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Exhibit 10.9  

 
 

REVOLVING CREDIT AND SECURITY AGREEMENT    
    

        THIS REVOLVING CREDIT AND SECURITY AGREEMENT (the "Agreement")
dated as of April 30, 2004, is entered into among UNITED STATES PHARMACEUTICAL GROUP, L.L.C. d/b/a NATIONSHEALTH, a Delaware limited liability
company and NATIONSHEALTH HOLDINGS, L.L.C., a Florida limited liability company (jointly and severally, the  "Borrower") and CAPITALSOURCE FINANCE LLC, a Delaware limited liability company (the  "Lender"). 

        WHEREAS,
Borrower has requested that Lender make available to Borrower a revolving credit facility (the "Revolving Facility") in a maximum
principal amount at any time outstanding of up to Ten Million and 00/100 Dollars ($10,000,000.00) (the "Facility Cap"), the proceeds of which shall be
used by Borrower (i) as a provider of health care services, (ii) as a wholesaler, retailer and provider of medical supplies, (iii) for the generation of receivables/inventory,
(iv) for the refinancing of existing indebtedness, (v) for its working capital needs thereafter and (vi) for payments to Lender hereunder; and 

        WHEREAS,
Lender is willing to make the Revolving Facility available to Borrower upon the terms and subject to the conditions set forth herein. 

        NOW,
THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt and adequacy of which hereby are acknowledged, Borrower and Lender hereby
agree as follows: 

I.     DEFINITIONS  

        1.1    General Terms    

        For
purposes of this Agreement, in addition to the definitions above and elsewhere in this Agreement, the terms listed in  Appendix A hereto shall have the meanings given such terms in Appendix A, which is
incorporated herein and made a part hereof. All capitalized terms used which are not specifically defined shall have meanings provided in Article 9 of the UCC in effect on the date hereof to
the extent the same are used or defined therein. Unless otherwise specified herein or in Appendix A, any agreement or contract referred to herein
or in Appendix A shall mean such agreement as modified, amended or supplemented from time to time. Unless otherwise specified, as used in the
Loan Documents or in any certificate, report, instrument or other document made or delivered pursuant to any of the Loan Documents, all accounting terms not defined in  Appendix A or elsewhere in
this Agreement shall have the meanings given to such terms in and shall be interpreted in accordance with GAAP. 

II.    ADVANCES, PAYMENT AND INTEREST  

        2.1    The Revolving Facility    

        (a)   Subject
to the provisions of this Agreement, Lender shall make Advances to Borrower under the Revolving Facility from time to time during the Term,  provided that, notwithstanding any other provision of this
Agreement, the aggregate amount of all Advances at any one time outstanding under the
Revolving Facility shall not exceed either of (a) the Facility Cap, and (b) the Availability, plus such additional amounts that Lender may elect to advance to Borrower in its sole
discretion such that the total outstanding Advances at any one time are not less than the Minimum Balance. The Revolving Facility is a revolving credit facility, which may be drawn, repaid and
redrawn, from time to time as permitted under this Agreement. Any determination as to whether there is Availability for Advances shall be made by Lender in its sole discretion and, absent demonstrable
error, is final and binding upon Borrower. Unless otherwise permitted by Lender, each Advance shall be in an amount of at least $1,000. Subject to the provisions of this Agreement, Borrower may
request Advances under the Revolving Facility up to and including the value, in U.S. Dollars, of Eighty-Five percent (85%) of the 

Borrowing
Base for Eligible Billed Receivables plus Sixty percent (60%) of the Borrowing Base for Eligible Unbilled Receivables minus, if applicable, amounts reserved pursuant to this Agreement (such
calculated amount being referred to herein as the "Availability"). Advances under the Revolving Facility automatically shall be made for the payment of
interest on the Note and other Obligations on the date when due to the extent available and as provided for herein. 

        (b)   Lender
has established the above-referenced advance rate for Availability and, in its sole credit judgment, may further adjust the Availability and such advance rate by
applying percentages (known as "liquidity factors") to Eligible Receivables by payor class based upon Borrower's actual recent collection history for each such payor class (i.e., Medicare, Medicaid,
commercial insurance, etc.) in a manner consistent with Lender's underwriting practices and procedures, including without limitation Lender's review and analysis of, among other things, Borrower's
historical returns, rebates, discounts, credits and allowances (collectively, the "Dilution Items"). Such liquidity factors and the advance rate for
Availability may be adjusted by Lender throughout the Term as warranted by Lender's underwriting practices and procedures in its sole credit judgment. Also, Lender shall have the right to establish
from time to time, in its sole credit judgment, reserves against the Borrowing Base, which reserves shall have the effect of reducing the amounts otherwise eligible to be disbursed to Borrower under
the Revolving Facility pursuant to this Agreement. 

        2.2    The Note; Maturity    

        (a)   All
Advances under the Revolving Facility shall be evidenced by the Note, payable to the order of Lender, duly executed and delivered by Borrower and dated the Closing
Date, evidencing the aggregate indebtedness of Borrower to Lender resulting from Advances under the Revolving Facility, from time to time. Lender hereby is authorized, but is not obligated, to enter
the amount of each Advance under the Revolving Facility and the amount of each payment or prepayment of principal or interest thereon in the appropriate spaces on the reverse of or on an attachment to
the Note. Lender will account to Borrower monthly with a statement of Advances under the Revolving Facility and charges and payments made pursuant to this Agreement, and in the absence of manifest
error, such accounting rendered by Lender shall be deemed final, binding and conclusive unless Lender is notified by Borrower in writing to the contrary within 30 calendar days of Receipt of each
accounting, which notice shall be deemed an objection only to items specifically objected to therein. 

        (b)   All
amounts outstanding under the Note and other Obligations shall be due and payable in full, if not earlier in accordance with this Agreement, on the earlier of
(i) the occurrence and continuance of an Event of Default if required pursuant hereto or Lender's demand upon the occurrence and continuance of an Event of Default, and (ii) the last day
of the Term (such earlier date being the "Revolving Facility Maturity Date"). 

        2.3    Interest    

        Interest
on outstanding Advances under the Note shall be payable monthly in arrears on the first day of each calendar month at an annual rate of Prime Rate plus 2.50%,  provided, however, that, notwithstanding any provision of any Loan Document, for the purpose of
calculating interest hereunder, the interest rate shall be not less than 4.0%, in each case calculated on the basis of a 360-day year and for the actual number of calendar days elapsed in
each interest calculation period. Interest accrued on each Advance under the Note shall be due and payable on the first day of each calendar month, in accordance with the procedures provided for in  Section 2.5 and Section 2.6, commencing May 1, 2004, and continuing until the later
of the expiration of the Term and
the full performance and irrevocable payment in full in cash of the Obligations and termination of this Agreement. 

        2.4    Revolving Facility Disbursements; Requirement to Deliver Borrowing
Certificate    

        So
long as no Default or Event of Default shall have occurred and be continuing, Borrower may give Lender irrevocable written notice requesting an Advance under the Revolving Facility by
delivering to Lender not later than 11:00 a.m. (Eastern Standard Time) at least one but not more than four Business Days before the proposed borrowing date of such requested Advance (the  "Borrowing Date"), 

a
completed Borrowing Certificate and relevant supporting documentation satisfactory to Lender, which shall (i) specify the proposed Borrowing Date of such Advance which shall be a Business
Day, (ii) specify the principal amount of such requested Advance, (iii) certify the matters contained in Section 4.2, and
(iv) specify the amount of any Medicare or Medicaid recoupments and/or recoupments of any third-party payor being sought, requested or claimed, or, to Borrower's knowledge, threatened against
Borrower or Borrower's Affiliates. Each time a request for an Advance is made, and, in any event and regardless of whether an Advance is being requested, on Tuesday of each week during the Term (and
so long as a Default or Event of Default exist, more frequently if Lender shall so request) until the Obligations are indefeasibly paid in cash in full and this Agreement is terminated, Borrower shall
deliver to Lender a Borrowing Certificate accompanied by a separate detailed aging and categorizing of Borrower's accounts receivable and accounts payable and such other supporting documentation with
respect to the figures and information in the Borrowing Certificate as Lender shall reasonably request from a credit or security perspective or otherwise. On each Borrowing Date, Borrower irrevocably
authorizes Lender to disburse the proceeds of the requested Advance to the appropriate Borrower's account(s) as set forth on Schedule 2.4, in all
cases for credit to the appropriate Borrower (or to such other account as to which the appropriate Borrower shall instruct Lender) via Federal funds wire transfer no later than 4:00 p.m.
(Eastern Standard Time). Lender may, in its sole discretion, also may make additional Advances to Borrower without the requirement of a Borrowing Certificate ("Automatic
Advance"). The amount of such Automatic Advances shall be that amount, if any, necessary to make the total outstanding Advances at any one time outstanding equal to
$2,500,000.00 or such lesser amount as Lender may elect to advance in its sole discretion (in either case, the "Minimum Balance"). 

        2.5    Revolving Facility Collections; Repayment; Borrowing Availability and
Lockbox    

        Each
Borrower shall maintain one or more lockbox accounts (individually and collectively, the "Lockbox Account") with one or more banks
acceptable to Lender (each, a "Lockbox Bank"), and shall execute with each Lockbox Bank one or more agreements acceptable to Lender (individually and
collectively, the "Lockbox Agreement"), and such other agreements related thereto as Lender may require. Each Borrower shall ensure that all collections
of their respective Accounts and all other cash payments received by any Borrower are paid and delivered directly from Account Debtors and other Persons into the appropriate Lockbox Account. The
Lockbox Agreements shall provide that the Lockbox Banks will transfer on the same Business Day all funds paid into the Lockbox Accounts into a depository account or accounts maintained by Lender or an
Affiliate of Lender at such bank as Lender may communicate to Borrower and the applicable Lockbox Bank from time to time in accordance with the Lockbox Agreement (the  "Concentration Account"), except,
with respect only to Accounts payable by Medicaid/Medicare Account Debtors, as instructed by the applicable Borrower
to whom such Accounts are payable as permitted pursuant to the applicable Lockbox Agreement. Notwithstanding and without limiting any other provision of any Loan Document, Lender shall apply, on a
daily basis, all funds transferred into the Concentration Account pursuant to the Lockbox Agreement and this Section 2.5 in such order and manner
as determined by Lender. To the extent that any Accounts are collected by any Borrower or any other cash payments received by any Borrower are not sent directly to the appropriate Lockbox Account but
are received by any Borrower or any of their Affiliates, such collections and proceeds shall be held in trust for the benefit of Lender and immediately remitted (and in any event within two
(2) Business Days), in the form received, to the appropriate Lockbox Account for immediate transfer to the Concentration Account. Borrower acknowledges and agrees that compliance with the terms
of this Section 2.5 is an essential term of this Agreement, and that, in addition to and notwithstanding any other rights Lender may have
hereunder, under any other Loan Document, under applicable law or at equity, upon each and every failure by any Borrower or any of their Affiliates to comply with any such terms Lender shall be
entitled to assess a non-compliance fee which shall operate to increase the Applicable Rate by two percent (2.0%) per annum during any period of non-compliance, whether or not
a Default or an Event of Default occurs or is declared, provided that nothing shall prevent Lender from considering any failure to comply with the terms of this  Section 2.5 to be a Default or an
Event of Default. All funds transferred to the Concentration Account for application to the Obligations under
the Revolving Facility shall be applied to reduce the 

Obligations
under the Revolving Facility, but, for purposes of calculating interest hereunder, shall be subject to a five (5) Business Day clearance period. If as the result of collections of
Accounts and/or any other cash payments received by any Borrower pursuant to this Section 2.5 a credit balance exists with respect to the
Concentration Account, such credit balance shall not accrue interest in favor of a Borrower, but shall be available to Borrower upon Borrower's written request. If applicable, at any time prior to the
execution of all or any of the Lockbox Agreements and operation of all or any of the Lockbox Accounts, each Borrower and their Affiliates shall direct all collections or proceeds it receives on
Accounts or from other Collateral to the accounts(s) and in the manner specified by Lender in its sole discretion. 

        2.6    Promise to Pay; Manner of Payment    

        Borrower
absolutely and unconditionally promises to pay principal, interest and all other amounts payable hereunder, or under any other Loan Document, without any right of rescission and
without any
deduction whatsoever, including any deduction for any setoff, counterclaim or recoupment, and notwithstanding any damage to, defects in or destruction of the Collateral or any other event, including
obsolescence of any property or improvements. All payments made by Borrower (other than payments automatically paid through Advances under the Revolving Facility as provided herein), shall be made
only by wire transfer on the date when due, without offset or counterclaim, in U.S. Dollars, in immediately available funds to such account as may be indicated in writing by Lender to Borrower from
time to time. Any such payment received after 2:00 p.m. (Eastern Standard Time) on the date when due shall be deemed received on the following Business Day. Whenever any payment hereunder shall
be stated to be due or shall become due and payable on a day other than a Business Day, the due date thereof shall be extended to, and such payment shall be made on, the next succeeding Business Day,
and such extension of time in such case shall be included in the computation of payment of any interest (at the interest rate then in effect during such extension) and/or fees, as the case may be. 

