Document:

EX-10.3

 Exhibit 10.3 
 SEVENTH AMENDMENT TO DELAYED 
 DRAW TERM LOAN CREDIT AGREEMENT

 SEVENTH AMENDMENT TO DELAYED DRAW TERM LOAN CREDIT AGREEMENT (this “Amendment”), dated as
of June 17, 2013 by and among Par Petroleum Corporation, a Delaware corporation (the “Borrower”), the Guarantors party hereto (the “Guarantors” and together with the Borrower, each a
“Credit Party” and collectively, the “Credit Parties”), the undersigned Lenders party hereto, and Jefferies Finance LLC, as administrative agent (the “Administrative Agent”).

 WHEREAS, the Credit Parties, Jefferies Finance LLC, as administrative agent, and the Lenders party thereto from time to time,
entered into that certain Delayed Draw Term Loan Credit Agreement dated as of August 31, 2012 (as amended by the First Amendment dated as of September 28, 2012, as amended by the Second Amendment dated as of November 29, 2012, as
amended by the Third Amendment dated as of December 28, 2012, as amended by the Fourth Amendment dated as of April 19, 2013, as amended by the Fifth Amendment dated as of June 4, 2013, as amended by the Sixth Amendment dated as of
June 12, 2013, and as may be further amended, amended and restated, modified, supplemented, extended, renewed, restated or replaced from time to time, the “Credit Agreement”); 

WHEREAS, Hawaii Pacific Energy, LLC, a Delaware limited liability company and wholly owned subsidiary of the Borrower
(“NewCo”), would like to enter into a Membership Interest Purchase Agreement in connection with its acquisition of the equity interests described in the Target Purchase Agreement (defined below) (the “New
Acquisition”) and in connection therewith, the Borrower would like to execute a certain Guaranty dated as of June 17, 2013 in favor of the Seller (as defined in the Target Purchase Agreement) (the “Seller
Guaranty”) and each of the Borrower and NewCo has asked the Lenders for various consents and amendments to the Loan Documents in connection therewith; 
 WHEREAS, the Requisite Lenders and the Requisite Tranche B Lenders have agreed to such consents and amendments subject to the terms and conditions hereof. 

NOW, THEREFORE, in consideration of the mutual promises contained herein, and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto hereby agree as follows: 
 1. Defined Terms. All
capitalized terms used herein (including the recitals hereto) shall have the respective meaning assigned to such terms in the Credit Agreement as amended by this Amendment, unless otherwise defined herein. 

2. Consent. 
 (a) Execution of Target Purchase Agreement. Notwithstanding any provisions set forth in the Credit Agreement and the other Loan Documents, including without limitation, Sections 6.3, 6.7, 6.23 and
6.24 of the Credit Agreement, the Requisite Lenders and Requisite Tranche B Lenders hereby consent to the Borrower and NewCo executing and performing their respective obligations under and in accordance with the Membership Interest Purchase
Agreement, in the form approved by the Borrower’s board of directors (or a special committee 

 
thereof) prior to the date hereof, which shall not be amended, restated, modified or supplemented without the consent of the Requisite Lenders and the Requisite Tranche B Lenders (such Membership
Interest Purchase Agreement, as amended, restated, modified and/or supplemented in accordance with the provisions hereof, the “Target Purchase Agreement”) provided that this consent shall not be deemed to be a consent to the
consummation of the New Acquisition. 
 (b) Deposit and Refinery Startup Reimbursement. Notwithstanding any provisions set
forth in the Credit Agreement and the other Loan Documents, including, without limitation, Section 6.7 of the Credit Agreement, the Requisite Lenders and Requisite Tranche B Lenders hereby consent to (i) the Borrower’s or NewCo’s
payment of a cash deposit of up to $25.0 million in accordance with and upon the execution and delivery of the Target Purchase Agreement by the parties thereto, and (ii) the Borrower’s or NewCo’s payment in cash of certain
reimbursement expenses under the Target Purchase Agreement, when such payments are due and payable by NewCo pursuant to the Target Purchase Agreement, up to $25.0 million in the aggregate. 

(c) Use of Proceeds. The Requisite Lenders and Requisite Tranche B Lenders hereby consent to the Borrower’s use of the
proceeds of any Advance to consummate the New Acquisition. 
 (d) Incurrence of Debt. Notwithstanding any provisions set
forth in the Credit Agreement and the other Loan Documents, including, without limitation, Section 6.2 of the Credit Agreement, the Requiste Lenders and the Requisite Tranche B Lenders hereby consent to the Debt incurred by Borrower pursuant
to, and the entry by Borrower into, the Seller Guaranty, as in effect on the date hereof, provided that such Debt is limited to the Guaranteed Obligations (as defined in the Seller Guaranty) arising in regards to the Target Purchase Agreement, in
effect on the date hereof. 
 (e) The Lenders’ entry into this Amendment shall not obligate or commit any Lenders(s) to
provide any other consents under the Credit Agreement or the other Loan Documents in the future, whether for purposes similar to those described herein or otherwise. 
 3. Representations and Warranties. Each of the Borrower and each of the Guarantors hereby confirms, reaffirms and restates the representations and warranties made by it in the Credit Agreement, as
amended hereby, and confirms that all such representations and warranties are true and correct in all material respects as of the date hereof. The Borrower and each Guarantor further represent and warrant (which representations and warranties shall
survive the execution and delivery of this Amendment) to the Lenders that: 
 (a) The execution, delivery, and performance by
each Credit Party of this Amendment and the consummation of the transactions contemplated hereby, (i) are within such Credit Party’s governing powers, (ii) have been duly authorized by all necessary governing action, (iii) do not
contravene (x) such Credit Party’s Organizational Documents or (y) any law or any contractual restriction binding on or affecting such Credit Party, and (iv) will not result in or require the creation or imposition of any Lien
prohibited by the Loan Documents; 

  
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 (b) No consent, order, authorization, or approval or other action by, and no notice to or
filing with, any Governmental Authority or any other Person is required for the due execution, delivery, and performance by any Credit Party of this Amendment, or the consummation of the transactions contemplated hereby, except for those consents
and approvals that have been obtained, made or waived on or prior to the date hereof and that are in full force and effect; 

(c) This Amendment has been duly executed and delivered by such Credit Party and is the legal, valid, and binding obligation of each
Credit Party enforceable against such Credit Party in accordance with its terms, except as such enforceability may be limited by any applicable bankruptcy, insolvency, reorganization, moratorium, fraudulent conveyance or transfer, or similar law
affecting creditors’ rights generally and by general principles of equity; and 
 (d) No Default or Event of Default has
occurred and is continuing. 
 4. Effect of this Amendment. Except as expressly amended, consented to or waived hereby,
the Credit Agreement and the other Loan Documents are ratified and confirmed in all respects and shall remain in full force and effect in accordance with their respective terms. Except as expressly set forth herein, the terms of this Amendment shall
not be deemed (i) a waiver of any Default or Event of Default, (ii) a consent, waiver or modification with respect to any term, condition, or obligation of the Borrower or any other Credit Party in the Credit Agreement or any other Loan
Document, (iii) a consent, waiver or modification with respect to any other event, condition (whether now existing or hereafter occurring) or provision of the Loan Documents or (iv) to prejudice any right or remedy which the Administrative
Agent or any Lender may now or in the future have under or in connection with the Credit Agreement or any other Loan Document. 

