Document:

Prepared by MerrillDirect

Exhibit 10.33

No. CW - 4

             THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN
REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “ACT”), OR UNDER
THE SECURITIES LAWS OF ANY STATE.  THESE
SECURITIES ARE SUBJECT TO RESTRICTIONS ON TRANSFERABILITY AND RESALE AND MAY
NOT BE TRANSFERRED OR RESOLD EXCEPT AS PERMITTED UNDER THE ACT AND APPLICABLE
STATE SECURITIES LAWS, PURSUANT TO REGISTRATION OR EXEMPTION THEREFROM.  THE ISSUER OF THESE SECURITIES MAY REQUIRE
AN OPINION OF COUNSEL IN FORM AND SUBSTANCE REASONABLY SATISFACTORY TO THE
ISSUER TO THE EFFECT THAT ANY PROPOSED TRANSFER OR RESALE IS IN COMPLIANCE WITH
THE ACT AND ANY APPLICABLE STATE SECURITIES LAWS.

WARRANT TO PURCHASE 700,000 SHARES

OF COMMON STOCK OF

INTRABIOTICS PHARMACEUTICALS, INC.

(Void after July 27, 2005)

             This certifies that DIVERSA CORPORATION, a Delaware corporation, or
its permitted assigns (the “Holder”), for value received, is entitled to
purchase from INTRABIOTICS PHARMACEUTICALS, INC., a
Delaware corporation (the “Company”), having a place of business at 1245 Terra
Bella Avenue, Mountain View, California 
94043, a maximum of Seven Hundred Thousand (700,000) fully paid and
nonassessable shares of the Company’s Common Stock (“Common Stock”) of the same
class that currently is traded on the National Association of Securities
Dealers Automated Quotation System (“Nasdaq”) National Market for cash at a
price equal to $2.00 per share (the “Stock Purchase Price”) at any time or from
time to time up to and including 5:00 p.m. (Pacific time) on July 27, 2005 (the
“Expiration Date”) upon surrender to the Company at its principal office (or at
such other location as the Company may advise the Holder in writing) of this
Warrant properly endorsed with the Form of Subscription attached hereto duly filled
in and signed and upon payment in cash or wire transfer of the aggregate Stock
Purchase Price for the number of shares for which this Warrant is being
exercised determined in accordance with the provisions hereof. The Stock
Purchase Price and the number of shares purchasable hereunder are subject to
adjustment as provided in Section 3 of this Warrant.

             This Warrant is subject to the
following terms and conditions:

             1.          EXERCISE;
ISSUANCE OF CERTIFICATES; PAYMENT FOR SHARES.

             1.1        General.  This
Warrant is exercisable at the option of the holder of record hereof, at any
time or from time to time, up to the Expiration Date for all or any part of the
shares of Common Stock (but not for a fraction of a share) which may be
purchased hereunder.  The Company agrees
that the shares of Common Stock purchased under this Warrant shall be and are
deemed to be issued to the Holder hereof as the record owner of such shares as
of the close of business on the date on which this Warrant shall have been
surrendered, properly endorsed, the completed, executed Form of Subscription
delivered and payment made for such shares. 
Certificates for the shares of Common Stock so purchased, together with
any other securities or property to which the Holder hereof is entitled upon
such exercise, shall be delivered to the Holder hereof by the Company at the
Company’s expense within a reasonable time after the rights represented by this
Warrant have been so exercised.  In case
of a purchase of less than all the shares which may be purchased under this
Warrant, the Company shall cancel this Warrant and execute and deliver a new
Warrant or Warrants of like tenor for the balance of the shares purchasable
under the Warrant surrendered upon such purchase to the Holder hereof within a
reasonable time.  Each stock certificate
so delivered shall be in such denominations of Common Stock as may be requested
by the Holder hereof and shall be registered in the name of such Holder or in
the name of Holder’s affiliate and/or subsidiary as may be requested by the
Holder.

             1.2        Net
Issue Exercise.  Notwithstanding any provisions
herein to the contrary, if the fair market value of one share of the Company’s
Common Stock is greater than the Stock Purchase Price (at the date of
calculation as set forth below), in lieu of exercising this Warrant for cash,
the Holder may elect to receive shares equal to the value (as determined below)
of this Warrant (or the portion thereof being canceled) by surrender of this
Warrant at the principal office of the Company together with the properly
endorsed Form of Subscription with notice of such election in which event the
Company shall issue to the Holder a number of shares of Common Stock computed
using the following formula:

	X = Y (A-B)
	          A

Where X = the number of shares of Common
Stock to be issued to the Holder

	Y =	the number of shares
  of Common Stock purchasable under the Warrant or, if only a portion of the
  Warrant is being exercised, the portion of the Warrant being canceled (at the
  date of such calculation)
	A =	the fair market value
  of one share of the Company’s Common Stock (at the date of such calculation)
	B =	Stock Purchase Price
  (as adjusted to the date of such calculation)

 

             For purposes of the above
calculation, if the Common Stock is traded on any established stock exchange or
traded on the Nasdaq National Market or the Nasdaq SmallCap Market, then the
fair market value of one share of Common Stock shall be the closing sales price
for such stock (or the closing bid, if no sales were reported) as quoted on
such exchange or market (or the exchange or market with the greatest volume of
trading in the Common Stock) on the last market trading day prior to the day of
determination, as reported in The Wall
Street Journal or, if not reported in The Wall Street Journal, then such other source as the
Company’s Board of Directors reasonably deems reliable.  In the absence of such markets for Common
Stock, the fair market value of one share of Common Stock shall be determined
by the Company’s Board of Directors and the Holder in good faith.

             2.          SHARES TO BE FULLY PAID; RESERVATION OF
SHARES. The Company covenants and agrees
that all shares of Common Stock which may be issued upon the exercise of the
rights represented by this Warrant will, upon issuance, be duly authorized,
validly issued, fully paid and nonassessable and free from all preemptive
rights of any stockholder and free of all taxes, liens and charges with respect
to the issue thereof.  The Company
further covenants and agrees that, during the period within which the rights
represented by this Warrant may be exercised, the Company will at all times
have authorized and reserved, for the purpose of issue or transfer upon
exercise of the subscription rights evidenced by this Warrant, a sufficient
number of shares of authorized but unissued Common Stock, or other securities
and property, when and as required to provide for the exercise of the rights
represented by this Warrant.  The
Company will take all such action as may be necessary to assure that such
shares of Common Stock may be issued as provided herein without violation of
any applicable law or regulation, or of any requirements of any securities
exchange upon which the Common Stock may be listed; provided, however, that the Company shall not be required to
effect a registration under federal or state securities laws solely because of
such exercise.  The Company will not
take any action which would result in any adjustment of the Stock Purchase
Price (as set forth in Section 3 hereof) if the total number of shares of
Common Stock issuable after such action upon exercise of all outstanding
warrants, together with all shares of Common Stock then outstanding and all
shares of Common Stock then issuable upon exercise of all options and upon the
conversion of all convertible securities then outstanding, would exceed the
total number of shares of Common Stock then authorized by the Company’s
Certificate of Incorporation.

             3.          ADJUSTMENT OF STOCK PURCHASE PRICE AND NUMBER
OF SHARES.  The Stock Purchase Price and the
number of shares purchasable upon the exercise of this Warrant shall be subject
to adjustment from time to time upon the occurrence of certain events described
in this Section 3.  Upon each adjustment
of the Stock Purchase Price, the Holder of this Warrant shall thereafter be
entitled to purchase, at the Stock Purchase Price resulting from such
adjustment, the number of shares obtained by multiplying the Stock Purchase
Price in effect immediately prior to such adjustment by the number of shares
purchasable pursuant hereto immediately prior to such adjustment, and dividing
the product thereof by the Stock Purchase Price resulting from such adjustment.

                           3.1        Subdivision
or Combination of Stock.  In case the Company shall at any
time subdivide its outstanding shares of Common Stock into a greater number of
shares, the Stock Purchase Price in effect immediately prior to such
subdivision shall be proportionately reduced, and conversely, in case the
outstanding shares of Common Stock of the Company shall be combined into a
smaller number of shares, the Stock Purchase Price in effect immediately prior
to such combination shall be proportionately increased.

                           3.2        Dividends
in Common Stock, Other Stock, Property, Reclassification.  If at any
time or from time to time the holders of Common Stock (or any shares of stock
or other securities at the time receivable upon the exercise of this Warrant)
shall have received or become entitled to receive, without payment therefor,

                           (a)         Common Stock or any shares of stock or other
securities which are at any time directly or indirectly convertible into or
exchangeable for Common Stock, or any rights or options to subscribe for,
purchase or otherwise acquire any of the foregoing by way of dividend or other
distribution,

                           (b)         any cash paid or payable otherwise than as a cash
dividend, or

                           (c)         Common Stock or additional stock or other securities
or property (including cash) by way of spinoff, split-up, reclassification,
combination of shares or similar corporate rearrangement, (other than shares of
Common Stock issued as a stock split or adjustments in respect of which shall
be covered by the terms of Section 3.1 above),

                           then and in each such
case, the Holder hereof shall, upon the exercise of this Warrant, be entitled
to receive, in addition to the number of shares of Common Stock receivable
thereupon, and without payment of any additional consideration therefor, the
amount of stock and other securities and property (including cash in the cases
referred to in clauses (b) and (c) above) which such Holder would hold on the
date of such exercise had he been the holder of record of such Common Stock as
of the date on which holders of Common Stock received or became entitled to
receive such shares or all other additional stock and other securities and
property.

             3.3        Reorganization,
Reclassification, Consolidation, Merger or Sale.  If any
recapitalization, reclassification or reorganization of the capital stock of
the Company, or any consolidation or merger of the Company with another corporation,
or the sale of all or substantially all of its assets or other transaction
shall be effected in such a way that holders of Common Stock shall be entitled
to receive stock, securities, or other assets or property (an “Organic
Change”), then, as a condition of such Organic Change, lawful and adequate
provisions shall be made by the Company whereby the Holder hereof shall
thereafter have the right to purchase and receive (in lieu of the shares
of the Common Stock of the Company immediately theretofore purchasable and
receivable upon the exercise of the rights represented hereby) such shares of
stock, securities or other assets or property as may be issued or payable with
respect to or in exchange for a number of outstanding shares of such Common Stock
equal to the number of shares of such stock immediately theretofore purchasable
and receivable upon the exercise of the rights represented hereby.  In the event of any Organic Change,
appropriate provision shall be made by the Company with respect to the rights
and interests of the Holder of this Warrant to the end that the provisions
hereof (including, without limitation, provisions for adjustments of the Stock
Purchase Price and of the number of shares purchasable and receivable upon the
exercise of this Warrant) shall thereafter be applicable, in relation to any
shares of stock, securities or assets thereafter deliverable upon the exercise
hereof.  The Company will not effect any
such consolidation, merger or sale unless, prior to the consummation thereof,
the successor corporation (if other than the Company) resulting from such
consolidation or the corporation purchasing such assets shall assume by
written instrument the obligation to deliver to such Holder such shares of
stock, securities or assets as, in accordance with the foregoing provisions,
such Holder may be entitled to purchase.

             3.4        Certain
Events.  If any change in the outstanding
Common Stock of the Company or any other event occurs as to which the other
provisions of this Section 3 are not strictly applicable or if strictly
applicable would not fairly protect the purchase rights of the Holder of the
Warrant in accordance with such provisions, then the Board of Directors of the
Company shall make an adjustment in the number and class of shares available
under the Warrant, the Stock Purchase Price or the application of such
provisions, so as to protect such purchase rights as aforesaid.  The adjustment shall be such as will give
the Holder of the Warrant upon exercise for the same aggregate Stock Purchase
Price the total number, class and kind of shares as such Holder would have
owned had the Warrant been exercised prior to the event and had such Holder
continued to hold such shares until after the event requiring adjustment.

             3.5        Notices
of Change.

                           (a)         Immediately upon any adjustment in the number or
class of shares subject to this Warrant and of the Stock Purchase Price, the
Company shall give written notice thereof to the Holder, setting forth in
reasonable detail and certifying the calculation of such adjustment.

                           (b)         The Company shall give written notice to the Holder
at least 15 calendar days prior to the date on which the Company closes its
books or takes a record for determining rights to receive any dividends or
distributions or any right to subscribe for, purchase or otherwise acquire any
shares of stock of any class or any other securities or property, or to receive
any other right.

                           (c)         The Company shall give written notice to the Holder
at least 20 calendar days prior to the date on which an Organic Change shall
take place, including in such notice the date as of which the Organic Change is
expected to become effective and the date as of which it is expected that
holders of Common Stock of record shall be entitled to exchange their shares of
Common Stock for securities or other property, if any, deliverable upon such
Organic Change.

                           (d)         The Company shall initiate the delivery of written
notice to the Holder of any voluntary or involuntary dissolution, liquidation
or winding-up of the Company (the “Dissolution”) on the date such Dissolution
is publicly announced, including in such notice the date as of which the
Dissolution is expected to become effective and the date as of which it is
expected that holders of Common Stock of record shall be entitled to exchange
their shares of Common Stock for securities or other property, if any.

             4.          LISTING.  The Company shall file any forms and do any acts as shall be
required from time to time to secure the listing or quotation of the Common
Stock issuable upon exercise of the Warrant with each national securities
exchange or automated quotation system, if any, upon which shares of such
securities are then listed or traded and shall maintain, so long as any other
shares of such securities shall be so listed or traded, such listing or
quotation of all securities issued or issuable upon the exercise of this
Warrant.

             5.          ISSUE TAX. The issuance
of certificates for shares of Common Stock upon the exercise of the Warrant
shall be made without charge to the Holder of the Warrant for any issue tax
(other than any applicable income taxes) in respect thereof; provided, however,
that the Company shall not be required to pay any tax which may be payable in
respect of any transfer involved in the issuance and delivery of any
certificate in a name other than that of the then Holder of the Warrant being
exercised.

             6.          CLOSING OF BOOKS.  The Company
will at no time close its transfer books against the transfer of any warrant or
of any shares of Common Stock issued or issuable upon the exercise of any
warrant in any manner which interferes with the timely exercise of this
Warrant.

             7.          NO
VOTING OR DIVIDEND RIGHTS; LIMITATION OF LIABILITY.  Nothing
contained in this Warrant shall be construed as conferring upon the Holder
hereof the right to vote or to consent or to receive notice as a stockholder of
the Company or any other matters or any rights whatsoever as a stockholder of
the Company.  No dividends or interest
shall be payable or accrued in respect of this Warrant or the interest
represented hereby or the shares purchasable hereunder until, and only to the
extent that, this Warrant shall have been exercised.  No provisions hereof, in the absence of affirmative action by the
holder to purchase shares of Common Stock, and no mere enumeration herein of
the rights or privileges of the holder hereof, shall give rise to any liability
of such Holder for the Stock Purchase Price or as a stockholder of the Company,
whether such liability is asserted by the Company or by its creditors.

             8.          REPRESENTATIONS OF HOLDER.  Holder
represents that by reason of its own, or of its management’s, knowledge and
experience in financial and business matters, Holder is capable of evaluating
the merits and risks of its investment in the Company and has the capacity to
protect its own interests in connection with the issuance of this Warrant and
the shares of Common Stock issuable upon the exercise thereof.  Holder represents that it is acquiring such
securities for its own account for investment only, and not with a view towards
their distribution.

             9.          WARRANTS TRANSFERABLE.  This
Warrant is not transferable except to an affiliate or a subsidiary of Holder; provided that Holder provides prior
written notice of such transfer to the Company, such transferee agrees to be
bound by the obligations hereunder, and the Company may treat such transferee
as the absolute owner hereof for any purpose and as the person entitled to
exercise the rights represented by this Warrant.

             10.        RIGHTS AND OBLIGATIONS SURVIVE EXERCISE OF
WARRANT. The rights and obligations of the
Company, of the holder of this Warrant and of the holder of shares of Common
Stock issued upon exercise of this Warrant, shall survive the exercise of this
Warrant.

             11.        MODIFICATION AND WAIVER.  This
Warrant and any provision hereof may be changed, waived, discharged or
terminated only by an instrument in writing signed by the party against which
enforcement of the same is sought.

             12.        NOTICES.  Any notice,
request or other document required or permitted to be given or delivered to the
holder hereof or the Company shall be in writing, shall refer specifically to
this Warrant and shall be personally delivered or shall be sent by certified
mail or internationally recognized overnight courier, postage prepaid, to
Holder at its address as shown on the signature page hereto or to the Company
at the address indicated therefor in the first paragraph of this Warrant or
such other address as either may from time to time provide to the other in
writing.  Any delivery, notice, request
or other document given in conformity with this Section 12 shall be deemed to
be effective when received by the addressee.

             13.        BINDING EFFECT ON SUCCESSORS. This Warrant
shall be binding upon any corporation succeeding the Company by merger,
consolidation or acquisition of all or substantially all of the Company’s
assets.  All of the obligations of the
Company relating to the Common Stock issuable upon the exercise of this Warrant
shall survive the exercise and termination of this Warrant.  All of the covenants and agreements of the
Company shall inure to the benefit of the successors and assigns of the Holder
hereof.

             14.        DESCRIPTIVE HEADINGS AND GOVERNING LAW.  The
description headings of the several sections and paragraphs of this Warrant are
inserted for convenience only and do not constitute a part of this
Warrant.  This Warrant shall be
construed and enforced in accordance with, and the rights of the parties shall
be governed by, the laws of the State of California.

             15.        LOST WARRANTS.  The Company
represents and warrants to the Holder hereof that upon receipt of evidence
reasonably satisfactory to the Company of the loss, theft, destruction, or
mutilation of this Warrant and, in the case of any such loss, theft or destruction,
upon receipt of an indemnity reasonably satisfactory to the Company, or in the
case of any such mutilation upon surrender and cancellation of such Warrant,
the Company, at its expense, will make and deliver a new Warrant, of like
tenor, in lieu of the lost, stolen, destroyed or mutilated Warrant.

             16.        FRACTIONAL SHARES.  No
fractional shares shall be issued upon exercise of this Warrant.  The Company shall, in lieu of issuing any
fractional share, pay the holder entitled to such fraction a sum in cash equal
to such fraction multiplied by the then effective Stock Purchase Price.

[THIS SPACE
INTENTIONALLY LEFT BLANK]

             IN WITNESS WHEREOF,the Company has caused this Warrant to be duly
executed by its officers, thereunto duly authorized this 27th day of
July, 2001.

	INTRABIOTICS PHARMACEUTICALS, INC.
	 
	By:	/s/ Kenneth Kelley
	 	

	 	Kenneth Kelley,
  President and CEO

HOLDER:

	 	DIVERSA CORPORATION
	 	 	 
	 	By:	/s/
  Karin Eastham
	 	 	

	 	 	Karin Eastham
	 	 	Senior
  Vice President, Finance and 
	 	 	Chief
  Financial Officer
	 	 	 
	Address:	4955 Directors Place
	 	San Diego, CA  92121
				

 

SUBSCRIPTION FORM

Date:  _________________, 200_

IntraBiotics
Pharmaceuticals, Inc.

1245 Terra Bella Avenue

Mountain View, CA  94043

Attn:  President

Ladies
and Gentlemen:

	o	The undersigned hereby
  elects to exercise the warrant issued to it by IntraBiotics Pharmaceuticals,
  Inc. (the “Company”) and dated July 27, 2001 Warrant No. CW-____ (the
  “Warrant”) and to purchase thereunder ______________________________ shares
  of the Common Stock of the Company (the “Shares”) at a purchase price of
  $2.00 per Share or an aggregate purchase price of ________________ Dollars
  ($__________) (the “Purchase Price”).
	 	 
	o	The undersigned hereby elects to
  convert ______________________ percent (___%) of the value of the Warrant
  pursuant to the provisions of Section 1.2 of the Warrant.

             Pursuant to the terms of the
Warrant the undersigned has delivered the Purchase Price herewith in full in
cash or wire transfer.

	 	Very truly yours,	 
	 	 	 
	 	

	 	Print Entity Name, if applicable
	 	 
	 	By:	 
	 	 	

	 	Print Name:	 
	 	 	

	 	Title:Prepared by MerrillDirect

Exhibit 10.1

[EXECUTION COPY]

CREDIT AGREEMENT,

dated as of June 13, 2001,

among

USP DOMESTIC HOLDINGS, INC.,

as the Borrower,

VARIOUS FINANCIAL INSTITUTIONS FROM TIME TO TIME

PARTIES HERETO,

as the Lenders,

 

CREDIT SUISSE FIRST BOSTON,

as the Administrative Agent for the Lenders,

LEHMAN COMMERCIAL PAPER INC.,

as the Syndication Agent for the Lenders,

and

SOCIÉTÉ GÉNÉRALE,

as the Documentation Agent for the Lenders.

CREDIT SUISSE FIRST BOSTON,

as Lead Arranger and Sole Bookrunner.

TABLE OF CONTENTS

	Section	 	 
	

	 	 
	ARTICLE
  I

  DEFINITIONS AND ACCOUNTING TERMS

	1.1.	Defined Terms
	 
	1.2.	Use of Defined Terms
	 
	1.3.	Cross-References
	 
	1.4.	Accounting
  and Financial Determinations
	 

 

	ARTICLE
  II

  COMMITMENTS, BORROWING AND ISSUANCE

  PROCEDURES, NOTES AND LETTERS OF CREDIT

	2.1.	Commitments
	 
	2.1.1.	Revolving
  Loan Commitment
	 
	2.1.2.	Letter of
  Credit Commitment
	 
	2.2.	Reduction
  of the Commitment Amounts
	 
	2.2.1.	Optional
	 
	2.2.2.	Mandatory
	 
	2.3.	Borrowing Procedures
	 
	2.4.	Continuation
  and Conversion Elections
	 
	2.5.	Funding
	 
	2.6.	Issuance Procedures
	 
	2.6.1.	Other
  Lenders’ Participation
	 
	2.6.2.	Disbursements
	 
	2.6.3.	Reimbursement
	 
	2.6.4.	Deemed
  Disbursements
	 
	2.6.5.	Nature
  of Reimbursement Obligations
	 
	2.7.	Revolving Notes
	 

 

	ARTICLE
  III

  REPAYMENTS, PREPAYMENTS, INTEREST AND FEES

	3.1.	Repayments
  and Prepayments; Application
	 
	3.1.1.	Repayments
  and Prepayments
	 
	3.1.2.	Application
	 
	3.2.	Interest Provisions
	 
	3.2.1.	Rates
	 
	3.2.2.	Post-Maturity Rates
	 
	3.2.3.	Payment Dates
	 
	3.3.	Fees
	 
	3.3.1.	Commitment Fee
	 
	3.3.2.	Agent’s Fee
	 
	3.3.3.	Letter of Credit
  Fee
	 

 

	ARTICLE
  IV

  CERTAIN LIBO RATE AND OTHER PROVISIONS

	4.1.	LIBO Rate
  Lending Unlawful
	 
	4.2.	Deposits Unavailable
	 
	4.3.	Increased
  LIBO Rate Loan Costs, etc.
	 
	4.4.	Funding Losses
	 
	4.5.	Increased Capital
  Costs
	 
	4.6.	Taxes
	 
	4.7.	Payments,
  Computations, etc.
	 
	4.8.	Sharing of Payments
	 
	4.9.	Setoff
	 

 

	ARTICLE V

  CONDITIONS TO CREDIT EXTENSIONS

	5.1.	Initial Credit
  Extension
	 
	5.1.1.	Resolutions, etc.
	 
	5.1.2.	Delivery of
  Revolving Notes
	 
	5.1.3.	Subsidiary Guaranty
	 
	5.1.4.	Parent
  Guaranty and Pledge Agreement
	 
	5.1.5.	Holdings
  Guaranty and Pledge Agreement
	 
	5.1.6.	Borrower
  Pledge and Security Agreement
	 
	5.1.7.	Subsidiary
  Pledge and Security Agreement
	 
	5.1.8.	Filing Agent, etc.
	 
	5.1.9.	Closing Date
  Certificate
	 
	5.1.10.	Solvency, etc.
	 
	5.1.11.	Insurance
	 
	5.1.12.	Financial
  Information, etc.
	 
	5.1.13.	Opinions of
  Counsel
	 
	5.1.14.	Consummation
  of Transaction
	 
	5.1.15.	Transaction
  Documents
	 
	5.1.16.	Payment
  of Outstanding Indebtedness, etc.
	 
	5.1.17.	Closing
  Fees, Expenses, etc.
	 
	5.2.	All Credit
  Extensions
	 
	5.2.1.	Compliance
  with Warranties, No Default, etc.
	 
	5.2.2.	Credit
  Extension Request, etc.
	 
	5.2.3.	Satisfactory
  Legal Form
	 

 

	
ARTICLE
  VI

  REPRESENTATIONS AND WARRANTIES

	6.1.	Organization, etc.
	 
	6.2.	Due
  Authorization, Non-Contravention, etc.
	 
	6.3.	Government
  Approval, Regulation, etc.
	 
	6.4.	Validity,
  etc.
	 
	6.5.	Financial
  Information
	 
	6.6.	No Material
  Adverse Change
	 
	6.7.	Litigation,
  Labor Controversies, etc.
	 
	6.8.	Subsidiaries
	 
	6.9.	Ownership of
  Properties
	 
	6.10.	Taxes
	 
	6.11.	Pension and
  Welfare Plans
	 
	6.12.	Environmental
  Warranties
	 
	6.13.	Accuracy of
  Information
	 
	6.14.	Regulations T, U
  and X
	 
	6.15.	Absence
  of Any Undisclosed Liabilities
	 
	6.16.	Issuance
  of Subordinated Debt; Status of Obligations as Senior Indebtedness, etc.
	 

 

 

	ARTICLE VII

  COVENANTS

	7.1.	Affirmative
  Covenants
	 
	7.1.1.	Financial
  Information, Reports, Notices, etc.
	 
	7.1.2.	Maintenance
  of Existence; Compliance with Laws, etc.
	 
	7.1.3.	Maintenance
  of Properties
	 
	7.1.4.	Insurance
	 
	7.1.5.	Books and Records
	 
	7.1.6.	Environmental
  Law Covenant
	 
	7.1.7.	Use of Proceeds
	 
	7.1.8.	Future
  Guarantors, Security, etc.
	 
	7.1.9.	Rate
  Protection Agreements
	 
	7.1.10.	Dispositions
  of Real Property
	 
	7.1.11.	Restricted
  Entity Acknowledgments
	 
	7.2.	Negative Covenants
	 
	7.2.1.	Business Activities
	 
	7.2.2.	Indebtedness
	 
	7.2.3.	Liens
	 
	7.2.4.	Financial
  Condition and Operations
	 
	7.2.5.	Investments
	 
	7.2.6.	Restricted Payments
	 
	7.2.7.	Capital
  Expenditures
	 
	7.2.8.	No
  Prepayment of Subordinated Debt
	 
	7.2.9.	Issuance
  of Equity Interests
	 
	7.2.10.	Consolidation,
  Merger, etc.
	 
	7.2.11.	Permitted
  Dispositions
	 
	7.2.12.	Modification
  of Certain Agreements
	 
	7.2.13.	Transactions
  with Affiliates
	 
	7.2.14.	Restrictive
  Agreements, etc.
	 
	7.2.15.	Sale and Leaseback
	 
	7.2.16.	Foreign
  Subsidiaries
	 
	7.2.17.	Amendment
  of Organic Documents
	 
	7.2.18.	Fiscal Year
	 

 

	ARTICLE VIII

  EVENTS OF DEFAULT

	8.1.	Listing of
  Events of Default
	 
	8.1.1.	Non-Payment
  of Obligations
	 
	8.1.2.	Breach of Warranty
	 
	8.1.3.	Non-Performance
  of Certain Covenants and Obligations
	 
	8.1.4.	Non-Performance
  of Other Covenants and Obligations
	 
	8.1.5.	Default
  on Other Indebtedness
	 
	8.1.6.	Judgments
	 
	8.1.7.	Pension Plans
	 
	8.1.8.	Change in Control
	 
	8.1.9.	Bankruptcy,
  Insolvency, etc.
	 
	8.1.10.	Impairment
  of Security, etc.
	 
	8.1.11.	Failure of
  Subordination.
	 
	8.1.12.	Parent
  Total Debt to Parent Total Capitalization Ratio.
	 
	8.2.	Action if Bankruptcy
	 
	8.3.	Action
  if Other Event of Default
	 

 

	ARTICLE IX

  THE ADMINISTRATIVE AGENT

	9.1.	Actions
	 
	9.2.	Funding Reliance,
  etc.
	 
	9.3.	Exculpation
	 
	9.4.	Successor
	 
	9.5.	Credit
  Extensions by CSFB
	 
	9.6.	Credit Decisions
	 
	9.7.	Copies,
  etc.
	 
	9.8.	Reliance
  by Administrative Agent
	 
	9.9.	Defaults
	 
	9.10.	Syndication
  Agent and Documentation Agent
	 

 

	ARTICLE X

  MISCELLANEOUS PROVISIONS

	10.1.	Waivers,
  Amendments, etc.
	 
	10.2.	Notices; Time
	 
	10.3.	Payment of
  Costs and Expenses
	 
	10.4.	Indemnification
	 
	10.5.	Survival
	 
	10.6.	Severability
	 
	10.7.	Headings
	 
	10.8.	Execution
  in Counterparts, Effectiveness, etc.
	 
	10.9.	Governing
  Law; Entire Agreement
	 
	10.10.	Successors and
  Assigns
	 
	10.11.	Other Transactions
	 
	10.12.	Forum
  Selection and Consent to Jurisdiction
	 
	10.13.	Waiver of Jury
  Trial
	 
	10.14.	Confidentiality
	 

 

	SCHEDULE
  I	-	Disclosure
  Schedule
	SCHEDULE
  II	-	Notice
  Information; Percentages; LIBOR Office

	EXHIBIT A	-	Form of Revolving
  Note
	EXHIBIT B	-	Form of
  Borrowing Request
	EXHIBIT C	-	Form of
  Issuance Request
	EXHIBIT D	-	Form of
  Continuation/Conversion Notice
	EXHIBIT E	-	Form of Borrower
  Closing Date Certificate
	EXHIBIT
  F	-	Form
  of Compliance Certificate
	EXHIBIT
  G	-	Form of
  Subsidiary Guaranty
	EXHIBIT H	-	Form of Parent
  Guaranty and Pledge Agreement
	EXHIBIT I	-	Form of Holdings
  Guaranty and Pledge Agreement
	EXHIBIT J	-	Form of Borrower
  Pledge and Security Agreement
	EXHIBIT K	-	Form of
  Subsidiary Pledge and Security Agreement
	EXHIBIT L	-	Form of Lender Assignment
  Agreement

 

CREDIT AGREEMENT

                THIS CREDIT AGREEMENT, dated as
of June 13, 2001, is among USP DOMESTIC HOLDINGS, INC., a Delaware corporation
(the “Borrower”), the various financial institutions and other Persons
from time to time parties hereto (the “Lenders”), CREDIT SUISSE FIRST
BOSTON (“CSFB”), as administrative agent (in such capacity, the “Administrative
Agent”) for the Lenders, LEHMAN COMMERCIAL PAPER INC. (“Lehman”), as
syndication agent (in such capacity, the “Syndication Agent”) for the
Lenders, and SOCIÉTÉ GÉNÉRALE (“SG”), as documentation agent (in such
capacity, the “Documentation Agent”) for the Lenders.

W I T N E S S E T H:

                WHEREAS, the Borrower is a
wholly-owned Subsidiary of United Surgical Partners Holdings, Inc., a Delaware
corporation (“Holdings”), and Holdings is a wholly-owned Subsidiary of
United Surgical Partners International, Inc., a Delaware corporation (“Parent”);

                WHEREAS, Parent intends to issue
shares of its common stock in a public offering for gross cash proceeds of at
least $115,000,000 (the “Parent IPO”), the proceeds of which will be
used in part to repay approximately $35,000,000 of indebtedness of Parent (the
“Parent Refinancing”), repay approximately $44,100,000 of indebtedness
of OrthoLink Physicians Corporation, a Delaware corporation (“OrthoLink”)
(the “OrthoLink Refinancing”) and redeem approximately $33,400,000 of
preferred stock of Parent (the “Parent Stock Redemption”);

                WHEREAS, on or prior to the
Closing Date, OrthoLink shall become a direct, wholly owned Subsidiary of the
Borrower; 

                WHEREAS, (i) Parent will issue
pay-in-kind preferred stock in an amount equal to $20,000,000 and make a cash
payment in an amount equal to $120,000 in satisfaction of $20,120,000 of
current subordinated Indebtedness of Parent owed to Welsh, Carson, Anderson
& Stowe VII, L.P. and certain other holders (the “Parent Debt Conversion”),
and (ii) the Borrower will issue a 10% subordinated note (the “WCAS Note”)
to WCAS Capital Partners III, L.P. in an amount equal to $36,000,000 in
satisfaction of certain intercompany indebtedness owed by the Borrower to
Parent (the “Borrower Debt Conversion”, and together with the Parent
IPO, the Parent Refinancing, the OrthoLink Refinancing, the Parent Stock
Redemption, the Parent Debt Conversion, the Borrower Debt Conversion (including
the issuance of the WCAS Note) and all transactions related to the foregoing,

collectively referred to herein as the “Transaction”);

                WHEREAS,
in connection with the Transaction and the ongoing working capital and general
corporate needs of the Borrower and its Consolidated Entities, the Borrower
desires to obtain a revolving loan commitment (to include availability for
revolving loans and letters of credit); and

                WHEREAS, the Lenders and the
Issuer are willing, on the terms and subject to the conditions hereinafter set
forth, to extend the Commitments and make Loans to the Borrower and issue (or
participate in) Letters of Credit; 

                NOW, THEREFORE, the parties
hereto agree as follows.

ARTICLE
I

DEFINITIONS AND ACCOUNTING TERMS

                SECTION
1.1. Defined Terms. The following terms (whether or not underscored)
when used in this Agreement, including its preamble and recitals, shall, except
where the context otherwise requires, have the following meanings (such
meanings to be equally applicable to the singular and plural forms thereof):

                “Administrative Agent” is
defined in the preamble and includes each other Person appointed as the
successor Administrative Agent pursuant to Section 9.4. 

                “Affiliate” of any Person
means any other Person which, directly or indirectly, controls, is controlled
by or is under common control with such Person. “Control” of a Person means the
power, directly or indirectly, (a) to vote 10% or more of the Equity Interests
(on a fully diluted basis) of such Person having ordinary voting power for the
election of directors, managing members or general partners (as applicable); or
(b) to direct or cause the direction of the management and policies of such
Person (whether by contract or otherwise). 

                “Agents” means,
collectively, the Administrative Agent, the Syndication Agent and the
Documentation Agent. 

                “Agreement” means, on any
date, this Credit Agreement as originally in effect on the Effective Date and
as thereafter from time to time amended, supplemented, amended and restated or
otherwise modified from time to time and in effect on such date.

                “Alternate
Base Rate” means, on any date and with respect to all Base Rate Loans, a
fluctuating rate of interest per annum (rounded upward, if necessary, to the
next highest 1/16 of 1%) equal to the higher of 

                (a) the Base Rate in effect on
such day; and 

                (b) the Federal Funds Rate in
effect on such day plus 1⁄2 of 1%. 

Changes in the
rate of interest on that portion of any Loans maintained as Base Rate Loans
will take effect simultaneously with each change in the Alternate Base Rate.
The Administrative Agent will give notice promptly to the Borrower and the
Lenders of changes in the Alternate Base Rate; provided that the failure
to give such notice shall not affect the Alternate Base Rate in effect after
such change. 

                “Annualized” means, (a)
with respect to the end of the first Fiscal Quarter of the 2001 Fiscal Year,
the applicable amount for such Fiscal Quarter multiplied by four, (b) with
respect to the second Fiscal Quarter of the 2001 Fiscal Year, the applicable
amount for such Fiscal Quarter and the immediately preceding Fiscal Quarter
multiplied by two, and (c) with respect to the third Fiscal Quarter of the 2001
Fiscal Year, the applicable amount for such Fiscal Quarter and the two
immediately preceding Fiscal Quarters multiplied by one and one-third. 

                Applicable Margin” means
the applicable percentage set forth below corresponding to the relevant Total
Debt to EBITDA Ratio: 

	Total Debt to

  EBTIDA Ratio	 	Applicable

  Margin For

  Base Rate Loans	 	Applicable

  Margin For

  LIBO Rate Loans	 
	

	 	

	 	

	 
	33.00:1	 	2.25%	 	3.25%	 
	32.25:1 and < 3.00:1	 	2.00%	 	3.00%	 
	31.75:1 and < 2.25:1	 	1.75%	 	2.75%	 
	< 1.75:1	 	1.50%	 	2.50%	 

Notwithstanding
anything to the contrary set forth in this Agreement (including the then
effective Total Debt to EBITDA Ratio), the Applicable Margin for all Loans from
the Effective Date through (and including) the date upon which the Compliance
Certificate for the second full Fiscal Quarter ending after the Closing Date is
delivered by the Borrower to the Administrative Agent pursuant to clause (c)
of Section 7.1.1 shall be 2.00% for Base Rate Loans and 3.00% for LIBO
Rate Loans. The Total Debt to EBITDA Ratio used to compute the Applicable
Margin shall be the Total Debt to EBITDA Ratio set forth in the Compliance
Certificate most recently delivered by the Borrower to the AdministrativeAgent.
Changes in the Applicable Margin resulting from a change in the Total Debt to
EBITDA Ratio. hall become effective upon delivery by the Borrower to the
Administrative Agent of a new Compliance Certificate pursuant to clause (c)
of Section 7.1.1. If the Borrower shall fail to deliver a Compliance
Certificate within 45 days after the end of any Fiscal Quarter (or within 90
days, in the case of the last Fiscal Quarter of the Fiscal Year), the
Applicable Margin from and including the 46th (or 91st, as the case may be) day
after the end of such Fiscal Quarter to but not including the date the Borrower
delivers to the Administrative Agent a Compliance Certificate shall
conclusively equal the highest Applicable Margin set forth above.

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

                “Authorized Officer”
means, relative to any Obligor, those of its officers, general partners or
managing members (as applicable) whose signatures and incumbency shall have
been certified to the Administrative Agent, the Lenders and the Issuer pursuant
to Section 5.1.1. 

                “Base Rate” means, at any
time, the rate of interest then most recently established by the Administrative
Agent in New York as its base rate for Dollars loaned in the United States. The
Base Rate is not necessarily intended to be the lowest rate of interest
determined by the Administrative Agent in connection with extensions of credit.

                “Base Rate Loan” means a
Loan bearing interest at a fluctuating rate determined by reference to the
Alternate Base Rate.

                “Borrower” is defined in
the preamble.

                “Borrower Closing Date
Certificate” means the closing date certificate executed and delivered by
an Authorized Officer of the Borrower pursuant to the terms of this Agreement,
substantially in the form of Exhibit E hereto.

                Borrower Debt Conversion”
is defined in the fourth recital.

                Borrower Pledge and Security
Agreement” means the pledge and security agreement executed and delivered
by an Authorized Officer of the Borrower pursuant to the terms of this
Agreement, substantially in the form of Exhibit J hereto, as amended,
supplemented, amended and restated or otherwise modified from time to time.

                “Borrowing”
means the Loans of the same type and, in the case of LIBO Rate Loans, having
the same Interest Period made by all Lenders required to make such Loans on the
same Business Day and pursuant to the same Borrowing Request in accordance with
Section 2.1.1.

                “Borrowing Request” means
a Loan request and certificate duly executed by an Authorized Officer of the
Borrower, substantially in the form of Exhibit B hereto.

                “Business Day” means 

                (a) any day which is neither a
Saturday or Sunday nor a legal holiday on which banks are authorized or
required to be closed in New York, New York; and 

                (b) relative to the making,
continuing, prepaying or repaying of any LIBO Rate Loans, any day which is a
Business Day described in clause (a) above and which is also a day on
which dealings in Dollars are carried on in the London interbank eurodollar
market.

                “Capital Expenditures”
means, for any period, the aggregate amount of (a) all expenditures of the
Borrower and its Consolidated Entities for fixed or capital assets made during
such period which, in accordance with GAAP, would be classified as capital expenditures
and (b) Capitalized Lease Liabilities incurred by the Borrower and its
Consolidated Entities during such period.

                “Capitalized Lease
Liabilities” means, with respect to any Person, all monetary obligations of
such Person under any leasing or similar arrangement which have been (or, in
accordance with GAAP, should be) classified as capitalized leases, and for
purposes of each Loan Document the amount of such obligations shall be the
capitalized amount thereof, determined in accordance with GAAP, and the stated
maturity thereof shall be the date of the last payment of rent or any other
amount due under such lease prior to the first date upon which such lease may
be terminated by the lessee without payment of a premium or a penalty.

                “Cash Collateralize”
means, with respect to a Letter of Credit, the deposit of immediately available
funds into a cash collateral account maintained with (or on behalf of) the
Administrative Agent on terms satisfactory to the Administrative Agent in an
amount equal to the Stated Amount of such Letter of Credit.

                “Cash Equivalent Investment”
means, at any time:

                (a) any direct obligation of (or
unconditionally guaranteed by) the United States or a State thereof (or any
agency or political subdivision thereof, to the extent such obligations are
supported by the full faith and credit of the United States or a State thereof)
maturing not more than one year after such time;

                (b)
commercial paper maturing not more than 270 days from the date of issue, which
is issued by 

                (i) a corporation (other than an
Affiliate of any Obligor) organized under the laws of any State of the United
States or of the District of Columbia and rated A-1 or higher by S&P or P-1
or higher by Moody’s, or 

                (ii) any Lender (or its holding
company);

                (c) any certificate of deposit,
time deposit or bankers acceptance, maturing not more than one year after its
date of issuance, which is issued by either 

                (i) any bank organized under the
laws of the United States (or any State thereof) and which has (x) a credit
rating of A2 or higher from Moody’s or A or higher from S&P and (y) a
combined capital and surplus greater than $500,000,000, or 

                (ii) any Lender; or

                (d) any repurchase agreement
having a term of 30 days or less entered into with any Lender or any commercial
banking institution satisfying the criteria set forth in clause (c)(i)
which 

   (i) is secured by a fully perfected security
interest in any obligation of the type described in clause (a), and 

   (ii) has a market value at the time such
repurchase agreement is entered into of not less than 100% of the repurchase
obligation of such commercial banking institution thereunder.

                “Casualty Event” means
the damage, destruction or condemnation, as the case may be, of property of any
Person or any of its Subsidiaries. 

                CERCLA” means the
Comprehensive Environmental Response, Compensation and Liability Act of 1980,
as amended.

                CERCLIS” means the
Comprehensive Environmental Response Compensation Liability Information System
List.

                Change
in Control” means.

                (a) the failure of Parent at any
time to directly own beneficially and of record on a fully diluted basis 100%
of the outstanding Equity Interests of Holdings, such Equity Interests to be
held free and clear of all Liens (other than Liens granted under a Loan
Document); or 

                (b) the failure of Holdings at
any time to directly own beneficially and of record on a fully diluted basis
100% of the outstanding Equity Interests of the Borrower, such Equity Interests
to be held free and clear of all Liens (other than Liens granted under a Loan
Document); or 

                (c) any person or group (within
the meaning of Sections 13(d) and 14(d) under the Exchange Act), other than
Welsh, Carson, Anderson & Stowe VII, L.P. or its Affiliates, shall become
the ultimate “beneficial owner” (as defined in Rules 13d-3 and 13d-5 under the
Exchange Act), directly or indirectly, of Equity Interests representing more
than 40% of the Equity Interests of Parent on a fully diluted basis; or 

                (d) during any period of 24
consecutive months, individuals who at the beginning of such period constituted
the Board of Directors of Parent (together with any new directors whose
election to such Board or whose nomination for election by the stockholders of
Parent was approved by a vote of a majority of the directors then still in
office who were either directors at the beginning of such period or whose
election or nomination for election was previously so approved) cease for any
reason to constitute a majority of the Board of Directors of Parent then in office;
or 

                (e) the occurrence of any
“Change of Control” (or similar term) under (and as defined in) any Sub Debt
Document. 

                “Closing Date” means June
13, 2001.

                “Code” means the Internal
Revenue Code of 1986, and the regulations thereunder, in each case as amended,
reformed or otherwise modified from time to time.

                “Commitment” means, as
the context may require, the Revolving Loan Commitment or the Letter of Credit
Commitment.

                “Commitment Amount”
means, as the context may require, the Revolving Loan Commitment Amount or the
Letter of Credit Commitment Amount.

                “Commitment
Termination Date” means the earliest of

                (a) July 15, 2001 (if the
initial Credit Extension has not occurred on or prior to such date);

                (b) June 13, 2004;

                (c) the date on which the Revolving
Loan Commitment Amount is terminated in full or reduced to zero pursuant to the
terms of this Agreement; and

                (d) the date on which any
Commitment Termination Event occurs.

Upon the
occurrence of any event described in the preceding clauses (c) or (d),
the Commitments shall terminate automatically and without any further action.

                “Commitment Termination Event”
means

                (a) the occurrence of any Event
of Default with respect to the Borrower described in clauses (a) through
(d) of Section 8.1.9; or

                (b) the occurrence and
continuance of any other Event of Default and either

                (i) the declaration of all or
any portion of the Loans to be due and payable pursuant to Section 8.3,
or

                (ii) the giving of notice by the
Administrative Agent, acting at the direction of the Required Lenders, to the
Borrower that the Commitments have been terminated.

                “Compliance Certificate”
means a certificate duly completed and executed by an Authorized Officer of the
Borrower, substantially in the form of Exhibit F hereto, together with
such changes thereto as the Administrative Agent may from time to time request
for the purpose of monitoring the Borrower’s compliance with the financial
covenants contained herein. 

                “Confidential Information”
means information relating to the Borrower, any of its Subsidiaries or any
other Obligor obtained by any Secured Party pursuant to or in connection with
this Agreement, or otherwise from or on behalf of the Borrower or any of its
Subsidiaries or Affiliates (to the extent identified as Affiliates to the
Administrative Agent and the Lenders) (including any such information obtained
by either the Administrative Agent or any Lender in the course of any review of
the books or records of the Borrower or any Subsidiary thereof as contemplated
herein), but excluding information (i) that was previously known to any Secured
Party (other than through a previous lending or other business relationship
with the Borrower or any of its Subsidiaries), (ii) that is or subsequently
becomes generally publicly known through no act or omission by any Secured
Party or any Person acting therefor or (iii) that has been disclosed to any
Secured Party from a third party without contravening the terms of this
Agreement.

                “Consolidated
Entities” means each of the Borrower’s Subsidiaries and each of the
operating partnerships, limited liability companies, joint ventures or similar
entities in which the Borrower has, directly or indirectly, invested, in each
case which are consolidated in the Borrower’s financial statements delivered
pursuant to Section 7.1.1.

                “Contingent Liability”
means any agreement, undertaking or arrangement by which any Person guarantees,
endorses or otherwise becomes or is contingently liable upon (by direct or
indirect agreement, contingent or otherwise, to provide funds for payment, to
supply funds to, or otherwise to invest in, a debtor in connection with such
debtor’s Indebtedness, or otherwise to assure a creditor against loss) the
Indebtedness of any other Person (other than by endorsements of instruments in
the course of collection), or guarantees the payment of dividends or other
distributions upon the Equity Interests of any other Person. The amount of any
Person’s obligation under any Contingent Liability shall (subject to any
limitation set forth therein) be deemed to be the outstanding principal amount
of the debt, obligation or other liability guaranteed thereby. 

                “Continuation/Conversion
Notice” means a notice of continuation or conversion and certificate duly
executed by an Authorized Officer of the Borrower, substantially in the form of
Exhibit D hereto.

                “Controlled Group” means
all members of a controlled group of corporations and all members of a
controlled group of trades or businesses (whether or not incorporated) under
common control which, together with the Borrower, are treated as a single
employer under Section 414(b) or 414(c) of the Code or Section 4001 of ERISA.

                “Copyright Security Agreement”
means any copyright security agreement executed and delivered by any Obligor,
substantially in the form of Exhibit C to any Pledge Agreement, as amended,
supplemented, amended and restated or otherwise modified from time to time.

                “Credit Extension” means,
as the context may require, (a) the making of a Loan by a Lender or (b) the
issuance of any Letter of Credit, or the extension of any Stated Expiry Date of
any existing Letter of Credit, by an Issuer. 

                “CSFB” is defined in the preamble.

                “Default”
means any Event of Default or any condition, occurrence or event which, after
notice or lapse of time or both, would constitute an Event of Default. 

                “Disbursement” is defined
in Section 2.6.2.

                “Disbursement Date” is
defined in Section 2.6.2.

                “Disclosure Schedule”
means the Disclosure Schedule attached hereto as Schedule I, as it may
be amended, supplemented, amended and restated or otherwise modified from time
to time by the Borrower with the written consent of the Required Lenders.

                “Disposition” (or similar
words such as “Dispose”) means any sale, transfer, lease, contribution
or other conveyance (including by way of merger) of, or the granting of
options, warrants or other rights to, any of the Borrower’s or its Consolidated
Entities’ assets (including accounts receivable and Equity Interests of
Subsidiaries, but excluding cash) to any other Person (other than to another
Obligor) in a single transaction or series of transactions.

                “Documentation Agent” is
defined in the preamble.

                “Dollar” and the sign “$”
mean lawful money of the United States.

                “EBITDA” means, for any
applicable period, the sum of (a) Net Income, plus (b) to the extent
deducted in determining Net Income, the sum of (i) amounts attributable to
amortization, (ii) income tax expense, (iii) Interest Expense and (iv)
depreciation of assets; provided that, for the first three Fiscal
Quarters of the 2001 Fiscal Year, EBITDA shall be Annualized; provided further
that EBITDA shall be adjusted to give pro forma effect to
Permitted Acquisitions made during such period (such adjustment to be
satisfactory to the Administrative Agent) as if such Permitted Acquisitions had
been made at the beginning of such period; and provided further
that, for purposes of calculating the Fixed Charge Coverage Ratio and the
Interest Coverage Ratio, EBITDA shall include amounts attributable to Minority
Interests to the extent deducted in determining Net Income.

                “Effective Date” means
the date this Agreement becomes effective pursuant to Section 10.8.

                “Eligible Assignee” means
(a) a Lender, (b) an Affiliate of a Lender, (c) an Approved Fund or (d) any other
Person (other than a natural Person) approved (in the case of this clause
(d)) by the Agents, the Issuer (but then only in the case of any assignment
of the Revolving Loan Commitment) and, unless (i) such Person is taking
delivery of an assignment in connection with physical settlement of a credit
derivatives transaction or (ii) an Event of Default has occurred and is
continuing, the Borrower (each such approval not to be unreasonably withheld or
delayed)

                “Environmental
Laws” means all applicable federal, state or local statutes, laws,
ordinances, codes, rules, regulations and guidelines (including consent decrees
and administrative orders) relating to public health and safety and protection
of the environment. 

                “Equity Interests” means,
with respect to any Person, any and all shares, interests, participations or
other equivalents (however designated, whether voting or non-voting) of such
Person’s capital, whether now outstanding or issued after the Effective Date.

                “ERISA” means the
Employee Retirement Income Security Act of 1974, as amended, and any successor
statute thereto of similar import, together with the regulations thereunder, in
each case as in effect from time to time. References to Sections of ERISA also
refer to any successor Sections thereto. 

                “Event of Default” is
defined in Section 8.1.

                “Excess Cash Flow” means,
for any Fiscal Year, (a) EBITDA for such Fiscal Year less (b) the sum
(for such Fiscal Year) of (i) Interest Expense actually paid in cash by the
Borrower and its Consolidated Entities, (ii) principal repayments, to the
extent actually made, of Indebtedness by the Borrower and its Consolidated
Entities (including Revolving Loans pursuant to Section 3.1.1), (iii)
all income Taxes actually paid in cash by the Borrower and its Consolidated
Entities, (iv) Capital Expenditures actually made by the Borrower and its
Consolidated Entities in such Fiscal Year, (v) extraordinary non-recurring,
non-cash charges acceptable to the Administrative Agent and (vi) the increase,
if any, in current assets over current liabilities of the Borrower and its
Consolidated Entities during such Fiscal Year, plus (c) the decrease, if
any, of current assets over current liabilities of the Borrower and its
Consolidated Entities during such Fiscal Year.

                “Exemption Certificate”
is defined in clause (e) of Section 4.6.

                “Exchange Act” means the
Securities Exchange Act of 1934, as amended.

                “Federal Funds Rate”
means, for any period, a fluctuating interest rate per annum equal for each day
during such period to 

                (a) 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

                (b) 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 it.

                “Fee
Letter” means the confidential letter, dated June 6, 2001, from the Agents
to the Borrower.

                “Filing Agent” is defined
in Section 5.1.8.

                “Filing Statements” is
defined in Section 5.1.8.

                “Fiscal Quarter” means a
quarter ending on the last day of March, June, September or December.

                “Fiscal Year” means any
period of twelve consecutive calendar months ending on December 31; references
to a Fiscal Year with a number corresponding to any calendar year (e.g.,
the “2001 Fiscal Year”) refer to the Fiscal Year ending on December 31 of such
calendar year.

                “Fixed Charge Coverage Ratio”
means, as of the close of any Fiscal Quarter, the ratio computed for the period
consisting of such Fiscal Quarter and each of the three immediately preceding
Fiscal Quarters of (a) EBITDA (for all such Fiscal Quarters) minus Maintenance
Capital Expenditures made during such Fiscal Quarters to (b) the sum
(for all such Fiscal Quarters) of (i) Interest Expense, (ii) scheduled
principal repayments of Indebtedness made during such period, and (iii) all
income Taxes actually paid in cash by the Borrower and its Consolidated
Entities; provided that, for the first three Fiscal Quarters of the 2001
Fiscal Year, the amounts set forth in clauses (a) and (b) shall
be Annualized.

                “Foreign Subsidiary”
means any Subsidiary that is not incorporated or organized under the laws of
the United States or a state thereof.

                “F.R.S. Board” means the
Board of Governors of the Federal Reserve System or any successor thereto.

                “Ft. Worth” is defined in
clause (j) of Section 7.2.5.

                “Ft. Worth Acquisition”
is defined in clause (j) of Section 7.2.5.

                “GAAP” is defined in Section
1.4.

                “Governmental Authority”
means the government of the United States, any other nation or any political
subdivision thereof, whether state or local, and any agency, authority,
instrumentality, regulatory body, court, central bank or other Person
exercising executive, legislative, judicial, taxing, regulatory or
administrative powers or functions of or pertaining to government.

                “Hazardous
Material” means (a) any “hazardous substance”, as defined by CERCLA, (b)
any “hazardous waste”, as defined by the Resource Conservation and Recovery
Act, as amended, or (c) any pollutant or contaminant or hazardous, dangerous or
toxic chemical, material or substance (including any petroleum product) within
the meaning of any other applicable federal, state or local law, regulation,
ordinance or requirement (including consent decrees and administrative orders)
relating to or imposing liability or standards of conduct concerning any
hazardous, toxic or dangerous waste, substance or material, all as amended.

                “Hedging Obligations”
means, with respect to any Person, all liabilities of such Person under
currency exchange agreements, interest rate swap agreements, interest rate cap
agreements and interest rate collar agreements, and all other agreements or
arrangements designed to protect such Person against fluctuations in interest
rates or currency exchange rates.

                “herein”, “hereof”,
“hereto”, “hereunder” and similar terms contained in any Loan
Document refer to such Loan Document as a whole and not to any particular
Section, paragraph or provision of such Loan Document.

                “Holdings” is defined in
the first recital.

                “Holdings Guaranty and Pledge
Agreement” means the guaranty and pledge agreement executed and delivered
by an Authorized Officer of Holdings pursuant to the terms of this Agreement,
substantially in the form of Exhibit I hereto, as amended, supplemented,
amended and restated or otherwise modified from time to time.

                “Impermissible Qualification”
means any qualification or exception to the opinion or certification of any
independent public accountant as to any financial statement of the Borrower (a)
which is of a “going concern” or similar nature, (b) which relates to the
limited scope of examination of matters relevant to such financial statement,
or (c) which relates to the treatment or classification of any item in such
financial statement and which, as a condition to its removal, would require an
adjustment to such item the effect of which would be to cause the Borrower to
be in Default.

                “including” and “include”
means including without limiting the generality of any description preceding
such term, and, for purposes of each Loan Document, the parties hereto agree
that the rule of ejusdem generis shall not be applicable to limit a general
statement, which is followed by or referable to an enumeration of specific
matters, to matters similar to the matters specifically mentioned.

                “Indebtedness” of any
Person means:

                (a) all obligations of such
Person for borrowed money or advances and all obligations of such Person
evidenced by bonds, debentures, notes or similar instruments;.

                (b)
all obligations, contingent or otherwise, relative to the face amount of all
letters of credit, whether or not drawn, and banker’s acceptances issued for
the account of such Person; 

                (c) all Capitalized Lease
Liabilities of such Person;

                (d) for purposes of Section
8.1.5 only, all other items which, in accordance with GAAP, would be
included as liabilities on the balance sheet of such Person as of the date at
which Indebtedness is to be determined;

                (e) net Hedging Obligations of
such Person;

                (f) whether or not so included as
liabilities in accordance with GAAP, all obligations of such Person to pay the
deferred purchase price of property or services after receipt or performance
thereof (excluding trade accounts payable in the ordinary course of business
which are not overdue for a period of more than 90 days or, if overdue for more
than 90 days, as to which a dispute exists and adequate reserves in conformity
with GAAP have been established on the books of such Person), and indebtedness
secured by (or for which the holder of such indebtedness has an existing right,
contingent or otherwise, to be secured by) a Lien on property owned or being
acquired by such Person (including indebtedness arising under conditional sales
or other title retention agreements, but excluding earn-outs or other
contingent purchase price adjustments in connection with acquisitions to the
extent not yet determined), whether or not such indebtedness shall have been
assumed by such Person or is limited in recourse;

                (g) obligations arising under
Synthetic Leases; and

                (h) all Contingent Liabilities
of such Person in respect of any of the foregoing.

The
Indebtedness of any Person shall include the Indebtedness of any other Person
(including any partnership in which such Person is a general partner) to the extent
such Person is liable therefor as a result of such Person’s ownership interest
in or other relationship with such Person, except to the extent the terms of
such Indebtedness provide that such Person is not liable therefor.

                “Indemnified Liabilities”
is defined in Section 10.4.

                “Indemnified Parties” is
defined in Section 10.4.

                “Interest Coverage Ratio”
means, as of the last day of any Fiscal Quarter, the ratio computed for the
period consisting of such Fiscal Quarter and each of the three immediately
preceding Fiscal Quarters of (a) EBITDA (for all such Fiscal Quarters) to (b)
the sum (for all such Fiscal Quarters) of Interest Expense. 

                “Interest
Expense” means, for any applicable period, without duplication, the
aggregate interest expense (both accrued and paid and net of any interest
income paid during such period to the Borrower and its Consolidated Entities)
of the Borrower and its Consolidated Entities for such applicable period,
including the portion of any payments made in respect of Capitalized Lease
Liabilities allocable to interest expense.

                “Interest Period” means,
relative to any LIBO Rate Loan, the period beginning on (and including) the
date on which such LIBO Rate Loan is made or continued as, or converted into, a
LIBO Rate Loan pursuant to Sections 2.3 or 2.4 and shall end on
(but exclude) the day which numerically corresponds to such date one, two,
three or six months thereafter (or, if such month has no numerically
corresponding day, on the last Business Day of such month), as the Borrower may
select in its relevant notice pursuant to Sections 2.3 or 2.4; provided
that 

                (a) the Borrower shall not be
permitted to select Interest Periods to be in effect at any one time which have
expiration dates occurring on more than five different dates; 

                (b) if such Interest Period
would otherwise end on a day which is not a Business Day, such Interest Period
shall end on the next following Business Day (unless such next following
Business Day is the first Business Day of a calendar month, in which case such
Interest Period shall end on the Business Day next preceding such numerically
corresponding day); and

                (c) no Interest Period for any
Loan may end later than the Stated Maturity Date for such Loan.

                “Investment” means,
relative to any Person, (a) any loan, advance or extension of credit made by
such Person to any other Person, including the purchase by such Person of any
bonds, notes, debentures or other debt securities of any other Person, (b)
Contingent Liabilities in favor of any other Person, and (c) any Equity
Interests held by such Person in any other Person. The amount of any Investment
shall be the original principal or capital amount thereof less all returns of
principal or equity thereon and shall, if made by the transfer or exchange of property
other than cash, be deemed to have been made in an original principal or
capital amount equal to the fair market value of such property at the time of
such Investment.

                “ISP Rules” is defined in
Section 10.9.

                “Issuance Request” means
a Letter of Credit request and certificate duly executed by an Authorized
Officer of the Borrower, substantially in the form of Exhibit C hereto.

                “Issuer”
means CSFB in its capacity as Issuer of the Letters of Credit. At the request
of CSFB and with the Borrower’s consent (not to be unreasonably withheld),
another Lender or an Affiliate of CSFB may issue one or more Letters of Credit
hereunder. 

                “Lehman” is defined in
the preamble.

                “Lender Assignment Agreement”
means an assignment agreement, substantially in the form of Exhibit L
hereto.

                “Lenders” is defined in
the preamble.

                “Lender’s Environmental
Liability” means any and all losses, liabilities, obligations, penalties,
claims, litigation, demands, defenses, costs, judgments, suits, proceedings,
damages (including consequential damages), disbursements or expenses of any
kind or nature whatsoever (including reasonable attorneys’ fees at trial and
appellate levels and experts’ fees and disbursements ands expenses incurred in
investigating, defending against or prosecuting any litigation, claim or
proceeding) which may at any time be imposed upon, incurred by or asserted or
awarded against the Administrative Agent, any Lender or any Issuer or any of
such Person’s Affiliates, shareholders, directors, officers, employees, and
agents in connection with or arising from:

                (a) any Hazardous Material on,
in, under or affecting all or any portion of any property of the Borrower or
any of its Consolidated Entities, the groundwater thereunder, or any
surrounding areas thereof to the extent caused by Releases from the Borrower’s
or any of its Consolidated Entities’ or any of their respective predecessors’
properties;

                (b) any misrepresentation,
inaccuracy or breach of any warranty, contained or referred to in Section
6.12;

                (c) any violation or claim of
violation by the Borrower or any of its Consolidated Entities of any
Environmental Laws; or

                (d) the imposition of any lien
for damages caused by or the recovery of any costs for the cleanup, release or
threatened release of Hazardous Material by the Borrower or any of its
Consolidated Entities, or in connection with any property owned or formerly
owned by the Borrower or any of its Consolidated Entities.

                “Letter of Credit” is
defined in Section 2.1.2.

                “Letter of Credit Commitment”
means the Issuer’s obligation to issue Letters of Credit pursuant to Section
2.1.2.

                “Letter
of Credit Commitment Amount” means, on any date, a maximum amount of
$2,500,000, as such amount may be permanently reduced from time to time
pursuant to Section 2.2.

                “Letter of Credit
Outstandings” means, on any date, an amount equal to the sum of (a) the
then aggregate amount which is undrawn and available under all issued and
outstanding Letters of Credit, and (b) the then aggregate amount of all unpaid
and outstanding Reimbursement Obligations.

                “LIBO Rate” means,
relative to any Interest Period for LIBO Rate Loans, the rate of interest equal
to the average of the rates per annum at which Dollar deposits in immediately
available funds are offered to the Administrative Agent’s LIBOR Office in the
London interbank market as at or about 11:00 a.m. London, England time two
Business Days prior to the beginning of such Interest Period for delivery on
the first day of such Interest Period, and in an amount approximately equal to
the amount of the Administrative Agent’s LIBO Rate Loan and for a period
approximately equal to such Interest Period. 

                “LIBO Rate Loan” means a
Loan bearing interest, at all times during an Interest Period applicable to
such Loan, at a rate of interest determined by reference to the LIBO Rate
(Reserve Adjusted).

                “LIBO Rate (Reserve Adjusted)”
means, relative to any Loan to be made, continued or maintained as, or
converted into, a LIBO Rate Loan for any Interest Period, a rate per annum
determined pursuant to the following formula:

	LIBO Rate	=	LIBO Rate
	 	 	

	(Reserve Adjusted)	 	1.00 - LIBOR Reserve Percentage

The LIBO Rate
(Reserve Adjusted) for any Interest Period for LIBO Rate Loans will be
determined by the Administrative Agent on the basis of the LIBOR Reserve
Percentage in effect two Business Days before the first day of such Interest
Period.

                “LIBOR Office” means the
office of a Lender designated as its “LIBOR Office” on Schedule II
hereto or in a Lender Assignment Agreement, or such other office designated
from time to time by notice from such Lender to the Borrower and the
Administrative Agent, whether or not outside the United States, which shall be
making or maintaining the LIBO Rate Loans of such Lender. 

                “LIBOR Reserve Percentage”
means, relative to any Interest Period for LIBO Rate Loans, the reserve
percentage (expressed as a decimal) equal to the maximum aggregate reserve
requirements (including all basic, emergency, supplemental, marginal and other
reserves and taking into account any transitional adjustments or other
scheduled changes in reserve requirements) specified under regulations issued
from time to time by the F.R.S. Board and then applicable to assets or
liabilities consisting of or including “Eurocurrency Liabilities”, as currently
defined in Regulation D of the F.R.S. Board, having a term approximately equal
or comparable to such Interest Period.

                “Lien”
means any security interest, mortgage, pledge, hypothecation, assignment,
deposit arrangement, encumbrance, lien (statutory or otherwise), charge against
or interest in property, or other priority or preferential arrangement of any
kind or nature whatsoever, to secure payment of a debt or performance of an
obligation.

                “Loan” means a Revolving
Loan.

                “Loan Documents” means,
collectively, this Agreement, the Revolving Notes, the Letters of Credit, each
Rate Protection Agreement, the Fee Letter, the Subsidiary Guaranty, each Pledge
Agreement, each Mortgage, each other agreement pursuant to which the
Administrative Agent is granted a Lien to secure the Obligations and each other
agreement, certificate, document or instrument delivered in connection with any
Loan Document, whether or not specifically mentioned herein or therein, but
excluding the commitment letter, dated June 6, 2001, from the Agents to the
Borrower.

                “Maintenance Capital
Expenditures” means any Capital Expenditures made with respect to the
maintenance of existing assets.

                “Material Adverse Effect”
means a material adverse effect on (a) the business, condition (financial or
otherwise), operations, performance, properties or prospects of the Borrower or
the Borrower and its Consolidated Entities taken as a whole, (b) the rights and
remedies of any Secured Party under any Loan Document or (c) the ability of any
Obligor to perform its Obligations under any Loan Document.

                “Minority Interests”
means, with respect to Consolidated Entities, the Equity Interests held by
Persons other than the Borrower or Subsidiary Guarantors as reflected in the
financial statements of the Borrower in accordance with GAAP.

                “Moody’s” means Moody’s
Investors Service, Inc.

                “Mortgage” means each
mortgage, deed of trust or agreement executed and delivered by any Obligor in
favor of the Administrative Agent for the benefit of the Secured Parties
pursuant to the requirements of this Agreement, in form and substance
satisfactory to the Administrative Agent, under which a Lien is granted on the
real property and fixtures described therein, in each case as amended,
supplemented, amended and restated or otherwise modified from time to time.

                “Net Casualty Proceeds”
means, with respect to any Casualty Event, the amount of any insurance proceeds
or condemnation awards received by the Borrower or any of its Consolidated
Entities in connection with such Casualty Event in excess of $500,000,
individually or in the aggregate over the course of a Fiscal Year (net of all
reasonable and customary collection expenses thereof), but excluding any
proceeds or awards required to be paid to a creditor (other than the Lenders)
which holds a first priority Lien permitted by Section 7.2.3 on the
property which is the subject of such Casualty Event.

                “Net
Disposition Proceeds” means, with respect to any Disposition pursuant to clause
(d) of Section 7.2.11, the excess of (a) the gross cash proceeds
received by the Borrower or any of its Consolidated Entities from such
Disposition and any cash payment received in respect of promissory notes or
other non-cash consideration delivered to the Borrower or its Consolidated
Entities in respect thereof, over (b) the sum of (i) all reasonable and
customary legal, investment banking, brokerage and accounting fees and expenses
incurred in connection with such Disposition, (ii) all taxes actually paid or
estimated by the Borrower to be payable in cash within the next 12 months in
connection with such Disposition, (iii) payments made by the Borrower or any of
its Consolidated Entities to retire Indebtedness (other than the Credit
Extensions) where payment of such Indebtedness is required in connection with
such Disposition and (iv) amounts attributable to Minority Interests; provided
that if the amount of any estimated taxes pursuant to clause (ii)
exceeds the amount of taxes actually required to be paid in cash in respect of
such Disposition, the aggregate amount of such excess shall constitute Net
Disposition Proceeds.

                “Net Equity Proceeds”
means, with respect to the sale or issuance after the Closing Date by the
Borrower to any Person of any Equity Interests, warrants or options or the
exercise of any such warrants or options, the excess of (a) the gross cash
proceeds received by such Person from such sale, exercise or issuance, over
(b) all reasonable and customary underwriting commissions and legal, investment
banking, brokerage and accounting and other professional fees, sales
commissions and disbursements actually incurred in connection with such sale or
issuance which have not been paid to Affiliates of the Borrower in connection
therewith.

                “Net Income” means, for
any period, the aggregate of all amounts (exclusive of all amounts in respect
of any extraordinary gains but including extraordinary losses) which would be
included as net income on the consolidated financial statements of the Borrower
and its Consolidated Entities for such period.

                “Non-Consolidated Entities”
means each of the operating partnerships, limited liability companies, joint
ventures or similar entities in which the Borrower has, directly or indirectly,
invested, other than the Consolidated Entities.

                “Non-Excluded Taxes”
means any Taxes other than net income and franchise taxes imposed with respect
to any Secured Party by any Governmental Authority under the laws of which such
Secured Party is organized or in which it maintains its applicable lending
office.

                “Non-U.S.
Lender” means any Lender that is not a “United States person”, as defined
under Section 7701(a)(30) of the Code.

