions in the applicable jurisdictions (including, to the extent applicable, in a manner consistent with the delivery of a “true sale”/”absolute transfer” opinion with respect to any
transfer by Borrower or any Subsidiary (other than a Special Purpose Receivables Subsidiary), and (B) the sum of (x) the aggregate Receivables Transaction Amount outstanding at any time pursuant to clause (a) of the definition of
Receivables Transaction Amount and (y) the aggregate Receivables Transaction Amount since the Closing Date pursuant to clause (b) of the definition of “Receivables Transaction Amount” shall not exceed $500,000,000. 

  
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 “Permitted Refinancing” shall mean, with respect to any Debt, any
modification, refinancing, refunding, renewal or extension of such Debt; provided that (a) the principal amount (or accreted value, if applicable) thereof does not exceed the principal amount (or accreted value, if applicable) of the
Debt so modified, refinanced, refunded, renewed or extended except by an amount equal to unpaid accrued interest and premium thereon plus other amounts paid, and fees and expenses incurred, in connection with such modification, refinancing,
refunding, renewal or extension and by an amount equal to any existing commitments unutilized thereunder; (b) the Debt resulting from such modification, refinancing, refunding, renewal or extension has a Weighted Average Life to Maturity equal
to or greater than the Weighted Average Life to Maturity of the Debt being modified, refinanced, refunded, renewed or extended; (c) immediately after giving effect thereto, no Default shall have occurred and be continuing; (d) if the Debt
being modified, refinanced, refunded, renewed or extended is subordinated in right of payment to the Obligations, the Debt resulting from such modification, refinancing, refunding, renewal or extension is subordinated in right of payment to the
Obligations on terms at least as favorable to the Lenders as those contained in the documentation governing the Debt being modified, refinanced, refunded, renewed or extended; and (e) no Person that is not an obligor under the Debt being
modified, refinanced, refunded, renewed or extended shall be an obligor under such modification, refinancing, refunding, renewal or extension. 
 “Permitted Second Priority Refinancing
Debt” shall mean secured Debt (including any Registered Equivalent Notes) incurred by the Borrower in the form of
one or more series of second lien (or other junior lien) secured notes or second lien (or other junior lien) secured loans; provided that (i) such Debt otherwise constitutes Credit Agreement Refinancing Debt, (ii) such Debt is secured by
the Collateral on a second priority (or other junior priority) basis to the liens securing the Obligations and the obligations in respect of any Permitted First Priority Refinancing Debt and is not secured by any property or assets of the Borrower
or any Subsidiary other than the Collateral and (iii) a Senior Representative acting on behalf of the holders of such Debt shall have become party to or otherwise subject to the provisions of a Junior Lien Intercreditor Agreement; provided that
if such Debt is the initial Permitted Second Priority Refinancing Debt incurred by the Borrower, then the Borrower, the Subsidiary Guarantors, the Administrative Agent and the Senior Representative for such Debt shall have executed and delivered a
Junior Lien Intercreditor Agreement. Permitted Second Priority Refinancing Debt will include any Registered Equivalent Notes issued in exchange therefor. 
 “Permitted Unsecured Refinancing
Debt” shall mean unsecured Debt (including any Registered Equivalent Notes) which constitutes Credit Agreement
Refinancing Debt, incurred by the Borrower in the form of one or more series of senior unsecured notes or loans. 

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

“Physician
Groups” shall mean HealthCare Partners Affiliates Medical Group, Seismic Medical Group, PC, HealthCare Partners
Medical Group (Bacchus), Ltd., JSA Professional Association, Healthcare Partners Medical Group, Inc., Physician Associates of the Greater San Gabriel Valley, a Medical Group Inc., Northridge Medical Group, Inc., Talbert Medical Group, Inc. and any
other professional corporation, limited liability company, partnership or other entity that, directly or indirectly, provides or arranges medical services and (i) provides or arranges such services in a state that only permits the equity
interests of such entity to be held by one or more licensed physicians or licensed professionals or professional entities and (ii) has entered into and remains party to a
Management Services Agreement and a Nominee Agreement.  

  
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“Physician
 Group Note” shall mean a note issued by a Physician Group to the Borrower or a Guarantor that (i) is issued in
connection with a Permitted Physician Group Loan, (ii) contains covenants restricting the Physician Group from incurring financial indebtedness (other than financial indebtedness existing upon acquisition of such Physician Group and not
incurred in contemplation of such acquisition(s) and other customary exceptions) and paying dividends or distributions, and (iii) to the extent (x) not prohibited by a Requirement of Law and (y) that such capital stock or membership
interest is actually owned by the Physician Group issuing the note, is secured by a pledge of the capital stock or membership interests of each Physician Group acquired by the Physician Group issuing the note.  

“Physician
 Practices” shall mean any professional corporation, limited liability company or other entity that provides medical
services, other than a Physician Group.  

“Plan
” shall mean at a particular time, any employee benefit plan that is covered by Title IV of ERISA or Section 412 of the Code and in respect of which the Borrower or ERISA Affiliate is (or, if such plan were terminated at such time,
would under Section 4069 of ERISA be deemed to be) an “employer” as defined in Section 3(5) of ERISA, other than any Multiemployer Plan. 
 “Platform” shall have the meaning given to such term in Section 11.2(d). 
 “Post-Increase Revolving Lenders” shall have the meaning given to such term in Section 2.24(d). 
 “Pre-Increase Revolving Lenders” shall have the meaning given to such term in Section 2.24(d). 
 “Premises” shall have the meaning assigned thereto in the applicable Mortgage. 
 “Prepayment Option Notice” shall have the meaning given to such term in Section 2.11(e). 
 “Pricing Grid” shall mean the table set forth below. 
 For all
Loans (other than Tranche A-3 Term Loans, Tranche B Term Loans and Tranche AB-2 Term Loans) and the
Commitment Fee Rate: 
  

													
	 Leverage Ratio
	  	Applicable Margin for
Eurodollar Loans	 	 	Applicable Margin
for ABR Loans	 	 	Commitment
Fee Rate	 
	 >3.0 to 1.0
	  	 	2.75	% 	 	 	1.75	% 	 	 	0.500	% 
	 <3.0 to 1.0 but >2.5 to 1.0
	  	 	2.50	% 	 	 	1.50	% 	 	 	0.500	% 
	 <2.5 to 1.0
	  	 	2.25	% 	 	 	1.25	% 	 	 	0.375	% 

 For the purposes of the Pricing Grid, changes in the Applicable Margin resulting from changes in the
Leverage Ratio shall become effective on the date (the “Adjustment Date”) that is (x) in the case of calculation of the Leverage Ratio as of the last day of the first three Fiscal Quarters of any Fiscal Year, one Business Day
after the date on which financial statements are delivered to the Lenders 

  
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pursuant to Section 6.1(c) and (y) in the case of calculation of the Leverage Ratio as of the last day of any Fiscal Year, one Business Day after the date on which the annual
financial statements are delivered to Lenders setting forth such financial information and accompanied by such certifications as are required with respect to annual financial information pursuant to Section 6.1(b). Such Applicable Margin
shall remain in effect until the next change to be effected pursuant to this paragraph. If any financial statements referred to above are not delivered within the time periods specified in Section 6.1, then, until the date that is one
Business Day after the date on which such financial statements are delivered, the highest rate set forth in each column of the Pricing Grid shall apply. In addition, at all times while an Event of Default shall have occurred and be continuing, the
highest rate set forth in each column of the Pricing Grid shall apply. Each determination of the Leverage Ratio pursuant to the Pricing Grid shall be made in a manner consistent with the determination thereof pursuant to Section 7.16(a).

 “primary obligations” shall have the meaning given to such term in the definition of “Contingent
Obligation” set forth in this Section 1.1. 
 “primary obligor” shall have the meaning given
to such term in the definition of “Contingent Obligation” set forth in this Section 1.1. 
 “Prime
Rate” shall have the meaning given to such term in the definition of “ABR.” 
 “Pro Forma
Basis” shall mean on a basis in accordance with GAAP and Regulation S-X; provided that notwithstanding the provisions of Regulation S-X, (i) pro forma adjustments
may include operating expense reductions for such period resulting from the transaction which is being given pro forma effect which are identified and factually supported in a certificate in which a Responsible Officer of the Borrower certifies that
such reductions are reasonably expected to be sustainable and have been realized or the steps necessary for such realization have been taken or are reasonably expected to be taken within twelve months following any such
transaction. and (ii) pro forma adjustments may include Pro Forma Physician Group Adjustments.  

“Pro
Forma Physician Group Adjustments” shall mean pro forma adjustments arising out of (i) the entering into of
Management Services Agreements in connection with Investments made pursuant to Section 7.6(m) and (ii) the termination of Management Services Agreements in connection with the sale of a Physician Group. In the case of clauses (i) and
(ii) of the preceding sentence, pro forma effect shall be given to the revenue that would have been expected to be received or that will no longer be received, as the case may be, and the expenses that would have been expected to be incurred or
that will no longer be incurred, as the case may be, by the Borrower or a Subsidiary in connection with such Management Services Agreement. Pro Forma Physician Group Adjustments shall be identified and factually supported in a certificate in which a
Responsible Officer of the Borrower certifies that such adjustments are made in good faith and based on assumptions believed to be reasonable.  
 “Qualified Issuer” shall mean any commercial bank that has a combined capital and surplus in excess of $500,000,000. 

“Real Property” shall mean collectively, all right, title and interest (including any leasehold, mineral or other
estate) in and to any and all parcels of or interests in real property owned, leased or operated by any Person, whether by lease, license or other means, together with, in each case, all easements, hereditaments and appurtenances relating thereto,
all improvements and appurtenant fixtures and equipment, all general intangibles and contract rights and other property and rights incidental to the ownership, lease or operation thereof. 

  
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 “Receivables Assets” shall mean a right to receive payment arising from a
sale or lease of goods or the performance of services by the Borrower or any of its Subsidiaries pursuant to an arrangement with another Person pursuant to which such other Person is obligated to pay for goods or services under terms that permit the
purchase of such goods and services on credit and all proceeds thereof and rights (contractual or otherwise) and collateral related thereto and shall include, in any event, any items of property that would be classified as an account receivable of
the Borrower or any of its Subsidiaries or an “account,” “chattel paper,” “payment intangible” or “instrument” under the Uniform Commercial Code as in effect in the State of New York and any “supporting
obligations” or “proceeds” as so defined of any such items. 
 “Receivables Transaction Amount”
shall mean (a) in the case of any Receivables Assets securitization (but excluding any sale or factoring of Receivables Assets), the amount of obligations outstanding under the legal documents entered into as part of such Receivables Assets
securitization on any date of determination that would be characterized as principal if such Receivables Assets securitization were structured as a secured lending transaction rather than as a purchase and (b) in the case of any sale or
factoring of Receivables Assets, the cash purchase price paid by the buyer in connection with its purchase of Receivables Assets (including any bills of exchange) less the amount of collections received in respect of such Receivables Assets and paid
to such buyer, excluding any amounts applied to purchase fees or discount or in the nature of interest, in each case as determined in good faith and in a consistent and commercially reasonable manner by the Borrower. 

“Recovery Event” shall mean any settlement of or payment in respect of any property or casualty insurance claim or any
condemnation proceeding relating to any asset of any Group Member. 
 “Redeemable Preferred Interest” shall
mean with respect to any Person, (a) any Capital Stock of such Person that, by its terms or by the terms of any security into which it is convertible, exercisable or exchangeable, is, or upon the happening of an event or the passage of time or
both would be, required to be redeemed or repurchased (including at the option of the holder thereof) by such Person or any of its Subsidiaries, in whole or in part, earlier than six months after the
latestLatest Maturity Date then in effect with respect to Tranche B Term Loans; provided, however, that
(i) any Capital Stock that would constitute a Redeemable Preferred Interest solely because the holders thereof have the right to require the issuer to repurchase such a Redeemable
Preferred Interest upon the occurrence of a change of control shall not be so treated if the terms thereof (a) do not trigger any rights upon any circumstance constituting a change of control under such Redeemable Preferred Interest that would
not constitute a Change of Control under this Agreement and (b) do not permit either any repurchase by such Person or any rights of the holder of such Capital Stock to assert any claim in respect of such failure to purchase as long as any Event
of Default exists hereunder and (ii) any Capital Stock in any Subsidiary or Minority Investment that the Borrower or any Subsidiary may be required to repurchase from any joint venture
partner or other investor in such Subsidiary or Minority Investment shall not constitute Redeemable Preferred Interest. 

“Refinanced
 Debt” shall have the meaning set forth in the definition of Credit Agreement Refinancing Debt. 

“Refinancing” shall mean (i) the repayment in full and the termination of any commitment to make extensions of
credit under the Existing Credit Agreement and (ii)(A)(x) the consummation of the Tender Offer and (y) with respect to any Existing Notes not tendered by holders thereof pursuant to the Tender Offer, the Borrower having irrevocably called such
Existing Notes for 

  
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redemption and having deposited the full payment price therefor pursuant to the terms of the indentures governing the Existing Notes and (B) in the absence of the consummation of the Tender
Offer, the Borrower having irrevocably called all Existing Notes for redemption and having deposited the full payment price therefor pursuant to the terms of the indentures governing the Existing Notes. 

“Refinancing
Amendment” shall mean an amendment to this Agreement executed by each of (a) the Borrower, (b) the
Administrative Agent, (c) each Additional Refinancing Lender and (d) each Lender that agrees to provide any portion of Refinancing Term Loans, Other Revolving Commitments or Other Revolving Loans incurred pursuant thereto, in accordance
with Section 2.27. 

“Refinancing
 Series” shall mean all Refinancing Term Loans or Refinancing Term Commitments that are established pursuant to the
same Refinancing Amendment (or any subsequent Refinancing Amendment to the extent such Refinancing Amendment expressly provides that the Refinancing Term Loans or Refinancing Term Commitments provided for therein are intended to be a part of any
previously established Refinancing Series) and that provide for the same effective yield and amortization schedule. 

“Refinancing
 Term Commitments” shall mean one or more term loan commitments hereunder that fund Refinancing Term Loans of the
applicable Refinancing Series hereunder pursuant to a Refinancing Amendment. 

“Refinancing
 Term Loans” shall mean one or more term loans hereunder that result from a Refinancing Amendment. 

“Refunded Swingline Loans” shall have the meaning given
to such term in Section 2.7(b). 
 “Register” shall have the meaning given to such term in
Section 11.6(b)(iv). 
 “Registered Equivalent
Notes” shall mean, with respect to any notes originally issued in an offering pursuant to Rule 144A under the
Securities Act or other private placement transaction under the Securities Act of 1933, substantially identical notes (having the same guarantees) issued in a dollar-for-dollar
exchange therefor pursuant to an exchange offer registered with the SEC. 

“Regulated
 Subsidiary” shall mean each future direct and indirect Subsidiary of the Borrower regulated by a state health,
insurance or human services agency in the United States. 

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

“Reinvestment Deferred Amount” shall mean with respect to any Reinvestment Event, the aggregate Net Cash Proceeds
received by any Group Member in connection therewith that are not applied to prepay the Term Loans the Revolving Loans pursuant to Section 2.11(b) as a result of the delivery of a Reinvestment Notice. 

“Reinvestment Event” shall mean any Asset Sale or Recovery Event in respect of which the Borrower has delivered a
Reinvestment Notice. 
 “Reinvestment Notice” shall mean a written notice executed by a Responsible Officer
stating that no Event of Default has occurred and is continuing and that the Borrower (directly or indirectly through a Subsidiary) intends and expects to use all or a specified portion of the Net Cash Proceeds of an Asset Sale or Recovery Event to
acquire or repair assets useful in its business. 

  
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 “Reinvestment Prepayment Amount” shall mean with respect to any
Reinvestment Event, the Reinvestment Deferred Amount relating thereto less any amount expended prior to the relevant Reinvestment Prepayment Date to acquire or repair assets useful in the Borrower’s business. 

“Reinvestment Prepayment Date” shall mean with respect to any Reinvestment Event, the earliest of (a) the date
occurring on the second anniversary of such Reinvestment Event, (b) if the Borrower shall not have entered into a binding commitment to reinvest the Net Cash Proceeds received in connection with such Reinvestment Event, the date occurring 540
days after such Reinvestment Event and (c) the date on which the Borrower shall have determined not to acquire or repair assets useful in the Borrower’s business with all or any portion of the relevant Reinvestment Deferred Amount.

 “Related Parties” shall mean with respect to any specified Person, such Person’s Affiliates and the
respective directors, officers, employees, agents and advisors of such Person and such Person’s Affiliates. 

“Release” shall mean any release, spill, emission, discharge, deposit, disposal, leaking, pumping, pouring, dumping,
emptying, injecting or leaching into the Environment, or into, from or through any structure or facility. 

“Repricing
Transaction” shall mean the prepayment, refinancing, substitution or replacement of all or a portion of the Tranche
B-2 Term Loans with the incurrence by any Group Member of any debt financing having an effective interest cost or weighted average yield (with the comparative determinations to be made by the Administrative Agent consistent with generally accepted
financial practices, after giving effect to, among other factors, margin, interest rate floors, upfront or similar fees or original issue discount shared with all providers of such financing, but excluding the effect of any arrangement, structuring,
syndication or other fees payable in connection therewith that are not shared with all providers of such financing, and without taking into account any fluctuations in the Eurodollar Base Rate (other than due to the last sentence of the definition
thereof)) that is less than the effective interest cost or weighted average yield (as determined by the Administrative Agent on the same basis) of such Tranche B-2 Term Loans so repaid, refinanced, substituted or replaced, including without
limitation, as may be effected through any amendment to this Agreement relating to the interest rate for, or weighted average yield of, such Tranche B-2 Term Loans. 
 “Required Financial Information” shall mean at any date of determination, the Consolidated financial statements of the
Borrower and its Subsidiaries most recently delivered to the Administrative Agent and the Lenders on or prior to such date pursuant to, and satisfying all of the requirements of, Section 6.1(b) or 6.1(c) and accompanied by the
certificates and other information required to be delivered therewith. 
 “Required Lenders” shall mean at any
time, the holders of more than 50% of the sum of (i) the aggregate unpaid principal amount of the Term Loans then outstanding and (ii) the Total Revolving Commitments then in effect or, if the Revolving Commitments have been terminated,
the Total Revolving Extensions of Credit then outstanding. 
 “Requirement of Law” shall mean as to any Person,
the Constitutive Documents of such Person, and any law, treaty, rule or regulation or determination of an arbitrator or a court or other Governmental Authority, in each case applicable to or binding upon such Person or any of its
property or to which such Person or any of its property is subject. 

  
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 “Responsible Officer” shall mean, with respect to the Borrower or any of
its Subsidiaries, the chief executive officer, the president, the chief financial officer, the principal accounting officer or the treasurer (or the equivalent of any of the foregoing) or any other officer, partner or member (or Person performing
similar functions) of the Borrower or any such Subsidiary responsible for overseeing the administration of, or reviewing compliance with, all or any portion of this Agreement or any of the other Loan Documents. 

“Revaluation Date” shall mean with respect to Alternative Currency Revolving Loans, each of the following: (i) each
Borrowing Date of a Eurodollar Loan denominated in an Alternative Currency, (ii) each date of a continuation of a Eurodollar Loan denominated in an Alternative Currency pursuant to Section 2.12(b), (iii) the date of any partial
reduction of the Alternative Currency Revolving Commitments pursuant to Section 2.11(f)(ii) and (iv) after a Default has occurred and is continuing, such additional dates as the Administrative Agent shall determine or the Required
Lenders shall require. 
 “Revolving Commitment” shall mean, as to any Revolving Lender, collectively, the
Dollar Revolving Commitment and the Alternative Currency Revolving Commitment of such Revolving Lender. 
 “Revolving
Commitment Period” shall mean the period from and including the Closing Date to but excluding the Business Day preceding the latest Maturity Date applicable to the Revolving Facility. 

“Revolving Extensions of Credit” shall mean, collectively, the Dollar Revolving Extensions of Credit and the Alternative
Currency Revolving Extensions of Credit. 
 “Revolving Facility” shall mean, collectively, the Dollar Revolving
Facility and the Alternative Currency Revolving Facility. 
 “Revolving Lenders” shall mean, collectively, the
Dollar Revolving Lenders and Alternative Currency Revolving Lenders. 
 “Revolving Loans” shall mean,
collectively, the Dollar Revolving Loans and Alternative Currency Revolving Loans. 
 “Revolving Percentage”
shall mean, as to any Revolving Lender, collectively, the Dollar Revolving Percentage and the Alternative Currency Revolving Percentage of such Revolving Lender. 
 “Revolving Termination Date” shall mean October 20, 2015. 

“S&P” shall mean Standard & Poor’s Ratings Group, a division of The McGraw-Hill Companies, Inc.

 “Sale and Leaseback Transaction” with respect to any Person shall mean an arrangement to sell or transfer
any property, real or personal, used or useful in such Person’s business, whether now owned or hereafter acquired, and thereafter rent or lease such property or other property which it intends to use for substantially the same purpose or
purposes as the property being sold or transferred. 

  
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 “SEC” shall mean the Securities and Exchange Commission, any successor
thereto and any analogous Governmental Authority. 
 “Secured Cash Management Agreement” shall mean any Cash
Management Agreement that is entered into by and between the Borrower or any Loan Party Subsidiary and
any Cash Management Bank; provided that the aggregate amount of Debt under all Secured Cash Management Agreements shall not exceed $25,000,000 at any time outstanding. 
 “Secured Obligations” shall mean (a) the Obligations and (b) the due and punctual payment and performance of all obligations of the Borrower and the other Loan Parties under
each Specified Swap Agreement and each Secured Cash Management Agreement, in each case, whether direct or indirect (including those acquired by assumption), absolute or contingent, due or to become due, now existing or hereafter arising and
including interest and fees that accrue after the commencement by or against any Loan Party or any Affiliate thereof of any proceeding under any bankruptcy, insolvency, receivership or other similar proceeding naming such Person as the debtor in
such proceeding, regardless of whether such interest and fees are allowed claims in such proceeding. 
 “Secured
Parties” shall mean collectively, the Administrative Agent, the Collateral Agent, each other Agent, the Lenders, each Cash Management Bank and each party to a Specified Swap Agreement (other than any Group Member) if, in the case of any
Person not already a party to this Agreement, such Person executes and delivers to the Administrative Agent a letter agreement in form and substance acceptable to the Administrative Agent pursuant to which such Person (i) appoints the
Collateral Agent as its agent under the applicable Loan Documents and (ii) agrees to be bound by the provisions of Sections 11.5, 11.11 and 11.12 as if it were a Lender and as if the fair market value of its Secured
Obligations constituted Loans hereunder. 
 “Securities Act” shall mean the
United States Securities Act of 1933, as amended, and the rules and regulations of the SEC promulgated thereunder. 
 “Securities Collateral” shall have the meaning assigned to such term in the Security Agreement. 
 “Security Agreement” shall mean the Security Agreement to be executed and delivered by the Borrower and each Guarantor, substantially in the form of Exhibit A. 

“Security Agreement Collateral” shall mean all property pledged or granted as collateral pursuant to the Security
Agreement (a) on the Closing Date or (b) thereafter pursuant to Section 6.12. 
 “Security
Documents” shall mean, collectively, the Security Agreement, the Mortgages (if any) and all other security documents hereafter delivered to the Collateral Agent granting a Lien on any property of any Person to secure the obligations and
liabilities of any Loan Party under any Loan Document provided; that the Security Documents shall not include the Escrow Account or any New Senior Notes Escrow Document. 

“Senior Notes” shall have the meaning given to such term in the recitals hereto. 

“Senior Notes Documents” shall mean the Senior Notes, the Senior Notes Indenture, the Senior Notes Guarantees and all
other documents executed and delivered with respect to the Senior Notes or the Senior Notes Indenture. 

  
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 “Senior Notes Guarantees” shall mean the guarantees of the Guarantors of
each series of Senior Notes pursuant to the Senior Notes Indenture. 
 “Senior Notes Indenture” shall mean the
indenture dated as of the Closing Date by and among the Borrower, the Guarantors named therein and The Bank of New York Mellon Trust Company, N.A., as trustee, pursuant to which each series of the Senior Notes was issued. 

“Senior Secured Leverage
Ratio” shall mean at any date of determination, the ratio of (a) (i) all Funded Debt of the Borrower and
its Subsidiaries that is secured by a Lien on any asset or property of the Borrower or any Subsidiary plus (ii) to the extent not otherwise included in subclause (a)(i) of this definition, the face amount of all Letters of Credit issued for the
account of the Borrower or any of its Subsidiaries to (b) Consolidated EBITDA of the Borrower and its Subsidiaries for the most recently completed Measurement Period prior to such date. 

The Senior Secured Leverage Ratio shall be calculated on a Pro Forma Basis to
give effect to any Debt incurred, assumed or permanently repaid or extinguished after the relevant Measurement Period but prior to or contemporaneously with the Reference Date as if such incurrence, assumption, repayment or extinguishment had been
effected on the last day of such period.  

“Senior
Representative” means, with respect to any series of Permitted First Priority Refinancing Debt or Permitted Second
Priority Refinancing Debt, the trustee, administrative agent, collateral agent, security agent or similar agent under the indenture or agreement pursuant to which such Debt is issued, incurred or otherwise obtained, as the case may be, and each of
their successors in such capacities. 

“Solvent” shall mean when used with respect to any
Person, that, as of any date of determination, (a) the amount of the “present fair saleable value” of the assets of such Person will, as of such date, exceed the amount of all “liabilities of such Person, contingent or
otherwise,” as of such date, as such quoted terms are determined in accordance with applicable federal and state laws governing determinations of the insolvency of debtors, (b) the present fair saleable value of the assets of such Person
will, as of such date, be greater than the amount that will be required to pay the liability of such Person on its debts as such debts become absolute and matured, (c) such Person will not have, as of such date, an unreasonably small amount of
capital with which to conduct its business, and (d) such Person will be able to pay its debts as they mature. For purposes of this definition, (i) “debt” shall mean liability on a “claim,” and
(ii) “claim” shall mean any (x) right to payment, whether or not such a right is reduced to judgment, liquidated, unliquidated, fixed, contingent, matured, unmatured, disputed, undisputed, legal, equitable, secured or unsecured
or (y) right to an equitable remedy for breach of performance if such breach gives rise to a right to payment, whether or not such right to an equitable remedy is reduced to judgment, fixed, contingent, matured or unmatured, disputed,
undisputed, secured or unsecured. 
 “Special Purpose Licensed Entity” shall mean any Person in a related
business of the Borrower and its Subsidiaries that (i) the Borrower and its Subsidiaries are prohibited from engaging in directly under applicable law, including provisions of state law (a) prohibiting the ownership of healthcare
facilities by public companies, (b) prohibiting the corporate practice of medicine or (c) otherwise restricting the ability of the Borrower or one of its Subsidiaries to acquire directly a required license to operate a healthcare facility,
and (ii) has entered into a transaction or series of transactions with the Borrower or any of its Subsidiaries under which: 

  
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 (x) the Borrower or any of its Subsidiaries provides management,
administrative or consulting services to the Special Purpose Licensed Entity, 
 (y) the owners of the Special
Purpose Licensed Entity are prohibited from transferring any of their interests in the Special Purpose Licensed Entity without the consent of the Borrower or one of its Subsidiaries, and 

(z) the Borrower or one of its Subsidiaries has the right to require the owners of the Special Purpose Licensed Entity to
transfer all of their interests in the Special Purpose Licensed Entity to a Person designated by the Borrower or one of its Subsidiaries. 
 “Special Purpose Receivables Subsidiary” shall mean a direct or indirect Subsidiary of the Borrower established in connection with a Permitted Receivables Financing for the acquisition of
Receivables Assets or interests therein, and which is organized in a manner intended to reduce the likelihood that it would be substantively consolidated with the Borrower or any of the Subsidiaries (other than Special Purpose Receivables
Subsidiaries) in the event the Borrower or any such Subsidiary becomes subject to a proceeding under the U.S. Bankruptcy Code (or other insolvency law). 
 “Specified Change of Control” shall mean a “Change of Control” (or any other defined term having a similar purpose) as defined in
the Senior Notes Indenture or in the New Senior Notes Indenture. 
 “Specified Debt” shall mean Debt issued or incurred by the Borrower; provided that (i) the terms (other than pricing, but including without limitation negative covenants) in
such Debt are not materially more burdensome to the Borrower taken as a whole than the terms of the Senior Notes Indenture, (ii) such Debt shall not be guaranteed by any Subsidiaries that are not Guarantors hereunder and (iii) such Debt
does not provide for any scheduled payment or mandatory prepayment of principal earlier than six months after the latestLatest Maturity Date in effect with
respect to the Tranche B Term Facility on the date such Debt is issued or incurred, other than (x) redemptions made at the option of the holders of such Debt upon a change in control of the Borrower in circumstances that would also
constitute a Change of Control under this Agreement (provided that any such redemption cannot be made fewer than 30 days after such change in control) and (y) mandatory prepayments required as a result of asset dispositions if such Debt
allows the Borrower to satisfy such mandatory prepayment requirement by prepayment of Loans under this Agreement or other senior obligations of the Borrower or reinvestment of the asset disposition proceeds within a specified period of time.

 “Specified Swap Agreement” shall mean any Swap Agreement entered into by the Borrower
or any Subsidiary and any Lender (at the time of the execution of such Swap Agreement) or affiliate thereof in respect of interest rates or currency exchange rates. 

“Specified
 Transaction” shall mean (a) the acquisition of any Subsidiary permitted under Section 7.6(e) or
(k) , (b) the consummation of any Asset Sale and (c) the incurrence, assumption, permanent repayment or extinguishment of any Debt. 
 “Spot Rate” for a currency shall mean the rate determined by the Administrative Agent to be the rate quoted by the Person acting in such capacity as the spot rate for the purchase by such
Person of such currency with another currency through its principal foreign exchange trading office at approximately 11:00 a.m. on the date two Business Days prior to the date as of which the foreign exchange computation is made; provided
that the Administrative Agent may obtain such spot rate from another financial institution designated by the Administrative Agent if the Person acting in such capacity does not have as of the date of determination a spot buying rate for any
such currency. 

  
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 “Sterling” and “£” shall mean the lawful currency of
the United Kingdom. 
 “Stock Repurchase” shall mean the repurchase by the Borrower of its common stock from
its existing shareholders for an aggregate purchase price not to exceed $1,200,000,000. 
 “Subsidiary” shall
mean with respect to any Person (the “parent”) at any date, any corporation, limited liability company, partnership, association or other business entity the accounts of which would be consolidated with those of the parent in the
parent’s Consolidated financial statements as well as any corporation, limited liability company, partnership, association or other business entity (i) of which securities or other ownership interests representing more than 50% of the
voting power of all Capital Stock entitled (without regard to the occurrence of any contingency) to vote in the election of the Board of Directors thereof are, as of such date, owned, Controlled or held by the parent and/or one or more subsidiaries
of the parent or (ii) that is, as of such date, otherwise Controlled by the parent and/or one or more subsidiaries of the parent; provided, however, that
(i) entities shall not be deemed Subsidiaries so long as the assets of each such entity do not exceed $25,000 (unless the Borrower shall elect to include such entity as a
Guarantor) and (ii) California Medical Group Insurance Company, Risk Retention Group, HealthCare Partners Institute for Applied Research and Education, the Physician Groups and their
respective subsidiaries shall not be deemed Subsidiaries of the Borrower for any purpose under the Loan Documents, except that such entities may be included in the
Borrower’s Consolidated financial statements. Unless the context requires otherwise, “Subsidiary”
refers to a Subsidiary of the Borrower. 
 “Survey” shall mean a survey of any Mortgaged Property (and all
improvements thereon) which is (a) (i) prepared by a surveyor or engineer licensed to perform surveys in the jurisdiction where such Mortgaged Property is located, (ii) dated (or redated) not earlier than six months prior to the date
of delivery thereof unless there shall have occurred within six months prior to such date of delivery any exterior construction on the site of such Mortgaged Property or any easement, right of way or other interest in the Mortgaged Property has been
granted or become effective through operation of law or otherwise with respect to such Mortgaged Property which, in either case, can be depicted on a survey, in which events, as applicable, such survey shall be dated (or redated) after the
completion of such construction or if such construction shall not have been completed as of such date of delivery, not earlier than 20 days prior to such date of delivery, or after the grant or effectiveness of any such easement, right of way or
other interest in the Mortgaged Property, (iii) certified by the surveyor (in a manner reasonably acceptable to the Administrative Agent) to the Administrative Agent, the Collateral Agent and the Title Company, (iv) complying in all
respects with the minimum detail requirements of the American Land Title Association as such requirements are in effect on the date of preparation of such survey and (v) sufficient for the Title Company to remove all standard survey exceptions
from the title insurance policy (or commitment) relating to such Mortgaged Property and issue the endorsements of a type reasonably requested by the Collateral Agent or (b) otherwise acceptable to the Collateral Agent. 

“Swap Agreement” shall mean any agreement with respect to any swap, forward, future or derivative transaction or option
or similar agreement involving, or settled by reference to, one or more rates, currencies, commodities, equity or debt instruments or securities, or economic, financial or pricing indices or measures of economic, financial or pricing risk or value
or any similar transaction or 

  
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any combination of these transactions; provided that no phantom stock or similar plan providing for payments only on account of services provided by current or former directors, officers,
employees or consultants of the Borrower or any of its Subsidiaries shall be a “Swap Agreement.” 
 “Swingline
Commitment” shall mean the obligation of the Swingline Lender to make Swingline Loans pursuant to Section 2.6 in an aggregate principal amount at any one time outstanding not to exceed $50,000,000. 

“Swingline Lender” shall mean JPMorgan Chase Bank, N.A., in its capacity as the lender of Swingline Loans;
provided that, if any Extension or Extensions of Alternative Currency Revolving Commitments is or are effected in accordance with Section 2.25, then on the occurrence of each Issuing Lender/Swingline Termination Date, the
Swingline Lender at such time shall have the right to resign as Swingline Lender on, or on any date within twenty (20) Business Days after, the respective Issuing Lender/Swingline Termination Date, in each case upon not less than ten
(10) days’ prior written notice thereof to the Borrower and the Administrative Agent and, in the event of any such resignation and upon the effectiveness thereof, the Borrower shall repay any outstanding Swingline Loans made by the
respective entity so resigning and such entity shall not be required to make any further Swingline Loans hereunder. If at any time and for any reason (including as a result of resignations as contemplated by the proviso to the preceding sentence),
the Swingline Lender has resigned in such capacity in accordance with the preceding sentence, then no Person shall be the Swingline Lender hereunder or obligated to make Swingline Loans unless and until (and only for so long as) a Lender (or
affiliate of a Lender) reasonably satisfactory to the Administrative Agent and the Borrower agrees to act as the Swingline Lender hereunder. 
 “Swingline Loans” shall have the meaning given to such term in Section 2.6. 
 “Swingline Participation Amount” shall have the meaning given to such term in Section 2.7(c). 
 “Syndication Agent” shall have the meaning given to such term in the preamble hereto. 
 “TARGET Day” shall mean any day on which the Trans-European Automated Real-time Gross Settlement Express Transfer (TARGET) payment system (or, if such payment system ceases to be
operative, such other payment system (if any) determined by the Administrative Agent to be a suitable replacement) is open for the settlement of payments in Euro. 
 “Taxes” shall mean (i) all present or future income, stamp or other taxes, levies, imposts, duties, deductions, withholdings, assessments, fees or other charges imposed by any
Governmental Authority, including any interest, additions to tax or penalties applicable thereto, and (ii) all transferee, successor, joint and several, contractual or other liability (including, without limitation, liability pursuant to Treas.
Reg. §1.1502-6 (or any similar state, local or foreign provision)) in respect of any items described in clause (i). 

“Tender Offer” shall have the meaning given to such term in the recitals hereto. 

“Term Lenders” shall mean, collectively, the Tranche A Term Lenders, the Tranche B Term
Lenders, the Tranche A-3 Term Lenders and the Tranche AB-2 Term Lenders. 

  
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 “Term Loans” shall mean, collectively, the Tranche A Term Loans,
the Tranche B Term Loans and, the Tranche
A-3 Term Loans and the Tranche B-2 Term Loans. 

“Termination Date” shall mean November 30, 2012; provided that the Borrower may
elect to extend the Termination Date for an additional 30 days on no more than 3 occasions so long as (i) two Business days prior to the scheduled Termination Date it provides written notice to the Escrow Agent and the Administrative Agent and
has issued a press release stating that it has extended the Termination Date, (ii) the Borrower has deposited cash or Eligible Escrow Investments into escrow with the Escrow Agent, to be held pursuant to the terms of the New Senior Notes Escrow
Documents, in an amount sufficient to fund the redemption price due on the latest permitted date for the revised New Senior Notes Redemption in respect of all outstanding New Senior Notes and has certified that such amount will be satisfactory for
such purpose and (iii) the Termination Date (as defined in the Acquisition Agreement) has been extended to match the extended Termination Date. 
 “Title Company” shall mean any title insurance company as shall be retained by the Borrower and reasonably acceptable to the Administrative Agent. 

“Total Alternative Currency Revolving Commitments” shall mean at any time, the aggregate amount of the Alternative
Currency Revolving Commitments then in effect. The original amount of the Total Alternative Currency Revolving Commitments is the Alternative Currency Equivalent of $150,000,000. 

“Total Alternative Currency Revolving Extensions of Credit” shall mean, at any time, the aggregate amount of the
Alternative Currency Revolving Extensions of Credit of the Alternative Currency Revolving Lenders outstanding at such time. 

“Total Dollar Revolving Commitments” shall mean at any time, the aggregate amount of the Dollar Revolving Commitments
then in effect. The original amount of the Total Dollar Revolving Commitments is $200,000,000. 
 “Total Dollar
Revolving Extensions of Credit” shall mean, at any time, the aggregate amount of the Dollar Revolving Extensions of Credit of the Dollar Revolving Lenders outstanding at such time. 

“Total Facility Amount” shall mean the sum of (i) the outstanding Revolving
Commitments, (ii) the aggregate principal amount of all outstanding Term Loans and (iii) the aggregate principal amount of all outstanding Incremental Term Loans, in each case, giving effect to any proposed increase in Revolving
Commitments or incurrence of Incremental Term Loans pursuant to Section 2.24. 
 “Total
Revolving Commitments” shall mean at any time, the aggregate amount of the Revolving Commitments then in effect. 

“Total Revolving Extensions of Credit” shall mean at any time, the aggregate amount of the Revolving Extensions of
Credit of the Revolving Lenders outstanding at such time. 
 “tranche” shall have the meaning given to such
term in Section 2.25(a). 
 “Tranche A Term Commitment” shall mean as to any Lender, the obligation
of such Lender, if any, to make a Tranche A Term Loan to the Borrower in a principal amount not to exceed the amount set forth under the heading “Tranche A Term Commitment” on such Lender’s Addendum. The original aggregate amount of
the Tranche A Term Commitments is $1,000,000,000. 

  
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 “Tranche A Term Facility” shall have the meaning given to such term in the
definition of “Facility.” 
 “Tranche A Term Lender” shall mean each Lender that has a Tranche A Term
Commitment or that holds a Tranche A Term Loan. 
 “Tranche A Term Loan” shall have the meaning given to such
term in Section 2.1. 
 “Tranche A Term Loan Maturity Date” shall mean October 20, 2015.

 “Tranche A Term Percentage” shall mean as to any Tranche A Term Lender at any time, the percentage which
such Lender’s Tranche A Term Commitment then constitutes of the aggregate Tranche A Term Commitments (or, at any time after the Closing Date, the percentage which the aggregate principal amount of such Lender’s Tranche A Term Loans then
outstanding constitutes of the aggregate principal amount of the Tranche A Term Loans then outstanding). 
 “Tranche
A-2 Term Commitment” shall mean as to any Lender, the obligation of such Lender, if any, to make a Tranche A-2 Term Loan to the Borrower in a principal amount not to exceed the amount
set forth under the heading “Tranche A-2 Term Commitment” on such Lender’s Addendum. The original aggregate amount of the Tranche
A-2 Term Commitments is $200,000,000.3 Joinder
Agreement” means the joinder agreement, dated as of the Execution Date, by and among the Borrower, the
Administrative Agent and the Tranche A-3 Term Lenders. 
 “Tranche
A-23 Term
Commitment” shall mean as to any Tranche A-3 Term Lender, the obligation of such Lender, if any, under the Tranche
A-3 Joinder Agreement to make a Tranche A-3 Term Loan to the Borrower in a principal amount not to exceed the amount set forth under the heading
“Tranche A-3 Term
Commitment” in the Tranche A-3 Joinder Agreement. The original aggregate amount of the Tranche A-3 Term Commitments
is $1,350,000,000. 
 “Tranche A-3 Term
Facility” shall have the meaning given to such term in the definition of “Facility.” 
 “Tranche
A-23 Term Lender” shall mean each Lender that has a Tranche A-23 Term
Commitment under the Tranche A-3 Joinder Agreement or that holds a Tranche A-23 Term Loan. 

“Tranche A-23 Term Loan” shall
have the meaning given to such term in Section 2.1. 
 “Tranche A-2 Term Loan Maturity
Date” shall mean October 20, 2016.3 Term Loan Maturity
Date” shall mean the fifth anniversary of the Amendment No. 2 Effective Date; provided that if any Tranche B
Term Loans (or any refinancing thereof with a maturity date prior to the date that is 91 days after the Tranche A-3 Term Loan Maturity Date) remain outstanding as of the date occurring 91 days prior to the Tranche B Term Loan Maturity Date, the
Tranche A-3 Term Loans will mature, and the balances of any then outstanding Tranche A-3 Term Loan will be payable, on the date occurring 91 days prior to the Tranche B Term Loan Maturity Date (or, with respect to any refinancing of the Tranche B
Term Loans with a maturity date prior to the date that is 91 days after the Tranche A-3 Term Loan Maturity Date, on the date occurring 91 days prior to the maturity date thereof). 

  
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 “Tranche A-23 Term Percentage” shall mean as
to any Tranche A-23 Term Lender at any time, the percentage which such Lender’s Tranche
A-23 Term Commitment then constitutes of the aggregate Tranche A-23 Term Commitments
(or, at any time after the ClosingAmendment No. 2 Effective Date, the percentage which the aggregate principal amount of such Lender’s Tranche
A-23 Term Loans then outstanding constitutes of the aggregate principal amount of the Tranche
A-23 Term Loans then outstanding). 

“Tranche B Prepayment Amount” shall have the meaning given to such term in
Section 2.11(e). 
 “Tranche B Term Commitment” shall mean as to any Lender, the
obligation of such Lender, if any, to make a Tranche B Term Loan to the Borrower in a principal amount not to exceed the amount set forth under the heading “Tranche B Term Commitment” in such Lender’s Addendum or in an Increase
Joinder. The original aggregate amount of the Tranche B Term Commitments is $1,750,000,000. 
 “Tranche B Term
Facility” shall have the meaning given to such term in the definition of “Facility.” 
 “Tranche B
Term Lender” shall mean each Lender that has a Tranche B Term Commitment or that holds a Tranche B Term Loan. 

“Tranche B Term Loan” shall have the meaning given to such term in Section 2.1. 

“Tranche B Term Loan Maturity Date” shall mean October 20, 2016. 

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

“Tranche B-2 Joinder
Agreement” means the joinder agreement, dated as of the Amendment No. 2 Effective Date, by and among the
Borrower, the Administrative Agent and the Initial Tranche B-2 Term Lender. 

“Tranche
B-2 Term Commitment” shall mean as to any Tranche B-2 Term Lender, the obligation of such Lender, if any, under the
Tranche B-2 Joinder Agreement to make a Tranche B-2 Term Loan to the Borrower in a principal amount not to exceed the amount set forth under the heading
“Tranche B-2 Term
Commitment” in the Tranche B-2 Joinder Agreement. The original aggregate amount of the Tranche B-2 Term Commitments
is $1,650,000,000. 

“Tranche
B-2 Term Facility” shall have the meaning given to such term in the definition of
“Facility.” 

“Tranche
B-2 Term Lender” shall mean each Lender that has a Tranche B-2 Term Commitment under the Tranche B-2 Joinder
Agreement or that holds a Tranche B-2 Term Loan. 

“Tranche B-2 Term Loan” shall have the meaning given to such term
in Section 2.1. 

  
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“Tranche
B-2 Term Loan Maturity Date” shall mean the seventh anniversary of the Amendment No. 2 Effective Date; provided
that if any 2018 Notes (or any refinancing thereof with a maturity date prior to the date that is 91 days after the Tranche B-2 Term Loan Maturity Date) remain outstanding as of the date occurring 91 days prior to the stated maturity date of the
2018 Notes, the Tranche B-2 Term Loans will mature, and the balances of any then outstanding Tranche B-2 Term Loans will be payable, on the date occurring 91 days prior to the stated maturity date of the 2018 Notes (or, with respect to any
refinancing of the 2018 Notes with a maturity date prior to the date that is 91 days after the Tranche B-2 Term Loan Maturity Date, on the date occurring 91 days prior to the maturity date thereof). 

“Tranche
B-2 Term Percentage” shall mean as to any Tranche B-2 Term Lender at any time, the percentage which such
Lender’s Tranche B-2 Term Commitment then constitutes of the aggregate Tranche B-2 Term Commitments (or, at any time
after the Amendment No. 2 Effective Date, the percentage which the aggregate principal amount of such Lender’s
Tranche B-2 Term Loans then outstanding constitutes of the aggregate principal amount of the Tranche B-2 Term Loans then outstanding). 
 “Transaction Documents” shall mean the Senior Notes Documents and the Loan Documents. 

“Transactions” shall mean collectively, (a) the execution, delivery and performance of the Loan Documents and the
initial borrowings hereunder; (b) the Refinancing; (c) the issuance of the Senior Notes; (d) the Stock Repurchase and (e) the payment of all fees and expenses owing in connection with the foregoing. 

“Transferee” shall mean any Assignee or Participant. 

“Transferred Guarantor” shall have the meaning given to such term in Section 10.9. 

“Tricare” shall mean the managed health care program that is established by the Department of Defense under Title 10,
Subtitle A, Part II, Chapter 55 (10 U.S.C. §1071 et seq.) for members of the military, military retirees, and their dependents, and includes the competitive selection of contractors to financially underwrite the delivery of health care
services under the Civilian Health and Medical Program of the Uniformed Services. 
 “Type” shall mean as to
any Loan, its nature as an ABR Loan or a Eurodollar Loan. 
 “U.S. Government
Obligations” shall mean securities that are (a) direct obligations of the United States of America for the timely payment of which its full faith and credit is pledged or (b) obligations of a Person controlled or
supervised by and acting as an agency or instrumentality of the United States of America the timely payment of which is unconditionally guaranteed as a full faith and credit obligation of the United States of America, which in either case, are not
callable or redeemable at the option of the issuer thereof, and shall also include a depositary receipt issued by a bank (as defined in Section 3(a)(2) of the Securities Act), as custodian with respect to any such U.S. Government Obligations or
a specific payment of principal of or interest on any such U.S. Government Obligations held by such custodian for the account of the holder of such depositary receipt; provided that (except as required by law) such custodian is not authorized to
make any deduction from the amount payable to the holder of such depositary receipt from any amount received by the custodian in respect of the U.S. Government Obligations or the specific payment of principal of or interest on the
U.S. Government Obligations evidenced by such depositary receipt. 

  
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 “UCC” shall mean the Uniform Commercial Code as in effect from time to time
(except as otherwise specified) in any applicable state or jurisdiction. 
 “United States” shall mean the
United States of America. 
 “Voting Interests” shall mean shares of Capital Stock issued by a corporation, or
equivalent Capital Stock of any other Person, the holders of which are ordinarily, in the absence of contingencies, entitled to vote for the election of directors (or persons performing similar functions) of such Person, even if the right so to vote
has been suspended by the happening of such a contingency. 
 “Weighted Average Life to Maturity” shall mean,
when applied to any Debt at any date, the number of years obtained by dividing: (a) the sum of the products obtained by multiplying (i) the amount of each then remaining installment, sinking fund, serial maturity or other required payments
of principal, including payment at final maturity, in respect thereof, by (ii) the number of years (calculated to the nearest one-twelfth) that will elapse between such date and the making of such payment; by (b) the then outstanding
principal amount of such Debt. 
 “Wholly Owned Subsidiary” shall mean as to any Person, any other Person all
of the Capital Stock of which (other than directors’ qualifying shares required by law) is owned by such Person directly and/or through other Wholly Owned Subsidiaries. 
 “Withdrawal Liability” shall have the meaning specified in Part I of Subtitle E of Title IV of ERISA. 
 1.2 Classification of Loans. For purposes of this Agreement, Loans may be classified and referred to by Facility (e.g., a “Revolving Loan”) or by Type (e.g., a
“Eurodollar Loan”) or by Facility and Type (e.g., a “Eurodollar Revolving Loan”). 
 1.3 Terms
Generally. The definitions of terms herein shall apply equally to the singular and plural forms of the terms defined. Whenever the context may require, any pronoun shall include the corresponding masculine, feminine and neuter forms. The words
“include,” “includes” and “including” shall be deemed to be followed by the phrase “without limitation.” The word “will” shall be construed to have the same meaning and effect as the word
“shall.” Unless the context requires otherwise (a) any definition of or reference to any Loan Document, agreement, instrument or other document herein shall be construed as referring to such agreement, instrument or other document as
from time to time amended, supplemented or otherwise modified (subject to any restrictions on such amendments, supplements or modifications set forth herein), (b) any reference herein to any Person shall be construed to include such
Person’s successors and assigns, (c) the words “herein,” “hereof” and “hereunder,” and words of similar import, shall be construed to refer to this Agreement in its entirety and not to any particular provision
hereof, (d) all references herein to Sections, Exhibits and Schedules shall be construed to refer to Sections of, and Exhibits and Schedules to, this Agreement, unless otherwise indicated, (e) any reference to any law or regulation herein
shall refer to such law or regulation as amended, modified or supplemented from time to time, (f) the words “asset” and “property” shall be construed to have the same meaning and effect and to refer to any and all tangible
and intangible assets and properties, including cash, securities, accounts and contract rights and (g) “on,” when used with respect to the Mortgaged Property or any property adjacent to the Mortgaged 

  
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Property, shall mean “on, in, under, above or about.” References to the
“date
hereof” or the
“date of this
Agreement” and words of similar import, shall be construed to refer to the original date of this Agreement (October
20, 2010). 
 1.4 Accounting Terms; GAAP. Except as otherwise expressly provided herein, all terms of an accounting
or financial nature shall be construed in accordance with GAAP, as in effect from time to time; provided that, if the Borrower notifies the Administrative Agent that the Borrower requests an amendment to any provision hereof to eliminate the
effect of any change in GAAP occurring after the Closing Date or in the application thereof on such provision (or if the Administrative Agent notifies the Borrower that the Required Lenders request an amendment to any provision hereof for such
purpose), regardless of whether any such notice is given before or after such change in GAAP or in the application thereof, then such provision shall be interpreted on the basis of GAAP as in effect and applied immediately before such change shall
have become effective until such notice shall have been withdrawn or such provision amended in accordance herewith; provided that the Borrower shall provide to the Administrative Agent and the Lenders a written reconciliation, between
calculations of the affected item in amounts required to be reported under Sections 6.1(b) and (c) (including in any Compliance Certificate) before and after giving effect to such change in GAAP. 

For the avoidance of doubt, Persons that are not Subsidiaries shall not be included in any calculation relevant to
Section 7.16. 
 1.5 Resolution of Drafting Ambiguities. Each Loan Party acknowledges and agrees that it was
represented by counsel in connection with the execution and delivery of the Loan Documents to which it is a party, that it and its counsel reviewed and participated in the preparation and negotiation hereof and thereof and that any rule of
construction to the effect that ambiguities are to be resolved against the drafting party shall not be employed in the interpretation hereof or thereof. 
 1.6 Exchange Rates; Currency Equivalents. (a) The Administrative Agent shall determine the Spot Rates as of each Revaluation Date to be used for calculating Dollar Equivalent amounts of Alternative
Currency Revolving Loans outstanding. Such Spot Rates shall become effective as of such Revaluation Date and shall be the Spot Rates employed in converting any amounts between the applicable currencies until the next Revaluation Date to occur.
Except for purposes of financial statements delivered by Loan Parties hereunder or calculating financial covenants hereunder or except as otherwise provided herein, the applicable amount of any currency (other than Dollars) for purposes of the Loan
Documents shall be such Dollar Equivalent amount as so determined by the Administrative Agent. 
 (b) Wherever in this Agreement
in connection with an Alternative Currency Revolving Loan, a conversion, continuation or prepayment of an Alternative Currency Revolving Loan, an amount, such as a required minimum or multiple amount, is expressed in Dollars, but such Alternative
Currency Revolving Loan is denominated in an Alternative Currency, such amount shall be the relevant Alternative Currency Equivalent of such Dollar amount (rounded to the nearest unit of such Alternative Currency, with 0.5 of a unit being rounded
upward), as determined by the Administrative Agent. 
 1.7 Additional Alternative Currencies. (a) The Borrower may from
time to time request that Alternative Currency Revolving Loans be made in a currency other than those specifically listed in the definition of “Alternative Currency”; provided that such requested currency is a lawful currency (other
than Dollars) that is readily available and freely transferable and convertible into Dollars. In the case of any such request with respect to the making of Alternative Currency Revolving Loans, such request shall be subject to the approval of the
Administrative Agent and the Alternative Currency Revolving Lenders. 

