Exhibit
10.1


 


SIXTH AMENDMENT
TO CREDIT AGREEMENT


 


THIS
SIXTH AMENDMENT TO CREDIT AGREEMENT (this “Amendment”) is made and entered into as of January 6, 2017, by and
among BIOSCRIP, INC., a Delaware corporation (the “Borrower”), each of the Subsidiaries of the Borrower identified
on the signature pages hereto as a “Guarantor” (each, a “Guarantor” and, collectively, the “Guarantors”;
the Borrower and the Guarantors, each, a “Loan Party” and, collectively, the “Loan Parties”),
the Lenders party hereto, and SUNTRUST BANK, in its capacity as administrative agent for itself and the Lenders (in such capacity,
the “Administrative Agent”).


 


WITNESSETH :


 


WHEREAS,
the Borrower, the banks and other financial institutions and lenders party thereto (collectively, the “Lenders”),
and the Administrative Agent have executed and delivered that certain Credit Agreement dated as of July 31, 2013 (as amended by
that certain First Amendment to Credit Agreement dated as of December 23, 2013, that certain Second Amendment to Credit Agreement
dated as of January 31, 2014, that certain Third Amendment to Credit Agreement dated as of March 1, 2015, that certain Fourth Amendment
to Credit Agreement dated as of August 6, 2015, and that certain Fifth Amendment to Credit Agreement dated as of October 9, 2015
(the Credit Agreement as amended prior to the effectiveness of this Amendment is referred to herein as the “Original Credit
Agreement”) and as the same may be further amended, amended and restated, restated, supplemented, or otherwise modified
from time to time, the “Credit Agreement”);


 


WHEREAS, the Borrower is
now in default of their obligations to the Administrative Agent and the Lenders for a breach of the covenant set forth in Section
7.1(a)(xiii) of the Original Credit Agreement (the “Existing Default”); and


 


WHEREAS,
the Borrower has requested that the Administrative Agent and the Lenders agree to waive the Existing Default and amend certain
provisions of the Credit Agreement as set forth herein, and the Administrative Agent and the Lenders party hereto have agreed to
such waiver and amendments, in each case, subject to the terms and conditions set forth below.


 


NOW,
THEREFORE, for and in consideration of the above premises and other good and valuable consideration, the receipt and sufficiency
of which is hereby acknowledged by the parties hereto, the parties hereto hereby covenant and agree as follows:


 


SECTION 1.    Definitions.
Unless otherwise specifically defined herein, each term used herein (and in the recitals above) which is defined in the Credit
Agreement (as amended hereby) shall have the meaning assigned to such term in the Credit Agreement (as amended hereby). Each reference
to “hereof,” “hereunder,” “herein,” and “hereby” and each other similar reference
and each reference to “the Agreement” and each other similar reference contained in the Credit Agreement shall from
and after the date hereof refer to the Credit Agreement as amended hereby.


 




     


     


    

 


SECTION 2.    Waiver
and Amendments to Credit Agreement.


 


(a)          Waiver.
Subject to the terms and conditions of this Amendment, the Administrative Agent and the undersigned Lenders (which constitute the
Required Lenders) hereby waive the Existing Default as of the Sixth Amendment Effective Date. This waiver is limited to the Existing
Default and shall not operate as a waiver of any other Default or Event of Default which may now exist or be hereafter arising,
shall not constitute a continuing waiver of any provision of the Credit Agreement, or otherwise impair any right, power or remedy
of the Administrative Agent or any Lender under the Credit Agreement or any other Loan Document with respect to any Defaults or
Events of Default other than the Existing Default, all of which are hereby expressly reserved.


 


(b)           Amendments
to Credit Agreement. Effective as of the Sixth Amendment Effective Date,


 


(i)    the
Credit Agreement is hereby amended to delete the red stricken text (indicated textually in the same manner as the following example:
stricken text) and to add the blue bold, underlined text (indicated textually
in the same manner as the following example: bold,
underlined text) as set forth in the pages of the Credit Agreement attached hereto as Exhibit A (the Credit
Agreement as so modified, supplemented, amended, amended or restated, the “Amended Credit Agreement”);


 


(ii)    where
applicable, the original schedules to the Credit Agreement shall be deemed to be supplemented and/or amended or replaced by the
supplementary schedules attached as Exhibit B hereto; and


 


(iii)    Revolving
Commitment with respect to each Revolving Lender after giving effect to this Amendment is set forth on Schedule A attached hereto.


 


SECTION 3.   Representations
and Warranties. Each Loan Party hereby represents and warrants to the Administrative Agent and the Lenders as follows:


 


(a)          Both
immediately before and immediately after giving effect to this Amendment, all representations and warranties of each Loan Party
set forth in the Loan Documents are true and correct in all material respects (other than those representations and warranties
(i) that are expressly qualified by a Material Adverse Effect or other materiality, in which case such representations and warranties
are true and correct in all respects or (ii) that expressly relate to an earlier date, in which case such representations and warranties
are true and correct in all material respect as of such earlier date).


 


(b)          On
the date hereof, after giving effect hereto, including the waiver of the Existing Default, no Default or Event of Default has occurred
and is continuing or would result from giving effect to the terms hereof.


 


(c)          The
execution, delivery and performance by each Loan Party of this Amendment are within such Loan Party’s organizational powers
and have been duly authorized by all necessary organizational and, if required, shareholder, partner or member action.


 


(d)          This
Amendment has been duly executed and delivered by each Loan Party and constitutes valid and binding obligations of such Loan Party,
enforceable against it in accordance with its terms, except as may be limited by applicable bankruptcy, insolvency, reorganization,
moratorium or similar laws affecting the enforcement of creditors’ rights generally and by general principles of equity.


 




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SECTION 4.    Conditions
Precedent. This Amendment shall become effective on the date (the “Sixth Amendment Effective Date”) on which
all of the following conditions precedent have been satisfied:


 


(a)           the
execution and delivery of this Amendment by each Loan Party, the Administrative Agent, each of the Required Lenders and each Lender
holding Revolving Commitments or Revolving Credit Exposure;


 


(b)          the
execution and delivery of the Priming/Existing Lien Intercreditor Agreement, substantially in the form attached hereto as Exhibit
C, by the parties party thereto;


 


(c)           the
execution and delivery of the ABDC Intercreditor Agreement, substantially in the form attached hereto as Exhibit D, by the
parties party thereto;


 


(d)          the
Borrower has delivered to Administrative Agent a complete and correct copy of the Priming Credit Agreement and the other Priming
Loan Documents (including all schedules, exhibits, amendments, supplements, modifications, assignments and all other documents
delivered pursuant thereto or in connection therewith) duly executed by the parties party thereto;


 


(e)           substantially
concurrently with the effectiveness of this Amendment, the Borrower has repaid (i) Revolving Loans held by SunTrust Bank in the
principal amount of $700,000 and (ii) Revolving Loans held by JFIN REVOLVER CLO 2015 LTD and JFIN REVOLVER CLO LTD in the aggregate
principal amount of $300,000 and all accrued and unpaid interest thereon;


 


(f)           substantially
concurrently with the effective of this Amendment, the Borrower shall deposit in the LC Cash Collateral Account $4,881,818.55 in
accordance with Section 2.22(k) of the Credit Agreement from the proceeds of the Priming Revolving Loans;


 


(g)           the
Borrower shall have paid to the Administrative Agent, for the account of each Lender that irrevocably and unconditionally submits
an executed signature page to this Amendment to the Administrative Agent (or its counsel) at or prior to 2:00 p.m., New York City
time, on January 5, 2017, a consent fee in an amount equal to 0.75% of the sum of such Lender’s Revolving Commitment and
outstanding Term B Loans, on the Sixth Amendment Effective Date immediately prior to giving effect to this Amendment, which fee
shall be paid in kind and added to the outstanding principal amount of the applicable Lender’s Loans; and


 


(h)          the
Borrower shall have paid all reasonable and documented costs and expenses owed by the Borrower to the Administrative Agent, including,
without limitation, reasonable attorneys’ fees and expenses to the extent invoiced to the Borrower at least one day prior
to the date of this Amendment.


 




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SECTION 5.    Post-Closing
Covenant. Within 60 days of the date hereof (or such longer period as may be agreed by the Administrative Agent in writing),
with respect to the leased property of the Loan Parties located at 1600 Broadway, Suite 700, Denver, CO 80202, Borrower shall have
delivered or cause to be delivered to the Administrative Agent a copy of the underlying lease and a Collateral Access Agreement
from the landlord of such leased property; provided that if such Loan Party is unable to deliver any such Collateral Access Agreement
after using its commercially reasonable efforts to do so, the Administrative Agent shall waive the foregoing requirement in its
reasonable discretion.


 


SECTION 6.    Release
of Claims. The Loan Parties hereby acknowledge and agree that, through the date hereof, each of the Administrative Agent and
the Lenders has acted in good faith and has conducted itself in a commercially reasonable manner in its relationships with the
Loan Parties in connection with the Obligations, the Credit Agreement, and the other Loan Documents, and the Loan Parties hereby
waive and release any claims to the contrary. The Loan Parties hereby release, acquit and forever discharge the Administrative
Agent and each of the Lenders, their respective Affiliates, and their respective officers, directors, employees, agents, attorneys,
advisors, successors and assigns, both present and former (collectively, the “Released Parties”), from any and
all claims and defenses arising for or because of any matter or things done, omitted or suffered to be done by any of the Released
Parties prior to and including the date of the execution hereof, known or unknown as of the date hereof, with respect to the Obligations,
this Amendment, the Credit Agreement, the other Loan Documents and the transactions contemplated hereby and thereby.


 


SECTION 7.    Miscellaneous
Terms.


 


(a)           Loan
Document. For avoidance of doubt, the Borrower, the Lenders party hereto, and the Administrative Agent hereby acknowledge and
agree that this Amendment is a Loan Document.


 


(b)           Effect
of Amendment. Except as set forth expressly hereinabove or in the other Loan Documents entered into in connection herewith,
all terms of the Credit Agreement and the other Loan Documents shall be and remain in full force and effect, and shall constitute
the legal and binding obligation of the Borrower, enforceable against such Borrower Party in accordance with their respective terms.
Except to the extent otherwise expressly set forth herein, the amendments set forth herein shall have prospective application only
from and after the date of this Amendment.


 




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(c)            No
Novation or Mutual Departure. The Loan Parties expressly acknowledge and agree that (i) there has not been, and this Amendment
does not constitute or establish, a novation with respect to the Credit Agreement or any of the other Loan Documents, or a mutual
departure from the strict terms, provisions, and conditions thereof, other than with respect to the amendments contained in Section
2 above and (ii) nothing in this Amendment shall affect or limit the Administrative Agent’s or any Lender’s right
to demand payment of liabilities owing from any Loan Party to the Administrative Agent or any Lender under, or to demand strict
performance of the terms, provisions, and conditions of, the Credit Agreement and the other Loan Documents, to exercise any and
all rights, powers, and remedies under the Credit Agreement or the other Loan Documents or at law or in equity, or to do any and
all of the foregoing, immediately at any time after the occurrence of a Default or an Event of Default under the Credit Agreement
or the other Loan Documents. Notwithstanding anything herein to the contrary or in any other Loan Document, after giving effect
to this Amendment the benefits, guarantees or security interest provided to the Lenders and/or the Administrative Agent pursuant
to this Amendment, any Loan Document or any other document and the exercise of any right or remedy by any Lender and/or the Administrative
Agent hereunder or under any other Loan Document and all other provisions hereunder and under the other Loan Documents and other
documents related thereto shall be subject to the provisions of each intercreditor agreement entered into by the Administrative
Agent with respect to the Obligations (including, without limitation, the Priming/Existing Lien Intercreditor Agreement). In the
event of any conflict between the terms of such intercreditor agreements, the other Loan Documents and any other document, the
terms of such intercreditor agreements shall govern and control and any representations, warranties, covenants or other obligations
(including with respect to the priority of liens and security interests) shall be read in a manner which is consistent with the
obligations and the respective priorities with respect to the Collateral as set forth in such intercreditor agreements.


 


(d)           Ratification.
The Borrower hereby restates, ratifies, and reaffirms each and every term, covenant, and condition set forth in the Credit Agreement
and the other Loan Documents to which it is a party (as such terms, covenants, and conditions are amended, waived, modified and/or
supplemented by Section 2 above and the other Loan Documents entered into in connection with this Amendment, including the
Priming/Existing Intercreditor Agreement) effective as of the date hereof.


 


(e)           No
Offset. To induce the Administrative Agent and the Lenders to enter into this Amendment and to continue to make advances pursuant
to the Credit Agreement (subject to the terms and conditions thereof), each Loan Party hereby acknowledges and agrees that, as
of the date hereof, and after giving effect to the terms hereof, there exists no right of offset, defense, counterclaim, claim,
or objection in favor of any Loan Party or arising out of or with respect to any of the Loans or other obligations of any Loan
Party owed to the Administrative Agent or any Lender under the Credit Agreement or any other Loan Document.


 


(f)            Counterparts.
This Amendment may be executed in any number of counterparts and by the parties hereto in separate counterparts, each of which
when so executed and delivered shall be deemed to be an original and all of which counterparts, taken together, shall constitute
but one and the same instrument.


 


(g)           Fax
or Other Transmission. Delivery by one or more parties hereto of an executed counterpart of this Amendment via facsimile, telecopy,
or other electronic method of transmission pursuant to which the signature of such party can be seen (including, without limitation,
Adobe Corporation’s Portable Document Format) shall have the same force and effect as the delivery of an original executed
counterpart of this Amendment. Any party delivering an executed counterpart of this Amendment by facsimile or other electronic
method of transmission shall also deliver an original executed counterpart, but the failure to do so shall not affect the validity,
enforceability, or binding effect of this Amendment.


 


(h)          Recitals
Incorporated Herein. The preamble and the recitals to this Amendment are hereby incorporated herein by this reference.


 




    	 	5	 



     


    

 


(i)           Section
References. Section titles and references used in this Amendment shall be without substantive meaning or content of any kind
whatsoever and are not a part of the agreements among the parties hereto evidenced hereby.


 


(j)            Further
Assurances. The Borrower agrees to take, at the Borrower’s expense, such further actions as the Administrative Agent
shall reasonably request from time to time to evidence the amendments set forth herein and the transactions contemplated hereby.


 


(k)            Governing
Law. This Amendment shall be governed by and construed and interpreted in accordance with the internal laws of the State of
New York but excluding any principles of conflicts of law or other rule of law that would cause the application of the law of any
jurisdiction other than the laws of the State of New York.


 


(l)            Severability.
Any provision of this Amendment which is prohibited or unenforceable shall be ineffective to the extent of such prohibition or
unenforceability without invalidating the remaining provisions hereof in that jurisdiction or affecting the validity or enforceability
of such provision in any other jurisdiction.


 


(m)          Reaffirmation
of Guarantors. Each Guarantor (i) consents to the execution and delivery of this Amendment, (ii) reaffirms all of its obligations
and covenants under the Guaranty and Security Agreement and the other Loan Documents (except as otherwise expressly amended by
this Amendment and by the Priming/Existing Lien Intercreditor Agreement) to which it is a party, and (iii) agrees that none of
its respective obligations and covenants shall be reduced or limited by the execution and delivery of this Amendment.


 


(n)          Additional
Acknowledgment. Solely for purposes of determining withholding Taxes imposed under FATCA, from and after the date hereof, the
Borrower and the Administrative Agent shall treat (and the Required Lenders hereby authorize the Administrative Agent to treat)
the Loan Agreement as not qualifying as a “grandfathered obligation” within the meaning of Treasury Regulation Section
1.1471- 2(b)(2)(i).


 


[SIGNATURES ON FOLLOWING PAGES]


 




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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.


 


	 	BIOSCRIP, INC., 
	 	as the Borrower
	 	 	 
	 	By:	/s/ Jeffrey M. Kreger




	 	 	Name: Jeffrey M. Kreger
	 	 	Title: Senior Vice President,
	 	 	 Chief Financial Officer and Treasurer






 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

 


	 	APPLIED HEALTH CARE, LLC,
	 	BIOSCRIP INFUSION MANAGEMENT, LLC,
	 	BIOSCRIP INFUSION SERVICES, INC.,
	 	BIOSCRIP INFUSION SERVICES, LLC,
	 	BIOSCRIP MEDICAL SUPPLY SERVICES, LLC,
	 	BIOSCRIP NURSING SERVICES, LLC,
	 	BIOSCRIP PBM SERVICES, LLC,
	 	BIOSCRIP PHARMACY (NY), INC.,
	 	BIOSCRIP PHARMACY (PUERTO RICO), INC.,
	 	BIOSCRIP PHARMACY SERVICES, INC.
	 	BIOSCRIP PHARMACY, INC.,
	 	BRADHURST SPECIALTY PHARMACY, INC.,
	 	CHRONIMED, LLC,
	 	CHS HOLDINGS, INC.,
	 	CRITICAL HOMECARE SOLUTIONS, INC.,
	 	DEACONESS ENTERPRISES, LLC,
	 	DEACONESS HOMECARE, LLC,
	 	EAST GOSHEN PHARMACY, INC.,
	 	HOMECHOICE PARTNERS, INC.,
	 	INFUCENTERS, LLC,
	 	INFUSAL PARTNERS,
	 	INFUSCIENCE HHA, LLC,
	 	INFUSCIENCE, INC.,
	 	INFUSCIENCE SOUTH CAROLINA, LLC,
	 	INFUSCIENCE SUB, INC.,
	 	INFUSION PARTNERS, LLC,
	 	INFUSION PARTNERS OF BRUNSWICK, LLC, and
	 	INFUSION PARTNERS OF MELBOURNE, LLC,
	 	each, as a Guarantor


 


	 	By:	/s/ Jeffrey M. Kreger
	 	 	Name: Jeffrey M. Kreger
	 	 	Title: Senior Vice President,
	 	 	 Chief Financial Officer and Treasurer 


  




     


     


    

 


	 	INFUSION SOLUTIONS, INC.,
	 	INFUSION THERAPY SPECIALISTS, INC.,
	 	KNOXVILLE HOME THERAPIES, LLC,
	 	NATIONAL HEALTH INFUSION, INC.,
	 	NATURAL LIVING, INC.,
	 	NEW ENGLAND HOME THERAPIES, INC.,
	 	NUTRI USA INC.,
	 	OPTION HEALTH, LTD.,
	 	PHCS ACQUISITION CO, INC.,
	 	PROFESSIONAL HOME CARE SERVICES, INC.,
	 	REGIONAL AMBULATORY DIAGNOSTICS, INC.,
	 	SCOTT-WILSON, INC.,
	 	SPECIALTY PHARMA, INC., and
	 	WILCOX MEDICAL, INC.,
	 	each, as a Guarantor


 


	 	By:	/s/ Jeffrey M. Kreger
	 	 	Name:  Jeffrey M. Kreger
	 	 	Title: Senior Vice President,
	 	 	 Chief Financial Officer and Treasurer


  




     


     


    

 





	 	SUNTRUST BANK,
	 	as Administrative Agent, with the consent of the Required Lenders, and as a Lender
	 	 
	 	By:	/s/ Juan De Jesus-Caballero
	 	 	Name:  Juan De Jesus-Caballero
	 	 	Title:    SVP


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

 


	 	JFIN REVOLVER CLO LTD.
	 	 
	 	By: Jefferies Finance LLC, as Portfolio Manager
	 	 	 
	 	By:	/s/ J.R. Young
	 	Name:	J.R. Young 
	 	Title:	Senior Vice President
	 	 	 
	 	JFIN REVOLVER CLO 2015 LTD.
	 	 
	 	By: Jefferies Finance LLC, as Portfolio Manager
	 	 	 
	 	By:	/s/ J.R. Young
	 	Name:	J.R. Young
	 	Title:	Senior Vice President


 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

  


	 	Stichting Pensioenfonds Hoogovens, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, on  behalf of Stichting Pensioenfonds Hoogovens,  in its capacity as Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 	 
	 	Stichting Bewaarder Syntrus Achmea Global High Yield Pool, as a Lender
	 	 
	 	By: Achmea Investment Management, as asset manager
	 	 
	 	By: DDJ Capital Management, LLC, as subadvisor
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 
	 	Stichting Pensioenfonds voor Fysiotherapeuten, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as investment manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President


 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

 


	 	Caterpillar Inc. Master Retirement Trust, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, on  behalf of Caterpillar Inc. Master Retirement Trust, in  its capacity as investment manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 	 
	 	Houston Municipal Employees Pension System, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 
	 	DDJ Capital Management Group Trust - High Yield Investment Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Investment Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President


 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

  


	 	The 1199SEIU Health Care Employees Pension Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 	 
	 	National Railroad Retirement Investment Trust as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 
	 	Principal Funds, Inc. – Global Diversified Income Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Sub-Advisor
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President


 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

 


	 	Russell Investments Global High Income Bond Pool, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 	 
	 	Russell Investments Institutional Funds, LLC - High Yield Bond Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Money Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 
	 	District of Columbia Retirement Board, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Investment Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 
	 	State-Boston Retirement System, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC in its capacity as investment manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President


 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

 


	 	Caterpillar Investment Trust, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, on behalf of Caterpillar Investment Trust, in its capacity as investment manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 	 
	 	Mercer QIF Fund plc - Mercer Investment Fund 1, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Sub-Investment Manager of, and on behalf of, Mercer Investment Fund 1, a sub-fund of Mercer QIF Fund plc
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 
	 	DDJ Opportunistic High Yield Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Investment Advisor
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President


 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

  


	 	Northern Multi-Manager High Yield Opportunity Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Sub-Adviser
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 	 
	 	Russell Investment Company - Russell Multi- Strategy Income Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Money Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President
	 	 
	 	Russell Investment Company - Russell Global Opportunistic Credit Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Money Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:	David J. Breazzano
	 	Title:	President


 


[Signature
Page to Sixth Amendment to Credit Agreement]


 




     


     


    

  


	 	DDJ High Yield Fund, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, its attorney- in-fact*
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name:  David J. Breazzano
	 	Title:    President
	 	 
	 	* The execution of this agreement shall not bind the Trustee, Manager or any Unit Holder of DDJ High Yield Fund and recourse shall be limited to the Trust Property (each such term as defined in the trust agreement governing the DDJ High Yield Fund).
	 	 
	 	J.C. Penney Corporation, Inc. Pension Plan Trust, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, on behalf of J.C. Penney Corporation, Inc.
	 	Pension Plan Trust, in its capacity as investment manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name: David J. Breazzano
	 	Title: President
	 	 
	 	Sears Canada Inc. Registered Retirement Plan, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Investment Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name: David J. Breazzano
	 	Title: President


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

 


	 	Sears Holdings Pension Trust, as a Lender
	 	 
	 	By: DDJ Capital Management, LLC, in its capacity as Investment Manager
	 	 	 
	 	By:	/s/ David J. Breazzano
	 	Name: David J. Breazzano
	 	Title:   President


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

 


	 	UAW Retiree Medical Benefits Trust, as a Lender
	 	 
	 	By: State Street Bank and Trust company, solely its capacity as Trustee for UAW Retiree Medical Benefits Trust, as directed by DDJ Capital Management, LLC, and not in its individual capacity
	 	 	 
	 	By:	/s/ Janet Fennessy
	 	Name: Janet Fennessy
	 	Title:   Vice President


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

 


	 	Birch Grove Credit Strategies Master Fund LP,
	 	as a Lender
	 	 	 
	 	By:	/s/ Todd A. Berry
	 	Name: Todd A. Berry
	 	Title:   COO of its general partner, Birch Grove Advisors LLC


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

 


	 	Lenders
	 	 
	 	HillMark Funding, Ltd.
	 	 
	 	By:	HillMark Capital Management, L.P.,
	 	 	as Collateral Manager , as a Lender
	 	 	 
	 	By:	/s/ Mark Gold
	 	Name:  Mark Gold
	 	Title:    CEO


 


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	 	Lenders
	 	 
	 	Stoney Lane Funding I, Ltd.,
	 	By:	HillMark Capital Management, L.P.,
	 	 	as Collateral Manager , as a Lender
	 	 	 
	 	By:	/s/ Mark Gold
	 	Name: Mark Gold
	 	Title:   CEO


 


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	 	Name of Lender:
	 	 
	 	NewMark Capital Funding 2013-1 CLO, Ltd.
	 	By: 	NewMark Capital LLC.,
	 	 	its Collateral Manager
	 	 	 
	 	By:	/s/ Mark Gold
	 	Name: Mark Gold
	 	Title:   CEO


 


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	 	Name of Lender:
	 	 
	 	NewMark Capital Funding 2014-2 CLO, Ltd.
	 	By:	NewMark Capital LLC.,
	 	 	its Collateral Manager
	 	 	 
	 	By:	/s/ Mark Gold
	 	Name: Mark Gold
	 	Title:   CEO


 


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	 	BlueMountain CLO 2012-2 LTD
	 	By: BLUEMOUNTAIN CAPITAL
	 	MANAGEMENT, LLC,
	 	Its Collateral Manager,
	 	as a Lender
	 	 
	 	By:	/s/ Meghan Fornshell
	 	 	Name: Meghan Fornshell
	 	 	Title: Operations Analyst


 





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	 	BlueMountain CLO 2013-2 LTD
	 	By: BLUEMOUNTAIN CAPITAL
	 	MANAGEMENT, LLC,
	 	Its Collateral Manager,
	 	as a Lender
	 	 
	 	By:	/s/ Meghan Fornshell
	 	 	Name: Meghan Fornshell
	 	 	Title: Operations Analyst


 





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	 	BlueMountain CLO 2013-3 LTD
	 	By: BLUEMOUNTAIN CAPITAL
	 	MANAGEMENT, LLC,
	 	Its Collateral Manager,
	 	as a Lender
	 	 
	 	By: 	/s/ Meghan Fornshell
	 	 	Name: Meghan Fornshell
	 	 	Title: Operations Analyst


 





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	 	BlueMountain CLO 2015-1 LTD
	 	By: BLUEMOUNTAIN CAPITAL 
	 	MANAGEMENT, LLC,
	 	Its Collateral Manager,
	 	as a Lender 
	 	 
	 	By:	/s/ Meghan Fornshell
	 	 	Name: Meghan Fornshell
	 	 	Title: Operations Analyst


 





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	 	BlueMountain CLO 2015-2 LTD
	 	By: BLUEMOUNTAIN CAPITAL
	 	MANAGEMENT, LLC,
	 	Its Collateral Manager,
	 	as a Lender
	 	 
	 	By:	/s/ Meghan Fornshell
	 	 	Name: Meghan Fornshell
	 	 	Title: Operations Analyst


 





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	 	Pioneer High Yield VCT Portfolio
	 	Pioneer Multi-Asset Income Fund
	 	VY Pioneer High Yield Portfolio
	 	Pioneer Institutional Solutions - Credit Opportunities
	 	Pioneer Diversified High Income Trust
	 	Pioneer Dynamic Credit Fund
	 	Pioneer Multi-Asset Ultrashort Income Fund
	 	Pioneer Floating Rate Trust
	 	Pioneer Global High Yield Fund
	 	Pioneer Investments Diversified Loans Fund
	 	Pioneer Floating Rate Fund
	 	Pioneer High Yield Fund
	 	Pioneer Strategic Income Fund, 
	 	Each as a Lender
	 	 
	 	By:   Pioneer Investment Management, Inc.,
	 	As investment adviser to each
	 	Lender above
	 	 
	 	By:	/s/ Margaret C. Begley
	 	 	Name: Margaret C. Begley
	 	 	Title: Secretary and Associate 
	 		General Counsel
	 	 
	 	The Doctors Company an Interinsurance Exchange
	 	Pioneer Institutional Multi-Sector Fixed Income Portfolio
	 	Ascension Health Master Pension Trust
	 	Pioneer Multi-Sector Fixed Income Trust
	 	Ascension Alpha Fund, LLC
	 	Stichting Pensioenfonds Medische Specialisten
	 	Each as a Lender
	 	 
	 	By:   Pioneer Institutional Asset Management, Inc.,
	 	As investment adviser to each Lender above
	 	 
	 	By:	/s/ Margaret C. Begley
	 	 	Name: Margaret C. Begley
	 	 	Title: Secretary and Associate
	 	 	General Counsel


 





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	 	Pioneer High Yield VCT Portfolio
	 	Pioneer Multi-Asset Income Fund
	 	VY Pioneer High Yield Portfolio
	 	Pioneer Institutional Solutions - Credit Opportunities
	 	Pioneer Diversified High Income Trust
	 	Pioneer Dynamic Credit Fund
	 	Pioneer Multi-Asset Ultrashort Income Fund
	 	Pioneer Floating Rate Trust
	 	Pioneer Global High Yield Fund
	 	Pioneer Investments Diversified Loans Fund
	 	Pioneer Floating Rate Fund
	 	Pioneer High Yield Fund
	 	Pioneer Strategic Income Fund, 
	 	Each as a Lender
	 	 
	 	By:   Pioneer Investment Management, Inc.,
	 	As investment adviser to each
	 	Lender above
	 	 
	 	By:	/s/ Margaret C. Begley
	 	 	Name: Margaret C. Begley
	 	 	Title: Secretary and Associate 
	 	 	General Counsel
	 	 
	 	The Doctors Company an Interinsurance Exchange
	 	Pioneer Institutional Multi-Sector Fixed Income Portfolio
	 	Ascension Health Master Pension Trust
	 	Pioneer Multi-Sector Fixed Income Trust
	 	Ascension Alpha Fund, LLC
	 	Stichting Pensioenfonds Medische Specialisten
	 	Each as a Lender
	 	 
	 	By:   Pioneer Institutional Asset Management, Inc.,
	 	As investment adviser to each Lender above
	 	 
	 	By:	/s/ Margaret C. Begley
	 	 	Name: Margaret C. Begley
	 	 	Title: Secretary and Associate
	 	 	General Counsel


 





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	 	DEERFIELD PARTNERS, L.P., 
	 	as a Lender
	 	By: 	Deerfield Mgmt, L.P.
	 	 	General Partner
	 	 	By: 	J.E. Flynn Capital, LLC
	 	 	 	General Partner
	 	 
	 	By:	/s/ David J. Clark
	 	 	Name: David J. Clark
	 	 	Title: Authorized Signatory


 





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	 	DEERFIELD INTERNATIONAL MASTER FUND, L.P.,
	 	as a Lender
	 	By: 	Deerfield Mgmt, L.P.
	 	 	General Partner
	 	 	By: 	J.E. Flynn Capital, LLC
	 	 	 	General Partner
	 	 
	 	 	By:	/s/ David J. Clark
	 	 	 	Name: David J. Clark
	 	 	 	Title:  Authorized Signatory


 


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	 	BABSON CLO LTD. 2012-II
	 	BABSON CLO LTD. 2013-I
	 	BABSON CLO LTD. 2013-II
	 	BABSON CLO LTD. 2014-II
	 	BABSON CLO LTD. 2015-I,
	 	each as a Lender
	 	By: Barings LLC as Collateral Manager
	 	 	 
	 	By:	/s/ Michael Fey
	 	 	Name: Michael Fey
	 	 	Title:  Director


 


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	 	BLT 19 LLC,
	 	as a Lender
	 	 	 
	 	By:	/s/ Michael Wotanowski
	 	 	Name: Michael Wotanowski
	 	 	Title:  Authorized Signatory


 


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	 	JOSHUA TREE FUNDING ULC,
	 	as a Lender
	 	 	 
	 	By:	/s/ Madonna Sequeira
	 	 	Name: Madonna Sequeira
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	1199 SEIU Health Care Employees Pension Fund,
	 	as a Lender
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	California State Teachers' Retirement System,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Employees' Retirement System of the State of Rhode Island,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	John Hancock Fund II Floating Rate Income Fund,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Mountain Hawk I CLO, LTD.,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Mountain Hawk III CLO, Ltd.,
	 	as a Lender
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	MultiMix Wholesale Diversified Fixed Interest Trust,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Western Asset Bank Loan (Multi-Currency) Master Fund,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Western Asset Bank Loan (Offshore) Fund,
	 	as a Lender
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Western Asset Corporate Loan Fund Inc.,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Western Asset Floating Rate High Income Fund, LLC,
	 	as a Lender
	 	BY: Western Asset Management Company as Investment Manager and Agent
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Western Asset U.S. Bank Loan (Offshore) Fund,
	 	as a Lender
	 	 	 
	 	By:	/s/ Jed R. Villareal
	 	 	Name: Jed R. Villareal
	 	 	Title: Bank Loan Team
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	ARES XXIX CLO LTD.,
	 	as a Lender
	 	By: Ares CLO Management XXIX, L.P., its Asset Manager
	 	By: Ares CLO GP XXIX, LLC, its General Partner
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	ARES XXVI CLO LTD.,
	 	as a Lender
	 	BY: Ares CLO Management XXVI, L.P., its Collateral Manager
	 	By: Ares CLO GP XXVI, LLC, its General Partner
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	ARES XXVII CLO LTD.,
	 	as a Lender
	 	By: Ares CLO Management XXVII, L.P., its Asset Manager
	 	By: Ares CLO GP XXVII, LLC, its General Partner
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	ARES XXVIII CLO LTD.,
	 	as a Lender
	 	By: Ares CLO Management XXVIII, L.P., its Asset Manager
	 	By: Ares CLO GP XXVIII, LLC, its General Partner
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXI CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management XXXI, L.P., its Portfolio Manager
	 	By: Ares Management LLC, its General Partner
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXII CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management XXXII, L.P., its Asset Manager
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXIII CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management XXXIII, L.P., its Asset Manager
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXIV CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management LLC, its collateral manager
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXIX CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management II LLC, its asset
	 	manager
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXV CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management LLC, its asset manager
	 	 	 
	 	By:	/s/ Daniel Hayward
	 		Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXVII CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management LLC, its asset manager
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Ares XXXVIII CLO Ltd.,
	 	as a Lender
	 	By: Ares CLO Management II LLC, its asset
	 	manager
	 	 	 
	 	By:	/s/ Daniel Hayward
	 	 	Name: Daniel Hayward
	 	 	Title: Authorized Signatory
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	BSG Fund Management B.V. on behalf of the Stichting Blue Sky Active Fixed Income US
	 	Leveraged Loan Fund,
	 	as a Lender
	 	By THL Credit Senior Loan
	 	Strategies LLC, as Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	ILLINOIS STATE BOARD OF INVESTMENT,
	 	as a Lender
	 	BY: THL Credit Senior Loan Strategies LLC, as
	 	Investment Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Russell Institutional Funds, LLC - Russell Multi-Asset Core Plus Fund,
	 	as a Lender
	 	BY: THL Credit Advisors LLC, as Investment
	 	Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Russell Investment Company Russell Global Opportunistic Credit Fund,
	 	as a Lender
	 	BY: THL Credit Advisors LLC, as Investment
	 	Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Russell Investment Company Russell Multi-Strategy Income Fund,
	 	as a Lender
	 	THL Credit Advisors LLC, as Investment Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Russell Investment Company Russell Short Duration Bond Fund,
	 	as a Lender
	 	BY: THL Credit Advisors LLC, as Investment
	 	Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Russell Investment Company Unconstrained Total Return Fund,
	 	as a Lender
	 	by THL Credit Advisors LLC, as Investment
	 	Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	Russell Investments Ireland Limited on behalf of the Russell Floating Rate Fund, a subfund of Russell Qualifying Investor Alternative Investment Funds
	 	plc,
	 	as a Lender
	 	BY: THL Credit Advisors LLC, as Investment
	 	Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	Smithfield Foods Master Trust,
	 	as a Lender
	 	by THL Credit Advisors LLC,
	 	as Investment Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
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	 	THL Credit Bank Loan Select Master Fund, a Class of The THL Credit Bank Loan Select Series Trust I,
	 	as a Lender
	 	BY: THL Credit Senior Loan Strategies LLC, as
	 	Investment Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	THL Credit Logan JV SPV I LLC,
	 	as a Lender
	 	By: THL Credit Logan JV LLC, its Designated Manager
	 	 	 
	 	By:	/s/ Chris Flynn
	 	 	Name: Chris Flynn
	 	 	Title: Director
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	THL CREDIT SENIOR LOAN FUND,
	 	as a Lender
	 	By THL Credit Advisors LLC, as Subadviser
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	THL Credit Wind River 2012-1 CLO Ltd.,
	 	as a Lender
	 	BY: THL Credit Senior Loan Strategies LLC, as Investment Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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	 	THL CREDIT WIND RIVER 2013-1 CLO LTD.,
	 	as a Lender
	 	BY: THL Credit Senior Loan Strategies LLC, as Investment Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


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Agreement]


 




     


     


    

 


	 	THL Credit Wind River 2014-1 CLO Ltd.,
	 	as a Lender
	 	By THL Credit Advisors LLC, as Investment Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

 


	 	THL Credit Wind River 2014-3 CLO Ltd.,
	 	as a Lender
	 	By THL Credit Senior Loan Strategies LLC, as Manager
	 	 	 
	 	By:	/s/ James R. Fellows
	 	 	Name: James R. Fellows
	 	 	Title: Managing Director/Co-Head
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

 


	 	Fifth Street Opportunities Fund,
    L.P.,
	 	as a Lender
	 	 	 
	 	By:	/s/ Alexander C. Frank
	 	 	Name: Alexander C. Frank
	 	 	Title: Chief Operating Officer


 


[Signature Page to Sixth Amendment to Credit
Agreement]


 




     


     


    

  


SCHEDULE A


 


SCHEDULE II


 


Commitment Amounts


 


[On file with the Administrative Agent]


 




     


     


    




 


EXHIBIT A


 


Amended Credit Agreement


 




     


     


    

 




	 	EXHIBIT A to the Sixth Amendment to Credit Agreement
	 	 
	 	CUSIP: 09071FAD3
	 	CUSIP: 09071FAE1 (Revolver)
	 	CUSIP: 09071FAF8 (Initial Term B)
	 	CUSIP: 09071FAG6 (Delayed Draw Term B)










 


CREDIT AGREEMENT


 


dated as of July 31, 2013


as amended as of December 23, 2013,


as further amended as of January 31, 2014,


as further amended as of March 1, 2015,


as further amended as of August 6, 2015,


as further amended as of October 9, 2015, and


as further amended as of January 6, 2017


among


 


BIOSCRIP, INC.,


as Borrower,


 


THE LENDERS FROM TIME TO TIME PARTY HERETO,


 


and


 


SUNTRUST BANK,


as Administrative Agent


 





 








 


with


 


SUNTRUST ROBINSON HUMPHREY, INC. 

and

JEFFERIES FINANCE LLC,

as Joint Lead Arrangers and Joint Bookrunners,


 


JEFFERIES FINANCE LLC,

as Syndication Agent,


 




     


     


    

 


Table
of Contents


 


		 	Page
	 	 	 
	ARTICLE I DEFINITIONS; CONSTRUCTION	1
	Section 1.1	Definitions	1
	Section 1.2	Classifications of Loans and Borrowings	38
	Section 1.3	Accounting Terms and Determination	39
	Section 1.4	Terms Generally	39
	 	 	 
	ARTICLE II AMOUNT AND TERMS OF THE COMMITMENTS	40
	Section 2.1	General Description of Facilities	40
	Section 2.2	Revolving Loans	40
	Section 2.3	Procedure for Revolving Borrowings	40
	Section 2.4	Swingline Commitment	41
	Section 2.5	Term B Loan Commitments	42
	Section 2.6	Funding of Borrowings	42
	Section 2.7	Interest Elections	43
	Section 2.8	Reduction and Termination of Commitments	44
	Section 2.9	Repayment of Loans	45
	Section 2.10	Evidence of Indebtedness	45
	Section 2.11	Optional Prepayments; Prepayment Premium	46
	Section 2.12	Mandatory Prepayments	46
	Section 2.13	Interest on Loans	47
	Section 2.14	Fees	48
	Section 2.15	Computation of Interest and Fees	49
	Section 2.16	Inability to Determine Interest Rates	49
	Section 2.17	Illegality	50
	Section 2.18	Increased Costs	50
	Section 2.19	Funding Indemnity	51
	Section 2.20	Taxes	51
	Section 2.21	Payments Generally; Pro Rata Treatment; Sharing of Set-offs	54
	Section 2.22	Letters of Credit	56
	Section 2.23	Incremental Commitments; Additional Lenders	59
	Section 2.24	Mitigation of Obligations	62
	Section 2.25	Replacement of Lenders	62
	Section 2.26	Defaulting Lenders	62
	 	 	 
	ARTICLE III CONDITIONS PRECEDENT TO LOANS AND LETTERS OF CREDIT	65
	Section 3.1	Conditions to Effectiveness	65
	Section 3.2	Conditions to DDT Loans	69
	Section 3.3	Conditions to Each Credit Event	72
	Section 3.4	Delivery of Documents	73
	 	 	 
	ARTICLE IV REPRESENTATIONS AND WARRANTIES	73
	Section 4.1	Existence; Power	73
	Section 4.2	Organizational Power; Authorization	73
	Section 4.3	Governmental Approvals; No Conflicts.	73
	Section 4.4	Financial Statements; Material Adverse Effect	74
	Section 4.5	Litigation and Environmental Matters	74
	Section 4.6	Compliance with Laws and Agreements	74
	Section 4.7	Investment Company Act	74


 




    	 	-i-	 



     


    

 


Table
of Contents


(continued)


 


	 	 	Page
	 	 	 
	Section 4.8	Taxes	75
	Section 4.9	Margin Regulations	75
	Section 4.10	ERISA	75
	Section 4.11	Ownership of Property; Insurance	76
	Section 4.12	Disclosure	76
	Section 4.13	Labor Relations	76
	Section 4.14	Subsidiaries	77
	Section 4.15	Solvency	77
	Section 4.16	Deposit and Disbursement Accounts	77
	Section 4.17	Collateral Documents	77
	Section 4.18	Material Agreements	78
	Section 4.19	Sanctions and Anti-Corruption Laws	78
	Section 4.20	Patriot Act	78
	Section 4.21	Compliance with Healthcare Laws	79
	Section 4.22	HIPAA/HITECH Compliance	81
	Section 4.23	Reimbursement	82
	Section 4.24	Fraud and Abuse	82
	Section 4.25	EEA Financial Institutions; Other Regulations	83
	 	 	 
	ARTICLE V AFFIRMATIVE COVENANTS	83
	Section 5.1	Financial Statements and Other Information	83
	Section 5.2	Notices of Material Events	85
	Section 5.3	Existence; Conduct of Business	87
	Section 5.4	Compliance with Laws	87
	Section 5.5	Payment of Obligations	87
	Section 5.6	Books and Records	87
	Section 5.7	Visitation and Inspection	87
	Section 5.8	Maintenance of Properties; Insurance; Credit Ratings	88
	Section 5.9	Use of Proceeds; Margin Regulations	88
	Section 5.10	Casualty and Condemnation	88
	Section 5.11	Cash Management	89
	Section 5.12	Additional Subsidiaries and Collateral	90
	Section 5.13	Additional Real Estate; Leased Locations	91
	Section 5.14	Further Assurances	91
	Section 5.15	Healthcare Matters	91
	Section 5.16	Post-Closing Covenants	91
	Section 5.17	Priming Credit Enhancements	92
	Section 5.18	Priming Loan Documents	92
	 	 	 
	ARTICLE VI FINANCIAL COVENANTS	92
	 	 	 
	ARTICLE VII NEGATIVE COVENANTS	94
	Section 7.1	Indebtedness and Disqualified Capital Stock	94
	Section 7.2	Liens	97
	Section 7.3	Fundamental Changes	98
	Section 7.4	Investments, Loans	98
	Section 7.5	Restricted Payments	99
	Section 7.6	Sale of Assets	100


 




    	 	-ii-	 



     


    

 


Table
of Contents


(continued)


 


	 	 	Page
	 	 	 
	Section 7.7	Transactions with Affiliates	101
	Section 7.8	Restrictive Agreements	102
	Section 7.9	Sale and Leaseback Transactions	102
	Section 7.10	Hedging Transactions	102
	Section 7.11	Amendment to Material Documents	102
	Section 7.12	Accounting Changes	103
	Section 7.13	Government Regulation	103
	Section 7.14	Health Care Matters	103
	Section 7.15	ERISA	103
	Section 7.16	Anti-Layering	103
	Section 7.17	Anti-Cash Hoarding	103
	 	 	 
	ARTICLE VIII EVENTS OF DEFAULT	104
	Section 8.1	Events of Default	104
	Section 8.2	Application of Proceeds from Collateral	107
	 	 	 
	ARTICLE IX THE ADMINISTRATIVE AGENT	108
	Section 9.1	Appointment of the Administrative Agent	108
	Section 9.2	Nature of Duties of the Administrative Agent	109
	Section 9.3	Lack of Reliance on the Administrative Agent	109
	Section 9.4	Certain Rights of the Administrative Agent	110
	Section 9.5	Reliance by the Administrative Agent	110
	Section 9.6	The Administrative Agent in its Individual Capacity	110
	Section 9.7	Successor Administrative Agent	110
	Section 9.8	Withholding Tax	111
	Section 9.9	The Administrative Agent May File Proofs of Claim	111
	Section 9.10	Authorization to Execute Other Loan Documents	112
	Section 9.11	Collateral and Guaranty Matters	112
	Section 9.12	Syndication Agent	112
	Section 9.13	Right to Realize on Collateral and Enforce Guarantee	113
	Section 9.14	Secured Bank Product Obligations and Hedging Obligations	113
	Section 9.15	ABDC INTERCREDITOR AGREEMENT	113
	Section 9.16	PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT	113
	 	 	 
	ARTICLE X MISCELLANEOUS	114
	Section 10.1	Notices	114
	Section 10.2	Waiver; Amendments	116
	Section 10.3	Expenses; Indemnification	119
	Section 10.4	Successors and Assigns	120
	Section 10.5	Governing Law; Jurisdiction; Consent to Service of Process	124
	Section 10.6	WAIVER OF JURY TRIAL	125
	Section 10.7	Right of Set-off	125
	Section 10.8	Counterparts; Integration	125
	Section 10.9	Survival	126
	Section 10.10	Severability	126
	Section 10.11	Confidentiality	126
	Section 10.12	Interest Rate Limitation	127
	Section 10.13	Waiver of Effect of Corporate Seal	127


 




    	 	-iii-	 



     


    

 


Table
of Contents


(continued)


 


	 	 	Page
	 	 	 
	Section 10.14	Patriot Act	127
	Section 10.15	No Advisory or Fiduciary Responsibility	127
	Section 10.16	Priming/Existing Lien Intercreditor Agreement	128
	Section 10.17	Priming Agent as Bailee	128
	Section 10.18	Acknowledgement and Consent to Bail-In of EEA Financial Institutions	129


 




    	 	-iv-	 



     


    

 


Table
of Contents


(continued)


 


	 	 	 	Page
	 	 	 	 
	Schedules	 	 	 
	 	 	 	 
	Schedule I	-	Commitment Amounts	 
	Schedule II	-	Competitors	 
	Schedule 1.1	-	Existing Letters of Credit	 
	Schedule 4.11(a)	-	Real Estate	 
	Schedule 4.11(c)	-	Insurance	 
	Schedule 4.14	-	Subsidiaries	 
	Schedule 4.16	-	Permitted Third Party Banks; Deposit and Disbursement Accounts	 
	Schedule 4.18	-	Material Agreements	 
	Schedule 4.21(a)	-	Healthcare Matters	 
	Schedule 4.21(g)	-	Health Care Audits	 
	Schedule 4.23(a)	-	Company Reimbursement Approval Compliance	 
	Schedule 5.16	-	Post-Closing Covenants	 
	Schedule 7.1	-	Existing Indebtedness	 
	Schedule 7.2	-	Existing Liens	 
	Schedule 7.4	-	Existing Investments	 
	Schedule 7.7	-	Existing Transactions with Affiliates	 
	 	 	 	 
	Exhibits	 	 	 
	 	 	 	 
	Exhibit A	-	Form of Assignment and Assumption	 
	Exhibit B	-	Form of Guaranty and Security Agreement	 
	Exhibit C	-	Form of ABDC Intercreditor Agreement 	 
	Exhibit 2.3	-	Form of Notice of Borrowing	 
	Exhibit 2.4	-	Form of Notice of Swingline Borrowing	 
	Exhibit 2.7	-	Form of Notice of Conversion/Continuation	 
	Exhibit 3.1(b)(ii)	-	Form of Secretary’s Certificate	 
	Exhibit 3.1(b)(v)	-	Form of Closing Date Certificate	 
	Exhibit 3.2	-	Form of DDTL Date Certificate	 
	Exhibit 5.1(c)	-	Form of Compliance Certificate	 


 




    	 	-v-	 



     


    

 


CREDIT AGREEMENT


 


THIS CREDIT AGREEMENT
(this “Agreement”) is made and entered into as of July 31, 2013, by and among BIOSCRIP, INC., a Delaware
corporation (the “Borrower”), the several banks and other financial institutions and lenders from time to time
party hereto (the “Lenders”), and SUNTRUST BANK, in its capacity as administrative agent for itself and the
Lenders (the “Administrative Agent”), as issuing bank (the “Issuing Bank”) and as swingline
lender (the “Swingline Lender”).


 


WITNESSETH:


 


WHEREAS, the Borrower
has requested that the Lenders (a) establish a $75,000,000 revolving credit facility in favor of the Borrower, (b) make term b
loans in an aggregate principal amount equal to $250,000,000 to the Borrower, and (c) establish a $150,000,000 delayed draw term
loan b facility in favor of the Borrower;


 


WHEREAS, subject
to the terms and conditions of this Agreement, the Lenders, the Issuing Bank and the Swingline Lender, to the extent of their respective
Commitments as defined herein, are willing severally to (a) establish the revolving credit facility in favor of the Borrower, (b)
make the term b loans to the Borrower, and (c) establish the delayed draw term loan b facility in favor of the Borrower;


 


NOW, THEREFORE,
in consideration of the premises and the mutual covenants herein contained, the Borrower, the Lenders, the Administrative Agent,
the Issuing Bank and the Swingline Lender agree as follows:


 


ARTICLE
I


 


DEFINITIONS;
CONSTRUCTION


 


Section 1.1           Definitions.
In addition to the other terms defined herein, the following terms used herein shall have the meanings herein specified (to be
equally applicable to both the singular and plural forms of the terms defined):


 


“ABDC”
shall mean AmerisourceBergen Drug Corporation, a Delaware corporation.


 


“ABDC Obligations”
shall mean all obligations of the Loan Parties or any of their Subsidiaries owing to ABDC under the ABDC Prime Vendor Agreement
and any other agreement, instrument, certificate or other document pursuant to which any Loan Party or any Subsidiary of a Loan
Party grants (or purports to grant) in favor of ABDC a security interest in or a Lien on any property of such Loan Party or such
Subsidiary now or at any time hereafter to secure such obligations.


 


“ABDC Intercreditor
Agreement” shall mean that certain Amended and Restated Intercreditor Agreement dated as of the Sixth Amendment Effective
Date by and between the Administrative Agent, the Priming Agent and ABDC, substantially in the form attached to the Sixth Amendment,
as amended, restated, supplemented or otherwise modified from time to time in accordance therewith and herewith.


 


“ABDC Lien”
shall mean the Lien of ABDC on the Inventory and Accounts of Borrower and its Subsidiaries and the products and proceeds thereof,
as described more particularly and defined in the definition of “Second Priority Collateral” (as defined in the ABDC
Intercreditor Agreement) and, in all events, subject to the provisions of the ABDC Intercreditor Agreement.


 




     


     


    

 


“ABDC Prime Vendor
Agreement” shall mean that certain Prime Vendor Agreement dated as of July 1, 2009 by and among the Borrower and ABDC,
as amended by that certain First Amendment dated as of March 25, 2010, that certain Second Amendment dated as of June 1, 2010,
that certain Third Amendment dated as of August 1, 2010, that certain Fourth Amendment dated as of May 1, 2011, that certain Fifth
Amendment dated as of January 1, 2012, that certain Sixth Amendment dated as of September 1, 2012, that certain Seventh Amendment
dated as of December 1, 2012, and that certain Eighth Amendment dated as of April 1, 2013, and as the same may be further amended,
restated, supplemented, waived, extended, refinanced, replaced or otherwise modified from time to time in a manner not prohibited
by the ABDC Intercreditor Agreement.


 


“Accepting Lenders”
shall have the meaning set forth in Section 10.2(c).


 


“Account Control
Agreement” shall mean any agreement by and among a Loan Party, the Administrative Agent and a depositary bank or securities
intermediary at which such Loan Party maintains a Controlled Account, that, in each case, complies with all Requirements of Law
and is otherwise in form and substance reasonably satisfactory to the Administrative Agent.


 


“Accreditation”
shall mean, collectively, all accreditations, approvals or other rights issued by any health care accrediting agency including
the Joint Commission, Accreditation Commission for Health Care, National Quality Forum and Community Health Accreditation Program.


 


“Acquisition”
shall mean (a) any Investment by the Borrower or any of its Subsidiaries in any other Person organized in the United States (with
substantially all of the assets of such Person and its Subsidiaries located in the United States), pursuant to which such Person
shall become a Subsidiary of the Borrower or any of its Subsidiaries or shall be merged with the Borrower or any of its Subsidiaries
or (b) any acquisition by the Borrower or any of its Subsidiaries of the assets of any Person (other than a Subsidiary of the Borrower)
that constitute all or substantially all of the assets of such Person or a division or business unit of such Person, whether through
purchase, merger or other business combination or transaction (and substantially all of such assets, division or business unit
are located in the United States). With respect to a determination of the amount of an Acquisition, such amount shall include all
consideration (including any deferred payments, but excluding any earn-out or other contingent consideration that is based upon
the achievement of future financial or operational criteria and that has not yet been earned in accordance with the terms of the
applicable agreements governing such Acquisition) set forth in the applicable agreements governing such Acquisition as well as
the principal amount of any Indebtedness assumed by any Loan Party in connection therewith.


 


“Acquired Business”
shall have the meaning set forth in the definition of CarePoint Acquisition.


 


“Additional Lender”
shall have the meaning set forth in Section 2.23.


 


“Adjusted LIBO
Rate” shall mean, (a) with respect to each Interest Period for a Eurodollar Borrowing under the Term B Loan Commitments,
the greater of (i) the rate per annum obtained by dividing (x) LIBOR for such Interest Period by (y) a percentage equal
to 1.00 minus the Eurodollar Reserve Percentage and (ii) 1.25% and (b) with respect to each Interest Period for a Eurodollar
Borrowing under any other Commitment, the rate per annum obtained by dividing (i) LIBOR for such Interest Period by
(ii) a percentage equal to 1.00 minus the Eurodollar Reserve Percentage.


 


“Administrative
Agent” shall have the meaning set forth in the introductory paragraph hereof.


 




    	 	2	 



     


    

 


“Administrative
Questionnaire” shall mean, with respect to each Lender, an administrative questionnaire in the form provided by the Administrative
Agent and submitted to the Administrative Agent duly completed by such Lender.


 


“Affiliate”
shall mean, as to any Person, any other Person that directly, or indirectly through one or more intermediaries, Controls, is Controlled
by, or is under common Control with, such Person. For the purposes of this definition, “Control” shall mean the power,
directly or indirectly, to direct or cause the direction of the management and policies of a Person, whether through the ability
to exercise voting power, by contract or otherwise. For purposes of Section 7.7, “Control” shall also include
the power, directly or indirectly, to vote 10% or more of the securities having ordinary voting power for the election of directors
(or persons performing similar functions) of a Person. The terms “Controlled by” and “under common Control with”
have the meanings correlative thereto.


 


“Aggregate Revolving
Commitment Amount” shall mean the aggregate principal amount of the Aggregate Revolving Commitments from time to time.
On the Sixth Amendment Effective Date, the Aggregate Revolving Commitment Amount is $58,949,351.


 


“Aggregate Revolving
Commitments” shall mean, collectively, all Revolving Commitments of all Lenders at any time outstanding.


 


“Anti-Terrorism
Order” shall mean Executive Order 13224, signed by President George W. Bush on September 23, 2001.


 


“Applicable DDTL
Ticking Fee Rate” shall mean, as of any date, a percentage per annum equal to the Applicable Margin for Eurodollar
Loans that are Term B Loans.


 


“Applicable Lending
Office” shall mean, for each Lender and for each Type of Loan, the “Lending Office” of such Lender (or an
Affiliate of such Lender) designated for such Type of Loan in the Administrative Questionnaire submitted by such Lender or such
other office of such Lender (or such Affiliate of such Lender) as such Lender may from time to time specify to the Administrative
Agent and the Borrower as the office by which its Loans of such Type are to be made and maintained.


 


“Applicable Margin”
shall mean, as of any date, with respect to all Loans outstanding on such date, 7.00% per annum with respect to Base Rate
Loans and 8.00% per annum with respect to Eurodollar Loans.


 


“Approved Fund”
shall mean any Person (other than a natural Person) that is (or will be) engaged in making, purchasing, holding or otherwise investing
in commercial loans and similar extensions of credit in the ordinary course of its business and that is administered or managed
by (i) a Lender, (ii) an Affiliate of a Lender or (iii) an entity or an Affiliate of an entity that administers or manages a Lender.


 


“Assignment and
Assumption” shall mean an assignment and assumption entered into by a Lender and an assignee (with the consent of any
party whose consent is required by Section 10.4(b)) and accepted by the Administrative Agent, in the form of Exhibit
A attached hereto or any other form approved by the Administrative Agent.


 


“Assignment of
Deposit” shall mean that certain Assignment of Deposit dated on or about the Sixth Amendment Effective Date between the
Borrower and the Administrative Agent.


 


“Availability
Period” shall mean the period from and including the Closing Date to but excluding the Revolving Commitment Termination
Date.


 




    	 	3	 



     


    

 


“Available Amount”
shall mean, at any time (the “Reference Date”) an amount, not less than zero, equal to the sum of (a) the cumulative
portion of Excess Cash Flow for the period commencing on the Closing Date and ending on the Reference Date which has not been and
is not required to be used to prepay the Obligations pursuant to Section 2.12(c) minus (b) the aggregate amount of
any cash dividends, distributions, and share repurchases made by the Borrower pursuant to Section 7.5(g) after the Closing
Date and prior to the Reference Date.


