USPI HOLDINGS, INC.,




---



##### 



PageARTICLE IDEFINITIONSSection 1.01. Credit Agreement
    
    
    1Section 1.02. Other Defined Terms
    
    
    1ARTICLE IIGUARANTEESection 2.01. Guarantee
    
    
    5Section 2.02. Guarantee of Payment
    
    
    5Section 2.03. No Limitations
    
    
    5Section 2.04. Reinstatement
    
    
    6Section 2.05. Agreement To Pay; Subrogation
    
    
    6Section 2.06. Information
    
    
    7Section 2.07. Remedies
    
    
    7Section 2.08. Instrument for the Payment of Money
    
    
    7Section 2.09. Continuing Guarantee
    
    
    7Section 2.10. General Limitation on Guarantee
    
    
    7ARTICLE IIIPLEDGE OF SECURITIESSection 3.01. Pledge
    
    
    7Section 3.02. Delivery of the Pledged Collateral
    
    
    8Section 3.03. Representations, Warranties and Covenants
    
    
    9Section 3.04. Certification of Limited Liability Company and Limited
Partnership Interests
    
    
    10Section 3.05. Registration in Nominee Name; Denominations
    
    
    10Section 3.06. Voting Rights; Dividends and Interest
    
    
    11ARTICLE IVSECURITY INTERESTS IN PERSONAL PROPERTYSection 4.01. Security Interest
    
    
    13Section 4.02. Representations and Warranties
    
    
    14Section 4.03. Covenants
    
    
    16
 -i-




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##### 



PageSection 4.04. Other Actions
    
    
    20Section 4.05. Covenants Regarding Patent, Trademark and Copyright Collateral
    
    
    20ARTICLE VREMEDIESSection 5.01. Remedies upon Default
    
    
    22Section 5.02. Application of Proceeds
    
    
    24Section 5.03. Grant of License To Use Intellectual Property
    
    
    25Section 5.04. Securities Act
    
    
    25Section 5.05. Medicare/Medicaid
    
    
    26ARTICLE VIINDEMNITY, SUBROGATION AND SUBORDINATIONSection 6.01. Indemnity and Subrogation
    
    
    26Section 6.02. Contribution and Subrogation
    
    
    26Section 6.03. Subordination
    
    
    26ARTICLE VIIMISCELLANEOUSSection 7.01. Notices
    
    
    27Section 7.02. Waivers; Amendment
    
    
    27Section 7.03. Collateral Agents Fees and Expenses; Indemnification
    
    
    27Section 7.04. Successors and Assigns
    
    
    28Section 7.05. Survival of Agreement
    
    
    28Section 7.06. Counterparts; Effectiveness; Several Agreement
    
    
    28Section 7.07. Severability
    
    
    29Section 7.08. Right of Set-Off
    
    
    29Section 7.09. Governing Law; Jurisdiction; Consent to Service of Process
    
    
    29Section 7.10. WAIVER OF JURY TRIAL
    
    
    30Section 7.11. Headings
    
    
    30Section 7.12. Security Interest Absolute
    
    
    30Section 7.13. Termination or Release
    
    
    31Section 7.14. Additional Subsidiaries
    
    
    31Section 7.15. Collateral Agent Appointed Attorney-in-Fact
    
    
    32Section 7.16. Further Assurances
    
    
    32
 -ii-




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##### 



Schedules
 Schedule I
    
    Subsidiary Loan PartiesSchedule II
    
    Pledged Stock; Debt SecuritiesSchedule III
    
    Intellectual PropertySchedule IV
    
    Commercial Tort Claims
 Exhibits
 Exhibit I
    
    Form of Supplement
 -iii-




---



##### 



Agreement
 Credit Agreement Borrower
   Credit Agreement
  Other Defined Terms
 Account Debtor
 Article 9 Collateral
 Claiming Party
 Collateral
 Contributing Party