        2.7    Repayment of Excess Advances    

        Any
balance of Advances under the Revolving Facility outstanding at any time in excess of the lesser of the Facility Cap or the Availability shall be immediately due and payable by
Borrower without the necessity of any demand, at the Payment Office, whether or not a Default or Event of Default has occurred or is continuing and shall be paid in the manner specified in  Section 2.6. 

        2.8    Payments by Lender    

        Should
any amount required to be paid under any Loan Document be unpaid, such amount may be paid by Lender, which payment shall be deemed a request for an Advance under the Revolving
Facility as of the date such payment is due, and Borrower irrevocably authorizes disbursement of any such funds to Lender by way of direct payment of the relevant amount, interest or Obligations. No
payment or prepayment of any amount by Lender or any other Person shall entitle any Person to be subrogated to the rights of Lender under any Loan Document unless and until the Obligations have been
fully performed and paid irrevocably in cash and this Agreement has been terminated. Any sums expended by Lender as a result of any Borrower's or any Guarantor's failure to pay, perform or comply with
any Loan Document or any of the Obligations may be charged to Borrower's account as an Advance under the Revolving Facility and added to the Obligations. 

        2.9    Grant of Security Interest; Collateral    

        (a)   To
secure the payment and performance of the Obligations, each Borrower hereby grants to Lender a continuing security interest in and Lien upon, and pledges to Lender,
all of its right, title and interest in and to the following (collectively and each individually, the "Collateral"), which security interest is intended
to be a first priority security interest: 

          (i)  all
of such Borrower's tangible personal property, including without limitation all present and future Inventory and Equipment (including items of equipment which are
or become Fixtures), now owned or hereafter acquired; 

         (ii)  all
of such Borrower's intangible personal property, including without limitation all present and future Accounts, contract rights, Permits, General Intangibles,
Chattel Paper, Documents, Instruments, Deposit Accounts, Investment Property, Letter-of-Credit Rights, Supporting Obligations, rights to the payment of money or other forms of
consideration of any kind, tax refunds, insurance proceeds, now owned or hereafter acquired, and all intangible and tangible personal property relating to or arising out of any of the foregoing; 

        (iii)  all
of such Borrower's present and future Government Contracts and rights thereunder and the related Government Accounts and proceeds thereof, now or hereafter owned
or acquired by such Borrower; provided, however, that Lender shall not have a security interest in any
rights under any Government Contract of such Borrower or in the related Government Account where the taking of such security interest is a violation of an express prohibition contained in the
Government Contract (for purposes of this limitation, the fact that a Government Contract is subject to, or otherwise refers to, Title 31, § 203 or Title 41, § 15 of the United
States Code shall not be deemed an express prohibition against assignment thereof) or is prohibited by applicable law, unless in any case consent is otherwise validly obtained; and 

        (iv)  any
and all additions and accessions to any of the foregoing, and any and all replacements, products and proceeds (including insurance proceeds) of any of the
foregoing. 

        (b)   Notwithstanding
the foregoing provisions of this Section 2.9, such grant of a security interest shall not extend
to, and the term "Collateral" shall not include, any General Intangibles of Borrower to the extent that (i) such General Intangibles are not assignable or capable of being encumbered as a
matter of law or under the terms of any license or other agreement applicable thereto (but solely to the extent that any such restriction shall be enforceable under applicable law) without the consent
of the licensor thereof or other applicable party thereto, and (ii) such consent has not been obtained; provided,  however, that the foregoing grant of
a security interest shall extend to, and the term "Collateral" shall include, each of the following: (a) any
General Intangible which is in the nature of an Account or a right to the payment of money or a proceed of, or otherwise related to the enforcement or collection of, any Account or right to the
payment of money, or goods which are the subject of any Account or right to the payment of money, (b) any and all proceeds of any General Intangible that is otherwise excluded to the extent
that the assignment, pledge or encumbrance of such proceeds is not so restricted, and (c) upon obtaining the consent of any such licensor or other applicable party with respect to any such
otherwise excluded General Intangible, such General Intangible as well as any and all proceeds thereof that might theretofore have been excluded from such grant of a security interest and from the
term "Collateral." 

        (c)   Upon
the execution and delivery of this Agreement, and upon the proper filing of the necessary financing statements, recordation of the Collateral Patent, Trademark and
Copyright Assignment in the United States Patent and Trademark Office and/or the United States Copyright Office without any further action, Lender will have a good, valid and perfected first priority
Lien and security interest in the Collateral, subject to no transfer or other restrictions or Liens of any kind in favor of any other Person except for Permitted Liens. No financing statement relating
to any of the Collateral is on file in any public office except those (i) on behalf of Lender, (ii) in connection with Permitted Liens and/or (iii) those being terminated. 

        2.10    Collateral Administration    

        (a)   All
Collateral (except Deposit Accounts) will at all times be kept by Borrower at the locations set forth on  Schedule 5.18B hereto and shall not, without thirty (30) calendar days prior written
notice to Lender, be moved therefrom unless Lender
has entered into the necessary documents to perfect and enforce its security interest therein at such new location, and in any case shall not be moved outside the continental United States. 

        (b)   Borrower
shall keep accurate and complete records of its Accounts and all payments and collections thereon and shall submit such records to Lender on such periodic bases
as Lender may request. In addition, if Accounts of Borrower in an aggregate face amount in excess of $30,000 become 

ineligible
because they fall within one of the specified categories of ineligibility set forth in the definition of Eligible Receivables, Borrower shall notify Lender of such occurrence on the first
Business Day following such occurrence and the Borrowing Base shall thereupon be adjusted to reflect such occurrence. Following the occurrence and during the continuance of an Event of Default, if
requested by Lender, Borrower shall execute and deliver to Lender formal written assignments (or, in the case of Medicaid/Medicare Account Debtors, documents necessary to comply with the Federal
Assignment of Claims Act) of all of its Accounts weekly or daily as Lender may request, including all Accounts created since the date of the last assignment, together with copies of claims, invoices
and/or other information related thereto. To the extent that collections from such assigned accounts exceed the amount of the Obligations, such excess amount shall not accrue interest in favor of
Borrower, but shall be available to Borrower upon Borrower's written request. 

        (c)   Following
an occurrence or during the continuance of an Event of Default, any of Lender's officers, employees, representatives or agents shall have the right, at any
time during normal business hours, in the name of Lender, any designee of Lender or Borrower, to verify the validity, amount or any other matter relating to any Accounts of Borrower. Borrower shall
cooperate fully with Lender in an effort to facilitate and promptly conclude such verification process. 

        (d)   To
expedite collection, Borrower shall endeavor in the first instance to make collection of its Accounts for Lender. Lender shall have the right at all times after the
occurrence and during the continuance of an Event of Default to notify (i) Account Debtors owing Accounts to Borrower other than Medicaid/Medicare Account Debtors that their Accounts have been
assigned to Lender and to collect such Accounts directly in its own name and to charge collection costs and expenses, including reasonable attorney's fees, to Borrower, and
(ii) Medicaid/Medicare Account Debtors that Borrower has waived any and all defenses and counterclaims it may have or could interpose in any such action or procedure brought by Lender to obtain
a court order recognizing the collateral assignment or security interest and lien of Lender in and to any Account or other Collateral and that Lender is seeking or may seek to obtain a court order
recognizing the collateral assignment or security interest and lien of Lender in and to all Accounts and other Collateral payable by Medicaid/Medicare Account Debtors. 

        (e)   As
and when determined by Lender in its sole discretion but not more often than four (4) times per year prior to the occurrence and continuance of an Event of
Default, Lender will perform the searches described in clauses (i) and (ii) below against Borrower and Guarantors (the results of which are to be consistent with Borrower's
representations and warranties under this Agreement), all at Borrower's expense: (i) UCC searches with the Secretary of State of the jurisdiction of organization of each Borrower and Guarantor
and the Secretary of State and local filing offices of each jurisdiction where Borrower and/or any Guarantors maintain their respective executive offices, a place of business or assets;
(ii) lien searches with the United States Patent and Trademark Office and the United States Copyright Office; and (iii) judgment, federal tax lien and corporate and partnership tax lien
searches, in each jurisdiction searched under clause (i) above. 

        (f)    Borrower
(i) shall provide prompt written notice to its current bank to transfer all items, collections and remittances to the Concentration Account,
(ii) shall provide prompt written notice to each Account Debtor (other than Medicaid/Medicare Account Debtors) that Lender has been granted a lien and security interest in, upon and to all
Accounts applicable to such Account Debtor and shall direct each Account Debtor to make payments to the appropriate Lockbox Account, and Borrower hereby authorizes Lender, upon any failure to send
such notices and directions within ten (10) calendar days after the date of this Agreement (or ten (10) calendar days after the Person becomes an Account Debtor), to send any and all
similar notices and directions to such Account Debtors, and (iii) shall do anything further that may be lawfully required by Lender to create and perfect Lender's lien on any collateral and
effectuate the intentions of the Loan Documents. At Lender's request, Borrower shall immediately deliver or make arrangements to deliver to Lender all items for which Lender must receive possession to
obtain a perfected security interest and all notes, certificates, and documents of title, Chattel Paper, warehouse receipts, Instruments, and any other similar instruments constituting Collateral. 

        2.11    Power of Attorney    

        Lender
is hereby irrevocably made, constituted and appointed the true and lawful attorney for Borrower (without requiring Lender to act as such) with full power of substitution to do the
following: (i) endorse the name of any such Person upon any and all checks, drafts, money orders, and other instruments for the payment of money that are payable to such Person and constitute
collections on its or their Accounts; (ii) execute in the name of such Person any financing statements, schedules, assignments, instruments, documents, and statements that it is or they or are
obligated to give Lender under any of the Loan Documents; and (iii) do such other and further acts and deeds in the name of such Person that Lender may deem necessary or desirable to enforce
any Account or other Collateral or to perfect Lender's security interest or lien in any Collateral. In addition, if any such Person breaches its obligation hereunder to direct payments of Accounts or
the proceeds of any other Collateral to the appropriate Lockbox Account, Lender, as the irrevocably made, constituted and appointed true and lawful attorney for such Person pursuant to this paragraph,
may, by the signature or other act of any of Lender's officers or authorized signatories (without requiring any of them to do so), direct any federal, state or private payor or fiscal intermediary to
pay proceeds of Accounts or any other Collateral to the appropriate Lockbox Account. 

III.  FEES AND OTHER CHARGES;  

        3.1    Commitment Fee    

        On
or before the Closing Date, Borrower shall pay to Lender 1.0% of the Facility Cap as a nonrefundable commitment fee. 

        3.2    Unused Line Fee    

        Borrower
shall pay to Lender monthly an unused line fee (the "Unused Line Fee") in an amount equal to 0.04167% (per month) of the
difference derived by subtracting (i) the daily average amount of the balances under the Revolving Facility outstanding during the preceding month, from (ii) the Facility Cap. The Unused
Line Fee shall be payable monthly in arrears on the first day of each successive calendar month (starting with the month in which the Closing Date occurs). 

        3.3    Collateral Management Fee    

        Borrower
shall pay Lender as additional interest a monthly collateral management fee (the "Collateral Management Fee") equal to 0.0833%
per month calculated on the basis of the daily average amount of the balances under the Revolving Facility outstanding during the preceding month. The Collateral Management Fee shall be payable
monthly in arrears on the first day of each successive calendar month (starting with the month in which the Closing Date occurs). 

        3.4    Computation of Fees; Lawful Limits    

        All
fees hereunder shall be computed on the basis of a year of 360 days and for the actual number of days elapsed in each calculation period, as applicable. In no contingency or
event whatsoever, whether by reason of acceleration or otherwise, shall the interest and other charges paid or agreed to be paid to Lender for the use, forbearance or detention of money hereunder
exceed the maximum rate permissible under applicable law which a court of competent jurisdiction shall, in a final determination, deem applicable hereto. If, due to any circumstance whatsoever,
fulfillment of any provision hereof, at the time performance of such provision shall be due, shall exceed any such limit, then, the obligation to be so fulfilled shall be reduced to such lawful limit,
and, if Lender shall have received interest or any other charges of any kind which might be deemed to be interest under applicable law in excess of the maximum lawful rate, then such excess shall be
applied first to any unpaid fees and charges hereunder, then to unpaid principal balance owed by Borrower hereunder, and if the then remaining excess interest is greater than the previously unpaid
principal balance, Lender shall promptly refund such excess amount to Borrower and the provisions hereof shall be deemed amended to provide for such permissible rate. The terms and provisions of this  Section 3.4 shall control to the extent any other provision of any Loan Document is inconsistent herewith. 

        3.5    Default Rate of Interest    

        Upon
the occurrence and during the continuation of an Event of Default, the Applicable Rate of interest in effect at such time with respect to the Obligations shall be increased by 3.0%
per annum (the "Default Rate"). 