  
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 (b) Any such request shall be made to the Administrative Agent not later than 11:00 a.m.,
Local Time, 20 Business Days prior to the date of the desired extension of credit. The Administrative Agent shall promptly notify each Alternative Currency Revolving Lender of any request pursuant to this Section 1.7. Each Alternative
Currency Revolving Lender shall notify the Administrative Agent, not later than 11:00 a.m., Local Time, ten Business Days after receipt of such request whether it consents, in its sole discretion, to the making of Alternative Currency Revolving
Loans denominated in such currency. 
 (c) Any failure by an Alternative Currency Revolving Lender to respond to such request
within the time period specified in the preceding sentence shall be deemed to be a refusal by such Alternative Currency Revolving Lender to permit Alternative Currency Revolving Loans to be made in such requested currency. If the Administrative
Agent and all the Alternative Currency Revolving Lenders consent to making Alternative Currency Revolving Loans in such requested currency, the Administrative Agent shall so notify the Borrower and such currency shall thereupon be deemed for all
purposes to be an Alternative Currency hereunder for purposes of any Alternative Currency Revolving Loans. If the Administrative Agent shall fail to obtain consent to any request for an additional currency under this Section 1.7, the
Administrative Agent shall promptly so notify the Borrower. 
 1.8 Change of Currency. 

(a) Each obligation of the Borrower to make a payment denominated in the national currency unit of any member state of the European Union
that adopts the Euro as its lawful currency after the date hereof shall be redenominated into Euro at the time of such adoption (in accordance with the EMU Legislation). If, in relation to the currency of any such member state, the basis of accrual
of interest expressed in this Agreement in respect of that currency shall be inconsistent with any convention or practice in the London interbank market for the basis of accrual of interest in respect of the Euro, such expressed basis shall be
replaced by such convention or practice with effect from the date on which such member state adopts the Euro as its lawful currency; provided that if any Alternative Currency Revolving Loans in the currency of such member state is outstanding
immediately prior to such date, such replacement shall take effect, with respect to such Alternative Currency Revolving Loans, at the end of the then current Interest Period. 
 (b) Each provision of this Agreement shall be subject to such reasonable changes of construction as the Administrative Agent may from time to time specify to be appropriate to reflect the adoption of the
Euro by any member state of the European Union and any relevant market conventions or practices relating to the Euro. 
 (c)
Each provision of this Agreement also shall be subject to such reasonable changes of construction as the Administrative Agent may from time to time specify to be appropriate to reflect a change in currency of any other country and any relevant
market conventions or practices relating to the change in currency. 
 1.9 New Senior
NotesTranche A-2 Term Loans. Notwithstanding anything to the contrary in any Loan Document,
nothing contained in any Loan Document shall prevent (a) the incurrence of any Debt evidenced by any New Senior Note Document, (b) the granting or existence of any Liens on the Escrow Account, the Escrowed Funds or any New Senior Note
Document or pursuant to any New Senior Notes Escrow Document, in each case, in favor of the Escrow Agent or the trustee under the New Senior Notes Indenture (or their designees), (c) the holding of the Escrowed Funds in the Escrow Account or
(d) any other transaction contemplated by the New Senior Notes Documents (it being understood, for the avoidance of doubt, that any such incurrences of Debt, granting of Liens and other transactions shall be deemed made exclusively in reliance
upon this Section 1.9 and not any other exception or basket under any other provision of any Loan Document); provided that this Section 1.9 shall not operate to permit the 2012 Transactions to the
extent it would not otherwise be permitted absent this Section 1.9. The Lenders, the Issuing Lenders and their respective Affiliates hereby agree that none of the Administrative Agent, the Collateral Agent or any Affiliate thereof shall have
any liability or obligation to the Lenders, in their capacities as such, with respect to any transactions contemplated by the New Senior Notes Documents.The Tranche A-2 Term Loans
were issued pursuant to the Increase Joinder, dated August 26, 2011, and repaid upon the Amendment No. 2 Effective Date. References to the Tranche A-2 Term Loans were removed pursuant to Amendment No. 2 and shall be treated as if
never issued on and after the Amendment No. 2 Effective Date. 

  
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 SECTION 2  
 AMOUNT AND TERMS OF COMMITMENTS 
 2.1 Term Commitments. Subject to
the terms and conditions hereof, (a) each Tranche A Term Lender severally agrees to make a term loan denominated in Dollars (a “Tranche A Term Loan”) to the Borrower on the Closing Date in an amount not to exceed the amount of
the Tranche A Term Commitment of such Lender, (b) each Tranche B Term Lender severally agrees to make a term loan denominated in Dollars (a “Tranche B Term Loan”) to the Borrower on the Closing Date in an amount not to exceed
the amount of the Tranche B Term Commitment of such Lender and (c). Subject to the terms and conditions set forth in Amendment No. 2 and in the Tranche A-3 Joinder
Agreement, each Tranche A-23 Term Lender severally agrees pursuant to the Tranche A-3 Joinder Agreement
to make a term loan denominated in Dollars (a “Tranche A-2Tranche A-3 Term Loan”)
to the Borrower on the Increase Joinder Effective Date in an amount not to exceed the amount of the Tranche AAmendment No. 2 Effective Date in an amount not to exceed
the amount of the Tranche A-3 Term Commitment of such Lender. Subject to the terms and conditions set forth in Amendment No. 2 and in the Tranche B-2 Joinder Agreement, the Initial Tranche B-2 Term Lender agrees pursuant to the Tranche B-2
Joinder Agreement to make a term loan denominated in Dollars (a “Tranche B-2 Term
Loan”) to the Borrower on the Amendment No. 2 Effective Date in an amount not to exceed the amount of the
Tranche B-2 Term Commitment of such Lender. The Term Loans may from time to time be Eurodollar Loans or ABR Loans, as determined by the Borrower and notified to the Administrative Agent in accordance with Sections 2.2 and 2.12.

 2.2 Procedure for Term Loan Borrowing. The Borrower shall give the Administrative Agent irrevocable notice in the form
of a Borrowing Request (which notice must be received by the Administrative Agent prior to 1:00 P.M., New York City time, (a) (i) in the case of any Tranche A Term Loans and
Tranche B Term Loans, three Business Days prior to the anticipated Closing Date, in the case of Eurodollar Loans and (ii) in the case of any Tranche A-3 Term Loans and Tranche B-2
Term Loans, three Business Days prior to the anticipated Amendment No. 2 Effective Date, in the case of Eurodollar Loans, or (b) (i) in the case of any Tranche A Term
Loans and Tranche B Term Loans, one Business Day prior to the anticipated Closing Date, in the case of ABR Loans and (ii) in the case of any Tranche A-3 Term Loans and Tranche B-2
Term Loans, one Business Day prior to the anticipated Amendment No. 2 Effective Date, in the case of ABR Loans) requesting that the Term Lenders make the Term Loans on the
Closing Date or the Amendment No. 2 Effective Date, as applicable, and specifying the amount to be borrowed under each tranche. Upon receipt of such notice the Administrative Agent
shall promptly notify each Term Lender thereof. Not later than 12:00 Noon, New York City time, on the Closing Date or the Amendment No. 2 Effective Date, as applicable, each Term
Lender shall make available to the Administrative Agent at the Funding Office an amount in immediately available funds equal to the Term Loan to be made by such Term Lender. The Administrative Agent shall credit the account of the Borrower on the
books of such office of the Administrative Agent with the aggregate of the amounts made available to the Administrative Agent by the Term Lenders in immediately available funds. 

  
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 2.3 Repayment of Term Loans. 

(a) The Tranche A Term Loan of each Tranche A Term Lender shall mature in 20 consecutive quarterly installments and on the Tranche A Term
Loan Maturity Date, in an amount equal to such Lender’s Tranche A Term Percentage multiplied by the amount set forth below opposite such installment: 
  

					
	 Installment Due Date
	  	Principal Amount	 
	 March 31, 2011
	  	$	12,500,000	  
	 June 30, 2011
	  	$	12,500,000	  
	 September 30, 2011
	  	$	12,500,000	  
	 December 31, 2011
	  	$	12,500,000	  
	 March 31, 2012
	  	$	12,500,000	  
	 June 30, 2012
	  	$	12,500,000	  
	 September 30, 2012
	  	$	12,500,000	  
	 December 31, 2012
	  	$	12,500,000	  
	 March 31, 2013
	  	$	25,000,000	  
	 June 30, 2013
	  	$	25,000,000	  
	 September 30, 2013
	  	$	25,000,000	  
	 December 31, 2013
	  	$	25,000,000	  
	 March 31, 2014
	  	$	37,500,000	  
	 June 30, 2014
	  	$	37,500,000	  
	 September 30, 2014
	  	$	37,500,000	  
	 December 31, 2014
	  	$	37,500,000	  
	 March 31, 2015
	  	$	37,500,000	  
	 June 30, 2015
	  	$	37,500,000	  
	 September 30, 2015
	  	$	37,500,000	  
	 Tranche A Term Loan Maturity Date
	  	$	537,500,000	  

 (b) The Tranche B Term Loan of each Tranche B Term Lender shall mature (i) in 23 consecutive
quarterly installments on the last day of each September, December, March and June (commencing on March 31, 2011), each in an amount equal to such Lender’s Tranche B Term Percentage multiplied by 0.25% of the aggregate principal amount of
the Tranche B Term Loans outstanding on the Closing Date immediately after funding the Tranche B Term Facility and (ii) on the Tranche B Term Loan Maturity Date in an amount equal to all remaining outstanding Tranche B Term Loans of such
Tranche B Term Lender. 
 (c) The Tranche A-23
Term Loan of each Tranche A-2 3 Term Lender shall mature (i) in consecutive quarterly installments on the last day of each September, December, March and
June (commencing on December 31, 2011), each in an amount equal to such Lender’s Tranche A-2 Term Percentage multiplied by 0.25% of the aggregate principal amount of the Tranche A-2 Term Loans outstanding
on the Increase Joinder Effective Date immediately after funding the Tranche A-2 Term Facility and (ii) on the Tranche A-2 Term Loan Maturity Date in an amount equal to all remaining outstanding Tranche A-2 Term Loans of such
Tranche A-2 Term Lenderas set forth in the Tranche A-3 Joinder Agreement. 
 (d) The Tranche B-2 Term Loan of each Tranche B-2 Term Lender shall mature as set forth in the Tranche B-2 Joinder Agreement. 

2.4 Revolving Commitments. 
 (a) Subject to the terms and conditions hereof, (1) each Dollar Revolving Lender severally agrees to make revolving credit loans in Dollars (“Dollar Revolving Loans”) to the Borrower
from time to time during the Revolving Commitment Period in an aggregate principal amount at any one time outstanding which does not exceed the amount of such Lender’s Dollar Revolving Commitment and (2) each Alternative Currency Revolving
Lender severally agrees to make revolving credit loans in one or more Alternative Currencies 

  
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(“Alternative Currency Revolving Loans”) to the Borrower from time to time during the Revolving Commitment Period in an aggregate principal amount at any one time outstanding
which, when added to such Lender’s Alternative Currency Revolving Percentage of the sum of (i) the LC Obligations then outstanding and (ii) the aggregate principal amount of the Swingline Loans then outstanding, does not exceed the
amount of such Lender’s Alternative Currency Revolving Commitment. During the Revolving Commitment Period the Borrower may use the Revolving Commitments by borrowing, prepaying the Revolving Loans in whole or in part, and reborrowing, all in
accordance with the terms and conditions hereof. The Dollar Revolving Loans and Alternative Currency Revolving Loans denominated in Dollars may from time to time be Eurodollar Loans or ABR Loans, as determined by the Borrower and notified to the
Administrative Agent in accordance with Sections 2.5 and 2.12. The Alternative Currency Revolving Loans denominated in an Alternative Currency other than Dollars shall be Eurodollar Loans. 

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

2.5 Procedure for Revolving Loan Borrowing. The Borrower may borrow under the Revolving Commitments during the Revolving
Commitment Period on any Business Day; provided that the Borrower shall give the Administrative Agent irrevocable notice in the form of a Borrowing Request (which notice must be received by the Administrative Agent prior to 2:00 P.M., New
York City time, (a)(i) three Business Days prior to the requested Borrowing Date, in the case of Eurodollar Loans denominated in Dollars or (ii) four Business Days prior to the requested Borrowing Date, in the case of Eurodollar Loans
denominated in Alternative Currencies (other than Dollars), or (b) one Business Day prior to the requested Borrowing Date, in the case of ABR Loans) (provided that any such notice of a borrowing of ABR Loans under the Alternative
Currency Revolving Facility to finance payments required by Section 3.5 may be given not later than 1:00 P.M., New York City time, on the date of the proposed borrowing), specifying (i) the amount of Revolving Loans to be borrowed,
(ii) the requested Borrowing Date, (iii) the Revolving Facility pursuant to which such Loan is to be made, (iv) the currency of the Revolving Loans to be borrowed, (v) if the Revolving Loans to be borrowed are denominated in
Dollars, the Type of Revolving Loans to be borrowed and (vi) in the case of Eurodollar Loans, the respective amounts of each such Type of Loan and the respective lengths of the initial Interest Period therefor. Each borrowing under the Dollar
Revolving Commitments and each borrowing under the Alternative Currency Revolving Commitments denominated in Dollars shall be in an amount equal to (x) in the case of ABR Loans, $1,000,000 or a whole multiple thereof (or, if the then aggregate
Available Revolving Commitments are less than $1,000,000, such lesser amount) and (y) in the case of Eurodollar Loans, $5,000,000 or a whole multiple of $1,000,000 in excess thereof; provided that the Swingline Lender may request, on
behalf of the Borrower, borrowings denominated in Dollars under the Alternative Currency Revolving Commitments that are ABR Loans in other amounts pursuant to Section 2.7. Each borrowing under the Alternative Currency Revolving
Commitments (other than a borrowing denominated in Dollars) shall be in an amount equal to the Alternative Currency Equivalent of $5,000,000 or a whole multiple of $1,000,000 in excess thereof. Upon receipt of any such notice from the Borrower, the
Administrative Agent shall promptly notify each Revolving Lender thereof. Each Revolving Lender will make the amount of its pro rata share of each borrowing available to the Administrative Agent for the account of the Borrower at the
Funding Office for the applicable currency prior to 12:00 Noon, New York City time, on the Borrowing Date requested by the Borrower in funds immediately available to the Administrative Agent. Such borrowing will then be made available to the
Borrower by the Administrative Agent crediting the account of the Borrower on the books of such office with the aggregate of the amounts made available to the Administrative Agent by the Revolving Lenders and in like funds as received by the
Administrative Agent. 

  
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 2.6 Swingline Commitment. 

(a) Subject to the terms and conditions hereof, the Swingline Lender agrees to make a portion of the credit otherwise available to the
Borrower under the Alternative Currency Revolving Commitments from time to time after the Closing Date and during the Revolving Commitment Period by making swing line loans denominated in Dollars (“Swingline Loans”) to the Borrower;
provided that (i) the aggregate principal amount of Swingline Loans outstanding at any time shall not exceed the Swingline Commitment then in effect and (ii) the Borrower shall not request, and the Swingline Lender shall not make,
any Swingline Loan if, after giving effect to the making of such Swingline Loan, the aggregate amount of the Available Alternative Currency Revolving Commitments would be less than zero. During the Revolving Commitment Period, the Borrower may use
the Swingline Commitment by borrowing, repaying and reborrowing, all in accordance with the terms and conditions hereof. Swingline Loans shall be ABR Loans only. 
 (b) The Borrower shall repay to the Swingline Lender the then unpaid principal amount of each Swingline Loan on the earlier of the applicable Maturity Date in accordance with Section 2.7(f) and the
first date after such Swingline Loan is made that is the 15th or last day of a calendar month and is at least two Business Days after such Swingline Loan is made; provided that on each date that an Alternative Currency Revolving Loan
denominated in Dollars is borrowed, the Borrower shall repay all Swingline Loans then outstanding. 
 2.7 Procedure for
Swingline Borrowing; Refunding of Swingline Loans. 
 (a) To request a Swingline Loan, the Borrower shall notify the
Administrative Agent of such request by telephone (confirmed by telecopy of a Borrowing Request), not later than 2:00 P.M., New York City time, on the day (which shall be a Business Day during the Revolving Commitment Period) of a proposed Swingline
Loan. Each such notice shall be irrevocable and shall specify the requested date (which shall be a Business Day) and amount of the requested Swingline Loan. The Administrative Agent will promptly advise the Swingline Lender of any such notice
received from the Borrower. The Swingline Lender shall make each Swingline Loan available to the Borrower by means of a credit to the general deposit account of the Borrower with the Swingline Lender (or, in the case of a Swingline Loan made to
finance the reimbursement of an LC Disbursement as provided in Section 3.5, by remittance to the Issuing Lender) by 4:00 P.M., New York City time, on the requested date of such Swingline Loan. Each borrowing under the Swingline
Commitment shall be in an amount equal to $500,000 or a whole multiple of $100,000 in excess thereof. 
 (b) The Swingline
Lender, at any time and from time to time in its sole and absolute discretion may, on behalf of the Borrower (which hereby irrevocably directs the Swingline Lender to act on its behalf), on one Business Day’s notice given by the Swingline
Lender no later than 2:00 P.M., New York City time, request each Alternative Currency Revolving Lender to make, and each Alternative Currency Revolving Lender hereby agrees to make, an Alternative Currency Revolving Loan denominated in Dollars, in
an amount equal to such Alternative Currency Revolving Lender’s Alternative Currency Revolving Percentage of the aggregate amount of the Swingline Loans; provided that, notwithstanding the foregoing, no Alternative Currency Revolving
Lender shall be obligated to make any Alternative Currency Revolving Loan if after giving effect to the making of such Alternative Currency Revolving Loan the outstanding amount of Alternative Currency Revolving Extensions of Credit of such Lender
exceed such Lender’s Alternative Currency Revolving Commitment (the “Refunded Swingline Loans”) outstanding on the date of such notice, to repay the Swingline Lender. Each Alternative Currency Revolving Lender shall make the
amount of such Alternative Currency Revolving Loan available to the Administrative Agent at the Funding Office for Dollar-denominated payments in immediately available funds, not later than 10:00 A.M., New York City time, one Business Day after the
date of such notice. The proceeds of such Alternative Currency Revolving Loans shall be immediately made available by the Administrative Agent to the Swingline Lender for application by the Swingline Lender to the repayment of the Refunded Swingline
Loans. The Borrower irrevocably authorizes the Swingline Lender to charge the Borrower’s accounts with the Administrative Agent (up to the amount available in each such account) in order to immediately pay the amount of such Refunded Swingline
Loans to the extent amounts received from the Alternative Currency Revolving Lenders are not sufficient to repay in full such Refunded Swingline Loans. 

  
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 (c) If prior to the time an Alternative Currency Revolving Loan denominated in Dollars would
have otherwise been made pursuant to Section 2.7(b), one of the events described in Section 8.1(g) shall have occurred and be continuing with respect to the Borrower or if for any other reason, as determined by the Swingline
Lender in its sole discretion, Alternative Currency Revolving Loans may not be made as contemplated by Section 2.7(b), each Alternative Currency Revolving Lender shall, on the date such Alternative Currency Revolving Loan was to have
been made pursuant to the notice referred to in Section 2.7(b), purchase for cash an undivided participating interest in the then outstanding Swingline Loans by paying to the Swingline Lender an amount (the “Swingline
Participation Amount”) equal to (i) such Alternative Currency Revolving Lender’s Alternative Currency Revolving Percentage times (ii) the sum of the aggregate principal amount of Swingline Loans then outstanding that
were to have been repaid with such Alternative Currency Revolving Loans. 
 (d) Whenever, at any time after the Swingline Lender
has received from any Alternative Currency Revolving Lender such Lender’s Swingline Participation Amount, the Swingline Lender receives any payment on account of the Swingline Loans, the Swingline Lender will distribute to such Lender its
Swingline Participation Amount (appropriately adjusted, in the case of interest payments, to reflect the period of time during which such Lender’s participating interest was outstanding and funded and, in the case of principal and interest
payments, to reflect such Lender’s pro rata portion of such payment if such payment is not sufficient to pay the principal of and interest on all Swingline Loans then due); provided, however, that in the event that
such payment received by the Swingline Lender is required to be returned, such Alternative Currency Revolving Lender will return to the Swingline Lender any portion thereof previously distributed to it by the Swingline Lender. 

(e) Each Alternative Currency Revolving Lender’s obligation to make the Loans referred to in Section 2.7(b) and to
purchase participating interests pursuant to Section 2.7(c) shall be absolute and unconditional and shall not be affected by any circumstance, including (i) any setoff, counterclaim, recoupment, defense or other right that such
Alternative Currency Revolving Lender or the Borrower may have against the Swingline Lender, the Borrower or any other Person for any reason whatsoever; (ii) the occurrence or continuance of a Default or the failure to satisfy any of the other
conditions specified in Section 5; (iii) any adverse change in the financial condition of the Borrower; (iv) any breach of this Agreement or any other Loan Document by the Borrower, any other Loan Party or any other Alternative
Currency Revolving Lender; or (v) any other circumstance, happening or event whatsoever, whether or not similar to any of the foregoing. 
 (f) If the Maturity Date shall have occurred in respect of any tranche of Alternative Currency Revolving Commitments at a time when another tranche or tranches of Alternative Currency Revolving
Commitments is or are in effect with a longer Maturity Date, then on the earliest occurring Maturity Date all then outstanding Swingline Loans shall be repaid in full (and there shall be no adjustment to the participations in such Swingline Loans as
a result of the occurrence of such Maturity Date); provided, however, that if on the occurrence of such earliest Maturity Date (after giving effect to any repayments of Alternative Currency Revolving Loans and any reallocation of
Letter of Credit participations as contemplated in Section 3.10), there shall exist sufficient unutilized Extended Revolving Commitments that are the Alternative Currency Revolving Commitments so that the respective outstanding Swingline
Loans could be incurred pursuant to such Extended Revolving Commitments which will remain in effect after the occurrence of such Maturity Date, then there shall be an automatic adjustment on such date of the Swingline Participation Amounts of each
Alternative Currency Revolving Lender that is an Extending Revolving Lender and such outstanding Swingline Loans shall be deemed to have been incurred solely pursuant to the relevant Extended Revolving Commitments, and such Swingline Loans shall not
be so required to be repaid in full on such earliest Maturity Date. 
 2.8 Commitment Fees, etc. 

(a) The Borrower agrees to pay to the Administrative Agent for the account of each Revolving Lender a commitment fee for the period from
and including the Closing Date to the last day of the Revolving Commitment Period, computed at the Commitment Fee Rate on the average daily amount of the Available Dollar Revolving Commitment and/or Available Alternative Currency Revolving
Commitment, as applicable, of such Lender during the period for which payment is made, payable quarterly in arrears on each Fee Payment Date, commencing on the first such date to occur after the Closing Date and on the Maturity Date for the
Revolving Facility. 

  
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 (b) The Borrower agrees to pay to the Administrative Agent the fees in the amounts and on
the dates previously agreed to in writing by the Borrower and the Administrative Agent. 
 (c) The Borrower will pay a fee on
all outstanding Letters of Credit at a per annum rate equal to the Applicable Margin then in effect with respect to Eurodollar Loans under the Alternative Currency Revolving Facility, shared ratably among the Alternative Currency Revolving Lenders
and payable quarterly in arrears on each Fee Payment Date after the issuance date. In addition, the Borrower shall pay to the Issuing Lender for its own account a fronting fee of 0.125% per annum on the undrawn and unexpired amount of each
Letter of Credit, payable quarterly in arrears on each Fee Payment Date after the issuance date. 
 (d) In addition to the
foregoing fees, the Borrower shall pay or reimburse the Issuing Lender for such normal and customary costs and expenses (including issuance fees) as are incurred or charged by the Issuing Lender in issuing, negotiating, effecting payment under,
amending or otherwise administering any Letter of Credit. 
 (e) The Borrower agrees to pay on the Closing Date (w) to each
Tranche A Term Lender party to this Agreement on the Closing Date, as fee compensation for the funding of such Tranche A Term Lender’s Tranche A Term Loan, a funding fee in an amount agreed between such Tranche A Term Lender and the Borrower,
(x) to each Tranche B Term Lender party to this Agreement on the Closing Date, as fee compensation for the funding of such Tranche B Term Lender’s Tranche B Term Loan, a funding fee in an amount equal to 0.50% of the stated principal
amount of such Tranche B Term Lender’s Tranche B Term Loan funded on the Closing Date, (y) to each Dollar Revolving Lender party to this Agreement on the Closing Date, as compensation for the Dollar Revolving Commitment of such Dollar
Revolving Lender, a commitment fee in the amount agreed between such Dollar Revolving Lender and the Borrower and (z) to each Alternative Currency Revolving Lender party to this Agreement on the Closing Date, as compensation for the Alternative
Currency Revolving Commitment of such Alternative Currency Revolving Lender, a commitment fee in the amount agreed between such Alternative Currency Revolving Lender and the Borrower. 

(f) All fees payable hereunder (subject to Section 2.26) shall be paid on the dates due, in immediately available funds, to
the Administrative Agent (or to the Issuing Lender, in the case of fees payable to it) for distribution, in the case of facility fees and participation fees, to the Lenders. Fees paid shall not be refundable under any circumstances. 

2.9 Termination or Reduction of Revolving Commitments. The Borrower shall have the right, upon not less than three Business
Days’ notice to the Administrative Agent, to terminate, or from time to time to reduce the amount of, the Revolving Commitments under one or more Revolving Facilities; provided that no such termination or reduction of Revolving
Commitments shall be permitted if, after giving effect thereto and to any prepayments of the Revolving Loans and Swingline Loans made on the effective date thereof, (i) the Total Alternative Currency Revolving Extensions of Credit would exceed
the Total Alternative Currency Revolving Commitments, (ii) the Total Dollar Revolving Extensions of Credit would exceed the Total Dollar Revolving Commitments or (iii) the Total Revolving Extensions of Credit would exceed the Total
Revolving Commitments. Any such reduction shall be in an amount equal to (i) with respect to the Alternative Currency Revolving Commitments, $1,000,000, a whole multiple thereof, or the remaining aggregate amount of the Alternative Currency
Revolving Commitments, and shall reduce permanently the Alternative Currency Revolving Commitments then in effect and (ii) with respect to the Dollar Revolving Commitments, $1,000,000, a whole multiple thereof, or the remaining aggregate amount
of the Dollar Revolving Commitments, and shall reduce permanently the Dollar Revolving Commitments then in effect. The Revolving Commitment (other than any Extended Revolving Commitment) of each Revolving Lender shall automatically and permanently
terminate on the Revolving Termination Date. On the respective Maturity Date applicable thereto, the Extended Revolving Commitment of each Extending Revolving Commitment shall automatically and permanently terminate. 

  
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 2.10 Optional Prepayments. The Borrower may at any time and from time to time prepay
the Loans, in whole or in part, without premium (except as set forth in Section 2.11(g) and Section 2.11(h)) or penalty, upon irrevocable notice delivered to the
Administrative Agent no later than 2:00 P.M., New York City time, (i) three Business Days prior thereto, in the case of Eurodollar Loans denominated in Dollars and (ii) four Business Days prior thereto in the case of Eurodollar Loans
denominated in Alternative Currencies (other than Dollars), and no later than 2:00 P.M., New York City time, one Business Day prior thereto, in the case of ABR Loans, which notice shall specify the date and amount of prepayment, the installment or
installments of the respective tranches of the Loans to be repaid and whether the prepayment is of Eurodollar Loans or ABR Loans (it being understood that the Borrower may elect to prepay one tranche of Term Loans without prepaying another);
provided that in the case of Swingline Loans notice may be given no later than 2:00 P.M. New York City time on the date of prepayment; and provided further that if a Eurodollar Loan is prepaid on any day other than the last day of the
Interest Period applicable thereto, the Borrower shall also pay any amounts owing pursuant to Section 2.20. Upon receipt of any such notice the Administrative Agent shall promptly notify each relevant Lender thereof. If any such notice
is given, the amount specified in such notice shall be due and payable on the date specified therein, together with (except in the case of Revolving Loans that are ABR Loans and Swingline Loans) accrued interest to such date on the amount prepaid.
Partial prepayments of a tranche of Term Loans shall be in an aggregate principal amount of $1,000,000 or a whole multiple thereof. Partial prepayments of Revolving Loans denominated in an Alternative Currency (other than Dollars) shall be in an
aggregate principal amount of the Alternative Currency Equivalent of $1,000,000 or a whole multiple thereof. Partial prepayments of Revolving Loans denominated in Dollars shall be in an aggregate principal amount of $1,000,000 or a whole multiple
thereof. Partial prepayments of Swingline Loans shall be in an aggregate principal amount of $100,000 or a whole multiple thereof. 
 2.11 Mandatory Prepayments and Commitment Reductions. 
 (a) If any
Redeemable Preferred Interests or Debt (including any Credit Agreement Refinancing Debt) shall be issued or incurred by any Group Member (excluding any Debt incurred in accordance with
Section 7.2 (other than Credit Agreement Refinancing Debt) or Capital Stock issued in compliance with Section 7) or any initial cash proceeds that are related to a financing of a fixed principal amount of Receivables Assets
or any initial incremental cash proceeds that are related to financing an increased fixed principal amount of Receivables Assets shall be received by Borrower or any of its subsidiaries in connection with a Permitted Receivables Financing,
an amount equal to 100% of the Net Cash Proceeds thereof shall be applied on the date of such issuance or incurrence toward the prepayment of the Term Loans and the Revolving Loans as set forth in Section 2.11(d). 

(b) If on any date any Group Member shall receive Net Cash Proceeds from any Asset Sale or Recovery
Event and such Net Cash Proceeds are not prohibited under any Requirements of Law to be distributed or otherwise transferred without the consent or approval of a Governmental Authority
then, to the extent a Reinvestment Notice shall not have been delivered in respect thereof, such Net Cash Proceeds shall be applied within ten days after the date that all post-closing adjustments associated therewith have been completed toward the
prepayment of the Term Loans and the Revolving Loans as set forth in Section 2.11(d) ; provided that, notwithstanding the foregoing, on each Reinvestment Prepayment Date, an amount equal to the Reinvestment Prepayment Amount with
respect to the relevant Reinvestment Event shall be applied toward the prepayment of the Term Loans and the Revolving Loans as set forth in Section 2.11(d). 
 (c) If, for any Fiscal Year of the Borrower commencing with the Fiscal Year ending December 31, 2011, there shall be Excess Cash Flow, the Borrower shall, on the relevant Excess Cash Flow Application
Date, apply the ECF Percentage of such Excess Cash Flow toward the prepayment of the Term Loans and the reduction of the Revolving Commitments as set forth in Section 2.11(d). Each such prepayment and commitment reduction shall be made
on a date (an “Excess Cash Flow Application Date”) no later than five days after the earlier of (i) the date on which the financial statements of the Borrower referred to in Section 6.1(b), for the Fiscal Year with
respect to which such prepayment is made, are required to be delivered to the Administrative Agent (for distribution to the Agents and the Lenders) and (ii) the date such financial statements are actually delivered. 

  
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 (d) Amounts to be applied in connection with prepayments made pursuant to this
Section 2.11 shall be applied, first, to the prepayment of the Term Loans in accordance with Section 2.17(b) and, second, to reduce the Swingline Loans and then Revolving Loans without a permanent reduction of
the Revolving Commitments. The application of any prepayment pursuant to this Section 2.11 shall be made, first, to ABR Loans and, second, to Eurodollar Loans. Each prepayment of the Loans under this
Section 2.11 (except in the case of Revolving Loans that are ABR Loans and Swingline Loans) shall be accompanied by accrued interest to the date of such prepayment on the amount prepaid. 

(e) Notwithstanding anything to the contrary in Section 2.11(d) or 2.17, with respect to the amount of any mandatory
prepayment described in Section 2.11 that is allocated to Tranche B Term Loans or Tranche B-2 Term Loans (such amount, the “Tranche
BDesignated Prepayment Amount”), at any time when Tranche A Term Loans remain outstanding, the Borrower will, in lieu of applying such amount to the prepayment of
Tranche B Term Loans or Tranche B-2 Term Loans, as provided in Section 2.11(d) above, on the date specified in Section 2.11 for such prepayment, give the
Administrative Agent telephonic notice (promptly confirmed in writing) requesting that the Administrative Agent prepare and provide to each Tranche B Term Lender and Tranche B-2 Term
Lenders a notice (each, a “Prepayment Option Notice”) as described below. As promptly as practicable after receiving such notice from the Borrower, the Administrative Agent will send to each Tranche
B Term Lender and Tranche B-2 Term Lender a Prepayment Option Notice, which shall be in the form of Exhibit G, and shall include an offer by the Borrower to prepay on the date
(each a “Mandatory Prepayment Date”) that is 10 Business Days after the date of the Prepayment Option Notice, the relevant Term Loans of such Lender by an amount equal to the portion of the Tranche
BDesignated Prepayment Amount indicated in such Lender’s Prepayment Option Notice as being applicable to such Lender’s Tranche
B Term Loans or Tranche B-2 Term Loans. On the Mandatory Prepayment Date, (i) the Borrower shall pay to the relevant Tranche B Term Lenders
and Tranche B-2 Term Lenders the aggregate amount necessary to prepay that portion of the outstanding relevant Term Loans as described above in respect of which such Lenders have
accepted prepayment (it being understood that a failure to respond to a Prepayment Option Notice shall be deemed an acceptance of the prepayment referenced therein) and (ii) the Borrower shall pay to the Tranche A Term Lenders an amount equal
to the portion of the Tranche BDesignated Prepayment Amount not accepted by the relevant Lenders, and such amount shall be applied to the prepayment of the Tranche A
Term Loans; provided that if after the application of amounts pursuant to clause (ii), any portion of the Tranche BDesignated Prepayment Amount not accepted by
the Tranche B Term Lenders and Tranche B-2 Term Lenders shall remain, such amount shall be used to prepay the Tranche B Term
Loans or Tranche B-2 Term Loans on a pro rata basis. 
 (f) Revolving Loan Prepayments. 

(i) In the event of the termination of all the Alternative Currency Revolving Commitments, the Borrower shall, on the date of such
termination, repay or prepay all its outstanding Alternative Currency Revolving Loans and all outstanding Swingline Loans and replace all outstanding Letters of Credit or cash collateralize all outstanding Letters of Credit in accordance with the
procedures set forth in Section 3.10. In the event of the termination of all the Dollar Revolving Commitments, the Borrower shall, on the date of such termination, repay or prepay all its outstanding Dollar Revolving Loans. 

(ii) In the event of any partial reduction of the Alternative Currency Revolving Commitments, then (x) at or prior to the effective
date of such reduction, the Administrative Agent shall notify the Borrower and the Alternative Currency Revolving Lenders of the sum of the Alternative Currency Revolving Extensions of Credit after giving effect thereto and (y) if the sum of
the Alternative Currency Revolving Extensions of Credit would exceed the aggregate amount of Alternative Currency Revolving Commitments after giving effect to such reduction, then the Borrower shall, on the date of such reduction, first,
repay or prepay Swingline Loans, second, repay or prepay Alternative Currency Revolving Loans and third, replace outstanding Letters of Credit or cash collateralize outstanding Letters of Credit in accordance with the procedures set
forth in Section 3.10, in an aggregate amount sufficient to eliminate such excess. In the event of any partial reduction of the Dollar Revolving Commitments, then (x) at or prior to the effective date of such reduction, the
Administrative Agent shall notify the Borrower and the Dollar Revolving Lenders of the sum of the Dollar Revolving Extensions of Credit after giving 

  
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effect thereto and (y) if the sum of the Dollar Revolving Extensions of Credit would exceed the aggregate amount of Dollar Revolving Commitments after giving effect to such reduction, then
the Borrower shall, on the date of such reduction, repay or prepay Dollar Revolving Loans in an aggregate amount sufficient to eliminate such excess 
 (iii) In the event that the sum of all Alternative Currency Revolving Lenders’ Alternative Currency Revolving Extensions of Credit exceeds the Alternative Currency Revolving Commitments then in
effect (including, without limitation, as a result of any Revaluation Date), the Borrower shall, without notice or demand, immediately first, repay or prepay Swingline Loans, second, repay or prepay Alternative Currency Revolving
Loans, and third, replace outstanding Letters of Credit or cash collateralize outstanding Letters of Credit in accordance with the procedures set forth in Section 3.10, in an aggregate amount sufficient to eliminate such excess.
In the event that the sum of all Dollar Revolving Lenders’ Dollar Revolving Extensions of Credit exceeds the Dollar Revolving Commitments then in effect, the Borrower shall, without notice or demand, immediately repay or prepay Dollar Revolving
Loans in an aggregate amount sufficient to eliminate such excess 
 (iv) In the event that the aggregate LC Obligations exceed
the LC Commitment then in effect, the Borrower shall, without notice or demand, immediately replace outstanding Letters of Credit or cash collateralize outstanding Letters of Credit in accordance with the procedures set forth in
Section 3.10, in an aggregate amount sufficient to eliminate such excess. 
 (g) Prepayment Premium. Any
prepayment of the Tranche B Term Loans prior to the one year anniversary of the Closing Date with the proceeds of an offering or incurrence of Debt (other than a Permitted Receivables Financing) shall be accompanied by a premium equal to 1% of the
aggregate principal amount of the Tranche B Term Loans prepaid. 
 (h) Notwithstanding the foregoing, in the event that, on
or prior to the first anniversary after the Amendment No. 2 Effective Date, the Borrower (x) prepays, refinances, substitutes or replaces any Tranche B-2 Term Loan pursuant to a Repricing Transaction (including, for avoidance of doubt, any
prepayment made pursuant to Section 2.11(a) that constitutes a Repricing Transaction), or (y) effects any amendment of this Agreement resulting in a Repricing Transaction, the Borrower shall pay to the Administrative Agent, for the ratable
account of each of the applicable Tranche B-2 Term Lenders, (I) in the case of clause (x), a prepayment premium of 1.00% of the aggregate principal amount of the Tranche B-2 Term
Loan so prepaid, refinanced, substituted or replaced and (II) in the case of clause (y), a fee equal to 1.00% of the aggregate principal amount of the applicable Tranche B-2 Term Loan outstanding immediately prior to such amendment. Such amounts
shall be due and payable on the date of effectiveness of such Repricing Transaction. 
 2.12 Conversion and Continuation
Options. 
 (a) The Borrower may elect from time to time to convert Eurodollar Loans denominated in Dollars to ABR Loans by
giving the Administrative Agent prior irrevocable notice of such election pursuant to an Interest Election Request no later than 2:00 P.M., Local Time, on the Business Day preceding the proposed conversion date; provided that any such
conversion of Eurodollar Loans may only be made on the last day of an Interest Period with respect thereto. The Borrower may elect from time to time to convert ABR Loans denominated in Dollars to Eurodollar Loans by giving the Administrative Agent
prior irrevocable notice of such election no later than 2:00 P.M., Local Time, on the third Business Day preceding the proposed conversion date (which notice shall specify the length of the initial Interest Period therefor); provided that no
ABR Loan under a particular Facility may be converted into a Eurodollar Loan when any Event of Default has occurred and is continuing and the Administrative Agent or the Majority Facility Lenders in respect of such Facility have determined by
written notice in its or their sole discretion not to permit such conversions. Upon receipt of any such notice the Administrative Agent shall promptly notify each relevant Lender thereof. No Revolving Loan may be converted into or continued as a
Revolving Loan denominated in a different currency, but instead must be prepaid in the original currency of such Revolving Loan and reborrowed in the other currency. 
 (b) Any Eurodollar Loan may be continued as such upon the expiration of the then current Interest Period with respect thereto by the Borrower giving irrevocable notice to the Administrative Agent pursuant
to an Interest Election Request, in accordance with the applicable provisions of the term “Interest Period” set forth in 

  
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Section 1.1, of the length of the next Interest Period to be applicable to such Loans; provided that the Borrower may not elect to continue a Eurodollar Loan under a particular
Facility as such when any Event of Default has occurred and is continuing and the Administrative Agent has or the Majority Facility Lenders in respect of such Facility have determined by written notice in its or their sole discretion not to permit
such continuations, and provided, further, that if the Borrower shall fail to give any required notice as described above in this paragraph or if such continuation is not permitted pursuant to the preceding proviso (i) if such
Loans are denominated in Dollars, such shall be automatically converted to ABR Loans on the last day of such then expiring Interest Period and (ii) if such Loans are denominated in an Alternative Currency (other than Dollars), such Loans shall
be automatically continued as Eurodollar Loans with an Interest Period of one month. Upon receipt of any such notice the Administrative Agent shall promptly notify each relevant Lender thereof. 

2.13 Limitations on Eurodollar Tranches. Notwithstanding anything to the contrary in this Agreement, all borrowings, conversions
and continuations of Eurodollar Loans and all selections of Interest Periods shall be in such amounts and be made pursuant to such elections so that (a) after giving effect thereto, the aggregate principal amount of the Eurodollar Loans
comprising each Eurodollar Tranche shall be equal to (i) with respect to Eurodollar Loans denominated in Dollars, $5,000,000 or a whole multiple of $1,000,000 in excess thereof and (ii) with respect to Eurodollar Loans denominated in an
Alternative Currency (other than Dollars), the Alternative Currency Equivalent of $5,000,000 or a whole multiple of $1,000,000 in excess thereof and (b) no more than fifteen Eurodollar Tranches shall be outstanding at any one time. 

2.14 Interest Rates and Payment Dates. 
 (a) Each Eurodollar Loan shall bear interest for each day during each Interest Period with respect thereto at a rate per annum equal to the Eurodollar Rate determined for such day plus the Applicable
Margin plus (in the case of an Alternative Currency Revolving Loan of any Lender which is lent from a Lending Office in the United Kingdom or a Participating Member State) the Mandatory Cost. 

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

(c) Upon the occurrence and during the continuance of an Event of Default under Section 8.1(a), (b) or
(g), if all or a portion of the principal amount of any Loan or Reimbursement Obligation or any interest payable on any Loan or Reimbursement Obligation or any commitment fee or other amount payable hereunder shall not be paid when due
(whether at the stated maturity, by acceleration or otherwise), such overdue amount shall bear interest at a rate per annum equal to the greater or (i) the rate then applicable to ABR Loans under the relevant Facility plus 2% (or, in the
case of any such other amounts that do not relate to a particular Facility, the rate then applicable to ABR Loans under the Revolving Facility plus 2%) and (ii) the actual rate applicable to such amount plus 2%, from the date of
such non-payment until such amount is paid in full (after as well as before judgment). 
 (d) Interest shall be payable in
arrears on each Interest Payment Date; provided that interest accruing pursuant to paragraph (c) of this Section shall be payable from time to time on demand. 
 2.15 Computation of Interest and Fees. 
 (a) Interest and fees payable
pursuant hereto shall be calculated on the basis of a 360-day year for the actual days elapsed, except that, with respect to ABR Loans the rate of interest on which is calculated on the basis of the Prime Rate, the interest thereon shall be
calculated on the basis of a 365- (or 366-, as the case may be) day year for the actual days elapsed or, in the case of interest in respect of Loans denominated in Alternative Currencies as to which market practice differs from the foregoing, in
accordance with such market practice. The Administrative Agent shall as soon as practicable notify the Borrower and the relevant Lenders of each determination of a Eurodollar Rate. Any change in the interest rate on a Loan resulting from a change in
the ABR or the Eurocurrency Reserve Requirements shall become effective as of the opening of business on the day on which such change becomes effective. The Administrative Agent shall as soon as practicable notify the Borrower and the relevant
Lenders of the effective date and the amount of each such change in interest rate. 

  
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 (b) Each determination of an interest rate by the Administrative Agent pursuant to any
provision of this Agreement shall be conclusive and binding on the Borrower and the Lenders in the absence of manifest error. The Administrative Agent shall, at the request of the Borrower, deliver to the Borrower a statement showing the quotations
used by the Administrative Agent in determining any interest rate pursuant to Section 2.14(a). 
 2.16 Inability
to Determine Interest Rate. If prior to the first day of any Interest Period: 
 (a) the Administrative Agent
shall have determined (which determination shall be conclusive and binding upon the Borrower) that, by reason of circumstances affecting the relevant market, adequate and reasonable means do not exist for ascertaining the Eurodollar Rate for such
Interest Period, or 
 (b) the Administrative Agent shall have received notice from the Majority Facility Lenders
in respect of the relevant Facility that the Eurodollar Rate determined or to be determined for such Interest Period will not adequately and fairly reflect the cost to such Lenders (as conclusively certified by such Lenders) of making or maintaining
their affected Loans during such Interest Period, 
 the Administrative Agent shall give telecopy or telephonic notice thereof to the Borrower
and the relevant Lenders as soon as practicable thereafter. If such notice is given (and until such notice is withdrawn), (w) any Eurodollar Loans denominated in Dollars under the relevant Facility requested to be made on the first day of such
Interest Period shall be made as ABR Loans, (x) any Loans denominated in Dollars under the relevant Facility that were to have been converted on the first day of such Interest Period to Eurodollar Loans shall be continued as ABR Loans,
(y) any outstanding Eurodollar Loans denominated in Dollars under the relevant Facility shall be converted, on the last day of the then-current Interest Period, to ABR Loans and (z) any outstanding Eurodollar Loans denominated in an
Alternative Currency (other than Dollars) shall be continued with an interest applicable thereto equal to the sum of (I) the Applicable Margin for such Eurodollar Loans, (II) the rate for each day during such Interest Period reasonably
determined by the Administrative Agent to be the cost of funds of representative participating members in the interbank eurodollar market selected by the Administrative Agent (which may include Lenders) for maintaining loans similar to the relevant
Loans (provided that any change in the rate determined pursuant to this clause (II) shall be effective as of the opening of business on the effective day of any change in the relevant component of such rate) and (III) the Mandatory Cost, if
any, applicable to such Loan. Until such notice has been withdrawn by the Administrative Agent, no further Eurodollar Loans denominated in Dollars under the relevant Facility shall be made or continued as such, nor shall the Borrower have the right
to convert Loans denominated in Dollars under the relevant Facility to Eurodollar Loans. 
 2.17 Pro Rata Treatment and
Payments. 
 (a) Each borrowing by the Borrower from the Lenders hereunder, each payment by the Borrower on account of any
commitment fee and any reduction of the Commitments of the Lenders shall be made pro rata according to the respective Tranche A Term Percentages, Tranche B Term Percentages, Tranche
A-3 Term Percentages, Tranche B-2 Term Percentages, Dollar Revolving Percentages or Alternative Currency Revolving Percentages, as the case may be, of the relevant Lenders. 

(b) Each payment (including each prepayment) by the Borrower on account of principal of and interest on the Term Loans shall be made
pro rata according to the respective outstanding principal amounts of the Term Loans then held by the Term Lenders (except (i) as otherwise provided in
Section 2.11(e) and except, (ii) that an optional prepayment pursuant to Section 2.10 need only be made pro rata
according to the respective 

  
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outstanding principal amounts of the Term Loans of the applicable tranche being prepaid then held by the Term Lenders and
(iii) any prepayment of Term Loans with the Net Cash Proceeds of Credit Agreement Refinancing Debt shall be applied solely to each applicable tranche of Refinanced Debt). The amount of each principal prepayment of the Term Loans shall be
applied to reduce the then remaining installments of the Tranche A Term Loans, Tranche B Term Loans, Tranche A-3 Term Loans and Tranche B-2 Term
Loans, as the case may be, pro rata based upon the respective then remaining principal amounts thereof. Amounts prepaid on account of the Term Loans may not be reborrowed.

 (c) Each payment (including each prepayment) by the Borrower on account of principal of and interest on the Revolving Loans
shall be made pro rata according to the respective outstanding principal amounts of the Revolving Loans then held by the relevant Revolving Lenders. 
 (d) All payments (including prepayments) to be made by the Borrower hereunder, whether on account of principal, interest, fees or otherwise, shall be made without setoff or counterclaim and shall be made
prior to 1:00 P.M., New York City time, on the due date thereof to the Administrative Agent, for the account of the Lenders, at the Funding Office for the applicable currency, in the currency in which the applicable Loan was made and in immediately
available funds. The Administrative Agent shall distribute such payments to the Lenders promptly upon receipt in like funds as received. If any payment hereunder (other than payments on the Eurodollar Loans) becomes due and payable on a day other
than a Business Day, such payment shall be extended to the next succeeding Business Day. If any payment on a Eurodollar Loan becomes due and payable on a day other than a Business Day, the maturity thereof shall be extended to the next succeeding
Business Day unless the result of such extension would be to extend such payment into another calendar month, in which event such payment shall be made on the immediately preceding Business Day. In the case of any extension of any payment of
principal pursuant to the preceding two sentences, interest thereon shall be payable at the then applicable rate during such extension. 
 (e) Unless the Administrative Agent shall have been notified in writing by any Lender prior to a borrowing that such Lender will not make the amount that would constitute its share of such borrowing
available to the Administrative Agent, the Administrative Agent may assume that such Lender is making such amount available to the Administrative Agent, and the Administrative Agent may, in reliance upon such assumption, make available to the
Borrower a corresponding amount. If such amount is not made available to the Administrative Agent by the required time on the Borrowing Date therefor, such Lender shall pay to the Administrative Agent, on demand, such amount with interest thereon,
at a rate equal to the greater of (i) the Federal Funds Effective Rate and (ii) a rate determined by the Administrative Agent in accordance with banking industry rules on interbank compensation, for the period until such Lender makes such
amount immediately available to the Administrative Agent. A certificate of the Administrative Agent submitted to any Lender with respect to any amounts owing under this paragraph shall be conclusive in the absence of manifest error. If such
Lender’s share of such borrowing is not made available to the Administrative Agent by such Lender within three Business Days after such Borrowing Date, the Administrative Agent shall also be entitled to recover such amount with interest thereon
at the rate per annum applicable to (i) with respect to borrowings under the Dollar Revolving Facility, ABR Loans under the Dollar Revolving Facility or (ii) with respect to borrowings under the Alternative Currency Revolving Facility,
Eurodollar Loans under the Alternative Currency Revolving Facility, in each case, on demand, from the Borrower. 
 (f) Unless
the Administrative Agent shall have been notified in writing by the Borrower prior to the date of any payment due to be made by the Borrower hereunder that the Borrower will not make such payment to the Administrative Agent, the Administrative Agent
may assume that the Borrower is making such payment, and the Administrative Agent may, but shall not be required to, in reliance upon such assumption, make available to the Lenders their respective pro rata shares of a corresponding
amount. If such payment is not made to the Administrative Agent by the Borrower within three Business Days after such due date, the Administrative Agent shall be entitled to recover, on demand, from each Lender to which any amount which was made
available pursuant to the preceding sentence, such amount with interest thereon at the rate per annum equal to the daily average Federal Funds Effective Rate. Nothing herein shall be deemed to limit the rights of the Administrative Agent or any
Lender against the Borrower. 
 (g) If any Lender shall fail to make any payment required to be made by it pursuant to
Section 2.5, Section 2.7(c), Section 3.4, Section 3.5(e) or Section 11.5(c), then the Administrative Agent may, in its 

  
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discretion and notwithstanding any contrary provision hereof, (i) apply any amounts thereafter received by the Administrative Agent for the account of such Lender for the benefit of the
Administrative Agent, the Swingline Lender or the Issuing Lender to satisfy such Lender’s obligations to it under such Section until all such unsatisfied obligations are fully paid, and/or (ii) until such failure to make payment has been
cured, hold any such amounts in a segregated account as cash collateral for, and application to, any future funding obligations of such Lender under any such Section, in the case of each of clauses (i) and (ii) above, in any order as
determined by the Administrative Agent in its discretion. 
 2.18 Requirements of Law. 

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

(i) shall subject any Lender to any tax of any kind whatsoever with respect to this Agreement, any Letter of Credit, any
Application or any Eurodollar Loan made by it, or change the basis of taxation of payments to such Lender in respect thereof (except for Non-Excluded Taxes covered by Section 2.19 and Taxes imposed on the overall net income of such
Lender); 
 (ii) shall impose, modify or hold applicable any reserve, special deposit, compulsory loan or similar
requirement against assets held by, deposits or other liabilities in or for the account of, advances, loans or other extensions of credit by, or any other acquisition of funds by, any office of such Lender that is not otherwise included in the
determination of the Eurodollar Rate; or 
 (iii) shall impose on such Lender any other condition; 

and the result of any of the foregoing is to increase the cost to such Lender, by an amount that such Lender deems to be material, of making, converting
into, continuing or maintaining Eurodollar Loans or issuing or participating in Letters of Credit, or to reduce any amount receivable hereunder in respect thereof, then, in any such case, the Borrower shall promptly pay such Lender, upon its demand,
any additional amounts necessary to compensate such Lender for such increased cost or reduced amount receivable. If any Lender becomes entitled to claim any additional amounts pursuant to this paragraph, it shall promptly notify the Borrower (with a
copy to the Administrative Agent) of the event by reason of which it has become so entitled. 
 (b) If any Lender shall have
determined that the adoption of or any change in any Requirement of Law regarding capital adequacy or liquidity or in the interpretation or application thereof or compliance by such
Lender or any corporation Controlling such Lender with any request or directive regarding capital adequacy (whether or not having the force of law) from any Governmental Authority made subsequent to the Closing Date (each, a “Change in
Law”; provided, however, that notwithstanding anything herein to the contrary, (x) the Dodd-Frank Wall Street Reform and Consumer Protection Act and all
requests, rules, guidelines or directives thereunder or issued in connection therewith shalland (y) all requests, rules, guidelines or directives promulgated by the
Bank for International settlements, the Basel Committee on Banking Supervision (or any successor or similar authority) or the United States regulatory authorities, in each case pursuant to Basel III, shall in each case be deemed to be a
“Change in Law”, regardless of the date enacted, adopted or issued) shall have the effect of reducing the rate of return on such Lender’s or such corporation’s
capital as a consequence of its obligations hereunder or under or in respect of any Letter of Credit to a level below that which such Lender or such corporation could have achieved but for such Change in Law (taking into consideration such
Lender’s or such corporation’s policies with respect to capital adequacy) by an amount deemed by such Lender to be material, then from time to time, after submission by such Lender to the Borrower (with a copy to the Administrative Agent)
of a written request therefor, the Borrower shall pay to such Lender such additional amount or amounts as will compensate such Lender or such corporation for such reduction. 