---



##### 



Copyright License
 Copyrights
 Credit Agreement
 Federal Securities Laws
 General Intangibles
 Grantors
 Guarantors
 Instrument
 Intellectual Property
 Investment Property
 LC Account Section 2.05(j)
 License
 -2-




---



##### 



Loan Document Obligations
 Medicare et seq
 Medicaid et seq
 New York UCC
 Obligations
 Patent License
 -3-




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##### 



Patents
 Pledged Collateral
 Pledged Debt Securities
 Pledged Securities
 Pledged Stock
 Proceeds
 Secured Parties
 Security Interest
 Subsidiary Loan Parties
 Trademark License
 Trademarks
 -4-




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##### 



Treasury Services Agreement
   Guarantee
 Guarantee of Payment
 No Limitations
 -5-




---



##### 



Reinstatement
 Agreement To Pay; Subrogation
 -6-




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##### 



Information
 Remedies
 Instrument for the Payment of Money Article II
 Continuing Guarantee Article II
 General Limitation on Guarantee
   Pledge
 -7-




---



##### 



Pledged
Stock provided Pledged Debt Securities Pledged
Collateral
 subject however
 Delivery of the Pledged Collateral
  -8-




---



##### 



provided
 Representations, Warranties and Covenants
   provided
  -9-




---



##### 



Certification of Limited Liability Company and Limited Partnership Interests
 provided however
 Registration in Nominee Name; Denominations
 -10-




---



##### 



Voting Rights; Dividends and Interest
 provided
  provided
 -11-




---



##### 



provided
  -12-




---



##### 



Security Interest Security
Interest Article 9 Collateral
               -13-




---



##### 



Representations and Warranties
 -14-




---



##### 



-15-




---



##### 



Covenants
  -16-




---



##### 



-17-




---



##### 



provided
    -18-




---



##### 



provided
    -19-




---



##### 



Other Actions
 Instruments and Tangible Chattel Paper
 Electronic Chattel Paper and Transferable Records
 Covenants Regarding Patent, Trademark and Copyright Collateral
  -20-




---



##### 



-21-




---



##### 



Remedies upon Default
 -22-




---



##### 



-23-




---



##### 



Application of Proceeds
 First
 Second
 Third pro rata
 Fourth pro rata
 Fifth
  -24-




---



##### 



Grant of License To Use Intellectual Property provided
 Securities Act Federal Securities Laws
 -25-




---



##### 



Medicare/Medicaid
   Indemnity and Subrogation
 Contribution and Subrogation Contributing
Party Claiming Party
 Subordination
 -26-




---



##### 



Notices provided
 Waivers; Amendment
  Collateral Agents Fees and Expenses; Indemnification
 -27-




---



##### 



provided
  Successors and Assigns
 Survival of Agreement
 Counterparts; Effectiveness; Several Agreement
 -28-




---



##### 



Severability
 Right of Set-Off provided
 Governing Law; Jurisdiction; Consent to Service of Process (a) This Agreement shall be construed in accordance with and governed by the law of the State
of New York.
 (b) Each of the parties hereto hereby irrevocably and unconditionally submits, for itself and
its property, to the nonexclusive jurisdiction of the Supreme Court of the State of New York
sitting in New York County and of the United States District Court of the Southern District of New
York, and any appellate court from any thereof, in any
 -29-




---



##### 



action or proceeding arising out of or relating to this Agreement or any other Loan Document,
or for recognition or enforcement of any judgment, and each of the parties hereto hereby
irrevocably and unconditionally agrees that all claims in respect of any such action or proceeding
may be heard and determined in such New York State or, to the extent permitted by law, in such
Federal court. Each of the parties hereto 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. Nothing in this Agreement or any other Loan Document shall
affect any right that the Collateral Agent, the Issuing Bank, any Lender or any Loan Party may
otherwise have to bring any action or proceeding relating to this Agreement or any other Loan
Document in the courts of any jurisdiction.
   WAIVER OF JURY TRIAL
 Headings
 Security Interest Absolute
 -30-




