VANGUARD HEALTH SYSTEMS, INC.



EXHIBIT 10.1


Published CUSIP Number: _____








CREDIT AGREEMENT


among


VANGUARD HEALTH SYSTEMS, INC.,


VARIOUS LENDERS,


BANK OF AMERICA, N.A.,

as ADMINISTRATIVE AGENT,


CITICORP NORTH AMERICA, INC.,

as SYNDICATION AGENT,


GENERAL ELECTRIC CAPITAL CORPORATION,

LASALLE BANK, NATIONAL ASSOCIATION,


and


WACHOVIA BANK, NATIONAL ASSOCIATION,

as CO-DOCUMENTATION AGENTS,


and


BANC OF AMERICA SECURITIES LLC


and


CITIGROUP GLOBAL MARKETS INC.,

as JOINT LEAD ARRANGERS AND BOOK RUNNERS


__________________________________


Dated as of May 18, 2004


__________________________________















                        CREDIT AGREEMENT, dated as of May 18, 2004, among VANGUARD HEALTH SYSTEMS, INC., a Delaware corporation (the
“Borrower”), the Lenders party hereto from time to time, BANK OF AMERICA, N.A., as Administrative Agent (in such capacity, the “Administrative Agent”), CITICORP NORTH AMERICA, INC., as Syndication Agent (in such capacity, the
“Syndication Agent”), GENERAL ELECTRIC CAPITAL CORPORATION, LASALLE BANK, NATIONAL ASSOCIATION and WACHOVIA BANK, NATIONAL ASSOCIATION, as Co-Documentation Agents (in such capacities, the “Co-Documentation Agents”), and BANC OF AMERICA
SECURITIES LLC and CITIGROUP GLOBAL MARKETS INC., as Joint Lead Arrangers and Book Runners (in such capacities, the “Joint Lead Arrangers”) (all capitalized terms used herein and defined in Section 11 are used herein as therein defined).


W I T N E S S E T H:


                        WHEREAS, subject to and upon the terms and conditions herein set forth, the Lenders are willing to make available to the
Borrower the respective credit facilities provided for herein;


                        NOW, THEREFORE, IT IS AGREED:


                        SECTION 1.   Amount and Terms of Credit




                        1.01     The Commitments.  (a)  Subject to and upon the terms and
condi­tions set forth herein, each Lender with an Initial Term Loan Commitment severally agrees to make a term loan or term loans (each an “Initial Term Loan” and, collectively, the “Initial Term Loans”) to the Borrower, which Initial Term
Loans (i) shall be incurred pursuant to a single drawing on the Effective Date, (ii) shall, at the option of the Borrower, be Base Rate Loans or, subject to Section 1.15, Eurodollar Loans, provided that, except as other­wise specifically provided in
Section 1.10(b), all Initial Term Loans compris­ing the same Borrowing shall at all times be of the same Type, and (iii) shall be made by each such Lender in that aggregate principal amount which does not exceed the Initial Term Loan Commitment of such Lender on
the Effective Date.  Once repaid, Initial Term Loans incurred hereunder may not be reborrowed.


                        (b)        Subject to and upon the terms and conditions set forth herein, each Lender with
a Revolving Loan Commitment severally agrees, at any time and from time to time on and after the Effective Date and prior to the Revolving Loan Maturity Date, to make a revolv­ing loan or revolving loans (each, a “Revolving Loan” and, collectively,
the “Revolving Loans”) to the Borrower, which Revolving Loans (i) shall, at the option of the Borrower, be Base Rate Loans or, subject to Section 1.15, Eurodollar Loans, provided that, except as otherwise specifi­cally provided in Section
1.10(b), all Revolving Loans comprising the same Borrowing shall at all times be of the same Type, (ii) may be repaid and reborrowed at any time in accor­dance with the provisions hereof, (iii) shall not exceed for any such Lender at any time
out­stand­ing that aggregate principal amount which, when added to the product of (A) such Lender’s Percentage and (B) the sum of (I) the aggregate amount of all Letter of Credit Outstand­ings (exclusive of Unpaid Drawings which are repaid with the
proceeds of, and simultaneously with the incurrence of, the respective incurrence of Revolving Loans) at such time and (II) the aggre­gate principal amount of all Swingline Loans (exclusive of Swingline Loans which are repaid with the proceeds of, and
simultaneously with the incurrence of, the respec­tive incurrence of Revolving Loans) then outstanding, equals the Revolving Loan Commitment of such Lender at such time and (iv) shall not exceed for all Lenders at any time outstand­ing that aggregate
princi­pal amount which, when added to (I) the aggregate amount of all Letter of Credit Outstand­ings (exclusive of Unpaid Drawings which are repaid with the proceeds of, and simultaneously with the incurrence of, the respective incurrence of Revolving Loans)
at such time and (II) the aggre­gate principal amount of all Swingline Loans (exclusive of Swingline Loans which are repaid with the proceeds of, and simultaneously with the incurrence of, the respective incurrence of Revolving Loans) then outstanding, equals the
Total Revolving Loan Commitment at such time; provided that, notwithstanding anything to the contrary contained above in this clause (iv), in no event shall any Revolving Loans be permitted to be incurred pursuant to this Agreement if after giving effect to
the incurrence thereof, the Revolving Exposure would exceed $150,000,000 unless (i) the Senior Subordinated Note Borrowing Base after giving effect to such incurrence of Revolving Loans equals or exceeds the Revolving Exposure after giving effect to such incurrence
of Revolving Loans, (ii) at the time of the incurrence of any such Revolving Loans, there is sufficient availability under the dollar basket contained in Section 4.03(xi) of the Senior Subordinated Note Indenture such that the principal amount of such Revolving Loans
to be incurred is permitted under such Section 4.03(xi) or (iii) after giving effect to the incurrence of such Revolving Loans, the Interest Coverage Ratio (as defined in, and calculated in accordance with, the Senior Subordinated Note Indenture (for this purpose
utilizing the component definitions of such definition of Interest Coverage Ratio in the manner defined in, and calculated in accordance with, the Senior Subordinated Note Indenture)) would be greater than 2.00:1.00, provided further that the immediately preceding
proviso shall not be applicable after such time as when the entire principal amount of all outstanding Senior Subordinated Notes has been  indefeasibly repaid in full and the Borrower’s and its Restricted Subsidiaries’ obligations under the Senior
Subordinated Note Indenture and the other Senior Subordinated Note Documents have been terminated in accordance with the terms thereof.


                        (c)        Subject to and upon the terms and conditions set forth herein, the Swingline
Lender agrees to make, at any time and from time to time after the Effective Date and prior to the Swingline Expiry Date, a revolving loan or revolving loans (each a “Swingline Loan” and, collectively, the “Swingline Loans”) to the Borrower,
which Swingline Loans (i) shall be made and maintained as Base Rate Loans, (ii) may be repaid and reborrowed in accordance with the provisions hereof, (iii) shall not exceed in aggregate principal amount at any time out­standing, when combined with the aggregate
principal amount of all Revolving Loans then out­standing and the Letter of Credit Outstandings (exclusive of Unpaid Drawings which are repaid with the proceeds of, and simultaneously with the incurrence of, the respective incurrence of Swingline Loans) at such
time, an amount equal to the Total Revolving Loan Commitment at such time, and (iv) shall not exceed in aggregate principal amount at any time outstanding the Maximum Swingline Amount; provided that notwithstanding anything to the contrary contained in preceding
clauses (iii) and (iv), in no event shall any Swingline Loans be permitted to be incurred pursuant to this Agreement if after giving effect to the incurrence thereof the Revolving Exposure would exceed $150,000,000 unless (i) the Senior Subordinated Note Borrowing
Base after giving effect to such incurrence of Swingline Loans equals or exceeds the Revolving Exposure after giving effect to such incurrence of Swingline Loans, (ii) at the time of the incurrence of any such Swingline Loans, there is sufficient availability under
the dollar basket contained in Section 4.03(xi) of the Senior Subordinated Note Indenture such that the principal amount of such Swingline Loans to be incurred is permitted under such Section 4.03(xi) or (iii) after giving effect to the incurrence of such Swingline
Loans, the Interest Coverage Ratio (as defined in, and calculated in accordance with, the Senior Subordinated Note Indenture (for this purpose utilizing the component definitions of such definition of Interest Coverage Ratio in the manner defined in, and calculated
in accordance with, the Senior Subordinated Note Indenture)) would be greater than 2.00:1.00, provided further that the immediately preceding proviso shall not be applicable after such time as when the entire principal amount of all outstanding Senior Subordinated
Notes has been  indefeasibly repaid in full and the Borrower’s and its Restricted Subsidiaries’ obligations under the Senior Subordinated Note Indenture and the other Senior Subordinated Note Documents have been terminated in accordance with the
terms thereof.  The Swingline Lender shall not be obligated to make any Swingline Loans at a time when a Lender Default exists unless the Swingline Lender has entered into an arrangement satisfactory to it and the Borrower, to eliminate the Swingline
Lender’s risk with respect to the Lender which is the subject of such Lender Default, including by cash collat­eralizing the Lender’s Percentage of the outstanding Swingline Loans.  Notwithstand­ing any­thing to the con­trary
contained in this Section 1.01(c), the Swingline Lender shall not make any Swingline Loan after it has received written notice from the Borrower or the Required Lenders stating that a Default or an Event of Default exists and is continuing until such time as (A) the
Swingline Lender shall have received written notice (i) of rescission of all such notices from the party or parties originally delivering such notice, or (ii) of the waiver of such Default or Event of Default by the Required Lenders or (B) the Administrative
Agent in good faith believes that such Default or Event of Default has ceased to exist.


                        (d)        On any Business Day, the Swingline Lender may, in its sole discretion, give
notice to the Lenders with Revolving Loan Commitments that its outstanding Swingline Loans shall be funded with one or more Borrowings of Revolving Loans (provided that such notice shall be deemed to have been automatically given upon the occurrence of a
Default or an Event of Default under Section 10.05 or upon the exercise of any of the remedies provided in the last paragraph of Section 10), in which case one or more Borrowings of Revolving Loans consti­tut­ing Base Rate Loans (each such Borrowing, a
“Mandatory Borrowing”) shall be made on the immediately succeeding Business Day by all such Lenders pro rata based on each such Lender’s Percentage (deter­mined before giving effect to any termination of the Revolving Loan
Commitments pursuant to the last paragraph of Section 10) and the proceeds thereof shall be applied directly to repay the Swingline Lender for such outstanding Swingline Loans.  Each such Lender hereby irrevocably agrees to make Revolving Loans upon one Business
Day’s notice pur­suant to each Mandatory Borrowing in the amount and in the manner specified in the preceding sentence and on the date specified in writing by the Swingline Lender notwithstanding (i) the amount of the Mandatory Borrowing may not comply
with the Minimum Borrowing Amount otherwise required hereunder, (ii) whether any conditions speci­fied in Section 6 are then satisfied, (iii) whether a Default or an Event of Default then exists, (iv) the date of such Mandatory Bor­rowing and (v) the
amount of the Total Revolving Loan Commitment at such time.  In the event that any Mandatory Borrowing cannot for any reason be made on the date otherwise required above (including, without limitation, as a result of the commence­ment of a proceeding under
the Bankruptcy Code with respect to the Borrower), then each such Lender hereby agrees that it shall forthwith purchase (as of the date the Mandatory Borrowing would otherwise have occurred, but adjusted for any payments received from the Borrower on or after such
date and prior to such purchase) from the Swingline Lender such participations in the outstanding Swingline Loans as shall be necessary to cause such Lenders to share in such Swingline Loans ratably based upon their respective Percentages (determined before giving
effect to any termination of the Total Revolving Loan Commitment pursuant to the last paragraph of Section 10), provided that (x) all interest payable on the Swingline Loans shall be for the account of the Swingline Lender until the date as of which the
respective participation is required to be purchased and, to the extent attributable to the purchased participation, shall be payable to the participant from and after such date, (y) at the time any purchase of participations pursuant to this sentence is actually
made, the purchasing Lender shall be required to pay the Swingline Lender interest on the principal amount of participation purchased for each day from and including the day upon which the Mandatory Borrowing would otherwise have occurred to but excluding the date of
payment for such partici­pation, at the overnight Federal Funds Rate for the first three days and at the rate otherwise appli­cable to Revolving Loans maintained as Base Rate Loans hereunder for each day thereafter and (z) whenever the Swingline Lender
receives a payment in respect of a Swingline Loan in which such a participation has been purchased, the Swingline Lender shall pay to the Lenders which acquired such participation an amount equal to such Lenders’ share in such Swingline Loan.


                        (e)        Subject to Section 1.13, the other terms and conditions set forth herein and
the relevant Incremental Commitment Agreement, each Lender with an Incremental Term Loan Commitment severally agrees to make a term loan or term loans (each, an “Incremental Term Loan” and, collectively, the “Incremental Term Loans”) to the
Borrower, which Incremental Term Loans:  (1) only may be incurred on one or more Incremental Term Loan Borrowing Dates (which dates, in any event (x) shall not be earlier than the Syndication Date and (y) shall not be later than the Revolving Loan Maturity
Date); (2) except as hereafter provided, shall, at the option of the Borrower, be incurred and maintained as, and/or converted into, Base Rate Loans or Eurodollar Loans, provided that all Incremental Term Loans made as part of the same Borrowing shall, unless
otherwise specifically pro­vided herein, consist of Incremental Term Loans of the same Type; (3) shall be made by each such Lender in that aggre­gate prin­ci­pal amount which does not exceed the Incremental Term Loan Commitment of such Lender (as set
forth in the relevant Incremental Commitment Agreement) on the respec­tive Incremental Term Loan Borrowing Date and (iv) shall not exceed, when added to the aggregate principal amount of Permitted  Senior Unsecured Notes theretofore issued  pursuant to
Section 9.04(xix) from and after the Effective Date, $200,000,000 in aggre­gate principal amount for all Incremental Term Loans made by all Incremental Lenders pursuant to this Agreement and the various Incremental Commitment Agreements.  Once repaid,
Incremental Term Loans may not be reborrowed.


                        1.02     Minimum Amount of Each Borrowing.  The aggregate principal amount of
each Borrowing of Loans shall not be less than the Minimum Borrowing Amount applicable thereto.  More than one Borrowing may occur on the same date, but at no time shall there be outstand­ing as Eurodollar Loans under any Tranche a greater number of
Borrowings than the Maximum Eurodollar Borrowing Number applicable to such Tranche.


                        1.03     Notice of Borrowing.  (a)  Whenever the Borrower desires to
incur a Borrowing of Loans (excluding Swingline Loans and Revolving Loans incurred pursuant to a Mandatory Borrowing), the Borrower shall give the Administrative Agent at the Notice Office at least one Business Day’s prior written notice (or telephonic notice
promptly confirmed in writing) of each Base Rate Loan and at least three Business Days’ prior written notice (or tele­phonic notice promptly confirmed in writing) of each Eurodollar Loan to be made here­under, provided that any such notice shall
be deemed to have been given on a certain day only if given before 1:00 P.M. (New York time) on such day.  Each such written notice or written confirma­tion of telephonic notice (each a “Notice of Borrowing”), except as other­wise
expressly pro­vided in Section 1.10, shall be irrevocable and shall be given by the Borrower in the form of Exhibit A, appropriately completed to specify (i) the aggregate principal amount of the Loans to be incurred pursuant to such Borrowing, (ii) the date of
such Borrowing (which shall be a Business Day) and (iii) whether the Loans being made pursuant to such Borrowing shall consti­tute Initial Term Loans, Revolving Loans or Incremental Term Loans (and, if Incremental Term Loans, the Tranche under which such
Incremental Term Loans are to be made, as designated in the relevant Incremental Commitment Agreement) and whether the Loans being incurred pursuant to such Borrowing are to be initially maintained as Base Rate Loans or Eurodollar Loans and, if Eurodollar Loans, the
initial Interest Period to be applicable thereto.  Notwithstanding anything to the contrary contained above (i) if Incremental Term Loans are being extended which are being added to (and will form part of) an existing Tranche of Term Loans, then the Incremental
Term Loans being so extended shall be added to the existing Borrowings of the respective Tranche in accordance with the requirements of Section 1.13 and the respective Notice of Borrowing shall be completed consistently therewith and (ii) if Revolving Loans are to be
incurred such that, after giving effect thereto, the Revolving Exposure shall exceed $150,000,000 the respective Notice of Borrowing for such incurrence of Revolving Loans shall include a certification from the Chief Financial Officer of the Borrower (which
certification shall include supporting calculations in reasonable detail that the incurrence of such Revolving Loans is permitted pursuant to sub-clause (i), (ii) or (iii) of the proviso to clause (iv) of Section 1.01(c).  The Administrative Agent shall promptly
give each Lender which is required to make Loans of the Tranche specified in the respective Notice of Borrowing notice of such proposed Borrowing, of such Lender’s proportionate share thereof and of the other matters required by the immedi­ately preceding
sentence to be specified in the Notice of Borrowing.


                        (b)        (i)  Whenever the Borrower desires to incur Swingline Loans hereunder, the
Borrower shall give the Swingline Lender no later than 2:00 P.M. (New York time) on the date that a Swingline Loan is to be incurred, written notice or telephonic notice promptly confirmed in writing of each Swingline Loan to be incurred hereunder.  Each
such notice shall be irrevo­cable and specify in each case (A) the date of Borrowing (which shall be a Business Day) and (B) the aggregate principal amount of the Swingline Loans to be incurred pursuant to such Borrowing.


                        (ii)        Mandatory Borrowings shall be made upon the notice specified in
Section 1.01(c), with the Borrower irrevocably agreeing, by its incurrence of any Swingline Loan, to the making of the Mandatory Borrowings as set forth in Section 1.01(c).


                        1.04     Disbursement of Funds.  No later than 2:00 P.M. (New York
time) on the date specified in each Notice of Borrowing (or (x) in the case of Swingline Loans, no later than 3:00 P.M. (New York time) on the date specified pursuant to Section 1.03(b)(i) or (y) in the case of Mandatory Borrowings, no later than 12:00 Noon
(New York time) on the date specified in Section 1.01(d)), each Lender with a Commitment under the respective Tranche will disburse its


pro rata portion of each Borrowing requested to be made on such date (or, in the case of Swingline Loans, the Swingline Lender will make available the full amount thereof).  All such amounts shall be disbursed in Dollars and in immediately
available funds at the Payment Office and the Administrative Agent will promptly disburse to the Borrower at the Payment Office, in Dollars and in immediately available funds, the aggregate of the amounts so made available by the Lenders (other than in respect of
Mandatory Borrowings).  Unless the Administrative Agent shall have been notified by any Lender prior to the date of Borrowing that such Lender does not intend to disburse to the Administrative Agent such Lender’s portion of any Borrowing to be made on such
date, the Administrative Agent may assume that such Lender has disbursed such amount to the Administrative Agent on such date of Borrowing and the Administrative Agent may, in reliance upon such assumption, disburse to the Borrower a corresponding amount.  If
such corresponding amount is not in fact disbursed to the Administrative Agent by such Lender, the Administrative Agent shall be entitled to recover such corresponding amount on demand from such Lender.  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 within three Business Days thereafter pay such corresponding amount to the Administrative Agent.  The
Administrative Agent shall also be entitled to recover (with­out duplication) on demand from such Lender or the Borrower, as the case may be, interest on such corresponding amount in respect of each day from the date such corresponding amount was disbursed by the
Administrative Agent to the Borrower until the date such corresponding amount is recovered by the Administrative Agent, at a rate per annum equal to (i) if recovered from such Lender, the overnight Federal Funds Rate for the first three days and the interest rate
otherwise applicable to such Loans for each day thereafter and (ii) if recovered from the Borrower, the rate of interest applicable to the respective Borrowing, as determined pursuant to Section 1.08.  Nothing in this Section 1.04 shall be deemed to relieve
any Lender from its obliga­tion to make Loans hereunder or to prejudice any rights which the Borrower may have against any Lender as a result of any failure by such Lender to make Loans hereunder.


                        1.05     Notes.  (a)  The Borrower’s obligation to pay the principal of, and
interest on, the Loans made by each Lender to the Borrower shall be evidenced in the Register main­tained by the Administrative Agent pursuant to Section 13.04(c) and shall, if requested by such Lender, also be evidenced by (i) if Initial Term Loans, a promissory
note duly executed and delivered by the Borrower substantially in the form of Exhibit B-1, with blanks appropriately completed in conformity herewith (each, an “Initial Term Note” and, collectively, the “Initial Term Notes”), (ii) if Revolving
Loans, a promissory note duly executed and delivered by the Borrower substantially in the form of Exhibit B-2, with blanks appropriately completed in conformity herewith (each, a “Revolving Note” and, collectively, the “Revolving Notes”),
(iii) if Swingline Loans, by a promissory note duly executed by the Borrower substantially in the form of Exhibit B-3, with blanks appropriately completed in conformity herewith (the “Swingline Note”) and (iv) if Incremental Term Loans, by a promissory
note duly executed and delivered by the Borrower substantially in the form of Exhibit B-4, with blanks appropriately completed in conformity herewith and the relevant Incremental Commitment Agreement (each, an “Incremental Term Note” and, collectively,
the “Incremental Term Notes”).


                        (b)        The Initial Term Note issued to each Lender that has an Initial Term Loan
Commitment or outstanding Initial Term Loans shall (i) be executed by the Borrower, (ii) be pay­able to such Lender or its registered assigns and be dated the Effective Date (or, if issued after the Effective Date, be dated the date of the issuance thereof),
(iii) be in a stated principal amount equal to the Initial Term Loans of such Lender (or, if issued after the Effective Date, be in a stated principal amount equal to the outstanding Initial Term Loans of such Lender at such time) and be payable in the outstanding
principal amount of the Initial Term Loans evidenced thereby, (iv) mature on the Initial Term Loan Maturity Date, (v) bear interest as provided in the appropriate clause of Section 1.08 in respect of the Base Rate Loans and Eurodollar Loans, as the case may be,
evidenced thereby, (vi) be subject to voluntary prepayment as provided in Section 4.01, and mandatory repay­ment as provided in Section 4.02 and (vii) be entitled to the benefits of this Agreement and the other Credit Documents.


                        (c)        The Revolving Note issued to each Lender that has a Revolving Loan Commitment
or outstanding Revolving Loans shall (i) be executed by the Borrower, (ii) be pay­able to such Lender or its registered assigns and be dated the Effective Date (or, if issued after the Effective Date, be dated the date of the issuance thereof), (iii) be in a
stated principal amount equal to the Revolving Loan Commitment of such Lender (or, if issued after the termination thereof, be in a stated principal amount equal to the outstanding Revolving Loans of such Lender at such time) and be payable in the outstanding
principal amount of the Revolving Loans evidenced thereby, (iv) mature on the Revolving Loan Maturity Date, (v) bear interest as provided in the appropriate clause of Section 1.08 in respect of the Base Rate Loans and Eurodollar Loans, as the case may be, evidenced
thereby, (vi) be subject to voluntary prepayment as provided in Section 4.01, and mandatory repay­ment as provided in Section 4.02 and (vii) be entitled to the benefits of this Agreement and the other Credit Documents.


                        (d)        The Swingline Note issued to the Swingline Lender shall (i) be executed by the
Borrower, (ii) be payable to the Swingline Lender or its registered assigns and be dated the Effective Date, (iii) be in a stated principal amount equal to the Maximum Swingline Amount and be payable in the outstanding principal amount of the Swingline Loans
evidenced thereby from time to time, (iv) mature on the Swingline Expiry Date, (v) bear interest as provided in the appropriate clause of Section 1.08 in respect of the Base Rate Loans evidenced thereby, (vi) be subject to voluntary prepayment as provided in Section
4.01, and mandatory repay­ment as provided in Section 4.02 and (vii) be entitled to the benefits of this Agreement and the other Credit Documents.


                        (e)        The Incremental Term Note issued to each Lender that has an Incremental Term
Loan Commitment or outstanding Incremental Term Loans of a given Tranche shall (i) be executed by the Borrower, (ii) be payable to the order of such Lender or its registered assigns and be dated the date of the issuance thereof, (iii) be in a stated principal amount
equal to the principal amount of outstanding Incremental Term Loans of such Lender of the respective Tranche on such date and be payable in the principal amount of Incremental Term Loans evidenced thereby, (iv) mature on the Incremental Term Loan Maturity Date
of the respective Tranche, (v) bear interest as provided in the appro­priate clause of Section 1.08 in respect of the Base Rate Loans and Eurodollar Loans, as the case may be, evidenced thereby, (vi) be subject to voluntary prepayment as provided in Section 4.01,
and mandatory repayment as provided in Section 4.02 and (vii) be entitled to the benefits of this Agreement and the other Credit Documents.  In connection with the foregoing, it is understood and agreed that (x) any Lender that has Incremental Term Loans
outstanding pursuant to more than one Tranche shall be entitled, upon its request, to receive an Incremental Term Note with respect to each Tranche of its outstanding Incremental Term Loans and (y) if any Lender extends additional Incremental Term Loans pursuant to
an existing Tranche of Incremental Term Loans where such Lender already had outstanding Incremental Term Loans, such Lender shall be entitled to request a new Incremental Term Note for such Tranche reflecting the aggregate principal amount of Incremental Term Loans
of such Lender of such Tranche then outstanding.


                        (f)         Each Lender will note on its internal records the amount of each Loan
made by it and each payment in respect thereof and will prior to any transfer of any Note endorse on the reverse side thereof the outstanding principal amount of Loans evidenced thereby.  Failure to make any such notation (or any error in such notation) shall
not affect the Borrower’s obliga­tions in respect of such Loans.


                        (g)        Notwithstanding anything to the contrary contained above in this Section 1.05
or elsewhere in this Agreement, Notes shall only be delivered to Lenders which at any time specifically request the delivery of such Notes.  No failure of any Lender to request or obtain a Note evidencing its Loans to the Borrower shall affect or in any manner
impair the obligations of the Borrower to pay the Loans (and all related Obligations) incurred by the Borrower which would otherwise be evidenced thereby in accordance with the requirements of this Agreement, and shall not in any way affect the security or guaranties
therefor provided pursuant to the various Credit Documents.  Any Lender which does not have a Note evidencing its outstanding Loans shall in no event be required to make the notations otherwise described in preceding clause (f).  At any time when any Lender
requests the delivery of a Note to evidence its Loans of a given Tranche or Tranches, the Borrower shall promptly execute and deliver to the respective Lender the requested Note in the appropriate amount or amounts to evidence such Loans.


                        1.06     Conversions.  The Borrower shall have the option to convert, on any
Business Day occurring after the Effective Date, all or a portion equal to at least the appli­cable Minimum Borrowing Amount of the outstanding principal amount of Loans (other than Swingline Loans which may not be converted pursuant to this Section 1.06) of a
given Tranche made to the Borrower into a Borrowing or Borrowings (of the same Tranche) of another Type of Loan, provided that (i) each conversion of Eurodollar Loans into Base Rate Loans on a day other than the last day of an Interest Period applicable to
such Eurodollar Loans shall be subject to the provisions contained in Section 1.11 and no partial conversion of a Borrowing of Eurodollar Loans shall reduce the outstanding principal amount of such Eurodollar Loans made pursuant to a single Borrowing to less than the
Minimum Borrowing Amount applicable thereto,(ii) unless the Required Lenders otherwise consent in writing, Base Rate Loans may only be converted into Eurodollar Loans if no Default or Event of Default is in existence on the date of the conversion, (iii) no
conversion pursuant to this Section 1.06 shall result in a greater num­ber of Borrowings of Eurodollar Loans than is permitted under Section 1.02 and (iv) any conversions pursuant to this Section 1.06 shall be subject to Section 1.15.  Each such conversion
shall be effected by the Borrower by giving the Administrative Agent at the Notice Office prior to 1:00 P.M. (New York time) at least three Business Days’ prior written notice (each a “Notice of Conversion”) specifying the Loans to be so
converted, the Borrowing(s) pursuant to which such Loans were made and, if to be converted into Eurodollar Loans, the Interest Period to be initially applicable thereto.  The Administrative Agent shall give each Lender prompt notice of any such proposed
conver­sion affecting any of its Loans.


                        1.07     Pro Rata Borrowings.  All Borrowings of Initial Term Loans,
Revolving Loans and Incremental Term Loans of a particular Tranche under this Agreement shall be incurred from the Lenders pro rata on the basis of their respective Initial Term Loan Commitments, Revolving Loan Commitments or Incremental Term Loan
Commitments, as the case may be.  It is understood that no Lender shall be responsible for any default by any other Lender of its obligation to make Loans hereunder and that each Lender shall be obligated to make the Loans provided to be made by it hereunder,
regardless of the failure of any other Lender to make its Loans hereunder.


                        1.08     Interest.  (a)  The Borrower agrees to pay interest in
respect of the unpaid principal amount of each Base Rate Loan from the date the proceeds thereof are made available to the Borrower or from the date of any conversion to a Base Rate Loan pursuant to Sections 1.06, 1.09 or 1.10, as applicable, until the earlier of (i)
the maturity (whether by acceleration or other­wise) of such Base Rate Loan and (ii) the conversion of such Base Rate Loan to a Eurodollar Loan pursuant to Section 1.06, at a rate per annum which shall be equal to the sum of the Applicable Margin in effect
from time to time for the Tranche under which such Loans were incurred, plus the Base Rate in effect from time to time.


                        (b)        The Borrower agrees to pay interest in respect of the unpaid principal amount
of each Eurodollar Loan from the date the proceeds thereof are made available to the Borrower or from the date of any conversion to a Eurodollar Loan pursuant to Section 1.06 until the earlier of (i) the maturity (whether by acceleration or otherwise) of such
Eurodollar Loan and (ii) the conversion of such Eurodollar Loan to a Base Rate Loan pursuant to Section 1.06, 1.09 or 1.10, as applicable, at a rate per annum which shall, during each Interest Period applicable thereto, be equal to the sum of the Applicable Margin in
effect from time to time during such Interest Period for the Tranche under which such Loans were incurred, plus the Eurodollar Rate for such Interest Period.


                        (c)        Overdue principal and, to the extent permitted by law, overdue interest in
respect of each Loan shall, in each case, bear interest at a rate per annum equal to the greater of (x) 2% per annum in excess of the rate otherwise applicable to Base Rate Loans of the respective Tranche from time to time and (y) the rate which is 2% in excess of
the rate otherwise applicable to such Loans, and all other overdue amounts payable hereunder and under any other Credit Document shall bear interest at a rate per annum equal to the rate which is 2% in excess of the rate applicable to Revolving Loans maintained as
Base Rate Loans from time to time.  Interest which accrues under this Section 1.08(c) shall be payable on demand.


                        (d)        Accrued (and theretofore unpaid) interest (other than overdue interest
described in preceding clause (c) which shall be payable as provided in such preceding clause (c)) shall be payable (i) in respect of each Base Rate Loan, quarterly in arrears on each Quarterly Payment Date, (ii) in respect of each Eurodollar Loan, on the last day of
each Interest Period applicable thereto and, in the case of an Interest Period in excess of three months, on each date occurring at three month intervals after the first day of such Interest Period and (iii) in respect of each Loan, on any repayment or
pre­payment (on the amount repaid or prepaid), at maturity (whether by acceleration or otherwise) and, after such maturity, on demand.


                        (e)        Upon each Interest Determination Date, the Administrative Agent shall
deter­mine the Eurodollar Rate for each Interest Period commencing two Business Days thereafter and shall promptly notify the Borrower and the Lenders thereof.  Each such determination shall, absent manifest error, be final and conclusive and binding on all
parties hereto.


                        1.09     Interest Periods.  At the time the Borrower gives any Notice of
Borrowing or Notice of Conversion in respect of the making of, or conversion into, any Eurodollar Loan (in the case of the initial Interest Period applicable thereto) or on the third Business Day prior to the expiration of an Interest Period applicable to such
Eurodollar Loan (in the case of any subsequent Interest Period), the Borrower shall have the right to elect, by giving the Administrative Agent notice thereof, the interest period (each an “Interest Period”) applicable to such Eurodollar Loan, which
Interest Period shall, at the option of the Borrower, be (i) a one, two, three or six-month period or (ii) if deemed available in the sole discretion of the Administrative Agent, a one-week or nine or twelve-month period or (iii) if available to each of the Lenders
of the respective Tranche, and selected in order to ensure compliance with clause (vii) of this Section 1.09, any period between one week and three months which ends on a Scheduled Term Loan Repayment Date, provided that:


                        (i)         all Eurodollar Loans comprising a Borrowing shall at all times have the
same Interest Period;


                        (ii)        the initial Interest Period for any Eurodollar Loan shall commence on the date
of Borrowing of such Eurodollar Loan (including the date of any conversion thereto from a Loan of a different Type) and each Interest Period occurring thereafter in respect of such Eurodollar Loan shall commence on the day on which the next preceding Interest Period
applicable thereto expires;


                        (iii)       if any Interest Period relating to a Eurodollar Loan begins on a day for which
there is no numerically corresponding day in the calendar month at the end of such Interest Period, such Interest Period shall end on the last Business Day of such calendar month;


                        (iv)       if any Interest Period would otherwise expire on a day which is not a Business Day,
such Interest Period shall expire on the next succeeding Business Day; provided, however, that if any Interest Period for a Eurodollar Loan would otherwise expire on a day which is not a Business Day but is a day of the month after which no further
Business Day occurs in such month, such Interest Period shall expire on the next preceding Business Day;


                        (v)        unless the Required Lenders consent thereto in writing, no Interest Period may
be selected at any time when a Default or an Event  of Default is then in existence;


                        (vi)       no Interest Period in respect of any Borrowing of any Tranche of Loans  shall
be selected which extends beyond the Maturity Date of such Tranche; and


                        (vii)      no Interest Period in respect of any Borrowing of any Tranche of Term Loans shall be
selected which extends beyond any Scheduled Term Loan Repayment Date applicable thereto if the aggregate principal amount of such Tranche of Term Loans which have Interest Periods which will expire after such date will be in excess of the aggregate principal amount
of such Tranche of Term Loans then outstanding less the aggregate amount of the Scheduled Term Loan Repayment with respect thereto which will be due on such Scheduled Term Loan Repayment Date.


                        If upon the expiration of any Interest Period applicable to a Borrowing of Eurodollar Loans, the Borrower has failed to
elect, or is not permitted to elect, a new Interest Period to be applicable to such Eurodollar Loans as provided above, the Borrower shall be deemed to have elected to convert such Eurodollar Loans into Base Rate Loans effective as of the expiration date of such
current Interest Period.


                        1.10     Increased Costs, Illegality, etc.  (a)  In the event that any
Lender shall have deter­mined (which determination shall, absent manifest error, be final and conclusive and bind­ing upon all parties hereto but, with respect to clause (i) below, may be made only by the Administrative Agent):


                        (i)         on any Interest Determination Date that, by reason of any changes arising
after the Effective Date affecting the interbank Eurodollar market, adequate and fair means do not exist for ascertaining the applicable interest rate on the basis provided for in the defini­tion of Eurodollar Rate; or


                        (ii)        at any time, that such Lender shall incur increased costs or reductions in the
amounts received or receivable hereunder with respect to any Eurodollar Loan because of (x) any change since the Effective Date in any applicable law or governmental rule, regula­tion, order, guideline or request (whether or not having the force of law) or in the
inter­pretation or administration thereof and including the introduction of any new law or governmental rule, regulation, order, guideline or request, such as, for example, but not limited to:  (A) a change in the basis of taxation of payment to any
Lender of the principal of or interest on such Eurodollar Loan or any other amounts payable hereunder (except for changes in the rate of tax on, or determined by reference to, the net income or net profits of such Lender, or any franchise tax based on the net income
or net profits of a Lender, in either case pursuant to the laws of the jurisdiction in which such Lender is organized or in which such Lender’s principal office or applicable lending office is located or any sub­division thereof or therein), or (B) a change
in official reserve require­ments, but, in all events, excluding reserves required under Regulation D to the extent included in the com­putation of the Eurodollar Rate and/or (y) other circumstances since the Effective Date affecting such Lender or the
interbank Eurodollar market or the posi­tion of such Lender in such market; or


                        (iii)       at any time, that the making or continuance of any Eurodollar Loan has been made
(x) unlawful by any law or governmental rule, regulation or order, (y) impossible by compliance by any Lender in good faith with any governmental request (whether or not hav­ing force of law) or (z) impracticable as a result of a contingency occurring after the
Effective Date which materially and adversely affects the interbank Eurodollar market;


then, and in any such event, such Lender (or the Administrative Agent, in the case of clause (i) above) shall promptly give notice (by telephone confirmed in writing) to the Borrower and, except in the case of clause (i) above, to the Administrative Agent of such
deter­mination (which notice the Administrative Agent shall promptly transmit to each of the other Lenders).  There­after (x) in the case of clause (i) above, Eurodollar Loans shall no longer be available until such time as the Administrative Agent
notifies the Borrower and the Lenders that the circumstances giving rise to notice by the Administrative Agent no longer exist, and any Notice of Borrowing or Notice of Conversion given by the Borrower with respect to Eurodollar Loans which have not yet been incurred
(including by way of conversion) shall be deemed a Notice of Borrowing or Notice of Conversion for or into Base Rate Loans unless such Notice of Borrowing or Notice of Conversion is rescinded by the Borrower prior to the making of such Borrowing or such
conver­sion, (y) in the case of clause (ii) above, the Borrower shall, subject to the provisions of Section 13.16 (to the extent applicable), pay to such Lender, upon written demand therefor, such addi­tional amounts (in the form of an increased rate of, or a
different method of calculating, interest or otherwise as such Lender in its sole discretion shall determine) as shall be required to compen­sate such Lender for increased costs or reductions in amounts received or receivable hereunder (a written notice as to the
additional amounts owed to such Lender, showing the basis for the calcu­lation thereof, submitted to the Borrower by such Lender in good faith shall, absent manifest error, be final and conclusive and binding on all the parties hereto) and (z) in the case of
clause (iii) above, the Borrower shall take one of the actions speci­fied in Section 1.10(b) as promptly as possible and, in any event, within the time period required by law.  Each of the Administrative Agent and each Lender agrees that if it gives notice
to the Borrower of any of the events described in clause (i) or (iii) above, it shall promptly notify the Borrower and, in the case of any such Lender, the Administrative Agent, if such event ceases to exist. If any such event described in clause (iii) above ceases
to exist as to a Lender, the obligations of such Lender to make Eurodollar Loans and to convert Base Rate Loans into Eurodollar Loans on the terms and condi­tions con­tained herein shall be reinstated.  In addition, if the Administrative Agent gives
notice to the Borrower that the events described in clause (i) above cease to exist, then the obligations of the Lenders to make Eurodollar Loans and to convert Base Rate Loans into Eurodollar Loans on the terms and condi­tions contained herein (but subject to
clause (iii) above) shall also be reinstated.


                        (b)        At any time that any Eurodollar Loan is affected by the circumstances described
in Section 1.10(a)(ii) or (iii), the Borrower may (and in the case of a Eurodollar Loan affected by the circumstances described in Section 1.10(a)(iii) the Borrower shall) either (x) if the affected Eurodollar Loan is then being made initially or pursuant to a
conversion, cancel the respective Borrowing by giving the Administrative Agent telephonic notice (confirmed in writing) on the same date that the Borrower was notified by the affected Lender or the Administra­tive Agent pursuant to Section 1.10(a)(ii) or (iii) or
(y) if the affected Eurodollar Loan is then outstanding, upon at least three Business Days’ written notice to the Administrative Agent, require the affected Lender to convert such Eurodollar Loan into a Base Rate Loan, provided that, if more than one
Lender is affected at any time, then all affected Lenders must be treated the same pursuant to this Section 1.10(b).


                        (c)        If at any time any Lender determines that, after the Effective Date, the
intro­duction of or any change in any applicable law or governmental rule, regulation, order, guide­line, directive or request (whether or not having the force of law and including, without limitation, those announced or published prior to the Effective Date)
concerning capital adequacy, or any change in interpretation or administration thereof by the NAIC or any govern­mental authority, central bank or comparable agency, will have the effect of increasing the amount of capital required or expected to be maintained by
such Lender or any corporation controlling such Lender based on the existence of such Lender’s Commitments hereunder or its obligations hereunder, then the Borrower shall, subject to the provisions of Section 13.16 (to the extent applicable), pay to such
Lender, upon its written demand therefor, such additional amounts as shall be re­quired to compensate such Lender or such other corporation for the increased cost to such Lender or such other corporation or the reduction in the rate of return to such Lender or
such other corporation as a result of such increase of capital.  In determining such additional amounts, each Lender will act reasonably and in good faith and will use averaging and attribution methods which are reasonable, provided that such
Lender’s reasonable good faith determination of com­pen­sation owing under this Section 1.10(c) shall, absent manifest error, be final and conclu­sive and binding on all the parties hereto.  Each Lender, upon deter­mining that any
additional amounts will be payable pursuant to this Section 1.10(c), will give prompt written notice thereof to the Bor­rower, which notice shall show the basis for calculation of such addi­tional amounts.  In addition, each such Lender, upon determining
that the circumstances giving rise to the payment of additional amounts pursuant to this Section 1.10(c) cease to exist, will give prompt written notice thereof to the Borrower.


                        1.11     Compensation.  The Borrower shall compensate each Lender, upon its
written request (which request shall set forth the basis for requesting such com­pensation), for all reasonable losses, expenses and liabilities (including, without limitation, any loss, expense or liabil­ity incurred by reason of the liquidation or
reemployment of deposits or other funds required by such Lender to fund its Eurodollar Loans but excluding any loss of antici­pated profit) which such Lender may sustain:  (i) if for any reason (other than a default by such Lender or the Administrative
Agent) a Borrowing of, or conversion from or into, Eurodollar Loans does not occur on a date specified therefor in a Notice of Borrowing or Notice of Conversion (whether or not withdrawn by the Borrower or deemed withdrawn pursuant to Section 1.10(a)); (ii) if any
repay­ment (including any repayment made pursuant to Section 4.01 or 4.02 or as a result of an acceler­ation of the Loans pursuant to Section 10) or conversion of any of the Borrower’s Eurodollar Loans occurs on a date which is not the last day of an
Interest Period with respect thereto; (iii) if any prepayment of any of the Borrower’s Eurodollar Loans is not made on any date specified in a notice of prepayment given by the Borrower; (iv) prior to the Syndication Date in connection with the primary
syndication of the Loans and/or Commitments unless the Borrower has selected only one week Interest Periods (which each begin and end on the same date) prior to such Syndication Date; or (v) as a consequence of (x) any other default by the Borrower to repay its Loans
when required by the terms of this Agreement or the Note, if any, held by such Lender or (y) any election made pursuant to Section 1.10(b).


                        1.12     Change of Lending Office.  Each Lender agrees that on the occurrence
of any event giving rise to the operation of Section 1.10(a)(ii) or (iii), Section 1.10(c), Section 2.06 or Section 4.04 with respect to such Lender, it will, if requested by the Borrower, use reasonable efforts (subject to overall policy
considerations of such Lender) to designate another lending office for any Loans and/or Letters of Credit affected by such event, provided that such designa­tion is made on such terms that such Lender and its lending office suffer no material (as
determined by such Lender in its sole discretion) economic, legal or regulatory disadvantage, with the object of avoiding the consequence of the event giving rise to the opera­tion of such Section.  Nothing in this Section 1.12 shall affect or postpone
any of the obliga­tions of the Borrower or the right of any Lender provided in Sections 1.10, 2.06 and 4.04.


                        1.13     Incremental Commitments.  (a)  So long as no Default or Event
of Default then exists or would result therefrom, the Borrower shall, in consultation with the Administrative Agent, have the right to request on one or more occasions prior to the Incremental Commitment Expiry Date that one or more Lenders (and/or one or more other
Persons which will become Lenders as provided below) provide Incremental Term Loan Commitments under a given Tranche of Incremental Term Loans or Incremental Revolving Loan Commitments, in each case as desig­nated (with the approval of the Administrative Agent
(which approval shall not be unreasonably withheld or delayed if such designation is otherwise made in accordance with the provisions of this Agreement)) in the Incremental Commitment Agreement and, subject to the terms and conditions contained in this Agreement and
the relevant Incremental Commitment Agreement, make Incremental Term Loans or Revolving Loans, as the case may be, pursuant thereto, it being understood and agreed, however, that:


                        (i)         no Lender shall be obligated to provide an Incremental Commitment as a
result of any such request by the Borrower, and until such time, if any, as such Lender has agreed in its sole discretion to provide an Incremental Commitment and executed and delivered to the Administrative Agent an Incremental Commitment Agreement as provided in
clause (b) of this Section 1.13, such Lender shall not be obligated to fund (x) any Incremental Term Loans or (y) any Revolving Loans in excess of its Revolving Loan Commitment as in effect prior to giving effect to the respective Incremental Revolving Loan
Commitment provided pursuant to this Section 1.13;


                        (ii)        except as otherwise provided in clauses (x) and (xi) below, any Lender (or, in
the circumstances contemplated by clause (viii) below, any other Person which is an Eligible Assignee) may so provide an Incremental Commitment without the consent of any other Lender;


                        (iii)       (x) each provision of Incremental Term Loan Commitments pursuant to this Section
1.13 on a given date shall be in a minimum aggregate amount (for all Lenders (including in the circumstances contemplated by clause (viii) below, Eligible Assignees who will become Lenders)) of $25,000,000 and (y) each provision of Incremental Revolving Commitments
pursuant to this Section 1.13 on a given date shall be in a minimum aggregate amount (for all Lenders (including in the circumstances contemplated by clause (viii) below, Eligible Assignees who will become Lenders)) of $5,000,000;


                        (iv)       (x) the aggregate amount of all Incremental Revolving Loan commitments permitted to
be provided pursuant to this Section 1.13 shall not exceed, an amount equal to $250,000,000 less the Total Revolving Loan Commitment in effect on the Effective Date and (y) the aggregate amount of all Incremental Term Loan Commitments permitted to be provided
pursuant to this Section 1.13 shall not exceed, when added to the aggregate principal amount of Permitted Senior Unsecured Notes issued pursuant to Section 9.04(xix) from and after the Effective Date), $200,000,000;


                        (v)        (x) each Incremental Commitment Agreement pursuant to which Incremental Term
Loan Commitments are being provided shall specifically designate (with the approval of the Administrative Agent (which approval shall not be unreasonably withheld or delayed if such designation is otherwise made in accordance with the provisions of this Agreement))
the Tranche of the Incremental Term Loan Commitments being provided thereunder (which Tranche shall be a new Tranche (i.e., not the same as any existing Tranche of Term Loans or Incremental Term Loan Commitments) unless the requirements of following Section
1.13(c) are satisfied) and (y) each Incremental Commitment Agreement pursuant to which Incremental Revolving Commitments are being provided shall specifically designate that such Incremental Revolving Commitments are to be added to the Total Revolving Loan
Commitments;


                        (vi)       each Lender agreeing to provide an Incremental Term Loan Commitment pursuant to an
Incremental Commitment Agreement shall, subject to the satisfaction of the relevant conditions set forth in this Agreement, make Incremental Term Loans under the Tranche specified in such Incremental Commitment Agreement as provided in Section 1.01(e) and such Loans
shall thereafter be deemed to be Incremental Term Loans under such Tranche for all purposes of this Agreement and the other Credit Documents;


                        (vii)      the Revolving Loan Commitment of each Lender agreeing to provide an Incremental Revolving
Loan Commitment pursuant to an Incremental Commitment Agreement shall be increased by the amount of such Incremental Revolving Commitment specified in the relevant Incremental Commitment Agreement effective on the effective date set forth in the respective
Incremental Commitment Agreement;


                        (viii)      if, within 10 Business Days after the Borrower has requested the then existing Lenders
(other than Defaulting Lenders) to provide Incremental Commitments pursuant to this Section 1.13 the Borrower has not received Incremental Commitments in an aggregate amount equal to that amount of Incremental Commitments which the Borrower desires to obtain pursuant
to such request (as set forth in the notice provided by the Borrower as provided in clause (b) of this Section 1.13), then the Borrower may, with the consent of the Administrative Agent (which consent shall not be unreasonably withheld or delayed), request
Incremental Commitments from Persons which are Eligible Assignees in an aggregate amount equal to such deficiency (and with the fees and interest to be paid to such Eligible Assignees to be no greater than that to be paid (or which was offered to) to the then
exist­ing Lenders providing (or which were requested to provide) the requested Incremental Commitments);


                        (ix)       all Incremental Term Loans to be incurred pursuant to Incremental Term Loan
Commitments provided in response to a particular request for same made by the Borrower in accordance with clause (b) of this Section 1.13 shall be incurred pursuant to Incremental Term Loan Commitments provided pursuant to a single Incremental Commitment Agreement,
which may be executed in counterparts;


                        (x)        unless both (I) the Required Lenders and (II) those Lenders holding (as
outstanding Loans or existing Revolving Loan Commitments, as the case may be) (x) a majority of the aggregate principal amount of outstanding Term Loans of each Tranche having a Maturity Date after such proposed Maturity Date plus (y) if such proposed Maturity Date
is to be prior to the Revolving Loan Maturity Date, a majority of the Total Revolving Loan Commitment, expressly agree in writing, in no event shall the Maturity Date of the Incremental Term Loans to be provided pursuant to any Incremental Commitment Agreement be
earlier than the Maturity Date of any other Tranche of Loans (or Revolving Loan Commitment) outstanding at the time such Incremental Term Loans are incurred;


                        (xi)       unless both (I) the Required Lenders and (II) those Lenders holding a majority of
the aggregate principal amount of outstanding Term Loans having a Weighted Average Life to Maturity which is longer than the Weighted Average Life to Maturity of the Incremental Term Loans to be made pursuant to the relevant Incremental Term Loan Commitments
expressly agree in writing, in no event shall the Weighted Average Life to Maturity of the Incremental Term Loans to be provided pursuant to any Incremental Commitment Agreement be less than the Weighted Average Life to Maturity of any other Tranche of Term Loans
outstanding at the time such Incremental Term Loans are incurred;


                        (xii)      in the case of any provision of Incremental Term Commitments, the Borrower shall be in
compliance with Sections 9.08 and 9.09 (calculated on a Post-Test Period Pro Forma Basis and assuming that all Incremental Term Loans to be incurred pursuant to such Incremental Term Loan Commitments (and any other then existing Incremental Term Loan
Commitments) have been incurred and the proceeds thereof applied in a manner as certified to by an Authorized Officer of the Borrower to the Administrative Agent) at such time; and


                        (xiii)      all actions taken by the Borrower pursuant to this Section 1.13 shall be taken in
coordination with the Administrative Agent.


                        (b)        At the time of any provision of Incremental Commitments of a given Tranche
pur­suant to this Section 1.13, (i) the Borrower, the Administrative Agent and each Lender or other Eligible Assignee which agrees to provide an Incremental Commitment (each an “Incremental Lender”) shall execute (which execution may be in
counterparts) and deliver to the Administrative Agent an Incremental Commitment Agreement (it being understood that a single Incremental Commitment Agreement shall be executed and delivered by all Incremental Lenders providing Incremental Commitments in response to a
particular request for same made by the Borrower) substantially in the form of Exhibit C (appro­pri­ately completed and with such modifications as may be reasonably acceptable to the Administrative Agent), with the effectiveness of the Incremental
Commitment(s) provided therein to occur on the date set forth in such Incremental Commitment Agreement and the payment of any fees required in connection there­with; (ii) the Borrower and its Subsidiaries shall have delivered such amendments, modifications and/or
supplements to the Security Documents as are necessary or, in the reasonable opinion of the Administrative Agent, desirable to ensure that the additional Obligations to be incurred pursuant to the Incremental Commitments are secured by, and entitled to the benefits
of, the Security Documents; (iii) the Administrative Agent shall receive an acknowl­edgment from the Credit Parties that the Incremental Term Loans and/or Revolving Loans to be incurred pursuant to such Incremental Term Loan Commitments (or Revolving Loan
Commitments, as the case may be) are entitled to the benefits of the Subsidiaries Guaranty and the Security Documents, together with resolu­tions executed by (x) the Borrower, authorizing the incurrence of such Incremental Term Loans and/or such Revolving Loans,
as the case may be, pursuant to such Incremental Term Loans Commitments (or Revolving Loan Commitments, as the case may be) and (y) each other Credit Party, stating that the Incremental Term Loans and/or Revolving Loans to be incurred pursuant to such Incremental
Term Loan Commitments (or Revolving Loan Commitments, as the case may be) are entitled to benefits of the Subsidiaries Guaranty and the Security Documents; (iv) the Administrative Agent shall have received evidence satisfactory to it that the additional Obligations
to be incurred pursuant to the Incremental Term Loan Commitments (or Revolving Loan Commitments, as the case may be) are (x) permitted by the Permitted Senior Unsecured Note Documents (if any) and (y) permitted by, and constitute “Senior Indebtedness” and
“Designated Senior Indebtedness” (or any similar term) under, the Senior Subordinated Note Documents, the Convertible Subordinated Debt Documents and the Permitted Subordinated Note Documents (if any); and (v) the Borrower shall deliver to the
Administrative Agent an opinion or opinions, in form and substance reasonably satisfactory to the Administra­tive Agent, from counsel to the Borrower reasonably satisfactory to the Administrative Agent (which, unless otherwise requested by the Administrative
Agent or the Required Lenders, may be the Borrower’s General Counsel) and dated such date, covering such of the matters set forth in the opinions of counsel delivered to the Administrative Agent on the Effective Date pursuant to Section 5A.03 as may be
reason­ably requested by the Administrative Agent, and such other matters as the Administrative Agent may reasonably request (including, with­out limitation, the matters described in immedi­ately preceding clause (iv)).  The Administra­tive Agent
shall promptly notify each Lender as to the effectiveness of each Incremental Commitment Agreement, and shall deliver to each Lender a copy of same, and (i) at such time Annex I shall be deemed modified to reflect the Incremental Term Loan Commitments (including the
Tranche or Tranches thereof) of such Incremental Lenders and/or the Revolving Loan Commitments of such Incremental Lender, as the case may be, and (ii) to the extent requested by such Incremental Lenders, the appropriate Notes will be issued, at the Borrower’s
expense, to such Incremental Lenders, to be consistent with the require­ments of Section 1.05 (with appropriate modi­fications, to the extent needed) to reflect the Incremental Term Loans made by such Incremental Lenders or such Incremental Lender, as the
case may be and/or the increased Revolving Loan Commitment of such Incremental Lenders, or Incremental Lender, as the case may be.