5. Conditions Precedent. 
 (a) To Effectiveness of this Amendment. This Amendment shall become effective when, and only when, (i) the Administrative Agent has received counterparts of this Amendment, duly executed by
the Requisite Lenders, the Requisite Tranche B Lenders, the Borrower and each Guarantor, and (ii) each Lender shall have received the draft of the Target Purchase Agreement to be consented to by the Lenders in Section 2(a) hereof unless
such Lender has notified the Borrower prior to the date hereof that it does not want to receive the Target Purchase Agreement (the “Amendment Effective Date”). 

6. Miscellaneous. 
 (a) Survival of Representations and Warranties. All representations and warranties made in this Amendment or any other document furnished in connection with this Amendment shall survive the
execution and delivery of this Amendment and such other documents, and no investigation by the Administrative Agent or the Lenders or any closing of any transaction shall affect the representations and warranties or the right of the Administrative
Agent or the Lenders to rely upon them. 
 (b) Notices. All notices required to be made under this Amendment shall be made
in the manner and at the address set forth in Section 10.2 of the Credit Agreement. 

  
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 (c) Expenses. The Borrower agrees to pay or reimburse the Administrative Agent and
the Lenders for all reasonable fees and out-of-pocket disbursements incurred by the Administrative Agent or the Lenders in connection with the preparation, execution, delivery, administration and enforcement of this Amendment, including without
limitation the reasonable fees and disbursements of counsel for the Administrative Agent and the Lenders, to the same extent that the Borrower would be required to do so pursuant to Section 10.4 of the Credit Agreement.

 (d) Reference to Credit Agreement. From and after the effectiveness of this Amendment, all references herein to the
Credit Agreement shall mean the Credit Agreement as amended hereby and as hereafter modified, amended, restated or supplemented from time to time, and each reference in any other Loan Document to the Credit Agreement shall mean the Credit Agreement
as amended hereby and as hereafter modified, amended, restated or supplemented from time to time. The Amendment shall constitute a Loan Document under the Credit Agreement for all purposes. 

(e) Severability. If any provision of this Amendment is held by a court of competent jurisdiction to be invalid or unenforceable,
such provision shall be inapplicable to the extent of such invalidity without affecting the validity or enforceability of the remainder of this Amendment and the effect thereof shall be confined to the provision so held to be invalid or
unenforceable. 
 (f) Section Headings. Section headings herein are included for convenience of reference only and shall
not affect the meaning or interpretation of this Amendment. 
 (g) Entire Agreement. This Amendment shall be deemed to be
a Loan Document and, together with the other Loan Documents and the agreements, documents and instruments contemplated hereby, constitutes the entire understanding of the parties with respect to the subject matter hereof and thereof, and any other
prior or contemporaneous agreements, whether written or oral, with respect hereto or thereto are expressly superseded hereby and thereby. 
 (h) Counterparts. This Amendment may be executed in any number of counterparts and by different parties on separate counterparts, each of which, when executed and delivered, shall be deemed to be
an original, and all of which, when taken together, shall constitute but one and the same Amendment. Delivery of an executed counterpart of this Amendment by facsimile or .pdf shall be equally as effective as delivery of an original executed
counterpart of this Amendment. Any party delivering an executed counterpart of this Amendment by facsimile or .pdf also shall deliver an original executed counterpart of this Amendment but the failure to deliver an original executed counterpart
shall not affect the validity, enforceability, and binding effect of this Amendment. 
 (i) Successors and Assigns. This
Amendment shall be binding on and inure to the benefit of the parties hereto and their heirs, beneficiaries, successors and assigns. The Credit Parties may not assign this Amendment or any of their respective rights or obligations hereunder to any
Person without the prior written consent of the Requisite Lenders and the Requisite Tranche B Lenders, which consent may be withheld or given in each such Lender’s sole discretion. 

  
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 (j) Governing Law; Venue; Jury Trial. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS
OF THE PARTIES HEREUNDER SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE CHOICE OF LAW AND VENUE PROVISIONS SET FORTH IN SECTION 10.12 OF THE CREDIT AGREEMENT, AND SHALL BE SUBJECT TO THE JURY TRIAL WAIVER SET FORTH IN SECTION 10.14 OF
THE CREDIT AGREEMENT. 
 (k) Guarantors. Each Guarantor, for value received, hereby expressly consents and agrees to the
Borrower’s execution and delivery of this Amendment, and to the performance by the Borrower of its agreements and obligations hereunder. This Amendment and the performance or consummation of any transaction or matter contemplated under this
Amendment, shall not limit, restrict, extinguish or otherwise impair any Guarantor’s liability to the Administrative Agent and Lenders with respect to the payment and other performance obligations of such Guarantor pursuant to the Guarantees.
Each Guarantor hereby ratifies, confirms and approves its Guarantee and acknowledges that it is unconditionally liable to the Administrative Agent and Lenders for the full and timely payment of the Guaranteed Obligations (on a joint and several
basis with the other Guarantors). Each Guarantor hereby acknowledges that it has no defenses, counterclaims or set-offs with respect to the full and timely payment of any or all Guaranteed Obligations. 

[Remainder of Page Intentionally Left Blank; Signature Pages to Follow] 

  
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 IN WITNESS WHEREOF, each of the parties hereto has duly executed this Seventh Amendment to
Delayed Draw Term Loan Credit Agreement as of the date first written above. 
  