---



##### 



Termination or Release
    Additional Subsidiaries
 -31-




---



##### 



Collateral Agent Appointed Attorney-in-Fact provided
 Further Assurances
  -32-




---



##### 



USPI HOLDINGS INC.,By:

/s/
William H. WilcoxName:
    William H. WilcoxTitle:
    PresidentUNITED SURGICAL PARTNERS INTERNATIONAL, INC.,By:

/s/
William H. WilcoxName:
    William H. WilcoxTitle:
    PresidentEACH OF THE SUBSIDIARIES
LISTED ON SCHEDULE I HERETO,By:

/s/
William H. WilcoxName:
    William H. WilcoxTitle:
    President




---



##### 



By:
    /s/ John J. Wellik




---



##### 



By:
    /s/ John J. Wellik




---



##### 



By:
    /s/ Kim Tillett




---



##### 



By:
    USP North Texas, Inc., its manager  By:
    /s/ William H. Wilcox




---



##### 



By:
    Same Day Surgery LLC, its sole member  By:
    /s/ William H. Wilcox




---



##### 



By:
    Surginet, Inc., its sole member  By:
    /s/ William H. Wilcox




---



##### 



By:
    USP North Texas, Inc., its general partner  By:
    /s/  William
    H. Wilcox




---



##### 



By:
    USP North Texas, Inc., its sole member  By:
    /s/  William
    H. Wilcox




---



##### 



By:
    /s/  William
    H. Wilcox




---



##### 



By:
    /s/  William
    H. Wilcox




---



##### 



By:
    Surgery Centers of America II, L.L.C., its sole member  By:
    /s/  John
    J. Wellik




---



##### 



By:
    /s/  Michael
    M. Schadt




---



##### 



SCHEDULES
 Schedule I
    
     Subsidiary Loan PartiesSchedule II
    
     Pledged Stock; Debt SecuritiesSchedule III
    
     Intellectual PropertySchedule IV
    
     Commercial Tort Claims




---



##### 



SCHEDULE I
 Subsidiary Loan Parties




---



##### 








---



##### 








---



##### 








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##### 



SCHEDULE II
 Number ofIssuer
    
    Certificate No.
    
    Registered Owner
    
    Shares/UnitsUSPI Holdings, Inc.
    
    
    2
    
    
    USPI Group Holdings, Inc.
    
    
    100USP Cottonwood, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Phoenix, Inc.
    
    
    3
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Coast, Inc.
    
    
    2
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Glendale, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Mission Hills, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Oxnard, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Sacramento, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP San Gabriel, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP West Covina, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Westwood, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USPI San Diego, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000Medcenter Management Services, Inc.
    
    
    2R
    
    
    OrthoExcel, Inc.
    
    
    100Ortho Excel, Inc.
    
    AB101R
    
    OrthoLink Physicians Corporation
    
    
    648.1113OrthoLink Physicians Corporation
    
    
    2R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000Surgis, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000United Surgical Partners Holdings,
Inc.
    
    
    1R
    
    
    United Surgical Partners
International, Inc.
    
    
    1,000USP Domestic Holdings, Inc.
    
    
    2R
    
    
    United Surgical Partners Holdings, Inc.
    
    
    1,000USP International Holdings, Inc.
    
    
    4R
    
    
    United Surgical Partners Holdings, Inc.
    
    
    1,000USP Long Island, Inc.
    
    
    1R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP North Texas, Inc.
    
    
    2R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Destin, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Sarasota, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Winter Park, Inc.
    
    
    2R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000Georgia Musculoskeletal Network,
Inc.
    
    
    1R
    
    
    OrthoLink Physicians Corporation
    
    
    1000OrthoLink/Georgia ASC, Inc.
    
    
    1R
    
    
    OrthoLink ASC Corporation
    
    
    1,000OrthoLink/New Mexico ASC, Inc.
    
    
    1R
    
    
    OrthoLink ASC Corporation
    
    
    1,000Specialty Surgicenters, Inc.
    