                        (c)        Notwithstanding anything to the contrary contained above, the Incremental Term
Loan Commitments provided by an Incremental Lender or Incremental Lenders, as the case may be, pursuant to each Incremental Commitment Agreement shall constitute a new Tranche, which shall be separate and distinct from the existing Tranches pursuant to this Agreement
(with a designation reasonably satisfactory to the Adminis­tra­tive Agent, which designation may be made in letters (i.e., A, B, C, etc.), numbers (1, 2, 3, etc.) or a combination thereof (i.e., A-1, A-2, B-1, B-2, etc.), provided that
the parties to a given Incremental Commitment Agreement may specify therein that the respective Incremental Term Loans made pursuant thereto shall constitute part of, and be added to, an existing Tranche of Term Loans, so long as the following requirements are
satisfied:


                        (i)         the Incremental Term Loans to be made pursuant to such Incremental
Commitment Agreement shall have the same Maturity Date and the same Weighted Average Life to Maturity as the Tranche of Term Loans to which the new Incremental Term Loans are being added, and shall bear interest at the same rates (i.e., have the same
Applicable Margins) applicable to such Tranche;


                        (ii)        the new Incremental Term Loans shall have the same Scheduled Term Loan
Repayment Dates as then remain with respect to the Tranche to which such new Incremental Term Loans are being added (with the amount of each Scheduled Term Loan Repayment applicable to such new Incremental Term Loans to be the same (on a proportionate basis) as is
theretofore applicable to the Tranche to which such new Incremental Term Loans are being added, thereby increasing the amount of each then remaining Scheduled Term Loan Repayment of the respective Tranche proportionately; and


                        (iii)       on the date of the making of such new Incremental Term Loans, and notwithstanding
anything to the contrary set forth in Section 1.09, same shall be added to (and form part of) each Borrowing of outstanding Term Loans of the respective Tranche on a pro rata basis (based on the relative sizes of the various outstanding Borrowings), so
that each Lender will participate proportionately in each then outstanding Borrowing of Loans of the respective Tranche, and so that the existing Lenders with respect to such Tranche continue to have the same participation (by amount) in each Borrowing as they had
before the making of the new Incremental Term Loans of such Tranche. 


                        To the extent the provisions of preceding clause (iii) require that Lenders making new Incremental Term Loans add same to
then outstanding Borrowings of Eurodollar Loans, it is acknowledged that the effect thereof may result in such new Incremental Term Loans having short Interest Periods (i.e., an Interest Period that began during an Interest Period then applicable to
outstanding Eurodollar Loans and which will end on the last day of such Interest Period).  In connection therewith, the Borrower may agree, in the respective Incremental Commitment Agreement, to compensate the Lenders making the new Incremental Term Loans of the
respective Tranche for funding Eurodollar Loans during an existing Interest Period on such basis as may be agreed by the Borrower and their respective Lender or Lenders.


                        (d)        At the time of any provision of Incremental Revolving Loan Commitments pursuant
to this Section 1.13, the Borrower shall, in coordination with the Administrative Agent, repay outstanding Revolving Loans of certain of the Lenders with outstanding Revolving Loans, and incur additional Revolving Loans from certain other Lenders with outstanding
Revolving Loans or Revolving Loan Commitments (including the Incremental Lenders with outstanding Revolving Loans or Revolving Loan Commitments), in each case to the extent necessary so that all of the Lenders with Revolving Loan Commitments participate in each
outstanding Borrowing of Revolving Loans pro rata on the basis of their respective Revolving Loan Commitments (after giving effect to any increase in the Total Revolving Loan Commitment pursuant to this Section 1.13) and with the Borrower being
obligated to pay to the respective Lenders any costs of the type referred to in Section 1.11 in connection with any such repayment and/or Borrowing pursuant to this Section 1.13(d).


                        1.14     Replacement of Lenders.  (a) (x)  If any Lender (i) becomes a
Defaulting Lender or otherwise defaults in its obligations to make Loans or fund Unpaid Drawings or (ii) refuses to consent to certain proposed changes, waivers, discharges or terminations with respect to this Agreement which have been approved by the Required
Lenders as provided in Section 13.12(b) or (y) upon the occurrence of any event giving rise to the operation of Section 1.10(a)(ii) or (iii), Section 1.10(c), Section 2.06 or Section 4.04 with respect to any Lender which results in such Lender charging to the
Borrower increased costs in excess of those being gener­ally charged by the other Lenders, the Borrower shall have the right, in accordance with the require­ments of Section 13.04(b), if no Default or Event of Default will exist after giving effect to such
replacement, to replace such Lender (the “Replaced Lender”) with one or more other Eligible Assignee or Trans­ferees, none of whom shall con­stitute a Defaulting Lender at the time of such replacement (collec­tively, the “Replacement
Lender”), reasonably acceptable to the Administrative Agent or, at the option of the Borrower, to replace only (A) the Revolving Loan Commitment (and outstanding Revolving Loans pursuant thereto) of the Replaced Lender with an identical Revolving Loan
Commitment provided by the Replacement Lender, or (B) in the case of a replacement as provided in Section 13.12(b) where the consent of the respective Lender is required with respect to less than all Tranches, the Commitments and/or outstanding Loans of such
Lender in respect of each Tranche where the consent of such Lender would otherwise be individually required, with identical Commitments and/or Loans of the respective Tranche provided by the Replacement Lender; provided that, (i) at the time of any replacement
pursuant to this Section 1.13, the Replaced Lender and the Replacement Lender shall enter into one or more Assignment and Assumption Agreements pursuant to Section 13.04(b) (and with all fees payable pursuant to said Section 13.04(b) to be paid by the
Replace­ment Lender) pursuant to which the Replacement Lender shall acquire all of the Commitments and all of the outstanding Loans (or, in the case of the replacement of only (a) the Revolving Loan Commitment, outstanding Revolving Loans and participations in
Letter of Credit Outstandings and Swingline Loans and/or (b) a particular Tranche or Tranches of Term Loans, the outstanding principal amount of such Tranche or Tranches of Term Loans) of, and in each case (except for the replace­ments of only one or more
Tranches of Term Loans of a Replaced Lender) partici­pations in Letters of Credit and Swingline Loans by, the Replaced Lender and, in connec­tion therewith, shall pay to (A) the Replaced Lender in respect thereof an amount equal to the sum of (1) an amount
equal to the principal of all outstanding Loans of the Replaced Lender (or, in the case of the replacement of only (i) the Revolving Loan Commitment of the Replaced Lender, all outstanding Revolving Loans of the Replaced Lender or (ii) the outstanding principal
amount of a particular Tranche or Tranches of Term Loans of the Replaced Lender, all outstanding Term Loans of such Tranche or Tranches of the Replaced Lender) and (2) except in the case of the replacement of only one or more Tranches of Term Loans of a Replaced
Lender, an amount equal to all Unpaid Drawings that have been funded by (and not reimbursed to) such Replaced Lender, (B) in the case of any replacement of Revolving Loan Commitments, the respective Issuing Lender an amount equal to such Replaced Lender’s
Percentage of any Unpaid Drawing relating to Letters of Credit issued by such Issuing Lender (which at such time remains an Unpaid Drawing) to the extent such amount was not theretofore funded by such Replaced Lender to such Issuing Lender and (C) in the case of any
replacement of Revolving Loan Commitments, the Swingline Lender an amount equal to such Replaced Lender’s Percentage of any Mandatory Borrowing to the extent such amount was not theretofore funded by such Replaced Lender to the Swingline Lender and (ii) all
obligations of the Borrower owing to the Replaced Lender (other than (a) those specifically described in clause (i) above in respect of which the assignment purchase price has been, or is concurrently being, paid or (b) relating to any Tranche of Loans and/or
Commitments of the respec­tive Replaced Lender which will remain outstanding after giving effect to the respective replace­ment) shall be paid in full to such Replaced Lender concurrently with such replacement.  All amounts of (i) interest in respect of
all outstanding Loans of any such Replaced Lender (or, in the case of the replacement of only (x) the Revolving Loan Commitment of such Replaced Lender, in respect of all outstanding Revolving Loans of such Replaced Lender or (y) the outstanding principal amount of a
particular Tranche or Tranches of Term Loans of such Replaced Lender, in respect of all outstanding Term Loans of such Tranche or Tranches of such Replaced Lender) which has accrued to the date of such replacement and has not been paid as of such date shall be paid
to such Replaced Lender at the time such interest would otherwise be payable in accordance with the provisions of Section 1.08(d) and (ii) all accrued, but theretofore unpaid Fees owing to the Replaced Lender pursuant to the Section 3.01 at the time of such
replacement (but only with respect to the relevant Tranches, in the case of a replacement of less than all of the Tranches of the respective Replaced Lender) shall be paid to such Replaced Lender at the time such fees would otherwise be payable in accordance with the
provisions of Section 3.01.


                        (b)        Upon the execution of the respective Assignment and Assumption Agree­ments,
the payment of amounts referred to in clauses (i) and (ii) of Section 1.13(a) and, if so re­quested by the Replacement Lender, delivery to the Replacement Lender of the appropriate Note or Notes exe­cuted by the Borrower, the Replacement Lender shall
become a Lender hereunder and, unless the respective Replaced Lender continues to have a Revolving Loan Commitment or outstanding Term Loans hereunder, the Replaced Lender shall cease to constitute a Lender hereunder, except with respect to indemnification provisions
under this Agreement (includ­ing, without limitation, Sections 1.10, 1.11, 2.06, 4.04, 13.01 and 13.06), which shall survive as to such Replaced Lender.


                        1.15     Additional Provisions Regarding the Incurrence of Eurodollar Loans Prior to the
Syndication Date.  Notwithstanding anything to the contrary contained in this Section 1 or elsewhere in this Agreement, prior to the Syndication Date, the Borrower shall only be permitted to incur and/or main­tain Eurodollar Loans with an Interest
Period of (A) subject to Section 1.09, one week, and only so long as all Eurodollar Loans incurred and/or maintained prior to such date shall be subject to the same one week Interest Period or (B) any other Interest Period otherwise permitted hereunder, but, in the
case of this clause (B), only so long as the Borrower compensates each Lender for any and all expenses of the type described in Section 1.11 incurred by such Lender in connection with the primary syndication of the Loans and/or Commitments.


                        SECTION 2.   Letters of Credit.


                        2.01     Letters of Credit.  (a)  Subject to and upon the terms and
conditions set forth herein, the Borrower may request that any Issuing Lender issue, at any time and from time to time on and after the Effective Date and prior to the 30th day prior to the Revolving Loan Maturity Date, (x) for the account of the Borrower and for the
benefit of any holder (or any trustee, agent or other similar representative for any such holders) of L/C Supportable Obligations of the Borrower or any of its Subsidiaries, an irrevocable standby letter of credit, in a form custom­arily used by such Issuing
Lender or in such other form as has been approved by such Issuing Lender (each such standby letter of credit, a “Standby Letter of Credit”) in support of such L/C Supportable Obligations and (y) for the account of the Borrower and for the benefit of
sellers of goods and materials used in the ordinary course of business of the Borrower or any of its Subsidiaries an irrevocable sight commercial letter of credit in a form customarily used by such Issuing Lender or in such other form as has been approved by such
Issuing Lender (each such commercial letter of credit, a “Trade Letter of Credit,” and each such Trade Letter of Credit and each Standby Letter of Credit, a “Letter of Credit”) in support of commercial transactions of the Borrower and its
Subsidiaries.  All Letters of Credit shall be denominated in Dollars.  It is acknowl­edged and agreed that each of the letters of credit which were issued under the Existing Credit Agreement and which remain outstanding on the Effective Date and are set
forth on Schedule III (each such letter of credit, an “Existing Letter of Credit” and, collectively, the “Existing Letters of Credit”) shall, from and after the Effective Date, constitute a Letter of Credit for all purposes of this Agreement
and shall, for purposes of Sections 2.04 and 3.01, be deemed issued on the Effective Date.  The Stated Amount of each Existing Letter of Credit and the expiry date therefor, each as in effect on the Effective Date, is set forth on Schedule III.


                        (b)        Subject to and upon the terms and conditions set forth herein, each Issuing
Lender hereby agrees that it will, at any time and from time to time on and after the Effective Date and prior to the 30th day prior to the Revolving Loan Maturity Date, following its receipt of the respective Letter of Credit Request, issue for the account of the
Borrower, one or more Letters of Credit (x) in the case of Standby Letters of Credit, in support of such L/C Supportable Obliga­tions of the Borrower or any of its Subsidiaries as are permitted to exist without giving rise to a Default or an Event of Default and
(y) in the case of Trade Letters of Credit, for the benefit of sellers of goods or materials used in the ordinary course of business of the Borrower or any of its Subsidiaries as referenced in Section 2.01(a), provided that the respective Issuing Lender shall
be under no obligation to issue any Letter of Credit of the types described above if at the time of such issuance:


                        (i)         any order, judgment or decree of any governmental authority or arbitrator
shall purport by its terms to enjoin or restrain such Issuing Lender from issuing such Letter of Credit or any requirement of law applicable to such Issuing Lender or any request or direc­tive (whether or not having the force of law) from any governmental
authority with juris­diction over such Issuing Lender shall prohibit, or request that such Issuing Lender refrain from, the issuance of letters of credit generally or such Letter of Credit in particular or shall impose upon such Issuing Lender with respect to
such Letter of Credit any restriction or reserve or capital requirement (for which such Issuing Lender is not otherwise promptly compen­sated by the Borrower) not in effect on the date hereof, or any unreimbursed loss, cost or expense which was not applicable, in
effect or known to such Issuing Lender as of the date hereof and which such Issuing Lender reasonably and in good faith deems material to it; or


                        (ii)        such Issuing Lender shall have received notice from the Required Lenders prior
to the issuance of such Letter of Credit of the type described in the second sentence of Section 2.03(b).


                        2.02     Maximum Letter of Credit Outstandings; Final Maturities. 
Notwithstand­ing anything to the contrary contained in this Agreement, no Letter of Credit shall be issued the initial Stated Amount of which, when added to the Letter of Credit Outstandings (exclusive of Unpaid Drawings which are repaid on the date of, and prior
to the issuance of, the respective Letter of Credit) at such time would exceed either (x) $75,000,000 or (y) when added to the aggregate principal amount of all Revolving Loans then outstanding and the aggregate principal amount of all Swingline Loans then
outstanding, an amount equal to the Total Revolving Loan Commitment at such time; provided that notwithstanding anything to the contrary contained above in this Section 2.02, in no event shall any Letter of Credit be permitted to be issued pursuant to this Agreement
if after giving effect to the issuance thereof the Revolving Exposure would exceed $150,000,000 unless (i) the Senior Subordinated Note Borrowing Base after giving effect to the issuance of any such Letter of Credit equals or exceeds the Revolving Exposure after
giving effect to the issuance of any such Letter of Credit, (ii) at the time of the issuance of any such Letter of Credit, there is sufficient availability under the dollar basket contained in Section 4.03(xi) of the Senior Subordinated Note Indenture such that
issuance of such Letter of Credit is permitted under such Section 4.03(xi) or (iii) after giving effect to the issuance of such Letter of Credit, the Interest Coverage Ratio (as defined in, and calculated in accordance with, the Senior Subordinated Note Indenture
(for this purpose utilizing the component definitions of such definition of Interest Coverage Ratio in the manner defined in, and calculated in accordance with, the Senior Subordinated Note Indenture)) would be greater than 2.00:1.00, provided further that the
immediately preceding proviso shall not be applicable after such time as when the entire principal amount of all outstanding Senior Subordinated Notes has been indefeasibly repaid in full and the Borrower’s and its Restricted Subsidiaries’ obligations
under the Senior Subordinated Note Indenture have been terminated in accordance with the terms thereof.  In addition, notwithstanding anything to the contrary contained in this Agreement, each Letter of Credit shall by its terms terminate on or before (A) in the
case of Standby Letters of Credit, the earlier of (x) the date which occurs 12 months after the date of the issuance thereof (although any such Standby Letter of Credit may be extend­ible for successive periods of up to 12 months, but not beyond the third
Business Day prior to the Revolving Loan Maturity Date, on terms acceptable to the Issuing Lender thereof) and (y) the third Business Day prior to the Revolving Loan Maturity Date and (B) in the case of Trade Letters of Credit, the earlier of (x) the date which
occurs 360 days after the date of issuance thereof and (y) 30 days prior to the Revolving Loan Maturity Date.


                        2.03     Letter of Credit Requests; Minimum Stated Amount.  (a) 
Whenever the Borrower desires that a Letter of Credit be issued for its account, the Borrower shall give the Administrative Agent and the respective Issuing Lender at least three Business Days’ (or such shorter period as is acceptable to the respective Issuing
Lender) written notice there­of.  Each notice shall be in the form of Exhibit D (each a “Letter of Credit Request”).


                        (b)        The making of each Letter of Credit Request shall be deemed to be a
repre­sentation and warranty by the Borrower that such Letter of Credit may be issued in accordance with, and will not violate the requirements of, Section 2.02.  Unless the respective Issuing Lender has received notice from the Required Lenders before it
issues a Letter of Credit that one or more of the conditions specified in Section 5A are not satisfied on the Effective Date or Section 6 are not then satisfied, or that the issuance of such Letter of Credit would vio­late Section 2.02, then such Issuing Lender
shall issue the requested Letter of Credit for the account of the Borrower in accordance with such Issuing Lender’s usual and customary prac­tices.  Upon the issuance of or amendment or modification to a Letter of Credit, the respective Issuing Lender
shall promptly notify the Borrower and the Administrative Agent of such issu­ance, amendment or modification and such notifi­cation shall be accompanied by a copy of the issued Letter of Credit or amendment or modification.


                        (c)        The initial Stated Amount of each Letter of Credit shall not be less than
$100,000 or such lesser amount as is acceptable to the respective Issuing Lender.


                        2.04     Letter of Credit Participation.  (a)  Immediately upon the
issuance by the respective Issuing Lender of any Letter of Credit, such Issuing Lender shall be deemed to have sold and transferred to each Lender with a Revolving Loan Commitment, other than such Issuing Lender (each such Lender, in its capac­ity under this
Section 2.04, a “Participant”), and each such Participant shall be deemed irrevo­cably and un­conditionally to have purchased and received from such Issuing Lender, with­out recourse or war­ranty, an undivided interest and participation,
to the extent of such Participant’s Percentage, in such Letter of Credit, each drawing or payment made thereunder and the obligations of the Bor­rower under this Agreement with respect thereto, and any security therefor or guaranty pertain­ing
thereto.  Upon any change in the Revolving Loan Commitments of the Lenders pursuant to Sec­tion 1.13 or 13.04, it is hereby agreed that, with respect to all outstanding Letters of Credit and Unpaid Drawings, there shall be an automatic adjustment to the
participations pursuant to this Section 2.04 to reflect the new Percentages of the assignor and assignee Lender, as the case may be.


                        (b)        In determining whether to pay under any Letter of Credit, the respective
Issuing Lender shall have no obligation relative to the other Lenders other than to confirm that any documents required to be delivered under such Letter of Credit appear to have been delivered and that they appear to substantially comply on their face with the
requirements of such Letter of Credit.  Any action taken or omitted to be taken by any Issuing Lender under or in connection with any Letter of Credit if taken or omitted in the absence of gross negligence or willful mis­conduct (as determined by a court of
competent jurisdiction in a final and non-appealable decision), shall not create for such Issuing Lender any resulting liability to the Borrower, any other Credit Party, any Lender or any other Person.


                        (c)        In the event that any Issuing Lender makes any payment under any Letter of
Credit and the Borrower shall not have reimbursed such amount in full to such Issuing Lender pursuant to Section 2.05(a), such Issuing Lender shall promptly notify the Administrative Agent, which shall promptly notify each Participant of such failure, and each
Participant shall promptly and uncondi­tionally pay to such Issuing Lender the amount of such Participant’s Percentage of such unreim­bursed payment in Dollars and in same day funds.  If the Administrative Agent so notifies, prior to 11:00 A.M.
(New York time) on any Busi­ness Day, any Participant required to fund a payment under a Letter of Credit, such Participant shall make available to such Issuing Lender in Dollars such Participant’s Percent­age of the amount of such payment on such
Business Day in same day funds.  If and to the extent such Participant shall not have so made its Percentage of the amount of such payment available to such Issuing Lender, such Participant agrees to pay to such Issuing Lender, forthwith on demand such amount,
together with interest thereon, for each day from such date until the date such amount is paid to such Issuing Lender at the overnight Federal Funds Rate for the first three days and at the interest rate applicable to Revolving Loans maintained as Base Rate Loans for
each day thereafter.  The failure of any Participant to make avail­able to such Issuing Lender its Percentage of any payment under any Letter of Credit shall not relieve any other Participant of its obligation hereunder to make available to such Issuing
Lender its Percentage of any Letter of Credit on the date required, as speci­fied above, but no Participant shall be responsible for the failure of any other Participant to make available to such Issuing Lender such other Participant’s Percentage of any
such payment.


                        (d)        Whenever any Issuing Lender receives a payment of a reimbursement obligation as
to which it has received any payments from the Participants pursuant to clause (c) above, such Issuing Lender shall pay to each Participant which has paid its Percentage thereof, in Dollars and in same day funds, an amount equal to such Participant’s share
(based upon the proportionate aggre­gate amount originally funded by such Participant to the aggregate amount funded by all Partici­pants) of the principal amount of such reimbursement obligation and interest thereon accruing after the purchase of the
respective participations.


                        (e)        Upon the request of any Participant, each Issuing Lender shall furnish to such
Participant copies of any Letter of Credit issued by it and such other documentation relating thereto as may reasonably be requested by such Participant.


                        (f)         The obligations of the Participants to make payments to each Issuing
Lender with respect to Letters of Credit issued by it shall be irrevocable and not subject to any quali­fica­tion or exception whatsoever and shall be made in accordance with the terms and condi­tions of this Agreement under all circumstances, including,
without limitation, any of the follow­ing circumstances:


                        (i)         any lack of validity or enforceability of this Agreement or any of the
other Credit Documents;


                        (ii)        the existence of any claim, setoff, defense or other right which the Borrower
or any of its Subsidiaries may have at any time against a beneficiary named in a Letter of Credit, any transferee of any Letter of Credit (or any Person for whom any such transferee may be acting), the Administrative Agent, any Participant, or any other Person,
whether in connection with this Agreement, any Letter of Credit, the transactions contemplated herein or any unrelated transactions (including any underlying transaction between the Borrower or any Subsidiary of the Borrower and the beneficiary named in any such
Letter of Credit);


                        (iii)       any draft, certificate or any other document presented under any Letter of Credit
proving to be forged, fraudulent, invalid or insufficient in any respect or any state­ment therein being untrue or inaccurate in any respect;


                        (iv)       the surrender or impairment of any security for the performance or observance of any
of the terms of any of the Credit Documents; or


                        (v)        the occurrence of any Default or Event of Default.


                        2.05     Agreement to Repay Letter of Credit Drawings.  (a)  The
Borrower hereby agrees to reimburse the respective Issuing Lender, by making payment to the Administrative Agent in immediately available funds at the Payment Office, for any payment or disbursement made by such Issuing Lender under any Letter of Credit issued by it
(each such amount, so paid until reimbursed, an “Unpaid Drawing”), immediately after, and in any event on the date of, such payment or disburse­ment, with interest on the amount so paid or disbursed by such Issuing Lender, to the extent not reimbursed
prior to 3:00 P.M. (New York time) on the date of such payment or disbursement, from and including the date paid or disbursed to but excluding the date such Issuing Lender was reimbursed by the Borrower therefor at a rate per annum which shall be the Base Rate
in effect from time to time plus the Applicable Margin for Revolving Loans main­tained as Base Rate Loans; provided, however, to the extent such amounts are not reimbursed prior to 3:00 P.M. (New York time) on the third Business Day following
the receipt by the Borrower of notice of such payment or disbursement or following the occurrence of a Default or an Event of Default under Section 10.05, interest shall there­after accrue on the amounts so paid or disbursed by such Issuing Lender (and until
reimbursed by the Borrower) at a rate per annum which shall be the Base Rate in effect from time to time plus the Applicable Margin for Revolving Loans maintained as Base Rate Loans plus 2%, in each such case, with interest to be payable on demand.  The
respective Issuing Lender shall give the Borrower prompt written notice of each Drawing under any Letter of Credit, provided that the failure to give any such notice shall in no way affect, impair or diminish the Borrower’s obligations hereunder.


                        (b)        The obligations of the Borrower under this Section 2.05 to reimburse the
respective Issuing Lender with respect to Unpaid Drawings (including, in each case, interest thereon) shall be absolute and unconditional under any and all circumstances and irrespective of any setoff, counterclaim or defense to payment which the Borrower may have or
have had against any Lender (including in its capacity as issuer of the Letter of Credit or as Participant), including, without limitation, any defense based upon the failure of any drawing under a Letter of Credit (each a “Drawing”) to conform to the
terms of the Letter of Credit or any nonapplica­tion or mis­application by the beneficiary of the proceeds of such Drawing; provided, however, that the Borrower shall not be obligated to reimburse any Issuing Lender for any wrongful payment made
by such Issuing Lender under a Letter of Credit as a result of acts or omissions consti­tuting willful misconduct or gross negligence on the part of such Issuing Lender (as determined by a court of competent jurisdiction in a final and non-appealable
decision).


                        2.06     Increased Costs.  If at any time after the Effective Date, the
introduction of or any change in any applicable law, rule, regulation, order, guideline or request or in the interpre­ta­tion or administration thereof by the NAIC or any governmental authority charged with the inter­pretation or administration thereof,
or compliance by any Issuing Lender or any Participant with any request or directive by any such authority (whether or not having the force of law), shall either (i) impose, modify or make applicable any reserve, deposit, capital adequacy or similar
require­ment against letters of credit issued by any Issuing Lender or participated in by any Participant, or (ii) impose on any Issuing Lender or any Participant any other conditions relating, directly or indirectly, to this Agreement; and the result of any of
the foregoing is to increase the cost to any Issuing Lender or any Participant of issuing, maintaining or participating in any Letter of Credit, or reduce the amount of any sum received or receivable by any Issuing Lender or any Participant hereunder or reduce the
rate of return on its capital with respect to Letters of Credit (except for changes in the rate of tax on, or determined by reference to, the net income or profits of such Issuing Lender or such Participant pursuant to the laws of the jurisdic­tion in which it is
organized or in which its principal office or applicable lending office is located or any subdivision thereof or therein), then, upon the delivery of the certificate referred to below to the Borrower by such Issuing Lender or any Participant, the Borrower shall,
subject to the provi­sions of Section 13.16 (to the extent applicable), pay to such Issuing Lender or such Participant such additional amount or amounts as will compen­sate such Issuing Lender or Participant for such increased cost or reduction in the amount
receivable or reduction on the rate of return on its capital.  Any Issuing Lender or any Participant, upon determining that any addi­tional amounts will be payable pursuant to this Section 2.06, will give prompt written notice thereof to the Borrower, which
notice shall include a certificate submitted to the Borrower by such Issuing Lender or such Participant (a copy of which certificate shall be sent by such Issuing Lender or such Participant to the Administrative Agent), setting forth in reasonable detail the basis
for the calculation of such additional amount or amounts necessary to compensate such Issuing Lender or such Participant.  In determining such additional amounts, each Issuing Lender and each Participant will act reasonably and in good faith, provided
that the certificate required to be delivered pursuant to this Section 2.06 shall, absent manifest error, be final and conclusive and binding on the Borrower.


                        2.07     Applicability of ISP and UCP.  Unless otherwise expressly agreed by
the respective Issuing Lender and the Borrower with respect to a particular Letter of Credit at the time such Letter of Credit is issued (including any such agreement applicable to an Existing Letter of Credit), (i) the rules of the “International Standby
Practices 1998” published by the Institute of International Banking Law & Practice (or such later version thereof as may be in effect at the time of issuance) shall apply to each Standby Letter of Credit, and (ii) the rules of the Uniform Customs and
Practice for Documentary Credits, as most recently published by the International Chamber of Commerce at the time of issuance shall apply to each Trade Letter of Credit.


                        SECTION 3.   Fees; Reductions of Commitment.


                        3.01     Fees.  (a)  The Borrower agrees to pay to the
Administrative Agent for distribution to each Non-Defaulting Lender with a Revolving Loan Commitment a commitment commission (the “Commitment Commission”) for the period from the Effective Date to but not including the Revolving Loan Maturity Date (or to
but not including such earlier date as the Total Revolving Loan Commitment shall have been terminated), computed at a rate per annum for each day equal to 1⁄2 of 1% on the Unutilized Revolving Loan Commitment of such Non-Defaulting Lender on such day. 
Accrued Commitment Commission shall be due and payable quarterly in arrears on each Quarterly Payment Date and on the Revolving Loan Maturity Date or such earlier date upon which the Total Revolving Loan Commitment is terminated.


                        (b)        The Borrower agrees to pay to the Administrative Agent for distribution to each
Non-Defaulting Lender with an Incremental Term Loan Commitment such facility fees, commitment commission and other amounts, if any, as are specified in the Incremental Commitment Agreement pursuant to which such Incremental Term Loan Commitment has been provided,
with such facility fees, commitment commission and other amounts, if any, to be payable at the times set forth in such Incremental Commitment Agreement.


                        (c)        The Borrower agrees to pay to the Administrative Agent for distribution to each
Lender (based on each such Lender’s respective Percentage) a fee in respect of each Letter of Credit issued hereunder (the “Letter of Credit Fee”), for the period from and including the date of issuance of such Letter of Credit to and including the
date of termination or expiration of such Letter of Credit, computed at a rate per annum equal to the Applicable Margin for Revolving Loans maintained as Eurodollar Loans on the daily Stated Amount of such Letter of Credit.  Accrued Letter of Credit Fees shall
be due and payable quarterly in arrears on each Quarterly Payment Date and on the first day after the termination of the Total Revolving Loan Commitment upon which no Letters of Credit remain outstanding.


                        (d)        The Borrower agrees to pay to each Issuing Lender, for its own account, a
facing fee in respect of each Letter of Credit issued by such Issuing Lender (the “Facing Fee”) (x) in the case of each Standby Letter of Credit, for the period from and including the date of issuance of such Standby Letter of Credit to and including the
date of the termination of such Standby Letter of Credit, computed at a rate equal to 1/4 of 1% per annum (or such lesser rate as is agreed upon by the Borrower and the respective Issuing Lender) of the daily Stated Amount of such Standby Letter of Credit and (y) in
the case of each Trade Letter of Credit, in an amount equal to 1/4 of 1% (or such lesser rate as is agreed on by the Borrower and the respective Issuing Lender) of the Stated Amount of such Trade Letter of Credit as of the date of issuance thereof.  Accrued
Facing Fees payable with respect to Standby Letters of Credit shall be due and payable quarterly in arrears on each Quarterly Payment Date and upon the first day after the termination of the Total Revolving Loan Commitment upon which no Standby Letters of Credit
remain outstand­ing and all Facing Fees payable with respect to each Trade Letter of Credit shall be due and payable on the date of issuance of such Trade Letter of Credit.


                        (e)        The Borrower agrees to pay, upon each drawing under, issuance of, or
amend­ment to, any Letter of Credit, such amount as shall at the time of such event be the adminis­trative charge and the reasonable expenses which the applicable Issuing Lender is generally impos­ing in connection with such occurrence with respect to
letters of credit.


                        (f)         The Borrower agrees to pay to the Joint Lead Arrangers and the
Administrative Agent, for their respective accounts, such other fees as have been agreed to in writing by the Borrower with the Joint Lead Arrangers or the Administrative Agent, as the case may be.


                        3.02     Voluntary Termination of Unutilized Commitments.  (a)  Upon at
least one Business Day’s prior written notice to the Administrative Agent at the Notice Office (which notice the Administrative Agent shall promptly transmit to each of the Lenders), the Borrower shall have the right, at any time or from time to time, without
premium or penalty, to terminate or partially reduce (i) the Total Unutilized Revolving Loan Commitment, in an integral multiple of $1,000,000 in the case of partial reductions to the Total Revolving Loan Commitment; provided that each such reduction shall
apply proportionately to permanently reduce the Revolving Loan Commitment of each Lender with such a Commitment, and/or (ii) unless otherwise provided in the respective Incremental Commitment Agreement, the Incremental Term Loan Commitments provided pursuant to any
Incremental Commitment Agreement, in an integral multiple of $1,000,000 (or as may otherwise be provided in the respective Incremental Commitment Agreement) in the case of partial reductions to the aggregate amount of Incremental Commitments provided pursuant to the
respective Incremental Commitment Agreement; provided that each such reduction shall apply proportionately to permanently reduce the Incremental Commitments of the various Lenders provided pursuant to the respective Incremental Commitment Agreement.


                        (b)        In the event of certain refusals by a Lender to consent to certain proposed
changes, waivers, discharges or terminations with respect to this Agreement which have been approved by the Required Lenders as provided in Section 13.12(b), the Borrower may, subject to the requirements of said Section 13.12(b) and upon five Business Days’
written notice to the Administrative Agent at the Notice Office (which notice the Administrative Agent shall promptly transmit to each of the Lenders) terminate the entire Revolving Loan Commitment of such Lender so long as all Loans, together with accrued and unpaid
interest, Fees and all other amounts owing to such Lender (other than amounts owing in respect of any Tranche of Term Loans of such Lender, if such Tranche of Term Loans are not being repaid pursuant to Section 13.12(b)) are repaid concurrently with the effectiveness
of such termination pursuant to this Section 3.02(b) (at which time Schedule I shall be deemed modified to reflect such changed amounts) and, in the case of any replacement of Revolving Loan Commitments, such Lender’s Percentage of all outstanding Letters
of Credit is cash collateralized in a manner satisfactory to the Administrative Agent and the respective Issuing Lenders, and at such time, unless the respec­tive Lender continues to have outstanding Term Loans hereunder, such Lender shall no longer constitute a
“Lender” for purposes of this Agreement, except with respect to indem­ni­fica­tions under this Agreement (including, without limitation, Sections 1.10, 1.11, 2.06, 4.04, 13.01 and 13.06), which shall survive as to such repaid Lender.


                        3.03     Mandatory Reduction of Commitments.  (a)  The Total Commitments
(and each of the Commitments of each Lender) shall terminate in their entirety on June 15, 2004, unless the Effective Date shall have occurred on or prior to such date.


                        (b)        In addition to any other mandatory commitment reductions pursuant to this
Section 3.03, the Total Initial Term Loan Commitment (and the Initial Term Loan Commitment of each Lender) shall terminate in its entirety on the Effective Date (after giving effect to the incurrence of Initial Term Loans on such date).


                        (c)        In addition to any other mandatory commitment reductions pursuant to this
Section 3.03, the Total Revolving Loan Commitment (and the Revolving Loan Commit­ment of each Lender) shall terminate in its entirety on the earlier of (i) unless the Required Lenders other­wise agree in writing in their sole discretion, the date on which a
Change of Control occurs and (ii) the Revolving Loan Maturity Date.


                        (d)        In addition to any other mandatory commitment reductions pursuant to this
Section 3.03, the Total Revolving Loan Commitment shall be permanently reduced at the times, and in the amounts, required by Section 4.02(i).


                        (e)        In addition to any other mandatory commitment reductions pursuant to this
Section 3.03, (i) the Incremental Term Loan Commitment of each Lender provided pursuant to a particular Incremental Commitment Agreement shall be permanently reduced on each Incremental Term Loan Borrowing Date on which Incremental Term Loans are incurred pursuant to
such Incremental Commitment Agreement in an amount equal to the aggregate principal amount of Incremental Term Loans made by such Lender pursuant to such Incremental Commitment Agreement on such date, (ii) the Incremental Term Loan Commitment of each Lender provided
pursuant to a particular Incremental Commitment Agreement shall terminate at 5:00 P.M. (New York City time) on the earlier of (i) the date specified in such Incremental Commitment Agreement and (ii) the Revolving Loan  Maturity Date (whether or not any
Incremental Term Loans are incurred on either such date), (iii) the aggregate Incremental Term Loan Commitments provided pursuant to any Incremental Commitment Agreement shall be permanently reduced at the times, and in the amounts, required by Section 4.02(i) and
(iv) unless the Required Lenders otherwise agree in writing in their sole discretion, any then existing Incremental Term Loan Commitments shall terminate in their entirety on the date on which a Change in Control occurs.


                        (f)         Each reduction to the Total Revolving Loan Commitment pursuant to this
Sec­tion 3.03 shall be applied proportionately to reduce the Revolving Loan Commitment of each Lender with such a Commitment.  Each reduction to Incremental Term Loan Commitments pro­vided pursuant to any Incremental Commitment Agreement pursuant to this
Section 3.03 shall, except as otherwise expressly provided above, be applied proportionately to reduce the Incremental Term Loan Commitment of each Lender provided pursuant to the respective Incremental Commitment Agreement.


                        SECTION 4.   Prepayments; Payments; Taxes.


                        4.01     Voluntary Prepayments.  (a)  The Borrower shall have the right
to prepay the Loans, without premium or penalty, in whole or in part at any time and from time to time on the following terms and conditions:  (i) the Borrower shall give the Administrative Agent prior to 2:00 P.M. (New York time) at the Notice Office (x)
at least one Business Day’s prior written notice (or telephonic notice promptly confirmed in writing) of the Borrower’s intent to prepay Base Rate Loans and (y) at least three Business Days’ prior written notice (or telephonic notice promptly
confirmed in writing) of the Borrower’s intent to prepay Eurodollar Loans, whether Initial Term Loans, Revolving Loans, Swingline Loans or one or more specified Tranches of Incremental Term Loans shall be prepaid, the amount of such prepayment and the Types of
Loans to be prepaid and, in the case of Eurodollar Loans, the specific Borrowing or Borrowings pursuant to which made, which notice the Administrative Agent shall promptly transmit to each of the Lenders; (ii) each prepay­ment of Loans shall be in an aggregate
principal amount of at least $1,000,000 (or $100,000 in the case of Swingline Loans), and thereafter, in integral multiples of $100,000, provided that if any partial pre­payment of Eurodollar Loans made pursuant to any Borrowing shall reduce the
outstanding Eurodollar Loans made pursuant to such Borrowing to an amount less than the Minimum Borrowing Amount applicable thereto, then such Borrowing may not be continued as a Borrow­ing of Eurodollar Loans and any election of an Interest Period with respect
thereto given by the Borrower shall have no force or effect; (iii) at the time of any prepayment of Eurodollar Loans pursuant to this Section 4.01 on any date other than the last day of the Interest Period appli­cable thereto, the Borrower shall pay the amounts
required pursuant to Section 1.11; (iv) each pre­payment pursuant to this Section 4.01(a) in respect of any Loans made pursuant to a Borrowing shall be applied pro rata among such Loans, provided that at the Borrower’s election in
connection with any prepayment of Revolving Loans, such prepayment shall not be applied to the prepayment of Revolving Loans of a Defaulting Lender; (v) each voluntary prepayment of Term Loans pursuant to this Section 4.01(a) shall be applied pro rata
to each Tranche of Term Loans, with each such Tranche of Term Loans to be allocated its Relevant Term Loan Percentage of such repayment; and (vi) the amount of each voluntary prepayment of Term Loans made pursuant to this Section 4.01(a) and applied to a particular
Tranche of Term Loans as provided in preceding clause (v) shall be applied (A) (1) first, to reduce the Scheduled Term Loan Repayments of the respective Tranche which will become due within twelve months after the date of such prepay­ment in direct order
of maturity of the dates of such Scheduled Term Loan Repayments and (2) second, to the extent in excess of the amount required to be applied as provided in the preceding clause (1), to reduce the then remaining Scheduled Term Loan Repayments of the respective
Tranche on a pro rata basis (based on the then remaining principal amounts of such Scheduled Term Loan Repayments), or (B) in the case of a Tranche of Incremental Term Loans, as otherwise provided in the Incremental Commitment Agreement pursuant to
which such Incremental Term Loans are made, or (C) in the case of any Tranche of Incremental Term Loans extended pursuant to more than one Incremental Commitment Agreement, as may otherwise be provided in the first Incremental Commitment Agreement executed and
delivered with respect to such Tranche.


                        (b)        In the event of a refusal by a Lender to consent to certain proposed changes,
waivers, discharges or terminations with respect to this Agreement which have been approved by the Required Lenders as provided in Section 13.12(b), the Borrower may, upon five Business Days’ prior written notice to the Administrative Agent at the Notice
Office (which notice the Administrative Agent shall promptly transmit to each of the Lenders) repay all Loans, together with accrued and unpaid interest, Fees, and all other amounts owing to such Lender (or owing to such Lender with respect to the Tranche or Tranches
which gave rise to the need to obtain such Lender’s individual consent) in accordance with said Section 13.12(b) so long as (A) in the case of the repayment of any Revolving Loans of any Lender pursuant to this Section 4.01(b), the Revolving Loan
Commitment of such Lender is terminated concurrently with such repay­ment pursuant to Section 3.02(b) (at which time Schedule I shall be deemed modified to reflect the changed Revolving Loan Commitment) and (B) the consents required by Section 13.12(b) in
connection with the repayment pursuant to this Section 4.01(b) have been obtained.


                        4.02     Mandatory Repayments.  (a)  On any day on which the sum of (I)
the aggregate out­stand­ing principal amount of Revolving Loans, plus (II) the aggregate outstanding principal amount of Swingline Loans plus (III) the Letter of Credit Outstandings, exceeds the Total Revolving Loan Commitment as then in effect,
the Borrower shall prepay on such day prin­cipal of Swingline Loans and, after all Swingline Loans have been repaid in full, Revolving Loans in an amount equal to such excess.  If, after giving effect to the prepayment of all outstand­ing Swingline Loans
and Revolving Loans, the aggregate amount of the Letter of Credit Outstandings exceeds the Total Revolving Loan Commitment as then in effect, the Borrower shall pay to the Administrative Agent at the Payment Office on such day an amount of cash or Cash Equivalents
equal to the amount of such excess (up to a maximum amount equal to the Letter of Credit Outstandings at such time), such cash or Cash Equivalents to be held as security for all obligations of the Borrower hereunder in a cash collateral account to be established by
the Administrative Agent.


                        (b)        In addition to any other mandatory repayments pursuant to this Section 4.02, on
each date set forth below (each, a “Scheduled Initial Term Loan Repayment Date”), the Borrower shall be required to repay that principal amount of Initial Term Loans, to the extent then outstanding, as is set forth opposite each such date below (each such
repayment, as the same may be reduced as provided in Sections 4.01 and 4.02(i), a “Scheduled Initial Term Loan Repayment”):



	
Scheduled Initial Term Loan

 Repayment Date

	
Amount


	
September 30, 2004

	
$750,000


	
December 31, 2004

	
$750,000


	
March 31, 2005

	
$750,000


	
June 30, 2005

	
$750,000


	
September 30, 2005

	
$750,000


	
December 31, 2005

	
$750,000


	
March 31, 2006

	
$750,000


	
June 30, 2006

	
$750,000


	
September 30, 2006

	
$750,000


	
December 31, 2006

	
$750,000


	
March 31, 2007

	
$750,000


	
June 30, 2007

	
$750,000


	
September 30, 2007

	
$750,000


	
December 31, 2007

	
$750,000


	
March 31, 2008

	
$750,000


	
June 30, 2008

	
$750,000


	
September 30, 2008

	
$750,000


	
December 31, 2008

	
$750,000


	
March 31, 2009

	
$750,000


	
June 30, 2009

	
$750,000


	
September 30, 2009

	
$750,000


	
December 31, 2009

	
$750,000


	
March 31, 2010

	
$750,000


	
June 30, 2010

	
$750,000


	
September 30, 2010

	
$70,500,000


	
December 31, 2010

	
$70,500,000


	
March 31, 2011

	
$70,500,000


	
Initial Term Loan Maturity Date

	
$70,500,000







In the event that any Incremental Term Loans are incurred that will be added to (and form a part of) the Tranche of Initial Term Loans, the amount of the then remaining Scheduled Initial Term Loan Repayments shall be proportionally increased (with the aggregate
increases to the then remaining Scheduled Initial Term Loan Repayments to equal the aggregate principal amount of such new Incremental Term Loans then being incurred) in accordance with the requirements of Section 1.13(c).


                        (c)        In addition to any mandatory repayments or commitment reductions pursuant to
this Section 4.02, the Borrower shall be required to repay the principal amount of Incremental Term Loans on the dates and in the amounts set forth in the respective Incremental  Commitment Agreement or Agreements relating to such Incremental Term Loans (each
such repayment as the same may be reduced as provided in Sections 4.01 and 4.02(i), a “Scheduled Incremental Term Loan Repayment,” and, together with the Scheduled Initial Term Loan Repayments, collectively, the “Scheduled Term Loan
Repayments”, and each such date a “Scheduled Incremental Term Loan Repayment Date” and, together with the Scheduled Initial Term Loan Repayment Dates, collectively, the “Scheduled Term Loan Repayment Dates”), provided that if any
Incremental Term Loans are incurred which will be added to (and form part of) an existing Tranche of Incremental Term Loans, the amount of the then remaining Scheduled Incremental Term Loan Repayments of the respective Tranche shall be proportionally increased (with
the aggregate amount of increases to the then remaining Scheduled Incremental Term Loan Repayments to equal the aggregate princi­pal amount of such new Incremental Term Loans then being incurred) in accordance with the requirements of Section 1.13(c).


                        (d)        In addition to any other mandatory repayments or commitment reductions pursuant
to this Section 4.02, promptly, but in any event no later than the third Business Day, after such date on or after the Effective Date upon which the Borrower receives any cash pro­ceeds from any initial public offering of its common stock, an amount equal to the
IPO Proceeds Recapture Amount shall be applied as a mandatory repayment (and/or commit­ment reduction, as the case may be), of outstanding Term Loans (and/or Incremental Term Loan Commitments) in accordance with the requirements of Sec­tions 4.02(i) and
(j).


                        (e)        In addition to any other mandatory repayments or commitment reductions pursuant
to this Section 4.02, promptly, but in any event no later than the third Business Day, after each date on or after the Effective Date upon which the Borrower or any of its Subsidiaries receives any cash proceeds from any incur­rence by the Borrower or any of its
Subsidiaries of Indebtedness for borrowed money (excluding Indebtedness for borrowed money permitted to be incurred pursuant to Section 9.04), an amount equal to 100% of the Net Debt Proceeds of the respective incurrence of Indebtedness shall be applied as a
mandatory repayment (and/or commitment reduction, as the case may be) of out­stand­ing Term Loans (and/or Incremental Term Loan Commitments) in accordance with the requirements of Sections 4.02(i) and (j).


                        (f)         In addition to any other mandatory repayments or commitment
reduc­tions pursuant to this Section 4.02, promptly, but in any event no later than the third Business Day, after each date on or after the Effective Date upon which the Borrower or any of its Subsidiaries receives proceeds from any sale or other disposition of
assets, including sales or other dispositions of capital stock, other Equity Interests and securities held by the Borrower or any of its Subsidiaries (but excluding (A) sales or transfers of assets permit­ted by Sections 9.02(ii), (v), (vi), (ix), (x), (xi),
(xii), (xiii), (xv) and (xvi), (B) sales or other dispositions of assets (other than those dispositions described in clauses (A), (C) and (D) of this Section 4.02(f)) the Net Sale Proceeds of which do not exceed $5,000,000 in any fiscal year of the Borrower,
(C) so long as no Default or Event of Default then exists, sales or other dispositions of assets (other than those dispositions described in clauses (A), (B) and (D) of this Section 4.02(f)), the Net Sale Proceeds of which do not exceed either $20,000,000 in any
fiscal year of the Borrower or $50,000,000 in the aggregate and (D) so long as no Default or Event of Default then exists, sales of medical office buildings (or assets comprising medical office buildings) the Net Sale Proceeds of which do not exceed $30,000,000 in
the aggregate, provided that in the case of preceding clauses (C) and (D), such Net Sale Proceeds are used to purchase or improve tangible assets for use in the business of the Borrower and its Subsidiaries within 270 days following the receipt of such Net
Sale Proceeds and the Borrower delivers a certificate to the Administrative Agent on or prior to such date of receipt stating that such Net Sale Proceeds shall be used to purchase or improve such tangible assets within 270 days following the date of the receipt of
such Net Sale Proceeds (which certificate shall set forth the estimates of the proceeds to be so expended)), an amount equal to 100% of the Net Sale Proceeds therefrom shall be applied as a mandatory repayment (and/or commitment reduction, as the case may be) of
outstanding Loans (and/or Commitments) in accordance with the requirements of Sections 4.02(i) and (j).  To the extent Net Sale Proceeds are not required to be applied pursuant to this Section 4.02(f) as a result of clause (C) or (D) contained in the first
parenthetical statement appearing in the first sentence of this Section 4.02(f) and all or any portion of such Net Sale Proceeds are not so reinvested in tangible assets within such 270 day period, then the remaining portion of such Net Sale Proceeds shall be applied
on the last day of such applicable period as otherwise required by this Section 4.02(f) (determined without regard to such clause (C) or (D)).  Without limiting the aforementioned provisions of this Section 4.02(f), to the extent that the Borrower is not
otherwise required to apply Net Sale Proceeds from any such asset sale or other disposition to repay Loans and/or reduce Commitments hereunder and the Borrower is (or would be) required to make an offer to prepay the Senior Subordinated Notes, any Permitted
Subordinated Notes, any Convertible Subordinated Debt or any Permitted Senior Unsecured Notes with such Net Sale Proceeds, the Borrower shall instead apply such Net Sale Proceeds as a mandatory repayment or commitment reduction (as the case may be) of outstanding
Loans or Commitments in accordance with the requirements of Sections 4.02(i) and (j) prior to the time when the Borrower would otherwise be required to make any such offer to prepay the Senior Subordinated Notes, any Permitted Subordinated Notes, any Convertible
Subordinated Debt or any Permitted Senior Unsecured Notes with such Net Sale Proceeds.


                        (g)        In addition to any other mandatory repayments or commitment reductions pursuant
to this Section 4.02, on each Excess Cash Payment Date, so long as Excess Cash Flow for the relevant Excess Cash Payment Period exceeds $1,000,000, an amount equal to 50% of the Excess Cash Flow in excess of $1,000,000 for the relevant Excess Cash Payment Period
shall be applied as a mandatory repayment (and/or commitment reduction, as the case may be) of outstanding Term Loans (and/or Incremental Term Loan Commitments) in accordance with the requirements of Sections 4.02(i) and (j); provided that no Excess Cash Flow
shall be required to be applied as a mandatory repayment (and/or commitment reduction, as the case may be) pursuant to this Section 4.02(g) if on the relevant Excess Cash Flow Payment Date and the last day of the most recently ended Test Period for which financial
statements are available, the Borrower’s Consolidated Senior Leverage Ratio is less than 2.00:1.00.


                        (h)        In addition to any other manda­tory repayments or commitment reductions
pursuant to this Section 4.02, within 10 days follow­ing each date on or after the Effective Date on which the Borrower or any of its Subsidiaries receives any proceeds in excess of $1,000,000 from any Recovery Event, an amount equal to 100% of the Net Insurance
Proceeds (and not just the portion in excess of $1,000,000) shall be applied as a mandatory repayment (and/or commit­ment reduction, as the case may be) of outstanding Loans (and/or Commitments) in accordance with Sections 4.02(i) and (j), provided that (i) so
long as no Default or Event of Default then exists and such Net Insurance Proceeds do not exceed $3,000,000, such Net Insurance Proceeds shall not be required to be so applied on such date of receipt to the extent that the Borrower has delivered a certificate to the
Administrative Agent on or prior to such date stating that such proceeds shall be used or shall be committed to be used to replace or restore any properties or assets in respect of which such proceeds were paid within 270 days following the date of receipt of such
proceeds (which certificate shall set forth the estimates of the proceeds to be so expended) and (ii) so long as no Default or Event of Default then exists and to the extent that (a) the amount of such Net Insurance Proceeds exceeds $3,000,000, (b) the amount of
such Net Insurance Proceeds, together with other cash available to the Borrower and its Subsidiaries and permitted to be spent by them on Capital Expenditures during the relevant period, equals at least 100% of the cost of replacement or restoration of the properties
or assets in respect of which such Net Insurance Proceeds were paid as determined by the Borrower and as supported by such esti­mates or bids from contractors or subcontractors or such other supporting information as the Administrative Agent may reasonably
require, (c) the Borrower has delivered to the Administra­tive Agent a certificate on or prior to the date the certificate would otherwise be required pursu­ant to this Section 4.02(h) in the form described in clause (i) above and also certifying its
deter­mination as required by preceding clause (b) and certifying the sufficiency of business interruption insurance as required by succeeding clause (d), and (d) the Borrower has delivered to the Administrative Agent such evidence as the Administrative Agent may
reason­ably request in form and substance satisfactory to the Administrative Agent establishing that the amount of  business interruption insurance which the Borrower has, if any, is sufficient and that the Borrower will receive payment thereunder in such
amounts and at such times as, when combined with funds from operations and any equity contributions received from Shareholders, may reasonably be expected to be necessary to satisfy all obligations and expenses of the Borrower (including, without limitation, all debt
service requirements, including pursuant to this Agreement), without any delay or extension thereof, for the period from the date of the respective casualty, condemna­tion or other event giving rise to the Recovery Event and continuing through the completion of
the replacement or restoration of respective properties or assets, then the entire amount of the Net Insurance Proceeds of such Recovery Event and not just the portion in excess of $3,000,000 shall be deposited with the Administrative Agent pursuant to a cash
collateral arrangement reason­ably satisfactory to the Administrative Agent whereby such proceeds shall be disbursed to the Borrower from time to time as needed to pay or reimburse the Borrower or such Subsidiary for the actual costs incurred by it in connection
with the replacement or restoration of the respec­tive properties or assets (pursuant to such certification requirements as may be established by the Administrative Agent), provided further, that at any time while an Event of Default has occurred and is
continuing, the Required Lenders may direct the Administrative Agent (in which case the Administrative Agent shall, and is hereby authorized by the Borrower to, follow said directions) to apply any or all pro­ceeds then on deposit in such collateral account to
the repay­ment (and/or the reduction of commit­ments) of outstanding Loans (and/or Commitments) here­under, and provided further, that if all or any portion of such Net Insurance Proceeds not required to be applied to the repayment of Loans
pursuant to the second preceding proviso (whether pursu­ant to clause (i) or (ii) thereof) are either (A) not so used or committed to be so used within 270 days after the date of receipt of such proceeds or (B) if committed to be used within 270 days after the
date of receipt of such Net Insurance Proceeds and not so used within 360 days after the date of receipt of such proceeds then, in either such case, such remaining portion not used or committed to be used in the case of preceding clause (A) and not used in the case
of preced­ing clause (B) shall be applied on the date occurring 270 days after the date of receipt of such proceeds in the case of clause (A) above or the date occurring 360 days after the date of receipt of such proceeds in the case of clause (B) above as a
mandatory repayment (and/or commit­ment reduction, as the case may be) of outstanding Loans (and/or Commitments) in accordance with Sections 4.02(i) and (j).


                        (i)         Each amount required to be applied pursuant to any of Sections 4.02(d),
(e), (f), (g) and (h) shall be applied as follows:


                        (i)         Each amount required to be applied to repay Term Loans (and/or to
reduce  Incremental Term Loan Commitments) pursuant to any of Sections 4.02(d), (e) and (g) shall be applied (1) first, to repay the outstanding principal of Term Loans and (2) second, to the extent such amount is in excess of the amount required
to be applied as provided in preceding clause (1), to permanently reduce any then outstanding Incremental Term Loan Commitments (with the amount of any such permanent reduction to the then outstanding Incremental Term Loan Commitments being deemed to be an
application of cash in such amount, it being understood that, if the amount required to be applied pursuant to this clause (i) exceeds the amount required to be applied to repay outstanding principal of Term Loans pursuant to preceding clause (1) and so long as any
required reduction to Incremental Term Loan Commitments is actually made as required by preced­ing clause (2), the Borrower and its Subsidiaries may retain any excess cash generated from the events described above in this clause (i) and use same for their own
purposes). 