        3.6    Acknowledgement of Joint and Several Liability    

        Each
Borrower acknowledges that it is jointly and severally liable for all of the Obligations under the Loan Documents. Each Borrower expressly understands, agrees and acknowledges that
(i) Borrowers are all Affiliated entities by common ownership, (ii) each Borrower desires to have the availability of one common credit facility instead of separate credit facilities,
(iii) each Borrower has requested that Lender extend such a common credit facility on the terms herein provided, (iv) Lender will be lending against, and relying on a lien upon, all of
Borrowers' assets even though the proceeds of any particular loan made hereunder may not be advanced directly to a particular Borrower, (v) each Borrower will nonetheless benefit by the making
of all such loans by Lender and the availability of a single credit facility of a size greater than each could independently warrant, and (vi) all of the representations, warranties, covenants,
obligations, conditions, agreements and other terms contained in the Loan Documents shall be applicable to and shall be binding upon each Borrower. 

IV.    CONDITIONS PRECEDENT  

        4.1    Conditions to Initial Advance and Closing    

        The
obligations of Lender to consummate the transactions contemplated herein and to make the initial Advance under the Revolving Facility (the "Initial
Advance") are subject to the satisfaction, in the sole judgment of Lender, of the following: 

        (a)   (i) Borrower
shall have delivered to Lender (A) the Loan Documents to which it is a party, each duly executed by an authorized officer of Borrower and the
other parties thereto, (B) a Borrowing Certificate for the Initial Advance under the Revolving Facility executed by an authorized officer of Borrower, and (ii) each Guarantor shall have
delivered to Lender the Loan Documents to which such Guarantor is a party, each duly executed and delivered by such Guarantor or an authorized officer of such Guarantor, as applicable, and the other
parties thereto; 

        (b)   all
in form and substance satisfactory to Lender in its sole discretion, Lender shall have received (i) a report of Uniform Commercial Code financing statement,
tax and judgment lien searches performed with respect to each Borrower and Guarantor in each jurisdiction determined by Lender in its sole discretion, and such report shall show no Liens on the
Collateral (other than Permitted Liens), (ii) each document (including, without limitation, any Uniform Commercial Code financing statement) required by any Loan Document or under law or
requested by Lender to be filed, registered or recorded to create in favor of Lender, a perfected first priority security interest upon the Collateral, and (iii) evidence of each such filing,
registration or recordation and of the payment by Borrower of any necessary fee, tax or expense relating thereto; 

        (c)   Lender
shall have received (i) the Charter and Good Standing Documents, all in form and substance acceptable to Lender, (ii) a certificate of the corporate
secretary or assistant secretary of each Borrower and Guarantor dated the Closing Date, as to the incumbency and signature of the Persons executing the Loan Documents, in form and substance acceptable
to Lender, and (iii) the written legal opinion of counsel for Borrower and Guarantors, in form and substance satisfactory to Lender and its counsel; 

        (d)   Lender
shall have received a certificate of the chief financial officer (or, in the absence of a chief financial officer, the chief executive officer) of each Borrower
and Guarantor, in form and substance satisfactory to Lender (each, a "Solvency Certificate"), certifying (i) the solvency of such Person after
giving effect to the transactions and the Indebtedness contemplated by the Loan Documents, and (ii) as to such Person's financial resources and ability to meet its obligations and liabilities
as they become due, to the effect that as of the Closing Date and the Borrowing Date 

for
the Initial Advance and after giving effect to such transactions and Indebtedness: (A) the assets of such Person, at a Fair Valuation, exceed the total liabilities (including contingent,
subordinated, unmatured and unliquidated liabilities but calculated at all times prior to the consummation of the Merger to exclude negative retained earnings as of the Closing Date) of such Person,
and (B) no unreasonably small capital base with which to engage in its anticipated business exists with respect to such Person; 

        (e)   Lender
shall have completed examinations, the results of which shall be satisfactory in form and substance to Lender, of the Collateral, the financial statements and the
books, records, business, obligations, financial condition and operational state of each Borrower and Guarantor, and each such Person shall have demonstrated to Lender's satisfaction that
(i) its operations comply, in all respects deemed material by Lender, in its sole judgment, with all applicable federal, state, foreign and local laws, statutes and regulations, (ii) its
operations are not the subject of any governmental investigation, evaluation or any remedial action which could result in any expenditure or liability deemed material by Lender, in its sole judgment,
and (iii) it has no liability (whether contingent or otherwise) that is deemed material by Lender, in its sole judgment; 

        (f)    Lender
shall have received all fees, charges and expenses payable to Lender on or prior to the Closing Date pursuant to the Loan Documents; 

        (g)   all
in form and substance satisfactory to Lender in its sole discretion, Lender shall have received such consents, approvals and agreements, including, without
limitation, any applicable Landlord Waivers and Consents with respect to any and all leases set forth on Schedule 5.4, from such third parties as
Lender and its counsel shall determine are necessary or desirable with respect to (i) the Loan Documents and/or the transactions contemplated thereby, and/or (ii) claims against any
Borrower or Guarantor or the Collateral; 

        (h)   Borrower
shall be in compliance with Section 6.5, and Lender shall have received original certificates of all
insurance policies of Borrower confirming that they are in effect and that the premiums due and owing with respect thereto have been paid in full and naming Lender as loss payee or additional insured,
as appropriate; 

        (i)    all
corporate and other proceedings, documents, instruments and other legal matters in connection with the transactions contemplated by the Loan Documents (including,
but not limited to, those relating to corporate and capital structures of Borrower) shall be satisfactory to Lender; 

        (j)    Lender
shall have received, in form and substance satisfactory to Lender, (i) evidence of the repayment in full and termination of all indebtedness owed to Mellon
United National Bank and all related documents, agreements and instruments and of all Liens, security interests and Uniform Commercial Code financing statements relating thereto, and
(ii) release and termination of any and all Liens, security interest and/or Uniform Commercial Code financing statements in, on, against or with respect to any of the Collateral (other than
Permitted Liens); 

        (k)   Borrower
shall have executed and filed IRS Form 8821 with the appropriate office of the Internal Revenue Service; 

        (l)    The
Employees shall have executed and delivered a Validity Certificate; and 

        (m)  Lender
shall have received such other documents, certificates, information or legal opinions as Lender may reasonably request, all in form and substance reasonably
satisfactory to Lender. 

        4.2    Conditions to Each Advance    

        The
obligations of Lender to make any Advance (including, without limitation, the Initial Advance) are subject to the satisfaction, in the sole judgment of Lender, of the following
additional conditions precedent: 

        (a)   Borrower
shall have delivered to Lender a Borrowing Certificate for the Advance executed by an authorized officer of Borrower, which shall constitute a representation
and 

warranty
by Borrower as of the Borrowing Date of such Advance that the conditions contained in this Section 4.2 have been satisfied;  provided, however, that any determination as to whether to fund Advances or extensions of credit shall
be made by Lender in its sole discretion; 

        (b)   each
of the representations and warranties made by Borrower in or pursuant to this Agreement shall be accurate, before and after giving effect to such Advance, and no
Default or Event of Default shall have occurred or be continuing or would exist after giving effect to the Advance under the Revolving Facility on such date; 

        (c)   immediately
after giving effect to the requested Advance, the aggregate outstanding principal amount of Advances under the Revolving Facility shall not exceed either the
Availability or the Facility Cap; 

        (d)   except
as disclosed in the historical financial statements, there shall be no liabilities or obligations with respect to Borrower of any nature whatsoever which, either
individually or in the aggregate, would reasonably be likely to have a Material Adverse Effect; and 

        (e)   Lender
shall have received all fees, charges and expenses payable to Lender on or prior to such date pursuant to the Loan Documents. 

V.     REPRESENTATIONS AND WARRANTIES  

        Borrower,
jointly and severally, represents and warrants as of the date hereof, the Closing Date, and each Borrowing Date as follows: 

        5.1    Organization and Authority    

        Each
Borrower is a corporation or limited liability company duly organized, validly existing and in good standing under the laws of its state of formation. Borrower (i) has all
requisite corporate or limited liability company power and authority to own its properties and assets and to carry on its business as now being conducted and as contemplated in the Loan Documents,
(ii) is duly qualified to do business in every jurisdiction in which failure so to qualify would reasonably be expected to have a Material Adverse Effect, and (iii) has all requisite
corporate or limited liability company power and authority (A) to execute, deliver and perform the Loan Documents to which it is a party, (B) to borrow hereunder, (C) to
consummate the transactions contemplated under the Loan Documents, and (D) to grant the Liens with regard to the Collateral pursuant to the Security Documents to which it is a party. No
Borrower is an "investment company" registered or required to be registered under the Investment Company Act of 1940, as amended, or is controlled by such an "investment company." 

        5.2    Loan Documents    

        The
execution, delivery and performance by Borrower of the Loan Documents to which it is a party, and the consummation of the transactions contemplated thereby, (i) have been duly
authorized by all requisite action of each such Person and have been duly executed and delivered by or on behalf of each such Person; (ii) do not violate any provisions of (A) applicable
law, statute, rule, regulation, ordinance or tariff, (B) any order of any Governmental Authority binding on any such Person or any of their respective properties, or (C) the certificate
of incorporation or bylaws (or any other equivalent governing agreement or document) of any such Person, or any agreement between any such Person and its respective stockholders, members, partners or
equity owners or among any such stockholders, members, partners or equity owners; (iii) are not in conflict with, and do not result in a breach or default of or constitute an event of default,
or an event, fact, condition or circumstance which, with notice or passage of time, or both, would constitute or result in a conflict, breach, default or event of default under, any indenture,
agreement or other instrument to which any such Person is a party, or by which the properties or assets of such Person are bound; (iv) except as set forth therein or Permitted Liens, will not
result in the creation or imposition of any Lien of any nature upon any of the properties or assets of any such Person, and (v) except as set forth on  Schedule 5.2, do not require the consent,
approval or authorization of, or filing, registration or qualification with, any Governmental Authority
or any other Person. When executed and delivered, each of the Loan Documents to which Borrower is a 

party
will constitute the legal, valid and binding obligation of Borrower, enforceable against Borrower in accordance with its terms, subject to the effect of any applicable bankruptcy, moratorium,
insolvency, reorganization or other similar law affecting the enforceability of creditors' rights generally and to the effect of general principles of equity which may limit the availability of
equitable remedies (whether in a proceeding at law or in equity). 

        5.3    Subsidiaries, Capitalization and Ownership Interests    

        Except
as listed on Schedule 5.3, Borrower has no Subsidiaries. NationsHealth Supply, L.L.C. is presently inactive but has not been
dissolved. Schedule 5.3 states the authorized and issued capitalization of Borrower, the number and class of equity securities and/or ownership,
voting or partnership interests issued and outstanding of Borrower and the record and beneficial owners thereof (including options, warrants and other rights to acquire any of the foregoing). The
ownership or partnership interests of each Borrower that is a limited partnership or a limited liability company are not certificated, the documents relating to such interests do not expressly state
that the interests are governed by Article 8 of the Uniform Commercial Code, and the interests are not held in a securities account. The outstanding equity securities and/or ownership, voting
or partnership interests of Borrower have been duly authorized and validly issued and are fully paid and nonassessable, and each Person listed on  Schedule 5.3 owns beneficially and of record all
the equity securities and/or ownership, voting or partnership interests it is listed as owning
free and clear of any Liens other than Liens created by the Security Documents. Schedule 5.3 also lists the directors, members, managers and/or
partners of Borrower. Except as listed on Schedule 5.3, Borrower does not own an interest in, participate in or engage in any joint venture,
partnership or similar arrangements with any Person. 

        5.4    Properties    

        Borrower
(i) is the sole owner and has good, valid and marketable title to, or a valid leasehold interest in, all of its properties and assets, including the Collateral, whether
personal or real, subject to no transfer restrictions or Liens of any kind except for Permitted Liens, and (ii) is in compliance in all material respects with each lease to which it is a party
or otherwise bound. Schedule 5.4 lists all real properties (and their locations) owned or leased by or to, and all other assets or property that
are leased or licensed by, Borrower and all leases (including leases of leased real property) covering or with respect to such properties and assets. Borrower enjoys peaceful and undisturbed
possession under all such leases and such leases are all the leases necessary for the operation of such properties and assets, are valid and subsisting and are in full force and effect. 