    
    1
    
    
    SSI Holdings, Inc.
    
    
    1,000SSI Holdings, Inc.
    
    
    C46
    
    
    USP Domestic Holdings, Inc.
    
    
    6,859,514United Surgical of Atlanta, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Chicago, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Midwest, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Indiana, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Alexandria, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Baton Rouge, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Baltimore, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Michigan, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Bridgeton, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Chesterfield, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Columbia, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Creve Coeur, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Des Peres, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Florissant, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Kansas City, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000




---



##### 



Number ofIssuer
    
    Certificate No.
    
    Registered Owner
    
    Shares/UnitsUSP Mason Ridge, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP North Kansas City, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Olive, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP St. Peters, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Sunset Hills, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Webster Groves, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Central New Jersey, Inc.
    
    
    1R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP New Jersey, Inc.
    
    
    2R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Las Cruces, Inc.
    
    
    1R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Nevada, Inc.
    
    
    2R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Austintown, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Cleveland, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Lyndhurst, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Oklahoma, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Reading, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000Health Horizons of Kansas City, Inc.
    
    
    4R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000Health Horizons of Murfreesboro,
Inc.
    
    
    3R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000Health Horizons of Nashville, Inc.
    
    
    8R
    
    
    USP Domestic Holdings, Inc.
    
    
    1000OrthoLink ASC Corporation
    
    
    1R
    
    
    OrthoLink Physicians Corporation
    
    
    1,000OrthoLink Radiology Services
Corporation
    
    
    1
    
    
    OrthoLink Physicians Corporation
    
    
    1,000OrthoLink/TN ASC, Inc.
    
    
    1R
    
    
    OrthoLink ASC Corporation
    
    
    100Surginet of Northwest Houston, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surginet of Rivergate, Inc.
    
    
    2
    
    
    Surginet, Inc.
    
    
    1,000Surginet, Inc.
    
    
    32
    
    
    Surgis, Inc.
    
    
    1Surgis Management Services, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surgis of Chico, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surgis of Pearland, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surgis of Phoenix, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1000Surgis of Redding, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surgis of Sand Lake, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surgis of Sonoma, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surgis of Victoria, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000Surgis of Willowbrook, Inc.
    
    
    1
    
    
    Surginet, Inc.
    
    
    1,000USP Decatur, Inc.
    
    
    5
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Securities Corporation
    
    
    2
    
    
    OrthoLink Physicians Corporation
    
    
    1,000USP Tennessee, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000Physicians Data Professionals, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Austin, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Cedar Park, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Corpus Christi, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Houston, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP San Antonio, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Fredericksburg, Inc.
    
    
    2R
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Harbour View, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Newport News, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Richmond II, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Richmond, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Virginia Beach, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000




---



##### 



Number ofIssuer
    
    Certificate No.
    
    Registered Owner
    
    Shares/UnitsUSP Assurance Company
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000USP Torrance, Inc.
    
    
    1
    
    
    USP Domestic Holdings, Inc.
    
    
    1,000




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##### 



Type of
    
    Secured
    
    
    
    Original
    
    Original
    
    Amdt.Debtor
    
    Jurisdiction
    
    filing
    
    Party
    
    Collateral
    
    File Date
    
    File Number
    
    File DateUSP Texas, L.P.
    
    Cape Surgery
Center, L.P.
    
    $
    755,000.00
    
    
    $
    248,161.85
    
    
    October 28, 2004
    
    
    9.00
    %
    
    November 15, 2010
    
    All assetsUSP Texas, L.P.
    
    Christus Santa Rosa
Surgery Center,
L.L.P.
    
    $
    1,049,776.56
    
    
    $
    1,049,776.56
    
    
    November 1, 2006
    
    
    9.00
    %
    
    November 1, 2013
    
    Cash/ARUSP Texas, L.P.
    