  
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 (c) Each request by a Lender for the payment of an additional amount under this
Section 2.18 shall be accompanied by a certificate showing in reasonable detail the method of calculation and the allocation (which shall be reasonable) thereof. Such certificate as to any additional amounts payable pursuant to this
Section submitted by any Lender to the Borrower (with a copy to the Administrative Agent) shall be conclusive in the absence of manifest error. Notwithstanding anything to the contrary in this Section, the Borrower shall not be required to
compensate a Lender pursuant to this Section for any amounts incurred more than six months prior to the date that such Lender notifies the Borrower of such Lender’s intention to claim compensation therefor; provided that, if the change
in law giving rise to such claim have a retroactive effect, then such six-month period shall be extended to include the period of such retroactive effect. The obligations of the Borrower pursuant to this Section shall survive the termination of this
Agreement and the payment of the Loans and all other amounts payable hereunder. 
 2.19 Taxes. 

(a) All payments made by any Loan Party under this Agreement or any other Loan Document shall be made free and clear of, and without
deduction or withholding for or on account of, any Taxes, excluding overall net income taxes and franchise taxes (imposed in lieu of net income taxes) imposed on the Administrative Agent or any Lender by a jurisdiction as a result of the recipient
being organized or having its principal office or, in the case of any Lender, having its applicable lending office in such jurisdiction or as a result of any present or former connection between the Administrative Agent or any Lender and the
jurisdiction imposing such Taxes (other than a connection arising solely from the Administrative Agent or such Lender having executed, delivered, enforced, become a party to, performed its obligations under, received payments under, received or
perfected a security interest under, or engaged in any other transaction pursuant to, any Loan Document), including branch profits taxes imposed by the United States or any similar tax imposed by any other jurisdiction in which the Borrower is
located. If any such non-excluded Taxes (“Non-Excluded Taxes”) or Other Taxes are required to be withheld or deducted from any amounts payable (which shall include deductions applicable to additional sums payable under this Section)
to the Administrative Agent or any Lender hereunder, the amounts so payable to the Administrative Agent or such Lender shall be increased to the extent necessary to yield to the Administrative Agent or such Lender (after payment of all Non-Excluded
Taxes and Other Taxes) interest or any such other amounts payable hereunder at the rates or in the amounts specified in this Agreement; provided, however, that the Borrower shall not be required to increase any such amounts payable to
any Lender with respect to any Non-Excluded Taxes (i) that are attributable to such Lender’s failure to comply with the requirements of paragraph (e) or (f) of this Section, (ii) that are United States federal withholding
taxes imposed on amounts payable to such Lender at the time such Lender becomes a party to this Agreement, except to the extent that such Lender’s assignor (if any) was entitled, at the time of assignment, to receive additional amounts from the
Borrower with respect to such Non-Excluded Taxes pursuant to this paragraph; provided that this subclause (ii) shall not apply to any Tax imposed on a Lender in connection with an interest or participation in any Loan or other
obligation that such Lender was required to acquire pursuant to Section 11.7 or (iii) that are imposed pursuant to Sections 1471 through 1474 of the Code other than by reason of a change in law after the date of this Agreement (such
Non-Excluded Taxes referred to in clauses (i) through (iii), “Additional Excluded Taxes”). 
 (b) In
addition, the Borrower shall timely pay any Other Taxes to the relevant Governmental Authority in accordance with applicable law. 
 (c) The Borrower and the Guarantors shall indemnify the Administrative Agent, or the affected Lender, as applicable, within 10 days after demand therefor, for the full amount of any Non-Excluded Taxes or
Other Taxes, but excluding Additional Excluded Taxes (including Non-Excluded Taxes or Other Taxes imposed or asserted on or attributable to amounts payable under this Section, but excluding Additional Excluded Taxes) paid by the Administrative Agent
or such Lender, as the case may be, and any penalties, interest and reasonable expenses arising therefrom or with respect thereto, whether or not such Non-Excluded Taxes or Other Taxes were correctly or legally imposed or asserted by the relevant
Governmental Authority. A certificate as to the amount of such payment or liability delivered to the Borrower by a Lender (with a copy to the Administrative Agent), or by the Administrative Agent on its own behalf or on behalf of a Lender, shall be
conclusive absent manifest error. 

  
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 (d) As soon as practicable after any payment of Non-Excluded Taxes or Other Taxes by the
Borrower to a Governmental Authority, the Borrower shall deliver to the Administrative Agent the original or a certified copy of a receipt issued by such Governmental Authority evidencing such payment, a copy of the return reporting such payment or
other evidence of such payment reasonably satisfactory to the Administrative Agent. 
 (e) Each Lender that is not a “U.S.
Person” as defined in Section 7701(a)(30) of the Code (a “Non-U.S. Lender”) shall deliver to the Borrower and the Administrative Agent (or, in the case of a Participant, to the Lender from which the related participation
shall have been purchased) two copies of either U.S. Internal Revenue Service Form W-8BEN or Form W-8ECI, or, in the case of a Non-U.S. Lender claiming exemption from U.S. federal withholding tax under Section 871(h) or 881(c) of the Code with
respect to payments of “portfolio interest,” a statement substantially in the form of Exhibit J and a Form W-8BEN, or any subsequent versions thereof or successors thereto, properly completed and duly executed by such Non-U.S.
Lender claiming complete exemption from, or a reduced rate of, U.S. federal withholding tax on all payments by the Borrower under this Agreement and the other Loan Documents. Such forms shall be delivered by each Non-U.S. Lender on or before the
date it becomes a party to this Agreement (or, in the case of any Participant, on or before the date such Participant purchases the related participation). In addition, each Non-U.S. Lender shall deliver such forms promptly upon the obsolescence or
invalidity of any form previously delivered by such Non-U.S. Lender. Each Non-U.S. Lender shall promptly notify the Borrower at any time it determines that it is no longer in a position to provide any previously delivered certificate to the Borrower
(or any other form of certification adopted by the U.S. taxing authorities for such purpose). Notwithstanding any other provision of this paragraph, a Non-U.S. Lender shall not be required to deliver any form pursuant to this paragraph that such
Non-U.S. Lender is not legally able to deliver. 
 (f) A Lender that is entitled to an exemption from or reduction of non-U.S.
withholding tax under the law of the jurisdiction in which the Borrower is located, or any treaty to which such jurisdiction is a party, with respect to payments under this Agreement shall deliver to the Borrower (with a copy to the Administrative
Agent), at the time or times prescribed by applicable law or reasonably requested by the Borrower, such properly completed and executed documentation prescribed by applicable law as will permit such payments to be made without withholding or at a
reduced rate; provided that such Lender is legally entitled to complete, execute and deliver such documentation and in such Lender’s sole judgment such completion, execution or submission would not be materially disadvantageous to such
Lender and would not materially prejudice the legal position of such Lender. 
 (g) If the Administrative Agent or any Lender
determines, in its sole discretion, that it has received a refund of any Non-Excluded Taxes or Other Taxes as to which it has been indemnified by the Borrower or with respect to which the Borrower has paid additional amounts pursuant to this
Section 2.19, it shall pay over such refund to the Borrower (but only to the extent of indemnity payments made, or additional amounts paid, by the Borrower under this Section 2.19 with respect to the Non-Excluded Taxes or
Other Taxes giving rise to such refund), net of all reasonable out-of-pocket expenses of the Administrative Agent or such Lender and without interest (other than any interest paid by the relevant Governmental Authority with respect to such refund);
provided that the Borrower, upon the request of the Administrative Agent or such Lender, agrees to repay the amount paid over to the Borrower (plus any penalties, interest or other charges imposed by the relevant Governmental Authority) to
the Administrative Agent or such Lender in the event the Administrative Agent or such Lender is required to repay such refund to such Governmental Authority. Notwithstanding anything to the contrary, in no event will any Lender be required to pay
any amount to the Borrower the payment of which would place such Lender in a less favorable net after-tax position than such Lender would have been in if the additional amounts giving rise to such refund of any Non-Excluded Taxes or Other Taxes had
never been paid. This paragraph shall not be construed to require the Administrative Agent or any Lender to make available its tax returns (or any other information relating to its taxes which it deems confidential) to the Borrower or any other
Person. 
 (h) The agreements in this Section shall survive the termination of this Agreement and the payment of the Loans and
all other amounts payable hereunder. 
 2.20 Indemnity. The Borrower agrees to indemnify each Lender for, and to hold
each Lender harmless from, any loss or expense that such Lender may sustain or incur as a consequence of (a) default by the Borrower in making a borrowing of, conversion into or continuation of Eurodollar Loans 

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

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

 2.22 Replacement of Lenders. The Borrower shall be permitted to replace any Lender that (a) requests
reimbursement for amounts owing pursuant to Section 2.18 or 2.19(a), (b) is a Defaulting Lender or (c) is replaced pursuant to the third paragraph of Section 11.1 with a replacement financial institution;
provided that (i) such replacement does not conflict with any Requirement of Law, (ii) no Event of Default shall have occurred and be continuing at the time of such replacement, (iii) if applicable, prior to any such
replacement, such Lender shall not have taken appropriate action under Section 2.21 so as to eliminate the continued need for payment of amounts owing pursuant to Section 2.18 or 2.19(a), (iv) the replacement
financial institution shall purchase, at par, all Loans and other amounts owing to such replaced Lender on or prior to the date of replacement, (v) the Borrower shall be liable to such replaced Lender under Section 2.20 if any
Eurodollar Loan owing to such replaced Lender shall be purchased other than on the last day of the Interest Period relating thereto, (vi) the replacement financial institution, if not already a Lender, shall be reasonably satisfactory to the
Administrative Agent, (vii) the replaced Lender shall be obligated to make such replacement in accordance with the provisions of Section 11.6 (provided that the Borrower shall be obligated to pay the registration and
processing fee referred to therein) and by its execution of this Agreement each Lender hereby authorizes the Administrative Agent to act as its agent in executing any documents to replace such Lender in accordance with this Section 2.22,
(viii) until such time as such replacement shall be consummated, the Borrower shall pay all additional amounts (if any) required pursuant to Section 2.18 or 2.19(a), as the case may be, and (ix) any such replacement
shall not be deemed to be a waiver of any rights that the Borrower, the Administrative Agent or any other Lender shall have against the replaced Lender. Notwithstanding the foregoing, this Section 2.22 may only be utilized with respect
to a replaced Lender in respect of any amendment to this Agreement after the Closing Date and prior to the one-year 

  
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anniversary of the Closing Date that has the effect of reducing the Applicable Margin for the Tranche B Term Loans if such replaced Tranche B Term Lender is paid a fee equal to 1.0% of the
principal amount of such Tranche B Term Lender’s Tranche B Term Loans being replaced and repaid. 
 2.23 Repayment of
Loans; Evidence of Debt. 
 (a) The Borrower hereby unconditionally promises to pay (i) to the Administrative Agent for
the account of each Lender the then unpaid principal amount of each Revolving Loan on the Revolving Termination Date (or with respect to any Revolving Loans outstanding with respect to an Extended Revolving Commitment, the Maturity Date applicable
thereto), (ii) to the Administrative Agent for the account of each Lender the Term Loans in accordance with Section 2.3; provided that, to the extent specified in the respective Extension Offer, amortization payments with
respect to Extended Term Loans for periods prior to the Tranche A Term Loan Maturity Date, the Tranche B Term Loan Maturity Date, the Tranche A-3 Term Loan Maturity Date and the Tranche
AB-2 Term Loan Maturity Date, as applicable, may be reduced (but not increased) and amortization payments required with respect to Extended Term Loans for periods after
the Tranche A Term Loan Maturity Date, the Tranche B Term Loan Maturity Date, the Tranche A-3 Term Loan Maturity Date and the Tranche
AB-2 Term Loan Maturity Date, as applicable, shall be as specified in the respective Extension Offer and (iii) to the Swingline Lender the then unpaid principal
amount of each Swingline Loan in accordance with Section 2.6(b). 
 (b) Each Lender shall maintain in accordance
with its usual practice an account or accounts evidencing the indebtedness of the Borrower to such Lender resulting from each Loan made by such Lender, including the amounts of principal and interest payable and paid to such Lender from time to time
hereunder. 
 (c) The Administrative Agent shall maintain accounts in which it shall record (i) the amount of each Loan
made hereunder, the Facility, Type and currency thereof and the Interest Period applicable thereto, (ii) the amount of any principal or interest due and payable or to become due and payable from the Borrower to each Lender hereunder and
(iii) the amount of any sum received by the Administrative Agent hereunder for the account of the Lenders and each Lender’s share thereof. 
 (d) The entries made in the accounts maintained pursuant to paragraph (b) or (c) of this Section shall be prima facie evidence of the existence and amounts of the obligations recorded
therein; provided that the failure of any Lender or the Administrative Agent to maintain such accounts or any error therein shall not in any manner affect the obligation of the Borrower to repay the Loans in accordance with the terms of this
Agreement. 
 (e) Any Lender may request that Loans made by it be evidenced by a promissory note. In such event, the Borrower
shall prepare, execute and deliver to such Lender a promissory note payable to the order of such Lender (or, if requested by such Lender, to such Lender and its registered assigns) and in a form approved by the Administrative Agent. Thereafter, the
Loans evidenced by such promissory note and interest thereon shall at all times (including after assignment pursuant to Section 11.6) be represented by one or more promissory notes in such form payable to the order of the payee named
therein (or, if such promissory note is a registered note, to such payee and its registered assigns). 
 2.24 Increase in
Commitments. 
 (a) The Borrower may by written notice to the Administrative Agent elect to request (x) prior to the
Revolving Termination Date, an increase to the existing Revolving Commitments under one or more of the Revolving Facilities
(“Increased Revolving
Commitment”) and/or (y) the establishment of one or more new term loan Commitments (each, an
“Incremental Term Loan Commitment”) in an amount not less than $100,000,000 individually and in an amount such that the Total Facility Amount does not exceed $4,000,000,000 (after giving effect to the requested
increase)not to exceed the greater of (A) $1,000,000,000 and (B) an amount of Incremental Term Loans or Increased Revolving Commitments such that the Senior Secured
Leverage Ratio is no more than 3.50 to 1.00 as of the last day of the most recently ended period of four fiscal quarters of the Borrower for which financial statements are internally available, determined on the applicable Increase Effective Date,
after giving effect to any such incurrence on a Pro Forma Basis, and, in each case, with respect to any Increased Revolving Commitments, assuming a borrowing of the maximum amount of Loans available thereunder, and excluding the 


  
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cash proceeds of any such Incremental Term Loans or Increased Revolving Commitments. Each such notice shall specify (i) the
date (each, an “Increase Effective Date”) on which Borrower proposes that the increased or new Commitments shall be effective, which shall be a date not fewer than 10 Business Days after the date on which such notice is
delivered to the Administrative Agent and (ii) the identity of each Assignee to whom Borrower proposes any portion of such increased or new Commitments be allocated and the amounts of such allocations; provided that any existing Lender
approached to provide all or a portion of the increased or new Commitments may elect or decline, in its sole discretion, to provide such increased or new Commitment. 
 (b) The increased or new Commitments shall become effective, as of such Increase Effective Date; provided that: 

(i) each of the conditions set forth in Section 5.2 shall be satisfied; 

(ii) no Default shall have occurred and be continuing or would result from the borrowings to be made on the Increase
Effective Date; 
 (iii) after giving pro forma effect to the borrowings to be made on the Increase Effective
Date and to any change in Consolidated EBITDA and any increase in Debt resulting from the consummation of any acquisition permitted by this Agreement concurrently with such borrowings as of the date of the most recent financial statements delivered
pursuant to Section 6.1(b) or (c), the Borrower shall be in compliance with each of the covenants set forth in Section 7.16; 
 (iv) the Borrower shall make any payments required pursuant to Section 2.20 in connection with any adjustment of Revolving Loans pursuant to Section 2.24(d); and 

(v) the Borrower shall deliver or cause to be delivered any legal opinions or other documents reasonably requested by the
Administrative Agent in connection with any such transaction. 
 (c) The terms and provisions of Loans made pursuant to the new
Commitments shall be as follows: 
 (i) terms and provisions of Loans made pursuant to Incremental Term Loan
Commitments (“Incremental Term Loans”) shall be, except as otherwise set forth herein or in the Increase Joinder, identical to
(i) the Tranche B Term Loans
(“Incremental Term B
Loans”) or (ii) the Tranche A-3 Term Loans
(“Incremental Term A
Loans”, and together with any Incremental Term B Loans, the
“Incremental Term
Loans”) (it being understood that Incremental Term Loans may be part of an existing tranche of Term
Loans); provided that the aggregate principal amount of all Incremental Term A Loans shall not exceed (A) $1,000,000,000 plus (B) an amount equal to the excess, if any, of
(x) the amount of Tranche A Term Loans and Tranche A-3 Term Loans outstanding on the Amendment No. 2 Effective Date less (y) the amount of Tranche A Term Loans and Tranche A-3 Term Loans outstanding on the Increase Effective Date;

 (ii) all terms and provisions (including Maturity Date) of Revolving Loans made pursuant to new Commitments
shall be identical to the existing Revolving Loans; provided that in connection with any such new Commitments for additional Revolving Loans, the Borrower may pay to the Lenders providing such Commitments a fee in an amount not to exceed the
highest upfront fee paid to Revolving Lenders of the applicable Revolving Facility on the Closing Date; 
 (iii)
the weighted average life to maturity of all new term loans under(x) Incremental Term Loan
CommitmentsB Loans shall be no shorter than the weighted average life to maturity of the existing Tranche B-2 Term
Loans and (y) Incremental Term A Loans shall be no shorter than the weighted average life to maturity of the existing Tranche A-3 Term Loans; 
 (iv) the maturity date of (x) all Incremental Term B Loans shall not be
earlier than the latest Maturity Date with respect to the Tranche B-2 Term Loans as then in effect and (y) all Incremental Term A Loans shall not be earlier than the latest Maturity
Date with respect to the Tranche A-3 Term Loans as then in effect; and 

  
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 (v) the interest rate margins for
(x) the new term loans under Incremental Term Loan CommitmentsA Loans shall be
determined by Borrower and the applicable new Lenders and (y) the new Incremental Term B Loans shall be determined by Borrower and the applicable new Lenders; provided,
however, that the interest rate margins for the new term loans under Incremental Term Loan CommitmentsB Loans, shall not be greater than
the highest interest rate margins that may, under any circumstances, be payable with respect to any tranche of Tranche B Term Loans and any Tranche B-2 Term Loans plus
50 basis points (and the interest rate margins applicable to the Tranche B Term Loans and the Tranche B-2 Term Loans shall be increased to the extent necessary to achieve the
foregoing); provided, further, that in determining the interest rate margins applicable to the existing Tranche B Term Loans and the Tranche B-2 Term Loans, and the
Incremental Term B Loans, as applicable, (x) original issue discount or upfront or similar fees (collectively, “OID”) payable by the Borrower to the Lenders of the
existing Tranche B Term Loans, the Tranche B-2 Term Loans or the Incremental Term B Loans in the primary syndication
thereof shall be included (with OID being equated to interest based on an assumed four-year life to maturity), (y) customary arrangement or commitment fees payable to arrangers (or their respective affiliates) shall be excluded and (z) if
the Incremental Term B Loans include an interest rate floor greater than the interest rate floor applicable to the Tranche B Term
Loans or the Tranche B-2 Term Loans, such increased amount shall be equated to interest rate margins for purposes of determining whether an increase in the interest rate margins for the
Tranche B Term Loans or the Tranche B-2 Term Loans, as applicable, shall be required, to the extent an increase in the interest rate floor in the Tranche B Term Loans
or the Tranche B-2 Term Loans, as applicable, would cause an increase in the interest rate margins, and in such case the interest rate floor (but not the Applicable Margin) applicable
to the Tranche B Term Loans or the Tranche B-2 Term Loans, as applicable, shall be increased by such increased amount. 
 The increased or new Commitments shall be effected by a joinder agreement (the “Increase Joinder”) executed by Borrower, the Administrative Agent and each Lender making such increased or
new Commitment, in form and substance satisfactory to each of them. The Increase Joinder may, without the consent of any other Lenders, effect such amendments to this Agreement and the other Loan Documents as may be necessary or appropriate, in the
opinion of the Administrative Agent, to effect the provisions of this Section 2.24. 
 (d) To the extent the
Commitments being increased on the relevant Increase Effective Date are Revolving Commitments, then each of the Revolving Lenders having a Revolving Commitment under the applicable Revolving Facility prior to such Increase Effective Date (the
“Pre-Increase Revolving Lenders”) shall assign to any Revolving Lender which is acquiring a new or additional Revolving Commitment under the applicable Revolving Facility on the Increase Effective Date (the
“Post-Increase Revolving Lenders”), and such Post-Increase Revolving Lenders shall purchase from each Pre-Increase Revolving Lender, at the principal amount thereof, such interests in the Revolving Loans under the applicable
Revolving Facility (which purchases shall be deemed prepayments of such Revolving Loans for purposes of Section 2.20) and, in the case of Alternative Currency Revolving Commitments, participation interests in LC Obligations and Swingline
Loans outstanding on such Increase Effective Date as shall be necessary in order that, after giving effect to all such assignments and purchases, such Revolving Loans under the applicable Revolving Facility and, in the case of Alternative Currency
Revolving Commitments, participation interests in LC Obligations and Swingline Loans will be held by Pre-Increase Revolving Lenders and Post-Increase Revolving Lenders ratably in accordance with their Revolving Commitments under the applicable
Revolving Facility after giving effect to such increasedIncreased Revolving Commitments under the applicable Revolving Facility. 

(e) On any Increase Effective Date on which new Commitments for term loans under Incremental Term Loan Commitments are effective, subject
to the satisfaction of the foregoing terms and conditions, each Lender of such new Commitment shall make a new Term Loan to the Borrower in an amount equal to its new Commitment. 

  
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 (f) The Loans and Commitments established pursuant to this paragraph shall constitute Loans
and Commitments under, and shall be entitled to all the benefits afforded by, this Agreement and the other Loan Documents, and shall, without limiting the foregoing, benefit equally and ratably from Section 10 hereof and security
interests created by the Security Documents. The Loan Parties shall take any actions reasonably required by the Administrative Agent to ensure and/or demonstrate that the Lien and security interests granted by the Security Documents continue to be
perfected under the UCC or otherwise after giving effect to the establishment of any such class of Term Loans or any such new Commitments. 
 2.25 Extensions of Term Loans and Revolving Commitments. 
 (a)
Notwithstanding anything to the contrary in this Agreement, pursuant to one or more offers (each, an “Extension Offer”) made from time to time by the Borrower to all Lenders of Term Loans with a like Maturity Date or Revolving
Commitments with a like Maturity Date, in each case on a pro rata basis (based on the aggregate outstanding principal amount of the respective Term Loans or Revolving Commitments with the same Maturity Date, as the case may be) and on the same terms
to each such Lender, the Borrower may from time to time offer to extend the maturity date of any Term Loans and/or Revolving Commitments under any Revolving Facility and otherwise modify the terms of such Term Loans and/or such Revolving Commitments
pursuant to the terms of the relevant Extension Offer (including, without limitation, by increasing the interest rate or fees payable in respect of such Term Loans and/or such Revolving Commitments (and related outstandings) and/or modifying the
amortization schedule in respect of such Lender’s Term Loans) (each, an “Extension,” and each group of Term Loans or Revolving Commitments, as applicable, in each case as so extended, as well as the original Term Loans and the
original Revolving Commitments (in each case not so extended), being a “tranche”; any Extended Term Loans shall constitute a separate tranche of Term Loans from the tranche of Term Loans from which they were converted, and any
Extended Revolving Commitments shall constitute a separate tranche of Revolving Commitments from the tranche of Revolving Commitments from which they were converted), so long as the following terms are satisfied: (i) no Default shall have
occurred and be continuing at the time an Extension Offer is delivered to the Lenders, (ii) except as to interest rates, fees and final maturity, the Revolving Commitment under any Revolving Facility of any Revolving Lender (an
“Extending Revolving Lender”) extended pursuant to an Extension (an “Extended Revolving Commitment”), and the related outstandings, shall be a Revolving Commitment under such Revolving Facility (or related
outstandings, as the case may be) with the same terms as the applicable original Revolving Commitments (and related outstandings); provided that (x) subject to the provisions of Section 2.7(f) and Section 3.10 to
the extent dealing with Swingline Loans and Letters of Credit which mature or expire after a Maturity Date when there exist Extended Revolving Commitments with a longer Maturity Date, all Swingline Loans and Letters of Credit shall be participated
in on a pro rata basis by all Alternative Currency Revolving Lenders in accordance with their pro rata share of the Alternative Currency Revolving Facility (and except as provided in Section 2.7(f) or Section 3.10, without
giving effect to changes thereto on an earlier Maturity Date with respect to Swingline Loans and Letters of Credit theretofore incurred or issued) and all borrowings under the Alternative Currency Revolving Commitments and repayments thereunder
shall be made on a pro rata basis (except for (A) payments of interest and fees at different rates on Extended Revolving Commitments (and related outstandings) and (B) repayments required upon the Maturity Date of the non-extending
Alternative Currency Revolving Commitments) and (y) at no time shall there be Revolving Commitments hereunder (including Extended Revolving Commitments and any original Revolving Commitments) which have more than three different Maturity Dates,
(iii) except as to interest rates, fees, amortization, final maturity date, premium, required prepayment dates and participation in prepayments (which shall, subject to immediately succeeding clauses (iv), (v) and (vi), be determined by
the Borrower and set forth in the relevant Extension Offer), the Term Loans of any Term Lender (an “Extending Term Lender”) extended pursuant to any Extension (“Extended Term Loans”) shall have the same terms as the
tranche of Term Loans subject to such Extension Offer, (iv) the final maturity date of any Extended Term Loans shall be no earlier than the then latestLatest
Maturity Date hereunder and the amortization schedule applicable to Term Loans pursuant to Section 2.3 for periods prior to the Tranche A Term Loan Maturity Date, the Tranche B
Term Loan Maturity Date, the Tranche B-2 Term Loan Maturity Date or the Tranche BA-3 Term Loan Maturity Date, as applicable, may not be increased,
(v) the Weighted Average Life to Maturity of any Extended Term Loans shall be no shorter than the remaining Weighted Average Life to Maturity of the Term Loans extended thereby, (vi) any Extended Term Loans may participate on a pro rata
basis or a less than pro rata basis (but not greater than a pro rata basis) in any voluntary or mandatory repayments or prepayments hereunder, in each case as specified in the respective Extension Offer, (vii) if the aggregate principal amount
of applicable Term Loans (calculated on the face amount thereof) or applicable Revolving Commitments, as the case may be, in respect of which applicable Term 

  
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Lenders or applicable Revolving Lenders, as the case may be, shall have accepted the relevant Extension Offer (as hereinafter provided) shall exceed the maximum aggregate principal amount of
applicable Term Loans or applicable Revolving Commitments, as the case may be, offered to be extended by the Borrower pursuant to such Extension Offer, then the applicable Term Loans or applicable Revolving Loans, as the case may be, of the
applicable Term Lenders or applicable Revolving Lenders, as the case may be, shall be extended ratably up to such maximum amount based on the respective principal amounts (but not to exceed actual holdings of record) with respect to which such Term
Lenders or such Revolving Lenders, as the case may be, have accepted such Extension Offer (as hereinafter provided), (viii) all documentation in respect of such Extension shall be consistent with the foregoing, and (ix) any applicable
Minimum Extension Condition shall be satisfied unless waived by the Borrower. If at the time any Extension of Term Loans becomes effective, there will be Extended Term Loans which remain outstanding from a prior Extension, then the interest rate
margins for the new Extended Term Loans shall not be greater than the highest interest rate margins that may, under any circumstances, be payable with respect to another tranche of Tranche B Term Loans
(if such Extended Term Loans are Tranche B Term Loans) or Tranche B-2 Term Loans (if such Extended Term Loans are Tranche B-2 Term Loans), as applicable, plus 50 basis points (and the
interest rate margins applicable to each other applicable tranche of Tranche B Term Loans or Tranche B-2 Term Loans, as applicable, shall be increased to the extent necessary to achieve
the foregoing); provided, further, that in determining the interest rate margins applicable to any tranche of Tranche B Term Loans or Tranche B-2 Term Loans, as
applicable, (x) OID payable by the Borrower to the Lenders of each tranche of Tranche B Term Loans or Tranche B-2 Term Loans, as applicable, in the primary syndication thereof
shall be included (with OID being equated to interest based on an assumed four-year life to maturity), (y) customary arrangement or commitment fees payable to arrangers (or their respective affiliates) shall be excluded and (z) if a new
tranche of Tranche B Term Loans or Tranche B-2 Term Loans, as applicable, includes an interest rate floor greater than the interest rate floor applicable to a then existing tranche of
Tranche B Term Loans or Tranche B-2 Term Loans, as applicable, such increased amount shall be equated to interest rate margins for purposes of determining whether an increase in the
interest rate margins for the then existing tranches of Tranche B Term Loans or Tranche B-2 Term Loans, as applicable, shall be required, to the extent an increase in the interest rate
floor in the existing tranches of Tranche B Term Loans or Tranche B-2 Term Loans, as applicable, would cause an increase in the interest rate margins, and in such case the interest rate
floor (but not the Applicable Margin) applicable to the existing tranches of Tranche B Term Loans or Tranche B-2 Term Loans, as applicable, shall be increased by such increased amount.
Following any such Extension Offer, the Administrative Agent shall notify the applicable Lenders thereof, each of whom shall, in its sole discretion, determine whether or not to accept such Extension Offer. 

(b) With respect to all Extensions accepted by the relevant Lenders and consummated by the Borrower pursuant to this
Section 2.25, (i) such Extensions shall not constitute voluntary or mandatory payments or prepayments for purposes of Sections 2.10 and 2.11 and (ii) no Extension Offer is required to be in any minimum amount or
any minimum increment; provided that the Borrower may at its election specify as a condition (a “Minimum Extension Condition”) to consummating any such Extension that a minimum amount (to be determined and specified in the
relevant Extension Offer in the Borrower’s sole discretion and which may be waived by the Borrower) of Term Loans or Revolving Commitments (as applicable) of any or all applicable tranches be tendered. The Administrative Agent and the Lenders
hereby consent to the Extensions and the other transactions contemplated by this Section 2.25 (including, for the avoidance of doubt, payment of any interest, fees or premium in respect of any Extended Term Loans and/or Extended
Revolving Commitments on such terms as may be set forth in the relevant Extension Offer) and hereby waive the requirements of any provision of this Agreement (including, without limitation, Sections 2.10, 2.11 and 2.17) or any
other Loan Document that may otherwise prohibit any such Extension or any other transaction contemplated by this Section 2.25. 
 (c) The Lenders hereby irrevocably authorize the Administrative Agent and Collateral Agent to enter into amendments to this Agreement and the other Loan Documents with the Borrower as may be necessary in
order to establish new tranches or sub-tranches in respect of Revolving Commitments or Term Loans so extended and such technical amendments as may be necessary or appropriate in the reasonable opinion of the Administrative Agent and the Borrower in
connection with the establishment of such new tranches or subtranches, in each case on terms consistent with this Section 2.25. Notwithstanding the foregoing, each of the Administrative Agent and the Collateral Agent shall have the right
(but not the obligation) to seek the advice or concurrence of the Required Lenders with respect to any matter contemplated by this Section 2.25(c) and, if either the Administrative Agent or the Collateral Agent seeks such advice or
concurrence, it shall be permitted to enter into such amendments with the Borrower in accordance with any instructions actually received by such Required Lenders and shall also be entitled 

  
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to refrain from entering into such amendments with the Borrower unless and until it shall have received such advice or concurrence; provided, however, that whether or not there has
been a request by the Administrative Agent or the Collateral Agent for any such advice or concurrence, all such amendments entered into with the Borrower by the Administrative Agent or the Collateral Agent hereunder shall be binding and conclusive
on the Lenders. Without limiting the foregoing, in connection with any Extensions the respective Loan Parties shall (at their expense) amend (and the Collateral Agent is hereby directed to amend) any Mortgage that has a maturity date prior to the
then latest Maturity Date so that such maturity date is extended to the then latest Maturity Date (or such later date as may be advised by local counsel to the Collateral Agent). 

(d) In connection with any Extension, the Borrower shall provide the Administrative Agent at least five (5) Business Days’ (or
such shorter period as may be agreed by the Administrative Agent) prior written notice thereof, and shall agree to such procedures, if any, as may be established by, or acceptable to, the Administrative Agent, in each case acting reasonably to
accomplish the purposes of this Section 2.25. 
 (e) Notwithstanding the foregoing provisions of this
Section 2.25 and, for the avoidance of doubt, no Lender shall have such Lender’s Commitment or Loans extended without the written consent of such Lender. 
 2.26 Defaulting Lenders. Notwithstanding any provision of this Agreement to the contrary, if any Lender becomes a Defaulting Lender hereunder, then the following provisions shall apply for so long
as such Lender is a Defaulting Lender: 
 (a) fees shall cease to accrue on the Commitment of such Defaulting
Lender pursuant to Section 2.8(a); 
 (b) the Commitments and the Total Revolving Extensions of
Credit of such Defaulting Lender shall not be included in determining whether the Required Lenders have taken or may take any action hereunder (including any consent to any amendment, waiver or other modification pursuant to
Section 11.1); provided that this clause (b) shall not apply to the vote of a Defaulting Lender in the case of an amendment, waiver or other modification requiring the consent of each Lender or each Lender affected thereby;

 (c) if any Swingline Loan or Letter of Credit is outstanding at the time such Lender becomes a Defaulting
Lender then: 
 (i) unless a Default shall have occurred and be continuing, all or any part of the Swingline
Participation Amount and LC Obligations of such Defaulting Lender shall be reallocated among the non-Defaulting Lenders in accordance with their respective Alternative Currency Revolving Percentages but only to the extent the sum of all
non-Defaulting Lenders’ Alternative Currency Revolving Extensions of Credit plus such Defaulting Lender’s Swingline Participation Amount and LC Obligations do not exceed the total of all non-Defaulting Lenders’ Alternative Currency
Revolving Commitments; 
 (ii) if the reallocation described in clause (i) above cannot, or can only
partially, be effected, the Borrower shall within one Business Day following notice by the Administrative Agent (x) first, prepay such Swingline Participation Amount and (y) second, cash collateralize for the benefit of the Issuing Lender
only the Borrower’s obligations corresponding to such Defaulting Lender’s LC Obligations (after giving effect to any partial reallocation pursuant to clause (i) above) in accordance with the procedures set forth in
Section 3.10 for so long as such LC Obligations are outstanding; 
 (iii) if the Borrower cash
collateralizes any portion of such Defaulting Lender’s Alternative Currency Revolving Percentage of the LC Obligations pursuant to clause (ii) above, the Borrower shall not be required to pay any fees to such Defaulting Lender pursuant to
Section 2.8(c) with respect to such Defaulting Lender’s Alternative Currency Revolving Percentage of the LC Obligations during the period such Defaulting Lender’s LC Obligations are cash collateralized; 

  
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 (iv) if the LC Obligations of the non-Defaulting Lenders are reallocated
pursuant to clause (i) above, then the fees payable to the Lenders pursuant to Section 2.8(a) and Section 2.8(c) shall be adjusted in accordance with such non-Defaulting Lenders’ Alternative Currency Revolving
Percentages; and 
 (v) if all or any portion of such Defaulting Lender’s LC Obligations is neither
reallocated nor cash collateralized pursuant to clause (i) or (ii) above, then, without prejudice to any rights or remedies of the Issuing Lender or any other Lender hereunder, all letter of credit fees payable under
Section 2.8(c) with respect to such Defaulting Lender’s LC Obligations shall be payable to the Issuing Lender until and to the extent that such LC Obligations are reallocated and/or cash collateralized; and 

(d) so long as such Lender is a Defaulting Lender, the Swingline Lender shall not be required to fund any Swingline Loan
and the Issuing Lender shall not be required to issue, amend or increase any Letter of Credit, unless it is satisfied that the related exposure and the Defaulting Lender’s then outstanding LC Obligations will be 100% covered by the Alternative
Currency Revolving Commitments of the non-Defaulting Lenders and/or cash collateral will be provided by the Borrower in accordance with Section 2.26(c), and participating interests in any newly made Swingline Loan or any newly issued or
increased Letter of Credit shall be allocated among non-Defaulting Alternative Currency Revolving Lenders in a manner consistent with Section 2.26(c)(i) (and such Defaulting Lender shall not participate therein). 

If (i) a Bankruptcy Event with respect to a Parent of any Lender shall occur following the date hereof and for so long as such event
shall continue or (ii) the Swingline Lender or the Issuing Lender has a good faith belief that any Lender has defaulted in fulfilling its obligations under one or more other agreements in which such Lender commits to extend credit, the
Swingline Lender shall not be required to fund any Swingline Loan and the Issuing Lender shall not be required to issue, amend or increase any Letter of Credit, unless the Swingline Lender or the Issuing Lender, as the case may be, shall have
entered into arrangements with the Borrower or such Lender, satisfactory to the Swingline Lender or the Issuing Lender, as the case may be, to defease any risk to it in respect of such Lender hereunder. 

In the event that the Administrative Agent, the Borrower, the Swingline Lender and the Issuing Lender each agrees that a Defaulting
Lender has adequately remedied all matters that caused such Lender to be a Defaulting Lender, then the Swingline Participation Amount and LC Obligations of the Lenders shall be readjusted to reflect the inclusion of such Lender’s Alternative
Currency Revolving Commitment and on such date such Lender shall purchase at par such of the Revolving Loans of the other Lenders (other than Swingline Loans) as the Administrative Agent shall determine may be necessary in order for such Lender to
hold such Loans in accordance with its Revolving Percentage. 
 2.27 Refinancing Amendments. 

(a) At any time after the Closing Date, the Borrower may obtain from any
existing Lender or any other Person reasonably satisfactory to the Borrower and, in the case of any Other Revolving Commitments, the Administrative Agent, the Swingline Lender and the Issuing Bank (any such existing Lender or other Person being
called an “Additional Refinancing Lender”) Credit Agreement Refinancing Debt in respect of (a) all or any portion of the Term Loans then outstanding under this Agreement (which for purposes of this clause (a) will be deemed to
include any then outstanding Other Term Loans) or (b) all or any portion of the Revolving Commitments (including the corresponding portion of the Revolving Loans) under this Agreement (which for purposes of this clause (b) will be deemed
to include any then outstanding Other Revolving Commitments (including the corresponding portion of the Other Revolving Loans)), in the form of (x) Other Term Loans or Other Term Commitments in the case of clause (a) or (y) Other
Revolving Loans or Other Revolving Commitments in the case of clauses (a) and (b), in each 

  
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case pursuant to a Refinancing Amendment; provided that such Credit Agreement Refinancing Debt (i) will rank pari passu or junior
in right of payment and of security with the other Loans and Commitments hereunder, (ii) have such pricing, interest, fees, premiums and optional prepayment terms as may be agreed by the Borrower and the
Additional Refinancing Lenders thereof, (iii) not be secured by any assets that do not constitute Collateral and (iv) except as permitted in clause (ii), will otherwise be
treated hereunder no more materially favorably taken as a whole, including with respect to covenants and events of default, in the good faith determination of the Borrower than the Refinanced Debt; provided further that the terms and conditions
applicable to such Credit Agreement Refinancing Debt may provide for additional or different financial or other covenants or other provisions that are agreed by the Borrower and the applicable Additional Refinancing Lenders to the extent applicable
only after the Latest Maturity Date as determined on the date such Credit Agreement Refinancing Debt is incurred or obtained.  
 (b) The effectiveness of any Refinancing Amendment shall be subject to the satisfaction on the date thereof of each of the conditions set forth
in Section 5.2 and, to the extent reasonably requested by the Administrative Agent, to receipt by the Administrative Agent of (i) customary legal opinions, board resolutions and officers’ certificates consistent with those delivered
on the Closing Date other than changes to such legal opinion resulting from a change in law, change in fact or change to counsel’s form of opinion reasonably satisfactory to the Administrative Agent and (ii) reaffirmation agreements and/or
such amendments to the Collateral Documents as may be reasonably requested by the Administrative Agent in order to ensure that such Credit Agreement Refinancing Debt is provided with the benefit of the applicable Loan Documents. 

(c) Each issuance of Credit Agreement Refinancing Debt under
Section 2.27(a) shall be in an aggregate principal amount that is (x) not less than $25,000,000 and (y) an integral multiple of $1,000,000 in excess thereof. 

(d) Each of the parties hereto hereby agrees that this Agreement and the
other Loan Documents may be amended pursuant to a Refinancing Amendment, without the consent of any other Lenders, to the extent (but only to the extent) necessary to (i) reflect the existence and terms of the Credit Agreement Refinancing Debt
incurred pursuant thereto and (ii) effect such other amendments to this Agreement and the other Loan Documents as may be necessary or appropriate, in the reasonable opinion of the Administrative Agent and the Borrower, to effect the provisions
of this Section 2.27, and the Required Lenders hereby expressly authorize the Administrative Agent to enter into any such Refinancing Amendment. 
 SECTION 3 
 LETTERS OF CREDIT 

3.1 LC Commitment. 
 (a) Subject to the terms and conditions hereof, the Issuing Lender, in reliance on the agreements of the other Alternative Currency Revolving Lenders set forth in Section 3.4, agrees to issue
letters of credit denominated in Dollars (“Letters of Credit”) for the account of the Borrower or a Subsidiary on any Business Day during the Revolving Commitment
Period in such form as may be approved from time to time by the Issuing Lender; provided that the Issuing Lender shall have no obligation to issue any Letter of Credit if, after giving effect to such issuance, (i) the LC Obligations
would exceed the LC Commitment or (ii) the aggregate amount of the Available Alternative Currency Revolving Commitments would be less than zero. Each Letter of Credit shall (i) be denominated in Dollars and (ii) expire no later than
the earlier of (x) the first anniversary of its date of issuance and (y) the date that is fifteen Business Days prior to the Revolving Termination Date (or with respect to any Letters of Credit outstanding with respect to an Extended
Revolving Commitment, the Maturity Date applicable thereto); provided that any Letter of Credit with a one-year term may provide for the renewal thereof for additional one-year periods (which shall in no event extend beyond the date referred
to in clause (y) above). 
 (b) The Issuing Lender shall not at any time be obligated to issue any Letter of Credit if such
issuance would conflict with, or cause the Issuing Lender or any Alternative Currency Revolving Lender to exceed any limits imposed by, any applicable Requirement of Law. In the event of any inconsistency between the terms and conditions of this
Agreement and the terms and conditions of any Application or other agreement submitted by the Borrower to, or entered into by the Borrower with, the Issuing Lender relating to any Letter of Credit, the terms and conditions of this Agreement shall
control. 

  
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 (c) All Existing Letters of Credit shall be deemed to be issued hereunder and shall
constitute Letters of Credit subject to the terms hereof. 
 (d)
Notwithstanding that a Letter of Credit issued or outstanding hereunder is in support of any obligations of, or is for the account of, a Subsidiary, the Borrower shall be obligated to reimburse the Issuing Lender hereunder for any and all drawings
under such Letter of Credit. 
 3.2 Notice of Issuance, Amendment, Renewal, Extension; Certain Conditions. To request
the issuance of a Letter of Credit (or the amendment, renewal or extension of an outstanding Letter of Credit), the Borrower shall hand deliver or telecopy (or transmit by electronic communication, if arrangements for doing so have been approved by
the Issuing Lender) to the Issuing Lender and the Administrative Agent (reasonably in advance of the requested date of issuance, amendment, renewal or extension) a notice pursuant to an LC Request requesting the issuance of a Letter of Credit, or
identifying the Letter of Credit to be amended, renewed or extended, and specifying the date of issuance, amendment, renewal or extension (which shall be a Business Day), the date on which such Letter of Credit is to expire (which shall comply with
Section 3.1(a)), the amount of such Letter of Credit, the name and address of the beneficiary thereof and such other information as shall be necessary to prepare, amend, renew or extend such Letter of Credit. If requested by the Issuing
Lender, the Borrower also shall submit an Application on the Issuing Lender’s standard form in connection with any request for a Letter of Credit. A Letter of Credit shall be issued, amended, renewed or extended only if (and upon issuance,
amendment, renewal or extension of each Letter of Credit the Borrower shall be deemed to represent and warrant that), after giving effect to such issuance, amendment, renewal or extension, (i) the LC Obligations shall not exceed the LC
Commitment and (ii) the Available Alternative Currency Revolving Commitments would not be less than zero. 
 3.3 Fees
and Other Charges. The Borrower shall pay the fees specified in Section 2.8. 
 3.4 Participations. By
the issuance of a Letter of Credit (or an amendment to a Letter of Credit increasing the amount thereof) and without any further action on the part of the Issuing Lender or the Lenders, the Issuing Lender hereby grants to each Alternative Currency
Revolving Lender, and each Alternative Currency Revolving Lender hereby acquires from the Issuing Lender, a participation in such Letter of Credit equal to such Lender’s Alternative Currency Revolving Percentage of the aggregate amount
available to be drawn under such Letter of Credit. In consideration and in furtherance of the foregoing, each Alternative Currency Revolving Lender hereby absolutely and unconditionally agrees to pay to the Administrative Agent, for the account of
the Issuing Lender, such Lender’s Alternative Currency Revolving Percentage of each LC Disbursement made by the Issuing Lender and not reimbursed by the Borrower on the date due as provided in Section 3.5, or of any reimbursement
payment required to be refunded to the Borrower for any reason. Each Alternative Currency Revolving Lender acknowledges and agrees that its obligation to acquire participations pursuant to this paragraph in respect of Letters of Credit is absolute
and unconditional and shall not be affected by any circumstance whatsoever, including any amendment, renewal or extension of any Letter of Credit or the occurrence and continuance of a Default or reduction or termination of the Alternative Currency
Revolving Commitments, and that each such payment shall be made without any offset, abatement, withholding or reduction whatsoever. 

  
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 3.5 Reimbursement. If the Issuing Lender shall make any LC Disbursement in respect of
a Letter of Credit, the Borrower shall reimburse such LC Disbursement by paying to the Administrative Agent an amount equal to such LC Disbursement not later than 1:00 P.M., New York City time, on the date that such LC Disbursement is made, if the
Borrower shall have received notice of such LC Disbursement prior to 12:00 noon, New York City time, on such date, or, if such notice has not been received by the Borrower prior to such time on such date, then not later than 1:00 P.M., New York City
time, on (i) the Business Day that the Borrower receives such notice, if such notice is received prior to 12:00 noon, New York City time, on the day of receipt, or (ii) the Business Day immediately following the day that the Borrower
receives such notice, if such notice is not received prior to such time on the day of receipt; provided that, if such LC Disbursement is not less than $1,000,000, the Borrower may, subject to the conditions to borrowing set forth herein,
request in accordance with Section 2.5 or 2.6 that such payment be financed with an Alternative Currency Revolving Loan denominated in Dollars that is an ABR Loan or Swingline Loan in an equivalent amount and, to the extent so
financed, the Borrower’s obligation to make such payment shall be discharged and replaced by the resulting Alternative Currency Revolving Loan denominated in Dollars that is an ABR Loan or Swingline Loan. If the Borrower fails to make such
payment when due, the Administrative Agent shall notify each Alternative Currency Revolving Lender of the applicable LC Disbursement, the payment then due from the Borrower in respect thereof and such Lender’s Alternative Currency Revolving
Percentage thereof. Promptly following receipt of such notice, each Alternative Currency Revolving Lender shall pay to the Administrative Agent its Alternative Currency Revolving Percentage of the payment then due from the Borrower, in the same
manner as provided in Section 2.5 (without regard to minimum amounts) and Section 2.17(e) with respect to Loans made by such Alternative Currency Revolving Lender (and such Sections shall apply, mutatis mutandis, to
the payment obligations of the Alternative Currency Revolving Lenders), and the Administrative Agent shall promptly pay to the Issuing Lender the amounts so received by it from the Alternative Currency Revolving Lenders. Promptly following receipt
by the Administrative Agent of any payment from the Borrower pursuant to this paragraph, the Administrative Agent shall distribute such payment to the Issuing Lender or, to the extent that Alternative Currency Revolving Lenders have made payments
pursuant to this paragraph to reimburse the Issuing Lender, then to such Alternative Currency Revolving Lenders and the Issuing Lender as their interests may appear. Any payment made by a Alternative Currency Revolving Lender pursuant to this
paragraph to reimburse the Issuing Lender for any LC Disbursement (other than the funding of ABR Alternative Currency Revolving Loans or a Swingline Loan as contemplated above) shall not constitute a Loan and shall not relieve the Borrower of its
obligation to reimburse such LC Disbursement. 
 3.6 Obligations Absolute. The Borrower’s obligation to reimburse LC
Disbursements as provided in Section 3.5 shall be absolute, unconditional and irrevocable, and shall be performed strictly in accordance with the terms of this Agreement under any and all circumstances whatsoever and irrespective of
(i) any lack of validity or enforceability of any Letter of Credit or this Agreement, or any term or provision therein, (ii) any draft or other document presented under a Letter of Credit proving to be forged, fraudulent or invalid in any
respect or any statement therein being untrue or inaccurate in any respect, (iii) payment by the Issuing Lender under a Letter of Credit against presentation of a draft or other document that does not comply with the terms of such Letter of
Credit, or (iv) any other event or circumstance whatsoever, whether or not similar to any of the foregoing, that might, but for the provisions of this Section, constitute a legal or equitable discharge of, or provide a right of setoff against,
the Borrower’s obligations hereunder. Neither the Administrative Agent, the Lenders nor the Issuing Lender, nor any of their Related Parties, shall have any liability or responsibility by reason of or in connection with the issuance or transfer
of any Letter of Credit or any payment or failure to make any payment thereunder (irrespective of any of the circumstances referred to in the preceding sentence), or 

  
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any error, omission, interruption, loss or delay in transmission or delivery of any draft, notice or other communication under or relating to any Letter of Credit (including any document required
to make a drawing thereunder), any error in interpretation of technical terms or any consequence arising from causes beyond the control of the Issuing Lender; provided that the foregoing shall not be construed to excuse the Issuing Lender
from liability to the Borrower to the extent of any direct damages (as opposed to consequential damages, claims in respect of which are hereby waived by the Borrower to the extent permitted by applicable law) suffered by the Borrower that are caused
by the Issuing Lender’s failure to exercise care when determining whether drafts and other documents presented under a Letter of Credit comply with the terms thereof. The parties hereto expressly agree that, in the absence of gross negligence
or willful misconduct on the part of the Issuing Lender (as finally determined by a court of competent jurisdiction), the Issuing Lender shall be deemed to have exercised care in each such determination. In furtherance of the foregoing and without
limiting the generality thereof, the parties agree that, with respect to documents presented which appear on their face to be in substantial compliance with the terms of a Letter of Credit, the Issuing Lender may, in its sole discretion, either
accept and make payment upon such documents without responsibility for further investigation, regardless of any notice or information to the contrary, or refuse to accept and make payment upon such documents if such documents are not in strict
compliance with the terms of such Letter of Credit. 
 3.7 Disbursement Procedures. The Issuing Lender shall, promptly
following its receipt thereof, examine all documents purporting to represent a demand for payment under a Letter of Credit. The Issuing Lender shall promptly notify the Administrative Agent and the Borrower by telephone (confirmed by telecopy) of
such demand for payment and whether the Issuing Lender has made or will make an LC Disbursement thereunder; provided that any failure to give or delay in giving such notice shall not relieve the Borrower of its obligation to reimburse the
Issuing Lender and the Alternative Currency Revolving Lenders with respect to any such LC Disbursement. 
 3.8 Interim
Interest. If the Issuing Lender shall make any LC Disbursement, then, unless the Borrower shall reimburse such LC Disbursement in full on the date such LC Disbursement is made, the unpaid amount thereof shall bear interest, for each day from and
including the date such LC Disbursement is made to but excluding the date that the Borrower reimburses such LC Disbursement, at the rate per annum then applicable to Alternative Currency Revolving Loans denominated in Dollars which are ABR Loans;
provided that, if the Borrower fails to reimburse such LC Disbursement when due pursuant to Section 3.5, then Section 2.14(c) shall apply. Interest accrued pursuant to this Section shall be for the account of the
Issuing Lender, except that interest accrued on and after the date of payment by any Alternative Currency Revolving Lender pursuant to Section 3.5 to reimburse the Issuing Lender shall be for the account of such Alternative Currency
Revolving Lender to the extent of such payment. 
 3.9 Replacement of the Issuing Lender. The Issuing Lender may be
replaced at any time with another party eligible to become the Issuing Lender as provided herein, by written notice given by the Borrower (with the approval of the successor Issuing Lender and the Administrative Agent) to the replaced Issuing
Lender; provided that prior to such replacement all Letters of Credit issued by the replaced Issuing Lender are terminated or cash collateralized on terms satisfactory to the replaced Issuing Lender. The Administrative Agent shall notify the
Lenders of any such replacement of the Issuing Lender. At the time any such replacement shall become effective, the Borrower shall pay all unpaid fees accrued for the account of the replaced Issuing Lender pursuant to Section 3.3). From
and after the effective date of any such replacement, (i) the successor Issuing Lender shall have all the rights and obligations of the Issuing Lender under this Agreement with respect to Letters of Credit to be issued thereafter and
(ii) references herein to the term “Issuing Lender” shall be deemed to refer to such 

  
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successor or to any previous Issuing Lender, or to such successor and all previous Issuing Lenders, as the context shall require. After the replacement of an Issuing Lender hereunder, the
replaced Issuing Lender shall remain a party hereto and shall continue to have all the rights and obligations of an Issuing Lender under this Agreement with respect to Letters of Credit issued by it prior to such replacement, but shall not be
required to issue additional Letters of Credit. 
 3.10 Cash Collateralization. (i) If any Event of Default shall
occur and be continuing, on the Business Day that the Borrower receives notice from the Administrative Agent or the Required Lenders (or, if the maturity of the Loans has been accelerated, Lenders with LC Obligations representing greater than 50% of
the total LC Obligations) demanding the deposit of cash collateral pursuant to this Section, or (ii) if required by Section 2.26(d), on the Business Day the Borrower receives the notice contemplated by
Section 2.26(c)(ii), the Borrower shall deposit in an account with the Collateral Agent, in the name of the Collateral Agent and for the benefit of the Secured Parties, an amount in cash equal to 105% of the LC Obligations as of such
date plus any accrued and unpaid interest thereon; provided that the obligation to deposit such cash collateral shall become effective immediately, and such deposit shall become immediately due and payable, without demand or other notice of
any kind, upon the occurrence of any Event of Default with respect to the Borrower described in Section 8.1(g). Such deposit shall be held by the Collateral Agent as collateral for the payment and performance of the obligations of the
Borrower under this Agreement. The Collateral Agent shall have exclusive dominion and control, including the exclusive right of withdrawal, over such account. Other than any interest earned on the investment of such deposits, which investments shall
be made at the option and sole discretion of the Collateral Agent and at the Borrower’s risk and expense, such deposits shall not bear interest. Interest or profits, if any, on such investments shall accumulate in such account. Moneys in such
account shall be applied by the Collateral Agent to reimburse the Issuing Lender for LC Disbursements for which it has not been reimbursed and, to the extent not so applied, shall be held for the satisfaction of the reimbursement obligations of the
Borrower for the LC Obligations at such time or, if the maturity of the Loans has been accelerated (but subject to the consent of Lenders with LC Obligations representing greater than 50% of the total LC Obligations), be applied to satisfy other
obligations of the Borrower under this Agreement, and any surplus remaining shall be returned to the Borrower after all Events of Default triggering such deposit cease to exist. If the Borrower is required to provide an amount of cash collateral
hereunder as a result of the occurrence of an Event of Default, such amount (to the extent not applied as aforesaid) shall be returned to the Borrower within three Business Days after all Events of Default have been cured or waived. 