        5.5    Other Agreements    

        With
the exception of: the Agreement and Plan of Merger dated as of March 9, 2004 (the "Merger Agreement"), among RGGPLS
HOLDING, INC. ("RGGPLS"), GRH HOLDINGS, L.L.C. ("GRH"), BECTON, DICKINSON AND COMPANY
(collectively, with RGGPLS and GRH, the "Selling Shareholder(s)"), MILLSTREAM ACQUISITION CORPORATION
("MAC"), N Merger L.L.C. (collectively, with MAC, "Millstream"), and NationsHealth Holdings, L.L.C. and
the related agreements between the Selling Shareholders, Millstream and NationsHealth Holdings, L.L.C. executed in furtherance of the Merger Agreement (collectively, with the Merger Agreement, the  "Merger
Documents"), true and accurate copies of which are attached hereto as Schedule 5.5,
Borrower is not (i) a party to any judgment, order or decree or any agreement, document or instrument, or subject to any restriction, which would affect its ability to execute and deliver, or
perform under, any Loan Document or to pay the Obligations, (ii) in default in the performance, observance or fulfillment of any obligation, covenant or condition contained in any agreement,
document or instrument to which it is a party or to which any of its properties or assets are subject, which default, if not remedied within any applicable grace or cure period would reasonably be
expected to have a Material Adverse Effect, nor is there any event, fact, condition or circumstance which, with notice or passage of time or both, would constitute or result in a conflict, breach,
default or event of default under, any of the foregoing which, if not remedied within any applicable grace or cure period would reasonably be expected to have a Material Adverse Effect; or
(iii) a party or subject to any agreement, document or instrument with respect to, or obligation to pay any, Management or Service Fee with respect to, the ownership, 

operation,
leasing or performance of any of its business or any facility, nor is there any manager with respect to any such facility. 

        5.6    Litigation    

        There
is no action, suit, proceeding or investigation pending or, to their knowledge, threatened against Borrower that (i) questions or could prevent the validity of any of the
Loan Documents or the right of Borrower to enter into any Loan Document or to consummate the transactions contemplated thereby, (ii) would reasonably be expected to be or have, either
individually or in the aggregate, any Material Adverse Change or Material Adverse Effect, or (iii) would reasonably be expected to result in any Change of Control or other change in the current
ownership, control or management of Borrower. Borrower is not aware that there is any basis for the foregoing. Borrower is not a party or subject to any order, writ, injunction, judgment or decree of
any Governmental Authority. There is no action, suit, proceeding or investigation initiated by Borrower currently pending. Borrower has no existing accrued and/or unpaid Indebtedness to any
Governmental Authority or any other governmental payor. 

        5.7    Hazardous Materials    

        Borrower
is in compliance with all applicable Environmental Laws. Borrower has not been notified of any action, suit, proceeding or investigation (i) relating in any way to
compliance by or liability of Borrower under any Environmental Laws, (ii) which otherwise deals with any Hazardous Substance or any Environmental Law, or (iii) which seeks to suspend,
revoke or terminate any license, permit or
approval necessary for the generation, handling, storage, treatment or disposal of any Hazardous Substance, except where such non-compliance would not reasonably be expected to have a
Material Adverse Effect. 

        5.8    Potential Tax Liability; Tax Returns; Governmental Reports    

        (a)   Except
as disclosed in Schedule 5.8, Borrower (i) has not received any oral or written communication from
the Internal Revenue Service with respect to any investigation or assessment relating to the Borrower directly, or relating to any consolidated tax return which was filed on behalf of Borrower,
(ii) is not aware of any year which remains open pending tax examination or audit by the IRS, and (iii) is not aware of any information that could give rise to an IRS tax liability or
assessment. 

        (b)   Borrower
(i) has filed all federal, state, foreign (if applicable) and local tax returns and other reports which are required by law to be filed by Borrower, and
(ii) has paid all taxes, assessments, fees and other governmental charges, including, without limitation, payroll and other employment related taxes, in each case that are due and payable,
except only for items that Borrower is currently contesting in good faith with adequate reserves under GAAP, which contested items are described on  Schedule 5.8. 

        5.9    Financial Statements and Reports    

        All
financial statements and financial information relating to Borrower that have been or may hereafter be delivered to Lender by Borrower are accurate and complete in all material
respects and have been prepared in accordance with GAAP consistently applied with prior periods. Borrower has no material obligations or liabilities of any kind not disclosed in such financial
information or statements, and since the date of the most recent financial statements submitted to Lender, there has not occurred any Material Adverse Change, Material Adverse Effect or Liability
Event or, to Borrower's knowledge, any other event or condition that would reasonably be expected to have a Material Adverse Effect or cause or constitute a Liability Event. 

        5.10    Compliance with Law    

        Borrower
(i) is in compliance with all laws, statutes, rules, regulations, ordinances and tariffs of any Governmental Authority applicable to Borrower and/or Borrower's business,
assets or operations, including, without limitation, applicable requirements of the Standards for Privacy of Individually Identifiable Health Information which were promulgated pursuant to the Health
Insurance Portability and Accountability Act of 1996 ("HIPAA"), ERISA and Healthcare Laws, and (ii) is not in violation of any order of any
Governmental Authority or other board or tribunal, except in the case of (i) and 

(ii) above
where noncompliance or violation could not reasonably be expected to have a Material Adverse Effect. There is no event, fact, condition or circumstance which, with notice or passage
of time, or both, would constitute or result in any noncompliance with, or any violation of, any of the foregoing, in each case except where noncompliance or violation could not reasonably be expected
to have a Material Adverse Effect. Borrower has not received any notice that Borrower is not in compliance in any respect with any of the requirements of any of the foregoing. Borrower has
(a) not engaged in any Prohibited Transactions as defined in Section 406 of ERISA and Section 4975 of the Internal Revenue Code of 1986, as amended, and the rules and regulations
promulgated thereunder, (b) not failed to meet any applicable minimum funding requirements under Section 302 of ERISA in respect of its plans and no funding requirements have been
postponed or delayed, (c) no knowledge of any amounts due but unpaid to the Pension Benefit Guaranty Corporation, or of any event or occurrence which would cause the Pension Benefit Guaranty
Corporation to institute proceedings under Title IV of ERISA to terminate any of the employee benefit plans, (d) no fiduciary responsibility under ERISA for investments with respect to any plan
existing for the benefit of Persons other than its employees or former employees, or (e) not withdrawn, completely or partially, from any multi-employer pension plans so as to incur liability
under the MultiEmployer Pension Plan Amendments of 1980. With respect to Borrower, there exists no event described in Section 4043 of ERISA, excluding Subsections 4043(b)(2) and 4043(b)(3)
thereof, for which the thirty (30) day notice period contained in 12 C.F.R. § 2615.3 has not been waived. Borrower has maintained in all material respects all records required to be
maintained by the Joint Commission on Accreditation of Healthcare Organizations, the Food and Drug Administration, Drug Enforcement Agency and State Boards of Pharmacy and the federal and state
Medicare and Medicaid programs as required by the Healthcare Laws and, to the best knowledge of Borrower, there are no presently existing circumstances which would reasonably be expected to result in
material violations of the Healthcare Laws. There is no Liability Event. 

        5.11    Intellectual Property    

        Except
as set forth on Schedule 5.11, Borrower does not own, license or utilize, and is not a party to, any material patents,
patent applications, trademarks, trademark applications, service marks, registered copyrights, copyright applications, copyrights, trade names, trade secrets, software or licenses (collectively, the  "Intellectual
Property"). 

        5.12    Licenses and Permits; Labor    

        Borrower
is in compliance with and has all Permits and Intellectual Property necessary or required by applicable law or Governmental Authority for the operation of its businesses except
any of the foregoing which would not reasonably be expected to have a Material Adverse Effect. All of the foregoing are in full force and effect and not in known conflict with the rights of others.
Borrower is not (i) in breach of or default under the provisions of any of the foregoing, nor is there any event, fact, condition or circumstance which, with notice or passage of time or both,
would constitute or result in a conflict, breach, default or event of default under, any of the foregoing which, if not remedied within any applicable grace or cure period would reasonably be expected
to have a Material Adverse Effect, (ii) a party to or subject to any agreement, instrument or restriction that is so unusual or burdensome that it might have a Material Adverse Effect, and/or
(iii) and has not been, involved in any labor dispute, strike, walkout or union organization which would reasonably be expected to have a Material Adverse Effect. 

        5.13    No Default    

        There
does not exist any Default or Event of Default or any event, fact, condition or circumstance which, with the giving of notice or passage of time or both, would constitute or result
in a Default or Event of Default. 

        5.14    Disclosure    

        No
Loan Document nor any other agreement, document, certificate, or statement furnished to Lender by or on behalf of Borrower in connection with the transactions contemplated by the Loan
Documents, nor any representation or warranty made by Borrower in any Loan Document, contains 

any
untrue statement of material fact or omits to state any fact necessary to make the statements therein not materially misleading. There is no fact known to Borrower which has not been disclosed to
Lender in writing which would reasonably be expected to have a Material Adverse Effect. 

        5.15    Existing Indebtedness; Investments, Guarantees and Certain
Contracts    

        Except
as contemplated by the Loan Documents or as otherwise set forth on Schedule 5.15A, Borrower (i) has no outstanding
Indebtedness, (ii) is not subject or party to any mortgage, note, indenture, indemnity or guarantee of, with respect to or evidencing any Indebtedness of any other Person, or (iii) does
not own or hold any equity or long-term debt investments in, and does not have any outstanding advances to or any outstanding guarantees for the obligations of, or any outstanding
borrowings from, any Person. Borrower has performed all material obligations required to be performed by Borrower pursuant to or in connection with any items listed on  Schedule 5.15A and
there has occurred no breach, default or event of default under any document evidencing any such items or any fact, circumstance, condition or event which, with the giving of notice or passage of time
or both, would constitute or result in a breach, default or event of default thereunder. Schedule 1.15B sets forth all Indebtedness with a
maturity date during the Term of the Loan, and identifies such maturity date. 

        5.16    Other Agreements    

        Except
as set forth on Schedule 5.5, Schedule 5.16 and  Schedule 5.23, (i) there are no existing
or proposed agreements, arrangements, understandings or transactions between Borrower and any of
Borrower's officers, members, managers, directors, stockholders, partners, other interest holders, employees or Affiliates or any members of their respective immediate families, and (ii) none
of the foregoing Persons are directly or indirectly, indebted to or have any direct or indirect ownership, partnership or voting interest in, to Borrower's knowledge, any Affiliate of Borrower or any
Person that competes with Borrower (except that any such Persons may own stock in (but not exceeding two (2%) percent of the outstanding capital stock of) any publicly traded company that may compete
with Borrower. 

        5.17    Insurance    

        Borrower
has in full force and effect such insurance policies as are customary in its industry and as may be required pursuant to  Section 6.5 hereof. All such insurance policies are listed and described on
Schedule 5.17. 

        5.18    Names; Location of Offices, Records and Collateral    

        During
the preceding five years, Borrower has not conducted business under or used any name (whether corporate, partnership or assumed) other than as shown on  Schedule 5.18A. Borrower is the sole owner of
all of its names listed on Schedule 5.18A,
and any and all business done and invoices issued in such names are Borrower's sales, business and invoices. Each trade name of Borrower represents a division or trading style of Borrower. Borrower
maintains its places of business and chief executive offices only at the locations set forth on Schedule 5.18B, and all Accounts of Borrower
arise, originate and are located, and all of the Collateral and all books and records in connection therewith or in any way relating thereto or evidencing the Collateral are located and shall only be
located, in and at such locations. All of the Collateral is located only in the continental United States. 

        5.19    Non-Subordination    

        The
Obligations are not subordinated in any way to any other obligations of Borrower or to the rights of any other Person. 

        5.20    Accounts    

        In
determining which Accounts are Eligible Receivables, Lender may rely on all statements and representations made by Borrower with respect to any Account. Unless otherwise indicated in
writing to Lender (including, without limitation, any Borrowing Certificate), (i) each Account of Borrower is genuine and in all respects what it purports to be and is not evidenced by a
judgment, (ii) each Account of Borrower arises out of a completed, bona fide sale and delivery of goods or rendering of 

Services
by Borrower in the ordinary course of business and in accordance with the terms and conditions of all purchase orders, contracts, certifications, participations, certificates of need and
other documents relating thereto or forming a part of the contract between Borrower and the Account Debtor, (iii) each Account of Borrower is for a liquidated amount maturing as stated in a
claim or invoice covering such sale of goods or rendering of Services, a copy of which has been furnished or is available to Lender, (iv) each Account of Borrower together with Lender's
security interest therein, is not and will not be in the future (by voluntary act or omission by Borrower), subject to any offset, lien, deduction, defense, dispute, counterclaim or other adverse
condition, is absolutely owing to Borrower and is not contingent in any respect or for any reason (except Accounts owed or owing by Medicaid/Medicare Account Debtors that may be subject to offset or
deduction under applicable law), (v) there are no facts, events or occurrences which in any way impair the validity or enforceability of any Account of Borrower or tend to reduce the amount
payable thereunder from the face amount of the claim or invoice and statements delivered to Lender with respect thereto, (vi) (A) to the knowledge of Borrower, the Account Debtor under
each Account of Borrower had the capacity to contract at the time any contract or other document giving rise thereto was executed and (B) to the knowledge of Borrower, each such Account Debtor
is solvent, (vii) to the knowledge of Borrower, there are no proceedings or actions which are threatened or pending against any Account Debtor under any Account of Borrower which might result
in any Material Adverse Change in such Account Debtor's financial condition or the collectability thereof, (viii) each Account of Borrower has been billed and forwarded to the Account Debtor
for payment in accordance with applicable laws and is in compliance and conformance with any requisite procedures, requirements and regulations governing payment by such Account Debtor with respect to
such Account, and, if due from a Medicaid/Medicare Account Debtor, is properly payable directly to Borrower, (ix) Borrower has obtained and currently has all material Permits necessary in the
generation of each Account of Borrower, and (x) Borrower has disclosed to Lender on each Borrowing Certificate the amount of all Accounts of Borrower for which Medicare is the Account Debtor
and for which payment has been denied and subsequently appealed pursuant to the procedure described in the definition of Eligible Receivables hereof. Borrower is pursuing all available appeals in
respect of such Accounts which Borrower usually and customarily appeals in the ordinary course of its business. 