    Doctors Outpatient
Surgicenter, Ltd
    
    $
    3,652,568.00
    
    
    $
    2,745,138.54
    
    
    February 1, 2005
    
    
    7.00
    %
    
    February 1, 2012
    
    All AssetsUSP Texas, L.P.
    
    Elmwood Park Same
Day Surgery, L.L.C.
    
    $
    188,918.00
    
    
    $
    140,610.00
    
    
    July 1, 2005
    
    
    8.75
    %
    
    July 1, 2010
    
    All AssetsUSP Texas, L.P.
    
    Elmwood Park Same
Day Surgery, L.L.C.
    
    $
    527,828.89
    
    
    $
    334,649.87
    
    
    November 1, 2004
    
    
    8.50
    %
    
    November 1, 2009
    
    All AssetsUSP Texas, L.P.
    
    Elmwood Park Same
Day Surgery, L.L.C.
    
    $
    350,000.00
    
    
    $
    350,000.00
    
    
    February 1, 2006
    
    Prime + 1%
    
    February 1, 2011
    
    All AssetsUSP Texas, L.P.
    
    Greater Baton Rouge
Surgical Hospital,
L.L.C.
    
    $
    179,000.00
    
    
    $
    179,000.00
    
    
    April 1, 2007
    
    Prime Rate
    
    April 1, 2008
    
    All AssetsUSP Texas, L.P.
    
    Independence
Surgery Center,
L.L.C.
    
    $
    352,080.00
    
    
    $
    211,752.77
    
    
    August 1, 2005
    
    
    8.50
    %
    
    August 1, 2011
    
    All AssetsUSP Texas, L.P.
    
    Las Cruces Surgical
Center, L.L.C.
    
    $
    300,000.00
    
    
    $
    291,763.26
    
    
    March 1, 2005
    
    
    10.00
    %
    
    February 1, 2010
    
    UnsecuredUSP Texas, L.P.
    
    Las Cruces Surgical
Center, L.L.C.
    
    $
    300,000.00
    
    
    $
    165,000.00
    
    
    October 1, 2006
    
    
    10.00
    %
    
    June 1, 2013
    
    UnsecuredUSP Texas, L.P.
    
    Madison Ambulatory
Surgery, L.L.C.
    
    $
    1,553,430.00
    
    
    $
    1,518,430.00
    
    
    October 11, 2006
    
    
    8.00
    %
    
    April 1, 2014
    
    All assetsUSP Texas, L.P.
    
    North Shore Same
Day Surgery, L.L.C.
    
    $
    30,000.00
    
    
    $
    3,949.28
    
    
    June 20, 2005
    
    
    6.00
    %
    
    June 20, 2007
    
    Specific EquipmentUSP Texas, L.P.
    
    North Shore Same
Day Surgery, L.L.C.
    
    $
    250,000.00
    
    
    $
    245,480.81
    
    
    February 1, 2006
    
    Prime + 1%
    
    February 1, 2011
    
    All assetsUSP Texas, L.P.
    
    Northwest Surgery
Center, Ltd.
    
    $
    187,317.37
    
    
    $
    187,317.37
    
    
    April 18, 2007
    
    Prime Rate
    
    August 14, 2007
    
    All assetsUSP Texas, L.P.
    
    Physicians Pavilion
L.P.
    
    $
    1,340,000.00
    
    
    $
    1,293,286.70
    
    
    September 21, 2006
    
    
    8.00
    %
    
    December 1, 2013
    
    All assetsUSP Texas, L.P.
    
    Physicians Pavilion
L.P.
    
    $
    200,000.00
    
    
    $
    
    
    
    January 5, 2007
    
    
    8.00
    %
    
    January 14, 2014
    
    All assetsUSP Texas, L.P.
    
    River North Same
Day Surgery, L.L.C.
    
    $
    1,003,216.83
    
    
    $
    244,682.40
    
    
    November 1, 2004
    
    
    8.00
    %
    
    November 1, 2007
    
    All assetsUSP Texas, L.P.
    
    San Gabriel
Ambulatory Surgery
Center, L.P.
    