3.11 Provisions Related to Extended Alternative Currency Revolving Commitments. If the Maturity Date in respect of any tranche of
Alternative Currency Revolving Commitments occurs prior to the expiration of any Letter of Credit, then (i) if one or more other tranches of Alternative Currency Revolving Commitments in respect of which the Maturity Date shall not have
occurred are then in effect, such Letter of Credit shall automatically be deemed to have been issued (including for purposes of the obligations of the Alternative Currency Revolving Lenders to purchase participations therein and to make Alternative
Currency Revolving Loans and payments in respect thereof pursuant to Section 3.5) under (and ratably participated in by Lenders pursuant to) the Alternative Currency Revolving Commitments in respect of such non-terminating tranches up to
an aggregate amount not to exceed the aggregate principal amount of the unutilized Alternative Currency Revolving Commitments thereunder at such time (it being understood that no partial face amount of any Letter of Credit may be so reallocated) and
(ii) to the extent not reallocated pursuant to immediately preceding clause (i), the Borrower shall cash collateralize any such Letter of Credit in accordance with Section 3.10. Except to the extent of reallocations of
participations pursuant to clause (i) of the immediately preceding sentence, 

  
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the occurrence of a Maturity Date with respect to a given tranche of Alternative Currency Revolving Commitments shall have no effect upon (and shall not diminish) the percentage participations of
the Alternative Currency Revolving Lenders in any Letter of Credit issued before such Maturity Date. 
 SECTION 4 

REPRESENTATIONS AND WARRANTIES 
 Each Loan Party represents and warrants to the Administrative Agent, the Collateral Agent, the Issuing Lender and each of the Lenders that: 

4.1 Organization; Power. Each Loan Party and each of its Subsidiaries (i) is duly organized, validly existing and in good
standing (if such concept is applicable) under the laws of the jurisdiction of its organization, (ii) is duly qualified and in good standing as a foreign business enterprise (if such concept is applicable) in each other jurisdiction in which it
owns or leases property or in which the conduct of its business requires it to so qualify or be licensed except where the failure to be so qualified or licensed would not, individually or in the aggregate, result in a Material Adverse Effect and
(iii) has all requisite power and authority (including, without limitation, all material Governmental Authorizations) to own or lease and operate its properties and to carry on its business as now conducted and as proposed to be conducted.

 4.2 Capital Stock; Subsidiaries. Set forth on Schedule 1(a) to the Perfection Certificate is a complete and
accurate list of all Subsidiaries of the Borrower as of the Closing Date, showing as of the Closing Date (as to each Loan Party) the jurisdiction of its incorporation, the address of its principal place of business and its U.S. taxpayer
identification number or, in the case of any non-U.S. Loan Party that does not have a U.S. taxpayer identification number, its unique identification number issued to it by the jurisdiction of its incorporation. The copy of the charter of each Loan
Party and each amendment thereto provided pursuant to Section 5.1(b) is a true and correct copy of each such document, each of which is valid and in full force and effect as of the Closing Date. As of the Closing Date, Schedule
10(a) to the Perfection Certificate shows the number of shares or other units of each class of each Subsidiary’s Capital Stock authorized, and the number outstanding, on the Closing Date and the percentage of each such class of its Capital
Stock owned (directly or indirectly) by the Borrower or any Subsidiary thereof. All of the outstanding Capital Stock of each such Subsidiary (A) (in the case of Subsidiaries that are corporations) has been validly issued, is fully paid and
non-assessable and (B) to the extent owned by the Borrower or one or more of its Subsidiaries, is free and clear of all Liens, except those created under the Security Documents or Liens permitted pursuant to Section 7.1. 

4.3 Authorization; No Conflicts. The execution, delivery and performance by each Loan Party of each Loan Document to which it is
or is to be a party, and the consummation of the Transactions, are within such Loan Party’s corporate, partnership or limited liability company powers, as applicable, have been duly authorized by all necessary corporate, partnership or limited
liability company action, as applicable, do not (i) contravene such Loan Party’s Constitutive Documents, (ii) violate any Requirements of Law, (iii) conflict with or result in the breach of, or constitute a default or require any
payment to be made under, any material contract, loan agreement, indenture, mortgage, deed of trust, lease or other instrument binding on or affecting any Loan Party or any of its properties that would reasonably be likely to have a Material Adverse
Effect or (iv) except for the Liens created under the Loan Documents, result in or require the creation or imposition of any Lien upon or with respect to any of the properties of any Loan Party. No Loan Party is in violation of any such
Requirements of Law, the violation of which would be reasonably likely, individually or in the aggregate, to have a Material Adverse Effect. 

  
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 4.4 No Approvals. No Governmental Authorization, and no other authorization or
approval or other action by, and no notice to or filing with, any Governmental Authority or any other third party is required for (i) the due execution, delivery, recordation, filing or performance by any Loan Party of any Loan
Document to which it is or is to be a party, or for the consummation of the Transactions, (ii) the grant by any Loan Party of the Liens granted by it pursuant to the Security Documents, (iii) the perfection or maintenance of the Liens
created under the Security Documents on such of the Collateral located in the United States in which a Lien may be perfected by the filing of financing statements, the recordation of security agreements with the U.S. Patent and Trademark Office or
the U.S. Copyright Office or the delivery of Collateral (including the first priority nature thereof) or (iv) the exercise by any Agent or any Lender of its rights under the Loan Documents or the remedies in respect of the Collateral pursuant
to the Security Documents, except for (A) the authorizations, approvals, filings and actions described on Schedule 4.4 hereto, all of which either (i) have been duly obtained and are in full force and effect or will be obtained and
in full force and effect prior to the Closing Date or (ii) the failure to obtain could not reasonably be expected to result in a Material Adverse Effect, (B) filings, notices, recordings and other similar actions necessary for the creation
or perfection of the Liens and security interests contemplated by the Loan Documents and (C) the actions required by laws generally with respect to the exercise by secured creditors of their rights and remedies. 

4.5 Enforceability. This Agreement has been, and each other Loan Document when delivered hereunder will have been, duly executed
and delivered by each Loan Party thereto. This Agreement is, and each other Loan Document when delivered hereunder will be, the legal, valid and binding obligation of each Loan Party thereto, enforceable against such Loan Party in accordance with
its terms, subject to applicable bankruptcy, insolvency, reorganization, moratorium or other laws affecting creditors’ rights generally and subject to general principles of equity, regardless of whether considered in a proceeding in equity or
at law. 
 4.6 Litigation. There is no action, suit, investigation, litigation or proceeding affecting any Loan Party or
any of its Subsidiaries, including any Environmental Action, pending or, to the knowledge of the Loan Parties, threatened before any Governmental Authority or arbitrator (i) that, if adversely determined, would be reasonably likely,
individually or in the aggregate, to have a Material Adverse Effect or (ii) that purports to affect the legality, validity or enforceability of any Loan Document or the consummation of the Transactions, except as disclosed prior to the Closing
Date in the Borrower’s filings made with the SEC. 
 4.7 Financial Statements; Projections. 

(a) Historical Financial Statements. Borrower has heretofore delivered to the Lenders the Consolidated balance sheets and related
statements of income, stockholders’ equity and cash flows of Borrower (i) as of and for the Fiscal Years ended December 31, 2009, December 31, 2008 and December 31, 2007, audited by and accompanied by the unqualified
opinion of KPMG LLP, independent public accountants, and (ii) as of and for the six-month period ended June 30, 2010 and for the comparable period of the preceding Fiscal Year, in each case, certified by the chief financial officer of
Borrower. Such financial statements and all financial statements delivered pursuant to Sections 6.1(b) and (c) have been prepared in accordance with GAAP and present fairly in all material respects the financial condition and
results of operations and cash flows of Borrower as of the dates and for the periods to which they relate except, in the case of interim financial statements, for the absence of footnotes and the same being subject to year end audit adjustments.


  
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 (b) No Liabilities. Except as set forth in the financial statements referred to in
Section 4.7(a), or included in the
Borrower’s Form S-4 filed with the SEC on July 6, 2012 (other than (i) disclosures in such Form S-4
contained in the “Risk
Factors” or
“Forward Looking
Statements” sections thereof to the extent such disclosures are general in nature or cautionary without an existing
basis related to the Borrower or its Subsidiaries, speculative or forward-looking and non-specific in nature and (ii) any disclosure of a liability in the Form S-4 to the extent that, subsequent to effective date of such Form S-4, the facts and
circumstances surrounding such liability have worsened from that which is disclosed in such Form S-4 in a manner materially adverse to the Borrower and its Subsidiaries) there are no liabilities of any Group Member of any kind, whether accrued,
contingent, absolute, determined, determinable or otherwise, which could reasonably be expected to result in a Material Adverse Effect, and there is no existing condition, situation or set of circumstances which could reasonably be expected to
result in such a liability, other than liabilities under the Loan Documents and the Senior Notes Documents. Since December 31, 20092011 there has been no event,
change, circumstance or occurrence that, individually or in the aggregate, has had or could reasonably be expected to have a Material Adverse Effect (excluding the Borrower’s entering into the Loan Documents
and, the Senior Notes Documents, the New Senior Notes Documents and the Acquisition). 

(c) Forecasts. The forecasts of financial performance of Borrower and its subsidiaries furnished to the Lenders have been prepared
in good faith by Borrower and based on assumptions believed by Borrower to reasonable. 
 4.8 Properties. 

(a) Generally. Each Group Member has good title to, or valid leasehold interests in, all its property material to its business,
free and clear of all Liens except for Liens permitted pursuant to Section 7.1 and minor irregularities or deficiencies in title that, individually and in the aggregate, do not interfere with its ability to conduct its business as
currently conducted or to utilize such property for its intended purpose. 
 (b) Real Property. Schedule 4.8
contains a true and complete list of each interest in Real Property (i) owned by any Group Member as of the Closing Date and describes the type of interest therein held by such Group Member and whether such owned Real Property is leased and
(ii) leased, subleased or otherwise occupied or utilized by any Group Member, as lessee, sublessee, franchisee or licensee, as of the Closing Date and describes the type of interest therein held by such Group Member. 

(c) Collateral. Each Group Member owns or has rights to use all of the Collateral and all rights with respect to any of the
foregoing used in, necessary for or material to each Group Member’s business as currently conducted. (i) To the knowledge of the Loan Parties, the use by each Group Member of such Collateral and all such rights with respect to the
foregoing do not infringe on the rights of any Person other than such infringement which could not, individually or in the aggregate, reasonably be expected to result in a Material Adverse Effect and (ii) no claim has been made and remains
outstanding that any Group Member’s use of any Collateral does or may violate the rights of any third party that could, individually or in the aggregate, reasonably be expected to result in a Material Adverse Effect. 

4.9 Intellectual Property. 
 (a) Ownership/No Claims. Except to the extent the same would not be expected, individually or in the aggregate, to have a Material Adverse Effect, (i) each Loan Party owns, or is licensed to
use, all Intellectual Property necessary for the conduct of its business as currently conducted, (ii) to the knowledge of such Loan Party, no claim has been asserted and is pending by any Person challenging or questioning the use of any such
Intellectual Property or the validity or effectiveness of any such Intellectual Property, nor does any Loan Party know of any valid basis for any such claim and (iii) to the knowledge of such Loan Party, the use of such Intellectual Property by
each Loan Party does not infringe the rights of any Person. 
 (b) Registrations. On and as of the Closing Date
(i) each Loan Party owns and possesses the right to use, and has done nothing to authorize or enable any other Person to use, any copyright, patent or trademark (as such terms are defined in the Security Agreement) listed in Schedule
12(a) or 12(b) to the Perfection Certificate and (ii) all registrations listed in Schedule 12(a) or 12(b) to the Perfection Certificate are valid and in full force and effect. 

  
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 (c) No Violations or Proceedings. To each Loan Party’s knowledge, on and as of
the Closing Date, there is no material violation by others of any right of such Loan Party with respect to any copyright, patent or trademark listed in Schedule 12(a) or 12(b) to the Perfection Certificate, pledged by it under the name
of such Loan Party. 
 4.10 No Material Misstatements. Neither the Confidential Information Memorandum nor any other
information, exhibit or report furnished by any Loan Party to any Agent or any Lender in connection with the negotiation and syndication of the Loan Documents or pursuant to the terms of the Loan Documents taken as a whole in combination with the
Borrower’s most recent Form 10-K, and each Form 10-Q and Form 8-K subsequent to such Form 10-K, and the
Borrower’s Form S-4 filed with the SEC on July 6, 2012, in each case, filed or furnished with the SEC,
contained, as of the date such information exhibit or report was so furnished, any untrue statement of a material fact or omitted to state a material fact necessary to make the statements made therein not misleading, except with respect to any
projections or forecasts contained in such materials, the Group Members represent only that the same were prepared in good faith on the basis of assumptions believed to be reasonable, at the time made and at the time furnished, it being recognized
by the Lenders that such projections and forecasts as they relate to future events are not to be viewed as fact and that actual results during the period or periods covered by such projections and forecasts may differ from such projections and
forecasts. 
 4.11 Margin Stock. No Group Member is engaged in the business of extending credit for the purpose of
purchasing or carrying Margin Stock, and no proceeds of any Loan or drawings under any Letter of Credit will be used to purchase or carry any Margin Stock or to extend credit to others for the purpose of purchasing or carrying any Margin Stock,
except for purchases of the Borrower’s Capital Stock permitted by Section 7.7. 
 4.12 Investment Company
Act. Neither any Loan Party nor any of its Subsidiaries is an “investment company,” or an “affiliated person” of, or “promoter” or “principal underwriter” for, an “investment company,” as such
terms are defined in the Investment Company Act of 1940, as amended. Neither the making of any Loans, nor the issuance of any Letters of Credit, nor the application of the proceeds or repayment thereof by the Borrower, nor the consummation of the
other transactions contemplated by the Loan Documents and Transaction Documents, will violate any provision of any such Act or any rule, regulation or order of the SEC thereunder. 

4.13 Solvency. As of the Closing Date, and after giving effect to the incurrence of all indebtedness and obligations being
incurred on the Closing Date in connection herewith, each Loan Party is, individually and together with its Subsidiaries, Solvent. 
 4.14 Employee Benefit Plans. 
 (i) No ERISA Event has occurred or is
reasonably expected to occur that has resulted in or is reasonably expected to result in a material liability of any Loan Party. 
 (ii) Schedule B (Actuarial Information) to the most recent annual report (Form 5500 Series) for each Plan, copies of which have been filed with the Internal Revenue Service and furnished to the Lenders,
is complete and accurate and fairly presents the funding status of such Plan, and since the date of such Schedule B there has been no material adverse change in such funding status. 

  
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 (iii) Neither any Loan Party nor any ERISA Affiliate has incurred or is reasonably expected
to incur any Withdrawal Liability exceeding $100,000 to any Multiemployer Plan. 
 (iv) Neither any Loan Party nor any ERISA
Affiliate has been notified by the sponsor of a Multiemployer Plan that such Multiemployer Plan is in reorganization or has been terminated, within the meaning of Title IV of ERISA, and no such Multiemployer Plan is reasonably expected to be in
reorganization or to be terminated, within the meaning of Title IV of ERISA. 
 (v) Each Loan Party is in compliance in all
material respects with the presently applicable provisions of ERISA and the Code with respect to each Plan. 
 (vi) The present
value of all accumulated benefit obligations of all underfunded Plans (based on the assumptions used for purposes of Statement of Financial Accounting Standards No. 87) did not, as of the date of the most recent financial statements reflecting
such amounts, exceed the fair market value of the assets of all such underfunded Plans by an amount that could reasonably be expected to have a Material Adverse Effect. 
 (vii) The Loan Parties do not maintain or contribute to any plan, program, policy, arrangement or agreement with respect to employees (or former employees) employed outside the United States or Puerto
Rico. 
 (viii) Each Loan Party is in compliance in all material respects with the provisions of applicable law with respect to
each employee benefit plan maintained or contributed to with respect to employees (or former employees) employed in Puerto Rico. No Loan Party has incurred, or reasonably expects to incur, any material obligation in connection with the termination
of, or withdrawal from, any employee benefit plan maintained or contributed to with respect to employees (or former employees) employed in Puerto Rico. 
 4.15 Environmental Laws. 
 (i) The operations and properties of each Loan
Party comply with all applicable Environmental Laws and Environmental Permits, except where any such failure to comply would not be reasonably expected to have a Material Adverse Effect; any past non-compliance with such Environmental Laws and
Environmental Permits has been resolved without ongoing obligations or costs, except where any such failure to comply would not be reasonably expected, individually or in the aggregate, to have a Material Adverse Effect; no Environmental Action is
pending or, to the Loan Parties’ knowledge threatened, against any Loan Party; and no circumstances exist that, in each case, could be reasonably likely to (A) form the basis of an Environmental Action against any Loan Party or any of
properties currently owned or operated by any of them that could, individually or in the aggregate, have a Material Adverse Effect or (B) cause any such property owned by any Loan Party to be subject to any restrictions on ownership, occupancy,
use or transferability under any Environmental Law that could, individually or in the aggregate, have a Material Adverse Effect. 
 (ii) To Borrower’s knowledge, none of the properties currently or formerly owned or operated by any Loan Party is listed or formally proposed for listing on the NPL or on the CERCLIS or any analogous
foreign, state or local list; and except to the extent that any of the following would not, individually or in the aggregate, reasonably be expected to have a Material Adverse Effect, (A) there are no and, to the Loan Parties’ knowledge,
never have been any underground or aboveground storage tanks or related piping or any surface impoundments, land disposal areas, septic tanks, pits, sumps or lagoons in which Hazardous Materials are being or have been treated, stored or disposed on
any property currently owned or operated by any Loan Party or, to their knowledge, on any property formerly owned or operated by any Loan Party, (B) there is no asbestos or asbestos-containing material on or at any facility or property
currently owned or operated by any Loan Party, and (C) there has been no Release of Hazardous Materials on, at, under or from any property currently or, to Borrower’s knowledge formerly owned or operated by any Loan Party. 

(iii)(A) No Loan Party is undertaking, and has not completed, either individually or together with other potentially responsible parties,
any investigation or remedial or response action relating to any actual or threatened Release of Hazardous Materials at any location; and (B) all Hazardous Materials generated, used, treated, handled or stored at, or transported to or from, any
property currently or formerly owned or operated by any Loan Party have been disposed of in a manner that could not reasonably be expected to result in liability to any Loan Party that, in the case of (A) and (B), either individually or in the
aggregate, would have a Material Adverse Effect. 

  
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 4.16 Taxes. Each Loan Party has duly filed, has caused to be duly filed or has been
included in all material tax returns (Federal, state, local and foreign) required to be filed and has paid all material Taxes whether or not shown to be due on a tax return, together with applicable interest and penalties. Each Loan Party has made
adequate provision in accordance with GAAP for all Taxes not yet due and payable. Each Loan Party is unaware of any proposed or pending tax assessments, deficiencies or audits that could be reasonably expected to, individually or in the aggregate,
result in a Material Adverse Effect. No Loan Party has ever been a party to any understanding or arrangement constituting a “tax shelter” within the meaning of Section 6662(d)(2)(C)(iii) of the Code or within the meaning of
Section 6111(c) or Section 6111(d) of the Code as in effect immediately prior to the enactment of the American Jobs Creation Act of 2004, or has ever “participated” in a “reportable transaction” within the meaning of
Treasury Regulation Section 1.6011-4, except as could not be reasonably expected to, individually or in the aggregate, result in a Material Adverse Effect. 
 4.17 Government Reimbursement Programs; Medicare/Medicaid/Tricare; Commercial Reimbursement Programs; Corporate Practice of Medicine.

 (a) The dialysis facilities operated by each Group Member (the “Dialysis
Facilities”), the Physician Practices, Physician Groups and the Regulated Subsidiaries are qualified for participation in the Medicare programs and the Medicaid programs and
Tricare programs in which they participate (together with their respective intermediaries or carriers, the “Government Reimbursement Programs”) and are entitled to reimbursement under Government Reimbursement Programs for services
rendered to qualified beneficiaries of Government Reimbursement Programs in which the Borrower and its Subsidiaries participate, and with respect to the Physician Practices, Physician
Groups and Regulated Subsidiaries those Government Reimbursement Programs in which they participate, and comply in all material respects with the conditions of participation in all Government Reimbursement Programs in which they participate or
have participated, except for the fact that Dialysis Facilities (i) newly developed by Group Members may from time to time be awaiting an initial Medicare certification and/or initial Medicare or Medicaid provider number in accordance with
normal business practice because of standard waiting times between the proper timely filing of the relevant documents therefor and the receipt of such certification and/or provider number and (ii) acquired by Group Members may from time to time
be awaiting a Medicare certification and/or Medicare or Medicaid provider number issued in the name of such Group Member in accordance with normal business practice because of standard waiting times between the proper timely filing of the relevant
documents therefor and the receipt of such provider number. There is no pending or, to the Loan Parties’ knowledge, threatened proceeding or investigation by any of the Government Reimbursement Programs with respect to (i) any Group
Member’s, Physician Practice’s, Physician
Group’s or Regulated
Subsidiary’s qualification or right to participate in any Government Reimbursement Program in which it
participates or has participated, (ii) the compliance or non-compliance by any Group Member, Physician Practice, Physician Group or Regulated Subsidiary with the terms or
provisions of any Government Reimbursement Program in which it participates or has participated, or (iii) the right of any Group Member, Physician Practice, Physician Group or
Regulated Subsidiary to receive or retain amounts received or due or to become due from any Government Reimbursement Program in which it participates or has participated, which proceeding or investigation, together with all other such
proceedings and investigations, would reasonably be expected to (x) have a Material Adverse Effect or (y) result in Consolidated net operating revenues for any (including any future) four Fiscal Quarter period of the Borrower constituting
less than 95% of Consolidated net operating revenues for the immediately preceding four Fiscal Quarter period of the Borrower. 

(b) No Group Member nor any of their respective officers or
, directors, managers or partners on behalf of any Group
Member, and no Physician Practice, Physician Group or Regulated Subsidiary nor any of their respective officers, directors, managers or partners on behalf of any Physician Practice,
Physician Group or Regulated Subsidiary has (A) committed any act that would cause any of them to incur a civil monetary penalty under or violated 42 U.S.C. § 1320a-7a or § 1320a-7b or knowingly or willfully violated any of the
other 

  
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federal statutes applicable to Government Reimbursement Programs or the regulations promulgated pursuant to such statutes or related state or local statutes or regulations, including but not
limited to the following: (i) knowingly and willfully making or causing to be made a false statement or representation of a material fact in any applications for any benefit or payment; (ii) knowingly and willfully making or causing to be
made any false statement or representation of a material fact for use in determining rights to any benefit or payment; (iii) failing to disclose knowledge by a claimant of the occurrence of any event affecting the initial or continued right to
any benefit or payment on its own behalf or on behalf of another, with intent to secure such benefit or payment fraudulently; (iv) knowingly and willfully soliciting, receiving, offering or paying any remuneration (including any kickback, bribe
or rebate), directly or indirectly, overtly or covertly, in cash or in kind or offering to pay such remuneration (a) in return for referring an individual to a Person for the furnishing or arranging for the furnishing of any item or service for
which payment may be made in whole or in part by Medicare, Medicaid or other applicable government payers, or (b) in return for purchasing, leasing or ordering or arranging for or recommending the purchasing, leasing or ordering of any good,
facility, service or item for which payment may be made in whole or in part by Medicare, Medicaid or other applicable government payers, (B) knowingly and willfully presented or caused to be presented a claim for a medical or other item or
service that was not provided as claimed, or was for a medical or other item or service and the Person knew or should have known the claim was false or fraudulent or (C) in violation of 42 U.S.C. § 1395nn, presented or caused to be
presented a claim to any individual, third party payor or other entity for a designated health service furnished pursuant to a referral by a physician if the physician (or an immediate family member) had a financial relationship with the Borrower or
any of its subsidiariesSubsidiaries or any Physician Practice, Physician Group or Regulated Subsidiary for which there was no permissible exception, except in the case
of each of (A), (B) and (C) as would not be reasonably likely, individually or in the aggregate, to have a Material Adverse Effect. Neither the Borrower nor any of its Subsidiaries, nor any of their respective officers
or, directors, managers or partners, on behalf of the Borrower or any of its Subsidiaries,
and no Physician Practice, Physician Group or Regulated Subsidiary nor any of their respective officers, directors, managers or partners on behalf of any Physician Practice, Physician Group
or Regulated Subsidiary, has violated the federal false claims act, 31 U.S.C. §3729, including, but not limited to, by (i) knowingly and willfully presenting or causing to be presented to a government official a false claim for payment
or approval, (ii) knowingly and willfully making, using or causing to be made or used, a false record or statement to get a false or fraudulent claim paid or approved by the government or (iii) conspiring to defraud the government by
knowingly and willfully getting a false or fraudulent claim paid, except as would not be reasonably likely, individually or in the aggregate, to have a Material Adverse Effect. With respect to this Section, knowledge of an individual
director or, officer, manager or partner of a Group
Member, Physician Practice, Physician Group or Regulated Subsidiary or any of any of the events described in this Section shall not be imputed to a Group
Member, Physician Practice, Physician Group or Regulated Subsidiary unless such knowledge was obtained or learned by the director
or, officer, manager or partner in his or her official capacity as a director
or, officer, manager or partner of a Group
Member, Physician Practice, Physician Group or Regulated Subsidiary. Except as individually or in the aggregate could not reasonably be expected to have a Material Adverse Effect, the
Borrower any and each of its subsidiariesSubsidiaries and each Physician Practice, Physician Group and Regulated Subsidiary is in compliance with the
privacy and security rules promulgated under the Health Insurance Portability and Accountability Act of 1996 found at 45 C.F.R. parts 160-164 (collectively, “HIPAA”) and the amendments to HIPAA made under the Health Information
Technology for Economic and Clinical Health Act amendments to the American Recovery and Reinvestment Act of 2009. To the knowledge of the Borrower, neither the Borrower nor any of its
subsidiariesSubsidiaries nor any Physician Practice, Physician Group or Regulated Subsidiary has violated 18 U.S.C. § 1347 including, but not limited to, knowingly
and willfully executing or attempting to execute a scheme or artifice by means of false or fraudulent pretenses (i) to defraud any health care benefit program, or (ii) to obtain any money or property owned by, or under the custody or
control of, any health benefit program, except as would not be reasonably likely, individually or in the aggregate, to have a Material Adverse Effect. 

(c) The Physician Practices, Physician Groups and the Regulated Subsidiaries
are qualified for participation in the Medicare managed care programs (including, without limitation, the Medicare Advantage program) and Medicaid managed care programs and all other non-Governmental Reimbursement Programs in which they participate
(together with their respective intermediaries, carriers, and third party administrators, the “Commercial
Plans”) and are entitled to reimbursement under Commercial Plans for services rendered to qualified beneficiaries of
Commercial Plans in which the Physician Practices, Physician Groups and Regulated Subsidiaries participate, and comply in all material respects with the requirements of all Commercial Plans in which they participate or have participated. There is no
pending or, to the Loan Parties’ knowledge, threatened proceeding, 


  
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audit or investigation by any of the Commercial Plans with respect to (i) any Physician
Practice’s, Physician
Group’s or Regulated
Subsidiary’s qualification or right to participate in any Commercial Plan in which it participates or has
participated, (ii) the compliance or non-compliance by any Physician Practice, Physician Group or Regulated Subsidiary with the terms or provisions of any Commercial Plan in which it participates or has participated, or (iii) the right of
any Physician Practice, Physician Group or Regulated Subsidiary to receive or retain amounts received or due or to become due from any Commercial Plan in which it participates or has participated, which proceeding or investigation, together with all
other such proceedings, audits and investigations, would reasonably be expected to (x) have a Material Adverse Effect or (y) result in Consolidated net operating revenues for any (including any future) four Fiscal Quarter period of the
Borrower constituting less than 95% of Consolidated net operating revenues for the immediately preceding four Fiscal Quarter period of the Borrower. 
 (d) HCP LLC, HPMGI, HCPAMG and each other Physician Practice, Physician Group and Regulated Subsidiary is operated in compliance with the
corporate practice of medicine laws (whether statutory or common law) of each state in which it does business, except as would not be reasonably likely, individually or in the aggregate, to have a Material Adverse Effect. There is no pending or, to
the Loan Parties’ knowledge, threatened proceeding or investigation by any Governmental Authority with regard to the
compliance of HCP LLC, HPMGI, HCPAMG or any other Physician Practice, Physician Group or Regulated Subsidiary with corporate practice of medicine laws, except as would not be reasonably likely, individually or in the aggregate, to have a Material
Adverse Effect. 
 4.18 Agreements. No Group Member is a party to any agreement or instrument or subject to any
corporate or other constitutional restriction that has resulted or could reasonably be expected to result in a Material Adverse Effect. No Loan Party is in default in any manner under any provision of any agreement or instrument to which it is a
party or by which it or any of its property is or may be bound, and no condition exists which, with the giving of notice or the lapse of time or both, would constitute such a default, in each case where such default could reasonably be expected to
result in a Material Adverse Effect. 
 4.19 Use of Proceeds. Borrower will use the proceeds of (a) the Tranche A
Term Loans and Tranche B Term Loans (i) to finance the Refinancing, (ii) for general corporate purposes, including, without limitation, stock repurchases, acquisitions and investments, and (iii) to pay related fees and
expenses and, (b) the Revolving Loans and Swingline Loans on and after the Closing Date for general corporate purposes (including, without limitation, stock
repurchases, acquisitions and investments) and (c) the Tranche A-3 Term Loans and Tranche B-2 Term Loans to finance (i) the Acquisition, (ii) the repayment of all outstanding
Tranche A-2 Term Loans, (iii) the repayment of certain Debt of Healthcare Partners, (iv) to pay related fees and expenses and (v) for general corporate purposes, including, without limitation, stock repurchases, acquisitions and
investments. 
 4.20 Labor Matters. Except as, individually or in the aggregate, would not reasonably be expected to
have a Material Adverse Effect, as of the Closing Date, (i) there are no strikes, lockouts or slowdowns against any Group Member pending or, to the knowledge of any Group Member, threatened, (ii) the hours worked by and payments made to
employees of any Group Member have not been in violation of the Fair Labor Standards Act of 1938, as amended, or any other applicable Requirement of Law dealing with such matters and (iii) all payments due from any Group Member on account of
wages and employee health and welfare insurance and other benefits, have been paid or accrued as a liability on the books of such Group Member. The consummation of the Transactions will not give rise to any right of termination or right of
renegotiation on the part of any union under any collective bargaining agreement to which any Group Member is bound. 
 4.21
Insurance. All insurance maintained by the Group Members is in full force and effect, all premiums have been duly paid, no Group Member has received notice of violation or 

  
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cancellation thereof, the Premises, and the use, occupancy and operation thereof, comply in all material respects with all Insurance Requirements, and there exists no default under any Insurance
Requirement. Each Group Member has insurance in such amounts and covering such risks and liabilities as are customary for companies of a similar size engaged in similar businesses in similar locations. 

4.22 Security Documents. 
 (a) Security Agreement. The Security Agreement is effective to create in favor of the Collateral Agent for the benefit of the Secured Parties, legal, valid and enforceable Liens on, and security
interests in, the Security Agreement Collateral and, when (i) the financing statements and other filings in appropriate form are filed in the offices specified on Schedule 7 to the Perfection Certificate and (ii) upon the taking of
possession or control by the Collateral Agent of the Security Agreement Collateral with respect to which a security interest may be perfected only by possession or control (which possession or control shall be given to the Collateral Agent to the
extent possession or control by the Collateral Agent is required by each Security Agreement), the Liens created by the Security Agreement shall constitute fully perfected Liens on, and security interests in, all right, title and interest of the
grantors in the Security Agreement Collateral (other than such Security Agreement Collateral in which a security interest cannot be perfected under the UCC as in effect at the relevant time in the relevant jurisdiction) in each case subject to no
Liens other than Liens permitted pursuant to Section 7.1. 
 (b) Copyright Office Filing. When the Security
Agreement or a short form thereof is filed in the United States Copyright Office, the Liens created by the Security Agreement shall constitute fully perfected Liens on, and security interests in, all right, title and interest of the grantors
thereunder in the Registered Copyrights and Registered Copyright Licenses (each as defined in the Security Agreement), in each case subject to no Liens other than Liens permitted pursuant to Section 7.1. 

(c) Mortgages. Each Mortgage is effective to create, in favor of the Collateral Agent, for its benefit and the benefit of the
Secured Parties, legal, valid and enforceable first priority Liens on, and security interests in, all of the Loan Parties’ right, title and interest in and to the Mortgaged Properties thereunder and the proceeds thereof, subject only to Liens
permitted pursuant to Section 7.1 or other Liens acceptable to the Collateral Agent, and when any Mortgage executed and delivered after the date hereof in accordance with the provisions of Sections 6.12 and 6.13 is filed in
the offices specified in the local counsel opinion delivered with respect thereto in accordance with the provisions of Sections 6.12 and 6.13, the Mortgages shall constitute fully perfected Liens on, and security interests in, all
right, title and interest of the Loan Parties in the Mortgaged Properties and the proceeds thereof, in each case prior and superior in right to any other Person, other than Liens permitted by such Mortgage. 

(d) Valid Liens. Each Security Document delivered after the Closing Date pursuant to Sections 6.12 and 6.13 will,
upon execution and delivery thereof, be effective to create in favor of the Collateral Agent, for the benefit of the Secured Parties, legal, valid and enforceable Liens on, and security interests in, all of the Loan Parties’ right, title and
interest in and to the Collateral thereunder, and when all appropriate filings or recordings are made in the appropriate offices as may be required under applicable law, such Security Document will constitute fully perfected Liens on, and security
interests in, all right, title and interest of the Loan Parties in such Collateral, in each case subject to no Liens other than Liens permitted pursuant to Section 7.1. 

4.23 Anti-Terrorism Law. No Loan Party and, to the knowledge of the Loan Parties, none of its Affiliates is in violation of any
Requirement of Law relating to terrorism or money laundering (“Anti-Terrorism Laws”), including Executive Order No. 13224 on Terrorist Financing, effective September 24, 2001 (the “Executive Order”), and
the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act of 2001, Public Law 107-56 (the “Patriot Act”). 

No Loan Party and to the knowledge of the Loan Parties, no Affiliate of any Loan Party acting or benefiting in any capacity in connection
with the Loans is any of the following: 

  
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 (i) a Person that is listed in the annex to, or is otherwise subject to the
provisions of, the Executive Order; 
 (ii) a Person owned or Controlled by, or acting for or on behalf of, any
Person that is listed in the annex to, or is otherwise subject to the provisions of, the Executive Order; 

(iii) a Person with which any Lender is prohibited from dealing or otherwise engaging in any transaction by any
Anti-Terrorism Law; 
 (iv) a Person that commits, threatens or conspires to commit or supports
“terrorism” as defined in the Executive Order; or 
 (v) a Person that is named as a “specially
designated national and blocked person” on the most current list published by the U.S. Treasury Department Office of Foreign Assets Control (“OFAC”) at its official website or any replacement website or other replacement
official publication of such list. 
 No Loan Party knowingly (i) conducts any business or engages in making or receiving
any contribution of funds, goods or services to or for the benefit of any Person described in paragraph (b) above, (ii) deals in, or otherwise engages in any transaction relating to, any property or interests in property blocked pursuant
to the Executive Order, or (iii) engages in or conspires to engage in any transaction that evades or avoids, or has the purpose of evading or avoiding, or attempts to violate, any of the prohibitions set forth in any Anti-Terrorism Law.

 SECTION 5  
 CONDITIONS PRECEDENT 
 5.1 Conditions to Initial Credit Extension.
The obligation of each Lender and, if applicable, the Issuing Lender to fund the initial Credit Extension requested to be made by it shall be subject to the prior or concurrent satisfaction of each of the conditions precedent set forth in this
Section 5.1. 
 (a) Loan Documents. There shall have been delivered to the Administrative Agent an executed
counterpart of each of the Loan Documents and the Perfection Certificate. 
 (b) Corporate Documents. The Administrative
Agent shall have received: 
 (i) a certificate of the secretary or assistant secretary of each Loan Party dated
the Closing Date, certifying (A) that attached thereto is a true and complete copy of each Constitutive Document of such Loan Party certified (to the extent applicable) as of a recent date by the Secretary of State of the state of its
organization, (B) that attached thereto is a true and complete copy of resolutions duly adopted by the Board of Directors of such Loan Party authorizing the execution, delivery and performance of the Loan Documents to which such Loan Party is a
party and, in the case of the Borrower, the borrowings hereunder, and that such resolutions have not been modified, rescinded or amended and are in full force and effect and (C) as to the incumbency and specimen signature of each officer
executing any Loan Document or any other document delivered in connection herewith on behalf of such Loan Party (together with a certificate of another officer as to the incumbency and specimen signature of the secretary or assistant secretary
executing the certificate in this clause (i)); 
 (ii) a certificate as to the good standing of each Loan Party
(in so-called “long-form” if available) as of a recent date, from such Secretary of State (or other applicable Governmental Authority); and 

  
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 (iii) such other documents as the Lenders, the Issuing Lender or the
Administrative Agent may reasonably request (including bring-down good standing certificates). 
 (c) Officers’
Certificate. The Administrative Agent shall have received a certificate, dated the Closing Date and signed by the chief executive officer and the chief financial officer of the Borrower, confirming compliance with the conditions precedent set
forth in Sections 5.2(b) and (c). 
 (d) Financings and Other Transactions, Etc. 

(i) The Refinancing shall have been consummated or shall be consummated on the Closing Date, in each case in accordance with the terms
hereof and the terms of the Transaction Documents, without the waiver or amendment of any such terms not approved by the Administrative Agent. 
 (ii) All Liens in favor of the existing lenders under the Existing Credit Agreement shall simultaneously with the consummation of the Refinancing be unconditionally released; and the Administrative Agent
shall have received from any Person holding any Lien securing any such debt, such UCC termination statements, mortgage releases, releases of assignments of leases and rents, releases of security interests in Intellectual Property and other
instruments, in each case in proper form for recording, as the Administrative Agent shall have reasonably requested to release and terminate of record the Liens securing such debt. 

(iii) The Senior Notes shall have been issued or shall be issued on the Closing Date. 

(e) Opinions of Counsel. The Administrative Agent shall have received, on behalf of itself, the other Agents, the Lenders and the
Issuing Lender, a favorable written opinion of (i) Sidley Austin, LLP, special counsel for the Loan Parties, and (ii) Kim Rivera, General Counsel of the Borrower, in each case (A) dated the Closing Date, (B) addressed to the
Agents, the Issuing Lender and the Lenders and (C) covering the matters set forth in Exhibit F-1 or F-2, as applicable, and such other matters relating to the Loan Documents and the Transactions as the Administrative Agent shall
reasonably request. 
 (f) Solvency Certificate. The Administrative Agent shall have received a solvency certificate in
the form of Exhibit C, dated the Closing Date and signed by the chief financial officer of the Borrower. 
 (g)
Fees. The arrangers and Administrative Agent shall have received all fees and other amounts due and payable on or prior to the Closing Date, including, to the extent invoiced, reimbursement or payment of all out-of-pocket expenses (including
the invoiced legal fees and expenses of Cahill Gordon & Reindel LLP, special counsel to the Agents) required to be reimbursed or paid by the Borrower on or prior to the Closing Date hereunder or under any other Loan Document.

 (h) Personal Property Requirements. The Collateral Agent shall have received: 

(i) the Intercompany Note executed by and among the Borrower and each of its Subsidiaries, accompanied by instruments of
transfer undated and endorsed in blank; all other certificates, agreements or instruments necessary to perfect the Collateral Agent’s security interest, for the benefit of the Secured Parties, in all Pledged Collateral (as defined in the
Security Agreement), in each case, with the exception of those items permitted to be delivered after the Closing Date pursuant to the terms of the Security Agreement; 

(ii) UCC financing statements in appropriate form for filing under the UCC, filings with the United States Patent and
Trademark Office and United States Copyright Office and such other documents under applicable Requirements of Law in each jurisdiction as may be necessary or appropriate or, in the opinion of the Collateral Agent, desirable to perfect the Liens
created, or purported to be created, by the Security Documents and with respect to all UCC financing statements required to be filed pursuant to the Loan Documents; 

  
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 (iii) copies of UCC, United States Patent and Trademark Office and United
States Copyright Office, tax and judgment lien searches, bankruptcy and pending lawsuit searches or equivalent reports or searches, each of a recent date listing all effective financing statements, lien notices or comparable documents that name any
Loan Party as debtor and that are filed in those state and county jurisdictions in which any property of any Loan Party is located and the state and county jurisdictions in which any Loan Party is organized or maintains its principal place of
business and such other searches that the Collateral Agent deems necessary or appropriate, none of which encumber the Collateral covered or intended to be covered by the Security Documents (other than Liens permitted pursuant to
Section 7.1 or any other Liens acceptable to the Collateral Agent); and 
 (iv) evidence acceptable
to the Collateral Agent of payment or arrangements for payment by the Loan Parties of all applicable recording taxes, fees, charges, costs and expenses required for the recording of the Security Documents. 

(i) Insurance. The Administrative Agent shall have received a copy of, or a certificate as to coverage under, the insurance
policies required by Section 6.5 and the applicable provisions of the Security Documents, each of which shall name the Collateral Agent, on behalf of the Secured Parties, as additional insured, in form and substance satisfactory to the
Administrative Agent. 
 (j) USA Patriot Act. The Lenders shall have received, sufficiently in advance of the Closing
Date, all documentation and other information required by bank regulatory authorities under applicable “know your customer” and anti-money laundering rules and regulations, including without limitation, the Patriot Act, including, without
limitation, the information described in Section 11.17. 
 (k) HIPAA. Each Group Member shall have entered
into a Business Associate Agreement (a “Business Associate Agreement”) defined under the privacy regulations promulgated pursuant to HIPAA reasonably acceptable to the Administrative Agent and the Collateral Agent that permits
disclosure to the Administrative Agent and the Collateral Agent of any protected health information (as defined in HIPAA) that may be associated with the Collateral. 
 5.2 Conditions to All Credit Extensions. The obligation of each Lender and each Issuing Lender to make any Credit Extension (including the initial Credit Extension) shall be subject to, and to the
satisfaction of, each of the conditions precedent set forth below. 
 (a) Notice. The Administrative Agent shall have
received a notice as required by Section 2.2 or 2.5 if Loans are being requested or, in the case of the issuance, amendment, extension or renewal of a Letter of Credit, the Issuing Lender and the Administrative Agent shall have
received an Application or notice as required by Section 3.2 or, in the case of a Swingline Loan, the Swingline Lender and the Administrative Agent shall have received a notice as required by Section 2.7. 

(b) No Default. At the time of and immediately after giving effect to such Credit Extension and the application of the proceeds
thereof, no Default shall have occurred and be continuing on such date. 
 (c) Representations and Warranties. Each of
the representations and warranties made by any Loan Party set forth in Section 4 or in any other Loan Document shall be true and correct in all material respects (except that any representation and warranty that is qualified as to
“materiality” or “Material Adverse Effect” shall be true and correct in all respects) on and as of the date of such Credit Extension with the same effect as though made on and as of such date, except to the extent such
representations and warranties expressly relate to an earlier date. 
 (d) In the case of an Alternative Currency Revolving
Loan, there shall not have occurred any change in national or international financial, political or economic conditions or currency exchange rates or exchange controls which in the reasonable opinion of the Administrative Agent or the Required
Lenders (in the case of any Loans to be denominated in an Alternative Currency) would make it impracticable for such extension of credit to be denominated in the relevant Alternative Currency. 

  
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 Each notice of borrowing or an Application and the acceptance by the Borrower of the
proceeds of such Credit Extension shall constitute a representation and warranty by the Borrower and each other Loan Party that on the date of such Credit Extension (both immediately before and after giving effect to such Credit Extension and the
application of the proceeds thereof) the conditions contained in Sections 5.2(b) and (c) have been satisfied. The Borrower shall provide such information including calculations in reasonable detail of the covenants in
Section 7.16 as the Administrative Agent may reasonably request to confirm that the conditions in Sections 5.2(b) and (c) have been satisfied. 
 SECTION 6  
 AFFIRMATIVE COVENANTS 

Each Loan Party warrants, covenants and agrees with each Lender that, so long as this Agreement shall remain in effect and until the
Commitments have been terminated and the principal of and interest on each Loan, all fees and all other expenses or amounts payable under any Loan Document shall have been paid in full and all Letters of Credit have been canceled or have expired and
all amounts drawn thereunder have been reimbursed in full or have been cash collateralized at 100% of the face amount thereof, unless the Required Lenders shall otherwise consent in writing, each Loan Party will, and will cause each of its
Subsidiaries to: 
 6.1 Reporting Requirements. The Borrower will furnish to the Administrative Agent (for distribution
to the Agents and Lenders): 
 (a) Default Notice. As soon as possible and in any event within five days
after the Borrower knows of the occurrence of a Default or any event, development or occurrence reasonably likely to have a Material Adverse Effect continuing on the date of such statement, a statement of the chief financial officer of the Borrower
setting forth details of such Default or other event, development or occurrence and the action that the Borrower has taken and proposes to take with respect thereto. 

(b) Annual Financials. As soon as available and in any event within 90 days after the end of each Fiscal Year (or
such earlier date on which Borrower is required to file Form 10-K under the Exchange Act), a copy of the annual audit report for such year for the Borrower and its Subsidiaries, including therein Consolidated and consolidating balance sheets of the
Borrower and its Subsidiaries as of the end of such Fiscal Year and a Consolidated and consolidating statements of income and a Consolidated statement of cash flows of the Borrower and its Subsidiaries for such Fiscal Year, in each case accompanied
by an unqualified opinion of KPMG LLP or other independent public accountants of recognized national standing, together with (i) a certificate of such accounting firm to the Lenders stating that in the course of the regular audit of the
business of the Borrower and its Subsidiaries, which audit was conducted by such accounting firm in accordance with generally accepted auditing standards, such accounting firm has obtained no knowledge that a Default has occurred and is continuing,
or if, in the opinion of such accounting firm, a Default has occurred and is continuing, a statement as to the nature thereof, (ii) a Compliance Certificate and (iii) a certificate of the Chief Financial Officer of the Borrower stating
that to the best of such officer’s knowledge, no Default has occurred and is continuing or, if a Default has occurred and is continuing, a statement as to the nature thereof and the action that the Borrower has taken and proposes to take with
respect thereto. 
 (c) Quarterly Financials. As soon as available and in any event within 45 days (or
such earlier date on which the Borrower is required to file form 10-Q under the Exchange Act) after the end of each of the first three Fiscal Quarters of each Fiscal Year, Consolidated and consolidating balance sheets of the Borrower and its
Subsidiaries as of the end of such quarter and Consolidated and consolidating statements of income for the period commencing at the end of the previous Fiscal Quarter and ending with the end of such Fiscal Quarter and Consolidated and consolidating
statements of income and a Consolidated statement of cash flows of the Borrower and its Subsidiaries for the period commencing at the 

  
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end of the previous Fiscal Year and ending with the end of such Fiscal Quarter, setting forth in each case in comparative form the corresponding figures for the corresponding date or period of
the preceding Fiscal Year, all in reasonable detail and duly certified (subject to normal year-end audit adjustments) by the chief financial officer of the Borrower as having been prepared in accordance with generally accepted accounting principles
(except that such financial statements may not contain all required notes and may be subject to year end audit adjustments) and having been subject to a SAS 100 or equivalent review by KPMG LLP or other independent public accountants of recognized
national standing, together with (i) a certificate of said officer stating that to the best of such officer’s knowledge, no Default has occurred and is continuing or, if a Default has occurred and is continuing, a statement as to the
nature thereof and the action that the Borrower has taken and proposes to take with respect thereto and (ii) a Compliance Certificate. 
 (d) Annual Forecasts. As soon as available and in any event no later than 90 days after the end of each Fiscal Year, forecasts prepared by management of the Borrower, in form satisfactory to the
Administrative Agent, of Consolidated balance sheets, income statements and cash flow statements of the Borrower and its Subsidiaries on a quarterly basis for the Fiscal Year following such Fiscal Year and on an annual basis for each Fiscal Year
thereafter through the year of the Revolving Termination Date. 
 (e) Litigation. Promptly after the
commencement thereof, notice of all actions, suits, investigations, litigation and proceedings by on behalf of or before any Governmental Authority or arbitrator affecting any Loan Party or any of its Subsidiaries of the type described in
Section 4.6, and include with such notice a copy of any relevant citation, summons, subpoena, order to show cause or other document. 
 (f) Securities Reports. Promptly after the sending or filing thereof, copies of all proxy statements, financial statements and reports that any Loan Party or any of its Subsidiaries sends to its
stockholders, and copies of all regular, periodic and special reports, and all registration statements, that any Loan Party or any of its Subsidiaries files with the SEC or any governmental authority that may be substituted therefor, or with any
national securities exchange. 
 (g) ERISA. 

(i) ERISA Events and ERISA Reports. (A) Promptly and in any event within 10 days after any Loan Party or any
ERISA Affiliate knows or has reason to know that any ERISA Event has occurred, a statement of the chief financial officer of the Borrower describing such ERISA Event and the action, if any, that such Loan Party or such ERISA Affiliate has taken and
proposes to take with respect thereto and (B) on the date any records, documents or other information must be furnished to the PBGC with respect to any Plan pursuant to Section 4010 of ERISA, a copy of such records, documents and
information. 
 (ii) Plan Terminations. Promptly and in any event within two Business Days after receipt
thereof by any Loan Party or any ERISA Affiliate, copies of each notice from the PBGC stating its intention to terminate any Plan or to have a trustee appointed to administer any Plan. 

(iii) Plan Annual Reports. Promptly and in any event within 30 days after the filing thereof with the Internal
Revenue Service, copies of each Schedule B (Actuarial Information) to the annual report (Form 5500 Series) with respect to each Plan. 
 (iv) Multiemployer Plan Notices. Promptly and in any event within five Business Days after receipt thereof by any Loan Party or any ERISA Affiliate from the sponsor of a Multiemployer Plan, copies
of each notice concerning (A) the imposition of Withdrawal Liability by any such Multiemployer Plan, (B) the reorganization or termination, within the meaning of Title IV of ERISA, of any such Multiemployer Plan or (C) the amount of
liability incurred, or that may be incurred, by such Loan Party or any ERISA Affiliate in connection with any event described in clause (A) or (B). 
 (h) Environmental Conditions. Promptly after the assertion or occurrence thereof, notice of any Environmental Action against or of any noncompliance by any Loan Party or any of its Subsidiaries
with any Environmental Law or Environmental Permit that could reasonably be expected to have a Material Adverse Effect. 