                “Obligations” means all
obligations (monetary or otherwise, whether absolute or contingent, matured or
unmatured) of the Borrower and each other Obligor arising under or in
connection with a Loan Document, including Reimbursement Obligations and the
principal of and premium, if any, and interest (including interest accruing
during the pendency of any proceeding of the type described in Section 8.1.9,
whether or not allowed in such proceeding) on the Loans.

                “Obligor” means, as the
context may require, the Borrower and each other Person (other than a Secured
Party) obligated under any Loan Document.

                “Operating Entities”
means the operating partnerships, limited liability companies, joint ventures
or similar entities in which the Borrower has, directly or indirectly, invested
and which actively engage in business (other than solely in investment and
management activities).

                “Organic Document” means,
relative to any Obligor, as applicable, its certificate of incorporation,
by-laws, regulations, certificate of partnership, partnership agreement,
certificate of formation, limited liability company agreement, operating
agreement and all shareholder agreements, voting trusts and similar
arrangements applicable to any of such Obligor’s partnership interests, limited
liability company interests or authorized shares of Equity Interests.

                “Other Taxes” means any
and all stamp, documentary or similar Taxes, or any other excise or property
Taxes or similar levies that arise on account of any payment made or required
to be made under any Loan Document or from the execution, delivery,
registration, recording or enforcement of any Loan Document.

                “OrthoLink” is defined in
the second recital. 

                “OrthoLink Refinancing”
is defined in the second recital.

                “Parent” is defined in
the first recital.

                “Parent Debt Conversion”
is defined in the fourth recital.

                “Parent Guaranty and Pledge
Agreement” means the guaranty and pledge agreement executed and delivered
by an Authorized Officer of Parent pursuant to the terms of this Agreement,
substantially in the form of Exhibit H hereto, as amended, supplemented,
amended and restated or otherwise modified from time to time.

                “Parent
IPO” is defined in the second recital.

                “Parent Refinancing” is
defined in the second recital.

                “Parent Stock Redemption”
is defined in the second recital.

                “Parent Total Capitalization”
means, at any time, the sum of (a) the sum of all amounts (without duplication)
which, in accordance with GAAP, would be included in Parent’s stockholders’
equity (excluding unrealized gains or losses recorded pursuant to FAS 115) as
required to be reported in Parent’s then most recent consolidated balance
sheet, and (b) Parent Total Debt.

                “Parent Total Debt”
means, on any date, the outstanding principal amount of all Indebtedness of
Parent and its Subsidiaries of the type referred to in clauses (a), (b),
(c) and (g), in each case of the definition of “Indebtedness” and
any Contingent Liability in respect of any of the foregoing.

                “Parent Total Debt to Parent
Total Capitalization Ratio” means, as of the last day of any Fiscal
Quarter, the ratio of (a) Parent Total Debt outstanding on such day to
(b) Parent Total Capitalization on such day.

                “Participant” is defined
in clause (d) of Section 10.10.

                “Patent Security Agreement”
means any patent security agreement executed and delivered by any Obligor,
substantially in the form of Exhibit A to any Pledge Agreement, as amended,
supplemented, amended and restated or otherwise modified from time to time.

                “PBGC” means the Pension
Benefit Guaranty Corporation and any Person succeeding to any or all of its
functions under ERISA.

                “Pension Plan” means a
“pension plan”, as such term is defined in Section 3(2) of ERISA, which is
subject to Title IV of ERISA (other than a multiemployer plan as defined in
Section 4001(a)(3) of ERISA), and to which the Borrower or any corporation,
trade or business that is, along with the Borrower, a member of a Controlled
Group, may have liability, including any liability by reason of having been a
substantial employer within the meaning of Section 4063 of ERISA at any time
during the preceding five years, or by reason of being deemed to be a
contributing sponsor under Section 4069 of ERISA.

                “Percentage” means,
relative to any Lender, the applicable percentage relating to Revolving Loans
set forth opposite its name on Schedule II hereto under the Percentage
column or set forth in a Lender Assignment Agreement, as such percentage may be
adjusted from time to time pursuant to Lender Assignment Agreements executed by
such Lender and its assignee Lender and delivered pursuant to Section 10.10.
A Lender shall not have any Revolving Loan Commitment if its Percentage is
zero.

                “Permitted
Acquisition” means an acquisition (whether pursuant to an acquisition of
Equity Interests, assets or otherwise) by the Borrower or any Consolidated
Entity from any Person of a business (or an increase of an existing Equity
Interest therein) in which the following conditions are satisfied:

   (a) immediately before and after giving
effect to such acquisition, no Default shall have occurred and be continuing or
would result therefrom (including under Section 7.2.1); and

   (b) the Borrower shall have delivered to the
Administrative Agent a Compliance Certificate for the period of four full
Fiscal Quarters immediately preceding such acquisition (prepared in good faith
and in a manner and using such methodology which is consistent with the most
recent financial statements delivered pursuant to Section 7.1.1) giving pro
forma effect to the consummation of such acquisition and evidencing
compliance with the covenants set forth in Section 7.2.4.

                “Permitted Foreign Investment”
means an Investment by the Borrower in Foreign Subsidiaries of Holdings located
in Western Europe in which the following conditions are satisfied:

                (a) immediately before and after
giving effect to such Investment, no Default shall have occurred and be continuing
or would result therefrom; and

                (b) the Borrower shall have
delivered to the Administrative Agent a Compliance Certificate for the period
of four full Fiscal Quarters immediately preceding such Investment (prepared in
good faith and in a manner and using such methodology which is consistent with
the most recent financial statements delivered pursuant to Section 7.1.1)
giving pro forma effect to the consummation of such Investment
and evidencing compliance with the covenants set forth in Section 7.2.4.

                “Person” means any
natural person, corporation, limited liability company, partnership, joint
venture, association, trust or unincorporated organization, Governmental
Authority or any other legal entity, whether acting in an individual, fiduciary
or other capacity.

                “Pledge Agreement” means,
as the context may require, the Parent Guaranty and Pledge Agreement, the
Holdings Guaranty and Pledge Agreement, the Borrower Pledge and Security
Agreement or the Subsidiary Pledge and Security Agreement.

                “Pledged
Subsidiary” means each Subsidiary in respect of which the Administrative
Agent has been granted a security interest in or a pledge of (i) any of the
Equity Interests of such Subsidiary or (ii) any intercompany notes of such
Subsidiary owing to the Borrower or another Subsidiary.

                “Quarterly Payment Date”
means the last day of March, June, September and December, or, if any such day
is not a Business Day, the next succeeding Business Day.

                “Rate Protection Agreement”
means, collectively, any interest rate swap, cap, collar or similar agreement
entered into by the Borrower or any of its Consolidated Entities under which
the counterparty of such agreement is (or at the time such agreement was
entered into, was) a Lender or an Affiliate of a Lender.

                “Register” is defined in clause
(b) of Section 2.7.

                “Reimbursement Obligation”
is defined in Section 2.6.3.

                “Release” means a “release”,
as such term is defined in CERCLA.

                “Required Lenders” means
(a) at any time in which there are three or less non-affiliated Lenders, all
such Lenders and (b) at any time in which there are four or more non-affiliated
Lenders, Lenders holding at least 51% of the Total Exposure Amount.

                “Resource Conservation and
Recovery Act” means the Resource Conservation and Recovery Act, 42 U.S.C.
Section 6901, et seq., as amended.

                “Restricted Entities”
means those Consolidated Entities and Non-Consolidated Entities that, due to
restrictions contained in their Organic Documents or in agreements to which
they are a party, are unable to provide a guaranty of the Obligations or place
a Lien on their assets and in which the Secured Parties are unable to obtain a
pledge of their Equity Interests.

                “Restricted Payment”
means the declaration or payment of any dividend (other than dividends payable
solely in Equity Interests of the Borrower or any Consolidated Entity) on, or
the making of any payment or distribution on account of, or setting apart
assets for a sinking or other analogous fund for, the purchase, redemption,
defeasance, retirement or other acquisition of any class of Equity Interests of
the Borrower or any Consolidated Entity or any warrants or options to purchase
any such Equity Interests, whether now or hereafter outstanding, or the making
of any other distribution in respect thereof, either directly or indirectly,
whether in cash or property, obligations of the Borrower or any Consolidated
Entity or otherwise.

                “Revolving Loan” is
defined in Section 2.1.1.

                “Revolving
Loan Commitment” means, relative to any Lender, such Lender’s obligation
(if any) to make Revolving Loans pursuant to Section 2.1.1.

                “Revolving Loan Commitment
Amount” means, on any date, $55,000,000, as such amount may be reduced from
time to time pursuant to Section 2.2.

                “Revolving Note” means a
promissory note of the Borrower payable to any Lender, in the form of Exhibit
A hereto (as such promissory note may be amended, endorsed or otherwise
modified from time to time), evidencing the aggregate Indebtedness of the
Borrower to such Lender resulting from outstanding Revolving Loans, and also
means all other promissory notes accepted from time to time in substitution
therefor or renewal thereof.

                “S&P” means Standard
& Poor’s Rating Services, a division of McGraw-Hill, Inc.

                “SEC” means the
Securities and Exchange Commission.

                “Secured Parties” means,
collectively, the Lenders, the Issuer, the Administrative Agent, each
counterparty to a Rate Protection Agreement that is (or at the time such Rate
Protection Agreement was entered into, was) a Lender or an Affiliate thereof and
(in each case), each of their respective successors, transferees and assigns. 

                “Senior Debt” means Total
Debt less all Subordinated Debt.

                “Senior Debt to EBITDA Ratio”
means, as of the last day of any Fiscal Quarter, the ratio of (a) Senior Debt
outstanding on such day to (b) EBITDA computed for the period consisting
of such Fiscal Quarter and each of the three immediately preceding Fiscal
Quarters. 

                “SG” is defined in the preamble.

                “Stated Amount” means, on
any date and with respect to a particular Letter of Credit, the total amount
then available to be drawn under such Letter of Credit.

                “Stated Expiry Date” is
defined in Section 2.6.

                “Stated Maturity Date”
means June 13, 2004.

                “Sub Debt Documents”
means, collectively, the WCAS Note and any other loan agreements, indentures,
note purchase agreements, promissory notes, guarantees, and other instruments
and agreements evidencing the terms of Subordinated Debt, as amended,
supplemented, amended and restated or otherwise modified in accordance with Section
7.2.12.

                “Subordinated
Debt” means the WCAS Debt and other unsecured Indebtedness of the Borrower
subordinated in right of payment to the Obligations pursuant to documentation
containing redemption and other prepayment events, maturities, amortization
schedules, covenants, events of default, remedies, acceleration rights,
subordination provisions and other material terms satisfactory to

the Administrative Agent.

                “Subordination Provisions”
is defined in Section 8.1.11.

                “Subsidiary” means, with
respect to any Person, any other Person of which more than 50% of the
outstanding Voting Interests of such other Person (irrespective of whether at
the time Equity Interests of any other class or classes of such other Person
shall or might have voting power upon the occurrence of any contingency) is at
the time directly or indirectly owned or controlled by such Person, by such
Person and one or more other Subsidiaries of such Person, or by one or more
other Subsidiaries of such Person. Unless the context otherwise specifically
requires, the term “Subsidiary” shall be a reference to a Subsidiary of the
Borrower.

                “Subsidiary Guarantor”
means each Wholly-Owned Subsidiary.

                “Subsidiary Guaranty”
means the subsidiary guaranty executed and delivered by each Subsidiary
Guarantor pursuant to the terms of this Agreement, substantially in the form of
Exhibit G hereto, as amended, supplemented, amended and restated or
otherwise modified from time to time.

                “Subsidiary Pledge and
Security Agreement” means the pledge and security agreement executed and
delivered by each Subsidiary Guarantor pursuant to the terms of this Agreement,
substantially in the form of Exhibit K hereto, as amended, supplemented,
amended and restated or otherwise modified from time to time.

                “Syndication Agent” is
defined in the preamble.

                “Synthetic Lease” means,
as applied to any Person, any lease (including leases that may be terminated by
the lessee at any time) of any property (whether real, personal or mixed) (a)
that is not a capital lease in accordance with GAAP and (b) in respect of which
the lessee retains or obtains ownership of the property so leased for federal
income tax purposes, other than any such lease under which that Person is the
lessor.

                “Taxes” means all income,
stamp or other taxes, duties, levies, imposts, charges, assessments, fees,
deductions or withholdings, now or hereafter imposed, levied, collected,
withheld or assessed by any Governmental Authority, and all interest, penalties
or similar liabilities with respect thereto.

                “Termination
Date” means the date on which all Obligations have been paid in full in
cash, all Letters of Credit have been terminated or expired (or been Cash
Collateralized), all Rate Protection Agreements have been terminated and all
Commitments shall have terminated.

                “Total Debt” means, on
any date, the outstanding principal amount of all Indebtedness of the Borrower
and its Consolidated Entities of the type referred to in clause (a)
(which, in the case of the Loans, shall be deemed to equal the average daily
amount of the Loans outstanding for the Fiscal Quarter ending on or immediately
preceding the date of determination), clause (b) (which, in the case of
Letter of Credit Outstandings shall be deemed to equal the average daily amount
of Letter of Credit Outstandings for the Fiscal Quarter ending on or
immediately preceding the date of determination), clause (c) and clause
(g), in each case of the definition of “Indebtedness” (exclusive of
intercompany Indebtedness between the Borrower and its Consolidated Entities)
and any Contingent Liability in respect of any of the foregoing.

                “Total Debt to EBITDA Ratio”
means, as of the last day of any Fiscal Quarter, the ratio of (a) Total Debt
outstanding on such day to (b) EBITDA computed for the period consisting
of such Fiscal Quarter and each of the three immediately preceding Fiscal
Quarters.

                “Total Exposure Amount”
means, on any date of determination (and without duplication), the outstanding
principal amount of all Loans, the aggregate amount of all Letter of Credit
Outstandings and the unfunded amount of the Commitments.

                “Trademark Security Agreement”
means any trademark security agreement executed and delivered by any Obligor,
substantially in the form of Exhibit B to any Pledge Agreement, as amended, supplemented,
amended and restated or otherwise modified from time to time.

                “Transaction” is defined
in the fourth recital.

                “Transaction Documents”
means, collectively, each document entered into in connection with any part the
Transaction, in each case as amended, supplemented, amended and restated or
otherwise modified from time to time in accordance with Section 7.2.12.

                “type” means, relative to
any Loan, the portion thereof, if any, being maintained as a Base Rate Loan or
a LIBO Rate Loan.

                “UCC” means the Uniform
Commercial Code as in effect from time to time in the State of New York; provided
that if, with respect to any Filing Statement or by reason of any provisions of
law, the perfection or the effect of perfection or non-perfection of the
security interests granted to the Administrative Agent pursuant to the
applicable Loan Document is governed by the Uniform Commercial Code as in
effect in a jurisdiction of the United States other than New York, then “UCC”
means the Uniform Commercial Code as in effect from time to time in such other
jurisdiction for purposes of the provisions of each Loan Document and any
Filing Statement relating to such perfection or effect of perfection or
non-perfection.

                “United
States” or “U.S.” means the United States of America, its fifty
states and the District of Columbia.

                “Voting Interests” means,
with respect to any Person, Equity Interests of any class or kind ordinarily
having the power to vote for the election of directors, managers or other
voting members of the governing body of such Person.

                “WCAS Debt” means the
subordinated Indebtedness of the Borrower owed to WCAS Capital Partners III,
L.P. and evidenced by the WCAS Note.

                “WCAS Note” is defined in
the fourth recital.

                “Welfare Plan” means a
“welfare plan”, as such term is defined in Section 3(1) of ERISA.

                “Wholly-Owned Subsidiary”
means any Subsidiary all of the outstanding Equity Interests of which (other
than any director’s qualifying shares) are owned directly or indirectly by the
Borrower.

                SECTION 1.2. Use of Defined Terms.
Unless otherwise defined or the context otherwise requires, terms for which
meanings are provided in this Agreement shall have such meanings when used in
each other Loan Document and the Disclosure Schedule. 

                SECTION 1.3. Cross-References.
Unless otherwise specified, references in a Loan Document to any Article or
Section are references to such Article or Section of such Loan Document, and
references in any Article, Section or definition to any clause are references
to such clause of such Article, Section or definition.

                SECTION 1.4. Accounting and
Financial Determinations. Unless otherwise specified, all accounting
terms used in each Loan Document shall be interpreted, and all accounting
determinations and computations thereunder (including under Section 7.2.4
and the definitions used in such calculations) shall be made, in accordance
with those generally accepted accounting principles (“GAAP”) applied in
the preparation of the financial statements referred to in clause (a) of
Section 5.1.12. Unless otherwise expressly provided, all financial
covenants and defined financial terms shall be computed on a consolidated basis
for the Borrower and its Consolidated Entities, in each case without
duplication.

ARTICLE II

COMMITMENTS, BORROWING AND ISSUANCE

PROCEDURES, NOTES AND LETTERS OF CREDIT

                SECTION
2.1. Commitments. On the terms and subject to the conditions of this
Agreement, the Lenders and the Issuer severally agree to make Credit Extensions
as set forth below.

                SECTION 2.1.1. Revolving Loan
Commitment. From time to time on any Business Day occurring from and
after the Effective Date but prior to the Commitment Termination Date, each
Lender that has a Revolving Loan Commitment agrees that it will make loans
(relative to such Lender, its “Revolving Loans”) to the Borrower equal
to such Lender’s Percentage of the aggregate amount of each Borrowing of the
Revolving Loans requested by the Borrower to be made on such day. On the terms
and subject to the conditions hereof, the Borrower may from time to time
borrow, prepay and reborrow Revolving Loans. No Lender shall be permitted or
required to make any Revolving Loan if, after giving effect thereto, the
aggregate outstanding principal amount of all Revolving Loans of such Lender,
together with such Lender’s Percentage of the aggregate amount of all Letter of
Credit Outstandings, would exceed such Lender’s Percentage of the then existing
Revolving Loan Commitment Amount.

                SECTION 2.1.2. Letter of
Credit Commitment. From time to time on any Business Day occurring from
and after the Effective Date but prior to the Commitment Termination Date, the
relevant Issuer agrees that it will 

                (a) issue one or more standby
letters of credit (relative to such Issuer, its “Letter of Credit”) for
the account of the Borrower or any Subsidiary Guarantor in the Stated Amount
requested by the Borrower on such day; or 

                (b) extend the Stated Expiry
Date of an existing standby Letter of Credit previously issued hereunder. 

No Stated
Expiry Date shall extend beyond the earlier of (i) the Commitment Termination
Date and (ii) unless otherwise agreed to by the Issuer in its sole discretion,
one year from the date of such extension. No Issuer shall be permitted or
required to issue any Letter of Credit if, after giving effect thereto, (i) the
aggregate amount of all Letter of Credit Outstandings would exceed the Letter
of Credit Commitment Amount or (ii) the sum of the aggregate amount of all
Letter of Credit Outstandings plus the aggregate principal amount of all
Revolving Loans then outstanding would exceed the Revolving Loan Commitment
Amount. 

                SECTION 2.2. Reduction of
the Commitment Amounts. The Commitment Amounts are subject to reduction
from time to time as set forth below.

                SECTION 2.2.1. Optional. The Borrower
may, from time to time on any Business Day occurring after the Effective Date,
voluntarily reduce the amount of the Revolving Loan Commitment Amount or the
Letter of Credit Commitment Amount on the Business Day so specified by the
Borrower; provided that all such reductions shall require at least one
Business Day’s prior notice to the Administrative Agent and be permanent, and
any partial reduction of any Commitment Amount shall be in a minimum amount of
$1,000,000 and in an integral multiple of $500,000. Any optional or mandatory
reduction of the Revolving Loan Commitment Amount pursuant to the terms of this
Agreement which reduces the Revolving Loan Commitment Amount below the Letter
of Credit Commitment Amount shall result in an automatic and corresponding reduction
of the Letter of Credit Commitment Amount (as directed by the Borrower in a
notice to the Administrative Agent delivered together with the notice of such
voluntary reduction in the Revolving Loan Commitment Amount) to an aggregate
amount not in excess of the Revolving Loan Commitment Amount, as so reduced,
without any further action on the part of the Issuer.

                SECTION
2.2.2. Mandatory. The Revolving Loan Commitment Amount shall,
without any further action, automatically and permanently be reduced on the
date that Revolving Loans are required to be prepaid with any Net Equity
Proceeds, Net Disposition Proceeds or Net Casualty Proceeds in an amount equal
to the amount by which Revolving Loans are required to be prepaid.

                SECTION 2.3. Borrowing Procedures.
By delivering a Borrowing Request to the Administrative Agent on or before
10:00 a.m. on a Business Day, the Borrower may from time to time irrevocably
request, on such Business Day in the case of Base Rate Loans, or on not less
than three Business Days’ notice in the case of LIBO Rate Loans, and in either
case not more than five Business Days’ notice, that a Borrowing be made, in the
case of LIBO Rate Loans, in a minimum amount of $1,000,000 and an integral
multiple of $250,000, in the case of Base Rate Loans, in a minimum amount of
$250,000 and an integral multiple of $100,000 or, in either case, in the unused
amount of the applicable Commitment; provided that all of the initial
Loans shall be made as Base Rate Loans. On the terms and subject to the conditions
of this Agreement, each Borrowing shall be comprised of the type of Loans, and
shall be made on the Business Day, specified in such Borrowing Request. On or
before 11:00 a.m. on such Business Day, each Lender that has a Commitment to
make the Loans being requested shall deposit with the Administrative Agent same
day funds in an amount equal to such Lender’s Percentage of the requested
Borrowing. Such deposit will be made to an account which the Administrative
Agent shall specify from time to time by notice to the Lenders. To the extent
funds are received from the Lenders, the Administrative Agent shall make such
funds available to the Borrower by wire transfer to the accounts the Borrower
shall have specified in its Borrowing Request. No Lender’s obligation to make
any Loan shall be affected by any other Lender’s failure to make any Loan.

                SECTION 2.4. Continuation
and Conversion Elections. By delivering a Continuation/Conversion
Notice to the Administrative Agent on or before 10:00 a.m. on a Business Day,
the Borrower may from time to time irrevocably elect, on not less than one
Business Day’s notice in the case of Base Rate Loans, or three Business Days’
notice in the case of LIBO Rate Loans, and in either case not more than five
Business Days’ notice, that all, or any portion in an aggregate minimum amount
of $250,000 and an integral multiple of $100,000 be, in the case of Base Rate
Loans, converted into LIBO Rate Loans or be, in the case of LIBO Rate Loans,
converted into Base Rate Loans or continued as LIBO Rate Loans (in the absence
of delivery of a Continuation/Conversion Notice with respect to any LIBO Rate
Loan at least three Business Days (but not more than five Business Days) before
the last day of the then current Interest Period with respect thereto, such
LIBO Rate Loan shall, on such last day, automatically convert to a Base Rate
Loan); provided that (x) each such conversion or continuation shall be
pro rated among the applicable outstanding Loans of all Lenders that have made
such Loans, and (y) no portion of the outstanding principal amount of any Loans
may be continued as, or be converted into, LIBO Rate Loans when any Default has
occurred and is continuing.

                SECTION
2.5. Funding. Each Lender may, if it so elects, fulfill its
obligation to make, continue or convert LIBO Rate Loans hereunder by causing
one of its foreign branches or Affiliates (or an international banking facility
created by such Lender) to make or maintain such LIBO Rate Loan; provided
that such LIBO Rate Loan shall nonetheless be deemed to have been made and to
be held by such Lender, and the obligation of the Borrower to repay such LIBO
Rate Loan shall nevertheless be to such Lender for the account of such foreign
branch, Affiliate or international banking facility. In addition, the Borrower
hereby consents and agrees that, for purposes of any determination to be made
for purposes of Sections 4.1, 4.2, 4.3 or 4.4, it
shall be conclusively assumed that each Lender elected to fund all LIBO Rate
Loans by purchasing Dollar deposits in its LIBOR Office’s interbank eurodollar
market.

                SECTION 2.6. Issuance Procedures.
By delivering to the Administrative Agent an Issuance Request on or before
10:00 a.m. on a Business Day, the Borrower may from time to time irrevocably
request on not less than three nor more than ten Business Days’ notice, in the
case of an initial issuance of a Letter of Credit and not less than three
Business Days’ prior notice, in the case of a request for the extension of the
Stated Expiry Date of a standby Letter of Credit (in each case, unless a
shorter notice period is agreed to by the Issuer, in its sole discretion), that
an Issuer issue, or extend the Stated Expiry Date of, a Letter of Credit in
such form as may be requested by the Borrower and approved by such Issuer,
solely for the purposes described in Section 7.1.7. Each Letter of
Credit shall by its terms be stated to expire on a date (its “Stated Expiry
Date”) no later than the earlier to occur of (i) the Commitment Termination
Date or (ii) (unless otherwise agreed to by an Issuer, in its sole discretion),
one year from the date of its issuance. Each Issuer will make available to the
beneficiary thereof the original of the Letter of Credit which it issues.

                SECTION 2.6.1. Other Lenders’
Participation. Upon the issuance of each Letter of Credit, and without
further action, each Lender (other than such Issuer) shall be deemed to have
irrevocably purchased, to the extent of its Percentage, a participation
interest in such Letter of Credit (including the Contingent Liability and any
Reimbursement Obligation with respect thereto), and such Lender shall, to the
extent of its Percentage, be responsible for reimbursing within one Business
Day the Issuer for Reimbursement Obligations which have not been reimbursed by
the Borrower in accordance with Section 2.6.3. In addition, such Lender
shall, to the extent of its Percentage, be entitled to receive a ratable
portion of the Letter of Credit fees payable pursuant to Section 3.3.3
with respect to each Letter of Credit (other than the issuance fees payable to
an Issuer of such Letter of Credit pursuant to the last sentence of Section
3.3.3) and of interest payable pursuant to Section 3.2 with respect
to any Reimbursement Obligation. To the extent that any Lender has reimbursed
any Issuer for a Disbursement, such Lender shall be entitled to receive its
ratable portion of any amounts subsequently received (from the Borrower or
otherwise) in respect of such Disbursement.

                SECTION 2.6.2. Disbursements. An
Issuer will notify the Borrower and the Administrative Agent promptly of the
presentment for payment of any Letter of Credit issued by such Issuer, together
with notice of the date (the “Disbursement Date”) such payment shall be
made (each such payment, a “Disbursement”). Subject to the terms and
provisions of such Letter of Credit and this Agreement, the applicable Issuer
shall make such payment to the beneficiary (or its designee) of such Letter of
Credit. Prior to 11:00 a.m. on the first Business Day following the Disbursement
Date, the Borrower will reimburse the Administrative Agent, for the account of
the applicable Issuer, for all amounts which such Issuer has disbursed under
such Letter of Credit, together with interest thereon at a rate per annum equal
to the rate per annum then in effect for Base Rate Loans (with the then
Applicable Margin for Revolving Loans accruing on such amount) pursuant to Section
3.2 for the period from the Disbursement Date through the date of such
reimbursement. Without limiting in any way the foregoing and notwithstanding
anything to the contrary contained herein or in any separate application for
any Letter of Credit, the Borrower hereby acknowledges and agrees that it shall
be obligated to reimburse the applicable Issuer upon each Disbursement of a
Letter of Credit, and it shall be deemed to be the obligor for purposes of each
such Letter of Credit issued hereunder (whether the account party on such
Letter of Credit is the Borrower or a Subsidiary Guarantor).

                SECTION 2.6.3. Reimbursement. The
obligation (a “Reimbursement Obligation”) of the Borrower under Section
2.6.2 to reimburse an Issuer with respect to each Disbursement (including
interest thereon), and, upon the failure of the Borrower to reimburse an
Issuer, each Lender’s obligation under Section 2.6.1 to reimburse an
Issuer, shall be absolute and unconditional under any and all circumstances and
irrespective of any setoff, counterclaim or defense to payment which the
Borrower or such Lender, as the case may be, may have or have had against such
Issuer or any Lender, including any defense based upon the failure of any
Disbursement to conform to the terms of the applicable Letter of Credit (if, in
such Issuer’s good faith opinion, such Disbursement is determined to be
appropriate) or any non-application or misapplication by the beneficiary of the
proceeds of such Letter of Credit; provided that after paying in full
its Reimbursement Obligation hereunder, nothing herein shall adversely affect
the right of the Borrower or such Lender, as the case may be, to commence any
proceeding against an Issuer for any wrongful Disbursement made by such Issuer
under a Letter of Credit as a result of acts or omissions constituting gross
negligence or wilful misconduct on the part of such Issuer.

                SECTION 2.6.4. Deemed Disbursements.
Upon the occurrence and during the continuation of any Default under Section
8.1.9 or upon notification by the Administrative Agent (acting at the
direction of the Required Lenders) to the Borrower of its obligations under
this Section, following the occurrence and during the continuation of any other
Event of Default, 

                (a) the aggregate Stated Amount
of all Letters of Credit shall, without demand upon or notice to the Borrower
or any other Person, be deemed to have been paid or disbursed by the Issuer of
such Letters of Credit (notwithstanding that such amount may not in fact have
been paid or disbursed); and

                (b) the Borrower shall be
immediately obligated to reimburse the Issuer for the amount deemed to have
been so paid or disbursed by such Issuer. Amounts payable by the Borrower
pursuant to this Section shall be deposited in immediately available funds with
the Administrative Agent and held as collateral security for the Reimbursement
Obligations. When all Defaults giving rise to the deemed disbursements under
this Section have been cured or waived the Administrative Agent shall return to
the Borrower all amounts then on deposit with the Administrative Agent pursuant
to this Section which have not been applied to the satisfaction of the
Reimbursement Obligations.

                SECTION 2.6.5. Nature of
Reimbursement Obligations. The Borrower, each other Obligor and, to the
extent set forth in Section 2.6.1, each Lender shall assume all risks of
the acts, omissions or misuse of any Letter of Credit by the beneficiary
thereof. No Issuer (except to the extent of its own gross negligence or wilful
misconduct) shall be responsible for:

                (a) the form, validity,
sufficiency, accuracy, genuineness or legal effect of any Letter of Credit or
any document submitted by any party in connection with the application for and
issuance of a Letter of Credit, even if it should in fact prove to be in any or
all respects invalid, insufficient, inaccurate, fraudulent or forged;

                (b) the form, validity, sufficiency,
accuracy, genuineness or legal effect of any instrument transferring or
assigning or purporting to transfer or assign a Letter of Credit or the rights
or benefits thereunder or the proceeds thereof in whole or in part, which may
prove to be invalid or ineffective for any reason;

                (c) failure of the beneficiary
to comply fully with conditions required in order to demand payment under a
Letter of Credit;

                (d)
errors, omissions, interruptions or delays in transmission or delivery of any
messages, by mail, cable, telegraph, telex or otherwise; or

                (e) any loss or delay in the
transmission or otherwise of any document or draft required in order to make a
Disbursement under a Letter of Credit. 

None of the
foregoing shall affect, impair or prevent the vesting of any of the rights or
powers granted to any Issuer or any Lender hereunder. In furtherance and not in
limitation or derogation of any of the foregoing, any action taken or omitted
to be taken by an Issuer in good faith (and not constituting gross negligence
or willful misconduct) shall be binding upon each Obligor and each such Secured
Party, and shall not put such Issuer under any resulting liability to any
Obligor or any Secured Party, as the case may be.

                SECTION 2.7. Revolving Notes. (a)
The Borrower agrees that, upon the request to the Administrative Agent by any
Lender, the Borrower will execute and deliver to such Lender a Revolving Note
evidencing the Loans made by, and payable to the order of, such Lender in a
maximum principal amount equal to such Lender’s Percentage of the Revolving
Loan Commitment Amount. The Borrower hereby irrevocably authorizes each Lender
to make (or cause to be made) appropriate notations on the grid attached to
such Lender’s Revolving Note (or on any continuation of such grid), which
notations, if made, shall evidence, inter alia, the date of, the
outstanding principal amount of, and the interest rate and Interest Period
applicable to the Loans evidenced thereby. Such notations shall, to the extent
not inconsistent with notations made by the Administrative Agent in the
Register, be conclusive and binding on each Obligor absent manifest error; provided
that the failure of any Lender to make any such notations shall not limit or
otherwise affect any Obligations of any Obligor. 

                (b) The Borrower hereby
designates the Administrative Agent to serve as the Borrower’s agent, solely
for the purpose of this clause, to maintain a register (the “Register”)
on which the Administrative Agent will record each Lender’s Commitment, the
Loans made by each Lender and each repayment in respect of the principal amount
of the Loans, annexed to which the Administrative Agent shall retain a copy of
each Lender Assignment Agreement delivered to the Administrative Agent pursuant
to Section 10.10. Failure to make any recordation, or any error in such
recordation, shall not affect any Obligor’s Obligations. The entries in the
Register shall be conclusive, in the absence of manifest error, and the
Borrower, the Administrative Agent and the Lenders shall treat each Person in
whose name a Loan is registered (or, if applicable, to which a Revolving Note
has been issued) as the owner thereof for the purposes of all Loan Documents,
notwithstanding notice or any provision herein to the contrary. Any assignment
or transfer of a Commitment or the Loans made pursuant hereto shall be
registered in the Register only upon delivery to the Administrative Agent of a
Lender Assignment Agreement that has been executed by the requisite parties
pursuant to Section 10.10. No assignment or transfer of a Lender’s
Commitment or Loans shall be effective unless such assignment or transfer shall
have been recorded in the Register by the Administrative Agent as provided in
this Section.

ARTICLE III

REPAYMENTS, PREPAYMENTS, INTEREST AND FEES

                SECTION 3.1. Repayments and
Prepayments; Application. The Borrower agrees that the Loans shall be
repaid and prepaid pursuant to the following terms.

                SECTION 3.1.1. Repayments and
Prepayments. The Borrower shall repay in full the unpaid principal
amount of each Loan upon the applicable Stated Maturity Date therefor. Prior
thereto, payments and prepayments of the Loans shall or may be made as set
forth below.

                (a) From time to time on any
Business Day, the Borrower may make a voluntary prepayment, in whole or in
part, of the outstanding principal amount of any Revolving Loans; provided
that (A) any such prepayment of Revolving Loans shall be made pro rata
among the Revolving Loans of the same type and, if applicable, having the same
Interest Period of all Lenders that have made such Revolving Loans; (B) all
such voluntary prepayments shall require at least one but no more than five
Business Days’ prior notice to the Administrative Agent; and (C) all such
voluntary partial prepayments shall be, in the case of LIBO Rate Loans, in an
aggregate minimum amount of $1,000,000 and an integral multiple of $250,000
and, in the case of Base Rate Loans, in an aggregate minimum amount of $250,000
and an integral multiple of $100,000.

                (b) On each date when the sum of
(i) the aggregate outstanding principal amount of all Revolving Loans and (ii)
the aggregate amount of all Letter of Credit Outstandings exceeds the Revolving
Loan Commitment Amount (as it may be reduced from time to time pursuant to this
Agreement), the Borrower shall make a mandatory prepayment of Revolving Loans
and, if necessary, Cash Collateralize all Letter of Credit Outstandings, in an
aggregate amount equal to such excess.

                (c) Concurrently with the
receipt by the Borrower of any Net Equity Proceeds, the Borrower shall make a
mandatory prepayment of the Loans in an amount equal to 50% of such Net Equity
Proceeds, to be applied as set forth in Section 3.1.2; provided
that no such prepayment shall be required to be made beyond the extent that the
amount of Total Debt as reduced by giving effect to such prepayment would
result, on a pro forma basis, in a Total Debt to EBITDA Ratio of
3.0:1 or less as of the end of the immediately preceding Fiscal Quarter.

                (d) Concurrently with the
receipt by the Borrower or any of its Subsidiary Guarantors of any Net
Disposition Proceeds, the Borrower shall deliver to the Administrative Agent a
calculation of the amount of such Net Disposition Proceeds and, to the extent
the amount of such Net Disposition Proceeds with respect to any single
transaction or series of related transactions exceeds $50,000 (up to a maximum
aggregate amount equal to $250,000 in any Fiscal Year), make a mandatory
prepayment of the Loans in an amount equal to 100% of such Net Disposition
Proceeds, to be applied as set forth in Section 3.1.2; provided
that no mandatory prepayment on account of such Net Disposition Proceeds shall
be required under this clause if the Borrower informs the Administrative Agent
no later than 30 days following the receipt of any Net Disposition Proceeds of
its or its Subsidiary Guarantor’s good faith intention to apply such Net
Disposition Proceeds to the acquisition of other assets or property consistent
with the business permitted to be conducted pursuant to Section 7.2.1
(including by way of merger or Investment) within 365 days following the
receipt of such Net Disposition Proceeds, with the amount of such Net
Disposition Proceeds unused after such 365 day period being applied to the
Loans as set forth in Section 3.1.2.

                (e)
Concurrently with the receipt by the Borrower or any of its Subsidiary
Guarantors of any Net Casualty Proceeds, the Borrower shall make a mandatory
prepayment of the Loans in an amount equal to 100% of such Net Casualty
Proceeds, to be applied as set forth in Section 3.1.2; provided
that no mandatory prepayment on account of Net Casualty Proceeds shall be
required under this clause if the Borrower informs the Administrative Agent no
later  than 30 days following the
occurrence of the Casualty Event resulting in such Net Casualty Proceeds of its
or its Subsidiary Guarantor’s good faith intention to apply such Net Casualty
Proceeds to the rebuilding or replacement of the damaged, destroyed or
condemned assets or  property subject to
such Casualty Event or the acquisition of other assets or property consistent
with the business permitted to be conducted pursuant to Section 7.2.1
(including by way of  merger or
Investment) and in fact uses such Net Casualty Proceeds to rebuild or replace
the damaged, destroyed or condemned assets or property subject to such Casualty
Event or to acquire such other property or assets within 365 days following the
receipt of such Net Casualty Proceeds, with the amount of such Net Casualty
Proceeds unused after such 365 day period being applied to the Loans as set
forth in Section 3.1.2; provided further, however,
that at any time when any Event of Default shall have occurred and be
continuing or Net Casualty Proceeds not applied as provided above shall exceed
$1,000,000, such Net Casualty Proceeds will be deposited in an account
maintained with the Administrative Agent (over which the Administrative Agent
has sole dominion and control) for disbursement at the request of the Borrower
to pay for such rebuilding, replacement or acquisition.

                (f) No later than five Business
Days following the delivery by the Borrower of its annual audited financial
reports required pursuant to clause (b) of Section 7.1.1
(beginning with the financial reports delivered in respect of the 2001 Fiscal
Year), the Borrower shall deliver to the Administrative Agent a calculation of
the Excess Cash Flow for the Fiscal Year last ended and, no later than five
Business Days following the delivery of such calculation, make or cause to be
made a mandatory prepayment of the Loans in an amount equal to 50% of the
Excess Cash Flow (if any) for such Fiscal Year, to be applied as set forth in Section
3.1.2; provided that no such prepayment shall be required to be made
beyond the extent that the amount of Total Debt as reduced by giving effect to
such prepayment would result, on a pro forma basis, in a Total Debt to
EBITDA Ratio of 3.0:1 or less as of the end of the immediately preceding Fiscal
Quarter.

                (g)
Immediately upon any acceleration of the Stated Maturity Date of any Loans
pursuant to Section 8.2 or Section 8.3, the Borrower shall repay
all the Loans, unless, pursuant to Section 8.3, only a portion of all
the Loans is so accelerated (in which case the portion so accelerated shall be
so repaid).

Each prepayment
of any Loans made pursuant to this Section shall be without premium or penalty,
except as may be required by Section 4.4.

                SECTION 3.1.2. Application. Amounts
prepaid pursuant to Section 3.1.1 shall be applied as set forth in this
Section.

                (a) Subject to clause (b),
each prepayment or repayment of the principal of the Loans shall be applied, to
the extent of such prepayment or repayment, first, to the principal
amount thereof being maintained as Base Rate Loans, and second, subject
to the terms of Section 4.4, to the principal amount thereof being
maintained as LIBO Rate Loans.

                (b) Each prepayment of the Loans
made pursuant to clauses (c), (d) and (e) of Section
3.1.1 shall result in a corresponding reduction of the Revolving Loan
Commitment Amount in accordance with Section 2.2.2.

                SECTION 3.2. Interest Provisions.
Interest on the outstanding principal amount of Loans shall accrue and be
payable in accordance with the terms set forth below.

                SECTION
3.2.1. Rates. Pursuant to an appropriately delivered Borrowing
Request or Continuation/Conversion Notice, the Borrower may elect that Loans
comprising a Borrowing accrue interest at a rate per annum:

                (a) on that portion maintained
from time to time as a Base Rate Loan, equal to the sum of the Alternate Base
Rate from time to time in effect plus the Applicable Margin; and 

                (b) on that portion maintained
as a LIBO Rate Loan, during each Interest Period applicable thereto, equal to
the sum of the LIBO Rate (Reserve Adjusted) for such Interest Period plus the
Applicable Margin.

All LIBO Rate
Loans shall bear interest from and including the first day of the applicable
Interest Period to (but not including) the last day of such Interest Period at
the interest rate determined as applicable to such LIBO Rate Loan.

                SECTION 3.2.2. Post-Maturity Rates.
After the date any principal amount of any Loan or Reimbursement Obligation is
due and payable (whether on the Stated Maturity Date, upon acceleration or
otherwise), or after any other monetary Obligation of the Borrower shall have
become due and payable, the Borrower shall pay, but only to the extent
permitted by law, interest (after as well as before judgment) on such amounts
at a rate per annum equal to (a) in the case of overdue principal on any Loan,
the rate of interest that otherwise would be applicable to such Loan plus
2% per annum; and (b) in the case of overdue interest, fees, and other monetary
Obligations, the Alternate Base Rate plus 2% per annum.

                SECTION 3.2.3. Payment Dates.
Interest accrued on each Loan shall be payable, without duplication:

                (a) on the Stated Maturity Date
therefor;

                (b) on the date of any payment
or prepayment, in whole or in part, of principal outstanding on such Loan on
the principal amount so paid or prepaid;

                (c) with respect to Base Rate
Loans, on each Quarterly Payment Date occurring after the Effective Date;

                (d) with respect to LIBO Rate
Loans, on the last day of each applicable Interest Period (and, if such
Interest Period shall exceed three months, on the date occurring on each
three-month interval occurring after the first day of such Interest Period);

                (e) with respect to any Base
Rate Loans converted into LIBO Rate Loans on a day when interest would not
otherwise have been payable pursuant to clause (c), on the date of such
conversion; and

                (f) on that portion of any Loans
the Stated Maturity Date of which is accelerated pursuant to Section 8.2
or Section 8.3, immediately upon such acceleration. 

Interest
accrued on Loans or other monetary Obligations after the date such amount is
due and payable (whether on the Stated Maturity Date, upon acceleration or
otherwise) shall be payable upon demand.

                SECTION 3.3. Fees. The Borrower agrees to
pay the fees set forth below. All such fees shall be non-refundable.

                SECTION 3.3.1. Commitment Fee.
The Borrower agrees to pay to the Administrative Agent for the account of each
Lender, for the period (including any portion thereof when any of its
Commitments are suspended by reason of the Borrower’s inability to satisfy any
condition of Article V) commencing on the Effective Date and continuing
through the Commitment Termination Date, a commitment fee in an amount per
annum equal to 0.50% of such Lender’s Percentage of the sum of the average
daily unused portion of the Revolving Loan Commitment Amount (net of Letter of
Credit Outstandings). All commitment fees payable pursuant to this Section
shall be calculated on a year comprised of 360 days and payable by the Borrower
in arrears on the Effective Date and thereafter on each Quarterly Payment Date,
commencing with the first Quarterly Payment Date following the Effective Date,
and on the Commitment Termination Date.

                SECTION
3.3.2. Agent’s Fee. The Borrower agrees to pay to the Administrative
Agent, for its own account, the fees in the amounts and on the dates set forth
in the Fee Letter.

                SECTION 3.3.3. Letter of Credit Fee.
The Borrower agrees to pay to the Administrative Agent, for the pro rata
account of the applicable Issuer and each Lender, a Letter of Credit fee in an
amount equal to the then effective Applicable Margin for Revolving Loans
maintained as LIBO Rate Loans, multiplied by the Stated Amount of each such
Letter of Credit, such fees being payable quarterly in arrears on each
Quarterly Payment Date following the date of issuance of each Letter of Credit
and on the Commitment Termination Date. The Borrower further agrees to pay to
the applicable Issuer quarterly in arrears on each Quarterly Payment Date
following the date of issuance of each Letter of Credit and on the Commitment
Termination Date an issuance fee as specified in the Fee Letter or as otherwise
agreed to by the Borrower and such Issuer.

ARTICLE IV

CERTAIN LIBO RATE AND OTHER PROVISIONS

                SECTION 4.1. LIBO Rate Lending
Unlawful. If any Lender shall determine (which determination shall,
upon notice thereof to the Borrower and the Administrative Agent, be conclusive
and binding on the Borrower) that the introduction of or any change in or in
the interpretation of any law makes it unlawful, or any Governmental Authority
asserts that it is unlawful, for such Lender to make or continue any Loan as,
or to convert any Loan into, a LIBO Rate Loan, the obligations of such Lender
to make, continue or convert any such LIBO Rate Loan shall, upon such
determination, forthwith be suspended until such Lender shall notify the
Administrative Agent that the circumstances causing such suspension no longer
exist, and all outstanding LIBO Rate Loans payable to such Lender shall
automatically convert into Base Rate Loans at the end of the then current
Interest Periods with respect thereto or sooner, if required by such law or
assertion. 

                SECTION 4.2. Deposits Unavailable.
If the Administrative Agent shall have determined that

                (a) Dollar deposits in the
relevant amount and for the relevant Interest Period are not available to it in
its relevant market; or

                (b) by reason of circumstances
affecting it’s relevant market, adequate means do not exist for ascertaining
the interest rate applicable hereunder to LIBO Rate Loans;

then, upon
notice from the Administrative Agent to the Borrower and the Lenders, the
obligations of all Lenders under Section 2.3 and Section 2.4 to
make or continue any Loans as, or to convert any Loans into, LIBO Rate Loans
shall forthwith be suspended until the Administrative Agent shall notify the
Borrower and the Lenders that the circumstances causing such suspension no
longer exist. 

                SECTION 4.3. Increased LIBO Rate
Loan Costs, etc. The Borrower agrees to reimburse each Lender and
Issuer for any increase in the cost to such Lender or Issuer of, or any
reduction in the amount of any sum receivable by such Secured Party in respect
of, such Secured Party’s Commitments and the making of Credit Extensions
hereunder (including the making, continuing or maintaining (or of its
obligation to make or continue) any Loans as, or of converting (or of its
obligation to convert) any Loans into, LIBO Rate Loans) that arise in
connection with any change in, or the introduction, adoption, effectiveness,
interpretation, reinterpretation or phase-in after the Closing Date of, any law
or regulation, directive, guideline, decision or request (whether or not having
the force of law) of any Governmental Authority, except for such changes with
respect to increased capital costs and Taxes which are governed by Sections
4.5 and 4.6, respectively. Each affected Secured Party shall
promptly notify the Administrative Agent and the Borrower in writing of the
occurrence of any such event, stating the reasons therefor and the additional
amount required fully to compensate such Secured Party for such increased cost
or reduced amount. Such additional amounts shall be payable by the Borrower
directly to such Secured Party within five days of its receipt of such notice,
and such notice shall, in the absence of manifest error, be conclusive and
binding on the Borrower.

                SECTION 4.4. Funding Losses. In the
event any Lender shall incur any loss or expense (including any loss or expense
incurred by reason of the liquidation or reemployment of deposits or other funds
acquired by such Lender to make or continue any portion of the principal amount
of any Loan as, or to convert any portion of the principal amount of any Loan
into, a LIBO Rate Loan) as a result of 

                (a) any conversion or repayment
or prepayment of the principal amount of any LIBO Rate Loan on a date other
than the scheduled last day of the Interest Period applicable thereto, whether
pursuant to Article III or otherwise;

                (b) any Loans not being made as
LIBO Rate Loans in accordance with the Borrowing Request therefor; or

                (c)
any Loans not being continued as, or converted into, LIBO Rate Loans in
accordance with the Continuation/Conversion Notice therefor;

then, upon the
written notice of such Lender to the Borrower (with a copy to the
Administrative Agent), the Borrower shall, within five days of its receipt
thereof, pay directly to such Lender such amount as will (in the reasonable
determination of such Lender) reimburse such Lender for such loss or expense.
Such written notice shall, in the absence of manifest error, be conclusive and
binding on the Borrower.

                SECTION 4.5. Increased Capital
Costs. If any change in, or the introduction, adoption, effectiveness,
interpretation, reinterpretation or phase-in of, any law or regulation,
directive, guideline, decision or request (whether or not having the force of
law) of any Governmental Authority affects or would affect the amount of
capital required or expected to be maintained by any Secured Party or any
Person controlling such Secured Party, and such Secured Party determines (in
good faith but in its sole and absolute discretion) that the rate of return on
its or such controlling Person’s capital as a consequence of the Commitments or
the Credit Extensions made, or the Letters of Credit participated in, by such
Secured Party is reduced to a level below that which such Secured Party or such
controlling Person could have achieved but for the occurrence of any such
circumstance, then upon notice from time to time by such Secured Party to the
Borrower, the Borrower shall within five days following receipt of such notice
pay directly to such Secured Party additional amounts sufficient to compensate
such Secured Party or such controlling Person for such reduction in rate of
return. A statement of such Secured Party as to any such additional amount or
amounts shall, in the absence of manifest error, be conclusive and binding on
the Borrower. In determining such amount, such Secured Party may use any method
of averaging and attribution that it (in its sole and absolute discretion)
shall deem applicable. 

                SECTION
4.6. Taxes. The Borrower covenants and agrees as follows with
respect to Taxes.

                (a) Any and all payments by the
Borrower under each Loan Document shall be made without setoff, counterclaim or
other defense, and free and clear of, and without deduction or withholding for
or on account of, any Taxes. In the event that any Taxes are imposed and
required to be deducted or withheld from any payment required to be made by any
Obligor to or on behalf of any Secured Party under any Loan Document, then: 

                (i) subject to clause (f),
if such Taxes are Non-Excluded Taxes, the amount of such payment shall be
increased as may be necessary so that such payment is made, after withholding
or deduction for or on account of such Taxes, in an amount that is not less
than the amount provided for in such Loan Document; and

                (ii) the Borrower shall withhold
the full amount of such Taxes from such payment (as increased pursuant to clause
(a)(i)) and shall pay such amount to the Governmental Authority imposing
such Taxes in accordance with applicable law.

                (b)
In addition, the Borrower shall pay all Other Taxes imposed to the relevant
Governmental Authority imposing such Other Taxes in accordance with applicable
law. 

                (c) As promptly as practicable
after the payment of any Taxes or Other Taxes, and in any event within 45 days
of any such payment being due, the Borrower shall furnish to the Administrative
Agent a copy of an official receipt (or a certified copy thereof) evidencing the
payment of such Taxes or Other Taxes. The Administrative Agent shall make
copies thereof available to any Lender upon request therefor.

                (d) Subject to clause (f),
the Borrower shall indemnify each Secured Party for any Non-Excluded Taxes and
Other Taxes levied, imposed or assessed on (and whether or not paid directly
by) such Secured Party whether or not such Non-Excluded Taxes or Other Taxes
are correctly or legally asserted by the relevant Governmental Authority.
Promptly upon having knowledge that any such Non-Excluded Taxes or Other Taxes
have been levied, imposed or assessed, and promptly upon notice thereof by any
Secured Party, the Borrower shall pay such Non-Excluded Taxes or Other Taxes
directly to the relevant Governmental Authority (provided that no
Secured Party shall be under any obligation to provide any such notice to the
Borrower). In addition, the Borrower shall indemnify each Secured Party for any
incremental Taxes that may become payable by such Secured Party as a result of
any failure of theBorrower to pay any Taxes when due to the appropriate
Governmental Authority or to deliver to the Administrative Agent, pursuant to clause
(c), documentation evidencing the payment of Taxes or Other Taxes. With
respect to indemnification for Non-Excluded Taxes and Other Taxes actually paid
by any Secured Party or the indemnification provided in the immediately
preceding sentence, such indemnification shall be made within 30 days after the
date such Secured Party makes written demand therefor. The Borrower
acknowledges that any payment made to any Secured Party or to any Governmental
Authority in respect of the indemnification obligations of the Borrower
provided in this clause shall constitute a payment in respect of which the
provisions of clause (a) and this clause shall apply.

                (e) Each Non-U.S. Lender, on or
prior to the date on which such Non-U.S. Lender becomes a Lender hereunder (and
from time to time thereafter upon the request of the Borrower or the
Administrative Agent, but only for so long as such non-U.S. Lender is legally
entitled to do so), shall deliver to the Borrower and the Administrative Agent
either (i) two duly completed copies of either (x) Internal Revenue Service
Form W-8BEN claiming eligibility of the Non-U.S. Lender for benefits of an
income tax treaty to which the United States is a party or (y) Internal Revenue
Service Form W-8ECI, or in either case an applicable successor form; or (ii) in
the case of a Non-U.S. Lender that is not legally entitled to deliver either
form listed in clause (e)(i), (x) a certificate to the effect that such
Non-U.S. Lender is not (A) a “bank” within the meaning of Section 881(c)(3)(A)
of the Code, (B) a “10 percent shareholder” of the Borrower within the meaning
of Section 881(c)(3)(B) of the Code, or (C) a controlled foreign corporation
receiving interest from a related person within the meaning of Section
881(c)(3)(C) of the Code (referred to as an “Exemption Certificate”) and
(y) two duly completed copies of Internal Revenue Service Form W-8BEN or applicable
successor form.

                (f)
The Borrower shall not be obligated to pay any additional amounts to any Lender
pursuant to clause (a)(i), or to indemnify any Lender pursuant to clause
(d), in respect of United States federal withholding taxes to the extent
imposed as a result of (i) the failure of such Lender to deliver to the
Borrower the form or forms and/or an Exemption Certificate, as applicable to
such Lender, pursuant to clause (e), (ii) such form or forms and/or
Exemption Certificate not establishing a complete exemption from U.S. federal
withholding tax or the information or certifications made therein by the Lender
being untrue or inaccurate on the date delivered in any material respect, or
(iii) the Lender designating a successor lending office at which it maintains
its Loans which has the effect of causing such Lender to become obligated for
tax payments in excess of those in effect immediately prior to such
designation; provided that the Borrower shall be obligated to pay
additional amounts to any such Lender pursuant to clause (a)(i), and to
indemnify any such Lender pursuant to clause (d), in respect of United
States federal withholding taxes if (i) any such failure to deliver a form or
forms or an Exemption Certificate or the failure of such form or forms or
Exemption Certificate to establish a complete exemption from U.S. federal
withholding tax or inaccuracy or untruth contained therein resulted from a
change in any applicable statute, treaty, regulation or other applicable law or
any interpretation of any of the foregoing occurring after the Closing Date,
which change rendered such Lender no longer legally entitled to deliver such
form or forms or Exemption Certificate or otherwise ineligible for a complete
exemption from U.S. federal withholding tax, or rendered the information or
certifications made in such form or forms or Exemption Certificate untrue or
inaccurate in a material respect, (ii) the redesignation of the Lender’s
lending office was made at the request of the Borrower or (iii) the obligation
to pay any additional amounts to any such Lender pursuant to clause (a)(i)
or to indemnify any such Lender pursuant to clause (d) is with respect
to an assignee Lender that becomes a Lender as a result of an assignment made
at the request of the Borrower. 

                SECTION 4.7. Payments, Computations,
etc. Unless otherwise expressly provided in a Loan Document, all
payments by the Borrower pursuant to each Loan Document shall be made by the
Borrower to the Administrative Agent for the pro rata account of
the Secured Parties entitled to receive such payment. All payments shall be
made without setoff, deduction or counterclaim not later than 11:00 a.m. on the
date due in same day or immediately available funds to such account as the
Administrative Agent shall specify from time to time by notice to the Borrower;
provided that failure by the Administrative Agent to provide such notice
shall not excuse any required payments. Funds received after that time shall be
deemed to have been received by the Administrative Agent on the next succeeding
Business Day. The Administrative Agent shall promptly remit in same day funds
to each Secured Party its share, if any, of such payments received by the
Administrative Agent for the account of such Secured Party. All interest
(including interest on LIBO Rate Loans) and fees shall be computed on the basis
of the actual number of days (including the first day but excluding the last
day) occurring during the period for which such interest or fee is payable over
a year comprised of 360 days (or, in the case of interest on a Base Rate Loan
(calculated at other than the Federal Funds Rate), 365 days or, if appropriate,
366 days). Payments due on other than a Business Day shall (except as otherwise
required by clause (c) of the definition of “Interest Period”) be made
on the next succeeding Business Day and such extension of time shall be
included in computing interest and fees in connection with that payment.

                SECTION 4.8. Sharing of Payments.
If any Secured Party shall obtain any payment or other recovery (whether
voluntary, involuntary, by application of setoff or otherwise) on account of
any Credit Extension or Reimbursement Obligation (other than pursuant to the
terms of Sections 4.3, 4.4, 4.5 or 4.6) in excess
of its pro rata share of payments obtained by all Secured
Parties, such Secured Party shall purchase from the other Secured Parties such
participations in Credit Extensions made by them as shall be necessary to cause
such purchasing Secured Party to share the excess payment or other recovery
ratably (to the extent such other Secured Parties were entitled to receive a
portion of such payment or recovery) with each of them; provided that if
all or any portion of the excess payment or other recovery is thereafter
recovered from such purchasing Secured Party, the purchase shall be rescinded
and each Secured Party which has sold a participation to the purchasing Secured
Party shall repay to the purchasing Secured Party the purchase price to the
ratable extent of such recovery together with an amount equal to such selling
Secured Party’s ratable share (according to the proportion of (a) the amount of
such selling Secured Party’s required repayment to the purchasing Secured Party
to (b) total amount so recovered from the purchasing Secured Party) of
any interest or other amount paid or payable by the purchasing Secured Party in
respect of the total amount so recovered. The Borrower agrees that any Secured
Party purchasing a participation from another Secured Party pursuant to this Section
may, to the fullest extent permitted by law, exercise all its rights of payment
(including pursuant to Section 4.9) with respect to such participation
as fully as if such Secured Party were the direct creditor of the Borrower in
the amount of such participation. If under any applicable bankruptcy,
insolvency or other similar law any Secured Party receives a secured claim in
lieu of a setoff to which this Section applies, such Secured Party shall, to
the extent practicable, exercise its rights in respect of such secured claim in
a manner consistent with the rights of the Secured Parties entitled under this
Section to share in the benefits of any recovery on such secured claim.

                SECTION
4.9. Setoff. Each Secured Party shall, upon the occurrence and during
the continuance of any Default described in clauses (a) through (d)
of Section 8.1.9 or, with the consent of the Required Lenders, upon the
occurrence and during the continuance of any other Event of Default, have the
right to appropriate and apply to the payment of the Obligations owing to it
(whether or not then due), and (as security for such Obligations) the Borrower
hereby grants to each Secured Party a continuing security interest in, any and
all balances, credits, deposits, accounts or moneys of the Borrower then or
thereafter maintained with such Secured Party; provided that any such
appropriation and application shall be subject to the provisions of Section
4.8. Each Secured Party agrees promptly to notify the Borrower and the
Administrative Agent after any such setoff and application made by such Secured
Party; provided that the failure to give such notice shall not affect
the validity of such setoff and application. The rights of each Secured Party
under this Section are in addition to other rights and remedies (including
other rights of setoff under applicable law or otherwise) which such Secured
Party may have.

ARTICLE
V

CONDITIONS TO CREDIT EXTENSIONS

                SECTION 5.1. Initial Credit
Extension. The obligations of the Lenders and, if applicable, the
Issuer to fund the initial Credit Extension shall be subject to the prior or
concurrent satisfaction of each of the conditions precedent set forth in this
Article.

                SECTION 5.1.1. Resolutions, etc. The
Administrative Agent shall have received from each Obligor, as applicable, (i)
a copy of a good standing certificate, dated a date reasonably close to the
Closing Date, for each such Obligor and (ii) a certificate, dated the Closing
Date, duly executed and delivered by such Obligor’s Secretary or Assistant
Secretary, managing member or general partner, as applicable, as to 

                (a) resolutions of each such
Obligor’s Board of Directors (or other managing body, in the case of other than
a corporation) then in full force and effect authorizing, to the extent relevant,
all aspects of the Transaction applicable to such Obligor and the execution,
delivery and performance of each Loan Document to be executed by such Obligor
and the transactions contemplated hereby and thereby; 

                (b) the incumbency and
signatures of those of its officers, managing member or general partner, as
applicable, authorized to act with respect to each Loan Document to be executed
by such Obligor; and 

                (c) the full force and validity
of each Organic Document of such Obligor and copies thereof; 

upon which
certificates each Secured Party may conclusively rely until it shall have
received a further certificate of the Secretary, Assistant Secretary, managing
member or general partner, as applicable, of any such Obligor canceling or
amending the prior certificate of such Obligor.

                SECTION 5.1.2. Delivery of
Revolving Notes. The Administrative Agent shall have received, for the
account of each Lender that has requested a Revolving Note, such Lender’s
Revolving Notes, duly executed and delivered by an Authorized Officer of the
Borrower.

                SECTION 5.1.3. Subsidiary Guaranty.
The Administrative Agent shall have received the Subsidiary Guaranty, dated as
of the date hereof, duly executed and delivered by an Authorized Officer of
each Subsidiary Guarantor.

                SECTION 5.1.4. Parent
Guaranty and Pledge Agreement. The Administrative Agent shall have
received the Parent Guaranty and Pledge Agreement, dated as of the date hereof,
duly executed and delivered by an Authorized Officer of Parent, together with
certificates evidencing all of the issued and outstanding Equity Interests of
Holdings, which certificates in each case shall be accompanied by undated
instruments of transfer duly executed in blank. The Administrative Agent and
its counsel shall be satisfied that (i) the Lien granted to the Administrative
Agent, for the benefit of the Secured Parties, in the collateral described
above is a first priority (or local equivalent thereof) security interest, and
(ii) no Lien exists on any of the collateral described above other than the
Lien created in favor of the Administrative Agent, for the benefit of the
Secured Parties, pursuant to a Loan Document.

                SECTION 5.1.5. Holdings
Guaranty and Pledge Agreement. The Administrative Agent shall have
received the Holdings Guaranty and Pledge Agreement, dated as of the date
hereof, duly executed and delivered by an Authorized Officer of Holdings,
together with certificates evidencing all of the issued and outstanding Equity
Interests of the Borrower and USP International Holdings, Inc., which
certificates in each case shall be accompanied by undated instruments of
transfer duly executed in blank. The Administrative Agent and its counsel shall
be satisfied that (i) the Lien granted to the Administrative Agent, for the
benefit of the Secured Parties, in the collateral described above is a first
priority (or local equivalent thereof) security interest, and (ii) no Lien
exists on any of the collateral described above other than the Lien created in
favor of the Administrative Agent, for the benefit of the Secured Parties,
pursuant to a Loan Document.

                SECTION 5.1.6. Borrower
Pledge and Security Agreement. The Administrative Agent shall have
received the Borrower Pledge and Security Agreement, dated as of the date
hereof, duly executed and delivered by an Authorized Officer of the Borrower,
together with:

                (a) certificates evidencing all
of the issued and outstanding Equity Interests owned by the Borrower in its
Subsidiaries (other than Restricted Entities), which certificates in each case
shall be accompanied by undated instruments of transfer duly executed in blank,
or, if any Equity Interests are uncertificated Equity Interests, confirmation
and evidence satisfactory to the Administrative Agent that the security
interest therein has been transferred to and perfected by the Administrative
Agent for the benefit of the Secured Parties in accordance with Articles 8 and
9 of the UCC and all laws otherwise applicable to the perfection of the pledge
of such Equity Interests;

                (b)
all Intercompany Notes (as defined in the Borrower Pledge and Security
Agreement), if any, evidencing Indebtedness payable to the Borrower duly
endorsed to the order of the Administrative Agent, together with Filing
Statements (or similar instruments) in respect of such Intercompany Notes
executed by the Borrower to be filed in such jurisdictions as the
Administrative Agent may reasonably request; 

                (c) executed copies of Filing
Statements naming the Borrower as a debtor and the Administrative Agent as the
secured party, or other similar instruments or documents to be filed under the
UCC of all jurisdictions as may be necessary or, in the opinion of the
Administrative Agent, desirable to perfect the security interests of the
Administrative Agent pursuant to the Borrower Pledge and Security Agreement; 

                (d) executed copies of proper
UCC Form UCC-3 termination statements, if any, necessary to release all Liens
and other rights of any Person (i) in any collateral described in the Borrower
Pledge and Security Agreement previously granted by any Person, and (ii)
securing any of the Indebtedness identified in Item 7.2.2(b) of the Disclosure
Schedule, together with such other UCC Form UCC-3 termination statements as the
Administrative Agent may reasonably request from such Obligors; and

                (e) certified copies of UCC
Requests for Information or Copies (Form UCC-11), or a similar search report
certified by a party acceptable to the Administrative Agent, dated a date
reasonably near to the Closing Date, listing all effective financing statements
which name the Borrower (under its present name and any previous names) as the
debtor, together with copies of such financing statements (none of which shall
cover any collateral described in any Loan Document).

The
Administrative Agent and its counsel shall be satisfied that (i) the Lien
granted to the Administrative Agent, for the benefit of the Secured Parties, in
the collateral described above is a first priority (or local equivalent
thereof) security interest, and (ii) no Lien exists on any of the collateral
described above other than the Lien created in favor of the Administrative
Agent, for the benefit of the Secured Parties, pursuant to a Loan Document.

                SECTION 5.1.7. Subsidiary
Pledge and Security Agreement. The Administrative Agent shall have
received the Subsidiary Pledge and Security Agreement, dated as of the date
hereof, duly executed and delivered by an Authorized Officer of each Subsidiary
Guarantor, together with:

                (a) certificates evidencing all
of the issued and outstanding Equity Interests owned by such Subsidiary
Guarantor in its Subsidiaries (other than Restricted Entities), which
certificates in each case shall be accompanied by undated instruments of
transfer duly executed in blank, or, if any Equity Interests are uncertificated
Equity Interests, confirmation and evidence satisfactory to the Administrative
Agent that the security interest therein has been transferred to and perfected
by the Administrative Agent for the benefit of the Secured Parties in
accordance with Articles 8 and 9 of the UCC and all laws otherwise applicable
to the perfection of the pledge of such Equity Interests; 

                (b) all Intercompany Notes (as
defined in the Subsidiary Pledge and Security Agreement), if any, evidencing
Indebtedness payable to a Subsidiary duly endorsed to the order of the
Administrative Agent, together with Filing Statements (or similar instruments)
in respect of such Intercompany Notes executed by such Subsidiary to be filed
in such jurisdictions as the Administrative Agent may reasonably request; 

                (c) executed copies of Filing
Statements naming each such Subsidiary as a debtor and the Administrative Agent
as the secured party, or other similar instruments or documents to be filed
under the UCC of all jurisdictions as may be necessary or, in the opinion of
the Administrative Agent, desirable to perfect the security interests of the
Administrative Agent pursuant to the Borrower Pledge and Security Agreement; 

                (d) executed copies of proper
UCC Form UCC-3 termination statements, if any, necessary to release all Liens
and other rights of any Person (i) in any collateral described in the
Subsidiary Pledge and Security Agreement previously granted by any Person, and
(ii) securing any of the Indebtedness identified in Item 7.2.2(b) of the
Disclosure Schedule, together with such other UCC Form UCC-3 termination
statements as the Administrative Agent may reasonably request from such
Obligors; and

                (e) certified copies of UCC
Requests for Information or Copies (Form UCC-11), or a similar search report
certified by a party acceptable to the Administrative Agent, dated a date
reasonably near to the Closing Date, listing all effective financing statements
which name any such Subsidiary (under its present name and any previous names)
as the debtor, together with copies of such financing statements (none of which
shall cover any collateral described in any Loan Document).

The
Administrative Agent and its counsel shall be satisfied that (i) the Lien
granted to the Administrative Agent, for the benefit of the Secured Parties, in
the collateral described above is a first priority (or local equivalent
thereof) security interest, and (ii) no Lien exists on any of the collateral
described above other than the Lien created in favor of the Administrative Agent,
for the benefit of the Secured Parties, pursuant to a Loan Document.
Notwithstanding the foregoing, no Lien shall be granted by USP Chandler, Inc.
on its Equity Interests in Warner Park Surgery Center, L.P., so long as such
Equity Interests are assigned by USP Chandler, Inc. to Orthopedic and Surgical
Specialty Company, LLC on or before December 31, 2001.

                SECTION 5.1.8. Filing Agent, etc. All
Uniform Commercial Code financing statements or other similar financing
statements and Uniform Commercial Code (Form UCC-3) termination statements
required pursuant to the Loan Documents (collectively, the “Filing
Statements”) shall have been delivered to CT Corporation System or another
similar filing service company acceptable to the Administrative Agent (the “Filing
Agent”). The Filing Agent shall have acknowledged in a writing satisfactory
to the Administrative Agent and its counsel (i) the Filing Agent’s receipt of
all Filing Statements, (ii) that the Filing Statements have either been
submitted for filing in the appropriate filing offices or will be submitted for
filing in the appropriate offices within ten days following the Closing Date
and (iii) that the Filing Agent will notify the Administrative Agent and its
counsel of the results of such submissions within 30 days following the Closing
Date. 

                SECTION 5.1.9. Closing Date
Certificate. The Administrative Agent shall have received the Borrower
Closing Date Certificate, dated the Closing Date, duly executed and delivered
by an Authorized Officer of the Borrower, in which certificate the Borrower
shall agree and acknowledge that the statements made therein shall be deemed to
be true and correct representations and warranties of the Borrower as of such
date, and, at the time each such certificate is delivered, such statements
shall in fact be true and correct. All documents and agreements required to be
appended to the Borrower Closing Date Certificate shall be in form and
substance satisfactory to the Administrative Agent. 

                SECTION
5.1.10. Solvency, etc. The Administrative Agent shall have received
a solvency certificate, dated the Closing Date, duly executed and delivered by
the chief financial or accounting Authorized Officer of the Borrower, in form
and substance satisfactory to the Administrative Agent. 