 


“Bail-In Action”
shall mean the exercise of any Write-Down and Conversion Powers by the applicable EEA Resolution Authority in respect of any liability
of an EEA Financial Institution.


 


“Bail-In Legislation”
shall mean, with respect to any EEA Member Country implementing Article 55 of Directive 2014/59/EU of the European Parliament and
of the Council of the European Union, the implementing law for such EEA Member Country from time to time which is described in
the EU Bail-In Legislation Schedule.


 


“Bank Product
Obligations” shall mean, collectively, all monetary obligations and other liabilities of any Loan Party to any Bank Product
Provider arising with respect to any Bank Products.


 


“Bank Product
Provider” shall mean any Person that, at the time it provides any Bank Product to any Loan Party, (i) is a Lender or
an Affiliate of a Lender and (ii) except when the Bank Product Provider is SunTrust Bank and its Affiliates, has provided prior
written notice to the Administrative Agent which has been acknowledged by the Borrower of (x) the existence of such Bank Product,
(y) the maximum dollar amount of obligations arising thereunder (the “Bank Product Amount”) and (z) the methodology
to be used by such parties in determining the obligations under such Bank Product from time to time. In no event shall any Bank
Product Provider acting in such capacity be deemed a Lender for purposes hereof to the extent of and as to Bank Products except
that each reference to the term “Lender” in Article IX and Section 10.3(b) shall be deemed to include
such Bank Product Provider and in no event shall the approval of any such person in its capacity as Bank Product Provider be required
in connection with the release or termination of any security interest or Lien of the Administrative Agent. The Bank Product Amount
may be changed from time to time upon written notice to the Administrative Agent by the applicable Bank Product Provider. No Bank
Product Amount may be established at any time that a Default or Event of Default exists.


 


“Bank Products”
shall mean any of the following services provided to any Loan Party by any Bank Product Provider: (a) any treasury or other cash
management services, including deposit accounts, automated clearing house (ACH) origination and other funds transfer, depository
(including cash vault and check deposit), zero balance accounts and sweeps, return items processing, controlled disbursement accounts,
positive pay, lockboxes and lockbox accounts, account reconciliation and information reporting, payables outsourcing, payroll processing,
trade finance services, investment accounts and securities accounts, and (b) card services, including credit cards (including purchasing
cards and commercial cards), prepaid cards, including payroll, stored value and gift cards, merchant services processing, and debit
card services.


 


“Base Rate”
shall mean the highest of (i) the rate which the Administrative Agent announces from time to time as its prime lending rate, as
in effect from time to time, (ii) the Federal Funds Rate, as in effect from time to time, plus one-half of one percent (0.50%)
per annum and (iii) the Adjusted LIBO Rate determined on a daily basis for an Interest Period of one (1) month, plus one
percent (1.00%) per annum (any changes in such rates to be effective as of the date of any change in such rate). The Administrative
Agent’s prime lending rate is a reference rate and does not necessarily represent the lowest or best rate actually charged
to any customer. The Administrative Agent may make commercial loans or other loans at rates of interest at, above, or below the
Administrative Agent’s prime lending rate.


 




    	 	4	 



     


    

 


“Beneficial Owner”
shall mean, with respect to any amount paid hereunder or under any other Loan Document, the Person that is the beneficial owner,
for U.S. federal income tax purposes, of such payment.


 


“Borrower”
shall have the meaning set forth in the introductory paragraph hereof.


 


“Borrowing”
shall mean a borrowing consisting of (i) Loans of the same Class and Type, made, converted or continued on the same date and,
in the case of Eurodollar Loans, as to which a single Interest Period is in effect, or (ii) a Swingline Loan.


 


“Business Day”
shall mean any day other than (i) a Saturday, Sunday or other day on which commercial banks in Atlanta, Georgia are authorized
or required by law to close and (ii) if such day relates to a Borrowing of, a payment or prepayment of principal or interest on,
a conversion of or into, or an Interest Period for, a Eurodollar Loan or a notice with respect to any of the foregoing, any day
on which banks are not open for dealings in Dollar deposits in the London interbank market.


 


“Capital Expenditures”
shall mean, for any period, without duplication, (i) the additions to property, plant and equipment and other capital expenditures
of the Borrower and its Subsidiaries that are (or would be) set forth on a consolidated statement of cash flows of the Borrower
for such period prepared in accordance with GAAP and (ii) Capital Lease Obligations incurred by the Borrower and its Subsidiaries
during such period.


 


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


 


“Capital Stock”
shall mean all shares, options, warrants, general or limited partnership interests, membership interests or other equivalents (regardless
of how designated) of or in a corporation, partnership, limited liability company or equivalent entity whether voting or nonvoting,
including common stock, preferred stock or any other “equity security” (as such term is defined in Rule 3a11-1 of the
General Rules and Regulations promulgated by the Securities and Exchange Commission under the Exchange Act).


 


“CarePoint”
shall mean CarePoint Partners Holdings LLC, a Delaware limited liability company.


 


“CarePoint Acquisition”
shall mean the acquisition by the Borrower of substantially all of the assets of CarePoint and its Subsidiaries (such assets, the
“Acquired Business”) pursuant to and in accordance with the terms and conditions of the CarePoint Acquisition
Agreement.


 


“CarePoint Acquisition
Agreement” shall mean that certain Asset Purchase Agreement dated as of June 16, 2013, by and among CarePoint, the direct
and indirect Subsidiaries of CarePoint set forth on the signature pages thereto under the heading “Subsidiaries” (CarePoint,
together with such Subsidiaries, collectively, the “Seller”), the members of CarePoint set forth on the signature
pages thereto under the heading “Owners”, and the Borrower, together with the Company Disclosure Letter to Asset Purchase
Agreement delivered in connection therewith and all other schedules and exhibits delivered in connection therewith.


 


“CarePoint Certain
Funds Provision” shall have the meaning set forth in Section 3.2.


 




    	 	5	 



     


    

 


“CarePoint Collateral”
shall have the meaning set forth in Section 3.2.


 


“CarePoint Material
Adverse Effect” shall mean any event, circumstance, development, condition, occurrence, state of facts, change or effect
that, when considered individually or in the aggregate (i) is, or would reasonably be expected to be, materially adverse to the
condition (financial or otherwise), business, assets, liabilities, operations or results of operations of CarePoint and its Subsidiaries,
taken as a whole, or (ii) materially impairs the ability of CarePoint to consummate the transactions contemplated by the CarePoint
Acquisition Agreement, in either case, other than any event, circumstance, development, condition, occurrence, state of facts,
change or effect arising out of: (a) general business or economic conditions affecting the industry in which CarePoint and its
Subsidiaries operate, (b) national or international political or social conditions, including the engagement by the United States
in hostilities or the escalation thereof, whether or not pursuant to the declaration of a national emergency or war, or the occurrence
or the escalation of any military or terrorist attack upon the United States, or any of its territories, possessions or diplomatic
or consular offices or upon any military installation, equipment or personnel of the United States, (c) financial, banking or securities
markets (including any disruption thereof and any decline in the price of any security or any market index), (d) changes in GAAP,
(e) changes in applicable law, (f) the taking of any action contemplated by the CarePoint Acquisition Agreement or the other agreements
contemplated thereby or the announcement of the CarePoint Acquisition Agreement, the other agreements contemplated thereby or the
transactions contemplated thereby, or (g) any adverse change in or effect on the business of CarePoint and its Subsidiaries that
is cured by or on behalf of CarePoint before the earlier of the date that the CarePoint Acquisition is consummated and the date
on which the CarePoint Acquisition Agreement is terminated pursuant to Article 7 of the CarePoint Acquisition Agreement.


 


“Cash Collateralize”
shall mean, in respect of any obligations, to provide and pledge (as a first priority perfected security interest) cash collateral
for such obligations in Dollars with the Administrative Agent pursuant to documentation in form and substance reasonably satisfactory
to the Administrative Agent (and “Cash Collateralized” and “Cash Collateralization” have
the corresponding meanings).


 


“Cash Equivalents”
shall mean (i) direct obligations issued by, or unconditionally guaranteed by, the United States government or issued by any agency
thereof and backed by the full faith and credit of the United States, in each case maturing within one year from the date of acquisition;
(ii) certificates of deposit, time deposits, eurodollar time deposits or overnight bank deposits having maturities of one year
or less from the date of acquisition issued by any commercial bank organized under the laws of the United States or any state thereof
having combined capital and surplus of not less than $500,000,000; (iii) commercial paper of an issuer rated at least A-1 by S&P
or P-1 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 commercial paper issuers generally, and maturing within one year from the date of acquisition;
(iv) fully collateralized repurchase obligations of any commercial bank satisfying the requirements of clause (ii) of this definition,
having a term of not more than thirty days with respect to securities issued or fully guaranteed or insured by the United States
government; (v) marketable securities with maturities of one year or less from the date of acquisition issued or fully guaranteed
by any state, commonwealth or territory of the United States, by any political subdivision or taxing authority of any such state,
commonwealth or territory, the securities of which state, commonwealth, territory, political subdivision or taxing authority (as
the case may be) are rated at least A-1 by S&P or P-1 by Moody’s; (vi) securities with maturities of one year or less
from the date of acquisition backed by standby letters of credit issued by any Lender or any commercial bank satisfying the requirements
of clause (ii) of this definition; (vii) shares of money market mutual or similar funds which invest exclusively in assets satisfying
the requirements of any of clauses (i) through (vi) of this definition; and (viii) other short-term investments utilized by Foreign
Subsidiaries in accordance with the normal investment practices for cash management in investments of a type analogous to the foregoing.


 




    	 	6	 



     


    

 


“CFC Subsidiary”
shall mean any Subsidiary of the Borrower that is organized under the laws of the United States or any state or district thereof
and substantially all of the assets of which consist (directly, or indirectly through one or more disregarded entities) of Capital
Stock of one or more Subsidiaries of the Borrower organized under the laws of a jurisdiction other than the United States or any
state or district thereof.


 


“Change in Control”
shall mean the occurrence of one or more of the following events: (i) the acquisition of ownership, directly or indirectly, beneficially
or of record, by any Person or “group” (within the meaning of the Exchange Act and the rules of the Securities and
Exchange Commission thereunder as in effect on the date hereof, but excluding any employee benefit plan of such person or its subsidiaries,
or any person or entity acting in its capacity as trustee, agent or other fiduciary or administrator of such plan) of 35% or more
of the outstanding shares of the voting equity interests (with equivalent economic interests) of the Borrower; (ii) during any
period of 24 consecutive months, a majority of the members of the board of directors or other equivalent governing body of the
Borrower cease to be composed of individuals who are Continuing Directors; (iii) the acquisition by contract or otherwise by any
Person or two or more Persons acting in concert, or the entering into of a contract or arrangement by any Person or two or more
Persons acting in concert that, upon consummation thereof, will result in its or their acquisition of the power to exercise, directly
or indirectly, beneficially or of record, a controlling influence over the management or policies of the Borrower, or control over
35% or more of the outstanding shares of the voting equity interests (with equivalent economic interests) of the Borrower, (iv)
the Borrower shall cease to directly or indirectly own, free and clear of all Liens (except those created under the Collateral
Documents, the Priming Collateral Documents and non-consensual Liens that arise by operation of law), 100% of the outstanding Capital
Stock of each of its Subsidiaries (whether acquired or formed before or after the Closing Date), and all voting rights and economic
interests with respect thereto, other than pursuant to a transaction that is not prohibited hereunder, or (v) the occurrence of
a “Change in Control” (or any comparable term) under, and as defined in, any document or agreement evidencing any Material
Indebtedness.


 


“Change in Law”
shall mean (i) the adoption of any applicable law, rule or regulation after the date of this Agreement, (ii) any change in any
applicable law, rule or regulation, or any change in the interpretation, implementation or application thereof, by any Governmental
Authority after the date of this Agreement, or (iii) compliance by any Lender (or its Applicable Lending Office) or the Issuing
Bank (or, for purposes of Section 2.18(b), by the Parent Company of such Lender or the Issuing Bank, if applicable) with
any request, guideline or directive (whether or not having the force of law) of any Governmental Authority made or issued after
the date of this Agreement; provided that for purposes of this Agreement,
(x) the Dodd-Frank Wall Street Reform and Consumer Protection Act and all requests, rules, guidelines or directives in connection
therewith and (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 or foreign 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.


 


“Class”,
when used in reference to any Loan or Borrowing, refers to whether such Loan, or the Loans comprising such Borrowing, are Revolving
Loans, Swingline Loans or Term B Loans and when used in reference to any Commitment, refers to whether such Commitment is a Revolving
Commitment, a Swingline Commitment or a Term B Loan Commitment.


 


“Closing Date”
shall mean the date on which the conditions precedent set forth in Section 3.1 have been satisfied or waived in accordance
with Section 10.2 and the initial Loans are funded to the Borrower hereunder.


 




    	 	7	 



     


    

 


“CMS”
shall mean the Centers for Medicare and Medicaid Services, formerly known as the Health Care Financing Administration or HCFA,
and any successor thereto.


 


“Code”
shall mean the Internal Revenue Code of 1986, as amended and in effect from time to time, any successor statute, and the regulations
promulgated and rulings issued thereunder.


 


“Collateral”
shall mean all “Collateral” as defined in any Collateral Document and shall include the Mortgaged Properties, but shall
exclude any Excluded Property.


 


“Collateral Access
Agreement” shall mean each landlord waiver or bailee agreement granted to, and in form and substance reasonably acceptable
to, the Administrative Agent.


 


“Collateral Documents”
shall mean, collectively, the Guaranty and Security Agreement, any Real Estate Documents, the Account Control Agreements, the Government
Receivables Account Agreements, the Assignment of Deposit, the Information and Collateral Disclosure Certificate, all Copyright
Security Agreements, all Patent Security Agreements, all Trademark Security Agreements, all Collateral Access Agreements, all assignments
of key man life insurance policies and all other instruments and agreements now or hereafter securing or perfecting the Liens securing
the whole or any part of the Obligations or any Guarantee thereof, all UCC financing statements, fixture filings and stock powers,
and all other documents, instruments, agreements and certificates executed and delivered by any Loan Party to the Administrative
Agent and the Lenders in connection with the foregoing.


 


“Commitment”
shall mean a Revolving Commitment, a Swingline Commitment or a Term B Loan Commitment or any combination thereof (as the context
shall permit or require).


 


“Commitment Letter”
shall mean that certain commitment letter dated as of May 22, 2013, executed by the Lead Arrangers and SunTrust Bank and accepted
by the Borrower.


 


“Commodity Exchange
Act” shall mean the Commodity Exchange Act (7 U.S.C. § 1 et seq.), as amended from time to time, and any successor
statute.


 


“Company Accreditation”
shall have the meaning set forth in Section 4.22(c).


 


“Company Certain
Funds Provision” shall have the meaning set forth in Section 3.1.


 


“Company Reimbursement
Approval” shall have the meaning set forth in Section 4.23(a).


 


“Company Regulatory
Filings” shall have the meaning set forth in Section 4.22(e).


 


“Competitor”
shall mean any Person set forth on Schedule II.


 


“Compliance Certificate”
shall mean a certificate from a Responsible Officer of the Borrower in substantially the form of, and containing the certifications
set forth in, the certificate attached hereto as Exhibit 5.1(c).


 




    	 	8	 



     


    

 


“Consolidated
EBITDA” shall mean, for the Borrower and its Subsidiaries for
any period, an amount equal to the sum of (i) Consolidated Net Income for such period plus (ii) to the extent deducted in determining
Consolidated Net Income for such period, and in each case without duplication and as determined in accordance with GAAP, (a) Consolidated
Interest Expense, (b) income tax expense (including any franchise taxes imposed in lieu of income taxes and taxes based on profit
or capital) determined on a consolidated basis, (c) depreciation and amortization (including amortization of intangibles and goodwill)
determined on a consolidated basis, (d) fees, out of pocket costs and expenses incurred in connection with dispositions, Investments,
issuances of Indebtedness (including the Priming Obligations) or Capital Stock and Capital Expenditures (whether or not successfully
consummated) to the extent not prohibited hereunder, (e) extraordinary or non-recurring charges, (f) severance costs, retention
bonuses and other similar compensation payments made to employees of any Loan Party, (g) non-cash charges (including deferred compensation,
stock option or employee benefits-based and other equity-based compensation expenses, in each case, made to employees, consultants
and advisors of any Loan Party), (h) transaction expenses incurred in connection with this Agreement and the transactions contemplated
hereby, (i) restructuring charges, (j) integration and relocation expenses determined and calculated in each case on a basis not
inconsistent with historical practice, (k) prepayment expense, including fees and premiums, incurred in connection with the retirement
of existing indebtedness of the Borrower and its Subsidiaries, (l) fees and expenses paid to the Administrative Agent, the Lead
Arrangers and the Lenders hereunder and to the Priming Agent and the Priming Lenders under the Priming Credit Agreement (in each
case, to the extent not otherwise included in the calculation of Consolidated Interest Expense), (m) transaction expenses and integration
expenses incurred in connection with the Acquisition of Home Infusion Solutions, LLC, (n) losses and expenses from discontinued
operations, divested joint ventures and other divested Investments or incurred in connection with the disposal of discontinued
operations or the divestiture of joint ventures and other Investments, (o) expenses incurred in connection with the settlement
of any litigation or claim involving any Loan Party (so long as, with respect to each such litigation or claim, such expenses exceed
$100,000); provided, however, any such amount added back pursuant to this clause (o) shall not exceed $6,300,000
in the aggregate (including related legal fees not to exceed $500,000) over the term of this Agreement and (p) the cumulative effect
of a change in accounting principles. 


 


“Consolidated
Senior Secured Net Leverage Ratio” shall mean, as of any date, the ratio of (i) Consolidated Total Net Debt (other than
any Consolidated Junior Indebtedness, any Subordinated Debt and any unsecured Indebtedness, in each case, not prohibited hereunder)
as of such date to (ii) Consolidated EBITDA for the four consecutive Fiscal Quarters ending on (A) with respect to calculations
of the Consolidated Senior Secured Net Leverage Ratio required by Article VI, such date and (B) with respect to all other
calculations of the Consolidated Senior Secured Net Leverage Ratio, the last day of the most recent Fiscal Quarter prior to such
date for which financial statements have been delivered (or were required to be delivered) pursuant to Section 5.1(a) or
5.1(b), as applicable.


 


“Consolidated
Interest Expense” shall mean, for the Borrower and its Subsidiaries for any period, determined on a consolidated basis
in accordance with GAAP, the sum of (i) total interest expense, (including, without limitation and without duplication, (a) the
interest component of any payments in respect of Capital Lease Obligations, capitalized or expensed during such period (whether
or not actually paid during such period), (b) any premium or penalty payable in connection with the payment of make-whole amounts
or other prepayment premiums payable in connection with any Indebtedness of the Borrower or any of its Subsidiaries, (c) all commissions,
discounts and other fees and charges owed in respect of interest rates to the extent such net costs are allocable to such period
in accordance with GAAP, (d) any interest accrued during such period in respect of Indebtedness of the Borrower or any Subsidiary
that is required to be capitalized rather than paid in cash, (e) interest paid or payable with respect to discontinued operations
and (f) the interest portion of any deferred payment obligations) plus (ii) the net amount payable (or minus
the net amount receivable) with respect to Hedging Transactions during such period (whether or not actually paid or received during
such period).


 


“Consolidated
Junior Indebtedness” shall mean, as of any date, the aggregate stated principal amount of all Indebtedness of the Borrower
and its Subsidiaries, measured on a consolidated basis as of such date, secured by Liens that are junior in priority to the Liens
securing the Obligations.


 




    	 	9	 



     


    

 


“Consolidated
Net Income” shall mean, for the Borrower and its Subsidiaries for any period, the net income (or loss) of the Borrower
and its Subsidiaries for such period determined on a consolidated basis in accordance with GAAP, but excluding therefrom (to the
extent otherwise included therein) (i) any extraordinary gains or losses, (ii) any gains or losses attributable to write-ups
or write-downs of assets (including any reappraisal or revaluation of assets (including intangibles, goodwill and deferring financing
costs)), or the sale of assets (other than the sale of assets in the ordinary course of business), (iii) any interest of the
Borrower or any Subsidiary of the Borrower in the unremitted or undistributed earnings of any Person in which the Borrower or any
Subsidiary of the Borrower has an equity interest but that is not a Subsidiary, (iv) any income (or loss) of any Person accrued
prior to the date it becomes a Subsidiary or is merged into or consolidated with the Borrower or any Subsidiary or the date that
such Person’s assets are acquired by the Borrower or any Subsidiary, (v) any income (or loss) for such period attributable
to the early extinguishment of Indebtedness, (vi) any interest of the Borrower or any Subsidiary of the Borrower in the unremitted
or undistributed earnings of any Subsidiary of the Borrower or another Subsidiary of the Borrower to the extent that such remittance
or distribution of earnings is not prohibited by the organizational documents of such Subsidiary, contractual restrictions applicable
to such Subsidiary, or by applicable Requirements of Law, and (vii) any unrealized income (or loss) in respect of Hedging Obligations.


 


“Consolidated
Total Assets” shall mean, as of any date, the total assets of the Borrower and its Subsidiaries set forth on the consolidated
balance sheet of the Borrower and its Subsidiaries as of the end of the most recently ended Fiscal Quarter for which financial
statements have been delivered (or were required to be delivered) pursuant to Section 5.1(a) or 5.1(b), as applicable,
determined on a consolidated basis in conformity with GAAP.


 


“Consolidated
Total Debt” shall mean, as of any date, the aggregate stated principal amount of all Indebtedness of the Borrower and
its Subsidiaries measured on a consolidated basis as of such date, but excluding (i) Indebtedness of the type described in subsection
(xi) of the definition thereof, (ii) Indebtedness of the type described in Section 7.1(a)(xiii), (iii) the portion of any
earn-out or other deferred or contingent purchase consideration that is based upon the achievement of future financial or operational
criteria and that has not yet been earned in accordance with the terms of the applicable agreements, and (iv) Indebtedness of the
type described in subsection (vi) of the definition thereof (except to the extent of any unreimbursed drawings thereunder).


 


“Consolidated
Total Net Debt” shall mean, as of any date, the sum of (i) Consolidated Total Debt minus (ii) the aggregate amount
of cash and Cash Equivalents included in the consolidated balance sheet of the Borrower and its Subsidiaries as of such date (other
than (a) Restricted Cash and (b) for purposes of calculating the Consolidated Total Net Leverage Ratio or the Consolidated Senior
Secured Net Leverage Ratio, as applicable, the aggregate principal amount of any Indebtedness incurred on the date on which such
ratio is calculated, including any Indebtedness incurred pursuant to Section 2.23(a)(i), and Section 7.1(a)(xiv)).


 


“Consolidated
Total Net Leverage Ratio” shall mean, as of any date, the ratio of (i) Consolidated Total Net Debt as of such date to
(ii) Consolidated EBITDA for the four consecutive Fiscal Quarters ending on the last day of the most recent Fiscal Quarter prior
to such date for which financial statements have been delivered (or were required to be delivered) pursuant to Section 5.1(a)
or 5.1(b), as applicable.


 


“Continuing Director”
shall mean, with respect to any period, any individuals (A) who were members of the board of directors or other equivalent governing
body of the Borrower on the first day of such period, (B) whose election or nomination to that board or equivalent governing body
was approved by individuals referred to in clause (A) above constituting at the time of such election or nomination at least a
majority of that board or equivalent governing body, or (C) whose election or nomination to that board or other equivalent governing
body was approved by individuals referred to in clauses (A) and (B) above constituting at the time of such election or nomination
at least a majority of that board or equivalent governing body.


 




    	 	10	 



     


    

 


“Contractual Obligation”
of any Person shall mean any provision of any security issued by such Person or of any agreement, instrument or undertaking under
which such Person is obligated or by which it or any of the property in which it has an interest is bound.


 


“Controlled Account”
shall have the meaning set forth in Section 5.11.


 


“Copyright”
shall have the meaning assigned to such term in the Guaranty and Security Agreement.


 


“Copyright Security
Agreement” shall mean any Copyright Security Agreement executed by a Loan Party owning registered Copyrights or applications
for Copyrights in favor of the Administrative Agent for the benefit of the Secured Parties, both on the Closing Date and thereafter.


 


“DDTL Commitment”
shall mean, with respect to each Lender, the obligation of such Lender to make a DDT Loan hereunder, in a principal amount
not exceeding the amount set forth with respect to such Lender on Schedule I. The aggregate principal amount of all Lenders’
DDTL Commitments is $0 as of the Sixth Amendment Effective Date.


 


“DDTL Commitment
Termination Date” shall mean the earliest to occur of (a) October 31, 2013, (b) the DDTL Date, and (c) the
date on which the DDTL Commitments are terminated pursuant to Section 2.8.


 


“DDTL Date”
shall mean the date on which the CarePoint Acquisition is consummated, which date shall be (a) after the Closing Date and on or
prior to October 31, 2013, and (b) the date on which the conditions precedent set forth in Section 3.2 have been satisfied
or waived in accordance with Section 10.2 and the DDT Loans are funded to the Borrower hereunder.


 


“DDT Loans”
shall mean the term b loans made by a Lender with a DDTL Commitment to the Borrower on the DDTL Date pursuant to Section 2.5(b);
provided, that, for the avoidance of doubt, all DDT Loans are Term B Loans hereunder.


 


“Debtor Relief
Laws” means the Bankruptcy Code of the United States of America, and all other liquidation, conservatorship, bankruptcy,
assignment for the benefit of creditors, moratorium, rearrangement, receivership, insolvency, reorganization, or similar debtor
relief Laws of the United States or other applicable jurisdictions from time to time in effect.


 


“Default”
shall mean any condition or event that, with the giving of notice or the lapse of time or both, would constitute an Event of Default.


 


“Default Interest”
shall have the meaning set forth in Section 2.13(c).


 




    	 	11	 



     


    

 


“Defaulting Lender”
shall mean, subject to Section 2.26, any Lender that (a) has failed to (i) fund all or any portion of its Loans within two
(2) Business Days of the date such Loans were required to be funded hereunder unless such Lender notifies the Administrative Agent
and the Borrower in writing that such failure is the result of such Lender’s good faith determination that one or more conditions
precedent to funding (each of which conditions precedent, together with any applicable default, shall be specifically identified
in such writing) has not been satisfied, or (ii) pay to the Administrative Agent, any Issuing Bank, any Swingline Lender or any
other Lender any other amount required to be paid by it hereunder (including in respect of its participation in Letters of Credit
or Swingline Loans) within two (2) Business Days of the date when due, (b) has notified the Borrower, the Administrative Agent
or any Issuing Bank or Swingline Lender in writing that it does not intend to comply with its funding obligations hereunder, or
has made a public statement to that effect (unless such writing or public statement relates to such Lender’s obligation to
fund a Loan hereunder and states that such position is based on such Lender’s good faith determination that a condition precedent
to funding (which condition precedent, together with any applicable default, shall be specifically identified in such writing or
public statement) cannot be satisfied), (c) has failed, within three (3) Business Days after written request by the Administrative
Agent or the Borrower, to confirm in writing to the Administrative Agent and the Borrower that it will comply with its prospective
funding obligations hereunder (provided that such Lender shall cease to be a Defaulting Lender pursuant to this clause (c)
upon receipt of such written confirmation by the Administrative Agent and the Borrower), or (d) has, or has a direct or indirect
Parent Company that has, (i) become the subject of a proceeding under any Debtor Relief Law, (ii) had appointed for it a receiver,
custodian, conservator, trustee, administrator, assignee for the benefit of creditors or similar Person charged with reorganization
or liquidation of its business or assets, including the Federal Deposit Insurance Corporation or any other state or federal regulatory
authority acting in such a capacity or (iii) become the subject of a Bail-in Action; provided that a Lender shall not be
a Defaulting Lender solely by virtue of the ownership or acquisition of any equity interest in that Lender or any direct or indirect
Parent Company thereof by a Governmental Authority so long as such ownership interest does not result in or provide such Lender
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 Lender (or such Governmental Authority) to reject, repudiate, disavow or disaffirm any contracts or
agreements made with such Lender. Any determination by the Administrative Agent and the Borrower that a Lender is a Defaulting
Lender under clauses (a) through (d) above shall be conclusive and binding absent manifest error, and such Lender shall be deemed
to be a Defaulting Lender (subject to Section 2.26) upon delivery by the Administrative Agent of written notice of such
determination to the Borrower, each Issuing Bank, each Swingline Lender and each Lender.


 


“Disqualified
Capital Stock” shall mean, with respect to any Person, any Capital Stock that by its terms (or by the terms of any other
Capital Stock into which it is convertible or exchangeable) or otherwise (i) matures (other than as a result of a voluntary redemption
or repurchase by the issuer of such Capital Stock) or is subject to mandatory redemption or repurchase (other than solely for Capital
Stock that is not Disqualified Capital Stock) pursuant to a sinking fund obligation or otherwise (except as a result of a change
of control or asset sale so long as any rights of the holder thereof upon the occurrence of a change of control or asset sale event
shall be subject to the prior payment in full in cash of the Obligations (other than any Obligations which expressly survive termination,
Hedging Obligations owed by any Loan Party to any Lender-Related Hedge Provider, Bank Product Obligations and indemnities and other
contingent obligations not then due and payable and as to which no claim has been made) and termination of the Commitments); or
(ii) is convertible into or exchangeable or exercisable for Indebtedness or any Disqualified Capital Stock at the option of the
holder thereof; or (iii) may be required to be redeemed or repurchased at the option of the holder thereof (other than solely for
Capital Stock that is not Disqualified Capital Stock), in whole or in part, in each case specified in (i), (ii) or (iii) above
on or prior to the date that is ninety one days after the Maturity Date; or (d) provides for scheduled payments of dividends to
be made in cash.


 


“Disqualified
Institution” shall mean (a) any Disqualified Lender and (b) any Competitor.


 


“Disqualified
Lender” shall mean each Person previously identified in writing to the Lead Arrangers and set forth in that certain letter
agreement dated as of the date hereof delivered by the Borrower to the Administrative Agent, and each of such Person’s Affiliates.


 




    	 	12	 



     


    

 


“Dollar(s)”
and the sign “$” shall mean lawful money of the United States.


 


“Domestic Subsidiary”
shall mean each Subsidiary of the Borrower that is organized under the laws of the United States or any state or district thereof
and which is not a CFC Subsidiary.


 


“EEA Financial
Institution” shall mean (a) any credit institution or investment firm established in any EEA Member Country which is
subject to the supervision of an EEA Resolution Authority, (b) any entity established in an EEA Member Country which is a parent
of an institution described in clause (a) of this definition, or (c) any financial institution established in an EEA Member
Country which is a subsidiary of an institution described in clauses (a) or (b) of this definition and is subject
to consolidated supervision with its parent.


 


“EEA Member Country”
shall mean any of the member states of the European Union, Iceland, Liechtenstein, and Norway.


 


“EEA Resolution
Authority” shall mean any public administrative authority or any person entrusted with public administrative authority
of any EEA Member Country (including any delegee) having responsibility for the resolution of any EEA Financial Institution.


 


“Effective Yield”
means, as to any Indebtedness, the effective yield on such Indebtedness in the reasonable determination of the Administrative Agent
in consultation with the Borrower and consistent with generally accepted financial practices, taking into account the applicable
interest rate margins, any interest rate floors (the effect of which floors shall be determined in a manner set forth in the proviso
below) or similar devices and all fees, including upfront or similar fees or original issue discount (converted to yield assuming
a four-year Weighted Average Life to Maturity (or remaining life to maturity) and without any present value discount) payable generally
to Lenders or other institutions providing such Indebtedness, but excluding any arrangement, structuring, ticking or other similar
fees payable in connection therewith that are not generally shared with the relevant Lenders and, if applicable, consent fees for
an amendment paid generally to consenting Lenders; provided that with respect to any Indebtedness that includes a “LIBOR
floor”, (1) to the extent that the Reference Rate on the date that the Effective Yield is being calculated is less
than such floor, the amount of such difference shall be deemed added to the interest rate margin for such Indebtedness for the
purpose of calculating the Effective Yield and (2) to the extent that the Reference Rate on the date that the Effective Yield is
being calculated is greater than such floor, then the floor shall be disregarded in calculating the Effective Yield.


 


“Environmental
Indemnity” shall mean each environmental indemnity made by each Loan Party with respect to Real Estate required to be
pledged as Collateral in favor of the Administrative Agent for the benefit of the Secured Parties, in each case in form and substance
reasonably satisfactory to the Administrative Agent.


 


“Environmental
Laws” shall mean all applicable laws, rules, regulations, codes, ordinances, orders, decrees, judgments, injunctions,
binding notices or binding agreements issued, promulgated or entered into by or with any Governmental Authority relating in any
way to the environment, preservation or reclamation of natural resources, the management, Release or threatened Release of any
Hazardous Material or to health and safety matters.


 


“Environmental
Liability” shall mean any liability, contingent or otherwise (including any liability for damages, costs of environmental
investigation and remediation, costs of administrative oversight, fines, natural resource damages, penalties or indemnities), of
the Borrower or any of its Subsidiaries directly or indirectly resulting from or based upon (i) any actual or alleged violation
of any Environmental Law, (ii) the generation, use, handling, transportation, storage, treatment or disposal of any Hazardous Materials,
(iii) any actual or alleged exposure to any Hazardous Materials, (iv) the Release or threatened Release of any Hazardous Materials
or (v) any contract, agreement or other consensual arrangement pursuant to which liability is assumed or imposed with respect to
any of the foregoing.


 




    	 	13	 



     


    

 


“ERISA”
shall mean the Employee Retirement Income Security Act of 1974, as amended and in effect from time to time, and any successor statute
and the regulations promulgated and rulings issued thereunder.


 


“ERISA Affiliate”
shall mean any person that for purposes of Title IV of ERISA or Section 412 of the Code would be deemed at any relevant time to
be a “single employer” or otherwise aggregated with the Borrower or any of its Subsidiaries under Section 414(b) or
(c) (or, as relevant, Section 414(m) or (o)) of the Code or Section 4001 of ERISA.


 


“ERISA Event”
shall mean (i) the occurrence of any “reportable event” as defined in Section 4043 of ERISA with respect to a Plan
(other than an event as to which the PBGC has waived the requirement of Section 4043(a) of ERISA that it be notified of such event);
(ii) any failure to make a required contribution to any Plan that would result in the imposition of a lien or other encumbrance
or the provision of security under Section 430 of the Code or Section 303(k) or 4068 of ERISA, or the arising of such a lien or
encumbrance; (iii) there being or arising any “unpaid minimum required contribution” or “accumulated funding
deficiency” (as defined or otherwise set forth in Section 4971 of the Code or Part 3 of Subtitle B of Title 1 of ERISA),
whether or not waived; (iv) any filing of any request for or receipt of a minimum funding waiver under Section 412 of the Code
or Section 302 of ERISA with respect to any Plan or Multiemployer Plan; (v) any incurrence by the Borrower, any of its Subsidiaries
or any of their respective ERISA Affiliates of any liability under Title IV of ERISA with respect to any Plan or Multiemployer
Plan (other than for premiums due and not delinquent under Section 4007 of ERISA); (vi) any institution of proceedings, or the
occurrence of an event or condition which would reasonably be expected to constitute grounds for the institution of proceedings,
by the PBGC, under Section 4042 of ERISA for the termination of, or the appointment of a trustee to administer, any Plan; (vii)
any incurrence by the Borrower, any of its Subsidiaries or any of their respective ERISA Affiliates of any liability with respect
to the withdrawal or partial withdrawal from any Multiemployer Plan, or the receipt by the Borrower, any of its Subsidiaries or
any of their respective ERISA Affiliates of any notice that a Multiemployer Plan is in endangered or critical status under Section
305 of ERISA; (viii) any receipt by the Borrower, any of its Subsidiaries or any of their respective ERISA Affiliates of any notice,
or any receipt by any Multiemployer Plan from the Borrower, any of its Subsidiaries or any of their respective ERISA Affiliates
of any notice, concerning the imposition of Withdrawal Liability or a determination that a Multiemployer Plan is, or is expected
to be, insolvent or in reorganization, within the meaning of Title IV of ERISA; (ix) the occurrence of a non-exempt prohibited
transaction within the meaning of Section 406 of ERISA or Section 4975 of the Code with respect to any Plan such that material
liability would be incurred by the Borrower or any of its Subsidiaries; (x) any filing of a notice of intent to terminate any Plan
if such termination would require material additional contributions in order to be considered a standard termination within the
meaning of Section 4041(b) of ERISA; (xi) any filing under Section 4041(c) of ERISA of a notice of intent to terminate any Plan;
or (xii) the termination of any Plan under Section 4041(c) of ERISA.


 


“EU Bail-In Legislation
Schedule” shall mean the EU Bail-In Legislation Schedule published by the Loan Market Association (or any successor person),
as in effect from time to time.


 


“Eurodollar”,
when used in reference to any Loan or Borrowing, refers to whether such Loan, or the Loans comprising such Borrowing, bears interest
at a rate determined by reference to the Adjusted LIBO Rate.


 




    	 	14	 



     


    

 


“Eurodollar Reserve
Percentage” shall mean the aggregate of the maximum reserve percentages (including, without limitation, any emergency,
supplemental, special or other marginal reserves) expressed as a decimal (rounded upwards, if necessary, to the next 1/100 of 1%)
in effect on any day to which the Administrative Agent is subject with respect to the Adjusted LIBO Rate pursuant to regulations
issued by the Board of Governors of the Federal Reserve System (or any Governmental Authority succeeding to any of its principal
functions) with respect to eurocurrency funding (currently referred to as “eurocurrency liabilities” under Regulation
D). Eurodollar Loans shall be deemed to constitute eurocurrency funding and to be subject to such reserve requirements without
the benefit of or credit for proration, exemptions or offsets that may be available from time to time to any Lender under Regulation
D. The Eurodollar Reserve Percentage shall be adjusted automatically on and as of the effective date of any change in any reserve
percentage.


 


“Event of Default”
shall have the meaning set forth in Section 8.1.


 


“Excess Cash Flow”
shall mean, for the Borrower and its consolidated Subsidiaries for any Fiscal Year:


 


(a)          Consolidated
EBITDA for such Fiscal Year,


 


minus


 


(b)          the
sum of the following, without duplication:


 


(i)          the
aggregate amount of all regularly scheduled principal payments of Indebtedness (including the Term B Loans and the principal component
of any Capital Lease Obligations) made during such Fiscal Year (excluding payments in respect of the Revolving Loans unless there
is an equivalent permanent reduction in commitments thereunder);


 


(ii)         the
aggregate amount of all mandatory prepayments or repurchases of Indebtedness for borrowed money (including the Term B Loans) (other
than in connection with any permitted refinancing) made during such Fiscal Year (excluding payments in respect of the Revolving
Loans and Priming Revolving Loans unless there is an equivalent permanent reduction in commitments thereunder; provided
that there shall be no reduction for any mandatory prepayment of Revolving Loans on the Sixth Amendment Effective Date) other than
any mandatory prepayment required pursuant to Section 2.12(c) and Section 2.12(c) of the Priming Credit Agreement;


 


(iii)        the
aggregate amount of all voluntary prepayments of Indebtedness for borrowed money (other than the Obligations and the Priming Obligations)
made during such Fiscal Year (excluding payments in respect of any revolving credit facility unless there is an equivalent permanent
reduction in commitments thereunder);


 


(iv)        Consolidated
Interest Expense paid in cash for such Fiscal Year;


 


(v)         income
taxes (including franchise taxes imposed in lieu of income taxes) paid in cash with respect to such Fiscal Year;


 




    	 	15	 



     


    

 


(vi)        the
aggregate amount paid in cash during such Fiscal Year on account of Capital Expenditures, Investments, and Restricted Payments,
in each case, to the extent not prohibited hereunder (including the amount of all related fees, costs and expenses incurred in
connection therewith) and excluding the portion of any such Capital Expenditure, Investments, or Restricted Payments that is financed
(a) through the incurrence of Indebtedness (other than the Obligations) or (b) with the proceeds of equity issuances or contributions;
provided that, with respect to any Capital Expenditures and other Investments described in this clause (vi), the Borrower
may include in the calculation of Excess Cash Flow for any Fiscal Year the aggregate amount of expenditures that the Borrower or
any of its Subsidiaries becomes legally obligated to make during such Fiscal Year pursuant to a binding contract, committed purchase
order or other binding agreement but that are not actually made in cash during such Fiscal Year so long as (x) such expenditures
are actually made in cash during the following Fiscal Year, (y) the Borrower includes in the certificate required to be delivered
pursuant to Section 2.12(c) a description of such expenditures and a certification that such expenditures will be made during
the following Fiscal Year, and (z) if such expenditures are included in the calculation of Excess Cash Flow for any Fiscal Year,
they may not be included in the calculation of Excess Cash Flow for the following Fiscal Year;


 


(vii)       any
increase in the Working Capital during such period (measured as the excess of such Working Capital at the end of such period over
such Working Capital at the beginning of such period);


 


(viii)      all
other items added back to Consolidated EBITDA pursuant to (and subject to the limitations in) the definition of Consolidated EBITDA
to the extent paid in cash during such Fiscal Year;


 


plus


 


(c)          without
duplication, any decrease in the Working Capital during such period (measured as the excess of such Working Capital at the beginning
of such period over such Working Capital at the end thereof).


 


“Exchange Act”
shall mean the Securities Exchange Act of 1934, as amended and in effect from time to time.


 


“Excluded Account”
shall mean (a) deposit accounts specifically and exclusively used for payroll, payroll taxes and other employee wage and benefit
payments to or for the benefit of any Loan Party’s employees, (b) any other zero balance account or disbursement only account,
(c) deposit accounts specifically and exclusively used for escrowing funds and holding funds in trust, (d) Government Receivables
Accounts, (e) any deposit account specifically and exclusively used to hold cash collateral for letters of credit issued to replace
Existing Letters of Credit, and (f) any other deposit account, securities account or commodities account, including local or petty
cash accounts, which (i) individually does not have an average daily balance for a period in excess of three (3) Business Days
of more than $1,000,000 in cash or investment property on deposit therein or (ii) collectively with all such other accounts described
in this clause (f), does not have an aggregate balance at any time of more than $3,000,000 in cash or investment property on deposit
therein.


 


“Excluded Property”
shall have has the meaning specified in the Guaranty and Security Agreement.


 




    	 	16	 



     


    

 


“Excluded Swap
Obligation” shall mean, with respect to any Guarantor, any Swap Obligation if, and to the extent that, all or a portion
of the Guarantee of such Guarantor of, or the grant by such Guarantor of a security interest to secure, such Swap Obligation (or
any Guarantee thereof) is or becomes illegal or unlawful under the Commodity Exchange Act or any rule, regulation or order of the
Commodity Futures Trading Commission (or the application or official interpretation of any thereof) by virtue of such Guarantor’s
failure for any reason to constitute an “eligible contract participant” as defined in the Commodity Exchange Act at
the time the Guarantee of such Guarantor or the grant of such security interest becomes effective with respect to such Swap Obligation;
provided, that, for the avoidance of doubt, in determining whether any Guarantor is an “eligible contract participant”
under the Commodity Exchange Act, the keepwell agreement set forth in Section 10.19 of the Guaranty and Security Agreement shall
be taken into account. If a Swap Obligation arises under a master agreement governing more than one swap, such exclusion shall
apply only to the portion of such Swap Obligation that is attributable to swaps for which such Guarantee or security interest is
or becomes illegal. For purposes of this definition, the term “Swap Obligations” shall mean any obligation to
pay or perform under any agreement, contract or transaction that constitutes a “swap” within the meaning of section
1a(47) of the Commodity Exchange Act.


 


“Excluded Taxes”
shall mean, with respect to any payment to be made by or on account of any obligation of the Borrower hereunder, (a) income or
franchise taxes that are (i) imposed on (or measured by) the Recipient’s (or Beneficial Owner’s) net income by the
United States, or by the jurisdiction under the laws of which such Recipient (or Beneficial Owner) is organized or in which its
principal office is located or, in the case of any Lender, in which its Applicable Lending Office is located or (ii) Other Connection
Taxes, (b) any branch profits taxes imposed by the United States or any similar taxes that are imposed by any other jurisdiction
in which such Recipient (or Beneficial Owner) is located, (c) in the case of any U.S. federal withholding taxes that are imposed
on amounts payable to any Recipient (or Beneficial Owner) at the time such Recipient (or Beneficial Owner) becomes a Recipient
(or Beneficial Owner) under this Agreement or designates a new lending office, except in each case to the extent that amounts with
respect to such taxes were payable either (i) to such Recipient’s (or Beneficial Owner’s) assignor immediately before
such Recipient (or Beneficial Owner) became a Recipient (or Beneficial Owner) under this Agreement, or (ii) to such Recipient (or
Beneficial Owner) immediately before it designated a new lending office, (d) any taxes that are attributable to a Recipient’s
(or Beneficial Owner’s) failure to comply with Section 2.20(f), or (e) any Taxes imposed under FATCA.


 


“Existing Letter
of Credit” shall mean any stand-by letter of credit issued pursuant to the Credit Agreement for the account of the Borrower
prior to the Sixth Amendment Effective Date. Schedule 1.1 sets forth each of the outstanding Existing Letters of Credit
described by applicant, date of issuance, letter of credit number, amount, beneficiary and date of expiry as of the Sixth Amendment
Effective Date.


 


“Existing Senior
Notes” shall mean the unsecured 101⁄4% Senior Notes due 2015 issued by the Borrower pursuant to the Existing Senior
Notes Indenture, as amended, restated, supplemented, or otherwise modified from time to time prior to the Closing Date or, to the
extent set forth in or specifically contemplated by the documents governing the Existing Senior Notes Redemption, on or after the
Closing Date.


 


“Existing Senior
Notes Indenture” shall mean that certain Indenture dated as of March 25, 2010, by and among the Borrower, the guarantors
party thereto, and U.S. Bank National Association, as trustee, as amended, restated, supplemented, or otherwise modified from time
to time prior to, or on, the Closing Date.


 


“Existing Senior
Notes Redemption” shall mean the redemption or repurchase in full of all of the Existing Senior Notes, and the satisfaction
and discharge of the Existing Senior Notes Indenture, whether in one or a series of related transactions, including the payment
of any premium, fee, cost or other expense in connection therewith.


 




    	 	17	 



     


    

 


“Exjade Settlement”
shall mean the Borrower’s payment of an amount equal to $15,000,000, together with applicable interest thereon (plus any
amounts arising out of the Borrower’s obligation to reimburse certain parties for their out of pocket expenses) to settle
certain allegations relating to the prescription drug known as Exjade as described in the Borrower’s Form 8-K filed with
the SEC on or about December 16, 2013.


 


“FATCA”
shall mean Sections 1471 through 1474 of the Code, as of the date of this Agreement (or any amended or successor version that is
substantively comparable and not materially more onerous to comply with), any current or future regulations with respect thereto
or official administrative interpretations thereof, any agreements entered into pursuant to Section 1471(b)(1) of the Code and
any intergovernmental agreements (or related legislation or official administrative rules or practices) implementing the foregoing.


 


“Federal Funds
Rate” shall mean, for any day, the rate per annum (rounded upwards, if necessary, to the next 1/100 of 1%) equal
to the weighted average of the rates on overnight Federal funds transactions with member banks of the Federal Reserve System arranged
by Federal funds brokers, as published by the Federal Reserve Bank of New York on the next succeeding Business Day or, if such
rate is not so published for any Business Day, the Federal Funds Rate for such day shall be the average (rounded upwards, if necessary,
to the next 1/100 of 1%) of the quotations for such day on such transactions received by the Administrative Agent from three Federal
funds brokers of recognized standing selected by the Administrative Agent.


 


“Federal/State
Healthcare Program Account Debtor” shall mean, any account debtor which is (a) the United States of America acting under
the Medicaid/Medicare program established pursuant to the Social Security Act, the Tricare/CHAMPUS Program or any other Federally
sponsored health care program other than the health care programs for which Federal government employees are beneficiaries, (b)
any state or the District of Columbia acting pursuant to a health plan adopted pursuant to a State Medicaid program or (c) any
agent, carrier, administrator or intermediary for any of the foregoing.


 


“Fee Letters”
shall mean, collectively, (a) that certain fee letter dated as of June 16, 2013, executed by the Lead Arrangers and SunTrust Bank
and accepted by the Borrower and (b) that certain agency fee letter dated as of June 16, 2013, executed by STRH and SunTrust Bank
and accepted by the Borrower.


 


“Fifth Amendment”
shall mean that certain Fifth Amendment to Credit Agreement dated as of October 9, 2015, by and among the Borrower, the Guarantors,
the Administrative Agent, and the Lenders party thereto.


 


“First Amendment”
shall mean that certain First Amendment to Credit Agreement dated as of December 23, 2013, by and among the Borrower, the Guarantors,
the Administrative Agent, and the Lenders party thereto.


 


“Fiscal Quarter”
shall mean any fiscal quarter of the Borrower.


 


“Fiscal Year”
shall mean any fiscal year of the Borrower.


 


“Flood Insurance
Laws” shall mean, collectively, (i) the National Flood Insurance Act of 1968 as now or hereafter in effect or any successor
statute thereto, (ii) the Flood Disaster Protection Act of 1973 as now or hereafter in effect or any successor statute thereto,
(iii) the National Flood Insurance Reform Act of 1994 as now or hereafter in effect or any successor statute thereto, (iv) the
Flood Insurance Reform Act of 2004 as now or hereafter in effect of any successor statute thereto, in each case, together with
all statutory and regulatory provisions consolidating, amending, replacing, supplementing, implementing or interpreting any of
the foregoing, as amended or modified from time to time.


 




    	 	18	 



     


    

 


“Foreign Person”
shall mean any Person that is not a U.S. Person.


 


“Foreign Subsidiary”
shall mean each Subsidiary of the Borrower other than a Domestic Subsidiary.


 


“Fourth Amendment”
shall mean that certain Fourth Amendment to Credit Agreement dated as of August 6, 2015, by and among the Borrower, the Guarantors,
the Administrative Agent, and the Required Revolving Lenders.


 


“Fourth Amendment
Effective Date” shall mean the effective date of the Fourth Amendment.


 


“GAAP”
shall mean generally accepted accounting principles in the United States applied on a consistent basis and subject to the terms
of Section 1.3.


 


“Governmental
Authority” shall mean the government of the United States, any other nation or any political subdivision thereof, whether
state or local, and any agency, authority, instrumentality, regulatory body, court, central bank or other entity exercising executive,
legislative, judicial, taxing, regulatory or administrative powers or functions of or pertaining to government, including, without
limitation, CMS.


 


“Governmental
Payors” shall mean Medicare, Medicaid, CHAMPUS, CHAMPVA, TRICARE, Veteran’s Administration or any other Governmental
Authority or quasi-public agency providing funding for healthcare services.


 


“Governmental
Payor Arrangements” shall mean arrangements, plans or programs with Governmental Payors for payment or reimbursement
in connection with health care services, products or supplies.


 


“Government Receivables
Account” shall have the meaning set forth in Section 5.11(e).


 


“Government Receivables
Account Agreement” shall have the meaning set forth in Section 5.11(e).


 


“Guarantee”
of or by any Person (the “guarantor”) shall mean any obligation, contingent or otherwise, of the guarantor guaranteeing
or having the economic effect of guaranteeing any Indebtedness or other obligation of any other Person (the “primary obligor”)
in any manner, whether directly or indirectly and including any obligation, direct or indirect, of the guarantor (i) to purchase
or pay (or advance or supply funds for the purchase or payment of) such Indebtedness or other obligation or to purchase (or to
advance or supply funds for the purchase of) any security for the payment thereof, (ii) to purchase or lease property, securities
or services for the purpose of assuring the owner of such Indebtedness or other obligation of the payment thereof, (iii) to maintain
working capital, equity capital or any other financial statement condition or liquidity of the primary obligor so as to enable
the primary obligor to pay such Indebtedness or other obligation or (iv) as an account party in respect of any letter of credit
or letter of guaranty issued in support of such Indebtedness or obligation; provided that the term “Guarantee”
shall not include endorsements for collection or deposit in the ordinary course of business. The amount of any Guarantee shall
be deemed to be an amount equal to the stated or determinable principal amount of the primary obligation in respect of which such
Guarantee is made or, if not so 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. The term “Guarantee” used
as a verb has a corresponding meaning.


 




    	 	19	 



     


    

 


“Guarantor”
shall mean each of the Subsidiary Loan Parties.


 


“Guaranty and
Security Agreement” shall mean the Guaranty and Security Agreement, dated as of the date hereof and substantially in
the form of Exhibit B, made by the Loan Parties in favor of the Administrative Agent for the benefit of the Secured Parties.


 


“Hazardous Materials”
shall mean all explosive or radioactive substances or wastes and all hazardous or toxic substances, wastes or other pollutants,
including petroleum or petroleum distillates, asbestos or asbestos containing materials, polychlorinated biphenyls, radon gas,
infectious or medical wastes and all other substances or wastes of any nature regulated pursuant to any Environmental Law.


 


“Healthcare Audits”
shall have the meaning set forth in Section 4.22(g).


 


“Healthcare Laws”
shall mean, collectively, any and all federal state or local laws, rules, regulations, ordinances and administrative manuals, orders,
guidelines and requirements issued by any Governmental Authority under or in connection with Medicare, Medicaid or any government
payment program or any law governing the licensure of or regulating healthcare providers, professionals, facilities or payors or
otherwise governing or regulating the provision of, or payment for, medical services, including without limitation, The Health
Information Technology for Economic and Clinical Health Act of 2009, Section 1128B of the Social Security Act, as codified at 42
U.S.C. Section 1320a-7(b) (Criminal Penalties Involving Federal Health Care Programs), as amended.


 


“Hedging Obligations”
of any Person shall mean any and all monetary obligations of such Person, whether absolute or contingent and howsoever and whensoever
created, arising, evidenced or acquired under (i) any and all Hedging Transactions, (ii) any and all cancellations, buy backs,
reversals, terminations or assignments of any Hedging Transactions and (iii) any and all renewals, extensions and modifications
of any Hedging Transactions and any and all substitutions for any Hedging Transactions.


 


“Hedge Termination
Value” shall mean, in respect of any one or more Hedging Transactions, after taking into account the effect of any netting
agreement relating to such Hedging Transactions, (a) for any date on or after the date such Hedging Transactions have been closed
out and termination value(s) determined in accordance therewith, such termination value(s) and (b) for any date prior to the date
referenced in clause (a), the amount(s) determined as the mark-to-market value(s) for such Hedging Transactions, as determined
based upon one or more mid-market or other readily available quotations provided by any recognized dealer in such Hedging Transactions
(which may include a Lender or any Affiliate of a Lender).


 


“Hedging Transaction”
of any Person shall mean (a) any transaction (including an agreement with respect to any such transaction) now existing or hereafter
entered into by such Person that is a rate swap transaction, swap option, basis swap, forward rate transaction, commodity swap,
commodity option, equity or equity index swap or option, bond option, interest rate option, foreign exchange transaction, cap transaction,
floor transaction, collar transaction, currency swap transaction, cross-currency rate swap transaction, currency option, spot transaction,
credit protection transaction, credit swap, credit default swap, credit default option, total return swap, credit spread transaction,
repurchase transaction, reverse repurchase transaction, buy/sell-back transaction, securities lending transaction, or any other
similar transaction (including any option with respect to any of these transactions) or any combination thereof, whether or not
any such transaction is governed by or subject to any master agreement, and (b) any and all transactions of any kind, and the related
confirmations, which are subject to the terms and conditions of, or governed by, any form of master agreement published by the
International Swaps and Derivatives Association, Inc., any International Foreign Exchange Master Agreement, or any other master
agreement (any such master agreement, together with any related schedules, a “Master Agreement”), including
any such obligations or liabilities under any Master Agreement.


 




    	 	20	 



     


    

 


“HIPAA”
shall mean the Health Insurance Portability and Accountability Act of 1996, Pub. L. 104 191, Aug. 21, 1996, 110 Stat. 1936, and
regulations promulgated pursuant thereto regarding privacy, security and transmission of health information, all as amended from
time to time, and any successor statute and regulations.


 


“HIPAA/HITECH
Compliance Plan” shall have the meaning set forth in Section 4.22.


 


“HIPAA/HITECH
Compliant” shall have the meaning set forth in Section 4.22.


 


“HITECH Act”
shall mean the Health Information Technology for Economic and Clinical Health Act provisions of the American Reinvestment and Recovery
Act of 2009, and regulations promulgated pursuant thereto, all as amended from time to time, and any successor statute and regulations.


 


“Increasing Lender”
shall have the meaning set forth in Section 2.23.


 


“Incremental Commitment”
shall have the meaning set forth in Section 2.23.


 


“Incremental Term
B Loan” shall have the meaning set forth in Section 2.23.


 


“Indebtedness”
of any Person shall mean, without duplication, (i) all obligations of such Person for borrowed money (including, without limitation,
the Priming Obligations), (ii) all obligations of such Person evidenced by bonds, debentures, notes or other similar instruments,
(iii) all obligations of such Person in respect of the deferred purchase price of property or services (other than current liabilities,
accrued expense obligations and trade payables incurred in the ordinary course of business; provided, that, any such obligation
that is secured by a Lien (including the ABDC Obligations) shall constitute Indebtedness), (iv) all obligations of such Person
under any conditional sale or other title retention agreement(s) relating to property acquired by such Person, (v) all Capital
Lease Obligations of such Person, (vi) all obligations, contingent or otherwise, of such Person in respect of letters of credit,
acceptances or similar extensions of credit, (vii) all Guarantees of such Person of the type of Indebtedness described in
clauses (i) through (vi) above, (viii) all Indebtedness of a third party secured by any Lien on property owned by such Person,
whether or not such Indebtedness has been assumed by such Person (but limited to the lesser of the fair market value of such property
and the outstanding principal amount of such Indebtedness), (ix) all obligations of such Person, contingent or otherwise, to purchase,
redeem, retire or otherwise acquire for value any Disqualified Capital Stock of such Person, (x) all Off-Balance Sheet Liabilities
and (xi) obligations of such Person under any Hedging Obligations (valued at the lesser of the Hedging Termination Value and the
Net Mark-to-Market Exposure thereof). The Indebtedness of any Person shall include the Indebtedness of any partnership or joint
venture in which such Person is a general partner or a joint venturer, except to the extent that the terms of such Indebtedness
provide that such Person is not liable therefor. The Indebtedness of any Person shall exclude purchase price holdbacks in respect
of a portion of the purchase price of an asset to satisfy warranty or other unperformed obligations of the respective seller.