                        (ii)        Each amount required to be applied to repay Loans (and/or to reduce
Commit­ments) pursuant to Sections 4.02(f) and (h) shall be applied (1) first, to repay outstand­ing Term Loans and permanently reduce the Total Revolving Loan Commitment, with such outstanding Term Loans to be allocated the Term Loan Tranches
Percentage of such amount and the Total Revolving Loan Commitment to be reduced by the Revolving Loan Tranche Percentage of such amount (it being understood that cash in an amount up to the Revolving Loan Tranche Percentage of such amount shall be applied to the
extent then required pursuant to follow­ing clause (vi) and/or (without duplication) Section 4.02(a), with any excess above the amount required to be so applied to be retained by the Borrower and its Subsidiaries for their own purposes), and (2) second, to
the extent in excess of the amount required to be applied as provided in preceding clause (1), to permanently reduce any then outstanding Incremental Term Loan Commitments (it being understood that the amount of any reduction to Incremental Term Loan Commitments
pursuant to this clause (2) shall be deemed an application of cash, with the Borrower and its Subsidiaries permitted to retain the cash so deemed applied for their own purposes). 


                        (iii)       The amount of each principal repayment of Term Loans made as required by preceding
clauses (i) and (ii) (and Sections 4.02(d), (e), (f), (g) and (h)) shall be applied pro rata to each Tranche of then outstanding Term Loans, with each such Tranche of Term Loans to be allocated its Relevant Term Loan Percentage of such payment.
 


                        (iv)       The amount of each principal repayment of Term Loans made as required by preceding
clauses (i) and (ii) (and Sections 4.02(d), (e), (f), (g) and (h)) and applied to a particular Tranche of Term Loans as provided in preceding clause (iii) shall be applied (A) (1) first, to reduce the Scheduled Term Loan Repayments of the respective Tranche
which will become due within twelve months after the date of such repayment in direct order of maturity of the dates of such Scheduled Term Loan Repayments and (2) second, to the extent in excess of the amount required to be applied as provided in the
preceding clause (1), to reduce the then remaining Scheduled Term Loan Repayments of the respective Tranche on a pro rata basis (based on the then remaining principal amounts of such Scheduled Term Loan Repayments), or (B) in the case of a Tranche of
Incremental Term Loans, as otherwise provided in the Incremental Commitment Agreement pursuant to which such Incremental Term Loans are made, or (C) in the case of any Tranche of Incremental Term Loans extended pursuant to more than one Incremental Commitment
Agreement, as may otherwise be provided in the first Incremental Commitment Agreement executed and delivered with respect to such Tranche.


                        (v)        Each amount required to be applied to Incremental Term Loan Commitments
pursuant to preceding clauses (i) and (ii) (and by Sections 4.02(d), (e), (f), (g) and (h)) shall be applied pro rata to each Tranche of then outstanding Incremental Term Loan Commitments, with each such Tranche of Incremental Term Loan Commitments to
be allocated its Relevant Incremental Term Loan Commitment Percentage of such amount (and each Incremental Lender’s Incremental Term Loan Commitments under each such Tranche to be proportionately reduced based on the relative amount of each such Incremental
Lender’s Incremental Term Loan Commitments under such Tranche). 


                        (vi)       At the time of each reduction to the Total Revolving Loan Commitment as provided in
clause (ii) of this Section 4.02(i), outstanding principal of Swingline Loans and Revolving Loans (to the extent then outstanding) shall be repaid in a like amount. 


                        (j)         With respect to each repayment of Loans required by this Section 4.02,
the Borrower may designate the Types of Loans of the respective Tranche which are to be repaid and, in the case of Eurodollar Loans, the specific Borrowing or Borrowings pursuant to which made, provided that:  (i) repayments of Eurodollar Loans pursuant
to this Section 4.02 shall be made on the last day of an Interest Period applicable thereto unless all Eurodollar Loans with Interest Periods ending on such date of required repayment and all Base Rate Loans have been paid in full; (ii) if any repayment of Eurodollar
Loans made pursuant to a single Borrowing shall reduce the outstanding Eurodollar Loans made pursu­ant to such Borrowing to an amount less than the Minimum Borrowing Amount applicable thereto, such Borrowing shall be converted at the end of the then current
Interest Period into a Borrowing of Base Rate Loans; and (iii) each repay­ment of Loans made pursuant to a Borrowing shall be applied pro rata among such Loans of all Lenders.  In the absence of a designation by the Borrower as described in the
preceding sentence, the Administrative Agent shall, subject to the above, make such designation in its sole discretion.  Notwithstanding the foregoing provisions of this Section 4.02 (other than Sections 4.02(a), (b) and (c), which Sections shall not have the
benefits of this sentence), if at any time the mandatory repayment of Loans pursuant to this Section 4.02 would result, after giving effect to the procedures set forth above in this clause (i), in the Borrower incurring breakage costs under Section 1.11 as a result
of Eurodollar Loans being repaid other than on the last day of an Interest Period applicable hereto (any such Eurodollar Loans, “Affected Loans”), the Borrower may elect, by written notice to the Administrative Agent, to have the provisions of the
following sentence be applicable so long as no Default or Event of Default then exists.  At the time any Affected Loans are otherwise required to be prepaid, the Borrower may elect to deposit 100% (or such lesser percentage elected by the Borrower as not being
repaid) of the principal amounts that otherwise would have been paid in respect of the Affected Loans with the Administrative Agent to be held as security for the obligations of the Borrower hereunder pursuant to a cash collateral agreement to be entered into in form
and substance satisfactory to the Administrative Agent, with such cash collateral to be released from such cash collateral account (and applied to repay the principal amount of such Eurodollar Loans) upon each occurrence thereafter of the last day of an Interest
Period applicable to such Eurodollar Loans (or such earlier date or dates as shall be requested by the Borrower, with the amount to be so released and applied on the last day of each Interest Period to be the amount of such Eurodollar Loans to which such Interest
Period applies (or, if less, the amount remaining in such cash collateral account); provided, however, that at any time while an Event of Default has occurred and is continuing, the Required Lenders may direct the Administrative Agent (in which case the
Administrative Agent shall, and is hereby authorized by the Borrower to, follows said directions) to apply any or all proceeds then on deposit in such collateral account to the payment of such Affected Loans.


                        (k)        Notwithstanding anything to the contrary contained elsewhere in the Agreement,
(i) all then outstanding Loans of any Tranche shall be repaid in full on the respective Maturity Date for such Tranche of
Loans, and (ii) unless the Required Lenders otherwise agree in writing (in their sole discretion), all then outstanding Loans shall be repaid in full on the date on which a Change of Control occurs.


                        4.03     Method and Place of Payment.  Except as otherwise specifically provided herein, all
payments under this Agreement or any Note shall be made to the Administrative Agent for the account of the Lender or Lenders entitled thereto not later than 2:00 P.M. (New York time) on the date when due and shall be made in Dollars in immediately available
funds at the Payment Office of the Administrative Agent.  Whenever any payment to be made hereunder or under any Note shall be
stated to be due on a day which is not a Business Day, the due date thereof shall be extended to the next succeed­ing Business Day and, with respect to payments of principal, interest shall be payable at the applicable rate during such extension.


                        4.04     Net Payments; Taxes.  (a)  All payments made by any Credit Party hereunder or
under any Note or other Credit Document will be made without setoff, counterclaim or other defense. Except as provided in Section 4.04(b), all such payments will be made free and clear of, and without deduction or withholding for, any present or future taxes, levies,
imposts, duties, fees, assessments or other charges of whatever nature now or hereafter imposed by any jurisdic­tion or by any political sub­division or taxing authority thereof or therein with respect to such payments (but excluding, except as provided in
the second succeeding sentence, any tax imposed on or measured by the net income or net profits of a Lender, or any franchise tax based on the net income or net profits of a Lender, in either case pursuant to the laws of the jurisdiction in which it is organized or
the juris­diction in which the principal office or applicable lending office of such Lender is located or any subdivision thereof or therein) and all interest, penalties or similar liabilities with respect to such non-excluded taxes, levies, imposts, duties,
fees, assessments or other charges (all such non-excluded taxes, levies, imposts, duties, fees, assessments or other charges being referred to collectively as “Taxes”).  Subject to Section 4.04(b), if any Taxes are so levied or imposed, the Borrower
agrees to pay the full amount of such Taxes, and such additional amounts as may be neces­sary so that every payment of all amounts due under this Agreement or under any Note, after withholding or deduction for or on account of any Taxes, will not be less than the
amount provided for herein or in such Note.  If any amounts are payable in respect of Taxes pursuant to the preceding sentence, the Borrower agrees to reimburse each Lender, promptly after the written request of such Lender, for taxes imposed on or measured by
the net income or net profits of such Lender, or any franchise tax based on the net income or net profits of a Lender, in either case pursuant to the laws of the jurisdiction in which such Lender is organ­ized or in which the principal office or applicable
lending office of such Lender is located or under the laws of any political subdivision or taxing authority of any such juris­diction in which such Lender is organized or in which the principal office or appli­cable lending office of such Lender is located
and for any withholding of income or similar taxes as such Lender shall determine are payable by, or withheld from, such Lender in respect of such amounts so paid to or on behalf of such Lender pursuant to the preceding sentence and in respect of any amounts paid to
or on behalf of such Lender pursuant to this sentence.  The Borrower will furnish to the Administrative Agent within 45 days after the date the payment of any Taxes is due pursuant to applicable law certified copies of tax receipts evidencing such payment by the
Borrower.  The Borrower agrees to indemnify and hold harmless each Lender, and reimburse such Lender upon its written request, for the amount of any Taxes so levied or imposed and paid by such Lender.  All amounts payable pursuant to this Section 4.04(a)
shall be subject to the provisions of Section 13.16 (to the extent applicable).


                        (b)        Each Lender that is not a United States person (as such term is defined in
Section 7701(a)(30) of the Code) for U.S. Federal income tax purposes agrees to deliver to the Borrower and the Administrative Agent on or prior to the Effective Date, or in the case of a Lender that is an assignee or transferee of an interest under this Agreement
pursuant to Section 1.13 or 13.04 (unless the respective Lender was already a Lender hereunder immediately prior to such assignment or transfer), on the date of such assignment or transfer to such Lender, (i) two accurate and complete original signed copies of
Internal Revenue Service Form W-8ECI or Form W-8BEN (with respect to a complete exemption under any income tax treaty) (or successor forms) certifying to such Lender’s entitlement as of such date to a com­plete exemption from United States withholding tax
with respect to payments to be made under this Agreement and under any Note, or (ii) if the Lender is not a “bank” within the meaning of Section 881(c)(3)(A) of the Code and cannot deliver either Internal Revenue Service Form W-8ECI or Form W-8BEN (with
respect to a complete exemption under an income tax treaty) (or successor forms) pursuant to clause (i) above, (x) a certificate substantially in the form of Exhibit E (any such certificate, a “Section 4.04(b)(ii) Certificate”) and (y) two
accurate and complete original signed copies of Internal Revenue Service Form W-8BEN (with respect to the portfolio interest exemption) (or successor form) certifying to such Lender’s entitlement as of such date to a complete exemption from United States
withholding tax with respect to payments of interest to be made under this Agreement and under any Note.  In addition, each Lender agrees that from time to time after the Effective Date, when a lapse in time or change in cir­cumstances renders the previous
certification obsolete or inaccurate in any material re­spect, such Lender will deliver to the Borrower and the Administrative Agent two new accurate and complete original signed copies of Internal Revenue Service Form W-8ECI, Form W-8BEN (with respect to the
benefits of any income tax treaty), Form W-8BEN (with respect to the portfolio interest exemption) and a Section 4.04(b)(ii) Certificate, as the case may be, and such other forms as may be required in order to confirm or establish the entitlement of such Lender to a
continued exemption from or reduction in United States withholding tax with respect to payments under this Agreement and any Note, or it shall immediately notify the Borrower and the Administrative Agent of its inability to deliver any such form or certifi­cate,
in which case such Lender shall not be required to deliver any such form or certificate pursuant to this Section 4.04(b).  Notwithstanding anything to the contrary contained in Section 4.04(a), but subject to Section 13.04(b) and the immediately succeeding
sentence, (x) the Bor­rower shall be entitled, to the extent it is required to do so by law, to deduct or withhold income or similar taxes imposed by the United States (or any political subdivision or taxing authority thereof or therein) from interest, Fees
or other amounts payable hereunder for the account of any Lender which is not a United States person (as such term is defined in Section 7701(a)(30) of the Code) for U.S. Federal income tax purposes to the extent that such Lender has not provided to the Borrower U.S.
Internal Revenue Service forms that establish a complete exemption from such deduction or withholding and (y) the Borrower shall not be obligated pursuant to Section 4.04(a) to indemnify or pay additional amounts to a Lender in respect of income or similar taxes
imposed by the United States if (I) such Lender has not provided to the Borrower the Internal Revenue Service forms required to be provided to the Borrower pursuant to this Section 4.04(b) or (II) in the case of a payment, other than interest, to a Lender described
in clause (ii) above, to the extent that such Forms do not establish a complete exemption from withholding of such taxes.  Notwithstanding anything to the contrary contained in the preceding sen­tence or elsewhere in this Section 4.04 and except as set forth
in Section 13.04(b), the Borrower agrees to pay any additional amounts and to indemnify each Lender in the manner set forth in Section 4.04(a) (without regard to the identity of the jurisdiction requiring the deduction or withholding) in respect of any amounts
deducted or with­held by it as described in the immedi­ately preceding sentence as a result of any changes that are effective after the Effective Date in any applicable law, treaty, governmental rule, regulation, guideline or order, or in the
interpre­ta­tion thereof, relating to the deducting or withholding of income or similar taxes.


                        (c)        If the Borrower pays any additional amount under this Section 4.04 to a Lender and
such Lender determines in its sole discretion that it has actually received or realized in connec­tion therewith any refund or any reduction of, or credit against, its Tax liabilities in or with respect to the taxable year in which the additional amount is paid
(a “Tax Benefit”), such Lender shall pay to the Borrower an amount that the Lender shall, in its sole discretion, determine is equal to the net benefit, after tax, which was obtained by the Lender in such year as a consequence of such Tax Benefit;
provided, however, that (i) any Taxes that are imposed on a Lender as a result of a dis­allowance or reduction (including through the expiration of any tax credit carryover or carryback of such Lender that otherwise would not have expired) of any
Tax Benefit with respect to which such Lender has made a payment to the Borrower pursuant to this Section 4.04(c) shall be treated as a Tax for which the Borrower is obligated to indemnify such Lender pursuant to this Section 4.04 without any exclusions or defenses;
(ii) nothing in this Section 4.04(c) shall require the Lender to disclose any confidential information to the Borrower (including, without limitation, its tax returns); (iii) any Lender may determine in its sole discretion consistent with the policies of such Lender
whether to seek a Tax Benefit; and (iv) no Lender shall be required to pay the Borrower any amount pursuant to this Section 4.04(c) for so long as a Default or an Event of Default exists, until such Default or Event of Default is no longer continuing.


                        (d)        Each Lender and the Administrative Agent agrees that it will (i) take all
actions reasonably requested by the Borrower that are without risk or material cost to such Lender or the Administrative Agent (as the case may be) to maintain all exemptions available to it from withholding taxes (whether available by treaty or existing
administrative waiver), and (ii) to the extent reasonable and without material cost to it, otherwise cooperate with the Borrower to minimize any amounts payable by the Borrower under this Section; provided, however, a Lender will not be obligated to deliver any tax returns, income tax schedules or computations, or any other documentation that would require such Lender to
disclose any other information that would adversely affect such Lender, as determined by such Lender in its sole
discretion.


                        SECTION 5A.  Conditions Precedent to the Effective Date.  The occurrence of the Effective Date, is
subject to the satisfaction of the following conditions:


                        5A.01  Execution of the Agreement; Notes.  On or prior to the Effective Date (i) this Agreement shall
have been executed and delivered and (ii) there shall have been delivered to the Administrative Agent for the account of each of the Lenders that has requested same the appropriate Initial Term Note or Revolving Note executed by the Borrower and to the Swingline Lender, the Swingline Note exe­cuted by the Borrower, in each case in the amount, maturity and as otherwise
provided herein.


                        5A.02  Fees, etc.  On or prior to the Effective Date, the Borrower shall have paid to the
Administrative Agent, the Joint Lead Arrangers and the Lenders all Fees and all other reason­able costs, fees and
expenses (including, without limitation, reasonable legal fees and expenses of the Administrative Agent and the Joint Lead Arrangers) payable to the Administrative Agent, the Joint Lead Arrangers and the respective Lenders to the extent then due.


                        5A.03  Opinion of Counsel.  On the Effective Date, the Administrative Agent shall have received (i)
from Waller Lansden Dortch & Davis, special counsel to the Credit Parties, an opinion addressed to the Administrative Agent and each of the Lenders and dated the Effective Date covering the matters set forth in Exhibit F-1 and such other matters incident to the
transactions contemplated herein as the Joint Lead Arrangers may reasonably request, (ii) from Ronald P. Soltman, Esq., General Counsel to the Credit Parties, an opinion addressed to the Administrative Agent and each of the Lenders and dated the Effective Date
covering the matters set forth in Exhibit F-2 and such other matters incident to the transactions contemplated herein as the Joint Lead Arrangers may reasonably request, and (iii) from local counsel in the States of Illinois, Arizona, Texas and California, opinions
each in form and substance reasonably satisfactory to the Joint Lead Arrangers and addressed to the Administrative Agent, the
Collateral Agent and each of the Lenders and dated the Effective Date and covering such matters incident to the transac­tions contemplated herein as the Joint Lead Arrangers may reasonably request.


                        5A.04  Corporate Documents; Proceedings; etc.  (a)  On the Effective Date, the Administrative
Agent shall have received a certificate, dated the Effective Date, signed by the chairman of the board, the president, any vice president or the treasurer of the Borrower and each Credit Party, and attested to by the secretary or any assistant secretary of the
respective Credit Party, in the form of Exhibit G with appropriate insertions, together with copies of the certificate of incorporation and by-laws of such Credit Party, and the resolutions of such Credit Party referred to in such certificate, and the foregoing shall
be reasonably acceptable to the Joint Lead Arrangers.


                        (b)        On or prior to the Effective Date, all corporate, and legal proceed­ings
and all instruments and agreements in connection with the transactions contemplated by this Agreement and the other Credit Documents shall be reasonably satisfactory in form and substance to the Joint Lead Arrangers, and the Joint Lead Arrangers shall have received
all information and copies of all docu­ments and papers, including records of corporate and partnership proceed­ings, govern­mental approvals (to the extent required), good standing certificates and bring-down telegrams, if any, which the Joint Lead Arrangers may have reasonably requested in connection therewith, such documents and papers where appropriate to be
certified by proper corporate, or governmental authorities.


                        5A.05  Employee Benefit Plans; Shareholders’ Agreements; Management Agree­ments; Collective Bargaining
Agreements; Existing Indebtedness Agreements; Tax Sharing Agreements; Material Leases.  On or prior to the Effective Date, there shall have been delivered to the Administrative Agent true and correct copies of the following documents (to the extent same were
entered into after July 30, 2001), in each case as same will be in effect on the Effective Date:


                        (i)         all Plans (and for each Plan that is required to file an annual report on
Internal Revenue Service Form 5500-series, a copy of the most recent such report (including, to the extent required, the related financial and actuarial statements and opinions and other supporting statements, certifications, schedules and information), and for each
Plan that is a “single-employer plan,” as defined in Section 4001(a)(15) of ERISA, the most recently prepared actuarial valuation therefor) and any other “employee benefit plans,” as defined in Section 3(3) of ERISA, and any other material
agreements, plans or arrangements, with or for the benefit of current or former employees of the Borrower or any of its Subsidi­aries or any ERISA Affiliate (provided that the foregoing shall apply in the case of any multiemployer plan, as defined in
4001(a)(3) of ERISA, only to the extent that any docu­ment described therein is in the possession of the Borrower or any Subsidiary of the Borrower or any ERISA Affiliate or reasonably available thereto from the sponsor or trustee of any such plan) (collectively,
the “Employee Benefit Plans”);


                        (ii)        all material agreements entered into by the Borrower or any of its
Subsidiaries governing the terms and relative rights of its capital stock and any agreements entered into by shareholders relating to any such entity with respect to its capital stock (collec­tively, the “Shareholders’ Agreements”);
provided that at the Borrower’s election, the Borrower may, in the alternative, in cases where there are two or more instances of a Shareholders’ Agreement based upon a model form, deliver to the Administrative Agent a copy of such model form,
together with a certificate, signed by an Authorized Officer of the Borrower, which lists all Shareholders’ Agreements based on that form other than those which the Borrower has independently delivered to the Administrative Agent, together with the parties to
each such Shareholders’ Agreement, the amounts of shares subject to each such Shareholders’ Agreement, and any material divergence of each such Shareholders’ Agreement from the model form of Shareholders’ Agreement delivered therewith;


                        (iii)       all material agreements with members of, or with respect to, the senior
manage­ment of the Borrower or any of its Subsidiaries (collec­tively, the “Management Agreements”); provided that at the Borrower’s election, the Borrower may, in the alterna­tive, in cases where there are two or more instances
of a Management Agreement based upon a model form, deliver to the Administrative Agent a copy of such model form, together with a certificate, signed by an Authorized Officer of the Borrower, which lists all Management Agreements based on that form other than those
which the Borrower has independently delivered to the Administrative Agent, together with the parties to each such Management Agreement, the amounts thereof, and any material divergence of each such Management Agreement from the model form of Management Agreement
delivered therewith;


                        (iv)       all collective bargaining agreements applying or relating to any employee of the
Borrower or any of its Subsidiaries (collectively, the “Collective Bargaining Agree­ments”);


                        (v)        all agreements evidencing or relating to Indebtedness for borrowed money of the
Borrower or any of its Subsidiaries which is to remain outstanding after giving effect to the Effective Date, other than agreements in respect of Capitalized Lease Obligations to the extent such Indebtedness is less than $750,000 (collectively, the “Existing
Indebtedness Agreements”);


                        (vi)       all tax sharing, tax allocation and other similar agreements entered into by the
Borrower or any of its Subsidiaries (collectively, the “Tax Sharing Agreements”); and


                        (vii)      all material leases under which the Borrower or any of its Subsidiaries lease (as lessee)
any real property (collectively, the “Material Leases”);


all of which Employee Benefit Plans, Shareholders’ Agreements, Management Agreements, Collective Bargaining Agreements, Existing Indebtedness Agreements, Tax Sharing Agreements and Material Leases shall be in full force and effect on the Effective Date.


                        5A.06  Refinancing.  On the Effective Date, the total commitments pursu­ant to the Existing Credit
Agreement shall have been terminated, and all loans and notes with respect thereto shall have been repaid in full (together with interest thereon), all letters of credit issued thereunder shall have been terminated (or either incorporated as Letters of Credit
here­under or fully supported with Letters of Credit issued hereunder) and all other amounts (includ­ing premiums) owing pursuant to the Existing Credit Agreement shall have been repaid in full.  The creditors in respect of the Existing Credit Agreement
shall have terminated and released all security interests in and Liens on the assets of the Borrower and its Subsidiaries created pursuant to the security documentation relating to the Existing Credit Agreement, and such creditors shall have returned all such assets to the Borrower or such Subsidiary, and the Joint Lead Arrangers shall have received evidence, in form and substance
reasonably satisfactory to them, that the matters set forth in this Section 5A.06 have been satisfied as of the Effective Date.


                        5A.07  Pledge Agreement.  On or prior to the Effective Date, each Credit Party shall have duly
authorized, executed and delivered a Pledge Agreement in the form of Exhibit H (as modified, supplemented or amended from time to time, the “Pledge Agreement”) and shall have delivered to the Collateral Agent, as Pledgee thereunder, all the certificated
Pledge Agreement Collateral, if any, referred to therein then owned by suchCredit Party, (x) endorsed in blank in the case of
promis­sory notes constituting Pledge Agreement Collateral and (y) together with executed and undated stock powers, in the case of certificated Equity Interests constituting Pledge Agreement Collateral.


                        5A.08  Subsidiaries Guaranty.  On or prior to the Effective Date, (i) each Subsidiary Guarantor (other
than the Captive Insurance Subsidiary) shall have duly authorized, executed and delivered the Subsidiaries Guaranty (General) in the form of Exhibit I-1 and (ii) the Captive Insurance Subsidiary shall have duly authorized, executed and delivered the Subsidiary
Guaranty (Captive Insurance Subsidiary) in the form of Exhibit I-2 (such Subsidiaries Guaranties (General) and Subsidiary Guaranty
(Captive Insurance Subsidiary) as the same may be modified, supplemented or amended from time to time, collectively the “Subsidiaries Guaranty”).


                        5A.09  Security Agreement.  On or prior to the Effective Date, each Credit Party shall have duly
authorized, executed and delivered the Security Agreement in the form of Exhibit J (as modified, supplemented or amended from time to time, the “Security Agreement”) covering all of such Credit Party’s present and future Security Agreement
Collateral, together with:


                        (i)         proper Financing Statements (Form UCC-1 or the equivalent) fully
authenticated for filing under the UCC or other appropriate filing offices of each jurisdiction as may be necessary or, in the reasonable opinion of the Collateral Agent, desirable to perfect the security interests purported to be created by the Security
Agreement;


                        (ii)        certified copies of Requests for Information or Copies (Form UCC-11), or
equivalent reports, listing all effective financing statements that name any Credit Party or any of its Subsidiaries as debtor and that are filed in the jurisdictions referred to in clause (i) above or in any other jurisdiction which might result in the existence of
perfected security interests, together with copies of such other financing statements that name any Credit Party or any of its Subsidiaries as debtor (none of which shall cover any of the Collateral except to the extent evidencing Permitted Liens or in respect of
which the Collateral Agent shall have received termination statements (Form UCC-3) or such other termina­tion statements as shall be required by local law fully authenticated for filing); and


                        (iii)       evidence of the completion of all other actions necessary or, in the reasonable
opinion of the Collateral Agent, desirable to perfect the security interests intended to be created by the Security Agreement.


                        5A.10  Mortgages; Flood Certificates; etc.  On or prior to the Effective Date, the Collateral Agent
shall have received:


                        (i)         fully executed counterparts of Mortgages, each in form and substance
rea­sonably satisfactory to the Administrative Agent, which Mortgages shall cover the Real Property owned or leased by the Borrower and its Subsidiaries on the Effective Date and desig­nated as “Mortgaged Property” on Schedule IV; and


                        (ii)        flood certificates covering each Mortgaged Property in form and substance acceptable to the Collateral Agent, and certifying whether or not a Mortgaged Property is located in a flood hazard area,
as determined by reference to the applicable FEMA map.


                        5A.11  Adverse Change; Approvals; etc.  (a)  Since June 30, 2003, nothing shall have occurred
(and neither the Joint Lead Arrangers nor any Lender shall have become aware of any facts or conditions not previously known by, or disclosed in writing to, the Joint Lead Arrangers or such Lender) which could reasonably be expected to have a material adverse effect
(i) on the rights or remedies of the Administrative Agent or the Lenders, or on the ability of any Credit Party to perform its respective obligations to the Administrative Agent or the Lenders under the Credit Documents or (ii) on the business, property, assets,
liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole.


                        (b)        On or prior to the Effective Date, all necessary governmental (domestic and
foreign) and third party approvals and/or consents (if any) required in connection with (i) the making of the Loans and (ii) the transactions contemplated by the Credit Documents and otherwise referred to herein or therein, in each case shall have been obtained and
remain in effect, except in the case of clause (ii) above for such consents and/or approvals the failure of which to obtain could not reasonably be expected to have a material adverse effect on the trans­actions contemplated by this Agreement or the other Credit
Documents or on the business, prop­erty, assets, liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole and all applicable waiting periods shall have expired without any action
being taken by any competent authority which restrains, prevents or imposes materially adverse conditions upon the making of the Loans and the transactions contemplated by the Credit Documents or otherwise referred to herein or therein.  Additionally, there
shall not exist any judg­ment, order, injunction or other restraint issued or filed or a hearing seeking injunctive
relief or other restraint pending or notified prohibiting or imposing materially adverse conditions upon the making of the Loans or the consummation of the Transaction or the other transactions contem­plated by the Credit Documents.


                        5A.12  Litigation.  On the Effective Date, no litigation by any entity (private or governmental) shall be pending or, to the best of the Borrower’s knowledge, threat­ened with respect to the Credit
Documents or any other documentation executed in connection herewith or therewith or the transactions contemplated hereby or thereby.


                        5A.13  Pro Forma Balance Sheet; Projections.  On or prior to the Effective Date, the Joint Lead
Arrangers shall have received the pro forma financial statements and the Projections referred to in
Sections 7.05(b) and (e), which pro forma financial statements and Projections shall be in form and substance reasonably satisfactory to the Joint Lead Arrangers.


                        5A.14  Solvency Certificate; Insurance Certificates.  On or prior to the Effective Date, there shall
have been delivered to the Administrative Agent:


                        (a)        a solvency certificate in the form of Exhibit K, addressed to the
Administrative Agent and each of the Lenders and dated the Effective Date from the chief financial officer of the Borrower; and


                        (b)        certificates of insurance complying with the requirements of Section 8.03 for
the business and properties of the Borrower and its Subsidiaries, in scope, form and sub­stance reasonably satisfactory to the
Administrative Agent and stating that such insurance shall not be canceled without at least 30 days’ prior written notice by the respective insurer to the Administrative Agent.


                        5A.15  Maximum Leverage Ratio; Minimum Availability; Interest Coverage Ratio Incurrence Test. 
(a)  On the Effective Date, (x) the Consolidated Leverage Ratio (calculated after giving effect to the Transaction) shall not be greater than 3.75:1.00 and (y) the Borrower shall have delivered to the Administrative Agent a certificate showing the calculations
required by preceding clause (x), and compliance therewith, in reasonable detail.


                        (b)        On the Effective Date the Total Unutilized Revolving Commitment shall equal or
exceed $150,000,000 (calculated after giving effect to the Refinancing and the incurrence of the Loans on the Effective Date).


                        (c)        On or prior to the Effective Date, the Borrower shall have delivered a certificate signed by the chief financial officer of the Borrower certifying compliance with the representation and warranty
contained in Section 7.27(a) and showing calculations in support thereof in reasonable detail.


                        SECTION 5B.  Conditions Precedent to each Incurrence of Incremental Term Loans.  The obligation of each Lender party to any IncrementalCommitment Agreement to make Incremental Term Loans as contemplated therein and by this Agreement, is subject at the time of the making of such Incremental Term Loans to the satisfaction of the following conditions:


                        5B.01   Occurrence of Syndication Date.  The Syndication Date shall have already occurred.


                        5B.02  Incremental Commitment Agreement; Related Documentation.  The Administrative Agent shall have
received the respective Incremental Commitment Agreement, executed by each party thereto (which execution may be
in counterparts), and the Administrative Agent shall have received all related documentation in accordance with the require­ments of Section 1.13(b), in each case to the reasonable satisfaction of the Administrative Agent.


                        5B.03  Incremental Term Notes.  There shall have been delivered to the Administra­tive Agent for the account of each of the relevant Incremental Lenders that has requested same the appropriate Incremental Term Note
executed by the Borrower in the amount, with the maturity and in the form as otherwise provided herein.


                        5B.04  Officer’s Certificate.  On the date of each incurrence of Incremental Term Loans, the
Administrative Agent shall have received a certificate, dated the date of such incurrence, signed by the chairman of the board, the president, any vice president or the treasurer of the Borrower certifying that the Incremental Term Loans are being incurred in
accordance with all relevant requirements and representations and warranties contained in thisAgreement, including, without
limitation, Sections 1.13 and 7.27, and showing in reasonable detail calculations of compliance with the requirements of clause (xii) of Section 1.13(a) and with the representation and warranty contained in Section 7.27(b).


                        5B.05  Other Conditions Specified in the Relevant Incremental Commitment Agreement.  If any other conditions precedent are specified in the relevant Incremental Commitment Agreement, such conditions precedent shall be
satisfied on the date of the incurrence of the respective Incremental Term Loans.


                        SECTION 6.   Conditions Precedent to All Credit Events.  The obligation of each Lender to make Loans
(including any Loans made on the Effective Date or at any time thereafter), and the obliga­tion of each Issuing Lender to issue Letters of Credit
(including any Letters of Credit issued on the Effective Date), is subject, at the time of each such Credit Event (except
as herein­after indicated), to the satisfaction of the following conditions:


                        6.01     Effective Date.  The Effective Date shall have occurred.


                        6.02     No Default; Representations and Warranties.  At the time of each such Credit Event
and also immediately after giving effect thereto (i) there shall exist no Default or Event of Default and (ii) all representations and warranties contained herein and in the other Credit Documents shall be true and correct in all material respects with the same
effect as though such repre­sen­ta­tions and warranties had been made on the dateof the making of such Credit Event
(it being under­stood and agreed that any representation or warranty which by its terms is made as of a specified date shall be required to be true and correct in all material respects only as of such specified date).


                        6.03     Notice of Borrowing; Letter of Credit Request.  (a)  Prior to the making of
each Loan (other than a Swingline Loan or a Revolving Loan made pursuant to a Mandatory Borrowing), the Administrative Agent shall have received a Notice of Borrowing meeting the require­ments of Section 1.03(a).  Prior to the making of each Swingline Loan,
the Swingline Lender shall have received the notice referred to in Section 1.03(b)(i).


                        (b)        Prior to the issuance of each Letter of Credit, the Administrative Agent and
the respective Issuing Lender shall have received a Letter of Credit Request meeting the require­ments of Section 2.03.


                        The acceptance of the proceeds of each Loan and the making of each Letter of Credit Request shall constitute a representation
and warranty by the Borrower to the Administra­tive Agent and each of the Lenders that all the conditions specified in Section 5A (with respect to Credit Events on the Effective Date), Section 5B (with respect to each incurrence of Incremental Term Loans) and in
this Section 6 (with respect to all Credit Events on and after the Effective Date) and applicable to such Credit Event exist as of that time.  All of the Notes, certificates, legal opinions and other documents and papers referred to in Section 5A, Section 5B and
in this Section 6, unless otherwise specified, shall be delivered to the Administrative Agent at the Notice Office for the
account of each of the Lenders and, except for the Notes, in sufficient counterparts for each of the Lenders and shall be in form and sub­stance reasonably satisfactory to the Administrative Agent and the Required Lenders.


                        SECTION 7.   Representations and Warranties.  In order to induce the Lenders to enter into this
Agreement and to make the Loans and issue (or participate in) the Letters of Credit as pro­vided herein, the Borrower makes the following representations, warranties and agree­ments, in each case after giving effect to the transactions contem­plated by
this Agreement as consummated on the Effective Date, all of which shall sur­vive the execution and delivery of this Agreement and the Notes and the making of the Loans and issuance of the Letters of Credit, with the occurrence of each Credit Event on or after the
Effective Date being deemed to constitute a representation and warranty that the matters speci­fied in this Section 7 are true and correct on and as of the Effective Date and onthe date of each such Credit Event (it being understood and agreed that any representation or warranty which by its terms is made as of a specified date shall be required to be true and correct
in all material respects only as of such specified date). 


                        7.01     Corporate and Other Status.  The Borrower and each of its Subsidiaries (i) is a duly
organized and validly existing corporation, partnership or limited liability company in good standing under the laws of the juris­dic­tion of its organization or formation, (ii) has the corporate, partnership or limited liability company power and authority,
as the case may be, to own its property and assets and to transact the business in which it is engaged and presently proposes to engage and (iii) is duly qualified and is authorized to do business and, to the extent applicable, is in good standing in each
jurisdiction where the conduct of its business requires such qualifications except for failures to be so qualified which, individually or in theaggregate, would not reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as
a whole.


                        7.02     Corporate or Partnership Power and Authority.  Each Credit Party has the corporate,
partnership or limited liability company power and authority, as the case may be, to execute, deliver and perform the terms and provisions of each of the Credit Documents to which it is a party and has taken all necessary corporate, partnership or limited liability
company action, as the case may be, to authorize the execution, delivery and performance by it of each of such Credit Documents.  Each Credit Party has duly executed and delivered each of the Credit Documents to which it is a party, and each of such Credit
Documents constitutes the legal, valid and binding obligation of such Credit Party enforceable in accordance with its terms, except to the extent that the enforceability thereof may be limited by applicable bankruptcy, insolvency, reorgani­zation, moratorium or other similar laws generally affecting creditors’ rights and by equitable principles (regardless of
whether enforcement is sought in equity or at law).


                        7.03     No Violation.  Neither the execution, delivery or performance by any Credit Party of
the Credit Documents to which it is a party, nor compliance by it with the terms and pro­vi­sions thereof, nor the consummation of the transactions contemplated therein, (i) will con­travene any provision of any applicable law, statute, rule or regulation
or any applicable order, writ, injunction or decree of any court or governmental instrumen­tality, (ii) will conflict with or result in any breach of any of the terms, covenants, condi­tions or provisions of, or constitute a default under, or result in the
creation or imposition of (or the obligation to create or impose) any Lien (except pursuant to the Security Docu­ments) upon any of the properties or assets of the Borrower or any of its Subsidiaries pursuant to the terms of any indenture, mortgage, deed of
trust, credit agreement or loan agreement, or any other material agreement, contract or instru­ment, to which the Borrower or any of its Subsidiaries is a party or by which
it or any of its prop­erty or assets is bound or to which it may be subject or (iii) will violate any provision of the certificate of incorporation or by-laws (or equivalent organizational document(s)) of the Borrower or any of its Subsidiaries.


                        7.04     Governmental Approvals.  No order, consent, approval, license, authoriza­tion or
validation of, or filing, recording or registration with (except as have been obtained or made and which remain in full force and effect), or exemption by, any governmental or public body or authority, or any subdivision thereof, is required to authorize, or is required in connec­tion with, (i) the execution, delivery and performance of any Credit Document or (ii) the legality, validity, binding effect or enforceability of any such
Credit Document.


                        7.05     Financial Statements; Financial Condition; Undisclosed Liabilities; Projec­tions;
etc.  (a)  The consolidated balance sheets of the Borrower and its Subsidiaries for the fiscal years ended on June 30, 2001, June 30, 2002 and June 30, 2003 and the interim nine-month period ended March 31, 2004, and the related consolidated statements
of income, cash flows and shareholders’ equity of the Borrower for the fiscal year or nine-month period ended on such dates, copies of which have been furnished to the Lenders prior to the Effective Date, present fairly in all material respects the consolidated
financial position of the Borrower and its Subsid­iaries at the dates of such balance sheets and the consolidated results of the operations of the Borrower and its Subsidiaries for the periods covered thereby.  All of the foregoing financial state­ments
have been prepared in accordance with GAAP (except, in the case of the afore­mentioned interim financial statements, for normal year-end audit adjustments and the absence of footnotes).  After giving effect to the Transaction (but for this purpose assuming
the Transaction had occurred prior to June 30, 2003), since June 30, 2003 nothing has occurred which has had, or could reasonably be expected to have, a material adverse effect on the business, property, assets, liabilities (actual or contin­gent), operations or
condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole.


                        (b)        The consolidated pro forma balance sheet of the Borrower and its
Subsidiaries at March 31, 2004 (calculated after giving effect to the Transaction, and assuming that the Transaction had occurred on such date), copies of which have been furnished to the Lenders prior to the Effective Date, present fairly the pro forma
financial position of the Borrower and its Subsidiaries.


                        (c)        On and as of the Effective Date and after giving effect to the Transaction and
to all Indebtedness (including the Loans) being incurred or assumed and Liens created by the Credit Parties in connection therewith, (i) the sum of the assets, at a fair valuation, of each of the Borrower on a stand alone basis and of the Borrower and its
Subsidiaries taken as a whole will exceed its debts; (ii) each of the Borrower on a stand alone basis and the Borrower and its Subsidiaries taken as a whole has not incurred and does not intend to incur, and does not believe that it will incur, debts beyond its
ability to pay such debts as such debts mature; and (iii) each of the Borrower on a stand alone basis and the Borrower and its Subsidiaries taken as a whole will have sufficient capital with which to conduct its business.  For purposes of this Section
7.05(c), “debt” means any liability on a claim, and “claim” means (x) right to payment, whether or not such a right is reduced to judg­ment, liqui­dated, unliquidated, fixed, contingent, matured, unmatured, disputed, undisputed, legal,
equitable, secured, or unsecured or (y) right to an equitable remedy for breach of perform­ance if such breach gives rise to a payment, whether or not such right to an equitable remedy is reduced to judgment, fixed, contingent, matured, unmatured, disputed,
undisputed, secured or unsecured.  The amount of contingent liabilities at any time shall be computed as the amount that, in the light of all the facts and circumstances existing at such time, represents the amount that can reasonably be expected to become an
actual or matured liability.


                        (d)        Except as fully disclosed in the financial statements delivered pursuant to
Section 7.05(a) or in other information delivered to the Lenders in writing, there were as of the Effective Date no liabilities or obliga­tions with respect to the Borrower or any of its Subsidiaries of any nature whatsoever (whether absolute, accrued, contingent
or otherwise and whether or not due) which, either individually or in aggregate, would reasonably be expected to be material to the Borrower and its Subsidiaries taken as a whole.


                        (e)        On and as of the Effective Date, the Projections delivered to the Joint Lead
Arrangers and the Lenders prior to the Effective Date have been prepared in good faith and are based on assumptions believed by the Borrower to be reasonable, and there are no statements or conclusions in the Projections which are based upon or include information
known to the Borrower to be misleading in any material respect or which fail to take into account material information known to the Borrower regarding the matters reported therein.  On the Effective Date, the Borrower believes that the Projections are reasonable
and attainable, it being understood that the Projections include assumptions as to future events that are not to be viewed as facts and there can be no assurance that such
assumptions, statements, estimates and Projections will be realized and that actual results may differ from the projected results and such differences may be material and adverse.


                        7.06     Litigation.  There are no actions, suits or proceedings pending or, to the
Borrower’s knowledge, threatened (i) with respect to any Credit Document, (ii) on and as of the Effective Date with respect to the Transaction, or (iii) with respect to any matter
that could reason­ably be expected to have a material adverse effect on the business, property, assets, liabil­ities (actual or contingent), operations or condition (financial or otherwise) of the Borrower  and its Subsidiaries taken as a whole.


                        7.07     True and Complete Disclosure.  All factual information (taken as a whole) regarding
the Borrower or any of its Subsidiaries furnished by or on behalf of the Borrower or any of its Subsidiaries in writing to the Joint Lead Arrangers or any Lender (including, without limitation, all infor­mation contained in the Credit Documents) for purposes of
or in connection with this Agreement, the other Credit Documents or any transaction contemplated herein or therein is, and all other such factual infor­ma­tion (taken as a whole) hereafter furnished by or on behalf of the Borrower or any of its Subsidiaries
in writing to the Joint Lead Arrangers or any Lender will be, true and accurate in all material respects on the date as of which such information is dated or certified and not incom­plete by omit­ting to state any fact necessary to make such information
(taken as a whole) not mis­leading in any material respect at such time in light of the circumstances under which such information was pro­vided.  It is
understood that the Projections do not constitute factual informa­tion for purposes of this Section 7.07.


                        7.08     Use of Proceeds; Margin Regulations.  (a)  All proceeds of the Initial Term
Loans shall be used (i) solely to finance the Transaction and to pay the fees and expenses incurred in connection therewith and (ii) to the extent such proceeds are in excess of those necessary for the uses described in preceding clause (i), for working capital,
Capital Expenditures and other general corporate purposes of the Borrower and its Subsidiaries.


                        (b)        All proceeds of the Revolving Loans and the Swingline Loans shall be used
solely to finance Permitted Acquisitions and for working capital purposes, Capital Expenditures and other general corporate purposes of the Borrower and its Subsidiaries; provided that no Revolving Loans or Swingline Loans may be used to make payments pursuant
to the Refinancing or to pay the fees and expenses incurred in connection therewith.


                        (c)        All proceeds of Incremental Term Loans shall be used solely (i) to finance
Permitted Acquisitions, (ii) to finance Capital Expenditures and the Borrower’s and its Subsidiaries’ other general corporate purposes and (iii) to repay outstanding Term Loans and Revolving Loans.


                        (d)        No part of any Credit Event (or the proceeds thereof) will be used to purchase
or carry any Margin Stock or to extend credit for the purpose of purchasing or carrying any MarginStock.  Neither the making of any Loan nor the use of the proceeds thereof
nor the occur­rence of any other Credit Event will violate or be inconsistent with the provisions of Regulation T, U or X of the Board of Governors of the Federal Reserve System.


                        7.09     Tax Returns and Payments.  Each of the Borrower and each of its Subsidi­aries
has filed all federal income tax returns and all other material tax returns, domestic and foreign, required to be filed by it and has paid all material taxes and assessments payable by it which have become due, other than those contested in good faith fully provided
for on the finan­cial statements of the Borrower and its Subsidiaries in accordance with GAAP.  The Borrower and each of its Subsidiaries have at all times paid, or have provided adequate reserves (in the good faith judgment of the management of the
Borrower) for the payment of, all federal, state and foreign income taxes applicable for all prior fiscal years and for the current fiscal year to date.  There is no action, suit, proceeding, investi­gation, audit, or claim now pending or, to the
knowl­edge of the Borrower, threatened by any authority regarding any taxes relating to the Borrower or any of its Subsidiaries that could reasonably be expected to have a material adverse effect on the busi­ness, property, assets, liabilities (actual or
contingent), operations or condition (financial or other­wise) of the Borrower and its Subsidiaries taken as a whole.  Neither the Borrower nor any of its Subsidiaries has entered into an agreement or waiver which is currently in effect or has pend­ing a
request to enter into an agreement or waiver extending any statute of limitations relat­ing to the payment or collection of taxes of the Borrower or any of its Subsidiaries, or
is aware of any circumstances that would cause the taxable years or other taxable periods of the Borrower or any of its Subsidiaries not to be subject to the normally applicable statute of limitations.


                        7.10     Compliance with ERISA.  Schedule V sets forth each Plan; each Plan (and each related
trust, insurance contract or fund) is in substantial compliance with its terms and with all applicable laws, including, without limitation, ERISA and the Code; each Plan (and each related trust, if any) which is intended to be qualified under Section 401(a) of the
Code has re­ceived a 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; no Reportable Event has occurred; except as would not result in any material liability, no
Plan which is a multiemployer plan (as defined in Section 4001(a)(3) of ERISA) is insolvent or in reorganization; no Plan has an Unfunded Current Liability which, when added to the aggregate amount of Unfunded Current Liabilities with respect to all other Plans,
exceeds $250,000; no Plan which is subject to Section 412 of the Code or Section 302 of ERISA has an accumulated funding  deficiency, within the mean­ing of such Sections of the Code or ERISA, or has applied for or received a waiver of an accumu­lated
funding deficiency or an extension of any amortization period, within the meaning of Section 412 of the Code or Section 303 or 304 of ERISA; except as would not result in any material liability, all contributions required to be made with respect to a Plan have been
timely made; neither the Borrower nor any Subsidiary of the Borrower nor any ERISA Affiliate has incurred any material liability (including any indirect, con­tingent or secondary liability) to or on account of a Plan pursuant to Section 409, 502(i), 502(l), 515,
4062, 4063, 4064, 4069, 4201, 4204 or 4212 of ERISA or Section 401(a)(29), 4971 or 4975 of the Code or expects to incur any such liability under any of the foregoing sections with respect to any Plan; no condition exists which presents a material risk to the Borrower
or any Subsidiary of the Borrower or any ERISA Affiliate of incurring a material liability to or on account of a Plan pursuant to the foregoing provisions of ERISA and the Code; no proceedings have been instituted to terminate or appoint a trustee to administer any
Plan which is subject to Title IV of ERISA; no action, suit, proceeding, hearing, audit or investigation with respect to the adminis­tra­tion, operation or the investment of assets of any Plan (other than routine claims for benefits) is pending, expected or
threatened; using actuarial assumptions and computation methods consistent with Part 1 of subtitle E of Title IV of ERISA, the aggregate liabilities of the Borrower and its Subsidiaries and its ERISA Affiliates to all Plans which are multiemployer plans (as defined
in Section 4001(a)(3) of ERISA) in the event of a complete withdrawal therefrom, as of the close of the most recent fiscal year of each such Plan ended prior to the date of the most recent Credit Event, would not exceed $250,000; each group health plan (as defined in
Section 607(1) of ERISA or Section 4980B(g)(2) of the Code) which covers or has covered employees or former employees of the Borrower, any Subsidiary of the Borrower, or any ERISA Affiliate has at all times been operated in material compli­ance with the
provisions of Part 6 of subtitle B of Title I of ERISA and Section 4980B of the Code; each group health plan (as defined in 45 Code of Federal Regulations Section 160.103) which covers or has covered employees or former employees of the Borrower, any Subsidiary of
the Borrower, or any ERISA Affiliate has at all times been operated in compliance with the provisions of the Health Insurance Portability and Accountability Act of 1996 and the regulations promulgated thereunder; no lien imposed under the Code or ERISA on the assets
of the Borrower or any Subsidiary of the Borrower or any ERISA Affiliate exists or is likely to arise on account of any Plan; and the Borrower and its Subsidiaries do not maintain or contribute to any employee welfare benefit plan (as defined in Section 3(1) of
ERISA) which provides benefits to retired employees or other former employees (other than as required by Section 601 of ERISA) or any Plan the obliga­tions with respect to which
could reasonably be expected to have a material adverse effect on the ability of the Borrower or any of its Subsidiaries to perform its obligations under this Agreement or any other Credit Document.


                        7.11     The Security Documents.  (a)  The provisions of the Security Agreement are
effective to create in favor of the Collateral Agent for the benefit of the Secured Creditors a legal, valid and enforceable security interest in all right, title and interest of the Credit Parties in the Security Agreement Collateral described therein, and the
Collateral Agent, for the benefit of the Secured Creditors, has a fully perfected first lien on, and security interest in, all right, title and interest in all of the Security Agreement Collateral described therein, subject to no other Liens other than Permitted
Liens.  The recordation of (x) the Grant of Security Interest in U.S. Patents and (y) the Grant of Security Interest in U.S. Trademarks in the respective form attached to the Security Agreement, in each case in the United States Patent and Trademark Office,
together with filings on Form UCC-1 made pursuant to the Security Agreement, will create, as may be perfected by such filings and recordation, a perfected security interest in the United States trade­marks and patents covered by the Security Agreement, and the
recordation of the Grant of Security Interest in U.S. Copyrights in the form attached to the Security Agreement with the United States Copyright Office, together with filings on Form UCC-1 made pursuant to the Security Agreement, will create, as may be perfected by
such filings and recordation, a perfected security interest in the United States copyrights covered by the Security Agreement.


                        (b)        The security interests created under the Pledge Agreement in favor of the
Collateral Agent, as Pledgee, for the benefit of the Secured Creditors, constitute perfected security interests in the Pledge Agreement Collateral described in the Pledge Agreement, subject to no security interests of any other Person.  No filings or recordings
are required in order to perfect (or maintain the perfection or priority of) the security interests created in the Pledge Agreement Collateral under the Pledge Agreement other than with respect to that portion of the Pledge Agreement Collateral constituting a
“general intangible” under the UCC.


                        (c)        Each Mortgage is effective to create, as security for the obliga­tions
purported to be secured thereby, a valid and enforceable perfected security interest in and mortgage lien on the respective Mortgaged Property in favor of the Collateral Agent (or such other trustee as may be party thereto) for the benefit of the Secured Creditors,
superior and prior to the rights of all third Persons (except that the security interest and mort­gage lien created on such Mortgaged Property may be subject to
the Permitted Encumbrances related thereto) and subject to no other Liens (other than Permitted Liens related thereto).


                        7.12     Approvals; etc.  All consents and approvals of, and filings and registrations with,
and all other actions in respect of, all governmental agencies, authorities or instrumen­tali­ties required in order to consummate the transactions contemplated by this Agreement have been obtained, given, filed or taken and are or will be in full force and
effect (or effective judicial relief with respect thereto has been obtained), except such consents, approvals and filings the failure of which to obtain or file could not reason­ably be expected to have a material adverse effect on the trans­ac­tions
contem­plated by this Agreement or on the business, operations, property, assets, liabili­ties (actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsid­iaries taken as a whole.  All transactions
contemplated hereby have been consum­mated in all material respects in accordance with the documentation therefor and all applicable laws, and all actions pursuant
to or in furtherance of the transactions contem­plated by this Agree­ment have been and will be taken in compliance in all material respects with all applicable laws. 


                        7.13     Properties.  All Real Property owned or leased by the Borrower or any of its
Subsidiaries as of the Effective Date (other than any such leased Real Property consisting of immaterial office or other spaces), and the nature of the interest therein, is cor­rectly set forth in Schedule IV.  The Borrower and each of its Subsidiaries have
good and market­able title to all material properties owned by them, including all property reflected in Schedule IV and in the balance sheets referred to in Section
7.05(a) (except as sold or otherwise disposed of since the date of such balance sheet in the ordinary course of business or as permitted by the terms of this Agreement), free and clear of all Liens, other than Permitted Liens.


                        7.14     Capitalization.  On the Effective Date, the authorized capital stock of the Borrower
shall consist of (i) 600,000 shares of common stock, $0.01 par value per share, 232,747 of which shall be issued and outstanding, and (ii) 150,000 shares of preferred stock, $0.01 par value per share, 59,085 of which shares shall be designated as PIK Preferred Stock
and be issued and outstanding.  All outstanding shares of such capital stock have been duly and validly issued, are fully paid and nonassessable and are free of preemptive rights.  Except for the Convertible Subordinated Debt, the PIK Preferred Stock and
the BHS PIK Preferred Stock and for certain options issued pursuant to employee and director stock option plans and the provisions of the Shareholders’ Agreements, on the Effective Date the Borrower does not have outstand­ing any securi­ties convertible
into or exchangeable for its capital stock orout­standing any rights to subscribe for or to purchase, or any options for the purchase of, or any agreements providing for the
issu­ance (contingent or otherwise) of, or any calls, commitments or claims of any character relating to, its capital stock.


                        7.15     Subsidiaries.  The Borrower has no Subsidiaries other than (i) those
Subsidi­aries listed on Schedule VI and (ii) new Subsidiaries created in compliance with Section 9.14.  Schedule VI correctly sets forth, as of the Effective Date, the
percentage ownership (direct or indirect) of the Borrower in each class of capital stock or other equity of each of its Subsidiaries and also identifies the direct owner thereof.


                        7.16     Compliance with Statutes, etc.  The Borrower and each of its Subsidiaries are in
compliance with all applicable statutes, regulations and orders of all governmental bodies, domestic or foreign, in respect of the conduct of its business and the ownership of its property (includ­ing applicable Environmental Laws) except such noncompliances as
could not, individ­ually or in the aggregate, reasonably be expected to have a material adverse effect on the busi­ness, property, assets, liabilities (actual or
contingent), operations or condition (financial or other­wise) of the Borrower and its Subsidiaries taken as a whole.


                        7.17     Investment Company Act.  Neither the Borrower nor any of its Subsidiaries is
an “investment company” or a company “controlled” by an “investment com­pany,” within the meaning of the Investment Company Act of 1940, as amended.