  
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 (i) Financial Officer’s Certificate Regarding Collateral.
Concurrently with any delivery of financial statements under Section 6.1(b), a certificate of the chief financial officer setting forth the information required pursuant to the Perfection Certificate Supplement or confirming that there
has been no change in such information since the date of the Perfection Certificate or latest Perfection Certificate Supplement. 
 (j) Regulatory Notice. Promptly provide notice that any Loan Party knows or has reason to know (A) that Dialysis Facilities have lost their qualification to participate in Government
Reimbursement Programs as would have a Material Adverse Effect, (B) of an investigation described in Section 4.17(a) or (C) of any violation described in Section 4.17(b) that would have a Material Adverse Effect.

 (k) Other Information. Such other information respecting the business, financial condition, operations
or properties of any Loan Party or any of its Subsidiaries as any Agent or any Lender, through the Administrative Agent, may from time to time reasonably request. 

(l) Physician Group. With each set of Consolidated financial statements referred to in Sections 6.1(b) and 6.1(c)
above, a reconciliation reflecting the adjustments necessary to eliminate the accounts of the Physician Groups and their respective Subsidiaries (which may be in footnote form only) from such Consolidated financial statements. 

Documents required to be delivered pursuant to Section 6.1(b) or (c) (to the extent any such documents are included in materials
otherwise filed with the SEC) may be delivered electronically and if so delivered, shall be deemed to have been delivered on the date (i) on which the Borrower posts such documents, or provides a link thereto on the Borrower’s website; or
(ii) on which such documents are posted on the Borrower’s behalf on an Internet or intranet website or www.sec.gov, if any, to which each Lender and the Administrative Agent have access (whether a commercial, third-party website or whether
sponsored by the Administrative Agent); provided that: (A) the Borrower shall deliver paper copies of such documents to the Administrative Agent upon its reasonable request until a written notice to cease delivering paper copies is given
by the Administrative Agent, (B) the Borrower shall notify the Administrative Agent (by telecopier or electronic mail) of the posting of any such documents and upon its reasonable request, provide to the Administrative Agent by electronic mail
electronic versions (i.e., soft copies) of such documents and (iii) the Lenders shall be deemed to have received such information on the date such information is posted on the applicable website pursuant to clause (i) or
(ii) above. The Administrative Agent shall have no obligation to request the delivery of or maintain paper copies of the documents referred to above, and each Lender shall be solely responsible for timely accessing posted documents and
maintaining its copies of such documents. 
 6.2 Compliance with Laws, Etc. Comply, and cause each of its Subsidiaries to
comply, in all material respects, with all applicable Requirements of Law, such compliance to include, without limitation, compliance with ERISA, the Racketeer Influenced and Corrupt Organizations Chapter of the Organized Crime Control Act of 1970
and all applicable laws and regulations under the federal Social Security Act and all other applicable federal and state healthcare laws, except to the extent that non-compliance could not be reasonably expected, individually or in the aggregate, to
result in a Material Adverse Effect, compliance with the Patriot Act and all other laws and regulations relating to money-laundering and terrorist activities. 
 6.3 Payment of Taxes, Etc. 
 (a) Pay and discharge, and cause each of its
Subsidiaries to pay and discharge, before the same shall become delinquent, (i) all Taxes imposed upon it or upon its property and (ii) all lawful claims that, if unpaid, might by law become a Lien upon its property; provided,
however, that neither the Borrower nor any of its Subsidiaries shall be required to pay or discharge any such Tax, assessment, charge or claim (A) the non-payment or 

  
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non-discharge of which could not be reasonably expected, individually or in the aggregate, to result in a Material Adverse Effect or (B) that is being contested in good faith and (in the
case of clause (a)(i)) by proper proceedings and as to which appropriate reserves are being maintained in accordance with GAAP, unless and until any Lien resulting therefrom attaches to its property and becomes enforceable against its other
creditors and subjects the property to a substantial risk of forfeiture. 
 (b) File or cause to be filed all material tax
returns required to be filed by it by the due dates (including any proper extensions) therefor. 
 6.4 Compliance with
Environmental Laws. Except as could not reasonably be expected to result in a Material Adverse Effect, comply, and cause each of its Subsidiaries and all lessees and other Persons operating or occupying its properties to comply, with all
applicable Environmental Laws and Environmental Permits; obtain and renew and cause each of its Subsidiaries to obtain and renew all Environmental Permits necessary for its operations and properties that are the legal responsibility of the Borrower
or such Subsidiary; and conduct, and cause each of its Subsidiaries to conduct, any investigation, study, sampling and testing, and undertake any cleanup, removal, remedial or other action required under Environmental Laws to address the presence,
or Release or threatened Release of Hazardous Materials at, on, under or from any of its properties, in accordance with the requirements of all applicable Environmental Laws; provided, however, that neither the Borrower nor any of its
Subsidiaries shall be required to undertake any such cleanup, removal, remedial or other action to the extent that its obligation to do so is being contested in good faith and by proper proceedings and appropriate reserves are being maintained in
accordance with GAAP requirements with respect to such circumstances. 
 6.5 Insurance. 

(a) Generally. Keep its insurable property adequately insured at all times by financially sound and reputable insurers; maintain
such other insurance, to such extent and against such risks as is customary with companies in the same or similar businesses operating in the same or similar locations, including insurance with respect to Mortgaged Properties and other properties
material to the business of the Group Members against such casualties and contingencies and of such types and in such amounts with such deductibles as is customary in the case of similar businesses operating in the same or similar locations;
provided that with respect to physical hazard insurance, neither the Collateral Agent nor the applicable Group Member shall agree to the adjustment of any claim thereunder in excess of $250,000 without the consent of the other (such consent
not to be unreasonably withheld or delayed); provided, further, that no consent of any Group Member shall be required during an Event of Default. 
 (b) Requirements of Insurance. All such insurance shall (i) provide that no cancellation, material reduction in amount or material change in coverage thereof shall be effective until at least
30 days after receipt by the Collateral Agent of written notice thereof, (ii) name the Collateral Agent as mortgagee (in the case of property insurance) or additional insured on behalf of the Secured Parties (in the case of liability insurance)
or additional loss payee (in the case of property insurance), as applicable and (iii) if reasonably requested by the Collateral Agent, include a breach of warranty clause. 

(c) Flood Insurance. With respect to each Mortgaged Property, obtain flood insurance in such total amount as the Administrative
Agent or the Required Lenders may from time to time require, if at any time the area in which any improvements are located on any Mortgaged Property is designated a “flood hazard area” in any Flood Insurance Rate Map published by the
Federal Emergency Management Agency (or any successor agency), and otherwise comply with the National Flood Insurance Program as set forth in the Flood Disaster Protection Act of 1973, as amended from time to time. 

  
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 (d) Broker’s Report. Deliver to the Administrative Agent and the Collateral
Agent and the Lenders a report of a reputable insurance broker with respect to such insurance and such supplemental reports with respect thereto as the Administrative Agent or the Collateral Agent may from time to time reasonably request.

 (e) Mortgaged Properties. No Loan Party that is an owner of Mortgaged Property shall take any action that is
reasonably likely to be the basis for termination, revocation or denial of any insurance coverage required to be maintained under such Loan Party’s respective Mortgage or that could be the basis for a defense to any claim under any Insurance
Policy maintained in respect of the Premises, and each Loan Party shall otherwise comply in all material respects with all Insurance Requirements in respect of the Premises; provided, however, that each Loan Party may, at its own
expense and after written notice to the Administrative Agent, (i) contest the applicability or enforceability of any such Insurance Requirements by appropriate legal proceedings, the prosecution of which does not constitute a basis for
cancellation or revocation of any insurance coverage required under this Section 6.5 or (ii) cause the Insurance Policy containing any such Insurance Requirement to be replaced by a new policy complying with the provisions of this
Section 6.5. 
 6.6 Preservation of Corporate Existence, Etc. Preserve and maintain, and cause each of
its Material Subsidiaries to preserve and maintain, its existence, legal structure, legal name, rights (charter and statutory) and material franchises except, in each case, as otherwise
permitted by Section 7.4. 
 6.7 Visitation Rights. At any reasonable time and from time to time, and, unless
a Default shall have occurred and be continuing, not more than two times during any calendar year and upon reasonable notice, permit any of the Agents or any of the Lenders, or any agents or representatives thereof, to examine and make copies of and
abstracts from the records and books of account of, and visit the properties of, the Borrower and any of its Subsidiaries, and to discuss the affairs, finances and accounts of the Borrower and any of its Subsidiaries with any of their officers or
directors and with their independent certified public accountants (provided that representatives of the Borrower shall be entitled to notice of and to participate in any such discussion). 

6.8 Keeping of Books. Keep, and cause each of its Subsidiaries to keep, proper books of record and account, in which full and
correct entries shall be made of all financial transactions sufficient to permit the preparation of financial statements based thereon in accordance with GAAP. 
 6.9 Maintenance of Properties, Etc. Maintain and preserve, and cause each of its Subsidiaries to maintain and preserve, absent events or circumstances leading to a Recovery Event, all of its
properties that are material in the conduct of its business in good working order and condition, ordinary wear and tear excepted. 
 6.10 Transactions with Affiliates. Conduct, and cause each of its Subsidiaries to conduct, all transactions otherwise permitted under the Loan Documents with any of their Affiliates on terms that
are fair and reasonable and no less favorable to the Borrower or such Subsidiary (with respect to any Physician Group and its Subsidiaries, taking into account all transactions with such
Physician Group and its Subsidiaries as a whole) than it would obtain in a comparable arm’s-length transaction with a Person not an Affiliate (it being understood that the Transactions are deemed to be on such terms) except
(a) transactions between or among the Borrower and its Subsidiaries, (b) any transaction permitted by Section 7.6(f) or (m) or Section 7.7 and
(c) notional pooling cash management arrangements in the ordinary course of business. 
 6.11 Use of Proceeds. Use
the proceeds of the Loans only for the purposes set forth in Section 4.19. 

  
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 6.12 Additional Collateral; Additional Guarantors. 

(a) Subject to this Section 6.12, with respect to any property acquired after the Closing Date by any Loan Party that is
intended to be subject to the Lien created by any of the Security Documents but is not so subject, within 15 Business Days following the end of the Fiscal Quarter in which such acquisition occurs (i) execute and deliver to the Administrative
Agent and the Collateral Agent such amendments or supplements to the relevant Security Documents or such other documents as the Administrative Agent or the Collateral Agent shall deem necessary or advisable to grant to the Collateral Agent, for its
benefit and for the benefit of the other Secured Parties, a Lien on such property subject to no Liens other than Liens permitted pursuant to Section 7.1, and (ii) take all actions necessary to cause such Lien to be duly perfected to
the extent required by such Security Document in accordance with all applicable Requirements of Law, including the filing of financing statements in such jurisdictions as may be reasonably requested by the Administrative Agent. The Borrower shall
otherwise take such actions and execute and/or deliver to the Collateral Agent such documents as the Administrative Agent or the Collateral Agent shall require to confirm the validity, perfection and priority of the Lien of the Security Documents on
such after-acquired properties. 
 (b) With respect to any Person that is or becomes a Subsidiary after the Closing Date, within
15 Business Days following the end of the Fiscal Quarter in which such Person becomes a Subsidiary (i) deliver to the Collateral Agent the certificates, if any, representing all of the Capital Stock of such
Subsidiary to the extent held by a Loan Party, together with undated stock powers or other appropriate instruments of transfer executed and delivered in blank by a duly authorized
officer of the holder(s) of such Capital Stock, and all intercompany notes owing from such Subsidiary to any Loan Party together with instruments of transfer executed and delivered in blank by a duly authorized officer of such Loan Party and
(ii) cause such new Subsidiary (A) to execute a Joinder Agreement or such comparable documentation to become a Guarantor and a joinder agreement to the applicable Security Agreement, substantially in the form annexed thereto or, in the
case of a Foreign Subsidiary, execute a security agreement compatible with the laws of such Foreign Subsidiary’s jurisdiction in form and substance reasonably satisfactory to the Administrative Agent, (B) to execute a Business Associate
Agreement and (C) to take all actions necessary or advisable in the opinion of the Administrative Agent or the Collateral Agent to cause the Lien created by the applicable Security Agreement to be duly perfected to the extent required by such
agreement in accordance with all applicable Requirements of Law, including the filing of financing statements in such jurisdictions as may be reasonably requested by the Administrative Agent or the Collateral Agent. Notwithstanding the foregoing,
(x) (1) the Capital Stock required to be delivered to the Collateral Agent pursuant to clause (i) of this Section 6.12(b) shall not include any Capital Stock of a Foreign Subsidiary created or acquired after the Closing
Date and (2) no Foreign Subsidiary shall be required to take the actions specified in sub-clauses (A) and (C) of clause (ii) of this Section 6.12(b); provided that this exception shall not apply to
(A) Voting Interests of any Subsidiary which is a first-tier controlled foreign corporation (as defined in Section 957(a) of the Code) representing 65% of the total voting power of all outstanding Voting Interests of such Subsidiary and
(B) 100% of the Capital Stock not constituting Voting Interests of any such Subsidiary, except that any such Capital Stock constituting “stock entitled to vote” within the meaning of Treasury Regulation Section 1.956-2(c)(2)
shall be treated as Voting Interests for purposes of this Section 6.12(b) and (y) no Subsidiary of the Borrower will be required to become a Guarantor and to comply with this Section 6.12(b) if the Loan Parties would be
in compliance with Section 7.12 notwithstanding such Subsidiary’s failure (and the failure of any other Subsidiaries) to comply with this Section 6.12(b). Notwithstanding the foregoing and notwithstanding
Section 7.12, if any Subsidiary that is not a Guarantor is a guarantor of or shall guarantee Debt of a Loan Party or Debt of a Loan Party is or shall otherwise become a Contingent Obligation of any Subsidiary that is not a Guarantor,
such Subsidiary shall become a Guarantor hereunder and comply with Section 6.12 and Section 6.13 and all other applicable provisions hereof. 
 (c) Other than with respect to the Denver Headquarters, promptly grant to the Collateral Agent, within 15 Business Days of the end of the Fiscal Quarter in which the acquisition thereof occurred, a
security interest in and Mortgage on each Real Property owned in fee by such Loan Party as is acquired by such Loan Party after the Closing Date and that, together with any improvements thereon, individually has a fair market value of at least
$10.020.0 million as additional security for the Secured Obligations (unless the subject property is already mortgaged to a third party to the extent permitted by
Section 7.1). Such Mortgages shall be granted pursuant to documentation reasonably satisfactory in form and substance to the Administrative Agent and the Collateral Agent and shall constitute valid and enforceable perfected Liens subject
only to Liens permitted by Section 7.1, or other Liens acceptable to the Collateral Agent. The Mortgages or instruments related thereto shall be duly recorded or 

  
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filed in such manner and in such places as are required by law to establish, perfect, preserve and protect the Liens in favor of the Collateral Agent required to be granted pursuant to the
Mortgages and all taxes, fees and other charges payable in connection therewith shall be paid in full. Such Loan Party shall otherwise take such actions and execute and/or deliver to the Collateral Agent such documents as the Administrative Agent or
the Collateral Agent shall require to confirm the validity, perfection and priority of the Lien of any existing Mortgage or new Mortgage against such after-acquired Real Property (including a title insurance policy, a Survey, a life of loan flood
hazard determination (together with a notice regarding the special flood hazard area status and flood disaster assistance with respect to such after-acquired Real Property executed by the Borrower) and a local counsel opinion (each in form and
substance reasonably satisfactory to the Administrative Agent and the Collateral Agent) in respect of such Mortgage). 
 6.13
Security Interests; Further Assurances. Promptly, upon the reasonable request of the Administrative Agent, the Collateral Agent or any Lender, at the Borrower’s expense, execute, acknowledge and deliver, or cause the execution,
acknowledgment and delivery of, and thereafter register, file or record, or cause to be registered, filed or recorded, in an appropriate governmental office, any document or instrument supplemental to or confirmatory of the Security Documents or
otherwise deemed by the Administrative Agent or the Collateral Agent reasonably necessary or desirable for the continued validity, perfection and priority of the Liens on the Collateral covered thereby subject to no other Liens except as permitted
by the applicable Security Document, or obtain any consents or waivers as may be necessary or appropriate in connection therewith. Deliver or cause to be delivered to the Administrative Agent and the Collateral Agent from time to time such other
documentation, consents, authorizations, approvals and orders in form and substance reasonably satisfactory to the Administrative Agent and the Collateral Agent as the Administrative Agent and the Collateral Agent shall reasonably deem necessary to
perfect or maintain the Liens on the Collateral pursuant to the Security Documents. Upon the exercise by the Administrative Agent, the Collateral Agent or any Lender of any power, right, privilege or remedy pursuant to any Loan Document which
requires any consent, approval, registration, qualification or authorization of any Governmental Authority execute and deliver all applications, certifications, instruments and other documents and papers that the Administrative Agent, the Collateral
Agent or such Lender may reasonably require. If the Administrative Agent, the Collateral Agent or the Required Lenders determine that they are required by a Requirement of Law to have appraisals prepared in respect of the Real Property of any Loan
Party constituting Collateral, Borrower shall provide to the Administrative Agent appraisals that satisfy the applicable requirements of the Real Estate Appraisal Reform Amendments of FIRREA and are otherwise in form and substance satisfactory to
the Administrative Agent and the Collateral Agent. 
 6.14 Information Regarding Collateral. Not effect any change
(i) in any Loan Party’s legal name, (ii) in the location of any Loan Party’s chief executive office, (iii) in any Loan Party’s identity or organizational structure, (iv) in any Loan Party’s Federal Taxpayer
Identification Number or organizational identification number, if any, or (v) in any Loan Party’s jurisdiction of organization (in each case, including by merging with or into any other entity, reorganizing, dissolving, liquidating,
reorganizing or organizing in any other jurisdiction), until (A) it shall have given the Collateral Agent and the Administrative Agent not less than 30 days’ prior written notice, or such lesser notice period agreed to by the Collateral
Agent (it being understood that with respect to changes solely due to transactions permitted by Section 7.4(a) or (b) notice may be delivered promptly after such change), of its intention so to do, clearly describing such
change and providing such other information in connection therewith as the Collateral Agent or the Administrative Agent may reasonably request and (B) (other than with respect to changes solely due to transactions permitted by
Section 7.4(a) or (b)) it shall have taken all action reasonably satisfactory to the Collateral Agent to maintain the perfection and priority of the security interest of the Collateral Agent for the benefit of the Secured Parties
in the Collateral, if 

  
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applicable. Each Loan Party agrees to promptly provide the Collateral Agent with certified Constitutive Documents reflecting any of the changes described in the preceding sentence. Each Loan
Party also agrees to promptly notify the Collateral Agent of any change in the location of any office in which it maintains books or records relating to Collateral owned by it or any office or facility at which Collateral is located (including the
establishment of any such new office or facility), other than changes in location of Mortgaged Property. 
 6.15 Ratings.
Use commercially reasonable efforts to cause (x) S&P and Moody’s to continue to issue ratings for the Facilities, (y) Moody’s to continue to issue a corporate family rating (or the equivalent thereof) and (z) S&P to
continue to issue a corporate credit rating (or the equivalent thereof) (it being understood, in each case, that such obligation shall not require the Borrower to maintain a specific rating). 

6.16 Management Services Agreements. The Borrower shall, and shall cause each
of its Subsidiaries to, cause (i) within 60 days after the Amendment No. 2 Effective Date, each existing Management Services Agreement with a Loan Party and (ii) each Management Services Agreement with a Loan Party that it enters into
after the Amendment No. 2 Effective Date to contain provisions providing for the assignability of such agreement to the Collateral Agent or any Person designated by the Collateral Agent in connection with its enforcement of its rights and
exercise of its remedies, for the benefit of the Secured Parties, upon the enforcement of its rights and exercise of its remedies under the Loan Documents. 
 SECTION 7  
 NEGATIVE COVENANTS 

Each Loan Party covenants and agrees with each Lender that, so long as this Agreement shall remain in effect and until the Commitments
have been terminated and the principal of and interest on each Loan, all fees and all other expenses or amounts payable under any Loan Document have been paid in full and all Letters of Credit have been canceled or have expired and all amounts drawn
thereunder have been reimbursed in full or have been cash collateralized at 100% of the face amount thereof, unless the Required Lenders shall otherwise consent in writing, no Loan Party will, nor will they cause or permit any Subsidiaries to:

 7.1 Liens, Etc. Create, incur, assume or suffer to exist, or permit any of its Subsidiaries to create, incur, assume or
suffer to exist, any Lien on or with respect to any of its properties of any character whether now owned or hereafter acquired or assign, or permit any of its Subsidiaries to assign, any accounts or other right to receive income, except: 

(a) Liens created under the Loan Documents; 

(b) Permitted Liens; 
 (c) Liens existing on the Closing Date and described on Schedule 7.1(c) hereto; 
 (d) Liens upon or in an asset acquired or held by the Borrower or any of its Subsidiaries to secure the purchase price of such property or equipment or to secure Debt incurred solely for the purpose of
financing the acquisition, construction or improvement of any such asset to be subject to such Liens, or Liens existing on any such property or equipment at the time of acquisition (other than any such Liens created in contemplation of such
acquisition that do not secure the purchase price), or extensions, renewals or replacements of any of the foregoing; provided, however, that (i) such Liens shall be created not more than 180 days after the date of acquisition or
completion of construction or improvement and (ii) no such Lien shall extend to or cover any asset other than the asset being acquired, constructed or improved and any attachments thereto and proceeds thereof, and no such extension, renewal or
replacement shall extend to or cover any asset not theretofore subject to the Lien being extended, renewed or replaced; provided further that the aggregate principal amount of the Debt secured by Liens permitted by this clause (d) shall
not exceed the amount permitted under Section 7.2(e) at any time outstanding; 

  
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 (e) Liens arising in connection with Capitalized Leases permitted under
Section 7.2(f); provided that no such Lien shall extend to or cover any assets other than the assets subject to such Capitalized Leases; 
 (f) Liens arising in connection with Debt permitted under Section 7.2(l); provided that no such Lien shall extend to or cover any assets other than the assets of the relevant borrowing
entity; 
 (g) the replacement, extension or renewal of any Lien permitted by clause (c) above upon or in
the same property theretofore subject thereto or the replacement, extension or renewal (without increase in the amount (except by an amount equal to accrued and unpaid interest and premium thereon plus fees, original issue discount and expenses
incurred in connection with such replacement, extension or renewal) or change in any direct or contingent obligor) of the Debt secured thereby; 
 (h) Liens on assets of the Borrower or any of its Subsidiaries arising in connection with Sale and Leaseback Transactions permitted under Section 7.5(h); 

(i) Liens on assets that are the subject of, or are customarily subject to Liens relating to, Permitted Receivables
Financings; 
 (j) Liens existing on property at the time of its acquisition or existing on the property of any
Person at the time such Person becomes a Subsidiary of the Borrower, in each case after the Closing Date; provided that (A) such Lien was not created in contemplation of such acquisition or such Person becoming a Subsidiary of the
Borrower, (B) such Lien does not extend to or cover any other assets or property (other than the proceeds or products thereof and other than after-acquired property to the extent included in the grant of such Lien), and (C) the Debt
secured thereby is permitted under Section 7.2(p); 
 (k) customary Liens and setoff rights securing
obligations in respect of notional pooling cash management arrangements in the ordinary course of business; and 
 (l) other Liens not otherwise permitted by the foregoing clauses of this Section 7.1 securing an aggregate principal amount at any time outstanding not to exceed
$75,000,000.100,000,000;  

(m) Liens on the Collateral to secure Debt permitted under
Section 7.2(r); provided that a Senior Representative acting on behalf of the holders of such Debt shall have become party to or otherwise subject to the provisions of a (i) a First Lien Intercreditor Agreement if such Debt is secured by
the Collateral on a pari passu basis (but without regard to the control of remedies) with the Obligations, or (ii) a Junior Lien Intercreditor Agreement if such Debt is secured by the Collateral on a second priority (or other junior
priority) basis to the liens securing the Obligations; 

(n) Liens on the Collateral securing obligations in respect of
Permitted First Priority Refinancing Debt or Permitted Second Priority Refinancing Debt and any Permitted Refinancing of any of the foregoing; provided that a Senior Representative acting on behalf of the holders of such Debt shall have become party
to or otherwise subject to the provisions of a (i) a First Lien Intercreditor Agreement if such Debt is secured by the Collateral on a pari passu basis (but without regard to the control of remedies) with the Obligations, or (ii) a
Junior Lien Intercreditor Agreement if such Debt is secured by the Collateral on a second priority (or other junior priority) basis to the liens securing the Obligations; and 

(o) Liens on the Collateral to secure Debt permitted under
Section 7.2(v) on a pari passu basis (but without regard to the control of remedies) with the Obligations; provided that a Senior Representative acting on behalf of the holders of such Debt shall have become party to or otherwise subject
to the provisions of a First Lien Intercreditor Agreement. 

  
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 7.2 Debt. Create, incur, assume or suffer to exist, or permit any of its Subsidiaries
to create, incur, assume or suffer to exist, any Debt, except: 
 (a) Debt under the Loan Documents; 

(b) (i) the Senior Notes and the Senior Notes Guarantees and any Permitted Refinancing thereof; provided that the
aggregate principal amount of all such Debt at any one time outstanding pursuant to this Section 7.2(b)(i) shall not exceed $1,550,000,000 and (ii) Debt existing on the Closing Date and described on Schedule 7.2(b) hereto and
any Permitted Refinancing thereof; 
 (c) Debt of the Borrower in respect of Swap Agreements (A) existing on
the Closing Date and described in Schedule 7.2(b) hereto or (B) entered into from time to time after the Closing Date with counterparties that are Lenders at the time such Swap Agreement is entered into (or Affiliates of such Lender at
such time); provided that, in all cases under this clause (c), all such Swap Agreements shall not be speculative in nature (including, without limitation, with respect to the term and purpose thereof); 

(d) Debt of (A) the Borrower owing to any Subsidiary, and (B) any of the Subsidiaries owing to the Borrower or
any other Subsidiary; provided that with respect to any loan or advance by a Loan Party, (i) any such Debt shall be evidenced by an Intercompany Note and pledged by such Loan Party as Collateral pursuant to the Security Documents and
(ii) if such loan or advance is to a Non-Guarantor Subsidiary, such loan or advance is permitted by Section 7.6; 
 (e) Debt incurred after the Closing Date and secured by Liens expressly permitted under Section 7.1(d) and any Permitted Refinancing thereof; provided that the aggregate principal
amount of all such Debt at any one time outstanding pursuant to this Section 7.2(e), when aggregated with the principal amount of all Debt outstanding at such time under Section 7.2(f), shall not exceed the greater of
$250,000,000325,000,000 or 7.5% of the Consolidated Tangible Assets of the Borrower and its Subsidiaries; 

(f) Capitalized Leases incurred after the Closing Date and any Permitted Refinancing thereof; provided that the
aggregate principal amount of all such Debt at any one time outstanding pursuant to this Section 7.2(f), when aggregated with the principal amount of all Debt outstanding at such time under Section 7.2(e), shall not exceed
the greater of $250,000,000325,000,000 or 7.5% of the Consolidated Tangible Assets of the Borrower and its Subsidiaries; 

(g) Contingent Obligations of (A) the Borrower guaranteeing any obligations of any Subsidiary and (B) any
Subsidiary of the Borrower guaranteeing any obligations of the Borrower or any other Subsidiary; provided that each such primary obligation is not otherwise prohibited under the terms of the Loan Documents; and provided,
further, that any guaranty of obligations of any Non-Guarantor Subsidiary by a Loan Party is permitted by Section 7.6; 
 (h) (i) (A) Debt not to exceed $100,000,000150,000,000 and (B) Specified Debt that is not secured by any Lien on the
assets of the Borrower or any Subsidiary; provided that under each of clauses (i)(A) and (i)(B), (x) on a Pro Forma Basis as of the last day of the most recent period prior to the incurrence of such Debt in respect of which financial
statements shall have been required to be delivered pursuant to Section 6.1(b) or (c) (or if prior to the first time such financial statements are so required to be delivered, as of the last day of the most recent period in
respect of which financial statements of the Borrower and its Subsidiaries are available), the Leverage Ratio shall not exceed the ratio specified in Section 7.16(a) for such last day (it being understood that if such last day is prior
to December 31, 2010, then the ratio specified for December 31, 2010 under Section 7.16(a) shall be deemed to be the ratio specified in Section 7.16(a) for such last day) and (y) the Borrower shall be in
compliance with Section 7.16(b) and (ii) any Permitted Refinancing thereof; 
 (i) endorsement
of negotiable instruments for deposit or collection or similar transactions in the ordinary course of business; 

  
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 (j) Debt comprised of indemnities given by the Borrower or any of its
Subsidiaries, or guarantees or other similar undertakings by the Borrower or any of its Subsidiaries entered into in lieu thereof, in favor of the purchaser of property and assets of the Borrower and its Subsidiaries being sold, leased, transferred
or otherwise disposed of in accordance with this Agreement and covering liabilities incurred by the Borrower or its applicable Subsidiary in respect of such property and assets prior to the date of consummation of the sale, lease, transfer or other
disposition thereof, which indemnities, guarantees or undertakings are required under the terms of the documentation for such sale, lease, transfer or other disposition; 

(k) Debt comprised of liabilities or other obligations assumed or retained by the Borrower or any of its Subsidiaries from
Subsidiaries of the Borrower that are, or all or substantially all of the property and assets of which are, sold, leased, transferred or otherwise disposed of pursuant to Section 7.5(c) or (f); provided that such
liabilities or other obligations were not created or incurred in contemplation of the related sale, lease, transfer or other disposition; 
 (l)(i) secured and unsecured Debt of Non-Guarantor Subsidiaries in an aggregate amount not to exceed $300,000,000 at any time outstanding and (ii) secured and unsecured Debt
ofand Foreign Subsidiaries in an aggregate amount not to exceed $150,000,0001,000,000,000 at
any time outstanding; 
 (m) Debt comprised of guarantees given by the Borrower or any of its Subsidiaries in
respect of any Special Purpose Licensed Entity which obligations, when aggregated with the aggregate amount of all Investments made under Section 7.6(i) hereof, shall not exceed $150,000,000 at any time outstanding; 

(n) Debt under Cash Management Agreements and similar arrangements in each case in connection with cash management and
deposit accounts in the ordinary course of business or Debt under notional pooling cash management arrangements in the ordinary course of business; 
 (o) Debt in connection with Permitted Receivables Financings; 
 (p)
Debt of any Person that becomes a Subsidiary of the Borrower (or of any Person not previously a Subsidiary of the Borrower that is merged or consolidated with or into the Borrower or one of its Subsidiaries) after the date hereof as a result of an
Investment pursuant to Section 7.6(e) or (j) or Debt of any Person that is assumed by the Borrower or any of its Subsidiaries in connection with an acquisition of assets by the Borrower or such Subsidiary in an Investment
pursuant to Section 7.6(j), and any Permitted Refinancing thereof; provided that (A) such Debt is not incurred in contemplation of such Investment and (B) the aggregate amount of Debt pursuant to this clause
(p) that is (i) Debt of a Non-Guarantor Subsidiary or (ii) Debt that is secured by a Lien on the assets of the Borrower or any of its Subsidiaries does not exceed $200,000,000 at any time outstanding; and 

(q) Debt incurred in the ordinary course of business with respect to performance bonds, surety bonds, completion bonds,
guaranty bonds, appeal bonds or customs bonds, letters of credit, and other obligations of a similar nature required in the ordinary course of business or in connection with the enforcement of rights or claims of the Borrower or any of its
Subsidiaries or in connection with judgments that do not result in a Default or to secure obligations under workers’ compensation laws, unemployment insurance or similar social security legislation (other than in respect of employee benefit
plans subject to ERISA), public or statutory obligations or payment of customs duties in connection with the importation of goods. 
 (r) Permitted Ratio Debt and any Permitted Refinancing thereof; 

(s) the New Senior Notes and the New Senior Notes Guarantees
and any Permitted Refinancing thereof; provided that the aggregate principal amount of all such Debt at any one time outstanding pursuant to this Section 7.2(s) shall not exceed $1,250,000,000;  

(t) Credit Agreement Refinancing Debt;  

  
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 (u) Debt
incurred by the Borrower or any of its Subsidiaries in connection with the Acquisition, or any other Investment permitted by Section 7.6, constituting indemnification obligations or obligations in respect of purchase price (including earnouts)
or other similar adjustments; and 
 (v) Debt
incurred by a Foreign Subsidiary under a letter of credit facility in an aggregate amount not to exceed $100,000,000 at any time outstanding; provided that on a Pro Forma Basis after giving effect to any such incurrence (and assuming that the
maximum amount of letters of credit thereunder are fully drawn), the Senior Secured Leverage Ratio is no more than 3.50:1.00. 
 7.3 Change in Nature of Business. Engage or permit any of its Subsidiaries to engage in any business other than healthcare services and any businesses incidental, complementary, ancillary or
related thereto; provided that a Special Purpose Receivables Subsidiary may engage in any Permitted Receivables Financing. 
 7.4 Mergers, Etc. Merge into or consolidate with any Person or permit any Person to merge into it, or permit any of its Subsidiaries to do so, except that: 

(a) any of the Subsidiaries may merge into or consolidate with the Borrower; provided that the Borrower is the
surviving corporation; 
 (b) any Subsidiary of the Borrower may merge into or consolidate with any other
Subsidiary of the Borrower; provided that, in the case of any such merger or consolidation involving a Wholly Owned Subsidiary, the Person formed by or surviving such merger or consolidation shall be a Wholly Owned Subsidiary of the Borrower;
provided further that, in the case of any such merger or consolidation to which a Guarantor is a party, the Person formed by such merger or consolidation shall be a Guarantor; 

(c) in connection with any purchase or other acquisition of Capital Stock of, or property and assets of, any Person
permitted under Section 7.6(e), the Borrower may permit any other Person to merge into or consolidate with it (provided that (i) the Borrower is the surviving entity or (ii) the surviving entity (x) is a Domestic
Person and (y) simultaneously with such merger or consolidation agrees to be bound by the terms hereof and of the Loan Documents and assume the Borrower’s obligations hereunder and thereunder pursuant to an agreement or instrument
satisfactory in form and substance to the Administrative Agent (and shall thereafter be the Borrower hereunder), and any of the Subsidiaries of the Borrower may merge into or consolidate with any other Person or permit any other Person to merge into
or consolidate with it; provided that the Person with which such Subsidiary is merging or consolidating (i) shall be engaged in a business permitted by Section 7.3, (ii) shall take all actions required under
Section 6.12 and (iii) shall be a Guarantor if the merging Subsidiary was a Guarantor prior to such transaction; and 
 (d) in connection with any sale, transfer or other disposition of all or substantially all of the Capital Stock of, or the property and assets of, any Person permitted under Sections 7.5(c) or
(f), any of the Subsidiaries of the Borrower may merge into or consolidate with any other Person or permit any other Person to merge into or consolidate with it; 
 provided, however, that in each case, immediately after giving effect thereto, no event shall occur and be continuing that constitutes a Default. 

7.5 Sales, Etc., of Assets. Sell, lease, transfer or otherwise dispose of, or permit any of its Subsidiaries to sell (including
sales and issuances of Capital Stock of any Subsidiary (other than sales and issuances that do not decrease the percentage ownership of the Borrower and its Subsidiaries in each class of Capital Stock of such Subsidiary)), lease, transfer or
otherwise dispose of, any assets, or grant any option or other right to purchase, lease or otherwise acquire any assets, except (provided that the issuance and sale of stock by the Borrower shall not be subject to this
Section 7.5): 

  
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 (a) the Borrower and its Subsidiaries may sell inventory in the ordinary
course of business; 
 (b) (A) the Borrower may sell, lease, transfer or otherwise dispose of any of its property
or assets to any of the Subsidiaries, and (B) any of the Subsidiaries may sell, lease, transfer or otherwise dispose of any of its property or assets to the Borrower or any of the other Subsidiaries; provided that, in each case (other
than in connection with Intercompany Receivables), (x) if the transferor in such transaction is a Domestic Subsidiary and the transferee in such transaction is a Domestic Subsidiary, on a pro forma basis, the Borrower and its Subsidiaries would
be in compliance with Section 7.12 and Section 7.16 and (y) if the transferee in such transaction is a Foreign Subsidiary, such transaction is permitted by Section 7.6; 

(c) any Subsidiary of the Borrower that is no longer actively engaged in any business or activities and does not have
property and assets with an aggregate book value in excess of $1,000,000 may be wound up, liquidated or dissolved so long as such winding up, liquidation or dissolution is determined in good faith by management of the Borrower to be in the best
interests of the Borrower and its Subsidiaries; 
 (d) the Borrower and its Subsidiaries may sell, lease,
transfer or otherwise dispose of any obsolete, damaged or worn out equipment thereof or any other equipment that is otherwise no longer useful in the conduct of their businesses; 

(e) the Borrower and its Subsidiaries may lease or sublease Real Property to the extent required for their respective
businesses and operations in the ordinary course so long as such lease or sublease is not otherwise prohibited under the terms of the Loan Documents; 
 (f) the Borrower and its Subsidiaries may sell, lease, transfer or otherwise dispose of property and assets not otherwise permitted to be sold, leased, transferred or disposed of pursuant to this
Section 7.5 so long as the aggregate book value of all of the property and assets of the Borrower and its Subsidiaries sold, leased, transferred or otherwise disposed of pursuant to this clause (f) does not exceed
$500,000,000625,000,000 in the aggregate since the Closing Date; provided that: 

(A) the gross proceeds received from any such sale, lease, transfer or other disposition shall be at least equal to the
fair market value of the property and assets so sold, leased, transferred or otherwise disposed of, determined at the time of such sale, lease, transfer or other disposition; 

(B) at least 75% of the value of the aggregate consideration received from any such sale, lease, transfer or other
disposition shall be in cash; provided that (i) up to one-third of such 75% may consist of notes or other obligations received by the Borrower or such Subsidiary that are due and payable or otherwise converted by the Borrower or such
Subsidiary into cash within 365 days of receipt, which cash (to the extent received) shall constitute Net Cash Proceeds attributable to the original transaction; (ii) any unsubordinated Debt of the Borrower or any of its Subsidiaries (as shown
on the Borrower’s or such Subsidiary’s most recent balance sheet) that is assumed by the transferee of any such assets shall constitute cash for purposes of this Section 7.5(f), so long as the Borrower and all of its
Subsidiaries are fully and unconditionally released therefrom; and (iii) any Designated Non-Cash Consideration received by the Borrower or any of its Subsidiaries, having an aggregate fair market value, taken together with all other Designated
Non-Cash Consideration received pursuant to this clause (B) after the Closing Date not to exceed $100,000,000 at the time of receipt of such Designated Non-Cash Consideration shall be deemed to be cash for purposes of this
Section 7.5(f) (it being understood that the fair market value of each item of Designated Non-Cash Consideration is measured at the time of receipt without giving effect to subsequent changes in value); provided that if such
Designated Non-Cash Consideration is sold for, or otherwise converted into, cash, such cash shall constitute Net Cash Proceeds attributable to the original Transaction; 

(C) immediately before and immediately after giving pro forma effect to any such sale, lease, transfer or other
disposition, no Default shall have occurred and be continuing; 

  
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 (D) with respect to any disposition under this subsection that exceeds
$50,000,000, within five Business Days prior to such disposition, and with respect to any other disposition under this subsection, within 15 Business Days after such disposition, the Borrower shall deliver to the Administrative Agent, on behalf of
the Lenders, a certificate identifying the property disposed of and stating (a) that immediately before and after giving effect thereto, no Default existed or will exist, (b) that the consideration received or to be received by the
Borrower or such Subsidiary for such property has been determined by the Borrower or the applicable Subsidiary to be not less than the fair market value of such property, (c) the total expected consideration to be paid in respect of such
disposition and (d) the expected Net Cash Proceeds resulting from such disposition; and 
 (E) if and to the
extent that the Net Cash Proceeds of any transaction effected pursuant to this Section 7.5(f) shall not have been reinvested (pursuant to a Reinvestment Notice), such Net Cash Proceeds shall be applied to prepay Loans to the extent, and
in accordance with, Section 2.11; 
 (g) the Borrower and its Subsidiaries may exchange assets and
properties with another Person; provided that: 
 (A) the assets or properties received by the Borrower or
its Subsidiaries shall be used in a business permitted by Section 7.3 as conducted immediately prior to such transaction, or in an incidental or related business; 

(B) the total consideration received by the Borrower or such Subsidiary for such assets or property shall have been
determined by the Borrower or such Subsidiary to be not less than the fair market value of the assets or property exchanged; 
 (C) immediately before and immediately after giving pro forma effect to any such exchange, no Default shall have occurred and be continuing; 

(D) any cash received by the Borrower or any such Subsidiary in connection with such exchange shall be treated as Net Cash
Proceeds subject to Section 2.11 and any cash paid by the Borrower or any Subsidiary in connection with such exchange shall be treated as an acquisition expenditure under Section 7.6(e); 

(E) with respect to any exchange under this subsection that involves assets and/or property with a value in excess of
$50,000,000, within five Business Days prior to such exchange, and with respect to any other exchange under this Section 7.5(g), within fifteen Business Days after such exchange, the Borrower shall deliver to the Administrative Agent, on
behalf of the Lenders, a certificate identifying the assets or property disposed of and acquired in such exchange, and stating (a) that immediately before and after giving effect thereto, no Default existed or will exist, (b) that the
total consideration received by or expected to be received by the Borrower or such Subsidiary for such assets or property has been determined by the Borrower or such Subsidiary to be not less than the fair market value of the assets or property
exchanged, and (c) the amount, if any, of the expected cash to be paid or Net Cash Proceeds to be received in connection with such exchange; 
 (F) if Collateral is exchanged the assets and properties received in exchange shall constitute Collateral and Sections 6.12 and 6.13 shall be complied with; 

(h) the Borrower and its Subsidiaries may enter into Sale and Leaseback Transactions (i) with respect to the Denver
Headquarters and (ii) with respect to any other property, provided that the aggregate value of property sold or transferred under this subclause (ii) shall not exceed
$150,000,000225,000,000 since the Closing Date; provided that the Net Cash Proceeds from such transaction are applied in accordance with
Section 2.11(b); 

  
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 (i) the Borrower and its Subsidiaries may purchase, sell or otherwise
transfer (including by capital contribution) Receivables Assets pursuant to Permitted Receivables Financings; 

(j) the Borrower and its Subsidiaries may sell, lease, transfer or otherwise dispose of assets or property (i) in
anticipation of any Investment pursuant to Section 7.6(e), (f), (h) or, (i),
(k) (, (l) and (m) (including as a result of discussion with antitrust regulators in connection with such Investment) or
(ii) as required pursuant to any consent decree or similar order or agreement, which decree, order or agreement is issued or entered into prior to the consummation of such Investment and in connection therewith by the Antitrust Division of the
U.S. Department of Justice, the Bureau of Competition of the U.S. Federal Trade Commission and/or any similar state or foreign regulatory agency or body; 
 (k) within 180 days of the acquisition by the Borrower or any Subsidiary of any Real Property after the Closing Date the Borrower or such Subsidiary may sell or otherwise transfer such Real Property in
connection with a Sale and Leaseback Transaction so long as the Borrower shall be in compliance with Section 7.2 after giving effect to such Sale and Leaseback Transaction; provided that the Net Cash Proceeds from such transaction
are applied in accordance with Section 2.11(b); and 
 (l) any Subsidiary of the
Borrower may issue additional Capital Stock to management or employees and physicians under contract with the Borrower or any of its Subsidiaries in an amount not in excess of $15,000,000 in the aggregate in any twelve month
period; and 

(m) The Borrower and its Subsidiaries may enter into any
transfer or disposition of property or assets constituting an Investment pursuant to Section 7.6(e), (f), (h), (i), (k), (l) or (m). 
 7.6 Investments in Other Persons. Make or hold, or permit any of its Subsidiaries to make or hold, any Investment in any Person, except: 

(a) Investments by the Borrower and its Subsidiaries in Cash Equivalents; 

(b) Investments existing on the Closing Date and described on Schedule 7.6 hereto; 

(c) Investments by the Borrower in Swap Agreements permitted under Section 7.2(c); 

(d) Investments in accounts receivable in the ordinary course of business or notes received in transactions permitted by
Sections 7.5(f) and (j); 
 (e) the purchase or other acquisition of (1) Capital Stock of any
Person that, upon the consummation thereof, will be more than 50% owned by the Borrower or one or more of its Wholly Owned Subsidiaries (including, without limitation, as a result of a merger or consolidation) or (2) all or substantially all
the property and assets of a Person or consisting of a line of business or business unit of a Person; provided that, with respect to each purchase or other acquisition made pursuant to this clause (e): 

(A) the lines of business of the Person to be (or the property and assets of which are to be) so purchased or otherwise
acquired shall be permitted by Section 7.3; 
 (B)(1) immediately before and immediately after giving
pro forma effect to any such purchase or other acquisition, no Default shall have occurred and be continuing and (2) immediately after giving effect to such purchase or other acquisition, the Borrower and its Subsidiaries shall be in compliance
on a Pro Forma Basis with Section 7.12 and Section 7.16; 
 (C) the aggregate amount of
consideration paid or provided by the Borrower and its Subsidiaries after the Closing Date pursuant to this Section 7.6(e)(C) (under clause (i) below) for the purchase or acquisition for Persons that will be Foreign Subsidiaries,
when taken together with any Investments made in Foreign Subsidiaries pursuant to Section 7.6(h)(ii)(y)(A), shall not exceed
(i) $1,000,000,0002,000,000,000 or (ii) if the Leverage Ratio for the most recent 

  
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Measurement Period is less than 3.50:1.00 (both before and after giving effect to such transaction (including any use of cash with respect thereto) on a Pro Forma Basis), consideration in an
unlimited amount; provided that if the amount of all such cash payments exceeds the limitation set forth in clause (i) of this clause (C) during any period during which the Leverage Ratio test in clause (ii) of this clause
(C) is met, such excess cash payments shall not constitute an Event of Default if such Leverage Ratio test is not met in any subsequent Measurement Period; 
 (D) the Borrower shall have delivered to the Administrative Agent, on behalf of the Lenders, at least three Business Days prior to the date on which any such purchase or other acquisition in which the
total cash consideration is more than $50,000,000 is to be consummated, a certificate of a Responsible Officer, in form and substance reasonably satisfactory to the Administrative Agent, certifying that all of the requirements set forth in this
clause (e) have been satisfied or will be satisfied on or prior to the consummation of such purchase or other acquisition and containing a copy of any existing financial statements of the business to be acquired in the Borrower’s
possession; and 
 (E) Sections 6.12 and 6.13 are complied with; 

(f) Investments by the Borrower or any Subsidiary in 50% or less of the Capital Stock of another Person (the
“Minority Investment”); provided that (i) the Borrower or any Subsidiary owns at least 20% (on a fully diluted basis) of the issued and outstanding Capital Stock of such Person, (ii) the aggregate outstanding amount
of Minority Investments made by the Borrower and any Subsidiary shall not exceed $250,000,000350,000,000 at any one time outstanding, (iii) the Borrower or any
Subsidiary shall have full control over all bank accounts of such Person if the Borrower or any Subsidiary is the largest holder of Capital Stock of such Person, (iv) the Borrower or any Subsidiary shall control or act as the managing general
partner of such Person if such Person is a partnership and if the Borrower or any Subsidiary is the largest holder of Capital Stock of such Person, and (v) immediately before and after giving effect thereto, no Default shall exist; 

(g) notes from employees issued to the Borrower representing payment for Capital Stock of the Borrower or representing
payment of the exercise price of options to purchase Capital Stock of the Borrower, and employee relocation expenses incurred in the ordinary course of business, in an aggregate amount at any time outstanding not to exceed
$15,000,00030,000,000; 
 (h)
Investments by (i) any Subsidiary of the Borrower in the Borrower and (ii) the Borrower or any of its Subsidiaries in any Subsidiary of the Borrower; provided that (x) no Investment in any Non-Guarantor Domestic Subsidiary
shall be made unless, after giving pro forma effect thereto, the Borrower and its Subsidiaries shall be in compliance with Section 7.12 and Section 7.16 and (y) no Investment in any Foreign Subsidiary shall be made
unless the aggregate amount of Investments by the Borrower and its Subsidiaries in Foreign Subsidiaries after the Closing Date pursuant to this Section 7.6(h)(ii)(y) (under clause (A) below), when taken together with any Investments
made in Foreign Subsidiaries pursuant to Section 7.6(e)(C)(i) shall not exceed (A) $1,000,000,0002,000,000,000 or (B) if the Leverage Ratio for
the most recent Measurement Period is less than 3.50:1.00 (both before and after giving effect to such transaction (including any use of cash with respect thereto) on a Pro Forma Basis), an unlimited amount; provided that if the amount of all
such cash payments exceeds the limitation set forth in clause (x) of this clause (ii) during any period during which the Leverage Ratio test in clause (y)(B) of this clause (ii) is met, such excess cash payments shall not constitute
an Event of Default if such Leverage Ratio test is not met in any subsequent Measurement Period; 
 (i)
Investments of the Borrower or any of its Subsidiaries in any Special Purpose Licensed Entity which, when aggregated with the aggregate amount of all obligations guaranteed under Section 7.2(m), shall not exceed $150,000,000 at any time;

 (j) Investments arising as a result of Permitted Receivables Financings; and 

  
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 (k) Investments by the Borrower or any of its Subsidiaries (i) in an
aggregate amount outstanding not to exceed the sum of (x) $250,000,000 plus (y) $500,000,000 minus the aggregate amount of purchases, redemptions, acquisitions, dividends and distributions pursuant to Section 7.7(d)(i) and
payments, prepayments, redemptions or acquisitions of Debt pursuant to Section 7.9(a)(ii)(x) since the Closing Date, in each case, other than with the Available Amount plus (z) the Available Amount minus the aggregate amount
of purchases, redemptions, acquisitions, dividends and distributions pursuant to Section 7.7(d)(i) and payments, prepayments, redemptions or acquisitions of Debt pursuant to
Section 7.9(a)(ii)(x) since the Closing Date to the extent made with(ii) in an aggregate amount outstanding not to exceed the Available Amount
on the date of such Investment or (iiiii) if the Leverage Ratio for the most recent Measurement
Period is less than 3.50:1.00 (both before and after giving effect to such transaction (including any use of cash with respect thereto) on a Pro Forma Basis), in an unlimited amount; provided that if the amount of all such Investments exceeds the
limitation set forth in clauseclauses (i) and (ii) of this Section during any period during
which the Leverage Ratio test in clause (iiiii) of this Section is met, such excess Investments shall not constitute an Event of Default if such Leverage Ratio
test is not met in any subsequent Measurement Period; provided, further, in the case of each transaction under this Section 7.6(k)(iiiii), that immediately prior to each such transaction and after giving
effect thereto the aggregate amount of the Available Revolving Commitment is not less than $75,000,000.75,000,000;  

(l) Investments in connection with the Acquisition; and 

(m) Investments pursuant to any Permitted Physician Group Loan. 

7.7 Restricted Payments. Declare or pay any dividends, purchase, redeem, retire, defease or otherwise acquire for value any of its
Capital Stock now or hereafter outstanding, return any capital to its stockholders, partners or members (or the equivalent Persons thereof) as such, make any distribution of assets, Capital Stock, obligations or securities to its stockholders,
partners or members (or the equivalent Persons thereof) as such, or permit any of its Subsidiaries to do any of the foregoing, or permit any of its Subsidiaries to purchase, redeem, retire, defease or otherwise acquire for value any Capital Stock of
the Borrower, except that, so long as no Default shall have occurred and be continuing at the time of any action described below or would result therefrom: 
 (a) the Borrower may (A) declare and pay dividends and distributions payable in its common Capital Stock, (B) except to the extent the Net Cash Proceeds thereof are required to be applied to the
prepayment of the Loans pursuant to Section 2.11, purchase, redeem, retire, defease or otherwise acquire Capital Stock with the proceeds received contemporaneously from the issue of new Capital Stock with equal or inferior voting powers,
designations, preferences and rights, and (C) repurchase its Capital Stock owned by management or employees and physicians under contract with the Borrower or any of its Subsidiaries in an amount not in excess of
$10,000,00025,000,000 in the aggregate in any twelve month period; 
 (b) any Subsidiary of the Borrower may (A) declare and pay cash dividends to the Borrower, and (B) declare and pay cash dividends to any other Loan Party of which it is a Subsidiary; 

(c) any of the non-Wholly Owned Subsidiaries of the Borrower may declare and pay or make dividends and other distributions
to its shareholders, partners or members (or the equivalent Persons thereof) generally so long as the Borrower and each of the Subsidiaries that own any of the Capital Stock thereof receive at least their respective proportionate shares of any such
dividend or distribution (based upon their relative holdings of the Capital Stock thereof and taking into account the relative preferences, if any, of the various classes of the Capital Stock thereof); 

(d) so long as no Default is continuing or will be continuing after such transaction, the Borrower may (A) purchase,
redeem or otherwise acquire for value any of its Capital Stock or (B) declare and pay dividends and distributions payable in either (i) cash (in the aggregate for both clauses (A) and (B)), when taken together with the aggregate
amount of payments, prepayments, redemptions or 

  
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acquisitions of Debt pursuant to Section 7.9(a)(ii)(x) and Investments pursuant to Section 7.6(k)(i)(y) not to exceed $500,000,000,
(ii) cash (in each case other than with the Available Amount, plus the Available Amount minus the aggregate
for both clauses (A) and (B)), in an amount of Investments made pursuant to Section 7.6(k)(i)(y) and payments, prepayments, redemptions or
acquisitions of Debt pursuant to Section 7.9(a)(ii)(x) since the Closing Date to the extent made with the Available Amount or (iinot
to exceed the Available Amount on the date of each such purchase, redemption, acquisition, dividend and distribution or (iii) if the Leverage Ratio for the most recent Measurement Period is less than 3.50:1.00 (both before and after giving
effect to such transaction (including any use of cash with respect thereto) on a Pro Forma Basis), cash in any amount; provided that if the amount of all such cash payments exceeds the limitation set forth in
clauseclauses (i) and (ii) of this Section during any period during which the Leverage Ratio
test in clause (iiiii) of this Section is met, such excess cash payments shall not constitute an Event of Default if such Leverage Ratio test is not met in any
subsequent Measurement Period; provided further, in the case of each transaction under this
Section 7.7(d)(iii), that immediately prior to each such transaction and after giving effect thereto the
aggregate amount of the Available Revolving Commitment is not less than $75,000,000; and 
 (e)
the Borrower may consummate the Refinancing on the Closing Date and the Stock Repurchase; provided that the Stock Repurchase is consummated no later than the first anniversary of the Closing
Date.; and 
 (f) so long as
no Default is continuing or will be continuing after such transaction, the Borrower may repurchase its common stock from its then existing shareholders in one or more transactions for an aggregate purchase price not to exceed $1,200,000,000.