 


“Indemnified Taxes”
shall mean (a) Taxes, other than Excluded Taxes, imposed on or with respect to any payment made by or on account of any obligation
of any Loan Party under any Loan Document and (b) to the extent not otherwise described in clause (a), Other Taxes.


 


“Information and
Collateral Disclosure Certificate” shall have the meaning assigned to such term in the Guaranty and Security Agreement.


 




    	 	21	 



     


    

 


“Information Memorandum”
shall mean the Confidential Information Memorandum dated May 2013 relating to the Borrower and the transactions contemplated
by this Agreement and the other Loan Documents.


 


“Initial Term
B Loans” shall mean the term b loans made by a Lender with an Initial Term B Loan Commitment to the Borrower on the Closing
Date pursuant to Section 2.5(a).


 


“Initial Term
B Loan Commitment” shall mean with respect to each Lender, the obligation of such Lender to make an Initial Term B Loan
hereunder on the Closing Date, in a principal amount not exceeding the amount set forth with respect to such Lender on Schedule
I. The aggregate principal amount of all Lenders’ Initial Term B Loan Commitments as of the Closing Date is $250,000,000.


 


“Intellectual
Property Rights” shall have the meaning assigned to such term in the Guaranty and Security Agreement.


 


“Interest Period”
shall mean with respect to any Eurodollar Borrowing, a period of one month; provided that:


 


(i)          the
initial Interest Period for such Borrowing shall commence on the date of such Borrowing (including the date of any conversion from
a Borrowing of another Type), and each Interest Period occurring thereafter in respect of such Borrowing shall commence on the
day on which the next preceding Interest Period expires;


 


(ii)         if
any Interest Period would otherwise end on a day other than a Business Day, such Interest Period shall be extended to the next
succeeding Business Day, unless such Business Day falls in another calendar month, in which case such Interest Period would end
on the next preceding Business Day;


 


(iii)        any
Interest Period which 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 such calendar month;


 


(iv)        each
principal installment of the Term B Loans shall have an Interest Period ending on each installment payment date and the remaining
principal balance (if any) of the Term B Loans shall have an Interest Period determined as set forth above; and


 


(v)         no
Interest Period may extend beyond the Revolving Commitment Termination Date, unless on the Revolving Commitment Termination Date
the aggregate outstanding principal amount of Term B Loans is equal to or greater than the aggregate principal amount of Eurodollar
Loans with Interest Periods expiring after such date, and no Interest Period may extend beyond the Maturity Date.


 


“Investments”
shall have the meaning set forth in Section 7.4.


 


“IRS”
shall mean the Internal Revenue Service of the United States.


 


“Issuing Bank”
shall mean SunTrust Bank in its capacity as the issuer of Letters of Credit.


 


“Jefferies”
shall mean Jefferies Finance LLC.


 


“LC Cash Collateral
Account” shall have the meaning set forth in Section 2.22(k).


 




    	 	22	 



     


    

 


“LC Commitment”
shall mean that portion of the Aggregate Revolving Commitments that may be used by the Borrower for the issuance of Letters of
Credit in an aggregate face amount not to exceed $20,000,000; provided that the LC Commitment that is available for the
issuance of new Letters of Credit hereunder on or after the Sixth Amendment Effective Date shall be deemed equal to $0.


 


“LC Disbursement”
shall mean a payment made by the Issuing Bank pursuant to a Letter of Credit.


 


“LC Documents”
shall mean all applications, agreements and instruments relating to the Letters of Credit but excluding the Letters of Credit and
this Agreement.


 


“LC Exposure”
shall mean, at any time, the sum of (i) the aggregate undrawn and unexpired amount of all outstanding Letters of Credit at
such time, plus (ii) the aggregate amount of all LC Disbursements that have not been reimbursed by or on behalf of
the Borrower at such time. The LC Exposure of any Lender shall be its Pro Rata Share of the total LC Exposure at such time.


 


“Lead Arrangers”
shall mean, collectively, STRH, Jefferies, and Morgan Stanley Senior Funding, Inc., in each case, in their respective capacities
as joint lead arrangers in connection with this Agreement.


 


“Lender-Related
Hedge Provider” means any Person that, at the time it enters into a Hedging Transaction with any Loan Party, (i) is a
Lender or an Affiliate of a Lender and (ii) except when the Lender-Related Hedge Provider is SunTrust Bank or any of its Affiliates,
has provided prior written notice to the Administrative Agent which has been acknowledged by the Borrower of (x) the existence
of such Hedging Transaction and (y) the methodology to be used by such parties in determining the obligations under such Hedging
Transaction from time to time. In no event shall any Lender-Related Hedge Provider acting in such capacity be deemed a Lender for
purposes hereof to the extent of and as to Hedging Obligations except that each reference to the term “Lender” in Article
IX and Section 10.3(b) shall be deemed to include such Lender-Related Hedge Provider. In no event shall the approval
of any such Person in its capacity as Lender-Related Hedge Provider be required in connection with the release or termination of
any security interest or Lien of the Administrative Agent.


 


“Lenders”
shall have the meaning set forth in the introductory paragraph hereof and shall include each Lender that joins this Agreement pursuant
to Section 10.4, each Increasing Lender, each Replacement Lender that joins this Agreement pursuant to Section 2.25,
and each Additional Lender that joins this Agreement pursuant to Section 2.23. Unless the context otherwise requires, the
term “Lenders” includes the Swingline Lender.


 


“Letter of Credit”
shall mean any stand-by letter of credit issued pursuant to Section 2.22 by the Issuing Bank for the account of the Borrower
pursuant to the LC Commitment.


 


“LIBOR”
shall mean, with respect to any Eurodollar Borrowing for any Interest Period, the rate per annum determined by the Administrative
Agent at approximately 11:00 a.m.(London time) on the date that is two (2) Business Days prior to the commencement of such Interest
Period by reference to the British Bankers’ Association or successor thereto Interest Settlement Rates for deposits in Dollars
(as set forth by any service selected by the Administrative Agent that has been nominated by the British Bankers’ Association
or successor thereto as an authorized information vendor for the purpose of displaying such rates) for a period equal to such interest
Period; provided, that, to the extent that an interest rate is not ascertainable pursuant to the foregoing provisions of
this definition, “LIBOR” shall be the interest rate per annum determined by the Administrative Agent to be the average
of the rates per annum at which deposits in Dollars are offered for such relevant Interest Period to major banks in the London
interbank market in London, England by the Administrative Agent at approximately 11:00 a.m. (London time) on the date that is two
(2) Business Days prior to the beginning of such Interest Period.


 




    	 	23	 



     


    

 


“Licenses”
shall mean any and all licenses (including professional licenses), certificates of need, accreditations, certifications, permits,
franchises, rights to conduct business (by a Governmental Authority or otherwise) and any other governmental authorizations.


 


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


 


“Limitation”
shall mean a revocation, suspension, termination, impairment, probation, limitation, non-renewal, forfeiture, restriction, declaration
of ineligibility, loss of status as a participating provider, or the loss of any other rights under any Governmental Payor Arrangement,
Third Party Payor Arrangement, Company Accreditation or License.


 


“Loan Documents”
shall mean, collectively, this Agreement, the First Amendment, the Second Amendment, the Third Amendment, the Fourth Amendment,
the Fifth Amendment, the Sixth Amendment, the Collateral Documents, the Priming/Existing Lien Intercreditor Agreement, the ABDC
Intercreditor Agreement, any other intercreditor agreement or subordination agreement entered into with the Administrative Agent
or any Lender in connection with the Obligations, the LC Documents, the Fee Letters, all Notices of Borrowing, all Notices of Conversion/Continuation,
all Compliance Certificates, any promissory notes issued hereunder, and any and all other instruments, agreements, documents and
writings executed by or in favor of the Administrative Agent or any Lender in connection with any of the foregoing. Not in limitation
of the foregoing, for purposes of the Priming/Existing Lien Intercreditor Agreement, the ABDC Intercreditor Agreement and any other
intercreditor agreement or subordination agreement entered into with the Administrative Agent or any Lender in connection with
the Obligations, the term “Loan Documents” shall include all instruments, agreements, documents and writing executed
by or in favor of the Administrative Agent or any Lender in connection with (a) Bank Product Obligations and (b) Hedging Obligations
owed by any Loan Party to any Lender-Related Hedge Provider.


 


“Loan Parties”
shall mean the Borrower and the Subsidiary Loan Parties.


 


“Loans”
shall mean all Revolving Loans, Swingline Loans and Term B Loans, in the aggregate or any of them, as the context shall require,
and shall include, where appropriate, any loan made pursuant to Section 2.23.


 


“Material Adverse
Effect” shall mean any event, act, condition or occurrence of whatever nature (including any adverse determination in
any litigation, arbitration, or governmental investigation or proceeding), whether singularly or in conjunction with any other
event or events, act or acts, condition or conditions, occurrence or occurrences whether or not related, that results in a material
adverse change in, or a material adverse effect on, (i) the business, condition (financial or otherwise), operations, liabilities
(contingent or otherwise), or properties of the Borrower and its Subsidiaries on a consolidated basis and taken as a whole, (ii) the
ability of the Loan Parties to perform any of their respective obligations under the Loan Documents, or (iii) the rights and remedies
of the Administrative Agent, the Issuing Bank, the Swingline Lender or the Lenders under any of the Loan Documents (other than
solely as a result of any action or inaction on the part of the Administrative Agent, the Issuing Bank, the Swingline Lender or
any other Lender).


 




    	 	24	 



     


    

 


“Material Agreements”
shall mean all agreements, documents, contracts, indentures and instruments pursuant to which a default, breach or termination
thereof would reasonably be expected to result in a Material Adverse Effect.


 


“Material Indebtedness”
shall mean any Indebtedness (other than the Loans, the Letters of Credit and the Priming Obligations) of the Borrower or any of
its Subsidiaries individually or in an aggregate committed or outstanding principal amount exceeding $12,500,000.


 


“Maturity Date”
shall mean, with respect to the Term B Loans, the earlier of (i) July 31, 2020 and (ii) the date on which the principal amount
of all outstanding Term B Loans has been declared or automatically has become due and payable (whether by acceleration or otherwise).


 


“Medicaid”
shall mean, collectively, the healthcare assistance program established by Title XIX of the Social Security Act (42 U.S.C., Chapter
7, subchapter XIX, §§1396 et seq.) and all laws, rules, regulations, manuals, orders, guidelines or requirements (whether
or not having the force of law) pertaining to such program, in each case as the same may be amended, supplemented or otherwise
modified from time to time.


 


“Medicare”
shall mean, collectively, the health insurance program for the aged and disabled established by Title XVIII of the Social Security
Act (42 U.S.C., Chapter 7, subchapter XVIII, §§1395 et seq.) and all laws, rules, regulations, manuals, orders or guidelines
(whether or not having the force of law) pertaining to such program, in each case as the same may be amended, supplemented or otherwise
modified from time to time.


 


“Moody’s”
shall mean Moody’s Investors Service, Inc.


 


“Mortgaged Property”
shall mean, individually or collectively, any Real Estate that is subject to a Mortgage.


 


“Mortgage”
shall mean each mortgage, deed of trust, deed to secure debt or other real estate security documents delivered by any Loan Party
to the Administrative Agent from time to time, all in form and substance reasonably satisfactory to the Administrative Agent.


 


“Multiemployer
Plan” shall mean any “multiemployer plan” as defined in Section 4001(a)(3) of ERISA, which is contributed
to by (or to which there is or may be an obligation to contribute of) the Borrower, any of its Subsidiaries, or an ERISA Affiliate,
and each such plan for the look-back period during which the Borrower, any of its Subsidiaries, or an ERISA Affiliate continues
to be subject to liability, including contingent liability, for the plan under Title IV of ERISA.


 


“Net Cash Proceeds”
shall mean cash proceeds (including proceeds of any insurance policy) received by any Loan Party, net of (i) customary, reasonable
and documented (in summary form) fees and commissions paid or payable in connection therewith, including reasonable and documented
(in summary form) attorneys’ fees, accountants’ fees, broker’s fees and investment banking fees, (ii) other reasonable,
documented (in summary form) and customary fees and expenses paid or payable in connection therewith to the extend paid or payable
to a Person that is not an Affiliate of the Borrower, (iii) Taxes (including transfer and similar 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),
to the extent properly attributable to such Prepayment Event, (iv) with respect to Net Cash Proceeds received as a result of a
Prepayment Event under Section 2.12(a), (a) amounts required to be applied to the repayment of Indebtedness secured by a
Lien not prohibited hereunder on any asset which is the subject of such Prepayment Event and prepayment penalties required to be
paid under the terms governing such Indebtedness, (b) reserves required to be established in accordance with GAAP or any applicable
documentation governing any such Prepayment Event, including escrow amounts, indemnification obligations, purchase price adjustments
and other similar retained liabilities, and (c) amounts required to be paid to any party having superior rights to such proceeds
pursuant to clause (ii) of the definition of Requirements of Law and (v) with respect to Net Cash Proceeds received as a result
of a Prepayment Event under Section 2.12(b), underwriting discounts and other customary debt incurrence costs.


 




    	 	25	 



     


    

 


“Net Mark-to-Market
Exposure” of any Person shall mean, as of any date of determination with respect to any Hedging Obligation, the excess
(if any) of all unrealized losses over all unrealized profits of such Person arising from such Hedging Obligation. “Unrealized
losses” shall mean the fair market value of the cost to such Person of replacing the Hedging Transaction giving rise to such
Hedging Obligation as of the date of determination (assuming such Hedging Transaction were to be terminated as of that date), and
“unrealized profits” shall mean the fair market value of the gain to such Person of replacing such Hedging Transaction
as of the date of determination (assuming such Hedging Transaction were to be terminated as of that date).


 


“Non-Core Assets”
shall mean the (i) Borrower’s PBM line of business and home health services business (including any Subsidiary principally
engaged in such businesses) and (ii) any other asset or Subsidiary which is not principally involved in the Borrower’s provision
of infusion services.


 


“Non-Defaulting
Lender” shall mean, at any time, a Lender that is not a Defaulting Lender.


 


“Non-U.S. Plan”
shall mean any plan, fund (including, without limitation, any superannuation fund) or other similar program established, contributed
to (regardless of whether through direct contributions or through employee withholding) or maintained outside the United States
by the Borrower or one or more of its Subsidiaries primarily for the benefit of employees of the Borrower or such Subsidiaries
residing outside the United States, which plan, fund or other similar program provides, or results in, retirement income, a deferral
of income in contemplation of retirement, or payments to be made upon termination of employment, and which plan is not subject
to ERISA or the Code.


 


“Notices of Borrowing”
shall mean, collectively, the Notices of Revolving Borrowing and the Notices of Swingline Borrowing.


 


“Notice of Conversion/Continuation”
shall have the meaning set forth in Section 2.7(b).


 


“Notice of Borrowing”
shall have the meaning set forth in Section 2.3.


 


“Notice of Swingline
Borrowing” shall have the meaning set forth in Section 2.4.


 


“Obligations”
shall mean (a) all amounts owing by the Loan Parties to the Administrative Agent, the Issuing Bank, any Lender (including the Swingline
Lender) or the Lead Arrangers pursuant to or in connection with this Agreement or any other Loan Document or otherwise with respect
to any Loan or Letter of Credit including, without limitation, all principal, interest (including any interest accruing after the
filing of any petition in bankruptcy or the commencement of any insolvency, reorganization or like proceeding relating to the Borrower,
whether or not a claim for post-filing or post-petition interest is allowed in such proceeding), reimbursement obligations, fees,
expenses, indemnification and reimbursement payments, costs and expenses (including all fees and expenses of counsel to the Administrative
Agent, the Issuing Bank and any Lender (including the Swingline Lender) payable by the Loan Parties pursuant to this Agreement
or any other Loan Document), whether direct or indirect, absolute or contingent, liquidated or unliquidated, now existing or hereafter
arising hereunder or thereunder, (b) all Hedging Obligations owed by any Loan Party to any Lender-Related Hedge Provider, and (c)
all Bank Product Obligations, together with all renewals, extensions, modifications or refinancings of any of the foregoing; provided,
however, that with respect to any Guarantor, the Obligations shall not include any of such Guarantor’s Excluded Swap
Obligations.


 




    	 	26	 



     


    

 


“OFAC”
shall mean the U.S. Department of the Treasury’s Office of Foreign Assets Control.


 


“Off-Balance Sheet
Liabilities” of any Person shall mean (i) any repurchase obligation or liability of such Person with respect to accounts
or notes receivable sold by such Person, (ii) any liability of such Person under any sale and leaseback transactions that do not
create a liability on the balance sheet of such Person, (iii) any Synthetic Lease Obligation or (iv) any obligation arising with
respect to any other transaction which is the functional equivalent of or takes the place of borrowing but which does not constitute
a liability on the balance sheet of such Person.


 


“OSHA”
shall mean the Occupational Safety and Health Act of 1970, as amended from time to time, and any successor statute.


 


“Other Connection
Taxes” shall mean, with respect to any Recipient, Taxes imposed as a result of a present or former connection between
such Recipient and the jurisdiction imposing such Tax (other than connections arising from such Recipient having executed, delivered,
become a party to, performed its obligations under, received payments under, received or perfected a security interest under, engaged
in any other transaction pursuant to or enforced any Loan Document, or sold or assigned an interest in any Loan or Loan Document).


 


“Other Taxes”
shall mean any and all present or future stamp, court or documentary, intangible, recording, filing or similar Taxes that arise
from any payment made hereunder or under any other Loan Document or from the execution, delivery, performance or enforcement or
registration of, from the receipt or perfection of a security interest under, or otherwise with respect to, this Agreement or any
other Loan Document, except any such Taxes imposed with respect to an assignment (other than an assignment described in Section
2.25), participation or other transfer.


 


“Parent Company”
shall mean, with respect to a Lender, the “bank holding company” as defined in Regulation Y, if any, of such Lender,
and/or any Person owning, beneficially or of record, directly or indirectly, a majority of the shares of such Lender.


 


“Participant”
shall have the meaning set forth in Section 10.4(d).


 


“Participant Register”
shall have the meaning set forth in Section 10.4(d).


 


“Patent”
shall have the meaning assigned to such term in the Guaranty and Security Agreement.


 


“Patent Security
Agreement” shall mean any Patent Security Agreement executed by a Loan Party owning Patents in favor of the Administrative
Agent for the benefit of the Secured Parties, both on the Closing Date and thereafter.


 


“Patriot Act”
shall mean the USA PATRIOT Improvement and Reauthorization Act of 2005 (Pub. L. 109-177 (signed into law March 9, 2006)), as amended
and in effect from time to time.


 


“Payment Office”
shall mean the office of the Administrative Agent located at 303 Peachtree Street, N.E., Atlanta, Georgia 30308, or such other
location as to which the Administrative Agent shall have given written notice to the Borrower and the other Lenders.


 




    	 	27	 



     


    

 


“PBGC”
shall mean the U.S. Pension Benefit Guaranty Corporation, as referred to and defined in ERISA and any successor entity performing
similar functions.


 


“PBM Strategic
Joint Venture” shall mean a Subsidiary Loan Party formed for the purpose of holding certain assets of the Borrower
constituting Borrower’s PBM line of business, in which the Borrower owns Capital Stock thereof with one or more other shareholders.


 


“Permitted Amendments”
shall mean an extension of the Revolving Commitment Termination Date and/or the Maturity Date hereunder of the Accepting Lenders
and, in connection therewith, any change in the pricing, including the Applicable Margin with respect to the applicable Loans and/or
Commitments of the Accepting Lenders and/or the payment of additional fees (including Prepayment Premiums or fees) to the Accepting
Lenders (such change and/or payments to be in the form of cash, equity interests or other property as agreed by the Borrower and
the Accepting Lenders) notwithstanding the provisions of Sections 2.21 (b) and 2.21(c).


 


“Permitted
Business” shall mean owning, operating, managing and maintaining infusion services, home health care, hospice services,
respiratory care services, pharmacy benefit management services, durable medical equipment services, or other healthcare services,
in each case, together with any other businesses as are reasonably related, ancillary or incidental thereto.


 


“Permitted Encumbrances”
shall mean:


 


(i)          Liens
imposed by law for taxes, fees, assessments or other governmental charges which are not yet due or which are being contested in
good faith by appropriate proceedings diligently conducted and with respect to which adequate reserves are being maintained in
accordance with GAAP;


 


(ii)         statutory
Liens of landlords, carriers, warehousemen, mechanics, materialmen and other Liens imposed by law in the ordinary course of business
for amounts not yet delinquent for more than sixty (60) days or which are being contested in good faith by appropriate proceedings
diligently conducted and with respect to which adequate reserves are being maintained in accordance with GAAP;


 


(iii)        pledges
and deposits made in the ordinary course of business in compliance with workers’ compensation, unemployment insurance and
other social security laws or regulations;


 


(iv)        deposits
to secure the performance of bids, trade contracts, leases, statutory obligations, surety and appeal bonds, performance bonds and
other obligations of a like nature or to secure liability to insurance carriers, in each case in the ordinary course of business;


 


(v)         judgment
and attachment liens not giving rise to an Event of Default or Liens created by or existing from any litigation or legal proceeding
that are currently being contested in good faith by appropriate proceedings diligently conducted and with respect to which adequate
reserves are being maintained in accordance with GAAP;


 


(vi)        customary
rights of set-off, revocation, refund or chargeback under deposit agreements or under the Uniform Commercial Code or common law
of banks or other financial institutions where the Borrower or any of its Subsidiaries maintains deposits (other than deposits
intended as cash collateral) in the ordinary course of business;


 




    	 	28	 



     


    

 


(vii)       easements,
zoning restrictions, rights-of-way, minor defects in title, and similar encumbrances on Real Estate imposed by law or arising in
the ordinary course of business that do not secure any monetary obligations and do not materially detract from the value of the
affected property or materially interfere with the ordinary conduct of business of the Borrower and its Subsidiaries taken as a
whole;


 


(viii)      Liens
in favor of collecting banks arising by operation of law under Section 4-210 of the UCC or, with respect to collecting banks located
in the State of New York, under Section 4-208 of the UCC, or securing reimbursement obligations in respect of documentary letters
of credit or bankers’ acceptances in the ordinary course of business;


 


(ix)         Liens
arising out of consignment or similar arrangements for the sale of goods entered into by the Borrower or any of its Subsidiaries
in the ordinary course of business;


 


(x)          Liens
in favor of customs and revenue authorities arising as a matter of law which secure payment of customs duties in connection with
the importation of goods in the ordinary course of business;


 


(xi)         Liens
on insurance policies and the proceeds thereof in favor of the provider of such policies securing the financing of the premiums
with respect thereto;


 


(xii)        leases,
subleases, licenses or sublicences on the property covered thereby, in each case, in the ordinary course of business which do not
(i) materially interfere with the business of the Borrower and its Subsidiaries, taken as a whole, or (ii) secure any Indebtedness;


 


(xiii)       any
interest of title of a lessor under any lease entered into by the Borrower or any of its Subsidiaries in the ordinary course of
business as a tenant and covering only the assets so leased;


 


(xiv)      [reserved];
and


 


(xv)       Liens
evidenced by precautionary UCC financing statements relating to operating leases, bailments and consignments of personal property;


 


provided that the term “Permitted
Encumbrances” shall not include any Lien securing Indebtedness for borrowed money.


 


“Permitted Surviving
Debt” shall mean any (i) purchase money Indebtedness with respect to fixed assets and Capital Lease Obligations of the
Borrower and its Subsidiaries, or related to the Acquired Business, as applicable, existing on the Closing Date, (ii) Indebtedness
permitted under Section 7.1(a)(xiii) of the Borrower and its Subsidiaries, or related to the Acquired Business, as applicable,
existing on the Closing Date, and (iii) unsecured intercompany Indebtedness among the Borrower and its Subsidiaries.


 


“Permitted Third
Party Bank” shall mean any bank or other financial institution with whom any Loan Party maintains (i) a Controlled
Account and with whom an Account Control Agreement has been executed or (ii) a Government Receivables Account and with whom a Government
Receivables Account Agreement has been executed. As of the Closing Date, each of the banks and other financial institutions that
are identified on Schedule 4.16 as an institution at which a Controlled Account or a Government Receivables Account is maintained
by any Loan Party shall be deemed to be a Permitted Third Party Bank.


 




    	 	29	 



     


    

 


“Person”
shall mean any individual, partnership, firm, corporation, association, joint venture, limited liability company, trust or other
entity, or any Governmental Authority.


 


“Plan”
shall mean any “employee benefit plan” as defined in Section 3 of ERISA (other than a Multiemployer Plan) maintained
or contributed to by (or to which there is or may be an obligation to contribute of) the Borrower, any of its Subsidiaries, or
an ERISA Affiliate, and each such plan for the look-back period during which the Borrower, any of its Subsidiaries, or an ERISA
Affiliate continues to be subject to liability, including contingent liability, for the plan under Title IV of ERISA.


 


“Prepayment Event”
shall mean any sale, lease, assignment, transfer or other disposition by the Borrower or any of its Subsidiaries of any assets
or property pursuant to Section 7.6(e), Section 7.6(f), and Section 7.6(g).


 


“Prepayment Premium”
shall have the meaning set forth in Section 2.11(b).


 


“Priming Agent”
shall have the meaning assigned to the term “Administrative Agent” in the Priming Credit Agreement.


 


“Priming Collateral
Documents” shall mean the “Collateral Documents” under and as defined in the Priming Credit Agreement.


 


“Priming Credit
Agreement” shall mean that certain Credit Agreement dated as of the Sixth Amendment Effective Date, by and among the
Borrower, the lenders and other financial institutions party thereto from time to time and SunTrust Bank, in its capacity as administrative
agent thereunder, as the same may be further amended, restated, supplemented, waived, extended, refinanced, replaced or otherwise
modified from time to time in accordance with the Priming/Existing Lien Intercreditor Agreement (whether in whole or in part, whether
with the original administrative agent and lenders or other agents and lenders or otherwise, and whether provided under the original
Priming Credit Agreement or one or more other credit agreements or otherwise, unless such agreement, instrument or other document
expressly provides that it is not intended to be and is not a Priming Credit Agreement).


 


“Priming Lenders”
shall mean the “Lenders” under and as defined in the Priming Credit Agreement.


 


“Priming Loan
Documents” shall mean the Priming Credit Agreement and the other “Loan Documents” as defined in the Priming
Credit Agreement, in each case, as amended, restated and/or modified from time to time.


 


“Priming Obligations”
shall mean the “Obligations” under and as defined in the Priming Credit Agreement.


 


“Priming Revolving
Loans” shall mean the “Revolving Loans” under and as defined in the Priming Credit Agreement.


 


“Priming/Existing
Lien Intercreditor Agreement” shall mean that certain Intercreditor Agreement, dated as of the Sixth Amendment Effective
Date, between the Administrative Agent and the Priming Agent, and acknowledged by the Loan Parties, substantially in the form attached
to the Sixth Amendment, as the same may be amended, supplemented, waived or otherwise modified from time to time in accordance
with the terms hereof and thereof.


 




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“Profit Plan”
shall mean, for any calendar year, an annual operating plan for the Borrower and its Subsidiaries, on a consolidated basis, setting
forth (i) a statement of all material assumptions on which such annual operating plan is based, (ii) quarterly balance sheets,
income statements and statements of cash flows for such calendar year, (iii) sales, gross profits, operating expenses, operating
profit, cash flow projections, all prepared on the same basis and in similar detail as that on which operating results are reported
(and in the case of cash flow projections, representing management’s good faith estimates of future financial performance
based on historical performance), and including plans for Capital Expenditures and facilities.


 


“Pro Forma Basis”
shall mean with respect to any Person, business, property or asset sold, transferred or otherwise disposed of, the exclusion from
“Consolidated EBITDA” of the EBITDA (calculated in a manner substantially consistent with the definition of “Consolidated
EBITDA” and giving effect to any adjustments made in accordance with such definition) for such Person, business, property
or asset so disposed of during such period as if such disposition had been consummated on the first day of the applicable period,
in accordance with GAAP.


 


“Projections”
shall mean the Borrower and its Subsidiaries’ forecasted profit and loss statements and cash flow statements, which have
been or shall be prepared in a manner materially consistent with preparation of such Person’s financial statements, together
with appropriate supporting details.


 


“Pro Rata Share”
shall mean (i) with respect to any Class of Commitment or Loan of any Lender at any time, a percentage, the numerator of which
shall be such Lender’s Commitment of such Class (or if such Commitment has been terminated or expired or the Loans have been
declared to be due and payable, such Lender’s Revolving Credit Exposure or Term B Loans, as applicable), and the denominator
of which shall be the sum of all Commitments of such Class of all Lenders (or if such Commitments have been terminated or expired
or the Loans have been declared to be due and payable, all Revolving Credit Exposure or Term B Loans, as applicable, of all Lenders)
and (ii) with respect to all Classes of Commitments and Loans of any Lender at any time, the numerator of which shall be the sum
of such Lender’s Revolving Commitment (or if such Revolving Commitment has been terminated or expired or the Loans have been
declared to be due and payable, such Lender’s Revolving Credit Exposure) and Term B Loans and the denominator of which shall
be the sum of all Lenders’ Revolving Commitments (or if such Revolving Commitments have been terminated or expired or the
Loans have been declared to be due and payable, all Revolving Credit Exposure of all Lenders funded under such Commitments) and
Term B Loans.


 


“Real Estate”
shall have the meaning set forth in Section 4.11(a).


 


“Real Estate Documents”
shall mean, collectively, with respect to any Real Estate, (i) a Mortgage duly executed by each applicable Loan Party, together
with (A) title insurance policies in amounts reasonably satisfactory to the Administrative Agent (but not to exceed 100% of the
fair market value of such Real Estate in any jurisdiction that imposes a material mortgage recording tax or 110% otherwise), current
as-built ALTA/ACSM Land Title surveys certified to the Administrative Agent, zoning letters, building permits and certificates
of occupancy, in each case relating to such Real Estate and reasonably satisfactory in form and substance to the Administrative
Agent, (B) (x) Life of Loan” Federal Emergency Management Agency Standard Flood Hazard determinations, (y) notices, in the
form required under the Flood Insurance Laws, about special flood hazard area status and flood disaster assistance duly executed
by each Loan Party, and (z) if any improved real property encumbered by any Mortgage is located in a special flood hazard area, a
policy of flood insurance that (1) covers such improved real property, (2) is written in an amount not less than the
outstanding principal amount of the Indebtedness secured by such Mortgage reasonably allocable to such real property or the maximum
limit of coverage made available with respect to the particular type of property under the Flood Insurance Laws, whichever is less,
and (3) is otherwise on terms satisfactory to the Administrative Agent and, (C) evidence that counterparts of such Mortgages
have been recorded in all places to the extent necessary or desirable, in the reasonable judgment of the Administrative Agent,
to create a valid and enforceable first priority Lien (subject to Permitted Encumbrances and Specified Permitted Liens) on such
Real Estate in favor of the Administrative Agent for the benefit of the Secured Parties (or in favor of such other trustee as may
be required or desired under local law), (D) an opinion of counsel in each state in which such Real Estate is located in form and
substance and from counsel reasonably satisfactory to the Administrative Agent, (E) a duly executed Environmental Indemnity with
respect thereto, and (F) such other reports, documents, instruments and agreements as the Administrative Agent shall reasonably
request, each in form and substance reasonably satisfactory to Administrative Agent.


 




    	 	31	 



     


    

 


“Recipient”
shall mean, as applicable, (a) the Administrative Agent, (b) any Lender and (c) the Issuing Bank.


 


“Reference Rate”
shall mean LIBOR for such day determined by the Administrative Agent on such date with reference to an Interest Period of one month.


 


“Regulation D”
shall mean Regulation D of the Board of Governors of the Federal Reserve System, as the same may be in effect from time to
time, and any successor regulations.


 


“Regulation T”
shall mean Regulation T of the Board of Governors of the Federal Reserve System, as the same may be in effect from time to
time, and any successor regulations.


 


“Regulation U”
shall mean Regulation U of the Board of Governors of the Federal Reserve System, as the same may be in effect from time to
time, and any successor regulations.


 


“Regulation X”
shall mean Regulation X of the Board of Governors of the Federal Reserve System, as the same may be in effect from time to
time, and any successor regulations.


 


“Regulation Y”
shall mean Regulation Y of the Board of Governors of the Federal Reserve System, as the same may be in effect from time to
time, and any successor regulations.


 


“Reimbursement
Approvals” shall mean any and all certifications, provider or supplier numbers, provider or supplier agreements (including
Medicaid provider or supplier numbers, Medicaid provider or supplier agreements, Medicare provider or supplier numbers, and Medicare
provider or supplier agreements), participation agreements, Accreditations, and/or any other agreements with or approvals by Medicaid,
Medicare, CHAMPUS, CHAMPVA, TRICARE, Veteran’s Administration and any other Governmental Authority or quasi-public agency,
Blue Cross/Blue Shield, any and all managed care plans and organizations, including Medicare Advantage plans, Medicare Part D prescription
drug plans, health maintenance organizations and preferred provider organizations, private commercial insurance companies, employee
assistance programs and/or any other governmental or third party arrangements, plans or programs for payment or reimbursement in
connection with health care services, products or supplies.


 


“Related Parties”
shall mean, with respect to any specified Person, such Person’s Affiliates and the respective managers, administrators, trustees,
partners, directors, officers, employees, agents, advisors, legal counsel, consultants or other representatives of such Person
and such Person’s Affiliates.


 




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“Release”
shall mean any release, spill, emission, leaking, dumping, injection, pouring, deposit, disposal, discharge, dispersal, leaching
or migration into the environment (including ambient air, surface water, groundwater, land surface or subsurface strata) or within
any building, structure, facility or fixture.


 


“Repricing Transaction”
shall mean (a) any prepayment, repayment or refinancing of all or any portion of the Initial Term B Loans or DDT Loans with the
proceeds of, or any conversion of the Initial Term Loans into, other senior secured first liens loans or notes having an Effective
Yield less than the Effective Yield of the Initial Term B Loans or DDT Loans being prepaid, repaid or refinanced or (b) any amendment
to this Agreement that effects a reduction in the Effective Yield of the Initial Term B Loans or DDT Loans; provided, that
a Repricing Transaction shall not include any such prepayment, repayment, refinancing, conversion or amendment made in connection
with a Change in Control.


 


“Required Lenders”
shall mean, at any time, Lenders holding more than 50% of the aggregate outstanding Revolving Commitments and Term B Loans at such
time or, if the Lenders have no Commitments outstanding, then Lenders holding more than 50% of the aggregate outstanding Revolving
Credit Exposure and Term B Loans of the Lenders at such time; provided that to the extent that any Lender is a Defaulting
Lender, such Defaulting Lender and all of its Revolving Commitments, Revolving Credit Exposure and Term B Loans shall be excluded
for purposes of determining Required Lenders.


 


“Required Revolving
Lenders” shall mean, at any time, Lenders holding more than 50% of the aggregate outstanding Revolving Commitments at
such time or, if the Lenders have no Revolving Commitments outstanding, then Lenders holding more than 50% of the aggregate outstanding
Revolving Credit Exposure at such time; provided that to the extent that any Lender is a Defaulting Lender, such Defaulting
Lender and all of its Revolving Commitments and Revolving Credit Exposure shall be excluded for purposes of determining Required
Revolving Lenders.


 


“Requirement of
Law” for any Person shall mean (i) the articles or certificate of incorporation, bylaws, partnership certificate and
agreement, or limited liability company certificate of organization and agreement, as the case may be, and other organizational
and governing documents of such Person, and (ii) any law, treaty, rule or regulation, or determination of a Governmental Authority,
including, without limitation any Healthcare Laws, in each case applicable to or binding upon such Person or any of its property
or to which such Person or any of its property is subject.


 


“Responsible Officer”
shall mean any of the president, the chief executive officer, the chief operating officer, the chief financial officer, the general
counsel, the treasurer or a vice president of the Borrower or such other representative of the Borrower as may be designated in
writing by any one of the foregoing with the consent of the Administrative Agent (such consent not to be unreasonably withheld,
conditioned or delayed). With respect to any Person that is a limited liability company or a limited partnership, such Person’s
managing member, sole member, sole manager or general partner, as the case may be, shall constitute a Responsible Officer.


 


“Restricted Cash”
shall mean, as of any date, all cash and Cash Equivalents held by the Borrower and its Subsidiaries that are legally or contractually
restricted from being used to repay general obligations of the Borrower or any Subsidiary of the Borrower (including the Obligations)
(provided that the terms of this Agreement, the other Loan Documents and the Priming Loan Documents shall not be deemed
to contractually restrict the use of cash and Cash Equivalents by the Borrower and its Subsidiaries) or are otherwise subject to
a Lien (except Liens created under the Collateral Documents, the Priming Collateral Documents and non-consensual Liens that arise
by operation of law).


 




    	 	33	 



     


    

 


“Restricted Payment”
shall mean, for any Person, (i) any dividend or distribution on any class of its Capital Stock, or (ii) any payment on account
of, or the setting aside of assets for a sinking or other analogous fund for, the purchase, redemption, retirement, defeasance
or other acquisition of (a) any shares of its Capital Stock, (b) any Subordinated Debt, (c) any options, warrants or other rights
to purchase such Capital Stock or such Indebtedness, whether now or hereafter outstanding, or (d) any payment of management or
similar fees.


 


“Revolving Commitment”
shall mean, with respect to each Lender, the commitment of such Lender to make Revolving Loans to the Borrower and to acquire participations
in Letters of Credit and Swingline Loans in an aggregate principal amount not exceeding the amount set forth with respect to such
Lender on Schedule I, as such schedule may be amended pursuant to Section 2.23, or, in the case of a Person becoming
a Lender after the Closing Date, the amount of the assigned “Revolving Commitment” as provided in the Assignment and
Assumption executed by such Person as an assignee, or the joinder executed by such Person, in each case as such commitment may
subsequently be increased or decreased pursuant to the terms hereof.


 


“Revolving Commitment
Termination Date” shall mean the earliest of (i) July 31, 2018, (ii) the date on which the Revolving Commitments are
terminated pursuant to Section 2.8 and (iii) the date on which all amounts outstanding under this Agreement have been declared
or have automatically become due and payable (whether by acceleration or otherwise).


 


“Revolving Credit
Exposure” shall mean, with respect to any Lender at any time, the sum of the outstanding principal amount of such Lender’s
Revolving Loans, LC Exposure and Swingline Exposure.


 


“Revolving Credit
Lenders” shall mean, at any time, Lenders who have Revolving Commitments or who hold Revolving Credit Exposure.


 


“Revolving Loan”
shall mean a loan made by a Lender (other than the Swingline Lender) to the Borrower under its Revolving Commitment, which may
either be a Base Rate Loan or a Eurodollar Loan.


 


“Routine Payor
Audit” shall mean any payor audit conducted by a Governmental Authority or a Third Party Payor so long as the potential
liability under such payor audit does not exceed $200,000 for each such payor audit.


 


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


 


“Sanctioned Country”
shall mean, at any time, a country, region or territory that is, or whose government is, the subject or target of any Sanctions.


 


“Sanctioned Person”
shall mean, at any time, (a) any Person listed in any Sanctions-related list of designated Persons maintained by OFAC, the U.S.
Department of State, the United Nations Security Council, the European Union or any EU member state, (b) any Person located, organized
or resident in a Sanctioned Country or (c) any Person controlled by any such Person.


 


“Sanctions”
shall mean economic or financial sanctions or trade embargoes administered or enforced from time to time by (a) the U.S. government,
including those administered by OFAC or the U.S. Department of State or (b) the United Nations Security Council, the European Union
or Her Majesty’s Treasury of the United Kingdom.


 


“Second Amendment”
shall mean that certain Second Amendment to Credit Agreement dated as of January 31, 2014, by and among the Borrower, the Guarantors,
the Administrative Agent, and the Lenders party thereto.


 




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“Secured Parties”
shall mean the Administrative Agent, the Lenders, the Issuing Bank, the Swingline Lender, the Lender-Related Hedge Providers and
the Bank Product Providers.


 


“Seller”
shall have the meaning set forth in the definition of CarePoint Acquisition Agreement.


 


“Senior Notes”
shall mean the unsecured 8.875% Senior Notes due 2021 issued by the Borrower pursuant to the Senior Notes Indenture, as amended,
restated, supplemented, or otherwise modified from time to time.


 


“Senior Notes
Indenture” shall mean that certain Indenture dated as of February 11, 2014, by and among the Borrower, the guarantors
party thereto, and U.S. Bank National Association, as trustee, as amended, restated, supplemented, or otherwise modified from time
to time.


 


“Sixth Amendment”
shall mean that certain Sixth Amendment to Credit Agreement dated as of January 6, 2017, by and among the Borrower, the Guarantors,
the Administrative Agent, and the Lenders party thereto.


 


“Sixth Amendment
Effective Date” shall mean the effective date of the Sixth Amendment.


 


“Solvent”
shall mean, with respect to any Person on a particular date, that on such date (a) the fair value of the property of such Person
is greater than the total amount of liabilities, including subordinated and contingent liabilities, of such Person; (b) the present
fair saleable value of the assets of such Person is not less than the amount that will be required to pay the probable liability
of such Person on its debts and liabilities, including subordinated and contingent liabilities as they become absolute and matured;
(c) such Person does not intend to, and does not believe that it will, incur debts or liabilities beyond such Person’s ability
to pay as such debts and liabilities mature; and (d) such Person is not engaged in a business or transaction, and is not about
to engage in a business or transaction, for which such Person’s property would constitute an unreasonably small capital.
The amount of contingent liabilities (such as litigation, guaranties and pension plan liabilities) at any time shall be computed
as the amount that, in light of all the facts and circumstances existing at the time, represents the amount that would reasonably
be expected to become an actual or matured liability.


 


“Specified Acquisition
Agreement Representations” shall have the meaning set forth in Section 3.2.


 


“Specified DDTL
Representations” shall mean the representations and warranties made by the Loan Parties in Sections 4.1(i), 4.1(ii),
4.2, 4.3 (as such representations and warranties relate to the CarePoint Acquisition), 4.6(a) (as such representations
and warranties relate to the CarePoint Acquisition), 4.7, 4.9, 4.15, 4.19, 4.20, and, subject
to the Company Certain Funds Provision or the CarePoint Certain Funds Provision, as applicable, 4.17.


 


“Specified Permitted
Liens” shall mean (a) nonconsensual Liens arising by operation of law (including Permitted Encumbrances, but excluding
Permitted Encumbrances securing Indebtedness), (b) Liens permitted by Section 7.2(b), Section 7.2(e), Section
7.2(f) and Section 7.2(h), (c) without duplication, any Liens securing Permitted Surviving Debt and (d) Liens on cash
collateral for letters of credit issued to replace Existing Letters of Credit.


 


“Specified Representations”
shall mean the representations and warranties made by the Loan Parties in Sections 4.1(i), 4.1(ii), 4.2, 4.3,
4.6(a) (as such representations and warranties relate to the Loan Documents), 4.7, 4.9, 4.15, 4.19,
4.20, and, subject to the Company Certain Funds Provision or the CarePoint Certain Funds Provision, as applicable, 4.17.


 




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“Specified Strategic
Joint Venture” shall mean any Subsidiary (other than the PBM Strategic Joint Venture) formed by the Borrower or any of
its Subsidiaries with one or more third parties for the purpose of engaging in any Permitted Business, including any hospital joint
venture or other joint venture providing pharmacy benefit management services.


 


“Stark Statute”
shall mean Section 1877 of the Social Security Act, as codified at 42 U.S.C. Section 1395nn (Prohibition Against Certain Referrals),
as the same may be amended, modified or supplemented from time to time, and any successor statute thereto, and any and all rules
or regulations promulgated from time to time thereunder.


 


“STRH”
shall mean SunTrust Robinson Humphrey, Inc.


 


“Subordinated
Debt” shall mean any Indebtedness of the Borrower or any Subsidiary that is by its terms subordinated in right of payment
to the prior payment of the Obligations in a manner reasonably acceptable to the Administrative Agent.


 


“Subsidiary”
shall mean, with respect to any Person (the “parent”) at any date, any corporation, partnership, joint venture,
limited liability company, association or other entity the accounts of which would be consolidated with those of the parent in
the parent’s consolidated financial statements if such financial statements were prepared in accordance with GAAP as of such
date, as well as any other corporation, partnership, joint venture, limited liability company, association or other entity (i)
of which securities or other ownership interests representing more than 50% of the equity or more than 50% of the ordinary voting
power or, in the case of a partnership, more than 50% of the general partnership interests are, as of such date, owned, controlled
or held, or (ii) that is, as of such date, otherwise controlled, by the parent or one or more subsidiaries of the parent or by
the parent and one or more subsidiaries of the parent. Unless otherwise indicated, all references to “Subsidiary” hereunder
shall mean a Subsidiary of the Borrower.


 


“Subsidiary Loan
Party” shall mean any Subsidiary that executes or becomes a party to the Guaranty and Security Agreement (other than
any Specified Strategic Joint Venture).


 


“Swingline Commitment”
shall mean the commitment of the Swingline Lender to make Swingline Loans in an aggregate principal amount at any time outstanding
not to exceed $10,000,000. The aggregate principal amount of the Swingline Commitments is $0 as of the Sixth Amendment Effective
Date.


 


“Swingline Exposure”
shall mean, with respect to each Lender, the principal amount of any outstanding Swingline Loans with respect to which such Lender
is obligated to make a Base Rate Loan in accordance with Section 2.4(c) or in which such Lender is obligated to purchase
a participation in accordance with Section 2.4(d), which, in the aggregate, shall equal such Lender’s Pro Rata Share
of all outstanding Swingline Loans.


 


“Swingline Lender”
shall mean SunTrust Bank.


 


“Swingline Loan”
shall mean a loan made to the Borrower by the Swingline Lender under the Swingline Commitment.


 


“Synthetic Lease”
shall mean a lease transaction under which the parties intend that (i) the lease will be treated as an “operating lease”
by the lessee pursuant to Accounting Standards Codification Sections 840-10 and 840-20, as amended, and (ii) the lessee will be
entitled to various tax and other benefits ordinarily available to owners (as opposed to lessees) of like property.


 




    	 	36	 



     


    

 


“Synthetic Lease
Obligations” shall mean, with respect to any Person, the sum of (i) all remaining rental obligations of such Person as
lessee under Synthetic Leases which are attributable to principal and, without duplication, (ii) all rental and purchase price
payment obligations of such Person under such Synthetic Leases assuming such Person exercises the option to purchase the lease
property at the end of the lease term.


 


“Taxes”
shall mean any and all present or future taxes, levies, imposts, duties, deductions, assessments, fees, charges or withholdings
imposed by any Governmental Authority, including any interest, additions to tax or penalties applicable thereto.


 


“Term B Loan”
shall mean, collectively, (a) the Initial Term B Loans, (b) the DDT Loans, and (c) any term b loan made by a Lender to the Borrower
pursuant to Section 2.23.


 


“Term B Loan Commitment”
shall mean, with respect to each Lender, collectively, (a) the Initial Term B Loan Commitment of such Lender and (b) the DDTL
Commitment of such Lender.


 


“Term B Loan Lenders”
shall mean, at any time, Lenders who have Term B Loan Commitments or who hold an outstanding Term B Loan.


 


“Third Amendment”
shall mean that certain Third Amendment to Credit Agreement dated as of March 1, 2015, by and among the Borrower, the Guarantors,
the Administrative Agent, and the Required Revolving Lenders.


 


“Third Amendment
Effective Date” shall mean the effective date of the Third Amendment.


 


“Third Party Payors”
shall mean Blue Cross, Blue Shield, any managed care plans and organizations including, without limitation, health maintenance
organizations and preferred provider organizations, and private commercial insurance companies.


 


“Third Party Payor
Arrangements” shall mean arrangements, plans or programs with Third Party Payors for payment or reimbursement in connection
with health care services, products or supplies.


 


“Trademark”
shall have the meaning assigned to such term in the Guaranty and Security Agreement.


 


“Trademark Security
Agreement” shall mean any Trademark Security Agreement executed by a Loan Party owning registered Trademarks or applications
for Trademarks in favor of the Administrative Agent for the benefit of the Secured Parties, both on the Closing Date and thereafter.


 


“Trading with
the Enemy Act” shall mean the Trading with the Enemy Act of the United States of America (50 U.S.C. App. §§
1 et seq.), as amended and in effect from time to time.


 


“Triggering Event
of Default” shall mean an Event of Default of the type described in Section 8.1(a), 8.1(b), 8.1(g),
or 8.1(h).


 


“Type”,
when used in reference to a Loan or a Borrowing, refers to whether the rate of interest on such Loan, or on the Loans comprising
such Borrowing, is determined by reference to the Adjusted LIBO Rate or the Base Rate.


 




    	 	37	 



     


    

 


“Unfunded Pension
Liability” of any Plan shall mean the amount, if any, by which the value of the accumulated plan benefits under the Plan,
as determined pursuant to Section 4001(a)(16) of ERISA, determined on a plan termination basis in accordance with actuarial assumptions
at such time consistent with those prescribed by the PBGC for purposes of Section 4044 of ERISA, exceeds the fair market value
of all Plan assets allocable to such liabilities under Title IV of ERISA (excluding any accrued but unpaid contributions).


 


“Uniform Commercial
Code” or “UCC” shall mean the Uniform Commercial Code as in effect from time to time in the State
of New York.


 


“United States”
or “U.S.” shall mean the United States of America.


 


“U.S. Person”
shall mean any Person that is a “United States person” as defined in Section 7701(a)(30) of the Code.


 


“U.S. Tax Compliance
Certificate” shall have the meaning set forth in Section 2.20(f)(ii).


 


“Weighted Average
Life to Maturity” shall mean, when applied to any Indebtedness at any date, the number of years obtained by dividing
(i) the sum of the products obtained by multiplying (x) 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 (y) the number of years (calculated
to the nearest one-twelfth) that will elapse between such date and the making of such payment by (ii) the then outstanding principal
amount of such Indebtedness.


 


“Withdrawal Liability”
shall mean liability to a Multiemployer Plan as a result of a complete or partial withdrawal from such Multiemployer Plan, as such
terms are defined in Part I of Subtitle E of Title IV of ERISA.


 


“Withholding Agent”
shall mean the Borrower, any other Loan Party or the Administrative Agent, as applicable.


 


“Working Capital”
shall mean, at any date, the sum of (a) all amounts (other than cash and Cash Equivalents) at such date that, in accordance with
GAAP, would be classified as “current assets” on a consolidated balance sheet of the Borrower and its consolidated
Subsidiaries, minus (b) all amounts (other than the outstanding principal balance of the Loans and the current portion of
long-term Indebtedness) at such date that, in accordance with GAAP, would be classified as “current liabilities” on
a consolidated balance sheet of the Borrower and its consolidated Subsidiaries.


 


“Write-Down and
Conversion Powers” means, with respect to any EEA Resolution Authority, the write-down and conversion powers of such
EEA Resolution Authority from time to time under the Bail-In Legislation for the applicable EEA Member Country, which write-down
and conversion powers are described in the EU Bail-In Legislation Schedule.


 


Section 1.2           Classifications
of Loans and Borrowings. For purposes of this Agreement, Loans may be classified and referred to by Class (e.g. “Revolving
Loan” or “Term B Loan”) or by Type (e.g. “Eurodollar Loan” or “Base Rate Loan”) or by
Class and Type (e.g. “Revolving Eurodollar Loan”). Borrowings also may be classified and referred to by Class (e.g.
“Revolving Borrowing”) or by Type (e.g. “Eurodollar Borrowing”) or by Class and Type (e.g. “Revolving
Eurodollar Borrowing”).


 




    	 	38	 



     


    

 


Section 1.3           Accounting
Terms and Determination. Unless otherwise defined or specified herein, all accounting terms used herein shall be interpreted,
all accounting determinations hereunder shall be made, and all financial statements required to be delivered hereunder shall be
prepared, in accordance with GAAP as in effect from time to time, applied on a basis consistent with the most recent financial
statements of the Borrower delivered pursuant to Section 5.1(a) or Section 5.1(b) (subject to any statements made
pursuant to Section 5.1(c)(iv)), subject to normal year-end adjustments and the absence of footnote disclosures in the case
of interim financial statements; provided that if the Borrower notifies the Administrative Agent that the Borrower wishes
to amend the definition or application of GAAP as used herein to eliminate the effect of any change in GAAP on the operation of
any provision of this Agreement (or if the Administrative Agent notifies the Borrower that the Required Lenders wish to make such
amendment), then the Borrower’s compliance with the provisions of this Agreement shall be determined on the basis of GAAP
in effect immediately before the relevant change in GAAP became effective, until either such notice is withdrawn or this Agreement
is amended in a manner satisfactory to the Borrower and the Required Lenders. Notwithstanding any other provision contained herein,
all terms of an accounting or financial nature used herein shall be construed, and all computations of amounts and ratios referred
to herein shall be made, without giving effect to (a) any election under Accounting Standards Codification Section 825-10 (or any
other Financial Accounting Standard having a similar result or effect) to value any Indebtedness or other liabilities of any Loan
Party or any Subsidiary of any Loan Party at “fair value”, as defined therein or (b) any treatment of Indebtedness
in respect of convertible debt instruments under Accounting Standards Codification Section 470-20 (or any other Accounting Standards
Codification or Financial Accounting Standard having a similar result or effect) to value any such Indebtedness in a reduced or
bifurcated manner as described therein, and such Indebtedness shall at all times be valued at the full stated principal amount
thereof. Notwithstanding the foregoing, all financial covenants contained herein shall be calculated without giving effect to any
election under Statement of Financial Accounting Standards 159 (or any similar accounting principle) permitting a Person to value
its financial liabilities at the fair value thereof. In addition, notwithstanding anything in this Agreement to the contrary, any
change in GAAP occurring after the date hereof that would require operating leases to be treated similarly to capital leases shall
not be given effect in the definition of Consolidated EBITDA or Indebtedness or any related definitions or in the computation of
any financial ratio or requirement in any of the Loan Documents.


 


Section 1.4           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”. In the computation
of periods of time from a specified date to a later specified date, the word “from” means “from and including”
and the word “to” means “to but excluding”. Unless the context requires otherwise (i) any definition of
or reference to any agreement, instrument or other document herein shall be construed as referring to such agreement, instrument
or other document as it was originally executed or as it may from time to time be amended, restated, supplemented or otherwise
modified (subject to any restrictions on such amendments, supplements or modifications set forth herein), (ii) any reference herein
to any Person shall be construed to include such Person’s successors and permitted assigns, (iii) the words “hereof”,
“herein” and “hereunder” and words of similar import shall be construed to refer to this Agreement as a
whole and not to any particular provision hereof, (iv) all references to Articles, Sections, Exhibits and Schedules shall
be construed to refer to Articles, Sections, Exhibits and Schedules to this Agreement and (v) all references to a specific
time shall be construed to refer to the time in the city and state of the Administrative Agent’s principal office, unless
otherwise indicated. The words “knowledge of the Borrower” or any like term shall mean the actual knowledge of a Responsible
Officer of the Borrower.


 




    	 	39	 



     


    

 


ARTICLE
II


 


AMOUNT
AND TERMS OF THE COMMITMENTS


 


Section 2.1           General
Description of Facilities. Subject to and upon the terms and conditions herein set forth, (i) the Lenders hereby establish
in favor of the Borrower a revolving credit facility pursuant to which each Lender severally agrees (to the extent of such Lender’s
Revolving Commitment) to make Revolving Loans to the Borrower in accordance with Section 2.2; (ii) the Issuing Bank may
issue Letters of Credit in accordance with Section 2.22; (iii) the Swingline Lender may make Swingline Loans in accordance
with Section 2.4; (iv) each Lender agrees to purchase a participation interest in the Letters of Credit and the Swingline
Loans pursuant to the terms and conditions hereof; provided that in no event shall the aggregate principal amount of all
outstanding Revolving Loans, outstanding Swingline Loans and outstanding LC Exposure exceed the Aggregate Revolving Commitment
Amount in effect at such time; (v) each Lender severally agrees to make an Initial Term B Loan to the Borrower in a principal amount
not exceeding such Lender’s Initial Term B Loan Commitment on the Closing Date; and (vi) each Lender severally agrees to
make a DDT Loan to the Borrower in a principal amount not exceeding such Lender’s DDTL Commitment on the DDTL Date.


 


Section 2.2           Revolving
Loans. Subject to the terms and conditions set forth herein, each Lender severally agrees to make Revolving Loans, ratably
in proportion to its Pro Rata Share of the Aggregate Revolving Commitments, to the Borrower, from time to time during the Availability
Period, in an aggregate principal amount outstanding at any time that will not result in (a) such Lender’s Revolving Credit
Exposure exceeding such Lender’s Revolving Commitment or (b) the aggregate Revolving Credit Exposures of all Lenders exceeding
the Aggregate Revolving Commitment Amount. During the Availability Period, the Borrower shall be entitled to borrow and prepay,
but not reborrow, Revolving Loans in accordance with the terms and conditions of this Agreement; provided that the Borrower
may not borrow Revolving Loans after the Closing Date unless all conditions set forth in Section 3.3 have been satisfied
unless waived in writing by the Required Revolving Lenders in accordance with Section 10.2.