                SECTION 5.1.11. Insurance. The
Administrative Agent shall have received certified copies of the insurance
policies (or binders in respect thereof), from one or more insurance companies
satisfactory to the Administrative Agent, evidencing coverage required to be
maintained pursuant to each Loan Document.

                SECTION 5.1.12. Financial
Information, etc. The Administrative Agent shall have received

                (a) (i) audited consolidated
financial statements of OrthoLink as at December 31, 2000, (ii) an audited
consolidated balance sheet of the Borrower and its Consolidated Entities as at
December 31, 2000, and (iii) an unaudited income statement of the Borrower and
its Consolidated Subsidiaries as December 31, 2000;

                (b)
a pro forma unaudited consolidated balance sheet of the Borrower and its
Consolidated Entities as of April 30, 2001, certified by the chief financial or
accounting Authorized Officer of the Borrower, giving effect to the
consummation of the Transaction and all the transactions contemplated by this
Agreement (including the making of the initial Credit Extension), which shall
be satisfactory to the Administrative Agent; 

                (c) a pro forma Compliance
Certificate, dated the Closing Date, certified by the chief financial or
accounting Authorized Officer of the Borrower, giving effect to the
consummation of the Transaction and all the transactions contemplated by this
Agreement (including the making of the initial Credit Extension) as of April
30, 2001, and as to such items therein as the Administrative Agent reasonably
requests; 

                (d) a business plan for the 2001
through 2003 Fiscal Years, together with cash flow projections for the 2001
through 2006 Fiscal Years and a written analysis of the business and prospects
of Parent, Holdings, the Borrower and its Consolidated Entities for the period
from the Closing Date through the Stated Maturity Date, in each case
satisfactory to the Administrative Agent; and

                (e) evidence satisfactory to the
Administrative Agent that the Borrower’s consolidated pro forma
EBITDA, adjusted to give effect to the subtraction of amounts attributable to
Minority Interests and the consummation of the acquisition of OrthoLink and
inclusive of add-backs for certain one-time, non-recurring charges not
exceeding $6,700,000, for the 2000 Fiscal Year is not less than $17,500,000.

                SECTION 5.1.13. Opinions of Counsel.
The Administrative Agent shall have received opinions, dated the Closing Date
and addressed to the Administrative Agent and all Lenders, from 

                (a) Nossaman, Guthner, Knox
& Elliott, LLP, special counsel to the Obligors, in form and substance
satisfactory to the Administrative Agent;

                (b) Reboul, MacMurray, Hewitt,
Maynard & Kristol, New York counsel to the Obligors, in form and substance
satisfactory to the Administrative Agent;

                (c) Greenebaum, Doll, McDonald,
PLCC, Tennessee counsel to the Obligors, in form and substance satisfactory to
the Administrative Agent; and

                (d) Donohoe, Jameson &
Carroll, PC, Texas counsel to the Obligors, in form and substance satisfactory
to the Administrative Agent.

                SECTION 5.1.14. Consummation
of Transaction. The Administrative Agent shall have received evidence
satisfactory to it that all actions necessary to consummate the Transaction
shall have been taken in accordance with all applicable law and in accordance
with the terms of each applicable Transaction Document, without amendment or
waiver of any material provision thereof.

                SECTION 5.1.15. Transaction
Documents. The Administrative Agent shall have received copies of fully
executed versions of the Transaction Documents reasonably requested by the
Administrative Agent, certified to be true and complete copies thereof by an
Authorized Officer of the Borrower. Each Transaction Document shall be in full
force and effect and shall not have been modified or waived in any material
respect, nor shall there have been any forbearance to exercise any material
rights with respect to any of the terms or provisions relating to the
conditions to the consummation of the Transaction, as applicable, unless
otherwise agreed to by the Required Lenders.

                SECTION 5.1.16. Payment of
Outstanding Indebtedness, etc. All Indebtedness identified in Item
7.2.2(b) of the Disclosure Schedule, together with all interest, all
prepayment premiums and other amounts due and payable with respect thereto,
shall have been paid in full from the proceeds of the initial Credit Extension
and the commitments in respect of such Indebtedness shall have been terminated,
and all Liens securing payment of any such Indebtedness have been released and the
Administrative Agent shall have received all Uniform Commercial Code Form UCC-3
termination statements or other instruments as may be suitable or appropriate
in connection therewith.

                SECTION 5.1.17. Closing Fees,
Expenses, etc. The Administrative Agent shall have received for its own
account, or for the account of each Lender, as the case may be, all fees, costs
and expenses due and payable pursuant to Sections 3.3 and, if then
invoiced, 10.3.

                SECTION 5.2. All Credit Extensions.
The obligation of each Lender and each Issuer to make any Credit Extension
shall be subject to and the satisfaction of each of the conditions precedent
set forth below.

                SECTION 5.2.1. Compliance with
Warranties, No Default, etc. Both before and after giving effect to any
Credit Extension (but, if any Default of the nature referred to in Section
8.1.5 shall have occurred with respect to any other Indebtedness, without
giving effect to the application, directly or indirectly, of the proceeds
thereof) the following statements shall be true and correct: 

                (a) the representations and
warranties set forth in each Loan Document shall, in each case, be true and
correct with the same effect as if then made (unless stated to relate solely to
an earlier date, in which case such representations and warranties shall be
true and correct in all material respects as of such earlier date); and

                (b) no Default shall have then
occurred and be continuing.

                SECTION 5.2.2. Credit Extension
Request, etc. The Administrative Agent shall have received a Borrowing
Request if Loans are being requested, or an Issuance Request if a Letter of
Credit is being requested or extended. Each of the delivery of a Borrowing
Request or Issuance Request and the acceptance by the Borrower of the proceeds
of such Credit Extension shall constitute a representation and warranty by the
Borrower that on the date of such Credit Extension (both immediately before and
after giving effect to such Credit Extension and the application of the
proceeds thereof) the statements made in Section 5.2.1 are true and
correct in all material respects.

                SECTION 5.2.3. Satisfactory Legal
Form. All documents executed or submitted pursuant hereto by or on
behalf of any Obligor shall be reasonably satisfactory in form and substance to
the Administrative Agent and its counsel, and the Administrative Agent and its
counsel shall have received all information, approvals, opinions, documents or
instruments as the Administrative Agent or its counsel may reasonably request.

 

ARTICLE
VI

REPRESENTATIONS AND WARRANTIES

                In order to induce the Secured
Parties to enter into this Agreement and to make Credit Extensions hereunder,
the Borrower represents and warrants to each Secured Party as set forth in this
Article.

                SECTION 6.1. Organization, etc. Each
Obligor is validly organized and existing and in good standing under the laws
of the state or jurisdiction of its incorporation or organization, is duly
qualified to do business and is in good standing as a foreign entity in each
jurisdiction where the nature of its business requires such qualification
(except where the failure to so qualify would not, individually or in the
aggregate, have a Material Adverse Effect), and has full power and authority
and holds all requisite governmental licenses, permits and other approvals to
enter into and perform its Obligations under each Loan Document to which it is
a party, to own and hold under lease its property and to conduct its business
substantially as currently conducted by it.

                SECTION 6.2. Due
Authorization, Non-Contravention, etc. The execution, delivery and
performance by each Obligor of each Loan Document executed or to be executed by
it, each Obligor’s participation in the consummation of all aspects of the
Transaction, and the execution, delivery and performance by the Borrower or (if
applicable) any Obligor of the agreements executed and delivered by it in
connection with the Transaction are in each case within such Person’s powers,
have been duly authorized by all necessary action, and do not 

                (a) contravene or result in a
default under any (i) Obligor’s Organic Documents, (ii) contractual restriction
binding on or affecting any Obligor, (iii) court decree or order binding on or
affecting any Obligor or (iv) law or governmental regulation binding on or
affecting any Obligor; or

                (b)
result in, or require the creation or imposition of, any Lien on any Obligor’s
properties (except as permitted by this Agreement).

                SECTION 6.3. Government
Approval, Regulation, etc. No authorization or approval or other action
by, and no notice to or filing with, any Governmental Authority or other Person
(other than those that have been, or on the Closing Date will be, duly obtained
or made and which are, or on the Closing Date will be, in full force and
effect, and other than those filings required to be made after the Closing
Date) is required for the consummation of the Transaction or the due execution,
delivery or performance by any Obligor of any Loan Document to which it is a
party, or for the due execution, delivery and/or performance of Transaction
Documents, in each case by the parties thereto or the consummation of the
Transaction. Neither the Borrower nor any of its Consolidated Entities is an
“investment company” within the meaning of the Investment Company Act of 1940,
as amended, or 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.

                SECTION
6.4. Validity, etc. Each Loan Document and each Transaction Document
to which any Obligor is a party constitutes the legal, valid and binding
obligations of such Obligor, enforceable against such Obligor in accordance
with their respective terms (except, in any case, as such enforceability may be
limited by applicable bankruptcy, insolvency, reorganization or similar laws
affecting creditors’ rights generally and by principles of equity).

                SECTION 6.5. Financial Information.
The financial statements of the Borrower and its Consolidated Entities
furnished to the Administrative Agent and each Lender pursuant to clause (a)
of Section 5.1.12 have been prepared in accordance with GAAP
consistently applied, and present fairly the consolidated financial condition
of the Persons covered thereby as at the dates thereof and the results of their
operations for the periods then ended. All balance sheets, all statements of
income and of cash flow and all other financial information of each of the
Borrower and its Consolidated Entities furnished pursuant to Section 7.1.1
have been and will for periods following the Effective Date be prepared in
accordance with GAAP consistently applied with the financial statements
delivered pursuant to clause (a) of Section 5.1.12, and do or
will present fairly the consolidated financial condition of the Persons covered
thereby as at the dates thereof and the results of their operations for the
periods then ended.

                SECTION 6.6. No Material Adverse
Change. There has been no material adverse change in the condition
(financial or otherwise), results of operations, assets, business, properties
or prospects of the Borrower or the Borrower and its Consolidated Entities,
taken as a whole, since December 31, 2000. 

                SECTION 6.7. Litigation, Labor
Controversies, etc. There is no pending or, to the knowledge of the
Borrower or any of its Consolidated Entities, threatened litigation, action,
proceeding or labor controversy 

                (a) except as disclosed in Item
6.7 of the Disclosure Schedule, affecting any Obligor or any of its
properties, businesses, assets or revenues, which could reasonably be expected
to have a Material Adverse Effect, and no adverse development has occurred in
any labor controversy, litigation, arbitration or governmental investigation or
proceeding disclosed in Item 6.7, or 

                (b) which purports to affect the
legality, validity or enforceability of any Loan Document, the Transaction
Documents or the Transaction. 

                SECTION 6.8. Subsidiaries. The
Borrower has no Subsidiaries, except those Subsidiaries which are identified in
Item 6.8 of the Disclosure Schedule, or which are permitted to have been
organized or acquired in accordance with Sections 7.2.5 or 7.2.10.
Item 6.8 of the Disclosure Schedule sets forth each Consolidated Entity,
Non-Consolidated Entity, Operating Entity and Restricted Entities.

                SECTION 6.9. Ownership of
Properties. The Borrower and each of its Consolidated Entities owns (a)
in the case of owned real property, good fee title to, and (b) in the case of
owned personal property, good and valid title to, or, in the case of leased
real or personal property, valid and enforceable leasehold interests (as the
case may be) in, all of its properties and assets, real and personal, tangible
and intangible, of any nature whatsoever, free and clear in each case of all
Liens or claims, except for Liens permitted pursuant to Section 7.2.3.

                SECTION
6.10. Taxes. The Borrower and each of its Consolidated Entities has
filed all tax returns and reports required by law to have been filed by it and
has paid all material Taxes thereby shown to be due and owing, except any such
Taxes which are being diligently contested in good faith by appropriate
proceedings and for which adequate reserves in accordance with GAAP shall have
been set aside on its books. 

                SECTION 6.11. Pension and Welfare
Plans. Except as disclosed in Item 6.11 of the Disclosure
Schedule, during the twelve-consecutive-month period prior to the Effective
Date and prior to the date of any Credit Extension hereunder, no steps have
been taken to terminate any Pension Plan, and no contribution failure has
occurred with respect to any Pension Plan sufficient to give rise to a Lien
under Section 302(f) of ERISA. No condition exists or event or transaction has
occurred with respect to any Pension Plan which might result in the incurrence
by the Borrower or any member of the Controlled Group of any material
liability, fine or penalty. Except as disclosed in Item 6.11 of the
Disclosure Schedule, neither the Borrower nor any member of the Controlled
Group has any contingent liability with respect to any post-retirement benefit
under a Welfare Plan, other than liability for continuation coverage described
in Part 6 of Title I of ERISA.

                SECTION 6.12. Environmental
Warranties. Except as set forth in Item 6.12 of the Disclosure
Schedule:

                (a) all facilities and property
(including underlying groundwater) owned or leased by the Borrower or any of
its Consolidated Entities have been, and continue to be, owned or leased by the
Borrower and its Consolidated Entities in material compliance with all
Environmental Laws;

                (b) there have been no past, and
there are no pending or threatened (i) claims, complaints, notices or requests
for information received by the Borrower or any of its Consolidated Entities
with respect to any alleged violation of any Environmental Law, or (ii)
complaints, notices or inquiries to the Borrower or any of its Consolidated
Entities regarding potential liability under any Environmental Law;

                (c) there have been no Releases
of Hazardous Materials at, on or under any property now or previously owned or
leased by the Borrower or any of its Consolidated Entities that have, or could
reasonably be expected to have, a Material Adverse Effect; 

                (d) the Borrower and its Consolidated
Entities have been issued and are in material compliance with all permits,
certificates, approvals, licenses and other authorizations relating to
environmental matters; 

                (e) no property now or
previously owned or leased by the Borrower or any of its Consolidated Entities
is listed or proposed for listing (with respect to owned property only) on the
National Priorities List pursuant to CERCLA, on the CERCLIS or on any similar
state list of sites requiring investigation or clean-up; 

                (f) there are no underground
storage tanks, active or abandoned, including petroleum storage tanks, on or
under any property now or previously owned or leased by the Borrower or any of
its Consolidated Entities that, singly or in the aggregate, have, or could reasonably
be expected to have, a Material Adverse Effect; 

                (g)
neither the Borrower nor any Consolidated Entity has directly transported or
directly arranged for the transportation of any Hazardous Material to any
location which is listed or proposed for listing on the National Priorities
List pursuant to CERCLA, on the CERCLIS or on any similar state list or which
is the subject of federal, state or local enforcement actions or other
investigations which may lead to material claims against the Borrower or such
Consolidated Entity for any remedial work, damage to natural resources or
personal injury, including claims under CERCLA;

                (h) there are no polychlorinated
biphenyls or friable asbestos present at any property now or previously owned
or leased by the Borrower or any Consolidated Entity that, singly or in the
aggregate, have, or could reasonably be expected to have, a Material Adverse
Effect; and

                (i) no conditions exist at, on
or under any property now or previously owned or leased by the Borrower which,
with the passage of time, or the giving of notice or both, would give rise to
material liability under any Environmental Law.

                SECTION 6.13. Accuracy of
Information. The factual information heretofore or contemporaneously
furnished in writing to the Agents by or on behalf of any Obligor, taken as a
whole, in connection with any Loan Document or any transaction contemplated
hereby (including the Transaction) does not contain any untrue statement of a
material fact, or omits to state any fact necessary to make any material
statement contained therein not misleading in any material respect, and no
other factual information hereafter furnished in connection with any Loan
Document by or on behalf of any Obligor to any Secured Party will contain any
untrue statement of a material fact or will omit to state any fact necessary to
make any material information contained therein not misleading in any material
respect on the date as of which such information is dated or certified. 

                SECTION 6.14. Regulations T, U and X.
No Obligor is engaged in the business of extending credit for the purpose of
purchasing or carrying margin stock, and no proceeds of any Credit Extensions
will be used to purchase or carry margin stock or otherwise for a purpose which
violates, or would be inconsistent with, F.R.S. Board Regulations T, U or X.
Terms for which meanings are provided in F.R.S. Board Regulations T, U or X or
any regulations substituted therefor, as from time to time in effect, are used
in this Section with such meanings. 

                SECTION 6.15. Absence of Any
Undisclosed Liabilities. As of the Closing Date, there are no material
liabilities of any Obligor of any kind whatsoever, whether accrued, contingent,
absolute, determined, determinable or otherwise, and there is no existing condition,
situation or set of circumstances which could be expected to result in such a
liability, other than those liabilities provided for or disclosed in the most
recently delivered financial statements or those liabilities that have been
disclosed to the Administrative Agent prior to the Closing Date.

                SECTION 6.16. Issuance of
Subordinated Debt; Status of Obligations as Senior Indebtedness, etc.
The Borrower has the power and authority to incur the Subordinated Debt as
provided for under the Sub Debt Documents applicable thereto and has duly
authorized, executed and delivered the Sub Debt Documents applicable to such
Subordinated Debt. The Borrower has issued, pursuant to due authorization, the
Subordinated Debt under the applicable Sub Debt Documents, and such Sub Debt
Documents constitute the legal, valid and binding obligations of the Borrower
enforceable against the Borrower in accordance with its terms (except as such
enforceability may be limited by applicable bankruptcy, insolvency,
reorganization or similar laws affecting creditors’ rights generally and by
principles of equity). The subordination provisions of the Subordinated Debt
contained in the Sub Debt Documents are enforceable against the holders of the
Subordinated Debt by the holder of any “Senior Indebtedness” or similar term
referring to the Obligations (as defined in the Sub Debt Documents). All
Obligations, including those to pay principal of and interest (including
post-petition interest, whether or not allowed as a claim under bankruptcy or
similar laws) on the Loans and Reimbursement Obligations, and fees and expenses
in connection therewith, constitute “Senior Indebtedness” or similar term
relating to the Obligations (as defined in the Sub Debt Documents) and all such
Obligations are entitled to the benefits of the subordination created by the
Sub Debt Documents. The Borrower acknowledges that the Administrative Agent,
each Lender and each Issuer is entering into this Agreement and is extending
its Commitments in reliance upon the subordination provisions of the Sub Debt
Documents.

 

ARTICLE
VII

COVENANTS

                SECTION 7.1. Affirmative Covenants.
The Borrower agrees with each Lender, each Issuer and the Administrative Agent
that until the Termination Date has occurred, the Borrower will, and will cause
its Consolidated Entities to, perform or cause to be performed the obligations
set forth below. 

                SECTION 7.1.1. Financial
Information, Reports, Notices, etc. The Borrower will furnish each
Lender and the Administrative Agent copies of the following financial
statements, reports, notices and information: 

                (a) as soon as available and in
any event within 45 days after the end of each Fiscal Quarter of each Fiscal
Year, (i) unaudited consolidated and consolidating balance sheets of the
Borrower and its Consolidated Entities as of the end of such Fiscal Quarter and
consolidated statements of income and cash flow of the Borrower and its
Consolidated Entities for such Fiscal Quarter and for the period commencing at
the end of the previous Fiscal Year and ending with the end of such Fiscal
Quarter, and including (in each case), in comparative form the figures for the
corresponding Fiscal Quarter in, and year to date portion of, the immediately
preceding Fiscal Year, and (ii) unaudited consolidated and consolidating
balance sheets of Parent and its Subsidiaries as of the end of such Fiscal
Quarter and consolidated and consolidating statements of income and cash flow
of Parent and its Subsidiaries for such Fiscal Quarter and for the period
commencing at the end of the previous Fiscal Year and ending with the end of
such Fiscal Quarter, and including (in each case), in comparative form the
figures for the corresponding Fiscal Quarter in, and year to date portion of,
the immediately preceding Fiscal Year, in the case of each of clauses (i)
and (ii) certified as presenting fairly the consolidated financial
condition of the Persons covered thereby by the chief financial or accounting
Authorized Officer of the Borrower;

                (b)
as soon as available and in any event within 90 days after the end of each
Fiscal Year, a copy of the consolidated balance sheet of the Borrower and its
Consolidated Entities, and the related consolidated statements of income and
cash flow of the Borrower and its Consolidated Entities for such Fiscal Year,
setting forth in comparative form the figures for the immediately preceding
Fiscal Year, audited (without any Impermissible Qualification) by independent
public accountants acceptable to the Administrative Agent, which shall include
a calculation of the financial covenants set forth in Section 7.2.4 and
a statement by such accountants that, in performing the examination necessary
to deliver the audited financial statements of the Borrower, no knowledge was
obtained of any Event of Default;

                (c) concurrently with the
delivery of the financial information pursuant to clauses (a) and (b),
a Compliance Certificate, executed by the chief financial or accounting
Authorized Officer of the Borrower, showing compliance with the financial
covenants set forth in Section 7.2.4 and stating that no Default has
occurred and is continuing (or, if a Default has occurred, specifying the
details of such Default and the action that the Borrower or an Obligor has
taken or proposes to take with respect thereto); 

                (d) as soon as possible and in
any event within three days after the Borrower or any other Obligor obtains
knowledge of the occurrence of a Default, a statement of an Authorized Officer
of the Borrower setting forth details of such Default and the action which the
Borrower or such Obligor has taken and proposes to take with respect thereto;

                (e) as soon as possible and in
any event within three days after the Borrower or any other Obligor obtains
knowledge of (i) the occurrence of any material adverse development with
respect to any litigation, action, proceeding or labor controversy described in
Item 6.7 of the Disclosure Schedule or (ii) the commencement of any
litigation, action, proceeding or labor controversy of the type and materiality
described in Section 6.7, notice thereof and, to the extent the
Administrative Agent requests, copies of all documentation relating thereto;

                (f)
promptly after the sending or filing thereof, copies of all reports, notices,
prospectuses and registration statements which any Obligor files with the SEC
or any national securities exchange; 

                (g) immediately upon becoming
aware of (i) the institution of any steps by any Person to terminate any
Pension Plan, (ii) the failure to make a required contribution to any Pension
Plan if such failure is sufficient to give rise to a Lien under Section 302(f)
of ERISA, (iii) the taking of any action with respect to a Pension Plan which
could result in the requirement that any Obligor furnish a bond or other
security to the PBGC or such Pension Plan, or (iv) the occurrence of any event
with respect to any Pension Plan which could result in the incurrence by any
Obligor of any material liability, fine or penalty, notice thereof and copies
of all documentation relating thereto;

                (h) promptly upon receipt
thereof, copies of all “management letters” submitted to the Borrower or any
other Obligor by the independent public accountants referred to in clause (b)
in connection with each audit made by such accountants; 

                (i) promptly following the mailing
or receipt of any notice or report delivered under the terms of any
Subordinated Debt, copies of such notice or report; and 

                (j) such other financial and
other information as any Lender or Issuer through the Administrative Agent may
from time to time reasonably request (including information and reports in such
detail as the Administrative Agent may request with respect to the terms of and
information provided pursuant to the Compliance Certificate).

                SECTION 7.1.2. Maintenance
of Existence; Compliance with Laws, etc. The Borrower will, and will
cause each of its Consolidated Entities to, preserve and maintain its legal
existence (except as otherwise permitted by Section 7.2.10), and comply
in all material respects with all applicable laws, rules, regulations and
orders, including the payment (before the same become delinquent), of all
Taxes, imposed upon the Borrower or its Consolidated Entities or upon their
property except to the extent being diligently contested in good faith by
appropriate proceedings and for which adequate reserves in accordance with GAAP
have been set aside on the books of the Borrower or its Consolidated Entities,
as applicable.

                SECTION 7.1.3. Maintenance of
Properties. The Borrower will, and will cause each of its Consolidated
Entities to, maintain, preserve, protect and keep its and their respective
properties in good repair, working order and condition (ordinary wear and tear
excepted), and make necessary repairs, renewals and replacements so that the
business carried on by the Borrower and its Consolidated Entities may be
properly conducted at all times, unless the Borrower or such Consolidated
Entity determines in good faith that the continued maintenance of such property
is no longer economically desirable. 

                SECTION 7.1.4. Insurance. The
Borrower will, and will cause each of its Consolidated Entities to: 

                (a) maintain insurance on its
property with financially sound and reputable insurance companies against loss
and damage in at least the amounts (and with only those deductibles)
customarily maintained, and against such risks as are typically insured against
in the same general area, by Persons of comparable size engaged in the same or
similar business as the Borrower and its Consolidated Entities; and

                (b) all worker’s compensation,
employer’s liability insurance or similar insurance as may be required under
the laws of any state or jurisdiction in which it may be engaged in business.

Without
limiting the foregoing, all insurance policies required pursuant to this
Section that are maintained by the Borrower and the Subsidiary Guarantors with
respect to their operations and assets shall, if requested by the
Administrative Agent, (i) name the Administrative Agent on behalf of the
Secured Parties as loss payee (in the case of property insurance) or additional
insured (in the case of liability insurance), as applicable, and provide that
no cancellation or modification of the policies will be made without thirty
days’ prior written notice to the Administrative Agent and (ii) be in addition
to any requirements to maintain specific types of insurance contained in the
other Loan Documents. 

                SECTION 7.1.5. Books and Records.
The Borrower will, and will cause each of its Consolidated Entities to, keep
books and records in accordance with GAAP which accurately reflect all of its
business affairs and transactions and permit each Secured Party or any of its
representatives, at reasonable times and intervals upon reasonable notice to
the Borrower, to visit each Obligor’s offices, to discuss such Obligor’s
financial matters with its officers, employees and independent public
accountants (and the Borrower hereby authorizes such independent public
accountant to discuss each Obligor’s financial matters with each Secured Party
and its representatives whether or not any representative of such Obligor is
present) and to examine (and photocopy extracts from) any of its books and
records. The Borrower shall pay any fees of such independent public accountant
incurred in connection with any Secured Party’s exercise of its rights pursuant
to this Section.

                SECTION 7.1.6. Environmental
Law Covenant. The Borrower will, and will cause each of its
Consolidated Entities to, 

                (a) use and operate all of its
and their facilities and properties in material compliance with all
Environmental Laws, keep all necessary permits, approvals, certificates,
licenses and other authorizations relating to environmental matters in effect
and remain in material compliance therewith, and handle all Hazardous Materials
in material compliance with all applicable Environmental Laws; and

                (b)
promptly notify the Administrative Agent and provide copies upon receipt of all
written claims, complaints, notices or inquiries relating to the condition of
its facilities and properties in respect of, or as to compliance with,
Environmental Laws, and shall promptly resolve any non-compliance with
Environmental Laws and keep its property free of any Lien imposed by any
Environmental Law.

                SECTION 7.1.7. Use of Proceeds.
The Borrower will apply the proceeds of the Credit Extensions as follows:

                (a) to repay the Indebtedness
identified in Item 7.2.2(b) of the Disclosure Schedule;

                (b) for working capital and
general corporate purposes of the Borrower and the Subsidiary Guarantors,
including Investments permitted by this Agreement; and

                (c) for issuing Letters of
Credit for the account of the Borrower and the Subsidiary Guarantors.

                SECTION 7.1.8. Future Guarantors,
Security, etc. The Borrower will, and will cause each Subsidiary
Guarantor to, execute any documents, Filing Statements, agreements (including
any guaranty, security and/or pledge agreement) and instruments, and take all
further action (including filing Mortgages within 150 days of the acquisition
of any real property) that may be required under applicable law, or that the
Administrative Agent may reasonably request, in order to effectuate the
transactions contemplated by the Loan Documents and in order to grant,
preserve, protect and perfect the validity and first priority (subject to Liens
permitted by Section 7.2.3) of the Liens created or intended to be
created by the Loan Documents. The Borrower will cause any subsequently
acquired or organized Wholly-Owned Subsidiary to execute the Subsidiary
Guaranty (or a supplement thereto) and each applicable Loan Document in favor
of the Secured Parties. In addition, from time to time, the Borrower will, and
will cause each Subsidiary Guarantor to, at the Borrower’s cost and expense,
promptly secure the Obligations by pledging or creating, or causing to be
pledged or created, perfected Liens with respect to such of its assets and
properties as the Administrative Agent or the Required Lenders shall designate,
it being agreed that it is the intent of the parties that the Obligations shall
be secured by, among other things, substantially all the assets of the Borrower
and Subsidiary Guarantors, including real and personal property acquired
subsequent to the Effective Date. Such Liens will be created under the Loan
Documents in form and substance satisfactory to the Administrative Agent, and
the Borrower shall deliver or cause to be delivered to the Administrative Agent
all such instruments and documents (including legal opinions, title insurance
policies and lien searches) as the Administrative Agent shall reasonably
request to evidence compliance with this Section. Notwithstanding the
foregoing, (a) the obligation to grant a Mortgage with respect to any real
property shall be subject to Section 7.1.10, (b) this Section 7.1.8
shall not apply to any Subsidiary Guarantor that is an Operating Entity (or
which becomes an Operating Entity within six months after the formation or
initial acquisition of an Equity Interest in such Subsidiary) and (c) no
Subsidiary Guarantor shall be obligated to grant a Lien with respect to any
Equity Interest in a partnership, joint venture or limited liability company in
which an Equity Interest is also held by a Person that owns or is affiliated
with a non-profit hospital. 

                SECTION 7.1.9. Rate Protection
Agreements. No later than February 28, 2002, the Borrower will enter
into interest rate swap, cap, collar or similar arrangements designed to
protect the Borrower against fluctuations in interest rates with respect to at
least 50% of the average outstanding amount of the Borrower’s Indebtedness for
the Fiscal Quarter ending December 31, 2001 for a period and on terms
satisfactory to the Administrative Agent. 

                SECTION 7.1.10. Dispositions
of Real Property. The Borrower shall Dispose of, or cause to be
Disposed, the properties listed on Item 7.1.10 of the Disclosure
Schedule no later than 150 days after the Closing Date or, if not Disposed of
by such time, the Borrower shall deliver to the Administrative Agent, as
mortgagee for the ratable benefit of the Secured Parties, counterparts of a
Mortgage relating to each such property, each dated as of the date of such
delivery, duly executed by the Borrower or the applicable Subsidiary Guarantor,
together with (a) evidence of the completion (or satisfactory arrangements for
the completion) of all recordings and filings of such Mortgage as may be
necessary or, in the reasonable opinion of the Administrative Agent, desirable
effectively to create a valid, perfected first priority Lien, subject to Liens
permitted by Section 7.2.3, against the properties purported to be
covered thereby and (b) such other approvals, opinions or documents as the
Agents may reasonably request.

                SECTION 7.1.11. Restricted
Entity Acknowledgments. The Borrower shall use commercially reasonable
efforts to, no later than 90 days after the Closing Date, have an
acknowledgment in form and substance reasonably satisfactory to the
Administrative Agent executed by each holder of Equity Interests of each
Restricted Entity (other than any Obligor) with respect to the restriction on
the ability to pledge the Equity Interests of such Restricted Entity and the
agreement of such holder not to consent to the pledge by any Obligor of its
Equity Interests in such Restricted Entity. 

                SECTION 7.2. Negative Covenants.
The Borrower covenants and agrees with each Lender, each Issuer and the
Administrative Agent that until the Termination Date has occurred, the Borrower
will, and will cause its Consolidated Entities to, perform or cause to be
performed the obligations set forth below.

                SECTION 7.2.1. Business Activities.
The Borrower will not, and will not permit any of its Consolidated Entities to,
engage in any business activity except those business activities engaged in on
the Closing Date and activities reasonably related thereto.

                SECTION 7.2.2. Indebtedness. The
Borrower will not, and will not permit any of its Consolidated Entities to,
create, incur, assume or permit to exist any Indebtedness, other than: 

                (a) Indebtedness in respect of
the Obligations; 

                (b) until the Closing Date,
Indebtedness that is to be repaid in full as further identified in Item
7.2.2(b) of the Disclosure Schedule;

                (c) Indebtedness existing as of
the Effective Date which is identified in Item 7.2.2(c) of the
Disclosure Schedule, and refinancing of such Indebtedness in a principal amount
not in excess of that which is outstanding on the Effective Date (as such
amount has been reduced following the Effective Date);

                (d) unsecured Indebtedness (i)
incurred in the ordinary course of business of the Borrower and its
Consolidated Entities (including open accounts extended by suppliers on normal
trade terms in connection with purchases of goods and services which are not
overdue for a period of more than 90 days or, if overdue for more than 90 days,
as to which a dispute exists and adequate reserves in conformity with GAAP have
been established on the books of the Borrower or such Consolidated Entity) and
(ii) in respect of performance, surety or appeal bonds provided in the ordinary
course of business, but excluding (in each case), Indebtedness incurred through
the borrowing of money or Contingent Liabilities in respect thereof; 

                (e) Indebtedness of any
Subsidiary Guarantor owing to the Borrower or any other Subsidiary Guarantor,
which Indebtedness shall be either (i) evidenced by one or more promissory
notes in form and substance satisfactory to the Administrative Agent, duly
executed and delivered in pledge to the Administrative Agent pursuant to a Loan
Document, or (ii) reflected in an open account on the books and records of such
Person, 

and shall, in
each case, not be forgiven or otherwise discharged for any consideration other
than payment in full or in part in cash (provided that only the amount
repaid in part shall be discharged);

                (f) unsecured subordinated
Indebtedness (not evidenced by a note or other instrument) of the Borrower
owing to a Subsidiary so long as the agreement pursuant to which such
Indebtedness was incurred contains subordination provisions and other terms
which are reasonably satisfactory in all respects to the Administrative Agent;

                (g)
unsecured Subordinated Debt of the Borrower incurred pursuant to the terms of
the Sub Debt Documents in a principal amount not to exceed $36,000,000 and
refinancings of such Subordinated Debt which continue to satisfy the terms of
the definition of “Subordinated Debt”; 

                (h) Indebtedness consisting of
obligations of the Borrower to Operating Entities in connection with any cash
management system operated by the Borrower in the ordinary course of business
under which the Borrower receives and holds cash that belongs to such Operating
Entities pending disbursement of such cash to or for the benefit of the
respective Operating Entities; 

                (i) other Indebtedness of the
Borrower and its Consolidated Entities in an aggregate amount at any time
outstanding not to exceed the greater of (i) $35,000,000 and (ii) an amount
equal to EBITDA of the Borrower and its Consolidated Entities for the four
Fiscal Quarters for which the most recent Compliance Certificate was delivered
to the Administrative Agent by the Borrower pursuant to clause (c) of Section
7.1.1; provided that such Indebtedness shall, if payable to the
Borrower or a Subsidiary Guarantor, be either (A) evidenced by one or more
promissory notes in form and substance satisfactory to the Administrative
Agent, duly executed and delivered in pledge to the Administrative Agent
pursuant to a Loan Document, or (B) reflected in an open account on the books
and records of such Person, and shall, in each case, not be forgiven or
otherwise discharged for any consideration other than payment in full or in
part in cash (provided that only the amount repaid in part shall be
discharged); 

provided that no Indebtedness otherwise permitted
by clauses (c), (e), (g) or (i) shall be assumed,
created or otherwise incurred if a Default has occurred and is then continuing
or would result therefrom. 

                SECTION
7.2.3. Liens. The Borrower will not, and will not permit any of its
Consolidated Entities to, create, incur, assume or permit to exist any Lien
upon any of its property (including Equity Interests of any Person), revenues
or assets, whether now owned or hereafter acquired, except: 

                (a) Liens securing payment of
the Obligations;

                (b) until the Closing Date,
Liens securing payment of Indebtedness of the type described in clause (b)
of Section 7.2.2;

                (c) Liens existing as of the
Effective Date and disclosed in Item 7.2.3(c) of the Disclosure Schedule
securing Indebtedness described in clause (c) of Section 7.2.2,
and refinancings of such Indebtedness; provided that no such Lien shall
encumber any additional property and the amount of Indebtedness secured by such
Lien is not increased from that existing on the Effective Date (as such
Indebtedness may have been permanently reduced subsequent to the Effective
Date);

                (d)
Liens securing Indebtedness of the type permitted under clause (i) of Section
7.2.2; provided that (i) such Lien is granted within 60 days after
such Indebtedness is incurred and (ii) such Lien secures only the assets that
are the subject of the Indebtedness referred to in such clause; 

                (e) Liens in favor of carriers,
warehousemen, mechanics, materialmen and landlords granted in the ordinary
course of business for amounts not overdue or being diligently contested in good
faith by appropriate proceedings and for which adequate reserves in accordance
with GAAP shall have been set aside on its books; 

                (f) Liens incurred or deposits
made in the ordinary course of business in connection with worker’s
compensation, unemployment insurance or other forms of governmental insurance
or benefits, or to secure performance of tenders, statutory obligations, bids,
leases or other similar obligations (other than for borrowed money) entered
into in the ordinary course of business or to secure obligations on surety and
appeal bonds or performance bonds;

                (g) judgment Liens in existence
for less than 45 days after the entry thereof or with respect to which
execution has been stayed or the payment of which is covered in full (subject
to a customary deductible) by insurance maintained with responsible insurance
companies and which do not otherwise result in an Event of Default under Section
8.1.6; 

                (h) easements, rights-of-way,
zoning restrictions, minor defects or irregularities in title and other similar
encumbrances not interfering in any material respect with the value or use of
the property to which such Lien is attached; and 

                (i) Liens for Taxes not at the
time delinquent or thereafter payable without penalty or being diligently contested
in good faith by appropriate proceedings and for which adequate reserves in
accordance with GAAP shall have been set aside on its books. 

                SECTION 7.2.4. Financial
Condition and Operations. The Borrower will not permit any of the
events set forth below to occur. 

                (a) The Borrower will not permit
the Total Debt to EBITDA Ratio as of the last day of any Fiscal Quarter set
forth below to be greater than the ratio set forth opposite such Fiscal
Quarter:

 

	Fiscal Quarter	Total Debt

  to EBITDA Ratio
	

	

	

  June 30, 2001	

  4.50:1
	

  September 30, 2001	

  4.50:1
	

  December 31, 2001	

  4.50:1
	

  March 31, 2002	

  4.50:1
	

  June 30, 2002	

  4.25:1
	

  September 30, 2002	

  4.25:1
	

  December 31, 2002	

  4.25:1
	

  March 31, 2003	

  4.251
	

  Each Fiscal Quarter thereafter	

  4.00:1

                (b) The Borrower will not permit
the Senior Debt to EBITDA Ratio as of the last day of any Fiscal Quarter set
forth below to be greater than the ratio set forth opposite such Fiscal
Quarter: 

	Fiscal Quarter	Senior Debt 

  to EBITDA Ratio
	

	

	June 30, 2001	

  3.00:1
	September 30, 2001	

  3.00:1
	December 31, 2001	

  3.00:1
	March 31, 2002	

  3.00:1
	June 30, 2002	

  2.75:1
	September 30, 2002	

  2.75:1
	December 31, 2002	

  2.75:1
	March 31, 2003	

  2.75:1
	Each Fiscal Quarter thereafter	

  2.50:1

                (c)
The Borrower will not permit the Fixed Charge Coverage Ratio as of the last day
of any Fiscal Quarter set forth below to be less than the ratio set forth
opposite such Fiscal Quarter:

	Fiscal Quarter	Fixed Charge Coverage Ratio
	

	

	June 30, 2001	

  1.00:1
	September 30, 2001	

  1.10:1
	December 31, 2001	

  1.10:1
	March 31, 2002	

  1.10:1
	June 30, 2002	

  1.25:1
	September 30, 2002	

  1.25:1
	December 31, 2002	

  1.25:1
	March 31, 2003	

  1.50:1
	Each Fiscal Quarter thereafter	

  1.50:1

                (d)
The Borrower will not permit the Interest Coverage Ratio as of the last day of
any Fiscal Quarter set forth below to be less than the ratio set forth opposite
such Fiscal Quarter: 

	Fiscal Quarter	Interest Coverage Ratio
	

	

	June 30, 2001	

  1.85:1
	September 30, 2001	

  1.85:1
	December 31, 2001	

  2.10:1
	March 31, 2002	

  2.25:1
	June 30, 2002	

  2.25:1
	September 30, 2002	

  2.25:1
	December 31, 2002	

  2.25:1
	March 31, 2003	

  2.50:1
	Each Fiscal Quarter thereafter	

  2.50:1

                SECTION 7.2.5. Investments. The
Borrower will not, and will not permit any of its Consolidated Entities to,
purchase, make, incur, assume or permit to exist any Investment in any other
Person, except:

                (a) Investments existing on the
Effective Date and identified in Item 7.2.5(a) of the Disclosure
Schedule; 

                (b) Cash Equivalent Investments;

                (c) Investments received in
connection with the bankruptcy or reorganization of, or settlement of
delinquent accounts and disputes with, customers and suppliers, in each case in
the ordinary course of business; 

                (d) Investments permitted as
Capital Expenditures pursuant to Section 7.2.7; 

                (e)
Investments (i) by the Borrower in any Consolidated Entity, (ii) by any
Consolidated Entity in the Borrower or another Consolidated Entity, or (iii) by
the Borrower or any Consolidated Entity in any Non-Consolidated Entity to which
the Borrower or a Consolidated Entity provides management services and receives
a fee therefor and which Non-Consolidated Entity has no restrictions on the
payment of dividends or distributions to holders of its Equity Interests; provided
that the aggregate amount of Investments under this clause (iii) (in
addition to any such Investments permitted pursuant to clause (a) of
this Section 7.2.5) (A) at any time outstanding shall not exceed
$12,500,000 plus (x) the reduction of the aggregate amount of
Investments outstanding pursuant to clause (a) of this Section 7.2.5
plus (y) 50% of the cumulative Net Equity Proceeds received by the
Borrower since the Closing Date, and (B) incurred in any Fiscal Year shall not
exceed $5,000,000 plus 15% of the cumulative Net Equity Proceeds
received by the Borrower since the Closing Date; 

                (f) Investments constituting (i)
accounts receivable arising, (ii) trade debt granted, or (iii) deposits made in
connection with the purchase price of goods or services, in each case in the
ordinary course of business;

                (g) Investments by way of the
acquisition of Equity Interests constituting Permitted Acquisitions in an
aggregate amount not to exceed $10,000,000 in cash (net of any amounts that
have been syndicated to other investors) during any twelve month period
following the Closing Date; provided that the maximum aggregate amount
set forth above shall be $5,000,000 for any twelve month period in which the
Ft. Worth Acquisition is consummated; provided further that (i) any
such Investments shall result in the acquisition of a Wholly-Owned Subsidiary
and (ii) upon making such Investments, the provisions of Section 7.1.8
are complied with; 

                (h) Investments consisting of
any deferred portion of the sales price received by the Borrower or any
Consolidated Entity in connection with any Disposition permitted under Section
7.2.11; 

                (i) Investments constituting
Permitted Foreign Investments in an aggregate amount not to exceed $25,000,000
during the term of this Agreement; provided that the aggregate amount of
such Investments incurred during the 2001 Fiscal Year shall not exceed
$15,000,000 and incurred during each Fiscal Year thereafter shall not exceed
$10,000,000; provided further that the aggregate amount of such
Investments in any one country shall not exceed $10,000,000; 

                (j) an Investment by way of the
acquisition (the “Ft. Worth Acquisition”) of Equity Interests in Ft.
Worth Surgicare Partners Ltd., a Texas limited partnership (“Ft. Wort”)
in an aggregate amount not to exceed $12,500,000 (with any excess amount of the
purchase price to be subject to clause (e) of this Section 7.2.5);

                (k) Investments constituting
Indebtedness permitted pursuant to Section 7.2.2; and

                (l) other Investments in an
amount not to exceed $1,000,000 over the term of this Agreement;

provided that

                (m) any Investment which when
made complies with the requirements of the definition of the term “Cash
Equivalent Investment” may continue to be held notwithstanding that such
Investment if made thereafter would not comply with such requirements; and

                (n) no Investment otherwise
permitted by clauses (d), (e)(i), (e)(ii), (g), (i),
(j) or (l) shall be permitted to be made if any Default has
occurred and is continuing or would result therefrom.

                SECTION 7.2.6. Restricted Payments.
The Borrower will not, and will not permit any of its Consolidated Entities to,
declare or make a Restricted Payment, or make any deposit for any Restricted
Payment, other than (a) Restricted Payments made by Consolidated Entities to
holders of their Equity Interests and (b) Restricted Payments in connection
with the repurchase of individual investors’ Equity Interests in Operating
Entities.

                SECTION 7.2.7. Capital Expenditures.
The Borrower will not, and will not permit any of its Consolidated Entities to,
make or commit to make Capital Expenditures in excess of $10,000,000 in the
aggregate during the portion of the 2001 Fiscal Year following the Closing Date
and $20,000,000 in the aggregate during any Fiscal Year thereafter. 

                SECTION 7.2.8. No Prepayment
of Subordinated Debt. The Borrower will not, and will not permit any of
its Consolidated Entities to, 

                (a) make any payment or
prepayment of principal of, or premium or interest on, any Subordinated Debt
(i) other than the stated, scheduled date for payment of interest set forth in
the applicable Sub Debt Documents, or (ii) which would violate the terms of
this Agreement or the applicable Sub Debt Documents; 

                (b) redeem, retire, purchase,
defease or otherwise acquire any Subordinated Debt; or 

                (c) make any deposit (including
the payment of amounts into a sinking fund or other similar fund) for any of
the foregoing purposes. 

Furthermore,
neither the Borrower nor any Consolidated Entity will designate any
Indebtedness other than the Obligations as “Designated Senior Debt” (or any
analogous term) in any Sub Debt Document. 

                SECTION 7.2.9. Issuance of
Equity Interests. The Borrower will not, and will not permit any of its
Consolidated Entities to, issue any Equity Interests (whether for value or
otherwise) to any Person other than (i) in the case of Consolidated Entities,
to the Borrower or a Subsidiary Guarantor, (ii) in the case of the Borrower, if
the Net Equity Proceeds from such issuance are applied to prepay the Loans as
required by the terms of this Agreement or (iii) in the case of Operating
Entities, to physicians in the ordinary course of business. 

                SECTION 7.2.10. Consolidation,
Merger, etc. The Borrower will not, and will not permit any of its
Consolidated Entities to, liquidate or dissolve, consolidate with, or merge
into or with, any other Person, or purchase or otherwise acquire all or
substantially all of the assets of any Person (or any division thereof), except

                (a) any Consolidated Entity may
liquidate or dissolve voluntarily into, and may merge with and into, the
Borrower or any other Consolidated Entity (provided that a Subsidiary
Guarantor may only liquidate or dissolve into, or merge with and into, the
Borrower or another Subsidiary Guarantor), and the assets or Equity Interests
of any Subsidiary may be purchased or otherwise acquired by the Borrower or any
other Subsidiary (provided that the assets or Equity Interests of any
Subsidiary Guarantor may only be purchased or otherwise acquired by the
Borrower or another Subsidiary Guarantor); provided that in no event
shall any Pledged Subsidiary consolidate with or merge with and into any
Subsidiary other than another Pledged Subsidiary unless after giving effect
thereto, the Administrative Agent shall have a perfected pledge of, and
security interest in and to, at least the same percentage of the issued and
outstanding interests of Equity Interests (on a fully diluted basis) of the
surviving Person as the Administrative Agent had immediately prior to such
merger or consolidation in form and substance satisfactory to the
Administrative Agent and its counsel, pursuant to such documentation and
opinions as shall be necessary in the opinion of the Administrative Agent to
create, perfect or maintain the collateral position of the Secured Parties
therein; 

                (b) so long as no Default has
occurred and is continuing or would occur after giving effect thereto, the
Borrower or any of its Consolidated Entities may (to the extent permitted by clauses
(e) or (g) of Section 7.2.5) purchase all or substantially
all of the assets or Equity Interests of any Person (or any division thereof),
or acquire such Person by merger; and 

                (c) as permitted by Section
7.2.11.

                SECTION 7.2.11. Permitted
Dispositions. The Borrower will not, and will not permit any of its
Consolidated Entities to, Dispose of any of the Borrower’s or such Consolidated
Entity’s assets (including accounts receivable and Equity Interests of
Consolidated Entities) to any Person in one transaction or series of
transactions unless such Disposition is (a) inventory or obsolete property
Disposed of in the ordinary course of its business, (b) permitted by Section
7.2.10, (c) Dispositions of Equity Interests in Operating Entities to
physicians in the ordinary course of business or (d) (i) such Disposition is
for fair market value and, unless otherwise agreed to by the Administrative
Agent, the consideration received shall consist of no less than 80% in cash,
(ii) the Net Disposition Proceeds received from such Disposition, together with
the Net Disposition Proceeds of all other assets Disposed of pursuant to this
clause since the Closing Date, does not exceed (individually or in the
aggregate) $5,000,000 in any Fiscal Year and (iii) the Net Disposition Proceeds
from such Disposition are applied pursuant to Sections 3.1.1 and 3.1.2.

                SECTION 7.2.12. Modification
of Certain Agreements. The Borrower will not, and will not permit any
of its Consolidated Entities to, consent to any amendment, supplement, waiver
or other modification of, or enter into any forbearance from exercising any
rights with respect to the terms or provisions contained in, 

                (a) the Sub Debt Documents,
other than any amendment, supplement, waiver or modification for which no fee
is payable to the holders of the Subordinated Debt and which (i) extends the
date or reduces the amount of any required repayment, prepayment or redemption
of the principal of such Subordinated Debt, (ii) reduces the rate or extends
the date for payment of the interest, premium (if any) or fees payable on such
Subordinated Debt or (iii) makes the covenants, events of default or remedies
in such Sub Debt Documents less restrictive on the Borrower; or 

                (b) any of the Transaction
Documents. 

                SECTION 7.2.13. Transactions
with Affiliates. The Borrower will not, and will not permit any of its
Consolidated Entities to, enter into or cause or permit to exist any
arrangement, transaction or contract (including for the purchase, lease or
exchange of property or the rendering of services) with any of its other
Affiliates, unless such arrangement, transaction or contract (a) is on fair and
reasonable terms no less favorable to the Borrower or such Consolidated Entity
than it could obtain in an arm’s-length transaction with a Person that is not
an Affiliate and (b) is of the kind which would be entered into by a prudent
Person in the position of the Borrower or such Consolidated Entity with a
Person that is not one of its Affiliates. 

                SECTION 7.2.14. Restrictive
Agreements, etc. The Borrower will not, and will not permit any of its
Consolidated Entities to, enter into any agreement prohibiting 

                (a) the creation or assumption
of any Lien upon its properties, revenues or assets, whether now owned or
hereafter acquired, other than with respect to Restricted Entities;

                (b) the ability of any Obligor
to amend or otherwise modify any Loan Document; or 

                (c) the ability of any
Consolidated Entity to make any payments, directly or indirectly, to the
Borrower, including by way of dividends, advances, repayments of loans,
reimbursements of management and other intercompany charges, expenses and
accruals or other returns on investments.

The foregoing prohibitions shall not
apply to restrictions contained (i) in any Loan Document or (ii) in the case of
clause (a), any agreement governing any Indebtedness permitted by clause
(i) of Section 7.2.2 as to the assets financed with the proceeds of
such Indebtedness. 

                SECTION 7.2.15. Sale and Leaseback.
The Borrower will not, and will not permit any of its Consolidated Entities to,
directly or indirectly enter into any agreement or arrangement providing for
the sale or transfer by it of any property (other than real property), now
owned or hereafter acquired, to a Person and the subsequent lease or rental of
such property or other similar property from such Person. 

                SECTION 7.2.16. Foreign
Subsidiaries. Notwithstanding any other provisions of this Agreement to
the contrary, the Borrower will not, and will not permit any of its
Consolidated Entities to, organize or acquire any Foreign Subsidiaries. 

                SECTION 7.2.17. Amendment of
Organic Documents. The Borrower will not, and will not permit any
Consolidated Entity to, amend, supplement or otherwise modify, or permit,
consent or suffer to occur any amendment, supplement or modification of any
terms or provisions contained in, or applicable to, any Organic Document of the
Borrower or such Consolidated Entity if the effect thereof is to impair, or is
in any manner adverse to, the rights, interests or obligations of any Secured
Party under any Loan Document. 

                SECTION 7.2.18. Fiscal Year. The
Borrower will not change its Fiscal Year.

ARTICLE
VIII

EVENTS OF DEFAULT

                SECTION 8.1. Listing of Events
of Default. Each of the following events or occurrences described in
this Article shall constitute an “Event of Default”. 

                SECTION 8.1.1. Non-Payment of
Obligations. The Borrower shall default in the payment or prepayment
when due of 

                (a) any principal of any Loan,
or any Reimbursement Obligation or any deposit of cash for collateral purposes
pursuant to Section 2.6.4; or 

                (b) any interest on any Loan or
any fee described in Article III or any other monetary Obligation, and
such default shall continue unremedied for a period of four days after such
amount was due.

                SECTION 8.1.2. Breach of Warranty.
Any representation or warranty of any Obligor made or deemed to be made in any
Loan Document (including any certificates delivered pursuant to Article V)
is or shall be incorrect when made or deemed to have been made in any material
respect. 

                SECTION 8.1.3. Non-Performance
of Certain Covenants and Obligations. The Borrower shall default in the
due performance or observance of any of its obligations under Section 7.1.1,
Section 7.1.7 or Section 7.2, or any Obligor shall default in the
due performance or observance of its obligations under Article IV of the
Subsidiary Guaranty or Article IV of a Pledge Agreement.

                SECTION 8.1.4. Non-Performance
of Other Covenants and Obligations. Any Obligor shall default in the
due performance and observance of any other agreement contained in any Loan
Document executed by it, and such default shall continue unremedied for a
period of 30 days after notice thereof shall have been given to the Borrower by
the Administrative Agent or any Lender.

                SECTION 8.1.5. Default on
Other Indebtedness. A default shall occur in the payment of any amount
when due (subject to any applicable grace period), whether by acceleration or
otherwise, of any principal or stated amount of, or interest or fees on, any
Indebtedness (other than Indebtedness described in Section 8.1.1) of any
Obligor having a principal or stated amount, individually or in the aggregate,
in excess of $2,500,000, or a default shall occur in the performance or
observance of any obligation or condition with respect to such Indebtedness if
the effect of such default is to accelerate the maturity of any such
Indebtedness or such default shall continue unremedied for any applicable
period of time sufficient to permit the holder or holders of such Indebtedness,
or any trustee or agent for such holders, to cause or declare such Indebtedness
to become due and payable or to require such Indebtedness to be prepaid,
redeemed, purchased or defeased, or require an offer to purchase or defease
such Indebtedness to be made, prior to its expressed maturity. 

                SECTION
8.1.6. Judgments. Any judgment or order for the payment of money
individually or in the aggregate in excess of $1,000,000 (exclusive of any
amounts fully covered by insurance (less any applicable deductible) and as to
which the insurer has acknowledged its responsibility to cover such judgment or
order) shall be rendered against any Obligor and such judgment shall not have
been vacated or discharged or stayed or bonded pending appeal within 30 days
after the entry thereof or enforcement proceedings shall have been commenced by
any creditor upon such judgment or order. 

                SECTION 8.1.7. Pension Plans. Any
of the following events shall occur with respect to any Pension Plan 

                (a) the institution of any steps
by the Borrower, any member of its Controlled Group or any other Person to
terminate a Pension Plan if, as a result of such termination, the Borrower or
any such member could be required to make a contribution to such Pension Plan,
or could reasonably expect to incur a liability or obligation to such Pension
Plan, in excess of $1,000,000; or

                (b)
a contribution failure occurs with respect to any Pension Plan sufficient to
give rise to a Lien under section 302(f) of ERISA.

                SECTION 8.1.8. Change in Control.
Any Change in Control shall occur.

                SECTION 8.1.9. Bankruptcy,
Insolvency, etc. Any Obligor shall 

                (a) become insolvent or
generally fail to pay, or admit in writing its inability or unwillingness
generally to pay, debts as they become due; 

                (b) apply for, consent to, or
acquiesce in the appointment of a trustee, receiver, sequestrator or other
custodian for any substantial part of the property of any thereof, or make a
general assignment for the benefit of creditors; 

                (c) in the absence of such
application, consent or acquiescence in or permit or suffer to exist the
appointment of a trustee, receiver, sequestrator or other custodian for a
substantial part of the property of any thereof, and such trustee, receiver,
sequestrator or other custodian shall not be discharged within 60 days; provided
that each Obligor hereby expressly authorizes each Secured Party to appear in
any court conducting any relevant proceeding during such 60-day period to
preserve, protect and defend its rights under the Loan Documents;

                (d) permit or suffer to exist
the commencement of any bankruptcy, reorganization, debt arrangement or other
case or proceeding under any bankruptcy or insolvency law or any dissolution,
winding up or liquidation proceeding, in respect thereof, and, if any such case
or proceeding is not commenced by the Borrower, any Consolidated Entity or any
Obligor, such case or proceeding shall be consented to or acquiesced in by the
Borrower, such Consolidated Entity or such Obligor, as the case may be, or
shall result in the entry of an order for relief or shall remain for 60 days
undismissed; provided that the Borrower, each Consolidated Entity and
each Obligor hereby expressly authorizes each Secured Party to appear in any
court conducting any such case or proceeding during such 60-day period to
preserve, protect and defend their rights under the Loan Documents; or 

                (e) take any action authorizing,
or in furtherance of, any of the foregoing. 

                SECTION 8.1.10. Impairment of
Security, etc. Any Loan Document or any Lien granted thereunder shall
(except in accordance with its terms), in whole or in part, terminate, cease to
be effective or cease to be the legally valid, binding and enforceable
obligation of any Obligor party thereto; any Obligor or any other party shall,
directly or indirectly, contest in any manner such effectiveness, validity,
binding nature or enforceability; or, except as permitted under any Loan
Document, any Lien securing any Obligation shall, in whole or in part, cease to
be a perfected first priority Lien.

                SECTION 8.1.11. Failure of
Subordination. Unless otherwise waived or consented to by the
Administrative Agent, the Lenders and the Issuer in writing, the subordination
provisions relating to any Subordinated Debt (the “Subordination Provisions”)
shall fail to be enforceable by the Administrative Agent, the Lenders and the
Issuer in accordance with the terms thereof, or the monetary Obligations shall
fail to constitute “Senior Indebtedness” (or similar term) referring to the
Obligations; or the Borrower or any of its Consolidated Entities shall,
directly or indirectly, disavow or contest in any manner (i) the effectiveness,
validity or enforceability of any of the Subordination Provisions, (ii) that
the Subordination Provisions exist for the benefit of the Administrative Agent,
the Lenders and the Issuer or (iii) that all payments of principal of or
premium and interest on the Subordinated Debt, or realized from the liquidation
of any property of any Obligor, shall be subject to any of such Subordination
Provisions. 

                SECTION 8.1.12. Parent Total
Debt to Parent Total Capitalization Ratio. The Parent Total Debt to
Parent Total Capitalization Ratio shall exceed 0.60:1, and such default shall
continue unremedied for a period of 30 days. 

                SECTION 8.2. Action if Bankruptcy.
If any Event of Default described in clauses (a) through (d) of Section
8.1.9 with respect to the Borrower shall occur, the Commitments (if not
theretofore terminated) shall automatically terminate and the outstanding
principal amount of all outstanding Loans and all other Obligations (including
Reimbursement Obligations) shall automatically be and become immediately due
and payable, without notice or demand to any Person and each Obligor shall
automatically and immediately be obligated to Cash Collateralize all Letter of
Credit Outstandings.

                SECTION 8.3. Action if Other
Event of Default. If any Event of Default (other than any Event of
Default described in clauses (a) through (d) of Section 8.1.9
with respect to the Borrower) shall occur for any reason, whether voluntary or
involuntary, and be continuing, the Administrative Agent, upon the direction of
the Required Lenders, shall by notice to the Borrower declare all or any
portion of the outstanding principal amount of the Loans and other Obligations
(including Reimbursement Obligations) to be due and payable and/or the
Commitments (if not theretofore terminated) to be terminated, whereupon the
full unpaid amount of such Loans and other Obligations which shall be so
declared due and payable shall be and become immediately due and payable,
without further notice, demand or presentment, and/or, as the case may be, the
Commitments shall terminate and the Borrower shall automatically and
immediately be obligated to Cash Collateralize all Letter of Credit
Outstandings.

ARTICLE
IX

THE ADMINISTRATIVE AGENT

                SECTION
9.1. Actions. Each Lender hereby appoints CSFB as its Administrative
Agent under and for purposes of each Loan Document. Each Lender authorizes the
Administrative Agent to act on behalf of such Lender under each Loan Document
and, in the absence of other written instructions from the Required Lenders
received from time to time by the Administrative Agent (with respect to which
the Administrative Agent agrees that it will comply, except as otherwise
provided in this Section or as otherwise advised by counsel in order to avoid
contravention of applicable law), to exercise such powers hereunder and
thereunder as are specifically delegated to or required of the Administrative
Agent by the terms hereof and thereof, together with such powers as may be
incidental thereto. Each Lender hereby indemnifies (which indemnity shall
survive any termination of this Agreement) the Administrative Agent, pro
rata according to such Lender’s proportionate Total Exposure Amount,
from and against any and all liabilities, obligations, losses, damages, claims,
costs or expenses of any kind or nature whatsoever which may at any time be
imposed on, incurred by, or asserted against, the Administrative Agent in any
way relating to or arising out of any Loan Document, (including attorneys’
fees), and as to which the Administrative Agent is not reimbursed by the
Borrower; provided that no Lender shall be liable for the payment of any
portion of such liabilities, obligations, losses, damages, claims, costs or
expenses which are determined by a court of competent jurisdiction in a final
proceeding to have resulted from the Administrative Agent’s gross negligence or
wilful misconduct. The Administrative Agent shall not be required to take any
action under any Loan Document, or to prosecute or defend any suit in respect
of any Loan Document, unless it is indemnified hereunder to its satisfaction.
If any indemnity in favor of the Administrative Agent shall be or become, in
the Administrative Agent’s determination, inadequate, the Administrative Agent
may call for additional indemnification from the Lenders and cease to do the
acts indemnified against hereunder until such additional indemnity is given. 

                SECTION 9.2. Funding Reliance, etc.
Unless the Administrative Agent shall have been notified in writing by any
Lender by 3:00 p.m. on the Business Day prior to a Borrowing that such Lender
will not make available the amount which would constitute its Percentage of
such Borrowing on the date specified therefor, the Administrative Agent may
assume that such Lender has made such amount available to the Administrative
Agent and, in reliance upon such assumption, make available to the Borrower a
corresponding amount. If and to the extent that such Lender shall not have made
such amount available to the Administrative Agent, such Lender and the Borrower
severally agree to repay the Administrative Agent forthwith on demand such
corresponding amount together with interest thereon, for each day from the date
the Administrative Agent made such amount available to the Borrower to the date
such amount is repaid to the Administrative Agent, at the interest rate
applicable at the time to Loans comprising such Borrowing (in the case of the
Borrower) and (in the case of a Lender), at the Federal Funds Rate (for the
first two Business Days after which such amount has not been repaid), and
thereafter at the interest rate applicable to Loans comprising such Borrowing.

                SECTION
9.3. Exculpation.
Neither the Administrative Agent nor any of its directors, officers, employees
or agents shall be liable to any Secured Party for any action taken or omitted
to be taken by it under any Loan Document, or in connection therewith, except
for its own wilful misconduct or gross negligence, nor responsible for any
recitals or warranties herein or therein, nor for the effectiveness,
enforceability, validity or due execution of any Loan Document, nor for the
creation, perfection or priority of any Liens purported to be created by any of
the Loan Documents, or the validity, genuineness, enforceability, existence,
value or sufficiency of any collateral security, nor to make any inquiry
respecting the performance by any Obligor of its Obligations. Any such inquiry
which may be made by the Administrative Agent shall not obligate it to make any
further inquiry or to take any action. The Administrative Agent shall be
entitled to rely upon advice of counsel concerning legal matters and upon any
notice, consent, certificate, statement or writing which the Administrative
Agent believes to be genuine and to have been presented by a proper Person. 

                SECTION
9.4. Successor. The Administrative Agent may resign as such at any
time upon at least 30 days’ prior notice to the Borrower and all Lenders. If
the Administrative Agent at any time shall resign, the Required Lenders may
appoint another Lender as a successor Administrative Agent which shall
thereupon become the Administrative Agent hereunder. If no successor
Administrative Agent shall have been so appointed by the Required Lenders, and
shall have accepted such appointment, within 30 days after the retiring
Administrative Agent’s giving notice of resignation, then the retiring
Administrative Agent may, on behalf of the Lenders, appoint a successor
Administrative Agent, which shall be one of the Lenders or a commercial banking
institution organized under the laws of the United States (or any State
thereof) or a United States branch or agency of a commercial banking
institution, and having a combined capital and surplus of at least
$250,000,000; provided that if, such retiring Administrative Agent is
unable to find a commercial banking institution which is willing to accept such
appointment and which meets the qualifications set forth in above, the retiring
Administrative Agent’s resignation shall nevertheless thereupon become
effective and the Lenders shall assume and perform all of the duties of the
Administrative Agent hereunder until such time, if any, as the Required Lenders
appoint a successor as provided for above. Upon the acceptance of any
appointment as Administrative Agent hereunder by a successor Administrative
Agent, such successor Administrative Agent shall be entitled to receive from
the retiring Administrative Agent such documents of transfer and assignment as
such successor Administrative Agent may reasonably request, and shall thereupon
succeed to and become vested with all rights, powers, privileges and duties of
the retiring Administrative Agent, and the retiring Administrative Agent shall
be discharged from its duties and obligations under the Loan Documents. After
any retiring Administrative Agent’s resignation hereunder as the Administrative
Agent, the provisions of this Article shall inure to its benefit as to any
actions taken or omitted to be taken by it while it was the Administrative
Agent under the Loan Documents, and Section 10.3 and Section 10.4
shall continue to inure to its benefit.

                SECTION 9.5. Credit Extensions by
CSFB. CSFB shall have the same rights and powers with respect to (x)
the Credit Extensions made by it or any of its Affiliates, and (y) the
Revolving Notes held by it or any of its Affiliates as any other Lender and may
exercise the same as if it were not the Administrative Agent. CSFB and its
Affiliates may accept deposits from, lend money to, and generally engage in any
kind of business with the Borrower or any Consolidated Entity or Affiliate of
the Borrower as if CSFB were not the Administrative Agent hereunder. 

                SECTION 9.6. Credit Decisions.
Each Lender acknowledges that it has, independently of the Administrative Agent
and each other Lender, and based on such Lender’s review of the financial
information of the Borrower, the Loan Documents (the terms and provisions of
which being satisfactory to such Lender) and such other documents, information
and investigations as such Lender has deemed appropriate, made its own credit
decision to extend its Commitments. Each Lender also acknowledges that it will,
independently of the Administrative Agent and each other Lender, and based on
such other documents, information and investigations as it shall deem
appropriate at any time, continue to make its own credit decisions as to
exercising or not exercising from time to time any rights and privileges
available to it under the Loan Documents. 

                SECTION
9.7. Copies, etc. The Administrative Agent shall give prompt notice
to each Lender of each notice or request required or permitted to be given to
the Administrative Agent by the Borrower pursuant to the terms of the Loan
Documents (unless concurrently delivered to the Lenders by the Borrower). The
Administrative Agent will distribute to each Lender each document or instrument
received for its account and copies of all other communications received by the
Administrative Agent from the Borrower for distribution to the Lenders by the
Administrative Agent in accordance with the terms of the Loan Documents. 

                SECTION 9.8. Reliance by
Administrative Agent. The Administrative Agent shall be entitled to
rely upon any certification, notice or other communication (including any
thereof by telephone, telecopy, telegram or cable) believed by it to be genuine
and correct and to have been signed or sent by or on behalf of the proper
Person, and upon advice and statements of legal counsel, independent
accountants and other experts selected by the Administrative Agent. As to any
matters not expressly provided for by the Loan Documents, the Administrative
Agent shall in all cases be fully protected in acting, or in refraining from
acting, thereunder in accordance with instructions given by the Required
Lenders or all of the Lenders as is required in such circumstance, and such
instructions of such Lenders and any action taken or failure to act pursuant
thereto shall be binding on all Secured Parties. For purposes of applying
amounts in accordance with this Section, the Administrative Agent shall be
entitled to rely upon any Secured Party that has entered into a Rate Protection
Agreement with any Obligor for a determination (which such Secured Party agrees
to provide or cause to be provided upon request of the Administrative Agent) of
the outstanding Obligations owed to such Secured Party under any Rate
Protection Agreement. Unless it has actual knowledge evidenced by way of
written notice from any such Secured Party and the Borrower to the contrary,
the Administrative Agent, in acting in such capacity under the Loan Documents,
shall be entitled to assume that no Rate Protection Agreements or Obligations
in respect thereof are in existence or outstanding between any Secured Party
and any Obligor. 

                SECTION 9.9. Defaults. The
Administrative Agent shall not be deemed to have knowledge or notice of the
occurrence of a Default unless the Administrative Agent has received a written
notice from a Lender or the Borrower specifying such Default and stating that
such notice is a “Notice of Default”. In the event that the Administrative
Agent receives such a notice of the occurrence of a Default, the Administrative
Agent shall give prompt notice thereof to the Lenders. The Administrative Agent
shall (subject to Section 10.1) take such action with respect to such
Default as shall be directed by the Required Lenders; provided that
unless and until the Administrative Agent shall have received such directions, the
Administrative Agent may (but shall not be obligated to) take such action, or
refrain from taking such action, with respect to such Default as it shall deem
advisable in the best interest of the Secured Parties except to the extent that
this Agreement expressly requires that such action be taken, or not be taken,
only with the consent or upon the authorization of the Required Lenders or all
Lenders. 

                SECTION 9.10. Syndication
Agent and Documentation Agent. The Lenders identified on the signature
pages of this Agreement as the “Syndication Agent” and the “Documentation
Agent” shall not have any right, power, obligation, liability, responsibility
or duty under this Agreement (or any other Loan Document) other than those
applicable to all Lenders as such. Without limiting the foregoing, the Lenders
so identified as the “Syndication Agent” and the “Documentation Agent” shall
not have or be deemed to have any fiduciary relationship with any other Lender.
Each Lender acknowledges that it has not relied, and will not rely, on the
Lenders so identified as the “Syndication Agent” and as the “Documentation
Agent” in deciding to enter into this Agreement and each other Loan Document to
which it is a party or in taking or not taking action hereunder or thereunder. 