                        7.18     Public Utility Holding Company Act.  Neither the Borrower nor any of its Subsidiaries is a “holding company,” or a “subsidiary company” of a “holding com­pany,” or an “affiliate” of a
“holding company” or of a “subsidiary company” of a “holding company” within the meaning of the Public Utility Holding Company Act of 1935, as amended.


                        7.19     Environmental Matters.  (a)  The Borrower and each of its Subsidiaries have
complied with all applicable Environmental Laws and the requirements of any permits issued under such Environmental Laws.  There are no pending or, to the Borrower’s knowledge, threat­ened Environmental Claims against the Borrower or any of its
Subsidiaries or any Real Property owned, leased or operated by the Borrower or any of its Subsidiaries.  There are no facts, circum­stances, conditions or occurrences on any Real Property owned, leased or operated by the Borrower or any of its Subsidiaries
or, to the Borrower’s knowledge, on any property adjoining or in the vicinity of any such Real Property that would reasonably be expected (i) to form the basis of an Environmental Claim against the Borrower or any of its Subsidiaries or any such Real Property
or (ii) to cause any such Real Property to be subject to any restrictions on the owner­ship, occupancy, use or transferability of such Real Property by the Borrower or any of its Subsid­iaries under any appli­cable Environmental Law.


                        (b)        Hazardous Materials are not being, and to the Borrower’s best knowledge
after due inquiry, have not at any time previously been, generated, used, treated or stored on, or trans­ported to or from, or Released on or from, any Real Property owned, leased or oper­ated by the Borrower or any of its Subsidiaries except in compliance
with all applicable Environ­mental Laws.


                        (c)        Notwithstanding anything to the contrary in this Section 7.19, the
repre­sen­tations made in this Section 7.19 shall only be untrue if the aggregate effect of all failures, non­compliances, activities, facts, circumstances, conditions and occurrences of the types described above could reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower and
its Subsidiaries taken as a whole.


                        7.20     Labor Relations.  Neither the Borrower nor any of its Subsidiaries is engaged in any
unfair labor practice that could reasonably be expected to have a material adverse effect on the Borrower and its Subsidiaries taken as a whole.  There is (i) no unfair labor practice complaint pending against the Borrower or any of its Subsidiaries or, to the
best knowledge of the Bor­rower, threatened against any of them, before the National Labor Relations Board, and no griev­ance or arbitration proceeding arising out of or under any collective bargaining agreement is so pend­ing against the Borrower or any
of its Subsidiaries or, to the best knowledge of the Bor­rower, threatened against any of them, (ii) no strike, labor dispute, slowdown or stoppage pend­ing against the Borrower or any of its Subsidiaries or, to the best knowledge of the Bor­rower,
threatened against any of them and (iii) no union repre­sen­tation ques­tion exists with respect to the employees of the Borrower or any of its Subsidiaries, except (with respect to any matter speci­fied in clause (i), (ii) or (iii) above, either
individually or in the aggre­gate) such as could not reason­ably be expected to have a material adverse effect on the business, property, assets, liabili­ties
(actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole.


                        7.21     Patents, Licenses, Franchises and Formulas.  Except as set forth on Schedule VII
hereto, each of the Borrower and each of its Subsidiaries owns all the patents, trademarks, permits, service marks, trade names, copy­rights, licenses, franchises, proprietary information (includ­ing but not limited to rights in computer programs and
databases) and formulas, or rights with respect to the foregoing, and has obtained assignments of all leases and other rights of what­ever nature, necessary for the present conduct of its business, without any known conflict with the rights of others which, or
the failure to obtain which, as the case may be, could reasonably be expected to result in a material adverse effect on the business, property, assets, liabilities (actual or
contingent), operations or condition (financial or otherwise) of the Borrower and its Subsid­iaries taken as a whole.


                        7.22     Indebtedness.  Schedule VIII sets forth a true and complete list of all
Indebted­ness of the Borrower and its Subsidiaries as of the Effective Date (after giving effect to the Refinancing, but excluding the Loans, the Letters of Credit, the Convertible Senior Subordinated Debt and the Senior Subordinated Notes, the “Existing
Indebtedness”), in each case showing the aggregate prin­cipal amount thereof as of March31, 2004 and any additional Indebtedness incurred since such date and outstanding
as of the Effective Date and the name of the respective borrower and any Credit Party or any of its Subsidiaries which directly or indirectly guaranteed such Indebtedness.


                        7.23     Hospital Properties.  The Borrower owns no Hospital Properties directly, and on the
Effective Date, each Hospital Property is owned by a Wholly-Owned Subsidiary of the Borrower which is a Subsidiary Guarantor organized under the laws of a state in the United States except that (i) each Hospital Property located in San Antonio is not owned by a
Wholly-Owned Subsidiary but is a Subsidiary Guarantor, (ii) each of the two Hospital Properties owned in La Palma, California and Chicago, Illinois, and known as La Palma Intercommunity Hospital and Louis A. Weiss Memorial Hospital, respectively, is owned by a
Subsidiary of the Borrower which is not a Wholly-Owned Subsidiary and which is not a Subsidiary Guarantor and (iii) the Hospital Property owned on South Phoenix Avenue in Phoenix, Arizona and known as Phoenix Memorial Hospital is leased and operated by a Subsidiary
of the Borrower which is not a Wholly-Owned Subsidiary and which is not a Subsidiary Guarantor (although the Real Property comprising such Hospital Property is owned by a
Wholly-Owned Subsidiary of the Borrower which is a Subsidiary Guarantor).  Each Hospital Property is located in the United States.


                        7.24     Subordination.  (a)  The subordination provisions contained in the Senior
Subordinated Note Documents and the Convertible Subordinated Debt Documents are enforceable against the Borrower, the Subsidiary Guarantors party thereto and the holders of the Senior Subordinated Notes and the Convertible Subordinated Debt, respectively, and all
Obligations hereunder and in the other Credit Documents are within the definitions of “Senior Indebtedness” and “Designated Senior Indebtedness” included in such subordina­tion provisions.


                        (b)        At all times from and after the issuance of any Permitted Subordinated Notes,
the subordination provisions contained in the Permitted Subordinated Note Documents shall be enforceable against the Borrower, the Subsidiary Guarantors party thereto and the holders of the Permitted Subordinated Notes and all obligations hereunder and in the other Credit Documents shall be within the definition of “Senior Indebtedness” and “Designated Senior Indebtedness” (or any substantially similar terms)
included in such subordination provisions.


                        7.25     Legal Names; Organizational Identification Numbers; Jurisdiction and Type of Organization;
etc.  Schedule XII hereto sets forth a true and correct list, as of the Effective Date, of the exact legal name of each Credit Party, the organizational identification
number (if any) of such Credit Party, the jurisdiction of organization of such Credit Party and the type of organization of such Credit Party.


                        7.26     No Director, Executive Officer or Principal Shareholder.  No director, executive
officer or principal shareholder of the Borrower or any of its Subsidiaries is a director, executive officer or principal shareholder of any Lender that is a bank subject to Regulation O (or any similar law or regulation restricting loans to insiders), unless the
extensions of credit made by such bank hereunder would not violate Regulation O, or such similar law or regulation, as the case may be.  For the purposes hereof, the terms “director,” “executive
officer” and “principal shareholder” (when used with reference to any Lender) shall have the respective meanings assigned thereto in Regulation O.


                        7.27     Justification of the Incurrence of Initial Term Loans and Incremental Term Loans under the
Senior Subordinated Note Indenture.  (a)  The entire principal amount of the Initial Term Loans incurred on the Effective Date were incurred pursuant to the first sentence of Section 4.03(a) of the Senior Subordinated Note Indenture.


                        (b)        All Incremental Term Loans incurred hereunder shall be incurred on the
respective Incremental Term Loan Borrowing Date therefor pursuant to the first sentence of Section 4.03(a) of the Senior Subordinated Note Indenture.


                        SECTION 8.   Affirmative Covenants.  The Borrower hereby covenants and agrees that on and after the Effective Date and until the Total Commitments and all Letters of Credit have terminated and the Loans, Notes and Unpaid Drawings, together with interest, Fees and all other
obligations incurred hereunder and thereunder, are paid in full:


                        8.01     Information Covenants.  The Borrower will furnish to the Administrative Agent (with
suf­ficient copies for each of the Lenders, and the Administrative Agent will promptly forward to each of the Lenders):


                        (a)        Quarterly Financial Statements.  Within the earlier of (i) five
days following date such information is required to be filed with the SEC and (ii) 45 days after the close of the first three quarterly accounting periods in each fiscal year of the Borrower, (i) the consolidated balance sheet of the Borrower and its Subsidiaries as
at the end of such quarterly accounting period and the related consolidated statements of income and retained earnings and statement of cash flows for such quarterly accounting period and for the elapsed portion of the fiscal year ended with the last day of such
quarterly accounting period, in each case setting forth compara­tive figures for the related periods in the prior fiscal year, all of which shall be certified by the Chief Financial Officer of the Borrower, subject to normal recurring adjustments and (ii) a
comparison of the performance of the Borrower and its Subsidiaries against the current business plan of the Borrower.


                        (b)        Annual Financial Statements.  (i)  Within the earlier of (i)
five days following date such information is required to be filed with the SEC and (ii) 90 days after the close of each fiscal year of the Borrower, (A) the consolidated balance sheet of the Borrower and its Subsidiaries as at the end of such fiscal year and the
related consolidated statements of income and retained earnings and of cash flows for such fiscal year setting forth comparative figures for the preceding fiscal year and certified (without the inclusion of any “going concern” qualification) by
independent certified public accountants of recognized national stand­ing reasonably acceptable to the Administrative Agent and (B) a comparison of the performance of the Borrower and its Subsidiaries against the current business plan of the Borrower.


                        (ii)        At the time of the delivery of the annual financial statements pursuant to
clause (i) above, a report of the applicable accounting firm stating that in the course of its regular audit of the financial statements of the Borrower and its Subsidiaries, which audit was conducted in accordance with generally accepted auditing standards, such
accounting firm obtained no knowl­edge of any Default or Event of Default which has occurred and is continuing under Sections 9.07, 9.08 or 9.09 or, if in the opinion of such accounting firm such a Default or an Event of Default has occurred and is continuing, a
statement as to the nature thereof.


                        (c)        Budgets; Business Plan.  No later than 45 days after the
commencement of each fiscal year of the Borrower, a budget in form reasonably satisfactory to the Administrative Agent (including, in any event, budgeted statements of income and sources and uses of cash and balance sheets of cash flow and budgeted debt and cash
balances) for such fiscal year prepared by the Borrower in reasonable detail and accompanied by the current business plan of the Borrower and a statement of the Chief Financial Officer of the Borrower to the effect that, to the best of such officer’s knowledge,
the budget is a reasonable estimate of the period covered thereby.


                        (d)        Officer’s Certificates.  At the time of the delivery of the
financial state­ments provided for in Sections 8.01(a) and (b), a compliance certificate of the Chief Financial Officer of the Borrower in the form of Exhibit L certifying on behalf of the Borrower that, to the best of such officer’s knowledge, no Default
or Event of Default has occurred and is continuing or, if any Default or Event of Default has occurred and is continuing, specifying the nature and extent thereof, which certificate shall (x) set forth the calculations (in reasonable detail, and show­ing any
adjustments required pursuant to Section 11.02) required to establish (A) the Applicable Margins for the respective Margin Reduction Period (and the Consolidated Leverage Ratio for purposes of determining such Applicable Margins) and (B) whether the
Borrower and its Subsidiaries were in compliance with the provisions of Sections 4.02(d), (e), (f), (g) and (h), 9.01, 9.02, 9.03, 9.04, 9.05, 9.07, 9.08, 9.09 and 9.17 at the end of such fiscal quarter or year, as the case may be, (y) if delivered with the financial
statements required by Section 8.01(b), set forth the amount of (and the calculations required to establish) Excess Cash Flow for the respective Excess Cash Payment Period, and (z)(i) certify that no changes are required to be made to any of Schedule XII hereto,
Annexes A through H of the Security Agreement or Annexes A through G of the Pledge Agreement, in each case so as to make the information set forth therein accurate and complete as of the date of such certificate, or (ii) to the extent that such information is no
longer accurate and complete as of such date, list in reasonable detail all information necessary to make such Schedule and all such Annexes accurate and complete (at which time such Schedule and/or such Annexes, as the case may be, shall be deemed modified to
reflect such information). 


                        (e)        Management Letters.  Promptly after the Borrower’s or any of
its Subsidi­aries’ receipt thereof, a copy of any “management letter” received from its certified public accountants.


                        (f)         Notice of Default or Litigation.  Promptly, and in any event
within five Business Days, after any executive officer of any Credit Party obtains knowledge thereof, notice of (i) the occurrence of any event which constitutes a Default or an Event of Default and (ii) any litigation or governmental investigation or proceeding
pending or threatened (x) against the Bor­rower or any of its Subsidiaries which, either individually or in the aggregate could reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent),
operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole or (y) with respect to any Credit Document.


                        (g)        Other Reports and Filings.  Promptly after the filing or delivery
thereof, copies of all financial information, proxy materials and other information and reports with respect to the Borrower or any of its Subsidiaries, if any, which the Borrower or any of its Subsid­iaries shall file with or furnish to the Securities and
Exchange Commission or any successor thereto (the “SEC”) and copies of all material notices and reports which the Borrower or its Subsidiaries shall deliver to holders of its Indebtedness pursuant to the terms of the docu­men­tation governing such
Indebtedness (or any trustee, agent or other representative therefor).


                        (h)        Environmental Matters.  Promptly upon, and in any event within
fifteen Business Days after, any senior or executive officer of any Credit Party obtaining knowl­edge thereof, notice of one or more of the following environmental matters, unless such environmental matters could not, individually or when aggregated with all
other such environmental matters, be reasonably expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a
whole: 


                        (i)         any pending or threatened Environmental Claim against the Borrower or any
of its Subsidiaries or any Real Property owned, leased or operated by the Borrower or any of its Subsidiaries;


                        (ii)        any condition or occurrence on or arising from any Real Property owned, leased
or operated by the Borrower or any of its Subsidiaries that (a) results in non-compliance by the Borrower or any of its Subsidiaries with any applicable Environmental Law or (b) could reasonably be expected to form the basis of an Environmental Claim against the
Borrower or any of its Subsidiaries or any such Real Property;


                        (iii)       any condition or occurrence on any Real Property owned, leased or operated by the
Borrower or any of its Subsidiaries that could reasonably be expected to cause such Real Property to be subject to any restrictions on the ownership, occupancy, use or trans­ferability by it or any of its Subsidiaries of such Real Property under any Environmental
Law;


                        (iv)       the taking of any removal or remedial action in response to the actual or alleged
presence of any Hazardous Material on any Real Property owned, leased or operated by the Borrower or any of its Subsidiaries as required by any Environmental Law or any governmental or other administrative agency; and


                        (v)        all notices received by the Borrower or any of its Subsidiaries from any
govern­ment or governmental agency under, or pursuant to, CERCLA which identify the Borrower or any of its Subsidiaries as potentially responsible parties for remediation costs or which otherwise notify the Borrower or any of its Subsidiaries of potential
liability under CERCLA.


All such notices shall describe in reasonable detail the nature of the claim, investigation, condi­tion, occurrence or removal or remedial action and the Borrower’s or such Subsidiary’s response or pro­posed response thereto.  In addition,
the Borrower and any of its Subsidiaries will provide the Lenders with copies of all material communications with any governmental agency or other third Person that is adverse to the Borrower or such Subsidiary relating to material Environmental Claims required to be
otherwise reported under this clause (h), and such detailed reports of any such material Environmental Claim as may reasonably be requested by the Administrative Agent or any Lender.


                        (i)         Public Information.  The Borrower hereby acknowledges that
(a) the Administrative Agent         will make available to the Lenders materials and/or information provided by or on behalf of the Borrower hereunder (collectively, “Borrower Materials”) by posting the Borrower
Materials on IntraLinks or another similar electronic system (the “Platform”) and (b) certain of the Lenders may be “public-side” Lenders (i.e. Lenders that do not wish to receive material non-public information with respect to the
Borrower or its securities) (each a “Public Lender”).  The Borrower hereby agrees that (w) all Borrower Materials that are to be made available to Public Lenders shall be clearly and conspicuously marked “PUBLIC” which, at a minimum shall
mean that the word “PUBLIC” shall appear prominently on the first page thereof, (x) by marking Borrowing Materials “PUBLIC”, the Borrower shall be deemed to have authorized the Administrative Agent and the Lenders to treat such Borrower
Materials as either publicly available information or not material information (although it may be sensitive and proprietary) with respect to the Borrower or its securities for purposes of United States federal and state securities laws; (y) all Borrower Materials
marked “PUBLIC” are permitted to be made available through a portion of the Platform designated as “PUBLIC” and (z) the Administrative Agent shall be entitled to treat any Borrower
Materials that are not marked “PUBLIC” as being suitable only for posting on a portion of the Platform not marked as “PUBLIC”.


                        (j)         Other Information.  From time to time, such other information
or documents (financial or otherwise) with respect to the Borrower or its Subsidiaries as the Administrative Agent may reasonably request.


                        8.02     Books, Records and Inspections.  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 in conformity with GAAP and all requirements of law shall be made of all dealings and transac­tions in relation to its business and activities.  Upon reasonable
notice, the Borrower will, and will cause each of its Subsidiaries to, permit officers and designated representatives of the Adminis­tra­tive Agent or any Lender (at the expense of the Administrative Agent or Lender) to visit and inspect, under guidance of
officers of it or such Sub­sidiary, any of the properties of the Borrower or any of its Subsidiaries, and to examine the books of account of the Borrower and any of its Subsidiaries and discuss the affairs, finances and accounts of the Borrower and any of its
Subsid­iaries with, and be advised as to the same by, its and their officers and, so long as an officer of the Borrower or such Subsidiary is present, independent
accoun­tants, all at such reasonable times and intervals and to such reasonable extent as the Administrative Agent or such Lender may reason­ably request.


                        8.03     Maintenance of Property; Insurance, Reserves.  Schedule IX sets forth a true and
complete listing of all insurance maintained by, or on behalf of, the Borrower and its Subsidi­aries as of the Effective Date.  The Borrower will, and will cause each of its Subsid­iaries to, (i) keep all property necessary to the business of the
Borrower and its Subsidiaries in good work­ing order and condition, ordinary wear and tear excepted, (ii) maintain insurance on all its prop­erty and assets which are of an insurable character in at least such amounts and against at least such risks as is
consistent and in accordance with industry practice for a company similarly situated and are no less than the full replacement value thereof, and otherwise in accordance with Schedule IX, and (iii) furnish to the Administrative Agent, a certified copy of each policy
provid­ing for such insurance (which policies shall name the Collateral Agent as loss payee and/or addi­tional insured), together with an endorsement thereto providing that the insurance companies issu­ing such policies will give the Administrative Agent
at least 30 days’ prior written notice of cancel­lation or non-renewal.  In addition, the Borrower shall maintain reserves during each of its fiscal years for
professional liability claims in an amount for each such fiscal year not less than the amount determined as appropriate by the Borrower’s independent actuaries.


                        8.04     Corporate Franchises.  The Borrower will, and will cause each of its
Subsidi­aries to, do or cause to be done, all things necessary to preserve and keep in full force and effect its existence and its material rights, franchises, licenses and patents; provided, however, that nothing in this Section 8.04 shall prevent
(i) any of the transactions permitted in accordance with Sec­tion 9.02 or (ii) the withdrawal by the Borrower or any of its Subsidiaries of its qualification as a foreign corporation in any jurisdiction, or the dissolution or liquidation of Subsidiaries
which  hold no substantial assets and do not operate any businesses, in each case where such withdrawal, dissolution or liquidation could not reasonably be expected to have a
material adverse effect on the business, property, assets, liabilities (actual or contingent), opera­tions or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole.


                        8.05     Compliance with Statutes, etc.  The Borrower will, and will cause each of its
Subsidiaries to, comply with all applicable statutes, regulations and orders of all governmental bodies, domestic or foreign, in respect of the conduct of its business and the ownership of its prop­erty (including applicable Environmental Laws), except such
noncom­pliances as could not, individually or in the aggregate, reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual
or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole.


                        8.06     Compliance with Environmental Laws.  (a)  The Borrower will comply, and will
cause each of its Subsidiaries to comply, with all Environmental Laws applicable to the own­ership, lease or use of its Real Property now or hereafter owned, leased or operated by the Borrower or any of its Subsidiaries (except such noncompliances as could not,
individually or in the aggregate, reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole),
will promptly pay or cause to be paid all costs and expenses incurred in connection with such compli­ance; provided that there shall be no violation of any of the foregoing so long as any obligation to comply or pay is being contested in good faith and by
appropriate proceedings for which ade­quate reserves have been established in accordance with GAAP, and will keep or cause to be kept all such Real Property free and clear of any Liens imposed pursuant to such Environmental Laws except for Permitted Liens. 
Neither the Borrower nor any of its Subsidiaries will generate, use, treat, store, Release or dispose of, or knowingly permit the generation, use, treatment, storage, Release or disposal of Hazardous Materials on any Real Property now or hereafter owned or operated
by the Borrower or any of its Subsidiaries, or transport or permit the transportation of Hazardous Materials to or from any such Real Property except for Hazardous Materials gener­ated, used, treated, stored, released or dis­posed of at any such Real
Properties in compliance with all applicable Environmental Laws (except such noncompliances as could not, individually or in the aggregate, reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent),
operations or conditions (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole), and reason­ably required in connection with the operation, use and maintenance of the business or operations of the Borrower or any of its Subsidiaries.


                        (b)        To the extent any Credit Party delivers notice of the occurrence of the
environmental matters as described in Section 8.01(h), the Borrower will provide, upon the written request of the Administrative Agent or the Required Lenders, which request shall specify in reasonable detail the basis therefor, at the Borrower’s sole cost and
expense, an environmental site assess­ment report concerning the relevant Real Property now or hereafter owned or operated by such Credit Party, prepared by an environmental consulting firm reasonably approved by the Administrative Agent, indicating the presence
or absence of Hazardous Materials and, to the extent practicable, the potential cost of any removal or remedial action in connection with any Hazardous Materials on such Real Property.  If the Borrower fails to provide the same within 90 days after such request
was made, the Administrative Agent may order the same, and the Borrower shall grant and hereby grants, to the Administrative Agent and the Lenders and their agents
access to such Real Property and specifically grants the Agents and the Lenders an irrevocable non-exclusive license, subject to the rights of tenants, to undertake such an assessment, all at the Borrower’s reasonable expense.


                        8.07     ERISA.  As soon as possible and, in any event, within ten (10) days after the
Borrower, any Subsidiary of the Borrower or any ERISA Affiliate knows or has reason to know of the occurrence of any of the following (except to the extent that the occurrence of any of the following could not reasonably be expected to result in a liability, loss or
claim exceeding $250,000), the Borrower will deliver to the Administrative Agent a certificate of the chief finan­cial officer of the Borrower setting forth the full details as to such occurrence and the action, if any, that the Borrower, such Subsidiary or such
ERISA Affiliate is required or proposes to take, together with any notices required or proposed to be given to or filed with or by the Borrower, the Subsid­iary, the ERISA Affiliate, the PBGC, a Plan participant or the Plan administrator with respect
thereto:  that a Reportable Event has occurred (except to the extent that the Borrower has previously delivered to the Lenders a certificate and notices (if any) concerning such event pursu­ant to the next clause hereof); that a contributing sponsor (as
defined in Section 4001(a)(13) of ERISA) of a Plan subject to Title IV of ERISA is subject to the advance reporting requirement of PBGC Regulation Section 4043.61 (without regard to subparagraph (b)(1) thereof), and an event described in subsection .62, .63, .64,
..65, .66, .67 or .68 of PBGC Regulation Section 4043 is reason­ably expected to occur with respect to such Plan within the following 30 days; that an accumulated funding deficiency, within the meaning of Section 412 of the Code or Section 302 of ERISA, has been
incurred or an application may be or has been made for a waiver or modification of the minimum funding standard (including any required installment payments) or an extension of any amortization period under Section 412 of the Code or Section 303 or 304 of ERISA with
respect to a Plan; that any contribution required to be made with respect to a Plan has not been timely made; that a Plan has been or may be terminated, reorganized, partitioned or declared insol­vent under Title IV of ERISA; that a Plan has an Unfunded Current
Liability; that proceed­ings may be or have been instituted to terminate or appoint a trustee to administer a Plan which is subject to Title IV of ERISA; that a proceeding has been instituted pursuant to Section 515 of ERISA to collect a delinquent contribution
to a Plan; that the Borrower, any Subsidiary of the Borrower or any ERISA Affiliate will or may incur any material liability (including any indirect, contin­gent, or secondary liability) to or on account of the termination of or withdrawal from a Plan under
Section 4062, 4063, 4064, 4069, 4201, 4204 or 4212(c) of ERISA or with respect to a Plan under Section 401(a)(29), 4971, 4975 or 4980 of the Code or Section 409 or 502(i) or 502(l) of ERISA or with respect to a group health plan (as defined in Section 607(1) of ERISA
or Section 4980B(g)(2) of the Code) under Section 4980B of the Code; or that the Borrower or any Subsidiary of the Borrower may incur any material liability pursuant to any employee welfare benefit plan (as defined in Section 3(1) of ERISA) that provides benefits to
retired employees or other former employees (other than as required by Section 601 of ERISA) or any Plan.  The Borrower will deliver to the Administrative Agent (i) upon request of the Administrative Agent a complete copy of the annual report (on Internal
Revenue Service Form 5500-series) of each Plan (including, to the extent required, the related financial and actuarial statements and opinions and other supporting statements, certifica­tions, schedules and information) required to be filed with the Internal
Revenue Service and (ii) copies of any records, documents or other information that must be furnished to the PBGC with respect to any Plan pursuant to Section 4010 of ERISA.  In addition to any certifi­cates or notices delivered to the Lenders pursuant to
the first sentence hereof, any records, docu­ments or other information required to be furnished to the PBGC, and any material notices received by the Borrower, any Subsidiary of the Borrower or any ERISA Affiliate with respect to any Plan shall be delivered to the Lenders no later than ten (10) days after the date such records, documents and/or information has been furnished to the PBGC or such notice has been received by
the Borrower, the Subsidiary or the ERISA Affiliate, as applicable.


                        8.08     End of Fiscal Years; Fiscal Quarters.  The Borrower will cause (i) each of its, and
each of its Subsidiaries’, fiscal years to end on June 30 and (ii) each of its, and each of its Subsidiaries’, fiscal quarters to end on September 30, December 31, March 31 and June 30; provided that the Borrower may change its and its
Subsidiaries’ fiscal year end to December 31 (and change its and its Subsidiaries fiscal quarters to end on dates consistent with a December 31 fiscal year end) so long as (i) the Borrower shall have given the Administrative Agent at least 10 Business
Days’ prior written notice thereof and (ii) on or prior to such change in fiscal year and fiscal quarters, the Borrower and the Required Lenders shall have entered into certain technical amendments and modifications to this Agreement to preserve the intent of the parties with respect to the covenants and agreements set forth in Sections 9.07, 9.08 and 9.09 and any other provisions of this Agreement deemed appropriate by the
Joint Lead Arrangers and the Borrower. 


                        8.09     Performance of Obligations.  The Borrower will, and will cause each of its
Subsidiaries to, perform all of its obligations under the terms of each mortgage, deed of trust, indenture, security agreement, loan agreement or credit agreement and each other material agree­ment, contract or instrument by which it or any of its Real Property
is bound, except such non-performances as could not, individuallyor in the aggregate, reasonably be expected to have a material adverse effect on the business, property, assets,
liabilities (actual or contingent), opera­tions or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole.


                        8.10     Payment of Taxes.  The Borrower will pay and discharge, and will cause each of its
Subsidiaries to pay and discharge, all taxes, assessments and governmental charges or levies imposed upon it or upon its income or profits, or upon any properties belonging to it, prior to the date on which penalties attach thereto, and all lawful claims for sums
that have become due and payable which, if unpaid, might become a Lien not otherwise permitted under Section 9.01(i) provided that neither the Borrower nor any of its Subsidiaries
shall be required to pay any such tax, assess­ment, charge, levy or claim which is being contested in good faith and by proper proceedings if it has maintained adequate reserves with respect thereto in accordance with GAAP.


                        8.11     Accreditation and Licensing.  The Borrower will (i) obtain and maintain, and cause
each of its Subsidiaries to obtain and maintain, all permits, licenses and other govern­mental approvals as may be necessary for the operation of each of its Hospital Properties, except for those permits, licenses and approvals the failure of which to obtain and
maintain could not, individually or in the aggregate with all other failures pursuant to this Section 8.11, reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent), opera­tions or
condi­tion (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole, (ii) obtain and maintain, and cause each of its Subsidiaries to obtain and maintain, its qualification for partici­pation in any payment under CHAMPUS, Medicare,
Medicaid, Blue Cross, Blue Shield and any other private insurance programs of similar broad application and any other federal, state and local governmental programs providing for payment of reimbursement for services rendered which the Borrower deems prudent in its
reasonable discretion, except to the extent any failure to maintain such qualification could not, individually or in the aggregate with all other failures pursuant to this Section 8.11, reasonably be expected to have a material adverse effect on the busi­ness,
property, assets or liabilities (actual or contingent), operations or condi­tion (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole, and (iii) use its best efforts to cause each Hospital Property owned, leased or operated by the
Borrower or any Subsidiary of the Borrower to have at all times a valid Certificate of Accreditation of the Joint Commission of Accreditation of Health Care Organizations in full force and effect, except to the extent any failure to have any such valid Certificate of
Accreditation of the Joint Commission of Accredita­tion of Health Care Organizations could not, individually or in the aggregate with all other failures pursuantto this
Section 8.11, reasonably be expected to have a material adverse effect on the business, property, assets, liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole.


                        8.12     Additional Security; Further Assurances.  (a)  The Borrower will, and will
cause each of the Subsidiary Guarantors to, grant to the Collateral Agent security interests and mortgages in such assets and properties of the Borrower and such Subsidiary Guarantors as are not covered by the original Security Documents, and as may be reasonably
requested from time to time by the Adminis­tra­tive Agent or the Required Lenders (collectively, the “Additional Security Documents”), provided that notwith­standing anything to the contrary contained in this Agreement (i) Leasehold
Mortgages shall not be required on any Real Property other than Hospital Properties, large clinics and surgical centers and other material Real Property, (ii) no landlord-lender agreements shall be required on any Leasehold not subject to a Leasehold Mortgage and
(iii) at the Borrower’s elec­tion (which election shall be made by delivering written notice thereof to the Administrative Agent) neither the Borrower nor any Subsidiary Guarantor shall be required to grant a security interest or mortgage in any asset as
otherwise required above pursuant to this Section 8.12(a) so long as the book value or fair market value (as determined in good faith by the Borrower), whichever is greater, is less than (x) in the case of Real Property, $2,000,000 and (y) in the case of any other
asset, $1,000,000 (although in no event shall the aggregate book value or fair market value (as determined in good faith by the Borrower), whichever is greater, of all assets so excluded as provided in this clause (iii) exceed (1) in the case of Real Property,
$10,000,000 and (2) in the case of any other asset, $5,000,000).  Subject to the provisions contained in the proviso appearing in the immediately preceding sentence, within 30 days follow­ing the Administrative Agent’s or the Required Lenders’
request therefor, the Borrower will, and will cause each of the Subsidiary Guarantors to, grant to the Collateral Agent mort­gages on any Hospital Properties constructed or acquired by the Borrower or any Subsidiary Guarantor following the Effective Date. 
All such security interests and mort­gages shall be granted pursuant to documen­ta­tion reasonably satisfactory in form and substance to the Administrative Agent and shall constitute valid and enforceable perfected security interests and mortgages
superior to and prior to the rights of all third Persons and subject to no other Liens except for Permitted Liens.  The Additional Security Documents or instruments related thereto shall have been duly recorded or filed in such manner and in such places as are
required by law to establish, perfect, preserve and protect the Liens in favor of the Collateral Agent required to be granted pursuant to the Additional Security Documents and all taxes, fees and other charges payable in connection therewith shall have been paid in
full.


                        (b)        The Borrower will, and will cause each of the Subsidiary Guarantors to, at the
expense of the Borrower or such Subsidiary Guarantor, make, execute, endorse, acknowl­edge, file and/or deliver to the Collateral Agent from time to time such vouchers, invoices, schedules, confirma­tory assignments, conveyances, financing statements,
transfer endorsements, powers of attorney, certificates, real property surveys, reports and other assurances or instru­ments and take such further steps relating to the Collateral covered by any of the Security Documents as the Collateral Agent may reasonably
require.  Furthermore, the Credit Parties will use their reasonable best efforts to cause to be delivered to the Collateral Agent such opinions of counsel, title insurance and other related documents as may be reasonably requested by the Administrative Agent to
assure itself that this Section 8.12 has been complied with.


                        (c)        If the Administrative Agent or the Required Lenders reasonably determine that
they are required by law or regulation to have appraisals prepared in respect of the Real Property of Borrower and the Subsidiary Guarantors constituting Collateral, the Borrower will, at its own expense, provide to the Administrative Agent appraisals which satisfy
the applicable require­ments.


                        (d)        The Borrower agrees that each action required above by this Section 8.12 (other
than actions described in the second sentence of clause (a) of this Section 8.12) shall be completed as soon as possible, but in no event later than 90 days after such action is either requested to be taken by the Administrative Agent or the Required Lenders or
required to be taken by the Borrower or its Subsidiaries pursuant to the terms of this Section 8.12; provided that in no event will the Borrower or any of
its Subsidiaries be required to take any action, other than using its best efforts, to obtain consents from third parties with respect to its compliance with this
Section 8.12.


                        8.13     Use of Proceeds.  The Borrower will use the proceeds of the Loans only as provided
in Section 7.08.


                        8.14     VHS Phoenix Health Plan, Inc.  The Borrower shall use commercially reasonable
efforts to (i) obtain all neces­sary governmental and other third party approvals to permit VHS Phoenix Health Plan, Inc. to execute and deliver, and (ii) thereafter cause VHS Phoenix Health Plan, Inc. to execute and deliver, counterparts of the Subsidiaries
Guaranty, the Security Agreement and the Pledge Agreement, or a Joinder Agreement, and in connection
therewith take all action VHS Phoenix Health Plan, Inc. would have taken pursuant to Section 5A if it had been a Subsidiary Guarantor on the Effective Date.


                        8.15     Title Insurance; Surveys; etc.  On or prior to the 60th day following the
Effective Date, the Collateral Agent shall have received:


                        (i)         evidence that counterparts of the Mortgages referred to in Section 5A.10
have been delivered to the title insurance company insuring the Lien of such Mortgages for recording in all places to the extent necessary or, in the reason­able opinion of the Collateral Agent, desirable, to effectively create a valid and enforceable mortgage
lien on each Mortgaged Property referred to in Section 5A.10 in favor of the Collateral Agent (or such other trustee as may be required or desired under local law) for the benefit of the Secured Creditors;


                        (ii)        a mortgagee title insurance policy (or a binding commitment with respect
thereto) (each, a “Mortgage Policy”) on the Mortgaged Properties issued by a title insurer reasonably satisfactory to the Administrative Agent in amounts satisfactory to the Administrative Agent assuring the Collateral Agent that the Mortgages on such
Mortgaged Properties are valid and enforce­able mortgage liens on the respective Mortgaged Properties, free and clear of all defects and encumbrances except such defects and encumbrances as may be reasonably acceptable to the Administrative Agent and such
Mortgage Policies shall other­wise be in form and substance reasonably satisfactory to the Administrative Agent; and


                        (iii)       to the extent reasonably requested by the Administrative Agent and required by the
respective title company to remove all standard exceptions from the respective Mortgage Policy relating to a particular Mortgaged Property and issue any endorsements to such Mortgage Policy as may be reasonably required by the Administrative Agent, a survey of such
Mortgaged Property (and all improvements thereon) (w) prepared by a surveyor or engineer licensed to perform surveys in the state, commonwealth or applicable jurisdiction where such Mortgaged Property is located, (x) dated (or redated) not earlier than six (6) months
prior to the date of delivery thereof unless there shall have occurred within six (6) months prior to such date of delivery any exterior construction on the site of such Mortgaged Property, in which event such survey shall be dated (or redated) after the completion
of such construction or if such construction shall not have been completed as of such date of delivery, not earlier than twenty (20) days prior to such date of delivery, (y) certified by the surveyor (in a manner reasonably acceptable to the Administrative Agent) to the Administrative Agent and the respective title company and (z) complying in all respects with the minimum detail requirements of the American Land Title Association as such
requirements are in effect on the date of preparation of such survey.


                        SECTION 9.   Negative Covenants.  The Borrower covenants and agrees that on and after the Effective Date and until the Total Commitments and all Letters of Credit have terminated and the Loans, Notes and Unpaid Drawings, together with interest, Fees and all other
Obligations incurred hereunder and under the other Credit Documents, are paid in full:


                        9.01     Liens.  The Borrower will not, and will not permit any of its Subsidiaries to,
create, incur, assume or suffer to exist any Lien upon or with respect to any property or assets (real or personal, tangible or intangible) of the Borrower or any of its Subsidiaries, whether now owned or hereafter acquired, or sell any such property or assets
subject to an understanding or agree­ment, contingent or otherwise, to repurchase such property or assets (including sales of accounts receivable with recourse to the Borrower or any Subsidiary of the Borrower), or assign any right to receive income or permit the
filing of any financing statement under the UCC or any other similar notice of Lien under any similar recording or notice statute, provided that the provi­sions of this Section 9.01 shall not prevent the creation, incurrence, assumption or existence of the
follow­ing Liens (collectively, “Permitted Liens”):


                        (i)         inchoate Liens for taxes, assessments or governmental charges or levies
not yet due and payable or Liens for taxes, assessments or governmental charges or levies being contested in good faith and by appropriate proceedings for which adequate reserves have been established in accordance with GAAP;


                        (ii)        Liens in respect of property or assets of the Borrower or any of its
Subsidiaries imposed by law, which were incurred in the ordinary course of business and do not secure Indebtedness for borrowed money, such as carriers’, warehousemen’s, materialmen’s and mechanics’ liens and other similar Liens arising in the
ordinary course of business, and (x) which do not in the aggregate materially detract from the value of the Borrower’s or such Subsidiary’s property or assets or materially impair the use thereof in the operation of the business of the Borrower or
such Subsidiary or (y) which are being contested in good faith by appropriate proceedings, which proceedings have the effect of preventing the forfeiture or sale of the property or assets subject to any such Lien;


                        (iii)       Liens in existence on the Effective Date which are listed, and the property subject
thereto described, in Schedule X but only to the respective date, if any, set forth in such Schedule X for the removal and termination of any such Liens, plus renewals and extensions of such Liens, provided that (x) the Indebtedness secured by such Liens is
renewed or extended on terms (taken in the aggregate) not materially less favorable to the Borrower or its Subsidiary, as the case may be, than the terms of the Indebted­ness being renewed or extended (it being understood that increases in interest rates and
other pricing provisions with respect to such Indebtedness which reflect market conditions existing at the time of the renewal or extension of such Indebtedness shall not be considered materially less favorable to the Borrower or the respective Subsidiary), (y) the
aggre­gate principal amount of the Indebtedness secured by such Liens does not increase from that amount outstanding at the time of any such renewal or extension (except for amounts required to pay accrued and unpaid interest on, and premiums with respect to,
such Indebtedness at the time of such renewal or extension or reasonable fees and expenses incurred in connection with such renewal or extension) and (z) any such renewal or extension does not encumber any additional assets or properties of the Borrower or any of its
Subsidiaries;


                        (iv)       Permitted Encumbrances;


                        (v)        Liens created pursuant to the Security Documents;


                        (vi)       leases or subleases granted to other Persons not materially interfering with the
conduct of the business of the Borrower or any of its Subsidiaries;


                        (vii)      Liens (A) upon assets subject to Capitalized Lease Obligations, (B) created pursuant to
purchase money mortgages or security interests or (C) placed upon real estate, equipment or machinery used in the ordinary course of business of the Borrower or any of its Subsidiaries at the time of acquisition thereof by the Borrower or any such Subsidiary or
within 90 days thereafter to secure Indebtedness incurred to pay all or a portion of the purchase price thereof, in each case to the extent such Capitalized Lease Obligations or the other Indebtedness secured by Liens, as the case may be, are permit­ted by
Section 9.04(iii), provided that (x) such Liens only serve to secure the payment of Indebtedness arising under such Capitalized Lease Obligation, such purchase money mort­gages or security interests or incurred to finance the acquisition of such real
estate, equip­ment or machinery, as the case may be, and (y) the Lien encumbering the real estate, equipment, machinery or asset giving rise to the purchase money mortgage secur­ity interest or the asset giving rise to the Capitalized Lease Obligation, as the
case may be, does not encum­ber any other asset of the Borrower or any of the Borrower’s Subsidiaries;


                        (viii)      easements, rights-of-way, restrictions, encroachments and other similar charges or
encumbrances, and minor title deficiencies, in each case not securing Indebt­ed­ness and not materially interfering with the conduct of the business of the Borrower or any of its Subsidiaries;


                        (ix)       Liens arising from precautionary UCC financing statement filings in respect of
operating leases;


                        (x)        statutory and common law landlords’ liens under leases to which the
Borrower or any of its Subsidiaries is a party;


                        (xi)       Liens (other than Liens created or imposed under ERISA) incurred in the ordinary
course of business in connection with workers’ compensation, unemployment insur­ance and other types of social security, or to secure the performance of tenders, statutory obligations, surety bonds, bids, government contracts, performance and
return-of-money bonds and other similar obligations incurred in the ordinary course of business (exclusive of obligations in respect of the payment for borrowed money);


                        (xii)      Liens arising out of judgments or awards (including Liens securing Contingent Obligations
on surety and appeal bonds relating thereto) in respect of which the Borrower or any of the Borrower’s Subsidiaries shall in good faith be prosecuting an appeal or proceedings for review in respect of which there shall have been secured a sub­sisting stay
of execution pending such appeal or proceedings, provided that the aggre­gate amount of all such judgments or awards does not exceed $35,000,000 at any time outstanding;


                        (xiii)      Liens on property or assets acquired pursuant to a Permitted Acquisition effected
pursuant to Section 9.02(viii), or on property or assets of a Subsidiary of the Borrower in existence at the time such property or assets are acquired pursuant to such Permitted Acqui­sition, provided that (i) any Indebtedness that is secured by such Liens
is permitted to exist under Section 9.04(xvii) and (ii) such Liens are not incurred in connec­tion with or in antici­pation of such Permitted Acquisition and do not attach to any other asset of the Borrower or any of its Subsidiaries;


                        (xiv)     deposits required to be made in connection with any proposed acquisition to the extent that the
aggregate prin­ci­pal amount of all such deposits outstanding at any time shall not exceed $10,000,000; and


                        (xv)      Liens not otherwise permitted by the foregoing clauses (i) through (xiv) provided
that (i) the aggregate fair market value of all assets subject to such Liens does not at any time exceed $5,000,000 and (ii) the aggregate principal amount of (x) all
Indebtedness plus (y) all other liabilities secured by such Liens does not exceed $5,000,000 at any time outstanding.


                        9.02     Consolidation, Merger, Purchase or Sale of Assets, etc.  The Borrower will not, and
will not permit any of its Subsidiaries to, wind up, liquidate or dissolve its affairs or enter into any transaction of merger or consolidation, or convey, sell, lease or otherwise dispose of (or agree to do any of the foregoing at any future time) all or any part of
its property or assets, or enter into any sale-leaseback transactions, or purchase or otherwise acquire (in one or a series of related transactions) any part of the property or assets (other than purchases or other acquisitions of inventory, materials, equipment and
other assets in the ordinary course of business) of any Person, except that:


                        (i)         Capital Expenditures by the Borrower and its Subsidiaries shall be
permitted to the extent not in violation of Section 9.07;


                        (ii)        the Borrower and each of its Subsidiaries may in the ordinary course of
busi­ness, sell or otherwise dispose of inventory, materials, equipment and other assets which, in the reasonable opinion of such Person, are obsolete, uneconomic or no longer useful in the conduct of such Person’s business;


                        (iii)       Investments may be made to the extent permitted by Section 9.05;


                        (iv)       the Borrower and each of its Subsidiaries may lease (as lessee) real or personal
property in the ordinary course of business (so long as any such lease does not create a Capitalized Lease Obligation unless permitted by Section 9.04(iii));


                        (v)        the Borrower and each of its Subsidiaries may purchase and sell inventory and
supplies in the ordinary course of business;


                        (vi)       the Borrower and its Subsidiaries may liquidate Cash Equivalents in the ordinary
course of business;


                        (vii)      each of the Borrower and its Subsidiaries may sell or otherwise dispose of other assets
provided (i) no Default or Event of Default then exists or would exist immedi­ately after giving effect thereto, (ii) each such sale or other disposition is in an arm’s-length transaction and the Borrower or the respec­tive Subsidiary receives at least
fair market value (as determined in good faith by the Borrower or such Subsidiary, as the case may be), (iii) at least 75% of the total consider­ation received by the Borrower or such Subsidiary is cash and is received at the time of the consummation of such sale
or other disposition, (iv) the aggregate amount of the proceeds received from all medical office buildings (or assets comprising medical office buildings) sold pur­su­ant to this clause (vii) from and after the Effective Date shall not exceed $30,000,000, (v)
the aggregate amount of the proceeds received from all assets (other than those described in preceding clause (iv)) sold pursuant to this clause (vii) shall not exceed either $20,000,000 in any fiscal year of the Borrower or $50,000,000 in the aggre­gate, (vi)
the Net Sale Proceeds from all sales or dispositions pursuant to this clause (vii) are either applied as provided in Section 4.02(f) or rein­vested in assets to the extent permitted by Section 4.02(f) and (vi) in the case of any such sale or other disposition of
less than all of the Equity Interests of any Subsidiary of the Borrower, if after giving effect thereto such Subsidiary (x) becomes a Non-Guaran­tor Subsidiary, the Borrower shall be in compliance with Section 9.17 after giving effect to such sale or other
disposi­tion or (y) becomes a Person in which the Borrower or one of its Subsidiaries retains a minority equity interest, such retained equity interest shall be deemed to be an Investment and shall be required to be justified under Section 9.05(xvii);


                        (viii)      any Subsidiary of the Borrower may acquire one or more Hospital Properties located in
the United States and any Health Care Assets which are comple­mentary to the Borrower and its Subsidiaries’ businesses, or the Borrower or any Subsidiary of the Borrower may acquire Equity Interests in any Person (which as a result of such acquisition
becomes a Subsidiary of the Borrower) all or substantially all of whose assets consist of one or more Hospital Properties located in the United States and any Health Care Assets located in the United States which are complementary to the Borrower and its
Subsidiaries’ businesses (each such acquisi­tion, a “Permitted Acquisition” and, collectively, the “Permitted Acquisitions”); provided that (w) no Default or Event of Default then exists or would exist immediately after giving
effect thereto, (x) to the extent the purchase price for such Permitted Acquisition is $5,000,000 or more, the Borrower shall deliver to the Administrative Agent a Permitted Acquisition Compliance Certificate, no later than the date of the consummation of such
Permitted Acquisition, (y) at the time of, and after giving effect to, each such Permitted Acquisition, the Borrower shall be in compliance with Sections 9.08 and 9.09 on a Post-Test Period Pro Forma Basis and shall be in compliance with Section 9.17
and (z) the aggregate purchase price (including for this purpose any Acquisition CapEx and any earn-outs in connec­tion with such Permitted Acquisition (taking the good faith estimate of an Authorized Officer of the Borrower as the amount which would become due
in connec­tion with such earn-out)) for all such Permitted Acquisitions permitted under this clause (viii) (determined, in each case, net of consideration in the form of, or paid with the proceeds of, contemporaneous issuances of the Borrower’s common stock
(to the extent such proceeds are not required to be applied pursuant to Section 4.02(d)) shall not exceed $25,000,000 except to the extent that the Borrower certifies to the Administrative Agent in the respective Permitted Acquisition Certificate, in connec­tion
with any Permitted Acquisition which would cause the foregoing limitation to be exceeded, that such excess consideration does not exceed the Retained Excess Cash Flow Amount as then in effect and which shall constitute a utilization thereof, provided further,
that clause (z) above shall not apply so long as at the time of the respective Permitted Acquisition (and after giving effect thereto), (I) the Borrower’s and its Subsidiaries’ unrestricted cash on hand at such time plus the aggregate principal
amount of Revolving Loans that the Borrower may incur in compliance with Section 1.01(b) at such time is at least $25,000,000 and (II) the Consolidated Debt/Total Capitalization Ratio deter­mined on a Post-Test Period Pro Forma Basis (and after
giving effect to any Indebtedness incurred in connection with such Permitted Acquisition or to finance same) is less than 0.70:1.00;


                        (ix)       the Borrower and its Subsidiaries may transfer assets to a Subsidiary Guarantor
(other than the Captive Insurance Subsidiary), and, so long as fair market value is received as consideration, Subsidiaries of the Borrower that are not Subsidiary Guarantors may transfer assets to other Subsidiaries of the Borrower that are not Subsidiary
Guarantors; and any Wholly-Owned Subsidiary of the Borrower may merge with and into any Subsidiary Guarantor (other than the Captive Insurance Subsidiary) which is a Wholly-Owned Subsidiary, in each case so long as the respective Subsidiary Guarantor is the
surviv­ing entity of any such merger;


                        (x)        so long as no Default or Event of Default then exists or would exist
immediately after giving effect thereto, the Borrower and the Subsidiary Guarantors may transfer assets to Non-Guarantor Subsidiaries;


                        (xi)       each of the Borrower and its Subsidiaries may (i) lease real or personal
prop­erty to physicians or other medical professionals in the ordinary course of business, and (ii) other­wise grant leases or subleases of real or personal property to other Persons not materi­ally interfering with the conduct of the business of the
Borrower or any of its Subsidiaries;


                        (xii)      the Borrower and its Subsidiaries may enter into short-term leases at any time with
respect to (i) equipment not being utilized by any Hospital Property at such time, so long as such equipment was not purchased by the Borrower or any of its Subsidiaries for the purpose of leasing such equipment, and (ii) durable medical equipment leased by the
Borrower and its Subsidiaries to its patients;


                        (xiii)      sale-leaseback transactions shall be permitted so long as (i) the respective sale in
connection with any such sale-leaseback transaction is in an arm’s-length transaction and the Borrower or the respective Subsidiary receives at least fair market value (as determined in good faith by the Borrower or such Subsidiary, as the case may be) and (ii)
the Indebtedness incurred by the Borrower or the respective Subsidiary is permitted under Section 9.04(iii);


                        (xiv)     the Borrower and its Subsidiaries may pre-pay rent under leases and may purchase pre-paid
insurance and services, in each case in the ordinary course of business;


                        (xv)      so long as the aggregate fair market value of all Real Property disposed of pursuant to
this clause (xv) does not, at the time of (and giving effect to) any such disposition, exceed 2% of the Total Assets of the Borrower and its Subsidiaries, the Borrower and its Subsidiaries shall be permitted to make dispositions of substantially unimproved Real
Property to, or ground lease unimproved Real Property to, Persons who are developers, for sale or lease consid­era­tion pursuant to overall arrangements deemed by management of the Borrower to be fair and reasonable, for the purpose of the respec­tive
trans­feree or lessee building on such Real Property (A) a medical office building, (B) a building to contain a healthcare business or (C) a parking garage to be used in connec­tion with a medical office building or a building containing or to contain a
healthcare business, and any such transaction may include, if a ground lease, a subordination of the fee owner­ship interest of the lessor to the lien of the lender for such developer (valued at the aggre­gate fair market value of the Real Property sold or
leased);


                        (xvi)     the Borrower and/or its Subsidiaries may, in the ordinary course of business and consistent
with past practices prior to the Effective Date, sell or otherwise transfer receivables owing to it to third parties for the purposes of collection of outstanding balances thereunder;


                        (xvii)     the Borrower and its Subsidiaries may transfer parcels of Real Prop­erty which are not
improved with any building thereon to governmental authorities without consideration in connection with the grant­ing of rights of way; and


                        (xviii)    the Borrower may consummate the Holding Company Reorganization Transaction pursuant to the
definition thereof.


To the extent the Required Lenders or all of the Lenders, as the case may be, waive the provi­sions of this Section 9.02 with respect to the sale of any Collateral (other than the sale of any Collateral to the Borrower or any Subsidiary Guarantor), or any
Collateral is sold or otherwise disposed of as permitted by this Section 9.02 (other than any sale or any disposition to the Borrower or any Subsidiary Guarantor), such Collateral shall be sold or other­wise disposed of free and clear of the Liens created by the
Security Docu­ments, and the Administrative Agent and the Collateral Agent shall be authorized to take any actions deemed appro­priate in order to effect or evidence the foregoing.  In addition, subject to continued compliance with Section 9.17, upon the
occurrence of any sale of all or less than all of the Equity Interests of any Subsidiary Guarantor consummated in accordance with the provisions of Section 9.02(vii), upon the receipt by the Administrative Agent and the Collateral Agent of (i) a certificate of an
Authorized Officer of the Borrower certifying that (x) such Subsidiary is to be released from the Subsidiaries Guaranty and the Security Documents to which it is a party as in accordance with provisions hereof and thereof and (y) no Default or Event of Default exists
at the time of, or would exist immedi­ately after giving effect to, such release and (ii) evidence reasonably satisfactory to the Administrative Agent and the Collateral Agent that such Subsidiary has been (or will contempor­aneously with the release
described below, will be) released from its guarantee (if any) of any and all Indebtedness under the Senior Subordinated Notes, the Convertible Subordinated Notes and, after the issuance thereof, the Permitted Subordinated Notes and the Permitted Senior Notes, such
Subsidiary shall be released from the Subsidiaries Guaranty and the Security Documents to which it is party, and the Administrative Agent and the Collateral Agent shall be
authorized to take any action deemed appropriate in order to effect or evidence the foregoing.