 


Section 2.3           Procedure
for Revolving Borrowings. The Borrower shall give the Administrative Agent written notice (or telephonic notice promptly
confirmed in writing) of each Revolving Borrowing, substantially in the form of Exhibit 2.3 attached hereto (a “Notice
of Borrowing”), (x) prior to 12:00 p.m. one (1) Business Day prior to the requested date of each Base Rate Borrowing
and (y) prior to 12:00 p.m. three (3) Business Days prior to the requested date of each Eurodollar Borrowing. Each Notice of Borrowing
shall be irrevocable and shall specify (i) the aggregate principal amount of such Borrowing, (ii) the date of such Borrowing
(which shall be a Business Day), (iii) the Type of such Revolving Loan comprising such Borrowing and (iv) in the case of a Eurodollar
Borrowing, the duration of the initial Interest Period applicable thereto (subject to the provisions of the definition of Interest
Period). Each Revolving Borrowing shall consist entirely of Base Rate Loans or Eurodollar Loans, as the Borrower may request. The
aggregate principal amount of each Eurodollar Borrowing shall not be less than $5,000,000 or a larger multiple of $1,000,000, and
the aggregate principal amount of each Base Rate Borrowing shall not be less than $1,000,000 or a larger multiple of $100,000;
provided that Base Rate Loans made pursuant to Section 2.4 or Section 2.22(d) may be made in lesser amounts
as provided therein. At no time shall the total number of Eurodollar Borrowings outstanding at any time exceed six (6). Promptly
following the receipt of a Notice of Borrowing in accordance herewith, the Administrative Agent shall advise each Lender of the
details thereof and the amount of such Lender’s Revolving Loan to be made as part of the requested Revolving Borrowing.


 




    	 	40	 



     


    

 


Section
2.4           Swingline Commitment.


 


(a)          Subject
to the terms and conditions set forth herein, the Swingline Lender may, in its sole discretion, make Swingline Loans to the Borrower,
from time to time during the Availability Period, in an aggregate principal amount outstanding at any time not to exceed the lesser
of (i) the Swingline Commitment then in effect and (ii) the difference between the Aggregate Revolving Commitment Amount and the
aggregate Revolving Credit Exposures of all Lenders; provided that the Swingline Lender shall not be required to make a
Swingline Loan to refinance an outstanding Swingline Loan. The Borrower shall be entitled to borrow, repay and reborrow Swingline
Loans in accordance with the terms and conditions of this Agreement.


 


(b)          The
Borrower shall give the Administrative Agent written notice (or telephonic notice promptly confirmed in writing) of each Swingline
Borrowing, substantially in the form of Exhibit 2.4 attached hereto (a “Notice of Swingline Borrowing”),
prior to 12:00 p.m. on the requested date of each Swingline Borrowing. Each Notice of Swingline Borrowing shall be irrevocable
and shall specify (i) the principal amount of such Swingline Borrowing, (ii) the date of such Swingline Borrowing (which shall
be a Business Day) and (iii) the account of the Borrower to which the proceeds of such Swingline Borrowing should be credited.
The Administrative Agent will promptly advise the Swingline Lender of each Notice of Swingline Borrowing. The aggregate principal
amount of each Swingline Loan shall not be less than $100,000 or a larger multiple of $50,000, or such other minimum amounts agreed
to by the Swingline Lender and the Borrower. The Swingline Lender will make the proceeds of each Swingline Loan available to the
Borrower in Dollars in immediately available funds at the account specified by the Borrower in the applicable Notice of Swingline
Borrowing not later than 2:00 p.m. on the requested date of such Swingline Borrowing.


 


(c)          The
Swingline Lender, at any time and from time to time in its sole discretion, may, but in no event no less frequently than once each
calendar week shall, on behalf of the Borrower (which hereby irrevocably authorizes and directs the Swingline Lender to act on
its behalf solely for such purpose), give a Notice of Borrowing to the Administrative Agent requesting the Lenders (including the
Swingline Lender) to make Base Rate Loans in an amount equal to the unpaid principal amount of any Swingline Loan. Each Lender
will make the proceeds of its Base Rate Loan included in such Borrowing available to the Administrative Agent for the account of
the Swingline Lender in accordance with Section 2.6, which will be used solely for the repayment of such Swingline Loan.


 


(d)          If
for any reason a Base Rate Borrowing may not be (as determined in the sole discretion of the Administrative Agent), or is not,
made in accordance with the foregoing provisions, then each Lender (other than the Swingline Lender) shall purchase an undivided
participating interest in such Swingline Loan in an amount equal to its Pro Rata Share thereof on the date that such Base Rate
Borrowing should have occurred. On the date of such required purchase, each Lender shall promptly transfer, in immediately available
funds, the amount of its participating interest to the Administrative Agent for the account of the Swingline Lender.


 


(e)          Each
Lender’s obligation to make a Base Rate Loan pursuant to subsection (c) of this Section or to purchase participating interests
pursuant to subsection (d) of this Section shall be absolute and unconditional and shall not be affected by any circumstance, including,
without limitation, (i) any set-off, counterclaim, recoupment, defense or other right that such Lender or any other Person may
have or claim against the Swingline Lender, the Borrower or any other Person for any reason whatsoever, (ii) the existence of a
Default or an Event of Default or the termination of any Lender’s Revolving Commitment, (iii) the existence (or alleged existence)
of any event or condition which has had or would reasonably be expected to have a Material Adverse Effect, (iv) any breach of this
Agreement or any other Loan Document by any Loan Party, the Administrative Agent or any Lender or (v) any other circumstance, happening
or event whatsoever, whether or not similar to any of the foregoing. If such amount is not in fact made available to the Swingline
Lender by any Lender, the Swingline Lender shall be entitled to recover such amount on demand from such Lender, together with accrued
interest thereon for each day from the date of demand thereof (x) at the Federal Funds Rate until the second Business Day after
such demand and (y) at the Base Rate at all times thereafter. Until such time as such Lender makes its required payment, the Swingline
Lender shall be deemed to continue to have outstanding Swingline Loans in the amount of the unpaid participation for all purposes
of the Loan Documents. In addition, such Lender shall be deemed to have assigned any and all payments made of principal and interest
on its Loans and any other amounts due to it hereunder to the Swingline Lender to fund the amount of such Lender’s participation
interest in such Swingline Loans that such Lender failed to fund pursuant to this Section, until such amount has been purchased
in full.


 




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Section 2.5           Term
B Loan Commitments.


 


(a)          Subject
to the terms and conditions set forth herein, each Lender severally agrees to make a single term b loan to the Borrower on the
Closing Date in a principal amount equal to the Initial Term B Loan Commitment of such Lender. The Initial Term B Loans may be,
from time to time, Base Rate Loans or Eurodollar Loans or a combination thereof; provided that on the Closing Date all Initial
Term B Loans shall be Base Rate Loans. The execution and delivery of this Agreement by the Borrower and the satisfaction or waiver
by the Administrative Agent of all conditions precedent set forth in Section 3.1 shall be deemed to constitute the Borrower’s
request to borrow the Initial Term B Loans on the Closing Date. Once repaid, Initial Term B Loans under the Term B Loan Commitment
may not be reborrowed.


 


(b)          Subject
to the terms and conditions set forth herein, each Lender severally agrees to make a single term b loan to the Borrower on the
DDTL Date in a principal amount not to exceed the DDTL Commitment of such Lender; provided, that if for any reason the full
amount of such Lender’s DDTL Commitment is not fully drawn on the DDTL Commitment Termination Date, the undrawn portion thereof
shall automatically be cancelled. The DDT Loans may be, from time to time, Base Rate Loans or Eurodollar Loans or a combination
thereof. Once repaid, DDT Loans under the DDTL Commitment may not be reborrowed.


 


Section
2.6           Funding of Borrowings.


 


(a)          Each
Lender will make available each Loan to be made by it hereunder on the proposed date thereof by wire transfer in immediately available
funds by 11:00 a.m. to the Administrative Agent at the Payment Office; provided that the Swingline Loans will be made as
set forth in Section 2.4. The Administrative Agent will make such Loans available to the Borrower by promptly crediting
the amounts that it receives, in like funds by the close of business on such proposed date, to an account maintained by the Borrower
with the Administrative Agent or, at the Borrower’s option, by effecting a wire transfer of such amounts to an account designated
by the Borrower to the Administrative Agent.


 


(b)          Unless
the Administrative Agent shall have been notified by any Lender prior to 5:00 p.m. one (1) Business Day prior to the date of a
Borrowing in which such Lender is to participate that such Lender will not make available to the Administrative Agent such Lender’s
share of such Borrowing, the Administrative Agent may assume that such Lender has made such amount available to the Administrative
Agent on such date, and the Administrative Agent, in reliance on such assumption, may make available to the Borrower on such date
a corresponding amount. If such corresponding amount is not in fact made available to the Administrative Agent by such Lender on
the date of such Borrowing, the Administrative Agent shall be entitled to recover such corresponding amount on demand from such
Lender together with interest (x) at the Federal Funds Rate until the second Business Day after such demand and (y) at the Base
Rate at all times thereafter. If such Lender does not pay such corresponding amount forthwith upon the Administrative Agent’s
demand therefor, the Administrative Agent shall promptly notify the Borrower, and the Borrower shall pay as immediately as practicably
possible such corresponding amount to the Administrative Agent together with interest at the rate specified for such Borrowing.
Nothing in this subsection shall be deemed to relieve any Lender from its obligation to fund its Pro Rata Share of any Borrowing
hereunder or to prejudice any rights which the Borrower may have against any Lender as a result of any default by such Lender hereunder.


 




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(c)          All
Revolving Borrowings shall be made by the Lenders on the basis of their respective Pro Rata Shares. No Lender shall be responsible
for any default by any other Lender in its obligations hereunder, and each Lender shall be obligated to make its Loans provided
to be made by it hereunder, regardless of the failure of any other Lender to make its Loans hereunder.


 


Section
2.7           Interest Elections.


 


(a)          Each
Borrowing initially shall be of the Type specified by the Borrower in the applicable Notice of Borrowing. Thereafter, the Borrower
may elect to convert such Borrowing into a different Type or to continue such Borrowing, all as provided in this Section. The Borrower
may elect different options with respect to different portions of the affected Borrowing, in which case each such portion shall
be allocated ratably among the Lenders holding Loans comprising such Borrowing, and the Loans comprising each such portion shall
be considered a separate Borrowing.


 


(b)          To
make an election pursuant to this Section, the Borrower shall give the Administrative Agent written notice (or telephonic notice
promptly confirmed in writing) of each Borrowing that is to be converted or continued, as the case may be, substantially in the
form of Exhibit 2.7 attached hereto (a “Notice of Conversion/Continuation”) (x) prior to 12:00 p.m. one
(1) Business Day prior to the requested date of a conversion into a Base Rate Borrowing and (y) prior to 12:00 p.m. three (3) Business
Days prior to a continuation of or conversion into a Eurodollar Borrowing. Each such Notice of Conversion/Continuation shall be
irrevocable and shall specify (i) the Borrowing to which such Notice of Conversion/Continuation applies and, if different options
are being elected with respect to different portions thereof, the portions thereof that are to be allocated to each resulting Borrowing
(in which case the information to be specified pursuant to clauses (iii) and (iv) shall be specified for each resulting Borrowing),
(ii) the effective date of the election made pursuant to such Notice of Conversion/Continuation, which shall be a Business Day,
(iii) whether the resulting Borrowing is to be a Base Rate Borrowing or a Eurodollar Borrowing, and (iv) if the resulting Borrowing
is to be a Eurodollar Borrowing, the Interest Period applicable thereto after giving effect to such election, which shall be a
period contemplated by the definition of “Interest Period”. If any such Notice of Conversion/Continuation requests
a Eurodollar Borrowing but does not specify an Interest Period, the Borrower shall be deemed to have selected an Interest Period
of one month. The principal amount of any resulting Borrowing shall satisfy the minimum borrowing amount for Eurodollar Borrowings
and Base Rate Borrowings set forth in Section 2.3.


 


(c)          If,
on the expiration of any Interest Period in respect of any Eurodollar Borrowing, the Borrower shall have failed to deliver a Notice
of Conversion/Continuation, then, unless such Borrowing is repaid as provided herein, the Borrower shall be deemed to have elected
to convert such Borrowing to a Base Rate Borrowing. No Borrowing may be converted into, or continued as, a Eurodollar Borrowing
if a Default or an Event of Default exists, unless the Administrative Agent and each of the Lenders shall have otherwise consented
in writing. No conversion of any Eurodollar Loan shall be permitted except on the last day of the Interest Period in respect thereof.


 


(d)          Upon
receipt of any Notice of Conversion/Continuation, the Administrative Agent shall promptly notify each Lender of the details thereof
and of such Lender’s portion of each resulting Borrowing.


 




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Section
2.8           Reduction and Termination of Commitments.


 


(a)          Unless
previously terminated, all Revolving Commitments, Swingline Commitments and LC Commitments shall terminate on the Revolving Commitment
Termination Date. The Initial Term B Loan Commitments shall terminate on the Closing Date upon the making of the Initial Term B
Loans pursuant to Section 2.5(a). Unless previously terminated, all DDTL Commitments shall terminate on the DDTL Commitment
Termination Date.


 


(b)          Upon
at least three (3) Business Days prior written notice (or telephonic notice promptly confirmed in writing) to the Administrative
Agent (which notice shall be irrevocable, provided that such notice (x) may be conditioned upon the happening of an event,
in which case, such notice may be revoked to the extent that such event does not occur and (y) may be modified to extend the proposed
effective date of such reduction or termination, if any, specified therein), the Borrower may reduce the Aggregate Revolving Commitments
or the DDTL Commitments in part or terminate the Aggregate Revolving Commitments or the DDTL Commitments in whole; provided
that (i) any partial reduction shall apply to reduce proportionately and permanently the Revolving Commitment or DDTL Commitment,
as applicable, of each Lender, (ii) any partial reduction pursuant to this Section shall be in an amount of at least $5,000,000
and any larger multiple of $1,000,000, and (iii) no such reduction of the Aggregate Revolving Commitments shall be permitted which
would reduce the Aggregate Revolving Commitment Amount to an amount less than the aggregate outstanding Revolving Credit Exposure
of all Lenders. Any such reduction in the Aggregate Revolving Commitment Amount below the principal amount of the Swingline Commitment
or the LC Commitment shall result in a dollar-for-dollar reduction in the Swingline Commitment or the LC Commitment, as the case
may be.


 


(c)          With
the prior written approval of the Administrative Agent, the Borrower may terminate (on a non-ratable basis) the unused amount of
the Revolving Commitment of a Defaulting Lender, and in such event the provisions of Section 2.26 will apply to all amounts
thereafter paid by the Borrower for the account of any such Defaulting Lender under this Agreement (whether on account of principal,
interest, fees, indemnity or other amounts); provided that such termination will not be deemed to be a waiver or release
of any claim that the Borrower, the Administrative Agent, the Issuing Bank, the Swingline Lender or any other Lender may have against
such Defaulting Lender.


 


(d)          The
Aggregate Revolving Commitment (and each Lender’s Pro Rata Share thereof) shall be automatically reduced on the dates set
forth in the table below to the respective amounts provided therein corresponding to such dates.


 


	Date of Commitment Reduction	 	Aggregate Revolving Commitment	 
	January 6, 2017	 	$	58,949,351	 
	July 31, 2017	 	$	51,300,000	 
	October 31, 2017	 	$	46,300,000	 
	February 28, 2018	 	$	41,300,000	 



 


For the avoidance of doubt,
Section 2.12(e) shall be applicable immediately after any reduction pursuant to this Section 2.8(d).


 




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Section
2.9           Repayment of Loans.


 


(a)          The
outstanding principal amount of all Revolving Loans and Swingline Loans shall be due and payable (together with accrued and unpaid
interest thereon) on the Revolving Commitment Termination Date.


 


(b)          The
Borrower unconditionally promises to pay to the Administrative Agent for the account of each Lender the then unpaid principal amount
of the Term B Loan of such Lender on each March 31, June 30, September 30 and December 31 of each Fiscal Year prior to the Maturity
Date, commencing on December 31, 2013, in equal consecutive quarterly installments in an aggregate amount for each such quarterly
installment equal to one and one quarter of one percent (1.25%) of the aggregate principal amount of the Term B Loans funded on
the Closing Date (as adjusted to reflect (i) the funding of any Incremental Term B Loans in accordance with Section 2.23
(other than Incremental Term B Loans that are Non-Conforming Credit Extensions), (ii) the funding of the DDT Loans in accordance
with Section 2.5(b), and (iii) prepayments of Term B Loans in accordance with this Agreement); provided that, to
the extent not previously paid, the aggregate unpaid principal balance of the Term B Loans shall be due and payable on the Maturity
Date.


 


Section
2.10         Evidence of Indebtedness.


 


(a)          Each
Lender shall maintain in accordance with its usual practice appropriate records evidencing the Indebtedness of the Borrower to
such Lender resulting from each Loan made by such Lender from time to time, including the amounts of principal and interest payable
thereon and paid to such Lender from time to time under this Agreement. The Administrative Agent shall maintain appropriate
records in which shall be recorded (i) the Revolving Commitment and the Term B Loan Commitments of each Lender, (ii) the
amount of each Loan made hereunder by each Lender, the Class and Type thereof and, in the case of each Eurodollar Loan, the Interest
Period applicable thereto, (iii) the date of any continuation of any Loan pursuant to Section 2.7, (iv) the date of any
conversion of all or a portion of any Loan to another Type pursuant to Section 2.7, (v) the date and amount of any principal
or interest due and payable or to become due and payable from the Borrower to each Lender hereunder in respect of the Loans and
(vi) both the date and amount of any sum received by the Administrative Agent hereunder from the Borrower in respect of the Loans
and each Lender’s Pro Rata Share thereof. The entries made in such records shall be prima facie evidence of the existence
and amounts of the obligations of the Borrower therein recorded; provided that the failure or delay of any Lender or the
Administrative Agent in maintaining or making entries into any such record or any error therein shall not in any manner affect
the obligation of the Borrower to repay the Loans (both principal and unpaid accrued interest) of such Lender in accordance with
the terms of this Agreement.


 


(b)          This
Agreement evidences the obligation of the Borrower to repay the Loans and is being executed as a “noteless” credit
agreement. However, at the request of any Lender (including the Swingline Lender) at any time, the Borrower agrees that it will
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 permitted hereunder) 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).


 




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Section 2.11         Optional
Prepayments; Prepayment Premium. 


 


(a)          Subject
to Section 2.11(b), the Borrower shall have the right at any time and from time to time to prepay any Borrowing, in whole
or in part, without premium or penalty, by giving written notice (or telephonic notice promptly confirmed in writing) to the Administrative
Agent no later than (i) in the case of any prepayment of any Eurodollar Borrowing, 11:00 a.m. not less than three (3) Business
Days prior to the date of such prepayment, (ii) in the case of any prepayment of any Base Rate Borrowing, not less than one (1)
Business Day prior to the date of such prepayment, and (iii) in the case of any prepayment of any Swingline Borrowing, prior to
11:00 a.m. on the date of such prepayment. Each such notice shall be irrevocable (provided that such notice (x) may be conditioned
upon the happening of an event, in which case, such notice may be revoked to the extent that such event does not occur and (y)
may be modified to extend the proposed date of such prepayment specified therein) and shall specify the proposed date of such prepayment
and the principal amount of each Borrowing or portion thereof to be prepaid. Upon receipt of any such notice, the Administrative
Agent shall promptly notify each affected Lender of the contents thereof and of such Lender’s Pro Rata Share of any such
prepayment. If such notice is given, the aggregate amount specified in such notice shall be due and payable on the date designated
in such notice, together with accrued interest to such date on the principal amount so prepaid in accordance with Section 2.13(d);
provided that if a Eurodollar Borrowing is prepaid on a date other than the last day of an Interest Period applicable thereto,
the Borrower shall also pay all amounts required pursuant to Section 2.19. Each partial prepayment of any Loan shall
be in an amount that would be permitted in the case of an advance of a Revolving Borrowing of the same Type pursuant to Section
2.2 or, in the case of a Swingline Loan, pursuant to Section 2.4. Each prepayment of a Borrowing shall be applied in
accordance with Section 2.12(d) and, as applicable, shall permanently reduce the Aggregate Revolving Commitments.


 


(b)          In
the event that, on or prior to the date that is twelve (12) months after the Closing Date, the Borrower consummates a Repricing
Transaction, the Borrower shall pay to the Administrative Agent, for the ratable account of each applicable Lender, (i) in the
case of the type of Repricing Transaction set forth in clause (a) of the definition thereof, a prepayment premium of 1% of the
amount of the Initial Term Loans and DDT Loans being prepaid, repaid or refinanced and (ii) in the case of the type of Repricing
Transaction set forth in clause (b) of the definition thereof, a fee equal to 1% of the aggregate amount of the applicable Initial
Term B Loans and DDT Loans outstanding immediately prior to such amendment (any amounts payable under the foregoing clause (i)
or (ii), the “Prepayment Premium”).


 


Section
2.12         Mandatory Prepayments.


 


(a)          Promptly
(but in any event within five (5) Business Days) upon receipt by the Borrower or any of its Subsidiaries of Net Cash Proceeds in
excess of $1,000,000 in the aggregate during any Fiscal Year from any Prepayment Event, the Borrower shall prepay the Obligations
in an amount equal to such excess Net Cash Proceeds; provided, that, no prepayment under this Section 2.12(a) shall
be required with respect to (i) Non-Core Assets that are sold in accordance with Section 7.6(e) and (ii) Net Cash Proceeds
from any other Prepayment Event so long as (with respect to this clause (ii) only) no Event of Default is in existence at the time
of receipt of such Net Cash Proceeds, at the election of the Borrower, to the extent that such proceeds are reinvested in the business
of the Borrower or any of its Subsidiaries within 365 days (or 366 days in a leap year) following receipt thereof or committed
to be reinvested pursuant to a binding contract prior to the expiration of such 365 day (or 366 day in a leap year) period and
actually reinvested within 180 days after the date of such binding contract. Any such prepayment shall be applied in accordance
with subsection (d) of this Section.


 




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(b)          Promptly
(but in any event within five (5) Business Days) upon receipt by the Borrower or any of its Subsidiaries of Net Cash Proceeds from
any issuance of Indebtedness by the Borrower or any of its Subsidiaries (other than any Indebtedness that is not prohibited to
be issued or incurred hereunder), the Borrower shall prepay the Obligations in an amount equal to all such Net Cash Proceeds. Any
such prepayment shall be applied in accordance with subsection (d) of this Section.


 


(c)          Commencing
with the Fiscal Year ending December 31, 2014, no later than ten (10) days after the date on which the Borrower’s annual
audited financial statements for such Fiscal Year are required to be delivered pursuant to Section 5.1(a), (i) to the extent
that the Consolidated Total Net Leverage Ratio as of the last day of such Fiscal Year is greater than or equal to 3.50:1.00, the
Borrower shall prepay the Obligations in an amount equal to (x) 50% of Excess Cash Flow for such Fiscal Year minus (y) the
aggregate amount of all voluntary prepayments of the Term B Loans, the Revolving Loans (other than the voluntary prepayment of
Revolving Loans on the Sixth Amendment Effective Date) and the Priming Revolving Loans made during such Fiscal Year (excluding
payments in respect of the Revolving Loans and the Priming Revolving Loans unless there is an equivalent permanent reduction in
commitments thereunder), and (ii) to the extent that the Consolidated Total Net Leverage Ratio as of the last day of such Fiscal
Year is less than 3.50:1.00, the Borrower shall prepay the Obligations in an amount equal to 0% of Excess Cash Flow for such Fiscal
Year. Any such prepayment shall be applied in accordance with subsection (d) of this Section. Any such prepayment shall be accompanied
by a certificate signed by a Responsible Officer of the Borrower, certifying in reasonable detail the manner in which Excess Cash
Flow and the resulting prepayment were calculated, which certificate shall be in form and substance reasonably satisfactory to
the Administrative Agent.


 


(d)          Any
prepayments made by the Borrower pursuant to subsection (a), (b) or (c) of this Section or pursuant to Section 2.11(a) shall be
applied as follows: first, to the outstanding principal balance of the Revolving Loans, until the same shall have been paid
in full, pro rata to the Lenders based on their respective Revolving Commitments; second, to the outstanding principal
balance of the Term B Loans, until the same shall have been paid in full, pro rata to the Lenders based on their Pro Rata
Shares of the Term B Loans, and applied first to the immediately succeeding eight (8) scheduled installments of the Term B Loans
on a pro rata basis and thereafter to the remaining scheduled installments of the Term B Loans on a pro rata basis
(including, without limitation, the final payment due on the Maturity Date); and third, to the outstanding principal balance
of the Priming Revolving Loans, until the same shall have been paid in full, to the Priming Lenders. The Revolving Commitments
of the Lenders shall be permanently reduced by the amount of any prepayments made pursuant to clause first above.


 


(e)          If
at any time the aggregate Revolving Credit Exposure of all Lenders exceeds the Aggregate Revolving Commitment Amount, as reduced
pursuant to Section 2.8 or otherwise, the Borrower shall repay as immediately as practicably possible the Swingline Loans
and the Revolving Loans in an amount equal to such excess, together with all accrued and unpaid interest on such excess amount
and any amounts due under Section 2.19. Each prepayment shall be applied as follows: first, to the Swingline Loans
to the full extent thereof; second, to the Base Rate Loans to the full extent thereof; and third, to the Eurodollar
Loans to the full extent thereof.


 


Section
2.13         Interest on Loans.


 


(a)          The
Borrower shall pay interest on (i) each Base Rate Loan at the Base Rate plus the Applicable Margin in effect from time to
time (the “Base Rate Interest Rate”) and (ii) each Eurodollar Loan at the Adjusted LIBO Rate for the applicable
Interest Period in effect for such Loan plus the Applicable Margin in effect from time to time (the “Eurodollar
Interest Rate); provided that, in each case, a portion of the accrued and unpaid interest for any period equal to the
rate of 2.75% per annum shall be paid in kind and be capitalized on each interest payment date set forth in Section 2.13(d) by
adding such amount to the outstanding principal amount of such Base Rate Loan or Eurodollar Loan, as applicable.


 




    	 	47	 



     


    

 


(b)          The
Borrower shall pay interest on each Swingline Loan at the Base Rate plus the Applicable Margin for a Revolving Base Rate
Loan in effect from time to time.


 


(c)          Notwithstanding
subsections (a) and (b) of this Section, at the written request of the Required Lenders if a Triggering Event of Default has occurred
and is continuing, and automatically after acceleration of the Obligations or in connection with any Event of Default of the type
described in Section 8.1(g) or 8.1(h), the Borrower shall pay interest (“Default Interest”) (i)
with respect to all Eurodollar Loans, at a rate per annum equal to 200 basis points above the otherwise applicable Eurodollar
Interest Rate until the last day of such Interest Period, and thereafter, at a rate per annum equal to 200 basis points
above the otherwise applicable Base Rate Interest Rate and (ii) with respect to all Base Rate Loans, at a rate per annum
equal to 200 basis points above the otherwise applicable Base Rate Interest Rate, in each case, until such Triggering Event of
Default has been waived in writing or the Required Lenders have revoked the imposition of Default Interest (whichever occurs first).


 


(d)          Interest
on the outstanding principal amount of all Loans shall accrue from and including the date such Loans are made to but excluding
the date of any repayment thereof. Interest on all outstanding Loans shall be payable monthly in arrears on the last day of each
month and on the Revolving Commitment Termination Date or the Maturity Date, as the case may be. Interest on any Eurodollar Loan
which is converted into a Loan of another Type or which is repaid or prepaid shall be payable on the date of such conversion or
on the date of any such repayment or prepayment (on the amount repaid or prepaid) thereof. All Default Interest shall be payable
on demand.


 


(e)          The
Administrative Agent shall determine each interest rate applicable to the Loans hereunder and shall promptly notify the Borrower
and the Lenders of such rate in writing (or by telephone, promptly confirmed in writing). Any such determination shall be conclusive
and binding for all purposes, absent manifest error.


 


Section
2.14         Fees.


 


(a)          The
Borrower shall pay to the Administrative Agent for its own account fees in the amounts and at the times previously agreed upon
in writing by the Borrower and the Administrative Agent.


 


(b)          The
Borrower agrees to pay to the Administrative Agent for the account of each Lender a commitment fee, which shall accrue at the rate
of 0.50% per annum on the daily amount of the unused Revolving Commitment of such Lender during the Availability Period.
For purposes of computing the commitment fee, the Revolving Commitment of each Lender shall be deemed used to the extent of the
outstanding Revolving Loans and LC Exposure, but not Swingline Exposure, of such Lender.


 


(c)          The
Borrower agrees to pay to the Administrative Agent for the account of each Lender a commitment fee, which shall accrue at the Applicable
DDTL Ticking Fee Rate on the daily amount of the unused DDTL Commitment of such Lender during the period from (and including) the
Closing Date through (and including) the DDTL Commitment Termination Date.


 




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(d)          The
Borrower agrees to pay (i) to the Administrative Agent, for the account of each Lender, a letter of credit fee with respect to
its participation in each Letter of Credit, which shall accrue at a rate per annum equal to the Applicable Margin for Eurodollar
Revolving Loans then in effect on the average daily amount of such Lender’s LC Exposure attributable to such Letter of Credit
during the period from and including the date of issuance of such Letter of Credit to but excluding the date on which such Letter
of Credit expires or is drawn in full (including, without limitation, any LC Exposure that remains outstanding after the Revolving
Commitment Termination Date) and (ii) to the Issuing Bank for its own account a fronting fee, which shall accrue at a rate of 0.125%
per annum on the average daily amount of the LC Exposure (excluding any portion thereof attributable to unreimbursed LC
Disbursements) during the Availability Period, as well as the Issuing Bank’s standard fees with respect to the issuance,
amendment, renewal or extension of any Letter of Credit or processing of drawings thereunder. Notwithstanding the foregoing, if
the Required Lenders elect to increase the interest rate on the Loans to the rate for Default Interest pursuant to Section 2.13(c),
the rate per annum used to calculate the letter of credit fee pursuant to clause (i) above shall automatically be increased
by 200 basis points.


 


(e)          The
Borrower shall pay on the Closing Date to the Administrative Agent and its affiliates all fees in the Fee Letters that are due
and payable on the Closing Date.


 


(f)          Accrued
fees under subsections (b) and (d) of this Section shall be payable quarterly in arrears on the last day of each March, June, September
and December, commencing on September 30, 2013, and on the Revolving Commitment Termination Date (and, if later, the date the Loans
and LC Exposure shall be repaid in their entirety); provided that any such fees accruing after the Revolving Commitment
Termination Date shall be payable on demand. Accrued fees under subsection (c) of this Section shall be payable quarterly in arrears
on the last day of each March, June, September and December, commencing on September 30, 2013, and on the DDTL Commitment Termination
Date.


 


Section
2.15         Computation of Interest and Fees. Interest
hereunder based on the Administrative Agent’s prime lending rate shall be computed on the basis of a year of 365 days (or
366 days in a leap year) and paid for the actual number of days elapsed (including the first day but excluding the last day).
All other interest and all fees hereunder shall be computed on the basis of a year of 360 days and paid for the actual number
of days elapsed (including the first day but excluding the last day). Each determination by the Administrative Agent of an interest
rate or fee hereunder shall be made in good faith and, except for manifest error, shall be final, conclusive and binding for all
purposes. 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 hereunder. 


 


Section 2.16         Inability
to Determine Interest Rates. If, prior to the commencement of any Interest Period for any Eurodollar Borrowing:


 


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


 


(ii)         the
Administrative Agent shall have received notice from the Required Lenders that the Adjusted LIBO Rate does not adequately and fairly
reflect the cost to such Lenders of making, funding or maintaining their Eurodollar Loans for such Interest Period,


 


the Administrative Agent shall give written
notice (or telephonic notice, promptly confirmed in writing) to the Borrower and to the Lenders as soon as practicable thereafter.
Until the Administrative Agent shall notify the Borrower and the Lenders that the circumstances giving rise to such notice no longer
exist, (i) the obligations of the Lenders to make Eurodollar Revolving Loans or to continue or convert outstanding Loans as
or into Eurodollar Loans shall be suspended and (ii) all such affected Loans shall be converted into Base Rate Loans on the last
day of the then current Interest Period applicable thereto unless the Borrower prepays such Loans in accordance with this Agreement.
Unless the Borrower notifies the Administrative Agent at least one (1) Business Day before the date of any Eurodollar Borrowing
for which a Notice of Borrowing or a Notice of Conversion/Continuation has previously been given that it elects not to borrow,
continue or convert to a Eurodollar Borrowing on such date, then such Revolving Borrowing shall be made as, continued as or converted
into a Base Rate Borrowing.


 




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Section 2.17         Illegality.
If any Change in Law shall make it unlawful or impossible for any Lender to make, maintain or fund any Eurodollar Loan and
such Lender shall so notify the Administrative Agent, the Administrative Agent shall promptly give notice thereof to the Borrower
and the other Lenders, whereupon until such Lender notifies the Administrative Agent and the Borrower that the circumstances giving
rise to such suspension no longer exist, the obligation of such Lender to make Eurodollar Revolving Loans, or to continue or convert
outstanding Loans as or into Eurodollar Loans, shall be suspended. In the case of the making of a Eurodollar Borrowing, such Lender’s
Revolving Loan shall be made as a Base Rate Loan as part of the same Revolving Borrowing for the same Interest Period and, if the
affected Eurodollar Loan is then outstanding, such Loan shall be converted to a Base Rate Loan either (i) on the last day of the
then current Interest Period applicable to such Eurodollar Loan if such Lender may lawfully continue to maintain such Loan to such
date or (ii) immediately if such Lender shall determine that it may not lawfully continue to maintain such Eurodollar Loan to such
date. Notwithstanding the foregoing, the affected Lender shall, prior to giving such notice to the Administrative Agent, designate
a different Applicable Lending Office if such designation would avoid the need for giving such notice and if such designation would
not otherwise be disadvantageous to such Lender in the good faith exercise of its discretion.


 


Section
2.18         Increased Costs.


 


(a)          If
any Change in Law shall:


 


(i)          impose,
modify or deem applicable any reserve, special deposit or similar requirement that is not otherwise included in the determination
of the Adjusted LIBO Rate hereunder against assets of, deposits with or for the account of, or credit extended by, any Lender (except
any such reserve requirement reflected in the Adjusted LIBO Rate) or the Issuing Bank; or


 


(ii)         impose
on any Lender, the Issuing Bank or the eurodollar interbank market any other condition affecting this Agreement or any Eurodollar
Loans made by such Lender or any Letter of Credit or any participation therein;


 


and the result of any of the foregoing is to
increase the cost to such Lender of making, converting into, continuing or maintaining a Eurodollar Loan or to increase the cost
to such Lender or the Issuing Bank of participating in or issuing any Letter of Credit or to reduce the amount received or receivable
by such Lender or the Issuing Bank hereunder (whether of principal, interest or any other amount),


 


then, from time to time, such Lender or the
Issuing Bank may provide the Borrower (with a copy thereof to the Administrative Agent) with written notice and demand with respect
to such increased costs or reduced amounts, and within five (5) Business Days after receipt of such notice and demand the Borrower
shall pay to such Lender or the Issuing Bank, as the case may be, such additional amounts as will compensate such Lender or the
Issuing Bank for any such increased costs incurred or reduction suffered.


 




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(b)          If
any Lender or the Issuing Bank shall have determined that on or after the date of this Agreement any Change in Law regarding capital
or liquidity requirements has or would have the effect of reducing the rate of return on such Lender’s or the Issuing Bank’s
capital (or on the capital of the Parent Company of such Lender or the Issuing Bank) 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, the Issuing Bank or such Parent Company
could have achieved but for such Change in Law (taking into consideration such Lender’s or the Issuing Bank’s policies
or the policies of such Parent Company with respect to capital adequacy and liquidity), then, from time to time, such Lender or
the Issuing Bank may provide the Borrower (with a copy thereof to the Administrative Agent) with written notice and demand with
respect to such reduced amounts, and within five (5) Business Days after receipt of such notice and demand the Borrower shall pay
to such Lender or the Issuing Bank, as the case may be, such additional amounts as will compensate such Lender, the Issuing Bank
or such Parent Company for any such reduction suffered.


 


(c)          A
certificate of such Lender or the Issuing Bank setting forth the amount or amounts necessary to compensate such Lender, the Issuing
Bank or the Parent Company of such Lender or the Issuing Bank, as the case may be, specified in subsection (a) or (b) of this Section
shall be delivered to the Borrower (with a copy to the Administrative Agent) and shall be conclusive, absent manifest error.


 


(d)          Failure
or delay on the part of any Lender or the Issuing Bank to demand compensation pursuant to this Section shall not constitute a waiver
of such Lender’s or the Issuing Bank’s right to demand such compensation; provided that the Borrower shall not
be required to compensate any Lender or the Issuing Bank pursuant to this Section for any increased costs incurred or reductions
suffered more than one hundred eighty (180) days prior to the date that such Lender or Issuing Bank, as the case may be, notifies
the Borrower of the Change in Law giving rise to such increased costs or reductions, and of such Lender’s or Issuing Bank’s
intention to claim compensation therefor (except that, if the Change in Law giving rise to such increased costs or reductions is
retroactive, then the one hundred eighty (180) day period referred to above shall be extended to include the period of retroactive
effect thereof).


 


Section 2.19         Funding
Indemnity. In the event of (a) the payment of any principal of a Eurodollar Loan other than on the last day of the Interest
Period applicable thereto (including as a result of an Event of Default), (b) the conversion or continuation of a Eurodollar Loan
other than on the last day of the Interest Period applicable thereto, or (c) the failure by the Borrower to borrow, prepay, convert
or continue any Eurodollar Loan on the date specified in any applicable notice (regardless of whether such notice is withdrawn
or revoked), then, in any such event, the Borrower shall compensate each Lender, within five (5) Business Days after written demand
from such Lender, for any loss, cost or expense attributable to such event. In the case of a Eurodollar Loan, such loss, cost or
expense shall be deemed to include an amount determined by such Lender to be the excess, if any, of (A) the amount of interest
that would have accrued on the principal amount of such Eurodollar Loan if such event had not occurred at the Adjusted LIBO Rate
applicable to such Eurodollar Loan for the period from the date of such event to the last day of the then current Interest Period
therefor (or, in the case of a failure to borrow, convert or continue, for the period that would have been the Interest Period
for such Eurodollar Loan) over (B) the amount of interest that would accrue on the principal amount of such Eurodollar Loan for
the same period if the Adjusted LIBO Rate were set on the date such Eurodollar Loan was prepaid or converted or the date on which
the Borrower failed to borrow, convert or continue such Eurodollar Loan. A certificate as to any additional amount payable under
this Section submitted to the Borrower by any Lender (with a copy to the Administrative Agent) shall be conclusive, absent manifest
error.


 


Section
2.20         Taxes.


 


(a)          Any
and all payments by or on account of any obligation of the Borrower or any other Loan Party hereunder or under any other Loan Document
shall be made free and clear of and without deduction or withholding for any Indemnified Taxes or Other Taxes; provided
that if any applicable law requires the deduction or withholding of any Tax from any such payment, then the applicable Withholding
Agent shall make such deduction and timely pay the full amount deducted to the relevant Governmental Authority in accordance with
applicable law and, if such Tax is an Indemnified Tax or Other Tax, then the sum payable by the Borrower or other Loan Party, as
applicable, shall be increased as necessary so that after making all required deductions and withholdings (including deductions
and withholdings applicable to additional sums payable under this Section) the applicable Recipient shall receive an amount equal
to the sum it would have received had no such deductions or withholdings been made.


 




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(b)          In
addition, without limiting the provisions of subsection (a) of this Section, the Borrower shall timely pay any Other Taxes to the
relevant Governmental Authority in accordance with applicable law.


 


(c)          The
Borrower shall indemnify each Recipient (and, with respect to U.S. federal withholding taxes, if such Recipient is not the Beneficial
Owner, the Beneficial Owner), within ten (10) days after written demand therefor, for the full amount of any Indemnified Taxes
paid by such Recipient (or Beneficial Owner) on or with respect to any payment by or on account of any obligation of the Borrower
or any other Loan Party hereunder or under any other Loan Document (including Indemnified Taxes imposed or asserted on or attributable
to amounts payable under this Section) and any reasonable expenses arising therefrom or with respect thereto, whether or not such
Indemnified 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 the applicable Recipient (for its own account or on behalf of
one or more Beneficial Owners) shall be conclusive, absent manifest error.


 


(d)          As
soon as practicable after any payment of Indemnified Taxes or Other Taxes by the Borrower or any other Loan Party to a Governmental
Authority, the Borrower or other Loan Party, as applicable, shall deliver to the Administrative Agent an 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)          If
any Recipient determines, in its sole discretion exercised in good faith, that it has received a refund, or a credit in lieu of
a refund, of any 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 2.20, it shall pay to the Borrower an amount equal to such refund or credit
(but only to the extent of indemnity payments made, or additional amounts paid, by the Borrower under this Section 2.20 with respect
to the Taxes or Other Taxes giving rise to such refund) net of all out-of-pocket expenses of such Recipient 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 such Recipient, agrees to repay the amount paid over to the Borrower (plus any penalties, interest or other
charges imposed by the relevant Governmental Authority) to such Recipient in the event such Recipient is required to repay such
refund to such Governmental Authority. This Section 2.20(e) shall not be construed to require a Recipient to make available
its tax returns (or any other information relating to its taxes) to the Borrower or any other Person.


 


(f)          Tax
Forms.


 


(i)          Any
Lender that is a U.S. Person shall deliver to the Borrower and the Administrative Agent, on or prior to the date on which such
Lender becomes a Lender under this Agreement (and from time to time thereafter upon the reasonable request of the Borrower or the
Administrative Agent), duly executed originals of IRS Form W-9 certifying, to the extent such Lender is legally entitled to do
so, that such Lender is exempt from U.S. federal backup withholding tax.


 




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(ii)         Any
Lender that is a Foreign Person and that is entitled to an exemption from or reduction of withholding tax under the Code or any
treaty to which the United States is a party with respect to payments under this Agreement shall deliver to the Borrower and the
Administrative Agent, at the time or times prescribed by applicable law, such properly completed and executed documentation prescribed
by applicable law or reasonably requested by the Borrower or the Administrative Agent as will permit such payments to be made without
withholding or at a reduced rate of withholding. Without limiting the generality of the foregoing, each Lender that is a Foreign
Person shall, to the extent it is legally entitled to do so, (w) on or prior to the date such Lender becomes a Lender under this
Agreement, (x) on or prior to the date on which any such form or certification expires or becomes obsolete, (y) after the occurrence
of any event requiring a change in the most recent form or certification previously delivered by it pursuant to this subsection,
and (z) from time to time upon the reasonable request by the Borrower or the Administrative Agent, deliver to the Borrower and
the Administrative Agent (in such number of copies as shall be requested by the Borrower or the Administrative Agent), whichever
of the following is applicable:


 


(A)         if
such Lender is claiming eligibility for benefits of an income tax treaty to which the United States is a party (x) with respect
to payments of interest under any Loan Document, duly executed originals of IRS Form W-8BEN, or any successor form thereto, establishing
an exemption from, or reduction of, U.S. federal withholding tax pursuant to the “interest” article of such tax treaty,
and (y) with respect to any other applicable payments under any Loan Document, duly executed originals of IRS Form W-8BEN, or any
successor form thereto, establishing an exemption from, or reduction of, U.S. federal withholding tax pursuant to the “business
profits” or “other income” article of such tax treaty;


 


(B)         duly
executed originals of IRS Form W-8ECI, or any successor form thereto, certifying that the payments received by such Lender are
effectively connected with such Lender’s conduct of a trade or business in the United States;


 


(C)         if
such Lender is claiming the benefits of the exemption for portfolio interest under Section 871(h) or Section 881(c) of the Code,
duly executed originals of IRS Form W-8BEN, or any successor form thereto, together with a certificate (a “U.S. Tax Compliance
Certificate”) upon which such Lender certifies that (1) such Lender is not a bank for purposes of Section 881(c)(3)(A)
of the Code, or the obligation of the Borrower hereunder is not, with respect to such Lender, a loan agreement entered into in
the ordinary course of its trade or business, within the meaning of that Section, (2) such Lender is not a 10% shareholder of the
Borrower within the meaning of Section 871(h)(3) or Section 881(c)(3)(B) of the Code, (3) such Lender is not a controlled foreign
corporation that is related to the Borrower within the meaning of Section 881(c)(3)(C) of the Code, and (4) the interest payments
in question are not effectively connected with a U.S. trade or business conducted by such Lender; or


 


(D)         if
such Lender is not the Beneficial Owner (for example, a partnership or a participating Lender granting a typical participation),
duly executed originals of IRS Form W-8IMY, or any successor form thereto, accompanied by IRS Form W-9, IRS Form W-8ECI, IRS Form
W-8BEN, a U.S. Tax Compliance Certificate, and/or other certification documents from each Beneficial Owner, as applicable.


 




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(iii)        Each
Lender that is a Foreign Person shall, to the extent it is legally entitled to do so, deliver to the Borrower and the Administrative
Agent (in such number of copies as shall be requested by the recipient) on or prior to the date on which such Lender becomes a
Lender under this Agreement (and from time to time thereafter upon the reasonable request of the Borrower or the Administrative
Agent), executed originals of any other form prescribed by applicable law as a basis for claiming exemption from or a reduction
in U.S. federal withholding tax, duly completed, together with such supplementary documentation as may be prescribed by applicable
law to permit the Borrower or the Administrative Agent to determine the withholding or deduction required to be made.


 


(iv)        If
a payment made to a Lender under any Loan Document would be subject to U.S. federal withholding tax imposed by FATCA if such Lender
were to fail to comply with the applicable reporting requirements of FATCA (including those contained in Section 1471(b) or 1472(b)
of the Code, as applicable), such Lender shall deliver to the Borrower and the Administrative Agent at the time or times prescribed
by law and at such time or times reasonably requested by the Borrower or the Administrative Agent such documentation prescribed
by applicable law (including as prescribed by Section 1471(b)(3)(C)(i) of the Code) and such additional documentation reasonably
requested by the Borrower or the Administrative Agent as may be necessary for the Borrower and the Administrative Agent to comply
with their obligations under FATCA and to determine that such Lender has complied with such Lender’s obligations under FATCA
or to determine the amount to deduct and withhold from such payment; provided, that solely for purposes of this clause (E),
“FATCA” shall include any amendments made to FATCA after the date of this Agreement.


 


(v)         Each
Lender agrees that if any form or certification it previously delivered under this Section expires or becomes obsolete or inaccurate
in any respect, such Lender shall update such form or certification; however, if such Lender is not legally entitled to provide
an updated form or certification, it shall promptly notify the Borrower and the Administrative Agent of its inability to update
such form or certification.


 


Section
2.21         Payments Generally; Pro Rata Treatment; Sharing of Set-offs.


 


(a)          The
Borrower shall make each payment required to be made by it hereunder (whether of principal, interest, fees or reimbursement of
LC Disbursements, or of amounts payable under Section 2.18, 2.19 or 2.20, or otherwise) prior to 2:00 p.m.
on the date when due, in immediately available funds, free and clear of any defenses, rights of set-off, counterclaim, or withholding
or deduction of taxes. Any amounts received after such time on any date may, in the discretion of the Administrative Agent, be
deemed to have been received on the next succeeding Business Day for purposes of calculating interest thereon. All such payments
shall be made to the Administrative Agent at the Payment Office, except payments to be made directly to the Issuing Bank or the
Swingline Lender as expressly provided herein and except that payments pursuant to Sections 2.18, 2.19, 2.20
and 10.3 shall be made directly to the Persons entitled thereto. The Administrative Agent shall distribute any such payments
received by it for the account of any other Person to the appropriate recipient promptly following receipt thereof. If any payment
hereunder shall be due on a day that is not a Business Day, the date for payment shall be extended to the next succeeding Business
Day, and, in the case of any payment accruing interest, interest thereon shall be made payable for the period of such extension.
All payments hereunder shall be made in Dollars.


 




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(b)          If
at any time insufficient funds are received by and available to the Administrative Agent to pay fully all amounts of principal,
unreimbursed LC Disbursements, interest and fees then due hereunder, such funds shall be applied as follows: first, to all
fees and reimbursable expenses of the Administrative Agent then due and payable pursuant to any of the Loan Documents; second,
to all reimbursable expenses of the Lenders and all fees and reimbursable expenses of the Issuing Bank then due and payable pursuant
to any of the Loan Documents, pro rata to the Lenders and the Issuing Bank based on their respective pro rata shares
of such fees and expenses; third, to all accrued interest and fees then due and payable hereunder, pro rata to the
Lenders based on their respective pro rata shares of such interest and fees; and fourth, to all principal of the
Loans and unreimbursed LC Disbursements then due and payable hereunder, pro rata to the parties entitled thereto based on
their respective pro rata shares of such principal and unreimbursed LC Disbursements.


 


(c)          If
any Lender shall, by exercising any right of set-off or counterclaim or otherwise, obtain payment in respect of any principal of
or interest on any of its Loans or participations in LC Disbursements or Swingline Loans that would result in such Lender receiving
payment of a greater proportion of the aggregate amount of its Revolving Credit Exposure, Term B Loans and accrued interest and
fees thereon than the proportion received by any other Lender with respect to its Revolving Credit Exposure or Term B Loans, then
the Lender receiving such greater proportion shall purchase (for cash at face value) participations in the Revolving Credit Exposure
and Term B Loans of other Lenders to the extent necessary so that the benefit of all such payments shall be shared by the Lenders
ratably in accordance with the aggregate amount of principal of and accrued interest on their respective Revolving Credit Exposure
and Term B Loans; provided that (i) if any such participations are purchased and all or any portion of the payment giving
rise thereto is recovered, such participations shall be rescinded and the purchase price restored to the extent of such recovery,
without interest, and (ii) the provisions of this subsection shall not be construed to apply to any payment made by the Borrower
pursuant to and in accordance with the express terms of this Agreement (including the application of funds arising from the existence
of a Defaulting Lender) or any payment obtained by a Lender as consideration for the assignment of or sale of a participation in
any of its Revolving Credit Exposure or Term B Loans to any assignee or participant, other than to the Borrower or any Subsidiary
or Affiliate thereof (as to which the provisions of this subsection shall apply). The Borrower consents to the foregoing and agrees,
to the extent it may effectively do so under applicable law, that any Lender acquiring a participation pursuant to the foregoing
arrangements may exercise against the Borrower rights of set-off and counterclaim with respect to such participation as fully as
if such Lender were a direct creditor of the Borrower in the amount of such participation.


 


(d)          Unless
the Administrative Agent shall have received notice from the Borrower prior to the date on which any payment is due to the Administrative
Agent for the account of the Lenders or the Issuing Bank hereunder that the Borrower will not make such payment, the Administrative
Agent may assume that the Borrower has made such payment on such date in accordance herewith and may, in reliance upon such assumption,
distribute to the Lenders or the Issuing Bank, as the case may be, the amount or amounts due. In such event, if the Borrower has
not in fact made such payment, then each of the Lenders or the Issuing Bank, as the case may be, severally agrees to repay to the
Administrative Agent forthwith on demand the amount so distributed to such Lender or Issuing Bank with interest thereon, for each
day from and including the date such amount is distributed to it to but excluding the date of payment to the Administrative Agent,
at the greater of the Federal Funds Rate and a rate determined by the Administrative Agent in accordance with banking industry
rules on interbank compensation.


 




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Section
2.22         Letters of Credit.


 


(a)          During
the Availability Period, the Issuing Bank, in reliance upon the agreements of the other Lenders pursuant to subsections (d) and
(e) of this Section, may, in its sole discretion, issue, at the request of the Borrower, Letters of Credit for the account of the
Borrower on the terms and conditions hereinafter set forth; provided that (i) each Letter of Credit shall expire on the
earlier of (A) one year after the date of issuance of such Letter of Credit (or, in the case of any renewal or extension thereof,
one year after such renewal or extension) and (B) the date that is five (5) Business Days prior to the Revolving Commitment Termination
Date; (ii) each Letter of Credit shall be in a stated amount of at least $100,000; and (iii) the Borrower may not request any Letter
of Credit if, after giving effect to such issuance, (x) the aggregate LC Exposure would exceed the LC Commitment or (y) the aggregate
Revolving Credit Exposure of all Lenders would exceed the Aggregate Revolving Commitment Amount. Each Lender shall be deemed to,
and hereby irrevocably and unconditionally agrees to, purchase from the Issuing Bank without recourse a participation in each Letter
of Credit equal to such Lender’s Pro Rata Share of the aggregate amount available to be drawn under such Letter of Credit
on the date of issuance. Each issuance of a Letter of Credit shall be deemed to utilize the Revolving Commitment of each Lender
by an amount equal to the amount of such participation.


 


(b)          To
request the issuance of a Letter of Credit (or any amendment, renewal or extension of an outstanding Letter of Credit), the Borrower
shall give the Issuing Bank and the Administrative Agent irrevocable written notice at least three (3) Business Days prior to the
requested date of such issuance specifying the date (which shall be a Business Day) such Letter of Credit is to be issued (or amended,
renewed or extended, as the case may be), the expiration date of such Letter of Credit, 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. In addition to the satisfaction or waiver in writing of the conditions set forth in Section 3.3,
the issuance of such Letter of Credit (or any amendment which increases the amount of such Letter of Credit) will be subject to
the further conditions that such Letter of Credit shall be in such form and contain such terms as the Issuing Bank shall approve
and that the Borrower shall have executed and delivered any additional applications, agreements and instruments relating to such
Letter of Credit as the Issuing Bank shall reasonably require; provided that in the event of any conflict between such applications,
agreements or instruments and this Agreement, the terms of this Agreement shall control.


 


(c)          At
least two (2) Business Days prior to the issuance of any Letter of Credit, the Issuing Bank will confirm with the Administrative
Agent (by telephone or in writing) that the Administrative Agent has received such notice, and, if not, the Issuing Bank will provide
the Administrative Agent with a copy thereof. Unless the Issuing Bank has received notice from the Administrative Agent, on or
before the Business Day immediately preceding the date the Issuing Bank is to issue the requested Letter of Credit, directing the
Issuing Bank not to issue the Letter of Credit because such issuance is not then permitted hereunder because of the limitations
set forth in subsection (a) of this Section or that one or more conditions specified in Section 3.3 are not then satisfied
or waived in writing, then, subject to the terms and conditions hereof, the Issuing Bank shall, on the requested date, issue such
Letter of Credit in accordance with the Issuing Bank’s usual and customary business practices.


 


(d)          The
Issuing Bank shall examine all documents purporting to represent a demand for payment under a Letter of Credit promptly following
its receipt thereof. The Issuing Bank shall notify the Borrower and the Administrative Agent of such demand for payment and whether
the Issuing Bank has made or will make a 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 Bank and the Lenders with respect to such
LC Disbursement. The Borrower shall be irrevocably and unconditionally obligated to reimburse the Issuing Bank for any LC Disbursement
paid by the Issuing Bank in respect of such drawing without presentment, demand or other formalities of any kind. Any such LC Disbursement
will be reimbursed first with the proceeds of the LC Cash Collateral Account. If amounts on deposit the LC Cash Collateral Account
are not sufficient to reimburse the Issuing Bank in full for any such LC Disbursement then, unless the Borrower shall have notified
the Issuing Bank and the Administrative Agent prior to 12:00 p.m. on the Business Day immediately prior to the date on which such
drawing is honored that the Borrower intends to reimburse the Issuing Bank for the amount by which such LC Disbursement exceeds
the amount of funds in the LC Cash Collateral Account, the Borrower shall be deemed to have timely given a Notice of Borrowing
to the Administrative Agent requesting the Lenders to make a Base Rate Borrowing on the date on which such drawing is honored in
an exact amount due to the Issuing Bank; provided that for purposes solely of such Borrowing, the conditions precedent set
forth in Section 3.3 hereof shall not be applicable. The Administrative Agent shall notify the Lenders of such Borrowing in accordance
with Section 2.3, and each Lender shall make the proceeds of its Base Rate Loan included in such Borrowing available to
the Administrative Agent for the account of the Issuing Bank in accordance with Section 2.6. The proceeds of such Borrowing
shall be applied directly by the Administrative Agent to reimburse the Issuing Bank for such LC Disbursement .


 




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(e)          If
for any reason a Base Rate Borrowing may not be (as determined in the sole discretion of the Administrative Agent), or is not,
made in accordance with the foregoing provisions, then each Lender (other than the Issuing Bank) shall be obligated to fund the
participation that such Lender purchased pursuant to subsection (a) of this Section in an amount equal to its Pro Rata Share
of such LC Disbursement on and as of the date which such Base Rate Borrowing should have occurred. Each Lender’s obligation
to fund its participation shall be absolute and unconditional and shall not be affected by any circumstance, including, without
limitation, (i) any set-off, counterclaim, recoupment, defense or other right that such Lender or any other Person may have against
the Issuing Bank or any other Person for any reason whatsoever, (ii) the existence of a Default or an Event of Default or the termination
of the Aggregate Revolving Commitments, (iii) any adverse change in the condition (financial or otherwise) of the Borrower or any
of its Subsidiaries, (iv) any breach of this Agreement by the Borrower or any other Lender, (v) any amendment, renewal or extension
of any Letter of Credit or (vi) any other circumstance, happening or event whatsoever, whether or not similar to any of the foregoing.
On the date that such participation is required to be funded, each Lender shall promptly transfer, in immediately available funds,
the amount of its participation to the Administrative Agent for the account of the Issuing Bank. Whenever, at any time after the
Issuing Bank has received from any such Lender the funds for its participation in a LC Disbursement, the Issuing Bank (or the Administrative
Agent on its behalf) receives any payment on account thereof, the Administrative Agent or the Issuing Bank, as the case may be,
will distribute to such Lender its Pro Rata Share of such payment; provided that if such payment is required to be returned
for any reason to the Borrower or to a trustee, receiver, liquidator, custodian or similar official in any bankruptcy proceeding,
such Lender will return to the Administrative Agent or the Issuing Bank any portion thereof previously distributed by the Administrative
Agent or the Issuing Bank to it.