ARTICLE
X

MISCELLANEOUS PROVISIONS

                SECTION 10.1. Waivers, Amendments, etc.
The provisions of each Loan Document may from time to time be amended, modified
or waived, if such amendment, modification or waiver is in writing and
consented to by the Borrower and the Required Lenders; provided that no
such amendment, modification or waiver shall:

                (a) modify this Section without
the consent of all Lenders;

                (b) increase the aggregate
amount of any Credit Extensions required to be made by a Lender pursuant to its
Commitments, extend the final Commitment Termination Date of Credit Extensions
made (or participated in) by a Lender or extend the final Stated Maturity Date
for any Lender’s Loan, in each case without the consent of such Lender (it
being agreed, however, that any vote to rescind any acceleration made pursuant
to Section 8.2 and Section 8.3 of amounts owing with respect to
the Loans and other Obligations shall only require the vote of the Required
Lenders); 

                (c)
reduce the principal amount of or rate of interest on any Lender’s Loan, reduce
any fees described in Article III payable to any Lender or extend the
date on which interest or fees are payable in respect of such Lender’s Loans,
in each case without the consent of such Lender; 

                (d) reduce the percentage set
forth in the definition of “Required Lenders” or modify any requirement
hereunder that any particular action be taken by all Lenders without the
consent of all Lenders; 

                (e) increase the Stated Amount
of any Letter of Credit unless consented to by the Issuer of such Letter of
Credit;

                (f) except as otherwise
expressly provided in a Loan Document, release (i) the Borrower from its
Obligations under the Loan Documents, Parent from its obligations under the
Parent Guaranty and Pledge Agreement, Holdings from its obligations under the
Holdings Guaranty and Pledge Agreement or any Subsidiary Guarantor from its
obligations under the Subsidiary Guaranty, or (ii) all or substantially all of
the collateral security under the Loan Documents, in each case without the
consent of all Lenders; or 

                (g) affect adversely the
interests, rights or obligations of the Administrative Agent (in its capacity
as the Administrative Agent) or any Issuer (in its capacity as Issuer), unless
consented to by the Administrative Agent or such Issuer, as the case may be. 

No failure or
delay on the part of any Secured Party in exercising any power or right under
any Loan Document shall operate as a waiver thereof, nor shall any single or
partial exercise of any such power or right preclude any other or further
exercise thereof or the exercise of any other power or right. No notice to or
demand on any Obligor in any case shall entitle it to any notice or demand in
similar or other circumstances. No waiver or approval by any Secured Party
under any Loan Document shall, except as may be otherwise stated in such waiver
or approval, be applicable to subsequent transactions. No waiver or approval
hereunder shall require any similar or dissimilar waiver or approval thereafter
to be granted hereunder. 

                SECTION 10.2. Notices; Time. All
notices and other communications provided under each Loan Document shall be in
writing or by facsimile and addressed, delivered or transmitted to the
applicable Person at its address or facsimile number set forth on Schedule
II hereto or set forth in a Lender Assignment Agreement, or at such other
address or facsimile number as may be designated by such Person in a notice to
the other parties. Any notice, if mailed and properly addressed with postage
prepaid or if properly addressed and sent by pre-paid courier service, shall be
deemed given when received; any notice, if transmitted by facsimile, shall be
deemed given when the confirmation of transmission thereof is received by the
transmitter. The parties hereto agree that delivery of an executed counterpart
of a signature page to this Agreement and each other Loan Document by facsimile
shall be effective as delivery of an original executed counterpart of this
Agreement or such other Loan Document. Unless otherwise indicated, all
references to the time of a day in a Loan Document shall refer to New York
time. 

                SECTION 10.3. Payment of Costs
and Expenses. The Borrower agrees to pay on demand all expenses of the
Agents (including the fees and out-of-pocket expenses of Mayer, Brown &
Platt, counsel to the Administrative Agent and of local counsel, if any, who
may be retained by or on behalf of the Administrative Agent) in connection with

                (a) the negotiation,
preparation, execution, delivery and ongoing administration of each Loan
Document, including schedules and exhibits, and any amendments, waivers,
consents, supplements or other modifications to any Loan Document as may from
time to time hereafter be required, whether or not the transactions
contemplated hereby are consummated; and 

                (b) the filing or recording of
any Loan Document (including the Filing Statements) and all amendments,
supplements, amendment and restatements and other modifications to any thereof,
searches made following the Effective Date in jurisdictions where Filing
Statements (or other documents evidencing Liens in favor of the Secured
Parties) have been recorded and any and all other documents or instruments of
further assurance required to be filed or recorded by the terms of any Loan Document;
and 

                (c) the preparation and review
of the form of any document or instrument relevant to any Loan Document. 

The Borrower
further agrees to pay, and to save each Secured Party harmless from all
liability for, any stamp or other taxes which may be payable in connection with
the execution or delivery of each Loan Document, the Credit Extensions or the
issuance of the Revolving Notes. The Borrower also agrees to reimburse each
Secured Party upon demand for all reasonable out-of-pocket expenses (including
reasonable attorneys’ fees and legal expenses of counsel to each Secured Party)
incurred by such Secured Party in connection with (x) the negotiation of any
restructuring or “work-out” with the Borrower, whether or not consummated, of
any Obligations and (y) the enforcement of any Obligations.

                SECTION
10.4. Indemnification. In consideration of the execution and delivery
of this Agreement by each Secured Party, the Borrower hereby indemnifies,
exonerates and holds each Secured Party and each of their respective officers,
directors, employees and agents (collectively, the “Indemnified Parties”)
free and harmless from and against any and all actions, causes of action,
suits, losses, costs, liabilities and damages, and expenses incurred in
connection therewith (irrespective of whether any such Indemnified Party is a
party to the action for which indemnification hereunder is sought), including
reasonable attorneys’ fees and disbursements, whether incurred in connection
with actions between or among the parties hereto or the parties hereto and
third parties (collectively, the “Indemnified Liabilities”), incurred by
the Indemnified Parties or any of them as a result of, or arising out of, or
relating to 

                (a) any transaction financed or
to be financed in whole or in part, directly or indirectly, with the proceeds
of any Credit Extension, including all Indemnified Liabilities arising in
connection with the Transaction; 

                (b) the entering into and
performance of any Loan Document by any of the Indemnified Parties (including
any action brought by or on behalf of the Borrower as the result of any
determination by the Required Lenders pursuant to Article V not to fund
any Credit Extension; provided that any such action is resolved in favor
of such Indemnified Party); 

                (c) any investigation,
litigation or proceeding related to any acquisition or proposed acquisition by
any Obligor or any Subsidiary thereof of all or any portion of the Equity
Interests or assets of any Person, whether or not an Indemnified Party is party
thereto; 

                (d) any investigation,
litigation or proceeding related to any environmental cleanup, audit,
compliance or other matter relating to the protection of the environment or the
Release by any Obligor or any Subsidiary thereof of any Hazardous Material;

                (e) the presence on or under, or
the escape, seepage, leakage, spillage, discharge, emission, discharging or
releases from, any real property owned or operated by any Obligor or any
Subsidiary thereof of any Hazardous Material (including any losses, liabilities,
damages, injuries, costs, expenses or claims asserted or arising under any
Environmental Law), regardless of whether caused by, or within the control of,
such Obligor or Subsidiary; or 

                (f) each Lender’s Environmental
Liability (the indemnification herein shall survive repayment of the
Obligations and any transfer of the property of any Obligor or its Subsidiaries
by foreclosure or by a deed in lieu of foreclosure for any Lender’s
Environmental Liability, regardless of whether caused by, or within the control
of, such Obligor or such Subsidiary); 

except for Indemnified Liabilities
arising for the account of a particular Indemnified Party by reason of the
relevant Indemnified Party’s gross negligence or wilful misconduct. Each
Obligor and its successors and assigns hereby waive, release and agree not to
make any claim or bring any cost recovery action against, any Indemnified Party
under CERCLA or any state equivalent, or any similar law now existing or
hereafter enacted. It is expressly understood and agreed that to the extent
that any Indemnified Party is strictly liable under any Environmental Laws,
each Obligor’s obligation to such Indemnified Party under this indemnity shall
likewise be without regard to fault on the part of any Obligor with respect to
the violation or condition which results in liability of an Indemnified Party.
If and to the extent that the foregoing undertaking may be unenforceable for
any reason, each Obligor agrees to make the maximum contribution to the payment
and satisfaction of each of the Indemnified Liabilities which is permissible
under applicable law. 

                SECTION
10.5. Survival. The obligations of the Borrower under Sections
4.3, 4.4, 4.5, 4.6, 10.3 and 10.4, and
the obligations of the Lenders under Section 9.1, shall in each case
survive any assignment from one Lender to another (in the case of Sections
10.3 and 10.4) and the occurrence of the Termination Date. The
representations and warranties made by each Obligor in each Loan Document shall
survive the execution and delivery of such Loan Document. 

                SECTION 10.6. Severability. Any
provision of any Loan Document which is prohibited or unenforceable in any
jurisdiction shall, as to such provision and such jurisdiction, be ineffective
to the extent of such prohibition or unenforceability without invalidating the
remaining provisions of such Loan Document or affecting the validity or
enforceability of such provision in any other jurisdiction. 

                SECTION
10.7. Headings. The various headings of each Loan Document are inserted
for convenience only and shall not affect the meaning or interpretation of such
Loan Document or any provisions thereof. 

                SECTION 10.8. Execution in
Counterparts, Effectiveness, etc. This Agreement may be executed by the
parties hereto in several counterparts, each of which shall be an original and
all of which shall constitute together but one and the same agreement. This
Agreement shall become effective when counterparts hereof executed on behalf of
the Borrower, the Administrative Agent and each Lender (or notice thereof
satisfactory to the Administrative Agent), shall have been received by the
Administrative Agent. 

                SECTION 10.9. Governing Law;
Entire Agreement. EACH LOAN DOCUMENT
(OTHER THAN THE LETTERS OF CREDIT, TO THE EXTENT SPECIFIED BELOW AND EXCEPT AS
OTHERWISE EXPRESSLY SET FORTH IN A LOAN DOCUMENT) WILL EACH BE DEEMED TO BE A
CONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK
(INCLUDING FOR SUCH PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL
OBLIGATIONS LAW OF THE STATE OF NEW YORK). EACH LETTER OF CREDIT SHALL BE
GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OR RULES DESIGNATED IN
SUCH LETTER OF CREDIT, OR IF NO LAWS OR RULES ARE DESIGNATED, THE INTERNATIONAL
STANDBY PRACTICES (ISP98—INTERNATIONAL CHAMBER OF COMMERCE PUBLICATION NUMBER
590 (THE “ISP RULES”)) AND, AS TO MATTERS NOT GOVERNED BY THE ISP RULES,
THE INTERNAL LAWS OF THE STATE OF NEW YORK. The Loan Documents
constitute the entire understanding among the parties hereto with respect to
the subject matter thereof and supersede any prior agreements, written or oral,
with respect thereto. 

                SECTION 10.10. Successors and
Assigns. (a) The provisions of this Agreement shall be binding upon and
inure to the benefit of the parties hereto and their respective successors and
assigns permitted hereby, except that the Borrower may not assign or otherwise
transfer any of its rights or obligations hereunder without the prior written
consent of each Lender (and any attempted assignment or transfer by the
Borrower without such consent 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 and, to the extent expressly contemplated hereby, the
Indemnified Parties) any legal or equitable right, remedy or claim under or by
reason of this Agreement. 

                (b) Any Lender may 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 Commitments and the 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 Commitments
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 with respect to a
Lender, the aggregate amount of the Commitments (which for this purpose
includes Loans outstanding thereunder) or principal outstanding balance of the
Loans of the assigning Lender subject to each such assignment (determined as of
the date the Lender Assignment Agreement with respect to such assignment is
delivered to the Administrative Agent) shall not be less than $5,000,000 unless
each of the Agents and, so long as no Event of Default has occurred and is
continuing, the Borrower otherwise consent (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 and/or the
Commitments assigned, except that this clause (ii) shall not prohibit any
Lender from assigning all or a portion of its rights and obligations among
separate tranches, if applicable, on a non- pro rata basis, and
(iii) the parties to each assignment shall execute and deliver to the
Administrative Agent a Lender Assignment Agreement (including, if the Eligible
Assignee is not a Lender, the completion of the administrative details
information attached thereto and the provision of any required tax forms),
together with, if requested by the Administrative Agent, a processing and
recordation fee of $3,500. Subject to acceptance and recording thereof by the
Administrative Agent pursuant to clause (c), from and after the
effective date specified in each Lender Assignment Agreement, the Eligible
Assignee thereunder shall be a party hereto and, to the extent of the interest
assigned by such Lender Assignment 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 Lender Assignment Agreement, be
released from its obligations under this Agreement (and, in the case of a
Lender Assignment 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 any provisions of this Agreement
which by their terms survive the termination of this Agreement). Any assignment
or transfer by a Lender of rights or obligations under this Agreement that does
not comply with this clause 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 clause (d). If the consent of the Borrower to an
assignment or to an Eligible Assignee is required hereunder (including a
consent to an assignment which does not meet the minimum assignment thresholds
specified in this Section), the Borrower shall be deemed to have given its
consent five Business Days after the date notice thereof has been delivered by
the assigning Lender (through the Administrative Agent) unless such consent is
expressly refused by the Borrower prior to such fifth Business Day. 

                (c)
The Administrative Agent shall record each assignment made in accordance with
this Section in the Register pursuant to clause (b) of Section 2.7.
The Register shall be available for inspection by the Borrower and any Lender,
at any reasonable time and from time to time upon reasonable prior notice. 

                (d) Any Lender may, without the
consent of, or notice to, the Borrower or the Agents, sell participations to
one or more banks or other entities (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 Commitments and/or the Loans owing to it); provided
that (i) such Lender’s obligations under this Agreement shall remain unchanged,
(ii) such Lender shall remain solely responsible to the other parties hereto
for the performance of such obligations and (iii) the Borrower, the Agents and
the other Lenders shall continue to deal solely and directly with such Lender
in connection with such Lender’s rights and obligations under this Agreement.
Any agreement or instrument pursuant to which a Lender sells such a
participation shall provide that such Lender shall retain the sole right to
enforce this Agreement and to approve any amendment, modification or waiver of
any provision of this Agreement; provided that such agreement or
instrument may provide that such Lender will not, without the consent of the
Participant, agree to any amendment, modification or waiver with respect to the
following: (i) any reduction in the interest rate or amount of fees that such
Participant is otherwise entitled to, (ii) a decrease in the principal amount
of, or an extension of the final Stated Maturity Date of, any Loan in which
such Participant has purchased a participating interest or (iii) a release of
all or substantially all of the collateral security under the Loan Documents,
Parent from its obligations under the Parent Guaranty and Pledge Agreement,
Holdings from its obligations under the Holdings Guaranty and Pledge Agreement
or all or substantially all of the Subsidiary Guarantors from their obligations
under the Subsidiary Guaranty, in each case except as otherwise specifically
provided in a Loan Document. Subject to clause (e), the Borrower agrees
that each Participant shall be entitled to the benefits of Sections 4.3,
4.4, 4.5, 4.6, 10.3 and 10.4 to the same
extend as if it were a Lender and had acquired its interest by assignment
pursuant to clause (b). To the extent permitted by law, each Participant
also shall be entitled to the benefits of Section 4.9 as though it were
a Lender; provided such Participant agrees to be subject to Section
4.8 as though it were a Lender. 

                (e)
A Participant shall not be entitled to receive any greater payment under
Section Sections 4.3, 4.4, 4.5, 4.6, 10.3
and 10.4 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 if it were a Lender
shall not be entitled to the benefits of clause (a) of Section 4.6
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 clause
(e) of Section 4.6 as though it were a Lender. 

                (f) Any Lender may at any time
pledge or assign a security interest in all or any portion of its rights under
this Agreement to secure obligations of such Lender, including any pledge or
assignment to secure obligations to a Federal Reserve Bank; provided
that no such pledge or assignment of a security interest shall release a Lender
from any of its obligations hereunder or substitute any such pledgee or
assignee for such Lender as a party hereto. 

                SECTION 10.11. Other Transactions.
Nothing contained herein shall preclude the Administrative Agent, any Issuer or
any other Lender from engaging in any transaction, in addition to those
contemplated by the Loan Documents, with the Borrower or any of its Affiliates
in which the Borrower or such Affiliate is not restricted hereby from engaging
with any other Person. 

                SECTION 10.12. Forum
Selection and Consent to Jurisdiction. ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION
WITH, ANY LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING,
STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE AGENT,
THE LENDERS, ANY ISSUER OR THE BORROWER IN CONNECTION HEREWITH OR THEREWITH MAY
BE BROUGHT AND MAINTAINED IN THE COURTS OF THE STATE OF NEW YORK OR IN THE
UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK; PROVIDED
THAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY MAY
BE BROUGHT, AT THE ADMINISTRATIVE AGENT’S OPTION, IN THE COURTS OF ANY
JURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND. THE BORROWER
HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE COURTS OF
THE STATE OF NEW YORK, NEW YORK COUNTY AND OF THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF NEW YORK FOR THE PURPOSE OF ANY SUCH LITIGATION AS
SET FORTH ABOVE AND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT. RENDERED
THEREBY IN CONNECTION WITH SUCH LITIGATION. THE BORROWER IRREVOCABLY CONSENTS
TO THE SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL
SERVICE WITHIN OR WITHOUT THE STATE OF NEW YORK AT THE ADDRESS FOR NOTICES
SPECIFIED IN SECTION 10.2. THE BORROWER HEREBY EXPRESSLY AND IRREVOCABLY
WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY HAVE
OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT IN
ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH LITIGATION HAS BEEN
BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT THE BORROWER HAS OR
HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY COURT OR FROM ANY
LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT,
ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO ITSELF OR ITS
PROPERTY, THE BORROWER HEREBY IRREVOCABLY WAIVES TO THE FULLEST EXTENT
PERMITTED BY LAW SUCH IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THE LOAN
DOCUMENTS. 

                SECTION 10.13. Waiver of Jury Trial.
THE ADMINISTRATIVE AGENT, EACH LENDER, EACH
ISSUER AND THE BORROWER HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVE
TO THE FULLEST EXTENT PERMITTED BY LAW ANY RIGHTS THEY MAY HAVE TO A TRIAL BY
JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN
CONNECTION WITH, EACH LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF
DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE
AGENT, SUCH LENDER, SUCH ISSUER OR THE BORROWER IN CONNECTION THEREWITH. THE
BORROWER ACKNOWLEDGES AND AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT
CONSIDERATION FOR THIS PROVISION (AND EACH OTHER PROVISION OF EACH OTHER LOAN
DOCUMENT TO WHICH IT IS A PARTY) AND THAT THIS PROVISION IS A MATERIAL
INDUCEMENT FOR THE ADMINISTRATIVE AGENT, EACH LENDER AND EACH ISSUER ENTERING
INTO THE LOAN DOCUMENTS. 

                SECTION 10.14. Confidentiality.
Each of the Lenders, the Issuer and the Administrative Agent agrees (on behalf
of itself and each of its affiliates, directors, officers, employees, agents,
advisors and representatives) to (a) use any Confidential Information only in
connection with participating as a Lender, Issuer or the Administrative Agent
hereunder and not for any other purpose and (b) keep confidential any
Confidential Information, and in connection therewith comply with its customary
procedures for handling confidential information of this nature; provided
that nothing herein shall limit the disclosure of any such information (i) to
the extent required by statute, rule, regulation or judicial process, (ii) as
requested or required by any governmental agency or representative thereof,
(iii) to counsel and other professional advisors for any of the Lenders, the
Issuer or the Administrative Agent, (iv) to any Lender’s, the Issuer’s or the
Administrative Agent’s examiners, auditors or accountants, (v) to the
Administrative Agent, any other Lender or the Issuer, (vi) by the
Administrative Agent, any Lender or the Issuer to an Affiliate of such Person,
(vii) in connection with any litigation relating to enforcement of the Loan
Documents or (viii) to any assignee Lender or Participant (or prospective
assignee Lender or Participant) or to direct contractual counterparties in Rate
Protection Agreements entered into in connection with a portion or all of a
Lender’s rights to receive payments hereunder (or such contractual
counterparties’ professional advisors); provided further that, in
the case of the preceding clause (i), such Lender, the Issuer or the
Administrative Agent, as the case may be, shall, to the extent legally
permissible, use reasonable efforts to notify the Borrower of the proposed
disclosure as soon as is reasonably practicable under the circumstances at such
time.

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

 

	 	USP
  DOMESTIC HOLDINGS, INC.
	 	 
	 	 
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title:
  Senior Vice President and Chief Financial Officer
	 	 	 
	 	 	 
	 	CREDIT
  SUISSE FIRST BOSTON,

  as the Administrative Agent and a Lender
	 	 
	 	 
	 	By:	 /s/ William S. Lutkins
	 	 	

	 	 	Title:
  Vice President
	 	 	 
	 	 	 
	 	By:	 /s/ Bill O'Daly
	 	 	

	 	 	Title:
  Vice President
	 	 	 
	 	 	 
	 	LEHMAN
  COMMERCIAL PAPER INC.,

  as the Syndication Agent and a Lender
	 	 
	 	 
	 	By:	 /s/ Michele Swanson
	 	 	

	 	 	Title:
  Authorized Signaotory
	 	 	 
	 	 	 
	 	SOCIÉTÉ
  GÉNÉRALE,

  as the Documentation Agent
	 	 
	 	 
	 	By:	 /s/ Richard Bernal
	 	 	

	 	 	Title:
  Director  Corporate Banking

 

	 	SOCIÉTÉ
  GÉNÉRALE FINANCIAL CORPORATION,

  as a Lender
	 	 
	 	 
	 	By:	 /s/ Powell Robinson III
	 	 	

	 	 	Title:
  First Vice President

 

SCHEDULE I

DISCLOSURE SCHEDULE TO CREDIT AGREEMENT

	

  ITEM 6.7.	Litigation.
	

  ITEM 6.8.	Subsidiaries.
	

  ITEM 6.11.	Employee
  Benefit Plans.
	

  ITEM 6.12.	Environmental
  Matters.
	

  ITEM 7.1.10.	Properties.
	

  ITEM 7.2.2(b).	Indebtedness
  to be Paid.
	

  ITEM 7.2.2(c).	Ongoing
  Indebtedness.
	

  ITEM 7.2.3(c).	Ongoing
  Liens.
	

  ITEM 7.2.5(a).	Ongoing
  Investments

SCHEDULE II

NOTICE INFORMATION;

PERCENTAGES; LIBOR OFFICE

	NAME
  AND NOTICE

  ADDRESS OF LENDER	 	LIBOR OFFICE	 	PERCENTAGE	 
	

	 	

	 	

	 
	Credit
  Suisse First Boston

  Eleven Madison Avenue

  New York, NY 10010

  Attention:

  Tel:

  Fax:

	 	Credit
  Suisse First Boston

  Eleven Madison Avenue

  New York, NY 10010	 	43.63636364	%
	Lehman
  Commercial Paper Inc.

  3 World Financial Center

  New York, NY 10285

  Attention: Nancy Wong

  Tel: 212-526-6535

  Fax: 212-526-7365

	 	Lehman
  Commercial Paper Inc.

  3 World Financial Center

  New York, NY 10285	 	29.09090909	%
	Société
  Générale Financial Corporation

  1221 Avenue of the Americas

  New York, NY 10020

  Attention: Paul Sottnik

  Tel: 212-278-6446

  Fax: 212-278-7320	 	Société
  Générale

  Financial Corporation

  1221 Avenue of the Americas

  New York, NY 10020	 	27.27272727	%

 

 

	BORROWER
  AND

  ADMINISTRATIVE AGENT

  NOTICE ADDRESS	 	 
	

	 	 
	Borrower:	 	USP
  Domestic Holdings, Inc.

  17103 Preston Road, Suite 200 North

  Dallas, TX 75248

  Attention: Donald E. Steen, CEO

  Tel: 972-713-3500

  Fax: 972-713-3550

	Administrative
  Agent:	 	Credit
  Suisse First Boston

  Eleven Madison Avenue

  New York, NY 10010

  Attention: Julia Kingsbury

  Tel: 212-325-9937

  Fax: 212-325-8304

 

BORROWER
CLOSING DATE CERTIFICATE

USP DOMESTIC HOLDINGS, INC.

This certificate is delivered pursuant to
Section 5.1.9 of the Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among USP Domestic Holdings, Inc., a Delaware
corporation (the “Borrower”), the Lenders, Credit Suisse First Boston,
as Administrative Agent, Lehman Commercial Paper Inc., as Syndication Agent,
and Société Générale, as Documentation Agent. Terms used herein, unless
otherwise defined herein, have the meanings provided in the Credit Agreement. 

The undersigned hereby certifies,
represents and warrants that, as of the Closing Date:

   1. Authority. The undersigned is an
Authorized Officer of the Borrower and, in such capacity, is authorized and
empowered to execute this certificate on behalf of the Borrower.

   2. Insurance. Attached hereto as Annex
I are true and complete certified copies of the insurance policies (or
binders in respect thereof) evidencing insurance in compliance with Section
5.1.11 of the Credit Agreement.

   3. Consummation of Transaction. All
actions necessary to consummate the Transaction have been taken in accordance
with all applicable law and in accordance with the terms of each applicable
Transaction Document, without amendment or waiver of any material provision
thereof. At and as of the Closing Date (after giving effect to the Transaction
and the initial Credit Extensions), there exist no conditions that would
constitute a default or an event of default under any of the Transaction
Documents. In connection with the Transaction,

     (a)
the Parent IPO has been consummated and Parent has received gross cash proceeds
of at least $115,000,000 therefrom which proceeds have been used in part to
consummate the Parent Refinancing, the OrthoLink Refinancing, and the Parent
Stock Redemption;

     (b) OrthoLink has become a direct, wholly
owned Subsidiary of the Borrower; and

     (c) the Parent Debt Conversion and the
Borrower Debt Conversion have been consummated.

   4. Delivery of Transaction Documents.
Attached hereto as Annex II are true and complete, fully executed copies
of the Transaction Documents relating to the Parent Debt Conversion and the Borrower
Debt Conversion and all certificates, opinions and other documents delivered
thereunder. Each Transaction Document is in full force and effect and has not
been modified or waived in any material respect, nor has there been any
forbearance to exercise any material rights with respect to any of the terms or
provisions relating to the conditions to the consummation of the Transaction,
as applicable.

   5. Payment of Outstanding Indebtedness,
etc. All Indebtedness identified in Item 7.2.2(b) of the Disclosure
Schedule to the Credit Agreement, together with all interest, all prepayment
premiums and other amounts due and payable with respect thereto, has been (or,
contemporaneously with the making of the initial Credit Extensions, will be)
paid in full from the proceeds of the initial Credit Extension and the
commitments in respect of such Indebtedness have been terminated, and all Liens
securing payment of any such Indebtedness have been (or, contemporaneously with
the making of the initial Credit Extensions, will be) released, and attached
hereto as Annex III are copies of all executed UCC termination
statements (Form UCC-3) or other instruments as may be suitable or appropriate
in connection therewith.

   6. Closing Fees, Expenses, etc. The
Administrative Agent has received for its own account, or for the account of
each Lender, as the case may be, all fees, costs and expenses due and payable
pursuant to Sections 3.3 and 10.3 of the Credit Agreement, to the extent
invoiced.

   7. Financial Information, etc. Attached
hereto as Annex IV are each of the following:

     (a)(i) audited consolidated financial
statements of OrthoLink as at December 31, 2000, (ii) an audited consolidated
balance sheet of the Borrower and its Consolidated Entities as at December 31,
2000, and (iii) an unaudited income statement of the Borrower and its
Consolidated Subsidiaries as December 31, 2000;

     (b) a pro forma unaudited
consolidated balance sheet of the Borrower and its Consolidated Entities as of
April 30, 2001, giving effect to the consummation of the Transaction and all
the other transactions contemplated by the Credit Agreement;

     (c) a pro forma Compliance
Certificate, dated the Closing Date, giving effect to the consummation of the
Transaction and all the other transactions contemplated by the Credit Agreement
as of April 30, 2001; and

     (d) a business plan for the 2001 through 2003
Fiscal Years, together withcash flow projections for the 2001 through 2006
Fiscal Years and a written analysis of the business and prospects of Parent,
Holdings, the Borrower and its Consolidated Entities for the period from the
Closing Date through the Stated Maturity Date.

   8. Pro Forma EBITDA. The Borrower’s
consolidated pro forma EBITDA, adjusted to give effect to the
subtraction of amounts attributable to Minority Interests and the consummation
of the acquisition of OrthoLink and inclusive of add-backs for certain
one-time, non-recurring charges not exceeding $6,700,000, for the 2000 Fiscal
Year is not less than $17,5000,000.

                9.
Closing Conditions. All conditions precedent to the initial Credit
Extensions set forth in Section 5.1 of the Credit Agreement have been satisfied
in full.

                

                IN
WITNESS WHEREOF, the undersigned has caused this Certificate to be executed and
delivered, and the certifications, representations and warranties contained
herein to be made, by its duly Authorized Officer this 13th day of June, 2001.

 

	  	USP
  DOMESTIC HOLDINGS, INC.
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title: Senior Vice President and Chief
  Finanical Officer

ANNEX I

Insurance Policies

ANNEX II

Transaction Documents

ANNEX III

UCC Termination Statements

ANNEX IV

Financial Information

 

[EXECUTION
COPY]

BORROWER
PLEDGE AND SECURITY AGREEMENT

                This
BORROWER PLEDGE AND SECURITY AGREEMENT, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time,
this “Security Agreement”), is made by USP DOMESTIC HOLDINGS, INC., a
Delaware corporation (the “Grantor”), in favor of CREDIT SUISSE FIRST
BOSTON, as administrative agent (together with its successor(s) thereto in such
capacity, the “Administrative Agent”) for each of the Secured Parties.

W I T N E S
S E T H :

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among the Grantor, the Lenders, Lehman Commercial
Paper Inc., as the Syndication Agent, Société Générale, as the Documentation
Agent, and the Administrative Agent, the Lenders and the Issuer have extended
Commitments to make Credit Extensions to the Grantor; and

                WHEREAS,
as a condition precedent to the making of the Credit Extensions under the
Credit Agreement, the Grantor is required to execute and deliver this Security
Agreement; and 

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Grantor agrees, for the benefit of each
Secured Party, as follows:

ARTICLE
I

DEFINITIONS

                SECTION
1.1. Certain Terms. The following terms (whether or not underscored)
when used in this Security Agreement, including its preamble and recitals,
shall have the following meanings (such definitions to be equally applicable to
the singular and plural forms thereof):

                “Administrative
Agent” is defined in the preamble.

                “Collateral”
is defined in Section 2.1.

                “Collateral
Account” is defined in clause (c) of Section 4.3.

                “Computer Hardware and Software Collateral”
means:

                (a) all computer and other
electronic data processing hardware, integrated computer systems, central
processing units, memory units, display terminals, printers, features, computer
elements, card readers, tape drives, hard and soft disk drives, cables,
electrical supply hardware, generators, power equalizers, accessories and all
peripheral devices and other related computer hardware;

                (b) all software programs
(including both source code, object code and all related applications and data
files), whether now owned, licensed or leased or hereafter acquired by the
Grantor, designed for use on the computers and electronic data processing
hardware described in clause (a) above;

                (c) all firmware associated
therewith;

                (d) all documentation (including
flow charts, logic diagrams, manuals, guides and specifications) with respect
to such hardware, software and firmware described in the preceding clauses
(a) through (c); and

                (e) all rights with respect to
all of the foregoing, including any and all copyrights, licenses, options,
warranties, service contracts, program services, test rights, maintenance
rights, support rights, improvement rights, renewal rights and indemnifications
and any substitutions, replacements, additions or model conversions of any of
the foregoing.

                “Control
Agreement” means an agreement in form and substance satisfactory to the
Administrative Agent which provides for the Administrative Agent to have
“control” (as defined in Section 8-106 of the UCC, as such term relates to
investment property (other than certificated securities or commodity
contracts), or as used in Section 9-115(e) of the UCC, as such term

relates to commodity contracts).

                “Copyright
Collateral” means all copyrights of the Grantor, whether statutory or
common law, registered or unregistered and whether published or unpublished,
now or hereafter in force throughout the world including all of the Grantor’s
right, title and interest in and to all copyrights registered in the United
States Copyright Office or anywhere else in the world and also including the
copyrights referred to in Item A of Schedule V hereto, and registrations
and recordings thereof and all applications for registration thereof, whether
pending or in preparation, all copyright licenses, including each copyright
license referred to in Item B of Schedule V hereto, the right to
sue for past, present and future infringements of any of the foregoing, all
rights corresponding thereto, all extensions and renewals of any thereof and
all proceeds of the foregoing, including licenses, royalties, income, payments,
claims, damages and proceeds of suit.

                “Credit Agreement” is defined in the first
recital.

                “Distributions”
means all non-cash dividends paid on Equity Interests, liquidating dividends
paid on Equity Interests, shares of Equity Interests resulting from (or in
connection with the exercise of) stock splits, reclassifications, warrants,
options, non-cash dividends, mergers, consolidations, and all other
distributions (whether similar or dissimilar to the foregoing) on or with
respect to any Equity Interests constituting Collateral, but excluding Dividends.

                “Dividends”
means cash dividends and cash distributions with respect to any Equity
Interests constituting Collateral that are not a liquidating dividend.

                “Equipment”
is defined in clause (c) of Section 2.1.

                “Grantor”
is defined in the preamble.

                “Intellectual
Property Collateral” means, collectively, the Computer Hardware and
Software Collateral, the Copyright Collateral, the Patent Collateral, the
Trademark Collateral and the Trade Secrets Collateral.

                “Intercompany
Note” means a promissory note payable to the Grantor, either (a) in the
form delivered to the Administrative Agent on the Closing Date or (b)
substantially in the form of Exhibit A hereto (with such modifications
as agreed to by the Administrative Agent), as amended, modified or supplemented
from time to time in accordance with clause (d) of Section 4.6,
together with any notes delivered in extension or renewal thereof or
substitution therefor.

                “Inventory”
is defined in clause (d) of Section 2.1.

                “Patent
Collateral” means:

                (a) all letters patent and
applications for letters patent throughout the world, including all patent
applications in preparation for filing and each patent and patent application
referred to in Item A of Schedule III hereto;

                (b) all reissues, divisions,
continuations, continuations-in-part, extensions, renewals and reexaminations
of any of the items described in clause (a);

                (c) all patent licenses, and
other agreements providing the Grantor with the right to use any items of the
type referred to in clauses (a) and (b) above, including each patent license
referred to in Item B of Schedule III hereto; and

                (d) all proceeds of, and rights
associated with, the foregoing (including license royalties and proceeds of
infringement suits), the right to sue third parties for past, present or future
infringements of any patent or patent application, and for breach or
enforcement of any patent license.

                “Receivables”
is defined in clause (e) of Section 2.1.

                “Related Contracts” is defined in clause
(e) of Section 2.1.

                “Securities
Act” is defined in clause (a) of Section 6.2.

                “Security
Agreement” is defined in the preamble.

                “Specified
Event” means the occurrence and continuance of a Default under clauses (a)
through (d) of Section 8.1.9 of the Credit Agreement or any other Event of
Default.

                “Trademark
Collateral” means:

                (a) (i) all trademarks, trade
names, corporate names, company names, business names, fictitious business
names, trade styles, service marks, certification marks, collective marks,
logos and other source or business identifiers, and all goodwill of the
business associated therewith, now existing or hereafter adopted or acquired
including those referred to in Item A of Schedule IV hereto,
whether currently in use or not, all registrations and recordings thereof and all
applications in connection therewith, whether pending or in preparation for
filing, including registrations, recordings and applications in the United
States Patent and Trademark Office or in any office or agency of the United
States of America or any State thereof or any other country or political
subdivision thereof or otherwise, and all common-law rights relating to the
foregoing, and (ii) the right to obtain all reissues, extensions or renewals of
the foregoing (collectively referred to as the “Trademark”);

                (b) all Trademark licenses for
the grant by or to the Grantor of any right to use any Trademark, including
each Trademark license referred to in Item B of Schedule IV
hereto; and

                (c) all of the goodwill of the
business connected with the use of, and symbolized by the items described in,
clause (a), and to the extent applicable clause (b);

                (d) the right to sue third
parties for past, present and future infringements of any Trademark Collateral
described in clause (a) and, to the extent applicable, clause (b); and

                (e) all proceeds of, and rights
associated with, the foregoing, including any claim by any Grantor against
third parties for past, present or future infringement or dilution of any
Trademark, Trademark registration or Trademark license, or for any injury to
the goodwill associated with the use of any such Trademark or for breach or
enforcement of any Trademark license and all rights corresponding thereto
throughout the world. 

                “Trade
Secrets Collateral” means all common law and statutory trade secrets and
all other confidential, proprietary or useful information and all know-how
obtained by or used in or contemplated at any time for use in the business of
the Grantor (all of the foregoing being collectively called a “Trade Secret”),
whether or not such Trade Secret has been reduced to a writing or other
tangible form, including all documents and things embodying, incorporating or
referring in any way to such Trade Secret, all Trade Secret licenses, including
each Trade Secret license referred to in Schedule VI hereto, and
including the right to sue for and to enjoin and to collect damages for the
actual or threatened misappropriation of any Trade Secret and for the breach or
enforcement of any such Trade Secret license.

                SECTION 1.2. Credit Agreement Definitions.
Unless otherwise defined herein or the context otherwise requires, terms used
in this Security Agreement, including its preamble and recitals, have the
meanings provided in the Credit Agreement.

                SECTION
1.3. UCC Definitions. Unless otherwise defined herein or in the Credit
Agreement or the context otherwise requires, terms for which meanings are
provided in the UCC are used in this Security Agreement, including its preamble
and recitals, with such meanings.

ARTICLE
II

SECURITY INTEREST

                SECTION
2.1. Grant of Security Interest. The Grantor hereby assigns, pledges,
hypothecates, charges, mortgages, delivers, and transfers to the Administrative
Agent, for its benefit and the ratable benefit of each other Secured Party, and
hereby grants to the Administrative Agent, for its benefit and the ratable
benefit of each other Secured Party, a continuing security interest in all of
the following property, whether now or hereafter existing or acquired by the
Grantor (the “Collateral”):

                (a) all Intercompany Notes in
which the Grantor has an interest (including each Intercompany Note described
in Item A of Schedule I hereto (including the right to receive
payment of the principal of and accrued interest on such Intercompany Note, and
other rights of the Grantor arising in its capacity as the payee of such
Intercompany Note));

                (b) (i) all investment property
in which the Grantor has an interest (including the Equity Interests of each
issuer of such Equity Interests described in Item B of Schedule I
hereto) and (ii) all other Equity Interests which are interests in limited
liability companies or partnerships in which the Grantor has an interest
(including the Equity Interests of each issuer of such Equity Interests
described in Item B of Schedule I hereto), in each case together
with Dividends and Distributions payable in respect of the Collateral described
in the foregoing clauses (b)(i) and (b)(ii);

                (c) all equipment of the
Grantor, including all parts thereof and all accessions, additions, attachments,
improvements, substitutions and replacements thereto and therefor and all
accessories related thereto (collectively referred to as the “Equipment”);

                (d) all inventory in all of its forms of
the Grantor, including (i) all raw materials and work in process therefor,
finished goods thereof, and materials used or consumed in the manufacture or
production thereof, (ii) all goods in which the Grantor has an interest in mass
or a joint or other interest or right of any kind (including goods in which the
Grantor has an interest or right as consignee), and (iii) all goods which are
returned to or repossessed by the Grantor, and all accessions thereto, products
thereof and documents therefor (all of the foregoing collectively referred to
as the “Inventory”);

                (e) all accounts, contracts,
contract rights, chattel paper, documents, instruments, and general intangibles
(including tax refunds) of the Grantor, whether or not arising out of or in
connection with the sale or lease of goods or the rendering of services, and
all rights of the Grantor now or hereafter existing in and to all security
agreements, guaranties, leases and other contracts securing or otherwise
relating to any such accounts, contracts, contract rights, chattel paper,
documents, instruments, and general intangibles (all of the foregoing
collectively referred to as the “Receivables”, and any and all such
security agreements, guaranties, leases and other contracts collectively
referred to as the “Related Contracts”);

                (f) all Intellectual Property Collateral
of the Grantor;

                (g) the Collateral Account, all
cash, checks, drafts, notes, bills of exchange, money orders, other like
instruments and all investment property held in the Collateral Account (or in
any sub-account thereof) and all interest, earnings and proceeds in respect
thereof;

                (h) all books, records,
writings, data bases, information and other property relating to, used or
useful in connection with, evidencing, embodying, incorporating or referring
to, any of the foregoing in this Section;

                (i) all of the Grantor’s other
property and rights of every kind and description and interests therein; and

                (j) all products, offspring,
rents, issues, profits, returns, income and proceeds of and from any and all of
the foregoing Collateral (including proceeds which constitute property of the
types described in clauses (a) through (i) above, and, to the
extent not otherwise included, all payments under insurance (whether or not the
Administrative Agent is the loss payee thereof), or any indemnity, warranty or
guaranty, payable by reason of loss or damage to or otherwise with respect to
any of the foregoing Collateral).

Notwithstanding the foregoing,
“Collateral” shall not include (i) the Grantor’s real property leaseholds, (ii)
any general intangibles or other rights arising under any contracts,
instruments, licenses or other documents as to which the grant of a security
interest would (A) constitute a violation of a valid and enforceable
restriction in favor of a third party on such grant, unless and until any
required consents shall have been obtained or (B) give any other party to such
contract, instrument, license or other document the right to terminate its
obligations thereunder, (iii) any Equity Interest in a Restricted Entity, and
(iv) investment property consisting of Equity Interests of an issuer that is a
Foreign Subsidiary (other than a Foreign Subsidiary that (i) is treated as a
partnership under the Code or (ii) is not treated as an entity that is separate
from (A) the Grantor, (B) any Person that is treated as a partnership under the
Code or (C) any “United States person” (as defined in Section 7701(a)(30) of
the Code)) of the Grantor, in excess of 65% of the total combined voting power
of all Equity Interests of each such Foreign Subsidiary; provided further,
that, in the event of any change in, or the introduction, adoption,
effectiveness, interpretation, reinterpretation or phase in of, any law or
regulation, directive or guideline of any Governmental Authority that could
reasonably be expected to alter the amount of United States federal income tax
that would otherwise be payable by the Grantor in the absence of such pledge,
the Administrative Agent or the Required Lenders may require the Grantor to
pledge such Equity Interests.

                SECTION
2.2. Security for Obligations. This Security Agreement and the
Collateral in which the Administrative Agent for the benefit of the Secured
Parties is granted a security interest hereunder by the Grantor secures the
payment of all Obligations of the Grantor now or hereafter existing.

                SECTION
2.3. Grantor Remains Liable. Anything herein to the contrary
notwithstanding

                (a) the Grantor will remain
liable under the contracts and agreements included in the Collateral to the
extent set forth therein, and will perform all of its duties and obligations
under such contracts and agreements to the same extent as if this Security
Agreement had not been executed;

                (b) the exercise by the
Administrative Agent of any of its rights hereunder will not release the
Grantor from any of its duties or obligations under any such contracts or
agreements included in the Collateral; and

                (c) no Secured Party will have
any obligation or liability under any contracts or agreements included in the
Collateral by reason of this Security Agreement, nor will any Secured Party be
obligated to perform any of the obligations or duties of the Grantor thereunder
or to take any action to collect or enforce any claim for payment assigned
hereunder.

                SECTION 2.4. Security Interest Absolute, etc.
This Security Agreement shall in all respects be a continuing, absolute,
unconditional and irrevocable grant of security interest, and shall remain in
full force and effect until the Termination Date. All rights of the Secured
Parties and the security interests granted to the Administrative Agent (for its
benefit and the ratable benefit of each other Secured Party) hereunder, and all
obligations of the Grantor hereunder, shall, in each case, be absolute,
unconditional and irrevocable irrespective of:

                (a) any lack of validity,
legality or enforceability of any Loan Document;

                (b) the failure of any Secured
Party

                (i) to assert any claim or
demand or to enforce any right or remedy against any Obligor or any other
Person (including any other Guarantor) under the provisions of any Loan
Document or otherwise, or 

                (ii) to exercise any right or
remedy against any other guarantor (including any other Guarantor) of, or
collateral securing, any Obligations;

                (c) any change in the time,
manner or place of payment of, or in any other term of, all or any part of the
Obligations, or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,
impairment or termination of any Obligations for any reason, including any
claim of waiver, release, surrender, alteration or compromise, and shall not be
subject to (and the Grantor hereby waives any right to or claim of) any defense
or setoff, counterclaim, recoupment or termination whatsoever by reason of the
invalidity, illegality, nongenuineness, irregularity, compromise,
unenforceability of, or any other event or occurrence affecting, any
Obligations or otherwise;

                (e) any amendment to,
rescission, waiver, or other modification of, or any consent to or departure
from, any of the terms of any Loan Document;

                (f) any addition, exchange or
release of any collateral or of any Person that is (or will become) a guarantor
(including the Grantor hereunder) of the Obligations, or any surrender or
non-perfection of any collateral, or any amendment to or waiver or release or
addition to, or consent to or departure from, any other guaranty held by any
Secured Party

securing any of the Obligations; or

                (g) any other circumstance which
might otherwise constitute a defense available to, or a legal or equitable
discharge of, any Obligor, any surety or any guarantor.

ARTICLE
III

REPRESENTATIONS AND WARRANTIES

                In
order to induce the Secured Parties to enter into the Credit Agreement and make
Credit Extensions thereunder, and to induce Secured Parties to enter into Rate
Protection Agreements, the Grantor represents and warrants to each Secured
Party as set forth below.

                SECTION
3.1. As to Equity Interests of the Grantor. With respect to any
Subsidiary of the Grantor that is 

                (a) a corporation, business
trust, joint stock company or similar Person, all Equity Interests issued by
such Subsidiary are duly authorized and validly issued, fully paid and
non-assessable, and represented by a certificate; and

                (b) a partnership or limited
liability company, no Equity Interests issued by such Subsidiary (i) are dealt
in or traded on securities exchanges or in securities markets, (ii) expressly
provide that such Equity Interests are a security governed by Article 8 of the
UCC, (iii) are held in a securities account, or (iv) are represented by a
certificate.

The percentage of the issued and
outstanding Equity Interests of each Subsidiary pledged by the Grantor
hereunder are as set forth on Schedule I hereto.

                SECTION
3.2. Intercompany Notes. All Intercompany Notes have been duly authorized,
executed, endorsed, issued and delivered, and are the legal, valid and binding
obligation of the Issuer thereof, and are not in default.

                SECTION
3.3. Location of Collateral, etc. All of the Equipment, Inventory and
lock boxes of the Grantor are located at the places specified in Item A,
Item B and Item C, respectively, of Schedule II hereto, as
each such Item may be supplemented or otherwise modified from time to time
pursuant to clause (a) of Section 4.2. None of the Equipment and
Inventory has, within the four months preceding the date of this Security
Agreement, been located at any place other than the places specified in Item
A and Item B, respectively, of Schedule II hereto except as
set forth in a footnote thereto. The place(s) of business and the chief
executive office of the Grantor and the office(s) where the Grantor keeps its
records concerning the Receivables, and all originals of all chattel paper
which evidence Receivables, are located at the addresses set forth in Item D
of Schedule II hereto, as each such Item may be supplemented or
otherwise modified from time to time pursuant to clause (a) of Section
4.3. The Grantor has no trade names other than those set forth in Item E
of Schedule II hereto. During the four months preceding the date hereof,
the Grantor has not been known by any legal name different from the one set
forth on the signature page hereto, nor has the Grantor been the subject of any
merger or other corporate reorganization, except as set forth in Item F
of Schedule II hereto. The Grantor’s federal taxpayer identification
number is (and, during the four months preceding the date hereof, the Grantor
has not had a federal taxpayer identification number different from the one)
set forth in Item G of Schedule II hereto. If the Collateral of
the Grantor includes any Inventory located in the State of California, such
Grantor is not a “retail merchant” within the meaning of Section 9102 of the
California UCC. [All Receivables evidenced by a promissory note or other
instrument, negotiable document or chattel paper have been duly endorsed and
accompanied by duly executed instruments of transfer or assignment, all in form
and substance satisfactory to the Administrative Agent and delivered and
pledged to the Administrative Agent pursuant to Section 4.6.] The
Grantor is not a party to any federal, state or local government contract
except as set forth in Item H of Schedule II hereto.

                SECTION 3.4. Ownership, No Liens, etc.
The Grantor owns its Collateral free and clear of any Lien, except for Liens
(a) created by this Security Agreement, and, in the case of Collateral other
than any investment property (including Equity Interests) in which the Grantor
has an interest, (b) permitted by Section 7.2.3 of the Credit Agreement or (c)
in favor of owners of Computer Software Collateral that is licensed to the
Grantor. No effective financing statement or other filing similar in effect
covering any Collateral is on file in any recording office, except those filed
in favor of the Administrative Agent relating to this Security Agreement or
those filed in connection with Liens permitted by Section 7.2.3 of the Credit
Agreement.

                SECTION
3.5. Possession of Inventory, etc. The Grantor agrees that it will
maintain exclusive possession of its goods, instruments and Inventory, other
than Inventory in transit in the ordinary course of business and Inventory
which is in the possession or control of a warehouseman, bailee agent or other
Person (other than a Person controlled by or under common control with the Grantor)
that has been notified of the security interest created in favor of the Secured
Parties pursuant to this Security Agreement, and has agreed to hold such
Inventory subject to the Secured Parties’ Lien and waive any Lien held by it
against such Inventory.

                SECTION
3.6. Negotiable Documents, Instruments and Chattel Paper. The Grantor
has delivered to the Administrative Agent possession of all originals of all
negotiable documents, instruments and chattel paper owned or held by the
Grantor on the Closing Date and agrees that it will, promptly following
receipt, deliver to the Administrative Agent possession of all originals of
negotiable documents, instruments and chattel paper that it acquires following
the Closing Date.

                SECTION
3.7. Intellectual Property Collateral. With respect to any Intellectual
Property Collateral the loss, impairment or infringement of which could
reasonably be expected to have a Material Adverse Effect:

                (a) such Intellectual Property
Collateral is subsisting and has not been adjudged invalid or unenforceable, in
whole or in part;

                (b) such Intellectual Property
Collateral is valid and enforceable;

                (c) the Grantor has made all necessary
filings and recordations to protect its interest in such Intellectual Property
Collateral, including recordations of all of its interests in the Patent
Collateral and Trademark Collateral in the United States Patent and Trademark
Office and (subject to the terms of the Credit Agreement) in corresponding
offices throughout the world, and its claims to the Copyright Collateral in the
United States Copyright Office and (subject to the terms of the Credit
Agreement) in corresponding offices throughout the world;

                (d) the Grantor is the exclusive
owner of the entire and unencumbered right, title and interest in and to such
Intellectual Property Collateral and no claim has been made that the use of
such Intellectual Property Collateral does or may violate the asserted rights
of any third party; and

                (e) the Grantor has performed
and will continue to perform all acts and has paid and will continue to pay all
required fees and taxes to maintain each and every such item of Intellectual
Property Collateral in full force and effect throughout the world, as
applicable.

The Grantor owns directly or is entitled
to use by license or otherwise, all patents, Trademarks, Trade Secrets,
copyrights, mask works, licenses, technology, know-how, processes and rights
with respect to any of the foregoing used in, necessary for or of importance to
the conduct of the Grantor’s business.

                SECTION
3.8. Validity, etc. This Security Agreement creates a valid security
interest in the Collateral securing the payment of the Obligations. The Grantor
has filed or caused to be filed all Filing Statements in the appropriate
offices therefor (or has executed and delivered to the Administrative Agent
originals thereof suitable for filing in such offices) and has taken all of the
actions necessary to create perfected and (in the case of Collateral other than
Equity Interests pledged hereunder, subject to Section 7.2.3 of the Credit
Agreement) first-priority security interests in the applicable Collateral
including (a) in the case of Collateral comprised of certificated securities or
instruments, delivery of such Collateral to the Administrative Agent, duly
endorsed in blank and (b) in the case of Collateral comprised of uncertificated
securities and other investment property (other than certificated securities),
such actions causing the Administrative Agent to have “control” (as defined in
Section 8-106 of the UCC, as such term relates to investment property (other
than certificated securities or commodity contracts), or as used in Section
9-115(e) of the UCC, as such term relates to commodity contracts) of such
Collateral; provided that, notwithstanding any of the foregoing, with
respect to any Collateral which constitutes motor vehicles, the ownership of
which is evidenced by a certificate of title filed with a department of motor
vehicles or similar agency of a Governmental Authority, following the execution
and delivery by the Grantor of this Security Agreement, the Administrative
Agent shall only have a valid security interest in such Collateral.

                SECTION 3.9. Authorization, Approval, etc.
Except as have been obtained or made and are in full force and effect, no
authorization, approval or other action by, and no notice to or filing with,
any Governmental Authority or regulatory body is required either

                (a) for the grant by the Grantor
of the security interest granted hereby, the pledge by the Grantor of any
Collateral pursuant hereto or for the execution, delivery and performance of
this Security Agreement by the Grantor;

                (b) for the perfection of or the
exercise by the Administrative Agent of its rights and remedies hereunder; or

                (c) for the exercise by the
Administrative Agent of the voting or other rights provided for in this
Security Agreement, or, except (i) with respect to any securities issued by a
Subsidiary of the Grantor, as may be required in connection with a disposition
of such securities by laws affecting the offering and sale of securities
generally, the remedies in respect of the Collateral pursuant to this Security
Agreement and (ii) any “change of control” or similar filings required by state
licensing agencies.

ARTICLE
IV

COVENANTS

                The
Grantor covenants and agrees that, until the Termination Date, the Grantor will
perform, comply with and be bound by the obligations set forth below. 

                SECTION
4.1. As to Investment Property and Intercompany Notes, Etc.

                SECTION
4.1.1. Equity Interests of Subsidiaries. The Grantor will cause each of
its Subsidiaries that is

                (a) a corporation, business
trust, joint stock company or similar Person, to provide in its Organic
Documents that all securities issued by such Subsidiary will be represented by
a certificate; and

                (b) a partnership or limited
liability company, to require that none of the Equity Interests issued by such
Subsidiary will (i) be dealt in or traded on securities exchanges or in
securities markets, (ii) expressly provide that such Equity Interests are
securities governed by Article 8 of the UCC, (iii) be held in a securities
account, or (iv) be represented by a certificate.

                SECTION
4.1.2. Investment Property (other than Certificated Securities). With
respect to any investment property (other than certificated securities) owned
by the Grantor, the Grantor will cause a Control Agreement relating to such
investment property to be executed and delivered by the Grantor and the
applicable financial intermediary in favor of the Administrative Agent.

                SECTION 4.1.3. Stock Powers, etc. The
Grantor agrees that all certificated securities delivered by the Grantor
pursuant to this Security Agreement will be accompanied by duly executed
undated blank stock powers, or other equivalent instruments of transfer
acceptable to the Administrative Agent.

                SECTION
4.1.4. Continuous Pledge. The Grantor will (subject to the terms of the
Credit Agreement) deliver to the Administrative Agent and at all times keep
pledged to the Administrative Agent pursuant hereto, on a first-priority,
perfected basis all investment property constituting Collateral, all Dividends
and Distributions with respect thereto, all Intercompany Notes (duly endorsed
by the Grantor to the order of the Administrative Agent), and all interest and
principal with respect to the Intercompany Notes, and all proceeds and rights
from time to time received by or distributable to the Grantor in respect of any
of the foregoing Collateral.

                SECTION
4.1.5. Voting Rights; Dividends, etc. The Grantor agrees: 

                (a) promptly upon receipt of
notice of the occurrence and continuance of a Specified Event (as such term is
defined in the Credit Agreement) from the Administrative Agent and without any
request therefor by the Administrative Agent, so long as such Specified Event
shall continue, to deliver (properly endorsed where required hereby or
requested by the Administrative Agent) to the Administrative Agent all
Dividends and Distributions with respect to investment property, all interest,
principal, other cash payments on Intercompany Notes, and all proceeds of the
Collateral, in each case thereafter received by the Grantor, all of which shall
be held by the Administrative Agent as additional Collateral; and

                (b) subject to clause (c)(ii)
of Section 3.9 and, with respect to Collateral consisting of general
partner interests or limited liability company interests, modifications to the
respective Organic Documents to admit the Administrative Agent as a general
partner or member, respectively, immediately upon the occurrence and
continuance of a Specified Event and so long as the Administrative Agent has
notified the Grantor of the Administrative Agent’s intention to exercise its
voting power under this clause,

                (i) that the Administrative
Agent may exercise (to the exclusion of such Grantor) the voting power and all
other incidental rights of ownership with respect to any investment property
constituting Collateral and the Grantor hereby grants the Administrative Agent
an irrevocable proxy, exercisable under such circumstances, to vote such
investment property; and 

                (ii) to promptly deliver to the
Administrative Agent such additional proxies and other documents as may be
necessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,
principal, cash payments, and proceeds which may at any time and from time to
time be held by the Grantor but which the Grantor is then obligated to deliver
to the Administrative Agent, shall, until delivery to the Administrative Agent,
be held by the Grantor separate and apart from its other property in trust for
the Administrative Agent. The Administrative Agent agrees that unless a
Specified Event shall have occurred and be continuing and the Administrative
Agent shall have given the notice referred to in clause (b), the Grantor
will have the exclusive voting power with respect to any investment property
constituting Collateral and the Administrative Agent will, upon the written
request of the Grantor, promptly deliver such proxies and other documents, if
any, as shall be reasonably requested by the Grantor which are necessary to
allow the Grantor to exercise that voting power; provided that no vote
shall be cast, or consent, waiver, or ratification given, or action taken by
the Grantor that would impair any such Collateral or be inconsistent with or
violate any provision of any Loan Document.

                SECTION 4.2. As to Equipment and Inventory.
The Grantor hereby agrees that it will 

                (a) keep all the Equipment and
Inventory (other than Equipment and Inventory Disposed of in accordance with
Section 7.2.11 of the Credit Agreement, motor vehicles and Inventory in
transit) at the places therefor specified in Section 3.3 or, upon 30
days’ prior written notice to the Administrative Agent, at such other places in
a jurisdiction where all representations and warranties set forth in Article
III shall be true and correct, and all action required pursuant to Section
4.6 shall have been taken with respect to the Equipment and Inventory;

                (b) cause the Equipment to be
maintained and preserved in good repair and working order, ordinary wear and
tear excepted, and in accordance with any manufacturer’s manual unless the
Grantor determines in good faith that the repair or maintenance of such
property is no longer economically feasible; and forthwith, or in the case of
any loss or damage to any of the Equipment, as quickly as practicable after the
occurrence thereof, make or cause to be made all repairs, replacements, and
other improvements in connection therewith which are necessary or desirable to
such end; and promptly furnish to the Administrative Agent a statement
respecting any loss or damage to any of the Equipment; and

                (c) pay promptly when due all
property and other taxes, assessments and governmental charges or levies
imposed upon, and all claims (including claims for labor, materials and
supplies) against, the Equipment and Inventory, except to the extent the
validity thereof is being contested in good faith by appropriate proceedings
and for which adequate reserves in accordance with GAAP have been set aside.

                SECTION
4.3. As to Receivables. (a) The Grantor will keep its chief executive
office and the office(s) where it keeps its records concerning the Receivables,
and all originals of all chattel paper which evidences Receivables located at
the addresses set forth in Item D of Schedule II hereto, or, upon
30 days’ prior written notice to the Administrative Agent, at such other
locations in a jurisdiction where all actions required by Section 4.6
shall have been taken with respect to the Receivables and other Collateral. The
Grantor will not change its name or federal taxpayer identification number
except upon 30 days’ prior written notice to the Administrative Agent. In
addition, the Grantor shall supplement the information contained in Schedule
II hereto on the Compliance Certificate on each date a Compliance
Certificate is required to be delivered to the Administrative Agent under the
Credit Agreement, including any changes to the information set forth in Section
3.3.

                (b) The Grantor shall have the
right to collect all Receivables so long as no Specified Event shall have
occurred and be continuing.

                (c) Upon (i) the occurrence and
continuance of a Specified Event and (ii) the delivery of written notice by the
Administrative Agent to the Grantor, all proceeds of Collateral received by the
Grantor shall be delivered in kind to the Administrative Agent for deposit to a
deposit account (the “Collateral Account”) of the Grantor maintained
with the Administrative Agent, and such Grantor shall not commingle any such
proceeds, and shall hold separate and apart from all other property, all such
proceeds in express trust for the benefit of the Administrative Agent until
delivery thereof is made to the Administrative Agent.

                (d) Following the delivery of
notice pursuant to clause (c)(ii) of this Section, the Administrative
Agent shall have the right to apply any amount in the Collateral Account to the
payment of any Obligations which are due and payable.

                (e) With respect to the
Collateral Account, it is hereby confirmed and agreed that (i) deposits in each
Collateral Account are subject to a security interest as contemplated hereby,
(ii) each such Collateral Account shall be under the sole dominion and control
of the Administrative Agent and (iii) the Administrative Agent shall have the
sole right of withdrawal over such Collateral Account. 

                SECTION
4.4. As to Collateral.

                (a) Subject to clause (b)
of this Section, the Grantor (i) may in the ordinary course of its business, at
its own expense, sell, lease or furnish under the contracts of service any of
the Inventory normally held by the Grantor for such purpose, and use and
consume, in the ordinary course of its business, any raw materials, work in
process or materials normally held by the Grantor for such purpose, (ii) will,
at its own expense, endeavor to collect, as and when due, all amounts due with
respect to any of the Collateral, including the taking of such action with
respect to such collection as the Administrative Agent may reasonably request
following the occurrence of a Specified Event or, in the absence of such
request, as the Grantor may deem advisable, and (iii) may grant, in the
ordinary course of business, to any party obligated on any of the Collateral,
any rebate, refund or allowance to which such party may be lawfully entitled,
and may accept, in connection therewith, the return of goods, the sale or lease
of which shall have given rise to such Collateral.

                (b) At any time following the occurrence
and during the continuance of a Specified Event, whether before or after the
maturity of any of the Obligations, the Administrative Agent may (i) revoke any
or all of the rights of the Grantor set forth in clause (a), (ii) notify
any parties obligated on any of the Collateral to make payment to the
Administrative Agent of any amounts due or to become due thereunder and (iii)
enforce collection of any of the Collateral by suit or otherwise and surrender,
release, or exchange all or any part thereof, or compromise or extend or renew
for any period (whether or not longer than the original period) any
indebtedness thereunder or evidenced thereby.

                (c) Upon request of the
Administrative Agent following the occurrence and during the continuance of a
Specified Event, the Grantor will, at its own expense, notify any parties
obligated on any of the Collateral to make payment to the Administrative Agent
of any amounts due or to become due thereunder.

                (d) The Grantor hereby
authorizes the Administrative Agent to endorse, in the name of the Grantor, any
item, howsoever received by the Administrative Agent, representing any payment
on or other proceeds of any of the Collateral.

                SECTION
4.5. As to Intellectual Property Collateral. The Each Grantor covenants
and agrees to comply with the following provisions as such provisions relate to
any Intellectual Property Collateral material to the operations or business of
the Grantor:

                (a) the Grantor will not (i) do
or fail to perform any act whereby any of the Patent Collateral may lapse or
become abandoned or dedicated to the public or unenforceable, (ii) permit any
of its licensees to (A) fail to continue to use any of the Trademark Collateral
in order to maintain all of the Trademark Collateral in full force free from
any claim of abandonment for non-use, (B) fail to maintain as in the past the
quality of products and services offered under all of the Trademark Collateral,
(C) fail to employ all of the Trademark Collateral registered with any federal
or state or foreign authority with an appropriate notice of such registration,
(D) adopt or use any other Trademark which is confusingly similar or a
colorable imitation of any of the Trademark Collateral, (E) use any of the
Trademark Collateral registered with any federal, state or foreign authority
except for the uses for which registration or application for registration of
all of the Trademark Collateral has been made or (F) do or permit any act or
knowingly omit to do any act whereby any of the Trademark Collateral may lapse
or become invalid or unenforceable, or (G) do or permit any act or knowingly
omit to do any act whereby any of the Copyright Collateral or any of the Trade
Secrets Collateral may lapse or become invalid or unenforceable or placed in
the public domain except upon expiration of the end of an unrenewable term of a
registration thereof, unless, in the case of any of the foregoing requirements
in clauses (i), (ii) and (iii), the Grantor shall either
(x) reasonably and in good faith determine that any of such Intellectual
Property Collateral is of negligible economic value to the Grantor, or (y) have
a valid business purpose to do otherwise;

                (b) the Grantor shall promptly notify the
Administrative Agent if it knows, or has reason to know, that any application
or registration relating to any material item of the Intellectual Property
Collateral may become abandoned or dedicated to the public or placed in the
public domain or invalid or unenforceable, or of any adverse determination or
development (including the institution of, or any such determination or
development in, any proceeding in the United States Patent and Trademark
Office, the United States Copyright Office or any foreign counterpart thereof
or any court) regarding the Grantor’s ownership of any of the Intellectual
Property Collateral, its right to register the same or to keep and maintain and
enforce the same; 

                (c) in no event will the Grantor
or any of its agents, employees, designees or licensees file an application for
the registration of any Intellectual Property Collateral with the United States
Patent and Trademark Office, the United States Copyright Office or any similar
office or agency in any other country or any political subdivision thereof,
unless it promptly informs the Administrative Agent, and upon request of the
Administrative Agent (subject to the terms of the Credit Agreement), executes
and delivers all agreements, instruments and documents as the Administrative
Agent may reasonably request to evidence the Administrative Agent’s security
interest in such Intellectual Property Collateral;

                (d) the Grantor will take all
necessary steps, including in any proceeding before the United States Patent
and Trademark Office, the United States Copyright Office or (subject to the
terms of the Credit Agreement) any similar office or agency in any other
country or any political subdivision thereof, to maintain and pursue any
application (and to obtain the relevant registration) filed with respect to,
and to maintain any registration of, the Intellectual Property Collateral,
including the filing of applications for renewal, affidavits of use, affidavits
of incontestability and opposition, interference and cancellation proceedings
and the payment of fees and taxes (except to the extent that dedication, abandonment
or invalidation is permitted under the foregoing clause (a) or (b));
and 

                (e) the Grantor will promptly
(but no less than quarterly) execute and deliver to the Administrative Agent
(as applicable) a Patent Security Agreement, Trademark Security Agreement
and/or Copyright Security Agreement, as the case may be, in the forms of Exhibit
B, Exhibit C and Exhibit D hereto following its obtaining an
interest in any such Intellectual Property, and shall execute and deliver to
the Administrative Agent any other document required to acknowledge or register
or perfect the Administrative Agent’s interest in any part of such item of
Intellectual Property Collateral.

                SECTION 4.6. Further Assurances, etc. The
Grantor agrees that, from time to time at its own expense, it will promptly
execute and deliver all further instruments and documents, and take all further
action, that may be necessary or that the Administrative Agent may reasonably
request, in order to perfect, preserve and protect any security interest granted
or purported to be granted hereby or to enable the Administrative Agent to
exercise and enforce its rights and remedies hereunder with respect to any
Collateral. Without limiting the generality of the foregoing, the Grantor will

                (a) from time to time upon the
request of the Administrative Agent, promptly deliver to the Administrative
Agent such stock powers, instruments and similar documents, satisfactory in
form and substance to the Administrative Agent, with respect to such Collateral
as the Administrative Agent may reasonably request and will, from time to time
upon the request of the Administrative Agent after the occurrence and during
the continuance of any Specified Event promptly transfer any securities
constituting Collateral into the name of any nominee designated by the
Administrative Agent; if any Receivable shall be evidenced by an instrument,
negotiable document or chattel paper, deliver and pledge to the Administrative
Agent hereunder such instrument, negotiable document or chattel paper duly
endorsed and accompanied by duly executed instruments of transfer or
assignment, all in form and substance satisfactory to the Administrative Agent;

                (b) execute and file (or cause
to be filed) such Filing Statements or continuation statements, or amendments
thereto, and such other instruments or notices (including any assignment of
claim form under or pursuant to the federal assignment of claims statute, 31
U.S.C. § 3726, any successor or amended version thereof or any regulation
promulgated under or pursuant to any version thereof), as may be necessary or
that the Administrative Agent may reasonably request in order to perfect and
preserve the security interests and other rights granted or purported to be
granted to the Administrative Agent hereby;

                (c) deliver to the
Administrative Agent and at all times keep pledged to the Administrative Agent
pursuant hereto, on a first-priority, perfected basis, at the reasonable
request of the Administrative Agent, all investment property constituting
Collateral, all Dividends and Distributions with respect thereto, all
Intercompany Notes (duly endorsed by such Grantor to the order of the
Administrative Agent), and all interest and principal with respect to the
Intercompany Notes, and all proceeds and rights from time to time received by
or distributable to such Grantor in respect of any of the foregoing Collateral;

                (d) not enter into any agreement
amending, supplementing or waiving any provision of any Intercompany Note
(including any underlying instrument pursuant to which such Intercompany Note
is issued), or compromising, releasing or extending the time for payment of any
obligation of the maker thereof; 

                (e) not take or omit to take any
action the taking or the omission of which would result in any impairment or
alteration of any obligation of the maker of any Intercompany Note or other
instrument constituting Collateral; and 

                (f) furnish to the Administrative Agent,
from time to time at the Administrative Agent’s request, statements and
schedules further identifying and describing the Collateral and such other
reports in connection with the Collateral as the Administrative Agent may
reasonably request, all in reasonable detail.

With respect to the foregoing and the
grant of the security interest hereunder, the Grantor hereby authorizes the
Administrative Agent to file one or more financing or continuation statements,
and amendments thereto, relative to all or any part of the Collateral without
the signature of the Grantor where permitted by law. The Grantor agrees that a
carbon, photographic or other reproduction of this Security Agreement or any
financing statement covering the Collateral or any part thereof shall be
sufficient as a financing statement where permitted by law.