							
	BORROWER:
	
	 PAR PETROLEUM CORPORATION,
 a Delaware corporation

		
	By:	 	/s/ R. Seth Bullock
		 	R. Seth Bullock
		 	Chief Financial Officer
	
	GUARANTORS:
	
	 PAR PICEANCE ENERGY EQUITY LLC,
 a Delaware limited liability company

	
	 PAR UTAH LLC,
 a
Delaware limited liability company

	
	 EWI LLC,
 a
Delaware limited liability company

	
	 PAR WASHINGTON LLC,

a Delaware limited liability company

	
	 PAR NEW MEXICO LLC,

a Delaware limited liability company

	
	 HEWW EQUIPMENT LLC,

a Delaware limited liability company

	
	 PAR POINT ARGUELLO LLC,
 a Delaware limited liability company

		
		 	By: PAR PETROLEUM CORPORATION,
		 	a Delaware corporation, as Sole Member of each of the foregoing companies
				
		 		 	By:	 	/s/ R. Seth Bullock
		 		 		 	R. Seth Bullock
		 		 		 	Chief Financial Officer

  
 Signature Page
to Seventh Amendment to Delayed Draw Term Loan Credit Agreement 

			
	ADMINISTRATIVE AGENT:
	
	JEFFERIES FINANCE LLC
		
	By:	 	/s/ J. Paul McDonnell
	Name:	 	J. Paul McDonnell
	Title:	 	Managing Director

  

  
 Signature Page
to Seventh Amendment to Delayed Draw Term Loan Credit Agreement 

			
	LENDERS (EACH EXECUTING WITH RESPECT TO ITS LOANS AND TRANCHE B LOANS):
	
	 WB DELTA, LTD.,
 as
a Lender

		
	By:	 	/s/ Mark Strefling
	Name: Mark Strefling
	Title: Director

  
 Signature Page
to Seventh Amendment to Delayed Draw Term Loan Credit Agreement 

			
	ZCOF PAR PETROLEUM HOLDINGS, L.L.C.,
	as a Lender
		
	By:	 	 /s/ William Pate

	Name:	 	 William Pate 

	Title:	 	Vice President

  
 Signature Page
to Seventh Amendment to Delayed Draw Term Loan Credit Agreement 

							
	WATERSTONE OFFSHORE ER FUND, LTD.,	  	
	as a Lender	  	
			
	By: 	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish 
	  	
		  	Title:	  	 Chief Operations Officer
	  	
		
	PRIME CAPITAL MASTER SPC, GOT WAT	  	
	MAC SEGREGATED PORTFOLIO, as a Lender	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish 
	  	
		  	Title:	  	 Chief Operations Officer 
	  	
		
	 WATERSTONE MARKET NEUTRAL MAC51, LTD.,
 as a Lender
	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish 
	  	
		  	Title:	  	 Chief Operations Officer 
	  	
		
	WATERSTONE MARKET NEUTRAL MASTER	  	
	FUND, LTD., as a Lender	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish 
	  	
		  	Title:	  	 Chief Operations Officer 
	  	
		
	WATERSTONE MF FUND, LTD., as a Lender	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish 
	  	
		  	Title:	  	 Chief Operations Officer 
	  	

  
 Signature Page
to Seventh Amendment to Delayed Draw Term Loan Credit Agreement 

							
	NOMURA WATERSTONE MARKET	  	
	NEUTRAL FUND LTD., as a Lender	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish
	  	
		  	Title:	  	 Chief Operations Officer
	  	
		
	 WATERSTONE OFFSHORE BLR FUND, LTD.,
 as a Lender
	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish
	  	
		  	Title:	  	 Chief Operations Officer
	  	
		
	 WATERSTONE DISTRESSED OPPORTUNITIES BLR FUND, LTD.,

as a Lender
	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish
	  	
		  	Title:	  	 Chief Operations Officer
	  	
		
	 WATERSTONE OFFSHORE AD BLR FUND LTD.,
 as a Lender
	  	
			
	By:	  	Waterstone Capital Management, L.P.	  	
				
		  	By:	  	 /s/ Martin Kalish
	  	
		  	Name:	  	 Martin Kalish
	  	
		  	Title:	  	 Chief Operations Officer
	  	

  
 Signature Page
to Seventh Amendment to Delayed Draw Term Loan Credit Agreement 

			
	 HIGHBRIDGE INTERNATIONAL, LLC,

	 as a Lender

	
	By: Highbridge Capital Management, LLC, as Trading Manager
		
	 By:
	 	/s/ Jonathan Segal
	 Name:
	 	Jonathan Segal
	 Title:
	 	Managing Director

  
 Signature Page
to Seventh Amendment to Delayed Draw Term Loan Credit AgreementEX-10.1

 Exhibit 10.1 
 Execution Version 
 SIXTH AMENDMENT TO REVOLVING CREDIT AGREEMENT

 AND 
 FIRST AMENDMENT TO SUBSIDIARY GUARANTEE AGREEMENT 
 THIS SIXTH AMENDMENT TO
REVOLVING CREDIT AGREEMENT AND FIRST AMENDMENT TO SUBSIDIARY GUARANTEE AGREEMENT is dated as of June 14, 2013 (this “Amendment”) by and among AMSURG CORP., a Tennessee corporation (the “Borrower”), each of the
Wholly Owned Subsidiaries party hereto, each of the “Lenders” party to the Credit Agreement defined below (the “Lenders”) and SUNTRUST BANK, in its capacity as administrative agent for the Lenders (the
“Administrative Agent”). 
 WHEREAS, the Borrower, the Lenders and the Administrative Agent are parties to that
certain Revolving Credit Agreement dated as of May 28, 2010, as amended from time to time prior to the date hereof, among the Borrower, the Lenders party thereto and the Administrative Agent (as so amended, the “Credit
Agreement”; capitalized terms used herein and not otherwise defined herein shall have the respective definitions given them in the Credit Agreement); 
 WHEREAS, the Borrower has requested (i) modifications to its pricing pursuant to the Applicable Margin and (ii) an extension of the Maturity Date, in each case on the terms and conditions
herein; 
 WHEREAS, in connection with the Credit Agreement, each of the Wholly Owned Subsidiaries executed the Subsidiary
Guarantee Agreement; and 
 WHEREAS, the Borrower, the Wholly Owned Subsidiaries, the Lenders and the Administrative Agent
desire to amend or otherwise modify certain terms and provisions of the Credit Agreement and the Subsidiary Guarantee Agreement, in each case, on the terms and conditions more particularly set forth below. 

NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged by the parties hereto,
the parties hereto hereby agree as follows: 
 Section 1. Specific Amendments to Credit Agreement. 