 


(f)          To
the extent that any Lender shall fail to pay any amount required to be paid pursuant to subsection (d) or (e) of this Section on
the due date therefor, such Lender shall pay interest to the Issuing Bank (through the Administrative Agent) on such amount from
such due date to the date such payment is made at a rate per annum equal to the Federal Funds Rate; provided that
if such Lender shall fail to make such payment to the Issuing Bank within three (3) Business Days of such due date, then, retroactively
to the due date, such Lender shall be obligated to pay interest on such amount at the rate set forth in Section 2.13(c).


 


(g)          
[Reserved].


 


(h)          Upon
the request of any Lender, but no more frequently than quarterly, the Issuing Bank shall deliver (through the Administrative Agent)
to each Lender and the Borrower a report describing the aggregate Letters of Credit then outstanding. Upon the request of any Lender
from time to time, the Issuing Bank shall deliver to such Lender any other information reasonably requested by such Lender with
respect to each Letter of Credit then outstanding.


 


(i)          The
Borrower’s obligation to reimburse LC Disbursements hereunder shall be absolute, unconditional and irrevocable and shall
be performed strictly in accordance with the terms of this Agreement under all circumstances whatsoever and irrespective of any
of the following circumstances:


 




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(i)          any
lack of validity or enforceability of any Letter of Credit or this Agreement;


 


(ii)         the
existence of any claim, set-off, defense or other right which the Borrower or any Subsidiary or Affiliate of the Borrower may have
at any time against a beneficiary or any transferee of any Letter of Credit (or any Persons or entities for whom any such beneficiary
or transferee may be acting), any Lender (including the Issuing Bank) or any other Person, whether in connection with this Agreement
or the Letter of Credit or any document related hereto or thereto or any unrelated transaction;


 


(iii)        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;


 


(iv)        payment
by the Issuing Bank under a Letter of Credit against presentation of a draft or other document to the Issuing Bank that does not
comply with the terms of such Letter of Credit;


 


(v)         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 set-off against, the Borrower’s obligations
hereunder; or


 


(vi)        the
existence of a Default or an Event of Default.


 


Neither the Administrative Agent, the Issuing
Bank, any Lender nor any Related Party of any of the foregoing 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 above), or 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
Bank; provided that the foregoing shall not be construed to excuse the Issuing Bank from liability to the Borrower to the
extent of any actual direct damages (as opposed to special, indirect (including claims for lost profits or other consequential
damages), or punitive 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 Bank’s failure to exercise due care when determining whether
drafts or 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 Bank (as finally determined by a court
of competent jurisdiction), the Issuing Bank shall be deemed to have exercised due 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 that
appear on their face to be in substantial compliance with the terms of a Letter of Credit, the Issuing Bank 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.


 




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(j)          Unless
otherwise expressly agreed by the Issuing Bank and the Borrower when a Letter of Credit is issued and subject to applicable laws,
(i) each standby Letter of Credit shall be governed by the “International Standby Practices 1998” (ISP98) (or such
later revision as may be published by the Institute of International Banking Law & Practice on any date any Letter of Credit
may be issued), (ii) each documentary Letter of Credit shall be governed by the Uniform Customs and Practices for Documentary Credits
(2007 Revision), International Chamber of Commerce Publication No. 600 (or such later revision as may be published by the International
Chamber of Commerce on any date any Letter of Credit may be issued) and (iii) the Borrower shall specify the foregoing in each
letter of credit application submitted for the issuance of a Letter of Credit.


 


(k)          Notwithstanding
anything to the contrary in this Section 2.22, on the Sixth Amendment Effective Date, the Borrower shall deposit in an account
maintained at the Administrative Agent (the “LC Cash Collateral Account”) $4,881,818.55 and shall assign such
account to the Administrative Agent in accordance with the Assignment of Deposit. Such deposit shall be held by the Administrative
Agent as collateral for the payment and performance of the obligations of the Borrower under this Agreement. The Administrative
Agent shall have the exclusive right to make withdrawals from the LC Cash Collateral Account. The Borrower agrees to execute any
documents and/or certificates to effectuate the intent of this subsection. Other than any interest earned on the investment of
such deposits, which investments shall be made at the option and sole discretion of the Administrative Agent and at the Borrower’s
risk and expense, such deposits shall not bear interest. Interest and profits, if any, on such investments shall accumulate in
such account. Moneys in such account shall be applied by the Administrative Agent to reimburse the Issuing Bank for LC Disbursements
in accordance with Section 2.14(d) and, to the extent not so applied, shall be held for the satisfaction of the reimbursement
obligations of the Borrower for the LC Exposure at such time or, if the maturity of the Loans has been accelerated, with the consent
of the Required Lenders, be applied to satisfy other obligations of the Borrower under this Agreement and the other Loan Documents.
Promptly following expiration (without amendment or renewal) of each undrawn Existing Letter of Credit, the amount of cash collateral
held in the LC Cash Collateral Account in respect of such expired Existing Letter of Credit shall be directed as follows: first,
to provide cash collateral for letters of credit issued to replace such Existing Letter of Credit pursuant to a wire transfer made
directly by the Administrative Agent into the applicable cash collateral account pursuant to instructions provided by the Borrower,
and second, to prepay the outstanding Revolving Loans.


 


Section
2.23         Incremental Commitments; Additional Lenders.


 


(a)          From
time to time after the Closing Date and prior to the Sixth Amendment Effective Date and in accordance with this Section, the Borrower
and one or more Increasing Lenders or Additional Lenders (each as defined below) may enter into an amendment to this Agreement
to establish incremental Term B Loan Commitments hereunder (each such incremental commitment, an “Incremental Commitment”),
so long as the following conditions are satisfied:


 


(i)          the
aggregate principal amount of all such Incremental Commitments made pursuant to this Section shall not exceed an unlimited additional
amount of Indebtedness, such that, after giving pro forma effect to the incurrence of such Indebtedness (and the use of proceeds
thereof), the Consolidated Senior Secured Net Leverage Ratio (whether or not then in effect) shall not exceed 4.00:1.00;


 


(ii)         the
Borrower shall execute and deliver such documents and instruments and take such other actions as may be reasonably required
by the Administrative Agent in connection with and at the time of any such proposed increase in order to evidence the terms of
such Incremental Commitment and the satisfaction or waiver of the conditions for the incurrence of such Incremental Commitment
set forth in this Section;


 




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(iii)        at
the time of and immediately after giving effect to any such proposed increase, no Event of Default shall exist and all other conditions
set forth in Section 3.3 shall have been satisfied or waived in writing;


 


(iv)        any
incremental Term B Loans made pursuant to this Section (the “Incremental Term B Loans”) shall have a final stated
maturity date that is no earlier than the date set forth in clause (i) of the definition of “Maturity Date” and shall
have a Weighted Average Life to Maturity that is no shorter than the Weighted Average Life to Maturity of the Initial Term B Loans
made pursuant to Section 2.5;


 


(v)         [reserved];


 


(vi)        if
the Effective Yield applicable to any such Incremental Term B Loans exceeds by more than 0.50% per annum the Effective Yield
applicable to the Initial Term B Loans funded under the Revolving Commitments established on the Closing Date, as applicable (such
excess, the “Excess Yield”), then the Applicable Margin applicable to the Initial Term B Loans or the existing
Revolving Loans, as applicable, shall increase by an amount equal to the Excess Yield minus 0.50% per annum;


 


(vii)       all
obligations under all Incremental Term B Loans shall constitute “senior obligations” or any equivalent term under all
intercreditor agreements and subordination agreements entered into with respect to the Revolving Loans and the Term B Loans, including,
without limitation, the Priming/Existing Lien Intercreditor Agreement, the ABDC Intercreditor Agreement and any subordination agreement
entered into in connection with any Subordinated Debt;


 


(viii)      such
Incremental Commitments and the Loans funded thereunder shall constitute “Existing Obligations” under the Priming/Existing
Lien Intercreditor Agreement; and


 


(ix)         any
Collateral securing any such Incremental Commitments shall also secure all other Obligations on a pari passu basis.


 


(b)          The
Borrower shall provide at least 10 Business Days’ written notice to the Administrative Agent (who shall promptly provide
a copy of such notice to each Lender) of any proposal to establish an Incremental Commitment. The Borrower may also, but is
not required to, specify any fees offered to those Lenders (the “Increasing Lenders”) that agree to provide
an Incremental Commitment, which fees may be variable based upon the principal amount of such Incremental Commitment, as applicable.
Each Increasing Lender shall as soon as practicable, and in any case within 5 Business Days following receipt of such notice, specify
in a written notice to the Borrower and the Administrative Agent the amount of such proposed Incremental Commitment that it is
willing to provide. No Lender (or any successor thereto) shall have any obligation, express or implied, to offer to provide an
Incremental Commitment, and any decision by a Lender to provide an Incremental Commitment shall be made in its sole discretion
independently from any other Lender. Only the consent of each Increasing Lender shall be required for the establishment of any
Incremental Commitment, as applicable, pursuant to this Section. No Lender which declines to provide an Incremental Commitment
may be replaced with respect to its existing Revolving Commitment and/or its Term B Loans, as applicable, as a result thereof
without such Lender’s consent. If any Lender shall fail to notify the Borrower and the Administrative Agent in writing about
whether it will provide an Incremental Commitment within 5 Business Days after receipt of such notice, such Lender shall be deemed
to have declined to provide the requested Incremental Commitment. The Borrower may accept some or all of the offered amounts
or designate new lenders as additional Lenders hereunder in accordance with this Section (the “Additional Lenders”),
which Additional Lenders may provide all or a portion of such Incremental Commitment. The Borrower and the Administrative
Agent shall have discretion jointly to adjust the allocation of such Incremental Term B Loans among the Increasing Lenders and
the Additional Lenders. The sum of the principal amount of Incremental Commitments provided by Increasing Lenders plus the principal
amount of Incremental Commitments provided by Additional Lenders shall not in the aggregate exceed the unsubscribed portion of
the maximum aggregate principal amount of all Incremental Commitments established pursuant to this Section.


 




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(c)          Subject
to subsections (a) and (b) of this Section, the establishment of any Incremental Commitment requested by the Borrower shall be
effective upon delivery to the Administrative Agent of each of the following documents:


 


(i)          an
originally executed copy of an instrument of joinder, in form and substance reasonably acceptable to the Administrative Agent,
executed by the Borrower, by each Additional Lender and by each Increasing Lender, setting forth the new Revolving Commitments
and/or new Term B Loan Commitments, as applicable, of such Lenders and setting forth the agreement of each Additional Lender to
become a party to this Agreement and to be bound by all of the terms and provisions hereof;


 


(ii)         such
evidence of appropriate corporate authorization on the part of the Borrower with respect to such Incremental Commitment and such
customary opinions of counsel for the Borrower with respect to such Incremental Commitment as the Administrative Agent may reasonably
request;


 


(iii)        a
certificate of the Borrower signed by a Responsible Officer, in form and substance reasonably acceptable to the Administrative
Agent, certifying that each of the conditions in subsection (a) of this Section has been satisfied; and


 


(iv)        to
the extent requested by any Additional Lender or any Increasing Lender, executed promissory notes evidencing such Incremental Term
B Loans, issued by the Borrower in accordance with Section 2.10.


 


Upon the effectiveness
of any such Incremental Commitment, the Commitments and Pro Rata Share of each Lender will be adjusted to give effect to the Incremental
Term B Loans, as applicable, and Schedule I shall automatically be deemed amended accordingly.


 


(d)          Subject
to Section 2.23(a), if any Incremental Term B Loans are to have terms that are different from the Term B Loans outstanding
immediately prior to such incurrence (any such Incremental Term B Loans, the “Non-Conforming Credit Extensions”),
all such terms shall be as set forth in a separate assumption agreement among the Borrower, the Lenders providing such Incremental
Term B Loans and the Administrative Agent, the execution and delivery of which agreement shall be a condition to the effectiveness
of the Non-Conforming Credit Extensions. The scheduled principal payments on the Term B Loans to be made pursuant to Section 2.9(b)
shall be ratably increased after the making of any Incremental Term B Loans (other than Term B Loans that are Non-Conforming Credit
Extensions) under this Section by the aggregate principal amount of such Incremental Term B Loans. After the incurrence of any
Non-Conforming Credit Extensions, unless otherwise directed by the Borrower, all optional prepayments of Term B Loans shall be
allocated ratably between the then-outstanding Term B Loans and such Non-Conforming Credit Extensions. Notwithstanding anything
to the contrary in Section 10.2, the Administrative Agent and the Borrower, collectively, are expressly permitted to
amend the Loan Documents to the extent necessary to give effect to any Incremental Commitment pursuant to this Section and mechanical
changes necessary or advisable in connection therewith (including amendments to implement the requirements in this Section 2.23(d)
and amendments to ensure pro rata allocations of Eurodollar Loans and Base Rate Loans between Loans incurred pursuant to
this Section and Loans outstanding immediately prior to any such incurrence) in accordance with, and subject to, the terms of the
Priming/Existing Lien Intercreditor Agreement.


 




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Section 2.24         Mitigation
of Obligations. If any Lender requests compensation under Section 2.18, or if the Borrower is required to pay any
additional amount to any Lender or any Governmental Authority for the account of any Lender pursuant to Section 2.20, then
such Lender shall use reasonable efforts to designate a different lending office for funding or booking its Loans hereunder or
to assign its rights and obligations hereunder to another of its offices, branches or affiliates, if, in the reasonable judgment
of such Lender, such designation or assignment (i) would eliminate or reduce amounts payable under Section 2.18 or Section
2.20, as the case may be, in the future and (ii) would not subject such Lender to any unreimbursed cost or expense and would
not otherwise be disadvantageous to such Lender. The Borrower hereby agrees to pay all reasonable and documented (in summary form)
costs and expenses incurred by any Lender in connection with such designation or assignment.


 


Section 2.25         Replacement
of Lenders. If (a) any Lender requests compensation under Section 2.18, or if the Borrower is required to pay any
additional amount to any Lender or any Governmental Authority for the account of any Lender pursuant to Section 2.20, (b)
any Lender is a Defaulting Lender, or (c) in connection with any proposed amendment, modification, termination, waiver or consent
with respect to any of the provisions hereof as contemplated by Section 10.2(b), the consent of Required Lenders shall have
been obtained but the consent of one or more of such other Lenders (each a “Non-Consenting Lender”) whose consent
is required shall not have been obtained, then the Borrower may, at its sole expense and effort, upon notice to such Lender and
the Administrative Agent, require such Lender to assign and delegate, without recourse (in accordance with and subject to the restrictions
set forth in Section 10.4(b)), all of its interests, rights (other than its existing rights to payments pursuant to Section
2.18 or 2.20, as applicable) and obligations under this Agreement to an assignee that shall assume such obligations
(which assignee may be another Lender) (a “Replacement Lender”); provided that (i) if such Replacement
Lender is to become a Revolving Lender or if an assignment of any Lender’s rights and obligations under this Agreement to
such Replacement Lender would otherwise require the consent of the Administrative Agent pursuant to Section 10.4(b), the
Borrower shall have received the prior written consent of the Administrative Agent, which consent shall not be unreasonably withheld,
conditioned, or delayed, (ii) such Lender shall have received payment of an amount equal to the outstanding principal amount of
all Loans owed to it, accrued interest thereon, accrued fees and all other amounts payable to it hereunder from the assignee (in
the case of such outstanding principal and accrued interest) and from the Borrower (in the case of all other amounts), (iii) in
the case of a claim for compensation under Section 2.18 or payments required to be made pursuant to Section 2.20,
such assignment will result in a reduction in such compensation or payments, (iv) such assignment does not conflict with applicable
law, and (v) in the case of a Non-Consenting Lender, each Replacement Lender shall consent, at the time of such assignment, to
each matter in respect of which such terminated Lender was a Non-Consenting Lender. A Lender shall not be required to make any
such assignment and delegation if, prior thereto, as a result of a waiver by such Lender or otherwise, the circumstances entitling
the Borrower to require such assignment and delegation cease to apply.


 


Section
2.26         Defaulting Lenders.


 


(a)          Cash
Collateral.


 


(i)          At
any time that there shall exist a Defaulting Lender, within one (1) Business Day following the written request of the Administrative
Agent or the Issuing Bank (with a copy to the Administrative Agent) the Borrower shall Cash Collateralize the Issuing Bank’s
LC Exposure with respect to such Defaulting Lender (determined after giving effect to Section 2.26(b)(vi) and any Cash Collateral
provided by such Defaulting Lender) in an amount not less than 105% of the Issuing Bank’s LC Exposure with respect to such
Defaulting Lender.


 




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(ii)         The
Borrower, and to the extent provided by any Defaulting Lender, such Defaulting Lender, hereby grants to the Administrative Agent,
for the benefit of the Issuing Bank, and agrees to maintain, a first priority security interest in all such Cash Collateral as
security for the Defaulting Lenders’ obligation to fund participations in respect of Letters of Credit, to be applied pursuant
to clause (iii) below. If at any time the Administrative Agent determines that Cash Collateral is subject to any right or claim
of any Person other than the Administrative Agent and the Issuing Bank as herein provided, or that the total amount of such Cash
Collateral is less than the minimum amount required pursuant to clause (i) above, the Borrower will, promptly upon demand by the
Administrative Agent, pay or provide to the Administrative Agent additional Cash Collateral in an amount sufficient to eliminate
such deficiency (after giving effect to any Cash Collateral provided by the Defaulting Lender).


 


(iii)        Notwithstanding
anything to the contrary contained in this Agreement, Cash Collateral provided under this Section 2.26(a) or Section
2.26(b) in respect of Letters of Credit shall be applied to the satisfaction of the Defaulting Lender’s obligation to
fund participations in respect of Letters of Credit or LC Disbursements (including, as to Cash Collateral provided by a Defaulting
Lender, any interest accrued on such obligation) for which the Cash Collateral was so provided, prior to any other application
of such property as may otherwise be provided for herein.


 


(iv)        Cash
Collateral (or the appropriate portion thereof) provided to reduce any Issuing Bank’s LC Exposure shall no longer be required
to be held as Cash Collateral pursuant to this Section 2.26(a) following the earliest to occur of (A) the elimination of
the applicable LC Exposure (including by the termination of Defaulting Lender status of the applicable Lender), (B) the determination
by the Administrative Agent and the Issuing Bank that there exists excess Cash Collateral and (C) the determination that the applicable
Defaulting Lender is no longer a Defaulting Lender; provided that, subject to Section 2.26(b) through (d) the Person
providing Cash Collateral and each Issuing Bank may agree that Cash Collateral shall be held to support future anticipated LC Exposure
or other obligations and provided further that to the extent that such Cash Collateral was provided by the Borrower, such Cash
Collateral shall remain subject to the security interest granted pursuant to the Loan Documents.


 


(b)          Defaulting
Lender Adjustments. Notwithstanding anything to the contrary contained in this Agreement, if any Lender becomes a Defaulting
Lender, then, until such time as such Lender is no longer a Defaulting Lender, to the extent permitted by applicable law:


 


(i)          Such
Defaulting Lender’s right to approve or disapprove any amendment, waiver or consent with respect to this Agreement shall
be restricted as set forth in the definition of Required Lenders and in Section 10.2.


 




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(ii)         Any
payment of principal, interest, fees or other amounts received by the Administrative Agent for the account of such Defaulting Lender
(whether voluntary or mandatory, at maturity, pursuant to Article VIII or otherwise) or received by the Administrative Agent
from a Defaulting Lender pursuant to Section 10.7 shall be applied at such time or times as may be determined by the Administrative
Agent as follows: first, to the payment of any amounts owing by such Defaulting Lender to the Administrative Agent hereunder;
second, to the payment on a pro rata basis of any amounts owing by such Defaulting Lender to the Issuing Bank or Swingline
Lender hereunder; third, to Cash Collateralize the Issuing Bank’s LC Exposure with respect to such Defaulting Lender
in accordance with Section 2.26(a); fourth, as the Borrower may request (so long as no Event of Default exists),
to the funding of any Loan in respect of which such Defaulting Lender has failed to fund its portion thereof as required by this
Agreement, as determined by the Administrative Agent; fifth, if so determined by the Administrative Agent and the Borrower,
to be held in a deposit account and released pro rata in order to (x) satisfy such Defaulting Lender’s potential future funding
obligations with respect to Loans under this Agreement and (y) Cash Collateralize the Issuing Banks’ future LC Exposure with
respect to such Defaulting Lender with respect to future Letters of Credit issued under this Agreement, in accordance with Section
2.26(a); sixth, to the payment of any amounts owing to the Lenders, the Issuing Bank or Swingline Lender as a result
of any judgment of a court of competent jurisdiction obtained by any Lender, the Issuing Bank or Swingline Lender against such
Defaulting Lender as a result of such Defaulting Lender’s breach of its obligations under this Agreement; seventh,
so long as no Default or Event of Default exists, to the payment of any amounts owing to the Borrower as a result of any judgment
of a court of competent jurisdiction obtained by the Borrower against such Defaulting Lender as a result of such Defaulting Lender’s
breach of its obligations under this Agreement; and eighth, to such Defaulting Lender or as otherwise directed by a court
of competent jurisdiction; provided that if (x) such payment is a payment of the principal amount of any Loans or LC Disbursements
in respect of which such Defaulting Lender has not fully funded its appropriate share, and (y) such Loans were made or the related
Letters of Credit were issued at a time when the conditions set forth in Section 3.3 were satisfied or waived, such payment
shall be applied solely to pay the Loans of, and LC Disbursements owed to, all Non-Defaulting Lenders on a pro rata basis prior
to being applied to the payment of any Loans of, or LC Disbursements owed to, such Defaulting Lender until such time as all Loans
and funded and unfunded participations in L/C Obligations and Swingline Loans are held by the Lenders pro rata in accordance with
the Commitments under the applicable Facility without giving effect to sub-section (iv) below. Any payments, prepayments or other
amounts paid or payable to a Defaulting Lender that are applied (or held) to pay amounts owed by a Defaulting Lender or to post
Cash Collateral pursuant to this Section 2.26(b)(ii) shall be deemed paid to and redirected by such Defaulting Lender, and
each Lender irrevocably consents hereto.


 


(iii)        No
Defaulting Lender shall be entitled to receive any Commitment Fee pursuant to Section 2.14(b) for any period during which
that Lender is a Defaulting Lender (and the Borrower shall not be required to pay any such fee that otherwise would have been required
to have been paid to that Defaulting Lender).


 


(iv)        Each
Defaulting Lender shall be entitled to receive letter of credit fees pursuant to Section 2.14(c) for any period during which
that Lender is a Defaulting Lender only to the extent allocable to that portion of its LC Exposure for which it has provided Cash
Collateral pursuant to Section 2.26(a).


 


(v)         With
respect to any Commitment Fee or letter of credit fee not required to be paid to any Defaulting Lender pursuant to clause (iii)
or (iv) above, the Borrower shall (x) pay to each Non-Defaulting Lender that portion of any such fee otherwise payable to such
Defaulting Lender with respect to such Defaulting Lender’s participation in Letters of Credit or Swingline Loans that has
been reallocated to such Non-Defaulting Lender pursuant to clause (vi) below, (y) pay to each Issuing Bank and Swingline Lender,
as applicable, the amount of any such fee otherwise payable to such Defaulting Lender to the extent allocable to the Issuing Bank’s
LC Exposure or Swingline Lender’s Swingline Exposure with respect to such Defaulting Lender, and (z) not be required to pay
the remaining amount of any such fee.


 




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(vi)        All
or any part of such Defaulting Lender’s participation in Letters of Credit and Swingline Loans shall be reallocated among
the Non-Defaulting Lenders in accordance with their respective Pro Rata Shares of the Revolving Commitments (calculated without
regard to such Defaulting Lender’s Revolving Commitment) but only to the extent that (x) the conditions set forth in Section
3.3 are satisfied or waived in writing at the time of such reallocation (and, unless the Borrower shall have otherwise notified
the Administrative Agent at such time, the Borrower shall be deemed to have represented and warranted that such conditions are
satisfied at such time), and (y) such reallocation does not cause the aggregate Revolving Credit Exposure of any Non-Defaulting
Lender to exceed such Non-Defaulting Lender’s Revolving Commitment. No reallocation hereunder shall constitute a waiver or
release of any claim of any party hereunder against a Defaulting Lender arising from that Lender having become a Defaulting Lender,
including any claim of a Non-Defaulting Lender as a result of such Non-Defaulting Lender’s increased exposure following such
reallocation.


 


(vii)       If
the reallocation described in clause (vi) above cannot, or can only partially, be effected, the Borrower shall, without prejudice
to any right or remedy available to it hereunder or under law, (x) first, prepay Swingline Loans in an amount equal to the Swingline
Lender’s Swingline Exposure with respect to such Defaulting Lender and (y) second, Cash Collateralize the Issuing Banks’
LC Exposure with respect to such Defaulting Lender in accordance with the procedures set forth in Section 2.26(a).


 


(c)          Defaulting
Lender Cure. If the Borrower and the Administrative Agent agree in writing that a Lender is no longer a Defaulting Lender,
the Administrative Agent will so notify the parties hereto, whereupon as of the effective date specified in such notice and subject
to any conditions set forth therein (which may include arrangements with respect to any Cash Collateral), that Lender will, to
the extent applicable, purchase at par that portion of outstanding Loans of the other Lenders or take such other actions as the
Administrative Agent may determine to be necessary to cause the Loans and funded and unfunded participations in Letters of Credit
and Swingline Loans to be held pro rata by the Lenders in accordance with the applicable Commitments (without giving effect to
Section 2.26(b)(vi), whereupon such Lender will cease to be a Defaulting Lender; provided that no adjustments will be made
retroactively with respect to fees accrued or payments made by or on behalf of the Borrower while that Lender was a Defaulting
Lender; and provided, further, that except to the extent otherwise expressly agreed by the affected parties, no change hereunder
from Defaulting Lender to Lender will constitute a waiver or release of any claim of any party hereunder arising from that Lender’s
having been a Defaulting Lender.


 


(d)          New
Swingline Loans/Letters of Credit. So long as any Lender is a Defaulting Lender, (i) the Swingline Lender shall not be required
to fund any Swingline Loans unless it is satisfied that it will have no additional Swingline Exposure after giving effect to such
Swingline Loan and (ii) no Issuing Bank shall be required to issue, extend, renew or increase any Letter of Credit unless it is
satisfied that it will have no additional LC Exposure after giving effect thereto.


 


ARTICLE
III


 


CONDITIONS
PRECEDENT TO LOANS AND LETTERS OF CREDIT


 


Section 3.1           Conditions
to Effectiveness. The obligations of the Lenders (including the Swingline Lender) to make Loans and the obligation of the
Issuing Bank to issue any Letters of Credit hereunder shall not become effective until the date on which each of the following
conditions is satisfied (or waived in accordance with Section 10.2):


 




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(a)          The
Administrative Agent shall have received payment of all fees, expenses and other amounts due and payable on or prior to the Closing
Date, including, without limitation, reimbursement or payment of all reasonable and documented (in summary form) costs and expenses
of the Administrative Agent, the Lead Arrangers and their Affiliates (including, with respect to the Administrative Agent, STRH
and their Affiliates only, the reasonable and documented (in summary form) fees, disbursements, and expenses of one outside counsel
(and any required special or local counsel)), in each case, required to be reimbursed or paid by the Borrower hereunder, under
any other Loan Document, the Fee Letters, and any other agreement with the Administrative Agent or the Lead Arrangers.


 


(b)          The
Administrative Agent (or its counsel) shall have received the following, each to be in form and substance reasonably satisfactory
to the Administrative Agent:


 


(i)          a
counterpart of this Agreement signed by or on behalf of each party hereto;


 


(ii)         a
certificate of the Secretary or Assistant Secretary (or other comparable Responsible Officer) of each Loan Party in substantially
the form of Exhibit 3.1(b)(ii), attaching and certifying copies of its bylaws, or partnership agreement or limited liability
company agreement, and of the resolutions of its board of directors or other equivalent governing body, or comparable organizational
documents and authorizations, authorizing the execution, delivery and performance of the Loan Documents to which it is a party
and certifying the name, title and true signature of each officer of such Loan Party executing the Loan Documents to which it is
a party;


 


(iii)        certified
copies of the articles or certificate of incorporation, certificate of organization or limited partnership, or other registered
organizational documents of each Loan Party, together with certificates of good standing or existence, as may be available from
the Secretary of State of (A) the jurisdiction of organization of such Loan Party and (B) each other jurisdiction where such Loan
Party is required to be qualified to do business as a foreign corporation where the failure to be so qualified would reasonably
be expected to have a Material Adverse Effect;


 


(iv)        a
written opinion of Dechert LLP, counsel to the Loan Parties, and, if reasonably requested by Administrative Agent, customary local
counsel opinions with respect to certain Loan Parties each addressed to the Administrative Agent, the Issuing Bank and each of
the Lenders, and covering such matters relating to the Loan Parties, the Loan Documents and the transactions contemplated therein
as the Administrative Agent or the Required Lenders shall reasonably request;


 


(v)         a
certificate in substantially the form of Exhibit 3.1(b)(v), dated the Closing Date and signed by a Responsible Officer,
certifying that after giving effect to the funding of the Initial Term B Loans and any initial Revolving Borrowing, (x) since December
31, 2012, there has been no change with respect to, or event affecting, the Borrower and its Subsidiaries on a consolidated basis
and taken as a whole which has had or would reasonably be expected to have, either individually or in the aggregate, a Material
Adverse Effect and (y) the Specified Representations shall be true and correct in all material respects (other than those Specified
Representations (i) that are expressly qualified by a Material Adverse Effect or other materiality, in which case such Specified
Representations shall be true and correct in all respects or (ii) that expressly relate to an earlier date, in which case such
Specified Representations shall be true and correct in all material respect as of such earlier date);


 




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(vi)        a
duly executed Notice of Borrowing, together with a report setting forth the sources and uses of the proceeds hereof;


 


(vii)       a
counterpart of the ABDC Intercreditor Agreement signed by or on behalf of each party thereto;


 


(viii)      certified
copies of all material consents, approvals, authorizations, registrations, filings and orders required to be made or obtained under
any Requirement of Law, or by any material Contractual Obligation of any Loan Party, in connection with the execution, delivery,
performance, validity and enforceability of the Loan Documents or any of the transactions contemplated thereby, and such consents,
approvals, authorizations, registrations, filings and orders shall be in full force and effect and all applicable waiting periods
shall have expired, and no investigation or inquiry by any Governmental Authority regarding the Commitments or any transaction
being financed with the proceeds thereof shall be ongoing;


 


(ix)         copies
of (A) Projections for the Borrower and its Subsidiaries prepared on a quarterly basis for the calendar year ending December 31,
2013 and annually thereafter through June 30, 2018 and (B) the financial statements described in Section 4.4(a);


 


(x)          subject
to the Company Certain Funds Provision, the Guaranty and Security Agreement, duly executed by the Borrower and each of its Domestic
Subsidiaries (including the PBM Strategic Joint Venture, but excluding any Specified Strategic Joint Venture (in each case, if
formed prior to the Closing Date)), together with (A) UCC financing statements and other applicable documents under the laws of
all necessary or appropriate jurisdictions with respect to the perfection of the Liens granted under the Guaranty and Security
Agreement, as reasonably requested by the Administrative Agent in order to perfect such Liens, duly authorized by the Loan Parties,
(B) copies of favorable UCC, tax, judgment and fixture lien search reports in all necessary or appropriate jurisdictions and
under all legal and trade names of the Loan Parties, as reasonably requested by the Administrative Agent, indicating that there
are no prior Liens on any of the Collateral other than Specified Permitted Liens and Liens to be released on the Closing Date,
(C) an Information and Collateral Disclosure Certificate, duly completed and executed by the Loan Parties, (D) as necessary, duly
executed Patent Security Agreements, Trademark Security Agreements and Copyright Security Agreements, and (E) original certificates
evidencing all issued and outstanding shares of Capital Stock of all Subsidiaries owned directly by any Loan Party (or, in the
case of any Foreign Subsidiary directly owned by a Loan Party, not more than 65% of the issued and outstanding voting Capital Stock
of such Foreign Subsidiary), in each case, to the extent certificated prior to the Closing Date and in the actual possession of
the Borrower on the Closing Date, and related stock or membership interest powers or other appropriate instruments of transfer
executed in blank;


 


(xi)         subject
to Section 5.16 and the Company Certain Funds Provision, Account Control Agreements and Government Receivables Account Agreements,
duly executed by each Permitted Third Party Bank and the applicable Loan Party;


 


(xii)        subject
to Section 5.16 and the Company Certain Funds Provision, with respect to each leased property of the Loan Parties located
at 10050 Crosstown Circle, Suite 300, Eden Prairie, Minnesota 55344 and 100 Clearbrook Road, Elmsford, New York 10523 and each
additional leased property where books or records are stored or located, a copy of the underlying lease, as applicable, and a Collateral
Access Agreement from the landlord of such leased property; provided that if such Loan Party is unable to deliver any such
Collateral Access Agreement after using its commercially reasonable efforts to do so, the Administrative Agent shall waive the
foregoing requirement in its reasonable discretion;


 




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(xiii)       copies
of duly executed payoff letters with respect to any existing Indebtedness for borrowed money of the Loan Parties that exists prior
to the Closing Date and will be repaid on the Closing Date, together with (A) UCC-3 or other appropriate termination statements
releasing all liens of the existing lenders upon any of the personal property of the Borrower and its Subsidiaries and authorizations
to file such UCC-3s, (B) cancellations and releases releasing all liens of the existing lenders upon any real property owned by
the Borrower and its Subsidiaries, and (C) any other releases, terminations or other documents reasonably required by the Administrative
Agent to evidence the payoff of such Indebtedness (other than Permitted Surviving Debt);


 


(xiv)      (A)
certificates of insurance describing the types and amounts of insurance (property and liability) maintained by any of the Loan
Parties, in each case naming the Administrative Agent as loss payee or additional insured, as the case may be, and (B) subject
to Section 5.16, a lender’s loss payable endorsement (in the case of each of the foregoing clauses (A) and (B), other
than with respect to any director and officer indemnification policies, workers’ compensation policies and any policies that
provide coverage for property that does not constitute Collateral);


 


(xv)       documentation
and information required by regulatory authorities under applicable “know your customer” and anti-money laundering
laws at least five (5) Business Days prior to the Closing Date to the extent that such documentation and information was requested
by Administrative Agent at least ten (10) days prior to the Closing Date; and


 


(xvi)      a
certificate, dated the Closing Date and signed by a Responsible Officer of the Borrower on behalf of each Loan Party, confirming
that after giving effect to the execution and delivery of the Loan Documents, the incurrence on the Closing Date of any Revolving
Loans and the Initial Term B Loans (and, in each case, the use of proceeds thereof on the Closing Date), the issuance on the Closing
Date of any Letters of Credit, and the other transactions contemplated herein to occur on the Closing Date, the Borrower and its
Subsidiaries on a consolidated basis are Solvent.


 


(c)          The
Borrower shall have used commercially reasonable efforts to obtain credit ratings for the credit facilities evidenced hereunder
and the corporate family credit of the Borrower and its Subsidiaries by both S&P and Moody’s.


 


(d)          The
Administrative Agent shall have received evidence in form and substance reasonably satisfactory to the Administrative Agent that,
prior to or substantially concurrently with the effectiveness of this Agreement, (i) the Existing Senior Notes Redemption has occurred
and all obligations of the Borrower and its Subsidiaries in connection with the Existing Senior Notes have been or will be terminated
and released immediately prior to or contemporaneously with the effectiveness of this Agreement or (ii) if the Existing Senior
Notes Redemption has not occurred (A) the Existing Senior Notes Indenture has been amended to delete all covenants therefrom in
accordance with the documents governing the Existing Senior Notes Redemption and (B) this Agreement and the other Loan Documents,
all Loans made and Letters of Credit issued on the Closing Date, and all Collateral granted under the Loan Documents are permitted
under the Existing Senior Notes Indenture and any other documentation governing the Existing Senior Notes on the Closing Date.


 




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Without limiting the
generality of the provisions of this Section, for purposes of determining compliance with the conditions specified in this Section,
each Lender that has signed this Credit Agreement shall be deemed to have consented to, approved of, accepted or been satisfied
with each document or other matter required thereunder to be consented to, approved by or acceptable or satisfactory to a Lender
unless the Administrative Agent shall have received notice from such Lender prior to the proposed Closing Date specifying its objection
thereto.


 


Notwithstanding anything
in this Agreement, any other Loan Document or any other letter agreement, document, instrument, agreement or other undertaking
concerning the financing of the transactions contemplated by this Agreement to the contrary, (i) the only representations and warranties
relating to the Borrower and its Subsidiaries and businesses in the Loan Documents the accuracy of which shall be a condition to
the availability of the Initial Term B Loans or any initial Revolving Borrowing to be made on the Closing Date shall be the Specified
Representations, and (ii) the terms of the Loan Documents shall not impair the availability of the Initial Term B Loans or any
initial Revolving Borrowing to be made on the Closing Date if the conditions set forth in this Section 3.1 shall have been
satisfied or waived (it being understood that, with respect to any Collateral owned by any Loan Party prior to the CarePoint Acquisition,
to the extent any Lien on such Collateral (other than any Collateral the Lien on which may be perfected by (a) the filing of a
UCC financing statement or (b) the delivery of stock certificates and related stock powers, together with appropriate instruments
of transfer, to the extent that such equity is certificated prior to the Closing Date and is in the Borrower’s actual possession
on the Closing Date) is not perfected on the Closing Date after the Borrower’s use of commercially reasonable efforts to
do so, the perfection of any such Lien will not constitute a condition precedent to the availability of the Initial Term B Loans
or any initial Revolving Borrowing on the Closing Date but any such Lien will be required to be perfected after the Closing Date
pursuant to Section 5.16 (as any period set forth therein may be extended by the Administrative Agent in writing). This
paragraph is referred to as the “Company Certain Funds Provision”.


 


Section 3.2           Conditions
to DDT Loans. The obligations of the Lenders to make DDT Loans shall not become effective until the date on which each
of the following conditions is satisfied (or waived in accordance with Section 10.2):


 


(a)          The
Administrative Agent (or its counsel) shall have received the following, each to be in form and substance reasonably satisfactory
to the Administrative Agent:


 


(i)          if
any new Subsidiary is formed in connection with the CarePoint Acquisition:


 


(A)         a
certificate of the Secretary or Assistant Secretary (or other comparable Responsible Officer) of such Subsidiary in substantially
the form of Exhibit 3.1(b)(ii), attaching and certifying copies of its bylaws, or partnership agreement or limited liability
company agreement, and of the resolutions of its board of directors or other equivalent governing body, or comparable organizational
documents and authorizations, authorizing the execution, delivery and performance of the Loan Documents to which it is a party
and certifying the name, title and true signature of each officer of such Subsidiary executing the Loan Documents to which it is
a party;


 


(B)         certified
copies of the articles or certificate of incorporation, certificate of organization or limited partnership, or other registered
organizational documents of such Subsidiary, together with certificates of good standing or existence, as may be available from
the Secretary of State of (A) the jurisdiction of organization of such Subsidiary and (B) each other jurisdiction where such Subsidiary
is required to be qualified to do business as a foreign corporation where the failure to be so qualified would reasonably be expected
to have a Material Adverse Effect;


 




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(C)         to
the extent that such Subsidiary would have been required to be a Guarantor on the Closing Date, subject to the CarePoint Certain
Funds Provision, a joinder to the Guaranty and Security Agreement in form and substance reasonably satisfactory to the Administrative
Agent duly executed by such Subsidiary;


 


(D)         subject
to the CarePoint Certain Funds Provision, original certificates evidencing all issued and outstanding shares of Capital Stock of
such Subsidiary owned directly by any Loan Party, in each case, to the extent certificated prior to the DDTL Date and in the actual
possession of the Borrower on the DDTL Date, and related stock or membership interest powers or other appropriate instruments of
transfer executed in blank;


 


(ii)         subject
to the CarePoint Certain Funds Provision, with respect to the Acquired Business (A) UCC financing statements and other applicable
documents under the laws of all necessary or appropriate jurisdictions with respect to the perfection of the Liens on Collateral
acquired by the Borrower pursuant to the CarePoint Acquisition (collectively, the “CarePoint Collateral”), as
reasonably requested by the Administrative Agent in order to perfect such Liens, duly authorized by the applicable Loan Parties,
(B) copies of favorable UCC, tax, judgment and fixture lien search reports in all necessary or appropriate jurisdictions and
under all legal and trade names of the Seller and Acquired Business, as reasonably requested by the Administrative Agent, indicating
that there are no prior Liens on any of the CarePoint Collateral other than Specified Permitted Liens and Liens to be released
on the DDTL Date, (C) an updated Information and Collateral Disclosure Certificate (giving pro forma effect to the CarePoint
Acquisition), duly completed and executed by the Loan Parties, (D) as necessary, duly executed Patent Security Agreements, Trademark
Security Agreements and Copyright Security Agreements, and (E) such other documents and agreements as the Administrative Agent
may reasonably request to evidence that the Administrative Agent, for the ratable benefit of the Secured Parties, has a legal,
valid and enforceable security interest in the Care Point Collateral;


 


(iii)        copies
of duly executed payoff letters with respect to any existing Indebtedness for borrowed money specifically related to the Acquired
Business that exists prior to the DDTL Date and will be repaid on the DDTL Date (excluding any liabilities or Indebtedness that
will be retained by the Seller pursuant to the CarePoint Acquisition Agreement), together with (A) UCC-3 or other appropriate termination
statements releasing all liens of the existing lenders upon any of the personal property related to the Acquired Business and authorizations
to file such UCC-3s, and (B) any other releases, terminations or other documents reasonably required by the Administrative Agent
to evidence the payoff of such Indebtedness (other than Permitted Surviving Debt);


 


(iv)        a
written opinion of Dechert LLP, counsel to the Loan Parties, and, if reasonably requested by Administrative Agent, customary local
counsel opinions with respect to certain Loan Parties each addressed to the Administrative Agent, the Issuing Bank and each of
the Lenders, and covering such matters relating to the Loan Parties, the Acquired Business, the Loan Documents and the transactions
contemplated therein as the Administrative Agent or the Required Lenders shall reasonably request;


 




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(v)         a
certificate in substantially the form of Exhibit 3.2, dated the DDTL Date and signed by a Responsible Officer, certifying
that after giving effect to the funding of the DDT Loans, (w) since December 31, 2012, there has been no change with respect to,
or event affecting, the Borrower and its Subsidiaries on a consolidated basis and taken as a whole which has had or would reasonably
be expected to have, either individually or in the aggregate, a Material Adverse Effect, (x) since December 31, 2012, there has
been no CarePoint Material Adverse Effect, (y) the Specified DDTL Representations shall be true and correct in all material respects
(other than those Specified DDTL Representations (i) that are expressly qualified by a Material Adverse Effect or other materiality,
in which case such Specified DDTL Representations shall be true and correct in all respects or (ii) that expressly relate to an
earlier date, in which case such Specified DDTL Representations shall be true and correct in all material respect as of such earlier
date), and (z) the Specified Acquisition Agreement Representations shall be true and correct;


 


(vi)        certified
copies of all material consents, approvals, authorizations, registrations, filings and orders required to be made or obtained under
any Requirement of Law, or by any material Contractual Obligation of any Loan Party, in connection with the CarePoint Acquisition
or any of the transactions contemplated thereby, and such consents, approvals, authorizations, registrations, filings and orders
shall be in full force and effect and all applicable waiting periods shall have expired, and no investigation or inquiry by any
Governmental Authority regarding the CarePoint Acquisition shall be ongoing;


 


(vii)       copies
of (A) the consolidated audited financial statements of CarePoint and its Subsidiaries for the fiscal years ended December 31,
2010, December 31, 2011, and December 31, 2012, including balance sheets, income and cash flow statements audited by independent
public accountants of recognized national standing and prepared in conformity with GAAP in all material respects, and (B) the consolidated
unaudited financial statements of CarePoint and its Subsidiaries for the fiscal quarter ended December 31, 2012, and for each subsequent
fiscal quarter for which financial statements are available;


 


(viii)      certificates
of insurance describing the types and amounts of insurance (property and liability) maintained by any of the Loan Parties after
giving effect to the CarePoint Acquisition, in each case naming the Administrative Agent as loss payee or additional insured, as
the case may be, together with a lender’s loss payable endorsement (other than with respect to any director and officer indemnification
policies, workers’ compensation policies and any policies that provide coverage for property that does not constitute Collateral);


 


(ix)         documentation
and information required by regulatory authorities under applicable “know your customer” and anti-money laundering
laws at least five (5) Business Days prior to the DDTL Date to the extent that such documentation and information was requested
by Administrative Agent at least ten (10) days prior to the DDTL Date; and


 


(x)          a
duly executed Notice of Borrowing, together with a report setting forth the sources and uses of the proceeds of the DDT Loans.


 


(b)          The
Administrative Agent shall have received (i) certified final copies of the CarePoint Acquisition Agreement and (ii) evidence that
the CarePoint Acquisition shall have been consummated, or substantially simultaneously with the funding of the DDT Loans, shall
be consummated, in accordance with the terms of the CarePoint Acquisition Agreement, without giving effect to any modifications,
supplements, amendments, consents or waivers thereto that are material and adverse to any Lead Arranger or any Lender without the
prior written consent of the Lead Arrangers ((it being understood and agreed that (A) any decrease in the purchase price set forth
in the CarePoint Acquisition Agreement of less than 10% of the aggregate consideration payable in connection with the CarePoint
Acquisition shall be deemed to not be material or adverse to any Lead Arranger or any Lender, and (B) any increase in the purchase
price set forth in the CarePoint Acquisition Agreement shall be deemed to not be material or adverse to any Lead Arranger or any
Lender so long as such increase is not funded with proceeds of the DDT Loans or the Revolving Loans).


 




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Notwithstanding anything
in this Agreement, any other Loan Document or any other letter agreement, document, instrument, agreement or other undertaking
concerning the financing of the transactions contemplated by this Agreement to the contrary, (i) the only representations and warranties
relating to the Borrower, the Acquired Business, and their respective subsidiaries and businesses in the Loan Documents the accuracy
of which shall be a condition to availability of the DDT Loans on the DDTL Date shall be (x) the representations and warranties
made by the Seller in the CarePoint Acquisition Agreement with respect to the Acquired Business as are material to the interests
of the Lead Arrangers and the Lenders, but only to the extent that the Borrower has the right to terminate its obligations under
the CarePoint Acquisition Agreement or to otherwise elect not to consummate the CarePoint Acquisition under the CarePoint Acquisition
Agreement as a result of a failure of such representations and warranties to be accurate (the “Specified Acquisition Agreement
Representations”) and (y) the Specified DDTL Representations and (ii) the terms of the Loan Documents shall not impair
the availability of the DDT Loans to be made on the DDTL Date if the conditions set forth in this Section 3.2 shall have
been satisfied or waived (it being understood that, with respect to any CarePoint Collateral to the extent any Lien on such CarePoint
Collateral (other than any CarePoint Collateral the Lien on which may be perfected by (a) the filing of a UCC financing statement
or (b) the delivery of stock certificates and related stock powers, together with appropriate instruments of transfer, to the extent
that such equity is certificated prior to the DDTL Date and is in the Borrower’ actual possession on the DDTL Date) is not
perfected on the DDTL Date after the Borrower’s use of commercially reasonable efforts to do so, the perfection of any such
Lien will not constitute a condition precedent to the availability of the DDT Loans on the DDTL Date but any such Lien will be
required to be perfected within sixty (60) days after the DDTL Date (as such period may be extended by the Administrative Agent
in writing). This paragraph is referred to as the “CarePoint Certain Funds Provision”.


 


Section 3.3           Conditions
to Each Credit Event. The obligation of each Lender to make a Loan on the occasion of any Borrowing and of the Issuing
Bank to issue, amend, renew or extend any Letter of Credit, in each case, after the Closing Date (other than any DDT Loan made
on the DDTL Date) is subject to Section 2.26(c) and the satisfaction or waiver in writing pursuant to the terms of Section
10.2(b) of the following conditions:


 


(a)          at
the time of and immediately after giving effect to such Borrowing or the issuance, amendment, renewal or extension of such Letter
of Credit, as applicable, no Default or Event of Default shall exist;


 


(b)          at
the time of and immediately after giving effect to such Borrowing or the issuance, amendment, renewal or extension of such Letter
of Credit, as applicable, all representations and warranties of each Loan Party set forth in the Loan Documents shall be true and
correct in all material respects (other than those representations and warranties (i) that are expressly qualified by a Material
Adverse Effect or other materiality, in which case such representations and warranties shall be true and correct in all respects
or (ii) that expressly relate to an earlier date, in which case such representations and warranties shall be true and correct in
all material respect as of such earlier date); and


 


(c)          the
Borrower shall have delivered the required Notice of Borrowing.


 




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Each Borrowing and each
issuance, amendment, renewal or extension of any Letter of Credit shall be deemed to constitute a representation and warranty by
the Borrower on the date thereof as to the matters specified in subsections (a), (b) and (c) of this Section.


 


Section
3.4           Delivery of Documents.   
All of the Loan Documents, certificates and other documents
and papers referred to in this Article, unless otherwise specified, shall be delivered to the Administrative Agent for the account
of each of the Lenders and shall be in form and substance reasonably satisfactory in all respects to the Administrative Agent.


 


ARTICLE
IV



REPRESENTATIONS AND WARRANTIES


 


The Borrower represents
and warrants to the Administrative Agent, each Lender and the Issuing Bank as follows:


 


Section 4.1           Existence;
Power.   The Borrower and each of its Subsidiaries (i) is duly organized, validly existing and in good
standing as a corporation, partnership or limited liability company under the laws of the jurisdiction of its organization, (ii)
has all requisite power and authority to carry on its business as now conducted, and (iii) is duly qualified to do business,
and is in good standing, in each jurisdiction where such qualification is required, except where a failure to be so qualified
would not reasonably be expected to result in a Material Adverse Effect.


 


Section 4.2           Organizational
Power; Authorization.   The execution, delivery and performance by each Loan Party of the Loan Documents
to which it is a party are within such Loan Party’s organizational powers and have been duly authorized by all necessary
organizational and, if required, shareholder, partner or member action. Each of this Agreement and the other Loan Documents has
been duly executed and delivered by the Borrower and the other Loan Parties party thereto and constitutes valid and binding
obligations of the Borrower or such Loan Party (as the case may be), enforceable against it in accordance with their respective
terms, except as may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar laws affecting the
enforcement of creditors’ rights generally and by general principles of equity.


 


Section 4.3           Governmental
Approvals; No Conflicts.


 


The execution, delivery and performance by each Loan Party of the Loan Documents to
which it is a party (a) do not require any consent or approval of, registration or filing with, or any action by, any Governmental
Authority or any Person with respect to which the Borrower or any of its Subsidiaries has any Contractual Obligation, except those
as have been obtained or made and are in full force and effect and except for filings necessary to perfect or maintain perfection
of the Liens created under the Loan Documents, (b) will not violate any Requirement of Law applicable to the Borrower or any of
its Subsidiaries or any judgment, order or ruling of any Governmental Authority, (c) will not violate or result in a default under
any material Contractual Obligation of the Borrower or any of its Subsidiaries or any of its assets or give rise to a right thereunder
to accelerate the obligations of the Borrower or any of its Subsidiaries thereunder (whether accomplished by a mandatory prepayment,
a redemption, or otherwise) and (d) will not result in the creation or imposition of any Lien on any asset of the Borrower or
any of its Subsidiaries, except Liens (if any) created under the Loan Documents.


 




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Section 4.4           Financial
Statements; Material Adverse Effect.


 


(a)          The
Borrower has furnished to each Lender (i) the audited consolidated balance sheet of the Borrower and its Subsidiaries as of December
31, 2012, and the related audited consolidated statements of income, shareholders’ equity and cash flows for the Fiscal Year
then ended, prepared by Ernst & Young LLP and (ii) the unaudited consolidated balance sheet of the Borrower and its Subsidiaries
as of March 31, 2012, and the related unaudited consolidated statements of income and cash flows for the Fiscal Quarter and year-to-date
period then ended, certified by a Responsible Officer. Such financial statements fairly present in all material respects the consolidated
financial condition of the Borrower and its Subsidiaries as of such dates and the consolidated results of operations for such periods
in conformity with GAAP (as in effect at the time such financial statements were prepared and subject to Section 1.3) consistently
applied (except as expressly noted therein), subject to year-end audit adjustments and the absence of footnotes in the case of
the statements referred to in clause (ii). The Projections delivered to the Administrative Agent in satisfaction of the condition
set forth in Section 3.1(b)(ix)(A) and all Profit Plans delivered to the Administrative Agent after the Closing Date pursuant
to Section 5.1(e) have been prepared by the Borrower in good faith based on assumptions believed by the Borrower to be reasonable
at the time made; provided that it is expressly understood and agreed that financial projections (including the Projections
and all Profit Plans) are inherently uncertain and are not a guarantee of financial performance and that actual results may differ
from financial projections and such differences may be material.


 


(b)          Since
December 31, 2012, there have been no changes with respect to, or event affecting, the Borrower and its Subsidiaries which have
had or would reasonably be expected to have, either individually or in the aggregate, a Material Adverse Effect.


 


Section 4.5           Litigation
and Environmental Matters.


 


(a)          No
litigation, investigation or proceeding (including any whistleblower action) of or before any arbitrators or Governmental Authorities
is pending against or, to the knowledge of the Borrower, threatened in writing against the Borrower or any of its Subsidiaries
(i) that would reasonably be expected to have, either individually or in the aggregate, a Material Adverse Effect or (ii) which
in any manner draws into question the validity or enforceability of this Agreement or any other Loan Document.


 


(b)          Except
as would not reasonably be expected to have, either individually or in the aggregate, a Material Adverse Effect, neither the Borrower
nor any of its Subsidiaries (i) has failed to comply with any Environmental Law or to obtain, maintain or comply with any permit,
license or other approval required under any Environmental Law, (ii) has become subject to any Environmental Liability, (iii) has
received notice of any claim with respect to any Environmental Liability or (iv) knows of any basis for any Environmental Liability.


 


Section 4.6           Compliance
with Laws and Agreements. Except for non-compliance which would not reasonably be expected to result in a Material Adverse
Effect, the Borrower and each of its Subsidiaries is in compliance with (a) all Requirements of Law and all judgments, decrees
and orders of any Governmental Authority and (b) all Material Agreements.


 


Section 4.7           Investment
Company Act. Neither the Borrower nor any of its Subsidiaries is (a) an “investment company” or is “controlled”
by an “investment company”, as such terms are defined in, or subject to regulation under, the Investment Company Act
of 1940, as amended and in effect from time to time, or (b) otherwise subject to any other regulatory scheme limiting its ability
to incur debt or requiring any approval or consent from, or registration or filing with, any Governmental Authority in connection
therewith.


 




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Section 4.8           Taxes.  The
Borrower and its Subsidiaries and each other Person for whose taxes the Borrower or any of its Subsidiaries could become liable
have timely filed or caused to be filed all Federal income tax returns and all other material tax returns that are required to
be filed by them, and have paid all taxes shown to be due and payable on such returns or on any assessments made against it or
its property and all other taxes, fees or other charges imposed on it or any of its property by any Governmental Authority, except
where the same are currently being contested in good faith by appropriate proceedings and for which the Borrower or such Subsidiary,
as the case may be, has set aside on its books adequate reserves in accordance with GAAP. The charges, accruals and reserves on
the books of the Borrower and its Subsidiaries in respect of such taxes are adequate, and no tax liabilities that could be materially
in excess of the amount so provided are anticipated.


 


Section 4.9           Margin
Regulations.   None of the proceeds of any of the Loans or Letters of Credit will be used, directly
or indirectly, for “purchasing” or “carrying” any “margin stock” within the respective meanings
of each of such terms under Regulation U or for any purpose that violates the provisions of Regulation T, Regulation U or Regulation
X. Neither the Borrower nor any of its Subsidiaries is engaged principally, or as one of its important activities, in the business
of extending credit for the purpose of purchasing or carrying “margin stock”.


 


Section 4.10         ERISA.   Each
Plan is in substantial compliance in form and operation with its terms and with ERISA and the Code (including, without limitation,
the Code provisions compliance with which is necessary for any intended favorable tax treatment) and all other applicable laws
and regulations, except as would not reasonably be expected to have a Material Adverse Effect. Each Plan (and each related trust,
if any) which is intended to be qualified under Section 401(a) of the Code has received a favorable determination letter from
the Internal Revenue Service to the effect that it meets the requirements of Sections 401(a) and 501(a) of the Code covering all
applicable tax law changes, or is comprised of a master or prototype plan that has received a favorable opinion letter from the
Internal Revenue Service, and nothing has occurred since the date of such determination that would adversely affect such determination
(or, in the case of a Plan with no such determination, nothing has occurred that would adversely affect the issuance of a favorable
determination letter or otherwise adversely affect such qualification), except as would not reasonably be expected to have a Material
Adverse Effect. No ERISA Event has occurred that has had or would reasonably be expected to have, either individually or in the
aggregate, a Material Adverse Effect. There exists no Unfunded Pension Liability with respect to any Plan and no Plan is in, or
is expected to be, in at risk status under Title IV of ERISA such that a Material Adverse Effect would be expected in the foreseeable
future to occur with respect thereto. There are no actions, suits or claims pending against or involving a Plan (other than routine
claims for benefits) or, to the knowledge of the Borrower, any of its Subsidiaries or any ERISA Affiliate, threatened, which would
reasonably be expected to be asserted successfully against any Plan and, if so asserted successfully, would reasonably be expected
either singly or in the aggregate to have a Material Adverse Effect. The Borrower, each of its Subsidiaries and each ERISA Affiliate
have made all contributions to or under each Plan and Multiemployer Plan required by law within the applicable time limits prescribed
thereby, by the terms of such Plan or Multiemployer Plan, respectively, or by any contract or agreement requiring contributions
to a Plan or Multiemployer Plan, except as would not reasonably be expected to have a Material Adverse Effect. Each Non-U.S. Plan
has been maintained in compliance with its terms and with the requirements of any and all applicable laws, statutes, rules, regulations
and orders and has been maintained, where required, in good standing with applicable regulatory authorities, except as would not
reasonably be expected to result in liability to the Borrower or any of its Subsidiaries. All contributions required to be made
with respect to a Non-U.S. Plan have been timely made. Neither the Borrower nor any of its Subsidiaries has incurred any obligation
in connection with the termination of, or withdrawal from, any Non-U.S. Plan. The present value of the accrued benefit liabilities
(whether or not vested) under each Non-U.S. Plan, determined as of the end of the Borrower’s most recently ended fiscal
year on the basis of reasonable actuarial assumptions, did not exceed the current value of the assets of such Non-U.S. Plan allocable
to such benefit liabilities.