ARTICLE
V

THE ADMINISTRATIVE AGENT

                SECTION
5.1. Administrative Agent Appointed Attorney-in-Fact. The Grantor hereby
irrevocably appoints the Administrative Agent its attorney-in-fact, with full
authority in the place and stead of the Grantor and in the name of the Grantor
or otherwise, from time to time in the Administrative Agent’s discretion,
following the occurrence and during the continuance of a Specified Event, to
take any action and to execute any instrument which the Administrative Agent
may deem necessary or advisable to accomplish the purposes of this Security
Agreement, including:

                (a) to ask, demand, collect, sue
for, recover, compromise, receive and give acquittance and receipts for moneys
due and to become due under or in respect of any of the Collateral;

                (b) to receive, endorse, and
collect any drafts or other instruments, documents and chattel paper, in
connection with clause (a) above;

                (c) to file any claims or take
any action or institute any proceedings which the Administrative Agent may deem
necessary or desirable for the collection of any of the Collateral or otherwise
to enforce the rights of the Administrative Agent with respect to any of the
Collateral; and

                (d) to perform the affirmative
obligations of the Grantor hereunder (including all obligations of the Grantor
pursuant to Section 4.6).

The Grantor hereby acknowledges, consents
and agrees that the power of attorney granted pursuant to this Section is
irrevocable and coupled with an interest.

                SECTION
5.2. Administrative Agent May Perform. If the Grantor fails to perform
any agreement contained herein within 30 days after written notice from the
Administrative Agent, the Administrative Agent may itself perform, or cause
performance of, such agreement, and the expenses of the Administrative Agent
incurred in connection therewith shall be payable by the

Grantor pursuant to Section 6.4.

                SECTION 5.3. Administrative Agent Has No Duty.
The powers conferred on the Administrative Agent hereunder are solely to
protect its interest (on behalf of the Secured Parties) in the Collateral and
shall not impose any duty on it to exercise any such powers. Except for
reasonable care of any Collateral in its possession and the accounting for
moneys actually received by it hereunder, the Administrative Agent shall have
no duty as to any Collateral or responsibility for

                (a) ascertaining or taking
action with respect to calls, conversions, exchanges, maturities, tenders or
other matters relative to any investment property, whether or not the
Administrative Agent has or is deemed to have knowledge of such matters, or

                (b) taking any necessary steps
to preserve rights against prior parties or any other rights pertaining to any
Collateral.

                SECTION
5.4. Reasonable Care. The Administrative Agent is required to exercise
reasonable care in the custody and preservation of any of the Collateral in its
possession; provided that the Administrative Agent shall be deemed to
have exercised reasonable care in the custody and preservation of any of the
Collateral, if it takes such action for that purpose as the Grantor reasonably
requests in writing at times other than upon the occurrence and during the
continuance of any Specified Event, but failure of the Administrative Agent to
comply with any such request at any time shall not in itself be deemed a failure
to exercise reasonable care.

ARTICLE
VI

REMEDIES

                SECTION
6.1. Certain Remedies. If any Specified Event shall have occurred and be
continuing: 

                (a) The Administrative Agent may
exercise in respect of the Collateral, in addition to other rights and remedies
provided for herein or otherwise available to it, all the rights and remedies
of a secured party on default under the UCC (whether or not the UCC applies to
the affected Collateral) and also may

                (i) require the Grantor to, and
the Grantor hereby agrees that it will, at its expense and upon request of the
Administrative Agent forthwith, assemble all or part of the Collateral as
directed by the Administrative Agent and make it available to the
Administrative Agent at a place to be designated by the Administrative Agent
which is reasonably convenient to both parties, and

                (ii) without notice except as specified
below, sell the Collateral or any part thereof in one or more parcels at public
or private sale, at any of the Administrative Agent’s offices or elsewhere, for
cash, on credit or for future delivery, and upon such other terms as the
Administrative Agent may deem commercially reasonable. The Grantor agrees that,
to the extent notice of sale shall be required by law, at least ten days prior
notice to the Grantor of the time and place of any public sale or the time
after which any private sale is to be made shall constitute reasonable
notification. The Administrative Agent shall not be obligated to make any sale
of Collateral regardless of notice of sale having been given. The
Administrative Agent may adjourn any public or private sale from time to time
by announcement at the time and place fixed therefor, and such sale may,
without further notice, be made at the time and place to which it was so adjourned.

                (b) All cash proceeds received
by the Administrative Agent in respect of any sale of, collection from, or
other realization upon, all or any part of the Collateral shall be applied by
the Administrative Agent against, all or any part of the Obligations as set
forth in Section 2.7 of the Subsidiary Guaranty.

                (c) The Administrative Agent may

                (i) transfer all or any part of
the Collateral into the name of the Administrative Agent or its nominee, with
or without disclosing that such Collateral is subject to the Lien hereunder,

                (ii) notify the parties
obligated on any of the Collateral to make payment to the Administrative Agent
of any amount due or to become due thereunder,

                (iii) enforce collection of any
of the Collateral by suit or otherwise, and surrender, release or exchange all
or any part thereof, or compromise or extend or renew for any period (whether
or not longer than the original period) any obligations of any nature of any
party with respect thereto, 

                (iv) endorse any checks, drafts,
or other writings in the Grantor’s name to allow collection of the Collateral,

                (v) take control of any proceeds
of the Collateral, and

                (vi) execute (in the name, place
and stead of the Grantor) endorsements, assignments, stock powers and other
instruments of conveyance or transfer with respect to all or any of the
Collateral.

                SECTION 6.2. Securities Laws. If the
Administrative Agent shall determine to exercise its right to sell all or any
of the Collateral pursuant to Section 6.1, the Grantor agrees that, upon
request of the Administrative Agent, the Grantor will, at its own expense:

                (a) use its best efforts to
exempt the Collateral under the state securities or “Blue Sky” laws and to
obtain all necessary governmental approvals for the sale of the Collateral, as
requested by the Administrative Agent; and

                (b) do or cause to be done all
such other acts and things as may be necessary to make such sale of the
Collateral or any part thereof valid and binding and in compliance with
applicable law.

The Grantor further acknowledges the
impossibility of ascertaining the amount of damages that would be suffered by
any of the Secured Parties by reason of the failure of the Grantor to perform
any of the covenants contained in this Section and consequently, to the extent
permitted under applicable law, agrees that, if the Grantor shall fail to
perform any of such covenants, it shall pay, as liquidated damages and not as a
penalty, an amount equal to the value (as determined by the Administrative
Agent) of the Collateral on the date the Administrative Agent shall demand
compliance with this Section.

                SECTION
6.3. Compliance with Restrictions. The Grantor agrees that in any sale
of any of the Collateral whenever a Specified Event shall have occurred and be
continuing, the Administrative Agent is hereby authorized to comply with any
limitation or restriction in connection with such sale as it may be advised by
counsel is necessary in order to avoid any violation of applicable law
(including compliance with such procedures as may restrict the number of
prospective bidders and purchasers, require that such prospective bidders and
purchasers have certain qualifications, and restrict such prospective bidders
and purchasers to Persons who will represent and agree that they are purchasing
for their own account for investment and not with a view to the distribution or
resale of such Collateral), or in order to obtain any required approval of the
sale or of the purchaser by any Governmental Authority or official, and the
Grantor further agrees that such compliance shall not result in such sale being
considered or deemed not to have been made in a commercially reasonable manner,
nor shall the Administrative Agent be liable nor accountable to the Grantor for
any discount allowed by the reason of the fact that such Collateral is sold in
compliance with any such limitation or

restriction.

                SECTION
6.4. Protection of Collateral. The Administrative Agent may from time to
time, at its option, perform any act which the Grantor fails to perform after
being requested in writing so to perform (it being understood that no such
request need be given after the occurrence and during the continuance of a
Specified Event) and the Administrative Agent may from time to time take any
other action which the Administrative Agent reasonably deems necessary for the
maintenance, preservation or protection of any of the Collateral or of its
security interest therein.

ARTICLE
VII

MISCELLANEOUS PROVISIONS

                SECTION
7.1. Loan Document. This Security Agreement is a Loan Document executed
pursuant to the Credit Agreement and shall (unless otherwise expressly
indicated herein) be construed, administered and applied in accordance with the
terms and provisions thereof, including Article X thereof.

                SECTION
7.2. Binding on Successors, Transferees and Assigns; Assignment. This
Security Agreement shall remain in full force and effect until the Termination
Date has occurred, shall be binding upon the Grantor and its successors,
transferees and assigns and shall inure to the benefit of and be enforceable by
each Secured Party and its successors, transferees and assigns; provided that
the Grantor may not (unless otherwise permitted under the terms of the Credit
Agreement) assign any of its obligations hereunder without the prior written
consent of all Lenders.

                SECTION
7.3. Amendments, etc. No amendment to or waiver of any provision of this
Security Agreement, nor consent to any departure by the Grantor from its
obligations under this Security Agreement, shall in any event be effective
unless the same shall be in writing and signed by the Administrative Agent (on
behalf of the Lenders or the Required Lenders, as the case may be, pursuant to
Section 10.1 of the Credit Agreement) and then such waiver or consent shall be
effective only in the specific instance and for the specific purpose for which
given. 

                SECTION
7.4. Notices. All notices and other communications provided for
hereunder shall be in writing or by facsimile and addressed, delivered or
transmitted to the appropriate party at the address or facsimile number of such
party (in the case of any Subsidiary, in care of the Grantor) specified in the
Credit Agreement or at such other address or facsimile number as may be
designated by such party in a notice to the other party. Any notice or other
communication, if mailed and properly addressed with postage prepaid or if
properly addressed and sent by pre-paid courier service, shall be deemed given
when received; any such notice or other communication, if transmitted by
facsimile, shall be deemed given when transmitted and electronically confirmed.

                SECTION
7.5. Release of Liens. Upon (a) the Disposition of Collateral in
accordance with the Credit Agreement or (b) the occurrence of the Termination
Date, the security interests granted herein shall automatically terminate with
respect to (i) such Collateral (in the case of clause (a)) or (ii) all
Collateral (in the case of clause (b)). Upon any such Disposition or
termination, the Administrative Agent will, at the Grantor’s sole expense,
deliver to the Grantor, without any representations, warranties or recourse of
any kind whatsoever, all Collateral held by the Administrative Agent hereunder,
and execute and deliver to the Grantor such documents as the Grantor shall
reasonably request to evidence such termination. 

                SECTION
7.6. No Waiver; Remedies. In addition to, and not in limitation of Section
2.4, no failure on the part of any Secured Party to exercise, and no delay
in exercising, any right hereunder shall operate as a waiver thereof, nor shall
any single or partial exercise of any right hereunder preclude any other or
further exercise thereof or the exercise of any other right. The remedies
herein provided are cumulative and not exclusive of any remedies provided by
law.

                SECTION 7.7. Section Captions. Section
captions used in this Security Agreement are for convenience of reference only,
and shall not affect the construction of this Security Agreement.

                SECTION
7.8. Severability. Wherever possible each provision of this Security Agreement
shall be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Security Agreement shall be
prohibited by or invalid under such law, such provision shall be ineffective to
the extent of such prohibition or invalidity, without invalidating the
remainder of such provision or the remaining provisions of this Security
Agreement.

                SECTION
7.9. Governing Law, Entire Agreement, etc. THIS SECURITY AGREEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED
BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE
SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW
YORK). This Security Agreement and the other Loan Documents constitute
the entire understanding among the parties hereto with respect to the subject
matter hereof and thereof and supersede any prior agreements, written or oral,
with respect thereto.

                SECTION
7.10. Counterparts. This Security Agreement may be executed by the
parties hereto in several counterparts, each of which shall be deemed to be an
original and all of which shall constitute together but one and the same
agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Security Agreement to be duly executed and delivered by its
Authorized Officer as of the date first above written.

	 	USP DOMESTIC HOLDINGS, INC.
	 	 	 
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title: Senior Vice President and Chief
  Financial Officer
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,
 as Administrative Agent
	 
	 	 	 
	 	By:	 /s/ Julia P. Kingsbury
	 	 	

	 	 	Title: Vice President
	 	 	 
	 	 	 
	 	By:	 /s/ William S. Lutkins
	 	 	

	 	 	Title: Vice President

SCHEDULE
I

to Borrower Pledge and Security Agreement

Item A. Intercompany Notes

None.

Item B. Equity Interests

	 	 	 	Common Stock	 
	 	 	 	

	 
	 	 	 	# of	 	Authorized	 	Outstanding	 	% of Shares	 
	Issuer
  (corporate)	Cert. #	 	Shares	 	Shares	 	Shares	 	Pledged	 
	

	

	 	

	 	

	 	

	 	

	 
	USP
  North Texas, Inc.	2	 	1,000	 	1,000	 	1,000	 	100	%
	Health
  Horizons of Nashville, Inc.	8	 	1,000	 	1,000	 	1,000	 	100	%
	Health
  Horizons of Kansas City, Inc.	4	 	1,000	 	1,000	 	1,000	 	100	%
	Health
  Horizons of Murfreesboro, Inc.	3	 	1,000	 	1,000	 	1,000	 	100	%
	Health
  Horizons of Decatur, Inc.	4	 	1,000	 	1,000	 	1,000	 	100	%
	USP
  Nevada, Inc.	2	 	1,000	 	1,000	 	1,000	 	100	%
	USP
  Winter Park, Inc.	2	 	1,000	 	10,000	 	1,000	 	100	%
	USP
  Long Island, Inc.	1	 	1,000	 	1,000	 	1,000	 	100	%
	USP
  New Jersey, Inc.	2	 	1,000	 	1,000	 	1,000	 	100	%
	Texas
  Outpatient Surgicare Center, Inc.	34	 	2,600	 	100,000	 	2,600	 	100	%
	USP
  Chandler, Inc.	2	 	1,000	 	1,000	 	1,000	 	100	%
	USP
  South Houston, Inc.	2	 	1,000	 	1,000	 	1,000	 	100	%
	USP
  Pasadena, Inc.	2	 	1,000	 	1,000	 	1,000	 	100	%
	USP
  Manhattan, Inc.	1	 	1,000	 	1,000	 	1,000	 	100	%
	USP
  Las Cruces, Inc.	1	 	1,000	 	1,000	 	1,000	 	100	%
	OrthoLink
  Physicians Corporation	2	 	1,000	 	1,000	 	1,000	 	100	%

 

SCHEDULE
II

to Borrower Pledge and Security Agreement

Item A. Locations of Equipment

                None.

Item B. Location of Inventory

                None.

Item C. Location of Lock Boxes

                None.

Item D. Places of Business and Chief
Executive Office

                17103
Preston Road

                Suite 200 North

                Dallas, TX 75248

Item E. Trade Names

                None.

Item F. Merger or Other Corporate
Reorganization

                None.

Item G. Federal Taxpayer
Identification Number

                75-286611

Item H. Government Contracts

                None.

SCHEDULE
III

to Borrower Pledge and Security Agreement

Item A. Patents

                None.

Item B. Patent Licenses

                None.

SCHEDULE
IV

to Borrower Pledge and Security Agreement

Item A. Trademarks

                None.

Item B. Trademark Licenses

                None.

SCHEDULE
V

to Borrower Pledge and Security Agreement

Item A. Copyrights/Mask Works

                None.

Item B. Copyright/Mask Work Licenses

                None.

SCHEDULE
VI

to Borrower Pledge and Security Agreement

Trade
Secret or Know-How Licenses

None.

EXHIBIT
A

to Borrower Pledge and Security Agreement

DEMAND
NOTE

$____________  ____________ ___, ____

                FOR
VALUE RECEIVED, the undersigned, [NAME OF MAKER], a ____________ [corporation]
(the “Maker”), promises to pay on demand to the order of USP DOMESTIC
HOLDINGS, INC., a ____________ corporation (the “Payee”), the principal
sum of ____________________ DOLLARS ($____________) or such lesser amount which
equals the aggregate unpaid principal amount of all intercompany loans made by
the Payee to the Maker.

                The
unpaid principal amount of this demand note (this “Note”) shall bear
interest at a rate equal to such rate per annum as shall be agreed upon from
time to time by the Payee and the Maker, payable at such times as shall be
agreed upon by the Payee and the Maker, and all payments of principal of and
interest on this Note shall be payable in same day or immediately available
funds in Dollars. Except as set forth in the next sentence, all payments on
this Note shall be made by the Maker to the Payee’s account as notified to the
Maker from time to time, and shall be evidenced on the books and records of the
Maker and the Payee. The Maker hereby agrees that upon Credit Suisse First
Boston (including its successors, transferees or assigns, referred to as the “Administrative
Agent”) notifying the Maker that a Specified Event has occurred and is
continuing (collectively referred to as a “Payment Event”), it will make
(and the Payee irrevocably instructs the Maker to make) all payments of
principal and accrued interest on this Note on demand to an account identified
by the Administrative Agent, and upon the delivery of such notice (which can
include a facsimile notice), the Administrative Agent shall have all rights of
the Payee to demand (and collect) payment of, and enforce all rights with
respect to, the Indebtedness evidenced by this Note.

                This
Note is one of the Intercompany Notes referred to in the Borrower Pledge and
Security Agreement, dated as of June 13, 2001 (as amended, supplemented,
amended and restated or otherwise modified from time to time, the “Security
Agreement”), among various Persons (including the Payee) and the
Administrative Agent and has been pledged to the Administrative Agent (for its
benefit and the ratable benefit of each other Secured Party) as security for
the Obligations outstanding from time to time under the Loan Documents. Unless
otherwise defined herein or the context otherwise requires, terms used in this
Note have the meanings provided in (or by reference in) the Security Agreement.

                THIS NOTE SHALL BE DEEMED TO BE
A CONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW
YORK (INCLUDING FOR SUCH PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL
OBLIGATIONS LAW OF THE STATE OF NEW YORK). THE MAKER HEREBY KNOWINGLY,
VOLUNTARILY AND INTENTIONALLY WAIVES ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY
IN RESPECT OF ANY LITIGATION BASED ON THIS NOTE. THE MAKER ACKNOWLEDGES AND
AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS
PROVISION AND THAT THIS PROVISION IS A MATERIAL INDUCEMENT FOR THE PAYEE TO
ACCEPT THIS NOTE.

	 	[NAME OF MAKER]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	Pay to the order of CREDIT SUISSE FIRST
  BOSTON, as Administrative Agent
	 
	 	 
	 	 
	 	USP DOMESTIC HOLDINGS, INC.
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:

EXHIBIT
B

to Borrower Pledge and Security Agreement

PATENT
SECURITY AGREEMENT

                This
PATENT SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),
is made between USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Grantor”),
and CREDIT SUISSE FIRST BOSTON, as administrative agent (together with its
successor(s) thereto in such capacity, the “Administrative Agent”) for
each of the Secured Parties.

W I T N E S
S E T H :

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among the Grantor, the Lenders, Société Générale,
as the Documentation Agent, Lehman Commercial Paper Inc., as the Syndication
Agent, and the Administrative Agent, the Lenders and the Issuer have extended
Commitments to make Credit Extensions to the Borrower; 

                WHEREAS,
in connection with the Credit Agreement, the Grantor has executed and delivered
a Borrower Pledge and Security Agreement, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, the “Security Agreement”);

                WHEREAS,
pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 of
the Security Agreement, the Grantor is required to execute and deliver this
Agreement and to grant to the Administrative Agent a continuing security
interest in all of the Patent Collateral (as defined below) to secure all
Obligations; and

                WHEREAS,
the Grantor has duly authorized the execution, delivery and performance of this
Agreement; and

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Grantor agrees, for the benefit of each
Secured Party, as follows:

                SECTION
1. Definitions. Unless otherwise defined herein or the context otherwise
requires, terms used in this Agreement, including its preamble and recitals,
have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.
The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,
delivers, and transfers to the Administrative Agent, for its benefit and the
ratable benefit of each other Secured Party, and hereby grants to the
Administrative Agent, for its benefit and the ratable benefit of each other
Secured Party, a continuing security interest in all of the following property,
whether now or hereafter existing or acquired by the Grantor (the “Patent
Collateral”):

                (a) all of its letters patent
and applications for letters patent throughout the world, including all patent
applications in preparation for filing and each patent and patent application
referred to in Item A of Schedule I attached hereto;

                (b) all reissues, divisions,
continuations, continuations-in-part, extensions, renewals and reexaminations
of any of the items described in clause (a);

                (c) all of its patent licenses,
and other agreements providing the Grantor with the right to use any items of
the type referred to in clauses (a) and (b) above, including each patent
license referred to in Item B of Schedule I attached hereto; and

                (d) all proceeds of, and rights
associated with, the foregoing (including license royalties and proceeds of
infringement suits), the right to sue third parties for past, present or future
infringements of any patent or patent application, and for breach or
enforcement of any patent license.

                SECTION
3. Security Agreement. This Agreement has been executed and delivered by
the Grantor for the purpose of registering the security interest of the
Administrative Agent in the Patent Collateral with the United States Patent and
Trademark Office and corresponding offices in other countries of the world. The
security interest granted hereby has been granted as a supplement to, and not
in limitation of, the security interest granted to the Administrative Agent for
its benefit and the ratable benefit of each other Secured Party under the
Security Agreement. The Security Agreement (and all rights and remedies of the
Administrative Agent and each Secured Party thereunder) shall remain in full
force and effect in accordance with its terms.

                SECTION
4. Release of Liens. Upon (i) the Disposition of Patent Collateral in
accordance with the Credit Agreement or (ii) the occurrence of the Termination
Date, the security interests granted herein shall automatically terminate with
respect to (A) such Patent Collateral (in the case of clause (i)) or (B)
all Patent Collateral (in the case of clause (ii)). Upon any such
Disposition or termination, the Administrative Agent will, at the Grantor’s
sole expense, deliver to the Grantor, without any representations, warranties
or recourse of any kind whatsoever, all Patent Collateral held by the
Administrative Agent hereunder, and execute and deliver to the Grantor such
documents as the Grantor shall reasonably request to evidence such termination.

                SECTION
5. Acknowledgment. The Grantor does hereby further acknowledge and
affirm that the rights and remedies of the Administrative Agent with respect to
the security interest in the Patent Collateral granted hereby are more fully
set forth in the Security Agreement, the terms and provisions of which
(including the remedies provided for therein) are incorporated by reference
herein as if fully set forth herein.

                SECTION 6. Loan Document. This Agreement
is a Loan Document executed pursuant to the Credit Agreement and shall (unless
otherwise expressly indicated herein) be construed, administered and applied in
accordance with the terms and provisions thereof, including Article X thereof.

                SECTION
7. Counterparts. This Agreement may be executed by the parties hereto in
several counterparts, each of which shall be deemed to be an original and all
of which shall constitute together but one and the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Agreement to be duly executed and delivered by its Authorized
Officers as of the date first above written.

	 	USP DOMESTIC HOLDINGS,INC.
	 	 
	 	 
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title: Senior Vice President and Chief
  Financial Officer
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 
	 	 	 
	 	By:	 /s/ Julia p. Kingsbury
	 	 	

	 	 	Title: Vice President
	 	 	 
	 	 	 
	 	By:	 /s/ William S. Lutkins
	 	 	

	 	 	Title: 
  Vice President

SCHEDULE
I

to Patent Security Agreement

Item A. Patents

	Issued Patents	 	 	 	 	 	 	 
	

	 	 	 	 	 	 	 
	Country	Patent No.	 	Issue Date	 	Inventor(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Pending Patent Applications	 
	

	 
	Country	Serial No.	 	Filing Date	 	Inventor(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Patent Applications in Preparation	 
	

	 
	Country	Docket No.	 	Expected

  Filing Date	 	Inventor(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

Item B. Patent Licenses

	Country or	 	 	 	 	Effective	 	Expiration	 	Subject	 
	Territory	Licensor	 	Licensee	 	Date	 	Date	 	Matter	 
	

	

	 	

	 	

	 	

	 	

	 

EXHIBIT
C

to Borrower Pledge and Security Agreement

TRADEMARK
SECURITY AGREEMENT

                This
TRADEMARK SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),
is made between USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Grantor”),
and CREDIT SUISSE FIRST BOSTON, as administrative agent (together with its
successor(s) thereto in such capacity, the “Administrative Agent”) for
each of the Secured Parties.

W
I T N E S S E T H:

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among the Grantor, the Lenders, Société Générale,
as the Documentation Agent, Lehman Commercial Paper Inc., as the Syndication
Agent, and the Administrative Agent, the Lenders and the Issuer have extended
Commitments to make Credit Extensions to the Borrower;

                WHEREAS,
in connection with the Credit Agreement, the Grantor has executed and delivered
a Borrower Pledge and Security Agreement, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, the “Security Agreement”);

                WHEREAS,
pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 of
the Security Agreement, the Grantor is required to execute and deliver this
Agreement and to grant to the Administrative Agent a continuing security
interest in all of the Trademark Collateral (as defined below) to secure all
Obligations; and

                WHEREAS,
the Grantor has duly authorized the execution, delivery and performance of this
Agreement; and

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Grantor agrees, for the benefit of each
Secured Party, as follows:

                SECTION
1. Definitions. Unless otherwise defined herein or the context otherwise
requires, terms used in this Agreement, including its preamble and recitals,
have the meanings provided in the Security Agreement.

                SECTION
2. Grant of Security Interest. The Grantor hereby assigns, pledges,
hypothecates, charges, mortgages, delivers, and transfers to the Administrative
Agent, for its benefit and the ratable benefit of each other Secured Party, and
hereby grants to the Administrative Agent, for its benefit and the ratable benefit
of each other Secured Party, a continuing security interest in all of the
following property, whether now or hereafter existing or acquired by the
Grantor (the “Trademark Collateral”):

                (a) (i) all of its trademarks,
trade names, corporate names, company names, business names, fictitious
business names, trade styles, service marks, certification marks, collective
marks, logos and other source or business identifiers, and all goodwill of the
business associated therewith, now existing or hereafter adopted or acquired
including those referred to in Item A of Schedule I hereto,
whether currently in use or not, all registrations and recordings thereof and
all applications in connection therewith, whether pending or in preparation for
filing, including registrations, recordings and applications in the United
States Patent and Trademark Office or in any office or agency of the United
States of America or any State thereof or any other country or political
subdivision thereof or otherwise, and all common-law rights relating to the
foregoing, and (ii) the right to obtain all reissues, extensions or renewals of
the foregoing (collectively referred to as the “Trademark”);

                (b) all of the goodwill of the
business connected with the use of, and symbolized by the items described in,
clause (a), and to the extent applicable clause (b);

                (c) the right to sue third
parties for past, present and future infringements of any Trademark Collateral
described in clause (a) and, to the extent applicable, clause (b); and 

                (d) all proceeds of, and rights
associated with, the foregoing, including any claim by the Grantor against
third parties for past, present or future infringement or dilution of any
Trademark, Trademark registration or Trademark license, or for any injury to
the goodwill associated with the use of any such Trademark or for breach or
enforcement of any Trademark license and all rights corresponding thereto
throughout the world.

                SECTION
3. Security Agreement. This Agreement has been executed and delivered by
the Grantor for the purpose of registering the security interest of the
Administrative Agent in the Trademark Collateral with the United States Patent
and Trademark Office and corresponding offices in other countries of the world.
The security interest granted hereby has been granted as a supplement to, and
not in limitation of, the security interest granted to the Administrative Agent
for its benefit and the ratable benefit of each other Secured Party under the
Security Agreement. The Security Agreement (and all rights and remedies of the
Administrative Agent and each Secured Party thereunder) shall remain in full
force and effect in accordance with its terms.

                SECTION 4. Release of Liens. Upon (i) the
Disposition of Trademark Collateral in accordance with the Credit Agreement or
(ii) the occurrence of the Termination Date, the security interests granted
herein shall automatically terminate with respect to (A) such Trademark
Collateral (in the case of clause (i)) or (B) all Trademark Collateral
(in the case of clause (ii)). Upon any such Disposition or termination,
the Administrative Agent will, at the Grantor’s sole expense, deliver to the
Grantor, without any representations, warranties or recourse of any kind
whatsoever, all Trademark Collateral held by the Administrative Agent
hereunder, and execute and deliver to the Grantor such documents as the Grantor
shall reasonably request to evidence such termination.

                SECTION
5. Acknowledgment. The Grantor does hereby further acknowledge and
affirm that the rights and remedies of the Administrative Agent with respect to
the security interest in the Trademark Collateral granted hereby are more fully
set forth in the Security Agreement, the terms and provisions of which
(including the remedies provided for therein) are incorporated by reference
herein as if fully set forth herein.

                SECTION
6. Loan Document. This Agreement is a Loan Document executed pursuant to
the Credit Agreement and shall (unless otherwise expressly indicated herein) be
construed, administered and applied in accordance with the terms and provisions
thereof, including Article X thereof.

                SECTION
7. Counterparts. This Agreement may be executed by the parties hereto in
several counterparts, each of which shall be deemed to be an original and all
of which shall constitute together but one and the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Agreement to be duly executed and delivered by Authorized
Officer as of the date first above written.

	 	USP DOMESTIC HOLDINGS, INC.
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 
	 	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	By:	 
	 	 	

	 	 	Title:

SCHEDULE
I

to Trademark Security Agreement

Item A. Trademarks

	Registered Trademarks	 
	

	 
	Country	Trademark	 	Registration No.	 	Registration Date	 
	

	

	 	

	 	

	 

 

 

	Pending Trademark Applications	 
	

	 
	Country	Trademark	 	Serial No.	 	Filing Date	 
	

	

	 	

	 	

	 

 

	Trademark Applications in Preparation	 
	

	 
	 	 	 	 	 	Expected	 	Products/	 
	Country	Trademark	 	Docket No.	 	Filing Date	 	Services	 
	

	

	 	

	 	

	 	

	 

 

Item B. Trademark Licenses

	Country or	 	 	 	 	 	 	Effective	 	Expiration	 
	Territory	Trademark	 	Licensor	 	Licensee	 	Date	 	Date	 
	

	

	 	

	 	

	 	

	 	

	 

 

EXHIBIT
D

to Borrower Pledge and Security Agreement

COPYRIGHT
SECURITY AGREEMENT

                This
COPYRIGHT SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),
is made between USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Grantor”),
and CREDIT SUISSE FIRST BOSTON, as administrative agent (together with its
successor(s) thereto in such capacity, the “Administrative Agent”) for
each of the Secured Parties.

W
I T N E S S E T H :

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among the Grantor, the Lenders, Société Générale,
as the Documentation Agent, Lehman Commercial Paper Inc., as the Syndication
Agent, and the Administrative Agent, the Lenders and the Issuer have extended Commitments
to make Credit Extensions to the Borrower; 

                WHEREAS,
in connection with the Credit Agreement, the Grantor has executed and delivered
a Borrower Pledge and Security Agreement, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, the “Security Agreement”);

                WHEREAS,
pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 of
the Security Agreement, the Grantor is required to execute and deliver this
Agreement and to grant to the Administrative Agent a continuing security
interest in all of the Copyright Collateral (as defined below) to secure all
Obligations; and

                WHEREAS,
the Grantor has duly authorized the execution, delivery and performance of this
Agreement; and

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Grantor agrees, for the benefit of each
Secured Party, as follows:

                SECTION
1. Definitions. Unless otherwise defined herein or the context otherwise
requires, terms used in this Agreement, including its preamble and recitals,
have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.
The Grantor hereby assigns, pledges, hypothecates, charges, mortgages, delivers,
and transfers to the Administrative Agent, for its benefit and the ratable
benefit of each other Secured Party, and hereby grants to the Administrative
Agent, for its benefit and the ratable benefit of each other Secured Party, a
continuing security interest in all of the following Copyright Collateral (as
defined below), whether now or hereafter existing or acquired by the Grantor. 

                “Copyright
Collateral” means all copyrights of the Grantor, whether statutory or
common law, registered or unregistered and whether published or unpublished,
now or hereafter in force throughout the world including all of the Grantor’s
right, title and interest in and to all copyrights registered in the United
States Copyright Office or anywhere else in the world and also including the
copyrights referred to in Item A of Schedule I attached hereto,
and registrations and recordings thereof and all applications for registration
thereof, whether pending or in preparation, all copyright licenses, including
each copyright license referred to in Item B of Schedule I
attached hereto, the right to sue for past, present and future infringements of
any of the foregoing, all rights corresponding thereto, all extensions and
renewals of any thereof and all proceeds of the foregoing, including licenses,
royalties, income, payments, claims, damages and proceeds of suit.

                SECTION
3. Security Agreement. This Agreement has been executed and delivered by
the Grantor for the purpose of registering the security interest of the
Administrative Agent in the Copyright Collateral with the United States
Copyright Office and corresponding offices in other countries of the world. The
security interest granted hereby has been granted as a supplement to, and not
in limitation of, the security interest granted to the Administrative Agent for
its benefit and the ratable benefit of each other Secured Party under the
Security Agreement. The Security Agreement (and all rights and remedies of the
Administrative Agent and each Secured Party thereunder) shall remain in full
force and effect in accordance with its terms.

                SECTION
4. Release of Liens. Upon (i) the Disposition of Copyright Collateral in
accordance with the Credit Agreement or (ii) the occurrence of the Termination
Date, the security interests granted herein shall automatically terminate with
respect to (A) such Copyright Collateral (in the case of clause (i)) or
(B) all Copyright Collateral (in the case of clause (ii)). Upon any such
Disposition or termination, the Administrative Agent will, at the Grantor’s
sole expense, deliver to the Grantor, without any representations, warranties
or recourse of any kind whatsoever, all Copyright Collateral held by the
Administrative Agent hereunder, and execute and deliver to the Grantor such
documents as the Grantor shall reasonably request to evidence such termination.

                SECTION
5. Acknowledgment. The Grantor does hereby further acknowledge and
affirm that the rights and remedies of the Administrative Agent with respect to
the security interest in the Copyright Collateral granted hereby are more fully
set forth in the Security Agreement, the terms and provisions of which
(including the remedies provided for therein) are incorporated by reference
herein as if fully set forth herein. 

                SECTION
6. Loan Document. This Agreement is a Loan Document executed pursuant to
the Credit Agreement and shall (unless otherwise expressly indicated herein) be
construed, administered and applied in accordance with the terms and provisions
thereof, including Article X thereof.

                SECTION 7. Counterparts. This Agreement may be
executed by the parties hereto in several counterparts, each of which shall be
deemed to be an original and all of which shall constitute together but one and
the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Agreement to be duly executed and delivered by its Authorized
Officer as of the date first above written.

	 	USP DOMESTIC HOLDINGS, INC.
	 	 
	 	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 	 
	 	 	 
	 	By:	_________________________________
	 	 	Title:
	 	 	 
	 	 	 
	 	By:	_________________________________
	 	 	Title:

SCHEDULE
I

to Copyright Security Agreement

Item A. Copyrights/Mask Works

	Registered Copyrights/Mask Works	 
	

	 
	Country	Registration No.	 	Registration Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Copyright/Mask Work Pending Registration
  Applications	 
	

	 
	Country	Serial No.	 	Filing Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Copyright/Mask Work Registration Applications
  in Preparation	 
	

	 
	 	Expected	 	 	 	 	 	 	 
	Country	Docket No.	 	Filing Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

Item B. Copyright/Mask Work Licenses

	Country or	 	 	 	 	Effective	 	Expiration	 
	Territory	Licensor	 	Licensee	 	Date	 	Date	 
	

	

	 	

	 	

	 	

	 

 

EXHIBIT
B

BORROWING REQUEST

Credit Suisse First Boston,

  as Administrative Agent

11 Madison Avenue

New York, New York 10010

Attention:______________________

USP
DOMESTIC HOLDINGS, INC.

Ladies and Gentlemen:

                This
Borrowing Request is delivered to you pursuant to Section 2.3 of the Credit
Agreement, dated as of June 13, 2001 (as amended, supplemented, amended and
restated or otherwise modified from time to time, the “Credit Agreement”),
among USP Domestic Holdings, Inc., a Delaware corporation (the “Borrower”),
the Lenders, Credit Suisse First Boston , as Administrative Agent, Lehman
Commercial Paper Inc., as Syndication Agent, and Société Générale, as
Documentation Agent. Terms used herein, unless otherwise defined herein, have
the meanings provided in the Credit Agreement.

                The
Borrower hereby requests that a Revolving Loan be made in the aggregate
principal amount of $____________ on _____________ ___, _________ as a [Base
Rate Loan] [LIBO Rate Loan
having an Interest Period of _____ months].

                The
Borrower hereby acknowledges that, pursuant to Section 5.2.2 of the Credit
Agreement, each of the delivery of this Borrowing Request and the acceptance by
the Borrower of the proceeds of the Loans requested hereby constitutes a
representation and warranty by the Borrower that, on the date of the making of
such Loans, and both before and after giving effect thereto and to the
application of the proceeds therefrom, all statements set forth in Section
5.2.1 of the Credit Agreement are true and correct in all material respects
(unless stated to relate solely to an earlier date, in which case such
representations and warranties shall be true and correct in all material
respects as of such earlier date).

                The Borrower agrees that if prior to the time of
the Borrowing requested hereby any matter certified to herein by it will not be
true and correct in all material respects at such time as if then made, it will
immediately so notify the Administrative Agent. Except to the extent, if any,
that prior to the time of the Borrowing requested hereby the Administrative
Agent shall receive written notice to the contrary from the Borrower, each
matter certified to herein shall be deemed once again to be certified as true
and correct in all material respects at the date of such Borrowing as if then
made.

                Please
wire transfer the proceeds of the Borrowing to the accounts of the following
persons at the fi nancial institutions indicated respectively:

 

	 	Person
  to be Paid	 
	Amount
  to	

	Name,
  Address, etc.
	be
  Transferred	Name	Account
  No.	Of
  Transferee Lender
	

	

	

	

	 	 	 	 
	$_________________________	__________________________	__________________________	__________________________
	 	 	 	__________________________
	 	 	 	Attention: _________________
	 	 	 	 
	$_________________________	__________________________	__________________________	__________________________
	 	 	 	__________________________
	 	 	 	Attention: _________________
	 	 	 	 
	$_________________________	__________________________	__________________________	__________________________
	 	 	 	__________________________
	 	 	 	Attention: _________________
	Balance of such	 	 	 
	proceeds	The Borrower	 	_________________________
	 	 	 	__________________________
	 	 	 	Attention: _________________

 

                IN
WITNESS WHEREOF, the Borrower has caused this Borrowing Request to be executed
and delivered, and the certifications and warranties contained herein to be
made, by its duly Authorized Officer this _____ day of ___________, ________.

 

	 	USP DOMESTIC HOLDINGS, INC.
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:

 

COMPLIANCE
CERTIFICATE

USP
DOMESTIC HOLDINGS, INC.

                This
Compliance Certificate is delivered pursuant to Clause (c) of Section 7.1.1 of
the Credit Agreement, dated as of June 13, 2001 (as amended, supplemented,
amended and restated or otherwise modified from time to time, the “Credit
Agreement”), among USP Domestic Holdings, Inc., a Delaware corporation (the
“Borrower”), the Lenders, Credit Suisse First Boston, as Administrative
Agent, Lehman Commercial Paper Inc., as Syndication Agent, and Société
Générale, as Documentation Agent. Unless otherwise defined herein or the
context otherwise requires, terms used herein or in any of the attachments
hereto have the meanings

provided in the Credit Agreement.

                The
Borrower hereby certifies, represents and warrants in respect of the period
(the “Computation Period”) of four Fiscal Quarters ending on ______ __,
____ (such latter date being the “Computation Date”):

	(a)	As of the Computation Date, no Default
  had occurred and was continuing[, except for ________________].
	 	 
	(b)	The Total Debt to EBITDA Ratio was
  ___:1, as computed on Attachment 1 hereto. The maximum Total Debt to
  EBITDA Ratio permitted pursuant to clause (a) of Section 7.2.4 of the Credit
  Agreement on the Computation Date is ___:1, and, accordingly, the covenant
  [has][has not] been complied with.
	 	 
	(c)	The Senior Debt to EBITDA Ratio was
  __:1, as computed on Attachment 2 hereto. The maximum Senior Debt to
  EBITDA Ratio permitted pursuant to clause (b) of Section 7.2.4 of the Credit
  Agreement on the Computation Date is ___:1, and, accordingly, the covenant
  [has][has not] been complied with.
	 	 
	(d)	The Fixed Charge Coverage Ratio was
  __:1, as computed on Attachment 3 hereto. The minimum Fixed Charge
  Coverage Ratio required pursuant to clause (c) of Section 7.2.4 of the Credit
  Agreement on the Computation Date is ___:1, and, accordingly, the covenant
  [has][has not] been complied with.
	 	 
	(e)	The Interest Coverage Ratio was __:1,
  as computed on Attachment 4 hereto. The minimum Interest Coverage
  Ratio required pursuant to clause (d) of Section 7.2.4 of the Credit Agreement
  on the Computation Date is ___:1, and, accordingly, the covenant [has][has
  not] been complied with.
	 	 
	(f)	The Parent Total Debt to Parent Total
  Capitalization Ratio was ___:1, as computed on Attachment 5 hereto.
  The maximum Parent Total Debt to Parent Total Capitalization Ratio permitted
  pursuant to Section 8.1.12 if the Credit Agreement is 0.60:1, and,
  accordingly, [no][a] Default has occurred [and is continuing].

                IN WITNESS WHEREOF, the Borrower has caused this
Compliance Certificate to be executed and delivered, and the certification and
warranties contained herein to be made, by its officer thereunto duly
authorized as of the date first above written.

	 	USP DOMESTIC HOLDINGS, INC.
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:

Attachment
1

(to _/_/_ Compliance

Certificate)

TOTAL
DEBT TO EBITDA RATIO

on __________

(the “Computation Date”)

	

	A.	Total Debt: the outstanding principal
  amount of the following types of Indebtedness of the Borrower and its
  Consolidated Entities (in each case exclusive of intercompany Indebtedness
  between the Borrower and its Consolidated Entities):	 
	

	 	(1)	All obligations for borrowed money or
  advances and all obligations evidenced by bonds, debentures, notes or other
  similar instruments (which, in the case of the Loans, shall be deemed to
  equal the average daily amount of the Loans outstanding for the Fiscal
  Quarter ending on or immediately preceding the Computation Date)	$__________
	

	 	(2)	All obligations, contingent or
  otherwise, relative to the face amount of all letters of credit, whether or
  not drawn, and banker’s acceptances, in each case issued for the account of
  the Borrower and its Consolidated Entities (which, in the case of Letter of
  Credit Outstandings, shall be deemed to equal the average daily amount of
  Letter of Credit Outstandings for the Fiscal Quarter ending on or immediately
  preceding the Computation Date)	$__________
	

	 	(3)	All Capitalized Lease Liabilities (all
  monetary obligations under any leasing or similar arrangement which have been
  (or in accordance with GAAP should be) classified as capitalized leases and
  for purposes of each Loan Document the amount of such obligations shall be
  the capitalized amount thereof, determined in accordance with GAAP, and the
  stated maturity thereof shall be the date of the last payment of rent or any
  other amount due under such lease prior to the first date upon which such
  lease may be terminated by the lessee without payment of a premium or
  penalty)	$__________
	

 

	

	 	(4)	All obligations arising under Synthetic
  Leases (any lease (including leases that may be terminated by the lessee at
  any time) of any property (whether real, personal or mixed) (a) that is not a
  capital lease in accordance with GAAP and (b) in respect of which the lessee
  retains or obtains ownership of the property so leased for federal income tax
  purposes, other than any such lease under which the Borrower or any of its
  Consolidated Entities is the lessor)	$__________
	

	 	(5)	Contingent Liabilities in respect of
  any of the foregoing.	$__________
	

	 	(6)	The sum of Items A(1) through A(5)	$__________
	

	B.	EBIDTA 1: the sum, for the Borrower and its
  Consolidated Entities, of:	 
	

	 
	1	EBITDA shall be adjusted to give pro
  forma effect to Permitted Acquisitions made during any period as if such
  Permitted Acquisitions had been made at the beginning of such period. In
  addition, for the first three Fiscal Quarters of the 2001 Fiscal Year, EBITDA
  shall be Annualized.
	

	 	(1)	Net Income (the aggregate of all
  amounts, exclusive of all amounts in respect of any extraordinary gains but
  including extraordinary losses, which would be included as net income on the
  consolidated financial statements of the Borrower and its Consolidated
  Entities)	$__________
	

	 	(2)	To the extent deducted in determining
  Net Income, the sum of the following:	 
	

	 	 	(a)	Amounts attributable to amortization	$__________
	

	 	 	(b)	Income tax expense	$__________
	

	 	 	(c)	Interest Expense (without duplication,
  the aggregate interest expense (both accrued and paid and net of any interest
  income paid during such period to the Borrower and it Consolidated Entities)
  of the Borrower and its Consolidated Entities for the Computation Period
  (including the portion of any payments made in respect of Capitalized Lease
  Liabilities allocable to interest expense)	$__________
	

	 	 	(d)	 Depreciation of assets	$__________
	

 

	

	 	(3)	The sum of Items B(2)(a) through
  B(2)(d)	$__________
	 	 	 	 
	 	(4)	EBITDA: the sum of Items B(1)
  and B(3)	$__________
	 	 	 	 
	C.	TOTAL DEBT TO EBITDA RATIO: the ratio
  of Item A(6) to Item B(4)	_________: 1
	

 

Attachment
2

(to _/_/_ Compliance

Certificate)

SENIOR
DEBT TO EBITDA RATIO

on ___________

(the “Computation Date”)

 

	

	A.	Senior Debt:	 
	

	 	(1)	Total Debt (see Item A(6) of Attachment
  1)	$___________
	

	 	(2)	Subordinated Debt (the WACS Debt and
  other unsecured Indebtedness of the Borrower subordinated in right of payment
  to the Obligations pursuant to documentation containing redemption and other
  prepayment events, maturities, amortization schedules, covenants, events of
  default, remedies, acceleration rights, subordination provisions and other
  material terms satisfactory to the Administrative Agent)	$___________
	

	 	(3)	Item A(1) less Item A(2)	$___________
	

	B.	EBITDA (see Item B(4) of Attachment
  1)	$___________
	

	C.	SENIOR DEBT TO EBITDA RATIO: the ratio
  of Item A(3) to Item B	___________: 1
	

 

Attachment
3

(to _/_/_ Compliance

Certificate)

FIXED
CHARGE COVERAGE RATIO

on ___________

(the “Computation Date”)

	

	A.	EBITDA (see Item B(4) of Attachment
  1)	$ _________
	

	B.	Amounts attributable to Minority
  Interests to the extent deducted in determining Net Income	$ _________
	

	C.	Maintenance Capital Expenditures (any
  Capital Expenditures made with respect to the maintenance of existing assets)	$ _________
	

	D.	The sum of Item A and Item B
  less Item C	$ _________
	

	E.	Fixed Charges 2:	$ _________
	

	 
	2	For the first three Fiscal Quarters of
  the 2001 Fiscal Year, the amount of Fixed Charges shall be Annualized.	 
	

	 	(1)	Interest Expense (see Item B(2)(c)
  of Attachment 1)	$ _________
	

	 	(2)	All scheduled principal repayments of
  Indebtedness made during the Computation Period	$ _________
	

	 	(3)	All income Taxes actually paid in cash	$ _________
	

	 	(4)	The sum of Items B(1) through B(3)	$ _________
	

	F.	FIXED CHARGE COVERAGE RATIO: the ratio
  of Item D to Item E(4)	_________: 1
	

Attachment
4

(to _/_/_ Compliance

Certificate)

INTEREST
COVERAGE RATIO

on ___________

(the “Computation Date”)

	

	A.	EBITDA (see Item B(4) of Attachment
  1)	$ _________
	

	B.	Amounts attributable to Minority
  Interests to the extent deducted in determining Net Income	$____________
	

	C.	The sum of Item A and Item B	$____________
	

	D.	Interest Expense (see Item B(2)(c)
  of Attachment 1)	$____________
	

	E.	INTEREST COVERAGE RATIO: the ratio of Item
  C to Item D	___________:1
	

 

Attachment 5

(to _/_/_ Compliance

Certificate)

PARENT
TOTAL DEBT TO PARENT TOTAL CAPITALIZATION RATIO

on ___________

(the “Computation Date”)

	

	A.	Parent Total Debt: the outstanding
  principal amount of the following types of Indebtedness of the Parent and its
  Subsidiaries:	$___________
	

	 	(1)	All obligations for borrowed money or
  advances and all obligations evidenced by bonds, debentures, notes or other
  similar instruments	$___________
	

	 	(2)	All obligations, contingent or
  otherwise, relative to the face amount of all letters of credit, whether or
  not drawn, and banker’s acceptances, in each case issued for the account of
  the Parent and its Subsidiaries	$___________
	

	 	(3)	All Capitalized Lease Liabilities (all
  monetary obligations under any leasing or similar arrangement which have been
  (or in accordance with GAAP should be) classified as capitalized leases and
  for purposes of each Loan Document the amount of such obligations shall be
  the capitalized amount thereof, determined in accordance with GAAP, and the
  stated maturity thereof shall be the date of the last payment of rent or any
  other amount due under such lease prior to the first date upon which such
  lease may be terminated by the lessee without payment of a premium or
  penalty)	$___________
	

	 	(4)	All obligations arising under Synthetic
  Leases (any lease (including leases that may be terminated by the lessee at
  any time) of any property (whether real, personal or mixed) (a) that is not a
  capital lease in accordance with GAAP and (b) in respect of which the lessee
  retains or obtains ownership of the property so leased for federal income tax
  purposes, other than any such lease under which Parent and its Subsidiaries
  is the lessor)	$___________
	

	 	(5)	Contingent Liabilities in respect of
  any of the foregoing.	$___________
	

	B.	The sum of Items A(1) through A(5)	 
	

 

 

	

	C.	Parent Total Capitalization:	 
	

	 	(1)	All amounts (without duplication)
  which, in accordance with GAAP, would be included in Parent’s stockholders’
  equity (excluding unrealized gains or losses recorded pursuant to FAS 115) as
  required to be reported in Parent’s then most recent consolidated balance
  sheet	$___________
	

	 	(2)	Parent Total Debt (see Item B)	$___________
	

	D.	The sum of Items C(1) and C(2)	$___________
	

	E.	PARENT TOTAL DEBT TO PARENT TOTAL
  CAPITALIZATION RATIO: the ratio of Item B to Item D	___________:1
	

 

 

EXHIBIT
D

CONTINUATION/CONVERSION
NOTICE

Credit Suisse First Boston,

  as Administrative Agent

11 Madison Avenue

New York, New York 10010

Attention:______________________

USP
DOMESTIC HOLDINGS, INC.

Ladies and Gentlemen:

                This
Continuation/Conversion Notice is delivered to you pursuant to Section 2.4 of
the Credit Agreement, dated as of June 13, 2001 (as amended, supplemented,
amended and restated or otherwise modified from time to time, the “Credit
Agreement”), among USP Domestic Holdings, Inc., a Delaware corporation (the “Borrower”),
the Lenders, Credit Suisse First Boston, as Administrative Agent, Lehman
Commercial Paper Inc., as Syndication Agent, and Société Générale, as
Documentation Agent. Terms used herein, unless otherwise defined herein, have
the meanings provided in the Credit Agreement.

                The
Borrower hereby requests that on ___________ ___, ________, 

                (1) $____________ of the
presently outstanding principal amount of the Revolving Loans originally made
on ____________ ___, _____, presently being maintained as [Base Rate Loans]
[LIBO Rate Loans], 

                (2) be [converted into]
[continued as], 

                (3) 1[LIBO Rate Loans having an Interest Period of
_____ months] [Base Rate Loans].

	1	Insert
  appropriate interest rate option and, if applicable, the number of months
  with respect to LIBO Rate Loans.

 

The
Borrower hereby:

                (a) certifies and warrants that no
Default has occurred and is continuing; and

                (b) agrees that if prior to the
time of the [continuation] [conversion] requested hereby any matter certified
to herein by it will not be true and correct at such time as if then made, it
will immediately so notify the Administrative Agent.

Except to the extent, if any, that prior
to the time of the [continuation] [conversion] requested hereby the
Administrative Agent shall receive written notice to the contrary from the
Borrower, each matter certified to herein shall be deemed once again to be
certified as true and correct in all material respects at the date of such
[continuation] [conversion] as if then made.

                IN WITNESS WHEREOF, the Borrower has caused this
Continuation/Conversion Notice to be executed and delivered, and the
certifications and warranties contained herein to be made, by its duly
Authorized Officer this _____ day of ____________, _______.

 

	 	USP DOMESTIC HOLDINGS, INC.
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:

 

 

[EXECUTION
COPY]

HOLDINGS GUARANTY AND PLEDGE AGREEMENT

                This
HOLDINGS GUARANTY AND PLEDGE AGREEMENT, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time,
this “Agreement”), is made by UNITED SURGICAL PARTNERS HOLDINGS, INC., a
Delaware corporation (the “Pledgor”), in favor of CREDIT SUISSE FIRST
BOSTON, as administrative agent (together with any successor(s) thereto in such
capacity, the “Administrative Agent”) for each of the Secured Parties. 

W
I T N E S S E T H:

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among USP Domestic Holdings, Inc., a Delaware
corporation (the “Borrower”), the Lenders, Lehman Commercial Paper Inc.,
as the Syndication Agent, Société Générale, as the Documentation Agent, and the
Administrative Agent, the Lenders and the Issuer have extended Commitments to
make Credit Extensions to the Borrower; 

                WHEREAS,
the Borrower is a wholly-owned Subsidiary of the Pledgor; 

                WHEREAS,
pursuant to the terms of the Credit Agreement, the Pledgor is required to
execute and deliver this Agreement;

                WHEREAS,
the Pledgor has duly authorized the execution, delivery and performance of this
Agreement; and

                WHEREAS,
it is in the best interests of the Pledgor to execute this Agreement inasmuch
as the Pledgor will derive substantial direct and indirect benefits from the
Credit Extensions made from time to time to the Borrower by the Lenders and the
Issuer pursuant to the Credit Agreement;

                NOW, THEREFORE, for good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged,
the Pledgor agrees, for the benefit of each Secured Party, as follows:

ARTICLE
I

DEFINITIONS

                SECTION
1.1. Certain Terms. The following terms (whether or not underscored)
when used in this Agreement, including its preamble and recitals, shall have
the following meanings (such definitions to be equally applicable to the
singular and plural forms thereof): 

                “Administrative
Agent” is defined in the preamble. 

                “Agreement”
is defined in the preamble. 

                “Borrower”
is defined in the first recital. 

                “Collateral”
is defined in Section 2.1. 

                “Credit
Agreement” is defined in the first recital.

                “Distributions”
means all non-cash dividends paid on Equity Interests, liquidating dividends
paid on Equity Interests, shares of Equity Interests resulting from (or in
connection with the exercise of) stock splits, reclassifications, warrants,
options, non-cash dividends, mergers, consolidations, and all other
distributions (whether similar or dissimilar to the foregoing) on or with
respect to any Equity Interests constituting Collateral, but excluding
Dividends.

                “Dividends”
means cash dividends and cash distributions with respect to any Equity
Interests constituting Collateral that are not a liquidating dividend.

                “Equity
Interests Issuer” means each Person identified in Attachment 1 hereto as
the issuer of the Equity Interests identified opposite the name of such Person.

                “Equity
Interests” means all of the Equity Interests in the Equity Interests
Issuer.

                “Permitted
Liens” means Liens of the type referred to in clauses (b), (d) and (g) of
Section 7.2.3 of the Credit Agreement. 

                “Pledgor”
is defined in the preamble.

                “Specified
Event” means the occurrence and continuance of a Default under clauses (a)
through (d) of Section 8.1.9 of the Credit Agreement or any other Event of
Default.

                 SECTION 1.2. Credit Agreement Definitions.
Unless otherwise defined herein or the context otherwise requires, terms used
in this Agreement, including its preamble and recitals, have the meanings
provided in the Credit Agreement.

                SECTION 1.3. UCC Definitions. Unless
otherwise defined herein or in the Credit Agreement or the context otherwise
requires, terms for which meanings are provided in the UCC are used in this
Agreement, including its preamble and recitals, with such meanings. 

ARTICLE
II

PLEDGE

                SECTION
2.1. Grant of Security Interest. The Pledgor hereby assigns, pledges,
hypothecates, charges, mortgages, delivers, and transfers to the Administrative
Agent, for its benefit and the ratable benefit of each other Secured Party, and
hereby grants to the Administrative Agent, for its benefit and the ratable
benefit of each other Secured Party, a continuing security interest in all of
the following property, whether now or hereafter existing or acquired by the
Grantor (the “Collateral”):

                (a) all investment property in
which the Pledgor has an interest (including the Equity Interests of each
issuer of such Equity Interests described in Schedule I hereto); and;

                (b) all other Equity Interests
which are interests in limited liability companies or partnerships in which the
Pledgor has an interest (including the Equity Interests of each Equity
Interests Issuer described in Schedule I hereto), in each case together
with Dividends and Distributions payable in respect of the Collateral described
in the foregoing clauses (a) and (b) and all proceeds of each of
the foregoing. 

                SECTION
2.2. Pledgor Remains Liable. Anything herein to the contrary
notwithstanding

                (a) the Pledgor will remain
liable under the contracts and agreements included in the Collateral to the
extent set forth therein, and will perform all of its duties and obligations
under such contracts and agreements to the same extent as if this Agreement had
not been executed;

                (b) the exercise by the
Administrative Agent of any of its rights hereunder will not release the
Pledgor from any of its duties or obligations under any such contracts or agreements
included in the Collateral; and

                (c) no Secured Party will have
any obligation or liability under any contracts or agreements included in the
Collateral by reason of this Agreement, nor will any Secured Party be obligated
to perform any of the obligations or duties of the Pledgor thereunder or to
take any action to collect or enforce any claim for payment assigned hereunder.

                SECTION 2.3. Postponement of Subrogation.
The Pledgor agrees that it will not exercise any rights which it may acquire by
way of rights of subrogation under any Loan Document to which it is a party,
nor shall the Pledgor seek or be entitled to seek any contribution or
reimbursement from any Obligor, in respect of any payment made under any Loan
Document or otherwise, until following the Termination Date. Any amount paid to
the Pledgor on account of any such subrogation rights prior to the Termination
Date shall be held in trust for the benefit of the Secured Parties and shall
immediately be paid and turned over to the Administrative Agent for the benefit
of the Secured Parties in the exact form received by the Pledgor (duly endorsed
in favor of the Administrative Agent, if required), to be credited and applied
against the Obligations, whether matured or unmatured, in accordance with Section
7.1; provided that if the Pledgor has made payment to the Secured
Parties of all or any part of the Obligations and the Termination Date has
occurred, then at the Pledgor’s request, the Administrative Agent (on behalf of
the Secured Parties) will, at the expense of the Pledgor, execute and deliver
to the Pledgor appropriate documents (without recourse and without
representation or warranty) necessary to evidence the transfer by subrogation
to the Pledgor of an interest in the Obligations resulting from such payment.
In furtherance of the foregoing, at all times prior to the Termination Date,
the Pledgor shall refrain from taking any action or commencing any proceeding
against any Obligor (or its successors or assigns, whether in connection with a
bankruptcy proceeding or otherwise) to recover any amounts in respect of
payments made under this Agreement to any Secured Party. 

ARTICLE
III 

GUARANTY PROVISIONS

                SECTION
3.1. Guaranty. The Pledgor hereby absolutely, unconditionally and
irrevocably 

                (a) guarantees the full and
punctual payment when due, whether at stated maturity, by required prepayment,
declaration, acceleration, demand or otherwise, of all Obligations of the
Borrower and each other Obligor now or hereafter existing under the Credit Agreement,
any Letter of Credit and each other Loan Document to which the Borrower or such
other Obligor is or may become a party (or, in the case of Letters of Credit,
is or may become the account party), whether for principal, interest,
Reimbursement Obligations, fees, expenses or otherwise (including all such
amounts which would become due but for the operation of any provision of any
bankruptcy, insolvency, reorganization, moratorium or similar law relating to
or affecting creditors’ rights generally, such as the automatic stay under
Section 362(a) of the United States Bankruptcy Code, 11 U.S.C. §362(a), and the
operation of Sections 502(b) and 506(b) of the United States Bankruptcy Code,
11 U.S.C. §502(b) and §506(b)); and

                (b) indemnifies and holds harmless each
Secured Party for any and all costs and expenses (including reasonable
attorney’s fees and expenses) incurred by such Secured Party in enforcing any
rights under this Agreement, 

This Agreement constitutes a guaranty of
payment when due and not of collection, and the Pledgor specifically agrees
that it shall not be necessary or required that any Secured Party exercise any
right, assert any claim or demand or enforce any remedy whatsoever against the
Borrower or any other Obligor or any other Person before or as a condition to
the obligations of the Pledgor hereunder.

                SECTION
3.2. Acceleration of Guaranty. The Pledgor agrees that, (a) in the event
of the occurrence of any Specified Event with respect to any Obligor, or (b)
upon written notice from the Administrative Agent to the Pledgor of the breach
by the Pledgor in any material respect of any of the representations,
warranties or covenants contained herein, and if any such events shall occur at
a time when any of the Obligations may not then be due and payable, the Pledgor
will pay to the Lenders forthwith the full amount which would be payable
hereunder by the Pledgor if all such Obligations were then due and payable.

                SECTION
3.3. Reinstatement, etc. The Pledgor agrees that this Agreement shall continue
to be effective or be reinstated, as the case may be, if at any time any
payment (in whole or in part) of any of the Secured Obligations is rescinded or
must otherwise be restored by any Secured Party, upon the insolvency,
bankruptcy or reorganization of any other Obligor or otherwise, all as though
such payment had not been made. 

                SECTION
3.4. Guaranty and Security Interest Absolute, etc. This Agreement shall
in all respects be a continuing, absolute, unconditional and irrevocable
guaranty of payment and shall remain in full force and effect until the
Termination Date. The Pledgor guarantees that the Obligations will be paid
strictly in accordance with the terms of each Loan Document under which they
arise, regardless of any law, regulation or order now or hereafter in effect in
any jurisdiction affecting any of such terms or the rights of any Secured Party
with respect thereto. The liability of the Pledgor under this Agreement, and
all rights of the Administrative Agent and the security interests granted to
the Administrative Agent hereunder, and all obligations of the Pledgor
hereunder, shall, to the extent permitted under applicable law, be absolute,
unconditional and irrevocable irrespective of: 

                (a) any lack of validity,
legality or enforceability of any Loan Document; 

                (b) the failure of any Secured
Party 

                (i) to assert any claim or
demand or to enforce any right or remedy against any Obligor or any other
Person (including any other Guarantor) under the provisions of any Loan
Document or otherwise, or 

                (ii) to exercise any right or remedy
against any other guarantor (including any other Guarantor) of, or collateral
securing, any Obligations;

                (c) any change in the time,
manner or place of payment of, or in any other term of, all or any part of the
Obligations or any other extension, compromise or renewal of any Obligation; 

                (d) any reduction, limitation,
impairment or termination of any Obligations for any reason, including any
claim of waiver, release, surrender, alteration or compromise, and shall not be
subject to (and the Pledgor hereby waives any right to or claim of) any defense
or setoff, counterclaim, recoupment or termination whatsoever by reason of the
invalidity, illegality, nongenuineness, irregularity, compromise,
unenforceability of, or any other event or occurrence affecting, any
Obligations or otherwise;

                (e) any amendment to,
rescission, waiver, or other modification of, or any consent to or departure
from, any of the terms of any Loan Document;

                (f) any addition, exchange or release
of any collateral or of any Person that is (or will become) a guarantor
(including the Pledgor) of the Obligations, or any surrender or non-perfection
of any collateral, or any amendment to or waiver or release or addition to, or
consent to or departure from, any other guaranty held by any Secured Party
securing any of the Obligations; or

                (g) any other circumstance which
might otherwise constitute a defense available to, or a legal or equitable
discharge of, any Obligor, any surety or any guarantor. 

                SECTION
3.5. Setoff. The Pledgor hereby irrevocably authorizes the
Administrative Agent and each Lender, without the requirement that any notice
be given to the Pledgor (such notice being expressly waived by the Pledgor),
upon the occurrence and during the continuance of any Default described in
Section 8.1.9 of the Credit Agreement or, with the consent of the Required
Lenders, upon the occurrence and during the continuance of any other Specified
Event, to set-off and appropriate and apply to the payment of the Obligations
(whether or not then due, and whether or not any Secured Party has made any
demand for payment of the Obligations), any and all balances, claims, credits,
deposits (general or special, time or demand, provisional or final), accounts or
money of the Pledgor then or thereafter maintained with such Secured Party; provided
that any such appropriation and application shall be subject to the provisions
of Section 4.8 of the Credit Agreement. Each Secured Party agrees to notify the
Pledgor and the Administrative Agent after any such setoff and application made
by such Secured Party; provided further that the failure to give such
notice shall not affect the validity of such setoff and application. The rights
of each Secured Party under this Section are in addition to other rights and
remedies (including other rights of setoff under applicable law or otherwise)
which such Secured Party may have.

                SECTION 3.6. Waiver, etc. The Pledgor
hereby waives promptness, diligence, notice of acceptance and any other notice
with respect to any of the Obligations and this Agreement and any requirement
that the Administrative Agent or any other Secured Party protect, secure,
perfect or insure any security interest or Lien, or any property subject
thereto, or exhaust any right or take any action against the Borrower, any
other Obligor or any other Person (including any other guarantor) or any
collateral securing the Obligations.

ARTICLE
IV

REPRESENTATIONS AND WARRANTIES

                SECTION
4.1. Representations and Warranties, etc. The Pledgor represents and
warrants unto each Secured Party, as at the date of each pledge and delivery
hereunder (including each pledge and delivery of Equity Interests) by the
Pledgor to the Administrative Agent of any Collateral, as set forth in this
Article.

                SECTION
4.1.1. Organization, etc. The Pledgor is validly organized and existing
and in good standing under the laws of the state or jurisdiction of its
incorporation or organization, is duly qualified to do business and is in good
standing as a foreign entity in each jurisdiction where the nature of its
business requires such qualification (except where the failure to so qualify
would not, individually or in the aggregate, have a Material Adverse Effect),
and has full power and authority and holds all requisite governmental licenses,
permits and other approvals to enter into and perform its Obligations under
each Loan Document to which it is a party, to own and hold under lease its
property and to conduct its business substantially as currently conducted by
it.

                SECTION
4.1.2. Ownership, No Liens, etc. The Pledgor is the legal and beneficial
owner of, and has good and marketable title to (and has full right and
authority to pledge and assign) the Collateral, free and clear of all Liens
except (i) any Lien granted pursuant hereto in favor of the Administrative
Agent and (ii) Permitted Liens.

                SECTION
4.1.3. Valid Security Interest. The execution and delivery of this
Agreement, together with the delivery of such Collateral to the Administrative
Agent, is effective to create a valid, perfected, first-priority security
interest in such Collateral and all proceeds thereof, securing the Secured
Obligations, subject only to Permitted Liens. Possession by the Administrative
Agent of the Collateral is the only action necessary to perfect or protect such
security interest in the Collateral, subject to Section 9-306 of the UCC.

                SECTION
4.1.4. As to Equity Interests. In the case of any Equity Interests
constituting Collateral, all of such Equity Interests are duly authorized and
validly issued, fully paid and non-assessable, and constitute all of the Equity
Interests of each Equity Interests Issuer owned by the Pledgor. On the Closing
Date, the Pledgor has no direct Subsidiary other than each Equity Interests Issuer.

                SECTION 4.1.5. Authorization, Approval, etc.
Except as have been obtained or made and are in full force and effect, no
authorization, approval or other action by, and no notice to or filing with,
any Governmental Authority or regulatory body is required either

                (a) for the grant by the Pledgor
of the security interest granted hereby, the pledge by the Pledgor of any
Collateral pursuant hereto or for the execution, delivery and performance of
this Agreement by the Pledgor;

                (b) for the perfection of or the
exercise by the Administrative Agent of its rights and remedies hereunder; or 

                (c) for the exercise by the
Administrative Agent of the voting or other rights provided for in this
Agreement, except (i) with respect to any securities issued by a Subsidiary of
the Pledgor, as may be required in connection with a disposition of such
securities by laws affecting the offering and sale of securities generally, the
remedies in respect of the Collateral pursuant to this Agreement and (ii) any
“change of control” or similar filings required by state licensing agencies
and, with respect to Ortholink Securities Corporation, the National Association
of Securities Dealers.

                SECTION
4.1.6. Credit Agreement Representations and Warranties. The
representations and warranties contained in Article VI of the Credit Agreement,
insofar as the representations and warranties contained therein are applicable
to the Pledgor and its properties, are true and correct in all material
respects, each such representation and warranty set forth in such Article
(insofar as applicable as aforesaid) and all other terms of the Credit
Agreement to which reference is made therein, together with all related
definitions and ancillary provisions, being hereby incorporated into this
Agreement by reference as though specifically set forth in this Section. 

ARTICLE
V

COVENANTS

                SECTION
5.1. Protect Collateral; Further Assurances, etc. The Pledgor will not
sell, assign, transfer, pledge, or encumber in any other manner the Collateral
(except in favor of the Administrative Agent hereunder) to the extent
prohibited under the Credit Agreement. The Pledgor will warrant and defend the
right and title herein granted unto the Administrative Agent in and to the
Collateral (and all right, title, and interest represented by the Collateral)
against the claims and demands of all Persons whomsoever. The Pledgor agrees
that at any time, and from time to time, at the expense of the Pledgor, the
Pledgor will promptly execute and deliver all further instruments, and take all
further action, that may be necessary or desirable, or that the Administrative
Agent may reasonably request, in order to perfect and protect any security
interest granted or purported to be granted hereby or to enable the
Administrative Agent to exercise and enforce its rights and remedies hereunder
with respect to any Collateral.

                SECTION 5.2. Stock Powers, etc. The
Pledgor agrees that all Equity Interests delivered by the Pledgor pursuant to
this Agreement will be accompanied by duly executed undated blank stock powers,
or other equivalent instruments of transfer acceptable to the Administrative
Agent. The Pledgor will, from time to time upon the request of the
Administrative Agent, promptly deliver to the Administrative Agent such stock
powers, instruments, and similar documents, satisfactory in form and substance
to the Administrative Agent, with respect to the Collateral as the
Administrative Agent may reasonably request and will, from time to time upon
the request of the Administrative Agent after the occurrence and during the
continuation of any Specified Event, promptly transfer any Equity Interests
constituting Collateral into the name of any nominee designated by the
Administrative Agent.