(a) Section 1.1. of the Credit Agreement is hereby amended by adding the following new definitions in the appropriate alphabetical
order: 
 “Commodity Exchange Act” means the Commodity Exchange Act (7 U.S.C. § 1 et seq.), as amended from
time to time, and any successor statute. 
 “Excluded Swap Obligation” means, with respect to any Wholly Owned
Subsidiary, any Swap Obligation if, and to the extent that, all or a portion of the Guarantee of such Wholly Owned Subsidiary of, or the grant by such Wholly Owned Subsidiary of a security interest to secure, such Swap Obligation (or any Guarantee
thereof) is or becomes illegal under the Commodity Exchange Act or 

 
any rule, regulation or order of the Commodity Futures Trading Commission (or the application or official interpretation of any thereof) by virtue of such Wholly Owned Subsidiary’s failure
for any reason to constitute an “eligible contract participant” as defined in the Commodity Exchange Act at the time the Guarantee of such Wholly Owned Subsidiary, or the grant by such Wholly Owned Subsidiary of the security interest under
the Loan Documents, becomes effective with respect to such related Swap Obligation; provided, that, for the avoidance of doubt, in determining whether any Wholly Owned Subsidiary is an “eligible contract participant” under
and as defined in the Commodity Exchange Act, the keepwell agreement set forth in Section 26 of the Subsidiary Guarantee Agreement shall be taken into account. If a Swap Obligation arises under a master agreement governing more than one swap,
such exclusion shall apply only to the portion of such Swap Obligation that is attributable to swaps for which such Guarantee or security interest is or becomes illegal. 
 “Sixth Amendment Effective Date” means June 14, 2013. 

“Swap Obligation” means, with respect to any Wholly Owned Subsidiary, any obligation to pay or perform under any
agreement, contract or transaction that constitutes a “swap” within the meaning of section 1a(47) of the Commodity Exchange Act. 
 (b) Section 1.1. of the Credit Agreement is hereby further amended by deleting the defined terms “Applicable Margin”, “Maturity Date” and
“Obligations” in their entirety and substituting in lieu thereof the following: 
 “Applicable
Margin” means, as of any date, with respect to the Letter of Credit Fee, the Commitment Fee and all Revolving Loans outstanding on such date, a percentage per annum determined by reference to the applicable Leverage Ratio in effect on such
date in accordance with the table set forth immediately below, provided, that a change in the Applicable Margin resulting from a change in the Leverage Ratio shall be effective on the second Business Day after which the Borrower delivers the
financial statements required by Section 5.1(a) or Section 5.1(b) and the Compliance Certificate required by Section 5.1(c); provided further, that if at any time the Borrower shall have failed to deliver
such financial statements and such Compliance Certificate when so required, the Applicable Margin shall be at Pricing Level IV as set forth immediately below until such time as such financial statements and Compliance Certificate are delivered, at
which time the Applicable Margin shall be determined as provided above. Notwithstanding the foregoing, the Applicable Margin in effect for the period from the Sixth Amendment Effective Date until the date a change in the Applicable Margin becomes
effective as provided above following delivery of financial statements and the Compliance Certificate after the Sixth Amendment Effective Date shall be at Pricing Level III as set forth below. 

  
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	 Pricing Level
	  	 Leverage Ratio
	  	Applicable
Margin for
Eurodollar
Loans	 	 	Applicable
Margin for
Base Rate
Loans	 	 	Commitment
Fees	 	 	Letter of
Credit Fees	 
						
	 I
	  	Less than 1.75:1.00	  	 	1.25	% 	 	 	0.25	% 	 	 	0.25	% 	 	 	1.25	% 
						
	 II
	  	Less than 2.50:1.00 but greater than or equal to 1.75:1.00	  	 	1.50	% 	 	 	0.50	% 	 	 	0.30	% 	 	 	1.50	% 
						
	 III
	  	Less than 3.25:1.00 but greater than or equal to 2.50:1.00	  	 	1.75	% 	 	 	0.75	% 	 	 	0.30	% 	 	 	1.75	% 
						
	 IV
	  	Greater than or equal to 3.25:1.00	  	 	2.00	% 	 	 	1.00	% 	 	 	0.40	% 	 	 	2.00	% 

 “Maturity Date” shall mean the earliest of (i) June 13, 2018 (ii) the date
on which the Revolving Commitments are terminated pursuant to Section 2.8, or (iii) the date on which all amounts outstanding under this Agreement have been declared or have automatically become due and payable. 

“Obligations” shall mean (a) all amounts owing by the Loan Parties to the Administrative Agent, the Issuing Bank or
any Lender (including the Swingline Lender) pursuant to or in connection with this Agreement or any other Loan Document or otherwise with respect to any Loan or Letter of Credit, including, without limitation, all principal, interest (including any
interest accruing after the filing of any petition in bankruptcy or the commencement of any insolvency, reorganization or like proceeding relating to the Borrower, whether or not a claim for post-filing or post-petition interest is allowed in such
proceeding), all reimbursement obligations, fees, expenses, indemnification and reimbursement payments, costs and expenses (including all reasonable fees and expenses of counsel to the Administrative Agent, the Issuing Bank and any Lender (including
the Swingline Lender) incurred, or required to be reimbursed, by the Borrower, in each case, pursuant to this Agreement or any other Loan Document), whether direct or indirect, absolute or contingent, liquidated or unliquidated, now existing or
hereafter arising hereunder or thereunder, and (b) all Ancillary Credit Exposure and all reimbursement obligations, fees, expenses, indemnification and reimbursement payments, costs and expenses incurred, or required to be reimbursed, by the
Borrower or other Loan Parties pursuant to the agreements referred to in the definition of all Ancillary Credit Exposure, whether direct or indirect, absolute or contingent, liquidated or unliquidated, now existing or hereafter arising thereunder,
together with, all renewals, extensions, modifications 

  
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or refinancings of any of the foregoing in clauses (a) and (b) above; provided, however, that with respect to any Wholly Owned Subsidiary and its obligations under the
Subsidiary Guarantee Agreement, “Obligations” shall not include any Excluded Swap Obligations. 
 (c)
Section 1.1. of the Credit Agreement is hereby further amended by deleting clause (b) in the definition of “Interest Period” in its entirety and substituting in lieu thereof the following new clause (b): 