        5.21    Healthcare    

        Without
limiting or being limited by any other provision of any Loan Document, Borrower has timely filed or caused to be filed all cost and other reports of every kind required under any
Healthcare Laws or any provider or other agreement relating to Borrower's participation in Medicare or Medicaid programs. Subject to subsection (ix) of  Section 5.20, there are no claims,
actions or appeals pending (and Borrower has not filed any claims or reports which could reasonably result in
any such claims, actions or appeals) before any commission, board or agency or other Governmental Authority, including, without limitation, any intermediary or carrier, the Provider Reimbursement
Review Board or the Administrator of the Centers for Medicare and Medicaid Services, with respect to any state or federal Medicare or Medicaid cost reports or claims filed by Borrower, or any
disallowance by any commission, board or agency or other Governmental Authority in connection with any audit of such cost reports. No validation review or program integrity review related to Borrower
or the consummation of the transactions contemplated herein or to the Collateral have been conducted by any commission, board or agency or other Governmental Authority in connection with the Medicare
or Medicaid programs, and to the knowledge of Borrower, no such reviews are scheduled, pending or threatened against or affecting any of the providers, any of the Collateral or the consummation of the
transactions contemplated hereby. 

        5.22    Survival    

        Borrower
makes the representations and warranties contained herein with the knowledge and intention that Lender is relying and will rely thereon. All such representations and warranties
will survive the execution and delivery of this Agreement and the making of the Advances under the Revolving Facility. 

        5.23    Merger Documents, HealthTrans Agreement and Wellpoint
Agreement    

        (a)   No
Borrower or Selling Shareholder is in default in the performance, observance or fulfillment of any obligation, covenant or condition contained in the Merger Documents
nor is there any event, fact, condition or circumstance which, with notice or passage of time or both, would constitute or result in a conflict, breach, default or event of default under any of the
foregoing which, if not remedied within any applicable grace or cure period could reasonably be expected to have a Material Adverse Effect on the Merger Documents. There does not exist any default or
event of default or any event, fact, condition or circumstance, which, with the giving of notice or passage of time or both, would constitute or result in a default or event of default on the part of
any Borrower, Selling Shareholder or Millstream in connection with any of the Merger Documents. No amendment or modification has been made to any of the Merger Documents which has not been provided to
Lender. 

        (b)   Except
as set forth on Schedule 5.23, no Borrower is in default in the performance, observance or fulfillment of
any obligation, covenant or condition contained in the HealthTrans Agreement, nor is there any event, fact, condition or circumstance which, with notice or passage of time or both, would constitute or
result in a conflict, breach, default or event of default under any of the foregoing which, if not remedied within any applicable grace or cure period could reasonably be expected to have a Material
Adverse Effect on the HealthTrans Agreement. There does not exist any default or event of default or any event, fact, condition or circumstance, which, with the giving of notice or passage of time or
both, would constitute or result in a default or event of default on the part of any Borrower in connection with the HealthTrans Agreement. No amendment or modification has been made to the
HealthTrans Agreement which has not been provided to Lender. 

        (c)   No
Borrower is in default in the performance, observance or fulfillment of any obligation, covenant or condition contained in the Wellpoint Agreement, nor is there any
event, fact, condition or circumstance which, with notice or passage of time or both, would constitute or result in a conflict, breach, default or event of default under any of the foregoing which, if
not remedied within any applicable grace or cure period could reasonably be expected to have a Material Adverse Effect on the Wellpoint Agreement. There does not exist any default or event of default
or any event, fact, condition or circumstance, which, with the giving of notice or passage of time or both, would constitute or result in a default or event of default on the part of any Borrower in
connection with the Wellpoint Agreement. No amendment or modification has been made to the Wellpoint Agreement which has not been provided to Lender. 

VI.   AFFIRMATIVE COVENANTS  

        Each
Borrower, jointly and severally, covenants and agrees that, until full performance and satisfaction, and indefeasible payment in full in cash, of all the Obligations and termination
of this Agreement: 

        6.1    Financial Statements, Borrowing Certificate, Financial Reports and Other
Information    

        (a)    Financial Reports.    In addition to providing the Borrowing Certificate in accordance with  Section 2.4, Borrower shall
furnish to Lender (i) as soon as available and in any event within ninety (90) calendar days after the
end of each fiscal year of Borrower (or such earlier date required by the laws, regulations and rules of the Securities and Exchange Commission), audited annual consolidated and consolidating
financial statements of Borrower, including the notes thereto, consisting of a consolidated and consolidating balance sheet at the end of such completed fiscal year and the related consolidated and
consolidating statements of income, retained earnings, cash flows and owners' equity for such completed fiscal year, which financial statements shall be prepared and certified without qualification by
an independent certified public accounting firm satisfactory to Lender and accompanied by related management letters, if available, and (ii) as soon as available and in any event within thirty
(30) calendar days after the end of each calendar month (forty five (45) days after the end of March 2004), unaudited consolidated and consolidating financial statements of
Borrower consisting of a balance sheet and statements of income, retained earnings, cash flows and owners' equity as of the end of the immediately preceding calendar month. All such financial
statements shall be prepared in 

accordance
with GAAP consistently applied with prior periods. With each such financial statement, Borrower shall also deliver a certificate of its chief financial officer stating that (A) such
person has reviewed the relevant terms of the Loan Documents and the condition of Borrower, (B) no Default or Event of Default has occurred or is continuing, or, if any of the foregoing has
occurred or is continuing, specifying the nature and status and period of existence thereof and the steps taken or proposed to be taken with respect thereto, and (C) Borrower is in compliance
with all financial covenants attached as Annex I hereto. Such certificate shall be accompanied by the calculations necessary to show compliance with the financial covenants in a form satisfactory to
Lender and shall also set forth any payments made in respect of Permitted Subordinated Debt as permitted under any Subordination Agreement applicable thereto. 

        (b)    Other Materials.    Borrower shall furnish to Lender as soon as available, and in any event within ten
(10) calendar days after the preparation or issuance thereof or at such other time as set forth below: (i) copies of such financial statements (other than those required to be delivered
pursuant to Section 6.1(a)) prepared by, for or on behalf of Borrower and any other notes, reports and other materials related thereto,
including, without limitation, any pro forma financial statements, (ii) any reports, returns, information, notices and other materials that Borrower shall send to its stockholders, members,
partners or other equity owners at any time, (iii) all Medicare and Medicaid cost reports and other documents and materials filed by Borrower and any other reports, materials or other
information regarding or otherwise relating to Medicaid or Medicare prepared by, for or on behalf of Borrower, including, without limitation, (A) copies of licenses and permits required by any
applicable federal, state, foreign or local law, statute ordinance or regulation or Governmental Authority for the operation of its business, (B) Medicare and Medicaid provider numbers and
agreements, (C) state surveys pertaining to any healthcare facility operated, owned or leased by Borrower or any of its Affiliates or Subsidiaries, and (D) participating agreements
relating to medical plans, (iv) (A) within fifteen (15) calendar days (thirty (30) calendar days in the case of the first four (4) months following the Closing Date)
(after the end of each calendar month for such month, a summary report of the status of all payments, denials and appeals of all Medicare and/or Medicaid Accounts and accounts receivable and account
payable aging schedule and (B), within thirty (30) calendar days after the end of each calendar month for such month, a sales and collection report, including a report of sales, credits issued
and collections received, all such reports showing a reconciliation to the amounts reported in the monthly financial statements, (v) promptly upon receipt thereof, copies of any reports
submitted to Borrower by its independent accountants in connection with any interim audit of the books of such Person or any of its Affiliates
and copies of each management control letter provided by such independent accountants, (vi) within fifteen (15) calendar days after the execution thereof, a copy of any contracts with
the federal government or with a Governmental Authority in the State of New York, Vermont or Washington, and (vii) such additional information, documents, statements, reports and other
materials as Lender may reasonably request from a credit or security perspective or otherwise from time to time. 

        (c)    Notices.    Borrower shall promptly, and in any event within three (3) calendar days after Borrower or
any authorized officer of Borrower obtains knowledge thereof, notify Lender in writing of (i) any pending or threatened litigation, suit, investigation, arbitration, dispute resolution
proceeding or administrative proceeding brought or initiated by or against Borrower or otherwise affecting or involving or relating to Borrower or any of its property or assets to the extent
(A) the amount in controversy exceeds $30,000, or (B) to the extent any of the foregoing seeks injunctive or declarative relief, (ii) any Default or Event of Default, which notice
shall specify the nature and status thereof, the period of existence thereof and what action is proposed to be taken with respect thereto, (iii) any other development, event, fact, circumstance
or condition that would reasonably be likely to have a Material Adverse Effect, in each case describing the nature and status thereof and the action proposed to be taken with respect thereto,
(iv) any notice received by Borrower from any payor of a claim, suit or other action such payor has, claims or has filed against Borrower in an amount exceeding $30,000, (v) any
matter(s) affecting the value, enforceability or collectability of any of the Collateral, including, without limitation, claims or disputes in the amount of $30,000 or more, singly or in the
aggregate, in existence at any one time, (vi) any notice given by Borrower to any other lender of Borrower, which 

notice
to Lender shall be accompanied by a copy of the applicable notice given to the other Lender, (vii) receipt of any notice or request from any Governmental Authority or governmental payor
regarding any liability or claim of liability (other than notices received from any Governmental Authority in connection the usual and customary processing of claims by Borrower in the ordinary course
of business), (viii) any notice given by or received by Borrower regarding any default, noncompliance, proposed termination, waiver or consent under the Merger Documents, Employment Agreements,
HealthTrans Agreement (including any reduction in the number of transactions processed thereunder during any month to 50,000 or less) or Wellpoint Agreement and/or (ix) any Account becoming
evidenced or secured by an Instrument or Chattel Paper. 

        (d)    Consents.    Borrower shall obtain and deliver from time to time all required consents, approvals and
agreements from such third parties as Lender shall determine are necessary or desirable in its sole discretion, each of which must be satisfactory to Lender in its sole discretion, with respect to
(i) the Loan Documents and the transactions contemplated thereby, (ii) claims against Borrower or the Collateral, and/or (iii) any agreements, consents, documents or instruments
to which Borrower is a party or by which any properties or assets of Borrower or any of the Collateral is or are bound or subject, including, without limitation, Landlord Waivers and Consents with
respect to leases. 

        (e)    Operating Budget.    Borrower shall furnish to Lender on or prior to the Closing Date and for each fiscal year
of Borrower thereafter not later than the earlier of (i) thirty (30) calendar days after the end of each fiscal year or (ii) thirty (30) calendar days after the same is
available, consolidated and consolidating month by month projected operating budgets, annual projections, profit and loss
statements, balance sheets and cash flow reports of and for Borrower for such upcoming fiscal year (including an income statement for each month and a balance sheet as at the end of the last month in
each fiscal quarter), in each case prepared in accordance with GAAP consistently applied with prior periods. 

        (f)    Non-Compliance Fee.    To the extent any of the foregoing items in this  Section 6.1 are not delivered to Lender on a
timely basis, Borrower shall be obligated to Lender for a daily fee equal to the greater of
(i) $500, or (ii) five one-hundredths of one percent (0.05%) of the then current outstanding principal balance of the Obligations, for each day until such item is delivered
to Lender, whether or not a Default or Event of Default occurs or is declared, provided that nothing shall prevent Lender from considering any failure to comply with the terms of this  Section 6.1
to be a Default or an Event of Default. 

        6.2    Payment of Obligations    

        Borrower
shall make full and timely indefeasible payment in cash of the principal of and interest on the Loans, Advances and all other Obligations. 