                        9.03     Dividends.  The Borrower will not, and will not permit any of its Subsid­iaries
to, authorize, declare or pay any Dividends with respect to the Borrower or any of its Subsidi­aries, except that:


                        (i)         any Subsidiary of the Borrower may pay Dividends to the Borrower or to a
Wholly-Owned Subsidiary of the Borrower;


                        (ii)        the Borrower may redeem or repurchase the Borrower’s capital stock from
present or former officers, employees and directors (or their trusts or estates) of the Borrower or any of its Subsidiaries upon the death, permanent disability, retirement or termin­ation of employment of any such Person or otherwise in accordance with any stock
option plan, any employee stock own­ership plan or any Shareholders’ Agreement, provided that (x) no Default, and no Event of Default, exists under Section 10.01 or 10.05 or would arise there­from and (y) the aggregate amount of all cash paid in
respect of all such shares so redeemed or repurchased in any calendar year does not exceed the sum of (A) $1,000,000 plus (B) all amounts obtained by the Borrower from the sale of such stock (or a substan­tially concurrent issuance of the Borrower’s
capital stock) to other present or former officers, employees and directors;


                        (iii)       so long as there shall exist no Default under Section 10.01 or Event of Default
(both before and after giving effect to the payment thereof) any non-Wholly-Owned Sub­sidiary of the Borrower may pay Dividends to its shareholders or partners gener­ally in the form of cash, Cash Equivalents, common stock and preferred stock permit­ted
to be issued pursuant to Section 9.12(b), so long as the Borrower or its respec­tive Subsidiary which owns the Equity Interest or Interests in the Subsidiary paying such Dividends receives at least its proportionate share thereof (based upon its relative
hold­ings of Equity Interests in the Subsidiary paying such Dividends and taking into account the relative preferences, if any, of the various classes of Equity Interests in such Subsidiary);


                        (iv)       the Borrower may purchase its common stock at fair market value from officers,
employees and directors of the Borrower or any of its Subsidiaries to the extent necessary to cover the exercise price of options and income tax withholding, provided that (x) no Default or Event of Default is then in existence or would arise therefrom and (y)
the aggregate amount of cash paid in respect of all such shares so repurchased in any calendar year does not exceed $500,000;


                        (v)        the Borrower may make cash payments to officers, employees and directors of the
Borrower or any of its Subsidiaries in respect of stock appreciation rights issued pursuant to a compensation plan approved by the board of directors of the Borrower or by the compensation committee thereof, provided that (x) no Default or Event of Default is
then in existence or would arise there­from and (y) the aggregate amount of cash paid pursuant to this clause (v) in any calendar year does not exceed $500,000;


                        (vi)       the Borrower and its Subsidiaries may purchase Equity Interests in their respective
non-Wholly-Owned Subsidiaries, and non-Wholly-Owned Sub­sidiaries of the Borrower and Health Care Joint Ventures may repurchase their respective outstanding Equity Interests, provided that (x) no Default or Event of Default is then in existence or would
arise therefrom and (y) the aggregate amount of cash paid pursuant to all purchases and repurchases under this clause (vi) in any calendar year does not exceed $500,000;


                        (vii)      so long as no Default or Event of Default then exists or would result therefrom, the
Borrower may pay regularly accruing Dividends with respect to PIK Preferred Stock pursuant to the Certificate of Designations, Preferences and Rights relating thereto (as originally in effect), provided that prior to January 1, 2008, all such Dividends shall be paid
solely through the issuance of additional shares of PIK Preferred Stock (and not in cash);


                        (viii)      so long as no Default or Event of Default then exists or would result therefrom, the
Borrower may pay regularly accruing Dividends with respect to BHS PIK Preferred Stock pursuant to the terms of the BHS PIK Preferred Stock Documents (as originally in effect), provided that prior to January 1, 2011, all such Dividends shall be paid solely
through the issuance of additional shares of BHS PIK Preferred Stock (and not in cash); and


                        (ix)       so long as no Default or Event of Default is then in existence or would arise
therefrom, the Borrower may pay cash Dividends not otherwise permitted in clauses (i) through (viii) above in an amount not to exceed $2,000,000 per calendar year.


                        9.04     Indebtedness.  The Borrower will not, and will not permit any of its
Subsidi­aries to, contract, create, incur, assume or suffer to exist any Indebtedness, except:


                        (i)         Indebtedness incurred pursuant to this Agreement and the other Credit
Documents;


                        (ii)        Existing Indebtedness to the extent the same is listed on Schedule VIII, but
no refinancings or renewals thereof other than such refinancings and renewals which are on terms (taken in the aggregate) not materially less favorable to the Borrower and its Subsidiaries than the terms of the Indebtedness being refinanced or renewed (it being
under­stood that increases in interest rates and other pricing provisions with respect to such Indebtedness which reflect market conditions existing at the time of the refinancing or renewal of such Indebtedness shall not be considered materially less favorable
to the Borrower or the respective Subsidiary) and which do not increase the outstanding princi­pal amount of such Indebtedness at the time of such refinancing or renewal (except for amounts required to pay accrued and unpaid interest on and premiums with respect
to, such Indebtedness at the time of such refinancing or renewal or reasonable fees and expenses incurred in connection with such refinancing or renewal), provided that the Indebtedness set forth under item II of Schedule VIII shall not be permitted under this
Section 9.04(ii);


                        (iii)       Indebtedness of the Borrower and its Subsidiaries (w) consisting of Capitalized
Lease Obligations to the extent permitted pursuant to Section 9.07, (x) under sale-leaseback transactions, (y) incurred pursuant to purchase money mortgages or (z) subject to Liens permitted under Section 9.01(vii)(C); provided that in no event shall the
aggregate principal amount of Capitalized Lease Obligations, sale-leaseback transactions and other Indebtedness permitted by this clause (iii) exceed $25,000,000 at any time outstanding;


                        (iv)       intercompany Indebtedness among the Borrower and the Subsidiary Guarantors to the
extent permitted by Section 9.05(iii);


                        (v)        (A) Indebtedness of Non-Guarantor Subsidiaries owing to the Borrower and the
Subsidiary Guarantors to the extent permitted under Section 9.05(iv), (B) Indebt­ed­ness of the Borrower and the Subsidiary Guarantors owing to Non-Guarantor Subsid­iaries to the extent permitted under Section 9.05(v) and (C) intercompany
Indebt­ed­ness among the Non-Guarantor Subsidiaries to the extent permitted by Section 9.05(vi);


                        (vi)       Indebtedness under Other Hedging Agreements providing protection against
fluctuations in currency values in connection with the Borrower’s or any Credit Party’s ordinary course of business operations so long as management of the Borrower or such Credit Party, as the case may be, has determined in good faith that the entering
into of such Other Hedging Agreements are bona fide hedging activities;


                        (vii)      unsecured senior subordinated Indebtedness of the Borrower (and unsecured senior
subordinated guarantees thereof by any Subsidiary Guarantor for so long as such Person remains a Subsidiary Guarantor) incurred pursuant to the Senior Subordinated Notes and the other Senior Subordinated Note Documents, in an aggregate principal amount not to exceed
$300,000,000 less the amount of any repay­ments of principal thereof after July 30, 2001;


                        (viii)      amounts constituting deferred purchase price or earnouts in connection with Permitted
Acquisitions; provided that the aggregate amount of all Indebtedness permitted under this clause (viii) (taking the maximum amount that may become due in connection therewith) shall not exceed $50,000,000 at any time outstanding;


                        (ix)       amounts constituting deferred payment obligations resulting from adjudications or
settlements of any claims or litigation;


                        (x)        Indebtedness owing to Subsidiaries of the Borrower in connection with the cash
management program of the Borrower;


                        (xi)       Contingent Obligations of the Borrower and its Subsidiaries constituting guarantees
by the Borrower of Indebtedness of any Subsidiary Guarantor (for so long as such Person remains a Subsidiary Guarantor) or guarantees by any Subsidiary Guarantor (for so long as such Person remains a Subsidiary Guarantor) of Indebtedness of any of the Borrower or any
other Subsidiary Guarantor (for so long as such Person remains a Subsidiary Guarantor), but in each case only to the extent that the Indebtedness being guaranteed is otherwise permitted by this Section 9.04, provided that this clause (xi) shall not permit any
Contingent Obligations (i) in respect of the Convertible Subordinated Notes or (ii) in respect of Senior Subordinated Notes, Permitted Subordinated Notes or Permitted Senior Unsecured Notes (with any guarantees thereof by Subsidiary Guarantors to be permitted only in
accordance with the provisions of Section 9.04(vii), (xv) or (xix), as the case may be);


                        (xii)      Contingent Obligations of the Borrower or any Subsidiary Guarantor (for so long as such
Person remains a Subsidiary Guarantor) constituting guarantees of (i) obligations of Health Care Joint Ventures under their operating leases and (ii) Indebtedness of Health Care Joint Ventures in an aggregate principal amount for all such Indebtedness not
exceeding $5,000,000;


                        (xiii)      Indebtedness of the Borrower consisting of deferred purchase price for redemptions or
repurchases of the Borrower’s capital stock, provided that the Borrower’s payment obligations thereunder are limited to the extent necessary to be in compliance with Section 9.03(ii);


                        (xiv)     Indebtedness under Interest Rate Protection Agreements entered into with respect to other
Indebtedness permitted under this Section 9.04 so long as the entering into of such Interest Rate Protection Agreements are bona fide hedging activities and are not for speculative purposes;


                        (xv)      unsecured subordinated Indebtedness of the Borrower (and unsecured subordinated guarantees
thereof by any Subsidiary Guarantor (for so long as such Person remains a Subsidiary Guarantor)) incurred under Permitted Subordinated Notes and the other Permitted Subordinated Note Documents in an aggregate principal amount not to exceed $300,000,000 so long as (A)
at least five Business Days prior to the issuance thereof, the Borrower shall have delivered to the Administrative Agent the then current drafts of the Permitted Subordinated Note Documents and with any changes thereto made after the initial delivery of such
Permitted Subordinated Note Documents to be delivered to the Administrative Agent concurrently with the delivery thereof to the Persons to be party to such Permitted Subordinated Note Documents and prior to the issuance of the related Permitted Subordinated Notes,
(B) the final maturity date thereof is no earlier than six months following the latest Maturity Date in effect at the time of the issuance of any such Permitted Subordinated Notes for then outstanding Term Loans, (C) there are no scheduled amortization, mandatory
redemption or sinking fund provi­sions or similar provisions prior to the maturity of the Permitted Subordinated Notes (other than provisions requiring an offer to purchase Permitted Subordinated Notes to be made upon the occurrence of a change in control or
asset sale on terms not more onerous (from the perspective of the Borrower) than those contained in the Senior Subordinated Note Indenture as originally in effect), (D) the subordination provisions applicable to the Permitted Subordinated Notes shall be substantially
identical to those contained in the Senior Subordinated Notes (although at the option of the Borrower, the Senior Subordinated Notes may be included as “Senior Debt”, but not “Designated Senior Debt”, for purposes of the subordination
provisions contained in any issue of Permitted Subordinated Notes), (E) the interest rates (calculated including any original issued dis­count in respect thereof) and related premiums applicable to any issue of Permitted Subordinated Notes shall be based on then
market interest rates, (F) all other terms and conditions of each issue of Permitted Subordinated Notes shall, in the aggregate, be no less favorable, in any material respect, to the Borrower (and any Subsidiary Guarantors) and the Lenders than the terms contained in
the Senior Subordinated Notes and related Senior Subordinated Note Documents, (G) no Default or Event of Default then exists or would result from the issuance thereof, (H) prior to the issuance of any Permitted Subordinated Notes, the Borrower shall have
delivered to the Administrative Agent and each of the Lenders a certificate of the Borrower’s Chief Financial Officer certifying (and show­ing the calcula­tions therefor in reasonable detail) that the Borrower and its Subsid­iaries shall be in
compli­ance with Sections 9.08 and 9.09 on a Post-Test Period Pro Forma Basis on the date of the respec­tive issuance of the Permitted Subordinated Notes and after giving effect thereto and the application of the proceeds thereof on such date
and (I) prior to the issuance of any Permitted Subordinated Notes, the Borrower shall deliver evidence satisfactory to the Administra­tive Agent, including a certifi­cate of the Chief Financial Officer of the Borrower (accompanied by any required
finan­cial calcula­tions in reasonable detail) and an opinion of counsel for the Borrower, that the issuance of such Permitted Subordinated Notes is permitted by the terms of the Senior Subordinated Notes (and related Senior Subordinated Note Documents), the
Convertible Subordinated Debt (and related Convertible Subordinated Debt Documents), any Permitted Senior Unsecured Notes (and related Permitted Senior Unsecured Note Documents) and any other issue of Permitted Subordinated Notes (and related Permitted Subordinated
Note Documents) then outstand­ing;


                        (xvi)     Contingent Obligations of the Borrower or any of its Subsidiaries arising from Physician
Support Obligations to the extent same are permitted under Section 9.05(xiv);


                        (xvii)     Indebtedness of the Borrower and its Subsidiaries assumed at the time of a Permitted
Acquisition, provided that (I) such Indebtedness was not incurred in connection with, or in anticipation or contemplation of, such Permitted Acquisition and (II) such Indebtedness does not constitute debt for borrowed money, it being understood and agreed that
Capitalized Lease Obligations and purchase money Indebtedness shall not consti­tute debt for borrowed money for purposes of this Section 9.04(xvii); provided that in no event shall the aggregate principal amount of Indebtedness outstanding pursuant to this
Section 9.04(xvii) at any time, when added to the aggregate principal amount of Indebtedness outstanding pursuant to Section 9.04(iii) at such time exceed $50,000,000;


                        (xviii)    unsecured subordinated Indebtedness of the Borrower, but not any Subsidiary thereof, incurred
pursuant to the Convertible Subordinated Debt, in an aggre­gate principal amount not to exceed $17,641,800 less the amount of any repayments thereof after the date of the initial incurrence thereof;


                        (xix)     senior unsecured Indebtedness of the Borrower (and senior unsecured guarantees thereof by any
Subsidiary Guarantor (for so long as such Person remains a Subsidiary Guarantor) incurred under Permitted Senior Unsecured Notes and the other Permitted Senior Unsecured Note Documents in an aggregate principal amount not to exceed, when added to the aggregate amount
of Incremental Term Loan Commitments provided by all Incremental Lenders pursuant to Section 1.13 from and after the Effective Date, an amount equal to $200,000,000 so long as (A) at least five Business Days prior to the issuance thereof, the Borrower shall have
delivered to the Administrative Agent and each Lender the then current drafts of the Permitted Senior Unsecured Note Documents and with any changes thereto made after the initial delivery of such Permitted Senior Unsecured Note Documents to be delivered to the
Administrative Agent concurrently with the delivery thereof to the Persons to be party to such Permitted Senior Unsecured Note Documents and prior to the incurrence of the related Permitted Senior Unsecured Notes, (B) the final maturity thereof is no earlier than six
months following the latest Maturity Date in effect at the time of the issuance of any such Permitted Senior Unsecured Notes for then outstanding Term Loans, (C) the respective Permitted Senior Unsecured Note Documents do not contain (i) any financial maintenance
covenants (or defaults having the same effect as a financial maintenance covenant) or (ii) any cross-default provisions (although such Permitted Senior Unsecured Note Documents may include a provision for a cross-acceleration to other material Indebtedness) (D) there
are no scheduled amortization, mandatory redemption or sinking fund provisions or similar provisions prior to the maturity of the Permitted Senior Unsecured Notes (other than provisions requiring an offer to purchase or mandatory repayment, as applicable with respect
to the Permitted Senior Unsecured Notes upon the occurrence of a change in control or asset sale on terms not more onerous (from the perspective of the Borrower) than those contained in the Senior Subordinated Note Indenture as originally in effect), (E) the interest
rates (calculated including any original issue discount in respect thereof) and related premiums applicable to any incurrence of Permitted Senior Unsecured Notes shall be based on then market interest rates, (F) the other terms and conditions of each incurrence of
Permitted Senior Unsecured Notes shall be no more onerous or restrictive on the Borrower (or any Subsidiary Guarantor) than the terms and conditions contained in this Agreement, (G) no Default or Event of Default then exists or would result from the incurrence
thereof, (H) prior to the incurrence of any Permitted Senior Unsecured Notes, the Borrower shall have delivered to the Administrative Agent and each of the Lenders a certificate of the Borrower’s Chief Financial Officer certifying (and showing the calculations
therefor in reasonable detail) that the Borrower and its Subsidiaries shall be in compliance with Sections 9.08 and 9.09 on a Post-Test Period Pro Forma Basis on the date of the respective issuance of Permitted Senior Unsecured Notes and after giving effect
thereto and the application of the proceeds thereof on such date and (I) prior to the issuance of any Permitted Senior Unsecured Notes, the Borrower shall deliver evidence satisfactory to the Administrative Agent, including a certificate of the Chief Financial
Officer of the Borrower (accompanied by any financial calculations in reasonable detail) and an opinion of counsel for the Borrower, that the issuance of such Permitted Senior Unsecured Notes is permitted by the terms of the Senior Subordinated Notes (and related
Senior Subordinated Note Documents), the Convertible Subordinated Debt (and related Convertible Subordinated Note Documents), any Permitted Subordinated Notes (and related Permitted Subordinated Note Documents) and any other Permitted Senior Unsecured Notes (and
related Permitted Senior Unsecured Note Documents) then outstanding;


                        (xx)      Contingent Obligations not otherwise permitted by the foregoing clauses of this Section 9.04 not to exceed $5,000,000 in aggregate amount of any time outstanding; and


                        (xxi)     Indebtedness not otherwise permitted by the foregoing clauses of this Section 9.04 not to
exceed $10,000,000 in aggregate principal amount at any time outstanding.


                        9.05     Advances, Investments and Loans.  The Borrower will not, and will not permit any of
its Subsidiaries to, directly or indirectly, lend money or credit or make advances to any Person, or purchase or acquire any stock, obligations or securities of, or any other interest in, or make any capital contribution to, any other Person, or purchase or own a
futures contract or other­wise become liable for the purchase or sale of currency or other commodities at a future date in the nature of a futures contract, or hold any cash or Cash Equivalents (each of the forego­ing an “Investment” and,
collectively, “Investments”), except that the following shall be permitted:


                        (i)         the Borrower and its Subsidiaries may acquire and hold accounts
receiv­ables and prepaid expenses owing to any of them, if created or acquired in the ordinary course of business and payable or dischargeable in accordance with customary terms, and the Borrower and its Subsidiaries may own Investments received in connection
with the bank­ruptcy or reorganization of suppliers, customers and others with whom it has done busi­ness or against whom it has claims and in settlement of delinquent obli­gations of, and other disputes with, customers, suppliers and others with whom it
has done business or against whom it has claims, in each case arising in the ordinary course of business;


                        (ii)        the Borrower and its Subsidiaries may acquire and hold cash and Cash
Equivalents;


                        (iii)       the Borrower and the Subsidiary Guarantors may make intercompany loans and advances
to one another, provided that (x) in the case of each intercompany loan evidenced by a note, each such note shall be in the form of Exhibit M and shall be pledged (and delivered) to the Collateral Agent pursuant to (and to the extent required by) the Pledge
Agreement, (y) in the event any such Subsidiary Guarantor that has made such intercompany loans or advances and/or to which such intercompany loans have been made ceases to constitute same, such intercompany loans and advances shall only be permitted to the
extent allowed under Section 9.05(iv), (v) or (vi), as applicable, and (z) no intercompany loans or advances may be made to the Captive Insurance Subsidiary pursuant to this Section 9.05(iii);


                        (iv)       the Borrower or any Subsidiary Guarantor may make unsubordinated loans and advances
to Non-Guarantor Subsidiaries, provided that (i) no Default or Event of Default then exists or would exist immediately after giving effect thereto and (ii) in the case of any such loans or advances evidenced by a note, each such note shall be in the form of
Exhibit M, with such changes as may be reasonably acceptable to the Administrative Agent (it being understood and agreed that the notes previously disclosed to the Administrative Agent by the Borrower are reasonably acceptable to the Administrative Agent), and shall
be pledged (and delivered) to the Collateral Agent pursuant to (and to the extent required by) the Pledge Agreement;


                        (v)        Non-Guarantor Subsidiaries may make loans and advances to the Borrower or any
Subsidiary Guarantor, provided that such loan or advance (other than any such loans or advances represented by short-term, open account working capital notes entered into the ordinary course of business for cash management purposes and consistent with past
practices) shall be expressly subordinated to the payment of the Obligations pursuant to duly executed and delivered (by the respective borrower and lender) Subordination Agreement in the form of Exhibit N;


                        (vi)       Non-Guarantor Subsidiaries may make loans and advances to one another;


                        (vii)      the Borrower and its Subsidiaries may make loans and advances in the ordin­ary course
of business to their respective employees so long as the aggregate princi­pal amount thereof at any time outstanding (determined without regard to any write-downs or write-offs of such loans and advances) shall not exceed $500,000;


                        (viii)      the Borrower and its Subsidiaries may enter into Other Hedging Agreements to the extent
permitted by Section 9.04(vi);


                        (ix)       the Borrower and its Subsidiaries may receive non-cash consideration in
con­nection with any asset sale permitted by Section 9.02(vii) but only to the extent set forth in such Section 9.02(vii);


                        (x)        Permitted Acquisitions may be effected in accordance with the relevant
require­ments of Section 9.02(viii);


                        (xi)       the Borrower and its Subsidiaries may hold Existing Investments, provided
that any further Investments with respect thereto shall be independently justified under another clause of this Section 9.05;


                        (xii)      the Borrower and its Subsidiaries may make capital contributions in and to their
respective Subsidiaries that are Subsidiary Guarantors (which are Wholly-Owned Subsid­iaries) to the extent in existence on the Effective Date or created thereafter pursuant to Section 9.14, provided that no capital contributions in or to the Captive Insurance
Subsidiary may be made pursuant to this Section 9.05(xii);


                        (xiii)      so long as no Default or Event of Default then exists or would exist immediately after
giving effect thereto, the Borrower and the Subsidiary Guarantors may make Investments consisting of Equity Investments in Non-Guarantor Subsidiaries;


                        (xiv)     Investments constituting Physician Support Obligations in the aggregate amount not to exceed at
any time outstanding the sum of $20,000,000 plus the Additional Physician Support Obligations Amount as then in effect;


                        (xv)      the Borrower may enter into Interest Rate Protection Agreements to the extent permitted
under Section 9.04(xiv);


                        (xvi)     deposits made by the Borrower or any of its Subsidiaries to the extent permitted under Section
9.01(xiv);


                        (xvii)     the Borrower and its subsidiaries may make capital contributions or intercompany loans or
advances to the Captive Insurance Subsidiary (x) in such amounts as may be necessary to fund insurance premiums deemed necessary by the Borrower’s actuary or required by the insurance regulatory authority in Bermuda, or in accordance with applicable Bermuda
statutes, regulations and orders, to cover potential or actual insurance claims to be (or, if actual, that would be) paid by the Captive Insurance Company in the ordinary course of business and (y) to pay for the administrative costs and expenses of the Captive
Insurance Subsidiary in amounts not to exceed $200,000 in any fiscal year of Borrower; and


                        (xviii)    the Borrower and its Subsidiaries may make additional Investments not other­wise permitted by the foregoing clauses of this Section 9.05 not to exceed an aggre­gate amount (determined using the book value of such Investments when same are made) equal to
$20,000,000 plus the Additional Investment Amount as then in effect.


                        9.06     Transactions with Affiliates.  The Borrower will not, and will not permit any of its
Subsidiaries to, enter into any transaction or series of related transactions, whether or not in the ordinary course of busi­ness, with any Affiliate of the Borrower or any of its Subsidiaries, other than on terms and condi­tions substantially as favorable to
the Borrower or such Subsidiary as would reasonably be obtained by the Borrower or such Subsidiary at that time in a comparable arm’s-length transac­tion with a Person other than an Affiliate, ex­cept that notwithstanding the foregoing:


                        (i)         Dividends may be paid to the extent provided in Section 9.03;


                        (ii)        Investments may be made and other transactions may be entered into by and
among the Borrower and the Borrower’s Subsidiaries to the extent permitted by Section 9.02, 9.04 or 9.05;


                        (iii)       customary fees may be paid to non-officer directors of the Borrower or any of its
Subsidiaries;


                        (iv)       Subsidiaries of the Borrower may pay management and similar fees to the Borrower or
any Wholly‐Owned Subsidiary of the Borrower;


                        (v)        transactions may be entered into between the Borrower and any Subsidiary
Guarantor or among any Subsidiary Guarantors to the extent not otherwise permitted in clauses (i) through (iv) above; and


                        (vi)       Shareholders may enter into transactions with the Borrower to purchase the capital
stock of the Borrower in accordance with the Shareholders’ Agreements.


                        9.07     Capital Expenditures.  (a)  The Borrower will not, and will not permit any of
its Subsidiaries to, make any Capital Expenditures except in accordance with this Section 9.07.


                        (b)        Notwithstanding anything to the contrary contained in clause (a) above, during
any period set forth below, the Borrower and its Subsidiaries may make Capital Expenditures in connection with their operations (but not in connection with any Specified Construction Projects, except to the extent the amount thereof is justified by the Borrower as
described in the parenthetical contained in Section 9.07(d)) so long as the aggregate amount of such Capital Expenditures made (to the extent made) under this Section 9.07(b) does not exceed in any such period set forth below the sum of (i) the amount set forth
opposite such period below plus (ii) the Additional Capital Expenditures Amount for such period:



	
Period

	
   

	
Amount


	
May 1, 2004 through June 30, 2004

	
   

	
$40,000,000


	
Each fiscal year of the Borrower ended after June 30, 2004

	
   

	
$95,000,000







                        (c)        Notwithstanding anything to the contrary contained in clauses (a) and (b) above
and clause (d) below, to the extent that the aggregate amount of Capital Expenditures made by the Borrower and its Subsidiaries pursuant to Section 9.07(b) in the period from May 1, 2004 through June 30, 2004 or in any fiscal year of the Borrower thereafter are less
than the amount of Capital Expenditures permitted to be made by the Borrower and its Subsidiaries during such period or fiscal year, as the case may be, pursuant to such Section 9.07(b), the Borrower may elect (by notifying the Adminis­tra­tive Agent in
writing within 90 days following the end of such period or fiscal year, as the case may be, to either (i) carry forward (A) 50% of the amount of Capital Expenditures permitted to be made by the Borrower and its Subsidiaries pursuant to such Section 9.07(b) during
such period or fiscal year, as the case may be, but not made during such period or fiscal year, as the case may be (with 100% of the amount of the Capital Expenditures permitted to be made by the Borrower and its Subsidiaries pursuant to Section 9.07(b) during such
period or fiscal year, as the case may be, but not made during such period or fiscal year, as the case may be, being herein referred to as the “Unused Capital Expenditures Amount”), to make Capital Expenditures (but not in connection with any Specified
Construction Projects, except to the extent the amount thereof is justified by the Borrower as described in the parenthetical appearing in Section 9.07(d)) in the immediately succeeding fiscal year (after the full amount of Capital Expenditures otherwise
permit­ted to be made under Section 9.07(b) in such succeeding fiscal year, without regard to the provisions of this clause (c), have been made) but in no fiscal year thereafter, and (B) the remaining 50% of the Unused Capital Expenditures Amount to make Capital
Expenditures in connection with any Specified Construc­tion Project (to the extent the amount thereof is justified by the Borrower as described in the parenthetical appearing in Section 9.07(d)) in any fiscal year thereafter, or (ii) carry forward 100% of the
Unused Capital Expenditures Amount to make Capital Expenditures in connec­tion with Specified Construction Projects (to the extent the amount thereof is justified by the Borrower as described in the parenthetical appearing in Section 9.07(d)) in any fiscal year
thereafter, provided that in no event shall more than the lesser of (I) $5,000,000 and (II) the Unused Capital Expenditure Amount from the period from May 1, 2004 through June 30, 2004 be carried over into the Borrower’s fiscal year ending June 30, 2005.


                        (d)        Notwithstanding anything to the contrary contained in clauses (a) and (b)
above, the Borrower and the Subsidiary Guarantors may make Capital Expenditures to finance projects which at the time the respective Capital Expenditures are made constitute Specified Construction Projects so long as the aggregate amount of all such Capital
Expenditures made after the Effective Date solely pursuant to this clause (d) does not exceed $550,000,000 (plus up to an additional $100,000,000 of such Capital Expenditures, so long as the excess Capital Expenditures contemplated by this parenthetical are permitted
within the limitations set forth pursuant to preceding Sections 9.07(b) and (c), in which case such Capital Expenditures shall be counted for purposes of this parenthetical and shall be deemed to constitute a utilization of the permitted Capital Expenditure amounts
set forth in said Sections 9.07(b) and/or (c), as the case may be).  The Borrower and the Subsidiary Guarantors shall also be permitted to make Capital Expenditures in connection with the purchase of Real Property which at the time of such purchase the Borrower
in good faith expects to designate as a Specified Construction Project within fifteen months following such purchase provided that (i) the aggregate amount of all such Capital Expenditures made pursuant to this sentence do not exceed $30,000,000 (net of
Capital Expenditures for projects that have theretofore been designated as Specified Construction Projects under the definition thereof, without giving effect (solely for this purpose) to the last sentence thereof) and (ii) such Capital Expenditures are permitted
within the limitations set forth in the immediately preceding sentence, and shall be deemed to constitute a utilization of the permitted Capital Expenditure amounts set forth in such preceding sentence.


                        (e)        In addition to the Capital Expenditures permitted pursuant to preceding clauses
(b), (c) and (d), the Borrower and its Subsidiaries may make additional Capital Expenditures (but not in connection with any Specified Construction Projects, except in the case of follow­ing clause (ii) to the extent proceeds of a Recovery Event with respect to a
Specified Construction Project are reinvested in the same Specified Construction Project) as follows:  (i) Capital Expenditures consisting of the reinvestment of Net Sale Proceeds of asset sales (exclu­sive of asset sales of the types described in
clause (A) of Section 4.02(f)) not required to be applied to prepay the Loans and/or reduce Commitments pursuant to Section 4.02(f) as a result of clauses (B), (C) and/or (D) contained therein, (ii) the reinvestment of proceeds of Recovery Events not required to be
applied to prepay the Loans and/or reduce Commitments pursuant to Section 4.02(h), and (iii) Capital Expendi­tures made on any date so long as same do not exceed the Retained Excess Cash Flow Amount as then in effect (before giving effect to the respective
Capital Expenditures), and so long as the Borrower certifies to the Administrative Agent that the respec­tive Capital Expenditures constitute a utilization of (and shall reduce by the amount spent pursuant to this clause (iii) on the respective Capital
Expenditures) the Retained Excess Cash Flow Amount.


                        (f)         In addition to the Capital Expenditures permitted pursuant to preceding
clauses (b), (c), (d) and (e), the Borrower and the Subsidiary Guarantors may make additional Capital Expenditures in connection with Specified Construction Projects to the extent such Capital Expenditures are financed with the proceeds of issuances of the common
stock of the Borrower not required to be applied pursuant to Section 4.02(d), provided that at the time of each such issuance, the Borrower certifies to the
Administrative Agent in reasonable detail the Capital Expenditures to be made with the proceeds thereof.


                        9.08     Consolidated Interest Coverage Ratio.  Solely as of the last day of each Test period
set forth below, the Borrower will not permit the Consolidated Interest Coverage Ratio to be less than the ratio set forth opposite the last day of such Test Period below:



	
Test Period Ending On

	
 

	
Ratio


	
June 30, 2004

	
 

	
2.00:1.00


	
September 30, 2004

	
 

	
2.00:1.00


	
December 31, 2004

	
 

	
2.00:1.00


	
March 31, 2005

	
 

	
2.00:1.00


	
June 30, 2005

	
 

	
2.00:1.00


	
September 30, 2005

	
 

	
2.15:1.00


	
December 31, 2005

	
 

	
2.15:1.00


	
March 31, 2006

	
 

	
2.30:1.00


	
June 30, 2006

	
 

	
2.30:1.00


	
September 30, 2006

	
 

	
2.45:1.00


	
December 31, 2006

	
 

	
2.45:1.00


	
March 31, 2007 and thereafter

	
 

	
2.60:1.00







Notwithstanding anything to the contrary contained in this Section 9.08, all calculations of compliance with this Section 9.08 shall be made on a Pro Forma Basis.


                        9.09     Consolidated Leverage Ratio and Consolidated Senior Leverage Ratio.  (a) 
Solely as of the last day of each Test period set forth below, the Borrower will not permit the Consolidated Leverage Ratio to be greater than the ratio set forth opposite the last day of such Test Period below:



	
Test Period Ending On

	
 

	
Ratio


	
June 30, 2004

	
 

	
5.50:1.00


	
September 30, 2004

	
 

	
5.50:1.00


	
December 31, 2004

	
 

	
5.50:1.00


	
March 31, 2005

	
 

	
5.50:1.00


	
June 30, 2005

	
 

	
5.50:1.00


	
September 30, 2005

	
 

	
5.25:1.00


	
December 31, 2005

		
5.25:1.00


	
March 31, 2006

		
5.00:1.00


	
June 30, 2006

		
5.00:1.00


	
September 30, 2006

		
4.75:1.00


	
December 31, 2006

		
4.75:1.00


	
March 31, 2007

		
4.50:1.00


	
June 30, 2007

		
4.50:1.00


	
September 30, 2007 and thereafter

		
4.25:1.00







                        (b)        The Borrower will not permit the Consolidated Senior Leverage Ratio solely as
of the last day of any Test Period ending (w) on or prior to June 30, 2005 to be greater than 3.25:1.00, (x) on September 30, 2005 or December 31, 2005, to be greater than 3.00:1.00, (y) on March 31, 2006 or June 30, 2006 to be greater than 2.75:1.00 and (z) after June 30, 2006 to be greater than 2.50:1.00.


                        (c)        Notwithstanding anything to the contrary contained in this Section 9.09, all
calculations of compliance with this Section 9.09 shall be made on a Pro Forma Basis.


                        9.10     Limitation on Payments of Certain Indebtedness; Modifications of Certain Indebtedness, PIK
Preferred Stock and BHS PIK Preferred Stock; Modifications of Certificate of Incorporation, By-Laws and Certain Agreements; etc.  (a)  The Borrower will not, and will not permit any of its Subsidiaries to:


                        (i)         make (or give any notice in respect of) any voluntary or optional payment
or prepayment on or re­demption or acquisition for value of,  including, in each case with­out limitation, by way of depositing with the trustee with respect thereto money or securi­ties before due for the purpose of paying when due, any Senior
Subordinated Notes, any Convertible Subordinated Debt or, after the issuance thereof by the Borrower, any Permitted Subordinated Notes or any Permitted Senior Unsecured Notes, provided that the Borrower may make voluntary or optional payments, prepayments or
redemptions of the Indebtedness described above in this clause (i) (other than any Convertible Subordinated Debt) so long as (x) at the time of any such voluntary or optional payment, prepayment or redemption the aggregate principal amount of Revolving Loans that may
be incurred in compliance with Section 1.01(b) equal or exceeds $15,000,000, (y) the Borrower’s Consolidated Leverage Ratio at such time determined on a Post-Test Period Pro Forma Basis after giving effect to any such payment, prepayment or
redemption, is less than 3.00:1.00 and (z) the Borrower has delivered to the Administrative Agent and each of the Lenders a certificate of the Borrower’s Chief Financial Officer certifying as to the Borrower’s compliance such required maximum Consolidated
Leverage Ratio level and such minimum availability requirement set forth in preceding clauses (x) and (y), respectively (and showing the calculations therefor in reasonable detail);


                        (ii)        amend or modify, or permit the amendment or modification of, any
provi­sion of any Existing Indebtedness, any PIK Preferred Stock or any BHS PIK Preferred Stock Document other than amendments not adverse to the interests of the Lenders in any material respect provided that a copy of such amend­ment or modification
is delivered to the Administrative Agent at least 10 Business Days prior to the execution thereof by the Borrower or the relevant Subsidiary;


                        (iii)       amend or modify, or permit the amendment or modification of any provi­sion of,
any Senior Subordinated Note Document, any Convertible Subordinated Debt Document or, after the issuance of any Permitted Subordinated Notes, any related Permitted Subordinated Note Document other than (I) in the case of amendments and/or modifi­cations to the
Senior Subordinated Note Documents or the Permitted Subordinated Note Documents only (x) any such modification which releases a Subsidiary of the Borrower, or adds a Subsidiary of the Borrower which is (or concurrently therewith becomes) a Subsidiary Guarantor, as a
guarantor (on a subordinated basis in accordance with the Senior Subordinated Note Documents or the Permitted Subordinated Note Documents, as the case may be) of Indebtedness under the Senior Subordinated Notes or under any outstanding Permitted Subordinated Notes
and (y) technical amendments or modifi­ca­tions to the Senior Subordinated Note Documents or such Permitted Subordinated Note Documents which do not amend or modify the subordination provi­sions contained therein and do not require the consent of any
holder of the Senior Subordinated Notes or any Permitted Subordinated Notes, as the case may be, and are not, in any event, adverse to the interest of the Lenders in any material respect and (II) in the case of amendments and/or modifications to the Convertible
Subordinated Debt Documents, technical amendments or modifications thereto which do not amend or modify the subordination provisions contained therein and are not adverse to the interest of the Lenders in any material respect;


                        (iv)       after the issuance of any Permitted Senior Unsecured Notes, amend or modify, or
permit the amendment or modification of any provision of, any Permitted Senior Unsecured Note Documents related thereto other than (x) any such modification which releases a Subsidiary of the Borrower, or adds a Subsidiary of the Borrower which is (or concurrently
therewith becomes) a Subsidiary Guarantor, as a guarantor of Permitted Senior Unsecured Notes and (y) technical amendments or modifications to the Permitted Senior Unsecured Note Documents which do not require the consent of any holder of any Permitted Senior
Unsecured Notes, and are not, in any event, adverse to the interest of the Lenders in any material respect;


                        (v)        amend or modify, or permit the amendment or modification of, any provi­sion
of, any Management Agreement or Shareholders’ Agreement in any manner materially adverse to the interests of the Lenders; or


                        (vi)       amend, modify or change its certificate of incorporation (including, without
limita­tion, by the filing or modification of any certificate of designation), partnership agree­ment or limited liability company or operating agreement or by-laws (or equivalent organizational documents) or any agree­ment entered into by it with respect
to its Equity Interests, or enter into any new agreement with respect to its Equity Interests, other than any amend­ments, modifications or changes or any such new agreements which are not adverse in any material respect to the interests of the Lenders.


                        (b)        Without limiting the provisions of foregoing subclause (a)(i), the Borrower
shall take such actions as may be necessary, including, without limitation, prepaying all of the Loans and other Obligations and terminating the Total Commitments, in accordance with the terms of such Senior Subordinated Notes, Convertible Subordinated Debt,
Permitted Subordinated Notes or Permitted Senior Unsecured Notes, as the case may be, to avoid the need to purchase (whether because of change of control, asset sale or otherwise) any Senior Subordinated Notes, Convertible Subordinated Debt or, after the issuance thereof, any Permitted Subordinated Notes or any Permitted Senior Unsecured Notes at any time when the covenants contained in this Section 9 remain in effect in
accordance with the introductory paragraph of this Section 9. 


                        9.11     Limitation on Certain Restrictions on Subsidiaries.  The Borrower will not, and will
not permit any of its Subsidiaries to, directly or indirectly, create or otherwise cause or suffer to exist or become effective any encumbrance or restriction on the ability of any Subsidiary of the Borrower to (a) pay dividends or make any other distributions on its
capital stock or any other interest or participation in its profits owned by the Borrower or any of its Subsidiaries, or pay any Indebtedness owed to the Borrower or any Subsidiary of the Borrower, (b) make loans or advances to the Borrower or any Subsidiary of the
Borrower or (c) transfer any of its properties or assets to the Borrower or any Subsidiary of the Borrower, except (I) in each case for such encum­brances or restrictions existing under or by reason of (i) applicable law, (ii) this Agreement, the Senior
Subordinated Note Documents (as originally in effect), the Shareholders’ Agreements (as originally in effect, but for that purpose including Shareholders’ Agreements as defined in the Existing Credit Agreement), any Permitted Subordinated Note Document
(so long as such encumbrances and restrictions are no less favorable to the Borrower than those contained in the Senior Subordinated Note Documents) or any Permitted Senior Unsecured Note Document (so long as such encumbrances and restrictions are no less favorable
to the Borrower than those contained in this Agreement), (iii) customary provisions restricting sub­letting or assignment of any lease governing a leasehold interest of the Borrower or any Subsidiary of the Borrower, (iv) cus­tomary provisions
restricting assignment of any licensing agreement entered into by the Bor­rower or any Subsidiary of the Borrower in the ordinary course of business and (v) customary pro­visions restricting the transfer of assets subject to Liens permitted under Section
9.01(vii) and (II) in the case of encumbrances or restrictions of the type described in preceding clause (c) only, (x) rights of first refusal in respect of the sale of assets of or Equity Interests in Health Care Joint Ventures in favor of the joint venture partner
of the Borrower or its respective Subsidiary relating to the respective Health Care Joint Venture so long as such joint venture partner is a not-for-profit entity or a Person 100% of whose Equity Interests are owned by a not-for-profit entity and (y) other
restrictions in any partnership, shareholder, operating or similar agreement of a Health Care Joint Venture to the extent such restrictions are no less favorable in any respect
to either the Lenders or the Borrower (or its respective Subsidiary that holds Equity Interests in such Health Care Joint Venture) than those contained in Section 2.3 or 2.5 of the Restrictive Shareholders’ Agreements.


                        9.12     Limitation on Issuance of Capital Stock.  (a)  The Borrower will not issue
(i) any preferred stock (other than (x) the issuance of shares of PIK Preferred Stock in payment of regularly accruing Dividends on theretofore outstanding shares of PIK Preferred Stock, (y) the issuance of shares of BHS PIK Preferred Stock in payment of
regularly accruing Dividends on theretofore outstanding BHS PIK Preferred Stock and (z) Qualified Preferred Stock) or (ii) any redeemable common stock.


                        (b)        The Borrower will not permit any of its Subsidiaries to issue any Equity
Interests (including by way of sales of treasury stock) or any options or warrants to purchase, or securities convertible into, Equity Interests, except (i) for transfers and replacements of then outstand­ing shares of Equity Interests, (ii) for stock splits,
stock dividends and similar or addi­tional issuances which do not decrease the percentage ownership of the Borrower or any of its Subsidiaries in any class of the Equity Interests of such Subsidiary, (iii) to qualify directors to the extent required by applicable
law, (iv) for issuances by newly created or Wholly-Owned Subsidiaries of the Borrower created or acquired in accordance with the terms of this Agreement, and (v) for issuances of Equity Interests by any Subsidiary of the Borrower to the Borrower or any other
Person, provided that if the Person to which such Equity Interests are issued (A) is the Borrower or a Subsidiary Guarantor, such Equity Interests shall be pledged pursuant to the Security Documents and (B) is neither the Borrower nor any Subsidiary Guarantor,
(I) such Equity Interests are not preferred stock or similarly preferred Equity Interests (other than Qualified Preferred Stock issued to a Person holding a minority Equity Interest in such Subsidiary (after giving effect to such issuance), provided that aggregate
liquidation preference of all Qualified Preferred Stock issued pursuant to this parenthetical statement shall not exceed $10,000,000) and (II) no Default or Event of Default then exists or would result immedi­ately after giving effect thereto.  Subject to
continued compliance with Section 9.17, if, as a result of any such issuances made pursuant to clause (v) in the immediately preceding sentence, a Wholly-Owned Subsidiary which is a Subsidiary Guarantor ceases to constitute a Wholly-Owned Subsidiary, upon the receipt
by the Administrative Agent and the Collateral Agent of (i) a certificate from an Authorized Officer and the Borrower certifying that (x) such Subsidiary is to be released from the Subsidiaries Guaranty and the Security Documents to which it is a party in
accordance with the provisions hereof and thereof and (y) no Default or Event of Default exists at the time of, or would exist immediately after giving effect to, such release and (ii) evidence reasonably satisfactory to the Administrative Agent and the
Collateral Agent and such Subsidiary has been (or will contemporaneously with the release described below, will be) released from its guaranty (if any) of any and all Indebtedness under the Senior Subordinated Notes and, after the issuance thereof, any Permitted
Subordinated Notes and any Permitted Senior Unsecured Notes, such Subsidiary shall, so long as no Default or Event of Default then exists or would result therefrom,
be released from the Subsidiaries Guaranty and the Security Documents to which it is a party, and the Collateral Agent shall be authorized to take any action deemed appropriate in order to effect or evidence the foregoing.


                        9.13     Business.  (a)  The Borrower will not, and will not permit any of its
Subsidiaries to, engage (directly or indirectly) in any business other than the business of owning and or operat­ing Health Care Assets and activities that are reasonably similar or reasonably related thereto.


                        (b)        Notwithstanding anything to the contrary contained in this Agreement, the
Borrower will not operate any active businesses other than through its Subsidiaries, and will not own or hold directly any Investments or assets other than (i) proceeds of issuances of its capital stock or other equity securities or Indebtedness permitted under
Section 9.04 so long as any such proceeds thereof received by the Borrower are promptly invested (to the extent permitted under Sec­tion 9.05) in its Subsidiaries or Health Care Joint Ventures as either (A) purchases of Equity Interests of such Subsidiaries or
Health Care Joint Ventures or (B) intercompany loans to such Subsidiaries or Health Care Joint Ventures evidenced by Intercompany Notes or other promis­sory notes issued by a Health Care Joint Venture and payable to the Borrower, if the Health Care Joint Venture
is not a Subsidiary, (ii) equity interests in its Subsidiaries and Health Care Joint Ventures, (iii) Intercompany Notes, and (iv) Interest Rate Protection Agreements provided, that the Equity Interests or notes permitted to be held pursuant to clauses (ii) and (iii) above shall be permitted only to the extent such Equity Interests or notes required to be pledged (and delivered) to the Collateral Agent pursuant to the Pledge
Agreement are so pledged (and delivered).


                        9.14     Limitation on Creation of Subsidiaries and Health Care Joint Ventures. 
Notwithstanding anything to the contrary contained in this Agreement, the Borrower will not, and will not permit any of its Subsidiaries to, establish, create or acquire after the Effective Date any Subsidiary or Health Care Joint Venture, provided that the
Borrower and its Wholly-Owned Subsidiaries shall be permitted to (i) establish or create one or more Wholly-Owned Subsidiaries, or acquire a Person, which immediately upon such acquisition will consti­tute a Wholly-Owned Subsidiary of the Borrower, in each case
so long as within a reasonable time from such establishment, creation or acquisition (x) the Equity Interests of such new Wholly-Owned Subsidiary is pledged pursuant to, and to the extent required by, the Pledge Agreement and the certificates repre­senting such
Equity Interests (if any), together with endorsements for transfer thereof duly executed in blank, are delivered to the Collateral Agent for the benefit of the Secured Creditors, and (y) such new Wholly-Owned Subsidiary executes a counterpart to the Subsidiaries
Guaranty, the Pledge Agreement and the Security Agreement or a Joinder Agreement substantially in the form of Exhibit O (except that (1) if such Wholly-Owned Subsidiary, as a result of a material contract with Arizona Health Care Cost Containment System or similar
regulator or healthcare provider existing at the time of such acquisition and not entered into in contemplation thereof, is prohibited from becoming a Subsidiary Guarantor (a “Pre-existing Material Restriction”), (2) if the Total Assets of such
Wholly-Owned Subsidiary do not exceed $10,000 (an “Immaterial Subsidiary”), or (3) the Borrower intends in good faith to issue Equity Interests of such Wholly-Owned Subsidiary to physicians or other investors in accordance with Section 9.12(b) within 270
days from the date of creation or acquisition of such Wholly-Owned Subsidiary (a “Designated Subsidiary”), then upon the receipt by the Administrative Agent of a certificate of an Authorized Officer of the Borrower requesting that such Subsidiary shall be
a Non-Guarantor Subsidiary, and certifying that (x) (A) such Subsidiary is subject to a Pre-existing Material Restriction and the Borrower has used commercially reasonable efforts, in connection with the acquisition, to obtain a waiver or amendment of such
Pre-existing Material Restriction sufficient to allow such Subsidiary to become a Subsidiary Guarantor but has not been able to so obtain such waiver or amendment, or (B) such Subsidiary is a Designated Subsidiary; no Default or Event of Default exists at the time
of, or would exist immediately after giving effect to the designation of such Subsidiary as a Non-Guarantor Subsidiary (including, without limitation, under Section 9.17) (provided that no such certificate shall be required in respect of an Immaterial Subsidiary),
such Subsidiary shall not be required to become a Subsidiary Guarantor and take such other actions referred to above provided for a Subsidiary Guarantor unless and until such later date, if any, upon which (A) such Pre-existing Material Restriction no longer
prohibits such result (without limitation of Section 9.17), (B) the Administrative Agent determines that the Equity Interests of such Subsidiary were not issued to physicians and other physicians within the relevant 270-day period or (C) the Borrower is not in
compliance with Section 9.17, as the case may be, at which time the respective Subsidiary shall be required to become a Subsidiary Guarantor and take such other actions referred to above for a Subsidiary Guarantor and (ii) to the extent otherwise permitted under this
Agreement, establish, create or enter into one or more Health Care Joint Ventures, or acquire Equity Interests in a Person, which immediately upon such acquisition will constitute a Health Care Joint Venture, in each case so long as within a reason­able time from
such establishment, creation or acquisition, the Equity Interests held by the Borrower or any of its Subsidiaries in any new Health Care Joint Venture that (A) is a Subsidiary of the Borrower or (B) has Equity Interests owned by any and all Credit Parties with an
aggregate investment cost equal to or greater than $2,000,000, in each case, are delivered for pledge pursuant to the Pledge Agreement and the certificates representing such Equity Interests, if any, together with endorsements for the transfer thereof duly executed
in blank, are delivered to the Collateral Agent for the benefit of the Secured Creditors.  In addition, any new Wholly-Owned Subsidiary shall execute and deliver, or cause to be executed and delivered, all other relevant documentation (includ­ing, without
limitation, counterparts of the Subsidiaries Guaranty, the Pledge Agreement and the Security Documents, or a Joinder Agreement substantially in the form of Exhibit O) of
the type described in Section 5A as such Wholly-Owned Subsidiary would have had to deliver if such Wholly-Owned Subsidiary were a Credit Party on the Effective Date.


                        9.15     Changes To Legal Names; Organizational Identification Numbers, Jurisdiction or Type of
Organization.  No Credit Party shall change, or permit any change to, its legal name until (i) it shall have given to the Administrative Agent and the Collateral Agent not less then 15 days prior written notice of its intention so to do, clearly describing
such new name and providing other information in connection therewith as the Administrative Agent or Collateral Agent may reasonably request and (ii) with respect to such new name, it shall have taken all action reasonably requested by the Administrative Agent or
Collateral Agent to maintain the security interests of the Administrative Agent or Collateral Agent in the Collateral intended to be granted pursuant to the Security Documents at all times fully perfected and in full force and effect.  In addition, to the extent
that any Credit Party does not have an organizational identification number on the date hereof and later obtains one, or if there is any change in the organizational identification number of any Credit Party, the Borrower or such Credit Party shall promptly notify
the Administrative Agent and the Collateral Agent of such new or changed organizational identification number and shall take all actions reasonably satisfactory to the Administrative Agent and the Collateral Agent to the extent necessary to maintain the security
interests of the Administrative Agent or Collateral Agent in the Collateral intended to be granted pursuant to the Security Documents fully perfected and in full force and effect.  Furthermore, no Credit Party shall change its jurisdiction of organization or its
type of organization until (i) it shall have given  to the Administrative Agent and the Collateral Agent not less than 15 days prior written notice of its intention so to do, clearly describing such new jurisdiction of organization and/or type of organization
and providing such other information in connection therewith as the Administrative Agent or Collateral Agent may reasonably request and (ii) with respect to such new jurisdiction and/or type of organization, it shall have taken all actions reasonably requested by the
Administrative Agent or the Collateral Agent to maintain the security interests of the Administrative Agent or Collateral Agent in the Collateral intended to be granted pursuant to the Security Documents at all times fully perfected and in full force and
effect.  If at any time Schedule XII hereto is not true and correct (as of the date in question, which may be after the Effective Date), whether because of changes thereto or as a result of the creation or acquisition of additional Credit Parties, the Borrower shall promptly furnish to the Administrative Agent and the Collateral Agent a true and correct updated Schedule XII, which shall contain the updated information
required therein with respect to each Credit Party as of the date of any change thereto.


                        9.16     No Designation of Other Indebtedness as “Designated Senior
Indebtedness”.  The Borrower will not, and will not permit any of its Subsidiaries to, designate any Indebtedness (other than the Obligations) of such Credit Party
as “Designated Senior Indebtedness” for the purposes of the Senior Subordinated Note Documents or any Permitted Senior Subordinated Note Documents.


                        9.17     Limitation on Assets Held By Non-Guarantor Subsidiaries.  The Borrower will not
permit the Total Assets of all Non-Guarantor Subsidiaries to, at any time, exceed 30% of the Total Assets of the Borrower and its Subsidiaries.