“(b) with respect to a Swingline Loan, a period of such duration not to exceed 90 days, as the Borrower may request
and the Swingline Lender may agree in accordance with Section 2.5” 
 (d) Section 2.9. of the Credit
Agreement is hereby amended by deleting clause (b) thereto in its entirety and substituting in lieu thereof the following new clause (b): 
 “(b) The principal amount of each Swingline Borrowing shall be due and payable (together with unpaid accrued interest thereon) on the earlier of (i) the last day of the Interest Period
applicable to such Borrowing, and (ii) the Swingline Termination Date.” 
 (e) Section 2.12. of the Credit
Agreement is hereby amended by deleting clause (d) thereto in its entirety and substituting in lieu thereof the following new clause (d): 
 “(d) Interest on the principal amount of all Loans shall accrue from and including the date such Loans are made to but excluding the date of any repayment thereof. Interest on all outstanding Base
Rate Loans shall be payable quarterly in arrears on the last day of each Fiscal Quarter and on the Maturity Date. Interest on all outstanding Eurodollar Loans shall be payable on the last day of each Interest Period applicable thereto, and, in the
case of any Eurodollar Loans having an Interest Period in excess of three months or ninety (90) days, respectively, on each day which occurs every three months or ninety (90) days, as the case may be, after the initial date of such
Interest Period, and on the Maturity Date. Interest on each Swingline Loan shall be payable quarterly in arrears on the last day of each Fiscal Quarter, to the extent such interest was not paid at the maturity of such Loan in accordance with
Section 2.9, and at the maturity of such Loan, which shall be the earlier of: (i) the last day of the Interest Period applicable thereto, and (ii) the Swingline Termination Date. Interest on any Loan which is converted or which
is repaid or prepaid shall be payable on the date of such conversion or on the date of any such repayment or prepayment (on the amount repaid or prepaid) thereof. All Default Interest shall be payable on demand. Borrower must make all interest
payments prior to 1:00 p.m. on the applicable due date in immediately available funds, free and clear of all defenses, set-offs, counterclaims, or withholdings or deductions for taxes.” 

  
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 (f) Section 8.2 of the Credit Agreement is hereby amended to add the following
paragraph at the end of such Section: 
 “Notwithstanding the foregoing, (a) no amount received from
any Wholly Owned Subsidiary (including any proceeds of any sale of, or other realization upon, all or any part of the Collateral owned by such Wholly Owned Subsidiary) shall be applied to any Excluded Swap Obligation of such Wholly Owned Subsidiary
and (b) Ancillary Credit Exposure shall be excluded from the application described above if the Administrative Agent has not received written notice thereof, together with such supporting documentation as the Administrative Agent may request,
from the Lender or its Affiliate who is the counterparty in respect of such Ancillary Credit Exposure. Each Lender or Affiliate of a Lender who is the counterparty in respect of such Ancillary Credit Exposure that has given the notice contemplated
by the preceding sentence shall, by such notice, be deemed to have acknowledged and accepted the appointment of the Administrative Agent pursuant to the terms of Article IX hereof for itself as if such Person were a “Lender” party
to this Agreement.” 
 Section 2. Amendment to the Subsidiary Guarantee Agreement. The Subsidiary Guarantee
Agreement is hereby amended by adding the following new Section 26 at the end of such agreement: 
 “SECTION 26.
Keepwell. 
 (a) Each Qualified ECP Guarantor hereby jointly and severally absolutely, unconditionally and
irrevocably undertakes to provide such funds or other support as may be needed from time to time by each other Loan Party to honor all of its obligations under this Agreement in respect of Swap Obligations (provided, however, that each
Qualified ECP Guarantor shall only be liable under this Section for the maximum amount of such liability that can be hereby incurred without rendering its obligations under this Section, or otherwise under this Agreement, voidable under applicable
law relating to fraudulent conveyance or fraudulent transfer, and not for any greater amount). The obligations of each Qualified ECP Guarantor under this Section shall remain in full force and effect until this Agreement has been terminated pursuant
to Section 13. Each Qualified ECP Guarantor intends that this Section constitute, and this Section shall be deemed to constitute, a “keepwell, support, or other agreement” for the benefit of each other Loan Party for all purposes of
Section 1a(18)(A)(v)(II) of the Commodity Exchange Act. 
 (b) For purposes of this Section 26,
“Qualified ECP Guarantor” means, in respect of any Swap Obligation, each Loan Party that has total assets exceeding $10,000,000 at the time the relevant Guarantee or grant of the relevant security interest becomes effective with
respect to such Swap Obligation or such other person as constitutes an “eligible contract participant” under the Commodity 

  
 - 5 -

 
Exchange Act or any regulations promulgated thereunder and can cause another Person to qualify as an “eligible contract participant” at such time by entering into a keepwell under
Section 1a(18)(A)(v)(II) of the Commodity Exchange Act.” 
 Section 3. Conditions Precedent. The
effectiveness of this Amendment is subject to the truth and accuracy of the representations set forth in Section 4 below and receipt by the Administrative Agent of each of the following, each of which shall be in form and substance satisfactory
to Administrative Agent: 
 (i) This Amendment duly executed by the Borrower, each of the Lenders and the Administrative Agent;

 (ii) An officer’s certificate, dated as of the date hereof, signed by the Secretary and a Responsible Officer of each
Loan Party (together with certifications as to incumbency and signatures of such officers) with appropriate insertions and deletions, certifying that: (A) attached thereto are copies of resolutions adopted by of the board of directors (or
equivalent thereof) of (1) the Borrower, approving the execution, delivery and performance of this Amendment and the other documents to be executed in connection herewith and (2) each other Loan Party, stating that the Obligations are
entitled to the benefits of the Security Documents and the other Loan Documents; (B) there have been no changes in the articles of incorporation of the Borrower from those delivered in connection with the closing of the Credit Agreement;
(C) no consents, approvals, authorizations, registrations, filings or orders are required to be made or obtained under any Requirement of Law or Material Contract of any Loan Party in connection with the execution, delivery, performance,
validity and enforceability of this Amendment or any of the transactions contemplated hereby, except those which have been made or obtained and are in full force and effect (with all applicable waiting periods, if any, having expired); and
(D) no Default or Event of Default exists immediately before giving effect to the amendments provided for herein and no Default or Event of Default will result immediately after giving effect to amendments provided for herein; 

(iii) A written opinion of Bass Berry & Sims PLC, counsel to the Borrower and the other Loan Parties, addressed to the
Administrative Agent and the Lenders and covering such matters relating to this Amendment and the transactions contemplated hereby in form and substance satisfactory to the Administrative Agent and its counsel; 