        6.3    Conduct of Business and Maintenance of Existence and Assets    

        Borrower
shall (i) conduct its business in accordance with good business practices customary to the industry, (ii) engage principally in the same or similar lines of
business substantially as heretofore conducted, (iii) collect its Accounts in the ordinary course of business, (iv) maintain all of its material properties, assets and equipment used or
useful in its business in good repair, working order and condition (normal wear and tear excepted and except as may be disposed of in the ordinary course of business and in accordance with the terms
of the Loan Documents and otherwise as determined by Borrower using commercially reasonable business judgment), (v) from time to time to make all necessary or desirable repairs, renewals and
replacements thereof, as determined by Borrower using commercially reasonable business judgment, (vi) maintain and keep in full force and effect its existence and all material Permits and
qualifications to do business and good standing in each jurisdiction in which the ownership or lease of property or the nature of its business makes such Permits or qualification necessary and in
which failure to maintain such Permits or qualification could reasonably be expected to have a Material Adverse Effect; and (vii) remain in good standing and maintain operations in all
jurisdictions in which currently located, except where the failure to maintain such good standing could not reasonably be expected to have a Material Adverse Effect. 

        6.4    Compliance with Legal and Other Obligations    

        Borrower
shall (i) comply in all material respects with all laws, statutes, rules, regulations, ordinances and tariffs of all Governmental Authorities applicable to it or its
business, assets or operations, including applicable requirements of the Standards for Privacy of Individually Identifiable Health Information which were promulgated pursuant to HIPAA; (ii) pay
all taxes, assessments, fees, governmental charges, claims for labor, supplies, rent and all other obligations or liabilities of any kind, except liabilities being contested in good faith and against
which adequate reserves have been established in accordance with GAAP, (iii) perform in accordance with its terms each contract, agreement or other arrangement to which it is a party or by
which it or any of the Collateral is bound, except where the failure to comply, pay or perform would not reasonably be expected to have a Material Adverse Effect, (iv) maintain and comply with
all material Permits necessary to conduct its business and comply with any new or additional requirements that may be imposed on it or its business, and (v) properly file all Medicaid/Medicare
cost reports. 

        6.5    Insurance    

        Borrower
shall (i) keep all of its insurable properties and assets adequately insured in all material respects against losses, damages and hazards as are customarily insured
against by businesses engaging in similar activities or owning similar assets or properties and at least the minimum amount required by applicable law, including, without limitation, medical
malpractice and professional liability insurance, as applicable; and maintain general public liability insurance at all times against liability on account of damage to persons and property having such
limits, deductibles, exclusions and co-insurance and other provisions as are customary for a business engaged in activities similar to those of Borrower; and (ii) maintain insurance
under all applicable workers' compensation laws; all of the foregoing insurance policies to (A) be reasonably satisfactory in form and substance to Lender, (B) name Lender as loss payee
and additional insured thereunder, and (C) expressly provide that they cannot be altered, amended, modified or canceled without thirty (30) days prior written notice to Lender and that
they inure to the benefit of Lender notwithstanding any action or omission or negligence of or by Borrower or any insured thereunder. 

        6.6    True Books    

        Borrower
shall (i) keep true, complete and accurate books of record and account in accordance with commercially reasonable business practices in which true and correct entries are
made of all of its and their dealings and transactions in all material respects; and (ii) set up and maintain on its books such reserves as may be required by GAAP with respect to doubtful
accounts and all taxes, assessments, charges, levies and claims and with respect to its business, and include such reserves in its quarterly as well as year end financial statements. 

        6.7    Inspection; Periodic Audits    

        Borrower
shall permit the representatives of Lender, at the expense of Borrower, from time to time during normal business hours upon reasonable notice, to (i) visit and inspect
any of its offices or properties or any other place where Collateral is located to inspect the Collateral and/or to examine or audit all of its books of account, records, reports and other papers (but
not more often than four (4) times per year so long as no Default or Event of Default exists), (ii) make copies and extracts therefrom, and (iii) discuss its business, operations,
prospects, properties, assets, liabilities, condition and/or Accounts with its officers and independent public accountants (and by this provision such officers and accountants are authorized to
discuss the foregoing). 

        6.8    Further Assurances; Post Closing    

        At
Borrower's cost and expense, Borrower shall (i) take such further actions, obtain such consents and approvals and duly execute and deliver such further agreements, assignments,
instructions or documents as Lender may request with respect to the purposes, terms and conditions of the Loan Documents and the consummation of the transactions contemplated thereby, and
(ii) without limiting and notwithstanding any other provision of any Loan Document, execute and deliver, or cause to be 

executed
and delivered, such agreements and documents, and take or cause to be taken such actions, and otherwise perform, observe and comply with such obligations, as are set forth on  Schedule 6.8.

        6.9    Payment of Indebtedness    

        Except
as otherwise prescribed in the Loan Documents, Borrower shall pay, discharge or otherwise satisfy at or before maturity (subject to applicable grace periods and, in the case of
trade payables, to ordinary course payment practices) all of its material obligations and liabilities, except when the amount or validity thereof is being contested in good faith by appropriate
proceedings and with respect to which adequate reserves or other appropriate provisions are being maintained by Borrower in accordance with GAAP to the satisfaction of Lender in its sole discretion. 

        6.10    Lien Searches    

        If
Liens other than Permitted Liens exist, Borrower immediately shall take, execute and deliver all actions, documents and instruments necessary to release and terminate such Liens. 

        6.11    Use of Proceeds    

        Borrower
shall use the proceeds from the Revolving Facility only for the purposes set forth in the first "WHEREAS" clause of this Agreement. 

        6.12    Collateral Documents; Security Interest in Collateral    

        Borrower
shall (i) execute, obtain, deliver, file, register and/or record any and all financing statements, continuation statements, stock powers, instruments and other documents,
or cause the execution, filing, registration, recording or delivery of any and all of the foregoing, that are necessary or required under law or otherwise or reasonably requested by Lender to be
executed, filed, registered, obtained, delivered or recorded to create, maintain, perfect, preserve, validate or otherwise protect the pledge of the Collateral to Lender and Lender's perfected first
priority Lien on the Collateral (and Borrower irrevocably grants Lender the right, at Lender's option, to file any or all of the foregoing), (ii) within two business days of learning thereof,
report to Lender any reclamation, return or repossession of goods in excess of $10,000 (individually or in the aggregate), and (iii) defend the Collateral and Lender's perfected first priority
Lien thereon against all claims and demands of all Persons at any time claiming the same or any interest therein adverse to Lender, and pay all reasonable costs and expenses (including, without
limitation, reasonable in-house documentation and diligence fees and legal expenses and reasonable attorneys' fees and expenses) in connection with such defense, which may at Lender's
discretion be added to the Obligations. 

        6.13    Right of First Refusal    

        If
at any time any Borrower or Guarantor (each, a "Credit Party ") or any of their respective Subsidiaries or Affiliates receives from a
third party an offer, term sheet or commitment or makes a proposal accepted by any Person (each, an "Offer") which provides for any type of financing
(other than an offering of common stock or other equity securities which do not contain or enjoy any debt or debt-like rights or features, which are not convertible or exchangeable into
debt or debt-like instruments or which may otherwise be characterized, whether for accounting, income tax or any other purposes, as debt) to or for a Credit Party or any of its Affiliates,
such Credit Party, on behalf of itself or such Affiliate, shall immediately notify such third party making the offer of Lender's rights under this  Section 6.13, and further shall immediately notify
Lender of the Offer in writing (including all material terms of the Offer). Lender shall have
thirty (30) calendar days after Receipt of such notice (the "Option Period") to agree to provide similar financing in the place of such Person
upon substantially the same terms and conditions (or terms more favorable to such Credit Party or Affiliate) as set forth in the Offer. Lender shall notify Credit Party or Affiliate in writing of
Lender's acceptance of the Offer pursuant hereto (the "Acceptance Notice"), in which case Credit Party shall obtain, or shall cause Affiliate to obtain,
such financing from Lender and shall not accept the Offer from such other Person. If no Acceptance Notice has been Received from Lender within the Option Period, Credit Party or Affiliate may
consummate the Offer with the other Person on the terms and conditions set forth in the Offer (the "Transaction");  provided, however, that none of foregoing or any failure by 

Lender
to issue an Acceptance Notice shall be construed as a waiver of any of the terms, covenants or conditions of any of the Loan Documents. If the Transaction is not consummated on the terms set
forth in the Offer or with the Person providing the Offer or during the ninety (90) calendar day period following the expiration of the Option Period, Credit Party shall not be permitted, and
shall not permit its Affiliate, to consummate the Transaction without again complying with this Section 6.13. The provisions of this  Section 6.13
shall survive the payment in full of the Obligations and termination of this Agreement for a period of six months. For purposes of
this Section 6.13, "Lender" shall include CapitalSource Finance LLC and any of its parents, subsidiaries or Affiliates. The provisions of this  Section 6.13 shall not apply to any Offer to an Affiliate of any Borrower or Guarantor (or any of their respective Subsidiaries or Affiliates
(other than the Affiliate receiving the Offer)) if such financing is intended to be used solely for a business conducted by or to be conducted by such Affiliate which is unrelated to the business of
any such Borrower or Guarantor (or any such respective Subsidiaries or Affiliates) as such business exists from time to time or may result from any acquisition, merger or similar transaction how so
ever structured which is the subject of the Offer. 

        6.14    Taxes and Other Charges    

        (a)   All
payments and reimbursements to Lender made under any Loan Document shall be free and clear of and without deduction for all taxes, levies, imposts, deductions,
assessments, charges or withholdings, and all liabilities with respect thereto of any nature whatsoever, excluding taxes to the extent imposed on Lender's net income or franchise. If Borrower shall be
required by law to deduct any such amounts from or in respect of any sum payable under any Loan Document to Lender, then the sum payable to Lender shall be increased as may be necessary so that, after
making all required deductions, Lender receives an amount equal to the sum it would have received had no such deductions been made. Notwithstanding any other provision of any Loan Document, if at any
time after the Closing (i) any change in any existing law, regulation, treaty or directive or in the interpretation or application thereof, (ii) any new law, regulation, treaty or
directive enacted or any interpretation or application thereof, or (iii) compliance by Lender with any request or directive (whether or not having the force of law) from any Governmental
Authority: (A) subjects Lender to any tax, levy, impost, deduction, assessment, charge or withholding of any kind whatsoever with respect to any Loan Document, or changes the basis of taxation
of payments to Lender of any amount payable thereunder (except for net income taxes, or franchise taxes imposed in lieu of net income taxes, imposed generally by federal, state or local taxing
authorities with respect to interest or commitment fees or other fees payable hereunder or changes in the rate of tax on the overall net income of Lender), or (B) imposes on Lender any other
condition or increased cost in connection with the transactions contemplated thereby or participations therein; and the result of any of the foregoing is to increase the cost to Lender of making or
continuing any Loan hereunder or to reduce any amount receivable hereunder, then, in any such case, Borrower shall promptly pay to Lender any additional amounts necessary to compensate Lender, on an
after-tax basis, for such additional cost or reduced amount as determined by Lender. If Lender becomes entitled to claim any additional amounts pursuant to this  Section 6.14 it shall promptly (but
in any event within ninety (90) days of becoming aware thereof) notify Borrower of the event by reason
of which Lender has become so entitled and a detailed calculation thereof, and each such notice of additional amounts payable pursuant to this  Section 6.14 submitted by Lender to Borrower shall,
absent manifest error, be final, conclusive and binding for all purposes. 

        (b)   Borrower
shall promptly, and in any event within five (5) Business Days after Borrower or any authorized officer of Borrower obtains knowledge thereof, notify
Lender in writing of any oral or written communication from the Internal Revenue Service or otherwise with respect to any (i) tax investigations, relating to the Borrower directly, or relating
to any consolidated tax return which was filed on behalf of Borrower, (ii) notices of tax assessment or possible tax assessment, (iii) years that are designated open pending tax
examination or audit, and (iv) information that could give rise to an IRS tax liability or assessment. 

        6.15    Payroll Taxes    

        Without
limiting or being limited by any other provision of any Loan Document, Borrower at all times shall retain and use a Person acceptable to Lender to process, manage and pay its
payroll taxes and shall cause to be delivered to Lender within ten (10) calendar days after the end of each calendar month a report of its payroll taxes for the immediately preceding calendar
month and evidence of
payment thereof. Lender acknowledges that Paychex is an acceptable company engaged by Borrower to process, manage and pay its payroll taxes as of the Closing Date. Borrower acknowledges that in the
event Borrower wishes to remove Paychex as the company engaged to process, manage and pay its payroll taxes, it will not do so until such time that Lender has consented in writing to such change,
which consent will not be unreasonably withheld. 

VII. NEGATIVE COVENANTS  

        Each Borrower, jointly and severally, covenants and agrees that, until full performance and satisfaction, and indefeasible payment in full in cash, of all of the
Obligations and termination of this Agreement: 

        7.1    Financial Covenants    

        Borrower
shall not violate the financial covenants set forth on Annex I to this Agreement, which is incorporated herein and made a part
hereof. 