 7.8 Accounting Changes. Make or permit any change in (i) accounting policies or reporting practices, except as
allowed by GAAP (or as otherwise provided pursuant to Section 1.4), or (ii) Fiscal Year. 
 7.9 Prepayments
of Other Debt; Modifications of Constitutive Documents and Other Documents, etc. Directly or indirectly: 

(a) make (or give any notice in respect thereof) any voluntary or optional payment or prepayment on or redemption or
acquisition for value of, or any prepayment or redemption as a result of any asset sale, change of control or similar event of, any Debt outstanding under the Senior Notes, any Specified Debt or any Subordinated
Debtthe New Senior Notes, any Debt that is secured on second priority (or other junior priority) basis (including any Permitted Second Priority Refinancing Debt or any Permitted
Ratio Debt that is secured on second priority (or other junior priority) basis) any Specified Debt, any unsecured Permitted Ratio Debt or any subordinated Debt (collectively,
“Junior
Financing”); except for (i) any Permitted Refinancing of the Senior Notes, any Specified Debt or
any Subordinated Debtany Junior Financing and (ii) so long as no Default is continuing or will be continuing after such transaction, the voluntary or optional payment or
prepayment or redemption or acquisition for value of Senior Notes, Specified Debt or Subordinated DebtJunior Financing in an aggregate amount for this clause (ii), when
taken together with the aggregate amount of purchases, redemptions, acquisitions, dividends and distributions pursuant to Section 7.7(d)(i) and Investments pursuant to Section 7.6(k)(i)(y), (x) not to exceed
$500,000,000, in each case, other than with the Available Amount, plus the Available Amount minus the aggregate amount of Investments made pursuant to Section 7.6(k)(i)(y) and the aggregate amount of
purchases, redemptions, acquisitions, dividends and distributions pursuant to Section 7.7(d)(i) since the Closing Date to the extent made with the Available Amount or
(y(y) not to exceed the Available Amount, on the date of each such payment, prepayment, redemption or acquisition of Debt or (z) if the Leverage Ratio for the most recent
Measurement Period is less than 3.50:1.00 (both before and after giving effect to such transaction (including any use of cash with respect thereto) on a Pro Forma Basis), cash in any amount; provided that if the amount of all such cash
payments exceeds the limitation set forth in clause (ii)(x) and (y) of this Section during any period during which the Leverage Ratio test in clause
(ii)(yz) of this Section is met, such excess cash payments shall not constitute an Event of Default if such Leverage Ratio test is not met in any subsequent Measurement
Period; provided further, in the case of each transaction under this Section 7.9(a)(ii)(z), that immediately prior to each such transaction and after giving effect thereto the aggregate amount of the Available
Revolving Commitment is not less than $75,000,000; 

  
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 (b) amend or modify, or permit the amendment or modification of, any
provision of any Senior Notes Documents, and documents governing Specified Debt Junior Financing or any Permitted Receivables Documents in any manner that is adverse in
any material respect to the interests of the Lenders; 
 (c) terminate, amend, modify or change any of its
Constitutive Documents (including by the filing or modification of any certificate of designation) or any agreement to which it is a party with respect to its Capital Stock (including any stockholders’ agreement), or enter into any new
agreement with respect to its Capital Stock, other than any such amendments, modifications or changes or such new agreements which are not adverse in any material respect to the interests of the
Lenders or are pursuant to Requirements of Law; provided that the Loan Parties may issue such Capital Stock, so long as such issuance is not prohibited by
Section 7.13 or any other provision of this Agreement, and may amend their Constitutive Documents to authorize any such Capital Stock; or  

(d) except as may be required to comply with any law, regulation or court or administrative decision, terminate, amend or
modify a Business Associate Agreement without the consent of the parties thereto; or 
 (e) amend or modify, or permit the amendment or modification of, any provision of any Management Services Agreement entered into with a Loan
Party in any manner that would require a substantial portion of the management fees (which, for the avoidance of doubt and without any implication to the contrary, shall not include any fees for reimbursement of expenses and other cost sharing
arrangements) payable thereunder to be paid to any entity other than a Loan Party. 
 7.10 Negative Pledge. Enter
into or suffer to exist, or permit any Loan Party to enter into or suffer to exist, any agreement prohibiting or conditioning the creation or assumption of any Lien upon any of its property or assets except (i) in favor of the Secured
Parties or, (ii) in connection with (A) any Debt permitted by Section 7.2(e) solely to the extent that the agreement or instrument governing such
Debt prohibits a Lien on the property acquired with the proceeds of such Debt, or (B) any Capitalized Lease permitted by Section 7.2(f) solely to the extent that such Capitalized Lease prohibits a Lien on the property subject
thereto, or (C) any Debt outstanding on the date any Subsidiary of the Borrower becomes such a Subsidiary (so long as such agreement was not entered into solely in contemplation of such Subsidiary becoming a Subsidiary of the Borrower), or
(D) any Debt permitted by Section 7.2(l) solely to the extent that the agreement or instrument governing such Debt prohibits a Lien on the property of the relevant borrowing entity or (E) the Senior Notes or
(F, (F) the New Senior Notes, (G) Permitted Ratio Debt or (H) any Debt permitted by Section 7.2(o) or (iii) pursuant to any Requirements of Law.

 7.11 Payment Restrictions Affecting Subsidiaries. Directly or indirectly, enter into or suffer to exist, or permit any
of its Subsidiaries to enter into or suffer to exist, any agreement or arrangement limiting the ability of any of its Subsidiaries to declare or pay dividends or other distributions in respect of its Capital Stock or repay or prepay any Debt owed
to, make loans or advances to, or otherwise transfer assets to or invest in, the Borrower or any Subsidiary of the Borrower (whether through a covenant restricting dividends, loans, asset transfers or investments, a financial covenant or otherwise),
except (i) the Loan Documents; (ii) any agreement in effect at the time such Subsidiary becomes a Subsidiary of the Borrower, so long as such agreement was not entered into solely in contemplation of such Person becoming a Subsidiary of
the Borrower; (iii) restrictions on transfer contained in Debt incurred pursuant to Sections 7.2(e) and (f); provided that such restrictions relate only to the transfer of the property financed with such Debt; (iv) in
connection with and pursuant to any 

  
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Permitted Refinancing, replacements of restrictions that are not more restrictive than those being replaced and do not apply to any other Person or assets than those that would have been covered
by the restrictions in the Debt so refinanced; (v) restrictions contained in any Permitted Receivables Document with respect to any Special Purpose Receivables Subsidiary; (vi) solely with respect to Subsidiaries that are not Guarantors,
restrictions under the Constitutive Documents governing such Subsidiary: (A) with respect to existing Subsidiaries, existing on the Closing Date; and (B) with respect to Subsidiaries created or acquired after the Closing Date:
(1) prohibiting such Subsidiary from guaranteeing Debt of the Borrower or another Subsidiary; (2) restricting dividend payments and other distributions solely to permit pro rata dividends and other distributions in respect of any Capital
Stock of such Subsidiary; (3) limiting transactions with the Borrower or another Subsidiary to those with terms that are fair and reasonable to such Subsidiary and no less favorable to such Subsidiary than could have been obtained in an
arm’s length transaction with an unrelated third party; and (4) limiting such Subsidiary’s ability to transfer assets or incur Debt without the consent of the holders of the Capital Stock of such Subsidiary; provided that all
restrictions permitted by this clause (vi) shall no longer be permitted in the event any such Subsidiary becomes a Guarantor; (vii) restrictions contained in Debt incurred pursuant to Section 7.2(l) with respect to the
borrowers thereunder; and; (viii) encumbrances or restrictions (A) that restrict in a customary manner the subletting, assignment or transfer of any property
or asset that is subject to a lease, license or similar contract entered into in the ordinary course of business, or the assignment or transfer of any lease, license or contract entered into in the ordinary course of business
and, (B) arising by virtue of any transfer of, agreement to transfer, option or right with respect to, or Lien on, any property or assets of the Borrower or any
Subsidiary and (ix) restrictions imposed by any agreement governing Debt entered into on or after the Closing Date and permitted under Section 7.2 (including, without limitation,
the New Senior Notes and any Permitted Refinancing in respect thereof) that are, taken as a whole, in the good faith judgment of the Borrower, no more restrictive with respect to the Borrower or any Subsidiary than customary market terms for Debt of
such type (and, in any event, are no more restrictive than the restrictions contained in this Agreement), so long as the Borrower shall have determined in good faith that such restrictions will not affect its obligation or ability to make any
payments required hereunder and (C) pursuant to any Requirement of Law. 
 7.12 Non-Guarantor Domestic
Subsidiaries. Permit at any time the aggregate Consolidated Tangible Assets (calculated without duplication) at such time of all Non-Guarantor Domestic Subsidiaries (whether or not any such Subsidiary is existing on the Closing Date but not
including any Special Purpose Receivables Subsidiary nor any Regulated Subsidiary) to exceed 29% of the Consolidated Tangible Assets of the Borrower and its Domestic Subsidiaries
(excluding any Special Purpose Receivables Subsidiary and any Regulated Subsidiary). 
 7.13 Issuance of Additional Stock. Permit any of its Subsidiaries to issue any additional Capital Stock, except, subject to Section 6.12, as follows: 

(i) in connection with a permitted Investment or to employees or consultants in the ordinary course of business;

 (ii) the Borrower and any Subsidiary thereof may organize new Subsidiaries and any Subsidiary may issue
additional Capital Stock to (x) any Loan Party, (y) any Non-Guarantor Domestic Subsidiary, if on a pro forma basis, the Borrower and its Subsidiaries would be in compliance with Section 7.12 and Section 7.16 and
(z) any Foreign Subsidiary in a transaction permitted by Sections 7.6(e), (f), (h) or (k); or 

  
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 (iii) subject to compliance with the provisions this Agreement, including
Section 7.6, Section 7.12 and Section 7.16, any Subsidiary of the Borrower may (i) issue additional Capital Stock or (ii) sell outstanding Capital Stock thereof, in each case to any Subsidiary of the
Borrower or any Persons other than Affiliates of the Borrower or its Subsidiaries (it being understood that any such sales and issuances that decrease the percentage ownership of the Borrower or any of its Subsidiaries in any class of Capital Stock
of such Subsidiary shall be subject to Section 7.5). 
 7.14 Anti-Terrorism Law; Anti-Money Laundering.

 (a) Directly or indirectly, (i) knowingly conduct any business or engage in making or receiving any contribution of
funds, goods or services to or for the benefit of any Person described in Section 4.23, (ii) knowingly deal in, or otherwise engage in any transaction relating to, any property or interests in property blocked pursuant to the
Executive Order or any other Anti-Terrorism Law, or (iii) knowingly engage in or conspire to engage in any transaction that evades or avoids, or has the purpose of evading or avoiding, or attempts to violate, any of the prohibitions set forth
in any Anti-Terrorism Law (and the Loan Parties shall deliver to the Lenders any certification or other evidence requested from time to time by any Lender in its reasonable discretion, confirming the Loan Parties’ compliance with this
Section 7.14). 
 (b) Cause or permit any of the funds of such Loan Party that are used to repay the Loans to be
derived from any unlawful activity with the result that the making of the Loans would be in violation of any Requirement of Law. 
 7.15 Embargoed Person. Knowingly cause or permit (a) any of the funds or properties of the Loan Parties that are used to repay the Loans to constitute property of, or be beneficially owned
directly or indirectly by, any Person subject to sanctions or trade restrictions under United States law (“Embargoed Person” or “Embargoed Persons”) that is identified on (1) the “List of Specially
Designated Nationals and Blocked Persons” maintained by OFAC and/or on any other similar list maintained by OFAC pursuant to any authorizing statute including, but not limited to, the International Emergency Economic Powers Act, 50 U.S.C.
§§ 1701 et seq., The Trading with the Enemy Act, 50 U.S.C. App. 1 et seq., and any Executive Order or Requirement of Law promulgated thereunder, with the result that the investment in the Loan Parties (whether directly or
indirectly) is prohibited by a Requirement of Law, or the Loans made by the Lenders would be in violation of a Requirement of Law, or (2) the Executive Order, any related enabling legislation or any other similar Executive Orders or
(b) any Embargoed Person to have any direct or indirect interest, of any nature whatsoever in the Loan Parties, with the result that the investment in the Loan Parties (whether directly or indirectly) is prohibited by a Requirement of Law or
the Loans are in violation of a Requirement of Law. 
 7.16 Financial Covenants. 

(a) Maximum Leverage Ratio. Permit the Leverage Ratio, measured as of the end of any Measurement Period ending during any period
set forth in the set forth in the table below, to exceed the ratio set forth opposite such period in the table below: 
  

			
	 Test Period
	  	Leverage Ratio
	 June 30, 2012 — June 30, 2014
	  	5.00 to 1.00
	 December 31, 2010 September 30, 2014
— December 31, 20122014
	  	4.254.75 to 1.00
	 March 31, 2015 — June 30, 2015
	  	4.50 to 1.00
	 March 31, 2013 September 30, 2015 —
December 31, 20132015
	  	4.00 to 1.00
	 March 31, 20142016 and
thereafter
	  	3.75 to 1.00


  
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 (b) Minimum Consolidated Interest Coverage Ratio. Permit the Consolidated Interest
Coverage Ratio, measured as of the end of any Measurement Period to be less than 3.00 to 1.00.the ratio set forth opposite such period in the table below: 

 

					
	 Test Period
	  	Consolidated
Interest Coverage
Ratio	 
	 June 30, 2012 — December 31, 2013
	  	 	3.00 to 1.00	  
	 March 31, 2014 — December 31, 2014
	  	 	3.25 to 1.00	  
	 March 31, 2015 — December 31, 2015
	  	 	3.50 to 1.00	  
	 March 31, 2016 and thereafter
	  	 	3.75 to 1.00	  

 (c) Limitation on Capital Expenditures. Permit the aggregate amount of Capital Expenditures made
in any period set forth below, to exceed the amount set forth opposite such period below: 
  

			
	 Period
	  	Amount (in millions)
	 January 1, 2011 2012 —
December 31, 20112012
	  	$200350
	 Each Fiscal Year after 20112012
	  	Prior Fiscal Year times
110%

 ; provided, however, that (x) if the aggregate amount of Capital Expenditures made in any Fiscal Year
shall be less than the maximum amount of Capital Expenditures permitted under this Section 7.16(c) for such Fiscal Year, then an amount of such shortfall not exceeding 50% of such maximum amount may be added to the amount of Capital
Expenditures permitted under this Section 7.16(c) for the immediately succeeding (but not any other) Fiscal Year and (y) in determining whether any amount is available for carryover, the amount expended in any Fiscal Year shall
first be deemed to be from the amount carried forward from the prior Fiscal Year. 
 SECTION 8  

EVENTS OF DEFAULT 
 8.1 Events of Default. If any of the following events (“Events of Default”) shall occur: 
 (a) the Borrower shall fail to pay any principal of any Loan or any reimbursement obligation in respect of any LC Disbursement when and as the same shall become due and payable, whether at the due date
thereof or at a date fixed for prepayment thereof or otherwise; 
 (b) the Borrower shall fail to pay any
interest on any Loan or any fee or any other amount (other than an amount referred to in paragraph (a) of this Section) payable under this Agreement when and as the same shall become due and payable, and such failure shall continue unremedied
for a period of three Business Days; 

  
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 (c) any representation or warranty made or deemed made by or on behalf of
any Group Member in or in connection with this Agreement or any amendment or modification hereof or waiver hereunder, or in any report, certificate, financial statement or other document furnished pursuant to or in connection with this Agreement or
any amendment or modification hereof or waiver hereunder, shall prove to have been incorrect when in any material respect when made or deemed made; 

(d) any Loan Party shall fail to observe or perform any covenant, condition or agreement contained in Sections 6.1,
6.6 (with respect to the Borrower’s existence), 6.10 or 6.11 or in Section 7; 
 (e) any Loan Party shall fail to observe or perform any covenant, condition or agreement contained in any Loan Document (other than those specified in paragraph (a), (b) or (d) of this Section),
and such failure shall continue unremedied for a period of 30 days after notice thereof from the Administrative Agent to the Borrower (which notice will be given at the request of any Lender); 

(f) any Group Member shall (i) default in making any payment of any principal of any Debt (including any Contingent
Obligation, but excluding the Loans) on the scheduled or original due date with respect thereto; or (ii) default in making any payment of any interest on any such Debt beyond the period of grace, if any, provided in the instrument or agreement
under which such Debt was created; or (iii) default in the observance or performance of any other agreement or condition relating to any such Debt or contained in any instrument or agreement evidencing, securing or relating thereto, or any
other event shall occur or condition exist, the effect of which default or other event or condition is to cause, or to permit the holder or beneficiary of such Debt (or a trustee or agent on behalf of such holder or beneficiary) to cause, with the
giving of notice if required, such Debt to become due prior to its stated maturity or (in the case of any such Debt constituting a Contingent Obligation) to become payable; provided that a default, event or condition described in clause (i),
(ii) or (iii) of this paragraph (f) shall not at any time constitute an Event of Default unless, at such time, one or more defaults, events or conditions of the type described in clauses (i), (ii) and (iii) of this paragraph
(f) shall have occurred and be continuing with respect to Debt the outstanding principal amount of which exceeds in the aggregate $50,000,00075,000,000;

 (g)(i) the Borrower or any Material Subsidiary shall commence any case, proceeding or other action
(A) under any existing or future law of any jurisdiction, domestic or foreign, relating to bankruptcy, insolvency, reorganization or relief of debtors, seeking to have an order for relief entered with respect to it, or seeking to adjudicate it
a bankrupt or insolvent, or seeking reorganization, arrangement, adjustment, winding-up, liquidation, dissolution, composition or other relief with respect to it or its debts, or (B) seeking appointment of a receiver, trustee, custodian,
conservator or other similar official for it or for all or any substantial part of its assets, or the Borrower or any Material Subsidiary shall make a general assignment for the benefit of its creditors; or (ii) there shall be commenced against
the Borrower or any Material Subsidiary any case, proceeding or other action of a nature referred to in clause (i) above that (A) results in the entry of an order for relief or any such adjudication or appointment or (B) remains
undismissed, undischarged or unbonded for a period of 60 days; or (iii) there shall be commenced against the Borrower or any Material Subsidiary any case, proceeding or other action seeking issuance of a warrant of attachment, execution,
distraint or similar process against all or any substantial part of its assets that results in the entry of an order for any such relief that shall not have been vacated, discharged, or stayed or bonded pending appeal within 60 days from the entry
thereof; or (iv) the Borrower or any Material Subsidiary shall take any action in furtherance of, or indicating its consent to, approval of, or acquiescence in, any of the acts set forth in clause (i), (ii), or (iii) above; or (v) the
Borrower or any Material Subsidiary shall generally not, or shall be unable to, or shall admit in writing its inability to, pay its debts as they become due; 
 (h) an ERISA Event shall have occurred that, when taken together with all other ERISA Events that have occurred, has resulted or could reasonably be expected to result in liabilities of the Loan Parties
in an aggregate amount exceeding $50,000,00075,000,000 or in the imposition of a Lien or security interest on any assets of a Loan Party; 

(i) (A) one or more judgments or decrees shall be entered against any Group Member involving in the aggregate a liability
(not paid or fully covered by insurance as to which the relevant 

  
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insurance company has acknowledged coverage) of $50,000,00075,000,000 or more, and such judgments or decrees are
not paid, discharged or stayed for a period of 3060 consecutive days, or any action shall be legally taken by a judgment creditor to attach or levy upon any assets of
any Group Member to enforce any such judgment or (B) any Group Member shall enter into any settlement of a claim (including claims by Governmental Authorities for violations or alleged violations of Requirements of Law) which settlements,
individually or in the aggregate, amount to $50,000,00075,000,000 or more and any Group Member fails to make any payment required to be made thereunder or any action
shall be legally taken by a creditor to attach or levy upon any assets of any Group Member to enforce any such settlement; 
 (j) any of the Security Documents shall cease, for any reason, to be in full force and effect, or any Loan Party or any Affiliate of any Loan Party shall so assert, or any Lien created by any of the
Security Documents shall cease to be enforceable and of the same effect and priority purported to be created thereby, except, in the case of any such cessation that is attributable to an event of a type contemplated by Section 8.1(g),
this provision shall apply only to the Borrower or a Material Subsidiary; 
 (k) the guarantee pursuant to
Section 10 of any Guarantor shall cease, for any reason, to be in full force and effect or any Loan Party or any Affiliate of any Loan Party shall so assert, except, in the case of any such cessation that is attributable to an event of a
type contemplated by Section 8.1(g), this provision shall apply only to the Borrower or a Material Subsidiary; 
 (l) a Change of Control shall occur; 
 (m) the Borrower or any
Subsidiary, in each case to the extent it is engaged in the business of providing services for which Medicare or Medicaid reimbursement is sought, shall for any reason, including, without limitation, as the result of any finding, designation or
decertification, lose its right or authorization, or otherwise fail to be eligible, to participate in Medicaid or Medicare programs or to accept assignments or rights to reimbursements under Medicaid regulations or Medicare regulations, or the
Borrower or any Subsidiary has, for any reason, had its right to receive reimbursements under Medicaid or Medicare regulations suspended, and such loss, failure or suspension (together with all such other losses, failures and suspensions continuing
at such time) shall have resulted in (x) a Material Adverse Effect or (y) Consolidated net operating revenues for the immediately preceding four Fiscal Quarter period of the Borrower constituting less than 95% of Consolidated net operating
revenues for any preceding four Fiscal Quarter period of the Borrower; or 
 (n) the Borrower or any Subsidiary
of the Borrower shall for any reason terminate a Business Associate Agreement between such entity and the Collateral Agent; 
 then, and in
every such event (other than an event with respect to the Borrower described in paragraph (g) of this Section), and at any time thereafter during the continuance of such event, the Administrative Agent may with the consent of the Required
Lenders, and at the request of the Required Lenders shall, by notice to the Borrower, take either or both of the following actions, at the same or different times: (i) terminate the Commitments, and thereupon the Commitments shall terminate
immediately, and (ii) declare the Loans then outstanding to be due and payable in whole (or in part, in which case any principal not so declared to be due and payable may thereafter be declared to be due and payable), and thereupon the
principal of the Loans so declared to be due and payable, together with accrued interest thereon and all fees and other obligations of the Borrower accrued hereunder, shall become due and payable immediately, without presentment, demand, protest or
other notice of any kind, all of which are hereby waived by the Borrower; and in case of any event with respect to the Borrower described in paragraph (g) of this Section, the Commitments shall automatically terminate and the principal of the
Loans then outstanding, together with accrued interest thereon and all fees and other obligations of the Borrower accrued hereunder, shall automatically become due and payable, without presentment, demand, protest or other notice of any kind, all of
which are hereby waived by the Borrower. 

  
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 8.2 Application of Proceeds. The proceeds received by the Collateral Agent in respect
of any sale of, collection from or other realization upon all or any part of the Collateral pursuant to the exercise by the Collateral Agent of its remedies shall be applied, in full or in part, together with any other sums then held by the
Collateral Agent pursuant to this Agreement, promptly by the Collateral Agent as follows: 
 (a) First, to
the payment of all reasonable costs and expenses, fees, commissions and taxes of such sale, collection or other realization including compensation to the Collateral Agent and its agents and counsel, and all expenses, liabilities and advances made or
incurred by the Collateral Agent in connection therewith and all amounts for which the Collateral Agent is entitled to indemnification pursuant to the provisions of any Loan Document, together with interest on each such amount at the highest rate
then in effect under this Agreement from and after the date such amount is due, owing or unpaid until paid in full; 
 (b) Second, to the payment of all other reasonable costs and expenses of such sale, collection or other realization including compensation to the other Secured Parties and their agents and counsel
and all costs, liabilities and advances made or incurred by the other Secured Parties in connection therewith, together with interest on each such amount at the highest rate then in effect under this Agreement from and after the date such amount is
due, owing or unpaid until paid in full; 
 (c) Third, without duplication of amounts applied pursuant to
clauses (a) and (b) above, to the indefeasible payment in full in cash, pro rata, of interest, premium and other amounts constituting Obligations (other than principal and Reimbursement Obligations), any fees, premiums and
scheduled periodic payments due under Specified Swap Agreements constituting Secured Obligations and any interest accrued thereon and any fees and interest due under any Secured Cash Management Agreements constituting Secured Obligations
(provided if more than $25,000,000 of Debt is outstanding under Cash Management Agreements that would be Secured Cash Management Agreements but for the dollar limitation contained in the definition of “Secured Cash Management
Agreement,” each Cash Management Bank shall be deemed to be holding Secured Obligations on a pro rata basis when taken together with the amount of Debt under all Cash Management Agreements held by Cash Management Banks) , in each case equally
and ratably in accordance with the respective amounts thereof then due and owing; 
 (d) Fourth, to the
indefeasible payment in full in cash, pro rata, of the principal amount of the Obligations (including Reimbursement Obligations) and any breakage, termination or other payments under Specified Swap Agreements constituting Secured
Obligations and any interest accrued thereon and the principal amount owing under Secured Cash Management Agreements constituting Secured Obligations (provided if more than $25,000,000 of Debt is outstanding under Cash Management Agreements
that would be Secured Cash Management Agreements but for the dollar limitation contained in the definition of “Secured Cash Management Agreement,” each Cash Management Bank shall be deemed to be holding Secured Obligations on a pro rata
basis when taken together with the amount of Debt under all Cash Management Agreements held by Cash Management Banks); and 
 (e) Fifth, the balance, if any, to the Person lawfully entitled thereto (including the applicable Loan Party or its successors or assigns) or as a court of competent jurisdiction may direct.

 In the event that any such proceeds are insufficient to pay in full the items described in clauses (a) through
(e) of this Section 8.2, the Loan Parties shall remain liable, jointly and severally, for any deficiency. 

SECTION 9  

THE AGENTS 
 9.1 Appointment and Authority. Each of the Lenders and the Issuing Lender hereby irrevocably appoints JPMorgan Chase Bank, N.A. to act on its behalf as the Administrative Agent and the 

  
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Collateral Agent hereunder and under the other Loan Documents and authorizes such Agents to take such actions on its behalf and to exercise such powers as are delegated to such Agents by the
terms hereof and thereof, together with such actions and powers as are reasonably incidental thereto. With the exception of the second and fifth sentences of Section 9.6, the provisions of this Section are solely for the benefit of the
Administrative Agent, the Collateral Agent, the Lenders and the Issuing Lender, and neither the Borrower nor any other Loan Party shall have rights as a third party beneficiary of any of such provisions.
The Lenders hereby authorize the Administrative Agent to enter into any First Lien Intercreditor Agreement, any Junior Lien Intercreditor Agreement or other intercreditor agreement or
arrangement permitted under this Agreement and any such intercreditor agreement is binding upon the Lenders. The Administrative Agent may effect any amendment or supplement to any First Lien Intercreditor Agreement, any Junior Lien Intercreditor
Agreement or other intercreditor agreement or arrangement permitted under this Agreement that is for the purpose of adding the holders of Permitted First Priority Refinancing Debt, or Permitted Second Priority Refinancing Debt permitted to be
incurred under this Agreement, as expressly contemplated by the terms of such First Lien Intercreditor Agreement, such Junior Lien Intercreditor Agreement or such other intercreditor agreement or arrangement permitted under this Agreement, as
applicable. 
 9.2 Rights as a Lender. Each Person serving as an Agent hereunder shall have the same rights and
powers in its capacity as a Lender as any other Lender and may exercise the same as though it were not an Agent and the term “Lender” or “Lenders” shall, unless otherwise expressly indicated or unless the context otherwise
requires, include each Person serving as an Agent hereunder in its individual capacity. Such Person and its Affiliates may accept deposits from, lend money to, act as the financial advisor or in any other advisory capacity for and generally engage
in any kind of business with the Borrower or any Subsidiary or other Affiliate thereof as if such Person were not an Agent hereunder and without any duty to account therefor to the Lenders. 

9.3 Exculpatory Provisions. No Agent shall have any duties or obligations except those expressly set forth herein and in the other
Loan Documents. Without limiting the generality of the foregoing, no Agent: 
 (i) shall be subject to any
fiduciary or other implied duties, regardless of whether a Default has occurred and is continuing; 
 (ii) shall
have any duty to take any discretionary action or exercise any discretionary powers, except discretionary rights and powers expressly contemplated hereby or by the other Loan Documents that such Agent is required to exercise as directed in writing
by the Required Lenders (or such other number or percentage of the Lenders as shall be expressly provided for herein or in the other Loan Documents); provided that such Agent shall not be required to take any action that, in its judgment or
the judgment of its counsel, may expose such Agent to liability or that is contrary to any Loan Document or applicable Requirements of Law; and 
 (iii) shall, except as expressly set forth herein and in the other Loan Documents, have any duty to disclose, and shall not be liable for the failure to disclose, any information relating to Borrower or
any of its Affiliates that is communicated to or obtained by the Person serving as such Agent or any of its Affiliates in any capacity. 
 No
Agent shall be liable for any action taken or not taken by it (x) with the consent or at the request of the Required Lenders (or such other number or percentage of the Lenders as shall be necessary, or as such Agent shall believe in good faith
shall be necessary, under the circumstances as provided in Section 11.1) or (y) in the absence of its own gross negligence or willful misconduct. No Agent shall be deemed to have knowledge of any Default unless and until notice
describing such Default is given to such Agent by the Borrower, a Lender or the Issuing Lender. 

  
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 No Agent shall be responsible for or have any duty to ascertain or inquire into (i) any
statement, warranty or representation made in or in connection with this Agreement or any other Loan Document, (ii) the contents of any certificate, report or other document delivered hereunder or thereunder or in connection herewith or
therewith, (iii) the performance or observance of any of the covenants, agreements or other terms or conditions set forth herein or therein or the occurrence of any Default, (iv) the validity, enforceability, effectiveness or genuineness
of this Agreement, any other Loan Document or any other agreement, instrument or document or (v) the satisfaction of any condition set forth in Section 5 or elsewhere herein, other than to confirm receipt of items expressly required
to be delivered to such Agent. Without limiting the generality of the foregoing, the use of the term “agent” in this Agreement with reference to the Administrative Agent or the Collateral Agent is not intended to connote any fiduciary or
other implied (or express) obligations arising under agency doctrine of any applicable law. Instead, such term is used merely as a matter of market custom and is intended to create or reflect only an administrative relationship between independent
contracting parties. 
 9.4 Reliance by Agent. Each Agent shall be entitled to rely upon, and shall not incur any
liability for relying upon, any notice, request, certificate, consent, statement, instrument, document or other writing (including any electronic message, Internet or intranet website posting or other distribution) believed by it to be genuine and
to have been signed, sent or otherwise authenticated by the proper Person. Each Agent also may rely upon any statement made to it orally or by telephone and believed by it to have been made by the proper Person, and shall not incur any liability for
relying thereon. In determining compliance with any condition hereunder to the making of a Loan, or the issuance of a Letter of Credit, that by its terms must be fulfilled to the satisfaction of a Lender or the Issuing Lender, the Administrative
Agent may presume that such condition is satisfactory to such Lender or the Issuing Lender unless the Administrative Agent shall have received notice to the contrary from such Lender or the Issuing Lender prior to the making of such Loan or the
issuance of such Letter of Credit. Each Agent may consult with legal counsel (who may be counsel for the Borrower), independent accountants and other experts selected by it, and shall not be liable for any action taken or not taken by it in
accordance with the advice of any such counsel, accountants or experts. 
 9.5 Delegation of Duties. Each Agent may
perform any and all of its duties and exercise its rights and powers hereunder or under any other Loan Document by or through any one or more sub-agents appointed by such Agent. Each Agent and any such sub-agent may perform any and all of its duties
and exercise its rights and powers by or through their respective Related Parties. The exculpatory provisions of this Section shall apply to any such sub-agent and to the Related Parties of each Agent and any such sub-agent, and shall apply to their
respective activities in connection with the syndication of the credit facilities provided for herein as well as activities as Agent. 
 9.6 Resignation of Agent. Each Agent may at any time give notice of its resignation to the Lenders, the Issuing Lender and the Borrower. Upon receipt of any such notice of resignation, the Required
Lenders shall have the right, in consultation with the Borrower, to appoint a successor, which shall be a bank with an office in the United States, or an Affiliate of any such bank with an office in the United States. If no such successor shall have
been so appointed by the Required Lenders and shall have accepted such appointment within 30 days after the retiring Agent gives notice of its resignation, then the retiring Agent may on behalf of the Lenders and the Issuing Lender, appoint a
successor Agent meeting the qualifications set forth above; provided that if the Agent shall notify the Borrower and the 

  
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Lenders that no qualifying Person has accepted such appointment, then such resignation shall nonetheless become effective in accordance with such notice and (1) the retiring Agent shall be
discharged from its duties and obligations hereunder and under the other Loan Documents (except that in the case of any collateral security held by the Collateral Agent on behalf of the Lenders or the Issuing Lender under any of the Loan Documents,
the retiring Collateral Agent shall continue to hold such collateral security as nominee until such time as a successor Collateral Agent is appointed) and (2) all payments, communications and determinations provided to be made by, to or through
an Agent shall instead be made by or to each Lender and the Issuing Lender directly, until such time as the Required Lenders appoint a successor Agent as provided for above in this paragraph. Upon the acceptance of a successor’s appointment as
Agent hereunder, such successor shall succeed to and become vested with all of the rights, powers, privileges and duties of the retiring (or retired) Agent, and the retiring Agent shall be discharged from all of its duties and obligations hereunder
or under the other Loan Documents (if not already discharged therefrom as provided above in this paragraph). The fees payable by the Borrower to a successor Agent shall be the same as those payable to its predecessor unless otherwise agreed between
the Borrower and such successor. After the retiring Agent’s resignation hereunder and under the other Loan Documents, the provisions of this Section 9 and Section 11.5 shall continue in effect for the benefit of such
retiring Agent, its sub-agents and their respective Related Parties in respect of any actions taken or omitted to be taken by any of them while the retiring Agent was acting as Agent. 

9.7 Non-Reliance on Agent and Other Lenders. Each Lender and the Issuing Lender acknowledges that it has, independently and
without reliance upon any Agent or any other Lender and based on such documents and information as it has deemed appropriate, made its own credit analysis and decision to enter into this Agreement. Each Lender and the Issuing Lender also
acknowledges that it will, independently and without reliance upon any Agent or any other Lender and based on such documents and information as it shall from time to time deem appropriate, continue to make its own decisions in taking or not taking
action under or based upon this Agreement, any other Loan Document or any related agreement or any document furnished hereunder or thereunder. 
 9.8 No Other Duties, etc. Anything herein to the contrary notwithstanding, none of the bookmanagers, arrangers, Syndication Agent or Documentation Agents listed on the cover page hereof shall have
any powers, duties or responsibilities under this Agreement or any of the other Loan Documents, except in its capacity, as applicable, as the Administrative Agent, the Collateral Agent, a Lender or the Issuing Lender hereunder. 

SECTION 10  
 GUARANTEE 
 10.1 The Guarantee. The Guarantors hereby jointly and
severally guarantee, as a primary obligor and not as a surety to each Secured Party and their respective successors and assigns, the prompt payment in full when due (whether at stated maturity, by required prepayment, declaration, demand, by
acceleration or otherwise) of the principal of and interest (including any interest, fees, costs or charges that would accrue but for the provisions of the Title 11 of the United States Code after any bankruptcy or insolvency petition under Title 11
of the United States Code) on the Loans made by the Lenders to, and the Notes held by each Lender of, Borrower, and all other Secured Obligations from time to time owing to the Secured Parties by any Loan Party under any Loan Document, Specified
Swap Agreement or Secured Cash Management Agreement, in each case strictly in accordance with the terms thereof (such obligations being herein collectively called the “Guaranteed Obligations”). The Guarantors hereby jointly and
severally agree that if Borrower or other Guarantor(s) shall fail to pay in full when due 

  
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(whether at stated maturity, by acceleration or otherwise) any of the Guaranteed Obligations, the Guarantors will promptly pay the same in cash, without any demand or notice whatsoever, and that
in the case of any extension of time of payment or renewal of any of the Guaranteed Obligations, the same will be promptly paid in full when due (whether at extended maturity, by acceleration or otherwise) in accordance with the terms of such
extension or renewal. 
 10.2 Obligations Unconditional. The obligations of the Guarantors under Section 10.1
shall constitute a guaranty of payment and to the fullest extent permitted by applicable Requirements of Law, are absolute, irrevocable and unconditional, joint and several, irrespective of the value, genuineness, validity, regularity or
enforceability of the Guaranteed Obligations of Borrower under this Agreement, the Notes, if any, or any other agreement or instrument referred to herein or therein, or any substitution, release or exchange of any other guarantee of or security for
any of the Guaranteed Obligations, and irrespective of any other circumstance whatsoever that might otherwise constitute a legal or equitable discharge or defense of a surety or guarantor (except for payment in full). Without limiting the generality
of the foregoing, it is agreed that the occurrence of any one or more of the following shall not alter or impair the liability of the Guarantors hereunder, which shall remain absolute, irrevocable and unconditional under any and all circumstances as
described above: 
 (i) at any time or from time to time, without notice to the Guarantors, the time for any
performance of or compliance with any of the Guaranteed Obligations shall be extended, or such performance or compliance shall be waived; 
 (ii) any of the acts mentioned in any of the provisions of this Agreement or the Notes, if any, or any other agreement or instrument referred to herein or therein shall be done or omitted; 

(iii) the maturity of any of the Guaranteed Obligations shall be accelerated, or any of the Guaranteed Obligations shall
be amended in any respect, or any right under the Loan Documents or any other agreement or instrument referred to herein or therein shall be amended or waived in any respect or any other guarantee of any of the Guaranteed Obligations or any security
therefor shall be released or exchanged in whole or in part or otherwise dealt with; 
 (iv) any Lien or security
interest granted to, or in favor of, the Issuing Lender or any Lender or Agent as security for any of the Guaranteed Obligations shall fail to be perfected; 
 (v) the release of any other Guarantor pursuant to Section 10.9; 
 (vi) any bankruptcy, insolvency, reorganization, arrangement, readjustment, composition, liquidation or the like of any Loan Party; or 

(vii) any lack of validity or enforceability of any Loan Document or any other agreement or instrument relating thereto
against any Loan Party. 
 The Guarantors hereby expressly waive diligence, presentment, demand of payment, protest and all
notices whatsoever, and any requirement that any Secured Party exhaust any right, power or remedy or proceed against Borrower under this Agreement or the Notes, if any, or any other agreement or instrument referred to herein or therein, or against
any other Person under any other guarantee of, or security for, any of the Guaranteed Obligations. The Guarantors waive any and all notice of the creation, renewal, extension, waiver, termination or accrual of any of the Guaranteed Obligations and
notice of or proof of reliance by any Secured Party upon this Guarantee or acceptance of this Guarantee, and the Guaranteed Obligations, and any of them, shall conclusively be deemed to have been created, contracted or incurred in reliance upon this
Guarantee, and all dealings between 

  
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Borrower and the Secured Parties shall likewise be conclusively presumed to have been had or consummated in reliance upon this Guarantee. This Guarantee shall be construed as a continuing,
absolute, irrevocable and unconditional guarantee of payment without regard to any right of offset with respect to the Guaranteed Obligations at any time or from time to time held by Secured Parties, and the obligations and liabilities of the
Guarantors hereunder shall not be conditioned or contingent upon the pursuit by the Secured Parties or any other Person at any time of any right or remedy against Borrower or against any other Person which may be or become liable in respect of all
or any part of the Guaranteed Obligations or against any collateral security or guarantee therefor or right of offset with respect thereto. This Guarantee shall remain in full force and effect and be binding in accordance with and to the extent of
its terms upon the Guarantors and the successors and assigns thereof, and shall inure to the benefit of the Lenders, and their respective successors and assigns, notwithstanding that from time to time since the Closing Date there may be no
Guaranteed Obligations outstanding. 
 10.3 Reinstatement. The obligations of the Guarantors under this
Section 10 shall be automatically reinstated if and to the extent that for any reason any payment by or on behalf of Borrower or other Loan Party in respect of the Guaranteed Obligations is rescinded or must be otherwise restored by any
holder of any of the Guaranteed Obligations, whether as a result of any proceedings in bankruptcy or reorganization or otherwise. 
 10.4 Subrogation; Subordination. Each Guarantor hereby agrees that until the indefeasible payment and satisfaction in full in cash of all Guaranteed Obligations and the expiration and termination
of the Commitments of the Lenders under this Agreement it shall not assert or exercise any right or remedy, direct or indirect, arising by reason of any performance by it of its guarantee in Section 10.1, whether by subrogation or
otherwise, against Borrower or any other Guarantor of any of the Guaranteed Obligations or any security for any of the Guaranteed Obligations. Any Debt of any Loan Party permitted pursuant to Section 7.2(d) shall be subordinated to such
Loan Party’s Secured Obligations in the manner set forth in the Intercompany Note evidencing such Debt. 
 10.5
Remedies. The Guarantors jointly and severally agree that, as between the Guarantors and the Lenders, the obligations of Borrower under this Agreement and the Notes, if any, may be declared to be forthwith due and payable as provided in
Section 8.1 (and shall be deemed to have become automatically due and payable in the circumstances provided in Section 8.1) for purposes of Section 10.1, notwithstanding any stay, injunction or other prohibition
preventing such declaration (or such obligations from becoming automatically due and payable) as against Borrower and that, in the event of such declaration (or such obligations being deemed to have become automatically due and payable), such
obligations (whether or not due and payable by Borrower) shall forthwith become due and payable by the Guarantors for purposes of Section 10.1. 
 10.6 Instrument for the Payment of Money. Each Guarantor hereby acknowledges that the guarantee in this Section 10 constitutes an instrument for the payment of money, and consents and
agrees that any Lender or Agent, at its sole option, in the event of a dispute by such Guarantor in the payment of any moneys due hereunder, shall have the right to bring a motion-action under New York CPLR Section 3213. 

10.7 Continuing Guarantee. Subject to Section 11.14, the guarantee in this Section 10 is a continuing
guarantee of payment, and shall apply to all Guaranteed Obligations whenever arising. 

  
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 10.8 General Limitation on Guaranteed Obligations. If in any action or proceeding
involving any state corporate limited partnership or limited liability company law, or any applicable state, federal or foreign bankruptcy, insolvency, reorganization, fraudulent conveyance or transfer law or regulation, or other law affecting the
rights of creditors generally, the obligations of any Guarantor under Section 10.1 would otherwise be held or determined to be void, voidable, invalid or unenforceable, or subordinated to the claims of any other creditors, on account of
the amount of its liability under Section 10.1, then, notwithstanding any other provision to the contrary, the amount of such liability shall, without any further action by such Guarantor, any Loan Party or any other Person, be
automatically limited and reduced to the highest amount that is valid and enforceable and not subordinated to the claims of other creditors. 
 10.9 Release of Guarantors. If, in compliance with the terms and provisions of the Loan Documents, all or substantially all of the Capital Stock or property of any Guarantor is sold or otherwise
transferred from such Guarantor (a “Transferred Guarantor”) to a Person or Persons, none of which is Borrower or a Subsidiary, such Transferred Guarantor shall, upon the consummation of such sale or transfer, be released from its
obligations under this Agreement (including under Section 11.5 hereof) and its obligations to pledge and grant any Collateral owned by it pursuant to any Security Document and, in the case of a sale of all or substantially all of the
Capital Stock of the Transferred Guarantor, the pledge of such Capital Stock to the Collateral Agent pursuant to the Security Agreement shall be released, and the Collateral Agent shall take such actions as are necessary to effect each such release
in accordance with the relevant provisions of the Security Documents within no more than 30 days from notice to the Collateral Agent of such transfer. If, in compliance with the terms and provisions of the Loan Documents (including, without
limitation, Sections 7.5 and 7.13), Capital Stock of a Guarantor is sold or otherwise transferred so that such Guarantor is no longer a Wholly Owned Subsidiary of the Borrower, upon the consummation of such sale or transfer, such
Guarantor shall be released, subject to pro forma compliance with Section 7.12, from its obligations under this Agreement (including under this Section 10 and Section 11.5 hereof) and its obligations to pledge and
grant any Collateral owned by it pursuant to any Security Document, and the Collateral Agent shall take such actions as are necessary to effect each such release in accordance with the relevant provisions of the Security Documents and to acknowledge
in writing such release and the termination of the guarantee of such Guarantor if requested. 
 SECTION 11  

MISCELLANEOUS 
 11.1 Amendments and Waivers. Neither this Agreement, any other Loan Document, nor any terms hereof or thereof may be amended, supplemented or modified except in accordance with the provisions of
this Section 11.1. Amendments prior to the completion of the syndication of the Commitments (as determined by the Administrative Agent) shall, in addition to the other consents required by this Section 11.1, require the
consent of the Administrative Agent. Subject to the preceding sentence, the Required Lenders and each Loan Party to the relevant Loan Document may, or, with the written consent of the Required Lenders, the Administrative Agent or the Collateral
Agent, as applicable, and each Loan Party to the relevant Loan Document may, from time to time, (a) enter into written amendments, supplements or modifications hereto and to the other Loan Documents for the purpose of adding any provisions to
this Agreement or the other Loan Documents or changing in any manner the rights of the Lenders or of the Loan Parties hereunder or thereunder or (b) waive, on such terms and conditions as the Required Lenders or the Administrative Agent or
Collateral Agent, as the case may be, may specify in such instrument, any of the requirements of this Agreement or the other Loan 

  
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Documents or any Default and its consequences; provided, however, pursuant to Section 2.25, the Commitments and the Total Revolving Extensions of Credit of a Defaulting
Lender shall not be included in determining whether the Required Lenders have taken or may take any action hereunder; provided, further, that no such waiver and no such amendment, supplement or modification shall (i) forgive the
principal amount or extend the final scheduled date of maturity of any Loan, extend the scheduled date of any amortization payment in respect of any Term Loan, reduce the stated rate of any interest, premium or fee payable hereunder (except
(x) in connection with the waiver of applicability of any post-default increase in interest rates and (y) that any amendment or modification of defined terms used in the financial covenants in this Agreement shall not constitute a
reduction in the rate of interest or fees for purposes of this clause (i)) or extend the scheduled date of any payment thereof, or increase the amount or extend the expiration date of any Lender’s Revolving Commitment under the applicable
Revolving Facility or increase the maximum duration of Interest Periods hereunder or alter the provisions of Section 8.2 (it being understood that if additional classes of Term Loans or additional Loans under this Agreement consented to
by the Required Lenders or additional Loans pursuant to Section 2.24 are made, such new Loans being included on a pro rata basis within Section 8.2 shall not be considered an alteration thereof), in each case
without the written consent of each Lender directly affected thereby; (ii) eliminate or reduce the voting rights of any Lender under this Section 11.1 without the written consent of such Lender; (iii) reduce any percentage
specified in the definition of “Required Lenders,” consent to the assignment or transfer by the Borrower of any of its rights and obligations under this Agreement and the other Loan Documents, release all or substantially all of the
Collateral or release all or substantially all of the Guarantors from their guarantee under Section 10, in each case without the written consent of all Lenders (it being understood that lenders added pursuant to Section 2.24
or lenders under additional classes of Term Loans or additional Loans under this Agreement consented to by the Required Lenders being included in such definition shall not be deemed to require the written consent of all Lenders); (iv) amend,
modify or waive any provision of Section 2.17 without the written consent of the Majority Facility Lenders in respect of each Facility adversely affected thereby; (v) reduce the amount of Net Cash Proceeds or Excess Cash Flow
required to be applied to prepay Loans under this Agreement without the written consent of the Majority Facility Lenders with respect to each Facility; (vi) reduce the percentage specified in the definition of Majority Facility Lenders with
respect to any Facility without the written consent of all Lenders under such Facility; (vii) change the application of prepayments as among or between Facilities under Section 2.11(d), without the written consent of the Majority
Facility Lenders of each Facility that is being allocated a lesser prepayment as a result thereof (it being understood that if additional classes of Term Loans or additional Loans under this Agreement consented to by the Required Lenders or
additional Loans pursuant to Section 2.24 are made, such new Loans may be included on a pro rata basis in the various prepayments required pursuant to Section 2.11(d)); (viii) expressly change or waive any
condition precedent in Section 5.2 to any Revolving Borrowing without the written consent of the Majority Facility Lenders with respect to the applicable Revolving Facility; (ix) amend, modify or waive any provision of
Section 9 without the written consent of the Administrative Agent; (x) amend, modify or waive any provision of Section 2.6 or 2.7 without the written consent of the Swingline Lender; (xi) amend, modify or
waive any provision of Section 3 without the written consent of the Issuing Lender; or (xii) amend Section 1.7 or the definition of “Alternative Currency” without the written consent of each Alternative
Currency Revolving Lender. Any such waiver and any such amendment, supplement or modification shall apply equally to each of the Lenders and shall be binding upon the Loan Parties, the Lenders, the Administrative Agent and all future holders of the
Loans. In the case of any waiver, the Loan Parties, the Lenders and the Administrative Agent shall be restored to their former position and rights hereunder and under the other Loan Documents, and any Default or waived shall be deemed to be cured
and not continuing; but no such waiver shall extend to any subsequent or other Default, or impair any right consequent thereon. 

  
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 Without the consent of any other Person, the applicable Loan Party or Parties and the
Administrative Agent and/or Collateral Agent may (in its or their respective sole discretion, or shall, to the extent required by any Loan Document) enter into any amendment or waiver of any Loan Document, or enter into any new agreement or
instrument, to effect the granting, perfection, protection, expansion or enhancement of any security interest in any Collateral or additional property to become Collateral for the benefit of the Secured Parties, or as required by local law to give
effect to, or protect, any security interest for the benefit of the Secured Parties, in any property or so that the security interests therein comply with applicable Requirements of Law. 

If, in connection with any proposed change, waiver, discharge or termination of the provisions of this Agreement as contemplated by this
Section, the consent of 75% of the Lenders whose consent is required is obtained but the consent of one or more of such other Lenders whose consent is required is not obtained, then the Borrower shall have the right to replace all, but not less than
all, of such non-consenting Lender or Lenders (so long as all non-consenting Lenders are so replaced) with one or more Persons pursuant to Section 2.22 so long as at the time of such replacement each such new Lender consents to the
proposed change, waiver, discharge or termination. 
 11.2 Notices. 

(a) Except in the case of notices and other communications expressly permitted to be given by telephone (and subject to paragraph
(b) below), all notices and other communications provided for herein shall be in writing and shall be delivered by hand or overnight courier service, mailed by certified or registered mail or sent by telecopy, as follows: 

(i) if to a Loan Party, to the Borrower at DaVita Inc., 1551 Wewatta Street, Denver, Colorado 80202, Attention of Vice
President—Finance (Telecopy No. 866-845-2762), with a copy to DaVita Inc., 601 Hawaii1551 Wewatta Street, El Segundo, California
90245,Denver, Colorado 80202, Attention of Vice President, General Counsel & Secretary (Telecopy No. 310-536-2701); 

(ii) if to the Administrative Agent or the Collateral Agent, to JPMorgan Chase Bank, Loan and Agency Services Group, 1111
Fannin, 10th Floor, Houston, Texas 77002, Attention of Agency Services (Telecopy No. (713) 750-2782), with a copy to (a) JPMorgan Chase Bank, 383 Madison Avenue, New York 10179, Attention of Dawn Lee Lum (Telecopy No. 212-270-3279)
and (b) J.P. Morgan Europe Ltd., Loan and Agency Department, 125 London Wall, London EC2Y 5 AJ, Attention: Sue Dalton (Telecopy No. 44 207 7777 2360), with respect to Alternative Currency Revolving Facility; 

(iii) if to the Issuing Lender, to it at Letter of Credit Department, 10420 Highland Manor Drive, Floor 4, Tampa,
FL 33610-9128, Attention of James Alonzo (Telecopy No. (813) 432-5162), with a copy to JPMorgan Chase Bank, 383 Madison Avenue, New York, NY 10179, Attention of Dawn Lee Lum (Telecopy No. 212-270-3279); 

(iv) if to the Swingline Lender, to it at Loan and Agency Services Group, 11111 Fannin, 10th Floor, Houston, Texas
77002, Attention of Agency Services (Telecopy No. (713) 750-2782), with a copy to JPMorgan Chase Bank, 383 Madison Avenue, New York, NY 10179, Attention of Dawn Lee Lum (Telecopy No. 212-270-3279); and 

(v) if to any other Lender, to it at its address (or telecopy number) set forth in its Administrative Questionnaire.