                        SECTION 10. Events of Default.  Upon the occurrence of any of the following specified events (each an
“Event of Default”):


                        10.01   Payments.  The Borrower shall (i) default in the payment when due of any principal of any Loan
or any Note or (ii) default, and such default shall continue un­remedied for three or more Business Days, in the payment when due of any interest on any Loan or Note, any
Unpaid Drawing or any Fees or any other amounts notified hereunder owing hereunder or under any other Credit Document; or


                        10.02   Representations, etc.  Any representation or warranty made byany Credit Party herein or in any other Credit Document or in any certificate delivered to the Administrative Agent or any Lender pursuant hereto or thereto shall prove to be untrue in any
material respect on the date as of which made or deemed made; or


                        10.03   Covenants.  Any Credit Party shall (i) default in the due performance or observance by it of
any term, covenant or agreement contained in Sections 8.15, 9.01 through 9.05, 9.07 through 9.10 or 9.12 through 9.16, (ii) default in the due performance or observance by it of the provisions contained in Section 9.17 and such default in the case of this clause (ii)
shall continue unremedied for a period of 30 days or (iii) default in the due performance or observance by it of any other term, covenant or agreement contained in this Agreement or any other Credit Document (other than as provided in Sections 10.01 and 10.02) and such default in the case of this clause (iii) shall continue unremedied for a period of 30 days after written notice to the Borrower by the Administrative Agent or the Required
Lenders; or


                        10.04   Default Under Other Agreements.  (i)  The Borrower or any of its Subsidi­aries shall
(x) default in any payment of any Indebtedness (other than the Obligations) beyond the period of grace or cure, if any, provided in the instrument or agreement under which such Indebt­edness was created or (y) default in the observance or performance of any
agreement or condi­tion relating to any Indebtedness (other than the Obligations) or contained in any instru­ment or agree­ment evidencing, securing or relating thereto, or any other event shall occur or condition exist, the effect of which default or
other event or condition is to cause, or to permit the holder or holders of such Indebtedness (or a trustee or agent on behalf of such holder or holders) to cause (deter­mined without regard to whether any notice is required), any such Indebtedness to become due
prior to its stated maturity, or (ii) any Indebtedness (other than the Obligations) of the Borrower or any of its Subsidiaries shall be declared to be (or shall become) due and payable, or required to be prepaid other than by a regularly scheduled required prepayment
(including, with­out limitation, by reason of the occurrence of a change of control or other similar event, but exclud­ing by reason of any due-on-sale clause contained in Indebtedness so long as the aggre­gate principal amount of all such Indebtedness
does not exceed $5,000,000), prior to the stated maturity thereof, provided that it shall not be a Default or an Event of Default under clauses (i) or (ii) of this
Section 10.04 unless the aggregate outstanding principal amount of all Indebtedness as described in such clauses (i) and (ii) is at least $5,000,000; or


                        10.05   Bankruptcy, etc.  The Borrower or any of its Subsidiaries shall commence a voluntary case
concerning itself under Title 11 of the United States Code entitled “Bankruptcy,” as now or hereafter in effect, or any successor thereto (the “Bankruptcy Code”); or an involuntary case is commenced against the Borrower or any of its
Subsidiaries and the peti­tion is not contro­verted within 15 days, or is not dismissed within 60 days, after commencement of the case; or a custodian (as defined in the Bankruptcy Code) is appointed for, or takes charge of, all or sub­stantially all of
the property of the Borrower or any of its Subsidiaries or the Borrower or any of its Subsidiaries commences any other proceeding under any reorganization, arrangement, adjust­ment of debt, relief of debtors, dissolution, insol­vency or liquidation or similar
law of any juris­dic­tion whether now or hereafter in effect relating to the Borrower or any of its Subsidiaries,  or there is commenced against the Borrower or any of its Subsidiaries any such proceeding which remains undismissed for a period of 60
days, or the Borrower or any of its Subsidiaries is adjudi­cated insolvent or bankrupt; or any order of relief or other order approv­ing any such case or pro­ceeding is entered; or the Borrower or any of its Subsidiaries suffers any appointment of any
cus­todian or the like for it or any substantial part of its property to continue undischarged or unstayed for a period of 60 days; or the Borrower or any of its
Subsid­iaries makes a general assignment for the benefit of creditors; or any corporate action is taken by the Borrower or any of its Subsidiaries for the purpose of effecting any of the foregoing; or


                        10.06   ERISA.  (a)  Any Plan shall fail to satisfy the minimum funding standard required for any
plan year or part thereof under Section 412 of the Code or Section 302 of ERISA or a waiver of such standard or extension of any amortization period is sought or granted under Section 412 of the Code or Section 303 or 304 of ERISA, a Reportable Event shall have
occurred, a contributing sponsor (as defined in Section 4001(a)(13) of ERISA) of a Plan subject to Title IV of ERISA shall be subject to the advance reporting requirement of PBGC Regulation Section 4043.61 (without regard to subparagraph (b)(1) thereof) and an event
described in sub­section .62, .63, .64, .65, .66, .67 or .68 of PBGC Regulation Section 4043 shall be reasonably expected to occur with respect to such Plan within the following 30 days, any Plan which is sub­ject to Title IV of ERISA shall have had or is
likely to have a trustee appointed at the instance of the PBGC to administer such Plan, any Plan which is subject to Title IV of ERISA is, shall have been or is likely to be termi­nated or to be the subject of termination proceedings under ERISA, any Plan shall
have an Unfunded Current Liability, a contribution required to be made with respect to a Plan or a Foreign Pension Plan has not been timely made, the Borrower or any Subsidiary of the Borrower or any ERISA Affiliate has incurred or is likely to incur any liability to
or on account of a Plan under Section 409, 502(i), 502(l), 515, 4062, 4063, 4064, 4069, 4201, 4204 or 4212 of ERISA or Sec­tion 401(a)(29), 4971 or 4975 of the Code or on account of a group health plan (as defined in Section 607(1) of ERISA or Section 4980B(g)(2)
of the Code or 45 Code of Federal Regulations Section 160.103) under Section 4980B of the Code and/or the Health Insurance Portability and Accountability Act of 1996, or the Borrower or any Subsidiary of the Borrower has incurred or is likely to incur liabilities
pur­suant to one or more employee welfare benefit plans (as defined in Section 3(1) of ERISA) that provide benefits to retired employees or other former employees (other than as required by Sec­tion 601 of ERISA) or Plans or Foreign Pension Plans; (b) there
shall result from any such event or events the imposition of a lien on, the granting of a security interest by, or a liability or a material risk of incurring a liability by, the Borrower, a Subsidiary of the Borrower or an ERISA Affiliate; and (c) such lien,
security interest or liability, individually, and/or in the aggregate, in the reasonable opinion of the Required Lenders, has had, or could reasonably be expected to
have, a material adverse effect upon the business, property, liabilities (actual or contingent), operations or condition (financial or otherwise) of the Borrower or of the Borrower and its Subsidiaries taken as a whole; or


                        10.07   Security Documents.  At any time after the execution and delivery thereof, any of the Security
Documents shall cease to be in full force and effect, or shall cease to give the Collateral Agent for the benefit of the Secured Creditors the Liens, rights, powers and privileges purported to be created thereby (including, without limitation, a per­fected security interest in, and Lien on, all of the Collateral in favor of the Collateral Agent, superior to and prior to the rights of all third Persons (except as permitted by
Section 9.01), and subject to no other Liens (except as permitted by Section 9.01); or


                        10.08   Subsidiaries Guaranty.  At any time after the execution and delivery thereof, the Subsidiaries
Guaranty or any provision thereof shall cease to be in full force or effect as to any Subsidiary Guarantor, or any Subsidiary Guarantor or any Person acting by or on behalf of such Subsidiary Guarantor shall deny or disaffirm such Subsidiary Guarantor’s obligations under the Subsidiaries Guaranty or any Subsidiary Guarantor shall default in the due perform­ance or observance of any material term, covenant or agreement on its
part to be performed or observed pursuant to the Subsidiaries Guaranty; or


                        10.09   Judgments.  One or more judgments or decrees shall be entered against the Borrower or any of
its Subsidiaries involving in the aggregate for the Borrower and its Subsidiaries a liability (to the extent not paid or not covered by a reputable and solvent insurance com­pany) and such judgments and decrees either shall be final and non-appealable or shall
not bevacated, discharged or stayed or bonded pending appeal for any period of 30 consecutive days, and the aggregate amount of all such judgments and decrees (determined as provided in the preceding parenthetical
of this Section 10.09) exceeds $3,500,000; or


                        10.10   BHS Assets.  Any of the assets comprising the five acute care hospitals known as of the
Effective Date as Baptist Health System in San Antonio, Texas shall cease to be held by a Subsidiary Guarantor that is party to an effective Subsidiaries Guaranty and effective Security Documents, or any Equity Interests of any such Subsidiary Guarantor holding such
assets shall cease to be pledged pursuant to an effective Pledge Agreement (other than any such Equity Interests in VHS Acquisition Number 5, Inc. held by BaptistHealth
Services on the Effective Date and any Qualified Preferred Stock issued in replacement of such existing Equity Interests so long as the aggregate liquidation preference of such replacement Qualified Preferred Stock does not exceed $1,000,000); or


                        10.11   Change of Control.  A Change of Control shall occur;


then, and in any such event, and at any time thereafter, if any Event of Default shall then be continuing, the Administrative Agent, upon the written request of the Required Lenders, shall by written notice to the Borrower, take any or all of the following
actions, without prejudice to the rights of any Agent, any Lender or the holder of any Note to enforce its claims against any Credit Party (provided that, if an Event of Default specified in Section 10.05 shall occur with respect to the Borrower, the result
which would occur upon the giv­ing of written notice by the Administra­tive Agent to the Borrower as specified in clauses (i) and (ii) below shall occur auto­ma­tically without the giving of any such notice):  (i) declare the Total Commitments
terminated, whereupon all of the Commit­ments of each Lender shall forthwith terminate immediately and any Commitment Commission shall forthwith become due and payable without any other notice of any kind; (ii) declare the principal of and any accrued interest in
respect of all Loans and the Notes and all Obligations owing here­under and thereunder to be, whereupon the same shall become, forthwith due and payable with­out presentment, demand, protest or other notice of any kind, all of which are hereby waived by each
Credit Party; (iii) terminate any Letter of Credit which may be terminated in accordance with its terms; (iv) direct the Borrower to pay (and the Borrower agrees that upon receipt of such notice, or upon the occurrence of an Event of Default specified in Section
10.05 with respect to the Borrower, it will pay) to the Collateral Agent at the Payment Office such additional amount of cash, to be held as security by the Collat­eral Agent, as is equal to the aggregate Stated Amount of all Letters of Credit issued for the
account of the Borrower and then outstanding; (v) enforce, as Collateral Agent, all of the Liens
and security interests created pursuant to the Security Documents; and (vi) apply any cash collateral held by the Administrative Agent pursuant to Section 4.02 to the repayment of the Obligations.


                        SECTION 11. Definitions and Accounting Terms.


                        11.01   Defined Terms.  As used in this Agreement, the following terms shall have the following
meanings (such meanings to be equally applicable to both the singular and plural forms of the terms defined):


                        “Acquisition” shall mean the acquisition by the Borrower or any of its Subsidiaries (from a Person other than the
Borrower or a Subsidiary thereof) of Health Care Assets in accordance with the provisions of this Agreement.


                        “Acquisition CapEx” shall mean, for any period, the aggregate amount of all Capital Expenditures incurred or
committed to be incurred by the Borrower or any of its Subsidiaries within six months of the consummation of any Permitted Acquisition, which expendi­tures have been identified by the Borrower to the Administrative Agent as part of the aggregate value of all
consideration paid by the Borrower or such Subsidiary in respect of such Permitted Acquisition.


                        “Act” shall have the meaning provided in Section 13.17.


                        “Additional Capital Expenditures Amount” shall mean, for each fiscal year of the Borrower ending on or after June
30, 2005, an amount (not less than $0) equal to the product of (a) .05 multi­plied by the remainder of (x) the consolidated net revenue for such fiscal year attributable to Health Care Assets (other than health maintenance organizations, physician practices and
the physician practice management business of Watermark Physician Services, Inc.) of the Borrower and its Subsidiaries less (y) the consolidated net revenue for the Borrower’s fiscal year ended June 30, 2004 attribut­able to Health Care Assets (other than
health maintenance organizations, physician practices and the physician practice management business of Watermark Physician Services, Inc.) of the Borrower and its Subsidiaries (as determined in good faith by an Authorized Officer of the Borrower and set forth in
rea­sonable detail in the Compliance Certificate delivered by the Borrower to the Administra­tive Agent within 90 days following each fiscal year end of the Borrower pursuant to Section 8.01(d)).


                        “Additional Investment Amount” shall initially mean $0, provided that on each date (but no more than once
during any fiscal year of the Borrower) when the Borrower delivers the financial statements and related officer’s certificate required to be delivered pursuant to Sections 8.01(c) and (d) (commencing with the Borrower’s fiscal year ending June 30, 2005),
the Additional Investment Amount shall, to the extent the remainder referred to below is a positive number, be increased by an amount equal to 10% of the remainder of (i) Consolidated EBITDA for the respective fiscal year for which such financial statements and
related officer’s certificate have been delivered less (ii) Consolidated EBITDA for the fiscal year of the Borrower ending June 30, 2004.


                        “Additional Physician Support Obligations Amount” shall initially mean $0; provided that, on each date
(but no more than once during any fiscal year of the Borrower) when the Borrower delivers the financial statements and related officer’s certificate required to be delivered pursuant to Sections 8.01(c) and (d) (commencing with the Borrower’s fiscal year
ending June 30, 2005), the Additional Physician Support Obligations Amount shall, to the extent the remainder referred to below is a positive number, be increased by an amount equal to 5% of the remainder of (i) Consolidated EBITDA for the respective fiscal year for
which such financial statements and related officer’s certificate have been delivered less (ii) Consolidated EBITDA for the fiscal year of the Borrower ending June 30, 2004.


                        “Additional Security Documents” shall have the meaning provided in Section 8.12(a).


                        “Adjusted Consolidated Net Income” shall mean for any period Consolidated Net Income of the Borrower and its
Subsidiaries for such period plus, without duplication, the amount of all net non-cash charges (including, without limitation, depreciation, amortization, deferred tax expense, non-cash interest expense) and net non-cash losses which were included in arriving at
Consolidated Net Income for such period less the sum of the amount of all net non-cash gains and gains from the sale or other disposition of assets (other than sales of inventory in the ordinary course of business) which were included in arriving at Consolidated Net
Income for such period.


                        “Adjusted Consolidated Working Capital” at any time shall mean Consolidated Current Assets (but excluding
therefrom all cash and Cash Equivalents) less Consolidated Current Liabilities at such time.


                        “Administrative Agent” shall mean Bank of America in its capacity as Administrative Agent (including in its
capacity as Collateral Agent) for the Lenders hereunder, and shall include any successor to the Administrative Agent appointed pursuant to Section 12.09.


                        “Administrative Questionnaire” means an Administrative Questionnaire in a form supplied by the Administrative
Agent.


                        “Affected Loans” shall have the meaning provided in Section 4.02(j).


                        “Affiliate” shall mean, with respect to any Person, any other Person (i) directly or indirectly controlling
(including, but not limited to, all directors, executive officers and general partners of such Person), controlled by, or under direct or indirect common control with, such Person or (ii) that directly or indirectly owns more than 15% of any class of the voting
securities or capital stock of or Equity Interests in such Person.  A Person shall be deemed to control another Person if such Person possesses, directly or indirectly, the power to direct or cause the direction of the management and policies of such other
Person, whether through the ownership of voting securities, by contract or otherwise.


                        “Agent-Related Persons” means each Agent and the Collateral Agent, together with their respective Affiliates
(including, in the case of Bank of America, in its capacity as the Administrative Agent, BAS and Citigroup Global Markets Inc., in their capacities as Joint Lead Arrangers and Citicorp North America, Inc., in its capacity as Syndication Agent), and the officers,
directors, employees, agents and attorneys-in-fact of such Persons and Affiliates.


                        “Agents” shall mean the Administrative Agent, the Syndication Agent, the Co-Documentation Agents and the Joint
Lead Arrangers.


                        “Agreement” shall mean this Credit Agreement, as modified, supplemented, amended, restated, extended, renewed,
refinanced or replaced from time to time.


                        “Applicable Margin” shall mean, from and after any Start Date to and including the corresponding End Date (a)(i)
with respect to Revolving Loans and Swingline Loans, the respective percentage per annum set forth below under the respective Type of Loans and opposite the respec­tive Level (i.e., Level 1, Level 2, Level 3, Level 4 or Level 5, as the case may be)
indicated to have been achieved on the applicable Test Date (as shown on the respective officer’s certificate delivered pursuant to Section 8.01(d) or the first proviso below):


Applicable Margins for Revolving Loans and Swingline Loans



	
Level

		
Consolidated Leverage

 Ratio (calculated on a Pro

 Forma Basis in accordance

 with, and subject to the

 exceptions contained in,

 Section 11.02)

	
Revolving Loans

 maintained as

 Eurodollar Loans

	
Revolving Loans

 maintained as

 Base Rate Loans

 and Swingline

 Loans


	
 

	
 

	
 

	
 

	
 


	
1

	
 

	
Greater than or equal to

 4.25:1.00

	
2.75%

	
1.75%


	
 

	
 

	
 

	
 

	
 


	
2

	
 

	
Greater than or equal to

 3.50:1.00 but less than

 4.25:1.00

	
2.50%

	
1.50%


	
 

	
 

	
 

	
 

	
 


	
3

		
Greater than or equal to

 2.75:1.00 but less than

 3.50:1.00

	
2.25%

	
1.25%


	
 

	
 

	
 

	
 

	
 


	
4

		
Greater than or equal to

 2.00:1.00 but less than

 2.75:1.00

	
2.00%

	
1.00%


	
 

	
 

	
 

	
 

	
 


	
5

		
Less than 2.00:1.00

	
1.75%

	
0.75%







                        (ii)        with respect to Initial Term Loans, the respective percentage per annum set
forth below under the respective Type of Loans and opposite the respec­tive Level (i.e., Level 1 or Level 2, as the case may be) indicated to have been achieved on the applicable Test Date (as shown on the respective officer’s certificate delivered
pursuant to Section 8.01(d) or the first proviso below):


Applicable Margins for Initial Term Loans



	
Level

	
Consolidated Leverage

 Ratio (calculated on a Pro

 Forma Basis in accordance

 with, and subject to the

 exceptions contained in,

 Section 11.02)

	
Initial Term Loans

 maintained as

 Eurodollar Loans

	
Initial Term Loans

 maintained as

 Base Rate Loans


	
 

		
 

	
 


	
1

	
Greater than or equal to

 2.50:1.00

	
2.25%

	
1.25%


	
 

	
 

	
 

	
 


	
2

	
Less than 2.50:1.00

	
2.00%

	
1.00%







; provided, however, that if the Borrower fails to deliver the financial statements required to be delivered pursuant to Section 8.01(a) or (b) (accompanied by the officer’s certificate required to be delivered pursuant to Section 8.01(d)
showing the applicable Consolidated Leverage Ratio (as calculated on a Pro Forma Basis in accordance with Section 11.02 for purposes of determining Applicable Margins) on the relevant Test Date) on or prior to the respective date required by such
Sections, then Level 1 pricing shall apply until such time, if any, as the financial statements required as set forth above and the accompanying officer’s certificate have been delivered show­ing the pricing for the respective Margin Reduction Period is at
a level which is less than Level 1 (it being understood that, in the case of any late delivery of the financial statements and officer’s certificate as so required, any reduction in the Applicable Margin shall apply only from and after the date of the delivery
of the complying financial statements and officer’s certificate); provided further, that (x) subject, in each case, to following clause (y), (i) Level 3 pricing shall apply for Revolving Loans and Swingline Loans and (ii) Level 1 pricing shall apply
for Initial Term Loans, in each case, for the period from the Effective Date to but not includ­ing the date which is the first Start Date after the delivery of its financial statements in respect of the Borrowers’ fiscal quarter ending on September 30, 2004
and (y) Level 1 pricing shall apply for all Loans at any time when any Default or Event of Default is in existence; and


                        (b)        with respect to any Tranche of Incremental Term Loans, the respective
percentages per annum relating to the respective Type of such Tranche of Incremental Term Loans as set forth in the applicable Incremental Commitment Agreement (or, in the case of any Tranche of Incremental Term Loans extended pursuant to more than one Incremental
Commitment Agreement, as may be provided in the first Incremental Commitment Agreement executed and delivered with respect to such Tranche).


                        “Approved Fund” shall have the meaning provided in Section 13.04(g).


                        “Assignment and Assumption Agreement” shall mean an Assignment and Assumption Agreement substantially in the form
of Exhibit P (appropriately completed).


                        “Authorized Officer” of any Credit Party shall mean any of the President, the Chief Financial Officer or any
Vice-President of such Credit Party or any other officer of such Credit Party which is designated in writing to the Administrative Agent by any of the foregoing officers of such Credit Party as being authorized to give such notices under this Agreement.


                        “Bank of America” shall mean Bank of America, N.A., in its individual capacity.


                        “Bankruptcy Code” shall have the meaning provided in Section 10.05.


                        “BAS” shall mean Banc of America Securities LLC, in its individual capacity. 


                        “Base Rate” at any time shall mean the higher of (i) the rate which is 1/2 of 1% in excess of the Federal Funds
Rate and (ii) the Prime Lending Rate.


                        “Base Rate Loan” shall mean (i) each Swingline Loan and (ii) each other Loan designated or deemed designated as
such by the Borrower at the time of the incurrence thereof or conversion thereto.


                        “BHS” shall mean the five-hospital network known as the Baptist Health Systems located in San Antonio, Texas.


                        “BHS Acquisition” shall mean the acquisition of BHS by one or more Subsidiaries of the Borrower.


                        “BHS PIK Preferred Stock” shall mean pay-in-kind preferred stock of the Borrower $0.01 par value per share, and
any additional shares thereof issued as pay-in-kind Dividends, issued to the seller of BHS as partial consideration for the BHS Acquisition.


                        “BHS PIK Preferred Stock Document” shall mean the Certificate of Designation, Preferences and Rights for the BHS
PIK Preferred Stock, as in effect on December 17, 2002 and as the same may be amended, modified or supplemented from time to time in accordance with the terms hereof and thereof.


                        “Borrower” shall have the meaning provided in the first paragraph of this Agreement.


                        “Borrowing” shall mean the borrowing of one Type of Loan from all the Lenders (or from the Swingline Lender in
the case of Swingline Loans) on a given date (or re­sulting from a conversion or conversions on such date) having in the case of Eurodollar Loans the same Interest Period, provided that Base Rate Loans incurred pursuant to Section 1.10(b) shall be
considered part of the related Borrowing of Eurodollar Loans.


                        “Business Day” shall mean (i) for all purposes other than as covered by clause (ii) below, any day except
Saturday, Sunday and any day which shall be in New York, New York a legal holiday or a day on which banking institutions are authorized or required by law or other govern­ment action to close and (ii) with respect to all notices and determinations in
connection with, and payments of principal and interest on, Eurodollar Loans, any day which is a Business Day described in clause (i) above and which is also a day for trading by and between banks in the London interbank Eurodollar market.


                        “Capital Expenditures” shall mean, with respect to any Person, all expenditures by such Person which should be
capitalized in accordance with GAAP and reflected as either prop­erty, plant or equipment, and, without duplication, the amount of Capitalized Lease Obligations incurred by such Person, provided that Capital Expenditures shall not include (i) financing
costs required to be capitalized, (ii) the purchase price of Permitted Acquisitions to the extent paid during such period, (iii) any Acquisition CapEx incurred or com­mitted to be incurred during such period, and (iv) interim costs incurred during such
period in connection with a proposed acqui­sition to the extent such costs would constitute a part of the purchase price for such acqui­si­tion upon its consummation; provided that at any time such proposed acquisition is no longer expected to
occur, all costs excluded from this definition of Capital Expenditures pursuant to this clause (iv) shall be reversed and expensed in the current period.


                        “Capitalized Lease Obligations” of any Person shall mean all rental obligations which, under GAAP, are or will be
required to be capitalized on the books of such Person, in each case taken at the amount thereof accounted for as indebtedness in accordance with such principles.


                        “Captive Insurance Subsidiary” shall mean Volunteer Insurance Ltd., a company with limited liability organized
under the laws of Bermuda.


                        “Cash Equivalents” shall mean, as to any Person, (i) securities issued or directly and fully guaranteed or
insured by the United States or any agency or instrumental­ity thereof (provided that the full faith and credit of the United States is pledged in support thereof) having maturities of not more than one year from the date of acquisition, (ii) Dollar
denominated time deposits and certificates of deposit of any commercial bank having, or which is the principal bank­ing subsidiary of a bank holding company having, capital in excess of $500,000,000 with maturi­ties of not more than one year from the date of
acquisition by such Person, (iii) repurchase obliga­tions with a term of not more than 30 days for underlying securities of the types described in clause (i) above entered into with any bank meeting the qualifications specified in clause (ii) above, (iv)
commercial paper issued by any Person incorporated in the United States rated at least A-2 or the equivalent thereof by S&P or at least P‐2 or the equivalent thereof by Moody’s and in each case maturing not more than 270 days after the date of
acquisition by such Person, (v) other Dollar denominated securities issued by any Person incorporated in the United States rated at least “A-” or the equivalent by S&P or at least “A3” or the equivalent by Moody’s and in each case
either (x) maturing not more than 90 days after the date of acquisition by such Person or (y) which are subject to a repricing arrangement (such as a Dutch auction) not more than 270 days after the date of acquisition by such Person which such Person believes in
good faith will permit such Person to sell such security at par in connection with such repricing mechanism and (vi) investments in money market funds substantially all of whose assets are comprised of securities of the types described in clauses (i) through
(iv) above.


                        “CERCLA” shall mean the Comprehensive Environmental Response, Compensa­tion, and Liability Act of 1980, as
the same may be amended from time to time, 42 U.S.C.A. § 9601 et seq.


                        “Change of Control” shall mean (w) (i) at any time prior to the consummation of a Qualified Public Offering, the
Morgan Stanley Holders shall cease to own at least 50.1% of the voting interests in the Borrower’s (or after, a Holding Company Reorganization Transaction has occurred, New Holdco’s) Equity Interests, or (ii) at any time after the consummation of a
Qualified Public Offering, (A) the Morgan Stanley Holders shall cease to own at least 30% of the voting interests in the Borrower’s (or after, a Holding Company Reorganization Transaction has occurred, New Holdco’s) Equity Interests or (B) any
Person or “group” (within the mean­ing of Rules 13d-3 or 13d-5 under the Exchange Act (as in effect on the Effective Date)) (for this purpose, excluding the Morgan Stanley Holders), shall have acquired beneficial owner­ship of a percentage of the
voting interest in the Borrower’s (or after, a Holding Company Reorganization Transaction has occurred, New Holdco’s) Equity Interests which exceeds the percent­age ownership of the Morgan Stanley Holders of the voting interests in the
Borrower’s (or after, a Holding Company Reorganization Transaction, New Holdco’s) Equity Interests, (x) at any time after a Holding Company Reorganization Transaction has occurred, New Holdco shall cease to own 100% of the Equity Interests in the
Borrower, (y) any Person or “group” (within the meaning of Rules 13d-3 or 13d-5 of the Exchange Act (as in effect on the Effective Date)) (for this purpose excluding the Morgan Stanley Holders) shall have obtained the power (whether or not exercised) to
elect a majority of the Borrower’s directors, provided that no Person shall be deemed a member of any such group merely by having become a party to any Shareholders’ Agreement to which Morgan Stanley Capital Partners or its Affiliates is a party or
(z) a “Change of Control,” as defined in the Senior Subordinated Note Documents, the Convertible Subordinated Debt Documents or the BHS PIK Preferred Stock Documents, shall occur under the Senior Subordinated Note Documents, the Convertible Subordinated
Debt Documents or the BHS PIK Preferred Stock Documents, as the case may be, or a comparable event, whether or not so titled, shall occur under any Permitted Subordinated Note Document or any Permitted Senior Unsecured Note Document.


                        “Claims” shall have the meaning provided in the definition of “Environmental Claims.”


                        “Co-Documentation Agents” shall have the meaning provided in the first paragraph of this Agreement.


                        “Code” shall mean the Internal Revenue Code of 1986, as amended from time to time, and the regulations
promulgated thereunder.  Section references to the Code are to the Code, as in effect at the date of this Agreement, and to any subsequent provision of the Code, amendatory thereof, supplemental thereto or substituted therefor.


                        “Collateral” shall mean all property with respect to which any security interests have been granted (or purported
to be granted) pursuant to any Security Document, including, without limitation, all Pledge Agreement Collateral, all Security Agreement Collateral and the Mortgaged Properties.


                        “Collateral Agent” shall mean the Administrative Agent acting as collateral agent for the Secured Creditors
pursuant to the Security Documents.


                        “Collective Bargaining Agreements” shall have the meaning provided in Section 5A.05.


                        “Commitment” shall mean any of the commitments of any Lender, i.e., whether the Initial Term Loan
Commitment, the Revolving Loan Commitment or any Incremental Term Loan Commitment of such Lender.


                        “Commitment Commission” shall have the meaning provided in Section 3.01(a).


                        “Consolidated Cash Interest Expense” shall mean, for any period, the total consoli­dated cash interest
expense, in each case, for such period (calculated without regard to any limitations on the payment thereof) plus, without duplication, that portion of Capitalized Lease Obligations of the Borrower and its Subsidiaries representing the interest factor for such period
but (i) excluding (x) interest expense not payable in cash by its terms (including amortization of discount, deferred financing costs to the extent included in this defini­tion of Consolidated Cash Interest Expense, interest expense recognized on unfunded
mal­practice liability reserves and interest on life insurance policies owned by the Borrower to the extent not paid in cash), (y) prepayment premiums relating to the prepayment of term loans under the Existing Credit Agreement and (z) to the extent such
redemption is permitted hereunder, any tender or call premium paid in connection with the redemption of any Permitted Senior Unsecured Notes, Permitted Senior Subordinated Notes or any other Indebtedness permitted to be outstanding or incurred pursuant to this
Agreement and (ii) subtracting from Consolidated Cash Interest Expense as otherwise determined above for any period, the cash portion of interest income actually received by the Borrower and its Subsidiaries during such period, all as determined on a
consoli­dated basis in accordance with GAAP.


                        “Consolidated Current Assets” shall mean, at any time, the amounts that would be classified as consolidated
current assets of the Borrower and its Subsidiaries in accordance with GAAP in a classified balance sheet.


                        “Consolidated Current Liabilities” shall mean, at any time, the amounts that would be classified as consolidated
current liabilities of the Borrower and its Subsidiaries at such time in accordance with GAAP in a classified balance sheet, but excluding the current portion of any Indebtedness under this Agreement and any other long-term Indebtedness which would other­wise be
included therein.


                        “Consolidated Debt” shall mean, at any time, (a) the principal amount of all Indebtedness (excluding (x)
Indebtedness of the type described in clauses (iii), (v) or (vi) of the definition thereof to the extent such Indebtedness would not appear on a consolidated balance sheet of the Borrower and its Subsidiaries as debt or capital leases in accordance with GAAP (it
being understood and agreed that for the purposes of this clause (x) up to $5,000,000 of Indebtedness of the type described in clause (vi) of the definition thereof that is otherwise required to be reflected on a balance sheet as debt in accordance with GAAP may be
excluded from the definition of Consolidated Debt if as of July 30, 2001 such Indebtedness was not required to be so reflected as debt on a balance sheet in accordance with GAAP as in effect on such date) and (y) Indebtedness of the type described in clause (ii) of
the definition thereof to the extent such Indebtedness consists of undrawn amounts in respect of letters of credit) of the Borrower and its Subsidiaries at such time (including any Indebtedness incurred at such time), less (b) the amount of cash and Cash Equivalents
held by the Borrower and its Subsidiaries at such time and which would appear on a consolidated balance sheet of the Borrower and its Subsidiaries as part of the consoli­dated assets of the Borrower; provided that if any Revolving Loans or Swingline Loans
are outstand­ing at such time then the amount of cash and Cash Equivalents deducted pursuant to this clause (b) shall not exceed the sum of (x) $25,000,000 and (y) the Required AHCCS Amount at such time; provided further that cash or Cash Equivalents which are
deposited with, or held by, Subsidiaries of the Borrower that have a contract with the Arizona Health Care Cost Containment System to arrange health care services for Medicaid patients shall only reduce Consolidated Debt to the extent such cash or Cash Equivalents,
as the case may be, (x) are required by the Arizona Health Care Cost Containment System (or the relevant governmental authori­ties having jurisdiction over same) to remain with such Subsidiaries on the date for which Consolidated Debt is being determined (which
date for which Consolidated Debt is being deter­mined must be within seven days prior to or seven days after the last day of any fiscal quarter of the Borrower or there shall be no reduction to the amount of Consolidated Debt for cash or Cash Equivalents held by
such Subsidiaries) and (y) shall not be required by the Arizona Health Care Containment System (or other relevant governmental authority) to remain with such Subsidiary at any time other than during the period beginning seven days prior to, and ending seven days
after, the last day of any fiscal quarter of the Borrower.


                        “Consolidated Debt/Total Capitalization Ratio” shall mean, at any time, the ratio of Consolidated Debt at such
time to Total Capitalization at such time.


                        “Consolidated EBIT” shall mean, for any period, Consolidated Net Income of the Borrower and its Subsidiaries
plus, in each case to the extent actually deducted in determining Consolidated Net Income for such period, Consolidated Cash Interest Expense and provision for taxes for such period adjusted to exclude for such period (v) any extraordinary gains or losses, (w) any
gains or losses from non-current assets held for divestiture or write-downs of non-current assets relating to impairments or the sale of non-current assets, (v) minority interests (to the extent distributions are not required to be made and are not made in respect
thereof), (x) non-recurring, non-cash charges and adjustments (excluding any non-cash charges or adjustments related to any inventory or receivables of any Credit Party and any non-cash charges that require an accrual of or reserves for cash charges for any future
period), provided that, for purposes of this clause (x), any noncash charges or adjustments shall be treated as cash charges of adjustments in any subsequent period during which cash disbursements attributable thereto are made, (y) any debt extinguishment
charges paid in connection with the Refinancing or any other repayment of Indebtedness permitted pursuant to the terms of this Agreement and (z) non-cash expenses incurred in connection with stock options, stock appreciation rights or other similar equity rights.


                        “Consolidated EBITDA” shall mean, for any period, Consolidated EBIT for such period, adjusted by adding thereto
the amount of all amortization and depreciation that were deducted in arriving at Consolidated EBIT for such period.


                        “Consolidated Interest Coverage Ratio” shall mean, for any period, the ratio of Consolidated EBITDA for such
period to Consolidated Cash Interest Expense for such period.


                        “Consolidated Leverage Ratio” shall mean, at any time, the ratio of Consolidated Debt at such time to
Consolidated EBITDA for the Test Period ended on the date of determin­ation or, if the date of determination is not the last day of a Test Period, for the then most recently ended Test Period.


                        “Consolidated Net Income” shall mean, for any Person and period, the net income (or loss) of such Person and its
Subsidiaries for such period, determined on a consolidated basis, provided that (i) in determining Consolidated Net Income of the Bor­rower, the net income of any other Person which is not a Subsidiary of the Borrower or a Subsidi­ary thereof or is
accounted for by the Borrower or a Subsidiary thereof by the equity method of accounting shall be included only to the extent of the payment of dividends or distribu­tions by such other Person to the Borrower or a Subsidiary thereof during such period, (ii) in
determining Consolidated Net Income of the Borrower, the net income of any Health Care Joint Venture shall not be included to the extent that payment of dividends or distributions by such Health Care Joint Venture to the Borrower or a Wholly-Owned Subsidiary are
prohibited pursuant to the organizational docu­ments relating to such Health Care Joint Venture and (iii) to the extent Consolidated Net Income includes amounts attributable to minority interests in non-Wholly-Owned Subsidiaries of the Borrower, Consolidated Net
Income shall be reduced by the amounts attributable to such minority interests.


                        “Consolidated Net Worth” shall mean, at any time, the consolidated stockholders’ equity of the Borrower at
such time plus, to the extent not otherwise included, any preferred stock of the Borrower, with the foregoing determinations to be made in accordance with GAAP.


                        “Consolidated Senior Debt” shall mean, at any time, the remainder of (x) Consolidated Debt at such time
less (y) the sum of (i) the aggregate principal amount of Senior Subordinated Notes outstanding at such time (to the extent same are reflected in Consolidated Debt at such time), (ii) the aggregate principal amount of all Permitted Subordinated Notes
outstanding at such time (to the extent same are reflected in Consolidated Debt at such time) and (iii) the aggregate principal amount of all Convertible Subordinated Debt outstanding at such time (to the extent same are reflected in Consolidated Debt at such
time).


                        “Consolidated Senior Leverage Ratio” shall mean, at any time, the ratio of Consolidated Senior Debt at such time
to Consolidated EBITDA for the Test Period ended on the date of determination or, if the date of determination is not the last day of a Test Period, for the then most recently ended Test Period. 


                        “Contingent Obligation” shall mean, as to any Person, any obligation of such Person guaranteeing or intended to
guarantee (including, without limitation, as a result of such Person being a general partner of the other Person, unless the underlying obligation is expressly made non-recourse as to such general partner) any Indebtedness, leases, dividends or other
obli­ga­tions (“primary obligations”) of any other Person (the “primary obligor”) in any manner, whether directly or indirectly, including, without limitation, any obligation of such Person, whether or not contingent, (i) to purchase
any such primary obligation or any property consti­tut­ing direct or indirect security therefor, (ii) to advance or supply funds (x) for the purchase or pay­ment of any such primary obligation or (y) to maintain working capital or equity capital of the
primary obligor or otherwise to maintain the net worth or solvency of the primary obligor, (iii) to purchase property, securities or services primarily for the purpose of assuring the owner of any such primary obligation of the ability of the primary obligor to make
payment of such primary obli­gation or (iv) otherwise to assure or hold harmless the holder of such primary obligation against loss in respect thereof; provided, however, that the term Contingent Obligation shall not include endorsements of
instruments for deposit or collection in the ordinary course of business.  The amount of any Contingent Obligation shall be deemed to be an amount equal to the stated or determinable amount of the primary obligation in respect of which such Contingent Obligation
is made or, if not stated or determinable, the maximum reasonably anticipated liability in respect thereof (assuming such Person is required to perform thereunder) as determined by such Person in good faith.


                        “Convertible Subordinated Debt” shall mean unsecured convertible subordinated debt of the Borrower evidenced by
that certain 8.18% Convertible Subordinated Note due 2013 issued to the seller of BHS as partial consideration for the BHS Acquisition, as in effect on the January 1, 2003 and as the same may be amended, modified or supplemented from time to time in accordance with
the terms hereof and thereof. 


                        “Convertible Subordinated Debt Documents” shall mean that certain 8.18% Convertible Subordinated Note due 2013
and each other document or agreement relating to the issuance of such Convertible Subordinated Note due 2013.


                        “Credit Documents” shall mean this Agreement and, after the execution and deliv­ery thereof pursuant to the
terms of this Agreement, each Note, the Subsidiaries Guaranty, each Security Document, each Incremental Commitment Agreement and each Joinder Agreement.


                        “Credit Event” shall mean the making of any Loan or the issuance of any Letter of Credit but shall not include
the commencement of a new Interest Period applicable to a Borrow­ing of Eurodollar Loans upon the expiration of the Interest Period applicable thereto or the con­version of Loans of one Type into Loans of the other Type, provided that, in any such
case, the aggregate outstanding principal amount of Loans is not increased as a result thereof.


                        “Credit Party” shall mean the Borrower and each Subsidiary Guarantor.


                        “Current Liabilities” shall mean, as to any Person, accrued expenses, trade pay­ables and insurance premiums
payable within one year of the incurrence thereof of such Person.


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


                        “Defaulting Lender” shall mean any Lender with respect to which a Lender Default is in effect.


                        “Disposition” shall mean any sale, lease, sale and lease-back, assignment, conveyance, transfer or other
disposition by the Borrower or any of its Subsidiaries (to a Person other than the Borrower or a Subsidiary thereof) of any Health Care Assets.


                        “Dividends” with respect to any Person shall mean that such Person has declared or paid a dividend or returned
any equity capital to its stockholders or partners or authorized or made any other distribution, payment or delivery of property (other than common stock (or equiv­a­lent thereof) of such Person) or cash to its stockholders, members or partners as such, or
redeemed, retired, purchased or otherwise acquired, directly or indirectly, for a consideration any shares of any class of its capital stock or any other Equity Interests outstanding on or after the Effective Date (or any options or warrants issued by such Person
with respect to its capital stock or other Equity Interests), or set aside any funds for any of the foregoing purposes, or shall have permitted any of its Subsidiaries to purchase or otherwise acquire for a considera­tion any shares of any class of the capital
stock or other Equity Interests of such Person outstand­ing on or after the Effective Date (or any options or warrants issued by such Person with respect to its capital stock or other Equity Interests).  Without limiting the foregoing,
“Dividends” with respect to any Person shall also include all payments (other than as excluded above) made or required to be made by such Person with respect to any stock appreciation rights, plans, equity incentive or achieve­ment plans or any
similar plans (other than payments under normal cash bonus plans for employees that are approved by the board of directors of the Borrower) or setting aside of any funds for the foregoing purposes.


                        “Dollars” and the sign “$” shall each mean freely transferable lawful money of the United States.


                        “Drawing” shall have the meaning provided in Section 2.05(b).


                        “Effective Date” shall have the meaning provided in Section 13.10.


                        “Eligible Assignee” shall have the meaning provided in Section 13.04(g).


                        “Employee Benefit Plans” shall have the meaning provided in Section 5A.05.


                        “End Date” shall mean, for any Margin Reduction Period, the last day of such Margin Reduction Period.


                        “Environmental Claims” shall mean any and all administrative, regulatory or judi­cial actions, suits, formal
demands, demand letters, claims, liens, notices of non-compliance or violation, investigations or proceedings relating in any way to any Environmental Law or any per­mit issued, or any approval given, under any such law (hereafter “Claims”),
including, with­out limitation, (a) any and all Claims by governmental or regulatory authorities for enforce­ment, cleanup, removal, response, remedial or other actions or damages pursuant to any appli­cable Environmental Law, and (b) any and all Claims
by any third party seeking damages, contri­bu­tion, indemnification, cost recovery, compensation or injunctive relief in connection with alleged injury or threat of injury to health, safety or the environment due to the presence of Hazardous Materials.


                        “Environmental Law” shall mean any applicable Federal, state, foreign or local statute, law, rule, regulation,
ordinance, code, written guideline, written policy and rule of com­mon law now or hereafter in effect and in each case as amended, and any binding judicial or admin­istrative interpretation thereof, including any judicial or administrative order, consent
decree or judgment binding on the Borrower or any Subsidiary, as applicable, and relating to the environ­ment, occupational safety and health or Hazardous Materials, including, with­out limita­tion, CERCLA; RCRA; the Federal Water Pollution Control Act,
33 U.S.C.A. § 2601 et seq.; the Toxic Substances Control Act, 15 U.S.C. § 2601 et seq.; the Clean Air Act, 42 U.S.C.A. § 7401 et seq.; the Safe Drinking Water Act, 42 U.S.C.A. § 3803 et
seq.; the Oil Pollution Act of 1990, 33 U.S.C.A. § 2701 et seq.; the Emergency Planning and the Community Right-to-Know Act of 1986, 42 U.S.C.A. § 11001 et seq.; the Hazardous Material Transportation Act, 49 U.S.C.A.
§ 1801 et seq.; the Occupational Safety and Health Act, 29 U.S.C.A. § 651 et seq.; and any state and local or foreign counterparts or equivalents, in each case as amended from time to time.


                        “Equity Interests” of any Person shall mean any and all shares, interests, rights to purchase, warrants, options,
participations or other equivalents of or interests in (however desig­nated) equity of such Person, including any common stock, preferred stock, any limited or general partnership interest and any limited liability company membership interest.


                        “Equity Investment” shall mean any Investment evidenced solely by Equity Interests.


                        “ERISA” shall mean the Employee Retirement Income Security Act of 1974, as amended from time to time, and the
regulations promulgated and rulings issued thereunder.  Sec­tion references to ERISA are to ERISA, as in effect at the date of this Agreement and any subse­quent provisions of ERISA, amendatory thereof, supplemental thereto or substituted therefor.


                        “ERISA Affiliate” shall mean each person (as defined in Section 3(9) of ERISA) which together with the Borrower
or a Subsidiary of the Borrower would be deemed to be a “single employer” within the meaning of Section 414(b), (c), (m) or (o) of the Code.


                        “Eurodollar Loan” shall mean each Loan designated as such by the Borrower at the time of the incurrence thereof
or conversion thereto.


                        “Eurodollar Rate” shall mean for any Interest Determination Date with respect to an Interest Period for a
Eurodollar Loan, the rate per annum obtained by dividing (i)(a) the per annum rate for deposits in Dollars for a period corresponding to the duration of the relevant Interest Period which appears on Telerate Page 3750 at approximately 11:00 A.M. (London time)
on such Interest Determination Date or (b) if such rate does not appear on Telerate Page 3750 on such Interest Determination Date, the rate per annum (rounded upward to the nearest 1/16 of one percent) at which deposits in Dollars are offered by Administrative Agent
to first-class banks in the London interbank market, in the approximate amount of Administrative Agent’s relevant Eurodollar Loan and having a maturity approximately equal to such Interest Period, at approxi­mately 11:00 A.M. (London time) on such Interest
Determination Date by (ii) a percentage equal to 100% minus the then stated maximum rate of all reserve requirements (includ­ing, without limita­tion, any marginal, emergency, supple­mental, special or other reserves required by appli­cable
law) applicable to any member bank of the Federal Reserve System in respect of Eurocurrency funding or liabilities as defined in Regulation D (or any successor cate­gory of liabili­ties under Regulation D).  The Eurodollar Rate shall be rounded to the
next higher multiple of 1/100 of 1% if the rate is not such a multiple.  The reference to Telerate Page 3750 in this defini­tion shall be construed to be a reference to the rele­vant page or any other page that may replace such page on the Telerate
service or any other ser­vice that may be nominated by the British Bankers’ Association as the information vendor for the purpose of displaying British Bankers’ Association Interest Settlement Rates for deposits in Dollars.


                        “Event of Default” shall have the meaning provided in Section 10.


                        “Excess Cash Flow” shall mean, for any period, the remainder of (i) the sum of (a) Adjusted Consolidated Net
Income for such period and (b) the decrease, if any, in Adjusted Consolidated Working Capital from the first day to the last day of such period, minus (ii) the sum of (a) the amount of all Capital Expenditures and, without duplication, Acquisition CapEx made by the
Borrower and its Subsidiaries pursuant to Section 9.07(b), (c) and (d) during such period, in each case except to the extent financed with Indebtedness (including without limitation proceeds of Revolving Loans or Swingline Loans hereunder), (b) the aggregate
principal amount of perman­ent principal payments of Indebtedness for borrowed money of the Borrower and its Subsidiaries (other than repayments (x) made with proceeds of Indebtedness, equity issuances, asset sales or Recovery Events and (y) of Loans,
provided that repayments of Loans shall be included in the deduction set forth in clause (ii)(b) above in determining Excess Cash Flow if such repayments were (x) required as a result of a Scheduled Term Loan Repayment under Section 4.02(b) or (y) made as a
voluntary prepayment with internally generated funds (but in the case of a voluntary prepayment of Revolving Loans or Swingline Loans, only to the extent accom­panied by a voluntary reduction to the Total Revolving Loan Commitment in an equal amount)) during such
period and (c) the increase, if any, in Adjusted Consolidated Working Capital from the first day to the last day of such period.


                        “Excess Cash Payment Date” shall mean the date occurring 95 days after the last day of each fiscal year of the
Borrower (beginning with its fiscal year ending June 30, 2004).


                        “Excess Cash Payment Period” shall mean, with respect to the repayment required on each Excess Cash Payment Date,
the immediately preceding fiscal year of the Borrower.


                        “Exchange Act” shall mean the Securities Exchange Act of 1934, as amended, and the rules and regulations
promulgated thereunder.


                        “Exchange Senior Subordinated Notes” shall mean Senior Subordinated Notes which are substantially identical
securities to the Senior Subordinated Notes issued on July 30, 2001, which Exchange Senior Subordinated Notes shall be issued pursuant to a registered exchange offer or private exchange offer for the Senior Subordinated Notes and pursuant to the Senior Subordinated
Notes Indenture.  In no event will the issuance of any Exchange Senior Subordinated Notes increase the aggregate principal amount of Senior Subordinated Notes then outstanding or otherwise result in an increase in the interest rate applicable to the Senior
Subordinated Notes.


                        “Existing Credit Agreement” shall mean the Credit Agreement, dated as of July 30, 2001 (as amended through
the date hereof), among Vanguard Health Systems, Inc., as Borrower, the Lenders party thereto from time to time, Bank of America Securities LLC and  Morgan Stanley Senior Funding, Inc., as joint lead arrangers and book managers, Bank of America, N.A., as
administrative agent, Morgan Stanley Senior Funding, Inc., as syndication agent and First Union National Bank and General Electric Capital Corporation, as co-documentation agents.


                        “Existing Incremental B Term Loans” shall mean the “Incremental B Term Loans” under, and as defined
in, the Existing Credit Agreement.


                        “Existing Indebtedness” shall have the meaning provided in Section 7.22.


                        “Existing Indebtedness Agreements” shall have the meaning provided in Section 5A.05.


                        “Existing Investments” shall mean those Investments held by the Borrower and its Subsidiaries on the Effective
Date and listed on Schedule XI hereto.


                        “Existing Letters of Credit” shall have the meaning provided in Section 2.01(a).


                        “Facing Fee” shall have the meaning provided in Section 3.01(d).


                        “FD Funds” shall mean each of (i) First Dominion Funding I and (ii) First Dominion Funding II.


                        “Federal Funds Rate” shall mean, for any period, a fluctuating interest rate equal for each day during such
period to the weighted average of the rates on overnight Federal Funds transactions with members of the Federal Reserve System arranged by Federal Funds brokers, as published for such day (or, if such day is not a Business Day, for the next preceding Business Day) by
the Federal Reserve Bank of New York, or, if such rate is not so published for any day which is a Business Day, the average 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.


                        “Fees” shall mean all amounts payable pursuant to or referred to in Section 3.01.


                        “Foreign Pension Plan” means any plan, fund (including, without limitation, any super­annuation fund) or
other similar program established or maintained outside the United States of America by the Borrower or any one or more of its Subsidiaries primarily for the benefit of employees of the Borrower or such Subsidiaries residing outside the United States of America,
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.


                        “Fund” shall have the meaning provided in Section 13.04(g).


                        “GAAP” shall have the meaning provided in Section 13.07(a).


                        “Hazardous Materials” shall mean (a) any petroleum or petroleum products, radio­active materials, asbestos in
any form that is friable, urea formaldehyde foam insulation, dielectric fluid containing levels of polychlorinated biphenyls, and radon gas; (b) any chemicals, materials or substances defined as or included in the definition of “hazardous substances,”
“hazardous wastes,” “hazardous materials,” “restricted hazardous materials,” “extremely hazardous wastes,” “restric­tive hazardous wastes,” “toxic sub­stances,” “toxic
pollutants,” “contaminants” or “pollutants,” or words of similar meaning and regulatory effect under any applicable Environmental Law; and (c) any other chemical, material or substance, the Release of which is prohibited, limited or
regulated by any governmental authority.


                        “Health Care Asset” shall mean (a) a medical surgical facility, acute care facility or hospital, psychiatric
hospi­tal, surgical center, health maintenance organization, preferred provider organization, retire­ment center or physician practice, (b) any asset held or used in the conduct of the businesses of owning or operating any of the foregoing or any ancillary
business related to any of the fore­going, including, without limitation, any medical office building, diagnostic center, physical therapy center, home health care services center, skilled nursing facility or other health care service pro­vider and (c) the
stock or other Equity Interests of any Person all or substantially all of whose assets consist of any of the foregoing.


                        “Health Care Joint Venture” shall mean a Person engaged primarily in the operation of businesses utilizing Health
Care Assets in which the Borrower and its Wholly-Owned Subsidiaries collectively own less than 100% of the Equity Interests.


                        “Holding Company Reorganization Transaction” shall mean a transaction, either by merger or share exchange, the
result (and only result) of which is that a newly formed corporation organized under the laws of a State of the United States and having no assets (other than initial capitalization in a nominal amount) or liabilities at the time of the formation thereof (such
corporation, “New Holdco”) becomes the owner of 100% of the Equity Interests of the Borrower; and the Persons which held the Equity Interests of the Borrower immediately prior to such transaction hold Equity Interests in New Holdco and in the same
relative amounts as such Persons had held the Equity Interests of the Borrower.


                        “Hospital Property” shall mean each psychiatric hospital or acute care hospital, and the campus and Real Property
on which such hospital is located, owned, leased or operated by the Borrower or any of its Subsidiaries (including the furniture, fixture and equipment thereon).


                        “Incremental Commitments” shall mean, collectively, the Incremental Revolving Loan Commitments and the
Incremental Term Loan Commitments.


                        “Incremental Commitment Agreement” shall mean an Incremental Commitment Agreement substantially in the form of
Exhibit C (appropriately completed and with such modifications as may be acceptable to the Administrative Agent).


                        “Incremental Commitment Expiry Date” shall mean (i) in the case of requests for Incremental Term Loan Commitments
pursuant to Section 1.13, the Revolving Loan Maturity Date and (ii) in the case of requests for Incremental Revolving Commitments pursuant to Section 1.13, May 18, 2006.


                        “Incremental Lender” shall have the meaning provided in Section 1.13(b).


                        “Incremental Revolving Loan Commitment” shall mean, for each Lender, any commitment by such Lender to make
Revolving Loans pursuant to Section 1.01(b) as agreed to by such Lender in the respective Incremental Commitment Agreement delivered pursuant to Section 1.13; it being understood, however, that on each date upon which an Incremental Revolving Loan Commitment
of any Lender becomes effective, such Incremental Revolving Loan Commitment of such Lender shall be added to (and thereafter become a part of) the Revolving Loan Commitment of such Lender for all purposes of this Agreement as contemplated by Section 1.13.


                        “Incremental Term Loan” shall have the meaning provided in Section 1.01(e).


                        “Incremental Term Loan Borrowing Date” shall mean each date on which Incremental Term Loans are incurred pursuant
to Section 1.01(e).


                        “Incremental Term Loan Commitment” shall mean, for the respective Incremental Lender, the commitment of such
Incremental Lender to make Incremental Term Loans pursuant to Section 1.01(e) on a given Incremental Term Loan Borrowing Date, as such commitment (x) is set forth in the respective Incremental Commitment Agreement delivered pursuant to Section 1.13(b) and (y) may be
reduced pursuant to Section 4.02 or terminated pursuant to Sections 3.03 and/or 10.


                        “Incremental Term Loan Maturity Date” shall mean for any Tranche of Incremental Term Loans, the maturity date for
such Tranche of Incremental Term Loans set forth in the Incremental Commitment Agreement relating thereto, provided that the Maturity Date for all Incremental Term Loans of a given Tranche shall be the same date.


                        “Incremental Term Note” shall have the meaning provided in Section 1.05(a).


                        “Indebtedness” shall mean, as to any Person, without duplication, (i) all indebt­ed­ness (including
principal, interest, fees and charges) of such Person for borrowed money or for the deferred purchase price of property or services, (ii) the maximum amount available to be drawn under all letters of credit issued for the account of such Person and all unpaid
drawings in respect of such letters of credit, (iii) all Indebtedness of the types described in clause (i), (ii), (iv), (v), (vi) or (vii) of this definition secured by any Lien on any property owned by such Person, whether or not such Indebtedness has been assumed
by such Person (provided that, if the Person has not assumed or otherwise become liable in respect of such Indebtedness, such Indebtedness shall be deemed to be in an amount equal to the fair market value of the property to which such Lien relates as
determined in good faith by such Person), (iv) the aggregate amount of Capitalized Lease Obligations of such Person, (v) all obligations of such Person to pay a speci­fied purchase price for goods or services, whether or not delivered or accepted, i.e.,
take-or-pay and similar obli­ga­tions, (vi) all Contingent Obligations of such Person to the extent known and quantifiable, and (vii) all obligations under any Interest Rate Protection Agreement or Other Hedging Agreement or under any similar type of
agreement or arrangement; provided that this definition of Indebtedness shall not include Current Liabilities of such Person incurred in the ordinary course of business.


                        “Initial Term Loan” shall have the meaning provided in Section 1.01(a).


                        “Initial Term Loan Commitment” shall mean, for each Lender, the amount set forth opposite such Lender’s
name in Schedule I directly below the column entitled “Initial Term Loan Commitment.”


                        “Initial Term Loan Maturity Date” shall mean May 18, 2011.


                        “Initial Term Note” shall have the meaning provided in Section 1.05(a).


                        “Intercompany Note” shall mean a promissory note evidencing the intercompany Indebtedness of the Borrower and its
Subsidiaries substantially in the form of Exhibit M.


                        “Interest Determination Date” shall mean, with respect to any Eurodollar Loan, the second Business Day prior to
the commencement of any Interest Period relating to such Eurodollar Loan.


                        “Interest Period” shall have the meaning provided in Section 1.09.


                        “Interest Rate Protection Agreement” shall mean any interest rate swap agree­ment, interest rate cap
agreement, interest rate collar agreement, interest rate hedging agreement, interest rate floor agreement or other similar agreement or arrangement.


                        “Investment” shall have the meaning provided in Section 9.05.


                        “IPO Proceeds Recapture Amount” shall mean with respect to the Net Equity Proceeds received by the Borrower from
any initial public offering of its common stock, an amount equal to the least of (i) $50,000,000 of such Net Equity Proceeds, (ii) the actual amount of such Net Equity Proceeds and (iii) such amount of such Net Equity Proceeds such that after giving effect to the
application thereof as a mandatory repayment and/or commitment reduction in accordance with Section 4.02(d) the Consolidated Senior Leverage Ratio is reduced to 2.00:1.00; it being understood that if at the time of the respective initial public offering the
Consolidated Senior Leverage Ratio for the most recently ended Test Period is less than 2.00:1.00, the IPO Proceeds Recapture Amount shall instead be $0.


