Document:

Amendment Number 1 to Mortgage Loan Agreement

  
 Exhibit 10.9

  
 $5,000,000.00 
  
 AMENDMENT NO. 1 
  
 TO 
  
 MORTGAGE LOAN AGREEMENT 
  
 originally dated as of August 31, 2000 
  
 by and among 
  
 HEALTHMONT, INC., a Tennessee corporation 
 HEALTHMONT OF GEORGIA, INC., a Tennessee corporation 
 (dba Memorial Hospital of Adel, Memorial Convalescent Center

 and Memorial Home Health) 
 HEALTHMONT OF TEXAS, INC., a Tennessee corporation 
 HEALTHMONT OF TEXAS I, LLC, a Tennessee limited liability company

 (dba Dolly Vinsant Memorial Hospital) 
 HEALTHMONT OF OREGON I, INC., a Tennessee corporation 
 HEALTHMONT OF OREGON II, INC., a Tennessee
corporation 
 HEALTHMONT OF OREGON III, INC., a Tennessee corporation 
 (dba Woodland Park Medical Plaza) 
 HEALTHMONT OF OREGON V, LLC, a Tennessee
limited liability company 
 (dba Woodland Park Hospital) 
 HEALTHMONT OF OREGON IV, LLC, a Tennessee limited liability company 
 dba
Eastmoreland Hospital 
 (“Borrower”) 
  
 and 
  
 HELLER HEALTHCARE FINANCE, INC. 
  
 (“Lender”) 
  
 Amended as
of December 31, 2000 
  

 AMENDMENT NO. 1 TO MORTGAGE LOAN AGREEMENT 
  
 THIS AMENDMENT NO. 1 TO MORTGAGE LOAN AND AGREEMENT (the
“Amendment”) is made as of December 31, 2000, by and between HEALTHMONT, INC., a Tennessee corporation, HEALTHMONT OF GEORGIA, INC., a Tennessee corporation dba Memorial Hospital of Adel, Memorial Convalescent Center and
Memorial Home Health, HEALTHMONT OF TEXAS, INC., a Tennessee corporation, HEALTHMONT OF TEXAS I, LLC, a Tennessee limited liability company dba Dolly Vinsant Memorial Hospital HEALTHMONT OF OREGON I, INC., a Tennessee
corporation, HEALTHMONT OF OREGON II, INC., a Tennessee corporation, HEALTHMONT OF OREGON III, INC., a Tennessee corporation dba Woodland Park Medical Plaza, HEALTHMONT OF OREGON V, LLC, a Tennessee limited liability company dba
Woodland Park Hospital, and HEALTHMONT OF OREGON IV, LLC, a Tennessee limited liability company dba Eastmoreland Hospital (collectively, “Borrower”), and HELLER HEALTHCARE FINANCE, INC., a Delaware corporation
(“Lender”). 
  
 RECITALS 
  
 A. Pursuant to that certain Mortgage Loan Agreement dated August 31, 2000 by
and between Borrower and Lender (the “Loan Agreement”), the parties have established certain financing arrangements that allow Borrower to borrow funds from Lender in accordance with the terms and conditions set forth in the Loan
Agreement. 
  
 B. Lender has agreed to lend $1,900,000 (the
“Missouri Loan”) to HealthMont of Missouri, Inc., a Tennessee corporation that is affiliated with Borrower, pursuant to a mortgage loan agreement (the “Missouri Loan Agreement”, mortgage note (the
“Missouri Note”) and deed of trust, assignment of rents and leases, security agreement and financing statement (the “Missouri Mortgage”)(collectively, the “Missouri Loan
Documents”), all dated as of even date herewith. 
  
 C. As consideration for Lender’s making the Missouri Loan (and as a condition precedent thereto), Borrower has agreed to cross-collateralize and cross-default the Loan Agreement (and related documents) with the Missouri Loan Documents
in accordance with the terms and condition set forth herein. 
  
 NOW, THEREFORE, in consideration of the premises set forth above, the terms and conditions contained in this Amendment, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Lender
and Borrower have agreed to the following amendments to the Loan Agreement. Capitalized terms used but not defined in this Amendment shall have the meanings that are set forth in the Loan Agreement. 
  