  
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 (b) Any party hereto may change its address or telecopy number for notices and other
communications hereunder by notice to the other parties hereto. All notices and other communications given to any party hereto in accordance with the provisions of this Agreement shall be deemed to have been given on the date of receipt. 

(c) Electronic Communications. Notices and other communications to the Lenders and the Issuing Lender hereunder may (subject to
Section 11.2(d)) be delivered or furnished by electronic communication (including e-mail and Internet or intranet websites) pursuant to procedures approved by the Administrative Agent; provided that the foregoing shall not apply
to notices to any Lender or the Issuing Lender pursuant to Section 2 if such Lender or the Issuing Lender, as applicable, has notified the Administrative Agent that it is incapable of receiving notices under such Section by electronic
communication. The Administrative Agent, the Collateral Agent or the Borrower may, in its discretion, agree to accept notices and other communications to it hereunder by electronic communications pursuant to procedures approved by it (including as
set forth in Section 11.2(d)); provided that approval of such procedures may be limited to particular notices or communications. 
 Unless the Administrative Agent otherwise prescribes, (i) notices and other communications sent to an e-mail address shall be deemed received upon the sender’s receipt of an acknowledgement from
the intended recipient (such as by the “return receipt requested” function, as available, return e-mail or other written acknowledgement); provided that if such notice or other communication is not sent during the normal business
hours of the recipient, such notice or communication shall be deemed to have been sent at the opening of business on the next business day for the recipient, and (ii) notices or communications posted to an Internet or intranet website shall be
deemed received upon the deemed receipt by the intended recipient at its e-mail address as described in the foregoing clause (i) of notification that such notice or communication is available and identifying the website address therefor.

 (d) Posting. Each Loan Party hereby agrees that it will provide to the Administrative Agent all information, documents
and other materials that it is obligated to furnish to the Administrative Agent pursuant to this Agreement and any other Loan Document, including all notices, requests, financial statements, financial and other reports, certificates and other
information materials, but excluding any such communication that (i) relates to a request for a new, or a conversion of an existing, Loan or other extension of credit (including any election of an interest rate or interest period relating
thereto), (ii) relates to the payment of any principal or other amount due under this Agreement prior to the scheduled date therefor, (iii) provides notice of any Default under this Agreement or (iv) is required to be delivered to
satisfy any condition precedent to the effectiveness of this Agreement and/or any borrowing or other extension of credit hereunder (all such non-excluded communications, collectively, the “Communications”), by transmitting the
Communications in an electronic/soft medium in a format reasonably acceptable to the Administrative Agent at dawn.leelum@jpmorgan.com or at such other e-mail address(es) provided to the Borrower from time to time or in such other form, including
hard copy delivery thereof, as the Administrative Agent shall require. In addition, each Loan Party agrees to continue to provide the Communications to the Administrative Agent in the manner specified in this Agreement or any other Loan Document or
in such other form, including hard copy delivery thereof, as the Administrative Agent shall require. Nothing in this Section 11.2 shall prejudice the right of the Agents, any Lender or any Loan Party to give any notice or other
communication pursuant to this Agreement or any other Loan Document in any other manner specified in this Agreement or any other Loan Document or as any such Agent shall require. 

To the extent consented to by the Administrative Agent in writing from time to time, Administrative Agent agrees that receipt of the
Communications by the Administrative Agent at its e-mail address(es) set forth above shall constitute effective delivery of the Communications to the Administrative Agent for purposes of the Loan Documents; provided that the Borrower shall
also deliver to the Administrative Agent an executed original of each Compliance Certificate required to be delivered hereunder. 

  
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 Each Loan Party further agrees that Administrative Agent may make the Communications
available to the Lenders by posting the Communications on Intralinks or a substantially similar electronic transmission system (the “Platform”). The Platform is provided “as is” and “as available.” The Agents do
not warrant the accuracy or completeness of the Communications, or the adequacy of the Platform and expressly disclaim liability for errors or omissions in the communications. No warranty of any kind, express, implied or statutory, including,
without limitation, any warranty of merchantability, fitness for a particular purpose, non-infringement of third party rights or freedom from viruses or other code defects, is made by any Agent in connection with the Communications or the Platform.
In no event shall the Administrative Agent or any of its Related Parties have any liability to the Loan Parties, any Lender or any other Person for damages of any kind, including direct or indirect, special, incidental or consequential damages,
losses or expenses (whether in tort, contract or otherwise) arising out of any Loan Party’s or the Administrative Agent’s transmission of communications through the Internet, except to the extent the liability of such Person is found in a
final non-appealable judgment by a court of competent jurisdiction to have resulted from such Person’s gross negligence or willful misconduct. 
 11.3 No Waiver; Cumulative Remedies. No failure to exercise and no delay in exercising, on the part of the Administrative Agent or any Lender, any right, remedy, power or privilege hereunder or
under the other Loan Documents shall operate as a waiver thereof; nor shall any single or partial exercise of any right, remedy, power or privilege hereunder preclude any other or further exercise thereof or the exercise of any other right, remedy,
power or privilege. The rights, remedies, powers and privileges herein provided are cumulative and not exclusive of any rights, remedies, powers and privileges provided by law. 

11.4 Survival. All covenants, agreements, representations and warranties made by the Loan Parties herein and in the certificates
or other instruments delivered in connection with or pursuant to this Agreement shall be considered to have been relied upon by the other parties hereto and shall survive the execution and delivery of this Agreement and the making of any Loans and
issuance of any Letters of Credit, regardless of any investigation made by any such other party or on its behalf and notwithstanding that the Administrative Agent, the Collateral Agent, the Issuing Lender or any Lender may have had notice or
knowledge of any Default or incorrect representation or warranty at the time any credit is extended hereunder, and shall continue in full force and effect as long as the principal of or any accrued interest on any Loan or any fee or any other amount
payable under this Agreement is outstanding and unpaid or any Letter of Credit is outstanding and so long as the Commitments have not expired or terminated. The provisions of Sections 2.18, 2.19, 2.20 and 11.5 and
Section 9 shall survive and remain in full force and effect regardless of the consummation of the transactions contemplated hereby, the repayment of the Loans, the expiration or termination of the Letters of Credit and the Commitments or
the termination of this Agreement or any provision hereof. 
 11.5 Expenses; Indemnity; Damage Waiver. 

(a) The Borrower shall pay (i) all reasonable out-of-pocket expenses incurred by the Administrative Agent, the Collateral Agent and
their respective Affiliates, including the reasonable fees, charges and disbursements of counsel for the Administrative Agent and the Collateral Agent, in connection with the syndication of the credit facilities provided for herein, the preparation
and administration of this Agreement, the Loan Documents or any amendments, modifications or waivers of the provisions hereof or thereof (whether or not the transactions contemplated hereby or thereby shall be consummated), (ii) all reasonable
out-of-pocket expenses incurred by the Issuing Lender in connection with the issuance, amendment, renewal or extension of any Letter of Credit or any demand for payment thereunder and (iii) all reasonable out-of-pocket expenses incurred by the


  
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Administrative Agent, the Collateral Agent, the Issuing Lender or any Lender, including the fees, charges and disbursements of any counsel for the Administrative Agent, the Collateral Agent, the
Issuing Lender or any Lender, in connection with the enforcement or protection of its rights in connection with this Agreement, including its rights under this Section, or in connection with the Loans made or Letters of Credit issued hereunder,
including all such out-of-pocket expenses incurred during any workout, restructuring or negotiations in respect of such Loans or Letters of Credit; provided that the Borrower shall not be obligated to pay legal fees and expenses incurred
pursuant to clauses (i) and (ii) above in connection with the syndication of the credit facilities or the preparation of the Loan Documents prior to the initial Credit Extension. 

(b) The Borrower shall indemnify the Administrative Agent (or any sub-agent thereof), the Collateral Agent (or any sub-agent thereof),
the Issuing Lender and each Lender, and each Related Party of any of the foregoing Persons (each such Person being called an “Indemnitee”), against, and hold each Indemnitee harmless from, any and all losses, claims, damages,
liabilities and related expenses, including the fees, charges and disbursements of any counsel for any Indemnitee, incurred by or asserted against any Indemnitee arising out of, in connection with or as a result of (i) the execution or delivery
of this Agreement, any Loan Document or any agreement or instrument contemplated hereby or thereby, the performance by the parties hereto of their respective obligations hereunder or thereunder or the consummation of the Transactions or any other
transactions contemplated hereby or thereby, (ii) any Loan or Letter of Credit or the use of the proceeds therefrom (including any refusal by the Issuing Lender to honor a demand for payment under a Letter of Credit if the documents presented
in connection with such demand do not strictly comply with the terms of such Letter of Credit), (iii) any actual or alleged presence or Release or threatened Release of Hazardous Materials at, on, under or from any property owned or operated by
any Group Member, any Environmental Liability related in any way to any Group Member or any violation of healthcare laws related in any way to any Group Member, or (iv) any actual or prospective claim, litigation, investigation or proceeding
relating to any of the foregoing, whether based on contract, tort or any other theory, regardless of whether brought by a third party or by a Loan Party and regardless of whether any Indemnitee is a party thereto; provided that such indemnity
shall not, as to any Indemnitee, be available to the extent that such losses, claims, damages, liabilities or related expenses arise from the material breach by such Indemnitee of this Agreement or are determined by a court of competent jurisdiction
by final and nonappealable judgment to have been incurred primarily by reason of the gross negligence or willful misconduct of such Indemnitee and that if any Indemnitee shall receive indemnification that is later disallowed by this proviso, it
shall promptly repay to the Borrower any such funds. 
 (c) To the extent that the Borrower fails to pay any amount required to
be paid by it to the Administrative Agent (or any sub-agent thereof), the Collateral Agent (or any sub-agent thereof), the Issuing Lender or the Swingline Lender under paragraph (a) or (b) of this Section, each Lender severally agrees to
pay to the Administrative Agent, the Collateral Agent, the Issuing Lender or the Swingline Lender, as the case may be, such Lender’s Aggregate Exposure Percentage (determined as of the time that the applicable unreimbursed expense or indemnity
payment is sought) of such unpaid amount; provided that the unreimbursed expense or indemnified loss, claim, damage, liability or related expense, as the case may be, was incurred by or asserted against the Administrative Agent, the
Collateral Agent, the Issuing Lender or the Swingline Lender in its capacity as such. 
 (d) To the extent permitted by
applicable law, the Borrower shall not assert, and hereby waives, any claim against any Indemnitee, on any theory of liability, for special, indirect, consequential or punitive damages (as opposed to direct or actual damages) arising out of, in
connection with, or as a result of, this Agreement, any Loan Document or any agreement or instrument contemplated hereby or thereby, the Transactions, any Loan or Letter of Credit or the use of the proceeds thereof. 

(e) All amounts due under this Section shall be payable promptly after written demand therefor. 

11.6 Successors and Assigns; Participations and Assignments. 

(a) The provisions of this Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors
and assigns permitted hereby (including any affiliate of the Issuing Lender that issues any Letter of Credit), except that (i) the Borrower may not assign or otherwise transfer any of its


  
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rights or obligations hereunder without the prior written consent of each Lender (and any attempted assignment or transfer by the Borrower without such consent shall be null and void) and
(ii) no Lender may assign or otherwise transfer its rights or obligations hereunder except in accordance with this Section. Nothing in this Agreement, expressed or implied, shall be construed to confer upon any Person (other than the parties
hereto, their respective successors and assigns permitted hereby (including any Affiliate of the Issuing Lender that issues any Letter of Credit), Participants (to the extent provided in paragraph (c) of this Section) and, to the extent
expressly contemplated hereby, the Related Parties of each of the Administrative Agent, the Issuing Lender and the Lenders) any legal or equitable right, remedy or claim under or by reason of this Agreement. 

(b)(i)(i) Subject to the conditions set forth in
paragraph (b)(ii) below, any Lender may assign to one or more assignees (each, an “Assignee”) all or a portion of its rights and obligations under this Agreement (including all or a portion of Commitments and the Loans at the time
owing to it) with the prior written consent (such consent not to be unreasonably withheld or delayed) of: 
 (A)
the Borrower; provided that no consent of the Borrower shall be required for an assignment to a Lender, an affiliate of a Lender, an Approved Fund or, if an Event of Default under Section 8.1(a), 8.1(b) or 8.1(g) has
occurred and is continuing, any other Person (other than a Disqualified Lender); provided, further, that the Borrower shall be deemed to have consented to any such assignment unless it shall object thereto by written notice to the
Administrative Agent within five (5) Business Days after having received notice thereof; 
 (B) the
Administrative Agent; provided that no consent of the Administrative Agent shall be required for an assignment to a Lender, an affiliate of a Lender or an Approved Fund; and 

(C) the Issuing Lender and the Swingline Lender; provided that no consent of the Issuing Lender or the Swingline
Lender shall be required for an assignment of all or any portion of a Term Loan. 
 (ii) Assignments shall be subject to the
following additional conditions: 
 (A) except in the case of an assignment to a Lender, an affiliate of a Lender
or an Approved Fund or an assignment of the entire remaining amount of the assigning Lender’s Commitments or Loans under any Facility, the amount of the Commitments or Loans of the assigning Lender subject to each such assignment (determined as
of the date the Assignment and Assumption with respect to such assignment is delivered to the Administrative Agent) shall not be less than $5,000,000 (or, in the case of the Tranche B Term Facility or the Tranche
AB-2 Term Facility, $1,000,000) unless each of the Borrower and the Administrative Agent otherwise consents; provided that (1) no such consent of the
Borrower shall be required if an Event of Default under Sections 8.1(a), (b) or (g) has occurred and is continuing and (2) such amounts shall be aggregated in respect of each Lender and its affiliates or Approved
Funds, if any; 
 (B) each partial assignment shall be made as an assignment of a proportionate part of all the
assigning Lender’s rights and obligations under this Agreement; provided that this clause shall not be construed to prohibit the assignment of a proportionate part of all the assigning Lender’s rights and obligations in respect of
one Facility; 
 (C) the parties to each assignment shall execute and deliver to the Administrative Agent an
Assignment and Assumption, together with a processing and recordation fee of $3,500 (provided that the Administrative Agent may waive such fee in its sole discretion); and 

(D) the Assignee, if it shall not be a Lender, shall deliver to the Administrative Agent an Administrative Questionnaire.


  
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 For the purposes of this Section 11.6, the term “Approved Fund” has
the following meaning: 
 “Approved Fund” means any Person (other than a natural person) that is
engaged in making, purchasing, holding or investing in bank loans and similar extensions of credit in the ordinary course of its business and that is administered or managed by (a) a Lender, (b) an Affiliate of a Lender or (c) an
entity or an Affiliate of an entity that administers or manages a Lender. 
 (iii) Subject to acceptance and recording thereof
pursuant to paragraph (b)(iv) below, from and after the effective date specified in each Assignment and Assumption the Assignee thereunder shall be a party hereto and, to the extent of the interest assigned by such Assignment and Assumption, have
the rights and obligations of a Lender under this Agreement, and the assigning Lender thereunder shall, to the extent of the interest assigned by such Assignment and Assumption, be released from its obligations under this Agreement (and, in the case
of an Assignment and Assumption covering all of the assigning Lender’s rights and obligations under this Agreement, such Lender shall cease to be a party hereto but shall continue to be entitled to the benefits of Sections 2.18,
2.19, 2.20 and 11.5). Any assignment or transfer by a Lender of rights or obligations under this Agreement that does not comply with this Section 11.6 shall be treated for purposes of this Agreement as a sale by such
Lender of a participation in such rights and obligations in accordance with paragraph (c) of this Section. 
 (iv) The
Administrative Agent, acting for this purpose as an agent of the Borrower, shall maintain at one of its offices a copy of each Assignment and Assumption delivered to it and a register for the recordation of the names and addresses of the Lenders,
and the Commitments of, and principal amount of the Loans and LC Disbursements owing to, each Lender pursuant to the terms hereof from time to time (the “Register”). The entries in the Register shall be conclusive, and the Borrower,
the Administrative Agent, the Issuing Lender and the Lenders shall treat each Person whose name is recorded in the Register pursuant to the terms hereof as a Lender hereunder for all purposes of this Agreement, notwithstanding notice to the
contrary. The Register shall be available for inspection by the Agents, the Borrower, the Issuing Lender and any Lender, at any reasonable time and from time to time upon reasonable prior notice. 

(v) Upon its receipt of a duly completed Assignment and Assumption executed by an assigning Lender and an Assignee, the Assignee’s
completed Administrative Questionnaire (unless the Assignee shall already be a Lender hereunder), the processing and recordation fee referred to in paragraph (b) of this Section and any written consent to such assignment required by paragraph
(b) of this Section, the Administrative Agent shall accept such Assignment and Assumption and record the information contained therein in the Register; provided that if either the assigning Lender or the assignee shall have failed to
make any payment required to be made by it pursuant to Section 2.7(b) or (c), 3.4, 3.5, 2.17(e) or 11.5, the Administrative Agent shall have no obligation to accept such Assignment and Assumption and
record the information therein in the Register unless and until such payment shall have been made in full, together with all accrued interest thereon. No assignment shall be effective for purposes of this Agreement unless it has been recorded in the
Register as provided in this paragraph. 
 (c)(i)
(i) Any Lender may, without the consent of the Borrower, the Administrative Agent, the Issuing Lender or the Swingline Lender, sell participations to one or more banks or other
entities (other than a Disqualified Lender) (a “Participant”) in all or a portion of such Lender’s rights and obligations under this Agreement (including all or a portion of its Commitments and the Loans owing to it);
provided that (A) such Lender’s obligations under this Agreement shall remain unchanged, (B) such Lender shall remain solely responsible to the other parties hereto for the performance of such obligations and (C) the
Borrower, the Administrative Agent, the Issuing Lender and the other Lenders shall continue to deal solely and directly with such Lender in connection with such Lender’s rights and obligations under this Agreement. Any agreement pursuant to
which a Lender sells such a participation shall provide that such Lender shall retain the sole right to enforce this Agreement and to approve any amendment, modification or waiver of any provision of this Agreement; provided that such
agreement may provide that such Lender will not, without the consent of the Participant, agree to any amendment, modification or waiver that (1) requires the consent of each Lender directly affected thereby pursuant to the second proviso to the
third sentence of Section 11.1 and (2) directly affects such Participant. Subject to paragraph (c)(ii) of this Section, the Borrower agrees that each Participant shall be entitled to the benefits of Sections 2.18, 2.19
and 2.20, and shall be subject to Section 2.21, to the same extent as if it were a Lender and had acquired its interest by assignment 

  
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pursuant to paragraph (b) of this Section. To the extent permitted by law, each Participant also shall be entitled to the benefits of Section 11.7(b) as though it were a Lender;
provided such Participant shall be subject to Section 11.7(a) as though it were a Lender. Notwithstanding the foregoing, each Loan Party and the Lenders acknowledge and agree that the Administrative Agent shall not have any
responsibility to determine the compliance of any Lender with the requirements of this Section 11.6(c) (it being understood that each Lender shall be responsible for ensuring its own compliance with the requirements of this Section).

 (i)(ii) A Participant shall not be entitled to receive any greater payment under Section 2.18 or
2.19 than the applicable Lender would have been entitled to receive with respect to the participation sold to such Participant, unless the sale of the participation to such Participant is made with the Borrower’s prior written consent,
which shall not be unreasonably withheld or delayed. Any Participant that is a Non-U.S. Lender shall not be entitled to the benefits of Section 2.19 unless such Participant agrees to comply with Section 2.19(e). 

(ii)(iii) Each Lender that sells a participation, acting solely for this purpose as a non-fiduciary agent of the
Borrower, shall maintain at one of its offices a register on which it enters the names and addresses of each Participant and the principal amounts (and related interest amounts) of each Participant’s interest in the Loans or other obligations
under this Agreement (the “Participant Register”). The entries in the Participant Register shall be conclusive, and such Lender shall treat each Person whose name is recorded in the Participant Register pursuant to the terms hereof
as the owner of such participation for all purposes of this Agreement, notwithstanding notice to the contrary. 
 (d) Any Lender
may at any time pledge or assign a security interest in all or any portion of its rights under this Agreement to secure obligations of such Lender, including any pledge or assignment to secure obligations to a Federal Reserve Bank, and this Section
shall not apply to any such pledge or assignment of a security interest; provided that no such pledge or assignment of a security interest shall release a Lender from any of its obligations hereunder or substitute any such pledgee or Assignee
for such Lender as a party hereto. 
 (e) Notwithstanding the foregoing, any Conduit Lender may assign any or all of the Loans
it may have funded hereunder to its designating Lender without the consent of the Borrower or the Administrative Agent and without regard to the limitations set forth in Section 11.6(b). Each of the Borrower, each Lender and the
Administrative Agent hereby confirms that it will not institute against a Conduit Lender or join any other Person in instituting against a Conduit Lender any bankruptcy, reorganization, arrangement, insolvency or liquidation proceeding under any
state bankruptcy or similar law, for one year and one day after the payment in full of the latest maturing commercial paper note issued by such Conduit Lender; provided, however, that each Lender designating any Conduit Lender hereby
agrees to indemnify, save and hold harmless each other party hereto for any loss, cost, damage or expense arising out of its inability to institute such a proceeding against such Conduit Lender during such period of forbearance. 

(f) The Borrower, at its sole expense and upon receipt of written notice from the relevant Lender, agrees to issue Note(s) to any Lender
requiring Note(s) to facilitate transactions of the type described in this Section 11.6. 
 11.7 Adjustments;
Set-off. 
 (a) Except to the extent that this Agreement expressly provides for payments to be allocated to a particular
Lender or to the Lenders under a particular Facility, if any Lender (a “Benefitted Lender”) shall receive any payment of all or part of the Obligations owing to it, or receive any collateral in respect thereof (whether voluntarily
or involuntarily, by set-off, pursuant to events or proceedings of the nature referred to in Section 8.1(g), or otherwise), in a greater proportion than any such payment to or collateral received by any other Lender, if any, in respect
of the Obligations owing to such other Lender, such Benefitted Lender shall purchase for cash from the other Lenders a participating interest in such portion of the Obligations owing to each such other Lender, or shall provide such other Lenders
with the benefits of any such collateral, as shall be necessary to cause such Benefitted Lender to share the excess payment or benefits of such collateral ratably with each of the Lenders; provided, however, that if all or any portion
of such excess payment or benefits is thereafter recovered from such Benefitted Lender, such purchase shall be rescinded, and the purchase price and benefits returned, to the extent of such recovery, but without interest. 

  
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 (b) If an Event of Default shall have occurred and be continuing, each Lender and each of
its Affiliates is hereby authorized at any time and from time to time, 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 and other
obligations at any time owing by such Lender or Affiliate to or for the credit or the account of the Borrower against any of and all the obligations of the Borrower now or hereafter existing under this Agreement held by such Lender, irrespective of
whether or not such Lender shall have made any demand under this Agreement and although such obligations may be unmatured. The rights of each Lender under this Section are in addition to other rights and remedies (including other rights of setoff)
which such Lender may have. 
 11.8 Counterparts; Integration; Effectiveness. This Agreement may be executed in
counterparts (and by different parties hereto on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. This Agreement and any separate letter agreements with
respect to fees payable to the Administrative Agent constitute the entire contract among the parties relating to the subject matter hereof and supersede any and all previous agreements and understandings, oral or written, relating to the subject
matter hereof. Except as provided in Section 5.1, this Agreement shall become effective when it shall have been executed by the Administrative Agent and when the Administrative Agent shall have received counterparts hereof which, when
taken together, bear the signatures of each of the other parties hereto, and thereafter shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns. Delivery of an executed counterpart of a
signature page of this Agreement by telecopy shall be effective as delivery of a manually executed counterpart of this Agreement. 
 11.9 Severability. Any provision of this Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or
unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. 

11.10 WAIVER OF JURY TRIAL. EACH PARTY HERETO HEREBY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY
RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY (WHETHER BASED ON CONTRACT, TORT OR ANY OTHER THEORY). EACH PARTY HERETO (A)
CERTIFIES THAT NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER AND (B) ACKNOWLEDGES THAT IT AND THE
OTHER PARTIES HERETO HAVE BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION. 
 11.11 GOVERNING LAW. THIS AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF
THE STATE OF NEW YORK (INCLUDING, WITHOUT LIMITATION, SECTIONS 5-1401 AND 5-1402 OF THE NEW YORK GENERAL OBLIGATIONS LAW, BUT OTHERWISE WITHOUT REGARD TO CONFLICTS OF LAWS PRINCIPLES THEREOF). 

  
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 11.12 Submission to Jurisdiction; Waivers. Each party hereby irrevocably and
unconditionally: 
 (a) submits for itself and its property in any legal action or proceeding relating to this
Agreement and the other Loan Documents to which it is a party, or for recognition and enforcement of any judgment in respect thereof, to the exclusive general jurisdiction of the courts of the State of New York, the courts of the United States for
the Southern District of New York, and appellate courts from any thereof; 
 (b) consents that any such action or
proceeding may be brought in such courts and waives any objection that it may now or hereafter have to the venue of any such action or proceeding in any such court or that such action or proceeding was brought in an inconvenient court and agrees not
to plead or claim the same and agrees that a final judgment in any such action or proceeding shall be conclusive and may be enforced in other jurisdictions by suit on the judgment or in any other manner provided by law; 

(c) agrees that service of process in any such action or proceeding may be effected by mailing a copy thereof by
registered or certified mail (or any substantially similar form of mail), postage prepaid, to it at its address set forth in Section 11.2 or at such other address of which the Administrative Agent shall have been notified pursuant
thereto; 
 (d) agrees that nothing herein shall affect the right to effect service of process in any other
manner permitted by law or shall limit the right to sue in any other jurisdiction; and 
 (e) waives, to the
maximum extent not prohibited by law, any right it may have to claim or recover in any legal action or proceeding referred to in this Section any special, exemplary, punitive or consequential damages. 

11.13 Acknowledgments. Each of the Loan Parties hereby acknowledges that: 

(a) it has been advised by counsel in the negotiation, execution and delivery of this Agreement and the other Loan
Documents; 
 (b) neither the Administrative Agent or the Collateral Agent nor any Lender has any fiduciary
relationship with or duty to any Loan Party arising out of or in connection with this Agreement or any of the other Loan Documents, and the relationship between the Administrative Agent, the Collateral Agent and Lenders, on one hand, and the Loan
Parties, on the other hand, in connection herewith or therewith is solely that of debtor and creditor; and 
 (c)
no joint venture is created hereby or by the other Loan Documents or otherwise exists by virtue of the transactions contemplated hereby among the Lenders or among the Loan Parties and the Lenders. 

11.14 Releases of Guarantees and Liens. 
 (a) Notwithstanding anything to the contrary contained herein or in any other Loan Document, the Collateral Agent is hereby irrevocably authorized by each Lender (without requirement of notice to or
consent of any Lender except as expressly required by Section 11.1) to take any action requested by the Borrower having the effect of releasing any Collateral or any Guarantor (i) in connection with (A) the sale of such
Collateral or the sale of all or substantially all of Capital Stock of such Guarantor, in each case, to a Person or Persons, none of which is the Borrower or a Subsidiary in compliance with the terms and provisions of the Loan Documents or
(B) a transaction that has been consented to in accordance with Section 11.1 or (ii) under the circumstances described in paragraph (b) below. 
 (b) At such time as the Loans, the LC Disbursements and the other accrued obligations (including accrued indemnity obligations) under the Loan Documents (other than obligations under or in respect of Swap
Agreements) shall have been paid in full, the Commitments have been terminated and no Letters of Credit 

  
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shall be outstanding, the Collateral shall be released from the Liens created by the Security Documents, and the Security Documents and all obligations (other than those expressly stated to
survive such termination) of the Collateral Agent and each Loan Party under the Security Documents shall terminate, all without delivery of any instrument or performance of any act by any Person. 

11.15 Confidentiality. Each of the Administrative Agent, the Collateral Agent, the Issuing Lender and the Lenders agrees to
maintain the confidentiality of the Information (as defined below), except that Information may be disclosed (a) to its and its Affiliates’ directors, officers, employees and agents, including accountants, legal counsel and other advisors
(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), (b) to the extent requested by any regulatory
authority, (c) to the extent required by applicable laws or regulations or by any subpoena or similar legal process, (d) to any other party to this Agreement, (e) in connection with the exercise of any remedies hereunder or any suit,
action or proceeding relating to this Agreement or the enforcement of rights hereunder, (f) subject to an agreement containing provisions substantially the same as those of this Section, to (i) any assignee of or Participant in, or any
prospective assignee of or Participant in, any of its rights or obligations under this Agreement, (ii) any pledgee or prospective pledgee referred to in Section 11.6(d) or (iii) any actual or prospective counterparty (or its
advisors) to any swap or derivative transaction relating to the Borrower and its obligations, (g) with the consent of the Borrower or (h) to the extent such Information (i) becomes publicly available other than as a result of a breach
of this Section or (ii) becomes available to the Administrative Agent, the Collateral Agent, the Issuing Lender or any Lender on a nonconfidential basis from a source other than the Borrower. For the purposes of this Section,
“Information” means all information received from the Borrower relating to the Borrower or its business, other than any such information that is available to the Administrative Agent, the Collateral Agent, the Issuing Lender or any
Lender on a nonconfidential basis prior to disclosure by the Borrower; provided that, in the case of information received from the Borrower after the Closing Date, such information is clearly identified at the time of delivery as
confidential. Any Person required to maintain the confidentiality of Information as provided in this Section 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. 
 11.16 Headings.
Section headings and the Table of Contents used herein are for convenience of reference only, are not part of this Agreement and shall not affect the construction of, or be taken into consideration in interpreting, this Agreement. 

11.17 USA PATRIOT Act. Each Lender that is subject to the requirements of the Patriot Act hereby notifies the Borrower that
pursuant to the requirements of the Patriot Act, it is required to obtain, verify and record information that identifies the Borrower, which information includes the name and address of the Borrower and other information that will allow such Lender
to identify the Borrower in accordance with the Patriot Act. 
 11.18 Interest Rate Limitation. Notwithstanding anything
herein to the contrary, if at any time the interest rate applicable to any Loan, together with all fees, charges and other amounts which are treated as interest on such Loan under applicable law (collectively the “Charges”), shall
exceed the maximum lawful rate (the “Maximum Rate”) which may be contracted for, charged, taken, received or reserved by the Lender holding such Loan in accordance with applicable law, the rate of interest payable in respect of such
Loan hereunder, together with all Charges payable in respect thereof, shall be limited to the Maximum Rate and, to the extent lawful, the interest and Charges that would have been payable in respect of such Loan but were not payable as a result of
the operation of this 

  
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Section shall be cumulated and the interest and Charges payable to such Lender in respect of other Loans or periods shall be increased (but not above the Maximum Rate therefor) until such
cumulated amount, together with interest thereon at the Federal Funds Effective Rate to the date of repayment, shall have been received by such Lender. 
 11.19 Delivery of Addenda. Each initial Lender shall become a party to this Agreement by delivering to the Administrative Agent an Addendum duly executed by such Lender, the Borrower and the
Administrative Agent. 
 11.20 Third Party Beneficiary. None of the provisions contained in this Agreement are intended
by the parties hereto, nor shall they be deemed, to confer any benefit on any Person not a party to this Agreement other than, to the extent provided herein, any Indemnitee or Secured Party. The representations and warranties of the Loan Parties
contained herein are provided for the benefit of the Administrative Agent, the Collateral Agent, the Issuing Lender and each of the Lenders and their respective successors and permitted assigns in accordance herewith, and are not being provided for
the benefit of any other Person (which other Person shall include, for this purpose, without limitation, any shareholder of any Loan Party). 
 [SIGNATURE PAGES FOLLOW] 

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

			
	DAVITA INC.
		
	By:	 	  

		 	Name:
		 	Title:
	
	GUARANTORS LISTED ON APPENDIX A
		
	By:	 	  

		 	Name:
		 	Title:



  
 S-1









 
			
	 JPMORGAN CHASE BANK, N.A., as Administrative Agent and Collateral Agent

		
	By:	 	  

		 	Name:
		 	Title:



  
 S-2









 Appendix A 
 Guarantors 
  

			
	 Alamosa Dialysis, LLC
	  	
	Carroll County Dialysis Facility, Inc.	  	
	Continental Dialysis Center of Springfield-Fairfax, Inc.	  	
	Continental Dialysis Center, Inc.	  	
	DaVita — West, LLC	  	
	DaVita of New York, Inc.	  	
	DaVita Rx, LLC	  	
	Dialysis Holdings, Inc.	  	
	Dialysis Specialists of Dallas, Inc.	  	
	DNP Management Company, LLC	  	
	Downriver Centers, Inc.	  	
	DVA Healthcare of Maryland, Inc.	  	
	DVA Healthcare of Massachusetts, Inc.	  	
	DVA Healthcare of Pennsylvania, Inc.	  	
	DVA Healthcare Procurement Services, Inc.	  	
	DVA Healthcare Renal Care, Inc.	  	
	DVA Laboratory Services, Inc.	  	
	DVA of New York, Inc.	  	
	DVA Renal Healthcare, Inc.	  	
	East End Dialysis Center, Inc.	  	
	Elberton Dialysis Facility, Inc.	  	
	Flamingo Park Kidney Center, Inc.	  	
	Fort Dialysis, LLC	  	
	Freehold Artificial Kidney Center, L.L.C.	  	
	Greenspoint Dialysis, LLC	  	
	Hills Dialysis, LLC	  	
	Houston Kidney Center/Total Renal Care Integrated Service Network Limited Partnership	  	
	Kidney Care Services, LLC	  	
	Knickerbocker Dialysis, Inc.	  	
	Liberty RC, Inc.	  	
	Lincoln Park Dialysis Services, Inc.	  	
	Maple Grove Dialysis, LLC	  	
	Mason-Dixon Dialysis Facilities, Inc.	  	
	Nephrology Medical Associates of Georgia, LLC	  	
	Neptune Artificial Kidney Center, L.L.C.	  	
	New Hope Dialysis, LLC	  	
	North Atlanta Dialysis Center, LLC	  	
	North Colorado Springs Dialysis, LLC	  	
	Palo Dialysis, LLC	  	
	Patient Pathways, LLC	  	
	Physicians Choice Dialysis of Alabama, LLC	  	
	Physicians Choice Dialysis, LLC	  	
	Physicians Dialysis Acquisitions, Inc.	  	
	Physicians Dialysis Ventures, Inc.	  	
	Physicians Dialysis, Inc.	  	
	Physicians Management, LLC	  	
	Renal Life Link, Inc.	  	


  
 Appendix A-1










			
	Renal Treatment Centers — California, Inc.	  	
	Renal Treatment Centers — Hawaii, Inc.	  	
	Renal Treatment Centers — Illinois, Inc.	  	
	Renal Treatment Centers — Mid-Atlantic, Inc.	  	
	Renal Treatment Centers — Northeast, Inc.	  	
	Renal Treatment Centers — Southeast, LP	  	
	Renal Treatment Centers — West, Inc.	  	
	Renal Treatment Centers, Inc.	  	
	RMS Lifeline, Inc.	  	
	Rocky Mountain Dialysis Services, LLC	  	
	Shining Star Dialysis, Inc.	  	
	Sierra Rose Dialysis Center, LLC	  	
	Southwest Atlanta Dialysis Centers, LLC	  	
	The DaVita Collection, Inc.	  	
	Total Acute Kidney Care, Inc.	  	
	Total Renal Care Texas Limited Partnership	  	
	Total Renal Care, Inc.	  	
	Total Renal Laboratories, Inc.	  	
	Total Renal Research, Inc.	  	
	TRC — Indiana, LLC	  	
	TRC of New York, Inc.	  	
	TRC West, Inc.	  	
	Tree City Dialysis, LLC	  	
	VillageHealth DM, LLC	  	
	Westview Dialysis, LLC	  	


  
 Appendix A-2









 EXHIBIT Q 
 [FORM OF] 
 FIRST-LIEN INTERCREDITOR AGREEMENT 

Among 
 DAVITA
INC., 
 as Borrower, 
 the other Grantors party hereto, 
 JPMORGAN CHASE BANK, N.A., 

as Credit Agreement Collateral Agent for the Credit Agreement Secured Parties 

JPMORGAN CHASE BANK, N.A., 
 as Authorized Representative for the Credit Agreement Secured Parties, 

[            ] 

as the Initial Additional Authorized Representative, 
 and 
 each additional Authorized Representative from time to time party hereto

 dated as of [            ], 201[ ] 







 FIRST-LIEN INTERCREDITOR AGREEMENT, dated as of
[            ], 201[  ] (as amended, restated, amended and restated, extended, supplemented or otherwise modified from time to time, this “Agreement”), among
DAVITA INC. a Delaware corporation (the “Borrower”), the other Grantors (as defined below) from time to time party hereto, JPMORGAN CHASE BANK, N.A.,, as administrative agent for the Credit Agreement Secured Parties (as defined
below) (in such capacity and together with its successors in such capacity, the “Credit Agreement Collateral Agent”), JPMORGAN CHASE BANK, N.A., as Authorized Representative for the Credit Agreement Secured Parties (as each such
term is defined below), the Notes Collateral Agent (as defined below) and Authorized Representative for the Initial Additional First-Lien Secured Parties (as defined below) (in such capacity and together with its successors in such capacity, the
“Initial Additional Authorized Representative”) and each additional Authorized Representative from time to time party hereto for the other Additional First-Lien Secured Parties of the Series (as defined below) with respect to which
it is acting in such capacity. 
 In consideration of the mutual agreements herein contained and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the Administrative Agent, the Credit Agreement Collateral Agent (for itself and on behalf of the Credit Agreement Secured Parties), the Initial Additional Authorized
Representative (for itself and on behalf of the Initial Additional First-Lien Secured Parties) and each additional Authorized Representative (for itself and on behalf of the Additional First-Lien Secured Parties of the applicable Series) agree as
follows: 
 ARTICLE I 
 Definitions 
 SECTION 1.01    Certain Defined Terms.
Capitalized terms used but not otherwise defined herein have the meanings set forth in the Credit Agreement or, if defined in the New York UCC, the meanings specified therein. As used in this Agreement, the following terms have the meanings
specified below: 
 “Additional First-Lien Documents” means, with respect to the Initial Additional First-Lien
Obligations or any other Additional First-Lien Obligations, the notes, indentures, security documents and other operative agreements evidencing or governing such Indebtedness and the Liens securing such Indebtedness, including the Initial Additional
First-Lien Documents and the Additional First-Lien Security Documents and each other agreement entered into for the purpose of securing the Initial Additional First-Lien Obligations or any other Additional First-Lien Obligations. 

“Additional First-Lien Obligations” means collectively (1) the Initial Additional First-Lien Obligations and
(2) all amounts owing pursuant to the terms of any Series of Additional Senior Class Debt designated as Additional First-Lien Obligations pursuant to Section 5.13 hereof after the date hereof, including, without limitation, the obligation
(including guarantee obligations) to pay principal, interest (including interest that accrues after the commencement of a Bankruptcy Case, regardless of whether such interest is an allowed claim under such Bankruptcy Case), letter of credit
commissions, reimbursement obligations, charges, expenses, fees, attorneys costs, indemnities and other amounts payable by a Grantor under any Additional First-Lien Document. 







 “Additional First-Lien Secured Party” means the holders of any Additional
First-Lien Obligations and any Authorized Representative with respect thereto, and shall include the Initial Additional First-Lien Secured Parties. 
 “Additional First-Lien Security Document” means any collateral agreement, security agreement or any other document now existing or entered into after the date hereof that creates Liens on
any assets or properties of any Grantor to secure the Additional First-Lien Obligations. 
 “Additional Senior Class
Debt” has the meaning assigned to such term in Section 5.13. 
 “Additional Senior Class Debt
Parties” has the meaning assigned to such term in Section 5.13. 
 “Additional Senior Class Debt
Representative” has the meaning assigned to such term in Section 5.13. 
 “Administrative Agent”
has the meaning assigned to such term in the definition of “Credit Agreement” and shall include any successor administrative agent (including as a result of any Refinancing or other modification of the Credit Agreement permitted by
Section 2.08). 
 “Agreement” has the meaning assigned to such term in the introductory paragraph of this
Agreement. 
 “Applicable Authorized Representative” means at any time from and after the time that the Notes
Collateral Agent becomes the Controlling Collateral Agent, the Major Non-Controlling Authorized Representative. 

“Authorized Representative” means, at any time, (i) in the case of any Credit Agreement Obligations or the Credit
Agreement Secured Parties, the Administrative Agent, (ii) in the case of the Initial Additional First-Lien Obligations or the Initial Additional First-Lien Secured Parties, the Initial Additional Authorized Representative, and (iii) in the
case of any other Series of Additional First-Lien Obligations or Additional First-Lien Secured Parties that become subject to this Agreement after the date hereof, the collateral agent named as authorized representative for such Series in the
applicable Joinder Agreement. 
 “Bankruptcy Case” has the meaning assigned to such term in
Section 2.05(b). 
 “Bankruptcy Code” means Title 11 of the United States Code, as amended, or any similar
federal or state law for the relief of debtors. 
 “Bankruptcy Law” means the Bankruptcy Code and any similar
federal, state or foreign law for the relief of debtors. 
 “Borrower” has the meaning assigned to such term in
the introductory paragraph of this Agreement. 

  
 -2-









 “Collateral” means all assets and properties subject to Liens created
pursuant to any First-Lien Security Document to secure one or more Series of First-Lien Obligations. 
 “Collateral
Agent” means (i) in the case of any Credit Agreement Obligations, the Credit Agreement Collateral Agent, (ii) in the case of the Initial Additional First-Lien Obligations, the Notes Collateral Agent and (iii) in the case of
any other Series of Additional First-Lien Obligations, the collateral agent named as Authorized Representative for such Series in the applicable Joinder Agreement. 
 “Controlling Collateral Agent” means (i) until the earlier of (x) the Discharge of Credit Agreement Obligations and (y) the Non-Controlling Authorized Representative
Enforcement Date, the Credit Agreement Collateral Agent and (ii) from and after the earlier of (x) the Discharge of Credit Agreement Obligations and (y) the Non-Controlling Authorized Representative Enforcement Date, the Notes
Collateral Agent (acting on the instructions of the Applicable Authorized Representative). 
 “Controlling Secured
Parties” means, with respect to any Shared Collateral, (i) at any time when the Credit Agreement Collateral Agent is the Controlling Collateral Agent, the Credit Agreement Secured Parties and (ii) at any other time, the Series of
First-Lien Secured Parties whose Authorized Representative is the Applicable Authorized Representative for such Shared Collateral. 
 “Credit Agreement” means that certain Credit Agreement, dated as of October 20, 2010, among Borrower, the lenders from time to time party thereto, JPMorgan Chase Bank, N.A., as
administrative agent and collateral agent (in such capacity and together with its successors in such capacity, the “Administrative Agent”) and the other parties thereto, as further amended, restated, amended and restated, extended,
supplemented or otherwise modified from time to time. 
 “Credit Agreement Collateral Agent” has the meaning
assigned to such term in the introductory paragraph of this Agreement. 
 “Credit Agreement Obligations” means
all “Obligations” as defined in the Credit Agreement. 
 “Credit Agreement Secured Parties” means the
“Secured Parties” as defined in the Credit Agreement. 
 “Credit Agreement Security Documents” means
the Security Agreement, the other Security Documents (as defined in the Credit Agreement) and each other agreement entered into in favor of the Credit Agreement Collateral Agent for the purpose of securing any Credit Agreement Obligations.

 “DIP Financing” has the meaning assigned to such term in Section 2.05(b). 

“DIP Financing Liens” has the meaning assigned to such term in Section 2.05(b). 

“DIP Lenders” has the meaning assigned to such term in Section 2.05(b). 

  
 -3-









 “Discharge” means, with respect to any Shared Collateral and any Series of
First-Lien Obligations, the date on which such Series of First-Lien Obligations is no longer secured by such Shared Collateral. The term “Discharged” shall have a corresponding meaning. 

“Discharge of Credit Agreement Obligations” means, with respect to any Shared Collateral, the Discharge of the Credit
Agreement Obligations with respect to such Shared Collateral; provided that the Discharge of Credit Agreement Obligations shall not be deemed to have occurred in connection with a Refinancing of such Credit Agreement Obligations with
additional First-Lien Obligations secured by such Shared Collateral under an Additional First-Lien Document which has been designated in writing by the Administrative Agent (under the Credit Agreement so Refinanced) to the Notes Collateral Agent and
each other Authorized Representative as the “Credit Agreement” for purposes of this Agreement. 
 “Event of
Default” means an “Event of Default” (or similarly defined term) as defined in any Secured Credit Document. 

“First-Lien Obligations” means, collectively, (i) the Credit Agreement Obligations and (ii) each Series of
Additional First-Lien Obligations. 
 “First-Lien Secured Parties” means (i) the Credit Agreement Secured
Parties and (ii) the Additional First-Lien Secured Parties with respect to each Series of Additional First-Lien Obligations. 
 “First-Lien Security Documents” means, collectively, (i) the Credit Agreement Security Documents and (ii) the Additional First-Lien Security Documents. 

“Grantors” means the Borrower and each of the Guarantors (as defined in the Credit Agreement) which has granted a
security interest pursuant to any First-Lien Security Document to secure any Series of First-Lien Obligations. The Grantors existing on the date hereof are set forth in Annex I hereto. 

“Impairment” has the meaning assigned to such term in Section 1.03. 

“Initial Additional Authorized Representative” has the meaning assigned to such term in the introductory paragraph of
this Agreement. 
 “Initial Additional First-Lien Agreement” mean that certain [Indenture] [Other Agreement],
dated as of [            ], among the Borrower, [the Guarantors identified therein,] and [            ], as [trustee], as
amended, restated, amended and restated, extended, supplemented or otherwise modified from time to time. 
 “Initial
Additional First-Lien Documents” means the Initial Additional First-Lien Agreement, the debt securities issued thereunder, the Initial Additional First-Lien Security Agreement and any security documents and other operative agreements
evidencing or governing the Indebtedness thereunder, and the Liens securing such Indebtedness. 

  
 -4-









 “Initial Additional First-Lien Obligations” means the [Obligations] as such
term is defined in the Initial Additional First-Lien Security Agreement. 
 “Initial Additional First-Lien Secured
Parties” means the Notes Collateral Agent, the Initial Additional Authorized Representative and the holders of the Initial Additional First-Lien Obligations issued pursuant to the Initial Additional First-Lien Agreement. 

“Initial Additional First-Lien Security Agreement” means the security agreement, dated as of the date hereof, among the
Borrower, the Notes Collateral Agent and the other parties thereto, as amended, restated, amended and restated, extended, supplemented or otherwise modified from time to time. 
 “Insolvency or Liquidation Proceeding” means: 

(1) any case commenced by or against the Borrower or any other Grantor under any Bankruptcy Law, any other proceeding for
the reorganization, recapitalization or adjustment or marshalling of the assets or liabilities of the Borrower or any other Grantor, any receivership or assignment for the benefit of creditors relating to the Borrower or any other Grantor or any
similar case or proceeding relative to the Borrower or any other Grantor or its creditors, as such, in each case whether or not voluntary; 
 (2) any liquidation, dissolution, marshalling of assets or liabilities or other winding up of or relating to the Borrower or any other Grantor, in each case whether or not voluntary and whether or not
involving bankruptcy or insolvency; or 
 (3) any other proceeding of any type or nature in which substantially
all claims of creditors of the Borrower or any other Grantor are determined and any payment or distribution is or may be made on account of such claims. 
 “Intervening Creditor” has the meaning assigned to such term in Section 2.01(a). 
 “Joinder Agreement” means a joinder to this Agreement substantially in the form of Annex II hereto. 
 “Lien” means any mortgage, deed of trust, pledge, hypothecation, assignment, deposit arrangement, encumbrance, lien (statutory or other), charge, or preference, priority or other security
interest or preferential arrangement of any kind or nature whatsoever (including any conditional sale or other title retention agreement, any easement, right of way or other encumbrance on title to real property, and any Capitalized Lease having
substantially the same economic effect as any of the foregoing). 
 “Major Non-Controlling Authorized
Representative” means, with respect to any Shared Collateral, (i) at any time when the Credit Agreement Collateral Agent is the Controlling Collateral Agent, the Authorized Representative of the Series of Additional First-Lien
Obligations, if any, that constitutes the largest outstanding principal amount of any then outstanding Series of First-Lien Obligations (including the Credit Agreement Obligations) and (ii) at any time when the Notes Collateral Agent is the
Controlling Collateral Agent, the Authorized Representative of the Series of Additional First-Lien Obligations that constitutes the largest outstanding principal amount of any then outstanding Series of First-Lien Obligations (other than Credit
Agreement Obligations) with respect to such Shared Collateral. 

  
 -5-









 “New York UCC” means the Uniform Commercial Code as from time to time in
effect in the State of New York. 
 “Non-Controlling Authorized Representative” means, at any time with respect
to any Shared Collateral, any Authorized Representative that is not the Applicable Authorized Representative at such time with respect to such Shared Collateral. 
 “Non-Controlling Authorized Representative Enforcement Date” means, with respect to any Non-Controlling Authorized Representative, the date which is [180] days (throughout which [180] day
period such Non-Controlling Authorized Representative was the Major Non-Controlling Authorized Representative) after the occurrence of both (i) an Event of Default (under and as defined in the Additional First-Lien Document under which such
Non-Controlling Authorized Representative is the Authorized Representative) and (ii) each Collateral Agent’s and each other Authorized Representative’s receipt of written notice from such Non-Controlling Authorized
Representative certifying that (x) such Non-Controlling Authorized Representative is the Major Non-Controlling Authorized Representative and that an Event of Default (under and as defined in the Additional First-Lien Document under which such
Non-Controlling Authorized Representative is the Authorized Representative) has occurred and is continuing and (y) the Additional First-Lien Obligations of the Series with respect to which such Non-Controlling Authorized Representative is the
Authorized Representative are currently due and payable in full (whether as a result of acceleration thereof or otherwise) in accordance with the terms of the applicable Additional First-Lien Document; provided that the Non-Controlling
Authorized Representative Enforcement Date shall be stayed and shall not occur and shall be deemed not to have occurred with respect to any Shared Collateral (1) at any time the Administrative Agent or the Credit Agreement Collateral Agent has
commenced and is diligently pursuing any enforcement action with respect to such Shared Collateral or (2) at any time the Grantor which has granted a security interest in such Shared Collateral is then a debtor under or with respect to (or
otherwise subject to) any Insolvency or Liquidation Proceeding. 
 “Non-Controlling Secured Parties” means,
with respect to any Shared Collateral, the First-Lien Secured Parties which are not Controlling Secured Parties with respect to such Shared Collateral. 
 “Notes Collateral Agent” means (a) prior to the Discharge of the Initial Additional First-Lien Obligations, [            ]
and (b) after the Discharge of the Initial Additional First-Lien Obligations, the Authorized Representative for the Series of Additional First-Lien Obligations that constitutes the largest outstanding principal amount of any then outstanding
Series of Additional First-Lien Obligations. 
 “Possessory Collateral” means any Shared Collateral in the
possession of a Collateral Agent (or its agents or bailees), to the extent that possession thereof perfects a Lien thereon under the Uniform Commercial Code of any jurisdiction. Possessory Collateral includes, without limitation, any Certificated
Securities, Promissory Notes, Instruments, and Chattel Paper, in each case, delivered to or in the possession of the Collateral Agent under the terms of the First-Lien Security Documents. 

  
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 “Proceeds” has the meaning assigned to such term in Section 2.01(a).

 “Refinance” means, in respect of any indebtedness, to refinance, extend, renew, defease, amend, increase,
modify, supplement, restructure, refund, replace or repay, or to issue other indebtedness or enter into alternative financing arrangements, in exchange or replacement for such indebtedness (in whole or in part), including by adding or replacing
lenders, creditors, agents, borrowers and/or guarantors, and including in each case, but not limited to, after the original instrument giving rise to such indebtedness has been terminated and including, in each case, through any credit agreement,
indenture or other agreement. “Refinanced” and “Refinancing” have correlative meanings. 

“Secured Credit Document” means (i) the Credit Agreement and each Loan Document (as defined in the Credit
Agreement), (ii) each Initial Additional First-Lien Document, and (iii) each Additional First-Lien Document for Additional First-Lien Obligations incurred after the date hereof. 

“Security Agreement” means the Security Agreement, dated as of October 20, 2010, among Borrower, the Administrative
Agent and the other parties thereto, as amended, restated, amended and restated, extended, supplemented or otherwise modified from time to time. 
 “Series” means (a) with respect to the First-Lien Secured Parties, each of (i) the Credit Agreement Secured Parties (in their capacities as such), (ii) the Initial
Additional First-Lien Secured Parties (in their capacities as such), and (iii) the Additional First-Lien Secured Parties (in their capacities as such) that become subject to this Agreement after the date hereof that are represented by a common
Authorized Representative (in its capacity as such for such Additional First-Lien Secured Parties) and (b) with respect to any First-Lien Obligations, each of (i) the Credit Agreement Obligations, (ii) the Initial Additional
First-Lien Obligations, and (iii) the Additional First-Lien Obligations incurred after the date hereof pursuant to any Additional First-Lien Document, which pursuant to any Joinder Agreement, are to be represented hereunder by a common
Authorized Representative (in its capacity as such for such Additional First-Lien Obligations). 
 “Shared
Collateral” means, at any time, Collateral in which the holders of two or more Series of First-Lien Obligations hold a valid and perfected security interest at such time. If more than two Series of First-Lien Obligations are outstanding at
any time and the holders of less than all Series of First-Lien Obligations hold a valid and perfected security interest in any Collateral at such time, then such Collateral shall constitute Shared Collateral for those Series of First-Lien
Obligations that hold a valid security interest in such Collateral at such time and shall not constitute Shared Collateral for any Series which does not have a valid and perfected security interest in such Collateral at such time. 