 




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Section 4.11         Ownership
of Property; Insurance.


 


(a)          As
of the Closing Date, all interests in real property owned by the Borrower or any of its Subsidiaries (collectively, and together
with any additional real estate acquired after the Closing Date, the “Real Estate”) or leased by the Borrower
or any of its Subsidiaries are listed on Schedule 4.11(a). Each of the Borrower and its Subsidiaries has good title to,
or valid leasehold interests in, all Real Estate, leased real property and all other personal property material to the operation
of its business (except as sold or otherwise disposed of in the ordinary course of business or in a transaction permitted hereunder),
in each case free and clear of Liens (other than Liens not prohibited by Section 7.2). All leases that individually are
material to the business or operations of the Borrower and its Subsidiaries are valid and are in full force. As of the Closing
Date, all permits required to have been issued or appropriate to enable the Real Estate or any leased real property to be lawfully
occupied and used for all of the purposes for which it is currently occupied and used have been lawfully issued and are in full
force and effect, except where the failure to be so issued or in full force and effect would not, individually or in the aggregate,
reasonably be expected to have a Material Adverse Effect.


 


(b)          The
Intellectual Property Rights owned by the Borrower and its Subsidiaries, together with the Intellectual Property Rights licensed
to the Borrower and its Subsidiaries under license agreements, constitute all of the Intellectual Property Rights material to their
respective businesses.


 


(c)          Set
forth on Schedule 4.11(c) is a complete and accurate summary of the insurance maintained by the Borrower and its Subsidiaries
as of the Closing Date. The Borrower and its Subsidiaries have insurance meeting the requirements of Section  5.8,
and such insurance policies are in full force and effect.


 


(d)          All
assets of the Borrower and its Subsidiaries, whether owned, leased, or managed, are in good repair, working order and condition,
ordinary wear and tear excepted, in accordance with the terms and conditions of any applicable lease or license agreement, except
where the failure to be in such good repair, working order or condition would not, individually or in the aggregate, reasonably
be expected to have a Material Adverse Effect.


 


Section 4.12         Disclosure.   
The Information Memorandum and any of the written reports (including, without limitation, all reports that the Borrower is required
to file with the Securities and Exchange Commission), financial statements, certificates or other information (other than the
Projections, the Profit Plans and other forward-looking information (which shall be subject solely to the representation set forth
in the last sentence of Section 4.4(a)), information regarding third parties and general economic or industry information)
furnished by or on behalf of the Borrower to the Administrative Agent or any Lender in connection with the negotiation or syndication
of this Agreement or any other Loan Document or delivered hereunder or thereunder (as modified or supplemented by any other information
so furnished), is or will be, when furnished and taken as a whole, complete and correct in all material respects and does not
or will not, when furnished and taken as a whole, contain any untrue statement of a material fact or omit to state a material
fact necessary in order to make the statements contained therein not materially misleading in light of the circumstances under
which such statements are made.


 


Section 4.13         Labor
Relations.    There are no strikes, lockouts or other material labor disputes or grievances against the
Borrower or any of its Subsidiaries, or, to the Borrower’s knowledge, threatened against or affecting the Borrower or any
of its Subsidiaries, and no significant unfair labor practice charges or grievances are pending against the Borrower or any of
its Subsidiaries, or, to the Borrower’s knowledge, threatened against any of them before any Governmental Authority. All
payments due from the Borrower or any of its Subsidiaries pursuant to the provisions of any collective bargaining agreement have
been paid or accrued as a liability on the books of the Borrower or any such Subsidiary, except where the failure to do so would
not reasonably be expected to have a Material Adverse Effect.


 




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Section 4.14         Subsidiaries.    Schedule
4.14 sets forth the name of, the ownership interest of the applicable Loan Party in, the jurisdiction of incorporation or
organization of, and the organizational type of each Subsidiary of the Borrower and the other Loan Parties and identifies each
Subsidiary that is a Subsidiary Loan Party, in each case as of the Closing Date. As of the Closing Date, the Borrower has no Subsidiaries
other than those specifically disclosed on Schedule 4.14 and no Loan Party owns any Capital Stock in any Person other than
those specifically disclosed on Schedule 4.14. All of the outstanding Capital Stock in each of the Borrower’s Subsidiaries
that is a corporation has been validly issued, is fully paid and non-assessable, and all such Capital Stock owned by any Loan
Party is owned by the record owners in the amounts specified on Schedule 4.14 as of the Closing Date, free and clear of
all Liens except those created under the Collateral Documents, the Priming Collateral Documents and nonconsensual Liens that arise
by operation of law. None of the Loan Parties or any of their Subsidiaries has, as of the Closing Date, any issued and outstanding
Disqualified Capital Stock except as otherwise specifically disclosed on Schedule 4.14.


 


Section 4.15         Solvency.   After
giving effect to the execution and delivery of the Loan Documents (including, for the avoidance of doubt, the Sixth Amendment),
the making of any Loans under this Agreement, the consummation of all transactions contemplated by such Loan Documents, and the
issuance of any Letter of Credit under this Agreement, the Borrower and its Subsidiaries on a consolidated basis are Solvent.


 


Section 4.16         Deposit
and Disbursement Accounts.    Schedule 4.16 lists all banks and other financial institutions at
which any Loan Party maintains deposit accounts, lockbox accounts, disbursement accounts, investment accounts or other similar
accounts as of the Closing Date, and such Schedule correctly identifies the name, address and telephone number of each financial
institution, the name in which the account is held, the type of the account, the complete account number therefor, and whether
such account is a Government Receivables Account.


 


Section 4.17         Collateral
Documents.


 


(a)          The
Guaranty and Security Agreement and each other Collateral Document is effective to create in favor of the Administrative Agent,
for the ratable benefit of the Secured Parties, a legal, valid and enforceable security interest in the Collateral described therein
and proceeds thereof to the extent such a security interest can be created by authentication of a written security agreement under
Articles 8 and 9 of the UCC. In the case of certificated Capital Stock pledged pursuant to the Guaranty and Security Agreement,
when certificates representing such Capital Stock are delivered to the Administrative Agent, and in the case of the other Collateral
described in the Guaranty and Security Agreement or any other Collateral Document (other than deposit accounts and investment property)
in which a Lien may be perfected by the filing of a financing statement, when financing statements are filed in the appropriate
filing offices as specified in Article 9 of the UCC (which, as of the Closing Date, for each of the Loan Parties is the filing
office set forth for each Loan Party on Schedule 3 to the Guaranty and Security Agreement), in each case, the Administrative Agent,
for the benefit of the Secured Parties, shall have a fully perfected Lien on, and security interest in, all right, title and interest
of the Loan Parties in such Collateral (including such Capital Stock) and the proceeds thereof, as security for the Obligations,
in each case prior and superior in right to any other Person (except for Specified Permitted Liens). In the case of Collateral
that consists of deposit accounts (other than a Government Receivables Account) or investment property, when an Account Control
Agreement is executed and delivered by all parties thereto with respect to such deposit accounts or investment property, the Administrative
Agent, for the benefit of the Secured Parties, shall have a fully perfected Lien on, and security interest in, all right, title
and interest of the Loan Parties in such Collateral and the proceeds thereof, as security for the Obligations, prior and superior
to any other Person (except for Specified Permitted Liens) except as provided under the applicable Account Control Agreement with
respect to the financial institution party thereto.


 




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(b)          When
the filings in subsection (a) of this Section are made and when, if applicable, the Copyright Security Agreements are filed in
the United States Copyright Office, the Administrative Agent, for the benefit of the Secured Parties, shall have a fully perfected
Lien on, and security interest in, all right, title and interest of the Loan Parties in the Copyrights subject to such Copyright
Security Agreement, if any, in which a security interest may be perfected by filing, recording or registering a security agreement,
financing statement or analogous document in the United States Copyright Office, as applicable, in each case prior and superior
in right to any other Person (except for Specified Permitted Liens).


 


(c)          Each
Mortgage, if any, is effective to create in favor of the Administrative Agent for the ratable benefit of the Secured Parties a
legal, valid and enforceable Lien on all of such Loan Party’s right, title and interest in and to the Real Estate of such
Loan Party covered thereby and the proceeds thereof, and when such Mortgage is filed in the real estate records where the respective
Mortgaged Property is located, such Mortgage shall constitute a fully perfected Lien on, and security interest in, all right, title
and interest of such Loan Party in such Real Estate and the proceeds thereof, in each case prior and superior in right to any other
Person, other than with respect to Permitted Encumbrances and Specified Permitted Liens.


 


Section 4.18         Material
Agreements.    As of the Closing Date, all Material Agreements of the Borrower and its Subsidiaries are
listed on Schedule 4.18, and each such Material Agreement is in full force and effect. As of the Closing Date, the Borrower
has delivered to the Administrative Agent a true, complete and correct copy of each Material Agreement (including all schedules,
exhibits, amendments, supplements, modifications, assignments and all other documents delivered pursuant thereto or in connection
therewith).


 


Section 4.19         Sanctions
and Anti-Corruption Laws.    (a) None of the Borrower or any of its Subsidiaries or, to the knowledge of
the Borrower or such Subsidiary, any of their respective directors, officers, employees or agents acting or benefitting in any
capacity in connection with this Agreement, (i) is a Person that is owned or controlled by a Sanctioned Person, (ii) is a Sanctioned
Person or (iii) is located, organized or resident in a Sanctioned Country; and (b) the Borrower and its Subsidiaries have conducted
their businesses in compliance with Anti-Corruption Laws and applicable Sanctions and have instituted and maintained policies
and procedures designed to promote and achieve compliance with Anti-Corruption Laws and applicable Sanctions.


 


Section 4.20         Patriot
Act.    Neither any Loan Party nor any of its Subsidiaries is an “enemy” or an “ally
of the enemy” within the meaning of Section 2 of the Trading with the Enemy Act or any enabling legislation or executive
order relating thereto. Neither any Loan Party nor any or its Subsidiaries is in violation of (a) the Trading with the Enemy Act,
(b) any of the foreign assets control regulations of the United States Treasury Department (31 C.F.R., Subtitle B, Chapter V,
as amended) or any enabling legislation or executive order relating thereto or (c) the Patriot Act. None of the Loan Parties (i)
is a blocked person described in Section 1 of the Anti-Terrorism Order or (ii) to the best of its knowledge, engages in any dealings
or transactions, or is otherwise associated, with any such blocked person.


 




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Section 4.21         Compliance
with Healthcare Laws.


 


(a)          The
Borrower and each of its Subsidiaries is in compliance in all respects with all Healthcare Laws, except for such non-compliance
which would not reasonably be expected to have a Material Adverse Effect. The Borrower and its Subsidiaries participate in and
have not been excluded from the Governmental Payor Arrangements listed on Schedule 4.21(a). A list of all of the Borrower’s
and its Subsidiaries’ existing (i) Medicare provider numbers and Medicaid provider numbers, (ii) Medicare supplier numbers
and Medicaid supplier numbers, and (iii) all other Governmental Payor provider agreements and numbers, excluding TRICARE and CHAMPUS,
CHAMPVA and the Veteran’s Administration, pertaining to the business of the Borrower or any of its Subsidiaries as of the
Closing Date or, if such contracts do not exist, other documentation evidencing such participation as of the Closing Date are set
forth on Schedule 4.21(a). Each of the Borrower’s and its Subsidiaries’ existing Third Party Payor Arrangements
pursuant to which Borrower and its Subsidiaries received $500,000 or more in payment in calendar year 2012 is set forth on Schedule
4.21(a). Each of the Borrower and its Subsidiaries has entered into and maintains all Governmental Payor Arrangements and Third
Party Payor Arrangements as are necessary to conduct its respective business as currently conducted. The Governmental Payor Arrangements
and Third Party Payor Arrangements to which the Borrower or a Subsidiary is a party constitute valid and binding obligations of
the Borrower or such Subsidiary, enforceable against the Borrower or such Subsidiary in accordance with their respective terms
(except as may be limited by applicable bankruptcy, insolvency, reorganization, moratorium or similar laws affecting the enforcement
of creditors’ rights generally and by general principles of equity) and, to the knowledge of the Borrower, are in full force
and effect, except as would not reasonably be expected to have a Material Adverse Effect. To the knowledge of the Borrower, neither
the Borrower nor any of its Subsidiaries is in default under any Governmental Payor Arrangement or Third Party Payor Arrangement
to which it is a party and, to the knowledge of the Borrower, the other parties thereto are not in default thereunder, except as
would not have a Material Adverse Effect. Each of the Borrower and its Subsidiaries (i) duly holds, and is in good standing with
respect to, such Licenses as are necessary to own its respective assets and to conduct its respective business (including without
limitation such Licenses as are required under such Healthcare Laws as are applicable thereto, and all Reimbursement Approvals),
except where the absence of such a License would not reasonably be expected to have a Material Adverse Effect and (ii) where applicable
to its business, has obtained and maintains Medicaid and Medicare provider and supplier numbers. Schedule 4.21(a) sets forth
all such healthcare Licenses held by each of the Borrower and its Subsidiaries as of the Closing Date. There is no pending or,
to the knowledge of the Borrower, threatened Limitation of any such License, Medicaid provider or supplier number, or Medicare
provider or supplier number of the Borrower or any of its Subsidiaries, except for such Limitations as would not reasonably be
expected to have a Material Adverse Effect.


 


(b)          For
purposes of the Stark Statute, to the extent that any services provided by the Borrower or its Subsidiaries are designated health
services (as defined by the Stark Statute), (i) none of such services involve, arise from, or occur in connection with “referrals”
as defined by Stark Statute or as proscribed thereunder absent the applicability or availability of a statutory or regulatory exception
to the referral prohibitions set forth thereunder, and (ii) none of such services are provided by the Borrower or any of its Subsidiaries
for the benefit of any of the foregoing, absent the applicability or availability of a statutory or regulatory exception to the
referral prohibitions set forth thereunder, in each case in the case of the immediately preceding clauses (i) and (ii), except
to the extent that such failures, violations or non-compliance would not reasonably be expected to have a Material Adverse Effect.


 


(c)          Except
as would not reasonably be expected to have a Material Adverse Effect, each of the Borrower and its Subsidiaries holds all Accreditations
necessary or required by applicable Requirements of Law for the operation of its business (including accreditation by an appropriate
organization necessary to receive payment and compensation and to participate under Medicare and Medicaid) (individually, a “Company
Accreditation,” and collectively, the “Company Accreditations”). There is no pending or, to the knowledge
of the Borrower, threatened Limitation of any such Company Accreditations, except as would not reasonably be expected to have a
Material Adverse Effect. Except as would not reasonably be expected to have a Material Adverse Effect, each of the Borrower and
its Subsidiaries is in compliance with the terms of the Company Accreditations.


 




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(d)          Each
employee of the Borrower and each of its Subsidiaries duly holds all Licenses (to the extent required) to provide professional
services to patients by each state or state agency or commission, or any other Governmental Authority having jurisdiction over
the provision of such services required to enable such employee to provide the professional services necessary to enable each of
the Borrower and its Subsidiaries to operate its business as currently operated and in connection with the duties performed by
such employee, except as would not reasonably be expected to have a Material Adverse Effect. There is no pending or, to the knowledge
of the Borrower, threatened Limitation of any such required Licenses with respect to any employee of the Borrower and each of its
Subsidiaries, except where such Limitation would not, individually or in the aggregate, reasonably be expected to result in a Material
Adverse Effect. Except as would not reasonably be expected to have a Material Adverse Effect, each employee of the Borrower and
its Subsidiaries is in compliance with the terms of all such Licenses.


 


(e)          All
reports, documents, schedules, statements, filings, submissions, forms, registrations, notices, approvals and other documents required
to be filed, obtained, maintained or furnished pursuant to any Governmental Payor Arrangement, Third Party Payor Arrangement, License,
Company Accreditation, and other applicable Healthcare Laws by the Borrower or any of its Subsidiaries to any Governmental Authority
have been so filed, obtained, maintained or furnished (individually, “Company Regulatory Filings” and collectively,
“Company Regulatory Filings”), and all such reports, documents, schedules, statements, filings, submissions,
forms, registrations, notices and other documents were complete and correct on the date filed (or were corrected in or supplemented
by a subsequent filing), except where such failure would not reasonably be expected to have a Material Adverse Effect, and each
of the Borrower and its Subsidiaries has timely paid all amounts, Taxes, fees and assessments due and payable in connection therewith,
except where the failure to make such payments on a timely basis would not reasonably be expected to have a Material Adverse Effect.
The Borrower and each of its Subsidiaries has maintained all records required to be maintained under all applicable Requirements
of Law with any Governmental Authorities (including all Governmental Payor Arrangements in which it participates, as required by
Healthcare Laws), except where the failure to do so would not reasonably be expected to have a Material Adverse Effect.


 


(f)          Since
December 31, 2012, none of the Borrower nor any of its Subsidiaries, nor, to the knowledge of the Borrower, any employee or contractor
of the Borrower or any of its Subsidiaries has been, or to the knowledge of the Borrower has been threatened to be, (i) excluded
from any Governmental Payor Arrangement pursuant to 42 U.S.C. § 1320a-7b and related regulations, (ii) “suspended”
or “debarred” from selling products to the U.S. government or its agencies pursuant to the Federal Acquisition Regulation,
relating to debarment and suspension applicable to federal government agencies generally (42 C.F.R. Subpart 9.4), or other applicable
laws or regulations, (iii) debarred, disqualified, suspended or excluded from participation in Medicare, Medicaid or any other
governmental health care program or is listed on the General Services Administration list of excluded parties, nor is any such
debarment, disqualification, suspension or exclusion, to the knowledge of a Loan Party, threatened or pending, or (iv) made a party
to any other action by any Governmental Authority that may prohibit it from selling products or providing services to any governmental
or other purchaser pursuant to any federal, state or local laws or regulations. Except for the payment of the amounts expressly
provided for in the Exjade Settlement, none of the Borrower nor any of its Subsidiaries, nor, to the knowledge of the Borrower,
any employee or contractor of the Borrower or any of its Subsidiaries is party to a corporate integrity agreement, consent order,
consent decree, permanent injunction or other settlement agreement with any Governmental Authority or Third Party Payor or otherwise
pursuant to any Governmental Payor Arrangement, Third Party Payor Arrangement, License, or Company Accreditation, including, without
limitation, any additional corporate integrity agreement, consent order, consent decree, permanent injunction or other settlement
agreement arising out of allegations involving the Borrower and the prescription drug known as Exjade, which individually (or,
together with any related Settlements (other than the Exjade Settlement), in the aggregate) (i) would reasonably be expected to
result in a Material Adverse Effect or (ii) requires the payment of money in an amount in excess of $12,500,000.


 




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(g)          Schedule
4.21(g) sets forth a list of all notices received during the fiscal year ended December 31, 2012, of material noncompliance,
requests for material remedial action, investigations, return of overpayment or imposition of fines (whether ultimately paid or
otherwise resolved) by any Governmental Authority or Third Party Payor or pursuant to any Governmental Payor Arrangement, Third
Party Payor Arrangement, License, or Company Accreditation, but does not include Routine Payor Audits (the “Health Care
Audits”). Each of the Borrower and its Subsidiaries has prepared and submitted timely all corrective action plans or
responses required to be prepared and submitted in response to any Health Care Audits and has implemented all of the corrective
actions described in such corrective action plans, except where the failure to do so would not reasonably be expected to have a
Material Adverse Effect. Neither the Borrower nor any of its Subsidiaries has any (A) uncured deficiency that could lead to the
imposition of a remedy, (B) existing accrued and/or unpaid indebtedness to any Governmental Authority, including Medicare or Medicaid,
or (C) existing accrued and/or unpaid overpayment amounts owing under any finally resolved audit or investigation by any Third
Party Payor, excepting any of the foregoing that would not reasonably be expected to have a Material Adverse Effect.


 


(h)          The
execution and delivery of the Loan Documents, and each of the Borrower’s and its Subsidiaries’ performance thereunder
(including the performance of the pre- and post- closing notices and applications as provided in the Loan Documents) will not (i)
result in the loss of or limitation of any License, Company Accreditations or Company Reimbursement Approvals or (ii) reduce receipt
of the ongoing payments or reimbursements pursuant to the Company Reimbursement Approvals that the Borrower or any of its Subsidiaries
is receiving as of the date hereof.


 


Section 4.22         HIPAA/HITECH
Compliance.    To the extent that and for so long as the Borrower or any of its Subsidiaries is a “covered
entity” within the meaning of HIPAA and the HITECH Act, each of the Borrower and its Subsidiaries (a) has undertaken or
will promptly undertake all necessary compliance efforts required by HIPAA; (b) has developed or will develop a detailed plan
for becoming HIPAA and HITECH Compliant (a “HIPAA/HITECH Compliance Plan”); and (c) has implemented or will
implement those provisions of such HIPAA/HITECH Compliance Plan necessary to ensure that each of the Borrower and its Subsidiaries
is or becomes HIPAA and HITECH Compliant, except to the extent in each case that such failures would not reasonably be expected
to have a Material Adverse Effect. For purposes hereof, “HIPAA and HITECH Compliant” shall mean that each of
the Borrower and its Subsidiaries (i) is or will be in compliance (except for non-compliance that would not reasonably be expected
to have a Material Adverse Effect) with (A) each of the applicable requirements of the so-called “Administrative Simplification”
provisions of HIPAA and (B) any or all requirements set forth in the HITECH Act, including, but not limited to, any breach notification
requirements, and (ii) is not and would not reasonably be expected to become the subject of any civil or criminal penalty, process,
claim, action or proceeding, or any administrative or other regulatory review, survey, process or proceeding (other than routine
surveys or reviews conducted by any government health plan or other accreditation entity) that would reasonably be expected to
have a Material Adverse Effect.


 




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Section 4.23         Reimbursement.


 


(a)          Except
as disclosed in Schedule 4.23(a), with respect to billings by each of the Borrower and its Subsidiaries as of the Sixth
Amendment Effective Date, each of the Borrower and its Subsidiaries is in compliance with all Requirements of Law and the written
material reimbursement policies, rules and regulations of Governmental Payors and Third Party Payors, including, without limitation,
adjustments under any capitation arrangement, fee schedule, discount formula or cost-based reimbursement except the failure to
comply with which would not reasonably be expected to have a Material Adverse Effect. Except as would not be expected to have a
Material Adverse Effect, each of the Borrower and its Subsidiaries holds all Reimbursement Approvals necessary for the operation
of its business as currently operated (individually, a “Company Reimbursement Approval,” and collectively, the
“Company Reimbursement Approvals”). There is no pending or, to the knowledge of the Borrower, threatened Limitation
of any such Company Reimbursement Approvals, except as would not reasonably be expected to have a Material Adverse Effect. Except
as would not reasonably be expected to have a Material Adverse Effect, each of the Borrower and its Subsidiaries is in compliance
with the terms of the Company Reimbursement Approvals.


 


(b)          Except
as would not reasonably be expected to have a Material Adverse Effect, the accounts receivable of each of the Borrower and its
Subsidiaries have been properly adjusted in all material respects to reflect the reimbursement policies under all applicable Requirements
of Law and other Governmental Payor Arrangements or Third Party Payor Arrangements, to which the Borrower or any of its Subsidiaries
is subject, and such accounts receivable do not exceed amounts the Borrower or such Subsidiary is entitled to receive under any
capitation agreement, fee schedule, discount formula, cost-based reimbursement or other adjustment or limitation to usual charges.
There has been no intentional overbilling or overcollection pursuant to any Governmental Payor Arrangements or Third Party Payor
Arrangement other than as created by routine adjustments and disallowances made in the ordinary course of business by the Governmental
Payors and Third Party Payors with respect to such billings.


 


Section 4.24         Fraud
and Abuse.    Except as would not, individually or in the aggregate, reasonably be expected to result in
a Material Adverse Effect, neither the Borrower nor any of its Subsidiaries has engaged in any activities that (a) are prohibited
under 42 U.S.C. §§ 1320a-7b, or the regulations promulgated thereunder, or related Requirements of Law, or (b) are prohibited
by rules of professional conduct, or (c) are prohibited under any statute or the regulations promulgated pursuant to such statutes,
including, without limitation, the following: (i) knowingly and willfully making or causing to be made a false statement or misrepresentation
of a material fact in any application for any benefit or payment; (ii) knowingly and willfully making or causing to be made any
false statement or misrepresentation of a material fact for use in determining rights to any benefit or payment; (iii) failure
to disclose knowledge by a claimant of the occurrence of any event affecting the initial or continued right to any benefit or
payment on its own behalf or on behalf of another with intent to secure such benefit or payment fraudulently; and (iv) knowingly
and willfully soliciting or receiving any illegal remuneration (including any kickback, bribe or rebate), directly or indirectly,
overtly or covertly, in cash or in kind or offering to pay or receive such remuneration (x) 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 any Governmental Payor, or (y) in return for purchasing, leasing, or ordering or arranging for or recommending purchasing,
leasing or ordering any good facility, service, or item for which payment may be made in whole or in part by any Governmental
Payor. Between January 1, 2007, and December 31, 2012, neither the Borrower nor any of its Subsidiaries received a subpoena issued
by any Governmental Authority with respect to a possible violation of Healthcare Laws by the Borrower or any of its Subsidiaries
(but excluding Routine Payor Audits) for any matter that has not been fully and finally resolved. Between January 1, 2013, and
the Closing Date, neither the Borrower nor any of its Subsidiaries has received a subpoena issued by any Governmental Authority
with respect to a possible violation of Healthcare Laws by the Borrower or any of its Subsidiaries (but excluding Routine Payor
Audits).


 




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Section 4.25         EEA
Financial Institutions; Other Regulations.    No Loan Party is an EEA Financial Institution.


 


ARTICLE
V



AFFIRMATIVE COVENANTS


 


The Borrower covenants
and agrees that so long as any Lender has a Commitment hereunder or any Obligation remains unpaid or outstanding (other than Hedging
Obligations owed by any Loan Party to any Lender-Related Hedge Provider, Bank Product Obligations and indemnities and other contingent
obligations not then due and payable and as to which no claim has been made):


 


Section 5.1           Financial
Statements and Other Information.   The Borrower will deliver to the Administrative Agent (who will deliver
to each Lender):


 


(a)          as
soon as available and in any event within 90 days after the end of each Fiscal Year of the Borrower, a copy of the annual audited
report for such Fiscal Year for the Borrower and its Subsidiaries, containing a consolidated balance sheet of the Borrower and
its Subsidiaries as of the end of such Fiscal Year and the related consolidated statements of income, stockholders’ equity
and cash flows (together with all footnotes thereto) of the Borrower and its Subsidiaries for such Fiscal Year, setting forth in
each case in comparative form the figures for the previous Fiscal Year, and reported on by independent public accountants of nationally
recognized standing (without a “going concern” or like qualification, exception or explanation and without any qualification
or exception as to the scope of such audit (except any such qualification arising as a result of the impending Maturity Date (as
a result of clause (i) of such definition), Revolving Commitment Termination Date (as a result of clause (i) of such definition)
or “Revolving Commitment Termination Date” (as defined in the Priming Credit Agreement) (as a result of clause (i)
of such definition)) to the effect that such financial statements present fairly in all material respects the financial condition
and the results of operations of the Borrower and its Subsidiaries for such Fiscal Year on a consolidated basis in accordance with
GAAP (as in effect at the time such financial statements were prepared and subject to Section 1.3) consistently applied
(except as expressly noted therein) and that the examination by such accountants in connection with such consolidated financial
statements has been made in accordance with generally accepted auditing standards;


 


(b)          as
soon as available and in any event within 45 days after the end of each Fiscal Quarter of the Borrower (other than the last Fiscal
Quarter in each Fiscal Year), an unaudited consolidated balance sheet of the Borrower and its Subsidiaries as of the end of such
Fiscal Quarter and the related unaudited consolidated statements of income and cash flows of the Borrower and its Subsidiaries
for such Fiscal Quarter and the then elapsed portion of such Fiscal Year, setting forth in each case in comparative form the figures
for the corresponding Fiscal Quarter and the corresponding portion of the Borrower’s previous Fiscal Year and the corresponding
figures for the Profit Plan for the current Fiscal Year;


 


(c)          concurrently
with the delivery of the financial statements referred to in subsections (a) and (b) of this Section, a Compliance Certificate
signed by an appropriate Responsible Officer of the Borrower (i) certifying as to whether there exists a Default or Event of Default
on the date of such certificate and, if a Default or an Event of Default then exists, specifying the details thereof and the action,
if any, which the Borrower has taken or proposes to take with respect thereto, (ii) if applicable, setting forth in reasonable
detail calculations demonstrating compliance with the financial covenant set forth in Article VI, (iii) specifying any change
in the identity of the Subsidiaries as of the end of such Fiscal Year or Fiscal Quarter from the Subsidiaries identified to the
Lenders on the Closing Date or as of the most recent Fiscal Year or Fiscal Quarter, as the case may be, and (iv) stating whether
any change in GAAP or the application thereof has occurred since the date of the most recently delivered audited financial statements
of the Borrower and its Subsidiaries, and, if any change has occurred, specifying the effect of such change on the financial statements
accompanying such Compliance Certificate;


 




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(d)          concurrently
with the delivery of the financial statements referred to in subsection (a) above, a certificate of the accounting firm that
reported on such financial statements (which may be included in the opinion or other reports delivered by such accounting firm
pursuant to subsection (a)) stating that, in making the examination necessary to prepare such financial statements, no knowledge
was actually obtained of the occurrence and continuance of any Default or Event of Default, except as specified in such certificate
(it being understood that no special or separate inquiry or review will have been made or shall be required to be made with respect
to the existence of any Default or Event of Default and that such certificate shall be limited to the items that independent certified
public accountants are permitted to cover in such certificates pursuant to their professional standards and customs of the profession);


 


(e)          as
soon as available and in any event within 90 days after the commencement of any Fiscal Year, a Profit Plan for such Fiscal Year;


 


(f)          promptly
after the same become publicly available, copies of all periodic and other reports, proxy statements and other materials filed
with the Securities and Exchange Commission, or any Governmental Authority succeeding to any or all functions of said Commission,
or with any national securities exchange, or distributed by the Borrower to its shareholders generally, as the case may be;


 


(g)          promptly
following any request therefor, such other reports or information including with respect to the results of operations, business
affairs and financial condition of the Borrower or any of its Subsidiaries as the Administrative Agent or any Lender may reasonably
request;


 


(h)          deliver
to the Administrative Agent (who will deliver to each private-side Lender) as soon as available and in any event within 30 days
after the end of each fiscal month of the Borrower, an unaudited consolidated balance sheet of the Borrower and its Subsidiaries
as of the end of such fiscal month and the related unaudited consolidated statements of income and cash flows of the Borrower and
its Subsidiaries for such fiscal month and the then elapsed portion of such Fiscal Year, setting forth in each case in comparative
form the corresponding figures for the Profit Plan for the current Fiscal Year; provided the Administrative Agent and the Lenders
acknowledge and agree that (x) the financial statements described in this clause (h) are confidential and constitute material non-public
information of the Borrower and (y) neither the Administrative Agent nor any other Lender (including any private-side Lender) shall
distribute or furnish a copy of all or any portion of the financial statements described in this clause (h) to any Lender that
is not a private-side Lender other as expressly permitted under Section 10.11(iv); and


 


(i)          deliver
to the Administrative Agent (for distribution to the Revolving Credit Lenders) 13-week cash flow statements within five (5) Business
Days of the last day of each calendar week.


 


So long as the Borrower
is required to file periodic reports under Section 13(a) or Section 15(d) of the Exchange Act, the Borrower may satisfy its obligation
to deliver the financial statements referred to in clauses (a) and (b) above by delivering the Borrower’s Form 10-K or 10-Q
filed with the Securities and Exchange Commission within the applicable time periods set forth in clauses (a) and (b), as applicable.


 




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Section 5.2           Notices
of Material Events.   The Borrower will furnish to the Administrative Agent and each Lender prompt written
notice of the following:


 


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


 


(b)          the
filing or commencement of, or any material development in, any action, suit or proceeding by or before any arbitrator or Governmental
Authority against the Borrower or any of its Subsidiaries which would reasonably be expected to result in a Material Adverse Effect;


 


(c)          the
occurrence of any event or any other development by which the Borrower or any of its Subsidiaries (i) fails to comply with any
Environmental Law or to obtain, maintain or comply with any permit, license or other approval required under any Environmental
Law, (ii) becomes subject to any Environmental Liability, (iii) receives written notice of any claim with respect to any Environmental
Liability, or (iv) becomes aware of any basis for any Environmental Liability, in each case which, either individually or in the
aggregate, would reasonably be expected to result in a Material Adverse Effect;


 


(d)          promptly
and in any event within 15 days after (i) the Borrower or any of its Subsidiaries knows or has reason to know that any ERISA Event
that (individually or together with all other ERISA Events) would reasonably be expected to have a Material Adverse Effect has
occurred, a certificate of the chief financial officer of the Borrower describing such ERISA Event and the action, if any, proposed
to be taken with respect to such ERISA Event and a copy of any notice filed with the PBGC or the IRS pertaining to such ERISA Event
and any notices received by the Borrower or such Subsidiary (or, if applicable, an ERISA Affiliate) from the PBGC or any other
governmental agency with respect thereto and (ii) becoming aware that there has been a material increase in Unfunded Pension Liabilities
(not taking into account Plans with negative Unfunded Pension Liabilities) or a Plan is, or is expected to be, in at risk status
under Title IV of ERISA since the date the representations hereunder are given or deemed given, or from any prior notice, as applicable
such that the resulting Unfunded Pension Liabilities, if incurred, or the at risk status, as applicable, would reasonably be expected
to have a Material Adverse Effect, a detailed written description thereof from the chief financial officer of the Borrower;


 


(e)          the
receipt by the Borrower or any of its Subsidiaries of any written notice of an alleged default or event of default, with respect
to the Priming Credit Agreement or any Material Indebtedness of the Borrower or any of its Subsidiaries;


 


(f)          upon
receipt thereof, copies of all final audit reports and all final management letters relating to the Borrower or any of its Subsidiaries
submitted by the Borrower’s primary accountants or primary auditors in connection with each annual, interim or special audit
of the books of the Borrower or any of its Subsidiaries (provided, that, in the event that the Borrower engages such accountants
or auditors to perform a specific review, test, valuation or other analysis of all or any portion of the Borrower’s financial
condition or financial performance, the results of such engagement shall not be required to be delivered to the Administrative
Agent or the Lenders to the extent that such results are not otherwise required to be delivered pursuant to another provision of
this Agreement);


 


(g)          written
notice of the receipt by the Borrower or any of its Subsidiaries from any Governmental Authority or other Person of (1) any notice
asserting any failure by the Borrower or any of its Subsidiaries to be in compliance with applicable Requirements of Law or that
threatens the taking of any action against the Borrower or any of its Subsidiaries or sets forth circumstances in any such event
where the failure or the taking of action would reasonably be expected to have a Material Adverse Effect, (2) any notice of any
actual or threatened in writing Limitation with respect to any Governmental Payor Arrangement, Third Party Payor Arrangement, License,
or Company Accreditation of the Borrower or any of its Subsidiaries, where such action would reasonably be expected to have a Material
Adverse Effect, or (3) any subpoena, search warrant, civil investigative demand or other request or investigation by a Governmental
Authority with respect to a possible violation of Healthcare Laws by the Borrower or any of its Subsidiaries (but excluding (A)
state licensure and Medicare certification and participation surveys by a Governmental Authority with respect to a possible violation
of Healthcare Laws, unless any deficiencies are of a kind that do result or likely will result in the issuance of a notice of suspension
or termination of any license, payment, or provider or supplier number or agreement, and (B) Routine Payor Audits);


 




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(h)          the
occurrence of any action, event, investigation, notice or other item that could reasonably be expected to restrain or prevent,
or impose any material adverse conditions on, the Existing Senior Notes Redemption;


 


(i)          if
any Default or Event of Default is in existence, if requested by the Administrative Agent, furnish to the Administrative Agent,
to the maximum extent permitted by applicable Requirements of Law, (i) copies of all Company Regulatory Filings, (ii) copies of
all Licenses, Company Accreditations and Company Reimbursement Approvals, as the same may be renewed or amended; (iii) copies of
all Health Care Audits and correspondence related thereto and corrective action plans prepared and submitted in response thereto,
and (iv) a report of the status of all recoupments, holdbacks, offsets, vendor holds, denials and appeals of amounts owed pursuant
to any Company Reimbursement Approvals, in each case outside the ordinary course of business (and ordinary course of business shall
be deemed to exclude recoupments, holdbacks, offsets, denials and vendor holds resulting from, related to or arising out of allegations
of fraud or patterns of practices of contracting, billing or claims submission inconsistent with Requirements of Law), all subject
to any limitations on disclosure included in any Requirement of Law;


 


(j)          any
default or material amendment under, or termination of, (i) that certain Facility Participation Agreement effective as of June
1, 2009, with United HealthCare Insurance Company, contracting on behalf of its Oxford Health Plans (NJ), (ii) that certain Facility
Participation Agreement effective as of June 1, 2009, with United HealthCare Insurance Company, contracting on behalf of itself
and UnitedHealthcare of the Midwest, (iii) that certain Ancillary Provider Participation Agreement effective as of June 1, 2009,
with United HealthCare Insurance Company, contracting on behalf of itself and UnitedHealthcare of New York, or (iv) that certain
Ancillary Provider Participation Agreement effective as of June 1, 2009, with UnitedHealthcare of New York, Inc.; and


 


(k)          any
other development that results in, or would reasonably be expected to result in, a Material Adverse Effect.


 


The Borrower will furnish
to the Administrative Agent (who will furnish to each Lender) the following:


 


(x)          promptly
and in any event at least 30 days prior thereto, notice of any change (i) in any Loan Party’s legal name, (ii) in any Loan
Party’s chief executive office, its principal place of business or any office in which it maintains books or records, (iii)
in any Loan Party’s identity or legal structure, (iv) in any Loan Party’s federal taxpayer identification number
or organizational number or (v) in any Loan Party’s jurisdiction of organization; and


 


(y)          promptly
upon request therefor, such other information and reports relating to the past, present or anticipated future financial condition,
operations, plans, budgets and projections of the Borrower and each of its Subsidiaries, as the Administrative Agent or any Lender
at any time or from time to time may reasonably request.


 




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Each notice or other
document delivered under this Section shall be accompanied by a written statement of a Responsible Officer setting forth the details
of the event or development requiring such notice or other document and any action taken or proposed to be taken with respect thereto.


 


Section 5.3           Existence;
Conduct of Business.   The Borrower will, and will cause each of its Subsidiaries to, do or cause to be
done all things necessary to preserve, renew and maintain in full force and effect its legal existence and its respective material
rights, licenses, permits, privileges, franchises, Patents, Copyrights, Trademarks and trade names that are material for the conduct
of its business, except where failure to do so would not reasonably be expected to result in a Material Adverse Effect; provided
that nothing in this Section shall prohibit any transaction that is permitted hereunder.


 


Section 5.4           Compliance
with Laws. The Borrower will, and will cause each of its Subsidiaries to, comply with all laws, rules, regulations and
requirements of any Governmental Authority applicable to its business and properties, including, without limitation, all Environmental
Laws, ERISA and OSHA, except where the failure to do so, either individually or in the aggregate, would not reasonably be expected
to result in a Material Adverse Effect.


 


Section 5.5           Payment
of Obligations.   Except with respect to the Priming Obligations, the Borrower will, and will cause each
of its Subsidiaries to, pay and discharge at or before maturity all of its material obligations and liabilities (including, without
limitation, all taxes, assessments and other governmental charges, levies and all other claims that could result in a statutory
Lien) before the same shall become delinquent or in default, except where (a) the validity or amount thereof is being contested
in good faith by appropriate proceedings, (b) the Borrower or such Subsidiary has set aside on its books adequate reserves with
respect thereto in accordance with GAAP and (c) the failure to make payment pending such contest would not reasonably be expected
to result in a Material Adverse Effect.


 


Section 5.6           Books
and Records.   The Borrower will, and will cause each of its Subsidiaries to, keep proper books
of record and account in which full, true and correct entries shall be made of all dealings and transactions in relation to its
business and activities to the extent necessary to prepare the consolidated financial statements of the Borrower in conformity
with GAAP (subject to the terms of this Agreement with respect to such financial statements).


 


Section 5.7           Visitation
and Inspection.   The Borrower will, and will cause each of its Subsidiaries to, permit any representative
of the Administrative Agent to visit and inspect its properties, to examine its books and records and to make copies and take
extracts therefrom, and to discuss its affairs, finances and accounts with any of its officers and with its independent certified
public accountants (provided that the Borrower is provided reasonable prior notice of any discussion with its auditors
or accountants and is afforded an opportunity to participate in such discussions), all at such reasonable times and subject to
reasonable prior notice to the Borrower or such Subsidiary; provided that, so long as no Event of Default has occurred
and is continuing, visits and inspections under this Section 5.7 shall be limited to one time per Fiscal Year. Any Lender
may accompany the Administrative Agent on any visit or inspection pursuant to this Section 5.7, at such Lender’s
expense. Any Related Party of the Administrative Agent or any Lender that attends or participates in any such visit or inspection
shall, prior to such attendance or participation, expressly agree to be subject to and bound by the confidentiality provisions
of this Agreement or shall otherwise be bound by professional ethics rules to maintain such confidentiality.


 




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Section 5.8           Maintenance
of Properties; Insurance; Credit Ratings.   The Borrower will, and will cause each of its Subsidiaries
to, (a) keep and maintain all property material to the conduct of its business in good working order and condition, ordinary wear
and tear, casualty and condemnation excepted, (b) maintain with financially sound and reputable insurance companies which are
not Affiliates of the Borrower (i) insurance with respect to its properties and business, and the properties and business of its
Subsidiaries, against loss or damage of the kinds customarily insured against by companies in the same or similar businesses operating
in the same or similar locations (including, in any event, flood insurance as described in the definition of Real Estate Documents)
and (ii) all insurance required to be maintained pursuant to the Collateral Documents, and will, upon request of the Administrative
Agent, furnish to each Lender at reasonable intervals a certificate of a Responsible Officer setting forth the nature and extent
of all insurance maintained by the Borrower and its Subsidiaries in accordance with this Section, (c) at all times shall cause
the applicable insurance provider to name the Administrative Agent as an additional insured on all liability policies of the Borrower
and its Subsidiaries and as a loss payee (pursuant to a loss payee endorsement reasonably satisfactory to the Administrative Agent)
on all casualty and property insurance policies of the Borrower and its Subsidiaries, in each case, other than any director and
officer indemnification policies, workers’ compensation policies and any policies that provide coverage for property that
does not constitute Collateral, and (d) use commercially reasonable efforts to maintain ratings for the credit facilities evidenced
hereunder and the corporate family credit of the Borrower and its Subsidiaries by both S&P and Moody’s.


 


Section 5.9           Use
of Proceeds; Margin Regulations.


 


(a)          The
Borrower will use the proceeds of all Loans on the Closing Date to (i) finance the Existing Senior Notes Redemption and refinance
certain existing Indebtedness of the Loan Parties and (ii) pay fees and expenses incurred in connection with the execution and
delivery of this Agreement and the other Loan Documents, the initial Borrowings made hereunder and the transactions contemplated
to occur in connection therewith; provided, that, no Revolving Loans or Letters of Credit shall be outstanding on the Closing
Date, other than (A) Letters of Credit issued hereunder on the Closing Date to replace, backstop or provide other credit support
for any existing letters of credit of the Borrower and (B) Revolving Loans funded hereunder on the Closing Date, the proceeds of
which are used by the Borrower to fund original issue discount or additional fees payable under the Fee Letters;


 


(b)          The
Borrower will use the proceeds of all Loans (other than DDT Loans) after the Closing Date to (i) finance any portion of the Existing
Senior Notes Redemption that is not consummated on the Closing Date, (ii) [reserved], (iii) finance Capital Expenditures
and working capital needs of the Loan Parties, and (iv) fund other general corporate purposes of the Borrower and its Subsidiaries.


 


(c)          The
Borrower will use the proceeds of the DDT Loans, and, if the DDT Loans are fully funded, the Revolving Loans, to (i) fund a portion
of the purchase price paid by the Borrower for the CarePoint Acquisition, (ii) repay certain existing Indebtedness related to the
Acquired Business (other than Permitted Surviving Debt), and (iii) pay fees and expenses incurred in connection with the consummation
of the CarePoint Acquisition.


 


No part of the proceeds
of any Loan will be used, whether directly or indirectly, for any purpose that would violate any rule or regulation of the Board
of Governors of the Federal Reserve System, including Regulation T, Regulation U or Regulation X.


 


Section 5.10         Casualty
and Condemnation.   The Borrower (a) will furnish to the Administrative Agent and the Lenders prompt written
notice of any casualty or other insured damage to any material portion of the Collateral or the commencement of any action or
proceeding by any Governmental Authority for the taking of any material portion of the Collateral or any material interest therein
under power of eminent domain or by condemnation or similar proceeding and (b) will ensure that the Net Cash Proceeds of any such
Prepayment Event (whether in the form of insurance proceeds, condemnation awards or otherwise) are collected and applied in accordance
with the applicable provisions of this Agreement and the Collateral Documents.


 




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Section 5.11         Cash
Management.   The Borrower shall, and shall cause each Subsidiary Loan Party to, maintain the cash management
systems described below:


 


(a)          Maintain
all cash management and treasury business with SunTrust Bank or a Permitted Third Party Bank, including, without limitation, all
deposit accounts, disbursement accounts, investment accounts and lockbox accounts, other than Excluded Accounts (each such deposit
account, disbursement account, investment account and lockbox account, other than any Excluded Account, a “Controlled
Account”).


 


(b)          Each
Controlled Account shall (i) be a cash collateral account, with all cash, checks and other similar items of payment in such account
securing payment of the Obligations, and in which the Borrower and each of its Subsidiaries shall have granted a first priority
Lien (subject to non-consensual Liens arising by operation of law and Section 7.2(b)) to the Administrative Agent, on behalf
of the Secured Parties, and (ii) be subject to an Account Control Agreement.


 


(c)          Subject
to Section 5.11(e), deposit promptly, and in any event no later than five (5) Business Days after the date of receipt thereof,
all cash, checks, drafts or other similar items of payment relating to or constituting payments made in respect of any and all
accounts and other Collateral into Controlled Accounts, in each case except for cash, checks, drafts, other similar payment items
and Cash Equivalents the aggregate value of which does not exceed $3,000,000 at any time.


 


(d)          At
any time after the occurrence and during the continuance of an Event of Default and at all times subject to the Priming/Existing
Lien Intercreditor Agreement, at the request of the Required Lenders, the Borrower will, and will cause each other Loan Party to,
cause all payments constituting proceeds of accounts or other Collateral to be directed into lockbox accounts under agreements
in form and substance reasonably satisfactory to the Administrative Agent.


 


(e)          For
each deposit account into which the Borrower or any Subsidiary Loan Party receives payments from Federal/State Health Care Program
Account Debtors (a “Government Receivables Account”), the Borrower or such Subsidiary Loan Party shall enter
into an agreement (a “Government Receivables Account Agreement”) with the Permitted Third Party Bank at which
such Government Receivables Account is located, in such form as may be reasonably approved by the Administrative Agent, which agreement
shall provide that all funds deposited into such Government Receivables Account shall be transferred promptly (but in any event
within one (1) Business Day of deposit) to a Controlled Account of the Borrower or such Subsidiary Loan Party. Neither the Borrower
nor any Subsidiary Loan Party shall terminate or modify a Government Receivables Account Agreement without the approval of the
Administrative Agent, which approval (or non-approval, as the case may be) shall be communicated to the Borrower by the Administrative
Agent within five (5) Business Days of any such request for approval and which approval shall not be unreasonably withheld, conditioned
or delayed.


 


(f)          The
Borrower shall maintain the LC Cash Collateral Account at SunTrust Bank in accordance with Section 2.22(k).


 




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Section 5.12         Additional
Subsidiaries and Collateral.


 


(a)          In
the event that, subsequent to the Closing Date, any Person (including the PBM Strategic Joint Venture, but specifically excluding
any Specified Strategic Joint Venture) becomes a Domestic Subsidiary, whether pursuant to formation, acquisition or otherwise,
(x) the Borrower shall promptly notify the Administrative Agent and the Lenders thereof and (y) within 30 days (or such longer
period as the Administrative Agent shall agree in writing) after such Person becomes a Domestic Subsidiary, the Borrower shall
cause such Domestic Subsidiary (i) to become a new Guarantor and to grant Liens in favor of the Administrative Agent in all of
its personal property that is not Excluded Property by executing and delivering to the Administrative Agent a supplement to the
Guaranty and Security Agreement in form and substance reasonably satisfactory to the Administrative Agent, executing and delivering
a Copyright Security Agreement, Patent Security Agreement and Trademark Security Agreement, as applicable, and authorizing and
delivering, at the request of the Administrative Agent, such UCC financing statements or similar instruments required by the Administrative
Agent to perfect the Liens in favor of the Administrative Agent and granted under any of the Loan Documents, (ii) to grant Liens
in favor of the Administrative Agent in all fee ownership interests in Real Estate having a fair market value in excess of $5,000,000
as of the date such Person becomes a Domestic Subsidiary by executing and delivering to the Administrative Agent such Real Estate
Documents as the Administrative Agent shall require, and (iii) to deliver all such other customary and reasonable documentation
(including, without limitation, certified organizational documents, resolutions, lien searches, title insurance policies, surveys,
environmental reports and legal opinions) and to take all such other actions as such Subsidiary would have been required to deliver
and take pursuant to Section 3.1 if such Subsidiary had been a Loan Party on the Closing Date or that such Subsidiary would
be required to deliver pursuant to Section 5.13 with respect to any Real Estate. In addition, within 30 days (or such longer
period as the Administrative Agent shall permit in writing in its sole discretion) after the date any Person becomes a Domestic
Subsidiary, the Borrower shall, or shall cause the applicable Loan Party to (i) pledge all of the Capital Stock of such Domestic
Subsidiary to the Administrative Agent as security for the Obligations by executing and delivering a supplement to the Guaranty
and Security Agreement in form and substance reasonably satisfactory to the Administrative Agent, and (ii) deliver the original
certificates evidencing such pledged Capital Stock (to the extent that such Capital Stock is certificated) to the Administrative
Agent, together with appropriate powers executed in blank, in each case, other than any such Capital Stock that constitutes Excluded
Property.


 


(b)          In
the event that, subsequent to the Closing Date, any Person becomes a Foreign Subsidiary, whether pursuant to formation, acquisition
or otherwise, (i) the Borrower shall promptly notify the Administrative Agent and the Lenders thereof and (ii) to the extent such
Foreign Subsidiary is owned directly by any Loan Party, within 60 days after such Person becomes a Foreign Subsidiary (or such
longer period as the Administrative Agent shall agree in writing), the Borrower shall, or shall cause the applicable Loan Party
to, (A) pledge not more than 65% of the issued and outstanding voting Capital Stock of such Foreign Subsidiary to the Administrative
Agent as security for the Obligations pursuant to a pledge agreement in form and substance reasonably satisfactory to the Administrative
Agent, (B) deliver the original certificates evidencing such pledged Capital Stock (to the extent that such Capital Stock or portion
thereof is certificated) to the Administrative Agent, together with appropriate powers executed in blank and (C) deliver all such
other customary and reasonable documentation (including, without limitation, certified organizational documents, resolutions, lien
searches and legal opinions) and to take all such other actions as the Administrative Agent may reasonably request.


 


(c)          The
Borrower agrees that, following the delivery of any Collateral Documents required to be executed and delivered by this Section,
the Administrative Agent shall have a valid and enforceable, first priority perfected Lien (subject to Specified Permitted Liens)
on the property required to be pledged pursuant to subsections (a) and (b) of this Section (to the extent that such Lien can be
perfected by execution, delivery and/or recording of the Collateral Documents or by filing UCC financing statements, or by taking
actual possession of such Collateral), free and clear of all Liens other than Liens expressly permitted by Section 7.2.
All actions to be taken pursuant to this Section shall be at the expense of the Borrower or the applicable Loan Party, and shall
be taken to the reasonable satisfaction of the Administrative Agent.


 




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Section 5.13         Additional
Real Estate; Leased Locations.


 


(a)          If
any Loan Party proposes to acquire after the Closing Date a fee ownership interest in Real Estate having a fair market value in
excess of $5,000,000 as of the date of the acquisition thereof, it shall within ninety (90) days following such acquisition provide
to the Administrative Agent the Real Estate Documents with respect to such Real Estate.


 


(b)          If
any Loan Party proposes to lease any real property that will serve as such Loan Party’s chief executive office or the location
at which such Loan Party’s books or records will be stored or located, it shall provide to the Administrative Agent a copy
of such lease and, within sixty (60) days following the effectiveness of such lease, a Collateral Access Agreement from the landlord
of such leased property or the bailee with respect to any warehouse or other location where such books, records or Collateral will
be stored or located; provided, that if such Loan Party is unable to deliver any such Collateral Access Agreement after
using its commercially reasonable efforts to do so, the Administrative Agent shall waive the foregoing requirement in its reasonable
discretion.


 


Section 5.14         Further
Assurances.   The Borrower will, and will cause each other Loan Party to, execute any and all further documents,
financing statements, agreements and instruments, and take all such further actions (including the filing and recording of financing
statements, fixture filings, Mortgages and other documents), which may be required under any applicable law, or which the Administrative
Agent or the Required Lenders may reasonably request, to effectuate the transactions contemplated by the Loan Documents or to
grant, preserve, protect or perfect the Liens created by the Collateral Documents or the validity or priority of any such Lien,
all at the expense of the Loan Parties. The Borrower also agrees to provide to the Administrative Agent, from time to time upon
request, evidence reasonably satisfactory to the Administrative Agent as to the perfection and priority of the Liens created or
intended to be created by the Collateral Documents.


 


Section 5.15         Healthcare
Matters.   Without limiting the generality of any other covenant contained in this Agreement, and except
as would not reasonably be expected to have a Material Adverse Effect, the Borrower will, and will cause each of its Subsidiaries
to (i) conduct its operations in compliance with all applicable Healthcare Laws, (ii) maintain and comply with all Governmental
Payor Arrangements, Third Party Payor Arrangements, Licenses, Company Accreditations and Company Reimbursement Approvals, (iii)
timely file, or cause to be filed, all Company Regulatory Filings in accordance with all Requirements of Law, (iv) timely pay
all amounts, Taxes, fees and assessments, if any, due and payable in connection with Company Regulatory Filings, (v) timely submit
and implement all corrective action plans required to be prepared and submitted in response to any Health Care Audits, (vi) timely
refund all overpayments (other than those appealed through the ordinary administrative processes of any applicable Governmental
Authority) determined to exist by any Governmental Authority under any Healthcare Law or pursuant to any Governmental Payor Arrangement,
(vii) timely repay any overpayment amounts owing under any finally resolved audit or investigation by any Third Party Payor, and
(viii) process credit balances received from Third Party Payors in a manner consistent with the Borrower’s internal policies.
The Borrower will, and will cause each of its Subsidiaries to, notify the Administrative Agent promptly after the Borrower or
any of its Subsidiaries becomes aware of any violation of Healthcare Laws by the Borrower or any of its Subsidiaries that would
reasonably be expected to have a Material Adverse Effect.


 


Section 5.16         Post-Closing
Covenants.   The Borrower will, and will cause each of its Subsidiaries to, as applicable, not later than
the dates specified therefor on Schedule 5.16 (or such later dates as the Administrative Agent may agree in writing in
its sole discretion), satisfy each of the requirements set forth on Schedule 5.16.


 




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Section 5.17         Priming
Credit Enhancements.   If the Priming Agent or any “Secured Party” under the Priming Loan Documents,
in its capacity as such, receives any additional guaranty or additional collateral agreement after the Sixth Amendment Effective
Date, without limitation of any Event of Default that may arise as a result thereof, the Borrower shall, substantially concurrently
with such receipt, use commercially reasonable efforts to cause the same to be granted to the Administrative Agent, for its own
benefit and the benefit of the Secured Parties (subject to and without limitation of the terms of the Priming/Existing Lien Intercreditor
Agreement).


 


Section 5.18         Priming
Loan Documents.   Notwithstanding anything in this Agreement to the contrary, if any amendment or modification
to the Priming Loan Documents amends or modifies any representation and warranty, covenant (including any financial covenant),
event of default or other term contained in the Priming Loan Documents (or any related definitions), in each case, in a manner
that is more restrictive upon Loan Parties or if any amendment or modification to the Priming Credit Agreement or other Priming
Loan Document adds an additional representation and warranty, covenant or event of default therein, the Borrower and the other
Loan Parties acknowledge and agree that this Agreement or the other Loan Documents, as the case may be, shall be automatically
amended or modified to effect similar amendments or modifications with respect to this Agreement or such other Loan Documents,
without the need for any further action or consent by the Borrower, the Loan Parties, or any other party. In furtherance of the
foregoing, the Borrower and the other Loan Parties permit the Administrative Agent and the Lenders to document each such similar
amendment or modification to this Agreement or such other Loan Documents or insert a corresponding new representation and warranty,
covenant, event of default or other provision in this Agreement or such other Loan Documents without any need for any further
action or consent by the Borrower, the other Loan Parties or any other party.