        7.2    Permitted Indebtedness    

        Borrower
shall not create, incur, assume or suffer to exist any Indebtedness, except the following (collectively, "Permitted
Indebtedness"): (i) Indebtedness under the Loan Documents, (ii) any Indebtedness set forth on Schedule 7.2,
(iii) Capitalized Lease Obligations incurred after the Closing Date and Indebtedness incurred pursuant to purchase money Liens permitted by  Section 7.3(v), provided that the aggregate amount
of such Capitalized Lease Obligations and purchase money indebtedness outstanding at any time
shall not exceed $75,000, (iv) Indebtedness in connection with advances made by a stockholder in order to cure any default of the financial covenants set forth on Annex
I; provided, however, that such Indebtedness shall be on an unsecured basis,
subordinated in right of repayment and remedies to all of the Obligations and to all of Lender's rights pursuant to a subordination agreement in form and substance satisfactory to Lender;
(v) accounts payable to trade creditors and current operating expenses (other than for borrowed money) which are not aged more than 120 calendar days from the billing date or more than
30 days from the due date, in each case incurred in the ordinary course of business and paid within such time period, unless the same are being contested in good faith and by appropriate and
lawful proceedings and such reserves, if any, with respect thereto as are required by GAAP and deemed adequate by Borrower's independent accountants shall have been reserved; (vi) borrowings
incurred in the ordinary course of business and not exceeding $10,000 individually or in the aggregate outstanding at any one time, provided,  however, that
such Indebtedness shall be on an unsecured basis, subordinated in right of repayment and remedies to all of the Obligations and to all of
Lender's rights pursuant to a subordination agreement in form and substance satisfactory to Lender; and (vii) Permitted Subordinated Debt. Borrower shall not make prepayments on any existing or
future Indebtedness in excess of $10,000 to any Person other than to Lender or to the extent specifically permitted by this Agreement, as required under the Merger Documents or any subsequent
agreement between Borrower and Lender. 

        7.3    Permitted Liens    

        Borrower
shall not create, incur, assume or suffer to exist any Lien upon, in or against, or pledge of, any of the Collateral or any of its properties or assets or any of its authorized
but unissued or treasury shares, securities or other equity or ownership or partnership interests, whether now owned or hereafter acquired, except the following (collectively,  "Permitted Liens"):
(i) Liens under the Loan Documents or otherwise arising in favor of Lender, (ii) Liens imposed by law for taxes (other
than payroll taxes), assessments or charges of any Governmental Authority for claims not yet due or which are being contested in good faith by appropriate proceedings and with respect to which
adequate 

reserves
or other appropriate provisions are being maintained by such Person in accordance with GAAP to the satisfaction of Lender in its sole discretion, (iii) (A) statutory Liens of
landlords (provided that any such landlord has executed a Landlord Waiver and Consent in form and substance satisfactory to Lender) and of carriers, warehousemen, mechanics, materialmen, and
(B) other Liens imposed by law or that arise by operation of law in the ordinary course of business from the date of creation thereof, in each case only for amounts not yet due or which are
being contested in good faith by appropriate proceedings and with respect to which adequate reserves or other appropriate provisions are being maintained by such Person in accordance with GAAP to the
satisfaction of Lender in its sole discretion, (iv) Liens (A) incurred or deposits made in the ordinary course of business (including, without limitation, surety bonds and appeal bonds)
in connection with workers' compensation, unemployment insurance and other types of social security benefits or to secure the performance of tenders, bids, leases, contracts (other than for the
repayment of Indebtedness), statutory obligations and other similar obligations, or (B) arising as a result of progress payments under government contracts, (v) purchase money Liens
(A) securing Indebtedness permitted under Section 7.2(iii), or (B) in connection with the purchase by such Person of equipment in
the normal course of business, provided that such payables shall not exceed any limits on Indebtedness provided for herein and shall otherwise be
Permitted Indebtedness hereunder, and (vi) Liens disclosed on Schedule 7.3. 

        7.4    Investments; New Facilities or Collateral; Subsidiaries    

        Borrower,
directly or indirectly, shall not (i) purchase, own, hold, invest in or otherwise acquire obligations or stock or securities of, or any other interest in, or all or
substantially all of the assets of, any Person or any joint venture, or (ii) make or permit to exist any loans, advances or guarantees to or for the benefit of any Person or assume, guarantee,
endorse, contingently agree to purchase or otherwise become liable for or upon or incur any obligation of any Person (other than those created by the Loan Documents and Permitted Indebtedness and
other than (A) trade credit extended in the ordinary course of business, (B) advances for business travel and similar temporary advances made in the ordinary course of business to
officers, directors and employees, and (C) the endorsement of negotiable instruments for deposit or collection or similar transactions in the ordinary course of business). Borrower, directly or
indirectly, shall not purchase, own, operate, hold, invest in or otherwise acquire any facility, property or assets or any Collateral that is not located at the locations set forth on  Schedule 5.18B unless Borrower shall provide to Lender at least thirty (30) Business Days prior written
notice. Borrower shall have no Subsidiaries other than those Subsidiaries, if any, existing at Closing and set forth in Schedule 5.3. 

        7.5    Dividends; Redemptions    

        Borrower
shall not (i) declare, pay or make any dividend or Distribution on any shares of capital stock or other securities or interests (other than dividends or Distributions
payable in its stock, or split-ups or reclassifications of its stock), (ii) apply any of its funds, property or assets to the acquisition, redemption or other retirement of any
capital stock or other securities or interests or of any options to purchase or acquire any of the foregoing (provided, however, that Borrower may redeem its capital stock from terminated employees
(other than the Employees except to the extent permitted under the Employee Subordination Agreements) pursuant to, but only to the extent required under, the terms of the related employment agreements
as long as no Default or Event of Default has occurred and is continuing or would be caused by or result from the payment thereof and as long as the aggregate amount of payments made to such
terminating employees in any fiscal year does not exceed $50,000), (iii) otherwise make any payments or Distributions to any stockholder, member, partner or other equity owner in such Person's
capacity as such, or (iv) make any payment of any Management or Service Fee; provided, however,
Borrower may make payments in the ordinary course of business in accordance with the terms of the Employment Agreements to the extent that such payments are not otherwise prohibited under the terms of
the Employee Subordination Agreements and payments of Tax Distributions as long as no Event of Default has occurred and is continuing or would result therefrom; provided,
further, that Borrower shall not make or suffer to exist any such payment described in (i) through (iii) above if a Default of Event of Default has occurred and
is continuing or would result therefrom. 

        7.6    Transactions with Affiliates    

        Borrower
shall not enter into or consummate any transaction of any kind with any of its Affiliates or any Guarantor or any of their respective Affiliates other than: (i) salary,
bonus, employee stock option and other compensation and employment arrangements with directors or officers in the ordinary course of business, provided,
that no payment of any bonus shall be permitted if a Default or Event of Default has occurred and remains in effect or would be caused by or result from such payment, (ii) Distributions and
dividends permitted pursuant to Section 7.5, (iii) transactions with Lender or any Affiliate of Lender, and (iv) payments permitted
under and pursuant to written agreements entered into by and between Borrower and one or more of its Affiliates that both (A) reflect and constitute transactions on overall terms at least as
favorable to Borrower as would be the case in an arm's-length transaction between unrelated parties of equal bargaining power, and (B) are subject to such terms and conditions as determined by
Lender in its sole discretion; provided, that notwithstanding the foregoing clauses (A) and (B) above Borrower shall not (Y) enter
into or consummate any transaction or agreement pursuant to which it becomes a party to any mortgage, note, indenture or guarantee evidencing any Indebtedness of any of its Affiliates or otherwise to
become responsible or liable, as a
guarantor, surety or otherwise, pursuant to agreement for any Indebtedness of any such Affiliate, or (Z) make any payment to any of its Affiliates in excess of $10,000 without the prior written
consent of Lender. 

        7.7    Charter Documents; Fiscal Year; Name; Jurisdiction of Organization; Dissolution; Use of
Proceeds    

        Except
in accordance with the terms of the Merger Documents, Borrower shall not (i) amend, modify, restate or change its certificate of incorporation or formation or bylaws or
similar charter documents in a manner that would be adverse to Lender, (ii) change its fiscal year unless Borrower demonstrates to Lender's satisfaction compliance with the covenants contained
herein for both the fiscal year in effect prior to any change and the new fiscal year period by delivery to Lender of appropriate interim and annual pro forma, historical and current compliance
certificates for such periods and such other information as Lender may reasonably request, (iii) without at least 20 days prior written notice to Lender, change its name or change its
jurisdiction of organization; (iv) amend, alter or suspend or terminate or make provisional in any material way, any Permit without the prior written consent of Lender, which consent shall not
be unreasonably withheld, (v) wind up, liquidate or dissolve (voluntarily or involuntarily) or commence or suffer any proceedings seeking or that would result in any of the foregoing, or
(vi) use any proceeds of any Advance for "purchasing" or "carrying" "margin stock" as defined in Regulations U, T or X of the Board of Governors of the Federal Reserve System. 

        7.8    Truth of Statements    

        Borrower
shall not furnish to Lender any certificate or other document that contains any untrue statement of a material fact or that omits to state a material fact necessary to make it
not misleading in light of the circumstances under which it was furnished. 

        7.9    IRS Form 8821    

        Borrower
shall not alter, amend, restate, or otherwise modify, or withdraw, terminate or re-file the IRS Form 8821 required to be filed pursuant to the Conditions
Precedent in Section 4.1 hereof. 

        7.10    Transfer of Assets    

        Notwithstanding
any other provision of this Agreement or any other Loan Document, Borrower shall not sell, lease, transfer, assign or otherwise dispose of any interest in any properties
or assets (other than obsolete equipment or excess equipment no longer needed in the conduct of the business in the
ordinary course of business and Inventory in the ordinary course of business), or agree to do any of the foregoing at any future time, except that: 

        (a)   Borrower
may lease (as lessee) real or personal property or surrender all or a portion of a lease of the same, in each case in the ordinary course of business (so long
as such lease does not 

create
or result in and is not otherwise a Capitalized Lease Obligation prohibited under this Agreement), provided that a Landlord Waiver and Consent
and such other consents as are required by Lender are signed and delivered to Lender with respect to any lease of real or other property, as applicable, if such real or other property serves as
corporate headquarters or a billing office, if any books or records, Accounts or other properties relating to Accounts are located thereat or if other assets in excess of $10,000 are maintained at
such property; 

        (b)   Borrower
may license or sublicense Intellectual Property or customer lists from third parties in the ordinary course of business,  provided, that such licenses or sublicenses shall not interfere with the business
or other operations of Borrower and that Borrower's rights, title
and/or interest in or to such Intellectual Property and customer lists and interests therein are pledged to Lender as further security for the Obligations and included as part of the Collateral if
permitted in accordance with its terms; and 

        (c)   Borrower
may consummate such other sales or dispositions of property or assets (including any sale or transfer or disposition of all or any part of its assets and
thereupon and within one year thereafter rent or lease the assets so sold or transferred) only to the extent prior written notice has been given to Lender and to the extent Lender has given its prior
written consent thereto, subject in each case to such conditions as may be set forth in such consent. 

        7.11    Payment on Permitted Subordinated Debt    

        Except
as permitted by the Subordination Agreement relating to such Permitted Subordinated Debt, Borrower shall not (i) make any prepayment of any part or all of any Permitted
Subordinated Debt, (ii) repurchase, redeem or retire any instrument evidencing any such Permitted Subordinated Debt prior to maturity, or (iii) enter into any agreement (oral or written)
which could in any way be construed to amend, modify, alter or terminate any one or more instruments or agreements evidencing or relating to any Permitted Subordinated Debt in a manner adverse to
Lender, as determined by Lender in its sole discretion. 

        7.12    Merger Documents    

        Borrower
shall not amend, modify, supplement or cancel, or waive any other party's compliance with, any material provision of the Merger Documents. 

        7.13    HealthTrans Agreement and Wellpoint Agreement    

        Borrower
shall not amend, modify, supplement or cancel, or waive any other party's compliance with, any material provision of the HealthTrans Agreement or the Wellpoint Agreement in a
manner which is materially adverse to the rights and benefits of the Lender under this Agreement or under the Loan Documents or which is reasonably expected to have a Material Adverse Effect. 

        7.14    NationsHealth Supply L.L.C.    

        Borrower
shall dissolve NationsHealth Supply L.L.C. or cause NationsHealth Supply L.L.C. to become a Guarantor under this Agreement on or before September 30, 2004. Borrower shall
not permit NationsHealth Supply L.L.C. to conduct any business operations or activities or change its inactive status prior to its dissolution or the date upon which it becomes a Guarantor. 