SECTION 1.02    Terms Generally. The definitions of terms herein shall apply equally to the singular and
plural forms of the terms defined. Whenever the context may require, any pronoun shall include the corresponding masculine, feminine and neuter forms. The words 

  
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“include”, “includes” and “including” shall be deemed to be followed by the phrase “without limitation”. The word “will” shall be construed to
have the same meaning and effect as the word “shall”. Unless the context requires otherwise, (i) any definition of or reference to any agreement, instrument, other document, statute or regulation herein shall be construed as referring
to such agreement, instrument, other document, statute or regulation as from time to time amended, supplemented or otherwise modified, (ii) any reference herein to any Person shall be construed to include such Person’s successors and
assigns, but shall not be deemed to include the subsidiaries of such Person unless express reference is made to such subsidiaries, (iii) the words “herein”, “hereof” and “hereunder”, and words of similar import,
shall be construed to refer to this Agreement in its entirety and not to any particular provision hereof, (iv) all references herein to Articles, Sections and Annexes shall be construed to refer to Articles, Sections and Annexes of this
Agreement, (v) unless otherwise expressly qualified herein, the words “asset” and “property” shall be construed to have the same meaning and effect and to refer to any and all tangible and intangible assets and properties,
including cash, securities, accounts and contract rights and (vi) the term “or” is not exclusive. 
 SECTION
1.03    Impairments. It is the intention of the First-Lien Secured Parties of each Series that the holders of First-Lien Obligations of such Series (and not the First-Lien Secured Parties of any other Series) bear the risk
of (i) any determination by a court of competent jurisdiction that (x) any of the First-Lien Obligations of such Series are unenforceable under applicable law or are subordinated to any other obligations (other than another Series of
First-Lien Obligations), (y) any of the First-Lien Obligations of such Series do not have an enforceable security interest in any of the Collateral securing any other Series of First-Lien Obligations and/or (z) any intervening security
interest exists securing any other obligations (other than another Series of First-Lien Obligations) on a basis ranking prior to the security interest of such Series of First-Lien Obligations but junior to the security interest of any other Series
of First-Lien Obligations or (ii) the existence of any Collateral for any other Series of First-Lien Obligations that is not Shared Collateral (any such condition referred to in the foregoing clauses (i) or (ii) with respect to any
Series of First-Lien Obligations, an “Impairment” of such Series); provided that the existence of a maximum claim with respect to any Real Property (as defined in the Credit Agreement) with a fair market value in excess of
$20,000,000 subject to a mortgage that applies to all First-Lien Obligations shall not be deemed to be an Impairment of any Series of First-Lien Obligations. In the event of any Impairment with respect to any Series of First-Lien Obligations, the
results of such Impairment shall be borne solely by the holders of such Series of First-Lien Obligations, and the rights of the holders of such Series of First-Lien Obligations (including, without limitation, the right to receive distributions in
respect of such Series of First-Lien Obligations pursuant to Section 2.01) set forth herein shall be modified to the extent necessary so that the effects of such Impairment are borne solely by the holders of the Series of such First-Lien
Obligations subject to such Impairment. Additionally, in the event the First-Lien Obligations of any Series are modified pursuant to applicable law (including, without limitation, pursuant to Section 1129 of the Bankruptcy Code), any reference
to such First-Lien Obligations or the First-Lien Security Documents governing such First-Lien Obligations shall refer to such obligations or such documents as so modified. 

  
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 ARTICLE II  
 Priorities and Agreements with Respect to Shared Collateral 
 SECTION
2.01    Priority of Claims. 
 (a) Anything contained herein or in any of the Secured Credit
Documents to the contrary notwithstanding (but subject to Section 1.03), if an Event of Default has occurred and is continuing, and the Controlling Collateral Agent or any First-Lien Secured Party is taking action to enforce rights in respect
of any Shared Collateral, or any distribution is made in respect of any Shared Collateral in any Bankruptcy Case of the Borrower or any other Grantor or any First-Lien Secured Party receives any payment pursuant to any intercreditor agreement (other
than this Agreement) with respect to any Shared Collateral, the proceeds of any sale, collection or other liquidation of any such Collateral by the Controlling Collateral Agent or any First-Lien Secured Party on account of such enforcement of rights
or remedies or received by the Controlling Collateral Agent or any First-Lien Secured Party pursuant to any such intercreditor agreement with respect to such Shared Collateral and proceeds of any such distribution (subject, in the case of any such
distribution, to the sentence immediately following) to which the First-Lien Obligations are entitled under any intercreditor agreement (other than this Agreement) (all proceeds of any sale, collection or other liquidation of any Collateral and all
proceeds of any such distribution being collectively referred to as “Proceeds”), shall be applied (i) FIRST, to the payment of all amounts owing to each Collateral Agent (in its capacity as such) pursuant to the terms of any
Secured Credit Document, (ii) SECOND, subject to Section 1.03, to the payment in full of the First-Lien Obligations of each Series on a ratable basis, with such Proceeds to be applied to the First-Lien Obligations of a given Series in
accordance with the terms of the applicable Secured Credit Documents and (iii) THIRD, after payment of all First-Lien Obligations, to the Borrower and the other Grantors or their successors or assigns, as their interests may appear, or to
whomsoever may be lawfully entitled to receive the same, or as a court of competent jurisdiction may direct. Notwithstanding the foregoing, with respect to any Shared Collateral for which a third party (other than a First-Lien Secured Party) has a
lien or security interest that is junior in priority to the security interest of any Series of First-Lien Obligations but senior (as determined by appropriate legal proceedings in the case of any dispute) to the security interest of any other Series
of First-Lien Obligations (such third party, an “Intervening Creditor”), the value of any Shared Collateral or Proceeds allocated to such Intervening Creditor shall be deducted on a ratable basis solely from the Shared Collateral or
Proceeds to be distributed in respect of the Series of First-Lien Obligations with respect to which such Impairment exists. 

(b) Notwithstanding the date, time, method, manner or order of grant, attachment or perfection of any Liens securing any Series of
First-Lien Obligations granted on the Shared Collateral and notwithstanding any provision of the Uniform Commercial Code of any jurisdiction, or any other applicable law or the Secured Credit Documents or any defect or deficiencies in the Liens
securing the First-Lien Obligations of any Series or any other circumstance whatsoever (but, in each case, subject to Section 1.03), each First-Lien Secured Party hereby agrees that the Liens securing each Series of First-Lien Obligations on
any Shared Collateral shall be of equal priority. 

  
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 (c) Notwithstanding anything in this Agreement or any other First-Lien Security Documents to
the contrary, Collateral consisting of cash and cash equivalents pledged to secure Credit Agreement Obligations consisting of reimbursement obligations in respect of Letters of Credit or otherwise held by the Credit Agreement Collateral Agent
pursuant to Section 3.10, 2.26 or Section 8 of the Credit Agreement (or any equivalent successor provision) shall be applied as specified in the Credit Agreement and will not constitute Shared Collateral. 

SECTION 2.02    Actions with Respect to Shared Collateral; Prohibition on Contesting Liens. 

(a) Only the Controlling Collateral Agent shall act or refrain from acting with respect to any Shared Collateral (including with respect
to any intercreditor agreement with respect to any Shared Collateral). At any time when the Credit Agreement Collateral Agent is the Controlling Collateral Agent, no Additional First-Lien Secured Party shall or shall instruct any Collateral Agent
to, and neither the Notes Collateral Agent nor any other Collateral Agent that is not the Controlling Collateral Agent shall, commence any judicial or nonjudicial foreclosure proceedings with respect to, seek to have a trustee, receiver, liquidator
or similar official appointed for or over, attempt any action to take possession of, exercise any right, remedy or power with respect to, or otherwise take any action to enforce its security interest in or realize upon, or take any other action
available to it in respect of, any Shared Collateral (including with respect to any intercreditor agreement with respect to any Shared Collateral), whether under any Additional First-Lien Security Document, applicable law or otherwise, it being
agreed that only the Credit Agreement Collateral Agent, acting in accordance with the Credit Agreement Collateral Documents, shall be entitled to take any such actions or exercise any such remedies with respect to Shared Collateral at such time.

 (b) With respect to any Shared Collateral at any time when the Notes Collateral Agent is the Controlling Collateral Agent,
(i) the Controlling Collateral Agent shall act only on the instructions of the Applicable Authorized Representative, (ii) the Controlling Collateral Agent shall not follow any instructions with respect to such Shared Collateral (including
with respect to any intercreditor agreement with respect to any Shared Collateral) from any Non-Controlling Authorized Representative (or any other First-Lien Secured Party other than the Applicable Authorized Representative) and (iii) no
Non-Controlling Authorized Representative or other First-Lien Secured Party (other than the Applicable Authorized Representative) shall or shall instruct the Controlling Collateral Agent to, commence any judicial or non-judicial foreclosure
proceedings with respect to, seek to have a trustee, receiver, liquidator or similar official appointed for or over, attempt any action to take possession of, exercise any right, remedy or power with respect to, or otherwise take any action to
enforce its security interest in or realize upon, or take any other action available to it in respect of, any Shared Collateral (including with respect to any intercreditor agreement with respect to any Shared Collateral), whether under any
First-Lien Security Document, applicable law or otherwise, it being agreed that only the Controlling Collateral Agent, acting on the instructions of the Applicable Authorized Representative and in accordance with the applicable Additional First-Lien
Security Documents, shall be entitled to take any such actions or exercise any such remedies with respect to Shared Collateral. 

  
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 (c) Notwithstanding the equal priority of the Liens securing each Series of First-Lien
Obligations, the Controlling Collateral Agent may deal with the Shared Collateral as if such Controlling Collateral Agent had a senior Lien on such Collateral. No Non-Controlling Authorized Representative or Non-Controlling Secured Party will
contest, protest or object to any foreclosure proceeding or action brought by the Controlling Collateral Agent, the Applicable Authorized Representative or the Controlling Secured Party or any other exercise by the Controlling Collateral Agent, the
Applicable Authorized Representative or the Controlling Secured Party of any rights and remedies relating to the Shared Collateral, or to cause the Controlling Collateral Agent to do so. The foregoing shall not be construed to limit the rights and
priorities of any First-Lien Secured Party, the Controlling Collateral Agent or any Authorized Representative with respect to any Collateral not constituting Shared Collateral. 

(d) Each of the First-Lien Secured Parties agrees that it will not (and hereby waives any right to) question or contest or support any
other Person in contesting, in any proceeding (including any Insolvency or Liquidation Proceeding), the perfection, priority, validity, attachment or enforceability of a Lien held by or on behalf of any of the First-Lien Secured Parties in all or
any part of the Collateral, or the provisions of this Agreement; provided that nothing in this Agreement shall be construed to prevent or impair the rights of any Collateral Agent or any Authorized Representative to enforce this Agreement.

 SECTION 2.03    No Interference; Payment Over. 

(a) Each First-Lien Secured Party agrees that (i) it will not challenge or question in any proceeding the validity or enforceability
of any First-Lien Obligations of any Series or any First-Lien Security Document or the validity, attachment, perfection or priority of any Lien under any First-Lien Security Document or the validity or enforceability of the priorities, rights or
duties established by or other provisions of this Agreement; (ii) it will not take or cause to be taken any action the purpose or intent of which is, or could be, to interfere, hinder or delay, in any manner, whether by judicial proceedings or
otherwise, any sale, transfer or other disposition of the Shared Collateral by the Controlling Collateral Agent, (iii) except as provided in Section 2.02, it shall have no right to (A) direct the Controlling Collateral Agent or any
other First-Lien Secured Party to exercise, and shall not exercise, any right, remedy or power with respect to any Shared Collateral (including pursuant to any intercreditor agreement) or (B) consent to the exercise by the Controlling
Collateral Agent or any other First-Lien Secured Party of any right, remedy or power with respect to any Shared Collateral, (iv) it will not institute any suit or assert in any suit, bankruptcy, insolvency or other proceeding any claim against
the Controlling Collateral Agent or any other First-Lien Secured Party seeking damages from or other relief by way of specific performance, instructions or otherwise with respect to any Shared Collateral, and none of the Controlling Collateral
Agent, any Applicable Authorized Representative or any other First-Lien Secured Party shall be liable for any action taken or omitted to be taken by the Controlling Collateral Agent, such Applicable Authorized Representative or other First-Lien
Secured Party with respect to any Shared Collateral in accordance with the provisions of this Agreement, (v) it will not seek, and hereby waives any right, to have any Shared Collateral or any part thereof marshaled upon any foreclosure or
other disposition of such Collateral and (vi) it will not attempt, directly or indirectly, whether by judicial proceedings or otherwise, to challenge the enforceability of any provision of this Agreement; provided that nothing in this
Agreement shall be construed to prevent or impair the rights of any of the Controlling Collateral Agent or any other First-Lien Secured Party to enforce this Agreement. 

  
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 (b) Each First-Lien Secured Party hereby agrees that if it shall obtain possession of any
Shared Collateral or shall realize any proceeds or payment in respect of any such Shared Collateral, pursuant to any First-Lien Security Document or by the exercise of any rights available to it under applicable law or in any Insolvency or
Liquidation Proceeding or through any other exercise of remedies (including pursuant to any intercreditor agreement), at any time prior to the Discharge of each of the First-Lien Obligations, then it shall hold such Shared Collateral, proceeds or
payment in trust for the other First-Lien Secured Parties and promptly transfer such Shared Collateral, proceeds or payment, as the case may be, to the Controlling Collateral Agent, to be distributed in accordance with the provisions of
Section 2.01 hereof. 
 SECTION 2.04    Automatic Release of Liens; Amendments to First-Lien
Security Documents. 
 (a) If, at any time the Controlling Collateral Agent forecloses upon or otherwise exercises remedies
against any Shared Collateral resulting in a sale or disposition thereof, then (whether or not any Insolvency or Liquidation Proceeding is pending at the time) the Liens in favor of each other Collateral Agent for the benefit of each Series of
First-Lien Secured Parties upon such Shared Collateral will automatically be released and discharged as and when, but only to the extent, such Liens of the Controlling Collateral Agent on such Shared Collateral are released and discharged;
provided that any proceeds of any Shared Collateral realized therefrom shall be applied pursuant to Section 2.01. 

(b) Each Collateral Agent and Authorized Representative agrees to execute and deliver all such authorizations and other instruments as
shall reasonably be requested by the Controlling Collateral Agent to evidence and confirm any release of Shared Collateral provided for in this Section. 
 SECTION 2.05    Certain Agreements with Respect to Bankruptcy or Insolvency Proceedings. 
 (a) This Agreement shall continue in full force and effect notwithstanding the commencement of any proceeding under the Bankruptcy Code or any other Federal, state or foreign bankruptcy, insolvency,
receivership or similar law by or against the Borrower or any of its Subsidiaries. The parties hereto acknowledge that the provisions of this Agreement are intended to be enforceable as contemplated by Section 510(a) of the Bankruptcy Code.

 (b) If the Borrower and/or any other Grantor shall become subject to a case (a “Bankruptcy Case”) under the
Bankruptcy Code and shall, as debtor(s)-in-possession, move for approval of financing (“DIP Financing”) to be provided by one or more lenders (the “DIP Lenders”) under Section 364 of the Bankruptcy Code or any
equivalent provision of any other Bankruptcy Law or the use of cash collateral under Section 363 of the Bankruptcy Code or any equivalent provision of any other Bankruptcy Law, each First-Lien Secured Party (other than any Controlling Secured
Party or the Authorized Representative of any Controlling Secured Party) agrees that it will raise no objection to any such financing or to the Liens on the Shared Collateral secur-

  
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ing the same (“DIP Financing Liens”) or to any use of cash collateral that constitutes Shared Collateral, unless the Controlling Collateral Agent (in the case of the Notes
Collateral Agent, acting on the instructions of the Applicable Authorized Representative) shall then oppose or object to such DIP Financing or such DIP Financing Liens or use of cash collateral (and (i) to the extent that such DIP Financing
Liens are senior to the Liens on any such Shared Collateral for the benefit of the Controlling Secured Parties, each Non-Controlling Secured Party will subordinate its Liens with respect to such Shared Collateral on the same terms as the Liens of
the Controlling Secured Parties (other than any Liens of any First-Lien Secured Parties constituting DIP Financing Liens) are subordinated thereto, and (ii) to the extent that such DIP Financing Liens rank pari passu with the Liens on
any such Shared Collateral granted to secure the First-Lien Obligations of the Controlling Secured Parties, each Non-Controlling Secured Party will confirm the priorities with respect to such Shared Collateral as set forth herein), in each case so
long as (A) the First-Lien Secured Parties of each Series retain the benefit of their Liens on all such Shared Collateral pledged to the DIP Lenders, including proceeds thereof arising after the commencement of such proceeding, with the same
priority vis-à-vis all the other First-Lien Secured Parties (other than any Liens of the First-Lien Secured Parties constituting DIP Financing Liens) as existed prior to the commencement of the Bankruptcy Case, (B) the First-Lien Secured
Parties of each Series are granted Liens on any additional collateral pledged to any First-Lien Secured Parties as adequate protection or otherwise in connection with such DIP Financing or use of cash collateral, with the same priority
vis-à-vis the First-Lien Secured Parties as set forth in this Agreement, (C) if any amount of such DIP Financing or cash collateral is applied to repay any of the First-Lien Obligations, such amount is applied pursuant to
Section 2.01, and (D) if any First-Lien Secured Parties are granted adequate protection, including in the form of periodic payments, in connection with such DIP Financing or use of cash collateral, the proceeds of such adequate protection
are applied pursuant to Section 2.01; provided that this Agreement shall not limit the right of the First-Lien Secured Parties of each Series to object to the grant of a Lien to secure the DIP Financing over any Collateral subject to
Liens in favor of the First-Lien Secured Parties of such Series or its Authorized Representative that shall not constitute Shared Collateral; and provided, further, that the First-Lien Secured Parties receiving adequate protection
shall not object to any other First-Lien Secured Party receiving adequate protection comparable to any adequate protection granted to such First-Lien Secured Parties in connection with a DIP Financing or use of cash collateral. 

SECTION 2.06    Reinstatement. In the event that any of the First-Lien Obligations shall be paid in full and
such payment or any part thereof shall subsequently, for whatever reason (including an order or judgment for disgorgement of a preference under the Bankruptcy Code, or any similar law, or the settlement of any claim in respect thereof), be required
to be returned or repaid, the terms and conditions of this Article II shall be fully applicable thereto until all such First-Lien Obligations shall again have been paid in full in cash. 

SECTION 2.07    Insurance. As between the First-Lien Secured Parties, the Controlling Collateral Agent shall
have the right to adjust or settle any insurance policy or claim covering or constituting Shared Collateral in the event of any loss thereunder and to approve any award granted in any condemnation or similar proceeding affecting the Shared
Collateral. 

  
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 SECTION 2.08    Refinancings, etc. The First-Lien Obligations of
any Series may, subject to the limitations set forth in the then extant Secured Credit Documents, be increased, extended, renewed, replaced, restated, supplemented, restructured, repaid, refunded, Refinanced (in whole or in part) or otherwise
amended or modified from time to time, in each case, without notice to, or the consent (except to the extent a consent is otherwise required to permit the Refinancing transaction under any Secured Credit Document) of any First-Lien Secured Party of
any other Series, all without affecting the priorities provided for herein or the other provisions hereof; provided that the Authorized Representative of the holders of any such Refinancing indebtedness shall have executed a Joinder Agreement
on behalf of the holders of such Refinancing indebtedness. 
 SECTION 2.09    Possessory Collateral Agent
as Gratuitous Bailee for Perfection. 
 (a) The Possessory Collateral shall be delivered to the Credit Agreement Collateral
Agent and the Credit Agreement Collateral Agent agrees to hold any Shared Collateral constituting Possessory Collateral that is part of the Collateral in its possession or control (or in the possession or control of its agents or bailees) as
gratuitous bailee for the benefit of each other First-Lien Secured Party and any assignee solely for the purpose of perfecting the security interest granted in such Possessory Collateral, if any, pursuant to the applicable First-Lien Security
Documents, in each case, subject to the terms and conditions of this Section 2.09; provided that at any time the Credit Agreement Collateral Agent is not the Controlling Collateral Agent, the Credit Agreement Collateral Agent shall, at
the request of the Notes Collateral Agent, promptly deliver all Possessory Collateral to the Notes Collateral Agent together with any necessary endorsements (or otherwise allow the Notes Collateral Agent to obtain control of such Possessory
Collateral). The Borrower shall take such further action as is required to effectuate the transfer contemplated hereby and shall indemnify each Collateral Agent for loss or damage suffered by such Collateral Agent as a result of such transfer except
for loss or damage suffered by such Collateral Agent as a result of its own willful misconduct, gross negligence or bad faith. 

(b) The Controlling Collateral Agent agrees to hold any Shared Collateral constituting Possessory Collateral, from time to time in its
possession, as gratuitous bailee for the benefit of each other First-Lien Secured Party and any assignee, solely for the purpose of perfecting the security interest granted in such Possessory Collateral, if any, pursuant to the applicable First-Lien
Security Documents, in each case, subject to the terms and conditions of this Section 2.09. 
 (c) The duties or
responsibilities of each Collateral Agent under this Section 2.09 shall be limited solely to holding any Shared Collateral constituting Possessory Collateral as gratuitous bailee for the benefit of each other First-Lien Secured Party for
purposes of perfecting the Lien held by such First-Lien Secured Parties thereon. 
 SECTION
2.10    Amendments to Security Documents. 
 (a) Without the prior written consent of the Credit
Agreement Collateral Agent, each Additional First-Lien Secured Party agrees that no Additional First-Lien Security Document may be amended, supplemented or otherwise modified or entered into to the extent such amendment, supplement or modification,
or the terms of any new Additional First-Lien Security Document would be prohibited by, or would require any Grantor to act or refrain from acting in a manner that would violate, any of the terms of this Agreement. 

  
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 (b) Without the prior written consent of the Notes Collateral Agent, the Credit Agreement
Collateral Agent agrees that no Credit Agreement Security Document may be amended, supplemented or otherwise modified or entered into to the extent such amendment, supplement or modification, or the terms of any new Credit Agreement Security
Document would be prohibited by, or would require any Grantor to act or refrain from acting in a manner that would violate, any of the terms of this Agreement. 
 (c) In making determinations required by this Section 2.10, each Collateral Agent may conclusively rely on a certificate of an Authorized Officer of the Borrower. 

ARTICLE III 

Existence and Amounts of Liens and Obligations 
 SECTION 3.01    Determinations with Respect to Amounts of Liens and Obligations. Whenever a Collateral Agent or any Authorized Representative shall be required, in connection
with the exercise of its rights or the performance of its obligations hereunder, to determine the existence or amount of any First-Lien Obligations of any Series, or the Shared Collateral subject to any Lien securing the First-Lien Obligations of
any Series, it may request that such information be furnished to it in writing by each other Authorized Representative or Collateral Agent and shall be entitled to make such determination or not make any determination on the basis of the information
so furnished; provided, however, that if an Authorized Representative or a Collateral Agent shall fail or refuse reasonably promptly to provide the requested information, the requesting Collateral Agent or Authorized Representative
shall be entitled to make any such determination by such method as it may, in the exercise of its good faith judgment, determine, including by reliance upon a certificate of the Borrower. Each Collateral Agent and each Authorized Representative may
rely conclusively, and shall be fully protected in so relying, on any determination made by it in accordance with the provisions of the preceding sentence (or as otherwise directed by a court of competent jurisdiction) and shall have no liability to
any Grantor, any First-Lien Secured Party or any other person as a result of such determination. 
 ARTICLE IV 

The Controlling Collateral Agent 
 ARTICLE 4.01    Authority. 
 (a) Notwithstanding any
other provision of this Agreement, nothing herein shall be construed to impose any fiduciary or other duty on any Controlling Collateral Agent to any Non-Controlling Secured Party or give any Non-Controlling Secured Party the right to direct any
Controlling Collateral Agent, except that each Controlling Collateral Agent shall be obligated to distribute proceeds of any Shared Collateral in accordance with Section 2.01 hereof. 

  
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 (b) In furtherance of the foregoing, each Non-Controlling Secured Party acknowledges and
agrees that the Controlling Collateral Agent shall be entitled, for the benefit of the First-Lien Secured Parties, to sell, transfer or otherwise dispose of or deal with any Shared Collateral as provided herein and in the First-Lien Security
Documents, as applicable, pursuant to which the Controlling Collateral Agent is the collateral agent for such Shared Collateral, without regard to any rights to which the Non-Controlling Secured Parties would otherwise be entitled as a result of the
First-Lien Obligations held by such Non-Controlling Secured Parties. Without limiting the foregoing, each Non-Controlling Secured Party agrees that none of the Controlling Collateral Agent, the Applicable Authorized Representative or any other
First-Lien Secured Party shall have any duty or obligation first to marshal or realize upon any type of Shared Collateral (or any other Collateral securing any of the First-Lien Obligations), or to sell, dispose of or otherwise liquidate all or any
portion of such Shared Collateral (or any other Collateral securing any First-Lien Obligations), in any manner that would maximize the return to the Non-Controlling Secured Parties, notwithstanding that the order and timing of any such realization,
sale, disposition or liquidation may affect the amount of proceeds actually received by the Non-Controlling Secured Parties from such realization, sale, disposition or liquidation. Except with respect to any actions expressly prohibited or required
to be taken by this Agreement, each of the First-Lien Secured Parties waives any claim it may now or hereafter have against any Collateral Agent or the Authorized Representative of any other Series of First-Lien Obligations or any other First-Lien
Secured Party of any other Series arising out of (i) any actions which any Collateral Agent, Authorized Representative or the First-Lien Secured Parties take or omit to take (including, actions with respect to the creation, perfection or
continuation of Liens on any Collateral, actions with respect to the foreclosure upon, sale, release or depreciation of, or failure to realize upon, any of the Collateral and actions with respect to the collection of any claim for all or any part of
the First-Lien Obligations from any account debtor, guarantor or any other party) in accordance with the First-Lien Security Documents or any other agreement related thereto or to the collection of the First-Lien Obligations or the valuation, use,
protection or release of any security for the First-Lien Obligations, (ii) any election by any Applicable Authorized Representative or any holders of First-Lien Obligations, in any proceeding instituted under the Bankruptcy Code, of the
application of Section 1111(b) of the Bankruptcy Code or (iii) subject to Section 2.05, any borrowing by, or grant of a security interest or administrative expense priority under Section 364 of the Bankruptcy Code or any
equivalent provision of any other Bankruptcy Law, by the Borrower or any of its Subsidiaries, as debtor-in-possession. Notwithstanding any other provision of this Agreement, the Controlling Collateral Agent shall not accept any Shared Collateral in
full or partial satisfaction of any First-Lien Obligations pursuant to Section 9-620 of the Uniform Commercial Code of any jurisdiction, without the consent of each Authorized Representative representing holders of First-Lien Obligations for
whom such Collateral constitutes Shared Collateral. 
 ARTICLE V 

Miscellaneous 
 SECTION 5.01    Notices. All notices and other communications provided for herein shall be in writing and shall be delivered by hand or overnight courier service, mailed by
certified or registered mail or sent by telecopy, as follows: 

  
 -16-









 (a) if to the Credit Agreement Collateral Agent, to it at
[                                ], Attention of
[            ] (Fax No. [            ]); 
 (b) if to the Initial Additional Authorized Representative, to it at [            ], Attention of
[            ] (Fax No. [            ]); 
 (c) if to any other Additional Authorized Representative, to it at the address set forth in the applicable Joinder Agreement. 
 Unless otherwise specifically provided herein, any notice or other communication herein required or permitted to be given shall be in writing and, may be personally served, telecopied, electronically
mailed or sent by courier service or U.S. mail and shall be deemed to have been given when delivered in person or by courier service, upon receipt of a telecopy or electronic mail or upon receipt via U.S. mail (registered or certified, with postage
prepaid and properly addressed). For the purposes hereof, the addresses of the parties hereto shall be as set forth above or, as to each party, at such other address as may be designated by such party in a written notice to all of the other parties.

 SECTION 5.02    Waivers; Amendment; Joinder Agreements. 

(a) No failure or delay on the part of any party hereto in exercising any right or power hereunder shall operate as a waiver thereof, nor
shall any single or partial exercise of any such right or power, or any abandonment or discontinuance of steps to enforce such a right or power, preclude any other or further exercise thereof or the exercise of any other right or power. The rights
and remedies of the parties hereto are cumulative and are not exclusive of any rights or remedies that they would otherwise have. No waiver of any provision of this Agreement or consent to any departure by any party therefrom shall in any event be
effective unless the same shall be permitted by Section 5.02(b), and then such waiver or consent shall be effective only in the specific instance and for the purpose for which given. No notice or demand on any party hereto in any case shall
entitle such party to any other or further notice or demand in similar or other circumstances. 
 (b) Neither this Agreement nor
any provision hereof may be terminated, waived, amended or modified (other than pursuant to any Joinder Agreement) except pursuant to an agreement or agreements in writing entered into by each Authorized Representative and each Collateral Agent (and
with respect to any such termination, waiver, amendment or modification which by the terms of this Agreement requires the Borrower’s consent or which increases the obligations or reduces the rights of or otherwise materially adversely affects
the Borrower or any other Grantor, with the consent of the Borrower). 
 (c) Notwithstanding the foregoing, without the consent
of any First-Lien Secured Party (and with respect to any termination, waiver, amendment or modification which by the terms of this Agreement requires the Borrower’s consent or which increases the obligations or reduces the rights of or
otherwise materially adversely affects the Borrower or any other Grantor, with the consent of the Borrower), any Authorized Representative may become a party hereto by execution and delivery of a Joinder Agreement in accordance with
Section 5.13 and upon such execution and delivery, such Authorized Representative and the Additional First-Lien Secured Parties and Additional First-Lien Obligations of the Series for which such Authorized Representative is acting shall be
subject to the terms hereof. 

  
 -17-









 (d) Notwithstanding the foregoing, in connection with any Refinancing of First-Lien
Obligations of any Series, or the incurrence of Additional First-Lien Obligations of any Series, the Collateral Agents and the Authorized Representatives then party hereto shall enter (and are hereby authorized to enter without the consent of any
other First-Lien Secured Party or any Loan Party), at the request of any Collateral Agent, any Authorized Representative or the Borrower, into such amendments or modifications of this Agreement as are reasonably necessary to reflect such Refinancing
or such incurrence and are reasonably satisfactory to each such Collateral Agent and each such Authorized Representative, provided that any Collateral Agent or Authorized Representative may condition its execution and delivery of any such
amendment or modification on a receipt of a certificate from an Authorized Officer of the Borrower to the effect that such Refinancing or incurrence is permitted by the then existing Secured Credit Documents. 

SECTION 5.03    Parties in Interest. This Agreement shall be binding upon and inure to the benefit of the
parties hereto and their respective successors and assigns, as well as the other First-Lien Secured Parties, all of whom are intended to be bound by, and to be third party beneficiaries of, this Agreement. 

SECTION 5.04    Survival of Agreement. All covenants, agreements, representations and warranties made by any
party in this Agreement shall be considered to have been relied upon by the other parties hereto and shall survive the execution and delivery of this Agreement. 
 SECTION 5.05    Counterparts. This Agreement may be executed by one or more of the parties to this Agreement on any number of separate counterparts, and all of said counterparts
taken together shall be deemed to constitute one and the same instrument. Delivery of an executed signature page of this Agreement by facsimile or other electronic transmission shall be effective as delivery of a manually executed counterpart
hereof. 
 SECTION 5.06    Severability. Any provision of this Agreement that is prohibited or
unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof, and any such prohibition or unenforceability in any
jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. The parties shall endeavor in good faith negotiations to replace the invalid, illegal or unenforceable provisions with valid provisions the economic
effect of which comes as close as possible to that of the invalid, illegal or unenforceable provisions. 
 SECTION
5.07    GOVERNING LAW. THIS AGREEMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES UNDER THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

SECTION 5.08    Submission to Jurisdiction Waivers; Consent to Service of Process. Each Collateral Agent and
each Authorized Representative, on behalf of itself and the First-Lien Secured Parties of the Series for whom it is acting, irrevocably and unconditionally: 

  
 -18-









 (a) submits for itself and its property in any legal action or proceeding
relating to this Agreement and the First-Lien Security Documents, or for recognition and enforcement of any judgment in respect thereof, to the exclusive jurisdiction of the courts the State of New York located in the Borough of Manhattan, the
courts of the United States for the Southern District of New York, and appellate courts from any thereof; 

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

(c) agrees that service of process in any such action or proceeding may be effected by mailing a copy thereof by
registered or certified mail (or any substantially similar form of mail), postage prepaid, to such Person (or its Authorized Representative) at the address set forth in Section 5.01; 

(d) agrees that nothing herein shall affect the right of any other party hereto (or any First-Lien Secured Party) to
effect service of process in any other manner permitted by law; and 
 (e) waives, to the maximum extent not
prohibited by law, any right it may have to claim or recover in any legal action or proceeding referred to in this Section 5.08 any special, exemplary, punitive or consequential damages. 

SECTION 5.09    WAIVER OF JURY TRIAL. EACH PARTY HERETO HEREBY IRREVOCABLY AND UNCONDITIONALLY WAIVES TRIAL BY
JURY IN ANY LEGAL ACTION OR PROCEEDING RELATING TO THIS AGREEMENT OR FOR ANY COUNTERCLAIM THEREIN. 
 SECTION
5.10    Headings. Article, Section and Annex headings used herein are for convenience of reference only, are not part of this Agreement and are not to affect the construction of, or to be taken into consideration in
interpreting, this Agreement. 
 SECTION 5.11    Conflicts. In the event of any conflict or
inconsistency between the provisions of this Agreement and the provisions of any of the First-Lien Security Documents or any of the other Secured Credit Documents, the provisions of this Agreement shall control. 

SECTION 5.12    Provisions Solely to Define Relative Rights. The provisions of this Agreement are and are
intended solely for the purpose of defining the relative rights of the First-Lien Secured Parties in relation to one another. None of the Borrower, any other Grantor or any other creditor thereof shall have any rights or obligations hereunder,
except as expressly provided in this Agreement (provided that nothing in this Agreement (other than Section 2.04, 2.05, 2.08, 2.09 or Article V) is intended to or will amend, waive or otherwise modify the provisions of the Credit
Agreement or any Additional First-Lien Documents), and none of the Borrower or any other Grantor may rely on the terms hereof (other than Sections 2.04, 2.05, 2.08, 2.09 and Article V). Nothing in this Agreement is intended to or shall impair the
obligations of any Grantor, which are absolute and unconditional, to pay the First-Lien Obligations as and when the same shall become due and payable in accordance with their terms. 

  
 -19-









 SECTION 5.13    Additional Senior Debt. To the extent, but only
to the extent permitted by the provisions of the then extant Secured Credit Documents, the Borrower may incur additional indebtedness after the date hereof that is secured on an equal and ratable basis by the Liens securing the First-Lien
Obligations (such indebtedness referred to as “Additional Senior Class Debt”). Any such Additional Senior Class Debt may be secured by a Lien and may be Guaranteed by the Grantors on a senior basis, in each case under and pursuant
to the Additional First-Lien Documents, if and subject to the condition that the Authorized Representative of any such Additional Senior Class Debt (each, an “Additional Senior Class Debt Representative”), acting on behalf of the
holders of such Additional Senior Class Debt (such Authorized Representative and holders in respect of any Additional Senior Class Debt being referred to as the “Additional Senior Class Debt Parties”), becomes a party to this
Agreement as an Authorized Representative by satisfying the conditions set forth in clauses (i) through (iv) of the immediately succeeding paragraph. 
 In order for an Additional Senior Class Debt Representative to become a party to this Agreement as an Authorized Representative, 

(i) such Additional Senior Class Debt Representative, each Collateral Agent, each Authorized Representative and each
Grantor shall have executed and delivered a Joinder Agreement (with such changes as may be reasonably approved by the Collateral Agents and Additional Senior Class Debt Representative) pursuant to which such Additional Senior Class Debt
Representative becomes an Authorized Representative hereunder, and the Additional Senior Class Debt in respect of which such Additional Senior Class Debt Representative is the Authorized Representative constitutes Additional First-Lien Obligations
and the related Additional Senior Class Debt Parties become subject hereto and bound hereby as Additional First-Lien Secured Parties; 
 (ii) the Borrower shall have (x) delivered to each Collateral Agent true and complete copies of each of the Additional First-Lien Documents relating to such Additional Senior Class Debt, certified as
being true and correct by an authorized officer of the Borrower and (y) identified in a certificate of an authorized officer the obligations to be designated as Additional First-Lien Obligations and the initial aggregate principal amount or
face amount thereof and certified that such obligations are permitted to be incurred and secured on a pari passu basis with the then extant First-Lien Obligations and by the terms of the then extant Secured Credit Documents; 

(iii) all filings, recordations and/or amendments or supplements to the First-Lien Security Documents necessary or
desirable in the reasonable judgment of the Controlling Collateral Agent to confirm and perfect the Liens securing the relevant obligations relating to such Additional Senior Class Debt shall have been made, executed and/or delivered (or, with
respect to any such filings or recordations, acceptable provisions to perform such filings or recordations shall have been taken in the reasonable judgment of the Controlling Collateral Agent), and all fees and taxes in connection therewith shall
have been paid (or acceptable provisions to make such payments have been taken in the reasonable judgment of the Controlling Collateral Agent); and 

  
 -20-









 (iv) the Additional First-Lien Documents, as applicable, relating to such
Additional Senior Class Debt shall provide, in a manner reasonably satisfactory to each Collateral Agent, that each Additional Senior Class Debt Party with respect to such Additional Senior Class Debt will be subject to and bound by the provisions
of this Agreement in its capacity as a holder of such Additional Senior Class Debt. 
 Each Authorized Representative
acknowledges and agrees that upon execution and delivery of a Joinder Agreement substantially in the form of Annex II by an Additional Senior Class Debt Representative and each Grantor in accordance with this Section 5.13, the Notes Collateral
Agent will continue to act in its capacity as Notes Collateral Agent in respect of the then existing Authorized Representatives (other than the Administrative Agent) and such additional Authorized Representative. 

SECTION 5.14    Agent Capacities. Except as expressly provided herein or in the Credit Agreement Security
Documents, JPMorgan Chase Bank, N.A. is acting in the capacities of Administrative Agent and Credit Agreement Collateral Agent solely for the Credit Agreement Secured Parties. Except as expressly provided herein or in the Additional First-Lien
Security Documents, [            ] is acting in the capacity of Notes Collateral Agent solely for the Additional First-Lien Secured Parties. Except as expressly set forth herein, none of
the Administrative Agent, the Credit Agreement Collateral Agent or the Notes Collateral Agent shall have any duties or obligations in respect of any of the Collateral, all of such duties and obligations, if any, being subject to and governed by the
applicable Secured Credit Documents. 
 SECTION 5.15    Integration. This Agreement together with the
other Secured Credit Documents and the First-Lien Security Documents represents the agreement of each of the Grantors and the First-Lien Secured Parties with respect to the subject matter hereof and there are no promises, undertakings,
representations or warranties by any Grantor, the Credit Agreement Collateral Agent, or any other First-Lien Secured Party relative to the subject matter hereof not expressly set forth or referred to herein or in the other Secured Credit Documents.

 SECTION 5.16    Additional Grantors. The Borrower agrees that, if any Subsidiary shall become a
Grantor after the date hereof, it will cause such Subsidiary to within 15 Business Days following the end of the Fiscal Quarter in which such Person becomes a Subsidiary become party hereto by executing and delivering an instrument in the form of
Annex III. Upon such execution and delivery, such Subsidiary will become a Grantor hereunder with the same force and effect as if originally named as a Grantor herein. The execution and delivery of such instrument shall not require the consent of
any other party hereunder, and will be acknowledged by the Administrative Agent, the Initial Additional Authorized Representative and each additional Authorized Representative. The rights and obligations of each Grantor hereunder shall remain in
full force and effect notwithstanding the addition of any new Grantor as a party to this Agreement. 
 SECTION
5.17    Administrative Agent and Representative. It is understood and agreed that (a) the Administrative Agent is entering into this Agreement in its capacity as administrative agent and collateral agent under the Credit
Agreement and the provisions of Section 9 of 

  
 -21-









 
the Credit Agreement applicable to the Agents (as defined therein) thereunder shall also apply to the Administrative Agent hereunder and (b) [    ] is entering into this
Agreement in its capacity as [Trustee] under [indenture] and the provisions of Article [    ] of such indenture applicable to the Trustee thereunder shall also apply to the Trustee hereunder. 

  
 -22-









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

			
	 JPMORGAN CHASE BANK, N.A.,
 as Credit Agreement Collateral Agent

		
	By:	 	 
		 	 Name:

Title:



  

			
	 JPMORGAN CHASE BANK, N.A.,
 as Authorized Representative for the Credit Agreement Secured Parties

		
	By:	 	 
		 	 Name:

Title:



  

			
	 [            ],

as Notes Collateral Agent and as Initial Additional Authorized Representative

		
	By:	 	 
		 	 Name:

Title:




  
 S-1









 
			
	DAVITA INC.
		
	By:	 	 
		 	 Name:

Title:



  

			
	[GRANTORS]
		
	By:	 	 
		 	 Name:

Title:




  
 S-2









 ANNEX I 
 Grantors 
 Schedule 1 

 

  
 ANNEX I-1









 ANNEX II 

[FORM OF] JOINDER NO. [            ] dated as of
[            ], 201[            ] to the FIRST-LIEN INTERCREDITOR AGREEMENT dated as of [__],
201[            ] (the “First-Lien Intercreditor Agreement”), among DAVITA INC., a Delaware corporation (the “Borrower”), and certain subsidiaries and
affiliates of the Borrower (each, a “Grantor”), JPMORGAN CHASE BANK, N.A., as Credit Agreement Collateral Agent for the Credit Agreement Secured Parties under the First-Lien Security Documents (in such capacity, the “Credit
Agreement Collateral Agent”), JPMORGAN CHASE BANK, N.A., as Authorized Representative for the Credit Agreement Secured Parties, [            ] as Initial Additional Authorized
Representative, and the additional Authorized Representatives from time to time a party thereto.1 
 A. Capitalized terms used herein but not otherwise defined herein shall have
the meanings assigned to such terms in the First-Lien Intercreditor Agreement. 
 B. As a condition to the ability of the
Borrower to incur Additional First-Lien Obligations and to secure such Additional Senior Class Debt with the liens and security interests created by the Additional First-Lien Security Documents relating thereto, the Additional Senior Class Debt
Representative in respect of such Additional Senior Class Debt is required to become an Authorized Representative, and such Additional Senior Class Debt and the Additional Senior Class Debt Parties in respect thereof are required to become subject
to and bound by, the First-Lien Intercreditor Agreement. Section 5.13 of the First-Lien Intercreditor Agreement provides that such Additional Senior Class Debt Representative may become an Authorized Representative, and such Additional Senior
Class Debt and such Additional Senior Class Debt Parties may become subject to and bound by the First-Lien Intercreditor Agreement as Additional First-Lien Obligations and Additional First-Lien Secured Parties, respectively, upon the execution and
delivery by the Senior Debt Class Representative of an instrument in the form of this Joinder Agreement and the satisfaction of the other conditions set forth in Section 5.13 of the First-Lien Intercreditor Agreement. The undersigned Additional
Senior Class Debt Representative (the “New Representative”) is executing this Joinder Agreement in accordance with the requirements of the First-Lien Intercreditor Agreement and the First-Lien Security Documents. 

Accordingly, each Collateral Agent, each Authorized Representative and the New Representative agree as follows: 

SECTION 1.    In accordance with Section 5.13 of the First-Lien Intercreditor Agreement, the New Representative
by its signature below becomes an Authorized Representative under, and the related Additional Senior Class Debt and Additional Senior Class Debt Parties become subject to and bound by, the First-Lien Intercreditor Agreement as Additional First-Lien
Obligations 
  
  

	1 	 In the event of the Refinancing of the Credit Agreement Obligations, revise to reflect joinder by a new Credit Agreement Collateral Agent




  
 ANNEX II-1









 
and Additional First-Lien Secured Parties, with the same force and effect as if the New Representative had originally been named therein as an Authorized Representative and the New
Representative, on its behalf and on behalf of such Additional Senior Class Debt Parties, hereby agrees to all the terms and provisions of the First-Lien Intercreditor Agreement applicable to it as Authorized Representative and to the Additional
Senior Class Debt Parties that it represents as Additional First-Lien Secured Parties. Each reference to an “Authorized Representative” in the First-Lien Intercreditor Agreement shall be deemed to include the New Representative. The
First-Lien Intercreditor Agreement is hereby incorporated herein by reference. 
 SECTION 2.    The New
Representative represents and warrants to each Collateral Agent, each Authorized Representative and the other First-Lien Secured Parties, individually, that (i) it has full power and authority to enter into this Joinder, in its capacity as
[trustee/administrative agent and] collateral agent, (ii) this Joinder has been duly authorized, executed and delivered by it and constitutes its legal, valid and binding obligation, enforceable against it in accordance with its terms, except
as enforceability may be limited by applicable bankruptcy, insolvency or similar laws affecting the enforcement of creditors’ rights generally or by equitable principles relating to enforceability and (iii) the Additional First-Lien
Documents relating to such Additional Senior Class Debt provide that, upon the New Representative’s entry into this Agreement, the Additional Senior Class Debt Parties in respect of such Additional Senior Class Debt will be subject to and bound
by the provisions of the First-Lien Intercreditor Agreement as Additional First-Lien Secured Parties. 
 SECTION
3.    This Joinder may be executed in counterparts, each of which shall constitute an original, but all of which when taken together shall constitute a single contract. This Joinder shall become effective when each Collateral
Agent shall have received a counterpart of this Joinder that bears the signatures of the New Representative. Delivery of an executed signature page to this Joinder by facsimile transmission shall be effective as delivery of a manually signed
counterpart of this Joinder. 
 SECTION 4.    Except as expressly supplemented hereby, the First-Lien
Intercreditor Agreement shall remain in full force and effect. 
 SECTION 5.    THIS JOINDER AND THE RIGHTS
AND OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 
 SECTION 6.    In case any one or more of the provisions contained in this Joinder should be held invalid, illegal or unenforceable in any respect, no party hereto shall be required to
comply with such provision for so long as such provision is held to be invalid, illegal or unenforceable, but the validity, legality and enforceability of the remaining provisions contained herein and in the First-Lien Intercreditor Agreement shall
not in any way be affected or impaired. The parties hereto shall endeavor in good-faith negotiations to replace the invalid, illegal or unenforceable provisions with valid provisions the economic effect of which comes as close as possible to that of
the invalid, illegal or unenforceable provisions. 
 SECTION 7.    All communications and notices hereunder
shall be in writing and given as provided in Section 5.01 of the First-Lien Intercreditor Agreement. All communications and notices hereunder to the New Representative shall be given to it at its address set forth below its signature hereto.


  
 ANNEX II-2









 SECTION 8.    The Borrower agrees to reimburse each Collateral Agent and
each Authorized Representative for its reasonable out-of-pocket expenses in connection with this Joinder, including the reasonable fees, other charges and disbursements of counsel, in each case as required by the applicable Secured Credit Documents.


  
 ANNEX II-3









 IN WITNESS WHEREOF, the New Representative has duly executed this Joinder to the First-Lien
Intercreditor Agreement as of the day and year first above written. 
  

			
	 [NAME OF NEW REPRESENTATIVE], as
 [            ] and as collateral agent for the holders of
 [                        ],

		
	By:	 	 
		 	 Name:

Title:



  

			
	Address for notices:
	
	 
	
	 
	attention
of:                                        
                        
	Telecopy:                          
                                         
 
	


  
  

  
 ANNEX II-4










			
	 Acknowledged by:
  

JPMORGAN CHASE BANK, N.A.,
 as the Credit
Agreement Collateral Agent and Authorized Representative,

		
	By:	 	 
		 	 Name:

Title:


  

			
	
[                         
   ],
 as the Initial Additional Authorized Representative [and the Notes Collateral Agent],

		
	By:	 	 
		 	 Name:

Title:


  

			
	[OTHER AUTHORIZED REPRESENTATIVES]
	
	 DAVITA INC.,
 as
Borrower

		
	By:	 	 
		 	 Name:

Title:


  

			
	 THE OTHER GRANTORS

LISTED ON SCHEDULE I HERETO,

		
	By:	 	 
		 	 Name:

Title:



  
 ANNEX II-5









 Schedule I to the 
 Supplement to the 
 First-Lien Intercreditor Agreement 

Grantors 

[            ] 
  

  
 Schedule I-1









 ANNEX III 

SUPPLEMENT NO. [            ] dated as of
[                    ], 201[  ], to the FIRST LIEN INTERCREDITOR AGREEMENT dated as of
[            ], 201[  ] (the “First Lien Intercreditor Agreement”), among DAVITA INC., a Delaware corporation (the “Borrower”), certain
subsidiaries and affiliates of the Parent Borrower (each a “Grantor”), JPMorgan Chase Bank, N.A., as Administrative Agent under the Credit Agreement, [            ], as
Initial Additional Authorized Representative, and the additional Authorized Representatives from time to time party thereto. 

A.    Capitalized terms used herein and not otherwise defined herein shall have the meanings assigned to such terms
in the First Lien Intercreditor Agreement. 
 B.    The Grantors have entered into the First Lien
Intercreditor Agreement. Pursuant to the Credit Agreement and certain Additional First-Lien Documents, certain newly acquired or organized Subsidiaries of the Borrower are required to enter into the First Lien Intercreditor Agreement.
Section 5.16 of the First Lien Intercreditor Agreement provides that such Subsidiaries may become party to the First Lien Intercreditor Agreement by execution and delivery of an instrument in the form of this Supplement. The undersigned
Subsidiary (the “New Grantor”) is executing this Supplement in accordance with the requirements of the Credit Agreement and the Additional First-Lien Documents. 

Accordingly, each Authorized Representative and the New Subsidiary Grantor agree as follows: 

SECTION 1.    In accordance with Section 5.16 of the First Lien Intercreditor Agreement, the New Grantor by its
signature below becomes a Grantor under the First Lien Intercreditor Agreement with the same force and effect as if originally named therein as a Grantor, and the New Grantor hereby agrees to all the terms and provisions of the First Lien
Intercreditor Agreement applicable to it as a Grantor thereunder. Each reference to a “Grantor” in the First Lien Intercreditor Agreement shall be deemed to include the New Grantor. The First Lien Intercreditor Agreement is hereby
incorporated herein by reference. 
 SECTION 2.    The New Grantor represents and warrants to each
Authorized Representative and the other Secured Parties that this Supplement has been duly authorized, executed and delivered by it and constitutes its legal, valid and binding obligation, enforceable against it in accordance with its terms, except
as such enforceability may be limited by Bankruptcy Law and by general principles of equity. 
 SECTION
3.    This Supplement may be executed in counterparts, each of which shall constitute an original, but all of which when taken together shall constitute a single contract. This Supplement shall become effective when each
Authorized Representative shall have received a counterpart of this Supplement that bears the signature of the New Grantor. Delivery of an executed signature page to this Supplement by facsimile transmission or other electronic method shall be as
effective as delivery of a manually signed counterpart of this Supplement. 

  
 ANNEX III-1









 SECTION 4.    Except as expressly supplemented hereby, the First Lien
Intercreditor Agreement shall remain in full force and effect. 
 SECTION 5.    THIS SUPPLEMENT SHALL BE
GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK. 
 SECTION 6.    In
case any one or more of the provisions contained in this Supplement should be held invalid, illegal or unenforceable in any respect, no party hereto shall be required to comply with such provision for so long as such provision is held to be invalid,
illegal or unenforceable, but the validity, legality and enforceability of the remaining provisions contained herein and in the First Lien Intercreditor Agreement shall not in any way be affected or impaired. The parties hereto shall endeavor in
good-faith negotiations to replace the invalid, illegal or unenforceable provisions with valid provisions the economic effect of which comes as close as possible to that of the invalid, illegal or unenforceable provisions. 

SECTION 7.    All communications and notices hereunder shall be in writing and given as provided in Section 5.01
of the First Lien Intercreditor Agreement. All communications and notices hereunder to the New Grantor shall be given to it in care of the Borrower as specified in the First Lien Intercreditor Agreement. 

SECTION 8.    The Borrower agrees to reimburse each Authorized Representative for its reasonable out-of-pocket
expenses in connection with this Supplement, including the reasonable fees, other charges and disbursements of counsel for each Authorized Representative as required by the applicable Secured Credit Documents. 

  
 ANNEX III-2









 IN WITNESS WHEREOF, the New Grantor, and each Authorized Representative have duly executed
this Supplement to the First Lien Intercreditor Agreement as of the day and year first above written. 
  

			
	[NAME OF NEW SUBSIDIARY GRANTOR]
		
	By:	 	 
		 	 Name:

Title:



  

			
	Acknowledged by:
	
	 JPMORGAN CHASE BANK, N.A.,
 as the Credit Agreement Collateral Agent and Authorized Representative,

		
	By:	 	 
		 	 Name:

Title:


  

			
	 [            ],

as the Initial Additional Authorized Representative [and the Notes Collateral Agent and],

		
	By:	 	 
		 	 Name:

Title:


 [OTHER AUTHORIZED REPRESENTATIVES] 

  
 ANNEX III-3