                SECTION
5.3. Continuous Pledge. Subject to the Credit Agreement, the Pledgor
will, at all times, keep pledged to the Administrative Agent pursuant hereto,
on a first-priority, perfected basis all investment property constituting
Collateral and, to the extent required under the Credit Agreement, all Dividends
and Distributions with respect thereto and all other Collateral and other
securities, instruments, proceeds, and rights from time to time received by or
distributable to the Pledgor in respect of any Collateral, and will not permit
the Borrower to issue any Voting Stock which shall not have been immediately
duly pledged hereunder on a first priority perfected basis. 

                SECTION
5.4. Voting Rights; Dividends, etc. The Pledgor agrees: 

                (a) promptly upon receipt of
notice of the occurrence and continuance of a Specified Event from the
Administrative Agent and without any request therefor by the Administrative
Agent, so long as such Specified Event shall continue, to deliver (properly
endorsed where required hereby or requested by the Administrative Agent) to the
Administrative Agent all Dividends and Distributions with respect to investment
property, all interest, principal, and all proceeds of the Collateral, in each
case thereafter received by the Pledgor, all of which shall be held by the
Administrative Agent as additional Collateral; and 

                (b) subject to clause (c)(ii)
of Section 4.1.5 and, with respect to Collateral consisting of general
partner interests or limited liability company interests, modifications to the
respective Organic Documents to the admission of the Administrative Agent as a
general partner or member, respectively, immediately upon the occurrence and
continuance of a Specified Event and so long as the Administrative Agent has
notified the Pledgor of the Administrative Agent’s intention to exercise its
voting power under this clause,

 

                 (i) that the Administrative Agent may exercise (to the exclusion
of the Pledgor) the voting power and all other incidental rights of ownership
with respect to any investment property constituting Collateral and the Pledgor
hereby grants the Administrative Agent an irrevocable proxy, exercisable under
such circumstances, to vote such investment property; and 

                (ii) to promptly deliver to the
Administrative Agent such additional proxies and other documents as may be
necessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,
principal, cash payments, and proceeds which may at any time and from time to
time be held by the Pledgor but which the Pledgor is then obligated to deliver
to the Administrative Agent, shall, until delivery to the Administrative Agent,
be held by the Pledgor separate and apart from its other property in trust for
the Administrative Agent. The Administrative Agent agrees that unless a Specified
Event shall have occurred and be continuing and the Administrative Agent shall
have given the notice referred to in clause (b), the Pledgor will have
the exclusive voting power with respect to any investment property constituting
Collateral and the Administrative Agent will, upon the written request of the
Pledgor, promptly deliver such proxies and other documents, if any, as shall be
reasonably requested by the Pledgor which are necessary to allow the Pledgor to
exercise that voting power; provided that no vote shall be cast, or
consent, waiver, or ratification given, or action taken by the Pledgor that
would impair any such Collateral or be inconsistent with or violate any
provision of any Loan Document. 

                SECTION
5.5. Amendment of Organic Documents. The Pledgor will not amend,
upplement or otherwise modify, or permit, consent or suffer to occur any
amendment, supplement or modification of any terms or provisions contained in,
or applicable to, any Organic Document of any issuer of any Security comprising
the Collateral in which it has an equity interest if the effect thereof is to
impair, or is in any manner adverse to, the rights or interests of the
Administrative Agent or any other Senior Secured Party hereunder or under the
Credit Agreement or any other Loan Document, without the prior written consent
of the Administrative Agent and the Majority Lenders.

                 SECTION 5.6. Payment of Net Equity
Proceeds. Upon receipt of any Net Equity Proceeds, from the Borrower in
violation of Section 3.1.1 of the Credit Agreement, the Pledgor shall pay or
repay the Loans in the amounts and on the dates required pursuant to clause (c)
of Section 3.1.1 of the Credit Agreement.

                SECTION 5.7. Compliance with Laws, etc.
The Pledgor will comply in all material respects with all applicable laws,
rules, regulations and orders, such compliance to include: 

                (a) the maintenance and
preservation of its corporate existence and qualification as a foreign
corporation; provided that this clause (a) will not prohibit any
transaction otherwise permitted under Section 5.9; and 

                (b) the payment, before the same
become delinquent, of all material taxes, assessments and governmental charges
imposed upon it or upon its property except to the extent being contested in
good faith by appropriate proceedings and for which adequate reserves in
accordance with GAAP shall have been set aside on its books.

                SECTION
5.8. No Defaults. The Pledgor will not, and will not permit the Borrower
or any of its Subsidiaries to, take any action or fail to take any action if
such action or failure to act would result in a Default under the Credit
Agreement. 

                SECTION
5.9. Activities of the Pledgor. 

                (a) Without limiting the effect
of any provision contained in this Article V, the Pledgor will not
engage in any business activity other than its continuing ownership of all of
the Equity Interests in the Borrower and USP International Holdings, Inc., its
compliance with the obligations applicable to it under the Loan Documents, its
payment of any dividends or other distributions in respect of, or its
repurchase or redemption of, any of its Equity Interests not otherwise
prohibited hereunder, its issuance of any Equity Interests or Indebtedness not
otherwise prohibited hereunder, its payment of principal and interest on any
Indebtedness not otherwise prohibited hereunder and its payment of overhead
expenses and taxes.

                (b) Without limiting the
generality of clause (a) above, the Pledgor will not (i) create, assume
or suffer to exist any Lien upon, or grant any options or other rights with
respect to, any of its revenues, property or other assets, whether now owned or
hereafter acquired other than as contemplated by the Loan Documents, wind-up,
liquidate or dissolve itself (or suffer to exist any of the foregoing), or consolidate
or amalgamate with or merge into or with any other Person, or Dispose of all or
any part of its assets, in one transaction or a series of transactions, to any
Person or Persons other than contemplated by the Loan Documents, (ii) without
the prior written consent of the Required Lenders, consent to any amendment,
supplement, amendment and restatement, waiver or other modification of any of
the terms or provisions contained in, or applicable to, any schedules, exhibits
or agreements, in each case which would adversely affect the rights or remedies
of the Lenders or the Pledgor’s or any other Obligor’s ability to perform
hereunder or under any Loan Document, or increase the obligations of the
Pledgor thereunder to the detriment of the Lenders, or which would increase the
Pledgor’s, the Borrower’s or any of its Subsidiaries’ obligations or
liabilities, contingent or otherwise, (iii) without the consent of the Agents,
create, incur, assume or suffer to exist any Investment in any other Person,
other than an Investment in the Borrower and USP International Holdings, Inc. 

                (c) The Pledgor agrees not to commence or
cause the commencement of any of the actions described in clause (b), (c) or
(d) of Section 8.1.9 of the Credit Agreement with respect to the Borrower or
any of its Subsidiaries.

                SECTION
5.10. Corporate Status. The Pledgor agrees not to change its passive
holding company status. 

ARTICLE
VI

THE ADMINISTRATIVE AGENT

                 SECTION 6.1. Administrative Agent
Appointed Attorney-in-Fact. The Pledgor hereby irrevocably appoints the
Administrative Agent it’s attorney-in-fact, with full authority in the place
and stead of the Pledgor and in the name of the Pledgor or otherwise, from time
to time in the Administrative Agent’s discretion, following the occurrence and
during the continuance of a Specified Event and subject to delivery of notice
to the Pledgor, to take any action and to execute any instrument which the
Administrative Agent may deem necessary or advisable to accomplish the purposes
of this Agreement, including: 

                (a) to ask, demand, collect, sue
for, recover, compromise, receive and give acquittance and receipts for moneys
due and to become due under or in respect of any of the Collateral; 

                (b) to receive, endorse, and
collect any drafts or other instruments, documents and chattel paper, in
connection with clause (a) above; 

                (c) to file any claims or take
any action or institute any proceedings which the Administrative Agent may deem
necessary or desirable for the collection of any of the Collateral or otherwise
to enforce the rights of the Administrative Agent with respect to any of the
Collateral; and

                (d) to perform the affirmative
obligations of the Pledgor hereunder (including all obligations of the Pledgor
pursuant to Section 5.1).

The Pledgor hereby acknowledges, consents
and agrees that the power of attorney granted pursuant to this Section is
irrevocable and coupled with an interest.

                SECTION
6.2. Administrative Agent May Perform. If the Pledgor fails to perform
any agreement contained herein within 30 days after written notice from the
Administrative Agent, the Administrative Agent may itself perform, or cause
performance of, such agreement, and the expenses of the Administrative Agent
incurred in connection therewith shall be payable by the Pledgor pursuant to Section
8.4.

                SECTION 6.3. Administrative Agent Has No Duty.
The powers conferred on the Administrative Agent hereunder are solely to
protect its interest (on behalf of the Secured Parties) in the Collateral and
shall not impose any duty on it to exercise any such powers. Except for
reasonable care of any Collateral in its possession and the accounting for
moneys actually received by it hereunder, the Administrative Agent shall have
no duty as to any Collateral or responsibility for (a) ascertaining or taking
action with respect to calls, conversions, exchanges, maturities, tenders or
other matters relative to any investment property, whether or not the
Administrative Agent has or is deemed to have knowledge of such matters, or (b)
taking any necessary steps to preserve rights against prior parties or any
other rights pertaining to any Collateral. 

                SECTION
6.4. Reasonable Care. The Administrative Agent is required to exercise
reasonable care in the custody and preservation of any of the Collateral in its
possession; provided that the Administrative Agent shall be deemed to
have exercised reasonable care in the custody and preservation of any of the
Collateral, if it takes such action for that purpose as the Pledgor reasonably
requests in writing at times other than upon the occurrence and during the
continuance of any Specified Event, but failure of the Administrative Agent to
comply with any such request at any time shall not in itself be deemed a
failure to exercise reasonable care. 

ARTICLE
VII

REMEDIES

                SECTION
7.1. Certain Remedies. If any Specified Event shall have occurred and be
continuing: 

                (a) The Administrative Agent may
exercise in respect of the Collateral, in addition to other rights and remedies
provided for herein or otherwise available to it, all the rights and remedies
of a secured party on default under the UCC (whether or not the UCC applies to
the affected Collateral) and also may 

                (i) require the Pledgor to, and
the Pledgor hereby agrees that it will, at its expense and upon request of the
Administrative Agent forthwith, assemble all or part of the Collateral as
directed by the Administrative Agent and make it available to the
Administrative Agent at a place to be designated by the Administrative Agent
which is reasonably convenient to both parties, and 

                (ii) without notice except as
specified below, sell the Collateral or any part thereof in one or more parcels
at public or private sale, at any of the Administrative Agent’s offices or
elsewhere, for cash, on credit or for future delivery, and upon such other
terms as the Administrative Agent may deem commercially reasonable. The Pledgor
agrees that, to the extent notice of sale shall be required by law, at least
ten days prior notice to the Pledgor of the time and place of any public sale
or the time after which any private sale is to be made shall constitute
reasonable notification. The Administrative Agent shall not be obligated to
make any sale of Collateral regardless of notice of sale having been given. The
Administrative Agent may adjourn any public or private sale from time to time
by announcement at the time and place fixed therefor, and such sale may,
without further notice, be made at the time and place to which it was so
adjourned. 

                (b) All cash proceeds received
by the Administrative Agent in respect of any sale of, collection from, or
other realization upon, all or any part of the Collateral shall be applied by
the Administrative Agent against, all or any part of the Obligations as set
forth in Section 2.7 of the Subsidiary Guaranty. 

                (c) The Administrative Agent may

                (i) transfer all or any part of
the Collateral into the name of the Administrative Agent or its nominee, with
or without disclosing that such Collateral is subject to the Lien hereunder, 

                (ii) notify the parties
obligated on any of the Collateral to make payment to the Administrative Agent
of any amount due or to become due thereunder, 

                (iii) enforce collection of any
of the Collateral by suit or otherwise, and surrender, release or exchange all
or any part thereof, or compromise or extend or renew for any period (whether
or not longer than the original period) any obligations of any nature of any
party with respect thereto, 

                (iv) endorse any checks, drafts,
or other writings in the Pledgor’s name to allow collection of the Collateral, 

                (v) take control of any proceeds
of the Collateral, and 

                (vi) execute (in the name, place
and stead of the Pledgor) endorsements, assignments, stock powers and other
instruments of conveyance or transfer with respect to all or any of the
Collateral.

                 SECTION 7.2. Securities Laws. If the
Administrative Agent shall determine to exercise its right to sell all or any
of the Collateral pursuant to Section 7.1, the Pledgor agrees that, upon
request of the Administrative Agent, the Pledgor will, at its own expense:

                (a) use its best efforts to
exempt the Collateral under the state securities or “Blue Sky” laws and to
obtain all necessary governmental approvals for the sale of the Collateral, as
requested by the Administrative Agent; and 

 

                (b) do or cause to be done all
such other acts and things as may be necessary to make such sale of the
Collateral or any part thereof valid and binding and in compliance with
applicable law.

The Pledgor further acknowledges the impossibility
of ascertaining the amount of damages that would be suffered by any of the
Secured Parties by reason of the failure of the Pledgor to perform any of the
covenants contained in this Section and consequently, to the extent permitted
under applicable law, agrees that, if the Pledgor shall fail to perform any of
such covenants, it shall pay, as liquidated damages and not as a penalty, an
amount equal to the value (as determined by the Administrative Agent) of the
Collateral on the date the Administrative Agent shall demand compliance with
this Section. 

                SECTION
7.3. Compliance with Restrictions. The Pledgor agrees that in any sale
of any of the Collateral whenever a Specified Event shall have occurred and be
continuing, the Administrative Agent is hereby authorized to comply with any
limitation or restriction in connection with such sale as it may be advised by
counsel is necessary in order to avoid any violation of applicable law
(including compliance with such procedures as may restrict the number of
prospective bidders and purchasers, require that such prospective bidders and
purchasers have certain qualifications, and restrict such prospective bidders
and purchasers to persons who will represent and agree that they are purchasing
for their own account for investment and not with a view to the distribution or
resale of such Collateral), or in order to obtain any required approval of the
sale or of the purchaser by any Governmental Authority or official, and the
Pledgor further agrees that such compliance shall not result in such sale being
considered or deemed not to have been made in a commercially reasonable manner,
nor shall the Administrative Agent be liable nor accountable to the Pledgor for
any discount allowed by reason of the fact that such Collateral is sold in
compliance with any such limitation or restriction. 

SECTION 7.4. Indemnity and Expenses.

                (a) The Pledgor agrees to
indemnify the Administrative Agent from and against any and all claims, losses
and liabilities arising out of or resulting from this Agreement (including
enforcement of this Agreement), except claims, losses, or liabilities resulting
from the Administrative Agent’s gross negligence or wilful misconduct.

                (b) The Pledgor, upon demand,
will pay to the Administrative Agent the amount of any and all reasonable
expenses, including the reasonable fees and disbursements of its counsel and of
any experts and agents, which the Administrative Agent may incur in connection
with 

                (i) the administration of each
Loan Document,

                (ii) the custody, preservation,
use, or operation of, or the sale of, collection from, or other realization
upon, any of the Collateral, 

 

                (iii) the exercise or
enforcement of any of the rights of the Administrative Agent or the Secured
Parties hereunder, or

                (iv) the failure by the Pledgor
to perform or observe any of the provisions hereof. 

ARTICLE
VIII 

MISCELLANEOUS PROVISIONS

                SECTION
8.1. Loan Document. This Agreement is a Loan Document executed pursuant
to the Credit Agreement and shall (unless otherwise expressly indicated herein)
be construed, administered and applied in accordance with the terms and
provisions thereof.

                SECTION
8.2. Binding on Successors, Transferees and Assigns; Assignment. This
Agreement shall remain in full force and effect until the Termination Date,
shall be jointly and severally binding upon the Pledgor and its successors,
transferees and assigns and shall inure to the benefit of and be enforceable by
each Secured Party and its successors, transferees and assigns; provided
that the Pledgor may not (unless otherwise permitted under the terms of the
Credit Agreement) assign any of its obligations hereunder without the prior
written consent of all Lenders.

                SECTION
8.3. Amendments, etc. No amendment to or waiver of any provision of this
Agreement nor consent to any departure by the Pledgor from its obligations
under this Agreement shall in any event be effective unless the same shall be
in writing and signed by the Administrative Agent (on behalf of the Lenders or
the Required Lenders, as the case may be pursuant to Section 10.1 of the Credit
Agreement), and then such waiver or consent shall be effective only in the
specific instance and for the specific purpose for which it is given.

                SECTION
8.4. Protection of Collateral. The Administrative Agent may from time to
time, at its option, perform any act which the Pledgor agrees hereunder to
perform and which the Pledgor shall fail to perform within 30 days after being
requested in writing so to perform and the Administrative Agent may from time
to time take any other action which the Administrative Agent reasonably deems
necessary for the maintenance, preservation or protection of any of the
Collateral or of its security interest therein.

                SECTION
8.5. Notices. All notices and other communications provided for
hereunder shall be in writing or by facsimile and addressed, delivered or
transmitted to the appropriate party at the address or facsimile number of such
party specified in the Credit Agreement or at such other address or facsimile
number as may be designated by such party in a notice to the other party. Any
notice or other communication, if mailed and properly addressed with postage
prepaid or if properly addressed and sent by pre-paid courier service, shall be
deemed given when received; any such notice or other communication, if
transmitted by facsimile, shall be deemed given when transmitted and
electronically confirmed. 

                SECTION 8.6. No Waiver; Remedies. In
addition to, and not in limitation of, Section 3.4 and Section 3.6,
no failure on the part of any Secured Party to exercise, and no delay in
exercising, any right hereunder shall operate as a waiver thereof, nor shall
any single or partial exercise of any right hereunder preclude any other or
further exercise thereof or the exercise of any other right. The remedies
herein provided are cumulative and not exclusive of any remedies provided by
law.

                SECTION
8.7. Section Captions. Section captions used in this Agreement are for
convenience of reference only, and shall not affect the construction of this
Agreement.

                SECTION
8.8. Severability. Wherever possible each provision of this Agreement
shall be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Agreement shall be prohibited by
or invalid under such law, such provision shall be ineffective to the extent of
such prohibition or invalidity, without invalidating the remainder of such
provision or the remaining provisions of this Agreement.

                SECTION
8.9. Counterparts. This Agreement may be executed by the parties hereto
in several counterparts, each of which shall be deemed to be an original and
all of which shall constitute together but one and the same agreement. 

                SECTION
8.10. Governing Law, Entire Agreement, etc. THIS AGREEMENT SHALL BE DEEMED TO BE A
CONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK
(INCLUDING FOR SUCH PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL
OBLIGATIONS LAW OF THE STATE OF NEW YORK). This Agreement and the other Loan Documents constitute the entire
understanding among the parties hereto with respect to the subject matter
hereof and supersede any prior agreements, written or oral, with respect
thereto. 

                SECTION
8.11. Forum Selection and Consent to Jurisdiction. ANY LITIGATION BASED HEREON, OR ARISING
OUT OF, UNDER, OR IN CONNECTION WITH, THIS AGREEMENT OR ANY OTHER LOAN
DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL
OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE AGENT, THE LENDERS, ANY ISSUER OR
THE PLEDGOR IN CONNECTION HEREWITH OR THEREWITH MAY BE BROUGHT AND MAINTAINED
IN THE COURTS OF THE STATE OF NEW YORK OR IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF NEW YORK; PROVIDED THAT ANY SUIT SEEKING
ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY MAY BE BROUGHT, AT THE
ADMINISTRATIVE AGENT’S OPTION, IN THE COURTS OF ANY JURISDICTION WHERE SUCH
COLLATERAL OR OTHER PROPERTY MAY BE FOUND. THE PLEDGOR HEREBY EXPRESSLY AND
IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE COURTS OF THE STATE OF NEW YORK,
NEW YORK COUNTY AND OF THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN
DISTRICT OF NEW YORK FOR THE PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVE
AND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY IN CONNECTION
WITH SUCH LITIGATION. THE PLEDGOR IRREVOCABLY CONSENTS TO THE SERVICE OF
PROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL SERVICE WITHIN OR
WITHOUT THE STATE OF NEW YORK AT THE ADDRESS FOR NOTICES SPECIFIED FOR THE
PLEDGOR IN SECTION 10.2 OF THE CREDIT AGREEMENT. THE PLEDGOR HEREBY EXPRESSLY
AND IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION
WHICH IT MAY HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH
LITIGATION BROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY
SUCH LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT
THE PLEDGOR HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY
COURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT
PRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO
ITSELF OR ITS PROPERTY, THE PLEDGOR HEREBY IRREVOCABLY WAIVES TO THE FULLEST
EXTENT PERMITTED BY LAW SUCH IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THIS
AGREEMENT AND THE OTHER LOAN DOCUMENTS.

                SECTION
8.12. Waiver of Jury Trial. THE PLEDGOR HEREBY KNOWINGLY, VOLUNTARILY AND
INTENTIONALLY WAIVES TO THE FULLEST EXTENT PERMITTED BY LAW ANY RIGHTS IT MAY
HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISING
OUT OF, UNDER, OR IN CONNECTION WITH, EACH LOAN DOCUMENT, OR ANY COURSE OF
CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OF
THE ADMINISTRATIVE AGENT, SUCH LENDER, SUCH ISSUER OR THE PLEDGOR IN CONNECTION
THEREWITH. THE PLEDGOR ACKNOWLEDGES AND AGREES THAT IT HAS RECEIVED FULL AND
SUFFICIENT CONSIDERATION FOR THIS PROVISION (AND EACH OTHER PROVISION OF EACH
OTHER LOAN DOCUMENT TO WHICH IT IS A PARTY) AND THAT THIS PROVISION IS A
MATERIAL INDUCEMENT FOR THE ADMINISTRATIVE AGENT, EACH LENDER AND EACH ISSUER
ENTERING INTO THE LOAN DOCUMENTS.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
have caused this Agreement to be duly executed and delivered by its Authorized
Officer as of the day and year first above written. 

	 	UNITED SURGICAL PARTNERS HOLDINGS, INC.
	 	 
	 	 
	 	 By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title: Senior Vice President and Chief
  Financial Officer
	 	 	 
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON, 

  as Administrative Agent
	 	 	 
	 	 	 
	 	By:	 /s/ William S. Lutkins
	 	 	

	 	 	 Title: Vice President
	 	 	 
	 	 	 
	 	 By:	 /s/ Julia P. Kingsbury
	 	 	

	 	 	Title: Vice President

ATTACHMENT
1

 to Holdings Guaranty and Pledge
Agreement 

Equity
Interests

	 	 	 	Description	 
	 	 	 	

	 
	 	 	 	 	 	 	 	% of 	 
	 	 	 	 	 	 	 	Outstanding 	 
	 	Certificate	 	Authorized	 	Outstanding	 	Shares	 
	Equity Interests Issuer	No.	 	Shares	 	Shares	 	Pledged	 
	

	

	 	

	 	

	 	

	 
	USP
  Domestic Holdings, Inc.	[                    ]	 	[                    ]	 	[                     ]	 	100%	 
	USP
  International Holdings, Inc.	[         
            ]	 	[                    ]	 	[                     ]	 	100%	 

 

EXHIBIT
C

ISSUANCE REQUEST

Credit Suisse First Boston,

  as Administrative Agent

11 Madison Avenue

New York, New York 10010

Attention:______________________

USP
DOMESTIC HOLDINGS, INC.

Ladies and Gentlemen:

                This
Issuance Request is delivered to you pursuant to Section 2.6 of the Credit
Agreement, dated as of June 13, 2001 (as amended, supplemented, amended and
restated or otherwise modified from time to time, the “Credit Agreement”),
among USP Domestic Holdings, Inc., a Delaware corporation (the “Borrower”),
the Lenders, Credit Suisse First Boston, as Administrative Agent, Lehman
Commercial Paper Inc., as Syndication Agent, and Société Générale, as
Documentation Agent. Terms used herein, unless otherwise defined herein, have
the meanings provided in the Credit Agreement.

                The Borrower hereby requests
that on ____________ ___, ______ (the “Date of Issuance”) [Name of
Issuer]1(the “Issuer”) [issue a Letter of Credit
in the initial Stated Amount of $____________ with a Stated Expiry Date (as
defined therein) of ____________ ___, _____] [extend the Stated Expiry Date (as
defined under Letter of Credit No. ___, issued on ____________ ___, _____, in
the initial Stated Amount of $____________) to a revised Stated Expiry Date (as
defined therein) of ____________ ___, _____].

	1	USUALLY THE ADMINISTRATIVE AGENT.

 

                The
beneficiary of the requested Letter of Credit will be
_________________________, and such Letter of Credit will be in support of
_________________________.

                The
Borrower hereby acknowledges that, pursuant to Section 5.2.2 of the Credit
Agreement, each of the delivery of this Issuance Request and the acceptance by
the Borrower of the [issuance] [extension] of the Letter of Credit requested
hereby constitutes a representation and warranty by the Borrower that, on the
date of such [issuance] [extension], and both before and after giving effect
thereto and to the application of the proceeds or benefits of the Letter of
Credit [issued] [extended] in accordance herewith, all statements set forth in
Section 5.2.1 of the Credit Agreement are true and correct in all material
respects (unless stated to relate solely to an earlier date, in which case such
representations and warranties shall be true and correct in all

material respects as of such earlier date).

                The Borrower agrees that if prior to the time of
the [issuance] [extension] of the Letter of Credit requested hereby any matter
certified to herein by it will not be true and correct in all material respects
at such time as if then made, it will immediately so notify the Administrative
Agent. Except to the extent, if any, that prior to the time of the [issuance]
[extension] of the Letter of Credit requested hereby the Administrative Agent
shall receive written notice to the contrary from the Borrower, each matter
certified to herein shall be deemed once again to be certified as true and
correct in all material respects at the date of such [issuance] [extension] as
if then made.

                IN WITNESS WHEREOF, the Borrower has caused this
Issuance Request to be executed and delivered, and the certifications and
warranties contained herein to be made, by its duly Authorized Officer this
_____ day of ________________, ________.

	 	USP DOMESTIC HOLDINGS, INC.
	 	By:	 
	 	 	

	 	 	Title:

 

EXHIBIT
L

LENDER
ASSIGNMENT AGREEMENT

___________
___, ______

USP Domestic Holdings, Inc.

17103 Preston Road

Suite 200 North

Dallas, TX 75248

Attention: Donald E. Steen

Credit Suisse First Boston,

  as Administrative Agent

11 Madison Avenue

New York, New York 10010

Attention:______________________

USP
DOMESTIC HOLDINGS, INC..

Ladies and Gentlemen:

                We
refer to clause (d) of Section 10.11.1 of the Credit Agreement, dated as of
June 13, 2001 (as amended, supplemented, amended and restated or otherwise
modified from time to time, the “Credit Agreement”), among USP Domestic
Holdings, Inc., a Delaware corporation (the “Borrower”), the Lenders,
Credit Suisse First Boston, as Administrative Agent, Lehman Commercial Paper
Inc., as Syndication Agent, and Société Générale, as Documentation Agent. Terms
used herein, unless otherwise defined herein, have the meanings provided in the
Credit Agreement.

                As
of ______________ ___, ________ (the “Assignment Date”),
___________________ (the “Assignor”) irrevocably sells, transfers,
conveys and assigns, without recourse, representation or warranty (except as
expressly set forth herein), to ____________________ (the “Assignee”), and the
Assignee irrevocably purchases from the Assignor that portion of the Loans and
Commitments of the Assignor as set forth on Schedule I hereto (the “Assigned
Portion”) with, if applicable, conveyances of the Revolving Loans to
include the Assignor’s pro rata portion of any Letter of Credit
Outstandings as of the Assignment Date under the Credit Agreement, so that,
after giving effect to the foregoing assignment and delegation, the Assignor’s
and the Assignee’s Percentages for the purposes of each Loan Document will be
as set forth on Schedule I hereto.

                In
addition, this agreement constitutes notice to each of you, pursuant to clause
(c) of Section 10.11.1 of the Credit Agreement, of the assignment and
delegation to the Assignee of the Assigned Portion of the Credit Extensions and
Commitments of the Assignor outstanding under the Credit Agreement as of the
Assignment Date.

                Any
accrued and unpaid interest, fees and other payments related to the Assigned
Portion applicable to the period prior to the Assignment Date shall be for the
account of the Assignor. Any accrued and unpaid interest, fees and other
payments related to the Assigned Portion applicable to the period from and
after the Assignment Date shall be for the account of the Assignee. Each of the
Assignor and the Assignee severally agrees that it will hold for the other
party any interest, fees and other payments which it may receive to which the
other party is entitled pursuant to any agreement between the parties and pay
to the other party any such amounts which it may receive promptly upon receipt
thereof. In furtherance of the foregoing, the Administrative Agent will, and is
hereby authorized to, pay over to the Assignee and the Assignor such amounts to
which each is entitled.

                The
Assignee hereby acknowledges and confirms that it has received a copy of the
Credit Agreement and the exhibits related thereto, together with (to the extent
requested by the Assignee in writing) copies of the documents which were
required to be delivered under the Credit Agreement as a condition to the
making of the Credit Extensions thereunder. The Assignee further confirms and
agrees that in becoming a Lender and in making its Commitments and Credit
Extensions under the Credit Agreement, such actions have and will be made
without recourse to, or representation or warranty by, the Administrative
Agent.

                The
Assignor represents and warrants that it is legally authorized to enter into
and deliver this agreement and represents that it is the legal and beneficial
owner of the Assigned Portion and that such Assigned Portion is free and clear
of any adverse claim. Except as set forth in the previous sentence, the
Assignor makes no representation or warranty and assumes no responsibility with
respect to any statements, warranties or representations made pursuant to or in
connection with this agreement, or the execution, legality, validity,
enforceability, genuineness, sufficiency or value of this agreement, any other
Loan Document or any other instrument or document furnished pursuant hereto or
thereto, including the financial condition of the Borrower or any of its
Subsidiaries or the performance or observance by any Lender of any of its
obligations under any Loan Document or any other instrument or document
furnished pursuant hereto or thereto. The Assignee represents and warrants that
it is legally authorized to enter into and deliver this agreement and confirms
that it has received copies of the most recent financial statements delivered
pursuant to the Credit Agreement and such other documents and information as it
has deemed appropriate to make its own credit analysis and decision to enter
into this agreement. In addition, the Assignee independently and without
reliance upon the Assignor, the Administrative Agent or any other Lender, and
based on such documents and information as it shall deem appropriate at the
time, shall continue to make its own credit decisions in taking or not taking
action under the Loan Documents and the other instruments and documents
delivered in connection therewith.

                Except
as otherwise provided in the Credit Agreement, effective as of the Assignment
Date,

                (a) the Assignee

                (i) shall be deemed
automatically to have become a party to the Credit Agreement and shall have all
the rights and obligations of a “Lender” under the Loan Documents as if it were
an original signatory thereto to the extent specified in the second paragraph
hereof; and 

                (ii) agrees to be bound by the
terms and conditions set forth in the each of the Loan Documents as if it were
an original signatory thereto; and

                (b) the Assignor shall be
released from its obligations under the Loan Documents to the extent specified
in the second paragraph hereof.

                [The
Assignor and the Assignee hereby agree that the [Assignor][Assignee] will pay
to the Administrative Agent the processing fee, if applicable, referred to in
Section 10.11.1 of the Credit Agreement.]

                The
Assignee hereby advises each of you that the Assignee’s administrative details
with respect to the Assigned Portion are on file with the Administrative Agent,
and requests the Administrative Agent to acknowledge receipt of this document. 

                The
Assignee agrees (for the benefit of the Assignor, the Borrower and the
Administrative Agent) to furnish, if required by Section 4.6 of the Credit
Agreement, the applicable Internal Revenue Service forms or other forms
required thereunder no later than the date of acceptance hereof by the
Administrative Agent. In addition, the Assignee represents and warrants (for
the benefit of the Assignor, the Borrower and the Administrative Agent) that,
under applicable law and treaties in effect as of the date hereof, no United
States federal taxes will be required to be withheld by the Administrative
Agent or the Borrower with respect to any payments to be made to the Assignee
in respect of the Credit Agreement.

                Notwithstanding
any other provisions hereof, to the extent the consents of or notice to the
Borrower, the Administrative Agent and/or the Issuer are required under Section
10.11.1 of the Credit Agreement, the assignment and delegation contemplated in
this agreement shall not be effective unless such consents or notices shall
have been obtained and in any event no such assignment and delegation shall be
effective unless and until such assignment has been recorded in the Register by
the Administrative Agent.

                This
Agreement may be executed by the Assignor and Assignee (and, if applicable,
accepted and agreed to by the Administrative Agent, the Issuer and the
Borrower) in separate counterparts, each of which when so executed and
delivered shall be deemed to be an original and all of which taken together
shall constitute one and the same agreement.

                THIS
AGREEMENT WILL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED BY THE
INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE SECTIONS
5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW YORK).

                IN WITNESS WHEREOF, the parties have caused this
Lender Assignment Agreement to be duly executed and delivered as of the date
first above written.

	 	 	[NAME OF ASSIGNOR]
	 	 	 
	 	 	 
	 	 	By	_________________________________
	 	 	 	Title:
	 	 	 	 
	 	 	 	 
	 	 	[NAME OF ASSIGNEE]
	 	 	 
	 	 	 
	 	 	By:	_________________________________
	 	 	 	 
	 	 	 	Title:
	 	 	 	 
	 	 	 	 
	Accepted and Acknowledged	 	 
	this _____ day of ________________,
  _________:	 	 
	 	 	 	 
	 	 	 	 
	USP DOMESTIC HOLDINGS, INC.	 	 
	 	 	 
	 	 	 
	By:	 	 	 
	 	

	 	 
	 	Title:	 	 
	 	 	 	 
	 	 	 	 
	CREDIT SUISSE FIRST BOSTON,	 	 
	as Administrative Agent [and as Issuer]	 	 
	 	 	 
	 	 	 	 
	By:	 	 	 
	 	

	 	 
	 	Title:	 	 
	 	 	 	 
	 	 	 	 
	By:	 	 	 
	 	

	 	 
	 	Title:	 	 

 

SCHEDULE I

	 	ASSIGNOR’S	 	ADJUSTED	 	ADJUSTED	 
	 	ORIGINAL	 	ASSIGNOR	 	ASSIGNEE	 
	 	PERCENTAGE	 	PERCENTAGE	 	PERCENTAGE	 
	 	

	 	

	 	

	 
	REVOLVING LOAN COMMITMENT	 	 	 	 	 	 
	REVOLVING
  LOANS OUTSTANDING	 	 	 	 	 	 

 

[EXECUTION
COPY]

PARENT
GUARANTY AND PLEDGE AGREEMENT

                This
PARENT GUARANTY AND PLEDGE AGREEMENT, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time,
this “Agreement”), is made by UNITED SURGICAL PARTNERS INTERNATIONAL,
INC., a Delaware corporation (the “Pledgor”), in favor of CREDIT SUISSE
FIRST BOSTON, as administrative agent (together with any successor(s) thereto
in such capacity, the “Administrative Agent”) for each of the Secured
Parties.

W
I T N E S S E T H:

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among USP Domestic Holdings, Inc., a Delaware
corporation (the “Borrower”), the Lenders, Lehman Commercial Paper Inc.,
as the Syndication Agent, Société Générale, as the Documentation Agent, and the
Administrative Agent, the Lenders and the Issuer have extended Commitments to
make Credit Extensions to the Borrower; 

                WHEREAS,
the Borrower is a wholly-owned Subsidiary of the Pledgor;

                WHEREAS,
pursuant to the terms of the Credit Agreement, the Pledgor is required to
execute and deliver this Agreement;

                WHEREAS,
the Pledgor has duly authorized the execution, delivery and performance of this
Agreement; and

                WHEREAS,
it is in the best interests of the Pledgor to execute this Agreement inasmuch
as the Pledgor will derive substantial direct and indirect benefits from the
Credit Extensions made from time to time to the Borrower by the Lenders and the
Issuer pursuant to the Credit Agreement;

                NOW, THEREFORE, for good and valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, the Pledgor
agrees, for the benefit of each Secured Party, as follows:

ARTICLE
I

DEFINITIONS

                SECTION
1.1. Certain Terms. The following terms (whether or not underscored)
when used in this Agreement, including its preamble and recitals, shall have
the following meanings (such definitions to be equally applicable to the
singular and plural forms thereof):

                “Administrative
Agent” is defined in the preamble. 

                “Agreement”
is defined in the preamble. 

                “Borrower”
is defined in the first recital. 

                “Collateral”
is defined in Section 2.1. 

                “Credit
Agreement” is defined in the first recital.

                “Distributions”
means all non-cash dividends paid on Equity Interests, liquidating dividends
paid on Equity Interests, shares of Equity Interests resulting from (or in
connection with the exercise of) stock splits, reclassifications, warrants,
options, non-cash dividends, mergers, consolidations, and all other
distributions (whether similar or dissimilar to the foregoing) on or with
respect to any Equity Interests constituting Collateral, but excluding
Dividends.

                “Dividends”
means cash dividends and cash distributions with respect to any Equity
Interests constituting Collateral that are not a liquidating dividend.

                “Equity
Interests Issuer” means each Person identified in Attachment 1
hereto as the issuer of the Equity Interests identified opposite the name of
such Person.

                “Equity
Interests” means all of the Equity Interests in the Equity Interests
Issuer.

                “Permitted
Liens” means Liens of the type referred to in clauses (b), (d) and (g) of
Section 7.2.3 of the Credit Agreement. 

                “Pledgor”
is defined in the preamble.

                “Specified
Event” means the occurrence and continuance of a Default under clauses (a)
through (d) of Section 8.1.9 of the Credit Agreement or any other Event of
Default.

                SECTION
1.2. Credit Agreement Definitions. Unless otherwise defined herein or
the context otherwise requires, terms used in this Agreement, including its
preamble and recitals, have the meanings provided in the Credit Agreement.

                SECTION 1.3. UCC Definitions. Unless
otherwise defined herein or in the Credit Agreement or the context otherwise
requires, terms for which meanings are provided in the UCC are used in this
Agreement, including its preamble and recitals, with such meanings. 

ARTICLE
II 

PLEDGE

                SECTION
2.1. Grant of Security Interest. The Pledgor hereby assigns, pledges,
hypothecates, charges, mortgages, delivers, and transfers to the Administrative
Agent, for its benefit and the ratable benefit of each other Secured Party, and
hereby grants to the Administrative Agent, for its benefit and the ratable
benefit of each other Secured Party, a continuing security interest in all of
the following property, whether now or hereafter existing or acquired by the
Grantor (the “Collateral”):

                (a) all investment property in
which the Pledgor has an interest (including the Equity Interests of each
issuer of such Equity Interests described in Schedule I hereto); and; 

                (b) all other Equity Interests
which are interests in limited liability companies or partnerships in which the
Pledgor has an interest (including the Equity Interests of each Equity
Interests Issuer described in Schedule I hereto), in each case together
with Dividends and Distributions payable in respect of the Collateral described
in the foregoing clauses (a) and (b) and all proceeds of each of
the foregoing. 

                SECTION
2.2. Pledgor Remains Liable. Anything herein to the contrary
notwithstanding

                (a) the Pledgor will remain
liable under the contracts and agreements included in the Collateral to the
extent set forth therein, and will perform all of its duties and obligations
under such contracts and agreements to the same extent as if this Agreement had
not been executed;

                (b) the exercise by the
Administrative Agent of any of its rights hereunder will not release the
Pledgor from any of its duties or obligations under any such contracts or
agreements included in the Collateral; and 

                (c) no Secured Party will have
any obligation or liability under any contracts or agreements included in the
Collateral by reason of this Agreement, nor will any Secured Party be obligated
to perform any of the obligations or duties of the Pledgor thereunder or to
take any action to collect or enforce any claim for payment assigned hereunder.

                SECTION 2.3. Postponement of Subrogation.
The Pledgor agrees that it will not exercise any rights which it may acquire by
way of rights of subrogation under any Loan Document to which it is a party,
nor shall the Pledgor seek or be entitled to seek any contribution or
reimbursement from any Obligor, in respect of any payment made under any Loan
Document or otherwise, until following the Termination Date. Any amount paid to
the Pledgor on account of any such subrogation rights prior to the Termination
Date shall be held in trust for the benefit of the Secured Parties and shall
immediately be paid and turned over to the Administrative Agent for the benefit
of the Secured Parties in the exact form received by the Pledgor (duly endorsed
in favor of the Administrative Agent, if required), to be credited and applied
against the Obligations, whether matured or unmatured, in accordance with Section
7.1; provided that if the Pledgor has made payment to the Secured
Parties of all or any part of the Obligations and the Termination Date has
occurred, then at the Pledgor’s request, the Administrative Agent (on behalf of
the Secured Parties) will, at the expense of the Pledgor, execute and deliver
to the Pledgor appropriate documents (without recourse and without
representation or warranty) necessary to evidence the transfer by subrogation
to the Pledgor of an interest in the Obligations resulting from such payment.
In furtherance of the foregoing, at all times prior to the Termination Date,
the Pledgor shall refrain from taking any action or commencing any proceeding
against any Obligor (or its successors or assigns, whether in connection with a
bankruptcy proceeding or otherwise) to recover any amounts in respect of payments
made under this Agreement to any Secured Party. 

ARTICLE
III 

GUARANTY PROVISIONS

                SECTION
3.1. Guaranty. The Pledgor hereby absolutely, unconditionally and
irrevocably 

                (a) guarantees the full and
punctual payment when due, whether at stated maturity, by required prepayment,
declaration, acceleration, demand or otherwise, of all Obligations of the
Borrower and each other Obligor now or hereafter existing under the Credit
Agreement, any Letter of Credit and each other Loan Document to which the
Borrower or such other Obligor is or may become a party (or, in the case of
Letters of Credit, is or may become the account party), whether for principal,
interest, Reimbursement Obligations, fees, expenses or otherwise (including all
such amounts which would become due but for the operation of any provision of
any bankruptcy, insolvency, reorganization, moratorium or similar law relating
to or affecting creditors’ rights generally, such as the automatic stay under
Section 362(a) of the United States Bankruptcy Code, 11 U.S.C. §362(a), and the
operation of Sections 502(b) and 506(b) of the United States Bankruptcy Code,
11 U.S.C. §502(b) and §506(b)); and.

                (b) indemnifies and holds harmless each
Secured Party for any and all costs and expenses (including reasonable attorney’s
fees and expenses) incurred by such Secured Party in enforcing any rights under
this Agreement,

This Agreement constitutes a guaranty of
payment when due and not of collection, and the Pledgor specifically agrees
that it shall not be necessary or required that any Secured Party exercise any
right, assert any claim or demand or enforce any remedy whatsoever against the
Borrower or any other Obligor or any other Person before or as a condition to
the obligations of the Pledgor hereunder.

                SECTION
3.2. Acceleration of Guaranty. The Pledgor agrees that, (a) in the event
of the occurrence of any Specified Event with respect to any Obligor, or (b)
upon written notice from the Administrative Agent to the Pledgor of the breach
by the Pledgor in any material respect of any of the representations,
warranties or covenants contained herein, and if any such events shall occur at
a time when any of the Obligations may not then be due and payable, the Pledgor
will pay to the Lenders forthwith the full amount which would be payable
hereunder by the Pledgor if all such Obligations were then due and payable.

                SECTION
3.3. Reinstatement, etc. The Pledgor agrees that this Agreement shall
continue to be effective or be reinstated, as the case may be, if at any time
any payment (in whole or in part) of any of the Secured Obligations is
rescinded or must otherwise be restored by any Secured Party, upon the
insolvency, bankruptcy or reorganization of any other Obligor or otherwise, all
as though such payment had not been made.

                SECTION
3.4. Guaranty and Security Interest Absolute, etc. This Agreement shall
in all respects be a continuing, absolute, unconditional and irrevocable
guaranty of payment and shall remain in full force and effect until the
Termination Date. The Pledgor guarantees that the Obligations will be paid
strictly in accordance with the terms of each Loan Document under which they
arise, regardless of any law, regulation or order now or hereafter in effect in
any jurisdiction affecting any of such terms or the rights of any Secured Party
with respect thereto. The liability of the Pledgor under this Agreement, and
all rights of the Administrative Agent and the security interests granted to
the Administrative Agent hereunder, and all obligations of the Pledgor hereunder,
shall, to the extent permitted under applicable law, be absolute, unconditional
and irrevocable irrespective of: 

                (a) any lack of validity,
legality or enforceability of any Loan Document; 

                (b) the failure of any Secured
Party 

                (i) to assert any claim or
demand or to enforce any right or remedy against any Obligor or any other
Person (including any other Guarantor) under the provisions of any Loan
Document or otherwise, or

                (ii) to exercise any right or remedy
against any other guarantor (including any other Guarantor) of, or collateral
securing, any Obligations;

                (c) any change in the time,
manner or place of payment of, or in any other term of, all or any part of the
Obligations or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,
impairment or termination of any Obligations for any reason, including any
claim of waiver, release, surrender, alteration or compromise, and shall not be
subject to (and the Pledgor hereby waives any right to or claim of) any defense
or setoff, counterclaim, recoupment or termination whatsoever by reason of the
invalidity, illegality, nongenuineness, irregularity, compromise,
unenforceability of, or any other event or occurrence affecting, any
Obligations or otherwise;

                (e) any amendment to,
rescission, waiver, or other modification of, or any consent to or departure
from, any of the terms of any Loan Document;

                (f) any addition, exchange or
release of any collateral or of any Person that is (or will become) a guarantor
(including the Pledgor) of the Obligations, or any surrender or non-perfection
of any collateral, or any amendment to or waiver or release or addition to, or
consent to or departure from, any other guaranty held by any Secured Party
securing any of the Obligations; or

                (g) any other circumstance which
might otherwise constitute a defense available to, or a legal or equitable
discharge of, any Obligor, any surety or any guarantor.

                SECTION
3.5. Setoff. The Pledgor hereby irrevocably authorizes the
Administrative Agent and each Lender, without the requirement that any notice
be given to the Pledgor (such notice being expressly waived by the Pledgor),
upon the occurrence and during the continuance of any Default described in
Section 8.1.9 of the Credit Agreement or, with the consent of the Required
Lenders, upon the occurrence and during the continuance of any other Specified
Event, to set-off and appropriate and apply to the payment of the Obligations
(whether or not then due, and whether or not any Secured Party has made any
demand for payment of the Obligations), any and all balances, claims, credits,
deposits (general or special, time or demand, provisional or final), accounts
or money of the Pledgor then or thereafter maintained with such Secured Party; provided
that any such appropriation and application shall be subject to the provisions
of Section 4.8 of the Credit Agreement. Each Secured Party agrees to notify the
Pledgor and the Administrative Agent after any such setoff and application made
by such Secured Party; provided further that the failure to give such
notice shall not affect the validity of such setoff and application. The rights
of each Secured Party under this Section are in addition to other rights and
remedies (including other rights of setoff under applicable law or otherwise)
which such Secured Party may have.

                SECTION 3.6. Waiver, etc. The Pledgor
hereby waives promptness, diligence, notice of acceptance and any other notice
with respect to any of the Obligations and this Agreement and any requirement
that the Administrative Agent or any other Secured Party protect, secure,
perfect or insure any security interest or Lien, or any property subject
thereto, or exhaust any right or take any action against the Borrower, any
other Obligor or any other Person (including any other guarantor) or any
collateral securing the Obligations. 

ARTICLE
IV 

REPRESENTATIONS AND WARRANTIES

                SECTION
4.1. Representations and Warranties, etc. The Pledgor represents and
warrants unto each Secured Party, as at the date of each pledge and delivery
hereunder (including each pledge and delivery of Equity Interests) by the
Pledgor to the Administrative Agent of any Collateral, as set forth in this
Article.

                SECTION
4.1.1. Organization, etc. The Pledgor is validly organized and existing
and in good standing under the laws of the state or jurisdiction of its
incorporation or organization, is duly qualified to do business and is in good
standing as a foreign entity in each jurisdiction where the nature of its
business requires such qualification (except where the failure to so qualify
would not, individually or in the aggregate, have a Material Adverse Effect),
and has full power and authority and holds all requisite governmental licenses,
permits and other approvals to enter into and perform its Obligations under
each Loan Document to which it is a party, to own and hold under lease its
property and to conduct its business substantially as currently conducted by
it.

                SECTION
4.1.2. Ownership, No Liens, etc. The Pledgor is the legal and beneficial
owner of, and has good and marketable title to (and has full right and
authority to pledge and assign) the Collateral, free and clear of all Liens
except (i) any Lien granted pursuant hereto in favor of the Administrative
Agent and (ii) Permitted Liens.

                SECTION
4.1.3. Valid Security Interest. The execution and delivery of this
Agreement, together with the delivery of such Collateral to the Administrative
Agent, is effective to create a valid, perfected, first-priority security
interest in such Collateral and all proceeds thereof, securing the Secured
Obligations, subject only to Permitted Liens. Possession by the Administrative
Agent of the Collateral is the only action necessary to perfect or protect such
security interest in the Collateral, subject to Section 9-306 of the UCC.

                SECTION
4.1.4. As to Equity Interests. In the case of any Equity Interests
constituting Collateral, all of such Equity Interests are duly authorized and
validly issued, fully paid and non-assessable, and constitute all of the Equity
Interests of each Equity Interests Issuer owned by the Pledgor. On the Closing
Date, the Pledgor has no direct Subsidiary other than each Equity Interests
Issuer.

                SECTION 4.1.5. Authorization, Approval, etc.
Except as have been obtained or made and are in full force and effect, no
authorization, approval or other action by, and no notice to or filing with,
any Governmental Authority or regulatory body is required either 

                (a) for the grant by the Pledgor
of the security interest granted hereby, the pledge by the Pledgor of any
Collateral pursuant hereto or for the execution, delivery and performance of
this Agreement by the Pledgor;

                (b) for the perfection of or the
exercise by the Administrative Agent of its rights and remedies hereunder; or 

                (c) for the exercise by the
Administrative Agent of the voting or other rights provided for in this
Agreement, except (i) with respect to any securities issued by a Subsidiary of
the Pledgor, as may be required in connection with a disposition of such
securities by laws affecting the offering and sale of securities generally, the
remedies in respect of the Collateral pursuant to this Agreement and (ii) any
“change of control” or similar filings required by state licensing agencies
and, with respect to Ortholink Securities Corporation, the National Association
of Securities Dealers. 

                SECTION
4.1.6. Credit Agreement Representations and Warranties. The
representations and warranties contained in Article VI of the Credit Agreement,
insofar as the representations and warranties contained therein are applicable
to the Pledgor and its properties, are true and correct in all material
respects, each such representation and warranty set forth in such Article
(insofar as applicable as aforesaid) and all other terms of the Credit
Agreement to which reference is made therein, together with all related
definitions and ancillary provisions, being hereby incorporated into this
Agreement by reference as though specifically set forth in this Section. 

ARTICLE
V 

COVENANTS

                SECTION
5.1. Protect Collateral; Further Assurances, etc. The Pledgor will not
sell, assign, transfer, pledge, or encumber in any other manner the Collateral
(except in favor of the Administrative Agent hereunder) to the extent
prohibited under the Credit Agreement. The Pledgor will warrant and defend the
right and title herein granted unto the Administrative Agent in and to the
Collateral (and all right, title, and interest represented by the Collateral)
against the claims and demands of all Persons whomsoever. The Pledgor agrees
that at any time, and from time to time, at the expense of the Pledgor, the
Pledgor will promptly execute and deliver all further instruments, and take all
further action, that may be necessary or desirable, or that the Administrative
Agent may reasonably request, in order to perfect and protect any security
interest granted or purported to be granted hereby or to enable the
Administrative Agent to exercise and enforce its rights and remedies hereunder
with respect to any Collateral.

                SECTION 5.2. Stock Powers, etc. The
Pledgor agrees that all Equity Interests delivered by the Pledgor pursuant to
this Agreement will be accompanied by duly executed undated blank stock powers,
or other equivalent instruments of transfer acceptable to the Administrative
Agent. The Pledgor will, from time to time upon the request of the
Administrative Agent, promptly deliver to the Administrative Agent such stock
powers, instruments, and similar documents, satisfactory in form and substance
to the Administrative Agent, with respect to the Collateral as the
Administrative Agent may reasonably request and will, from time to time upon
the request of the Administrative Agent after the occurrence and during the
continuation of any Specified Event, promptly transfer any Equity Interests
constituting Collateral into the name of any nominee designated by the
Administrative Agent.

                SECTION
5.3. Continuous Pledge. Subject to the Credit Agreement, the Pledgor
will, at all times, keep pledged to the Administrative Agent pursuant hereto,
on a first-priority, perfected basis all investment property constituting
Collateral and, to the extent required under the Credit Agreement, all
Dividends and Distributions with respect thereto and all other Collateral and
other securities, instruments, proceeds, and rights from time to time received
by or distributable to the Pledgor in respect of any Collateral, and will not
permit the Borrower to issue any Voting Stock which shall not have been
immediately duly pledged hereunder on a first priority perfected basis. 

                SECTION
5.4. Voting Rights; Dividends, etc. The Pledgor agrees: 

                (a) promptly upon receipt of
notice of the occurrence and continuance of a Specified Event from the
Administrative Agent and without any request therefor by the Administrative
Agent, so long as such Specified Event shall continue, to deliver (properly
endorsed where required hereby or requested by the Administrative Agent) to the
Administrative Agent all Dividends and Distributions with respect to investment
property, all interest, principal, and all proceeds of the Collateral, in each
case thereafter received by the Pledgor, all of which shall be held by the
Administrative Agent as additional Collateral; and 

                (b) subject to clause (c)(ii)
of Section 4.1.5 and, with respect to Collateral consisting of general
partner interests or limited liability company interests, modifications to the
respective Organic Documents to the admission of the Administrative Agent as a
general partner or member, respectively, immediately upon the occurrence and
continuance of a Specified Event and so long as the Administrative Agent has
notified the Pledgor of the Administrative Agent’s intention to exercise its
voting power under this clause, 

                (i) that the Administrative Agent may
exercise (to the exclusion of the Pledgor) the voting power and all other
incidental rights of ownership with respect to any investment property
constituting Collateral and the Pledgor hereby grants the Administrative Agent
an irrevocable proxy, exercisable under such circumstances, to vote such
investment property; and 

                (ii) to promptly deliver to the
Administrative Agent such additional proxies and other documents as may be
necessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,
principal, cash payments, and proceeds which may at any time and from time to
time be held by the Pledgor but which the Pledgor is then obligated to deliver
to the Administrative Agent, shall, until delivery to the Administrative Agent,
be held by the Pledgor separate and apart from its other property in trust for
the Administrative Agent. The Administrative Agent agrees that unless a
Specified Event shall have occurred and be continuing and the Administrative
Agent shall have given the notice referred to in clause (b), the Pledgor
will have the exclusive voting power with respect to any investment property
constituting Collateral and the Administrative Agent will, upon the written
request of the Pledgor, promptly deliver such proxies and other documents, if
any, as shall be reasonably requested by the Pledgor which are necessary to
allow the Pledgor to exercise that voting power; provided that no vote
shall be cast, or consent, waiver, or ratification given, or action taken by
the Pledgor that would impair any such Collateral or be inconsistent with or
violate any provision of any Loan Document.

                SECTION
5.5. Amendment of Organic Documents. The Pledgor will not amend,
supplement or otherwise modify, or permit, consent or suffer to occur any
amendment, supplement or modification of any terms or provisions contained in,
or applicable to, any Organic Document of any issuer of any Security comprising
the Collateral in which it has an equity interest if the effect thereof is to
impair, or is in any manner adverse to, the rights or interests of the
Administrative Agent or any other Senior Secured Party hereunder or under the
Credit Agreement or any other Loan Document, without the prior written consent
of the Administrative Agent and the Majority Lenders.

                SECTION
5.6. Payment of Net Equity Proceeds. Upon receipt of any Net Equity
Proceeds, from the Borrower in violation of Section 3.1.1 of the Credit
Agreement, the Pledgor shall pay or repay the Loans in the amounts and on the
dates required pursuant to clause (c) of Section 3.1.1 of the Credit Agreement.

                SECTION 5.7. Compliance with Laws, etc.
The Pledgor will comply in all material respects with all applicable laws,
rules, regulations and orders, such compliance to include: 

                (a) the maintenance and
preservation of its corporate existence and qualification as a foreign
corporation; and 

                (b) the payment, before the same
become delinquent, of all material taxes, assessments and governmental charges
imposed upon it or upon its property except to the extent being contested in
good faith by appropriate proceedings and for which adequate reserves in
accordance with GAAP shall have been set aside on its books.

                SECTION
5.8. No Defaults. The Pledgor will not, and will not permit the Borrower
or any of its Subsidiaries to, take any action or fail to take any action if
such action or failure to act would result in a Default under the Credit
Agreement. 

ARTICLE
VI 

THE ADMINISTRATIVE AGENT

                SECTION
6.1. Administrative Agent Appointed Attorney-in-Fact. The Pledgor hereby
irrevocably appoints the Administrative Agent it’s attorney-in-fact, with full
authority in the place and stead of the Pledgor and in the name of the Pledgor
or otherwise, from time to time in the Administrative Agent’s discretion,
following the occurrence and during the continuance of a Specified Event and
subject to delivery of notice to the Pledgor, to take any action and to execute
any instrument which the Administrative Agent may deem necessary or advisable
to accomplish the purposes of this Agreement, including: 

                (a) to ask, demand, collect, sue
for, recover, compromise, receive and give acquittance and receipts for moneys
due and to become due under or in respect of any of the Collateral; 

                (b) to receive, endorse, and
collect any drafts or other instruments, documents and chattel paper, in
connection with clause (a) above;

                (c) to file any claims or take
any action or institute any proceedings which the Administrative Agent may deem
necessary or desirable for the collection of any of the Collateral or otherwise
to enforce the rights of the Administrative Agent with respect to any of the
Collateral; and

                (d) to perform the affirmative
obligations of the Pledgor hereunder (including all obligations of the Pledgor
pursuant to Section 5.1).

The Pledgor hereby acknowledges, consents
and agrees that the power of attorney granted pursuant to this Section is
irrevocable and coupled with an interest.

                SECTION
6.2. Administrative Agent May Perform. If the Pledgor fails to perform
any agreement contained herein within 30 days after written notice from the
Administrative Agent, the Administrative Agent may itself perform, or cause
performance of, such agreement, and the expenses of the Administrative Agent
incurred in connection therewith shall be payable by the Pledgor pursuant to Section
8.4.

                SECTION
6.3. Administrative Agent Has No Duty. The powers conferred on the
Administrative Agent hereunder are solely to protect its interest (on behalf of
the Secured Parties) in the Collateral and shall not impose any duty on it to
exercise any such powers. Except for reasonable care of any Collateral in its
possession and the accounting for moneys actually received by it hereunder, the
Administrative Agent shall have no duty as to any Collateral or responsibility
for (a) ascertaining or taking action with respect to calls, conversions,
exchanges, maturities, tenders or other matters relative to any investment
property, whether or not the Administrative Agent has or is deemed to have knowledge
of such matters, or (b) taking any necessary steps to preserve rights against
prior parties or any other rights pertaining to any Collateral.

                SECTION
6.4. Reasonable Care. The Administrative Agent is required to exercise
reasonable care in the custody and preservation of any of the Collateral in its
possession; provided that the Administrative Agent shall be deemed to
have exercised reasonable care in the custody and preservation of any of the
Collateral, if it takes such action for that purpose as the Pledgor reasonably
requests in writing at times other than upon the occurrence and during the
continuance of any Specified Event, but failure of the Administrative Agent to
comply with any such request at any time shall not in itself be deemed a failure
to exercise reasonable care. 

ARTICLE
VII

REMEDIES

                SECTION
7.1. Certain Remedies. If any Specified Event shall have occurred and be
continuing: 

                (a) The Administrative Agent may
exercise in respect of the Collateral, in addition to other rights and remedies
provided for herein or otherwise available to it, all the rights and remedies
of a secured party on default under the UCC (whether or not the UCC applies to
the affected Collateral) and also may 

                (i) require the Pledgor to, and
the Pledgor hereby agrees that it will, at its expense and upon request of the
Administrative Agent forthwith, assemble all or part of the Collateral as
directed by the Administrative Agent and make it available to the
Administrative Agent at a place to be designated by the Administrative Agent
which is reasonably convenient to both parties, and 

                (ii) without notice except as specified
below, sell the Collateral or any part thereof in one or more parcels at public
or private sale, at any of the Administrative Agent’s offices or elsewhere, for
cash, on credit or for future delivery, and upon such other terms as the
Administrative Agent may deem commercially reasonable. The Pledgor agrees that,
to the extent notice of sale shall be required by law, at least ten days prior
notice to the Pledgor of the time and place of any public sale or the time
after which any private sale is to be made shall constitute reasonable
notification. The Administrative Agent shall not be obligated to make any sale
of Collateral regardless of notice of sale having been given. The
Administrative Agent may adjourn any public or private sale from time to time
by announcement at the time and place fixed therefor, and such sale may,
without further notice, be made at the time and place to which it was so adjourned.

                (b) All cash proceeds received
by the Administrative Agent in respect of any sale of, collection from, or
other realization upon, all or any part of the Collateral shall be applied by
the Administrative Agent against, all or any part of the Obligations as set
forth in Section 2.7 of the Subsidiary Guaranty. 

                (c) The Administrative Agent may

                (i) transfer all or any part of
the Collateral into the name of the Administrative Agent or its nominee, with
or without disclosing that such Collateral is subject to the Lien hereunder,

                (ii) notify the parties
obligated on any of the Collateral to make payment to the Administrative Agent
of any amount due or to become due thereunder, 

                (iii) enforce collection of any
of the Collateral by suit or otherwise, and surrender, release or exchange all
or any part thereof, or compromise or extend or renew for any period (whether
or not longer than the original period) any obligations of any nature of any
party with respect thereto, 

                (iv) endorse any checks, drafts,
or other writings in the Pledgor’s name to allow collection of the Collateral, 

                (v) take control of any proceeds
of the Collateral, and 

                (vi) execute (in the name, place
and stead of the Pledgor) endorsements, assignments, stock powers and other
instruments of conveyance or transfer with respect to all or any of the
Collateral.

                SECTION 7.2. Securities Laws. If the
Administrative Agent shall determine to exercise its right to sell all or any
of the Collateral pursuant to Section 7.1, the Pledgor agrees that, upon
request of the Administrative Agent, the Pledgor will, at its own expense:

                (a) use its best efforts to
exempt the Collateral under the state securities or “Blue Sky” laws and to
obtain all necessary governmental approvals for the sale of the Collateral, as
requested by the Administrative Agent; and

                (b) do or cause to be done all
such other acts and things as may be necessary to make such sale of the
Collateral or any part thereof valid and binding and in compliance with
applicable law.

The Pledgor further acknowledges the
impossibility of ascertaining the amount of damages that would be suffered by
any of the Secured Parties by reason of the failure of the Pledgor to perform
any of the covenants contained in this Section and consequently, to the extent
permitted under applicable law, agrees that, if the Pledgor shall fail t o
perform any of such covenants, it shall pay, as liquidated damages and not as a
penalty, an amount equal to the value (as determined by the Administrative
Agent) of the Collateral on the date the Administrative Agent shall demand
compliance with this Section.

                SECTION
7.3. Compliance with Restrictions. The Pledgor agrees that in any sale
of any of the Collateral whenever a Specified Event shall have occurred and be
continuing, the Administrative Agent is hereby authorized to comply with any
limitation or restriction in connection with such sale as it may be advised by
counsel is necessary in order to avoid any violation of applicable law
(including compliance with such procedures as may restrict the number of
prospective bidders and purchasers, require that such prospective bidders and
purchasers have certain qualifications, and restrict such prospective bidders
and purchasers to persons who will represent and agree that they are purchasing
for their own account for investment and not with a view to the distribution or
resale of such Collateral), or in order to obtain any required approval of the
sale or of the purchaser by any Governmental Authority or official, and the
Pledgor further agrees that such compliance shall not result in such sale being
considered or deemed not to have been made in a commercially reasonable manner,
nor shall the Administrative Agent be liable nor accountable to the Pledgor for
any discount allowed by reason of the fact that such Collateral is sold in
compliance with any such limitation or restriction. 

                SECTION
7.4. Indemnity and Expenses.

                (a)
The Pledgor agrees to indemnify the Administrative Agent from and against any
and all claims, losses and liabilities arising out of or resulting from this
Agreement (including enforcement of this Agreement), except claims, losses, or
liabilities resulting from the Administrative Agent’s gross negligence or
wilful misconduct.

                (b) The Pledgor, upon demand, will pay to the
Administrative Agent the amount of any and all reasonable expenses, including
the reasonable fees and disbursements of its counsel and of any experts and
agents, which the Administrative Agent may incur in connection with 

                (i) the administration of each
Loan Document,

                (ii) the custody, preservation,
use, or operation of, or the sale of, collection from, or other realization
upon, any of the Collateral,

                (iii) the exercise or
enforcement of any of the rights of the Administrative Agent or the Secured
Parties hereunder, or

                (iv) the failure by the Pledgor
to perform or observe any of the provisions hereof. 

ARTICLE
VIII

MISCELLANEOUS PROVISIONS

                SECTION
8.1. Loan Document. This Agreement is a Loan Document executed pursuant
to the Credit Agreement and shall (unless otherwise expressly indicated herein)
be construed, administered and applied in accordance with the terms and
provisions thereof.

                SECTION
8.2. Binding on Successors, Transferees and Assigns; Assignment. This
Agreement shall remain in full force and effect until the Termination Date,
shall be jointly and severally binding upon the Pledgor and its successors,
transferees and assigns and shall inure to the benefit of and be enforceable by
each Secured Party and its successors, transferees and assigns; provided that
the Pledgor may not (unless otherwise permitted under the terms of the Credit
Agreement) assign any of its obligations hereunder without the prior written
consent of all Lenders.

                SECTION
8.3. Amendments, etc. No amendment to or waiver of any provision of this
Agreement nor consent to any departure by the Pledgor from its obligations
under this Agreement shall in any event be effective unless the same shall be
in writing and signed by the Administrative Agent (on behalf of the Lenders or
the Required Lenders, as the case may be pursuant to Section 10.1 of the Credit
Agreement), and then such waiver or consent shall be effective only in the
specific instance and for the specific purpose for which it is given.

                SECTION
8.4. Protection of Collateral. The Administrative Agent may from time to
time, at its option, perform any act which the Pledgor agrees hereunder to
perform and which the Pledgor shall fail to perform within 30 days after being
requested in writing so to perform and the Administrative Agent may from time
to time take any other action which the Administrative Agent reasonably deems
necessary for the maintenance, preservation or protection of any of the
Collateral or of its security interest therein.

                SECTION 8.5. Notices. All notices and
other communications provided for hereunder shall be in writing or by facsimile
and addressed, delivered or transmitted to the appropriate party at the address
or facsimile number of such party specified in the Credit Agreement or at such
other address or facsimile number as may be designated by such party in a
notice to the other party. Any notice or other communication, if mailed and
properly addressed with postage prepaid or if properly addressed and sent by
pre-paid courier service, shall be deemed given when received; any such notice
or other communication, if transmitted by facsimile, shall be deemed given when
transmitted and electronically confirmed.

                SECTION
8.6. No Waiver; Remedies. In addition to, and not in limitation of,
Section 3.4 and Section 3.6, no failure on the part of any Secured Party to
exercise, and no delay in exercising, any right hereunder shall operate as a
waiver thereof, nor shall any single or partial exercise of any right hereunder
preclude any other or further exercise thereof or the exercise of any other
right. The remedies herein provided are cumulative and not exclusive of any
remedies provided by law.

                SECTION
8.7. Section Captions. Section captions used in this Agreement are for
convenience of reference only, and shall not affect the construction of this
Agreement.

                SECTION
8.8. Severability. Wherever possible each provision of this Agreement
shall be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Agreement shall be prohibited by
or invalid under such law, such provision shall be ineffective to the extent of
such prohibition or invalidity, without invalidating the remainder of such
provision or the remaining provisions of this Agreement.

                SECTION
8.9. Counterparts. This Agreement may be executed by the parties hereto
in several counterparts, each of which shall be deemed to be an original and
all of which shall constitute together but one and the same agreement. 

                SECTION
8.10. Governing Law, Entire Agreement, etc. THIS AGREEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED
BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE
SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW
YORK). This Agreement and the other Loan Documents constitute the entire
understanding among the parties hereto with respect to the subject matter
hereof and supersede any prior agreements, written or oral, with respect
thereto.

                SECTION
8.11. Forum Selection and Consent to Jurisdiction. ANY LITIGATION BASED HEREON, OR ARISING OUT
OF, UNDER, OR IN CONNECTION WITH, THIS AGREEMENT OR ANY OTHER LOAN DOCUMENT, OR
ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN)
OR ACTIONS OF THE ADMINISTRATIVE AGENT, THE LENDERS, ANY ISSUER OR THE PLEDGOR
IN CONNECTION HEREWITH OR THEREWITH. MAY BE BROUGHT AND MAINTAINED IN THE
COURTS OF THE STATE OF NEW YORK OR IN THE UNITED STATES DISTRICT COURT FOR THE
SOUTHERN DISTRICT OF NEW YORK; PROVIDED THAT ANY SUIT SEEKING ENFORCEMENT
AGAINST ANY COLLATERAL OR OTHER PROPERTY MAY BE BROUGHT, AT THE ADMINISTRATIVE
AGENT’S OPTION, IN THE COURTS OF ANY JURISDICTION WHERE SUCH COLLATERAL OR
OTHER PROPERTY MAY BE FOUND. THE PLEDGOR HEREBY EXPRESSLY AND IRREVOCABLY
SUBMITS TO THE JURISDICTION OF THE COURTS OF THE STATE OF NEW YORK, NEW YORK
COUNTY AND OF THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW
YORK FOR THE PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVE AND IRREVOCABLY
AGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY IN CONNECTION WITH SUCH
LITIGATION. THE PLEDGOR IRREVOCABLY CONSENTS TO THE SERVICE OF PROCESS BY
REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL SERVICE WITHIN OR WITHOUT THE
STATE OF NEW YORK AT THE ADDRESS FOR NOTICES SPECIFIED FOR THE PLEDGOR IN
SECTION 10.2 OF THE CREDIT AGREEMENT. THE PLEDGOR HEREBY EXPRESSLY AND
IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH
IT MAY HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION
BROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH
LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT THE
PLEDGOR HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY
COURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT
PRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO
ITSELF OR ITS PROPERTY, THE PLEDGOR HEREBY IRREVOCABLY WAIVES TO THE FULLEST
EXTENT PERMITTED BY LAW SUCH IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THIS
AGREEMENT AND THE OTHER LOAN DOCUMENTS.