                        “Issuing Lenders” shall mean the Administrative Agent and any other Lender which at the request of the Borrower
and with the consent of the Administrative Agent (which consent shall not be unreasonably withheld) agrees, in such Lender’s sole discretion, to become an Issuing Lender for the purpose of issuing Letters of Credit pursuant to Section 2.  The only Issuing
Lenders on the Effective Date are the Administrative Agent and, with respect to the Existing Letter Credit only, LaSalle Bank National Association. 


                        “Joinder Agreement” shall mean a Joinder in Subsidiaries Guaranty, Security Agreement and Pledge Agreement
substantially in the form of Exhibit O.


                        “Joint Lead Arrangers” shall have the meaning provided in the first paragraph hereof.


                        “L/C Supportable Obligations” shall mean (i) obligations of the Borrower or any of its Subsidiaries incurred in
the ordinary course of business with respect to workers compensa­tion, surety bonds and other similar statutory obligations and (ii) such other obligations of the Borrower or any of its Subsidiaries (other than in respect of the Senior Subordinated Notes, the
Convertible Subordinated Debt, any Permitted Subordinated Notes or any Permitted Senior Unsecured Notes) as are otherwise permitted to exist pursuant to (or otherwise not prohibited by) the terms of this Agreement.


                        “Leasehold” of any Person shall mean all of the right, title and interest of such Person as lessee or licensee
in, to and under any lease or license of land, improvements and/or fixtures.


                        “Lender” shall mean each financial institution listed on Schedule I, as well as any Person which becomes a
“Lender” hereunder pursuant to Section 1.13, 1.14 or 13.04(b).


                        “Lender Default” shall mean (i) the refusal (which has not been retracted) or the failure of a Lender to
make available its portion of any Borrowing (including any Mandatory Bor­rowing) in violation of the requirements of this Agreement or to fund its portion of any unreimbursed payment under Section 2.04(c) or (ii) a Lender having notified in writing the
Borrower and/or the Administrative Agent that it does not intend to comply with its obligations under Section 1.01 or 2.


                        “Letter of Credit” shall have the meaning provided in Section 2.01(a).


                        “Letter of Credit Fee” shall have the meaning provided in Section 3.01(c).


                        “Letter of Credit Outstandings” shall mean, at any time, the sum of (i) the aggregate Stated Amount of all
outstanding Letters of Credit at such time and (ii) the amount of all Unpaid Drawings at such time.


                        “Letter of Credit Request” shall have the meaning provided in Section 2.03(a).


                        “Lien” shall mean any mortgage, pledge, hypothecation, assignment, deposit arrange­ment, encumbrance, lien
(statutory or other) or other security agreement or preferential arrangement of any kind or nature whatsoever (including, without limitation, any conditional sale or other title retention agreement, any lien evidenced by a financing or similar statement or notice
filed under the UCC or any other similar recording or notice statute, and any lease having substan­ti­ally the same effect as any of the foregoing).


                        “Loan” shall mean each Initial Term Loan, Revolving Loan, Swingline Loan and each Incremental Term Loan (if
any).


                        “Majority Lenders” of any Tranche shall mean those Non-Defaulting Lenders which would constitute the Required
Lenders under, and as defined in, this Agreement if all outstand­ing Obligations of the other Tranches under this Agreement were repaid in full and all Commitments with respect thereto were terminated.


                        “Management Agreements” shall have the meaning provided in Section 5A.05.


                        “Mandatory Borrowing” shall have the meaning provided in Section 1.01(d).


                        “Margin Reduction Period” shall mean each period which shall commence on the date occurring after the Effective
Date upon which respective officer’s certificate is delivered pursuant to Section 8.01(d) (together with the related financial statements pursuant to Section 8.01(a) or (b), as the case may be) in respect of the Borrower’s fiscal quarter ending September
30, 2004 and which shall end on the date of actual delivery of the next officer’s certificates pursuant to Section 8.01(d) (and related financial statements) or the latest date on which such next officer’s certificate (and related financial statements) is
required to be so delivered.


                        “Margin Stock” shall have the meaning provided in Regulation U.


                        “Material Leases” shall have the meaning provided in Section 5A.05.


                        “Maturity Date” shall mean, with respect to any Tranche of Loans, the Initial Term Loan Maturity Date, the
Revolving Loan Maturity Date, the Incremental Term Loan Maturity Date for such Tranche of Loans or the Swingline Expiry Date, as the case may be.


                        “Maximum Eurodollar Borrowing Number” shall mean (x) in the case of Initial Term Loans, 10, (y) in the case of
Revolving Loans, 10, and (z) in the case of any Tranche of Incremental Term Loans, 10 or such other number as may be specified as the Maximum Eurodollar Borrowing Number for such Tranche in the respective Incremental Commitment Agreement (although any Incremental
Commitment Agreement providing for Incremental Term Loans which will be added to an existing Tranche shall not specify a Maximum Eurodollar Borrowing Number for such Tranche which differs from the Maximum Eurodollar Borrowing Number already applicable to such
Tranche).


                        “Maximum Swingline Amount” shall mean $25,000,000.


                        “Minimum Borrowing Amount” shall mean (i) for Swingline Loans, $100,000, (ii) for Revolving Loans, $1,000,000,
(iii) for Initial Term Loans, $1,000,000 and (iv) for Incremental Term Loans, $1,000,000 or such other amount as may be specified in the respective Incremental Commitment Agreement (although an Incremental Commitment Agreement providing for the addition of
Incremental Term Loans to an existing Tranche may not specify a different Minimum Borrowing Amount from that which already applies to the respective Tranche).


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


                        “Morgan Stanley Holders” shall mean (a) the MSCP Group, (b) Morgan Stanley & Company Incorporated and
its Subsidiaries and any other Person of which any member of the MSCP Group is a direct or indirect Subsidiary, (c) any Subsidiary of a Person described in preceding clause (a) or (b), or (d) any investment fund or vehicle managed by any of the Persons described
in preceding clauses (a) through (c) or the general partner of any Person referred to in preceding clauses (a) through (c).


                        “Mortgage” shall mean each mortgage, deed to secure debt or deed of trust pursuant to which any Credit Party
shall have granted to the Collateral Agent a mortgage lien on such Credit Party’s Mortgaged Property.


                        “Mortgage Policy” shall have the meaning provided in Section 8.15(ii).


                        “Mortgaged Property” shall mean each parcel of Real Property owned or leased by any Credit Party, as applicable,
which is encumbered by a Mortgage.


                        “MSCP Group” shall mean Morgan Stanley Capital Partners III, L.P., MSCP III 892 Investors, L.P., Morgan Stanley
Capital Investors, L.P., Morgan Stanley Dean Witter Capital Partners IV, L.P., MSDW IV 892 Investors, L.P. and Morgan Stanley Dean Witter Capital Investors IV, L.P.


                        “MSSF” shall mean Morgan Stanley Senior Funding, Inc., in its individual capacity.


                        “NAIC” shall mean the National Association of Insurance Commissioners.


                        “Net Debt Proceeds” shall mean, with respect to each incurrence of Indebtedness for borrowed money by any Person,
the cash proceeds (net of underwriting discounts and commis­sions and other reasonable costs associated therewith) received by such Person from the respective incurrence of such Indebtedness for borrowed money.


                        “Net Equity Proceeds” shall mean, with respect to each issuance or sale of any Equity Interests by any Person or
any capital contribution to such Person, the cash proceeds (net of under­writing discounts and commissions and other reasonable costs associated therewith) received by such Person from the respective sale or issuance of its Equity Interests or from the respective
capital contribution.


                        “Net Insurance Proceeds” shall mean, with respect to any Recovery Event, the cash proceeds (net of reasonable
costs and taxes incurred in connection with such Recovery Event) received by the respective Person in connection with such Recovery Event.


                        “Net Sale Proceeds” shall mean, with respect to any asset sale, the gross cash proceeds (including any cash
received by way of deferred payment pursuant to a promissory note, receivable or otherwise, but only as and when received) received from such sale of assets, net of (i) the reasonable costs of such sale (including fees and commissions, payments of unassumed
liabilities relating to the assets sold and required payments of any Indebtedness (other than Indebtedness under the Credit Documents or any Indebtedness owed to the Borrower or a Subsidiary thereof) which is secured by the respective assets which were sold), (ii)
the marginal increased amount of all taxes to the extent actually payable in cash during (or within 120 days after) the fiscal year in which the respective asset sale occurred as a direct consequence of such asset sale and (iii) in the event of any such sale of
assets owned by a non-Wholly-Owned Subsidiary that is a Non-Guarantor Subsidiary, net of amounts received by third Persons which own Equity Interests in such Subsidiary so long as such amounts do not exceed such Persons’ proportionate share thereof (based upon
such Persons’ relative holdings of Equity Interests in such Subsidiary).


                        “New Holdco” shall have the meaning provided in the definition of Holding Company Reorganization Transaction
contained in this Section 11.01.


                        “New Tranche” shall mean each Tranche of Term Loans other than the Tranche of Initial Term Loans.


                        “Non-Defaulting Lender” shall mean and include each Lender other than a Defaulting Lender.


                        “Non-Guarantor Subsidiary” shall mean any Subsidiary of the Borrower not party to the Subsidiaries Guaranty.


                        “Note” shall mean each Initial Term Note, each Revolving Note, each Incremental Term Note and the Swingline
Note.


                        “Notice of Borrowing” shall have the meaning provided in Section 1.03(a).


                        “Notice of Conversion” shall have the meaning provided in Section 1.06.


                        “Notice Office” shall mean the office of the Administrative Agent located at 101 North Tryon Street,
Fifteenth Floor, Charlotte, North Carolina 28255, Attention:  James Young, or such other office as the Administrative Agent may hereafter designate in writing as such to the other parties hereto.


                        “Obligations” shall mean all amounts owing to the Administrative Agent, the Collateral Agent or any Lender
pursuant to the terms of this Agreement or any other Credit Document.


                        “Other Hedging Agreements” shall mean any foreign exchange contracts, currency swap agreements, commodity
agreements or other similar agreements or arrangements designed to protect against the fluctuations in currency values.


                        “Participant” shall have the meaning provided in Section 2.04(a).


                        “Payment Office” shall mean the office of the Administrative Agent located at 101 North Tryon Street,
Charlotte, North Carolina 28255 or such other office as the Administrative Agent may hereafter designate in writing as such to the other parties hereto.


                        “PBGC” shall mean the Pension Benefit Guaranty Corporation established pursuant to Section 4002 of ERISA, or any
successor thereto.


                        “Percentage” of any Lender at any time shall mean a fraction (expressed as a percentage) the numerator of which
is the Revolving Loan Commitment of such Lender at such time and the denominator of which is the Total Revolving Loan Commitment at such time, provided that if the Percentage of any Lender is to be determined after the Total Revolving Loan Commitment has been
terminated, then the Percentages of the Lenders shall be determined immediately prior (and without giving effect) to such termination.


                        “Permitted Acquisition” shall have the meaning provided in Section 9.02(viii).


                        “Permitted Acquisition Compliance Certificate” shall mean a certificate, signed by an Authorized Officer of the
Borrower, delivered to the Administrative Agent in connection with a Permitted Acquisition, which certifi­cate shall represent and warrant that (i) the purchase agreement and all related agreements evi­dencing such acquisition shall, on the date such
acquisi­tion is consummated, have been duly exe­cuted and delivered by the parties thereto and shall be in full force and effect, (ii) the acquisition shall be consummated in accordance with the purchase agree­ment, the related agreements evi­dencing
such acquisition and all applicable law (excluding such violations of law which could not reasonably have, individually, or in the aggregate for all such violations, a material adverse effect on the business, property, assets, liabilities (actual or contin­gent),
operations or condition (financial or otherwise) of the Borrower and its Subsidiaries taken as a whole), (iii) true and correct copies of the purchase agree­ment and related agreements evidenc­ing such acquisition have been delivered to the Lenders, (iv) both
before and after giving effect to the proposed acquisition, no Default or Event of Default is or shall be in existence, (v) no material environmental liabilities are being assumed by the Borrower or its Subsidiaries pursu­ant to such acquisition, and (vi) the
Borrower is and will be in compliance with Sections 9.08 and 9.09 on a Post-Test Period Pro Forma Basis after giving effect to the respective Permitted Acquisition and all Acquisition CapEx to be made in connection therewith.  Such Compliance
Certificate shall also (x) include a statement of all Acquisition CapEx required to be made in connection with such acquisition, (y) set forth the amount, if any, of the Retained Excess Cash Flow Amount to be used in connection with the respective Permitted
Acquisition and (z) set forth the calculations required to establish whether the Borrower is in compliance with the provisions of Sections 9.01 through 9.05, inclu­sive and 9.07 through 9.09, inclusive, and Section 9.17, both before and after giving effect
to such Permitted Acquisition.  Notwithstanding anything to the contrary above in this definition, in the event that a Permitted Acquisition Compliance Certificate is required to be delivered pursuant to Section 9.02(viii) and the Borrower has not delivered
a Permitted Acquisition Compliance Certificate covering any theretofore consummated Permitted Acquisitions, such required Permitted Acquisition Compliance Certificate shall include all of the representations and warranties (except clause (iii) above) set forth in the
second preceding sentence (and include the information and calculations described in the immediately preceding sentence) with respect to all such theretofore consummated Permitted Acquisitions.


                        “Permitted Encumbrances” shall mean, with respect to any Real Property, such exceptions to title which (i)
individually or in the aggregate, do not materially detract from the value of such Real Property, (ii) in the case of Mortgaged Property described in Section 5A.10, are set forth on Schedule B to the Mortgage Policy relating to such Mortgaged Property or
(iii) are otherwise acceptable to the Administrative Agent in its reasonable discretion.


                        “Permitted Liens” shall have the meaning provided in Section 9.01.


                        “Permitted Senior Unsecured Notes” shall mean senior unsecured notes of the Borrower (which may be guaranteed by
Subsidiary Guarantors) issued pursuant to an effective registration statement under the Securities Act or Rule 144A thereunder and the terms of which (and conditions surrounding the issuance or incurrence of which) satisfy the relevant requirements of Section
9.04(xix).


                        “Permitted Senior Unsecured Note Documents” shall mean all documentation (including, without limitation, any
indenture or purchase agreement) entered into in connection with any issuance of Permitted Senior Unsecured Notes.


                        “Permitted Subordinated Note Documents” shall mean all documentation (includ­ing, without limitation, any
indenture or purchase agreement) entered into in connection with any issuance of Permitted Subordinated Notes.


                        “Permitted Subordinated Notes” shall mean unsecured subordinated debt securities of the Borrower (which may be
guaranteed on a subordinated basis by Subsidiary Guarantors), the terms of which (and conditions surrounding the issuance of which) satisfy the relevant require­ments of Section 9.04(xv).


                        “Person” shall mean any individual, partnership, limited liability company, joint ven­ture, firm,
corporation, association, trust or other enterprise or any government or political sub­division or any agency, department or instrumentality thereof.


                        “Physician” means, collectively, with respect to any hospital owned or leased and operated by the Borrower or any
of its Subsidiaries, physicians employed by or affiliated with such hospital, Persons in the immediate family of such physicians and any Person directly or indirectly controlled by or acting for the benefit of one or more such physicians or families.  As used in
this definition of “Physicians,” the term “control” means the possession, directly or indirectly, of the power to direct or cause the direction of the manage­ment and policies of a Person, whether through the ownership of voting
securities, by contract or otherwise.


                        “Physician Support Obligation” means a loan to or on behalf of, or a guarantee of income to or Indebtedness of, a
physician or healthcare professional providing service to patients in the service area of a hospital or other health care facility operated by the Borrower or any of its Subsidiaries made or given by the Borrower or any of its Subsidiaries (i) in the ordinary course
of its business, and (ii) pursuant to a written agreement having a period not to exceed five years.


                        “PIK Preferred Stock” shall mean the 27,210 shares of preferred stock of the Borrower, $.01 par value per share,
held on the Effective Date by MacNeal Memorial Hospital Association and any additional shares thereof issued as pay-in-kind Dividends.


                        “Plan” shall mean any pension plan as defined in Section 3(2) of ERISA, which is maintained or contributed to by
(or to which there is an obligation to contribute of) the Borrower or a Subsidiary of the Borrower or an ERISA Affiliate, and each such plan for the five year period immediately following the latest date on which the Borrower, or a Subsidiary of the Borrower or an
ERISA Affiliate maintained, contributed to or had an obligation to contribute to such plan.


                        “Pledge Agreement” shall have the meaning provided in Section 5A.07.


                        “Pledge Agreement Collateral” shall mean all “Collateral” as defined in the Pledge Agreement.


                        “Post-Test Period Pro Forma Basis” shall mean the making of calculations on a pro forma
basis in accordance with, and to the extent required by, the provisions of Section 11.02, giving effect to the adjustments required to be made therein for determinations on a Post-Test Period Pro Forma Basis.


                        “Prime Lending Rate” shall mean the rate announced by the Administrative Agent from time to time as its prime
lending rate, the Prime Lending Rate to change when and as such prime lending rate changes.  The 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 Prime Lending Rate.


                        “Pro Forma Basis” shall mean the making of any calculation on a pro forma basis in accordance with, and to
the extent required by, the provisions of Section 11.02 hereof, but without making the adjustments described therein for determinations to be made on a Post-Test Period Pro Forma Basis.


                        “Projections” shall mean the financial assumptions and projections prepared by the Borrower, dated April 16, 2004
in connection with the Transaction and delivered to the Administrative Agent and the Lenders prior to the Effective Date.


                        “Qualified Public Offering” shall mean an underwritten public offering of common stock of the Borrower which
generates cash proceeds to the Borrower of at least $50,000,000.


                        ualified Preferred Stock” means any preferred Equity Interest of the Borrower or any of its Subsidiaries which by its
terms (i) is not exchangable or convertible into any Indebtedness of the Borrower or any of its Subsidiaries, (ii) do not require any cash payment of dividends or distributions at any time that such cash payment would result in a Default or Event of Default and (iii)
is not subject to any mandatory put, redemption, repayment, sinking fund or other similar provision prior to the date occurring one year following the latest Maturity Date then in effect for all Tranches of Term Loans.


                        “Quarterly Payment Date” shall mean the last Business Day of each September, December, March and June occurring
after the Effective Date.


                        “RCRA” shall mean the Resource Conservation and Recovery Act, as the same may be amended from time to time, 42
U.S.C. § 6901 et seq.


                        “Real Property” of any Person shall mean all the right, title and interest of such Person in and to land,
improvements and fixtures, including Leaseholds.


                        “Recovery Event” shall mean the receipt by the Borrower or any of its Subsidiaries of any cash insurance proceeds
or condemnation awards payable (i) by reason of theft, loss, physi­cal destruction or damage or any other similar event with respect to any property or assets of the Borrower or any of its Subsidiaries and (ii) under any policy of insurance required to be
main­tained under Section 8.03.


                        “Refinancing” shall mean the repayment of all outstanding loans and all other obligations (and the termination of
all commitments) under the Existing Credit Agreement, as described in Section 5A.06.


                        “Register” shall have the meaning provided in Section 13.04(c).


                        “Regulation D” shall mean Regulation D of the Board of Governors of the Federal Reserve System as from time to
time in effect and any successor to all or a portion thereof establishing reserve requirements.


                        “Regulation O” shall mean Regulation O of the Board of Governors of the Federal Reserve System as from time to
time in effect and any successor to all or a portion thereof.


                        “Regulation T” shall mean Regulation T of the Board of Governors of the Federal Reserve System as from time to
time in effect and any successor to all or a portion thereof.


                        “Regulation U” shall mean Regulation U of the Board of Governors of the Federal Reserve System as from time to
time in effect and any successor to all or a portion thereof.


                        “Regulation X” shall mean Regulation X of the Board of Governors of the Federal Reserve System as from time to
time in effect and any successor to all or a portion thereof.


                        “Release” shall have the meaning provided such term in CERCLA.


                        “Relevant Incremental Term Loan Commitment Percentage” shall mean, with respect to any mandatory reduction of any
Incremental Term Loan Commitment of any Tranche at any time, a fraction (expressed as a percentage), the numerator of which is equal to the aggre­gate amount of Incremental Term Loan Commitments of such Tranche at such time and the denomin­ator of which is
equal to the aggregate amount of all Incremental Term Loan Commitments of all Tranches at such time. 


                        “Relevant Term Loan Percentage” shall mean, with respect to any voluntary pre­payment or mandatory repayment
of a particular Tranche of Term Loans at any time, a frac­tion (expressed as a percentage), the numerator of which is equal to the aggregate outstand­ing prin­ci­pal amount of Term Loans of such Tranche at such time and the denominator of which is
equal to the aggregate principal amount of all Term Loans at such time, provided that to the extent any such voluntary prepayment or mandatory prepayment is being applied to a particular Tranche of Term Loans, as provided in Section 4.01(a)(vi)(A)(1) or
4.02(i)(iv)(1), as the case may be, the Relevant Term Loan Percentage of such Tranche shall mean a fraction (expressed as a percent­age) the numerator of which is equal to the aggregate outstanding principal amount of Scheduled Term Loan Repayments of such
Tranche occurring within twelve months following any such pre­pay­ment or repayment, as the case may be, and the denominator of which is equal to the aggre­gate principal amount of all Scheduled Term Loan Repayments of all Tranches of Term Loans
occur­ring within twelve months following any such prepayment or repayment, as the case may be.


                        “Replaced Lender” shall have the meaning provided in Section 1.14.


                        “Replacement Lender” shall have the meaning provided in Section 1.14.


                        “Reportable Event” shall mean an event described in Section 4043(c) of ERISA with respect to a Plan that is
subject to Title IV of ERISA other than those events as to which the 30-day notice period is waived under subsection .22, .23, .25, .27 or .28 of PBGC Regulation Section 4043.


                        “Required AHCCS Amount” shall mean, on any date for which Consolidated Debt is being determined, (x) if the date
for which Consolidated Debt is being determined is within seven days prior to or seven days after the last day of any fiscal quarter of the Borrower, the aggregate amount of cash and Cash Equivalents which are required to be deposited with, or held by, Subsidiaries
of the Borrower that have contracts with the Arizona Health Care Cost Containment System to arrange health care services for Medicare patients, to the extent such cash or Cash Equivalents, as the case may be, are required by the Arizona Health Care Cost Containment
System (or the relevant governmental authorities having jurisdiction over same) to remain with such Subsidiaries on the date for which Consolidated Debt is being determined or (y) if Consolidated Debt is being determined for a date which does not occur within seven
days prior to, or seven days after, the last day of any fiscal quarter of the Borrower, the amount determined pursuant to preceding clause (x) for the last day of the fiscal quarter of the Borrower most recently ended prior to the date for which Consolidated Debt is
being determined.


                        “Required Lenders” shall mean Non-Defaulting Lenders, the sum of whose out­stand­ing principal of Term
Loans and Revolving Loan Commitments (or after the termination of the Revolving Loan Commitments, outstanding Revolving Loans and Percentage of outstanding principal of Swingline Loans and Letter of Credit Outstandings) represent an amount greater than 50% of the sum
of the outstanding principal amount of all Term Loans of Non-Defaulting Lenders and the Total Revolving Loan Commitment less the Revolving Loan Commitments of all Defaulting Lenders (or after the termination of the Total Revolving Loan Commitment, the sum of the then
total outstanding Revolving Loans of Non-Defaulting Lenders and the aggre­gate Percentages of all Non-Defaulting Lenders of the total outstanding principal of Swingline Loans and Letter of Credit Outstandings at such time).


                        “Restrictive Shareholders’ Agreements” shall mean and include (i) that certain Agreement between the
Shareholders of VHS Acquisition Subsidiary Number 5, Inc., dated January 1, 2003 and (ii) that certain Agreement between the Shareholders of VHS Acquisition Subsidiary Number 3, Inc. dated June 1, 2002.


                        “Retained Excess Cash Flow Amount” shall initially mean $0, provided that (w) on each Excess Cash Payment
Date where Excess Cash Flow for the relevant Excess Cash Payment Period is less than $0, the Retained Excess Cash Flow Amount shall be decreased by such amount (expressed as a positive amount for purposes of such deduction), (x) on each Excess Cash Payment Date where
Excess Cash Flow for the relevant Excess Cash Payment Period is in excess of $1,000,000, the Retained Excess Cash Flow Amount shall be increased (so long as any required repayments of Term Loans and/or reductions of Incremental Term Loan Commitments are made as
required by Section 4.02(g)) by an amount equal to that portion of Excess Cash Flow for the relevant Excess Cash Payment Period in excess of $1,000,000 which is permitted to be retained by the Borrower pursuant to the provisions of Section 4.02(g), (y) on the date
any Permitted Acquisition is effected which involves a utilization of the Retained Excess Cash Flow Amount as then in effect in accordance with the provisions of clause (z) of the first proviso to Section 9.02(viii), the Retained Excess Cash Flow Amount shall be
reduced by the aggregate amount of consideration so justified and (z) the Retained Excess Cash Flow Amount shall be reduced on the date of the making of any Capital Expenditure pursuant to Section 9.07(e)(iii) by the amount thereof.


                        “Revolving Exposure” shall mean, at any time, the sum of (i) the aggregate amount of Letter of Credit
Outstandings at such time, (ii) the aggregate principal amount of all Swingline Loans outstanding at such time and (iii) the aggregate principal amount of Revolving Loans then outstanding at such time.


                        “Revolving Loan” shall have the meaning provided in Section 1.01(b).


                        “Revolving Loan Commitment” shall mean, for each Lender, the amount set forth opposite such Lender’s name
in Schedule I directly below the column entitled “Revolving Loan Commitment,” as same may be (x) reduced from time to time pursuant to Sections 3.02, 3.03 and/or 10, (y) increased pursuant to Section 1.13 or (z) adjusted from time to time as a result of
assignments to or from such Lender pur­suant to Section 1.14 or 13.04(b).


                        “Revolving Loan Maturity Date” shall mean May 18, 2009.


                        “Revolving Loan Tranche Percentage” shall mean, with respect to any mandatory repayment of Loans and mandatory
reductions to the Total Revolving Loan Commitment pursu­ant to Section 4.02(f) and (h) at any time, a fraction (expressed as a percentage), the numera­tor of which is equal to the Total Revolving Loan Commitment at such time or, if the Total Revolving Loan
Commitment has been terminated at or prior to such time, the aggregate principal amount of Revolving Loans and Swingline Loans and the Letter of Credit Outstandings at such time and the denominator of which is equal to the sum of (i) the aggregate principal amount of
all Term Loans outstanding at such time plus (ii) the Total Revolving Loan Commitment at such time or, if the Total Revolving Loan Commitment has been terminated at or prior to such time, the aggregate principal amount of Revolving Loans and Swingline Loans
and the Letter of Credit Outstandings at such time.


                        “Revolving Note” shall have the meaning provided in Section 1.05(a).


                        “S&P” shall mean Standard & Poor’s Ratings Group and its successors.


                        “Scheduled Incremental Term Loan Repayment” shall have the meaning provided in Section 4.02(c).


                        “Scheduled Incremental Term Loan Repayment Date” shall have the meaning provided in Section 4.02(c).


                        “Scheduled Initial Term Loan Repayment” shall have the meaning provided in Section 4.02(b).


                        “Scheduled Initial Term Loan Repayment Date” have the meaning provided in Section 4.02(b).


                        “Scheduled Term Loan Repayment” shall have the meaning provided in Section 4.02(c).


                        “Scheduled Term Loan Repayment Date” shall have the meaning provided in Section 4.02(c).


                        “SEC” shall have the meaning provided in Section 8.01(g).


                        “Section 4.04(b)(ii) Certificate” shall have the meaning provided in Section 4.04(b).


                        “Secured Creditors” shall have the meaning provided in the respective Security Documents.


                        “Securities Act” shall mean the Securities Act of 1933, as amended, and the rules and regulations promulgated
thereunder.


                        “Security Agreement” shall have the meaning provided in Section 5A.09.


                        “Security Agreement Collateral” shall mean all “Collateral” as defined in the Security Agreement.


                        “Security Documents” shall mean and include each of the Security Agreement, the Pledge Agreement, each Mortgage
and, after the execution and delivery thereof, each Additional Security Document.


                        “Senior Subordinated Note Borrowing Base” shall mean, at any time, an amount equal to the sum of (x) 85% of the
net book value of the accounts receivable of the Borrower and its Restricted Subsidiaries (as defined in the Senior Subordinated Note Indenture) at such time and (y) 75% of the net book value of the inventory of the Borrower and its Restricted Subsidiaries (as
defined in the Senior Subordinated Note Indenture) at such time, in each case determined on a consolidated basis in accordance with GAAP (as defined in the Senior Subordinated Note Indenture).


                        “Senior Subordinated Note Documents” shall mean the Senior Subordinated Note Indenture, the Senior Subordinated
Notes and each other document or agreement relating to the issuance of the Senior Subordinated Notes.


                        “Senior Subordinated Note Indenture” shall mean the Indenture, dated as of July 30, 2001, between the
Borrower, the Subsidiary Guarantors and Bank One Trust Company, N.A., as Trustee thereunder, as in effect on July 30, 2001 and as the same may be amended, modified or supplemented from time to time in accordance with the terms hereof and thereof.


                        “Senior Subordinated Notes” shall mean the Borrower’s 9-3/4% Senior Subordinated Notes due 2011 issued
pursuant to the Senior Subordinated Note Indenture, as in effect on the Effective Date and as the same may be amended, modified or supplemented from time to time in accordance with the terms hereof and thereof.  As used herein, the term “Senior
Subordinated Notes” shall include any Exchange Senior Subordinated Notes issues pursuant to the Senior Subordinated Note Indenture in exchange for theretofore outstanding Senior Subordinated Notes, as contemplated by the Offering Memorandum dated July 20, 2001,
and the definition of Exchange Senior Subordinated Notes.


                        “Shareholders” shall mean each Person which owns any shares of any class of capital stock of the Borrower on the
Effective Date.


                        “Shareholders’ Agreements” shall have the meaning provided in Section 5A.05.


                        “Specified Construction Project” shall mean a construction project undertaken by the Borrower or a Subsidiary
Guarantor for the construction of a Hospital Property or other Health Care Assets (including for this purpose any construction project for the addition of hospi­tal bed capacity) that are to be owned by the Borrower or such Subsidiary Guarantor provided
that (i) a project shall constitute a Specified Construction Project only if the respective Health Care Assets are to be owned by the Borrower or such Subsidiary Guarantor and have been desig­nated as a “Specified Construction Project” in writing by
the Borrower to the Administrative Agent, which writing shall certify compliance with the require­ments of this definition, and shall set forth the calculations (in reasonable detail) required to establish compliance with the requirements of succeeding clause
(v), (ii) no Default or Event of Default shall exist on the date of any designation of a project as a Specified Construction Project, (iii) each project designated as a Specified Construction Project shall remain a Specified Construction Project until the first to
occur of (x) the date which is two years after such project was designated by the Borrower as a Specified Construction Project (which designation shall not occur any later than the first date on which actual construction has commenced on the Specific Construction
Project) and (y) the first day on which respective Health Care Asset provides treatment or other health services to its first patient, (iv) on the earlier of the dates specified in preceding clause (iii), the respective construc­tion project shall cease to
constitute a Specified Construction Project and (v) at the time of the designation of such construction project as a “Specified Construction Project” the Borrower shall be in compliance with Section 9.09(b) on a Post-Test Period Pro Forma
Basis.  In addition, to the extent the Borrower or any Subsidiary Guarantor purchases any Real Property as contemplated in the last sentence of Section 9.07(d), the requirement set forth in clauses (ii) and (v) of the immediately preceding sentence are
satis­fied at the time of such purchase and the Borrower notifies the Administrative Agent in writing that it wishes to treat such Real Property as a Specified Construction Project, such Real Property shall be deemed to be a Specified Construction Project for the
purposes hereof for a period not to exceed 15 months, at which time such Real Property shall cease to be a Specified Construction Project unless the Borrower designates such Real Property as a “Specified Construction Project” in writing as provided
in clause (i) of the immedi­ately preceding sentence and each of the other requirements set forth above in this definition are satisfied at such time. 


                        “Standby Letter of Credit” shall have the meaning provided in Section 2.01(a).


                        “Start Date” shall mean, with respect to any Margin Reduction Period, the first day of such Margin Reduction
Period.


                        “Stated Amount” of each Letter of Credit shall mean, at any time, the maximum amount available to be drawn
thereunder (in each case determined giving effect to any and all increases to such maximum amount contemplated by the terms of such Letter of Credit or the documentation related to the issuance thereof and without regard to whether any conditions to drawing could
then be met).


                        “Subsidiaries Guaranty” shall have the meaning provided in Section 5A.08, provided that references in this
Agreement to the Subsidiaries Guaranty to be entered into by Subsidiaries of the Borrower pursuant to Sections 8.14 and 9.14 shall be to the Subsidiaries Guaranty (General) referred to in clause (i) of Section 5A.08.


                        “Subsidiary” shall mean, as to any Person, (i) any corporation more than 50% of whose stock of any class or
classes having by the terms thereof ordinary voting power to elect a majority of the directors of such corporation (irrespective of whether or not at the time stock of any class or classes of such corporation shall have or might have voting power by reason of the
happening of any contingency) is at the time owned by such Person and/or one or more Subsidi­aries of such Person and (ii) any partnership, limited liability company, association, joint venture or other entity in which such Person and/or one or more Subsidiaries
of such Person has more than a 50% equity interest at the time and the management of which is controlled, directly or indirectly, by such Person or through one or more Subsidiaries of such Person.  Except as otherwise specified herein or unless the context
otherwise requires, references in this Agreement to one or more “Subsidiaries” are to Subsidiaries of the Borrower.


                        “Subsidiary Guarantor” shall mean each Subsidiary of the Borrower designated as a “Subsidiary
Guarantor” on Schedule VI hereto or which executes the Subsidiaries Guaranty after the Effective Date pursuant to Section 9.14, provided that any such Person shall cease to constitute a Subsidiary Guarantor upon its release from the Subsidiaries Guaranty
in accordance with this Agreement and the Subsidiaries Guaranty.


                        “Supermajority Lenders” of any Tranche shall mean those Non-Defaulting Lenders which would constitute the
Required Lenders under, and as defined in, this Agreement if (x) all outstanding Obligations of the other Tranches under this Agreement were repaid in full and all Commitments with respect thereto were terminated and (y) the percentage “50%” contained
therein were changed to “66-2/3%”.


                        “Swingline Expiry Date” shall mean the date which is five Business Days prior to the Revolving Loan Maturity
Date.


                        “Swingline Lender” shall mean Bank of America and its successors and assigns.


                        “Swingline Loan” shall have the meaning provided in Section 1.01(c).


                        “Swingline Note” shall have the meaning provided in Section 1.05(a).


                        “Syndication Agent” shall mean Citicorp North America, Inc.


                        “Syndication Date” shall mean the earlier of (x) June 15, 2004 and (y) that date (if any) upon which the Joint
Lead Arrangers determine (and notify the Borrower) that the primary syndication (and resultant addition of Persons as Lenders pursuant to Section 13.04(b)) has been successfully completed (to the satisfaction of the Joint Lead Arrangers).


                        “Tax Benefit” shall have the meaning provided in Section 4.04(c).


                        “Tax Sharing Agreements” shall have the meaning provided in Section 5A.05.


                        “Taxes” shall have the meaning provided in Section 4.04(a).


                        “Term Loan Tranches Percentage” shall mean, with respect to any mandatory repayment of Term Loans and mandatory
reductions to the Total Revolving Loan Commitment pursuant to Section 4.02(f) and (h) at any time, a fraction (expressed as a percentage) the numerator of which is equal to the aggregate principal amount of Term Loans outstanding at such time and the denominator of
which is equal to the sum of (i) the aggregate principal amount of all Term Loans outstanding at such time plus (ii) the Total Revolving Loan Commitment at such time or, if the Total Revolving Loan Commitment has been terminated at or prior to such time, the
aggre­gate principal amount of Revolving Loans and Swingline Loans and Letter of Credit Outstandings at such time.


                        “Term Loans” shall mean the Initial Term Loans and the Incremental Term Loans of a New Tranche.


                        “Test Date” shall mean, with respect to any Start Date, the last day of the most recent fiscal quarter of the
Borrower ended immediately prior to such Start Date for which the financial statements required by Section 8.01(a) or (b), as the case may be, have been delivered as contemplated by the definition of Margin Reduction Period.


                        “Test Period” shall mean each period of four consecutive fiscal quarters of the Borrower (taken as one accounting
period).


                        “Total Assets” means, with respect to any Person, the consolidated total assets of such Person and its
consolidated Subsidiaries, determined in accordance with GAAP; provided that in determining Total Assets of any group of Non-Guarantor Subsidiaries, such Total Assets shall be determined for all such Non-Guarantor Subsidiaries on a combined basis without
duplication.


                        “Total Capitalization” of the Borrower at any time shall mean the sum of (x) Consolidated Debt of the
Borrower at such time and (y) the Consolidated Net Worth of the Borrower at such time.


                        “Total Commitments” shall mean, at any time, the sum of the Commitments of each of the Lenders.


                        “Total Initial Term Loan Commitment” shall mean, at any time, the sum of the Initial Term Loan Commitments of
each of the Lenders at such time.


                        “Total Revolving Loan Commitment” shall mean, at any time, the sum of the Revolving Loan Commitments of each of
the Lenders.


                        “Total Unutilized Revolving Loan Commitment” shall mean, at any time, an amount equal to the remainder of (x) the
Total Revolving Loan Commitment then in effect less (y) the sum of the aggregate principal amount of Revolving Loans and Swingline Loans then outstand­ing plus the then aggregate amount of Letter of Credit Outstandings.


                        “Trade Letter of Credit” shall have the meaning provided in Section 2.01(a).


                        “Tranche” shall mean the respective facility and commitments utilized in making Loans hereunder, with there being
two Tranches on the Effective Date (consisting of the Initial Term Loan Commitments, the Total Revolving Loan Commitment and the extensions of credit (i.e., Initial Term Loans, Revolving Loans, Swingline Loans and Letters of Credit) pursuant thereto.  In
addition, any Incremental Term Loans extended after the Effective Date shall be made pursuant to the Tranche of Initial Term Loans or one or more additional Tranches which shall be designated pursuant to the respective Incremental Commitment Agreements in accordance
with the relevant requirements specified in Section 1.13.


                        “Transaction” shall mean the occurrence of the Refinancing, the entering into of the Credit Documents and the
extensions of credit under this Agreement on the Effective Date.


                        “Type” shall mean the type of Loan determined with regard to the interest option applicable thereto, i.e.,
whether a Base Rate Loan or a Eurodollar Loan.


                        “UCC” shall mean the Uniform Commercial Code as from time to time in effect in the relevant jurisdiction.


                        “Unfunded Current Liability” of any Plan shall mean the amount, if any, by which the accumulated benefit
obligation under the Plan as of the close of its most recent plan year, determined in accordance with actuarial assumptions at such time consis­tent with Statement of Financial Accounting Standards No. 87, exceeds the market value of the assets allocable
thereto.


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


                        “Unpaid Drawing” shall have the meaning provided for in Section 2.05(a).


                        “Unused Capital Expenditures Amount” shall have the meaning provided in Section 9.07(c).


                        “Unutilized Revolving Loan Commitment” with respect to any Lender at any time shall mean such Lender’s
Revolving Loan Commitment at such time, if any, less the sum of (i) the aggregate outstanding principal amount of Revolving Loans made by such Lender and (ii) such Lender’s Percentage of the Letter of Credit Outstandings at such time; provided that
the Unutilized Revolving Loan Commitment of the Swingline Lender shall at any time be reduced (but not below zero) by the aggregate amount of Swingline Loans made by it which are then outstanding.


                        “Weighted Average Life to Maturity” shall mean, when applied to any Indebted­ness at any date, the number of
years obtained by dividing (i) the then outstanding principal amount of such Indebtedness into (ii) the product obtained by multiplying (x) the amount of each then remaining installment or other required scheduled 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.


                        “Wholly-Owned Subsidiary” shall mean, as to any Person, (i) any corporation 100% of whose capital stock (other
than directors’ qualifying shares) is at the time owned by such Person and/or one or more Wholly-Owned Subsidiaries of such Person and (ii) any partner­ship, limited liability company, association, joint venture or other entity in which such Person and/or
one or more Wholly-Owned Subsidiaries of such Person owns 100% of the Equity Interests at such time.  Except as otherwise specified herein or unless the context otherwise
requires, references in this Agreement to one or more “Wholly-Owned Subsidiaries” are to Wholly-Owned Subsidiaries of the Borrower.


                        11.02   Certain Pro Forma Calculations.  (a)  For purposes of calculating Consolidated EBITDA
for any Test Period for purposes of this Agreement, the following rules shall apply:


                        (i)         if at any time during the respective Test Period (and, in the case of
deter­min­ations being made on a Post-Test Period Pro Forma Basis only, thereafter and on or prior to the date of determination) the Borrower or any of its Subsidiaries shall have made any Disposition, Consolidated EBITDA for such Test Period shall be reduced
by an amount equal to the Consolidated EBITDA (if positive) attributable to the assets or Equity Interests which are the subject of such Disposition for such Test Period or increased by an amount equal to the Consolidated EBITDA (if negative) applicable thereto for
such Test Period; provided that if any Disposition is of Equity Interests in a Subsidiary of the Borrower which remains a Subsidiary after giving effect to such Disposition, Consolidated EBITDA shall be adjusted to give pro forma effect thereto (as if such
disposition occurred on the first day of the respective Test Period) in accordance with the rules set forth in the definitions of Consolidated Net Income and Consolidated EBIT contained herein;


                        (ii)        if during such Test Period (and, in the case of determinations being made on a
Post-Test Period Pro Forma Basis only, thereafter and on or prior to the date of deter­min­ation) the Borrower or any Subsidiaries shall have made any Acquisition, Consolidated EBITDA for such Test Period shall be calculated after giving pro forma
effect thereto as if such Acquisition had occurred on the first day of such Test Period;


                        (iii)       if during such Test Period (and, in the case of determinations being made on a
Post-Test Period Pro Forma Basis only, thereafter and on or prior to the date of deter­min­ation) any Person that became a Subsidiary or was merged with or into the Borrower or any of its Subsidiaries since the beginning of such Test Period shall have entered
into any disposition or acquisition transaction that would have required an adjust­ment pursuant to clause (i) or (ii) above if made by the Borrower or a Subsidiary of the Borrower during such Test Period, Consolidated EBITDA for such Test Period shall be
calculated after giving pro forma effect thereto as if such transaction occurred on the first day of such Test Period; and


                        (iv)       pro forma calculations of Consolidated EBITDA, whether pursuant to this Section
11.02 or otherwise, shall not give effect to anticipated cost savings and/or increases to Consolidated EBITDA for the relevant period, except in cases of Acquisitions for factually supportable and identifiable pro forma cost savings and/or increases to Consolidated
EBITDA for the relevant period (in each case reasonably expected to occur within one year of the respective date of acquisition) that are attribut­able to such Acquisition, in which case such adjustments shall be permitted so long as same are demonstrated in
writing by the Borrower (with supporting calculations) to the Administrative Agent at the time of the relevant Acquisition; provided further, that the add backs for cost savings and/or increases to Consolidated EBITDA for any Test Period for all Acquisitions
(whether being determined on a Pro Forma Basis or a Post-Test Period Pro Forma Basis) shall not, without the written consent of the Required Lenders, exceed the greater of (x) 15% of Consolidated EBITDA for the relevant Test Period, as
calculated on a Pro Forma Basis or Post-Test Period Pro Forma Basis, as the case may be, after giving effect to such additions and (y) $40 million.


                        (b)        For purposes of calculating Consolidated Debt and Consolidated Senior Debt for
purposes of this Agreement, all determinations of Consolidated Debt and Consolidated Senior Debt shall be made based on the actual amount of Consolidated Debt or Consolidated Senior Debt, as the case be, outstanding on the last day of the respective Test Period or,
in the case of determinations being on a Post-Test Period Pro Forma Basis, on the date of the respec­tive determination, except that for all purposes, other than calculations of the Consolidated Leverage Ratio (and component defined terms, as used therein) for
purposes of determining Applicable Margins and for the purposes of determining compliance with the proviso contained in Section 9.10(a)(i), (i) Consolidated Debt and Consolidated Senior Debt, as the case may be, shall be calculated to exclude all Indebtedness which
would otherwise have been included therein to the extent the Borrower certifies in reasonable detail that the respective Indebt­ed­ness being excluded has been incurred to finance one or more Specified Construction Projects which, on the last date of the
respec­tive Test Period or, in the case of determina­tions being made on a Post-Test Period Pro Forma Basis, on the date of the respective determination, remain at such time Specified Construction Projects and (ii) during the first year immediately following
the date when a Specified Construction Project ceases to constitute same, Consolidated Debt and Consolidated Senior Debt shall be calculated to exclude (1) during the first four months beginning after the date the respective Specified Construction Project ceased to
constitute same, all Indebtedness which would otherwise have been included therein to the extent the Borrower certifies in reasonable detail that the respective Indebtedness has been incurred to finance the respective Specified Construction Project, (2) during the
second four months beginning after the date the respective Specified Construction Project ceased to constitute same, two-thirds of the amount of all Indebtedness which would otherwise have been included therein to the extent the Borrower certifies in reasonable
detail that the respective Indebtedness has been incurred to finance the respective Specified Construction Project and (3) during the third four months beginning after the date the respec­tive Specified Construction Project ceased to constitute same, one-third of
the amount of all Indebtedness which would otherwise have been included therein to the extent Borrower certifies in reasonable detail that the respective Indebtedness has been incurred to finance the respective Specified Construction Project; provided that (x)
no more than an aggregate amount of Indebtedness equal to 0.7 multiplied by the Borrower’s Consolidated EBITDA for the relevant Test Period (determined on a Pro Forma Basis or Post-Test Period Pro Forma Basis, as the case may be) shall be
permitted to be so excluded pursuant to the provisions of preceding clauses (i) and (ii) and (y) no such Indebtedness shall be excluded at any time when the Borrower’s Consolidated Debt/Total Capitalization Ratio (calculated on the last day of the respective
Test Period in the case of determinations on a Pro Forma Basis, and on the date of determination in the case of any calculations being made on a Post-Test Period Pro Forma Basis, but in any event includ­ing all Indebtedness relating to Specified
Construction Projects which may otherwise be excluded as provided above) is greater than 70%.


                        (c)        For purposes of calculating Consolidated Cash Interest Expense for any Test
Period for purposes of this Agreement, the following rules shall apply:


                        (i)         Consolidated Cash Interest Expense shall be determined for the respective
Test Period based on actual Consolidated Cash Interest Expense; provided that such amount shall be adjusted to give pro forma effect (as if the events described below occurred on the first day of the respective Test Period, based on the historical rates which
would have been applicable thereto in the case of pro forma determinations of Indebted­ness which would have been outstanding for periods when same was not actually outstand­ing) to (x) all incurrences of Indebtedness incurred to finance any Acquisition
during the respective Test Period (or, for determinations being made on a Post-Test Period Pro Forma Basis, on the date of determination) to the extent the respective Indebted­ness remains outstanding on the last day of the respective Test Period (or, for
deter­minations being made on a Post-Test Period Pro Forma Basis, on the date of deter­mination) and (y) all to permanent repayments of Indebtedness described in immediately preced­ing clause (x) actually made during such Test Period (or, for
determinations being made on a Post-Test Period Pro Forma Basis, through the date of determination) made with net cash proceeds of events of the type described in Sections 4.02(d), (f) and/or (h), whether or not such net cash proceeds were required to be used
permanently to repay Loans hereunder; and


                        (ii)        notwithstanding anything to the contrary contained above, (x) with respect to
each Specified Construction Project which remains a Specified Construction Project on the last day of the respective Test Period (or, for determinations being made on a Post-Test Period Pro Forma Basis, on the date of determination), Consolidated Cash Interest
Expense shall be calculated by excluding any cash interest expense attributable to Indebt­ed­ness incurred to finance the respective Specified Construction Project, so long as the Bor­rower certifies in reasonable detail the respective Indebtedness and
related Consoli­dated Cash Interest Expense being excluded as provided above in this clause (ii) and (y) for determinations of Consolidated Cash Interest Expense where the last day of the respec­tive Test Period (or, for determinations being made on a
Post-Test Period Pro Forma Basis, the date of determination) occurs within the first year immediately follow­ing the date when the Specified Construction Project ceased to constitute same, Consolidated Cash Interest Expense shall be calculated to
exclude (1) if the last day of the respective Test Period (or, for determinations being made on a Post-Test Period Pro Forma Basis, the date of determination) occurs before the end of the first four months beginning after the date the respective
Specified Construction Project ceased to constitute same, all Consolidated Cash Interest Expense which would  otherwise have been included therein to the extent the Borrower certifies in reasonable detail that the respec­tive Indebtedness has been incurred
to finance the respective Specified Construction Project and the Consolidated Cash Interest Expense relating thereto being excluded as provided above in this subclause (1), (2) if the last day of the respective Test Period (or, for determinations being made on a
Post-Test Period Pro Forma Basis, the date of determination) occurs during the four months following the end of the period described in clause (1) above, two-thirds of the Consolidated Cash Interest Expense which would  otherwise have been included therein to
the extent the Borrower certifies in reasonable detail that the respective Indebtedness has been incurred to finance the respective Specified Construction Project and the Consolidated Cash Interest Expense relating thereto being excluded as provided above in this
subclause (2), and (3) if the last day of the respective Test Period (or, for determinations being made on a Post-Test Period Pro Forma Basis, the date of determination) occurs during the four months following the end of the period described in clause
(2) above, one-third of the Consolidated Cash Interest Expense which would  otherwise have been included therein to the extent the Borrower certifies in reasonable detail that the respective Indebtedness has been incurred to finance the respective Specified
Construction Project and the Consolidated Cash Interest Expense relating thereto being excluded as provided above in this subclause (3); provided if any Indebtedness (where the related Consolidated Cash Interest Expense would otherwise be excluded in whole or in part
pursuant to the foregoing provisions of this clause (ii)) related to a Specified Construction Project is included in Consolidated Debt or Consoli­dated Senior Debt by virtue of the
proviso to Section 11.02(b) above,the related Cash Interest Expense shall likewise be included in Consolidated Cash Interest
Expense (and shall not be excluded pursuant to the preceding provisions of this clause (ii)).


                        SECTION 12. The Administrative Agent and the Joint Lead Arrangers.


                        12.01   Appointment and Authority.  Each of the Lenders and the Issuing Lenders hereby irrevocably
appoint Bank of America to act on its behalf as the Administrative Agent and as Collateral Agent for such Lender (for purposes of this section 12 and Section 13.01, the term “Administrative Agent” shall include Bank of America in its capacity as
Collateral Agent hereunder and pursuant to the Security Documents), Citicorp North America, Inc. as Syndication Agent and BAS and Citigroup Global Markets Inc. as Joint Lead Arrangers hereunder and under the other Credit Documents and authorizes the Administrative
Agent and each other Agent to take such actions on its behalf and to exercise such powers as are delegated to the Administrative Agent by the terms hereof or thereof, together with such actions and powers as are reasonably incidental thereto.  The provisions of this Section are solely for the benefit of the Administrative Agent, the other Agents, the Lenders and the Issuing Lenders, and
neither the Borrower nor any other Credit Party shall have rights as a third party beneficiary of any of such provisions.


                        12.02   Rights as a Lender.  Each Person serving as an Agent hereunder shall have the same rights and
powers in its capacity as a Lender as any other Lender and may exercise the same as though it were not an Agent and the term “Lender” or “Lenders” shall, unless otherwise expressly indicated or unless the context otherwise requires, include
the Person serving as the Administrative Agent hereunder in its individual capacity.  Such Person and its Affiliates may accept deposits from, lend money to, act as the financial advisor or in any other advisory capacity for and generally engage in any kind of business with the Borrower or any Subsidiary or other Affiliate thereof as if such Person were not the an Agent
hereunder and without any duty to account therefor to the Lenders.


                        12.03   Exculpatory Provisions.  The Administrative Agent shall not have any duties or obligations
except those expressly set forth herein and in the other Credit Documents.  Without limiting the generality of the foregoing, the Administrative Agent:


                        (a)        shall not be subject to any fiduciary or other implied duties, regardless of
whether a Default has occurred and is continuing;


                        (b)        shall not have any duty to take any discretionary action or exercise any
discretionary powers, except discretionary rights and powers expressly contemplated hereby or by the other Credit Documents that the Administrative Agent is required to exercise as directed in writing by the Required Lenders (or such other number or percentage of the
Lenders as shall be expressly provided for herein or in the other Credit Documents), 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 Credit Document or applicable law; and


                        (c)        shall not, except as expressly set forth herein and in the other Credit
Documents, 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 Affiliates that is communicated to or obtained by the Person serving as 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 (i) with the consent or at the request of the Required Lenders (or such other number or percentage of the
Lenders as shall be necessary, or as the Administrative Agent shall believe in good faith shall be necessary, under the circumstances as provided in Sections 10 and 13.12) or (ii) in the absence of its own gross negligence or willful misconduct.  The
Administrative Agent shall be deemed not to have knowledge of any Default unless and until notice describing such Default is given to the Administrative Agent by the Borrower, a Lender or an Issuing Lender.


            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 this Agreement or any
other Credit Document, (ii) the contents of any certificate, report or other document delivered hereunder or thereunder or in connection herewith or therewith, (iii) the performance or observance of any of the covenants, agreements or other terms or conditions
set forth herein or therein or the occurrence of any Default, (iv) the validity, enforceability, effectiveness or genuineness of this Agreement, any other Credit Document or any other agreement, instrument or document or (v) the satisfaction of any condition set forth in Section 5 or 6 or elsewhere herein, other than to confirm receipt of items expressly required to be delivered to the
Administrative Agent.


                        12.04   Reliance by 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, Internet or intranet website posting or other distribution) believed by it to be genuine and
to have been signed, sent or otherwise authenticated by the proper Person.  The Administrative Agent also may rely upon any statement made to it orally or by telephone and believed by it to have been made by the proper Person, and shall not incur any liability
for relying thereon.  In determining compliance with any condition hereunder to the making of a Loan, or the issuance of a Letter of Credit, that by its terms must be fulfilled to the satisfaction of a Lender or an Issuing Lender, the Administrative Agent may
presume that such condition is satisfactory to such Lender or such Issuing Lender unless the Administrative Agent shall have received notice to the contrary from such Lender or such Issuing Lenders prior to the making of such Loan or the issuance of such Letter of
Credit.  The Administrative Agent may consult with legal counsel (who may be counsel for the Borrower), independent accountants
and other experts selected by it, and shall not be liable for any action taken or not taken by it in accordance with the advice of any such counsel, accountants or experts.


                        12.05   Delegation of Duties.  The Administrative Agent may perform any and all of its duties and
exercise its rights and powers hereunder or under any other Credit Document by or through any one or more sub‐agents appointed by the Administrative Agent.  The Administrative Agent and any such sub‐agent may perform any and all of its duties and
exercise its rights and powers by or through their respective Affiliates.  The exculpatory provisions of this Section shall apply to any such sub‐agent and to the Affiliates of the Administrative Agent and any such sub‐agent, and shall apply to their respective activities in connection with the syndication of the credit facilities provided for herein as well as activities as
Administrative Agent.