    $
    1,625,000.00
    
    
    $
    1,320,000.89
    
    
    March 1, 2006
    
    
    10.00
    %
    
    February 1, 2012
    
    All assetsUSP Texas, L.P.
    
    Specialists Surgery
Center, L.L.C.
    
    $
    65,393.00
    
    
    $
    25,820.55
    
    
    December 16, 2003
    
    
    8.00
    %
    
    December 1, 2008
    
    2nd-Cash/AR/Equip.




---



##### 



Type of
    
    Secured
    
    
    
    Original
    
    Original
    
    Amdt.Debtor
    
    Jurisdiction
    
    filing
    
    Party
    
    Collateral
    
    File Date
    
    File Number
    
    File DateUSP Texas, L.P.
    
    St. Agnes Surgery
Center of Ellcott
City, L.L.P.
    
    $
    1,229,201.80
    
    
    $
    1,229,201.80
    
    
    March 1, 2007
    
    
    9.00
    %
    
    March 1, 2007
    
    All assetsUSP Texas, L.P.
    
    Tops Speciality
Hospital, Ltd.
    
    $
    668,688.00
    
    
    $
    568,240.30
    
    
    September 1, 2005
    
    
    9.00
    %
    
    December 31, 2007
    
    CASH/ARUSP Texas, L.P.
    
    Tops Speciality
Hospital, Ltd.
    
    $
    452,985.40
    
    
    $
    151,327.47
    
    
    January 1, 2002
    
    
    9.50
    %
    
    December 29, 2008
    
    All assetsUSP Texas, L.P.
    
    Tops Speciality
Hospital, Ltd.
    
    $
    4,640,000.00
    
    
    $
    3,449,749.20
    
    
    March 31, 2001
    
    
    9.50
    %
    
    December 31, 2007USP Texas, L.P.
    
    Tops Speciality
Hospital, Ltd.
    
    $
    285,000.00
    
    
    $
    285,000.00
    
    
    March 1, 2007
    
    
    
    
    
    June 1, 2007
    
    All assetsUSP Sarasota, Inc.
    
    CHC-USP Surgery
Centers, L.L.C.
    
    $
    701,130.00
    
    
    $
    632,866.06
    
    
    October 18, 2004
    
    
    9.00
    %
    
    March 31, 2005
    
    UnsecuredUSP Houston, Inc.
    
    Memorial Health
Ventures, Inc.
    
    $
    2,491,500.00
    
    
    $
    71,614.76United Surgical 
Partners 
International, Inc
    
    East Brunswick
Surgery Center,
L.L.C.
    
    $
    450,000.00
    
    
    $
    133,959.35
    
    
    February 1, 2003
    
    Prime + 2%
    
    January 1, 2008
    
    All AssetsUnited Surgical 
Partners 
International, Inc
    
    Tops Speciality
Hospital, Ltd.
    
    $
    710,000.00
    
    
    $
    620,571.22
    
    
    December 1, 2003
    
    
    9.50
    %
    
    December 31, 2007
    
    All assetsTHVG/Healthfirst, LLC
    
    Trophy Club Medical
Center, L.P.
    
    $
    4,100,000.00
    
    
    $
    2,942,279.74
    
    
    May 1, 2005
    
    
    8.75
    %
    
    May 1, 2010
    
    All assetsTexas Health Ventures 
Group, LLC
    
    Frisco Medical
Center, L.L.P.
    
    $
    3,000,000.00
    
    
    $
    352,919.69
    
    
    March 1, 2005
    
    Prime + 0.75%
    
    March 1, 2008
    
    Cash/ARTexas Health Ventures 
Group, LLC
    
    Irving-Coppell
Surgical Hospital,
L.L.P.
    
    $
    1,980,050.00
    
    
    $
    1,431,096.66
    
    
    August 1, 2005
    
    
    7.50
    %
    
    August 1, 2010
    
    Cash/ARTexas Health Ventures 
Group, LLC
    
    MSH Partners, L.L.P.
    