                SECTION
8.12. Waiver of Jury Trial. THE
PLEDGOR HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVES TO THE FULLEST
EXTENT PERMITTED BY LAW ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF
ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH,
EACH LOAN DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE ADMINISTRATIVE AGENT, SUCH LENDER,
SUCH ISSUER OR THE PLEDGOR IN CONNECTION THEREWITH. THE PLEDGOR ACKNOWLEDGES
AND AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS
PROVISION (AND EACH OTHER PROVISION OF EACH OTHER LOAN DOCUMENT TO WHICH IT IS
A PARTY) AND THAT THIS PROVISION IS A MATERIAL INDUCEMENT FOR THE.
ADMINISTRATIVE AGENT, EACH LENDER AND EACH ISSUER ENTERING INTO THE LOAN
DOCUMENTS.

* * * * *

                IN WITNESS WHEREOF, each of the parties hereto
have caused this Agreement to be duly executed and delivered by its Authorized
Officer as of the day and year first above written. 

	 	UNITED SURGICAL PARTNERS 

  INTERNATIONAL, INC.
	 	 
	 	 
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title: Senior Vice President and Chief
  Financial Officer
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 
	 	 
	 	By:	 /s/ Julia P. Kingsbury
	 	 	

	 	 	Title: Vice President
	 	 	 
	 	 	 
	 	By:	 /s/ William S. Lutkins
	 	 	

	 	 	Title: Vice President

ATTACHMENT
1 

to Parent Guaranty and Pledge Agreement 

Equity
Interests

	 	Description	 
	 	

	 
	 	 	 	 	 	 	 	% of	 
	 	 	 	 	 	 	 	Outstanding	 
	 	Certificate	 	Authorized	 	Outstanding	 	Shares	 
	Equity Interests Issuer	No.	 	Shares	 	Shares	 	Pledged	 
	

	

	 	

	 	

	 	

	 
	United
  Surgical Partners Holdings, Inc.	[                    ]	 	[                    ]	 	[                     ]	 	100%	 

 

 

REVOLVING NOTE

 

	$15,000,000.00	June
  13, 2001

                FOR
VALUE RECEIVED, USP DOMESTIC HOLDINGS, INC., a Delaware corporation (the “Borrower”),
promises to pay to the order of SOCIÉTÉ GÉNÉRALE FINANCIAL CORPORATION (the “Lender”)
on the Stated Maturity Date the principal sum of FIFTEEN MILLION DOLLARS
($15,000,000.00) or, if less, the aggregate unpaid principal amount of all
Revolving Loans shown on the schedule attached hereto (and any continuation
thereof) made (or continued) by the Lenders pursuant to that certain Credit Agreement,
dated as of June 13, 2001 (as amended, supplemented, amended and restated or
otherwise modified from time to time, the “Credit Agreement”), among the
Borrower, the various financial institutions and other Persons from time to
time parties hereto (including the Lender), Credit Suisse First Boston, as
Administrative Agent, Lehman Commercial Paper Inc., as Syndication Agent, and
Société Générale, as Documentation Agent. Terms used in this Note, unless
otherwise defined herein, have the meanings provided in the Credit Agreement.

                The
Borrower also promises to pay interest on the unpaid principal amount hereof
from time to time outstanding from the date hereof until maturity (whether by
acceleration or otherwise) and, after maturity, until paid, at the rates per
annum and on the dates specified in the Credit Agreement.

                Payments
of both principal and interest are to be made in Dollars in same day or
immediately available funds to the account designated by the Administrative
Agent pursuant to the Credit Agreement.

                This
Note is one of the Revolving Notes referred to in, and evidences Indebtedness
incurred under, the Credit Agreement, to which reference is made for a
description of the security for this Note and for a statement of the terms and
conditions on which the Borrower is permitted and required to make prepayments
and repayments of principal of the Indebtedness evidenced by this Note and on
which such Indebtedness may be declared to be immediately due and payable.

                All
parties hereto, whether as makers, endorsers, or otherwise, severally waive
presentment for payment, demand, protest and notice of dishonor.

                THIS NOTE HAS BEEN
DELIVERED IN NEW YORK, NEW YORK AND SHALL BE DEEMED TO BE A CONTRACT MADE UNDER
AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH
PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE
OF NEW YORK).

	 	USP DOMESTIC HOLDINGS, INC.
	 	 
	 	 
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title: Senior Vice President and Chief
  Financial Officer

REVOLVING
LOANS AND PRINCIPAL PAYMENTS

	

	 
	 	Amount of Revolving Loan Made	 	 	 	Amount of Principal Repaid	 	Unpaid Principal Balance	 	 	 	 	 
	 	

	 	 	 	

	 	

	 	 	 	 	 
	Date	Alternate Base Rate	 	LIBO Rate	 	Interest Period	 	Alternate Base Rate	 	LIBO Rate	 	Alternate Base Rate	 	LIBO Rate	 	Total	 	Notation Made By	 
	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	

	 

 

[EXECUTION
COPY]

SOLVENCY CERTIFICATE

USP
DOMESTIC HOLDING, INC.

                This
Solvency Certificate (this “Certificate”), dated as of June 13, 2001, is
delivered pursuant to Section 5.1.10 of the Credit Agreement, dated as of June
13, 2001, among USP Domestic Holdings, Inc., a Delaware corporation (the
“Borrower”), the Lenders, Credit Suisse First Boston, as Administrative Agent,
Lehman Commercial Paper Inc., as Syndication Agent, and Société Générale, as
Documentation Agent. Terms used herein, unless otherwise defined herein, have
the meanings provided in the Credit Agreement.

                The
undersigned hereby certifies that he is an Authorized Officer (in such
capacity, the “Authorized Officer”) of the Borrower, and that, as such,
he is authorized to execute this Certificate on behalf of the Borrower. Any
term or provision hereof to the contrary notwithstanding, the Authorized
Officer is executing this Certificate in his capacity as an officer of, and
solely on behalf of, the Borrower, and not in his individual capacity. On
behalf of the Borrower, the Authorized Officer further certifies that:

   1. The Authorized Officer has knowledge of,
and has participated in, the preparation and negotiation of the Credit
Agreement, each other Loan Document, and the agreements executed in connection
therewith and the transactions contemplated thereunder.

   2. The Authorized Officer is familiar (both
before and after giving effect to the Transaction) with the finances of the
Borrower and its Subsidiaries and has participated in the preparation of the
financial statements of the Borrower and its Subsidiaries, including the pro
forma consolidated balance sheets and statements of income and cash flows
for the Borrower and its Subsidiaries. The Authorized Officer has also
participated in the development of financial projections for Parent, Holdings,
the Borrower and its Subsidiaries giving effect to the Transaction and the
financing and transactions contemplated pursuant to and in connection with the
Credit Agreement.

   3. On a pro forma basis after giving
effect to the transactions contemplated under the Credit Agreement (including
the Transaction), as of the Closing Date: 

     (a) the fair salable value of the assets of
the Borrower and its Subsidiary Guarantors, on a consolidated and going concern
basis, is greater than the total amount of liabilities (including contingent,
subordinated, unmatured and unliquidated liabilities) of the Borrower and its
Subsidiary Guarantors on a consolidated basis;

     (b)
the fair salable value of the assets of the Borrower and its Subsidiary
Guarantors, on a consolidated and going concern basis, is not less than the
amount that will be required to pay their probable liabilities on a
consolidated basis (including contingent, subordinated, unmatured and
unliquidated liabilities) as they become absolute and matured;

     (c) the Borrower and its Subsidiary
Guarantors, on a consolidated basis, are not engaged in a business or a
transaction, and are not about to be engaged in a business or a transaction for
which their properties would constitute an unreasonably small capital; and

     (d) the Borrower and its Subsidiary
Guarantors, on a consolidated basis, do not intend to, and do not believe that
they will, incur debts or liabilities (including contingent, subordinated,
unmatured and unliquidated liabilities) beyond their ability to pay as such
debts and liabilities mature in the ordinary course of business.

For
purposes of the foregoing, the amount of contingent liabilities have been
computed as the amount that, in light of all the facts and circumstances
existing at the time hereof, can reasonably be expected to become an actual or
matured liability.

                IN WITNESS WHEREOF, the undersigned Authorized
Officer has executed and delivered this solvency certificate on behalf of the
Borrower as of the date first written above.

	 	USP DOMESTIC HOLDINGS, INC.
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Title:
  Senior Vice President and Chief Financial Officer

 

[EXECUTION
COPY]

SUBSIDIARY GUARANTY

                This
SUBSIDIARY GUARANTY, dated as of June 13, 2001 (as amended, supplemented,
amended and restated or otherwise modified from time to time, this “Guaranty”),
is made by each Subsidiary of USP Domestic Holdings, Inc., a Delaware
corporation (the “Borrower”), from time to time a party to this Guaranty
(each individually a “Guarantor” and collectively, the “Guarantors”),
in favor of CREDIT SUISSE FIRST BOSTON, as administrative agent (together with
its successor(s) thereto in such capacity, the “Administrative Agent”)
for each of the Secured Parties.

W
I T N E S S E T H:

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among the Borrower, the Lenders, Lehman Commercial
Paper Inc., as the Syndication Agent, Société Générale, as the Documentation Agent,
and the Administrative Agent, the Lenders and the Issuer have extended
Commitments to make Credit Extensions to the Borrower;

                WHEREAS,
pursuant to the terms of the Credit Agreement, each Guarantor is required to
execute and deliver this Guaranty;

                WHEREAS,
each Guarantor has duly authorized the execution, delivery and performance of
this Agreement; and

                WHEREAS,
it is in the best interests of each Guarantor to execute this Agreement
inasmuch as each Guarantor will derive substantial direct and indirect benefits
from the Credit Extensions made from time to time to the Borrower by the
Lenders and the Issuer pursuant to the Credit Agreement;

                NOW, THEREFORE, for good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged,
each Guarantor agrees, for the benefit of each Secured Party, as follows:

ARTICLE
I

DEFINITIONS

                SECTION
1.1. Certain Terms. The following terms (whether or not underscored)
when used in this Guaranty, including its preamble and recitals, shall have the
following meanings (such definitions to be equally applicable to the singular
and plural forms thereof):

                “Administrative
Agent” is defined in the preamble.

                “Borrower” is defined in
the preamble.

                “Credit
Agreement” is defined in the first recital.

                “Guarantor”
and “Guarantors” are defined in the preamble.

                “Guaranty”
is defined in the preamble.

                SECTION
1.2. Credit Agreement Definitions. Unless otherwise defined herein or
the context otherwise requires, terms used in this Guaranty, including its
preamble and recitals, have the meanings provided in the Credit Agreement.

ARTICLE
II

GUARANTY PROVISIONS

                SECTION
2.1. Guaranty. Each Guarantor hereby jointly and severally absolutely,
unconditionally and irrevocably

                (a) guarantees the full and
punctual payment when due, whether at stated maturity, by required prepayment,
declaration, acceleration, demand or otherwise, of all Obligations of each
Obligor now or hereafter existing, whether for principal, interest (including
interest accruing at the then applicable rate provided in the Credit Agreement
after the occurrence of any Default set forth in Section 8.1.9 of the Credit
Agreement, whether or not a claim for post-filing or post-petition interest is
allowed under applicable law following the institution of a proceeding under
bankruptcy, insolvency or similar laws), fees, Reimbursement Obligations,
expenses or otherwise (including all such amounts which would become due but
for the operation of the automatic stay under Section 362(a) of the United
States Bankruptcy Code, 11 U.S.C. §362(a), and the operation of Sections 502(b)
and 506(b) of the United States Bankruptcy Code, 11 U.S.C. §502(b) and
§506(b)); and

                (b) indemnifies and holds harmless each
Secured Party for any and all costs and expenses (including reasonable
attorneys’ fees and expenses) incurred by such Secured Party in enforcing any
rights under this Guaranty; 

provided that each Guarantor shall only be liable under
this Guaranty for the maximum amount of such liability that can be hereby
incurred without rendering this Guaranty, as it relates to such Guarantor,
voidable under applicable law relating to fraudulent conveyance or fraudulent
transfer, and not for any greater amount. This Guaranty constitutes a guaranty
of payment when due and not of collection, and each Guarantor specifically
agrees that it shall not be necessary or required that any Secured Party
exercise any right, assert any claim or demand or enforce any remedy whatsoever
against any Obligor or any other Person before or as a condition to the
obligations of such Guarantor hereunder.

                SECTION
2.2. Reinstatement, etc. Each Guarantor hereby jointly and severally
agrees that this Guaranty shall continue to be effective or be reinstated, as
the case may be, if at any time any payment (in whole or in part) of any of the
Obligations is invalidated, declared to be fraudulent or preferential, set
aside, rescinded or must otherwise be restored by any Secured Party, including
upon the occurrence of any Default set forth in Section 8.1.9 of the Credit
Agreement or otherwise, all as though such payment had not been made.

                SECTION
2.3. Guaranty Absolute, etc. This Guaranty shall in all respects be a
continuing, absolute, unconditional and irrevocable guaranty of payment, and
shall remain in full force and effect until the Termination Date. Each
Guarantor jointly and severally guarantees that the Obligations will be paid
strictly in accordance with the terms of each Loan Document under which they
arise, regardless of any law, regulation or order now or hereafter in effect in
any jurisdiction affecting any of such terms or the rights of any Secured Party
with respect thereto. The liability of each Guarantor under this Guaranty shall
be joint and several, absolute,

unconditional and irrevocable irrespective of:

                (a) any lack of validity,
legality or enforceability of any Loan Document;

                (b) the failure of any Secured
Party

                (i) to assert any claim or
demand or to enforce any right or remedy against any Obligor or any other
Person (including any other Guarantor) under the provisions of any Loan
Document or otherwise, or

                (ii) to exercise any right or
remedy against any other guarantor (including any other Guarantor) of, or
collateral securing, any Obligations;

                (c) any change in the time,
manner or place of payment of, or in any other term of, all or any part of the
Obligations, or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,
impairment or termination of any Obligations for any reason, including any
claim of waiver, release, surrender, alteration or compromise, and shall not be
subject to (and each Guarantor hereby waives any right to or claim of) any
defense or setoff, counterclaim, recoupment or termination whatsoever by reason
of the invalidity, illegality, nongenuineness, irregularity, compromise,
unenforceability of, or any other event or occurrence affecting, any
Obligations or otherwise;

                (e) any amendment to, rescission, waiver,
or other modification of, or any consent to or departure from, any of the terms
of any Loan Document;

                (f) any addition, exchange or
release of any collateral or of any Person that is (or will become) a guarantor
(including a Guarantor hereunder) of the Obligations, or any surrender or
non-perfection of any collateral, or any amendment to or waiver or release or
addition to, or consent to or departure from, any other guaranty held by any
Secured Party securing any of the Obligations; or

                (g) any other circumstance which
might otherwise constitute a defense available to, or a legal or equitable
discharge of, any Obligor, any surety or any guarantor.

                SECTION
2.4. Setoff. Each Guarantor hereby irrevocably authorizes the
Administrative Agent and each Lender, without the requirement that any notice
be given to such Guarantor (such notice being expressly waived by each
Guarantor), upon the occurrence and during the continuance of any Default
described in Section 8.1.9 of the Credit Agreement or, with the consent of the
Required Lenders, upon the occurrence and during the continuance of any other
Event of Default, to set-off and appropriate and apply to the payment of the
Obligations (whether or not then due, and whether or not any Secured Party has
made any demand for payment of the Obligations), any and all balances, claims,
credits, deposits (general or special, time or demand, provisional or final),
accounts or money of such Guarantor then or thereafter maintained with such
Secured Party; provided that any such appropriation and application
shall be subject to the provisions of Section 4.8 of the Credit Agreement. Each
Secured Party agrees to notify the applicable Guarantor and the Administrative
Agent after any such setoff and application made by such Secured Party; provided
further that the failure to give such notice shall not affect the validity
of such setoff and application. The rights of each Secured Party under this
Section are in addition to other rights and remedies (including other rights of
setoff under applicable law or otherwise) which such Secured Party may have.

                SECTION
2.5. Waiver, etc. Each Guarantor hereby waives promptness, diligence,
notice of acceptance and any other notice with respect to any of the
Obligations and this Guaranty and any requirement that any Secured Party
protect, secure, perfect or insure any Lien, or any property subject thereto,
or exhaust any right or take any action against any Obligor or any other Person
(including any other guarantor) or entity or any collateral securing the
Obligations, as the case may be.

                SECTION 2.6. Postponement of Subrogation, etc.
Each Guarantor agrees that it will not exercise any rights which it may acquire
by way of rights of subrogation under any Loan Document to which it is a party,
nor shall any Guarantor seek or be entitled to seek any contribution or
reimbursement from any Obligor, in respect of any payment made under any Loan
Document or otherwise, until following the Termination Date. Any amount paid to
any Guarantor on account of any such subrogation rights prior to the
Termination Date shall be held in trust for the benefit of the Secured Parties
and shall immediately be paid and turned over to the Administrative Agent for
the benefit of the Secured Parties in the exact form received by such Guarantor
(duly endorsed in favor of the Administrative Agent, if required), to be
credited and applied against the Obligations, whether matured or unmatured, in
accordance with Section 2.7; provided that if any Guarantor has
made payment to the Secured Parties of all or any part of the Obligations and
the Termination Date has occurred, then at such Guarantor’s request, the
Administrative Agent (on behalf of the Secured Parties) will, at the expense of
such Guarantor, execute and deliver to such Guarantor appropriate documents
(without recourse and without representation or warranty) necessary to evidence
the transfer by subrogation to such Guarantor of an interest in the Obligations
resulting from such payment. In furtherance of the foregoing, at all times
prior to the Termination Date, each Guarantor shall refrain from taking any
action or commencing any proceeding against any Obligor (or its successors or
assigns, whether in connection with a bankruptcy proceeding or otherwise) to
recover any amounts in respect of payments made under this Guaranty to any
Secured Party.

                SECTION
2.7. Payments; Application. Each Guarantor hereby agrees with each
Secured Party as follows:

                (a) Each Guarantor agrees that
all payments made by such Guarantor hereunder will be made in Dollars to the
Administrative Agent, without set-off, counterclaim or other defense and in
accordance with Sections 4.6 and 4.7 of the Credit Agreement, free and clear of
and without deduction for any Taxes, each Guarantor hereby agreeing to comply
with and be bound by the provisions of Sections 4.6 and 4.7 of the Credit Agreement
in respect of all payments made by it hereunder and the provisions of which
Sections are hereby incorporated into and made a part of this Guaranty by this
reference as if set forth herein; provided that references to the
“Borrower” in such Sections shall be deemed to be references to each Guarantor,
and references to “this Agreement” in such Sections shall be deemed to be
references to this Guaranty.

                (b) All payments made hereunder
shall be applied upon receipt

                (i) first, to the payment of all
Obligations owing to the Administrative Agent, in its capacity as the
Administrative Agent (including the fees and expenses of counsel to the
Administrative Agent),

                (ii) second, after payment in
full in cash of the amounts specified in clause (b)(i), to the ratable
payment of all interest and fees owing with respect to the Credit Extensions
and all costs and expenses owing to the Secured Parties pursuant to the terms
of the Credit Agreement,

                (iii) third, after payment in
full in cash of the amounts specified in clauses (b)(i) and (b)(ii),
to the ratable payment of the principal amount of the Loans then outstanding,
amounts owing to Secured Parties under Rate Protection Agreements, the
aggregate Reimbursement Obligations then owing and Cash Collateralization for
contingent liabilities under Letter of Credit Outstandings,

                (iv) fourth, after payment in full in
cash of the amounts specified in clauses (b)(i) through (b)(iii),
to the ratable payment of all other Obligations owing to the Secured Parties,

                (v) fifth, after payment in full
in cash of the amounts specified in clauses (b)(i) through (b)(iv),
and following the Termination Date, to each applicable Guarantor or any other
Person lawfully entitled to receive such surplus.

For purposes of this Guaranty, the
“credit exposure” at any time of any Secured Party with respect to a Rate
Protection Agreement to which such Secured Party is a party shall be determined
at such time in accordance with the customary methods of calculating credit
exposure under similar arrangements by the counterparty to such arrangements,
taking into account potential interest rate movements and the respective
termination provisions and notional principal amount and term of such Rate
Protection Agreement.

ARTICLE
III

REPRESENTATIONS AND WARRANTIES

                In
order to induce the Secured Parties to enter into the Credit Agreement and make
Credit Extensions thereunder, and to induce the Secured Parties to enter into
Rate Protection Agreements, each Guarantor represents and warrants to each
Secured Party as set forth below. 

                SECTION
3.1. Credit Agreement Representations and Warranties. The
representations and warranties contained in Article VI of the Credit Agreement,
insofar as the representations and warranties contained therein are applicable
to such Guarantor and its properties, are true and correct in all material
respects, each such representation and warranty set forth in such Article
(insofar as applicable as aforesaid) and all other terms of the Credit
Agreement to which reference is made therein, together with all related
definitions and ancillary provisions, being hereby incorporated into this
Guaranty by this reference as though specifically set forth in this Article.

                SECTION
3.2. Financial Condition, etc. Each Guarantor has knowledge of each
other Obligor’s financial condition and affairs and has adequate means to
obtain from the each such Obligor on an ongoing basis information relating
thereto and to such Obligor’s ability to pay and perform the Obligations, and
agrees to assume the responsibility for keeping, and to keep, so informed for
so long as this Guaranty is in effect. Each Guarantor acknowledges and agrees
that the Secured Parties shall have no obligation to investigate the financial
condition or affairs of any Obligor for the benefit of such Guarantor nor to
advise such Guarantor of any fact respecting, or any change in, the financial
condition or affairs of any other Obligor that might become known to any
Secured Party at any time, whether or not such Secured Party knows or believes
or has reason to know or believe that any such fact or change is unknown to
such Guarantor, or might (or does) materially increase the risk of such
Guarantor as guarantor, or might (or would) affect the willingness of such
Guarantor to continue as a guarantor of the Obligations.

                SECTION 3.3. Best Interests. It is in the
best interests of each Guarantor to execute this Guaranty inasmuch as such
Guarantor will, as a result of being a Subsidiary of the Borrower, derive
substantial direct and indirect benefits from the Credit Extensions made from
time to time to the Borrower by the Lenders and the Issuer pursuant to the
Credit Agreement and the execution and delivery of Rate Protection Agreements
between the Borrower, other Obligors and certain Secured Parties, and each
Guarantor agrees that the Secured Parties are relying on this representation in
agreeing to make Credit Extensions to the Borrower.

ARTICLE
IV

COVENANTS, ETC.

                Each
Guarantor covenants and agrees that, at all times prior to the Termination Date,
it will perform, comply with and be bound by all of the agreements, covenants
and obligations contained in the Credit Agreement (including Article VII and
Section 8.1.9 of the Credit Agreement) which are applicable to such Guarantor
or its properties, each such agreement, covenant and obligation contained in
the Credit Agreement and all other terms of the Credit Agreement to which
reference is made in this Article, together with all related definitions and
ancillary provisions, being hereby incorporated into this Guaranty by this
reference as though

specifically set forth in this Article.

ARTICLE
V

MISCELLANEOUS PROVISIONS

                SECTION
5.1. Loan Document. This Guaranty is a Loan Document executed pursuant
to the Credit Agreement and shall (unless otherwise expressly indicated herein)
be construed, administered and applied in accordance with the terms and
provisions thereof, including Article X thereof.

                SECTION
5.2. Binding on Successors, Transferees and Assigns; Assignment. This
Guaranty shall remain in full force and effect until the Termination Date,
shall be jointly and severally binding upon each Guarantor and its successors,
transferees and assigns and shall inure to the benefit of and be enforceable by
each Secured Party and its successors, transferees and assigns; provided
that no Guarantor may (unless otherwise permitted under the terms of the Credit
Agreement) assign any of its obligations hereunder without the prior written
consent of all Lenders.

                SECTION 5.3. Amendments, etc. No
amendment to or waiver of any provision of this Guaranty, nor consent to any
departure by any Guarantor from its obligations under this Guaranty, shall in
any event be effective unless the same shall be in writing and signed by the
Administrative Agent (on behalf of the Lenders or the Required Lenders, as the
case may be, pursuant to Section 10.1 of the Credit Agreement) and then such
waiver or consent shall be effective only in the specific instance and for the
specific purpose for which given.

                SECTION
5.4. Notices. All notices and other communications provided for
hereunder shall be in writing or by facsimile and addressed, delivered or
transmitted to the appropriate party at the address or facsimile number of such
party (in the case of any Guarantor, in care of the Borrower) specified in the
Credit Agreement or at such other address or facsimile number as may be
designated by such party in a notice to the other party. Any notice or other
communication, if mailed and properly addressed with postage prepaid or if
properly addressed and sent by pre-paid courier service, shall be deemed given
when received; any such notice or other communication, if transmitted by
facsimile, shall be deemed given when transmitted and electronically confirmed.

                SECTION
5.5. Additional Guarantors. Upon the execution and delivery by any other
Person of a supplement in the form of Annex I hereto, such Person shall
become a “Guarantor” hereunder with the same force and effect as if it were
originally a party to this Guaranty and named as a “Guarantor” hereunder. The
execution and delivery of such supplement shall not require the consent of any
other Guarantor hereunder, and the rights and obligations of each Guarantor
hereunder shall remain in full force and effect notwithstanding the addition of
any new Guarantor as a party to this Guaranty.

                SECTION
5.6. Release of Guarantor. Upon the occurrence of the Termination Date,
this Guaranty and all obligations of each Guarantor hereunder shall terminate,
without delivery of any instrument or performance of any act by any party. In
addition, at the request of the Borrower, and at the sole expense of the
Borrower, a Guarantor shall be released from its obligations hereunder in the
event that the Equity Interests of such Guarantor are Disposed of in a transaction
permitted by the Credit Agreement; provided that the Borrower shall have
delivered to the Administrative Agent, at least three Business Days prior to
the date of the proposed release, a written request for release identifying the
relevant Guarantor and a certification by the Borrower stating that such
transaction is in compliance with the Loan Documents.

                SECTION
5.7. No Waiver; Remedies. In addition to, and not in limitation of, Sections
2.3 and 2.5, no failure on the part of any Secured Party to exercise,
and no delay in exercising, any right hereunder shall operate as a waiver
thereof, nor shall any single or partial exercise of any right hereunder
preclude any other or further exercise thereof or the exercise of any other
right. The remedies herein provided are cumulative and not exclusive of any
remedies provided by law.

                SECTION 5.8. Section Captions. Section
captions used in this Guaranty are for convenience of reference only, and shall
not affect the construction of this Guaranty. 

                SECTION
5.9. Severability. Wherever possible each provision of this Guaranty
shall be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Guaranty shall be prohibited by or
invalid under such law, such provision shall be ineffective to the extent of
such prohibition or invalidity, without invalidating the remainder of such
provision or the remaining provisions of this Guaranty.

                SECTION
5.10. Governing Law, Entire Agreement, etc. THIS GUARANTY SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED BY
THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE SECTIONS
5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW YORK). This
Guaranty and the other Loan Documents constitute the entire understanding among
the parties hereto with respect to the subject matter hereof and supersede any
prior agreements, written or oral, with respect thereto. 

                SECTION
5.11. Forum Selection and Consent to Jurisdiction. ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER,
OR IN CONNECTION WITH, THIS GUARANTY OR ANY OTHER LOAN DOCUMENT, OR ANY COURSE
OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS
OF ANY SECURED PARTY OR ANY GUARANTOR IN CONNECTION HEREWITH OR THEREWITH MAY BE
BROUGHT AND MAINTAINED IN THE COURTS OF THE STATE OF NEW YORK OR IN THE UNITED
STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK; PROVIDED
THAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER PROPERTY MAY
BE BROUGHT, AT THE ADMINISTRATIVE AGENT’S OPTION, IN THE COURTS OF ANY
JURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND. EACH
GUARANTOR HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE
COURTS OF THE STATE OF NEW YORK, NEW YORK COUNTY AND OF THE UNITED STATES
DISTRICT COURT FOR THE SOUTHERN DISTRICT OF NEW YORK FOR THE PURPOSE OF ANY
SUCH LITIGATION AS SET FORTH ABOVE AND IRREVOCABLY AGREES TO BE BOUND BY ANY
JUDGMENT RENDERED THEREBY IN CONNECTION WITH SUCH LITIGATION. EACH GUARANTOR
IRREVOCABLY CONSENTS TO THE SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGE
PREPAID, OR BY PERSONAL SERVICE WITHIN OR WITHOUT THE STATE OF NEW YORK AT THE
ADDRESS FOR NOTICES SPECIFIED FOR THE BORROWER IN SECTION 10.2 OF THE CREDIT
AGREEMENT. EACH GUARANTOR HEREBY EXPRESSLY AND IRREVOCABLY WAIVES, TO THE
FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY HAVE OR HEREAFTER
MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT IN ANY SUCH
COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH LITIGATION HAS BEEN BROUGHT
IN AN INCONVENIENT FORUM. TO THE EXTENT THAT ANY GUARANTOR HAS OR HEREAFTER MAY
ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY COURT OR FROM ANY LEGAL PROCESS
(WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT, ATTACHMENT IN
AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO ITSELF OR ITS PROPERTY, SUCH
GUARANTOR HEREBY IRREVOCABLY WAIVES TO THE FULLEST EXTENT PERMITTED BY LAW SUCH
IMMUNITY IN RESPECT OF ITS OBLIGATIONS UNDER THIS GUARANTY AND THE OTHER LOAN
DOCUMENTS.

                SECTION 5.12. Waiver of Jury Trial. EACH GUARANTOR HEREBY KNOWINGLY, VOLUNTARILY AND
INTENTIONALLY WAIVE TO THE FULLEST EXTENT PERMITTED BY LAW ANY RIGHTS THEY MAY
HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISING
OUT OF, UNDER, OR IN CONNECTION WITH, EACH LOAN DOCUMENT, OR ANY COURSE OF
CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OF
THE ADMINISTRATIVE AGENT, SUCH LENDER, THE ISSUER OR SUCH GUARANTOR IN
CONNECTION THEREWITH. EACH GUARANTOR ACKNOWLEDGES AND AGREES THAT IT HAS
RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION (AND EACH OTHER
PROVISION OF EACH OTHER LOAN DOCUMENT TO WHICH IT IS A PARTY) AND THAT THIS
PROVISION IS A MATERIAL INDUCEMENT FOR THE ADMINISTRATIVE AGENT, EACH LENDER
AND THE ISSUER ENTERING INTO THE LOAN DOCUMENTS.

                SECTION
5.13. Counterparts. This Guaranty may be executed by the parties hereto
in several counterparts, each of which shall be deemed to be an original and
all of which shall constitute together but one and the same agreement.

*
* * * *

                 WHEREOF,
each Guarantor has caused this Guaranty to be duly executed and delivered by
its Authorized Officer as of the date first above written.

	 	USP NEVADA HOLDINGS, LLC
	 	USP TEXAS, L.P.
	 	HEALTH HORIZONS OF NASHVILLE, INC.
	 	HEALTH HORIZONS OF KANSAS CITY, INC.
	 	HEALTH HORIZONS OF MURFREESBORO, INC.
	 	HEALTH HORIZONS OF DECATUR, INC.
	 	USP NEVADA, INC.
	 	USP WINTER PARK, INC.
	 	USP LONG ISLAND, INC.
	 	USP NORTH TEXAS, INC.
	 	USP NEW JERSEY, INC.
	 	TEXAS OUTPATIENT SURGICARE CENTER, INC.
	 	USP CHANDLER, INC.
	 	USP SOUTH HOUSTON, INC.
	 	USP PASADENA, INC.
	 	USP MANHATTAN, INC.
	 	ORTHOLINK PHYSICIANS CORPORATION
	 	ORTHOEXCEL, INC.
	 	GEORGIA MUSCULOSKELETAL NETWORK, INC.
	 	TENNESSEE MUSCULOSKELETAL NETWORK, INC.
	 	ORTHOLINK OCCUPATIONAL MEDICINE SERVICES
  CORPORATION
	 	ORTHOLINK SECURITIES CORPORATION
	 	ORTHOLINK OF COLORADO, INC.
	 	SOUTHWEST SPINE CENTER, INC.
	 	NEURO-SURGICAL ASSOCIATES, INC.
	 	ORTHOLINK ASC CORPORATION
	 	ORTHOLINK/GEORGIA ASC, INC.
	 	ORTHOLINK/NEW MEXICO ASC, INC.
	 	ORTHOLINK/TN ASC, INC.
	 	DAY-OP SURGERY CONSULTING COMPANY, LLC
	 	DAY-OP MANAGEMENT COMPANY, INC.
	 	USP LAS CRUCES, INC.
	 	MEDICAL DOCUMENTATING SYSTEMS, INC.
	 	MEDCENTER MANAGEMENT SERVICES, INC.
	 	 
	 	 	 
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Name: Mark A. Kopser
	 	 	Title: Chief Financial Officer and Vice
  President

 

 

	ACCEPTED AND AGREED FOR ITSELF	 
	AND ON BEHALF OF THE SECURED PARTIES:	 
	 	 
	 	 
	CREDIT SUISSE FIRST BOSTON,	 
	as Administrative Agent	 
	 	 	 
	 	 	 
	By:	 /s/ Julia P. Kingsbury	 
	 	

	 
	 	Title: Vice President	 
	 	 	 
	 	 	 
	By:	 /s/ Williams S. Lutkins	 
	 	

	 
	 	Title: Vice President	 

ANNEX
I to

the Subsidiary Guaranty

                THIS
SUPPLEMENT, dated as of ____________ ___, _____ (this “Supplement”), is
to the Subsidiary Guaranty, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Guaranty”), among the Guarantors (such capitalized term, and other
terms used in this Supplement, to have the meanings set forth in Article I of
the Guaranty) from time to time party thereto, in favor of CREDIT SUISSE FIRST
BOSTON, as administrative agent (together with its successor(s) thereto in such
capacity, the “Administrative Agent”) for each of the Secured Parties.

W I T N E S
S E T H :

                WHEREAS,
pursuant to the provisions of Section 5.5 of the Guaranty, each of the
undersigned is becoming a Guarantor under the Guaranty; and

                WHEREAS,
each of the undersigned desires to become a “Guarantor” under the Guaranty in
order to induce the Secured Parties to continue to extend Credit Extensions
under the Credit Agreement;

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, each of the undersigned agrees, for the benefit
of each Secured Party, as follows.

                SECTION
1. Party to Guaranty, etc. In accordance with the terms of the Guaranty,
by its signature below, each of the undersigned hereby irrevocably agrees to
become a Guarantor under the Guaranty with the same force and effect as if it
were an original signatory thereto and each of the undersigned hereby (a)
agrees to be bound by and comply with all of the terms and provisions of the
Guaranty applicable to it as a Guarantor and (b) represents and warrants that
the representations and warranties made by it as a Guarantor thereunder are
true and correct as of the date hereof. In furtherance of the foregoing, each
reference to a “Guarantor” and/or “Guarantors” in the Guaranty shall be deemed
to include each of the undersigned.

                SECTION
2. Representations. Each of the undersigned hereby represents and
warrants that this Supplement has been duly authorized, executed and delivered
by it and that this Supplement and the Guaranty constitute the legal, valid and
binding obligation of each of the undersigned, enforceable against it in
accordance with its terms.

                SECTION
3. Full Force of Guaranty. Except as expressly supplemented hereby, the
Guaranty shall remain in full force and effect in accordance with its terms.

                SECTION 4. Severability.
Wherever possible each provision of this Supplement shall be interpreted in
such manner as to be effective and valid under applicable law, but if any
provision of this Supplement shall be prohibited by or invalid under such law,
such provision shall be ineffective to the extent of such prohibition or
invalidity, without invalidating the remainder of such provision or the
remaining provisions of this Supplement or the Guaranty. 

                SECTION
5. Governing Law, Entire Agreement, etc. THIS SUPPLEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED
BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE
SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW
YORK). This Supplement and the other Loan Documents constitute the
entire understanding among the parties hereto with respect to the subject
matter thereof and supersede any prior agreements, written or oral, with
respect thereto.

                SECTION
6. Counterparts. This Supplement may be executed by the parties hereto
in several counterparts, each of which shall be deemed to be an original and
all of which shall constitute together but one and the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the undersigned has
caused this Supplement to be duly executed and delivered by its Authorized
Officer as of the date first above written.

	 	[NAME OF ADDITIONAL SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	[NAME OF ADDITIONAL SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	[NAME OF ADDITIONAL SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	ACCEPTED AND AGREED FOR ITSELF

  AND ON BEHALF OF THE SECURED PARTIES:	 	 
	 
	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 	 
	 	 	 
	By:	 	 
	 	

	 
	 	Title:	 
	 	 	 
	 	 	 
	By:	 	 
	 	

	 
	 	Title:	 

 

[EXECUTION
COPY]

SUBSIDIARY
PLEDGE AND SECURITY AGREEMENT

                This
SUBSIDIARY PLEDGE AND SECURITY AGREEMENT, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, this “Security Agreement”), is made by each Subsidiary of USP
Domestic Holdings, Inc., a Delaware corporation (the “Borrower”), from
time to time party hereto (each individually a “Grantor” and
collectively, the “Grantors”), in favor of CREDIT SUISSE FIRST BOSTON,
as administrative agent (together with its successor(s) thereto in such
capacity, the “Administrative Agent”) for each of the Secured Parties.

W I T N E S
S E T H:

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among the Borrower, the Lenders, Lehman Commercial
Paper Inc., as the Syndication Agent, Société Générale, as the Documentation
Agent, and the Administrative Agent, the Lenders and the Issuer have extended
Commitments to make Credit Extensions to the Borrower; and

                WHEREAS,
as a condition precedent to the making of the Credit Extensions under the
Credit Agreement, each Grantor is required to execute and deliver this Security
Agreement; and

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, each Grantor agrees, for the benefit of each
Secured Party, as follows:

ARTICLE
I

DEFINITIONS

                SECTION
1.1. Certain Terms. The following terms (whether or not underscored)
when used in this Security Agreement, including its preamble and recitals,
shall have the following meanings (such definitions to be equally applicable to
the singular and plural forms thereof):

                “Administrative
Agent” is defined in the preamble.

                “Borrower”
is defined in the preamble.

                “Collateral”
is defined in Section 2.1.

                “Collateral
Account” is defined in clause (c) of Section 4.3.

                “Computer
Hardware and Software Collateral” means:

                (a) all computer and other
electronic data processing hardware, integrated computer systems, central
processing units, memory units, display terminals, printers, features, computer
elements, card readers, tape drives, hard and soft disk drives, cables,
electrical supply hardware, generators, power equalizers, accessories and all
peripheral devices and other related computer hardware;

                (b) all software programs
(including both source code, object code and all related applications and data
files), whether now owned, licensed or leased or hereafter acquired by any
Grantor, designed for use on the computers and electronic data processing
hardware described in clause (a) above;

                (c) all firmware associated
therewith;

                (d) all documentation (including
flow charts, logic diagrams, manuals, guides and specifications) with respect
to such hardware, software and firmware described in the preceding clauses
(a) through (c); and

                (e) all rights with respect to
all of the foregoing, including any and all copyrights, licenses, options,
warranties, service contracts, program services, test rights, maintenance
rights, support rights, improvement rights, renewal rights and indemnifications
and any substitutions, replacements, additions or model conversions of any of
the foregoing.

                “Control
Agreement” means an agreement in form and substance satisfactory to the
Administrative Agent which provides for the Administrative Agent to have
“control” (as defined in Section 8-106 of the UCC, as such term relates to
investment property (other than certificated securities or commodity
contracts), or as used in Section 9-115(e) of the UCC, as such term relates to
commodity contracts).

                “Copyright
Collateral” means all copyrights of each Grantor, whether statutory or
common law, registered or unregistered and whether published or unpublished,
now or hereafter in force throughout the world including all of such Grantor’s
right, title and interest in and to all copyrights registered in the United
States Copyright Office or anywhere else in the world and also including the
copyrights referred to in Item A of Schedule V hereto, and
registrations and recordings thereof and all applications for registration
thereof, whether pending or in preparation, all copyright licenses, including
each copyright license referred to in Item B of Schedule V
hereto, the right to sue for past, present and future infringements of any of
the foregoing, all rights corresponding thereto, all extensions and renewals of
any thereof and all proceeds of the foregoing, including licenses, royalties,
income, payments, claims, damages and proceeds of suit.

                “Credit
Agreement” is defined in the first recital.

                “Distributions”
means all non-cash dividends paid on Equity Interests, liquidating dividends
paid on Equity Interests, shares of Equity Interests resulting from (or in
connection with the exercise of) stock splits, reclassifications, warrants, options,
non-cash dividends, mergers, consolidations, and all other distributions
(whether similar or dissimilar to the foregoing) on or with respect to any
Equity Interests constituting Collateral, but excluding Dividends.

                “Dividends”
means cash dividends and cash distributions with respect to any Equity
Interests constituting Collateral that are not a liquidating dividend.

                “Equipment”
is defined in clause (c) of Section 2.1.

                “Grantor”
and “Grantors” are defined in the preamble.

                “Intellectual
Property Collateral” means, collectively, the Computer Hardware and
Software Collateral, the Copyright Collateral, the Patent Collateral, the
Trademark Collateral and the Trade Secrets Collateral.

                “Intercompany
Note” means a promissory note payable to any Grantor, either (a) in the
form delivered to the Administrative Agent on the Closing Date or (b)
substantially in the form of Exhibit A hereto (with such modifications
as agreed to by the Administrative Agent), as amended, modified or supplemented
from time to time in accordance with clause (d) of Section 4.6,
together with any notes delivered in extension or renewal thereof or
substitution therefor.

                “Inventory”
is defined in clause (d) of Section 2.1.

                “Patent
Collateral” means: 

                (a) all letters patent and applications
for letters patent throughout the world, including all patent applications in
preparation for filing and each patent and patent application referred to in Item
A of Schedule III hereto;

                (b) all reissues, divisions,
continuations, continuations-in-part, extensions, renewals and reexaminations
of any of the items described in clause (a);

                (c)
all patent licenses, and other agreements providing each Grantor with the right
to use any items of the type referred to in clauses (a) and (b) above, including
each patent license referred to in Item B of Schedule III hereto;
and

                (d) all proceeds of, and rights
associated with, the foregoing (including license royalties and proceeds of
infringement suits), the right to sue third parties for past, present or future
infringements of any patent or patent application, and for breach or
enforcement of any patent license.

                “Receivables”
is defined in clause (e) of Section 2.1.

                “Related
Contracts” is defined in clause (e) of Section 2.1.

                “Securities
Act” is defined in clause (a) of Section 6.2.

                “Security
Agreement” is defined in the preamble.

                “Specified
Event” means the occurrence and continuance of a Default under clauses (a)
through (d) of Section 8.1.9 of the Credit Agreement or any other Event of
Default.

                “Trademark
Collateral” means:

                (a) (i) all trademarks, trade
names, corporate names, company names, business names, fictitious business
names, trade styles, service marks, certification marks, collective marks,
logos and other source or business identifiers, and all goodwill of the
business associated therewith, now existing or hereafter adopted or acquired
including those referred to in Item A of Schedule IV hereto,
whether currently in use or not, all registrations and recordings thereof and
all applications in connection therewith, whether pending or in preparation for
filing, including registrations, recordings and applications in the United
States Patent and Trademark Office or in any office or agency of the United
States of America or any State thereof or any other country or political
subdivision thereof or otherwise, and all common-law rights relating to the
foregoing, and (ii) the right to obtain all reissues, extensions or renewals of
the foregoing (collectively referred to as the “Trademark”);

                (b) all Trademark licenses for
the grant by or to any Grantor of any right to use any Trademark, including
each Trademark license referred to in Item B of Schedule IV
hereto; and

                (c) all of the goodwill of the
business connected with the use of, and symbolized by the items described in,
clause (a), and to the extent applicable clause (b);

                (d)
the right to sue third parties for past, present and future infringements of
any Trademark Collateral described in clause (a) and, to the extent applicable,
clause (b); and

                (e) all proceeds of, and rights
associated with, the foregoing, including any claim by any Grantor against
third parties for past, present or future infringement or dilution of any
Trademark, Trademark registration or Trademark license, or for any injury to
the goodwill associated with the use of any such Trademark or for breach or
enforcement of any Trademark license and all rights corresponding thereto
throughout the world.

                “Trade
Secrets Collateral” means all common law and statutory trade secrets and
all other confidential, proprietary or useful information and all know-how
obtained by or used in or contemplated at any time for use in the business of
any Grantor (all of the foregoing being collectively called a “Trade Secret”),
whether or not such Trade Secret has been reduced to a writing or other
tangible form, including all documents and things embodying, incorporating or
referring in any way to such Trade Secret, all Trade Secret licenses, including
each Trade Secret license referred to in Schedule VI hereto, and
including the right to sue for and to enjoin and to collect damages for the
actual or threatened misappropriation of any Trade Secret and for the breach or
enforcement of any such Trade Secret license.

                SECTION
1.2. Credit Agreement Definitions. Unless otherwise defined herein or
the context otherwise requires, terms used in this Security Agreement,
including its preamble and recitals, have the meanings provided in the Credit
Agreement.

                SECTION
1.3. UCC Definitions. Unless otherwise defined herein or in the Credit
Agreement or the context otherwise requires, terms for which meanings are
provided in the UCC are used in this Security Agreement, including its preamble
and recitals, with such meanings.

ARTICLE
II

SECURITY INTEREST

                SECTION
2.1. Grant of Security Interest. Each Grantor hereby assigns, pledges,
hypothecates, charges, mortgages, delivers, and transfers to the Administrative
Agent, for its benefit and the ratable benefit of each other Secured Party, and
hereby grants to the Administrative Agent, for its benefit and the ratable
benefit of each other Secured Party, a continuing security interest in all of
the following property, whether now or hereafter existing or acquired by such
Grantor (the “Collateral”):

                (a) all Intercompany Notes in
which such Grantor has an interest (including each Intercompany Note described
in Item A of Schedule I hereto (including the right to receive
payment of the principal of and accrued interest on such Intercompany Note, and
other rights of such Grantor arising in its capacity as the payee of such
Intercompany Note));

                (b)
(i) all investment property in which such Grantor has an interest (including
the Equity Interests of each issuer of such Equity Interests described in Item
B of Schedule I hereto) and (ii) all other Equity Interests which
are interests in limited liability companies or partnerships in which such
Grantor has an interest (including the Equity Interests of each issuer of such
Equity Interests described in Item B of Schedule I hereto), in
each case together with Dividends and Distributions payable in respect of the
Collateral described in the foregoing clauses (b)(i) and (b)(ii);

                (c) all equipment of such
Grantor, including all parts thereof and all accessions, additions,
attachments, improvements, substitutions and replacements thereto and therefor
and all accessories related thereto (collectively referred to as the “Equipment”);

                (d) all inventory in all of its
forms of such Grantor, including (i) all raw materials and work in process therefor,
finished goods thereof, and materials used or consumed in the manufacture or
production thereof, (ii) all goods in which such Grantor has an interest in
mass or a joint or other interest or right of any kind (including goods in
which such Grantor has an interest or right as consignee), and (iii) all goods
which are returned to or repossessed by such Grantor, and all accessions
thereto, products thereof and documents therefor (all of the foregoing
collectively referred to as the “Inventory”);

                (e) all accounts, contracts,
contract rights, chattel paper, documents, instruments, and general intangibles
(including tax refunds) of such Grantor, whether or not arising out of or in
connection with the sale or lease of goods or the rendering of services, and
all rights of such Grantor now or hereafter existing in and to all security
agreements, guaranties, leases and other contracts securing or otherwise
relating to any such accounts, contracts, contract rights, chattel paper,
documents, instruments, and general intangibles (all of the foregoing
collectively referred to as the “Receivables”, and any and all such
security agreements, guaranties, leases and other contracts collectively
referred to as the “Related Contracts”);

                (f) all Intellectual Property
Collateral of such Grantor;

                (g) the Collateral Account, all
cash, checks, drafts, notes, bills of exchange, money orders, other like
instruments and all investment property held in the Collateral Account (or in
any sub-account thereof) and all interest, earnings and proceeds in respect
thereof;

                (h)
all books, records, writings, data bases, information and other property
relating to, used or useful in connection with, evidencing, embodying,
incorporating or referring to, any of the foregoing in this Section;

                (i) all of such Grantor’s other
property and rights of every kind and description and interests therein; and

                (j) all products, offspring,
rents, issues, profits, returns, income and proceeds of and from any and all of
the foregoing Collateral (including proceeds which constitute property of the
types described in clauses (a) through (i) above, and, to the
extent not otherwise included, all payments under insurance (whether or not the
Administrative Agent is the loss payee thereof), or any indemnity, warranty or
guaranty, payable by reason of loss or damage to or otherwise with respect to
any of the foregoing Collateral).

Notwithstanding the foregoing,
“Collateral” shall not include (i) each Grantor’s real property leaseholds,
(ii) any general intangibles or other rights arising under any contracts,
instruments, licenses or other documents as to which the grant of a security
interest would (A) constitute a violation of a valid and enforceable
restriction in favor of a third party on such grant, unless and until any
required consents shall have been obtained or (B) give any other party to such
contract, instrument, license or other document the right to terminate its
obligations thereunder, (iii) any Equity Interest in a Restricted Entity or in
Warner Park Surgery Center, L.P., and (iv) investment property consisting of
Equity Interests of an issuer that is a Foreign Subsidiary (other than a
Foreign Subsidiary that (i) is treated as a partnership under the Code or (ii)
is not treated as an entity that is separate from (A) any Grantor, (B) any
Person that is treated as a partnership under the Code or (C) any “United
States person” (as defined in Section 7701(a)(30) of the Code)) of such
Grantor, in excess of 65% of the total combined voting power of all Equity Interests
of each such Foreign Subsidiary; provided further, that, in the event of
any change in, or the introduction, adoption, effectiveness, interpretation,
reinterpretation or phase in of, any law or regulation, directive or guideline
of any Governmental Authority that could reasonably be expected to alter the
amount of United States federal income tax that would otherwise be payable by
such Grantor in the absence of such pledge, the Administrative Agent or the
Required Lenders may require such Grantor to pledge such Equity Interests.

                SECTION
2.2. Security for Obligations. This Security Agreement and the
Collateral in which the Administrative Agent for the benefit of the Secured
Parties is granted a security interest hereunder by each Grantor secures the
payment of all Obligations of such Grantor now or hereafter existing.

                SECTION
2.3. Grantors Remain Liable. Anything herein to the contrary
notwithstanding

                (a) each Grantor will remain
liable under the contracts and agreements included in the Collateral to the
extent set forth therein, and will perform all of its duties and obligations
under such contracts and agreements to the same extent as if this Security
Agreement had not been executed;

                (b) the exercise by the
Administrative Agent of any of its rights hereunder will not release any
Grantor from any of its duties or obligations under any such contracts or
agreements included in the Collateral; and

                (c) no Secured Party will have
any obligation or liability under any contracts or agreements included in the
Collateral by reason of this Security Agreement, nor will any Secured Party be
obligated to perform any of the obligations or duties of any Grantor thereunder
or to take any action to collect or enforce any claim for payment assigned
hereunder.

                SECTION
2.4. Security Interest Absolute, etc. This Security Agreement shall in
all respects be a continuing, absolute, unconditional and irrevocable grant of
security interest, and shall remain in full force and effect until the
Termination Date has occurred. All rights of the Secured Parties and the
security interests granted to the Administrative Agent (for its benefit and the
ratable benefit of each other Secured Party) hereunder, and all obligations of
each Grantor hereunder, shall, in each case, be absolute, unconditional and
irrevocable irrespective of:

                (a) any lack of validity,
legality or enforceability of any Loan Document;

                (b) the failure of any Secured
Party

                (i) to assert any claim or
demand or to enforce any right or remedy against any Obligor or any other
Person (including any other Grantor) under the provisions of any Loan Document
or otherwise, or

                (ii) to exercise any right or
remedy against any other guarantor (including any other Grantor) of, or
collateral securing, any Obligations;

                (c) any change in the time,
manner or place of payment of, or in any other term of, all or any part of the
Obligations, or any other extension, compromise or renewal of any Obligation;

                (d) any reduction, limitation,
impairment or termination of any Obligations for any reason, including any
claim of waiver, release, surrender, alteration or compromise, and shall not be
subject to (and each Grantor hereby waives any right to or claim of) any
defense or setoff, counterclaim, recoupment or termination whatsoever by reason
of the invalidity, illegality, nongenuineness, irregularity, compromise,
unenforceability of, or any other event or occurrence affecting, any
Obligations or otherwise; 

                (e)
any amendment to, rescission, waiver, or other modification of, or any consent
to or departure from, any of the terms of any Loan Document;

                (f) any addition, exchange or
release of any collateral or of any Person that is (or will become) a guarantor
(including a Grantor hereunder) of the Obligations, or any surrender or non-perfection
of any collateral, or any amendment to or waiver or release or addition to, or
consent to or departure from, any other guaranty held by any Secured Party
securing any of the Obligations; or

                (g) any other circumstance which
might otherwise constitute a defense available to, or a legal or equitable
discharge of, any Obligor, any surety or any guarantor. 

                SECTION
2.5. Postponement of Subrogation, etc. Each Grantor agrees that it will
not exercise any rights which it may acquire by way of rights of subrogation
under any Loan Document to which it is a party, nor shall any Grantor seek or
be entitled to seek any contribution or reimbursement from any Obligor, in
respect of any payment made under any Loan Document or otherwise, until
following the Termination Date. Any amount paid to any Grantor on account of
any such subrogation rights prior to the Termination Date shall be held in
trust for the benefit of the Secured Parties and shall immediately be paid and
turned over to the Administrative Agent for its benefit and the ratable benefit
of each other Secured Party in the exact form received by such Grantor (duly
endorsed in favor of the Administrative Agent, if required), to be credited and
applied against the Obligations, whether matured or unmatured, in accordance
with clause (b) of Section 6.1; provided that if any
Grantor has made payment to the Secured Parties of all or any part of the
Obligations and the Termination Date has occurred, then at such Grantor’s
request, the Administrative Agent (on behalf of the Secured Parties) will, at
the expense of such Grantor, execute and deliver to such Grantor appropriate
documents (without recourse and without representation or warranty) necessary
to evidence the transfer by subrogation to such Grantor of an interest in the
Obligations resulting from such payment. In furtherance of the foregoing, at
all times prior to the Termination Date, each Grantor shall refrain from taking
any action or commencing any proceeding against any Obligor (or its successors
or assigns, whether in connection with a bankruptcy proceeding or otherwise) to
recover any amounts in respect of payments made under this Security Agreement
to any Secured Party. 

ARTICLE
III

REPRESENTATIONS AND WARRANTIES

                In
order to induce the Secured Parties to enter into the Credit Agreement and make
Credit Extensions thereunder, and to induce Secured Parties to enter into Rate
Protection Agreements, each Grantor represents and warrants to each Secured
Party as set forth below.

                SECTION
3.1. As to Equity Interests of Subsidiaries. With respect to any
Subsidiary of any Grantor that is

                (a) a corporation, business
trust, joint stock company or similar Person, all Equity Interests issued by
such Subsidiary are duly authorized and validly issued, fully paid and non-assessable,
and represented by a certificate; and 

                (b) a partnership or limited
liability company, no Equity Interests issued by such Subsidiary (i) are dealt
in or traded on securities exchanges or in securities markets, (ii) expressly
provide that such Equity Interests are a security governed by Article 8 of the
UCC, (iii) are held in a securities account, or (iv) are represented by a
certificate.

The percentage of the issued and
outstanding Equity Interests of each Subsidiary pledged by each Grantor hereunder
are as set forth on Schedule I hereto.

                SECTION
3.2. Intercompany Notes. All Intercompany Notes have been duly
authorized, executed, endorsed, issued and delivered, and are the legal, valid
and binding obligation of the Issuer thereof, and are not in default.

                SECTION
3.3. Location of Collateral, etc. All of the Equipment, Inventory and
lock boxes of each Grantor are located at the places specified in Item A,
Item B and Item C, respectively, of Schedule II hereto, as
each such Item may be supplemented or otherwise modified from time to time
pursuant to clause (a) of Section 4.2. None of the Equipment and
Inventory has, within the four months preceding the date of this Security
Agreement, been located at any place other than the places specified in Item
A and Item B, respectively, of Schedule II hereto except as
set forth in a footnote thereto. The place(s) of business and the chief
executive office of each Grantor and the office(s) where such Grantor keeps its
records concerning the Receivables, and all originals of all chattel paper
which evidence Receivables, are located at the addresses set forth in Item D
of Schedule II hereto, as each such Item may be supplemented or
otherwise modified from time to time pursuant to clause (a) of Section
4.3. No Grantor has any trade names other than those set forth in Item E
of Schedule II hereto. During the four months preceding the date hereof,
no Grantor has been known by any legal name different from the one set forth on
the signature page hereto, nor has any Grantor been the subject of any merger
or other corporate reorganization, except as set forth in Item F of Schedule
II hereto. Each Grantor’s federal taxpayer identification number is (and,
during the four months preceding the date hereof, such Grantor has not had a
federal taxpayer identification number different from the one) set forth in Item
G of Schedule II hereto. If the Collateral of any Grantor includes
any Inventory located in the State of California, such Grantor is not a “retail
merchant” within the meaning of Section 9102 of the California UCC. All
Receivables evidenced by a promissory note or other instrument, negotiable
document or chattel paper have been duly endorsed and accompanied by duly
executed instruments of transfer or assignment, all in form and substance
satisfactory to the Administrative Agent and delivered and pledged to the
Administrative Agent pursuant to Section 4.6. No Grantor is a party to
any federal, state or local government contract except as set forth in Item
H of Schedule II hereto.

                SECTION
3.4. Ownership, No Liens, etc. Each Grantor owns its Collateral free and
clear of any Lien, except for Liens (a) created by this Security Agreement,
and, in the case of Collateral other than any investment property (including
Equity Interests of any Subsidiary of such Grantor) in which such Grantor has
an interest, (b) permitted by Section 7.2.3 of the Credit Agreement or (c) in
favor of owners of Computer Software Collateral that is licensed to such
Grantor. No effective financing statement or other filing similar in effect
covering any Collateral is on file in any recording office, except those filed
in favor of the Administrative Agent relating to this Security Agreement or
those filed in connection with Liens permitted by Section 7.2.3 of the Credit
Agreement.

                SECTION
3.5. Possession of Inventory, etc. Each Grantor agrees that it will
maintain exclusive possession of its goods, instruments and Inventory, other
than Inventory in transit in the ordinary course of business and Inventory
which is in the possession or control of a warehouseman, bailee agent or other
Person (other than a Person controlled by or under common control with such
Grantor) that has been notified of the security interest created in favor of
the Secured Parties pursuant to this Security Agreement, and has agreed to hold
such Inventory subject to the Secured Parties’ Lien and waive any Lien held by
it against such Inventory.

                SECTION
3.6. Negotiable Documents, Instruments and Chattel Paper. Each Grantor
has delivered to the Administrative Agent possession of all originals of all
negotiable documents, instruments and chattel paper owned or held by such
Grantor on the Closing Date and agrees that it will, promptly following
receipt, deliver to the Administrative Agent possession of all originals of
negotiable documents, instruments and chattel paper that it acquires following
the Closing Date.

                SECTION
3.7. Intellectual Property Collateral. With respect to any Intellectual
Property Collateral the loss, impairment or infringement of which could
reasonably be expected to have a Material Adverse Effect:

                (a) such Intellectual Property
Collateral is subsisting and has not been adjudged invalid or unenforceable, in
whole or in part;

                (b) such Intellectual Property
Collateral is valid and enforceable;

                (c) each Grantor has made all
necessary filings and recordations to protect its interest in such Intellectual
Property Collateral, including recordations of all of its interests in the
Patent Collateral and Trademark Collateral in the United States Patent and
Trademark Office and (subject to the terms of the Credit Agreement) in
corresponding offices throughout the world, and its claims to the Copyright
Collateral in the United States Copyright Office and (subject to the terms of
the Credit Agreement) in corresponding offices throughout the world;

                (d)
each Grantor is the exclusive owner of the entire and unencumbered right, title
and interest in and to such Intellectual Property Collateral and no claim has
been made that the use of such Intellectual Property Collateral does or may
violate the asserted rights of any third party; and 

                (e) each Grantor has performed
and will continue to perform all acts and has paid and will continue to pay all
required fees and taxes to maintain each and every such item of Intellectual
Property Collateral in full force and effect throughout the world, as
applicable.

Each Grantor owns directly or is entitled
to use by license or otherwise, all patents, Trademarks, Trade Secrets,
copyrights, mask works, licenses, technology, know-how, processes and rights
with respect to any of the foregoing used in, necessary for or of importance to
the conduct of such Grantor’s business.

                SECTION
3.8. Validity, etc. This Security Agreement creates a valid security
interest in the Collateral securing the payment of the Obligations. Each
Grantor has filed or caused to be filed all Filing Statements in the
appropriate offices therefor (or has executed and delivered to the
Administrative Agent originals thereof suitable for filing in such offices) and
has taken all of the actions necessary to create perfected and (in the case of
Collateral other than Equity Interests pledged hereunder, subject to Section
7.2.3 of the Credit Agreement) first-priority security interests in the
applicable Collateral including (a) in the case of Collateral comprised of
certificated securities or instruments, delivery of such Collateral to the
Administrative Agent, duly endorsed in blank and (b) in the case of Collateral
comprised of uncertificated securities and other investment property (other
than certificated securities), such actions causing the Administrative Agent to
have “control” (as defined in Section 8-106 of the UCC, as such term relates to
investment property (other than certificated securities or commodity
contracts), or as used in Section 9-115(e) of the UCC, as such term relates to
commodity contracts) of such Collateral; provided that, notwithstanding
any of the foregoing, with respect to any Collateral which constitutes motor vehicles,
the ownership of which is evidenced by a certificate of title filed with a
department of motor vehicles or similar agency of a Governmental Authority,
following the execution and delivery by each Grantor of this Security
Agreement, the Administrative Agent shall only have a valid security interest
in such Collateral.

                SECTION
3.9. Authorization, Approval, etc. Except as have been obtained or made
and are in full force and effect, no authorization, approval or other action
by, and no notice to or filing with, any Governmental Authority or regulatory
body is required either 

                (a) for the grant by each
Grantor of the security interest granted hereby, the pledge by each Grantor of
any Collateral pursuant hereto or for the execution, delivery and performance
of this Security Agreement by each Grantor;

                (b) for the perfection of or the
exercise by the Administrative Agent of its rights and remedies hereunder; or

                (c) for the exercise by the
Administrative Agent of the voting or other rights provided for in this
Security Agreement, except (i) with respect to any securities issued by a
Subsidiary of any Grantor, as may be required in connection with a disposition
of such securities by laws affecting the offering and sale of securities
generally, the remedies in respect of the Collateral pursuant to this Security
Agreement and (ii) any “change of control” or similar filings required by state
licensing agencies and, with respect to Ortholink Securities Corporation, the
National Association of Securities Dealers.

                SECTION
3.10. Best Interests. It is in the best interests of each Grantor to
execute this Security Agreement inasmuch as such Grantor will, as a result of
being a Subsidiary of the Borrower, derive substantial direct and indirect
benefits from the Credit Extensions made from time to time to the Borrower by
the Lenders and the Issuer pursuant to the Credit Agreement and the execution
and delivery of Rate Protection Agreements between the Borrower, other Obligors
and certain Secured Parties, and each Grantor agrees that the Secured Parties
are relying on this representation in agreeing to make Credit Extensions to the
Borrower.

ARTICLE
IV

COVENANTS

Each Grantor covenants and agrees that,
until the Termination Date, such Grantor will perform, comply with and be bound
by the obligations set forth below.

                SECTION
4.1. As to Investment Property and Intercompany Notes, Etc.

                SECTION
4.1.1. Equity Interests of Subsidiaries. Each Grantor will cause each of
its Subsidiaries that is

                (a) a corporation, business
trust, joint stock company or similar Person, to provide in its Organic
Documents that all securities issued by such Subsidiary will be represented by
a certificate; and

                (b) a partnership or limited
liability company, to require that none of the Equity Interests issued by such
Subsidiary will (i) be dealt in or traded on securities exchanges or in
securities markets, (ii) expressly provide that such Equity Interests are
securities governed by Article 8 of the UCC, (iii) be held in a securities
account, or (iv) be represented by a certificate.

                SECTION
4.1.2. Investment Property (other than Certificated Securities). With
respect to any investment property (other than certificated securities) owned
by any Grantor, such Grantor will cause a Control Agreement relating to such
investment property to be executed and delivered by such Grantor and the
applicable financial intermediary in favor of the Administrative Agent.

                SECTION
4.1.3. Stock Powers, etc. Each Grantor agrees that all certificated
securities delivered by such Grantor pursuant to this Security Agreement will
be accompanied by duly executed undated blank stock powers, or other equivalent
instruments of transfer acceptable to the Administrative Agent.

                SECTION
4.1.4. Continuous Pledge. Each Grantor will (subject to the terms of the
Credit Agreement) deliver to the Administrative Agent and at all times keep
pledged to the Administrative Agent pursuant hereto, on a first-priority,
perfected basis all investment property constituting Collateral, all Dividends and
Distributions with respect thereto, all Intercompany Notes (duly endorsed by
such Grantor to the order of the Administrative Agent), and all interest and
principal with respect to the Intercompany Notes, and all proceeds and rights
from time to time received by or distributable to such Grantor in respect of
any of the foregoing Collateral.

                SECTION
4.1.5. Voting Rights; Dividends, etc. Each Grantor agrees:

                (a) promptly upon receipt of
notice of the occurrence and continuance of a Specified Event from the
Administrative Agent and without any request therefor by the Administrative
Agent, so long as such Specified Event shall continue, to deliver (properly
endorsed where required hereby or requested by the Administrative Agent) to the
Administrative Agent all Dividends and Distributions with respect to investment
property, all interest, principal, other cash payments on Intercompany Notes,
and all proceeds of the Collateral, in each case thereafter received by such
Grantor, all of which shall be held by the Administrative Agent as additional
Collateral; and

                (b) subject to clause (c)(ii)
of Section 3.9 and, with respect to Collateral consisting of general
partner interests or limited liability company interests, modifications to the
respective Organic Documents to the admission of the Administrative Agent as a
general partner or member, respectively, immediately upon the occurrence and
continuance of a Specified Event and so long as the Administrative Agent has
notified such Grantor of the Administrative Agent’s intention to exercise its
voting power under this clause, 

                (i)
that the Administrative Agent may exercise (to the exclusion of such Grantor)
the voting power and all other incidental rights of ownership with respect to
any investment property constituting Collateral and such Grantor hereby grants
the Administrative Agent an irrevocable proxy, exercisable under such
circumstances, to vote such investment property; and 

                (ii) to promptly deliver to the
Administrative Agent such additional proxies and other documents as may be
necessary to allow the Administrative Agent to exercise such voting power.

All Dividends, Distributions, interest,
principal, cash payments, and proceeds which may at any time and from time to
time be held by any Grantor but which such Grantor is then obligated to deliver
to the Administrative Agent, shall, until delivery to the Administrative Agent,
be held by such Grantor separate and apart from its other property in trust for
the Administrative Agent. The Administrative Agent agrees that unless a
Specified Event shall have occurred and be continuing and the Administrative
Agent shall have given the notice referred to in clause (b), each
Grantor will have the exclusive voting power with respect to any investment
property constituting Collateral and the Administrative Agent will, upon the
written request of such Grantor, promptly deliver such proxies and other
documents, if any, as shall be reasonably requested by such Grantor which are
necessary to allow such Grantor to exercise that voting power; provided
that no vote shall be cast, or consent, waiver, or ratification given, or
action taken by such Grantor that would impair any such Collateral or be
inconsistent with or violate any provision of any Loan Document.

                SECTION
4.2. As to Equipment and Inventory. Each Grantor hereby agrees that it
will 

                (a) keep all the Equipment and
Inventory (other than Equipment and Inventory Disposed of in accordance with
Section 7.2.11 of the Credit Agreement, motor vehicles and Inventory in
transit) at the places therefor specified in Section 3.3 or, upon 30
days’ prior written notice to the Administrative Agent, at such other places in
a jurisdiction where all representations and warranties set forth in Article
III shall be true and correct, and all action required pursuant to Section
4.6 shall have been taken with respect to the Equipment and Inventory;

                (b) cause the Equipment to be
maintained and preserved in good repair and working order, ordinary wear and
tear excepted, and in accordance with any manufacturer’s manual unless such
Grantor determines in good faith that the repair or maintenance of such
property is no longer economically feasible; and forthwith, or in the case of
any loss or damage to any of the Equipment, as quickly as practicable after the
occurrence thereof, make or cause to be made all repairs, replacements, and
other improvements in connection therewith which are necessary or desirable to
such end; and promptly furnish to the Administrative Agent a statement
respecting any loss or damage to any of the Equipment; and

                (c)
pay promptly when due all property and other taxes, assessments and
governmental charges or levies imposed upon, and all claims (including claims
for labor, materials and supplies) against, the Equipment and Inventory, except
to the extent the validity thereof is being contested in good faith by
appropriate proceedings and for which adequate reserves in accordance with GAAP
have been set aside.

                SECTION
4.3. As to Receivables. (a) Each Grantor will keep its chief executive
office and the office(s) where it keeps its records concerning the Receivables,
and all originals of all chattel paper which evidences Receivables located at
the addresses set forth in Item D of Schedule II hereto, or, upon
30 days’ prior written notice to the Administrative Agent, at such other
locations in a jurisdiction where all actions required by Section 4.6
shall have been taken with respect to the Receivables and other Collateral. No
Grantor will change its name or federal taxpayer identification number except
upon 30 days’ prior written notice to the Administrative Agent. In addition,
each Grantor shall supplement the information contained in Schedule II hereto
on the Compliance Certificate on each date a Compliance Certificate is required
to be delivered to the Administrative Agent under the Credit Agreement,
including any changes to the information set forth in Section 3.3. 