(iv) The Administrative Agent shall have received, for itself and on behalf of the Lenders, all fees and expenses contemplated by
(i) that certain engagement letter dated June 3, 2013 between SunTrust Robinson Humphrey, Inc., SunTrust Bank and the Borrower and (ii) Section 5 hereof; and 

(v) Such other documents, instruments, agreements, certifications and opinions as the Administrative Agent, on behalf of the Lenders, may
reasonably request. 
 Section 4. Representations. The Borrower represents and warrants to the Administrative Agent
and the Lenders that: 

  
 - 6 -

 (a) Authorization, etc. Each of the Borrower and the other Loan Parties have the
right and power, and have taken all necessary action to authorize them, to execute and deliver this Amendment and to perform their respective obligations hereunder, under the Credit Agreement, as amended by this Amendment, under the Subsidiary
Guarantee Agreement, as amended by this Amendment, and the other Loan Documents to which they are a party in accordance with their respective terms. This Amendment has been duly executed and delivered by each Loan Party a party hereto. This
Amendment, the Credit Agreement, as amended by this Amendment, and the Subsidiary Guarantee Agreement, as amended by this Amendment, each constitute the valid and binding obligations of the Loan Parties party thereto, enforceable against them in
accordance with their respective terms, except as may be limited by applicable bankruptcy, insolvency, reorganization, moratorium, or similar laws affecting the enforcement of creditors’ rights generally and by general principles of equity.

 (b) Approvals and No Conflict. The execution and delivery by the Borrower and the other Loan Parties of this Amendment
and the performance by the Borrower and the other Loan Parties, as applicable, of this Amendment, the Credit Agreement, as amended by this Amendment, and the Subsidiary Guarantee Agreement, as amended by this Amendment, in accordance with their
respective terms, do not and will not, by the passage of time, the giving of notice or otherwise: (i) require any consent or approval of, registration or filing with, or any action by, any Governmental Authority or any other Person or violate
any Requirements of Law applicable to the Loan Parties or any judgment, order or ruling of any Governmental Authority; (ii) violate or result in a default under any Material Contract binding on the Loan Parties or any of their assets or give
rise to a right thereunder to require any payment to be made by the Loan Parties; or (iii) result in the creation or imposition of any Lien on any asset of the Loan Parties. 

(c) Reaffirmation. As of the date of this Amendment and immediately after giving effect to this Amendment, all representations and
warranties of each Loan Party set forth in the Loan Documents is true and correct in all material respects (except to the extent that any such representation or warranty expressly relates to a specified earlier date, in which case such
representation or warranty shall be true and correct as of such earlier date). 
 (d) No Default. As of the date hereof
and immediately after giving effect to this Amendment, no Default or Event of Default shall exist. 
 (e) No Impairment of
Liens. The execution, delivery, performance and effectiveness of this Amendment will not: (a) impair the validity, effectiveness or priority of the Liens granted pursuant to any Loan Document, and such Liens continue unimpaired with the
same priority to secure repayment of all of the applicable Obligations, whether heretofore or hereafter incurred, and (b) require that any new filings be made or other action taken to perfect or to maintain the perfection of such Liens.

  
 - 7 -

 (f) No Material Adverse Effect. Since the date of the most recent financial
statements of the Borrower described in Section 5.1(a) of the Credit Agreement, there has been no change which has had or could reasonably be expected to have a Material Adverse Effect. 

(g) Loan Parties. Schedule 1 attached hereto sets forth a true, correct and complete list of all of the Loan Parties as of
the date hereof and the tax identification number of each Loan Party. 
 (h) Disclosure. The Loan Parties have disclosed
to the Lenders all agreements, instruments, and corporate or other restrictions to which the Loan Parties or any of their Subsidiaries are subject, and all other matters known to any of them, that, individually or in the aggregate, could reasonably
be expected to result in a Material Adverse Effect. Neither this Amendment nor any other Loan Document contains any untrue statement of a material fact or omits to state a material fact necessary in order to make the statements contained herein or
therein not misleading in light of the circumstances under which such statements were made. 
 Section 5. Payment of
Fees and Expenses. The Borrower agrees to pay or reimburse the Administrative Agent for its reasonable out-of-pocket fees, costs and expenses (including reasonable fees, charges and disbursements of counsel to the Administrative Agent) incurred
in connection with the preparation, negotiation, execution and delivery of this Amendment and the other documents and agreements executed and delivered in connection herewith. 
 Section 6. Release. In consideration of the amendments contained herein, the Borrower and each of the other Loan Parties hereby waives and releases each of the Lenders, the Administrative
Agent and the Issuing Bank from any and all claims and defenses, known or unknown as of the date hereof, with respect to the Credit Agreement, the Subsidiary Guarantee Agreement and the other Loan Documents and the transactions contemplated thereby.

 Section 7. Effect; Ratification. 
 (a) Except as expressly herein amended, the terms and conditions of the Credit Agreement, the Subsidiary Guarantee Agreement and the other Loan Documents remain unchanged and continue to be in full force
and effect. The amendments contained herein shall be deemed to have prospective application only, unless otherwise specifically stated herein. The Credit Agreement and the Subsidiary Guarantee Agreement are hereby ratified and confirmed in all
respects. Each reference to the Credit Agreement in any of the Loan Documents (including the Credit Agreement) shall be deemed to be a reference to the Credit Agreement, as amended by this Amendment. Each reference to the Subsidiary Guarantee
Agreement in any of the Loan Documents (including the Subsidiary Guarantee Agreement) shall be deemed to be a reference to the Subsidiary Guarantee Agreement, as amended by this Amendment. This Amendment is a Loan Document. 

(b) Nothing contained herein shall be deemed to constitute a waiver of compliance with any term or condition contained in the Credit
Agreement or any of the other Loan 

  
 - 8 -

 
Documents, or constitute a course of conduct or dealing among the parties. The Administrative Agent and the Lenders reserve all rights, privileges and remedies under the Loan Documents.

 (c) Nothing in this Amendment is intended, or shall be construed, to constitute a novation or an accord and satisfaction of
any of the Obligations or to modify, affect or impair the perfection, priority or continuation of the security interests in, security titles to or other Liens on any collateral (including the Collateral) securing the Obligations. 