    $
    561,393.00
    
    
    $
    282,182.02
    
    
    June 20, 2006
    
    LIBOR + 1.50%
    
    June 20, 2007
    
    Cash/ARTexas Health Ventures 
Group, LLC
    
    Rockwall/Heath
Surgery Center,
L.L.P.
    
    $
    350,000.00
    
    
    $
    175,000.00
    
    
    April 20, 2006
    
    
    8.50
    %
    
    April 20, 2010
    
    Cash/ARTexas Health Ventures 
Group, LLC
    
    University Surgical
Partners of Dallas,
L.L.P.
    
    $
    2,875,000.00
    
    
    $
    2,875,000.00
    
    
    May 11, 2005
    
    Prime + 1%
    
    June 1, 2010
    
    All assetsSurgis, Inc.
    
    Sand Lake Surgery
Center, L.P.
    
    $
    1,400,000.00
    
    
    $
    1,400,000.00
    
    
    May 27, 2004
    
    Prime + 4%
    
    TBD
    
    UnsecuredSurgis Management 
Services, Inc
    
    Northridge Surgery
Center, L.P.
    
    $
    1,325,000.00
    
    
    $
    1,545,175.00
    
    
    July 1, 2006
    
    
    8.00
    %
    
    July 1, 2013
    
    UnsecuredSurgis Management 
Services, Inc
    
    Surgery Center of
Canfield, L.L.C.
    
    $
    428,000.00
    
    
    $
    401,765.24
    
    
    September 30, 2003
    
    
    7.00
    %
    
    September 1, 2009
    
    GTEES of PhysiciansSurgis Management 
Services, Inc
    
    Surgery Center of
Canfield, L.L.C.
    
    $
    120,000.00
    
    
    $
    106,619.59
    
    
    May 1, 2004
    
    
    7.00
    %
    
    September 1, 2009
    
    UnsecuredSurgis Management 
Services, Inc
    
    Surgery Center of
Canfield, L.L.C.
    
    $
    175,000.00
    
    
    $
    138,425.79
    
    
    September 30, 2005
    
    
    7.00
    %
    
    December 1, 2010
    
    UnsecuredNorthside-Cherokee/USP
Surgery Centers, L.L.C
    
    Surgery Center of
Georgia, L.L.C.
    
    $
    2,000,000.00
    
    
    $
    1,615,874.54
    
    
    March 26, 2002
    
    
    12.25
    %
    
    March 31, 2015
    
    Unsecured




---



##### 



Type of
    
    Secured
    
    
    
    Original
    
    Original
    
    Amdt.Debtor
    
    Jurisdiction
    
    filing
    
    Party
    
    Collateral
    
    File Date
    
    File Number
    
    File DateENH/USP Surgery
Centers, II, L.L.C.
    
    Elmwood Park Same
Day Surgery, L.L.C.
    
    $
    100,000.00
    
    
    $
    25,000.00
    
    
    March 15, 2007
    
    Prime + 1%
    
    March 1, 2010
    
    All assets, subordinate to USP Texas LienCHW-USP Phoenix II, LLC
    
    Orthopedic and
Surgical Speciality
Company, L.L.C.
    
    $
    1,000,000.00
    
    
    $
    1,000,000.00
    
    
    April 1, 2005
    
    Prime + 1.50%
    
    May 1, 2008
    
    Cash/ARCHW-USP Phoenix II, LLC
    
    Orthopedic and
Surgical Speciality
Company, L.L.C.
    