                (b) Each Grantor shall have the
right to collect all Receivables so long as no Specified Event shall have
occurred and be continuing.

                (c) Upon (i) the occurrence and
continuance of a Specified Event and (ii) the delivery of written notice by the
Administrative Agent to each Grantor, all proceeds of Collateral received by
such Grantor shall be delivered in kind to the Administrative Agent for deposit
to a deposit account (the “Collateral Account”) of such Grantor
maintained with the Administrative Agent, and such Grantor shall not commingle
any such proceeds, and shall hold separate and apart from all other property,
all such proceeds in express trust for the benefit of the Administrative Agent
until delivery thereof is made to the Administrative Agent.

                (d) Following the delivery of
notice pursuant to clause (c)(ii) of this Section, the Administrative
Agent shall have the right to apply any amount in the Collateral Account to the
payment of any Obligations which are due and payable. 

                (e) With respect to the
Collateral Account, it is hereby confirmed and agreed that (i) deposits in each
Collateral Account are subject to a security interest as contemplated hereby,
(ii) each such Collateral Account shall be under the sole dominion and control
of the Administrative Agent and (iii) the Administrative Agent shall have the
sole right of withdrawal over such Collateral Account.

                SECTION
4.4. As to Collateral. 

                (a) Subject to clause (b)
of this Section, each Grantor (i) may in the ordinary course of its business,
at its own expense, sell, lease or furnish under the contracts of service any
of the Inventory normally held by such Grantor for such purpose, and use and
consume, in the ordinary course of its business, any raw materials, work in
process or materials normally held by such Grantor for such purpose, (ii) will,
at its own expense, endeavor to collect, as and when due, all amounts due with
respect to any of the Collateral, including the taking of such action with
respect to such collection as the Administrative Agent may reasonably request
following the occurrence of a Specified Event or, in the absence of such
request, as such Grantor may deem advisable, and (iii) may grant, in the
ordinary course of business, to any party obligated on any of the Collateral,
any rebate, refund or allowance to which such party may be lawfully entitled,
and may accept, in connection therewith, the return of goods, the sale or lease
of which shall have given rise to such Collateral.

                (b) At any time following the
occurrence and during the continuance of a Specified Event, whether before or
after the maturity of any of the Obligations, the Administrative Agent may (i)
revoke any or all of the rights of any Grantor set forth in clause (a),
(ii) notify any parties obligated on any of the Collateral to make payment to
the Administrative Agent of any amounts due or to become due thereunder and (iii)
enforce collection of any of the Collateral by suit or otherwise and surrender,
release, or exchange all or any part thereof, or compromise or extend or renew
for any period (whether or not longer than the original period) any
indebtedness thereunder or evidenced thereby.

                (c) Upon request of the
Administrative Agent following the occurrence and during the continuance of a
Specified Event, each Grantor will, at its own expense, notify any parties
obligated on any of the Collateral to make payment to the Administrative Agent
of any amounts due or to become due thereunder.

                (d) Each Grantor hereby
authorizes the Administrative Agent to endorse, in the name of such Grantor,
any item, howsoever received by the Administrative Agent, representing any
payment on or other proceeds of any of the Collateral.

                SECTION
4.5. As to Intellectual Property Collateral. Each Grantor covenants and
agrees to comply with the following provisions as such provisions relate to any
Intellectual Property Collateral material to the operations or business of such
Grantor:

                (a) such Grantor will not (i) do
or fail to perform any act whereby any of the Patent Collateral may lapse or
become abandoned or dedicated to the public or unenforceable, (ii) permit any
of its licensees to (A) fail to continue to use any of the Trademark Collateral
in order to maintain all of the Trademark Collateral in full force free from
any claim of abandonment for non-use, (B) fail to maintain as in the past the
quality of products and services offered under all of the Trademark Collateral,
(C) fail to employ all of the Trademark Collateral registered with any federal
or state or foreign authority with an appropriate notice of such registration,
(D) adopt or use any other Trademark which is confusingly similar or a
colorable imitation of any of the Trademark Collateral, (E) use any of the
Trademark Collateral registered with any federal, state or foreign authority
except for the uses for which registration or application for registration of
all of the Trademark Collateral has been made or (F) do or permit any act or
knowingly omit to do any act whereby any of the Trademark Collateral may lapse
or become invalid or unenforceable, or (G) do or permit any act or knowingly
omit to do any act whereby any of the Copyright Collateral or any of the Trade
Secrets Collateral may lapse or become invalid or unenforceable or placed in
the public domain except upon expiration of the end of an unrenewable term of a
registration thereof, unless, in the case of any of the foregoing requirements
in clauses (i), (ii) and (iii), such Grantor shall either
(x) reasonably and in good faith determine that any of such Intellectual
Property Collateral is of negligible economic value to such Grantor, or (y)
have a valid business purpose to do otherwise;

                (b) such Grantor shall promptly
notify the Administrative Agent if it knows, or has reason to know, that any
application or registration relating to any material item of the Intellectual
Property Collateral may become abandoned or dedicated to the public or placed
in the public domain or invalid or unenforceable, or of any adverse
determination or development (including the institution of, or any such
determination or development in, any proceeding in the United States Patent and
Trademark Office, the United States Copyright Office or any foreign counterpart
thereof or any court) regarding such Grantor’s ownership of any of the
Intellectual Property Collateral, its right to register the same or to keep and
maintain and enforce the same; 

                (c) in no event will such
Grantor or any of its agents, employees, designees or licensees file an
application for the registration of any Intellectual Property Collateral with
the United States Patent and Trademark Office, the United States Copyright
Office or any similar office or agency in any other country or any political
subdivision thereof, unless it promptly informs the Administrative Agent, and
upon request of the Administrative Agent (subject to the terms of the Credit
Agreement), executes and delivers all agreements, instruments and documents as
the Administrative Agent may reasonably request to evidence the Administrative
Agent’s security interest in such Intellectual Property Collateral;

                (d) such Grantor will take all
necessary steps, including in any proceeding before the United States Patent
and Trademark Office, the United States Copyright Office or (subject to the
terms of the Credit Agreement) any similar office or agency in any other
country or any political subdivision thereof, to maintain and pursue any
application (and to obtain the relevant registration) filed with respect to,
and to maintain any registration of, the Intellectual Property Collateral,
including the filing of applications for renewal, affidavits of use, affidavits
of incontestability and opposition, interference and cancellation proceedings
and the payment of fees and taxes (except to the extent that dedication,
abandonment or invalidation is permitted under the foregoing clause (a)
or (b)); and

                (e)
such Grantor will promptly (but no less than quarterly) execute and deliver to
the Administrative Agent (as applicable) a Patent Security Agreement, Trademark
Security Agreement and/or Copyright Security Agreement, as the case may be, in
the forms of Exhibit B, Exhibit C and Exhibit D hereto
following its obtaining an interest in any such Intellectual Property, and
shall execute and deliver to the Administrative Agent any other document
required to acknowledge or register or perfect the Administrative Agent’s
interest in any part of such item of Intellectual Property Collateral.

                SECTION
4.6. Further Assurances, etc. Each Grantor agrees that, from time to
time at its own expense, it will promptly execute and deliver all further
instruments and documents, and take all further action, that may be necessary
or that the Administrative Agent may reasonably request, in order to perfect,
preserve and protect any security interest granted or purported to be granted
hereby or to enable the Administrative Agent to exercise and enforce its rights
and remedies hereunder with respect to any Collateral. Without limiting the
generality of the foregoing, each Grantor will

                (a) from time to time upon the
request of the Administrative Agent, promptly deliver to the Administrative
Agent such stock powers, instruments and similar documents, satisfactory in
form and substance to the Administrative Agent, with respect to such Collateral
as the Administrative Agent may reasonably request and will, from time to time
upon the request of the Administrative Agent after the occurrence and during
the continuance of any Specified Event promptly transfer any securities
constituting Collateral into the name of any nominee designated by the
Administrative Agent; if any Receivable shall be evidenced by an instrument, negotiable
document or chattel paper, deliver and pledge to the Administrative Agent
hereunder such instrument, negotiable document or chattel paper duly endorsed
and accompanied by duly executed instruments of transfer or assignment, all in
form and substance satisfactory to the Administrative Agent;

                (b) execute and file (or cause
to be filed) such Filing Statements or continuation statements, or amendments
thereto, and such other instruments or notices (including any assignment of
claim form under or pursuant to the federal assignment of claims statute, 31
U.S.C. § 3726, any successor or amended version thereof or any regulation
promulgated under or pursuant to any version thereof), as may be necessary or
that the Administrative Agent may reasonably request in order to perfect and
preserve the security interests and other rights granted or purported to be
granted to the Administrative Agent hereby;

                (c)
deliver to the Administrative Agent and at all times keep pledged to the
Administrative Agent pursuant hereto, on a first-priority, perfected basis, at
the reasonable request of the Administrative Agent, all investment property
constituting Collateral, all Dividends and Distributions with respect thereto,
all Intercompany Notes (duly endorsed by such Grantor to the order of the
Administrative Agent), and all interest and principal with respect to the
Intercompany Notes, and all proceeds and rights from time to time received by
or distributable to such Grantor in respect of any of the foregoing Collateral;

                (d) not enter into any agreement
amending, supplementing or waiving any provision of any Intercompany Note
(including any underlying instrument pursuant to which such Intercompany Note
is issued), or compromising, releasing or extending the time for payment of any
obligation of the maker thereof;

                (e) not take or omit to take any
action the taking or the omission of which would result in any impairment or
alteration of any obligation of the maker of any Intercompany Note or other
instrument constituting Collateral; and

                (f) furnish to the
Administrative Agent, from time to time at the Administrative Agent’s request,
statements and schedules further identifying and describing the Collateral and
such other reports in connection with the Collateral as the Administrative
Agent may reasonably request, all in reasonable detail. 

With respect to the foregoing and the
grant of the security interest hereunder, each Grantor hereby authorizes the
Administrative Agent to file one or more financing or continuation statements,
and amendments thereto, relative to all or any part of the Collateral without
the signature of such Grantor where permitted by law. Each Grantor agrees that
a carbon, photographic or other reproduction of this Security Agreement or any
financing statement covering the Collateral or any part thereof shall be
sufficient as a financing statement where permitted by law.

ARTICLE
V

THE ADMINISTRATIVE AGENT

                SECTION
5.1. Administrative Agent Appointed Attorney-in-Fact. Each Grantor
hereby irrevocably appoints the Administrative Agent its attorney-in-fact, with
full authority in the place and stead of such Grantor and in the name of such
Grantor or otherwise, from time to time in the Administrative Agent’s
discretion, following the occurrence and during the continuance of a Specified
Event, to take any action and to execute any instrument which the
Administrative Agent may deem necessary or advisable to accomplish the purposes
of this Security Agreement, including:

                (a) to ask, demand, collect, sue
for, recover, compromise, receive and give acquittance and receipts for moneys
due and to become due under or in respect of any of the Collateral;

                (b) to receive, endorse, and
collect any drafts or other instruments, documents and chattel paper, in
connection with clause (a) above;

                (c) to file any claims or take
any action or institute any proceedings which the Administrative Agent may deem
necessary or desirable for the collection of any of the Collateral or otherwise
to enforce the rights of the Administrative Agent with respect to any of the
Collateral; and 

                (d) to perform the affirmative
obligations of such Grantor hereunder (including all obligations of such
Grantor pursuant to Section 4.6).

Each Grantor hereby acknowledges,
consents and agrees that the power of attorney granted pursuant to this Section
is irrevocable and coupled with an interest.

                SECTION
5.2. Administrative Agent May Perform. If any Grantor fails to perform
any agreement contained herein within 30 days after written notice from the
Administrative Agent, the Administrative Agent may itself perform, or cause
performance of, such agreement, and the expenses of the Administrative Agent
incurred in connection therewith shall be payable by such

Grantor pursuant to Section 6.4.

                SECTION
5.3. Administrative Agent Has No Duty. The powers conferred on the
Administrative Agent hereunder are solely to protect its interest (on behalf of
the Secured Parties) in the Collateral and shall not impose any duty on it to
exercise any such powers. Except for reasonable care of any Collateral in its
possession and the accounting for moneys actually received by it hereunder, the
Administrative Agent shall have no duty as to any Collateral or responsibility
for

                (a) ascertaining or taking
action with respect to calls, conversions, exchanges, maturities, tenders or
other matters relative to any investment property, whether or not the
Administrative Agent has or is deemed to have knowledge of such matters, or

                (b) taking any necessary steps
to preserve rights against prior parties or any other rights pertaining to any
Collateral.

                SECTION
5.4. Reasonable Care. The Administrative Agent is required to exercise
reasonable care in the custody and preservation of any of the Collateral in its
possession; provided that the Administrative Agent shall be deemed to
have exercised reasonable care in the custody and preservation of any of the
Collateral, if it takes such action for that purpose as any Grantor reasonably
requests in writing at times other than upon the occurrence and during the
continuance of any Specified Event, but failure of the Administrative Agent to
comply with any such request at any time shall not in itself be deemed a
failure to exercise reasonable care.

ARTICLE
VI

REMEDIES

                SECTION
6.1. Certain Remedies. If any Specified Event shall have occurred and be
continuing: 

                (a) The Administrative Agent may
exercise in respect of the Collateral, in addition to other rights and remedies
provided for herein or otherwise available to it, all the rights and remedies
of a secured party on default under the UCC (whether or not the UCC applies to
the affected Collateral) and also may

                (i) require each Grantor to, and
such Grantor hereby agrees that it will, at its expense and upon request of the
Administrative Agent forthwith, assemble all or part of the Collateral as
directed by the Administrative Agent and make it available to the
Administrative Agent at a place to be designated by the Administrative Agent
which is reasonably convenient to both parties, and

                (ii) without notice except as
specified below, sell the Collateral or any part thereof in one or more parcels
at public or private sale, at any of the Administrative Agent’s offices or
elsewhere, for cash, on credit or for future delivery, and upon such other
terms as the Administrative Agent may deem commercially reasonable. Each
Grantor agrees that, to the extent notice of sale shall be required by law, at
least ten days prior notice to such Grantor of the time and place of any public
sale or the time after which any private sale is to be made shall constitute
reasonable notification. The Administrative Agent shall not be obligated to
make any sale of Collateral regardless of notice of sale having been given. The
Administrative Agent may adjourn any public or private sale from time to time
by announcement at the time and place fixed therefor, and such sale may,
without further notice, be made at the time and place to which it was so
adjourned.

                (b)
All cash proceeds received by the Administrative Agent in respect of any sale of,
collection from, or other realization upon, all or any part of the Collateral
shall be applied by the Administrative Agent against, all or any part of the
Obligations as set forth in Section 2.7 of the Subsidiary Guaranty.

                (c) The Administrative Agent may

                (i) transfer all or any part of
the Collateral into the name of the Administrative Agent or its nominee, with
or without disclosing that such Collateral is subject to the Lien hereunder, 

                (ii) notify the parties
obligated on any of the Collateral to make payment to the Administrative Agent
of any amount due or to become due thereunder,

                (iii) enforce collection of any
of the Collateral by suit or otherwise, and surrender, release or exchange all
or any part thereof, or compromise or extend or renew for any period (whether
or not longer than the original period) any obligations of any nature of any
party with respect thereto,

                (iv) endorse any checks, drafts,
or other writings in any Grantor’s name to allow collection of the Collateral,

                (v) take control of any proceeds
of the Collateral, and

                (vi) execute (in the name, place
and stead of any Grantor) endorsements, assignments, stock powers and other
instruments of conveyance or transfer with respect to all or any of the
Collateral.

                SECTION
6.2. Securities Laws. If the Administrative Agent shall determine to
exercise its right to sell all or any of the Collateral pursuant to Section
6.1, each Grantor agrees that, upon request of the Administrative Agent,
such Grantor will, at its own expense:

                (a) use its best efforts to
exempt the Collateral under the state securities or “Blue Sky” laws and to
obtain all necessary governmental approvals for the sale of the Collateral, as
requested by the Administrative Agent; and

                (b) do or cause to be done all
such other acts and things as may be necessary to make such sale of the
Collateral or any part thereof valid and binding and in compliance with
applicable law.

Each Grantor further acknowledges the
impossibility of ascertaining the amount of damages that would be suffered by
any of the Secured Parties by reason of the failure of such Grantor to perform
any of the covenants contained in this Section and consequently, to the extent
permitted under applicable law, agrees that, if such Grantor shall fail to
perform any of such covenants, it shall pay, as liquidated damages and not as a
penalty, an amount equal to the value (as determined by the Administrative
Agent) of the Collateral on the date the Administrative Agent shall demand
compliance with this Section.

                SECTION
6.3. Compliance with Restrictions. Each Grantor agrees that in any sale
of any of the Collateral whenever a Specified Event shall have occurred and be
continuing, the Administrative Agent is hereby authorized to comply with any
limitation or restriction in connection with such sale as it may be advised by
counsel is necessary in order to avoid any violation of applicable law
(including compliance with such procedures as may restrict the number of
prospective bidders and purchasers, require that such prospective bidders and
purchasers have certain qualifications, and restrict such prospective bidders
and purchasers to Persons who will represent and agree that they are purchasing
for their own account for investment and not with a view to the distribution or
resale of such Collateral), or in order to obtain any required approval of the
sale or of the purchaser by any Governmental Authority or official, and such
Grantor further agrees that such compliance shall not result in such sale being
considered or deemed not to have been made in a commercially reasonable manner,
nor shall the Administrative Agent be liable nor accountable to such Grantor
for any discount allowed by the reason of the fact that such Collateral is sold
in compliance with any such limitation or restriction.

                SECTION
6.4. Protection of Collateral. The Administrative Agent may from time to
time, at its option, perform any act which any Grantor fails to perform after
being requested in writing so to perform (it being understood that no such request
need be given after the occurrence and during the continuance of a Specified
Event) and the Administrative Agent may from time to time take any other action
which the Administrative Agent reasonably deems necessary for the maintenance,
preservation or protection of any of the Collateral or of its security interest
therein.

ARTICLE
VII

MISCELLANEOUS PROVISIONS

                SECTION
7.1. Loan Document. This Security Agreement is a Loan Document executed
pursuant to the Credit Agreement and shall (unless otherwise expressly
indicated herein) be construed, administered and applied in accordance with the
terms and provisions thereof, including Article X thereof.

                SECTION
7.2. Binding on Successors, Transferees and Assigns; Assignment. This
Security Agreement shall remain in full force and effect until the Termination
Date has occurred, shall be binding upon each Grantor and its successors,
transferees and assigns and shall inure to the benefit of and be enforceable by
each Secured Party and its successors, transferees and assigns; provided
that no Grantor may (unless otherwise permitted under the terms of the Credit
Agreement) assign any of its obligations hereunder without the prior written
consent of all Lenders.

                SECTION
7.3. Amendments, etc. No amendment to or waiver of any provision of this
Security Agreement, nor consent to any departure by any Grantor from its
obligations under this Security Agreement, shall in any event be effective
unless the same shall be in writing and signed by the Administrative Agent (on
behalf of the Lenders or the Required Lenders, as the case may be, pursuant to
Section 10.1 of the Credit Agreement) and then such waiver or consent shall be
effective only in the specific instance and for the specific purpose for which
given.

                SECTION
7.4. Notices. All notices and other communications provided for
hereunder shall be in writing or by facsimile and addressed, delivered or
transmitted to the appropriate party at the address or facsimile number of such
party (in the case of any Grantor, in care of the Borrower) specified in the
Credit Agreement or at such other address or facsimile number as may be
designated by such party in a notice to the other party. Any notice or other
communication, if mailed and properly addressed with postage prepaid or if
properly addressed and sent by pre-paid courier service, shall be deemed given
when received; any such notice or other communication, if transmitted by
facsimile, shall be deemed given when transmitted and electronically confirmed.

                SECTION
7.5. Release of Liens. Upon (a) the Disposition of Collateral in
accordance with the Credit Agreement or (b) the occurrence of the Termination
Date, the security interests granted herein shall automatically terminate with
respect to (i) such Collateral (in the case of clause (a)) or (ii) all
Collateral (in the case of clause (b)). Upon any such Disposition or
termination, the Administrative Agent will, at the applicable Grantor’s sole
expense, deliver to such Grantor, without any representations, warranties or
recourse of any kind whatsoever, all Collateral held by the Administrative
Agent hereunder, and execute and deliver to such Grantor such documents as such
Grantor shall reasonably request to evidence such termination.

                SECTION
7.6. Additional Grantors. Upon the execution and delivery by any other
Person of a supplement in the form of Annex I hereto, such Person shall
become a “Grantor” hereunder with the same force and effect as if it were
originally a party to this Security Agreement and named as a “Grantor” hereunder.
The execution and delivery of such supplement shall not require the consent of
any other Grantor hereunder, and the rights and obligations of each Grantor
hereunder shall remain in full force and effect notwithstanding the addition of
any new Grantor as a party to this Security Agreement.

                SECTION
7.7. No Waiver; Remedies. In addition to, and not in limitation of Section
2.4, no failure on the part of any Secured Party to exercise, and no delay
in exercising, any right hereunder shall operate as a waiver thereof, nor shall
any single or partial exercise of any right hereunder preclude any other or
further exercise thereof or the exercise of any other right. The remedies
herein provided are cumulative and not exclusive of any remedies provided by
law. 

                SECTION
7.8. Section Captions. Section captions used in this Security Agreement
are for convenience of reference only, and shall not affect the construction of
this Security Agreement.

                SECTION
7.9. Severability. Wherever possible each provision of this Security
Agreement shall be interpreted in such manner as to be effective and valid
under applicable law, but if any provision of this Security Agreement shall be
prohibited by or invalid under such law, such provision shall be ineffective to
the extent of such prohibition or invalidity, without invalidating the
remainder of such provision or the remaining provisions of this Security
Agreement.

                SECTION
7.10. Governing Law, Entire Agreement, etc. THIS SECURITY AGREEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND
GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH
PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE
OF NEW YORK). This Security Agreement and the other Loan Documents
constitute the entire understanding among the parties hereto with respect to
the subject matter hereof and thereof and supersede any prior agreements,
written or oral, with respect thereto. 

                SECTION
7.11. Counterparts. This Security Agreement may be executed by the
parties hereto in several counterparts, each of which shall be deemed to be an
original and all of which shall constitute together but one and the same
agreement.

*
* * * *

                IN
WITNESS WHEREOF, each of the parties hereto has caused this Security Agreement
to be duly executed and delivered 

by its Authorized Officer as of the date
first above written.

	 	USP NEVADA HOLDINGS, LLC
	 	USP TEXAS, L.P.
	 	HEALTH HORIZONS OF NASHVILLE, INC.
	 	HEALTH HORIZONS OF KANSAS CITY, INC.
	 	HEALTH HORIZONS OF MURFREESBORO, INC.
	 	HEALTH HORIZONS OF DECATUR, INC.
	 	USP NEVADA, INC.
	 	USP WINTER PARK, INC.
	 	USP LONG ISLAND, INC.
	 	USP NORTH TEXAS, INC.
	 	USP NEW JERSEY, INC.
	 	TEXAS OUTPATIENT SURGICARE CENTER, INC.
	 	USP CHANDLER, INC.
	 	USP SOUTH HOUSTON, INC.
	 	USP PASADENA, INC.
	 	USP MANHATTAN, INC.
	 	ORTHOLINK PHYSICIANS CORPORATION
	 	ORTHOEXCEL, INC.
	 	GEORGIA MUSCULOSKELETAL NETWORK, INC.
	 	TENNESSEE MUSCULOSKELETAL NETWORK, INC.
	 	ORTHOLINK OCCUPATIONAL MEDICINE
	 	SERVICES CORPORATION
	 	ORTHOLINK SECURITIES CORPORATION
	 	ORTHOLINK OF COLORADO, INC.
	 	SOUTHWEST SPINE CENTER, INC.
	 	NEURO-SURGICAL ASSOCIATES, INC.
	 	ORTHOLINK ASC CORPORATION
	 	ORTHOLINK/GEORGIA ASC, INC.
	 	ORTHOLINK/NEW MEXICO ASC, INC.
	 	ORTHOLINK/TN ASC, INC.
	 	DAY-OP SU RGERY CONSULTING COMPANY, LLC
	 	DAY-OP MANAGEMENT COMPANY, INC.
	 	USP LAS CRUCES, INC.
	 	MEDICAL DOCUMENTATING SYSTEMS, INC.
	 	MEDCENTER MANAGEMENT SERVICES, INC.
	 	 	 
	 	 	 
	 	By:	 /s/ Mark A. Kopser
	 	 	

	 	 	Name: Mark A. Kopser
	 	 	Title: Chief Financial Officer and Vice
  President

 

 

	 	CREDIT SUISSE FIRST BOSTON,
 as Administrative Agent
	 
	 	 
	 	 
	 	By:	 /s/ Williams S. Lutkins
	 	 	

	 	 	Title: Vice President
	 	 	 
	 	 	 
	 	 	 
	 	By:	 /s/ Julia P. Kingsbury
	 	 	

	 	 	Title: Vice President

 

SCHEDULE
I

to Subsidiary Pledge and Security Agreement

                Item
A. Intercompany Notes

	Maker	Payee	 	Maximum
  Amount of Intercompany Loans Evidenced Thereby	 	Date	 
	 	 	 
	 	 	 
	

	

	 	

	 	

	 
	Day-Op
  Acquisition Corp. (subsequently merged into Day-Op Center of Long Island,
  Inc.)	Day-Op
  Surgery Consulting Company, L.L.C. (f/k/a USP Administrative Subsidiary, LLC)	 	$	950,000	 	1/4/2000	 
	 	 	 	 	 	 	 
	Day-Op
  Acquisition Corp. (subsequently merged into Day-Op Center of Long Island,
  Inc.)	Day-Op
  Surgery Consulting Company, L.L.C. (f/k/a USP Administrative Subsidiary, LLC)	 	$	10,450,000	 	1/4/2000	 
	 	 	 	 	 	 	 
	DeSoto
  Surgicare Partners, Ltd.	USP
  Texas, L.P.	 	$	989,000	 	7/1/2000	 
	 	 	 	 	 	 	 

 

                Item
B. Equity Interests

 

	 	 	 	 	 	 	Common Stock	 
	 	 	 	 	 	 	

	 
	 	 	 	 	# of	 	Authorized	 	Outstanding	 	% of Shares	 
	Pledgor	Issuer
  (corporate)	Cert. #	 	Shares	 	Shares	 	Shares	 	Pledged	 
	

	

	

	 	

	 	

	 	

	 	

	 
	 	 	 	 	 	 	 	 	 	 	 	 
	Day-Op
  Surgery Consulting Company, L.L.C.	Day-Op
  Management Company, Inc.	3	 	200	 	200	 	200	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	Ortho
  Excel, Inc. 	AB101	 	648.1113	 	10,000,000	 	648.1113	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoExcel,
  Inc.	Medical
  Documenting Systems, Inc.	A002	   	100	   	1,000	   	100	   	100%	 
	OrthoExcel,
  Inc.	MedCenter
  Management Services, Inc.	2	     	100	     	750	     	750	     	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 

 

 

	 	 	 	 	 	 	Common Stock	 
	 	 	 	 	 	 	

	 
	 	 	 	 	# of	 	Authorized	 	Outstanding	 	% of Shares	 
	Pledgor	Issuer
  (corporate)	Cert. #	 	Shares	 	Shares	 	Shares	 	Pledged	 
	

	

	

	 	

	 	

	 	

	 	

	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	Georgia
  Musculoskeletal Network, Inc.	1	 	1,000	 	1,000	 	1,000	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	Tennessee
  Musculoskeletal Network, Inc.	2	 	1,000	 	1,000	 	1,000	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	OrthoLink
  Occupational Medicine Services Corporation	1	 	1,000	 	1,000	 	1,000	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	OrthoLink
  Securities Corp.	1	 	1,000	 	1,000	 	1,000	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	OrthoLink
  of Colorado, Inc.	14	 	440.772	 	750	 	440.772	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	Southwest
  Spine Center, Inc.	3	 	675	 	1,000	 	675	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	Neuro-Surgical
  Associates, Inc.	3	 	80	 	25,000	 	80	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	OrthoLink
  ASC Corporation	1	 	1,000	 	1,000	 	1,000	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  ASC Corporation	OrthoLink/Georgia
  ASC, Inc.	1	 	1,000	 	1,000	 	1,000	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  ASC Corporation	OrthoLink/New
  Mexico ASC, Inc.	1	 	1,000	 	1,000	 	1,000	 	100%	 
	 	 	 	 	 	 	 	 	 	 	 	 
	OrthoLink
  ASC Corporation	OrthoLink/TN
  ASC, Inc.	1	 	100	 	1,000	 	100	 	100%	 

 

 

	 	 	 	Limited Liability Company Interests	 
	 	 	 	

	 
	Pledgor	Issuer 

  (limited liability company)	 	% of Interests Owned	 	% of Interests Pledged	 
	

	

	 	

	 	

	 
	USP
  North Texas, Inc.	USP
  Nevada Holdings, LLC	 	100%	 	100%	 
	 	 	 	 	 	 	 
	USP
  Long Island, Inc.	Day-Op
  Surgery Consulting Company, L.L.C	 	100%	 	100%	 
	 	 	 	 	 	 	 
	USP
  Manhattan, Inc. 	NYCAS
  Administrative Services, L.L.C.	 	100%	 	100%	 
	 	 	 	 	 	 	 
	USP
  Las Cruces, Inc.	Las
  Cruces Surgical Center, LLC	 	50%	 	100%	 
	 	 	 	 	 	 	 
	OrthoLink
  ASC Corporation	OrthoLink/Baptist
  ASC, LLC	 	49%	 	100%	 
	 	 	 	 	 	 	 
	OrthoLink
  ASC Corporation	OrthoLink/Murfreeboro
  ASC, LLC	 	31%	 	100%	 

 

	 	 	 	Partnership Interests
	 	 	 	

	Pledgor	Issuer 

  (partnership)	 	% of Partnership Interests Owned	 	% of Partnership

  Interests Pledged
	

	

	 	

	 	

	USP
  North Texas, Inc.	USP
  Texas, L.P.	 	1%	 	100%
	 	 	 	 	 	 
	USP
  Nevada Holdings, LLC	USP
  Texas, L.P.	 	99%	 	100%
	 	 	 	 	 	 
	Health
  Horizons of Nashville, Inc.	Physicians
  Pavilion, L.P.	 	72.4%	 	100%
	 	 	 	 	 	 
	Health
  Horizons of Kansas City, Inc.	Creekwood
  Surgery Center, L.P.	 	75%	 	100%
	 	 	 	 	 	 
	Health
  Horizons of Murfreesboro, Inc.	Middle
  Tennessee Ambulatory Surgery Center, L.P.	 	36.5%	 	100%
	 	 	 	 	 	 
	Health
  Horizons of Decatur, Inc.	Decatur
  Surgery Center, L.P.	 	66%	 	100%
	 	 	 	 	 	 
	USP
  Winter Park, Inc.	University
  Surgery Center, Ltd.	 	70%	 	100%
	 	 	 	 	 	 
	Texas
  Outpatient Surgicare Center, Inc.	TOPS
  Specialty Hospital, Ltd.	 	55%	 	100%
	 	 	 	 	 	 
	USP
  South Houston, Inc. 	United
  Surgery Center - Southeast Ltd.	 	94.5%	 	100%
	 	 	 	 	 	 
	USP
  Pasadena, Inc. 	Doctors
  Outpatient Surgicenter, Ltd.	 	91.25%	 	100%
	 	 	 	 	 	 
	OrthoLink
  Physicians Corporation	Middle
  Tennessee Ambulatory Surgery Center, L.P.	 	2.48%	 	100%
	 	 	 	 	 	 
	OrthoLink/Georgia
  ASC, Inc	East-West
  Surgery Center, L.P.	 	99%	 	100%
	 	 	 	 	 	 
	OrthoLink/New
  Mexico ASC, Inc.	New
  Mexico Orthopaedic Surgery Center, L.P.	 	51%	 	100%

 

 

SCHEDULE
II

to Subsidiary Pledge and Security Agreement

Item A. Location of Equipment

 

	Grantor	Description	Location
	

	

	

 

                See
Item D.

Item B. Location of Inventory

                See
Item D.

Item C. Location of Lock Boxes

                None.

Item D. Places of Business and Chief
Executive Office

 

	 	 	 	Federal Taxpayer	 
	Grantor	Address	 	Identification Number	 
	

	

	 	

	 
	Day-Op
  Management Company, Inc.	Day-Op
  Center of Long Island

  110 Willis Avenue

  Mineola, NY 11501	 	11-2908189	 
	 	 	 	 	 
	Day-Op
  Surgery Consulting Company, LLC	Day-Op
  Center of Long Island

  110 Willis Avenue

  Mineola, NY 11501	 	75-2790863	 
	 	 	 	 	 
	Georgia
  Muscoloskeletal Network, Inc.	5901
  Peachtree Dunwoody Road

  Suite 300

  Atlanta, GA 30328	 	62-1749874	 
	 	 	 	 	 
	Health
  Horizons of Decatur, Inc. 	Decatur
  Surgery Center

  2828 Highway 31 South (35603)

  P.O. Box 747

  Decatur, AL 35602	 	62-1497774	 
	 	 	 	 	 
	Health
  Horizons of Kansas City, Inc.	Creekwood
  Surgery Center

  211 Northeast 54thStreet

  Suite 100

  Kansas City, MO 64118	 	62-1545988	 
	 	 	 	 	 
	Health
  Horizons of Murfreesboro, Inc.	Middle
  Tennessee Ambulatory Surgery Center

  503 E. Bell St., Suite 100

  Murfreesboro, TN 37130

	 	62-1699666	 
	 	 	 	 	 
	Health
  Horizons of Nashville, Inc.	Physicians
  Pavilion Surgery Ctr

  360 Wallace Road

  Nashville, TN 37211

	 	62-1481503	 
	 	 	 	 	 
	MedCenter
  Management Services, Inc.	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	31-1277552	 
	 	 	 	 	 
	Medical
  Documenting Systems, Inc.	103
  Powell Court, Suite 350

  Brentwood, TN 37027

	 	41-1636501	 
	 	 	 	 	 
	Neuro-Surgical
  Associates, Inc.	201
  Cedar St. S.E.

  Suite 7650

  Albuquerque, NM 87106	 	85-0213432	 
	 	 	 	 	 
	OrthoExcel,
  Inc.	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	31-1447996	 
	 	 	 	 	 
	OrthoLink
  ASC Corporation	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	62-1691093	 
	 	 	 	 	 
	OrthoLink
  Occupational

  Medicine Services Corporation	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	62-1723531	 
	 	 	 	 	 
	OrthoLink
  of Colorado, Inc.	8200
  E. Belleview Ave

  Suite 615

  Englewood, CO 80111	 	84-1415404	 
	 	 	 	 	 
	OrthoLink
  Physicians Corporation	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	62-1646034	 
	 	 	 	 	 
	OrthoLink
  Securities Corporation	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	62-1781381	 
	 	 	 	 	 
	OrthoLink/Georgia
  ASC, Inc.	103
  Powell Court, Suite 350 
Brentwood, TN
  37027	 	62-1832694	 
	 	 	 	 	 
	OrthoLink/New
  Mexico ASC, Inc.	201
  Cedar St. S.E.

  Suite 7650

  Albuquerque, NM 87106	 	62-1807450	 
	 	 	 	 	 
	OrthoLink/TN
  ASC, Inc.	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	62-1825621	 
	 	 	 	 	 
	Southwest
  Spine Center, Inc.	201
  Cedar St. S.E.

  Suite 7650

  Albuquerque, NM 87106	 	85-0255325	 
	 	 	 	 	 
	Tennessee
  MusculoskeletalNetwork, Inc.	103
  Powell Court, Suite 350

  Brentwood, TN 37027	 	62-1709381	 
	 	 	 	 	 
	Texas
  Outpatient Surgicare Center, Inc.	TOPS
  Surgical Specialty Hospital

  17080 Red Oak Dr.

  Houston, TX 77090	 	74-2112653	 
	 	 	 	 	 
	USP
  Chandler, Inc. 	Warner
  Park Surgery Center

  604 W. Warner Rd., Bldg. A

  Chandler, AZ 85225	 	75-282457	 
	 	 	 	 	 
	USP
  Las Cruces, Inc. 	1205
  S. Telshor Blvd.

  Las Cruces, NM 88011	 	75-2924966	 
	 	 	 	 	 
	USP
  Long Island, Inc.	Day-Op
  Center of Long Island

  110 Willis Avenue

  Mineola, NY 11501	 	75-2853167	 
	 	 	 	 	 
	USP
  Manhattan, Inc.	Day-Op
  Center of Long Island

  110 Willis Avenue

  Mineola, NY 11501	 	13-4090380	 
	 	 	 	 	 
	USP
  Nevada Holdings, LLC	101
  Convention Center Dr.

  Suite 850

  Las Vegas, NV 89109	 	88-0452476	 
	 	 	 	 	 
	USP
  Nevada, Inc.	Parkway
  Surgery Center

  100 N. Green Valley Parkway

  # 125

  Henderson, NV 89014	 	88-0401393	 
	 	 	 	 	 
	USP
  New Jersey, Inc.	Shrewsbury
  Surgery Center

  655 Shrewsbury Avenue

  Shrewsbury, NJ 07702	 	75-2839367	 
	 	 	 	 	 
	USP
  North Texas, Inc.	17103
  Preston Road

  Suite 200 North

  Dallas, TX 75248	 	75-2851636	 
	 	 	 	 	 
	USP
  Pasadena, Inc.	Doctors
  Outpatient Surgicenter

  3534 Vista Boulevard

  Pasadena, TX 77504	 	75-2832362	 
	 	 	 	 	 
	USP
  South Houston, Inc.	United
  Surgery Center - Southeast

  12700 N. Featherwood Dr.

  Suite 100

  Houston, TX 77034	 	75-2832364	 
	 	 	 	 	 
	USP
  Texas, L.P.	17103
  Preston Road

  Suite 200 North

  Dallas, TX 75248	 	75-2850832	 
	 	 	 	 	 
	USP
  Winter Park, Inc. 	University
  Surgical Center

  7251 University Blvd., Suite 100

  Winter Park, FL 32792	 	75-2785714	 

Item E. Trade Names

                None.

Item F. Merger or Other Corporate
Reorganization

                None.

Item G. Federal Taxpayer
Identification Number

                See
Item D.

Item H. Government Contracts

                None.

SCHEDULE
III

to Subsidiary Pledge and Security Agreement

Item A. Patents

None.

Item B. Patent Licenses

None.

SCHEDULE
IV

to Subsidiary Pledge and Security Agreement

Item A. Trademarks

None.

Item B. Trademark Licenses

None.

SCHEDULE
V

to Subsidiary Pledge and Security Agreement

Item A. Copyrights/Mask Works

None.

Item B. Copyright/Mask Work Licenses

None.

SCHEDULE
VI

to Subsidiary Pledge and Security Agreement

Trade
Secret or Know-How Licenses

None.

EXHIBIT
A

to Subsidiary Pledge and Security Agreement

DEMAND
NOTE

$____________ ____________ ___, ____

 

                FOR
VALUE RECEIVED, the undersigned, [NAME OF MAKER], a ____________ [corporation]
(the “Maker”), promises to pay on demand to the order of [NAME OF
APPLICABLE SUBSIDIARY], a ____________ [corporation] (the “Payee”), the
principal sum of ____________________ DOLLARS ($____________) or such lesser
amount which equals the aggregate unpaid principal amount of all intercompany
loans made by the Payee to the Maker.

                The
unpaid principal amount of this demand note (this “Note”) shall bear
interest at a rate equal to such rate per annum as shall be agreed upon from
time to time by the Payee and the Maker, payable at such times as shall be
agreed upon by the Payee and the Maker, and all payments of principal of and
interest on this Note shall be payable in same day or immediately available
funds in Dollars. Except as set forth in the next sentence, all payments on
this Note shall be made by the Maker to the Payee’s account as notified to the
Maker from time to time, and shall be evidenced on the books and records of the
Maker and the Payee. The Maker hereby agrees that upon Credit Suisse First
Boston (including its successors, transferees or assigns, referred to as the “Administrative
Agent”) notifying the Maker that a Specified Event has occurred and is
continuing (collectively referred to as a “Payment Event”), it will make
(and the Payee irrevocably instructs the Maker to make) all payments of
principal and accrued interest on this Note on demand to an account identified
by the Administrative Agent, and upon the delivery of such notice (which can
include a facsimile notice), the Administrative Agent shall have all rights of
the Payee to demand (and collect) payment of, and enforce all rights with
respect to, the Indebtedness evidenced by this Note.

                This
Note is one of the Intercompany Notes referred to in the Subsidiary Pledge and
Security Agreement, dated as of June 13, 2001 (as amended, supplemented,
amended and restated or otherwise modified from time to time, the “Security
Agreement”), among various Persons (including the Payee) and the
Administrative Agent and has been pledged to the Administrative Agent (for its
benefit and the ratable benefit of each other Secured Party) as security for
the Obligations outstanding from time to time under the Loan Documents. Unless
otherwise defined herein or the context otherwise requires, terms used in this
Note have the meanings provided in (or by reference in) the Security Agreement.

                THIS NOTE SHALL BE DEEMED TO BE A CONTRACT MADE UNDER
AND GOVERNED BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH
PURPOSE SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE
OF NEW YORK). THE MAKER HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVES
ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED ON
THIS NOTE. THE MAKER ACKNOWLEDGES AND AGREES THAT IT HAS RECEIVED FULL AND
SUFFICIENT CONSIDERATION FOR THIS PROVISION AND THAT THIS PROVISION IS A
MATERIAL INDUCEMENT FOR THE PAYEE TO ACCEPT THIS NOTE.

	 	[NAME OF MAKER]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	Pay to the order of CREDIT SUISSE FIRST

  BOSTON, as Administrative Agent
	 	 
	 	 
	 	[NAME OF APPLICABLE SUBSIDIARY]
	 	 
	 	By:	 
	 	 	

	 	 	Title:

 

EXHIBIT
B

to Subsidiary Pledge and Security Agreement

PATENT
SECURITY AGREEMENT

                This
PATENT SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),
is made between [NAME OF APPLICABLE SUBSIDIARY], a ____________ [corporation]
(the “Grantor”), and CREDIT SUISSE FIRST BOSTON, as administrative agent
(together with its successor(s) thereto in such capacity, the “Administrative
Agent”) for each of the Secured Parties.

W
I T N E S S E T H :

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among USP Domestic Holdings, Inc. (the “Borrower”),
the Lenders, Lehman Commercial Paper Inc., as the Syndication Agent, Société
Générale, as the Documentation Agent, and the Administrative Agent, the Lenders
and the Issuer have extended Commitments to make Credit Extensions to the
Borrower;

                WHEREAS,
in connection with the Credit Agreement, the Grantor has executed and delivered
a Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, the “Security Agreement”);

                WHEREAS,
pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 of
the Security Agreement, the Grantor is required to execute and deliver this
Agreement and to grant to the Administrative Agent a continuing security
interest in all of the Patent Collateral (as defined below) to secure all
Obligations; and

                WHEREAS,
the Grantor has duly authorized the execution, delivery and performance of this
Agreement; and

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Grantor agrees, for the benefit of each
Secured Party, as follows:

                SECTION
1. Definitions. Unless otherwise defined herein or the context otherwise
requires, terms used in this Agreement, including its preamble and recitals,
have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.
The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,
delivers, and transfers to the Administrative Agent, for its benefit and the
ratable benefit of each other Secured Party, and hereby grants to the
Administrative Agent, for its benefit and the ratable benefit of each other
Secured Party, a continuing security interest in all of the following property,
whether now or hereafter existing or acquired by the Grantor (the “Patent
Collateral”):

   (a) all of its letters patent and
applications for letters patent throughout the world, including all patent
applications in preparation for filing and each patent and patent application
referred to in Item A of Schedule I attached hereto; 

   (b) all reissues, divisions, continuations,
continuations-in-part, extensions, renewals and reexaminations of any of the
items described in clause (a); 

   (c) all of its patent licenses, and other
agreements providing each Grantor with the right to use any items of the type
referred to in clauses (a) and (b) above, including each patent license
referred to in Item B of Schedule I attached hereto; and

   (d) all proceeds of, and rights associated
with, the foregoing (including license royalties and proceeds of infringement
suits), the right to sue third parties for past, present or future infringements
of any patent or patent application, and for breach or enforcement of any
patent license.

                SECTION
3. Security Agreement. This Agreement has been executed and delivered by
the Grantor for the purpose of registering the security interest of the Administrative
Agent in the Patent Collateral with the United States Patent and Trademark
Office and corresponding offices in other countries of the world. The security
interest granted hereby has been granted as a supplement to, and not in
limitation of, the security interest granted to the Administrative Agent for
its benefit and the ratable benefit of each other Secured Party under the
Security Agreement. The Security Agreement (and all rights and remedies of the
Administrative Agent and each Secured Party thereunder) shall remain in full
force and effect in accordance with its terms.

                SECTION
4. Release of Liens. Upon (i) the Disposition of Patent Collateral in
accordance with the Credit Agreement or (ii) the occurrence of the Termination
Date, the security interests granted herein shall automatically terminate with
respect to (A) such Patent Collateral (in the case of clause (i)) or (B)
all Patent Collateral (in the case of clause (ii)). Upon any such
Disposition or termination, the Administrative Agent will, at the Grantor’s
sole expense, deliver to the Grantor, without any representations, warranties
or recourse of any kind whatsoever, all Patent Collateral held by the
Administrative Agent hereunder, and execute and deliver to the Grantor such
documents as the Grantor shall reasonably request to evidence such termination.

                SECTION 5. Acknowledgment. The Grantor
does hereby further acknowledge and affirm that the rights and remedies of the
Administrative Agent with respect to the security interest in the Patent
Collateral granted hereby are more fully set forth in the Security Agreement,
the terms and provisions of which (including the remedies provided for therein)
are incorporated by reference herein as if fully set forth herein. 

                SECTION
6. Loan Document. This Agreement is a Loan Document executed pursuant to
the Credit Agreement and shall (unless otherwise expressly indicated herein) be
construed, administered and applied in accordance with the terms and provisions
thereof, including Article X thereof.

                SECTION
7. Counterparts. This Agreement may be executed by the parties hereto in
several counterparts, each of which shall be deemed to be an original and all
of which shall constitute together but one and the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Agreement to be duly executed and delivered by its Authorized
Officer as of the date first above written.

	 	[NAME OF APPLICABLE SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 	 
	 	 	 
	 	By:	 /s/ William S. Lutkins
	 	 	

	 	 	Title: Vice President
	 	 	 
	 	 	 
	 	By:	 /s/ Julia P. Kingsbury
	 	 	

	 	 	Title: Vice President

 

SCHEDULE
I

to Patent Security Agreement

Item A. Patents

	Issued
  Patents	 	 	 
	

	 	 	 
	10/ Country	Patent
  No.	Issue
  Date	Inventor(s)	Title
	

	

	

	

	

 

	Pending
  Patent Applications
	

	10/ Country	Serial
  No.	Filing
  Date	Inventor(s)	Title
	

	

	

	

	

 

	Patent
  Applications in Preparation
	

	 	 	Expected	 	 
	10/ Country	Docket
  No.	Filing
  Date	Inventor(s)	Title
	

	

	

	

	

 

Item B. Patent Licenses

	1/ Country or	 	 	Effective	Expiration	Subject
	Territory	Licensor	Licensee	Date	Date	Matter
	

	

	

	

	

	

 

	1/	List items related to the United States
  first for ease of recordation. List items related to other countries next,
  grouped by country and in alphabetical order by country name.

 

EXHIBIT
C

to Subsidiary Pledge and Security Agreement

TRADEMARK
SECURITY AGREEMENT

                This
TRADEMARK SECURITY AGREEMENT, dated as of ____________ ___, _____ (this “Agreement”),
is made between [NAME OF APPLICABLE SUBSIDIARY], a ____________ [corporation]
(the “Grantor”), and CREDIT SUISSE FIRST BOSTON, as administrative agent
(together with its successor(s) thereto in such capacity, the “Administrative
Agent”) for each of the Secured Parties.

W
I T N E S S E T H :

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among USP Domestic Holdings, Inc. (the “Borrower”),
the Lenders, Lehman Commercial Paper Inc., as the Syndication Agent, Société
Générale, as the Documentation Agent, and the Administrative Agent, the Lenders
and the Issuer have extended Commitments to make Credit Extensions to the
Borrower;

                WHEREAS,
in connection with the Credit Agreement, the Grantor has executed and delivered
a Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, the “Security Agreement”);

                WHEREAS,
pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 of
the Security Agreement, the Grantor is required to execute and deliver this
Agreement and to grant to the Administrative Agent a continuing security
interest in all of the Trademark Collateral (as defined below) to secure all
Obligations; and

                WHEREAS,
the Grantor has duly authorized the execution, delivery and performance of this
Agreement; and

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Grantor agrees, for the benefit of each
Secured Party, as follows:

                SECTION
1. Definitions. Unless otherwise defined herein or the context otherwise
requires, terms used in this Agreement, including its preamble and recitals,
have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.
The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,
delivers, and transfers to the Administrative Agent, for its benefit and the
ratable benefit of each other Secured Party, and hereby grants to the
Administrative Agent, for its benefit and the ratable benefit of each other
Secured Party, a continuing security interest in all of the following property,
whether now or hereafter existing or acquired by the Grantor (the “Trademark
Collateral”):

   (a) (i) all of its trademarks, trade names,
corporate names, company names, business names, fictitious business names,
trade styles, service marks, certification marks, collective marks, logos and
other source or business identifiers, and all goodwill of the business
associated therewith, now existing or hereafter adopted or acquired including
those referred to in Item A of Schedule I hereto, whether
currently in use or not, all registrations and recordings thereof and all
applications in connection therewith, whether pending or in preparation for
filing, including registrations, recordings and applications in the United
States Patent and Trademark Office or in any office or agency of the United
States of America or any State thereof or any other country or political
subdivision thereof or otherwise, and all common-law rights relating to the
foregoing, and (ii) the right to obtain all reissues, extensions or renewals of
the foregoing (collectively referred to as the “Trademark”);

   (b) all of the goodwill of the business
connected with the use of, and symbolized by the items described in, clause
(a), and to the extent applicable clause (b);

   (c) the right to sue third parties for past,
present and future infringements of any Trademark Collateral described in
clause (a) and, to the extent applicable, clause (b); and

   (d) all proceeds of, and rights associated
with, the foregoing, including any claim by any Grantor against third parties
for past, present or future infringement or dilution of any Trademark,
Trademark registration or Trademark license, or for any injury to the goodwill
associated with the use of any such Trademark or for breach or enforcement of
any Trademark license and all rights corresponding thereto throughout the
world. 

                SECTION
3. Security Agreement. This Agreement has been executed and delivered by
the Grantor for the purpose of registering the security interest of the
Administrative Agent in the Trademark Collateral with the United States Patent
and Trademark Office and corresponding offices in other countries of the world.
The security interest granted hereby has been granted as a supplement to, and
not in limitation of, the security interest granted to the Administrative Agent
for its benefit and the ratable benefit of each other Secured Party under the
Security Agreement. The Security Agreement (and all rights and remedies of the
Administrative Agent and each Secured Party thereunder) shall remain in full
force and effect in accordance with its terms.

                SECTION 4. Release of Liens. Upon (i) the
Disposition of Trademark Collateral in accordance with the Credit Agreement or
(ii) the occurrence of the Termination Date, the security interests granted
herein shall automatically terminate with respect to (A) such Trademark
Collateral (in the case of clause (i)) or (B) all Trademark Collateral
(in the case of clause (ii)). Upon any such Disposition or termination,
the Administrative Agent will, at the Grantor’s sole expense, deliver to the
Grantor, without any representations, warranties or recourse of any kind
whatsoever, all Trademark Collateral held by the Administrative Agent
hereunder, and execute and deliver to the Grantor such documents as the Grantor
shall reasonably request to evidence such termination.

                SECTION
5. Acknowledgment. The Grantor does hereby further acknowledge and
affirm that the rights and remedies of the Administrative Agent with respect to
the security interest in the Trademark Collateral granted hereby are more fully
set forth in the Security Agreement, the terms and provisions of which
(including the remedies provided for therein) are incorporated by reference
herein as if fully set forth herein.

                SECTION
6. Loan Document. This Agreement is a Loan Document executed pursuant to
the Credit Agreement and shall (unless otherwise expressly indicated herein) be
construed, administered and applied in accordance with the terms and provisions
thereof, including Article X thereof.

                SECTION
7. Counterparts. This Agreement may be executed by the parties hereto in
several counterparts, each of which shall be deemed to be an original and all
of which shall constitute together but one and the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Agreement to be duly executed and delivered by its Authorized
Officer as of the date first above written.

	 	[NAME OF APPLICABLE SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 	 
	 	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	By:	 
	 	 	

	 	 	Title:

 

SCHEDULE
I

to Trademark Security Agreement

Item A. Trademarks

	Registered Trademarks	 
	

	 
	12/Country	Trademark	 	Registration No.	 	Registration Date	 
	

	

	 	

	 	

	 

 

 

	Pending Trademark Applications	 
	

	 
	12/Country	Trademark	 	Serial No.	 	Filing Date	 
	

	

	 	

	 	

	 

 

	Trademark Applications in Preparation	 
	

	 
	 	 	 	 	 	Expected	 	Products/	 
	12/Country	Trademark	 	Docket No.	 	Filing Date	 	Services	 
	

	

	 	

	 	

	 	

	 

 

Item B. Trademark Licenses

	2/Country or	 	 	 	 	 	 	Effective	 	Expiration	 
	Territory	Trademark	 	Licensor	 	Licensee	 	Date	 	Date	 
	

	

	 	

	 	

	 	

	 	

	 

	2/	List items related to the United States
  first for ease of recordation. List items related to other countries next,
  grouped by country and in alphabetical order by country name.

 

EXHIBIT
D

to Subsidiary Pledge and Security Agreement

COPYRIGHT
SECURITY AGREEMENT

                This
COPYRIGHT SECURITY AGREEMENT, dated as of ____________ ___, __ (this “Agreement”),
is made between [NAME OF APPLICABLE SUBSIDIARY], a ____________ [corporation]
(the “Grantor”), and CREDIT SUISSE FIRST BOSTON, as administrative agent
(together with its successor(s) thereto in such capacity, the “Administrative
Agent”) for each of the Secured Parties.

W
I T N E S S E T H :

                WHEREAS,
pursuant to a Credit Agreement, dated as of June 13, 2001 (as amended,
supplemented, amended and restated or otherwise modified from time to time, the
“Credit Agreement”), among USP Domestic Holdings, Inc. (the “Borrower”),
the Lenders, Lehman Commercial Paper Inc., as the Syndication Agent, Société
Générale, as the Documentation Agent, and the Administrative Agent, the Lenders
and the Issuer have extended Commitments to make Credit Extensions to the
Borrower;

                WHEREAS,
in connection with the Credit Agreement, the Grantor has executed and delivered
a Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, the “Security Agreement”);

                WHEREAS,
pursuant to the Credit Agreement and pursuant to clause (e) of Section 4.5 of
the Security Agreement, the Grantor is required to execute and deliver this
Agreement and to grant to the Administrative Agent a continuing security
interest in all of the Copyright Collateral (as defined below) to secure all
Obligations; and

                WHEREAS,
the Grantor has duly authorized the execution, delivery and performance of this
Agreement; and

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the Grantor agrees, for the benefit of each
Secured Party, as follows:

                SECTION
1. Definitions. Unless otherwise defined herein or the context otherwise
requires, terms used in this Agreement, including its preamble and recitals,
have the meanings provided in the Security Agreement.

                SECTION 2. Grant of Security Interest.
The Grantor hereby assigns, pledges, hypothecates, charges, mortgages,
delivers, and transfers to the Administrative Agent, for its benefit and the
ratable benefit of each other Secured Party, and hereby grants to the
Administrative Agent, for its benefit and the ratable benefit of each other
Secured Party, a continuing security interest in all of the following Copyright
Collateral (as defined below), whether now or hereafter existing or acquired by
the Grantor. 

                “Copyright
Collateral” means all copyrights of the Grantor, whether statutory or
common law, registered or unregistered and whether published or unpublished,
now or hereafter in force throughout the world including all of the Grantor’s
right, title and interest in and to all copyrights registered in the United
States Copyright Office or anywhere else in the world and also including the
copyrights referred to in Item A of Schedule I hereto, and
registrations and recordings thereof and all applications for registration
thereof, whether pending or in preparation, all copyright licenses, including
each copyright license referred to in Item B of Schedule I
hereto, the right to sue for past, present and future infringements of any of
the foregoing, all rights corresponding thereto, all extensions and renewals of
any thereof and all proceeds of the foregoing, including licenses, royalties,
income, payments, claims, damages and proceeds of suit.

                SECTION
3. Security Agreement. This Agreement has been executed and delivered by
the Grantor for the purpose of registering the security interest of the
Administrative Agent in the Copyright Collateral with the United States
Copyright Office and corresponding offices in other countries of the world. The
security interest granted hereby has been granted as a supplement to, and not
in limitation of, the security interest granted to the Administrative Agent for
its benefit and the ratable benefit of each other Secured Party under the
Security Agreement. The Security Agreement (and all rights and remedies of the
Administrative Agent and each Secured Party thereunder) shall remain in full
force and effect in accordance with its terms.

                SECTION
4. Release of Liens. Upon (i) the Disposition of Copyright Collateral in
accordance with the Credit Agreement or (ii) the occurrence of the Termination
Date, the security interests granted herein shall automatically terminate with
respect to (A) such Copyright Collateral (in the case of clause (i)) or
(B) all Copyright Collateral (in the case of clause (ii)). Upon any such
Disposition or termination, the Administrative Agent will, at the Grantor’s
sole expense, deliver to the Grantor, without any representations, warranties
or recourse of any kind whatsoever, all Copyright Collateral held by the
Administrative Agent hereunder, and execute and deliver to the Grantor such
documents as the Grantor shall reasonably request to evidence such termination.

                SECTION
5. Acknowledgment. The Grantor does hereby further acknowledge and
affirm that the rights and remedies of the Administrative Agent with respect to
the security interest in the Copyright Collateral granted hereby are more fully
set forth in the Security Agreement, the terms and provisions of which
(including the remedies provided for therein) are incorporated by reference
herein as if fully set forth herein.

                SECTION 6. Loan Document. This Agreement
is a Loan Document executed pursuant to the Credit Agreement and shall (unless
otherwise expressly indicated herein) be construed, administered and applied in
accordance with the terms and provisions thereof, including Article X thereof.

                SECTION
7. Counterparts. This Agreement may be executed by the parties hereto in
several counterparts, each of which shall be deemed to be an original and all
of which shall constitute together but one and the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Agreement to be duly executed and delivered by its Authorized
Officer as of the date first above written.

	 	[NAME OF APPLICABLE SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 	 
	 	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	By:	 
	 	 	

	 	 	Title:

 

SCHEDULE
I

to Copyright Security Agreement

Item A. Copyrights/Mask Works

	Registered Copyrights/Mask Works	 
	

	 
	14/Country	Registration No.	 	Registration Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Copyright/Mask Work Pending Registration
  Applications	 
	

	 
	14/Country	Serial No.	 	Filing Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Copyright/Mask Work Registration Applications
  in Preparation	 
	

	 
	 	Expected	 	 	 	 	 	 	 
	14/Country	Docket No.	 	Filing Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

Item B. Copyright/Mask Work Licenses

	3/Country or	 	 	 	 	Effective	 	Expiration	 
	Territory	Licensor	 	Licensee	 	Date	 	Date	 
	

	

	 	

	 	

	 	

	 

 

	3/	List items related to the United States
  first for ease of recordation. List items related to other countries next,
  grouped by country and in alphabetical order by country name.

 

ANNEX
I

to the Subsidiary Pledge and Security Agreement

SUPPLEMENT
NO. [ ] TO SUBSIDIARY

PLEDGE AND SECURITY AGREMENT

                This
SUPPLEMENT, dated as of ____________ ___, _____ (this “Supplement”), is
to the Subsidiary Pledge and Security Agreement, dated as of June 13, 2001 (as
amended, supplemented, amended and restated or otherwise modified from time to
time, the “Subsidiary Pledge and Security Agreement”), among the
Grantors (such capitalized term, and other terms used in this Supplement, to
have the meanings set forth in Article I of the Subsidiary Pledge and Security
Agreement) from time to time party thereto, in favor of CREDIT SUISSE FIRST
BOSTON, as administrative agent (together with its successor(s) thereto in such
capacity, the “Administrative Agent”) for each of the Secured Parties.

W I T N E S
S E T H :

                WHEREAS,
pursuant to the provisions of Section 7.7 of the Subsidiary Pledge and Security
Agreement, each of the undersigned is becoming a Grantor under the Subsidiary
Pledge and Security Agreement; and

                WHEREAS,
each of the undersigned desires to become a “Grantor” under the Subsidiary
Pledge and Security Agreement in order to induce the Secured Parties to
continue to extend Credit Extensions under the Credit Agreement;

                NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, each of the undersigned agrees, for the benefit
of each Secured Party, as follows.

                SECTION
1. Party to Subsidiary Pledge and Security Agreement, etc. In accordance
with the terms of the Subsidiary Pledge and Security Agreement, by its
signature below each of the undersigned hereby irrevocably agrees to become a
Grantor under the Subsidiary Pledge and Security Agreement with the same force
and effect as if it were an original signatory thereto and each of the
undersigned hereby (a) agrees to be bound by and comply with all of the terms
and provisions of the Subsidiary Pledge and Security Agreement applicable to it
as a Grantor and (b) represents and warrants that the representations and
warranties made by it as a Grantor thereunder are true and correct as of the
date hereof, unless stated to relate solely to an earlier date, in which case
such representations and warranties shall be true and correct as of such
earlier date. In furtherance of the foregoing, each reference to a “Grantor”
and/or “Grantors” in the Subsidiary Pledge and Security Agreement shall be
deemed to include each of the undersigned.

                SECTION 2. Representations. Each of the
undersigned Grantor hereby represents and warrants that this Supplement has
been duly authorized, executed and delivered by it and that this Supplement and
the Subsidiary Pledge and Security Agreement constitute the legal, valid and
binding obligation of each of the undersigned, enforceable against it in
accordance with its terms.

                SECTION
3. Full Force of Subsidiary Pledge and Security Agreement. Except as
expressly supplemented hereby, the Subsidiary Pledge and Security Agreement
shall remain in full force and effect in accordance with its terms.

                SECTION
4. Severability. Wherever possible each provision of this Supplement
shall be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Supplement shall be prohibited by
or invalid under such law, such provision shall be ineffective to the extent of
such prohibition or invalidity, without invalidating the remainder of such
provision or the remaining provisions of this Supplement or the Subsidiary
Pledge and Security Agreement.

                SECTION
5. Governing Law, Entire Agreement, etc. THIS SUPPLEMENT SHALL BE DEEMED TO BE A CONTRACT MADE UNDER AND GOVERNED
BY THE INTERNAL LAWS OF THE STATE OF NEW YORK (INCLUDING FOR SUCH PURPOSE
SECTIONS 5-1401 AND 5-1402 OF THE GENERAL OBLIGATIONS LAW OF THE STATE OF NEW
YORK). This Supplement and the other Loan Documents constitute the
entire understanding among the parties hereto with respect to the subject
matter thereof and supersede any prior agreements, written or oral, with
respect thereto.

                SECTION
6. Counterparts. This Supplement may be executed by the parties hereto
in several counterparts, each of which shall be deemed to be an original and
all of which shall constitute together but one and the same agreement.

*
* * * *

                IN WITNESS WHEREOF, each of the parties hereto
has caused this Agreement to be duly executed and delivered by its Authorized
Officer as of the date first above written.

	 	[NAME OF ADDITIONAL SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	 	[NAME OF ADDITIONAL SUBSIDIARY]
	 	 
	 	 
	 	By:	 
	 	 	

	 	 	Title:
	 	 	 
	 	 	 
	ACCEPTED AND AGREED FOR ITSELF

  AND ON BEHALF OF THE SECURED PARTIES:	 	 
	 
	CREDIT SUISSE FIRST BOSTON,

  as Administrative Agent
	 	 	 
	 	 	 
	By:	 /s/ Julia P. Kingsbury	 
	 	

	 
	 	Title: Vice President	 
	 	 	 
	 	 	 
	By:	 /s/ William S. Lutkins 	 
	 	

	 
	 	Title: Vice President	 

SCHEDULE
I

to Supplement No. ___

to Subsidiary Pledge and Security Agreement

([Name of Additional Subsidiary])

Item A. Intercompany Notes

	Maker	 	Maximum
  Amount of Intercompany Loans Evidenced Thereby	 	Date	 
	 	 	 
	 	 	 
	

	 	

	 	

	 

 

Item B. Equity Interests

	 	 	Common Stock	 
	 	 	

	 
	 	 	Authorized	 	Outstanding	 	% of Shares	 
	Pledgor	Issuer
  (corporate)	Shares	 	Shares	 	Pledged	 
	

	

	

	 	

	 	

	 
	 	 	 	 	 	 	 	 

 

	 	 	 	Limited Liability Company Interests	 
	 	 	 	

	 
	Pledgor	Issuer 

  (limited liability company)	 	% of Limited Liability Company Interests
  Pledged	 	Type of Limited Liability Company Interests
  Pledged	 
	

	

	 	

	 	

	 

 

	 	 	 	Partnership Interests
	 	 	 	

	Pledgor	Issuer 

  (partnership)	 	% of Partnership Interests Owned	 	% of Partnership

  Interests Pledged
	

	

	 	

	 	

 

SCHEDULE
II

to Supplement No. ___

to Subsidiary Pledge and Security Agreement

([Name of Additional Subsidiary])

Item A. Location of Equipment

	 	Description	Location
	 	

	

	1.	 	 
	 	 	 
	2.	 	 
	 	 	 

 

Item B. Location of Inventory

	 	Description	Location
	 	

	

	1.	 	 
	 	 	 
	2.	 	 
	 	 	 

Item C. Location of Lock Boxes

	Bank
  Name and Address	Account
  Number	Contact
  Person
	

	

	

	1.	 	 
	 	 	 
	2.	 	 
	 	 	 

Item D. Places of Business and Chief
Executive Office

Item E. Trade Names

Item F. Merger or Other Corporate
Reorganization

Item G. Federal Taxpayer
Identification Number

Item H. Government Contracts

SCHEDULE
III

to Supplement No. ___

to Subsidiary Pledge and Security Agreement

([Name of Additional Subsidiary])

Item A. Patents

	Issued Patents	 	 	 	 	 	 	 
	

	 	 	 	 	 	 	 
	15/Country	Patent No.	 	Issue Date	 	Inventor(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Pending Patent Applications	 
	

	 
	15/Country	Serial No.	 	Filing Date	 	Inventor(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Patent Applications in Preparation	 
	

	 
	15/Country	Docket No.	 	Expected

  Filing Date	 	Inventor(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

Item B. Patent Licenses

	4/Country or	 	 	 	 	Effective	 	Expiration	 	Subject	 
	Territory	Licensor	 	Licensee	 	Date	 	Date	 	Matter	 
	

	

	 	

	 	

	 	

	 	

	 
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 

	4/	List items related to the United States
  first for ease of recordation. List items related to other countries next,
  grouped by country and in alphabetical order by country name.

 

SCHEDULE
IV

to Supplement No. ___

to Subsidiary Pledge and Security Agreement

([Name of Additional Subsidiary])

Item A. Trademarks

	Registered Trademarks	 
	

	 
	5/Country	Trademark	 	Registration No.	 	Registration Date	 
	

	

	 	

	 	

	 

 

 

	Pending Trademark Applications	 
	

	 
	16/Country	Trademark	 	Serial No.	 	Filing Date	 
	

	

	 	

	 	

	 

 

	Trademark Applications in Preparation	 
	

	 
	 	 	 	 	 	Expected	 	Products/	 
	16/Country	Trademark	 	Docket No.	 	Filing Date	 	Services	 
	

	

	 	

	 	

	 	

	 

 

Item B. Trademark Licenses

	16/Country or	 	 	 	 	 	 	Effective	 	Expiration	 
	Territory	Trademark	 	Licensor	 	Licensee	 	Date	 	Date	 
	

	

	 	

	 	

	 	

	 	

	 
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 

	5/	List items related to the United States
  first for ease of recordation. List items related to other countries next,
  grouped by country and in alphabetical order by country name.

SCHEDULE
V

to Supplement No. ___

to Subsidiary Pledge and Security Agreement

([Name of Additional Subsidiary])

Item A. Copyrights/Mask Works

	Registered Copyrights/Mask Works	 
	

	 
	17/Country	Registration No.	 	Registration Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Copyright/Mask Work Pending Registration
  Applications	 
	

	 
	17/Country	Serial No.	 	Filing Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

	Copyright/Mask Work Registration Applications
  in Preparation	 
	

	 
	 	Expected	 	 	 	 	 	 	 
	17/Country	Docket No.	 	Filing Date	 	Author(s)	 	Title	 
	

	

	 	

	 	

	 	

	 

 

Item B. Copyright/Mask Work Licenses

	6/Country or	 	 	 	 	Effective	 	Expiration	 	Subject	 
	Territory	Licensor	 	Licensee	 	Date	 	Date	 	Matter	 
	

	

	 	

	 	

	 	

	 	

	 

	6/	List items related to the United States
  first for ease of recordation. List items related to other countries next,
  grouped by country and in alphabetical order by country name.

 

SCHEDULE
VI

to Supplement No. ___

to Subsidiary Pledge and Security Agreement

([Name of Additional Subsidiary])

Trade
Secret or Know-How Licenses

	7/ Country or	 	 	Effective	Expiration	Subject
	Territory	Licensor	Licensee	Date	Date	Matter
	

	

	

	

	

	

	 	 	 	 	 	 
	 	 	 	 	 	 
	 	 	 	 	 	 
	 	 	 	 	 	 
	 	 	 	 	 	 

	7/*	List items related to the United States
  first for ease of recordation. List items related to other countries next,
  grouped by country and in alphabetical order by country name.

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00028-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00028-of-00352.parquet"}]]