 2 

 1. Amendment to Loan Agreement. 
  
 A. Section 2.1 of the Loan Agreement is hereby deleted in its entirety and the following is inserted in lieu thereof:

  
 2.1 Collateral. The Loan, the Missouri Loan and all
other indebtedness and obligations under the Mortgage Documents and the Missouri Mortgage Documents shall be secured by the following: (a) the Mortgage, (b) the Assignment of Leases, (c) the Missouri Mortgage, and (d) any other collateral or
security described in this Agreement or in any of the other Loan Documents or required by Lender in connection with the Loan. 
  
 B. Sections 5.20, 5.21 and 5.22 of the Loan Agreement are hereby amended to include HealthMont of Missouri, Inc. as a Borrower in calculating the
financial thresholds required by such Sections. 
  
 C. The
following Section 7.1.13 is hereby added to Article VII of the Loan Agreement: 
  
 7.1.14 There shall occur an Event of Default or an event which is reasonably likely to result in an Event of Default under the Missouri Loan Documents. 
  
 2. Costs. Borrower shall be responsible for the payment of all costs of Lender
incurred in connection with the preparation of this Amendment, including all reasonable fees of Lender’s in-house counsel. 
  
 3. Reference to the Effect on the Loan Agreement. 
  
 (a) Upon the effectiveness of this Amendment, each reference in the Loan Agreement to “this Agreement,” “hereunder,”
“hereof,” “herein” or words of similar import shall mean and be a reference to the Loan Agreement as amended by this Amendment. 
  
 (b) Except as specifically amended above, the Loan Agreement, and all other Loan Documents, shall remain in full force and effect, and are
hereby ratified and confirmed. 
  
 (c) The
execution, delivery and effectiveness of this Amendment shall not, except as expressly provided in this Amendment, operate as a waiver of any right, power or remedy of Lender, nor constitute a waiver of any provision of the Loan Agreement, or any
other documents, instruments and agreements executed or delivered in connection with the Loan Agreement. 
  
 4. Governing Law. This Amendment shall be governed by and construed in accordance with the laws of the State of Maryland. 
  

5. Headings. Section headings in this Amendment are included for convenience of reference only and shall not constitute a part of this Amendment for any other
purpose. 
  

 3 

 6. Counterparts. This Amendment may be executed in counterparts, and both counterparts taken together shall be
deemed to constitute one and the same instrument. 
  
 IN
WITNESS WHEREOF, the parties have caused this Amendment to be executed as of the date first written above. 
  

					
	LENDER:	 	 
		
	 HELLER HEALTHCARE FINANCE, INC.
 a Delaware corporation
	 	 
			
	By:	 	/s/    DAVID G. MOORE        	 	 
	 	 	
	 	 
	 Name:
	 	DAVID G. MOORE	 	 
	 Title:
	 	SENIOR VICE PRESIDENT	 	 

  

					
	BORROWER:	 	 
	 HEALTHMONT, INC.
 a Tennessee corporation
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	CEO	 	 

  

					
	 HEALTHMONT OF GEORGIA, INC.
 a Tennessee corporation
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	President	 	 

  

					
	 HEALTHMONT OF TEXAS, INC.
 a Tennessee corporation
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	President	 	 

  

					
	 HEALTHMONT OF TEXAS I, LLC
 a Tennessee limited liability company
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	Chief Manager	 	 

  

 4 

					
	 HEALTHMONT OF OREGON I, INC.
 a Tennessee corporation
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	President	 	 

  

					
	 HEALTHMONT OF OREGON II, INC.
 a Tennessee corporation
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	
	

	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	President	 	 

  

					
	 HEALTHMONT OF OREGON III, INC.
 a Tennessee corporation
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	President	 	 

  

					
	 HEALTHMONT OF OREGON IV, LLC.
 a Tennessee limited liability company
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	Chief Manager	 	 

  

					
	 HEALTHMONT OF OREGON V, LLC.
 a Tennessee limited liability company
	 	 
			
	By:	 	/s/    TIMOTHY S. HILL        	 	(Seal)
	 	 	