 


ARTICLE
VI



FINANCIAL COVENANTS


 


The Borrower covenants
and agrees that so long as any Lender has a Commitment hereunder or any Obligation remains unpaid or outstanding (other than Hedging
Obligations owed by any Loan Party to any Lender-Related Hedge Provider, Bank Product Obligations and indemnities and other contingent
obligations not then due and payable and as to which no claim has been made), except with the written consent of the Required Revolving
Lenders, solely with respect to the Revolving Loans:


 


(a)          The
Borrower shall not permit the Consolidated Senior Secured Net Leverage Ratio as of the last day of the most recently ended Fiscal
Quarter for which financial statements have been delivered (or were required to be delivered) pursuant to Section 5.1(a)
or 5.1(b), as applicable, for the period of four (4) consecutive Fiscal Quarters ending on such date, to be greater than
the ratio set forth below opposite such Fiscal Quarter:


 




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        Fiscal Quarter Ending 
	 	Consolidated
    Senior Secured Net Leverage Ratio
	 	 	 
	September 30, 2013 through and including March 31, 2014	 	6.25:1.00
	 	 	 
	

        June 30, 2014
	 	6.00:1.00
	 	 	 
	September 30, 2014	 	5.75:1.00
	 	 	 
	December 31, 2014, and March 31, 2015	 	5.50:1.00
	 	 	 
	June 30, 2015	 	5.25:1.00
	 	 	 
	September 30, 2015, and December 31, 2015	 	5.00:1.00
	 	 	 
	March 31, 2016, through and including September 30, 2016	 	4.50:1.00
	 	 	 
	December 31, 2016	 	12.00:1.00
	 	 	 
	March 31, 2017	 	12.00:1.00
	 	 	 
	June 30, 2017	 	12.00:1.00
	 	 	 
	September 30, 2017 	 	10.00:1.00
	 	 	 
	December 31, 2017	 	9.00:1.00
	 	 	 
	March 31, 2018	 	8.00:1.00
	 	 	 
	June 30, 2018 and each Fiscal Quarter thereafter	 	7.50:1.00


 


(b)          The
Borrower shall achieve Consolidated EBITDA for each period set forth below of not less than the respective amounts set forth below
opposite such period:


 


	Period	 	Minimum Consolidated EBITDA	 
	Three-month period ending December 31, 2016	 	$	6,800,000	 
	Six-month period ending March 31, 2017	 	$	12,000,000	 
	Nine-month period ending June 30, 2017	 	$	22,000,000	 
	Twelve-month period ending September 30, 2017	 	$	32,000,000	 
	Twelve-month period ending December 31, 2017	 	$	39,000,000	 
	Twelve-month period ending March 31, 2018	 	$	45,000,000	 
	Twelve-month period ending June 30, 2018	 	$	52,000,000	 



 




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ARTICLE
VII



NEGATIVE COVENANTS


 


The Borrower covenants
and agrees that so long as any Lender has a Commitment hereunder or any Obligation remains outstanding (other than Hedging Obligations
owed by any Loan Party to any Lender-Related Hedge Provider, Bank Product Obligations and indemnities and other contingent obligations
not then due and payable and as to which no claim has been made):


 


Section 7.1           Indebtedness
and Disqualified Capital Stock.


 


(a)          The
Borrower will not, and will not permit any of its Subsidiaries to, create, incur, assume or suffer to exist any Indebtedness, except:


 


(i)          Indebtedness
created pursuant to the Loan Documents;


 


(ii)         Indebtedness
of the Borrower and its Subsidiaries existing on the Sixth Amendment Effective Date (including any Permitted Surviving Debt) and
set forth on Schedule 7.1 and extensions, renewals and replacements of any such Indebtedness that do not increase the outstanding
principal amount thereof immediately prior to giving effect to such extension, renewal or replacement (except in respect of costs
and expenses in connection therewith or any interest that is paid-in-kind and capitalized to the principal amount thereof in connection
with such extension, renewal or replacement) or shorten the maturity or the Weighted Average Life to Maturity thereof;


 


(iii)        Indebtedness
of the Borrower or any of its Subsidiaries incurred to finance the acquisition, construction or improvement of any fixed or capital
assets, including Capital Lease Obligations, and any Indebtedness assumed in connection with the acquisition of any such assets
or secured by a Lien on any such assets prior to the acquisition thereof (provided that such Indebtedness is incurred prior
to or within 90 days after such acquisition or the completion of such construction or improvements), and extensions, renewals or
replacements of any such Indebtedness that do not increase the outstanding principal amount thereof immediately prior to giving
effect to such extension, renewal or replacement (except in respect of costs and expenses in connection therewith or any interest
that is paid-in-kind and capitalized to the principal amount thereof in connection with such extension, renewal or replacement)
or shorten the maturity or the Weighted Average Life to Maturity thereof; provided, that the aggregate principal amount
of Indebtedness outstanding under this clause (iii) at any time (including any of such Indebtedness which is set forth on Schedule
7.1) does not exceed the greater of (A) $12,500,000 and (B) 1.50% of Consolidated Total Assets;


 


(iv)        (A)
intercompany Indebtedness between or among the Borrower and any Subsidiary Loan Party and (B) intercompany Indebtedness between
or among the Borrower and any Subsidiary that is not a Loan Party permitted by Section 7.4(d);


 


(v)         (A)
Guarantees by the Borrower of Indebtedness of any Subsidiary Loan Party and by any Subsidiary Loan Party of Indebtedness of the
Borrower or any other Subsidiary Loan Party and (B) Guarantees by the Borrower of Indebtedness of any Subsidiary that is not Loan
Party and by any Subsidiary of Indebtedness of the Borrower or any other Subsidiary that is not a Loan Party permitted by Section
7.4(d);


 


(vi)        [Reserved];


 




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(vii)       Indebtedness
in respect of performance, bid, surety, indemnity, appeal bonds, completion guarantees and other obligations of like nature and
guarantees and/or obligations as an account party in respect of the face amount of letters of credit in respect thereof, in each
case securing obligations not constituting Indebtedness for borrowed money (including workers’ compensation claims, environmental
remediation and other environmental matters and obligations in connection with self-insurance or similar requirements) provided
in the ordinary course of business;


 


(viii)      Indebtedness
arising from the endorsement of instruments in the ordinary course of business;


 


(ix)         Indebtedness
consisting of contingent liabilities in respect of any indemnification, working capital adjustment, purchase price adjustment,
non-compete, consulting, deferred compensation, earn-out obligations, contingent consideration, contributions, and similar obligations,
incurred in connection with any Investment permitted under Section 7.4 or any disposition permitted under Section 7.6;


 


(x)          Indebtedness
consisting of the financing of insurance premiums required by this Agreement or otherwise incurred in the ordinary course of business;


 


(xi)         cash
management obligations (including Bank Product Obligations) and other Indebtedness in respect of netting services, automatic clearinghouse
arrangements, overdraft protections, employee credit card programs and other cash management and similar arrangements in the ordinary
course of business and any Guarantees thereof;


 


(xii)        Hedging
Obligations not prohibited by Section 7.10;


 


(xiii)       Indebtedness
of the Borrower or any of its Subsidiaries owed to any supplier or vendor of Inventory incurred to finance the acquisition of Inventory
from such supplier or vendor, including the ABDC Obligations; provided, that, immediately after giving effect to any incurrence
of Indebtedness under this clause (xiii) on any date of determination, the aggregate principal amount of Indebtedness outstanding
under this clause (xiii) does not exceed $20,000,000 for any period of more than twenty (20) consecutive days after a Responsible
Officer of the Borrower becomes aware of such excess outstanding amount;


 


(xiv)      Indebtedness
(other than the ABDC Obligations) that is (x) unsecured or (y) subject to delivery of an intercreditor agreement in form and substance
reasonably satisfactory to the Administrative Agent, secured by Liens that are junior in priority to the Liens securing the Obligations
so long as (A) after giving pro forma effect to the incurrence of such Indebtedness (together with any Acquisitions and/or Investments
consummated in connection therewith) the Consolidated Total Net Leverage Ratio is less than or equal to 4.50 to 1.00, calculated
as of the last day of the most recently ended Fiscal Quarter for which financial statements are required to have been delivered
pursuant to Section 5.1(b) as if such Indebtedness was incurred, and any Acquisitions and/or Investments consummated
in connection therewith were consummated, on the first day of the relevant period for testing compliance and (B) the Borrower shall
have delivered to the Administrative Agent a pro forma Compliance Certificate signed by a Responsible Officer certifying
to the foregoing Section 7.1(a)(xiv)(A) at least three Business Days prior to the date of the incurrence of such Indebtedness;


 


(xv)       unsecured
Indebtedness evidenced by the Senior Notes;


 




    	 	95	 



     


    

  


(xvi)      [Reserved];


 


(xvii)     [Reserved];


 


(xviii)    obligations
arising under indemnity agreements or other arrangements with title insurers to cause such title insurers to issue title policies
in the ordinary course of business;


 


(xix)       Indebtedness
representing deferred compensation or reimbursable expenses owed to employees of the Borrower or any of its Subsidiaries incurred
in the ordinary course of business;


 


(xx)        Guarantees
by the Borrower in the ordinary course of business of any obligations of any Subsidiary Loan Party under an operating lease to
which such Subsidiary Loan Party is a party;


 


(xxi)       other
unsecured Indebtedness (other than Indebtedness for borrowed money); provided, that the aggregate principal amount of Indebtedness
outstanding under this clause (xxi) at any time does not exceed the greater of (A) $5,000,000 and (B) 1.00% of Consolidated Total
Assets;


 


(xxii)      Indebtedness
(other than the ABDC Obligations) of the Borrower or any Subsidiary Loan Party that is unsecured; provided, that (A) the aggregate
principal amount of any Indebtedness outstanding under this clause (xxii) at any time does not exceed $250,000,000 (excluding any
amounts representing capitalized or accreted interest that are added to the principal balance of such Indebtedness after the date
of issuance thereof), and (B) promptly (but in any event within five (5) Business Days) following receipt thereof, 100% of the
Net Cash Proceeds of such issuance of Indebtedness are used to prepay the outstanding principal balance of the Loans in accordance
with Section 2.12(b);


 


(xxiii)     Indebtedness
(other than the ABDC Obligations) of the Borrower or any Subsidiary Loan Party that is subject to delivery of an intercreditor
agreement in form and substance reasonably satisfactory to the Administrative Agent, secured by Liens that are junior in priority
to the Liens securing the Obligations; provided, that (A) the aggregate principal amount of any secured Indebtedness outstanding
under this clause (xxiii) at any time does not exceed $150,000,000 (excluding any amounts representing capitalized or accreted
interest that are added to the principal balance of such Indebtedness after the date of issuance thereof), and (B) promptly (but
in any event within five (5) Business Days) following receipt thereof, an amount equal to (x) 100% of the Net Cash Proceeds of
such issuance of Indebtedness less (y) an amount equal to $10,000,000 is used to prepay the outstanding principal balance of the
Loans in accordance with Section 2.12(b);


 


(xxiv)    the
Priming Obligations to the extent all such obligations constitute “Priming Obligations” under the Priming/Existing
Lien Intercreditor Agreement; and


 


(xxv)     Indebtedness
in respect of letters of credit issued by Persons other than the Issuing Bank to replace any Existing Letter of Credit upon the
expiration of such Existing Letter of Credit; provided that the aggregate principal amount of Indebtedness outstanding under this
clause (xxv), together with the aggregate face amount of all unexpired and undrawn Existing Letters of Credit, shall not exceed
$7,200,000.


 




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For purposes of determining
compliance with this Section 7.1(a), in the event that any item of Indebtedness meets the criteria of more than one of the
categories described in clauses (a)(i) through (a)(xxi), the Borrower and its Subsidiaries shall be permitted to incur any such
Indebtedness in any manner that complies with this Section 7.1(a) and may rely at the time of incurrence upon more than
one of the categories described above; provided that the ABDC Obligations shall be incurred and shall remain outstanding
solely under clause (a)(xiii) above.


 


(b)          The
Borrower will not, and will not permit any Subsidiary to, issue or permit to exist any Disqualified Capital Stock of any such Person.


 


Section 7.2           Liens.   The
Borrower will not, and will not permit any of its Subsidiaries to, create, incur, assume or suffer to exist any Lien on any of
its assets or property now owned or hereafter acquired, except:


 


(a)          Liens
securing the Obligations; provided that no Liens may secure Hedging Obligations or Bank Product Obligations without securing
all other Obligations on a basis at least pari passu with such Hedging Obligations or Bank Product Obligations and subject
to the priority of payments set forth in Section 2.21 and Section 8.2;


 


(b)          Liens
created under any Priming Loan Document and securing the Priming Obligations permitted hereunder, so long as such Liens are securing
the Priming Obligations in accordance with, and are subject to, the terms of the Priming/Existing Lien Intercreditor Agreement;


 


(c)          Permitted
Encumbrances;


 


(d)          Liens
on any property or asset of the Borrower or any of its Subsidiaries existing on the date hereof and set forth on Schedule 7.2;
provided that such Liens shall not apply to any other property or asset of the Borrower or any Subsidiary;


 


(e)          Liens
securing Indebtedness incurred pursuant to Section 7.1(a)(iii); provided that (i) such Lien attaches to such asset concurrently
or within ninety (90) days after the acquisition or the completion of the construction or improvements thereof, (ii) such Lien
granted is limited to the specific fixed assets acquired, constructed or improved and the proceeds thereof and (iii) the aggregate
principal amount of Indebtedness initially secured by such Lien is not more than the acquisition cost of the specific fixed assets
on which such Lien is granted;


 


(f)          Liens
(other than the ABDC Lien) securing Indebtedness incurred pursuant to Section 7.1(a)(xiii); provided that (i) such
Lien granted is limited to the specific Inventory acquired and (ii) the aggregate principal amount of Indebtedness initially secured
by such Lien is not more than the acquisition cost of the Inventory on which such Lien is granted;


 


(g)          [Reserved];


 


(h)          any
Lien existing on any fixed assets prior to the acquisition thereof by the Borrower or any of its Subsidiaries or existing on any
fixed assets of any Person that becomes a Subsidiary; provided that (i) such Lien was not created in contemplation of or
in connection with such acquisition or such Person becoming a Subsidiary, (ii) such Lien does not apply to any other property of
the Borrower or any of its Subsidiaries, and (iii) such Lien secures only those obligations which it secures on the date of such
acquisition or the date such Person becomes a Subsidiary;


 


(i)          Liens
securing Indebtedness incurred pursuant to Section 7.1(a)(xiv);


 




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(j)          extensions,
renewals, or replacements of any Lien referred to in subsections (b) through (h) of this Section; provided that the principal
amount of the Indebtedness secured thereby is not increased (except in respect of costs and expenses in connection therewith or
any interest that is paid-in-kind and capitalized to the principal amount thereof in connection with such extension, renewal or
replacement) and that any such extension, renewal or replacement is limited to the assets originally encumbered thereby;


 


(k)          the
ABDC Lien so long as such Liens are subordinated to the Liens securing the Obligations pursuant to the terms of the ABDC Intercreditor
Agreement;


 


(l)          [Reserved];


 


(m)          Liens
securing Indebtedness incurred pursuant to Section 7.1(a)(xxiii); and


 


(n)          Liens
on cash collateral for letters of credit issued to replace Existing Letters of Credit; provided that the amount of such
cash collateral shall not exceed 105% of the face amount of such letters of credit.


 


Section 7.3           Fundamental
Changes.


 


(a)          The
Borrower will not, and will not permit any of its Subsidiaries to, merge into or consolidate into any other Person, or permit any
other Person to merge into or consolidate with it, or sell, lease, transfer or otherwise dispose of (in a single transaction or
a series of transactions) all or substantially all of its assets (in each case, whether now owned or hereafter acquired) (except
as permitted by Section 7.6) or all or substantially all of the Capital Stock of any of its Subsidiaries (in each
case, whether now owned or hereafter acquired) or liquidate or dissolve; provided that if, at the time thereof and
immediately after giving effect thereto, no Event of Default shall have occurred and be continuing, (i) the Borrower or any Subsidiary
may merge with a Person if the Borrower (or such Subsidiary if the Borrower is not a party to such merger) is the surviving Person,
(ii) any Subsidiary may merge into another Subsidiary, provided that if any party to such merger is a Subsidiary Loan Party,
the Subsidiary Loan Party shall be the surviving Person, (iii) any Subsidiary may sell, transfer, lease or otherwise dispose of
all or substantially all of its assets to the Borrower or to a Subsidiary Loan Party, and (iv) any Subsidiary may liquidate or
dissolve if the Borrower determines in good faith that such liquidation or dissolution is in the best interests of the Borrower.


 


(b)          The
Borrower will not, and will not permit any of its Subsidiaries to, engage in any business other than a Permitted Business.


 


Section 7.4           Investments,
Loans. The Borrower will not, and will not permit any of its Subsidiaries to, purchase, hold or acquire (including pursuant
to any merger with any Person that was not a wholly owned Subsidiary prior to such merger) any Capital Stock, evidence of Indebtedness
or other securities (including any option, warrant, or other right to acquire any of the foregoing) of, make or permit to exist
any loans or advances to, Guarantee any obligations of, or make or permit to exist any investment or any other interest in, any
other Person (all of the foregoing being collectively called “Investments”), or purchase or otherwise acquire
(in one transaction or a series of transactions) any assets of any other Person that constitute a business unit, or create or
form any Subsidiary, except:


 


(a)          Investments
existing on the date hereof and set forth on Schedule 7.4 (including Investments in Subsidiaries that are Loan Parties);


 


(b)          Investments
in cash and Cash Equivalents;


 




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(c)          Guarantees
by the Borrower and its Subsidiaries constituting Indebtedness permitted by Section 7.1;


 


(d)          Investments
made by the Borrower in or to any Subsidiary (other than the PBM Strategic Joint Venture) and by any Subsidiary to the Borrower
or in or to another Subsidiary (other than the PBM Strategic Joint Venture); provided, that (i) in the case of any Investment
in the form of Indebtedness owed by a Loan Party to a Subsidiary that is not a Loan Party, such Indebtedness (and any related Guarantee
provided by any Loan Party) shall be subordinated to the Obligations on terms and pursuant to documentation in form and substance
reasonably satisfactory to the Administrative Agent and (ii) the aggregate principal amount of all Investments made by a Loan Party
to a Subsidiary that is not a Loan Party shall not exceed the greater of (A) $10,000,000 and (B) 1.50% of Consolidated Total Assets
(net of cash actually received by the Borrower or any such Subsidiary in respect of any such Investments and determined without
regard to any write-downs or write-offs of any investments, loans or advances in connection therewith);


 


(e)          Investments
in the PBM Strategic Joint Venture;


 


(f)          loans
or advances to employees, officers or directors of the Borrower or any of its Subsidiaries in the ordinary course of business for
travel, entertainment, relocation and related expenses; provided that the aggregate amount of all such loans and
advances shall not exceed $2,000,000 at any time outstanding;


 


(g)          Hedging
Transactions not prohibited by Section 7.10;


 


(h)          [Reserved];


 


(i)          Investments
received in satisfaction or partial satisfaction from financially troubled debtors or in connection with the bankruptcy or reorganization
of suppliers or customers;


 


(j)          Investments
consisting of deposits, expense prepayments, accounts receivable arising, trade debt granted and other credits extended to suppliers,
distributors or marketers in the ordinary course of business;


 


(k)          Investments
received as the non-cash portion of consideration received for dispositions not prohibited by Section 7.6; and


 


(l)          other
Investments (other than Investments in any Subsidiary that is not a Loan Party) which do not exceed $8,000,000 in the aggregate
over the remaining term of this Agreement after the Sixth Amendment Effective Date.


 


For purposes of determining
the amount of any Investment outstanding for purposes of this Section 7.4, such amount shall be deemed to be the cost of
such Investment when made, purchased or acquired, net of any amount representing return of (but not return on) such Investment
and without regard to any forgiveness of Indebtedness.


 


Section 7.5           Restricted
Payments.   The Borrower will not, and will not permit any of its Subsidiaries to, declare
or make, or agree to pay or make, directly or indirectly, any Restricted Payment, except:


 


(a)          dividends
payable by the Borrower solely in interests of any class of its common equity;


 




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(b)          Restricted
Payments made by any Subsidiary to the Borrower or to another Subsidiary; provided, that, (i) if such Restricted Payment
is made by a Subsidiary that is not wholly owned by the Borrower or another wholly owned Subsidiary of the Borrower, such Restricted
Payment shall be made on at least a pro rata basis with any other shareholders of such non-wholly owned Subsidiary and (ii) other
than any Restricted Payments consisting solely of required tax payments arising by virtue of any Subsidiary Loan Party being a
pass-through entity or being a member of a consolidated or other similar group for income tax purposes, if such Restricted Payment
is made by a Subsidiary Loan Party to a Subsidiary that is not a Loan Party, no Default or Event of Default has occurred and is
continuing before and immediately after giving effect to such payment;


 


(c)          payments
made by the Borrower under the ABDC Prime Vendor Agreement, to the extent permitted by the ABDC Intercreditor Agreement;


 


(d)          scheduled
payments of principal, interest and other amounts with respect to Subordinated Debt to the extent permitted by the terms of such
Indebtedness and by the terms of any subordination agreement applicable thereto;


 


(e)          Restricted
Payments in the form of a non-cash repurchase of Capital Stock of the Borrower that is deemed to occur upon the exercise of stock
options, warrants or other convertible or exchangeable securities to the extent that such Capital Stock represents a portion of
the exercise price of those securities, in each case, pursuant to any equity-based compensation or incentive plan of the Borrower;


 


(f)          dividends
made in cash in lieu of the issuance of fractional shares of Capital Stock of the Borrower in connection with the exercise warrants,
options or other securities convertible into, or exchangeable for, Capital Stock of the Borrower pursuant to any equity-based compensation
or incentive plan of the Borrower; and


 


(g)          cash
dividends, distributions, and share repurchases by the Borrower in respect of the Borrower’s common Capital Stock so long
as: (i) the aggregate amount of such cash dividends, distributions, and share repurchases does not exceed the Available Amount,
(ii) after giving pro forma effect to such cash dividend, distribution, or share repurchase, the Consolidated Total Net Leverage
Ratio is less than or equal to 2.50 to 1.00, calculated as of the last day of the most recently ended Fiscal Quarter for which
financial statements are required to have been delivered pursuant to Section 5.1(b), and (iii) at the time of such cash dividend,
distribution, or share repurchase and after giving effect thereto, no Default or Event of Default exists.


 


Section 7.6           Sale
of Assets. The Borrower will not, and will not permit any of its Subsidiaries to, convey, sell, lease, assign, transfer
or otherwise dispose of any of its assets, business or property or, in the case of any Subsidiary, any shares of such Subsidiary’s
Capital Stock, in each case whether now owned or hereafter acquired, to any Person other than the Borrower or a Subsidiary Loan
Party (or to qualify directors if required by applicable law), except:


 


(a)          the
sale or other disposition of damaged, scrap, obsolete or worn out property or other property (including intellectual property)
not necessary for operations, in each case, disposed of in the ordinary course of business;


 


(b)          the
sale of inventory in the ordinary course of business;


 


(c)          the
sale or other disposition of cash and Cash Equivalents in the ordinary course of business;


 




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(d)          the
issuance of Capital Stock by any Subsidiary of the Borrower issued to the Borrower or any Subsidiary Loan Party so long as such
issuance does not result in a Change in Control;


 


(e)          any
sale or disposition of Non-Core Assets so long as (i) at least 75% of the aggregate consideration received in respect of such sale
or disposition is received in cash or Cash Equivalents; (ii) such sales and dispositions shall be for fair market value; (iii)
the Borrower shall be in compliance with the terms of Article VI (whether or not then in effect), on a Pro Forma Basis after
giving effect to such sale or disposition, calculated as of the last day of the most recently ended Fiscal Quarter for which financial
statements are required to have been delivered pursuant to Section 5.1(b) and the Borrower shall have delivered to the Administrative
Agent a certificate with applicable calculations attached signed by a Responsible Officer certifying to the foregoing; (iv) immediately
before and after giving effect to such sale or disposition, no Default or Event of Default shall have occurred and be continuing;
and (v) promptly (but in any event within five (5) Business Days) upon receipt thereof, 100% of the Net Cash Proceeds of such sale
or disposition are used to prepay the Loans in accordance with Section 2.12(a);


 


(f)          the
occurrence of any casualty event, condemnation, eminent domain or other similar proceeding with respect to any assets or property
of the Borrower or any of its Subsidiaries (provided that the Net Cash Proceeds thereof are used to prepay the Loans in
accordance with Section 2.12(a)); and


 


(g)          any
other sale or disposition of assets not otherwise described in this Section 7.6 not to exceed $1,000,000 in the aggregate
over the remaining term of this Agreement after the Sixth Amendment Effective Date, so long as (i) at least 75% of the aggregate
consideration received in respect of such sale or disposition is received in cash or Cash Equivalents, (ii) such sales and dispositions
shall be for fair market value (provided that the Net Cash Proceeds thereof are used to prepay the Loans in accordance with
Section 2.12(a)) and (iii) such sales and dispositions are made to a Person that is not an Affiliate of the Borrower.


 


Section 7.7           Transactions
with Affiliates.   The Borrower will not, and will not permit any of its Subsidiaries to, sell, lease or
otherwise transfer any property or assets to, or purchase, lease or otherwise acquire any property or assets from, or otherwise
engage in any other transactions with, any of its Affiliates, except:


 


(a)          in
the ordinary course of business at prices and on terms and conditions not less favorable to the Borrower or such Subsidiary than
could be obtained on an arm’s-length basis from unrelated third parties;


 


(b)          transactions
(i) between or among the Borrower and any Subsidiary Loan Party not involving any other Affiliates (other than any other Subsidiary
Loan Party) or (ii) between or among the Borrower or any Subsidiary Loan Party and any Subsidiary that is not a Loan Party that
are not otherwise prohibited by this Agreement (in each case, subject to the terms and conditions therefor, if any);


 


(c)          any
Restricted Payment permitted by Section 7.5;


 


(d)          transactions
in respect of compensation or employment, separation and severance of officers, directors or employees and the establishment and
maintenance of benefit programs or arrangements with employees, officers or directors, including vacation plans, health and life
insurance plans, deferred compensation plans and retirement or savings plans and similar plans or equity incentive or equity option
plans, in each case, in the ordinary course of business; and


 




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(e)          any
transaction set forth on Schedule 7.7 as of the Closing Date.


 


Section 7.8           Restrictive
Agreements.   The Borrower will not, and will not permit any of its Subsidiaries to, directly or indirectly,
enter into, incur or permit to exist any agreement that prohibits, restricts or imposes any condition upon (a) the ability of
the Borrower or any of its Subsidiaries to create, incur or permit any Lien upon any of its assets or properties, whether now
owned or hereafter acquired, or (b) the ability of any of its Subsidiaries to pay dividends or other distributions with respect
to its Capital Stock, to make or repay loans or advances to the Borrower or any other Subsidiary thereof, to Guarantee Indebtedness
of the Borrower or any other Subsidiary thereof or to transfer any of its property or assets to the Borrower or any other Subsidiary
thereof; provided that (i) the foregoing shall not apply to restrictions or conditions imposed by law or by this Agreement,
any other Loan Document, the Priming Credit Agreement or any other Priming Loan Documents, (ii) the foregoing shall not apply
to customary restrictions and conditions contained in agreements relating to the sale of a Subsidiary pending such sale, provided
such restrictions and conditions apply only to the Subsidiary that is sold and such sale is permitted hereunder, (iii) clause
(a) shall not apply to restrictions or conditions imposed by any agreement relating to secured Indebtedness permitted by this
Agreement if such restrictions and conditions apply only to the property or assets securing such Indebtedness, (iv) clause (a)
shall not apply to customary provisions in leases licenses, licensing agreements and other contracts restricting the assignment
thereof and (v) the foregoing shall not apply to any restrictions and conditions imposed on any Foreign Subsidiary by the terms
of any Indebtedness of such Foreign Subsidiary permitted to be incurred hereunder, (vi) [reserved], and (vii) the foregoing
shall not apply to any Specified Strategic Joint Venture.


 


Section 7.9           Sale
and Leaseback Transactions.   The Borrower will not, and will not permit any of its Subsidiaries to, enter
into any arrangement, directly or indirectly, whereby it shall sell or transfer any property, real or personal, used or useful
in its business, whether now owned or hereinafter acquired, and thereafter rent or lease such property or other property that
it intends to use for substantially the same purpose or purposes as the property sold or transferred.


 


Section 7.10         Hedging
Transactions.   The Borrower will not, and will not permit any of its Subsidiaries to, enter into any Hedging
Transaction, other than Hedging Transactions entered into in the ordinary course of business to hedge or mitigate risks to which
the Borrower or any of its Subsidiaries is exposed in the conduct of its business or the management of its liabilities. Solely
for the avoidance of doubt, the Borrower acknowledges that a Hedging Transaction entered into for speculative purposes or of a
speculative nature (which shall be deemed to include any Hedging Transaction under which the Borrower or any of its Subsidiaries
is or may become obliged to make any payment (a) in connection with the purchase by any third party of any Capital Stock or any
Indebtedness or (b) as a result of changes in the market value of any Capital Stock or any Indebtedness) is not a Hedging Transaction
entered into in the ordinary course of business to hedge or mitigate risks.


 


Section 7.11         Amendment
to Material Documents.   The Borrower will not, and will not permit any of its Subsidiaries to, amend,
modify or waive any of its rights under (a) its certificate of incorporation, bylaws or other organizational documents in any
manner that would reasonably be expected to be materially adverse to the Lenders (it being agreed that any such amendment or modification
effected in accordance with Section 5.2(x) or in order to consummate a transaction permitted by Section 7.3 or the
transactions contemplated as of the Sixth Amendment Effective Date in connection with the Priming Loan Documents shall not be
deemed to be materially adverse to the Lenders), (b) any Material Agreements in any manner that would reasonably be expected to
be adverse to the Lenders in any material respect or (c) any Priming Loan Document, except as permitted by the Priming/Existing
Lien Intercreditor Agreement.


 




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Section 7.12         Accounting
Changes.   The Borrower will not, and will not permit any of its Subsidiaries to, make any significant
change in accounting treatment or reporting practices, except as required by GAAP, or change the Fiscal Year of the Borrower or
of any of its Subsidiaries, except to change the Fiscal Year of a Subsidiary to conform its Fiscal Year to that of the Borrower.


 


Section 7.13         Government
Regulation.   The Borrower will not, and will not permit any of its Subsidiaries to, (a) be or become subject
at any time to any law, regulation or list of any Governmental Authority of the United States (including, without limitation,
the OFAC list) that prohibits or limits the Lenders or the Administrative Agent from making any advance or extension of credit
to the Borrower or from otherwise conducting business with the Loan Parties, or (b) fail to provide documentary and other evidence
of the identity of the Loan Parties as may be requested by the Lenders or the Administrative Agent at any time to enable the Lenders
or the Administrative Agent to verify the identity of the Loan Parties or to comply with any applicable law or regulation, including,
without limitation, Section 326 of the Patriot Act at 31 U.S.C. Section 5318.


 


Section 7.14         Health
Care Matters.   Without limiting or being limited by any other provision of any Loan Document, and except
as would not reasonably be expected to have a Material Adverse Effect, the Borrower will not, and will not permit any of its Subsidiaries
to, (i) fail to maintain in effect all Licenses, Company Accreditations and Company Reimbursement Approvals, or (ii) engage in
any activity that constitutes or, with the giving of notice, the passage of time, or both, would (a) result in a violation of
any License, Company Accreditation or Company Reimbursement Approval or any Healthcare Laws, or (b) cause the Borrower or any
of its Subsidiaries not to be in compliance with any Healthcare Laws.


 


Section 7.15         ERISA.   No
Loan Party shall, or shall cause or permit any ERISA Affiliate to, cause or permit to occur an ERISA Event to the extent such
ERISA Event would reasonably be expected to have a Material Adverse Effect.


 


Section 7.16         Anti-Layering.   Except
as otherwise provided in the Priming/Existing Lien Intercreditor Agreement and/or the ABDC Intercreditor Agreement and notwithstanding
anything herein to the contrary, no Loan Party shall, and no Loan Party shall permit any of its Subsidiaries to create or incur
any Indebtedness (other than the Obligations) which is secured by a Lien on the Collateral, which Lien is subordinated in right
of priority to the Lien securing the Priming Obligations, unless the Lien securing such Indebtedness is also subordinated in right
of priority in the same manner and to the same extent, to the Lien securing the Obligations.


 


Section 7.17         Anti-Cash
Hoarding.   The Loan Parties shall not have, over any period of twenty (20) consecutive Business Days beginning
on or after March 1, 2017, an average amount of cash and Cash Equivalents (other than Restricted Cash) in excess of $25,000,000
(provided that any cash maintained in the LC Cash Collateral Account and in any deposit account specifically and exclusively
holding cash collateral for letters of credit issued to replace Existing Letters of Credit shall not be included when calculating
cash on hand for purposes of this Section 7.17), unless, within three (3) Business Days after the end of any such period,
such excess shall be used to prepay the Loans and the Priming Revolving Loans and applied as follows: first, to prepay the
outstanding Revolving Loans until paid in full, second, to prepay the outstanding Term B Loans until paid in full and third,
to prepay the outstanding Priming Revolving Loans.


 




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ARTICLE
VIII



EVENTS OF DEFAULT


 


Section 8.1           Events
of Default.   If any of the following events (each, an “Event of Default”) shall occur:


 


(a)          the
Borrower shall fail to pay any principal of any Loan or of 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 or otherwise; or


 


(b)          the
Borrower shall fail to pay any interest on any Loan or any fee or any other amount (other than an amount payable under subsection
(a) of this Section or an amount related to a Bank Product Obligation) payable under this Agreement or any other Loan Document,
when and as the same shall become due and payable, and such failure shall continue unremedied for a period of five (5) Business
Days; or


 


(c)          any
representation or warranty made or deemed made by or on behalf of the Borrower or any of its Subsidiaries in or in connection with
this Agreement or any other Loan Document (including the Schedules attached hereto and thereto), or in any amendments or modifications
hereof or waivers hereunder, or in any certificate, report, financial statement or other document submitted to the Administrative
Agent or the Lenders by any Loan Party or any representative of any Loan Party pursuant to or in connection with this Agreement
or any other Loan Document shall prove to be incorrect in any material respect (other than any representation or warranty that
is expressly qualified by a Material Adverse Effect or other materiality, in which case such representation or warranty shall prove
to be incorrect in any respect) when made or deemed made; or


 


(d)          the
Borrower shall fail to observe or perform any covenant or agreement contained in (i) Section 5.1 and such failure shall
remain unremedied for five (5) days, (ii) 2.22(k), 5.2, 5.3 (with respect to the Borrower’s legal existence),
5.7, 5.9, 5.11, 5.16 or Article VII, or (iii) Article VI, provided, that the Borrower’s
failure to comply with Article VI shall not constitute an Event of Default for purposes of any Term B Loan unless and until
the Revolving Loan Lenders have actually declared all Revolving Loans to be immediately due and payable in accordance with this
Agreement and all Revolving Commitments to be terminated and such declaration has not been rescinded; or


 


(e)          (i)
any Loan Party shall fail to observe or perform any covenant or agreement contained in this Agreement (other than those referred
to in subsections (a), (b) and (d) of this Section) or any other Loan Document or related to any Bank Product Obligation, and such
failure shall remain unremedied for 30 days after the earlier of (A) any Responsible Officer of the Borrower becomes
aware of such failure, or (B) written notice thereof shall have been given to the Borrower by the Administrative Agent or any Lender
or (ii) any “Event of Default” as defined in any Loan Document shall have occurred and be continuing; or


 




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(f)          (i)
the Borrower or any of its Subsidiaries (whether as primary obligor or as guarantor or other surety) shall fail to pay any principal
of, or premium or interest on, or any other amount owed under the ABDC Obligations or any Material Indebtedness (other than any
Hedging Obligations) that is outstanding, in each case, when and as the same shall become due and payable (whether at scheduled
maturity, required prepayment, acceleration, demand or otherwise), and such failure shall continue after the applicable grace period,
if any, specified in the agreement or instrument evidencing or governing the ABDC Obligations or such Material Indebtedness, as
applicable; or any other event shall occur or condition shall exist under any agreement or instrument relating to the ABDC Obligations
(including, without limitation, any default under the ABDC Prime Vendor Agreement) or any Material Indebtedness and shall continue
after the applicable grace period, if any, specified in such agreement or instrument, if the effect of such event or condition
is to accelerate, or permit the acceleration of, the maturity of the ABDC Obligations or such Material Indebtedness; or the ABDC
Obligations or any Material Indebtedness shall be declared to be due and payable, or required to be prepaid or redeemed (other
than by a regularly scheduled required prepayment or redemption), purchased or defeased, or any offer to prepay, redeem, purchase
or defease the ABDC Obligations or such Indebtedness shall be required to be made, in each case prior to the stated maturity thereof
or (ii) there occurs under any Hedging Transaction an Early Termination Date (as defined in such Hedging Transaction) resulting
from (A) any event of default under such Hedging Transaction as to which the Borrower or any of its Subsidiaries is the Defaulting
Party (as defined in such Hedging Transaction) and the Hedge Termination Value owed by the Borrower or such Subsidiary as a result
thereof is greater than $12,500,000 or (B) any Termination Event (as so defined) under such Hedging Transaction as to which the
Borrower or any Subsidiary is an Affected Party (as so defined) and the Hedge Termination Value owed by the Borrower or such Subsidiary
as a result thereof is greater than $12,500,000 and is not paid; or


 


(g)          the
Borrower or any of its Subsidiaries shall (i) commence a voluntary case or other proceeding or file any petition seeking liquidation,
reorganization or other relief under any federal, state or foreign bankruptcy, insolvency or other similar law now or hereafter
in effect or seeking the appointment of a custodian, trustee, receiver, liquidator or other similar official of it or any substantial
part of its property, (ii) consent to the institution of, or fail to contest in a timely and appropriate manner, any proceeding
or petition described in subsection (i) of this Section, (iii) apply for or consent to the appointment of a custodian, trustee,
receiver, liquidator or other similar official for the Borrower or any such Subsidiary or for a substantial part of its assets,
(iv) file an answer admitting the material allegations of a petition filed against it in any such proceeding, (v) make a general
assignment for the benefit of creditors, or (vi) take any action for the purpose of effecting any of the foregoing; or


 


(h)          an
involuntary proceeding shall be commenced or an involuntary petition shall be filed seeking (i) liquidation, reorganization or
other relief in respect of the Borrower or any of its Subsidiaries or its debts, or any substantial part of its assets, under any
federal, state or foreign bankruptcy, insolvency or other similar law now or hereafter in effect or (ii) the appointment of a custodian,
trustee, receiver, liquidator or other similar official for the Borrower or any of its Subsidiaries or for a substantial part of
its assets, and in any such case, such proceeding or petition shall remain undismissed for a period of 60 days or an order or decree
approving or ordering any of the foregoing shall be entered; or


 


(i)          the
Borrower or any of its Subsidiaries shall become unable to generally pay, shall admit in writing its inability to generally pay,
or shall fail to pay, its debts as they become due; or


 


(j)          (i)
an ERISA Event shall have occurred that, when taken together with other ERISA Events that have occurred, would reasonably be expected
to result in liability to the Borrower and its Subsidiaries in an aggregate amount exceeding $12,500,000, (ii) there is or arises
an Unfunded Pension Liability (not taking into account Plans with negative Unfunded Pension Liability) in an aggregate amount exceeding
$12,500,000, or (iii) there is or arises any potential Withdrawal Liability in an aggregate amount exceeding $12,500,000; or


 


(k)          any
final non-consensual judgment or order for the payment of money (to the extent not covered by insurance as to which the insurer
has been notified of such judgment and has not denied coverage in writing) in excess of $12,500,000 individually (or, together
with any related non-consensual judgment or order, in the aggregate) shall be rendered against the Borrower or any of its Subsidiaries,
and either (i) enforcement proceedings shall have been commenced by any creditor upon such non-consensual judgment or order or
(ii) such non-consensual judgment or order remains unvacated, unbounded or unstayed for a period of 30 consecutive days; or


 




    	 	105	 



     


    

  


(l)          any
final non-monetary judgment or order shall be rendered against the Borrower or any of its Subsidiaries that would reasonably
be expected, either individually or in the aggregate, to have a Material Adverse Effect, and there shall be a period of 30 consecutive
days during which a stay of enforcement of such judgment or order, by reason of a pending appeal or otherwise, shall not be in
effect; or


 


(m)          a
Change in Control shall occur or exist; or


 


(n)          all
or any material portion or provision of the Guaranty and Security Agreement, the ABDC Intercreditor Agreement, the Priming/Existing
Lien Intercreditor Agreement, or any other Loan Document shall for any reason (other than (x) solely as a result of any action
or inaction on the part of the Administrative Agent or any Lender, or (y) in accordance with its terms) cease to be valid and binding
on, or enforceable against, any Loan Party, or any Loan Party shall so state in writing, or any Loan Party shall seek to terminate
its obligation under the Guaranty and Security Agreement, the ABDC Intercreditor Agreement, the Priming/Existing Lien Intercreditor
Agreement, or any other Loan Document (other than the release of any guaranty or collateral in accordance with Section 9.11
or any other release in accordance with the terms of such document or otherwise in accordance with the terms hereof); or


 


(o)          any
Lien purported to be created under any Collateral Document shall fail or cease to be, or shall be asserted by any Loan Party not
to be, a valid and perfected, and, except for Specified Permitted Liens, first priority Lien on any Collateral (other than, in
each case, solely as a result of any action or inaction on the part of the Administrative Agent or any Lender); or


 


(p)          (i)
the commencement by any Governmental Authority of any proceeding or hearing relating to the criminal and/or civil violation of
any Governmental Payor Arrangement or License of the Borrower or any of its Subsidiaries, to the extent such proceeding or hearing
would reasonably be expected to have a Material Adverse Effect; (ii) there shall have occurred the involuntary termination of,
or the receipt by the Borrower or any of its Subsidiaries of notice of the involuntary termination of, or the occurrence of any
event or condition which would, with the passage of time or the giving of notice or both, constitute an event of default under
or permit the involuntary termination of, any Governmental Payor Arrangement, Third Party Payor Arrangement, License, or Company
Accreditation of the Borrower or any of its Subsidiaries, except for involuntary terminations that would not be expected to have
a Material Adverse Effect; or (iii) the imposition of any overpayment in an amount in excess of $5,000,000 by any Governmental
Authority or Third Party Payor under any Healthcare Law or pursuant to any Governmental Payor Arrangement or Third Party Payor
Arrangement, as applicable; or


 


(q)          the
Borrower or any of its Subsidiaries or any of their respective directors or officers is criminally convicted under any law or Requirement
of Law that would reasonably be expected to lead to (i) a forfeiture of a material portion of Collateral or (ii) exclusion from
participation in any federal or state health care program, including Medicare or Medicaid, and such exclusion would reasonably
be expected to result in a Material Adverse Effect; or


 


(r)          [Reserved];
or


 


(s)          (i)
there shall occur any “Event of Default” under, and as defined in, the Priming Credit Agreement which continues beyond
any applicable grace period provided therefor and as a result thereof, the Priming Lenders cause or declare the Priming Obligations
to become immediately due and payable prior to the stated maturity thereof; or (ii) there shall occur any “Event of Default”
under, and as defined in, the Priming Credit Agreement resulting from any Loan Party’s failure to make payment of any principal
in respect of the Priming Obligations when due at the final maturity thereof;


 




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then, and in every such event (other than
an event with respect to the Borrower described in subsection (g) or (h) of this Section) and at any time thereafter during the
continuance of such event, the Administrative Agent may, and upon the written request of the Required Lenders shall, by notice
to the Borrower, take any or all of the following actions, at the same or different times: (i) terminate the Commitments,
whereupon the Commitment of each Lender shall terminate immediately, (ii) declare the principal of and any accrued interest
on the Loans, and all other Obligations owing hereunder, to be, whereupon the same 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, (iii) exercise all remedies
contained in any other Loan Document, and (iv) exercise any other remedies available at law or in equity; provided that,
if an Event of Default specified in either subsection (g) or (h) shall occur, the Commitments shall automatically terminate and
the principal of the Loans then outstanding, together with accrued interest thereon, and all fees and all other Obligations 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; provided further that any remedies exercised in respect of any Event of Default under subsection
(d)(ii) shall be subject to the terms thereof.


 


Section 8.2           Application
of Proceeds from Collateral.   All proceeds from each sale of, or other realization upon, all or any part
of the Collateral by any Secured Party after an Event of Default arises shall be applied as follows:


 


(a)          first,
to the reimbursable expenses of the Administrative Agent incurred in connection with such sale or other realization upon the Collateral,
until the same shall have been paid in full;


 


(b)          second,
to the fees and other reimbursable expenses of the Administrative Agent, the Swingline Lender and the Issuing Bank then due and
payable pursuant to any of the Loan Documents, until the same shall have been paid in full;


 


(c)          third,
to all reimbursable expenses, if any, of the Lenders then due and payable pursuant to any of the Loan Documents, until the same
shall have been paid in full;


 


(d)          fourth,
to the fees and interest then due and payable under the terms of this Agreement, until the same shall have been paid in full;


 


(e)          fifth,
to the aggregate outstanding principal amount of the Loans, the LC Exposure, the Bank Product Obligations and the Net Mark-to-Market
Exposure of the Hedging Obligations that constitute Obligations, until the same shall have been paid in full, allocated pro
rata among the Secured Parties based on their respective pro rata shares of the aggregate amount of such Loans, LC Exposure,
Bank Product Obligations and Net Mark-to-Market Exposure of such Hedging Obligations; provided, however, that no
amount received from any Guarantor (including any proceeds of any sale of, or other realization upon, all or any part of the Collateral
owned by such Guarantor) shall be applied to any Excluded Swap Obligation of such Guarantor;


 


(f)          sixth,
to additional cash collateral for the aggregate amount of all outstanding Letters of Credit until the aggregate amount of all cash
collateral held by the Administrative Agent pursuant to this Agreement is not less than 105% of the LC Exposure after giving effect
to the foregoing clause fifth to the extent that the amount in the LC Cash Collateral Account is less than 105% of the LC
Exposure; and


 




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(g)          seventh,
to the extent any proceeds remain, to the Borrower or as otherwise provided by a court of competent jurisdiction.


 


All amounts allocated
pursuant to the foregoing clauses third through fifth to the Lenders as a result of amounts owed to the Lenders under
the Loan Documents shall be allocated among, and distributed to, the Lenders pro rata based on their respective Pro Rata
Shares; provided that all amounts allocated to that portion of the LC Exposure comprised of the aggregate undrawn amount
of all outstanding Letters of Credit pursuant to clauses fifth and sixth shall be distributed to the Administrative
Agent, rather than to the Lenders, and held by the Administrative Agent in an account in the name of the Administrative Agent for
the benefit of the Issuing Bank and the Lenders as cash collateral for the LC Exposure, such account to be administered in accordance
with Section 2.22(k). All cash collateral for LC Exposure shall be applied to satisfy drawings under the Letters of Credit
as they occur and otherwise applied in accordance with Section 2.22(k).


 


Notwithstanding the foregoing,
Bank Product Obligations and Hedging Obligations shall be excluded from the application described above if the Administrative Agent
has not received written notice thereof (to the extent required by the terms hereof), together with such supporting documentation
as the Administrative Agent may request, from the Bank Product Provider or the Lender-Related Hedge Provider, as the case may be.
Each Bank Product Provider or Lender-Related Hedge Provider that has given the notice contemplated by the preceding sentence shall,
by such notice, be deemed to have acknowledged and accepted the appointment of the Administrative Agent pursuant to the terms of
Article IX hereof for itself and its Affiliates as if a “Lender” party hereto.


 


ARTICLE
IX



THE ADMINISTRATIVE AGENT


 


Section 9.1           Appointment
of the Administrative Agent.


 


(a)          Each
Lender irrevocably appoints SunTrust Bank as the Administrative Agent and authorizes it to take such actions on its behalf and
to exercise such powers as are delegated to the Administrative Agent under this Agreement and the other Loan Documents, together
with all such actions and powers that are reasonably incidental thereto. The Administrative Agent may perform any of its duties
hereunder or under the other Loan Documents by or through any one or more sub-agents or attorneys-in-fact appointed by the Administrative
Agent. The Administrative Agent and any such sub-agent or attorney-in-fact may perform any and all of its duties and exercise its
rights and powers through their respective Related Parties. The exculpatory provisions set forth in this Article shall apply to
any such sub-agent, attorney-in-fact or Related Party and shall apply to their respective activities in connection with the syndication
of the credit facilities provided for herein as well as activities as the Administrative Agent. Without limiting the generality
of the foregoing, each Secured Party acknowledges that it has received a copy of the Priming/Existing Lien Intercreditor Agreement,
consents to and authorizes Agent’s execution and delivery thereof on behalf of such Secured Party and agrees to be bound
by the terms and provisions thereof, including any purchase option contained therein.


 




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(b)          The
Issuing Bank shall act on behalf of the Lenders with respect to any Letters of Credit issued by it and the documents associated
therewith until such time and except for so long as the Administrative Agent may agree at the request of the Required Lenders to
act for the Issuing Bank with respect thereto; provided that the Issuing Bank shall have all the benefits and immunities
(i) provided to the Administrative Agent in this Article with respect to any acts taken or omissions suffered by the Issuing Bank
in connection with Letters of Credit issued by it or proposed to be issued by it and the application and agreements for letters
of credit pertaining to the Letters of Credit as fully as if the term “Administrative Agent” as used in this Article
included the Issuing Bank with respect to such acts or omissions and (ii) as additionally provided in this Agreement with respect
to the Issuing Bank.


 


Section 9.2           Nature
of Duties of the Administrative Agent.   The Administrative Agent shall not have any duties or obligations
except those expressly set forth in this Agreement and the other Loan Documents. Without limiting the generality of the foregoing,
(a) the Administrative Agent shall not be subject to any fiduciary or other implied duties, regardless of whether a Default or
an Event of Default has occurred and is continuing, (b) the Administrative Agent shall not have any duty to take any discretionary
action or exercise any discretionary powers, except those discretionary rights and powers expressly contemplated by the Loan Documents
that the Administrative Agent is required to exercise in writing by the Required Lenders (or such other number or percentage of
the Lenders as shall be necessary under the circumstances as provided in Section 10.2), provided that the Administrative
Agent shall not be required to take any action that, in its opinion or the opinion of its counsel, may expose the Administrative
Agent to liability or that is contrary to any Loan Document or applicable law, including for the avoidance of doubt any action
that may be in violation of the automatic stay under any Debtor Relief Law or that may effect a forfeiture, modification or termination
of property of a Defaulting Lender in violation of any Debtor Relief Law; and (c) except as expressly set forth in the Loan Documents,
the Administrative Agent shall not have any duty to disclose, and shall not be liable for the failure to disclose, any information
relating to the Borrower or any of its Subsidiaries that is communicated to or obtained by the Administrative Agent or any of
its Affiliates in any capacity. The Administrative Agent shall not be liable for any action taken or not taken by it, its sub-agents
or its attorneys-in-fact with the consent or at the request of the Required Lenders (or such other number or percentage of the
Lenders as shall be necessary under the circumstances as provided in Section 10.2) or in the absence of its own gross negligence
or willful misconduct. The Administrative Agent shall not be responsible for the negligence or misconduct of any sub-agents or
attorneys-in-fact selected by it with reasonable care. The Administrative Agent shall not be deemed to have knowledge of any Default
or Event of Default unless and until written notice thereof (which notice shall include an express reference to such event being
a “Default” or “Event of Default” hereunder) is given to the Administrative Agent by the Borrower or any
Lender, and the Administrative Agent shall not be responsible for or have any duty to ascertain or inquire into (i) any statement,
warranty or representation made in or in connection with any 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 and conditions set forth in any Loan Document, (iv) the validity, enforceability,
effectiveness or genuineness of any Loan Document or any other agreement, instrument or document, or (v) the satisfaction of any
condition set forth in Article III or elsewhere in any Loan Document, other than to confirm receipt of items expressly
required to be delivered to the Administrative Agent. The Administrative Agent may consult with legal counsel (including counsel
for the Borrower) concerning all matters pertaining to such duties.


 


Section 9.3           Lack
of Reliance on the Administrative Agent.   Each of the Lenders, the Swingline Lender and the Issuing Bank
acknowledges that it has, independently and without reliance upon the Administrative Agent, the Issuing Bank 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 of the Lenders, the Swingline Lender and the Issuing Bank also acknowledges that it will, independently and
without reliance upon the Administrative Agent, the Issuing Bank or any other Lender and based on such documents and information
as it has deemed appropriate, continue to make its own decisions in taking or not taking any action under or based on this Agreement,
any related agreement or any document furnished hereunder or thereunder.


 




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Section 9.4           Certain
Rights of the Administrative Agent.   If the Administrative Agent shall request instructions from the Required
Lenders with respect to any action or actions (including the failure to act) in connection with this Agreement, the Administrative
Agent shall be entitled to refrain from such act or taking such act unless and until it shall have received instructions from
such Lenders, and the Administrative Agent shall not incur liability to any Person by reason of so refraining. Without limiting
the foregoing, no Lender shall have any right of action whatsoever against the Administrative Agent as a result of the Administrative
Agent acting or refraining from acting hereunder in accordance with the instructions of the Required Lenders where required by
the terms of this Agreement.


 


Section 9.5           Reliance
by the Administrative Agent.   The Administrative 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, posting or other distribution) believed by it to be genuine and to have been signed, sent or made by the
proper Person. The Administrative Agent may also rely upon any statement made to it orally or by telephone and believed by it
to be made by the proper Person and shall not incur any liability for relying thereon. The Administrative Agent may consult with
legal counsel (including counsel for the Borrower), independent public 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 such counsel, accountants or experts.


 


Section 9.6           The
Administrative Agent in its Individual Capacity.   The bank serving as the Administrative Agent shall have
the same rights and powers under this Agreement and any other Loan Document in its capacity as a Lender as any other Lender and
may exercise or refrain from exercising the same as though it were not the Administrative Agent; and the terms “Lenders”,
“Required Lenders”, “Required Revolving Lenders”, or any similar terms shall, unless the context clearly
otherwise indicates, include the Administrative Agent in its individual capacity. The bank acting as the Administrative Agent
and its Affiliates may accept deposits from, lend money to, and generally engage in any kind of business with the Borrower or
any Subsidiary or Affiliate of the Borrower as if it were not the Administrative Agent hereunder.


 


Section 9.7           Successor
Administrative Agent.


 


(a)          The
Administrative Agent may resign at any time by giving notice thereof to the Lenders and the Borrower. Upon any such resignation,
the Required Lenders shall have the right to appoint a successor Administrative Agent, subject to approval by the Borrower provided
that no Default or Event of Default shall exist at such time. If no successor Administrative Agent shall have been so appointed,
and shall have accepted such appointment within 30 days after the retiring Administrative Agent gives notice of resignation,
then the retiring Administrative Agent may, on behalf of the Lenders, appoint a successor Administrative Agent which shall be organized
under the laws of the United States or any state thereof or maintain an office in the United States.


 


(b)          Upon
the acceptance of its appointment as the Administrative Agent hereunder by a successor, such successor Administrative Agent shall
thereupon succeed to and become vested with all the rights, powers, privileges and duties of the retiring Administrative Agent,
and the retiring Administrative Agent shall be discharged from its duties and obligations under this Agreement and the other Loan
Documents. If, within 45 days after written notice is given of the retiring Administrative Agent’s resignation under this
Section, no successor Administrative Agent shall have been appointed and shall have accepted such appointment, then on such 45th
day (i) the retiring Administrative Agent’s resignation shall become effective, (ii) the retiring Administrative Agent shall
thereupon be discharged from its duties and obligations under the Loan Documents and (iii) the Required Lenders shall thereafter
perform all duties of the retiring Administrative Agent under the Loan Documents until such time as the Required Lenders appoint
a successor Administrative Agent as provided above. After any retiring Administrative Agent’s resignation hereunder, the
provisions of this Article shall continue in effect for the benefit of such retiring or removed Administrative Agent and its representatives
and agents in respect of any actions taken or not taken by any of them while it was serving as the Administrative Agent.


 




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(c)          In
addition to the foregoing, if a Lender becomes, and during the period it remains, a Defaulting Lender, and if any Default has arisen
from a failure of the Borrower to comply with Section 2.26(b), then the Issuing Bank and the Swingline Lender may, upon
prior written notice to the Borrower and the Administrative Agent, resign as Issuing Bank or as Swingline Lender, as the case may
be, effective at the close of business Atlanta, Georgia time on a date specified in such notice (which date may not be less than
five (5) Business Days after the date of such notice).


 


Section 9.8           Withholding
Tax.   To the extent required by any applicable law, the Administrative Agent may withhold from any interest
payment to any Lender an amount equivalent to any applicable withholding tax. If the Internal Revenue Service or any authority
of the United States or any other jurisdiction asserts a claim that the Administrative Agent did not properly withhold tax from
amounts paid to or for the account of any Lender (because the appropriate form was not delivered or was not properly executed,
or because such Lender failed to notify the Administrative Agent of a change in circumstances that rendered the exemption from,
or reduction of, withholding tax ineffective, or for any other reason), such Lender shall indemnify the Administrative Agent (to
the extent that the Administrative Agent has not already been reimbursed by the Borrower and without limiting the obligation of
the Borrower to do so) fully for all amounts paid, directly or indirectly, by the Administrative Agent as tax or otherwise, including
penalties and interest, together with all expenses incurred, including legal expenses, allocated staff costs and any out of pocket
expenses.


 


Section 9.9           The
Administrative Agent May File Proofs of Claim.