(d) This Amendment constitutes the entire agreement and understanding among the parties hereto with respect to the subject matter hereof
and supersedes any and all prior agreements and understandings, oral or written, relating to the subject matter hereof. 
 (e)
This Amendment may be executed in any number of counterparts and by different parties hereto on separate counterparts, each of which when so executed and delivered shall be deemed to be an original, but all of which when taken together shall
constitute a single instrument. Delivery of an executed counterpart of a signature page of this Amendment by facsimile transmission or by email in Adobe “.pdf” format shall be effective as delivery of a manually executed counterpart
hereof. 
 Section 8. Reaffirmation of Obligations under Loan Documents. 

(a) Each of the undersigned Loan Parties hereby: (i) agrees that the amendments contained in this Amendment shall not in any way
affect the validity and/or enforceability of any Loan Document, or reduce, impair or discharge the obligations of such Person thereunder; (ii) reaffirms its continuing obligations owing to the Administrative Agent and the Lenders under each of
the other Loan Documents to which such Person is a party; and (iii) confirms that the liens and security interests created by the Loan Documents continue to secure the Obligations. 

(b) Each of the undersigned Wholly Owned Subsidiaries hereby represents and warrants to the Administrative Agent and the Lenders that
each of the representations and warranties applicable to such Wholly Owned Subsidiary made by the Borrower in Section 4 of this Amendment are true and correct. 
 Section 9. Further Assurances. The Borrower agrees to, and to cause any Loan Party to, take all further actions and execute such other documents and instruments as the Administrative Agent may
from time to time reasonably request to carry out the transactions contemplated by this Amendment, the Loan Documents and all other agreements executed and delivered in connection herewith. 

Section 10. Miscellaneous. THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE INTERNAL LAWS OF THE
STATE OF TENNESSEE WITHOUT REGARD TO CONFLICT OF LAWS PRINCIPLES THEREOF. This Amendment shall be binding upon and shall inure to the benefit of the parties hereto and their respective permitted successors and assigns. 

  
 - 9 -

 Section 11. Severability. In case any provision of or obligation under this
Amendment shall be invalid, illegal or unenforceable in any jurisdiction, the validity, legality and enforceability of the remaining provisions or obligations, or of such provision or obligation in any other jurisdiction, shall not in any way be
affected or impaired thereby. 
 [Signature Pages Follow] 

  
 - 10 -

 IN WITNESS WHEREOF, the parties hereto have caused this Sixth Amendment to Revolving
Credit Agreement and First Amendment to Subsidiary Guarantee Agreement to be duly executed by their respective authorized officers as of the day and year first above written. 

 

			
	BORROWER:
	
	AMSURG CORP.
		
	By:	 	 /s/ Claire M. Gulmi

	Title:	 	 Executive Vice President, Chief Financial

		 	 Officer and Secretary

  

			
	WHOLLY OWNED SUBSIDIARIES:
	
	AMSURG HOLDINGS, INC.
	AMSURG ANESTHESIA MANAGEMENT SERVICES, LLC
	AMSURG EC TOPEKA, INC.
	AMSURG EC ST. THOMAS, INC.
	AMSURG EC BEAUMONT, INC.
	AMSURG KEC, INC.
	AMSURG EC SANTA FE, INC.
	AMSURG EC WASHINGTON, INC.
	AMSURG TORRANCE, INC.
	AMSURG ABILENE, INC.
	AMSURG SUNCOAST, INC.
	AMSURG LORAIN, INC.
	AMSURG LA JOLLA, INC.
	AMSURG HILLMONT, INC.
	AMSURG PALMETTO, INC.
	AMSURG NORTHWEST FLORIDA, INC.
	AMSURG OCALA, INC.
	AMSURG MARYVILLE, INC.
	AMSURG MIAMI, INC.
	AMSURG BURBANK, INC.
	AMSURG MELBOURNE, INC.
	AMSURG EL PASO, INC.
	AMSURG CRYSTAL RIVER, INC.
		
	By:	 	 /s/ Claire M. Gulmi

	Name	 	 Claire M. Gulmi

	Title:	 	 Vice President, Secretary and Treasurer

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	AMSURG ABILENE EYE, INC.
	AMSURG INGLEWOOD, INC.
	AMSURG GLENDALE, INC.
	AMSURG SAN ANTONIO TX, INC.
	AMSURG SAN LUIS OBISPO CA, INC.
	AMSURG TEMECULA CA, INC.
	AMSURG ESCONDIDO CA, INC.
	AMSURG SCRANTON PA, INC.
	AMSURG ARCADIA CA INC.
	AMSURG MAIN LINE PA, INC.
	AMSURG OAKLAND CA, INC.
	AMSURG LANCASTER PA, INC.
	AMSURG POTTSVILLE PA, INC.
	AMSURG GLENDORA CA, INC.
	AMSURG KISSIMMEE FL, INC.
	AMSURG ALTAMONTE SPRINGS FL., INC.
	AMSURG NEW PORT RICHEY FL, INC.
	AMSURG EC CENTENNIAL, INC.
	AMSURG NAPLES, INC.
	ILLINOIS NSC, INC.
	NSC HEALTHCARE, INC.
	NSC RBO WEST, LLC
	NSC RBO EAST, LLC
	LONG BEACH NSC, LLC
	TORRANCE NSC, LLC
	DAVIS NSC, LLC
	FULLERTON NSC, LLC
	SAN ANTONIO NSC, LLC
	AUSTIN NSC, LLC
	TWIN FALLS NSC, LLC
	ARDMORE NSC, LLC
	KENWOOD NSC, LLC
	TOWSON NSC, LLC
	WILTON NSC, LLC
	NSC WEST PALM, LLC
	TAMPA BAY NSC, LLC
	CORAL SPRINGS NSC, LLC
	WESTON NSC, LLC
	AMSURG FRESNO CA, INC.
	AMSURG ROCKLEDGE FL ANESTHESIA, LLC
	AMSURG COLTON CA, INC.
		
	By:	 	 /s/ Claire M. Gulmi

	Name	 	 Claire M. Gulmi

	Title:	 	 Vice President, Secretary and Treasurer

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	AUSTIN NSC, L.P.
		
	By:	 	Austin NSC, LLC, its general partner
		
	By:	 	 /s/ Claire M. Gulmi

	Name	 	 Claire M. Gulmi

	Title:	 	 Vice President, Secretary and Treasurer

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	SUNTRUST BANK
	 as Administrative Agent, as Issuing Bank, and as a Lender

		
	By:	 	 /s/ Katherine L. Bass

	Title:	 	 Director

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	REGIONS BANK
		
	By:	 	 /s/ Katherine Pitman

	Title:	 	 Assistant Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	LENDER:
	
	BANK OF AMERICA, N.A.
		