	 	 
	 Name:
	 	Timothy S. Hill	 	 
	 Its:
	 	Chief Manager	 	 

  

 5Amendment Number 2 to Mortgage Loan Agreement

  
 Exhibit 10.10

  
 $5,000,000.00 
  
 AMENDMENT NO. 2 
  
 TO 
  
 MORTGAGE LOAN AGREEMENT 
  
 originally dated as of August 31, 2000 
 by and between 
  
 HEALTHMONT,
INC, 
 HEALTHMONT OF GEORGIA, INC. 
 HEALTHMONT OF TEXAS, INC. 
 HEALTHMONT OF TEXAS I, LLC 
 HEALTHMONT OF OREGON I, INC. 
 HEALTHMONT OF OREGON II, INC. 
 HEALTHMONT OF OREGON III, INC. 
 HEALTHMONT OF OREGON V, LLC 
 HEALTHMONT OF OREGON IV, LLC 
  
 Amended as of June 30, 2001 

 AMENDMENT NO. 1 TO LOAN AND SECURITY AGREEMENT 
  
 THIS AMENDMENT NO. 1 TO LOAN AND SECURITY AGREEMENT (the
“Amendment”) is made as of this 30th day of June, 2001, by and between HEALTHMONT, INC., a Tennessee corporation, HEALTHMONT OF GEORGIA, INC., dba Memorial Hospital of Adel, Memorial Convalescent Center and Memorial Home
Health, a Tennessee corporation, HEALTHMONT OF TEXAS, INC., a Tennessee corporation, HEALTHMONT OF TEXAS I, LLC, dba Dolly Vinsant Memorial Hospital, a Tennessee limited liability company, HEALTHMONT OF OREGON I, INC., a
Tennessee corporation, HEALTHMONT OF OREGON II, INC., a Tennessee corporation, HEALTHMONT OF OREGON III, INC., dba Woodland Park Medical Plaza, a Tennessee corporation, HEALTHMONT OF OREGON V, LLC, a Tennessee limited liability
company dba Woodland Park Hospital, HEALTHMONT OF OREGON IV, LLC, dba Eastmoreland Hospital, a Tennessee limited liability company (collectively the “Borrower”), and HELLER HEALTHCARE FINANCE, INC., a Delaware corporation
(“Lender”). 
  
 RECITALS 

 
 A. Pursuant to that certain Mortgage Loan Agreement dated August 31, 2001
by and between Borrower and Lender (the “Loan Agreement”), the parties have established certain financing arrangements that allow Borrower to borrow funds from Lender in accordance with the terms and conditions set forth in the Loan
Agreement. 
  
 B. The parties now desire to amend the Loan
Agreement, in accordance with the terms and conditions set forth below. 
  
 NOW, THEREFORE, in consideration of the premises set forth above, the terms and conditions contained in this Amendment, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Lender
and Borrower have agreed to the following amendments to the Loan Agreement. Capitalized terms used but not defined in this Amendment shall have the meanings that are set forth in the Loan Agreement. 
  
 Section 1. Definitions. Unless otherwise defined herein, all
capitalized terms herein shall have the meanings assigned to such terms in the Loan Agreement. 
  
 Section 2. Amendment to Loan Agreement. The Loan Agreement is hereby amended as follows: 
  
 (a) Section 5.22 of the Loan Agreement is hereby amended and restated to read as follows: 
  
 “5.22 Working Capital Ratio. At the end
of each calendar quarter throughout the term of the Loan, Borrower shall have maintained a Working Capital Ratio as follows: 
  

			
	 Period Ending

	  	Working Capital Ratio

	 12/31/00
	  	2.15:1
	 3/31/01
	  	1.40:1
	 6/30/01 through 3/31/02
	  	1.25:1
	 6/30/02 through Maturity
	  	2.15:1

  

 2 

 For purposes of this covenant, “Working Capital Ratio” shall mean the ratio of Borrower’s current
assets to Borrower’s current liabilities (excluding amounts due and owing under the Loan and the Revolving Loan). The Working Capital Ratio shall be measured on a quarterly basis beginning with the quarter ending December 31, 2000 and
continuing until the Loan is repaid in full.” 
  