 


(a)          In
case of the pendency of any receivership, insolvency, liquidation, bankruptcy, reorganization, arrangement, adjustment, composition
or other judicial proceeding relative to any Loan Party, the Administrative Agent (irrespective of whether the principal of any
Loan or any Revolving Credit Exposure shall then be due and payable as herein expressed or by declaration or otherwise and irrespective
of whether the Administrative Agent shall have made any demand on the Borrower) shall be entitled and empowered, by intervention
in such proceeding or otherwise:


 


(i)          to
file and prove a claim for the whole amount of the principal and interest owing and unpaid in respect of the Loans or Revolving
Credit Exposure and all other Obligations that are owing and unpaid and to file such other documents as may be necessary or advisable
in order to have the claims of the Lenders, the Issuing Bank and the Administrative Agent (including any claim for the reasonable
compensation, expenses, disbursements and advances of the Lenders, the Issuing Bank and the Administrative Agent and its agents
and counsel and all other amounts due the Lenders, the Issuing Bank and the Administrative Agent under Section 10.3) allowed
in such judicial proceeding; and


 


(ii)         to
collect and receive any monies or other property payable or deliverable on any such claims and to distribute the same.


 


(b)          Any
custodian, receiver, assignee, trustee, liquidator, sequestrator or other similar official in any such judicial proceeding is hereby
authorized by each Lender and the Issuing Bank to make such payments to the Administrative Agent and, if the Administrative Agent
shall consent to the making of such payments directly to the Lenders and the Issuing Bank, to pay to the Administrative Agent any
amount due for the reasonable compensation, expenses, disbursements and advances of the Administrative Agent and its agents and
counsel, and any other amounts due the Administrative Agent under Section 10.3.


 




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Nothing contained herein
shall be deemed to authorize the Administrative Agent to authorize or consent to or accept or adopt on behalf of any Lender or
the Issuing Bank any plan of reorganization, arrangement, adjustment or composition affecting the Obligations or the rights of
any Lender or to authorize the Administrative Agent to vote in respect of the claim of any Lender in any such proceeding.


 


Section 9.10         Authorization
to Execute Other Loan Documents.   Each Lender hereby authorizes the Administrative Agent to execute on
behalf of all Lenders all Loan Documents (including, without limitation, the Priming/Existing Lien Intercreditor Agreement, the
Collateral Documents and any subordination agreements) other than this Agreement.


 


Section 9.11         Collateral
and Guaranty Matters.   The Lenders irrevocably authorize the Administrative Agent, at its option and in
its discretion:


 


(a)          to
release any Lien on any property granted to or held by the Administrative Agent under any Loan Document (i) (x) upon the termination
of all Revolving Commitments, the Cash Collateralization of all reimbursement obligations with respect to Letters of Credit in
an amount equal to 105% of the aggregate LC Exposure of all Lenders, and the payment in full of all Obligations (other than Hedging
Obligations owed by any Loan Party to any Lender-Related Hedge Provider, Bank Product Obligations and indemnities and other contingent
obligations not then due and payable and as to which no claim has been made) or (y) with respect to any Lien on cash collateral
held in the LC Cash Collateral Account, concurrently with, and in the amount of, any direct wiring thereof being made by the Administrative
Agent to the cash collateral account applicable to any replacement letter of credit pursuant to Section 2.22(k) with respect
to any Lien on cash collateral held in the LC Cash Collateral Account, concurrently with, and in the amount of, any direct wiring
thereof being made by the Administrative Agent into the applicable cash collateral accounts pursuant to Section 2.22(k),
(ii) that is sold or to be sold as part of or in connection with any sale permitted hereunder or under any other Loan Document,
or (iii) if approved, authorized or ratified in writing in accordance with Section 10.2; and


 


(b)          to
release any Loan Party from its obligations under the applicable Collateral Documents if such Person ceases to be a Subsidiary
as a result of a transaction permitted hereunder.


 


Upon request by the Administrative Agent
at any time, the Required Lenders will confirm in writing the Administrative Agent’s authority to release its interest in
particular types or items of property, or to release any Loan Party from its obligations under the applicable Collateral Documents
pursuant to this Section. In each case as specified in this Section, the Administrative Agent is authorized, at the Borrower’s
expense, to execute and deliver to the applicable Loan Party such documents as such Loan Party may reasonably request to evidence
the release of such item of Collateral from the Liens granted under the applicable Collateral Documents, or to release such Loan
Party from its obligations under the applicable Collateral Documents, in each case in accordance with the terms of the Loan Documents
and this Section.


 


Section 9.12         Syndication
Agent.   Each Lender hereby designates Jefferies as Syndication Agent and agrees that the Syndication Agent
shall have no duties or obligations under any Loan Documents to any Lender or any Loan Party.


 




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Section 9.13         Right
to Realize on Collateral and Enforce Guarantee.   Anything contained in any of the Loan Documents to the
contrary notwithstanding, the Borrower, the Administrative Agent and each Lender hereby agree that (i) no Lender shall have any
right individually to realize upon any of the Collateral or to enforce the Collateral Documents, it being understood and agreed
that all powers, rights and remedies hereunder and under the Collateral Documents may be exercised solely by the Administrative
Agent, and (ii) in the event of a foreclosure by the Administrative Agent on any of the Collateral pursuant to a public or private
sale or other disposition, the Administrative Agent or any Lender may be the purchaser or licensor of any or all of such Collateral
at any such sale or other disposition and the Administrative Agent, as agent for and representative of the Lenders (but not any
Lender or Lenders in its or their respective individual capacities unless the Required Lenders shall otherwise agree in writing),
shall be entitled, for the purpose of bidding and making settlement or payment of the purchase price for all or any portion of
the Collateral sold at any such public sale, to use and apply any of the Obligations as a credit on account of the purchase price
for any collateral payable by the Administrative Agent at such sale or other disposition.


 


Section 9.14         Secured
Bank Product Obligations and Hedging Obligations.   No Bank Product Provider or Lender-Related Hedge Provider
that obtains the benefits of Section 8.2, the Collateral Documents or any Collateral by virtue of the provisions hereof
or of any other Loan Document shall have any right to notice of any action or to consent to, direct or object to any action hereunder
or under any other Loan Document or otherwise in respect of the Collateral (including the release or impairment of any Collateral)
other than in its capacity as a Lender and, in such case, only to the extent expressly provided in the Loan Documents. Notwithstanding
any other provision of this Article to the contrary, the Administrative Agent shall not be required to verify the payment of, or
that other satisfactory arrangements have been made with respect to, Bank Product Obligations and Hedging Obligations unless the
Administrative Agent has received written notice of such Obligations, together with such supporting documentation as the Administrative
Agent may request, from the applicable Bank Product Provider or Lender-Related Hedge Provider, as the case may be.


 


Section 9.15         ABDC
INTERCREDITOR AGREEMENT.   EACH LENDER (A) AGREES THAT IT WILL BE BOUND BY, AND WILL TAKE NO ACTIONS CONTRARY
TO, THE PROVISIONS OF THE ABDC INTERCREDITOR AGREEMENT, (B) AUTHORIZES AND INSTRUCTS THE ADMINISTRATIVE AGENT TO ENTER INTO THE
ABDC INTERCREDITOR AGREEMENT AS ADMINISTRATIVE AGENT ON BEHALF OF SUCH LENDER, AND TO TAKE ALL ACTIONS (AND EXECUTE ALL DOCUMENTS)
REQUIRED (OR DEEMED ADVISABLE) BY IT IN ACCORDANCE WITH THE TERMS OF THE ABDC INTERCREDITOR AGREEMENT, AND (C) ACKNOWLEDGES THAT
A COPY OF THE ABDC INTERCREDITOR AGREEMENT WAS MADE AVAILABLE TO SUCH LENDER AND THAT SUCH LENDER REVIEWED THE ABDC INTERCREDITOR
AGREEMENT. NOT IN LIMITATION OF THE FOREGOING, EACH LENDER HEREBY AGREES THAT THE ADMINISTRATIVE AGENT SHALL EXERCISE ALL RIGHTS
AND REMEDIES UNDER THE ABDC INTERCREDITOR AGREEMENT ON BEHALF OF SUCH LENDER.


 


Section 9.16         PRIMING/EXISTING
LIEN INTERCREDITOR AGREEMENT.   EACH LENDER (A) AGREES THAT IT WILL BE BOUND BY, AND WILL TAKE NO ACTIONS
CONTRARY TO, THE PROVISIONS OF THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT, (B) AUTHORIZES AND INSTRUCTS THE ADMINISTRATIVE
AGENT TO ENTER INTO THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT AS ADMINISTRATIVE AGENT ON BEHALF OF SUCH LENDER, AND TO
TAKE ALL ACTIONS (AND EXECUTE ALL DOCUMENTS) REQUIRED (OR DEEMED ADVISABLE) BY IT IN ACCORDANCE WITH THE TERMS OF THE PRIMING/EXISTING
LIEN INTERCREDITOR AGREEMENT, AND (C) ACKNOWLEDGES THAT A COPY OF THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT WAS MADE AVAILABLE
TO SUCH LENDER AND THAT SUCH LENDER REVIEWED THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT. EACH LENDER IS RESPONSIBLE FOR
MAKING ITS OWN ANALYSIS OF THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT AND THE TERMS AND PROVISIONS THEREOF, AND NEITHER
THE ADMINISTRATIVE AGENT NOR ANY OF ITS AFFILIATES MAKES ANY REPRESENTATION TO ANY LENDER AS TO THE SUFFICIENCY OR THE ADVISABILITY
OF THE PROVISIONS CONTAINED THEREIN. NOT IN LIMITATION OF THE FOREGOING, EACH LENDER HEREBY AGREES THAT THE ADMINISTRATIVE AGENT
SHALL EXERCISE ALL RIGHTS AND REMEDIES UNDER THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT ON BEHALF OF SUCH LENDER AND IN
THE EVENT OF AN INCONSISTENCY BETWEEN THIS AGREEMENT AND THE TERMS OF THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT, THE TERMS
OF THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT SHALL GOVERN. THE FOREGOING PROVISIONS ARE INTENDED AS AN INDUCEMENT TO THE
LENDERS UNDER THE PRIMING CREDIT AGREEMENT TO EXTEND CREDIT AND SUCH LENDERS ARE THE INTENDED THIRD PARTY BENEFICIARIES OF SUCH
PROVISIONS AND THE PROVISIONS OF THE PRIMING/EXISTING LIEN INTERCREDITOR AGREEMENT.


 


 




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ARTICLE
X



MISCELLANEOUS


 


Section 10.1         Notices.


 


(a)          Written
Notices.


 


(i)          Except
in the case of notices and other communications expressly permitted to be given by telephone, all notices and other communications
to any party herein to be effective 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:


 


	To the Borrower:	BioScrip, Inc.
	 	1600 Broadway, Suite 700
	 	Denver, CO 80202
	 	Attn: Jeffrey M. Kreger, Senior Vice President,
    Chief Financial Officer & Treasurer
	 	Telecopy Number: (720) 468-4040
	 	 
	With a copy to (for Information purposes only):	Dechert LLP
	 	1095 Avenue of the Americas
	 	New York, New York 10036
	 	Attention: Scott M. Zimmerman
	 	Telecopy Number: (212) 698-3599
	 	 
	To the Administrative Agent:	SunTrust Bank
	 	Mail Code FL-Orlando-2052
	 	200 S. Orange Avenue, 5th Floor
	 	Orlando, FL 32801
	 	Attention: Juan De Jesus-Caballero
	 	Telecopy Number: (407) 835-1276


 




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	With a copy to (for Information
    purposes only):	SunTrust Bank
	 	Agency Services
	 	303 Peachtree Street, N.E. / 25th
    Floor
	 	Atlanta, Georgia 30308
	 	Attention: Doug Weltz
	 	Telecopy Number: (404) 221-2001
	 	 
	 	With a
    copy to:
	 	 
	 	King & Spalding LLP
	 	1185 Avenue of the Americas
	 	New York, NY 10036
	 	Attention: Michael C. Rupe
	 	Telecopy Number: (212) 556-2222
	 	 
	 	and
	 	 
	 	King & Spalding LLP
	 	1185 Avenue of the Americas
	 	New York, NY 10036
	 	Attention: Ellen M. Snare
	 	Telecopy Number: (212) 556-2222
	 	 
	To any other Lender:	the address set forth in the Administrative
    Questionnaire executed by such Lender


 


Any party hereto may
change its address or telecopy number for notices and other communications hereunder by notice to the other parties hereto. All
such notices and other communications shall be effective upon actual receipt by the relevant Person or, if delivered by overnight
courier service, upon the first Business Day after the date deposited with such courier service for overnight (next-day) delivery
or, if sent by telecopy, upon transmittal in legible form by facsimile machine or, if mailed, upon the third Business Day after
the date deposited into the mail or, if delivered by hand, upon delivery; provided that notices delivered to the Administrative
Agent, the Issuing Bank or the Swingline Lender shall not be effective until actually received by such Person at its address specified
in this Section.


 


(ii)         Any
agreement of the Administrative Agent, the Issuing Bank or any Lender herein to receive certain notices by telephone or facsimile
is solely for the convenience and at the request of the Borrower. The Administrative Agent, the Issuing Bank and each Lender shall
be entitled to rely on the authority of any Person purporting to be a Person authorized by the Borrower to give such notice and
the Administrative Agent, the Issuing Bank and the Lenders shall not have any liability to the Borrower or other Person on account
of any action taken or not taken by the Administrative Agent, the Issuing Bank or any Lender in reliance upon such telephonic or
facsimile notice. The obligation of the Borrower to repay the Loans and all other Obligations hereunder shall not be affected in
any way or to any extent by any failure of the Administrative Agent, the Issuing Bank or any Lender to receive written confirmation
of any telephonic or facsimile notice or the receipt by the Administrative Agent, the Issuing Bank or any Lender of a confirmation
which is at variance with the terms understood by the Administrative Agent, the Issuing Bank and such Lender to be contained in
any such telephonic or facsimile notice.


 




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(b)          Electronic
Communications.


 


(i)          Notices
and other communications to the Lenders and the Issuing Bank hereunder may 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 Bank pursuant to Article II unless such Lender,
the Issuing Bank, as applicable, and the Administrative Agent have agreed to receive notices under any Section thereof by electronic
communication and have agreed to the procedures governing such communications. The Administrative Agent or the Borrower may, in
its discretion, agree to accept notices and other communications to it hereunder by electronic communications pursuant to procedures
approved by it; provided that approval of such procedures may be limited to particular notices or communications.


 


(ii)         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.


 


Section 10.2         Waiver;
Amendments.


 


(a)          No
failure or delay by the Administrative Agent, the Issuing Bank or any Lender in exercising any right or power hereunder or under
any other Loan Document, and no course of dealing between the Borrower and the Administrative Agent or any Lender, 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 right or power, preclude any other or further exercise thereof or the exercise of any other right or power
hereunder or thereunder. The rights and remedies of the Administrative Agent, the Issuing Bank and the Lenders hereunder and under
the other Loan Documents are cumulative and are not exclusive of any rights or remedies provided by law. No waiver of any provision
of this Agreement or of any other Loan Document or consent to any departure by the Borrower therefrom shall in any event be effective
unless the same shall be permitted by subsection (b) of this Section, and then such waiver or consent shall be effective only in
the specific instance and for the purpose for which given. Without limiting the generality of the foregoing, the making of a Loan
or the issuance of a Letter of Credit shall not be construed as a waiver of any Default or Event of Default, regardless of whether
the Administrative Agent, any Lender or the Issuing Bank may have had notice or knowledge of such Default or Event of Default at
the time.


 


(b)          No
amendment or waiver of any provision of this Agreement or of the other Loan Documents (other than the Fee Letters), nor consent
to any departure by the Borrower therefrom, shall in any event be effective unless the same shall be in writing and signed by the
Borrower and the Required Lenders, or the Borrower and the Administrative Agent with the consent of the Required Lenders, and then
such amendment, waiver or consent shall be effective only in the specific instance and for the specific purpose for which given;
provided that, in addition to the consent of the Required Lenders, no amendment, waiver or consent shall:


 




    	 	116	 



     


    

  


(i)          increase
the Commitment of any Lender without the written consent of such Lender;


 


(ii)         reduce
the principal amount of any Loan or LC Disbursement or reduce the rate of interest thereon, or reduce any fees payable hereunder,
without the written consent of each Lender affected thereby (except that any amendment or modification of defined terms used in
the financial covenant set forth in Article VI or waiver of post-default rates of interests shall not constitute a reduction
in the rate of interest or fees for purposes of this clause (ii));


 


(iii)        postpone
or extend the date fixed for any payment of any principal of, or interest on, any Loan or LC Disbursement or any fees hereunder
or reduce the amount of, waive or excuse any such payment, or postpone the scheduled date for the termination or reduction of any
Commitment, without the written consent of each Lender affected thereby (it being understood that a waiver of any condition precedent
or the waiver of any Default, Event of Default or mandatory prepayment shall not constitute a postponement, extension or increase
of any Loan or Commitment hereunder);


 


(iv)        change
Section 8.2 without the written consent of each Lender affected thereby;


 


(v)         change
Section 2.21(b) or (c) in a manner that would alter the pro rata sharing of payments required thereby, without
the written consent of each Lender;


 


(vi)        change
any of the provisions of this subsection (b) or the definition of “Required Lenders” or “Required Revolving Lenders”
or any other provision hereof specifying the number or percentage of Lenders which are required to waive, amend or modify any rights
hereunder or make any determination or grant any consent hereunder, without the consent of each Lender;


 


(vii)       except
in connection with a transaction otherwise not prohibited by this Agreement or any other Loan Document, release all or substantially
all of the value of any Guarantee guarantying any of the Obligations, or release all or substantially all of the guarantors, or
limit the liability of such guarantors, under any guaranty agreement guaranteeing any of the Obligations, in each case, without
the written consent of each Lender;


 


(viii)      release
all or substantially all of the Collateral securing the Obligations, without the written consent of each Lender; or


 


(ix)         change
the Aggregate Revolving Commitment reduction and repayment provisions in Section 2.12(d) or Section 7.17 without
a vote of 100% of the Revolving Credit Lenders.


 


provided, further, that no
such amendment, waiver or consent shall amend, modify or otherwise affect the rights, duties or obligations of the Administrative
Agent, the Swingline Lender or the Issuing Bank without the prior written consent of such Person.


 




    	 	117	 



     


    

  


Notwithstanding anything
to the contrary herein, (A) no Defaulting Lender shall have any right to approve or disapprove any amendment, waiver or consent
hereunder, except that the Commitment of such Lender may not be increased or extended, and amounts payable to such Lender hereunder
may not be permanently reduced, without the consent of such Lender (other than reductions in fees and interest in which such reduction
does not disproportionately affect such Lender), (B) this Agreement may be amended and restated without the consent of any Lender
(but with the consent of the Borrower and the Administrative Agent) if, upon giving effect to such amendment and restatement, such
Lender shall no longer be a party to this Agreement (as so amended and restated), the Commitments of such Lender shall have terminated
(but such Lender shall continue to be entitled to the benefits of Sections 2.18, 2.19, 2.20 and 10.3),
such Lender shall have no other commitment or other obligation hereunder and such Lender shall have been paid in full all principal,
interest and other amounts owing to it or accrued for its account under this Agreement, (C) only Required Revolving Lenders and,
as applicable, the Issuing Bank, may waive any condition set forth in Section 3.3, with respect to any Revolving Borrowing
or issuance, amendment, renewal or extension of a Letter of Credit, and (D) only the consent of the Required Revolving Lenders
shall be necessary to (and only the Required Revolving Lenders shall have the ability to) amend or waive the terms and provisions
of Article VI, Section 2.22(k), Section 7.17, Section 8.1(d)(ii) (solely with respect to Section
2.22(k)) and Section 8.1(d)(iii) (in each case of the foregoing, including any defined terms solely as they relate thereto).


 


(c)          Notwithstanding
any other provisions of this Agreement to the contrary, the Borrower may, by written notice to the Administrative Agent from time
to time, make one or more offers to all Term B Loan Lenders or all Revolving Credit Lenders, as applicable, to make one or more
Permitted Amendments pursuant to procedures reasonably specified by the Administrative Agent and reasonably acceptable to the Borrower.
Such notice shall set forth (i) the terms and conditions of the requested Permitted Amendments and (ii) the date on which responses
from the applicable Lenders in respect of such Permitted Amendment are required to be received (which shall not be less than three
(3) Business Days after the date of such notice). Only those Lenders that consent to such Permitted Amendment (the “Accepting
Lenders”) will have the maturity of their applicable Loans and Commitments extended and be entitled to receive any increase
in the Applicable Margin and any fees (including Prepayment Premiums or fees), in each case, as provided therein (and notwithstanding
any provision of Sections 10.2(a), 2.21(b) and 2.21(c)). The Borrower and each Accepting Lender shall execute
and deliver to the Administrative Agent such documentation as the Administrative Agent shall reasonably specify to evidence the
acceptance of the Permitted Amendments and the terms and conditions thereof. For the avoidance of doubt, the repayment in full
of all Loans and other amounts owing to each of the non-Accepting Lenders on the Revolving Commitment Termination Date and/or the
Maturity Date, as applicable, shall not be affected by the terms of any Permitted Amendment and whether or not any Lender becomes
an Accepting Lender shall be determined by each such Lender in its sole and absolute discretion. The Administrative Agent shall
promptly notify each Lender as to the effectiveness of each Permitted Amendment. Notwithstanding any provisions of Section 10.2(a),
each of the parties hereto hereby agrees that, upon the effectiveness of any Permitted Amendment, this Agreement shall be deemed
amended, as may be necessary or appropriate, to effect the terms and provisions of the Permitted Amendment with respect to the
Loans and Commitments of the Accepting Lenders (including any amendments necessary to treat the Loans and Commitments of the Accepting
Lenders in a manner consistent with the other Loans and Commitments under this Agreement). Notwithstanding the foregoing, no Permitted
Amendment shall become effective under this Section 10.2(c) unless the Administrative Agent shall have consented thereto
and, to the extent so reasonably requested by the Administrative Agent, shall have received legal opinions, board resolutions and
other organizational authorizations and officer’s certificates consistent with those delivered pursuant to Section 3.1
of this Agreement.


 




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Section 10.3         Expenses;
Indemnification.


 


(a)          The
Borrower shall pay (i) all reasonable and documented costs and expenses of the Administrative Agent, the Lead Arrangers and their
respective Affiliates in connection with the syndication of the credit facilities provided for herein, the preparation and
administration of the Loan Documents and any amendments, modifications or waivers thereof (whether or not the transactions contemplated
in this Agreement or any other Loan Document shall be consummated), and the due diligence relating thereto (including, with respect
to the Administrative Agent, STRH and their Affiliates only, the reasonable and documented fees, disbursements, and expenses of
one outside counsel (and any required special or local counsel)), (ii) all reasonable and documented expenses incurred by the Issuing
Bank in connection with the issuance, amendment, renewal or extension of any Letter of Credit or any demand for payment thereunder
and (iii) all documented costs and expenses incurred by the Administrative Agent, any Lead Arranger, the Issuing Bank, the Swingline
Lender, or any Lender (including the documented fees, disbursements, and expenses of one outside counsel to each such party (and
any required special or local counsel to each such party)) 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 any Letters of Credit issued
hereunder, including all such documented costs and expenses incurred during any workout, restructuring or negotiations in respect
of such Loans or Letters of Credit.


 


(b)          The
Borrower shall indemnify the Administrative Agent, each Lead Arranger, each Lender, the Swingline Lender and the Issuing Bank,
and each Related Party of any of the foregoing Persons (each such Person and Related Party being called an “Indemnitee”)
against, and hold each Indemnitee harmless from, any and all losses, claims, damages, liabilities and expenses (including the fees,
disbursements, and expenses of any counsel for any Indemnitee), and shall reimburse each Indemnitee upon demand for any legal or
other expenses incurred in connection with investigating or defending any of the following, incurred by any Indemnitee or asserted
against any Indemnitee by any third party or by the Borrower or any other Loan Party or any of their Subsidiaries or Affiliates
arising out of, in connection with, or as a result of (i) the execution or delivery of this Agreement, any other 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 contemplated hereby or thereby, (ii) any Loan or Letter of Credit
or the use or proposed use of the proceeds therefrom (including any refusal by the Issuing Bank 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) the CarePoint Acquisition, the CarePoint Acquisition Agreement, or the consummation of any transactions contemplated
thereby or in connection therewith, (iv) any actual or alleged presence or Release of Hazardous Materials on or from any property
owned or operated by the Borrower or any of its Subsidiaries, or any Environmental Liability related in any way to the Borrower
or any of its Subsidiaries, or (v) any actual or prospective suit, claim, litigation, investigation or proceeding relating to any
of the foregoing, whether based on contract, tort or any other theory, whether brought by a third party or by the Borrower or any
other Loan Party or by the Borrower’s equity holders, Affiliates or creditors, and regardless of whether any Indemnitee or
the Borrower 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 other expenses are determined by a court of competent jurisdiction by final and
non-appealable judgment to have resulted from (A) the bad faith, gross negligence or willful misconduct of such Indemnitee or (B)
a material breach by such Indemnitee of any of its undertakings, obligations or commitments under this Agreement or any other Loan
Document. No Indemnitee shall be responsible or liable for any damages arising from the use by others of any information or other
materials obtained through Syndtrak, Intralinks, any other Internet or intranet website, or any other electronic, telecommunications
or other information transmission systems, except to the extent that such damages are determined by a court of competent jurisdiction
by final and non-appealable judgment to have resulted from (A) the bad faith, gross negligence or willful misconduct of such Indemnitee
or (B) a material breach by such Indemnitee of any of its undertakings, obligations or commitments under this Agreement or any
other Loan Document.


 




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(c)          Without
duplication of Section 2.20, the Borrower shall pay, and hold the Administrative Agent, the Issuing Bank and each of the
Lenders harmless from and against, any and all present and future Other Taxes, and save the Administrative Agent, the Issuing Bank
and each Lender harmless from and against any and all liabilities with respect to or resulting from any delay or omission to pay
such Other Taxes.


 


(d)          To
the extent that the Borrower fails to pay any amount required to be paid to the Administrative Agent, the Issuing Bank or the Swingline
Lender under subsection (a), (b) or (c) hereof, each Lender severally agrees to pay to the Administrative Agent, the Issuing Bank
or the Swingline Lender, as the case may be, such Lender’s pro rata share (in accordance with its Revolving Commitment
(or Revolving Credit Exposure, as applicable) and Term B Loan determined as of the time that the unreimbursed expense or indemnity
payment is sought) of such unpaid amount; provided that the unreimbursed expense or indemnified payment, claim, damage,
liability or related expense, as the case may be, was incurred by or asserted against the Administrative Agent, the Issuing Bank
or the Swingline Lender in its capacity as such.


 


(e)          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, exemplary or punitive damages (as opposed to actual or direct damages)
arising out of, in connection with or as a result of this Agreement, any other Loan Document or any agreement or instrument contemplated
hereby, the transactions contemplated therein, any Loan or any Letter of Credit or the use of proceeds thereof.


 


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


 


Section 10.4         Successors
and Assigns.


 


(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, except that the Borrower may not assign or otherwise transfer any of its rights or obligations hereunder
without the prior written consent of the Administrative Agent and each Lender, and no Lender may assign or otherwise transfer any
of its rights or obligations hereunder except (i) to an assignee in accordance with the provisions of subsection (b) of this Section,
(ii) by way of participation in accordance with the provisions of subsection (d) of this Section or (iii) by way of pledge or assignment
of a security interest subject to the restrictions of subsection (f) of this Section (and any other attempted assignment or transfer
by any party hereto shall be null and void). 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, Participants to the extent
provided in subsection (d) of this Section and, to the extent expressly contemplated hereby, the Related Parties of each of the
Administrative Agent and the Lenders) any legal or equitable right, remedy or claim under or by reason of this Agreement.


 


(b)          Any
Lender may at any time assign to one or more assignees all or a portion of its rights and obligations under this Agreement (including
all or a portion of its Commitments, Loans and other Revolving Credit Exposure at the time owing to it); provided that any
such assignment shall be subject to the following conditions:


 


(i)          Minimum
Amounts.


 


(A)         in
the case of an assignment of the entire remaining amount of the assigning Lender’s Commitments, Loans and other Revolving
Credit Exposure at the time owing to it or in the case of an assignment to a Lender, an Affiliate of a Lender or an Approved Fund,
no minimum amount need be assigned; and


 




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(B)         in
any case not described in subsection (b)(i)(A) of this Section, the aggregate amount of the Commitment (which for this purpose
includes Loans and Revolving Credit Exposure outstanding thereunder) or, if the applicable Commitment is not then in effect, the
outstanding principal balance of the Loans and Revolving Credit Exposure 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
or, if “Trade Date” is specified in the Assignment and Assumption, as of the Trade Date) shall not be less than $1,000,000
with respect to Revolving Loans and, $5,000,000 with respect to Term B Loans and in minimum increments of $1,000,000, unless each
of the Administrative Agent and, so long as no Event of Default has occurred and is continuing, the Borrower otherwise consents
(each such consent not to be unreasonably withheld or delayed).


 


(ii)         Proportionate
Amounts. 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 with respect to the Loans, other Revolving Credit Exposure or the Commitments assigned,
except that this subsection (b)(ii) shall not prohibit any Lender from assigning all or a portion of its rights and obligations
among separate Commitments on a non-pro rata basis.


 


(iii)        Required
Consents. No consent shall be required for any assignment except to the extent required by subsection (b)(i)(B) of this Section
and, in addition:


 


(A)         the
consent of the Borrower (such consent not to be unreasonably withheld or delayed) shall be required unless (x) an Event of Default
has occurred and is continuing at the time of such assignment or (y) such assignment is to a Lender, an Affiliate of such Lender
or an Approved Fund of such Lender; provided, that (1) the Borrower shall be deemed to have consented to any such assignment
unless it objects thereto by written notice to the Administrative Agent within five (5) Business Days after having received notice
thereof and (2) any consent of the Borrower otherwise required hereunder shall not be required in conjunction with the initial
syndication of the Loans; provided, further, that any refusal by the Borrower to consent to an assignment to a Disqualified
Institution shall not be deemed unreasonable;


 


(B)         the
consent of the Administrative Agent (such consent not to be unreasonably withheld or delayed) shall be required unless such assignment
is to a Lender, an Affiliate of such Lender or an Approved Fund of such Lender; provided, that any refusal by the Administrative
Agent to consent to an assignment to a Priming Lender shall not be deemed unreasonable; and


 


(C)         the
consent of the Issuing Bank (such consent not to be unreasonably withheld or delayed) shall be required for any assignment that
increases the obligation of the assignee to participate in exposure under one or more Letters of Credit (whether or not then outstanding),
and the consent of the Swingline Lender (such consent not to be unreasonably withheld or delayed) shall be required for any assignment
in respect of the Revolving Commitments.


 


(iv)        Assignment
and Assumption. The parties to each assignment shall deliver to the Administrative Agent (A) a duly executed Assignment and
Assumption, (B) a processing and recordation fee of $3,500, (C) an Administrative Questionnaire unless the assignee is already
a Lender and (D) the documents required under Section 2.20(f), and the Administrative Agent shall record such assignment
in the Register.


 




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(v)         No
Assignment to the certain Persons. No such assignment shall be made to (A) the Borrower or any of the Borrower’s Affiliates
or Subsidiaries, (B) any Defaulting Lender or any of its Subsidiaries, or any Person who, upon becoming a Lender hereunder, would
constitute any of the foregoing Persons described in this clause (B), or (C) so long as no Event of Default is in existence, any
Disqualified Institution.


 


(vi)        No
Assignment to Natural Persons. No such assignment shall be made to a natural person.


 


(vii)       Certain
Additional Payments. In connection with any assignment of rights and obligations of any Defaulting Lender hereunder, no such
assignment shall be effective unless and until, in addition to the other conditions thereto set forth herein, the parties to the
assignment shall make such additional payments to the Administrative Agent in an aggregate amount sufficient, upon distribution
thereof as appropriate (which may be outright payment, purchases by the assignee of participations or subparticipations, or other
compensating actions, including funding, with the consent of the Borrower and the Administrative Agent, the applicable pro rata
share of Loans previously requested but not funded by the Defaulting Lender, to each of which the applicable assignee and assignor
hereby irrevocably consent), to (x) pay and satisfy in full all payment liabilities then owed by such Defaulting Lender to the
Administrative Agent, the Issuing Bank, the Swingline Lender and each other Lender hereunder (and interest accrued thereon), and
(y) acquire (and fund as appropriate) its full pro rata share of all Loans and participations in Letters of Credit and Swingline
Loans. Notwithstanding the foregoing, in the event that any assignment of rights and obligations of any Defaulting Lender hereunder
shall become effective under applicable law without compliance with the provisions of this paragraph, then the assignee of such
interest shall be deemed to be a Defaulting Lender for all purposes of this Agreement until such compliance occurs.


 


(viii)      Assignments
Prior to the DDTL Date. Any other term or provision of this Agreement to the contrary notwithstanding, in connection with any
assignment of rights and obligations of any Term B Loan Lender prior to the DDTL Date, such assignment shall consist of such Term
B Loan Lender’s rights and obligations under the Initial Term B Loans and the DDTL Commitment on a pro rata basis.


 


Subject to acceptance and recording thereof
by the Administrative Agent pursuant to subsection (c) of this Section, from and after the effective date specified in each Assignment
and Assumption, the assignee thereunder shall be a party to this Agreement and, to the extent of the interest assigned by such
Assignment and Assumption, have the rights and obligations of a Lender under this Agreement, and the assigning Lender thereunder
shall, to the extent of the interest assigned by such Assignment and Assumption, be released from its obligations under this Agreement
(and, in the case of an Assignment and Assumption covering all of the assigning Lender’s rights and obligations under this
Agreement, such Lender shall cease to be a party hereto) but shall continue to be entitled to the benefits of Sections 2.18,
2.19, 2.20 and 10.3 with respect to facts and circumstances occurring prior to the effective date of such
assignment; provided that, except to the extent otherwise expressly agreed by the affected parties, no assignment by a Defaulting
Lender will constitute a waiver or release of any claim of any party hereunder arising from such Lender’s having been a Defaulting
Lender. Any assignment or transfer by a Lender of rights or obligations under this Agreement that does not comply with this
subsection 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 subsection (d) of this Section. If the consent of the Borrower to an assignment is required hereunder (including
a consent to an assignment which does not meet the minimum assignment thresholds specified above), the Borrower shall be deemed
to have given its consent unless it shall object thereto by written notice to the Administrative Agent within five (5) Business
Days after notice thereof has actually been delivered by the assigning Lender (through the Administrative Agent) to the Borrower.


 




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(c)          The
Administrative Agent, acting solely for this purpose as an agent of the Borrower, shall maintain at one of its offices in Atlanta,
Georgia a copy of each Assignment and Acceptance delivered to it and a register for the recordation of the names and addresses
of the Lenders, and the Commitments of, and principal and interest amount of the Loans and Revolving Credit Exposure owing to,
each Lender pursuant to the terms hereof from time to time (the “Register”). Information contained in the Register
with respect to any Lender shall be available for inspection by such Lender at any reasonable time and from time to time upon reasonable
prior notice; information contained in the Register shall also be available for inspection by the Borrower at any reasonable time
and from time to time upon reasonable prior notice. In establishing and maintaining the Register, the Administrative Agent shall
serve as the Borrower’s agent solely with respect to the actions described in this Section, and the Borrower hereby agrees
that, to the extent SunTrust Bank serves in such capacity, SunTrust Bank and its officers, directors, employees, agents, sub-agents
and affiliates shall constitute “Indemnitees”.


 


(d)          Any
Lender may at any time, without the consent of, or notice to, the Borrower, the Administrative Agent, the Swingline Lender or the
Issuing Bank, sell participations to any Person (other than a natural person, the Borrower, any of the Borrower’s Affiliates
or Subsidiaries, or any Competitor) (each, a “Participant”) in all or a portion of such Lender’s rights
and/or obligations under this Agreement (including all or a portion of its Commitment and/or the Loans owing to it); provided
that (i) such Lender’s obligations under this Agreement shall remain unchanged, (ii) such Lender shall remain solely
responsible to the other parties hereto for the performance of such obligations and (iii) the Borrower, the Administrative
Agent, the Issuing Bank, the Swingline 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 or instrument
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
or instrument may provide that such Lender will not, without the consent of the Participant, agree to any amendment, modification
or waiver with respect to the following to the extent affecting such Participant: (i) increase the Commitment of such Lender; (ii) reduce
the principal amount of any Loan or LC Disbursement or reduce the rate of interest thereon, or reduce any fees payable hereunder;
(iii) postpone the date fixed for any payment of any principal of, or interest on, any Loan or LC Disbursement or any fees
hereunder or reduce the amount of, waive or excuse any such payment, or postpone the scheduled date for the termination or reduction
of any Commitment; (iv) change Section 2.21(b) or (c) in a manner that would alter the pro rata sharing of
payments required thereby; (v) change any of the provisions of Section 10.2(b) or the definition of “Required Lenders”
or “Required Revolving Lenders” or any other provision hereof specifying the number or percentage of Lenders which
are required to waive, amend or modify any rights hereunder or make any determination or grant any consent hereunder; (vi) release
all or substantially all of the guarantors, or limit the liability of such guarantors, under any guaranty agreement guaranteeing
any of the Obligations; or (vii) release all or substantially all collateral (if any) securing any of the Obligations. Subject
to subsection (e) of this Section, the Borrower agrees that each Participant shall be entitled to the benefits of Sections 2.18,
2.19, and 2.20 to the same extent as if it were a Lender and had acquired its interest by assignment pursuant to
subsection (b) of this Section; provided that such Participant agrees to be subject to Section 2.24 as though it
were a Lender. To the extent permitted by law, each Participant also shall be entitled to the benefits of Section 10.7
as though it were a Lender; provided that such Participant agrees to be subject to Section 2.21 as though it were
a Lender.


 




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Each Lender that sells
a participation shall, acting solely for this purpose as an agent of the Borrower, maintain a register in the United States on
which it enters the name and address of each Participant and the principal amounts (and stated interest) of each Participant’s
interest in the Loans or other obligations under the Loan Documents (the “Participant Register”). The entries
in the Participant Register shall be conclusive, absent manifest error, and such Lender shall treat each person whose name is recorded
in the Participant Register as the owner of such participation for all purposes of this Agreement notwithstanding any notice to
the contrary. The Borrower and the Administrative Agent shall have inspection rights to such Participant Register (upon reasonable
prior notice to the applicable Lender) solely for purposes of demonstrating that such Loans or other obligations under the Loan
Documents are in “registered form” for purposes of the Code.


 


(e)          A
Participant shall not be entitled to receive any greater payment under Sections 2.18 and 2.20 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. A Participant shall not be entitled to the benefits
of Section 2.20 unless the Borrower is notified of the participation sold to such Participant and such Participant
agrees, for the benefit of the Borrower, to comply with Section 2.20(e) and (f) as though it were a Lender.


 


(f)          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, without limitation, any pledge or assignment to secure obligations to a Federal Reserve
Bank; provided that no such pledge or assignment shall release such Lender from any of its obligations hereunder or substitute
any such pledgee or assignee for such Lender as a party hereto.


 


Section 10.5         Governing
Law; Jurisdiction; Consent to Service of Process.


 


(a)          This
Agreement and the other Loan Documents and any claims, controversy, dispute or cause of action (whether in contract or tort or
otherwise) based upon, arising out of or relating to this Agreement or any other Loan Document (except, as to any other Loan Document,
as expressly set forth therein) and the transactions contemplated hereby and thereby shall be construed in accordance with and
be governed by the law (without giving effect to the conflict of law principles thereof of the State of New York.


 


(b)          The
Borrower hereby irrevocably and unconditionally submits, for itself and its property, to the exclusive jurisdiction of the
United States District Court for the Southern District of New York, and of the Supreme Court of the State of New York sitting in
New York county, and of any appellate court from any thereof, in any action or proceeding arising out of or relating to this Agreement
or any other Loan Document or the transactions contemplated hereby or thereby, 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 District Court or New York state court or, to the extent permitted by applicable law, such
appellate 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 Administrative Agent, the Issuing Bank or any Lender may otherwise have
to bring any action or proceeding relating to this Agreement or any other Loan Document against the Borrower or its properties
in the courts of any jurisdiction.


 


(c)          The
Borrower irrevocably and unconditionally waives any objection which it may now or hereafter have to the laying of venue of
any such suit, action or proceeding described in subsection (b) of this Section and brought in any court referred to in subsection
(b) of this Section. Each of the parties hereto irrevocably waives, to the fullest extent permitted by applicable law, the defense
of an inconvenient forum to the maintenance of such action or proceeding in any such court.


 




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(d)          Each
party to this Agreement irrevocably consents to the service of process in the manner provided for notices in Section 10.1.
Nothing in this Agreement or in any other Loan Document will affect the right of any party hereto to serve process in any other
manner permitted by law.


 


Section 10.6         WAIVER
OF JURY TRIAL.   EACH PARTY HERETO IRREVOCABLY 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 THIS AGREEMENT OR ANY OTHER
LOAN DOCUMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY OR THEREBY (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 AND THE OTHER LOAN DOCUMENTS BY, AMONG OTHER THINGS, THE
MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION.


 


Section 10.7         Right
of Set-off.   In addition to any rights now or hereafter granted under applicable law and not by way of
limitation of any such rights, each Lender and the Issuing Bank shall have the right, at any time or from time to time upon the
occurrence and during the continuance of an Event of Default, without prior notice to the Borrower, any such notice being expressly
waived by the Borrower to the extent permitted by applicable law, to set off and apply against all deposits (general or special,
time or demand, provisional or final) of the Borrower at any time held or other obligations at any time owing by such Lender and
the Issuing Bank to or for the credit or the account of the Borrower against any and all Obligations held by such Lender or the
Issuing Bank, as the case may be, irrespective of whether such Lender or the Issuing Bank shall have made demand hereunder and
although such Obligations may be unmatured; provided that in the event that any Defaulting Lender shall exercise any such
right of setoff, (x) all amounts so set off shall be paid over immediately to the Administrative Agent for further application
in accordance with the provisions of Section 2.26(b) and, pending such payment, shall be segregated by such Defaulting Lender
from its other funds and deemed held in trust for the benefit of the Administrative Agent, the Issuing Banks, and the Lenders,
and (y) the Defaulting Lender shall provide promptly to the Administrative Agent a statement describing in reasonable detail the
Obligations owing to such Defaulting Lender as to which it exercised such right of setoff. Each Lender and the Issuing Bank agrees
promptly to notify the Administrative Agent and the Borrower after any such set-off and any application made by such Lender or
the Issuing Bank, as the case may be; provided that the failure to give such notice shall not affect the validity of such
set-off and application. Each Lender and the Issuing Bank agrees to apply all amounts collected from any such set-off to the Obligations
before applying such amounts to any other Indebtedness or other obligations owed by the Borrower and any of its Subsidiaries to
such Lender or the Issuing Bank.


 


Section 10.8         Counterparts;
Integration.   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.
This Agreement, the Fee Letters, the other Loan Documents, and any separate letter agreements relating to any fees payable to the
Administrative Agent and its Affiliates constitute the entire agreement among the parties hereto and thereto and their affiliates
regarding the subject matters hereof and thereof and supersede all prior agreements and understandings, oral or written, regarding
such subject matters. Delivery of an executed counterpart to this Agreement or any other Loan Document by facsimile transmission
or by electronic mail in pdf format shall be as effective as delivery of a manually executed counterpart hereof.


 




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Section 10.9         Survival.   All
covenants, agreements, representations and warranties made by the Borrower herein and in the certificates, reports, notices 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 other Loan Documents 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 Issuing Bank 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 10.3 and Article IX 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.


 


Section 10.10         Severability.   Any
provision of this Agreement or any other Loan Document held to be illegal, invalid or unenforceable in any jurisdiction, shall,
as to such jurisdiction, be ineffective to the extent of such illegality, invalidity or unenforceability without affecting the
legality, validity or enforceability of the remaining provisions hereof or thereof; and the illegality, invalidity or unenforceability
of a particular provision in a particular jurisdiction shall not invalidate or render unenforceable such provision in any other
jurisdiction.


 


Section 10.11         Confidentiality.   Each
of the Administrative Agent, the Issuing Bank and the Lenders agrees to take normal and reasonable precautions to maintain the
confidentiality of any information relating to the Borrower or any of its Subsidiaries or any of their respective businesses, to
the extent designated in writing as confidential and provided to it by the Borrower or any of its Subsidiaries, other than any
such information that is available to the Administrative Agent, the Issuing Bank or any Lender on a non-confidential basis prior
to disclosure by the Borrower or any of its Subsidiaries, except that such information may be disclosed (i) to any Related Party
of the Administrative Agent, the Issuing Bank or any such Lender including, without limitation, accountants, legal counsel and
other advisors, (ii) to the extent required by applicable laws or regulations or by any subpoena or similar legal process, (iii)
to the extent requested by any regulatory agency or authority purporting to have jurisdiction over it (including any self-regulatory
authority such as the National Association of Insurance Commissioners), (iv) to the extent that such information becomes publicly
available other than as a result of a breach of this Section, or which becomes available to the Administrative Agent, the Issuing
Bank, any Lender or any Related Party of any of the foregoing on a non-confidential basis from a source other than the Borrower
or any of its Subsidiaries, (v) in connection with the exercise of any remedy hereunder or under any other Loan Documents or any
suit, action or proceeding relating to this Agreement or any other Loan Documents or the enforcement of rights hereunder or thereunder,
(vi) subject to execution by such Person of an agreement containing provisions substantially the same as those of this Section,
to (A) any assignee of or Participant in, or any prospective assignee of or Participant in, any of its rights or obligations under
this Agreement, or (B) any actual or prospective party (or its Related Parties) to any swap or derivative or other transaction
under which payments are to be made by reference to the Borrower and its obligations, this Agreement or payments hereunder, (vii)
to any rating agency, (viii) to the CUSIP Service Bureau or any similar organization, or (ix) with the consent of the Borrower.
Any Person required to maintain the confidentiality of any information as provided for 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 its own confidential information. In the event of any conflict between the terms of this
Section and those of any other Contractual Obligation entered into with any Loan Party (whether or not a Loan Document), the terms
of this Section shall govern.


 




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Section 10.12         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 may be treated as interest on such Loan under applicable law
(collectively, the “Charges”), shall exceed the maximum lawful rate of interest (the “Maximum Rate”)
which may be contracted for, charged, taken, received or reserved by a 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 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 Rate to the date of repayment (to the extent permitted by applicable
law), shall have been received by such Lender.


 


Section 10.13         Waiver
of Effect of Corporate Seal.   The Borrower represents and warrants that neither it nor any other Loan Party
is required to affix its corporate seal to this Agreement or any other Loan Document pursuant to any Requirement of Law, agrees
that this Agreement is delivered by the Borrower under seal and waives any shortening of the statute of limitations that may result
from not affixing the corporate seal to this Agreement or such other Loan Documents.


 


Section 10.14         Patriot
Act.   The Administrative Agent and each Lender hereby notifies the Loan Parties that, pursuant to the requirements
of the Patriot Act, it is required to obtain, verify and record information that identifies each Loan Party, which information
includes the name and address of such Loan Party and other information that will allow such Lender or the Administrative Agent,
as applicable, to identify such Loan Party in accordance with the Patriot Act.


 


Section 10.15         No
Advisory or Fiduciary Responsibility.


 


(a)          In
connection with all aspects of each transaction contemplated hereby (including in connection with any amendment, waiver or other
modification hereof or of any other Loan Document), the Borrower and each other Loan Party acknowledges and agrees and acknowledges
its Affiliates’ understanding that (i) (A) the services regarding this Agreement provided by the Administrative Agent and/or
the Lenders are arm’s-length commercial transactions between the Borrower, each other Loan Party and their respective Affiliates,
on the one hand, and the Administrative Agent and the Lenders, on the other hand, (B) each of the Borrower and the other Loan Parties
have consulted their own legal, accounting, regulatory and tax advisors to the extent they have deemed appropriate, and (C) the
Borrower and each other Loan Party is capable of evaluating and understanding, and understands and accepts, the terms, risks and
conditions of the transactions contemplated hereby and by the other Loan Documents; (ii) (A) each of the Administrative Agent and
the Lenders is and has been acting solely as a principal and, except as expressly agreed in writing by the relevant parties,
has not been, is not, and will not be acting as an advisor, agent or fiduciary for the Borrower, any other Loan Party or any of
their respective Affiliates, or any other Person, and (B) neither the Administrative Agent nor any Lender has any obligation
to the Borrower, any other Loan Party or any of their Affiliates with respect to the transaction contemplated hereby except those
obligations expressly set forth herein and in the other Loan Documents; and (iii) the Administrative Agent, the Lenders and their
respective Affiliates may be engaged in a broad range of transactions that involve interests that differ from those of the Borrower,
the other Loan Parties and their respective Affiliates, and each of the Administrative Agent and the Lenders has no obligation
to disclose any of such interests to the Borrower, any other Loan Party or any of their respective Affiliates.  To the fullest
extent permitted by law, each of the Borrower and the other Loan Parties hereby waives and releases any claims that it may have
against the Administrative Agent or any Lender with respect to any breach or alleged breach of agency or fiduciary duty in connection
with any aspect of any transaction contemplated hereby.


 




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(b)          The
Borrower agrees that the relationship between the Administrative Agent and the Borrower and between each Lender and the Borrower
is that of creditor and debtor and not that of partners or joint venturers. This Agreement does not constitute a partnership agreement
or any other association between the Administrative Agent and the Borrower or between any Lender and the Borrower. The Borrower
acknowledges that the Administrative Agent and each Lender has acted at all times only as a creditor to the Borrower within the
normal and usual scope of the activities normally undertaken by a creditor and in no event has the Administrative Agent or any
Lender attempted to exercise any control over the Borrower or its business or affairs. The Borrower further acknowledges that the
Administrative Agent and each Lender has not taken or failed to take any action under or in connection with its respective rights
under the Credit Agreement or any of the other Loan Documents that in any way, or to any extent, has interfered with or adversely
affected the Borrower's ownership of Collateral.


 


Section 10.16         Priming/Existing
Lien Intercreditor Agreement.   Notwithstanding anything herein to the contrary, the lien and security interest
granted to Administrative Agent or any other Secured Parties pursuant to or in connection with the Loan Documents and the exercise
of any right or remedy by thereby or thereunder are subject to the provisions of the Priming/Existing Lien Intercreditor Agreement.
In the event of any conflict between the terms of the Priming/Existing Lien Intercreditor Agreement and this Agreement, the terms
of the Priming/Existing Lien Intercreditor Agreement shall govern and control. Notwithstanding the foregoing, each Loan Party expressly
acknowledges and agrees that the Priming/Existing Lien Intercreditor Agreement is solely for the benefit of the parties thereto,
and that notwithstanding the fact that the exercise of certain of Administrative Agent’s and the Lenders’ rights under
this Agreement or any other Loan Document may be subject to the Priming/Existing Lien Intercreditor Agreement, no action taken
or not taken by Administrative Agent or any other Lender in accordance with the terms of the Priming/Existing Lien Intercreditor
Agreement shall constitute, or be deemed to constitute, a waiver by Administrative Agent or any other Lender of any rights such
Person has with respect to any Loan Party under this Agreement or any other Loan Document.


 


 


Section 10.17         Priming
Agent as Bailee.   Notwithstanding any other provision hereof or of any other Loan Document, at all times
prior to the “Discharge of Priming Obligations” (as defined in the Priming/Existing Lien Intercreditor Agreement) and
so long as the Priming Loan Documents shall require the delivery of possession or control to the Priming Agent, or shall require
the granting of a first priority Lien on Collateral in favor of the Priming Agent, any covenant hereunder or thereunder requiring
the delivery of possession or control to the Administrative Agent of Collateral shall be deemed to have been satisfied if, prior
to the “Discharge of Priming Obligations” (other than “Excess Priming Obligations”) (as such terms are
defined in the Priming/Existing Lien Intercreditor Agreement), and the termination of this Agreement and all commitments to lend
hereunder, such possession or control shall have been delivered to or given in favor of the Priming Agent (or its agents or bailees),
as provided in the Priming/Existing Lien Intercreditor Agreement, or such first priority lien on such Collateral shall have been
granted to the Priming Agent and a second priority lien on such Collateral shall have been granted to the Administrative Agent,
in each case, subject to Permitted Encumbrances and Specified Permitted Liens. To the extent any such possessory Collateral shall
be delivered to or be controlled by the Administrative Agent (or its agents or bailees), subject to the terms of the Priming/Existing
Lien Intercreditor Agreement and solely for the purpose of perfecting the security interest granted in such possessory Collateral,
the Administrative Agent agrees to hold any such possessory Collateral as a gratuitous bailee for the benefit of the Priming Agent.
The representations and warranties of the Loan Parties contained in the Loan Documents representing or warranting that the Lien
in favor of the Administrative Agent under any Loan Document is a first priority lien shall be deemed to be modified mutatis mutandis
to take into account the foregoing provisions of this paragraph and the agreements set forth in the Priming/Existing Lien Intercreditor
Agreement.


 




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Section 10.18         Acknowledgement
and Consent to Bail-In of EEA Financial Institutions. Notwithstanding anything to the contrary in any Loan Document or
in any other agreement, arrangement or understanding among any such parties, each party hereto acknowledges that any liability
of any EEA Financial Institution arising under any Loan Document, to the extent such liability is unsecured, may be subject to
the write-down and conversion powers of an EEA Resolution Authority and agrees and consents to, and acknowledges and agrees to
be bound by:


 


(a)          the
application of any Write-Down and Conversion Powers by an EEA Resolution Authority to any such liabilities arising hereunder which
may be payable to it by any party hereto that is an EEA Financial Institution; and


 


(b)          the
effects of any Bail-in Action on any such liability, including, if applicable:


 


(i)          a
reduction in full or in part or cancellation of any such liability;


 


(ii)         a
conversion of all, or a portion of, such liability into shares or other instruments of ownership in such EEA Financial Institution,
its parent undertaking, or a bridge institution that may be issued to it or otherwise conferred on it, and that such shares or
other instruments of ownership will be accepted by it in lieu of any rights with respect to any such liability under this Agreement
or any other Loan Document; or


 


(iii)        the
variation of the terms of such liability in connection with the exercise of the write-down and conversion powers of any EEA Resolution
Authority.


 


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blank)





 




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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.


 


	 	BIOSCRIP, INC.
	 	 	 
	 	By:	/s/ Jeffrey M. Kreger




	 	 	Name: Jeffrey M. Kreger
	 	 	Title: Senior Vice President,

  Chief Financial Officer and Treasurer 


  




     


     


    

 





	 	SUNTRUST BANK
	 	as the Administrative Agent, as the Issuing Bank, as the Swingline Lender and as a Lender
	 	 	 
	 	By:	/s/ Juan De Jesus-Caballero
	 	 	Name: Juan De Jesus-Caballero
	 	 	Title: SVP


 




     


     


    

  


	 	JEFFERIES FINANCE LLC,
	 	as a Lender
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


 




     


     


    

  


	 	MORGAN STANLEY BANK, N.A.,
	 	as a Lender
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


  




     


     


    

  


	 	 
	 	as a Lender
	 	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:


 


 




     


     


    

  


SCHEDULE I


 


Commitment Amounts


 


	Lender	 	Revolving 
 Commitment Amount	 	 	Initial Term B Loan 
 Commitment Amount	 	 	DDTL Commitment
 Amount	 
	SunTrust Bank	 	$	35,000,000.00	 	 	$	250,000,000.00	 	 	$	150,000,000.00	 
	Jefferies Finance LLC	 	$	20,000,000.00	 	 	$	0.00	 	 	$	0.00	 
	Morgan Stanley Bank, N.A.	 	$	20,000,000.00	 	 	$	0.00	 	 	$	0.00	 
	TOTALS	 	$	75,000,000.00	 	 	$	250,000,000.00	 	 	$	150,000,000.00	 



 




     


     


    



 


EXECUTION VERSION


 


EXHIBIT B


 


Supplemental Schedules to the Credit Agreement


 




     


     


    

 


EXECUTION VERSION


 


Schedule 1.1


 


Existing Letters of Credit


 


 


	Applicant	 	LC Number	 	Purpose	 	Beneficiary	 	Expiry Date	 	Amount	 	 	Date of 
 Issuance/Latest
  Amendment
	BioScrip, Inc.	 	F856644	 	Worker's Compensation	 	The Travelers Indemnity Company	 	7/31/2017	 	$	900,000	 	 	8/1/2013
	BioScrip, Inc.	 	F856660	 	Worker's Compensation	 	The Travelers Indemnity Company	 	7/31/2017	 	$	2,325,000	 	 	8/6/2015
	BioScrip, Inc.	 	F856646	 	Worker's Compensation	 	Arch Specialty Insurance Company	 	7/31/2017	 	$	625,000	 	 	8/1/2013
	BioScrip, Inc.	 	F856648	 	Worker's Compensation	 	American Casualty Company	 	7/31/2017	 	$	90,000	 	 	8/22/2014
	BioScrip, Inc.	 	F856645	 	Worker's Compensation	 	Zurich American Insurance Company	 	7/31/2017	 	$	100,000	 	 	6/8/2016
	BioScrip, Inc.	 	F856647	 	Worker's Compensation	 	Liberty Mutual	 	7/31/2017	 	$	49,351	 	 	4/28/2016
	BioScrip, Inc.	 	70000453	 	Fleet Management	 	Donlen Corporation	 	5/3/2017	 	$	120,000	 	 	8/4/2016
	BioScrip, Inc.	 	70000161	 	Fleet Management	 	Gelco Corporation (GE Fleet)	 	1/17/2017	 	$	100,000	 	 	8/18/2015
	BioScrip, Inc.	 	70001727	 	Lease	 	LBA Realty	 	6/30/2018	 	$	340,000	 	 	5/11/2016



 




    	 	2	 



     


    

 


EXECUTION VERSION


 


Schedule 4.23(a)


 


Company Reimbursement Approval Compliance


 


None.


 




    	 	3	 



     


    



 


EXHIBIT C


 


Priming/Existing Lien Intercreditor Agreement


 




     


     


    

 


EXHIBIT D


 


ABDC Intercreditor Agreement