    $
    750,000.00
    
    
    $
    598,473.81
    
    
    April 17, 2006
    
    
    8.40
    %
    
    September 1, 2011




---



##### 



SCHEDULE III
INTELLECTUAL PROPERTY
 UNITED STATES PATENTS:
  REGISTRATIONOWNER
    
    NUMBER
    
    
    DESCRIPTIONNone
  APPLICATIONOWNER
    
    NUMBER
    
    
    DESCRIPTIONNone
  REGISTRATION/APPLICATIONLICENSEE
    
    LICENSOR
    
    
    NUMBER
    
    
    DESCRIPTIONNone
 OTHER PATENTS:
  REGISTRATIONOWNER
    
    NUMBER
    
    
    COUNTRY/STATE
    
    
    DESCRIPTIONNone
  APPLICATIONOWNER
    
    NUMBER
    
    
    COUNTRY/STATE
    
    
    DESCRIPTIONNone




---



##### 



REGISTRATION/APPLICATIONLICENSEE
    
    LICENSOR
    
    
    COUNTRY/STATE
    
    
    NUMBER
    
    DESCRIPTIONNone
 UNITED STATES TRADEMARKS:
  REGISTRATIONOWNER
    
    NUMBER
    
    
    TRADEMARKSurgis, Inc.
    
    
    #76398434/2758259
    
    
    Surgis Inc., The Surgical Services Company
  APPLICATIONOWNER
    
    NUMBER
    
    
    TRADEMARKNone
  REGISTRATION/APPLICATIONLICENSEE
    
    LICENSOR
    
    
    NUMBER
    
    
    TRADEMARK
 OTHER TRADEMARKS:
  REGISTRATIONOWNER
    
    NUMBER
    
    
    COUNTRY/STATE
    
    
    TRADEMARKN/A




---



##### 



APPLICATIONOWNER
    
    NUMBER
    
    
    COUNTRY/STATE
    
    
    TRADEMARKN/A
  REGISTRATION/APPLICATIONLICENSEE
    
    LICENSOR
    
    
    COUNTRY/STATE
    
    
    NUMBER
    
    
    TRADEMARKN/A




---



##### 



SCHEDULE IV




---



##### 



Borrower Subsidiary Guarantor Subsidiary Guarantors Grantors Citibank Collateral Agent
 Credit Agreement
  New Subsidiary
   Exh. I-1




---



##### 



SECTION 6. THIS SUPPLEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF
THE STATE OF NEW YORK.
    Exh. I-2




---



##### 



[NAME OF NEW SUBSIDIARY],By:Name:Title:Legal Name:
Jurisdiction of Formation:
Location of Chief Executive Office:CITIBANK, N.A., AS COLLATERAL AGENT,By:Name:Title: Exh. I-3




---



##### 



Description
    
    Location
  Number andNumber of
    
    
    Registered
    
    
    Class of
    
    
    Percentage ofIssuer
    
    Certificate
    
    
    Owner
    
    
    Equity Interests
    
    
    Equity Interests
  PrincipalIssuer
    
    Amount
    
    
    Date of Note
    
    
    Maturity Date
  Copyrights
 Registration
    
    
    ExpirationRegistered Owner
    
    Title
    
    
    Number
    
    
    Date
 Copyright Applications
 Registration
    
    
    DateRegistered Owner
    
    Title
    
    
    Number
    
    
    Filed




---



##### 



Copyright Licenses
 Registration
    
    
    ExpirationLicensee
    
    Licensor
    
    
    Title
    
    
    Number
    
    
    Date
 Patents
 Registration
    
    
    ExpirationRegistered Owner
    
    Mark
    
    
    Number
    
    
    Date
 Patent Applications
 Registration
    
    
    DateRegistered Owner
    
    Mark
    
    
    Number
    
    
    Filed
 Patent Licenses
 Registration
    
    
    ExpirationLicensee
    
    Licensor
    
    
    Mark
    
    
    Number
    
    
    Date
 Trademarks
 Registration
    
    
    ExpirationRegistered Owner
    
    Type
    
    
    Number
    
    
    Date
 -2-




---



##### 



Trademark Applications
 Registration
    
    
    DateRegistered Owner
    
    Type
    
    
    Number
    
    
    Filed
 Trademark Licenses
 Registration
    
    
    ExpirationLicensee
    
    Licensor
    
    
    Type
    
    
    Number
    
    
    Date
 -3-