	By:	 	 /s/ Suzanne B. Smith

	Title:	 	 Senior Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	LENDER:
	
	JPMORGAN CHASE BANK, N.A.
		
	By:	 	 /s/ Dana A. Smith

	Title:	 	 Authorized Officer

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	LENDER:
	
	US BANK NATIONAL ASSOCIATION
		
	By:	 	 /s/ Clifford S. Chaitman

	Title:	 	 Assistant Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	LENDER:
	
	BRANCH BANKING AND TRUST COMPANY
		
	By:	 	 /s/ R. Andrew Beam

	Title:	 	Senior Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	LENDER:
	
	FIFTH THIRD BANK, N.A.
		
	By:	 	 /s/ Vera B. McEvoy

	Title:	 	 Healthcare Officer

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	LENDER:
	
	KEYBANK NATIONAL ASSOCIATION
		
	By:	 	 /s/ James A. Gelle

	Title:	 	 Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

			
	LENDER:
	
	UNION BANK, N.A.
		
	By:	 	 /s/ Sarah Willett

	Title:	 	 Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	WELLS FARGO BANK, N.A.
		
	By:	 	 /s/ Michael C. Bash

	Title:	 	 Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	CITIBANK, N.A.
		
	By:	 	 /s/ Patricia Guerra Heh

	Title:	 	 Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	FIRST TENNESSEE BANK NATIONAL ASSOCIATION
		
	By:	 	 /s/ Cathy Wind

	Title:	 	 Senior Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	COMPASS BANK
		
	By:	 	 /s/ April Chan

	Title:	 	 Senior Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	SYNOVUS BANK
		
	By:	 	 /s/ Anne H. Lovette

	Title:	 	 Senior Relationship Manager

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	CADENCE BANK, N.A.
		
	By:	 	 /s/ William H. Crawford

	Title:	 	 Executive Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	GOLDMAN SACHS BANK USA
		
	By:	 	 /s/ Mark Walton

	Title:	 	 Authorized Signatory

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 
			
	LENDER:
	
	AVENUE BANK
		
	By:	 	 /s/ Carol S. Titus

	Title:	 	 Senior Vice President

  
 Signature page
to Sixth Amendment to Revolving Credit Agreement and First Amendment to Subsidiary Guarantee Agreement 

 Schedule 1 

Loan Parties 
  

			
	 Loan Party
	  	 Tax Identification Number

	AmSurg Corp.	  	62-1493316
	AmSurg Holdings, Inc.	  	62-1595888
	AmSurg EC Topeka, Inc.	  	62-1512093
	AmSurg EC St. Thomas, Inc.	  	62-1511996
	AmSurg EC Beaumont, Inc.	  	62-1524208
	AmSurg KEC, Inc.	  	62-1510489
	AmSurg EC Santa Fe, Inc.	  	62-1523398
	AmSurg EC Washington, Inc.	  	62-1506354
	AmSurg Torrance, Inc.	  	62-1545685
	AmSurg Abilene, Inc.	  	62-1555413
	AmSurg Suncoast, Inc.	  	62-1555677
	AmSurg Lorain, Inc.	  	62-1595307
	AmSurg La Jolla, Inc.	  	62-1625304
	AmSurg Hillmont, Inc.	  	62-1632685
	AmSurg Palmetto, Inc.	  	62-1647404
	AmSurg Northwest Florida, Inc.	  	62-1519549
	AmSurg Ocala, Inc.	  	62-1650493
	AmSurg Maryville, Inc.	  	62-1586143
	AmSurg Miami, Inc.	  	62-1598504
	AmSurg Burbank, Inc.	  	62-1619548
	AmSurg Melbourne, Inc.	  	62-1625312

			
	AmSurg El Paso, Inc.	  	62-1711537
	AmSurg Crystal River, Inc.	  	62-1666189
	AmSurg Abilene Eye, Inc.	  	62-1692556
	AmSurg Inglewood, Inc.	  	62-1814134
	AmSurg Glendale, Inc.	  	62-1807967
	AmSurg San Antonio TX, Inc.	  	20-0075736
	AmSurg San Luis Obispo CA, Inc.	  	20-1965555
	AmSurg Temecula CA, Inc.	  	20-0095263
	AmSurg Escondido CA, Inc.	  	20-1626979
	AmSurg Scranton PA, Inc.	  	20-2853308
	AmSurg Arcadia CA Inc.	  	20-4483684
	AmSurg Main Line PA, Inc.	  	20-5408469
	AmSurg Oakland CA, Inc.	  	20-5645841
	AmSurg Lancaster PA, Inc.	  	20-5988960
	AmSurg Pottsville PA, Inc.	  	26-0303835
	AmSurg Glendora CA, Inc.	  	20-5732564
	AmSurg Kissimmee FL, Inc.	  	62-1567628
	AmSurg Altamonte Springs FL., Inc.	  	26-0289067
	AmSurg Naples, Inc.	  	62-1659906
	AmSurg New Port Richey FL, Inc.	  	62-1612176
	AmSurg EC Centennial, Inc.	  	62-1511980
	Illinois NSC, Inc.	  	20-2393903
	NSC Healthcare, Inc.	  	84-1209756

			
	AmSurg Anesthesia Management Services, LLC	  	27-1174941
	NSC RBO West, LLC	  	26-3816052
	NSC RBO East, LLC	  	27-3205481
	Long Beach NSC, LLC	  	20-1048768
	Torrance NSC, LLC	  	20-1048801
	DAVIS NSC, LLC	  	20-5451784
	FULLERTON NSC, LLC	  	20-3435683
	San Antonio NSC, LLC	  	20-0322582
	Austin NSC, LLC	  	20-4942934
	Twin Falls NSC, LLC	  	20-8086602
	Ardmore NSC, LLC	  	26-1651465
	KENWOOD NSC, LLC	  	26-3055899
	Towson NSC, LLC	  	20-0314129
	NSC West Palm, LLC	  	76-0740666
	Tampa Bay NSC, LLC	  	20-3447384
	CORAL SPRINGS NSC, LLC	  	26-1649639
	WESTON NSC, LLC	  	26-3435641
	Wilton NSC, LLC	  	26-1653853
	Austin NSC, L.P.	  	20-4943017
	AmSurg Fresno CA, Inc.	  	46-1290033
	AmSurg Colton CA, Inc.	  	46-1462856
	AmSurg Rockledge FL Anesthesia, LLC	  	46-1848471

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