 (b) Section 8.9 of the Loan Agreement is hereby amended and restated to read as follows: 
  
 “8.9 Notice. Any notice or other communication required or permitted to be given shall be in writing addressed to the
respective party as set forth below and may be personally served, telecopied or sent by overnight courier or U.S. Mail and shall be deemed given: (a) if served in person, when served; (b) if telecopied, on the date of transmission if before 3:00
p.m. EST on a business day; provided that a hard copy of such notice is also sent pursuant to (c) or (d) below; (c) if by overnight courier, on the first business day after delivery to the courier; or (d) if by U.S. Mail, certified or registered
mail, return receipt requested on the fourth (4th) day after deposit in the mail postage prepaid. 
  

			
	 Notices to Borrower:
	  	 c/o Healthmont, Inc.
 113 Seaboard
Lane
 Suite C-200
 Franklin, Tennessee 37067
 Attn: President
 Telephone: 615-309-6900
 Telecopy: 615-309-6901

		
	 Notices to Lender:
	  	 Heller Healthcare Finance, Inc.
 Loan No.
1254
 2 Wisconsin Circle, Suite 400
 Chevy Chase, Maryland
20815
 Attn: Chief Counsel
 Telecopy: (301)
664-9866

		
	 and to:
	  	 Heller Financial, Inc.
 Real Estate Financial
Services
 Loan No. 1254
 500 West Monroe Street
 Chicago, Illinois 60661
 Attn: Kevin McMeen, Senior Vice President

Telecopy: (312) 441-7119”

  

 3 

 Section 3. Reference to the Effect on the Loan Agreement. 
  
 (a) Upon the effectiveness of this Amendment, each reference
in the Loan Agreement to “this Agreement,” “hereunder,” “hereof,” “herein” or words of similar import shall mean and be a reference to the Loan Agreement as amended by this Amendment. 
  
 (b) Except as specifically amended above, the Loan
Agreement, and all other Loan Documents, shall remain in full force and effect, and are hereby ratified and confirmed. 
  
 (c) The execution, delivery and effectiveness of this Amendment shall not, except as expressly provided in this Amendment, operate as a
waiver of any right, power or remedy of Lender, nor constitute a waiver of any provision of the Loan Agreement, or any other documents, instruments and agreements executed or delivered in connection with the Loan Agreement. 
  
 Section 4. Governing Law. This Amendment shall be governed by
and construed in accordance with the laws of the State of Maryland. 
  
 Section 5. Headings. Section headings in this Amendment are included for convenience of reference only and shall not constitute a part of this Amendment for any other purpose. 
  
 Section 6. Counterparts. This Amendment may be executed in
counterparts, and both counterparts taken together shall be deemed to constitute one and the same instrument. 
  

 4 

 IN WITNESS WHEREOF, the parties have caused this Amendment to be executed as of the date first
written above. 
  

			
	LENDER:
	
	 HELLER HEALTHCARE FINANCE, INC.
 a Delaware corporation

		
	By:	 	/s/    JEFFREY D. STEIN        
	 	 	

	 Name:
	 	Jeffrey D. Stein
	 Title:
	 	VP

  

			
	BORROWER:
	
	 HEALTHMONT, INC.
 a Tennessee corporation

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

			
	 HEALTHMONT OF GEORGIA, INC.
 a Tennessee corporation

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

			
	 HEALTHMONT OF TEXAS, INC.
 a Tennessee corporation

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

			
	 HEALTHMONT OF TEXAS I, LLC
 a Tennessee limited liability company

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

 5 

			
	 HEALTHMONT OF OREGON I, INC.
 a Tennessee corporation

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

			
	 HEALTHMONT OF OREGON II, INC.
 a Tennessee corporation

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

			
	 HEALTHMONT OF OREGON III, INC.
 a Tennessee corporation

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

			
	 HEALTHMONT OF OREGON IV, INC.
 a Tennessee corporation

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

			
	 HEALTHMONT OF OREGON V, LLC
 a Tennessee limited liability company

		
	By:	 	/s/    TIMOTHY S. HILL        
	 	 	

	 Name:
	 	Timothy S. Hill
	 Its:
	 	CEO

  

 6

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