                        12.06   Resignation of Administrative Agent.  The Administrative Agent may at any time give notice of
its resignation to the Lenders, the Issuing Lenders and the Borrower.  Upon receipt of any such notice of resignation, the Required Lenders shall have the right, in consultation with the Borrower, to appoint a successor, which shall be a bank with an office in
the United States, or an Affiliate of any such bank with an office in the United States.  If no such successor shall have been so appointed by the Required Lenders and shall have accepted such appointment within 30 days after the retiring Administrative
Agent gives notice of its resignation, then the retiring Administrative Agent may on behalf of the Lenders and the Issuing Lenders, appoint a successor Administrative Agent meeting the qualifications set forth above; provided that if the Administrative Agent
shall notify the Borrower, the Lenders and the Issuing Lenders that no qualifying Person has accepted such appointment, then such resignation shall nonetheless become effective in accordance with such notice and (1) the retiring Administrative Agent shall be
discharged from its duties and obligations hereunder and under the other Credit Documents and (2) all payments, communications and determinations provided to be made by, to or through the Administrative Agent shall instead be made by or to each Lender and the
Issuing Lenders directly, until such time as the Required Lenders appoint a successor Administrative Agent as provided for above in this Section.  Upon the acceptance of a successor’s appointment as Administrative Agent hereunder, such successor shall
succeed to and become vested with all of the rights, powers, privileges and duties of the retiring (or retired) Administrative Agent, and the retiring Administrative Agent shall be discharged from all of its duties and obligations hereunder or under the other Credit
Documents (if not already discharged therefrom as provided above in this Section).  The fees payable by the Borrower to a successor Administrative Agent shall be the same as those payable to its predecessor unless otherwise agreed between the Borrower and such
successor.  After the retiring Administrative Agent’s resignation hereunder and under the other Credit Documents, the provisions of this Article and Section 13.13 shall continue in effect for the benefit of such retiring Administrative Agent, its
sub‐agents and their respective Affiliates in respect of any actions taken or omitted to be taken by any of them while the retiring Administrative Agent was acting as Administrative Agent.


            Any resignation by the Administrative Agent pursuant to this Section shall also constitute its resignation as an Issuing Lender and the Swingline Lender; provided that any such resignation as an
Issuing Lender or the Swingline Lender shall  not become effective with respect to the Administrative Agent’s obligations as an Issuing Lender or Swingline Lender, as the case may be, under outstanding Letters of Credit or Swingline Loans until such time
as such obligations have been discharged in accordance with the following sentence.  Upon the acceptance of a successor’s appointment as Administrative Agent hereunder, (a) such successor shall succeed to and become vested with all of the rights, powers,
privileges and duties of the retiring Administrative Agent as an Issuing Lender and the Swingline Lender, (b) the retiring Administrative Agent, in its capacity as a Issuing Lender and the Swingline Lender, shall be discharged from all of their respective duties and
obligations hereunder or under the other Credit Documents, and (c) the successor Issuing Lender shall issue letters of credit in substitution for the Letters of Credit, if any, outstanding at the time of such succession or make other arrangements satisfactory to the retiring Issuing Lender to effectively assume the obligations of the retiring Issuing Lender with respect to such Letters of
Credit.


                        12.07   Non-Reliance on Administrative Agent and Other Lenders.  Each Lender and the Issuing Lenders
acknowledge that it has, independently and without reliance upon the Administrative Agent or any other Lender or any of their Affiliates and based on such documents and information as it has deemed appropriate, made its own credit analysis and decision to enter into
this Agreement.  Each Lender and the Issuing Lenders also acknowledges that it will, independently and without reliance upon the Administrative Agent or any other Lender or any of their Affiliates and based on such documents and information as it shall from time to time deem appropriate, continue to make its own decisions in taking or not taking action under or based upon
this Agreement, any other Credit Document or any related agreement or any document furnished hereunder or thereunder.


                        12.08   No Other Duties, Etc.  Anything herein to the contrary notwithstanding, none of the Agents
listed on the cover page hereof shall have any powers, duties or responsibilities under this Agreement or any of the other Credit
Documents, except in its capacity, as applicable, as the Administrative Agent, a Joint Lead Arranger, a Lender or the Issuing Lenders hereunder.


                        12.09   Administrative Agent May File Proofs of Claim.  In case of the pendency of any receivership,
insolvency, liquidation, bankruptcy, reorganization, arrangement, adjustment, composition or other judicial proceeding relative to any Credit Party, the Administrative Agent (irrespective of whether the principal of any Loan or Letter of Credit 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:


                                    (a)        to file
and prove a claim for the whole amount of the principal and interest owing and unpaid in respect of the Loans, Letters of Credit 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 Lenders and the Administrative Agent (including any claim for the reasonable compensation, expenses, disbursements and advances of the Lenders, the Issuing Lenders and the Administrative Agent and their respective agents and counsel
and all other amounts due the Lenders, the Issuing Lenders and the Administrative Agent under Sections 3.01 and 13.01(b)) allowed in such judicial proceeding; and


                                    (b)        to
collect and receive any monies or other property payable or deliverable on any such claims and to distribute the same;


and 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 Lenders to make such payments to the Administrative Agent and, in the event that
the Administrative Agent shall consent to the making of such payments directly to the Lenders and the Issuing Lenders, 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 Sections 3.01 and 13.01(b).


                        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 Lenders 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.


                        12.10   Collateral and Guaranty Matters.  The Lenders and the Issuing 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 Credit Document (i) upon termination of the Commitments and payment in full of all Obligations (other than contingent indemnification obligations for which no claim has been made) and the expiration or termination of all Letters of Credit, (ii) that
is sold, transferred or otherwise disposed of or to be sold, transferred or otherwise disposed of as part of or in connection with any sale, transfer or other disposition permitted hereunder or under any other Credit Document (other than a sale, transfer or other
disposition to the Borrower or any of its Subsidiaries), or (iii) subject to Section 13.12, if approved, authorized or ratified in writing by the Required Lenders;





                        (b)        to subordinate any Lien on any property granted to or held by the
Administrative Agent under any Credit Document to the holder of any Lien on such property that is permitted by Section 9.01; and





                        (c)        to release any Subsidiary Guarantor from its obligations under the Subsidiaries
Guaranty 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 or subordinate its interest in particular types or items of property, or to release any Subsidiary Guarantor from its obligations under the Subsidiaries Guaranty pursuant to this
Section 12.10.


                        SECTION 13. Miscellaneous.


                        13.01   Payment of Expenses, etc.  (a)  The Borrower agrees that it shall:  (i) whether or
not the transactions contem­plated herein are consummated, pay all reasonable out-of-pocket costs and expenses of the Agents (including, without limitation, the reasonable fees and disbursements of counsel, which shall be limited to the fees and expenses of White
& Case LLP and such other relevant local counsel as may be retained in connection with security matters), in connection with the preparation, exe­cution, delivery and performance of this Agreement and the other Credit Documents and the documents and
instruments referred to herein and therein, any amendment, waiver or consent relating hereto or thereto, of the Agents in connection with its syndication efforts with respect to this Agreement and, upon the occurrence and during the continuance of an Event of
Default, the reasonable costs and expenses of the Administrative Agent, the Collateral Agent and each of the Lenders in connection with the enforcement of this Agreement and the other Credit Documents and the documents and instruments referred to herein and therein
or in connection with any refinancing or restructuring of the credit arrangements provided under this Agreement in the nature of a “work-out” or pursuant to any insolvency or bankruptcy proceed­ings (including, in each case without limitation, the
reasonable fees and disbursements of counsel for the Administrative Agent and the Collateral Agent and, following an Event of Default, for each of the Lenders); (ii) pay and hold each of the Lenders harmless from and against any and all present and future stamp,
excise and other similar documentary taxes with respect to the fore­going matters and save each of the Lenders harmless from and against any and all liabilities with respect to or resulting from any delay or omission (other than to the extent attributable to such
Lender) to pay such taxes; and (iii) indemnify the Agents and each Lender, and each of their respective Affiliates, officers, directors, employees, representatives, agents, trustees and advisors from and hold each of them harmless against any and all liabilities,
obligations (including removal or remedial actions), losses, damages, penalties, claims, actions, judgments, suits, costs, expenses and disburse­ments (including reason­able attorneys’ and consultants’ fees and disbursements) incurred by, imposed
on or assessed against any of them as a result of, or arising out of, or in any way related to, or by reason of, (a) any investigation, litigation or other proceeding (whether or not any Agent or any Lender is a party thereto) related to the entering into and/or
performance of this Agreement or any other Credit Document or the use of any Letter of Credit or the proceeds of any Loans here­under or the consummation of any transactions contemplated herein or in any other Credit Document or the exercise of any of their
rights or remedies provided herein or in the other Credit Documents, or (b) the actual or alleged presence of Hazardous Materials in the air, surface water or groundwater or on the surface or subsurface of any Real Property owned, leased or at any time operated by
the Borrower or any of its Subsidiaries, the Release, generation, storage, transporta­tion, handling or disposal of Hazardous Materials at any location, whether or not owned, leased or operated by the Borrower or any of its Subsidiaries, the non-compliance of any
Real Property owned, leased or operated by the Borrower or any of its Subsidiaries with foreign, federal, state and local laws, regulations, and ordinances (including applicable permits thereunder) applicable to such Real Property, or any Environmental Claim asserted
against the Borrower, any of its Subsidiaries or any Real Property owned, leased or at any time operated by the Borrower or any of its Subsidiaries, including, in each case, without limita­tion, the reasonable fees and disburse­ments of counsel and other
con­sultants incurred in connection with any such investigation, litiga­tion or other proceeding (but excluding any losses, liabilities, claims, damages or expenses to the extent incurred by reason of the gross negligence or will­ful misconduct of the
Person to be indemnified (as determined by a court of competent juris­dic­tion in a final and non-appealable decision) or to the extent incurred as a result of actions taken by a party other than the Borrower or its Subsidiaries after the Real Property is no
longer owned, leased or operated by the Borrower or its Subsidiaries).  To the extent that the undertak­ing to indemnify, pay or hold harmless the Administrative Agent or any Lender set forth in the preced­ing sentence may be unenforce­able because
it is violative of any law or public policy, the Bor­rower shall make the maximum contribution to the payment and satisfaction of each of the indem­nified liabilities which is permissible under applicable law.


                        (b)        Reimbursement by Lenders.  To the extent that the Borrower for any
reason fails to indefeasibly pay any amount required under subsection (a) of this Section to be paid by the Borrower to the Administrative Agent (or any sub-agent thereof), any Issuing Lender or any Affiliates of any of the foregoing, each Lender (or, with
respect to such unpaid amounts required to be paid to the Issuing Lender only, each Lender with a Revolving Commitment or outstanding Revolving Loans) severally agrees to pay to the Administrative Agent (or any such sub-agent), such Issuing Lender or such Affiliates,
as the case may be, such Lender’s “percentage” (as used in determining the Required Lenders (determined as if there were no Defaulting Lenders) and, in the case of reimbursements by the Lenders with a Revolving Loan Commitment or outstanding
Revolving Loans, assuming that all outstanding Term Loans have been repaid in full and existing Incremental Term Loan Commitments (if any) have been terminiated) of any such unpaid amount (determined as of the time that the applicable unreimbursed expense or
indemnity payment is sought), provided that the unreimbursed expense or indemnified loss, claim, damage, liability or related expense, as the case may be, was incurred by or asserted against the Administrative Agent (or any such sub-agent) or such Issuing
Lender in its respective capacity as such, or against any Affiliate of any of the foregoing acting for the Administrative Agent (or any such sub-agent) or such Issuing
Lender in connection with such capacity.  The obligations of the Lenders under this subsection (b) shall be several.


                        13.02   Right of Setoff.  (a)  In addition to any rights now or hereafter granted under applicable
law or otherwise, and not by way of limitation of any such rights, upon the occur­rence and during the continuance of an Event of Default, each Lender and each of its Affiliates is hereby authorized at any time or from time to time, without presentment, demand,
protest or other notice of any kind to the Borrower or to any other Person, any such notice being hereby expressly waived, to set off and to appropriate and apply any and all deposits (general or special) and any other Indebtedness at any time held or owing by such
Lender (including, without limitation, by branches and agencies of such Lender wherever located) to or for the credit or the account of any Credit Party against and on account of the Obligations and liabilities of such Credit Party to such Lender under this Agreement
or under any of the other Credit Documents, including, without limitation, all interests in Obliga­tions purchased by such Lender pursuant to Section 13.06(b), and all other claims of any nature or description arising out of or connected with this Agreement or
any other Credit Document, irrespective of whether or not such Lender shall have made any demand here­under and although said Obligations, liabilities or claims, or any of them, shall be contingent or unmatured.


                        (b)        NOTWITHSTANDING THE FOREGOING SUBSECTION (a), AT ANY TIME THAT THE LOANS OR ANY
OTHER OBLIGATION SHALL BE SECURED BY REAL PROPERTY LOCATED IN CALIFORNIA, NO LENDER (OTHER THAN THE ADMINISTRATIVE AGENT OR THE COLLATERAL AGENT) SHALL EXERCISE A RIGHT OF SETOFF, LIEN OR COUNTERCLAIM OR TAKE ANY COURT OR ADMINISTRATIVE ACTION OR INSTITUTE ANY
PROCEED­ING TO ENFORCE ANY PROVISION OF THIS AGREEMENT OR ANY NOTE UNLESS IT IS TAKEN WITH THE CONSENT OF THE ADMINISTRATIVE AGENT, THE COLLATERAL AGENT OR THE REQUIRED LENDERS (OR, TO THE EXTENT REQUIRED BY SECTION 13.12 OF THIS AGREEMENT, ALL OF THE LENDERS),
IF SUCH SETOFF OR ACTION OR PROCEEDING WOULD OR MIGHT (PURSUANT TO CALIFORNIA CODE OF CIVIL PROCEDURE SECTIONS 580a, 580b, 580d AND 726 OF THE CALIFORNIA CODE OF CIVIL PROCEDURE OR SECTION 2924 OF THE CALIFORNIA CIVIL CODE, IF APPLICABLE, OR OTHERWISE) AFFECT OR
IMPAIR THE VALIDITY, PRIORITY, OR ENFORCEABILITY OF THE LIENS GRANTED TO THE COLLATERAL AGENT PURSUANT TO THE SECURITY DOCUMENTS OR THE ENFORCE­ABILITY OF THE NOTES AND OTHER OBLIGATIONS HEREUNDER, AND ANY ATTEMPTED EXERCISE BY ANY SUCH LENDER WITHOUT OBTAINING
SUCH CONSENT OF THE REQUIRED
LENDERS OR THE ADMINISTRATIVE AGENT OR THE COLLATERAL AGENT, AS THE CASE MAY BE, SHALL BE NULL AND VOID.  THIS SUBSECTION (b) SHALL BE SOLELY FOR THE BENEFIT OF EACH OF THE LENDERS, THE ADMINISTRATIVE AGENT AND THE COLLATERAL AGENT.


                        13.03   Notices and Other Communications; Facsimile Copies.  (a)  General.  Unless otherwise
expressly provided herein, all notices and other communications provided for hereunder shall be in writing (including by facsimile transmission).  All such written notices shall be mailed certified or registered mail, faxed or delivered to the applicable
address, facsimile number or (subject to subsection (b) below) electronic mail address, and all notices and other communications expressly permitted hereunder to be given by telephone shall be made to the applicable telephone number, as follows:


                        (i)         if to the Borrower, the Administrative Agent, the Collateral Agent, any
Issuing Lender or the Swingline Lender, to the address, facsimile number, electronic mail address or telephone number specified for such Person on Schedule II or to such other address, facsimile number, electronic mail address or telephone number as shall be
designated by such party in a notice to the other parties; and


                        (ii)        if to any other Lender, to the address, facsimile number, electronic mail
address or telephone number specified in its Administrative Questionnaire or to such other address, facsimile number, electronic mail address or telephone number as shall be designated by such party in a notice to the Borrower, the Administrative Agent, the Issuing
Lender and the Swingline Lender.


                        Notices sent by hand or overnight courier service, or mailed by certified or registered mail, shall be deemed to have been
given when received; notices sent by facsimile shall be deemed to have been given when sent (except that, if not given during normal business hours for the recipient, shall be deemed to have been given at the opening of business on the next business day for the
recipient).  Notices delivered through electronic communications to the extent provided in subsection (b) below, shall, unless the Administrative Agent otherwise prescribes, be deemed to have been given (i) in the case of notices and other communications sent to
an e-mail address, 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) in the case of notices or communications posted
to an Internet or intranet website, 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.


                        (b)        Electronic Communications.  Notices and other communications to the
Lenders 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 if such Lender has notified the Administrative Agent that it is incapable of receiving notices by electronic communication.  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.


                        (c)        Effectiveness of Facsimile Documents and Signatures.  Credit
Documents may be transmitted and/or signed by facsimile.  The effectiveness of any such documents and signatures shall, subject to applicable law, have the same force and effect as manually-signed originals and shall be binding on all Credit Parties, the Agents,
the Collateral Agent, and the Lenders.  The Administrative Agent may also require that any such documents and signatures be confirmed by a manually-signed original thereof; provided, however, that the failure to request or deliver the same shall
not limit the effectiveness of any facsimile document or signature.


                        (d)        Reliance by Administrative Agent and Lenders.  The
Administrative Agent, the Collateral Agent, the Swingline Lender, each Issuing Lender and the Lenders shall each be entitled to rely and act upon any notices (including telephonic Notices of Borrowing) believed by it in good faith to have been given by or on behalf
of the Borrower even if (i) such notices were not made in a manner specified herein, were incomplete or were not preceded or followed by any other form of notice specified herein, or (ii) the terms thereof, as understood by the recipient, varied from any confirmation
thereof.  The Borrower shall indemnify each Agent-Related Persons and each Lender from all losses, costs, expenses and liabilities resulting from the reliance by such Person on each notice believed by the respective such Person in good faith to have been given
by or on behalf of the Borrower or any other Credit Party.  All telephonic notices to and other communications with the Administrative Agent may be recorded by the Administrative Agent, and each of the parties hereto hereby consents to such recording.  In addition, the
Borrower hereby waives the right to dispute the Administrative Agent’s or the Swingline Lender’s record of the terms of such telephonic notice of Borrowing or prepayment of Loans (absent manifest error).


                        13.04   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 no Credit Party may assign or otherwise transfer any of its rights or obligations hereunder without the prior written consent of each Lender and no
Lender may assign or otherwise transfer any of its rights or obligations hereunder except (i) to an Eligible 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 Indemnitees) 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 Eligible Assignees all or a
portion of its rights and obligations under this Agreement (including all or a portion of its Commitment and the Loans (including for purposes of this subsection (b), participations in Letters of Credit  and in Swingline Loans) at the time owing to it);
provided that (i) except in the case of an assignment of the entire remaining amount of the assigning Lender’s Commitment and the Loans at the time owing to it or in the case of an assignment to a Lender or an Affiliate of a Lender or an Approved Fund
(as defined in subsection (g) of this Section) with respect to a Lender, the aggregate amount of the Commitment and/or (without duplication) Loans subject to each such assignment, determined as of the date the Assignment and Assumption Agreement with respect to such
assignment is delivered to the Administrative Agent or, if “Trade Date” is specified in the Assignment and Assumption Agreement, as of the Trade Date, shall not be less than $1,000,000, unless each of the Administrative Agent and, in the case of
assignments of Revolving Loan Commitments (and related Revolving Loans) 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) 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 or the Commitment assigned, except that this clause (ii) shall not apply to rights in respect of Swingline
Loans; (iii) any assignment of a Revolving Loan Commitment must be approved by each of the Administrative Agent, each Issuing Lender and the Swingline Lender unless the Person that is the proposed assignee is itself a Lender (whether or not the proposed assignee
would otherwise qualify as an Eligible Assignee); and (iv) the parties to each assignment shall execute and deliver to the Administrative Agent an Assignment and Assumption Agreement, together with a processing and recordation fee of $3,500, and the Eligible
Assignee, if it shall not be a Lender, shall deliver to the Administrative Agent an Administrative Questionnaire.  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 Agreement, the Eligible Assignee thereunder shall be a party to this Agreement and, to the extent of the interest assigned by such Assignment and Assumption Agreement, 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 Agreement, be released from its obligations under this Agreement (and, in the case of an Assignment and Assumption Agreement 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 1.10, 1.11, 2.06, 4.04 and 13.01 with respect to facts and circumstances
occurring prior to the effective date of such assignment).  Upon request, the Borrower (at its expense) shall execute and deliver a Note to the assignee 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.


                        (c)        The Administrative Agent, acting solely for this purpose as an agent of the
Borrower, shall maintain at the Notice Office a copy of each Assignment and Assumption Agreement delivered to it and a register for the recordation of the names and addresses of the Lenders, and the Commitments of, and principal amounts of the Loans and Letter of
Credit Outstandings owing to, each Lender pursuant to the terms hereof from time to time (the “Register”).  The entries in the Register shall be conclusive, and the Borrower, the Administrative Agent, the Collateral Agent and the Lenders may
treat each Person whose name is recorded in the Register pursuant to the terms hereof as a Lender hereunder for all purposes of this Agreement, notwithstanding notice to the contrary.  The Register shall be available for inspection by the Borrower at any
reasonable time and from time to time upon reasonable prior notice.  In addition, at any time that a request for a consent for a material or other substantive change to the Credit Documents is pending, any Lender wishing to consult with other Lenders in
connection therewith may request and receive from the Administrative Agent a copy of the Register.  The Borrower agrees to indemnify the Administrative Agent from and against any and all losses, claims, damages and liabilities of whatsoever nature which may be
imposed on, asserted against or incurred by the Administrative Agent in performing its duties under this Section 13.04(c).


                        (d)        Any Lender may at any time, without the consent of, or notice to, the Borrower
or the Administrative Agent, sell participations to any Person (other than a natural person or the Borrower’s Affiliates or Subsidiaries) (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 (including such Lender’s participations in Letters of Credit Outstandings and/or Swingline 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 Collateral Agent 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, except to the extent such amendment, modification or waiver would (i) extend the final scheduled maturity of any Loan, Note
or Letter of Credit (unless such Letter of Credit is not extended beyond the Revolving Loan Maturity Date) in which such participant is participating, or reduce the rate or extend the time of payment of interest or Fees thereon (except in connection with a waiver of
applicability of any post-default increase in interest rates) or reduce the principal amount thereof, or increase the amount of the participant’s participation over the amount thereof then in effect (it being under­stood that a waiver of any Default or
Event of Default or of a mandatory reduction in the Total Commitment or of a mandatory repayment of Loans shall not constitute a change in the terms of such participation, that an increase in any Commitment or Loan shall be permitted without the consent of any
participant if the participant’s parti­cipation is not increased as a result thereof and that any amendment or modification to the financial definitions in this Agreement or to 13.07(a) shall not consti­tute a reduction in any rate of interest or fees
for purposes of this clause (i)), (ii) consent to the assignment or transfer by the Borrower of any of its rights and obligations under this Agreement, (iii) release all or substantially all of the Collateral under all of the Security Documents (except as expressly
provided in the Security Documents) supporting the Loans here­under in which such parti­cipant is participating or (iv) release all or substantially all of the Guarantors under the Subsidiary Guaranty (except as expressly provided in the Subsidiaries
Guaranty) supporting the Loans under which such participant is participating.  Subject to subsection (e) of this Section, the Borrower agrees that each Participant shall be entitled to the benefits of Sections 1.10, 1.11, 2.06 and 4.04 to the same extent
as if it were a Lender and had acquired its interest by assignment pursuant to subsection (b) of this Section.  To the extent permitted by law, each Participant also shall be entitled to the benefits of Section 13.02 as though it were a Lender,
provided such Participant agrees to be subject to Section 13.06(b) as though it were a Lender.


                        (e)        A Participant shall not be entitled to receive any greater payment under
Section 1.10, 1.11, 2.06, or 4.04 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 that would be a non-U.S. Lender for purposes of Section 4.04 if it were a Lender shall not be entitled to the benefits of Section 4.04 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 4.04 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 (including under its Note(s), if any) to secure obligations of such Lender, including 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.


                        (g)        As used herein, the following terms have the following meanings:


            “Eligible Assignee” means (a) a Lender; (b) an Affiliate of a Lender; (c) an Approved Fund; and (d) any other Person (other than a natural person) approved by (i) the
Administrative Agent and (ii) in the case of any assignment of a Revolving Commitment, each Issuing Lender, the Swingline Lender (each such approval not to be unreasonably withheld or delayed) and, unless a Default or Event of Default has occurred and is continuing,
the Borrower; provided that notwithstanding the foregoing, “Eligible Assignee” shall not include the Borrower or any of the Borrower’s Affiliates or Subsidiaries.


            “Fund” means 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 business.


            “Approved Fund” means any Fund that is administered or managed by (a) a Lender, (b) an Affiliate of a Lender or (c) an entity or an Affiliate of an entity that administers or
manages a Lender.


                        (h)        Notwithstanding anything to the contrary contained herein, if at any time Bank
of America assigns all of its Commitment and Loans pursuant to subsection (b) above, Bank of America may, (i) upon 30 days’ notice to the Borrower and the Lenders, resign as an Issuing Lender and/or (ii) upon 30 days’ notice to the Borrower, resign as
Swingline Lender.  In the event of any such resignation as an Issuing Lender or Swingline Lender, the Borrower shall be entitled to appoint from among the Lenders a successor Issuing Lender or Swingline Lender hereunder; provided, however, that no
failure by the Borrower to appoint any such successor shall affect the resignation of Bank of America as an Issuing Lender or Swingline Lender, as the case may be.  If Bank of America resigns as an Issuing Lender, it shall retain all the rights and obligations
of an Issuing Lender hereunder with respect to all Letters of Credit issued by Bank of America and outstanding as of the effective date of its resignation as an Issuing Lender (including the right to require the Lenders to fund risk participations in Unpaid Drawings
pursuant to Section 2.04(c)).  If Bank of America resigns as Swingline Lender, it shall retain all the rights of the Swingline Lender provided for hereunder with respect to Swingline Loans made by it and outstanding as of the effective date of such resignation,
including the right to require the Lenders to make Mandatory Borrowings pursuant to Section 1.01(d).


                        (i)         Notwithstanding anything to the contrary contained in Section 13.04(b)
above, at any time after the termination of the Total Revolving Loan Commitment, if any Revolving Loans or Letters of Credit remain outstanding, assignments may be made as provided above in said Section, except that the respective assignment shall be of a portion of
the outstanding Revolving Loans of the respective Lender and its participation in Letters of Credit and its obligation to make Mandatory Borrowings, although any such assignment effected after the termination of the Total Revolving Loan Commitment shall not release
the assigning Lender from its obligations as an Issuing Lender with respect to outstanding Letters of Credit or to fund its share of any Mandatory Borrowing (although the respective assignee may agree, as between itself and the respective assigning Issuing Lender,
that it shall be responsible for such amounts).


                        (j)         At the time of each assignment pursuant to Section 13.04(b) to a Person
which is not already a Lender hereunder and which is not a United States Person (as such term is defined in Section 7701(a)(30) of the Code) for Federal income tax purposes, the respective assignee Lender shall provide to the Borrower and the Administrative Agent the
appropriate Internal Revenue Service Forms (and, if applicable a Section 4.04(b)(ii) Certificate) described in Section 4.04(b).  To the extent that an assignment of all or any portion of a Lender’s Commitment and outstanding Obligations pursuant to Section
1.14 or Section 13.04(b) would, due to circumstances existing at the time of such assignment, result in increased costs under Section 1.10, 1.11, 2.06 or 4.04 from those being charged by the respective assigning Lender prior to such assignment, then the Borrower shall not be obligated to pay such increased costs (although the Borrower shall be obligated to pay any other increased costs of the type described above resulting from changes after
the date of the respective assignment).


                        13.05   No Waiver; Remedies Cumulative.  No failure or delay on the part of the Administrative Agent or
any Lender or any holder of any Note in exercising any right, power or privilege hereunder or under any other Credit Document and no course of dealing between the Borrower or any other Credit Party and the Administrative Agent or any Lender or the holder of any Note
shall operate as a waiver thereof; nor shall any single or partial exercise of any right, power or privilege hereunder or under any other Credit Document preclude any other or further exercise thereof or the exercise of any other right, power or privilege hereunder
or thereunder.  The rights, powers and remedies herein or in any other Credit Document expressly provided are cumulative and not exclusive of any rights, powers or remedies which the Administrative Agent or any Lender or the holder of any Note would otherwise
have.  No notice to or demand on any Credit Party in any case shall entitle any Credit Party to any other or further notice or demand in similar or other circumstances or
constitute a waiver of the rights of the Administrative Agent or any Lender or the holder of any Note to any other or further action in any circumstances without notice or demand.


                        13.06   Payments Pro Rata.  (a)  Except as otherwise provided in this Agreement, the
Administrative Agent agrees that promptly after its receipt of each payment from or on behalf of the Borrower in respect of any Obligations hereunder, it shall dis­tribute such payment to the Lenders (other than any Lender that has consented in writing to waive
its pro rata share of any such payment) pro rata based upon their respective shares, if any, of the Obligations with respect to which such payment was received.


                        (b)        Each of the Lenders agrees that, if it should receive any amount hereunder
(whether by voluntary payment, by realization upon security, by the exercise of the right of setoff or banker’s lien, by counterclaim or cross action, by the enforcement of any right under the Credit Documents, or otherwise), which is applicable to the payment
of the prin­cipal of, or interest on, the Loans, Unpaid Drawings, Commitment Commission or Letter of Credit Fees, of a sum which with respect to the related sum or sums received by other Lenders is in a greater propor­tion than the total of such Obligation
then owed and due to such Lender bears to the total of such Obligation then owed and due to all of the Lenders immediately prior to such receipt, then such Lender receiving such excess payment shall purchase for cash without recourse or warranty from the other
Lenders an interest in the Obligations of the respective Credit Party to such Lenders in such amount as shall result in a proportional participationby all the Lenders in such
amount; provided that if all or any portion of such excess amount is thereafter recovered from such Lender, such purchase shall be rescinded and the purchase price restored to the extent of such recovery, but without interest.


                        13.07   Calculations; Computations.  (a)  The financial statements to be furnished to the Lenders
pursuant hereto shall be made and prepared in accordance with generally accepted accounting principles in the United States consistently applied throughout the periods involved (except as set forth in the notes thereto or as otherwise disclosed in writing by the
Borrower to the Lenders) (“GAAP”); provided that, except as otherwise specifically provided herein, all compu­tations of Excess Cash Flow, Consolidated Cash Interest Expense, Consolidated Debt, Consolidated Debt/Total Capitalization Ratio,
Consolidated EBIT, Consolidated EBITDA, Consolidated Interest Coverage Ratio, Consolidated Leverage Ratio, Consolidated Net Income, Consolidated Net Worth, Consolidated Senior Debt and Consolidated Senior Leverage Ratio (in each case including component defined
terms) and all computations determining compliance with Sections 9.08 and 9.09, inclusive, shall utilize accounting principles and policies in conformity with those used to prepare the historical financial statements of the Borrower referred to in
Sec­tion 7.05(a).


                        (b)        All computations of interest, Commitment Commission, and other Fees hereunder
shall be made (i) in the case of Base Rate Loans based on the Prime Lending Rate, on the actual number of days elapsed over a year of 365 or 366 days, as the case may be, and (ii)
in all other cases, on the actual number of days over a year of 360 days (in each case includ­ing the first day but excluding the last day).


                        13.08   GOVERNING LAW; SUBMISSION TO JURISDICTION; VENUE; WAIVER OF JURY TRIAL.  (a)  THIS
AGREEMENT AND THE OTHER CREDIT DOCU­MENTS AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER AND THEREUNDER SHALL, EXCEPT AS OTHERWISE PROVIDED IN CERTAIN OF THE MORTGAGES, BE CONSTRUED IN ACCORDANCE WITH AND BE GOVERNED BY THE LAW OF THE STATE OF
NEW YORK.  ANY LEGAL ACTION OR PROCEEDING WITH RESPECT TO THIS AGREEMENT OR ANY OTHER CREDIT DOCUMENT MAY BE BROUGHT IN THE COURTS OF THE STATE OF NEW YORK OR OF THE UNITED STATES FOR THE SOUTHERN DISTRICT OF NEW YORK IN EACH CASE WHICH ARE
LOCATED IN THE COUNTY OF NEW YORK, AND, BY EXECUTION AND DELIVERY OF THIS AGREEMENT, THE BORROWER HEREBY IRREVOCABLY ACCEPTS FOR ITSELF AND IN RESPECT OF ITS PROPERTY, GENERALLY AND UNCONDITIONALLY, THE NON-EXCLUSIVE JURISDICTION OF THE AFORESAID COURTS. 
THE BORROWER HEREBY FURTHER IRREVOCABLY WAIVES ANY CLAIM THAT ANY SUCH COURTS LACK JURISDICTION OVER THE BORROWER, AND AGREES NOT TO PLEAD OR CLAIM, IN ANY LEGAL ACTION OR PROCEEDING WITH RESPECT TO THIS AGREEMENT OR ANY OTHER CREDIT DOCUMENT BROUGHT IN ANY OF THE
AFORE­SAID COURTS, THAT ANY SUCH COURT LACKS JURISDICTION OVER THE BORROWER.  THE BORROWER FURTHER IRREVOCABLY CONSENTS TO THE SERVICE OF PROCESS OUT OF ANY OF THE AFOREMENTIONED COURTS IN ANY SUCH ACTION OR PROCEEDING BY THE MAILING OF COPIES THEREOF BY
REGIS­TERED OR CERTIFIED MAIL, POSTAGE PREPAID, TO THE BORROWER AT ITS ADDRESS SET FORTH OPPOSITE ITS SIGNATURE BELOW, SUCH SERVICE TO BECOME EFFECTIVE 30 DAYS AFTER SUCH MAILING.  THE BORROWER HEREBY IRREVOCABLY WAIVES ANY OBJECTION TO SUCH SERVICE OF
PROCESS AND FURTHER IRREVO­CABLY WAIVES AND AGREES NOT TO PLEAD OR CLAIM IN ANY ACTION OR PROCEEDING COMMENCED HEREUNDER OR UNDER ANY OTHER CREDIT DOCUMENT THAT SERVICE OF PROCESS WAS IN ANY WAY INVALID OR INEFFEC­TIVE.  NOTHING HEREIN SHALL AFFECT THE
RIGHT OF THE ADMINIS­TRA­TIVE AGENT, ANY LENDER OR THE HOLDER OF ANY NOTE TO SERVE PROCESS IN ANY OTHER MANNER PERMITTED BY LAW OR TO COMMENCE LEGAL PROCEEDINGS OR OTHERWISE PROCEED AGAINST THE BORROWER IN ANY OTHER JURISDICTION.


                        (b)        THE BORROWER HEREBY IRREVOCABLY WAIVES ANY OBJEC­TION WHICH IT MAY NOW OR
HEREAFTER HAVE TO THE LAYING OF VENUE OF ANY OF THE AFORESAID ACTIONS OR PROCEEDINGS ARISING OUT OF OR IN CONNEC­TION WITH THIS AGREEMENT OR ANY OTHER CREDIT DOCUMENT BROUGHT IN THE COURTS REFERRED TO IN CLAUSE (a) ABOVE AND HEREBY FURTHER IRREVOCABLY WAIVES AND
AGREES NOT TO PLEAD OR CLAIM IN ANY SUCH COURT THAT ANY SUCH ACTION OR PROCEEDING BROUGHT IN ANY SUCH COURT HAS BEEN BROUGHT IN AN INCONVENIENT FORUM.


                        (c)        EACH OF THE PARTIES TO THIS AGREEMENT HEREBY IRRE­VOCABLY WAIVES ALL RIGHT TO A TRIAL BY JURY IN ANY ACTION, PROCEED­ING OR COUNTERCLAIM ARISING OUT OF OR RELATING TO THIS AGREEMENT, THE OTHER CREDIT DOCUMENTS OR  THE TRANSACTIONS
CONTEMPLATED HEREBY OR THEREBY.


                        13.09   Counterparts.  This Agreement may be executed in any number of counter­parts and by the
different parties hereto on separate counterparts, each of which when so executed and delivered shall be an original, but all of which shall together constitute one and
the same instrument.  A set of counterparts executed by all the parties hereto shall be lodged with the Borrower and the Administrative Agent.


                        13.10   Effectiveness.  This Agreement shall become effective on the date (the “Effective
Date”) on which (i) the Borrower, each Lender, the Administrative Agent and the Joint Lead Arrangers shall have signed a counterpart hereof (whether the same or different counterparts) and shall have delivered (in­cluding by way of facsimile device) the
same to the Administrative Agent at the Notice Office or, in the case of the Lenders, shall have given the Administrative Agent telephonic (confirmed in writing), written or telex notice (actually received) at such office that same has been signed and mailed to it
and (ii) the conditions contained in Section 5A are met to the satisfaction of the Joint Lead Arrangers and the Required Lenders.  Unless the Administrative Agent has received actual notice from any Lender that the conditions contained in Section 5A have not
been met, upon the satisfaction of the condition described in clause (i) of the immediately preceding sentence and upon the Administrative Agent’s good faith determination that the conditions described in clause (ii) of the immediately preceding sentence have
been met, then the Effective Date shall have been deemed to have occurred, regardless of any subsequent determination that one or more of the conditions thereto had not
been met (although the occurrence of the Effective Date shall not release the Borrower from any liability for failure to satisfy one or more of the applicable conditions contained in
Section 5A).


                        13.11   Headings Descriptive.  The headings of the several sections and subsec­tions of this
Agreement are inserted for convenience only and shall not in any way affect the meaning or construction of any provision of this Agreement.


                        13.12   Amendment or Waiver; etc.  (a)  Neither this Agreement nor any other Credit Document nor
any terms hereof or thereof may be changed, waived, discharged or ter­mi­nated unless such change, waiver, dis­charge or termination is in writing signed by the respec­tive Credit Parties party thereto and the Required Lenders, provided that no
such change, waiver, dis­charge or termination shall, without the consent of each Lender (other than a Defaulting Lender) (with Obligations being directly modi­fied in the case of following clause (i)), (i) extend the final scheduled maturity of any Loan or
Note, or extend the stated expiration date of any Letter of Credit beyond the Revolving Loan Maturity Date, or reduce the rate or extend the time of pay­ment of interest or Fees thereon (except in connection with a waiver of applicability of any post-default
increase in interest rates), or reduce the principal amount thereof (except to the extent repaid in cash) (it being understood that any amendment or modification to the financial defini­tions in this Agreement or to Section 13.07(a) shall not constitute a
reduction in the rate of interest or any Fees for purposes of this clause (i)), (ii) release all or substantially all of the Collateral (except as expressly provided in the Credit Documents) under all the Security Documents, (iii) amend, modify or waive any
pro­vi­sion of this Section 13.12, (iv) reduce the percentage specified in the definition of Required Lenders (it being understood that, with the consent of the Required Lenders, additional exten­sions of credit pursuant to this Agreement may be included
in the determination of the Required Lenders on substantially the same basis as the extensions of Loans and Commitments are included on the Effective Date), (v) release all or substantially all of the Subsidiary Guarantors (except as expressly provided in the
Subsidiaries Guaranty), (vi) consent to the assignment or transfer by the Borrower of any of its rights and obligations under this Agreement or (vii) amend, modify or waive any provisions of Section 13.06(a) providing for payments to be made ratably to the Lenders
(it being understood that, with the consent of the Required Lenders, additional extensions of credit pursuant to this Agreement may be included in determining any ratable share pursuant to Section 13.06(a) and adjustments to any such Section may be made consistent
therewith); provided further, that no such change, waiver, discharge or termination shall (1) increase the Commitment of any Lender over the amount thereof then in effect without the consent of such Lender (it being understood that waivers or modifications of
conditions precedent, covenants, Defaults or Events of Default or of a manda­tory reduction in the Total Commitments shall not constitute an increase of the Commitment of any Lender, and that an increase in the available portion of any Commitment of any Lender
shall not constitute an increase in the Commitment of such Lender), (2) without the consent of each Issuing Lender, amend, modify or waive any provi­sion of Section 2 or alter its rights or obligations with respect to Letters of Credit, (3) without the consent of
the Adminis­tra­tive Agent, amend, modify or waive any provision of Section 12 as same applies to the Adminis­tra­tive Agent or any other provision as same relates to the rights or obligations of the Adminis­trative Agent, (4) without the consent
of the Collateral Agent, amend, modify or waive any provision relating to the rights or obligations of the Collateral Agent, (5) without the consent of the Swingline Lender, alter the Swingline Lender’s rights or obligations with respect to Swingline Loans, (6)
without the consent of the Majority Lenders of each Tranche which is being allocated a lesser prepayment, repayment or commitment reduction as a result of the actions described below (or without the consent of the Majority Lenders of each Tranche in the case of an
amendment to the definition of Majority Lenders), amend the definition of Majority Lenders or alter the required application of any prepayments or repayments (or commitment reduc­tion), as between the various Tranches, pursuant to Section 4.01(a) or 4.02
(excluding Section 4.02(b)) (although the Required Lenders may waive, in whole or in part, any such pre­payment, repayment or commitment reduction, so long as the application, as amongst the various Tranches, of any such prepayment, repayment or commitment
reduction which is still required to be made is not altered), (7) without the consent of the Supermajority Lenders of the respec­tive Tranche, reduce the amount of, or extend the date of, any Scheduled Term Loan Repayment, or amend the definition of Supermajority
Lenders (it being understood that, with the consent of the Required Lenders, additional extensions of credit pursuant to this Agreement may be included in the determination of the Supermajority Lenders on substantially the same basis as the extensions of Loans are
included on the Effective Date), (8) in cases where any Incremental Term Loans are being added to an existing Tranche of Term Loans pursuant to Section 1.13, without the consent of the Supermajority Lenders of the respective Tranche (determined before giving effect
to the additions to such Tranche), alter any of the requirements contained in Section 1.13(c), and (9) without the consent of the Majority Lenders of each Tranche of Term Loans and, in the case of Section 1.13(a)(xi), Revolving Loans amend or modify the provisions of
Section 1.13(a)(x) or (xi), as the case may be.


                        (b)        If, in connection with any proposed change, waiver, discharge or
termina­tion with respect to any of the provisions of this Agreement as contemplated by clauses (i) through (vii), inclusive, of the first proviso to Section 13.12(a), the consent of the Required Lenders is obtained but the consent of one or more of such other
Lenders whose consent is required is not obtained, then the Borrower shall have the right, so long as all non-consenting Lenders whose individual consent is required are treated as described in either clause (A) or (B) below, to either (A) replace each such
non-consenting Lender or Lenders (or, at the option of the Borrower, if the respective Lender’s individual consent is required with respect to less than all Tranches of Loans (or related Commitments), to replace only the Commitments and/or Loans under the
respective Tranche of the respective non-consenting Lender which gave rise to the need to obtain such a Lender’s individual consent) with one or more Replacement Lenders pur­suant to Section 1.14 so long as at the time of such replacement, each such
Replacement Lender con­sents to the proposed change, waiver, discharge or termination or (B) terminate such non-con­senting Lender’s Revolving Loan Commitment (if such a Lender’s individual consent is required as a result of its Revolving Loan
Commitment) and/or repay the outstanding Loans of such Lender under each Tranche which gave rise to the need to obtain such a Lender’s individual consent and/or cash collateralize its applicable Percentage of the Letter of Credit Outstandings in accor­dance
with Sections 3.02(b) and/or 4.01(b), provided that, unless the Commitments are termi­nated, and Loans repaid, pursuant to preceding clause (B) are immediately replaced in full at such time through the addition of new Lenders or the increase of the
Commitments and/or outstanding Loans of existing Lenders (who in each case must specifically consent thereto), then in the case of any action pursuant to preceding clause (B) the Required Lenders (determined before giving effect to the proposed action) shall
speci­fically consent thereto, provided further, that in any event the Borrower shall not have the right to replace a Lender, termi­nate any of its
Commit­ments or repay its Loans solely as a result of the exercise of such Lender’s rights (and the with­hold­ing of any required consent by such Lender) pursuant to the second proviso to Section 13.12(a).


                        13.13   Survival. 
All indemnities set forth herein including, without limitation, in Sections 1.10, 1.11, 2.06, 4.04, 13.01 and 13.06 shall survive the execution, delivery and termina­tion of this Agreement and the Notes and the making and repayment of the Obligations.


                        13.14   Domicile of Loans.  Each  Lender may transfer and carry its Loans at, to or for the
account of any office, Subsidiary or Affiliate of such  Lender.  Notwithstanding anything to the contrary contained herein, to the extent that a transfer of Loans pursuant to this Section 13.14 would, at the time of such transfer, result in increased
costs under Section 1.10, 1.11, 2.06 or 4.04 from those being charged by the respective  Lender prior tosuch transfer, then the Borrower shall not be obligated to
pay such increased costs (although the Borrower shall be obligated to pay any other increased costs of the type described above resulting from changes after the date of the respective transfer).


                        13.15   Confidentiality.  (a)  Subject to the provisions of clause (b) of this Section 13.15,
each  Lender agrees that it will use its reasonable efforts in accordance with its customary practices not to disclose without the prior written consent of the Borrower (other than to its directors, employees, auditors, advisors or counsel or to another Lender
if the  Lender or such Lender’s holding or parent company in its sole discretion determines that any such party should have access to such information, provided such Persons shall be subject to the provisions of this Section 13.15 to the same extent as
such Lender) any information with respect to any Credit Party or any of its Subsidiaries which is now or in the future furnished pursuant to this Agreement or any other Credit Document, provided that any Lender may disclose any such infor­mation (a) as has
become generally available to the public other than by virtue of a breach of this Sec­tion 13.15(a), (b) as may be required or appropriate in any report, statement or testimony submitted to any municipal, state or Federal regulatory body having or claiming to
have jurisdiction over such Lender or to the Federal Reserve Board, the Federal Deposit Insurance Corporation or the NAIC or similar organizations (whether in the United States or elsewhere) or their successors, (c) as may be required or appro­priate in respect
to any summons or subpoena or in connection with any litiga­tion, (d) in order to comply with any law, order, regulation or ruling applicable to such Lender, (e) to the Administrative Agent or the Collateral Agent, (f) to any prospective or actual transferee or
partici­pant in connection with any contemplated transfer or participation of any of the Notes or Commit­ments or any interest therein by such Lender, provided that such prospective transferee agrees with such Lender for the benefit of the Borrower to
be subject to the confidentiality provisions of this Section 13.15(a) and (g) to any prospective or actual counterparty (including its advisors) to any swap, derivative or securitization transaction relating to the Borrower and its obligations under this Agreement,
provided that such prospective or actual counterparty (including its advisors) agrees with such Lender for the benefit of the Borrower to be subject to the confidentiality provisions of this Section 13.15(a).


                        (b)        The Borrower hereby acknowledges and agrees that each Lender may share with any
of its affiliates any information related to Credit Parties or any of their respective Subsid­iaries (including, without limitation, any nonpublic customer information regarding the credit­worth­iness of the Credit Parties and their respective
Subsidiaries, provided such Persons shall be subject to the provisions of this Section 13.15 to the same extent as such Lender), it being understood that for purposes of this
Section 13.15(b) the term “affiliate” shall mean any direct or indirect holding company of a Lender as well as any direct or indirect Subsidiary of such holding company.


                        13.16   Limitation on Increased Costs.  Notwithstanding anything to the contrary contained in Section
1.10, 1.11, 2.06 or 4.04, unless a Lender gives notice to the Borrower that it is obligated to pay an amount under any such Section within 180 days after the later of (x) the date such Lender incurs the respective increased costs, Taxes, loss, expense or liability,
or reduction in amounts received or receivable or reduction in return on capital or (y) the date such Lender has actual knowledge of its incurrence of the respective increased costs, Taxes, loss, expense or liabil­ity, or reductions in amounts received or
receivable or reduction in return on capital, then such Lender shall only be entitled to be compensated for such amount by the Borrower pursuant to said Section 1.10, 1.11, 2.06 or 4.04, as the case may be, to the extent the costs, Taxes, loss, expense or liability,
or reduction in amounts received or receivable or reduction in return on capi­tal are incurred or suffered on or after the date which occurs 180 days prior to such Lender giv­ing notice to the Borrower that it is obligated to pay the respective amounts pursuant to
said Sec­tion 1.10, 1.11, 2.06 or 4.04, as the case may be.  This Section 13.16 shall have no applicabil­ity to any Sec­tion of this Agreement or any other Credit Document other than said Sections 1.10, 1.11, 2.06 and 4.04.


                        13.17   USA Patriot Act Notice.  Each Lender that is subject to the Act (as hereinafter defined) and
the Administrative Agent (for itself and not on behalf of any Lender) hereby notifies the Borrower that pursuant to the requirements of the USA Patriot Act (Title III of Pub. L. 107-56 (signed into law October 26, 2001)) (the “Act”), it is required
to obtain, verify and record information that identifies the Borrower, which information includes the name and address of the Borrower and other information that will allow such Lender or the Administrative Agent, as applicable, to identify
the Borrower in accordance with the Act.


                        13.18   Exchange of Certain Existing Incremental B Term Loans.  Notwithstanding anything to the
contrary contained in the Credit Agreement and the Existing Credit Agreement, the Borrower and each of the Lenders hereby agree that the Existing Incremental B Term Loans held by the FD Funds on the Effective Date (immediately prior to giving effect to this
Agreement) shall not be repaid in connection with the Refinancing (although all unpaid interest on such Existing Incremental B Term Loans held by each FD Fund that has accrued to the Effective Date (immediately prior to giving effect thereto) shall be paid to each FD
Fund); it being understood and agreed that such Existing Incremental B Term Loans shall instead be exchanged on the Effective Date for Initial Term Loans hereunder which shall have the same terms and conditions (including the Applicable Margins) applicable to all
other Initial Term Loans hereunder, with the effect of such exchange being that each FD Fund shall, immediately after giving effect to the effectiveness of this Agreement, have outstanding Initial Term Loans in an aggregate principal amount equal to the Existing
Incremental B Term Loans of each such FD Fund so exchanged, which Initial Term Loans shall be layered on to the initial Borrowing of Initial Term Loans made hereunder on the Effective Date (which shall be incurred as Base Rate Loans) on a ratable basis based upon the
aggregate principal amount of the Initial Term Loans of such FD Fund relative to the aggregate principal amount of all Initial Term Loans incurred hereunder on the Effective Date.   In furtherance of the foregoing, the Lenders hereby agree that the FD Funds, the
Borrower and the Administrative Agent may enter into documentation to further evidence the exchange of the Existing Incremental Term Loans held by the FD Funds on the Effective Date (immediately after giving effect to the effectiveness of this Agreement) for Initial
Term Loans hereunder as contemplated in this Section 13.18.


*      *      *


                        IN WITNESS WHEREOF, the parties hereto have caused their duly authorized officers to execute and deliver this Agreement as of
the date first above written.



                                                                       
VANGUARD HEALTH SYSTEMS, INC.



                                                                       
By:/s/ Joseph D. Moore                       


                                                                       
     Title: Executive Vice President, Chief

                                                                       
     Financial Officer & Treasurer







                                                                       
BANK OF AMERICA, N.A.,

                                                                       
     Individually and as Administrative Agent



                                                                       
By:/s/ Kevin Wagley                            


                                                                       
     Title: Principal







                                                                       
BANC OF AMERICA SECURITIES LLC,

                                                                       
     as a Joint Lead Arranger



                                                                       
By:/s/ James Jefferies                           


                                                                       
     Title: Managing Director







                                                                       
CITICORP NORTH AMERICA, INC.,

                                                                       
     Individually and as Syndication Agent



                                                                       
By:/s/ Richard C. Zogheb                     


                                                                       
     Title: Vice President









                                                                       
CITIGROUP GLOBAL MARKETS INC.,

                                                                       
as a Joint Lead Arranger



                                                                       
By:/s/ Richard C. Zogheb                     


                                                                       
     Title: Managing Director







                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, Individually and as a Co-

                                                                       
Documentation Agent



                                                                       
By:/s/ Steve J. Warner                         


                                                                       
     Title: Duly Authorized Signatory







                                                                       
LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION, Individually and as a Co-

                                                                       
Documentation Agent



                                                                       
By:/s/ Sarah A. Rusher             


                                                                       
     Title: First Vice President







                                                                       
WACHOVIA BANK, NATIONAL

                                                                       
ASSOCIATION, Individually and as a Co-

                                                                       
Documentation Agent



                                                                       
By:/s/ James Travagline            


                                                                       
     Title: Vice President







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

           
                                                           
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
BNP PARIBAS






                                                                       
By:/s/ Dennis Zinkand              


                                                                       
     Title: Director







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
BEAR STEARNS CORPORATE LENDING INC.






                                                                       
By:/s/ Victor Bulzacchelli                      


                                                                       
     Title: Authorized Agent







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
FIRST TENNESSEE BANK NATIONAL

                                                                       
ASSOCIATION



                                                                       
By:/s/ Allison H. Jones             


                                                                       
     Title: Vice President







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

           
                                                           
ARRANGERS



                                                                       
MERRILL LYNCH CAPITAL CORPORATION



                                                                       
By:/s/ Michael E. O’Brien                    


                                                                       
     Title: Vice President







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
KZH CYPRESSTREE-1 LLC



                                                                       
By:/s/ Dorian Herrera                           


                                                                       
     Title: Authorized Agent







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                               
                        NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
ABN AMRO BANK N.V.



                                                                       
By:/s/ Timothy E. Williams                   


                                                                       
     Title: Assistant Vice President



                                                                       
By:/s/ Suzanne Smith                            


                                                                       
     Title: Vice President







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
THE SUMITOMO TRUST AND BANKING CO.,

                                                                       
LTD., NEW YORK BRANCH



                                                                       
By:/s/ Elizabeth A. Quirk                     


                                                                       
     Title: Vice President







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
KZH STERLING LLC



                                                                       
By:/s/ Dorian Herrera                           


                                                                       
     Title: Authorized Agent







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

           
                                                           
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
KZH SOLEIL LLC



                                                                       
By:/s/ Dorian Herrera                           


                                                                       
     Title: Authorized Agent







                                                                       
SIGNATURE PAGE TO THE CREDIT

                                                                       
AGREEMENT, DATED AS OF MAY 18, 2004,

                                                                       
AMONG VANGUARD HEALTH SYSTEMS,

                                                                       
INC., A DELAWARE CORPORATION, THE

                                                                       
LENDERS PARTY HERETO FROM TIME TO

                                                                       
TIME, BANK OF AMERICA, N.A., AS

                                                                       
ADMINISTRATIVE AGENT, CITICORP NORTH

                                                                       
AMERICA, INC., AS SYNDICATION AGENT,

                                                                       
GENERAL ELECTRIC CAPITAL

                                                                       
CORPORATION, LASALLE BANK, NATIONAL

                                                                       
ASSOCIATION AND WACHOVIA BANK,

                                                                       
NATIONAL ASSOCIATION, AS CO-

                                                                       
DOCUMENTATION AGENTS, AND BANC OF

                                                                       
AMERICA SECURITIES LLC AND CITIGROUP

                                                                       
GLOBAL MARKETS INC., AS JOINT LEAD

                                                                       
ARRANGERS



                                                                       
KZH SOLEIL-2 LLC



                                                                       
By:/s/ Dorian Herrera                           


                                                                       
     Title: Authorized Agent