VIII.    EVENTS OF DEFAULT  

        The occurrence of any one or more of the following shall constitute an "Event of Default:" 

        (a)   Borrower
shall fail to pay any amount on the Obligations or provided for in any Loan Document when due (whether on any payment date, at maturity, by reason of
acceleration, by notice of intention to prepay, by required prepayment or otherwise); 

        (b)   any
representation, statement or warranty made or deemed made by Borrower or any Guarantor in any Loan Document or in any other certificate, document, report or opinion
delivered in conjunction with any Loan Document to which it is a party, shall not be true and 

correct
in all material respects or shall have been false or misleading in any material respect on the date when made or deemed to have been made (except to the extent already qualified by
materiality, in which case it shall be true and correct in all respects and shall not be false or misleading in any respect); 

        (c)   Borrower
or any Guarantor or other party thereto other than Lender shall be in violation, breach or default of, or shall fail to perform, observe or comply with any
covenant, obligation or agreement set forth in, any Loan Document and such violation, breach, default or failure shall not be cured within the applicable period set forth in the applicable Loan
Document; provided that, with respect to the affirmative covenants set forth in Article VI (other
than Sections 6.1(c), 6.2, 6.3(i), (ii) and (iii), 6.5, 6.8, 6.9 and 6.11 for which there shall
be no cure period), there shall be a fifteen (15) calendar day cure period commencing from the earlier of (i) Receipt by such Person of written notice of such breach, default, violation
or failure, and (ii) the time at which such Person or any authorized officer thereof knew or became aware, or should have known or been aware, of such failure, violation, breach or default, but
no Advances will be made during the cure period; 

        (d)   (i) any
of the Loan Documents ceases to be in full force and effect, or (ii) any Lien created thereunder ceases to constitute a valid perfected first
priority Lien on the Collateral in accordance with the terms thereof (other than as a result of the action or inaction of Lender), or Lender ceases to have a valid perfected first priority security
interest in any of the Collateral or any securities pledged to Lender pursuant to the Security Documents; 

        (e)   one
or more tax assessments, judgments or decrees is rendered against any Borrower or Guarantor in an amount in excess of $10,000 individually or $50,000 in the
aggregate, which is/are not satisfied, stayed, vacated or discharged of record within thirty (30) calendar days of being rendered but no Advances will be made before the judgment is stayed,
vacated or discharged; 

        (f)    (i) any
default occurs, which is not cured or waived, (x) in the payment of any amount with respect to any Indebtedness for borrowed money (other than the
Obligations) of any Borrower or Guarantor in excess of $10,000, (y) in the performance, observance or fulfillment of any provision contained in any agreement, contract, document or instrument
to which any Borrower or Guarantor is a party or to which any of their properties or assets are subject or bound under or pursuant to which any Indebtedness was issued, created, assumed, guaranteed or
secured and such default continues for more than any applicable grace period or permits the holder of any Indebtedness to accelerate the maturity thereof, or (z) in the performance, observance
or fulfillment of any provision contained in any agreement, contract, document or instrument between any Borrower or Guarantor and Lender or any Affiliate of Lender (other than the Loan Documents), or
(ii) any Indebtedness of any Borrower or Guarantor is declared to be due and payable or is required to be prepaid (other than by a regularly
scheduled payment) prior to the stated maturity thereof, or any obligation of such Person for the payment of Indebtedness (other than the Obligations) is not paid when due or within any applicable
grace period, or any such obligation becomes or is declared to be due and payable before the expressed maturity thereof, or there occurs an event which, with the giving of notice or lapse of time, or
both, would cause any such obligation to become, or allow any such obligation to be declared to be, due and payable; 

        (g)   any
Borrower or Guarantor shall (i) be unable to pay its debts generally as they become due, (ii) have total liabilities (including contingent,
subordinated, unmatured and unliquidated liabilities) that exceed its assets, at a Fair Valuation, (iii) have an unreasonably small capital base with which to engage in its anticipated
business, (iv) file a petition under any insolvency statute, (v) make a general assignment for the benefit of its creditors, (vi) commence a proceeding for the appointment
of a receiver, trustee, liquidator or conservator of itself or of the whole or any substantial part of its property, or (vii) file a petition seeking reorganization or liquidation or
similar relief under any Debtor Relief Law or any other applicable law or statute; 

        (h)   a
court of competent jurisdiction shall (A) enter an order, judgment or decree appointing a custodian, receiver, trustee, liquidator or conservator of any
Borrower or Guarantor or the whole or any substantial part of any such Person's properties, which shall continue unstayed and in effect for a period of thirty (30) calendar days,
(B) shall approve a petition filed against any Borrower or Guarantor seeking reorganization, liquidation or similar relief under the any Debtor Relief Law or any other applicable law or
statute, which is not dismissed within thirty (30) calendar days or, (C) under the provisions of any Debtor Relief Law or other applicable law or statute, assume custody or control of
any Borrower or Guarantor or of the whole or any substantial part of any such Person's properties, which is not irrevocably relinquished within thirty (30) calendar days, or (ii) there
is commenced against any Borrower or Guarantor any proceeding or petition seeking reorganization, liquidation or similar relief under any Debtor Relief Law or any other applicable law or statute and
either (A) any such proceeding or petition is not unconditionally dismissed within thirty (30) calendar days after the date of commencement, or (B) any Borrower or Guarantor takes
any action to indicate its approval of or consent to any such proceeding or petition, but no Advances will be made before any such order, judgment or decree described above is stayed, vacated or
discharged, any such petition described above is dismissed, or any such custody or control described above is relinquished; 

        (i)    (i) any
Change of Control occurs or any agreement or commitment to cause or that may result in any such Change of Control is entered into, (ii) any
Material Adverse Effect, or Material Adverse Change occurs or is reasonably expected to occur, (iii) any Liability Event occurs or is reasonably expected to occur, or (iv) any Borrower
or Guarantor ceases a material portion of its business operations as currently conducted; 

        (j)    Lender
receives any indication or evidence that any Borrower or Guarantor may have directly or indirectly been engaged in any type of activity which, in Lender's
judgment, is likely to result in forfeiture of any property to any Governmental Authority which shall have continued unremedied for a period of ten (10) calendar days after written notice from
Lender (but no Advances will be made before any such activity ceases); 

        (k)   an
Event of Default occurs under any other Loan Document; 

        (l)    uninsured
damage to, or loss, theft or destruction of, any portion of the Collateral occurs that exceeds $10,000 in the aggregate; 

        (m)  any
Borrower or Guarantor or any of their respective directors or senior officers is criminally indicted or convicted under any law that could lead to a forfeiture of
any Collateral; 

        (n)   the
issuance of any process for levy, attachment or garnishment or execution upon or prior to any judgment against any Borrower or Guarantor or any of their property or
assets which is/are not satisfied, stayed, vacated or discharged of record within thirty (30) calendar days of being issued; 

        (o)   any
Borrower or Guarantor does, or enters into or becomes a party to any agreement or commitment to do, or cause to be done, any of the things described in this  Article VIII or otherwise prohibited by
any Loan Document (subject to any cure periods set forth therein); 

        (p)   any
default occurs with respect to Borrower, which is not cured or waived, in the performance, observance or fulfillment of any provision contained in the Merger
Documents; 

        (q)   any
Employment Agreements shall be terminated in a manner which requires the payment of termination benefits in accordance with Section 5(b) thereof or any
"Notice of Enforcement Action" or "Notice of Final Determination" shall be delivered to Lender pursuant to the Employee Subordination Agreement; or 

        (r)   Borrower
or any Guarantor or other party thereto other than Lender shall be in violation, breach or default of, or shall fail to perform, observe or comply with any
covenant, obligation or agreement set forth in, any document governing the relations between any Borrower 

or
any Guarantor with any Affiliate and such violation, breach, default or failure shall not be cured within the applicable period set forth in that document; 

then,
and in any such event, notwithstanding any other provision of any Loan Document, Lender may, without notice or demand, do any of the following: (i) terminate its obligations to make
Advances hereunder, whereupon the same shall immediately terminate and (ii) declare all or any of the Notes, all interest thereon and all other Obligations to be due and payable immediately
(except in the case of an Event of Default under Section 8(d), (g),  (h) or (i)
(iii), in which event all of the foregoing shall automatically and without further act by
Lender be due and payable, provided that, with respect to non-material breaches or violations that constitute Events of Default under
clause (ii) of Section 8(d), there shall be a three (3) Business Day cure period (but no Advances will be made during any such cure
period) commencing from the earlier of (A) Receipt by the applicable Person of written notice of such breach or violation or of any event, fact or circumstance constituting or resulting in any
of the foregoing, and (B) the time at which such Person or any authorized officer thereof knew or became aware, or should have known or been aware, of such breach or violation and resulting
Event of Default or of any event, fact or circumstance constituting or resulting in any of the foregoing), in each case without presentment, demand, protest or further notice of any kind, all of which
are hereby expressly waived by Borrower. 

IX.   RIGHTS AND REMEDIES AFTER DEFAULT  

        9.1    Rights and Remedies    

        (a)   In
addition to the acceleration provisions set forth in Article VIII above, upon the occurrence and continuation
of an Event of Default, Lender shall have the right to exercise any and all rights, options and remedies provided for in the Loan Documents, under the UCC or at law or in equity, including, without
limitation, the right to (i) apply any property of any Borrower held by Lender to reduce the Obligations, (ii) foreclose the Liens created under the Security Documents,
(iii) realize upon, take possession of and/or sell any Collateral or securities pledged (other than Collateral consisting of Accounts owed or owing by Medicaid/Medicare Account Debtors absent a
court order or compliance with applicable law) with or without judicial process, (iv) exercise all rights and powers with respect to the Collateral as any Borrower, as applicable, might
exercise (other than with respect to Collateral consisting of Accounts owed or owing by Medicaid/Medicare Account Debtors absent a court order or compliance with applicable law), (v) collect
and send notices regarding the Collateral (other than with respect to Collateral consisting of Accounts owed or owing by Medicaid/Medicare Account Debtors absent a court order or compliance with
applicable law), with or without judicial process, (vi) by its own means or with judicial assistance, enter any premises at which Collateral and/or pledged securities are located, or render any
of the foregoing unusable or dispose of the Collateral and/or pledged securities on such premises without any liability for rent, storage, utilities, or other sums, and no Borrower shall resist or
interfere with such action, (vii) at Borrower's expense, require that all or any part of the Collateral be assembled and made available to Lender at any place designated by Lender,
(viii) reduce or otherwise change the Facility Cap, and/or (ix) relinquish or abandon any Collateral or securities pledged or any Lien thereon. Notwithstanding any provision of any Loan
Document, Lender shall have the right, at any time that Borrower fails to do so, and from time to time, without prior notice, to: (i) obtain insurance covering any of the Collateral to the
extent required hereunder or Lender to the extent required under Landlord Waiver and Consent; (ii) pay for the performance of any of Obligations; (iii) discharge taxes or Liens on any of
the Collateral that are in violation of any Loan document unless Borrower is in good faith with due diligence by appropriate proceedings contesting those items; and (iv) pay for the maintenance
and preservation of the Collateral, including the payment of rent or other per diem charges if required under any Landlord Waiver and Consent. Such expenses and advances shall be added to the
Obligations until reimbursed to Lender and shall be secured by the Collateral, and such payments by Lender shall not be construed as a waiver by Lender of any Event of Default or any other rights or
remedies of Lender. 

        (b)   Borrower
agrees that notice received by it at least ten (10) calendar days before the time of any intended public sale, or the time after which any private sale
or other disposition of Collateral is to 

be
made, shall be deemed to be reasonable notice of such sale or other disposition. If permitted by applicable law, any perishable Collateral which threatens to speedily decline in value or which is
sold on a recognized market may be sold immediately by Lender without prior notice to Borrower. At any sale or disposition of Collateral or securities pledged, Lender may (to the extent permitted by
applicable law) purchase all or any part thereof free from any right of redemption by any Borrower which right is hereby waived and released. Borrower covenants and agrees not to, and not to permit or
cause any of its Subsidiaries to, interfere with or impose any obstacle to Lender's exercise of its rights and remedies with respect to the Collateral. Lender, in dealing with or disposing of the
Collateral or any part thereof, shall not be required to give priority or preference to any item of Collateral or otherwise to marshal assets or to take possession or sell any Collateral with judicial
process. 

        9.2    Application of Proceeds    

        In
addition to any other rights, options and remedies Lender has under the Loan Documents, the UCC, at law or in equity, all dividends, interest, rents, issues, profits, fees, revenues,
income and other proceeds collected or received from collecting, holding, managing, renting, selling, or otherwise disposing of all or any part of the Collateral or any proceeds thereof upon exercise
of its remedies hereunder shall be applied in the following order of priority: (i) first, to the payment of all costs and expenses of such
collection, storage, lease, holding, operation, management, sale, disposition or delivery and of conducting Borrower's business and of maintenance, repairs, replacements, alterations, additions and
improvements of or to the Collateral, and to the payment of all sums which Lender may be required or may elect to pay, if any, for taxes, assessments, insurance and other charges upon the Collateral
or any part thereof, and all other payments that Lender may be required or authorized to make under any provision of this Agreement (including, without limitation, in each such case,
in-house documentation and diligence fees and legal expenses, search, audit, recording, professional and filing fees and expenses and reasonable attorneys' fees and all expenses,
liabilities and advances made or incurred in connection therewith); (ii) second, to the payment of all Obligations as provided herein;
(iii) third, to the satisfaction of Indebtedness secured by any subordinate security interest of record in the Collateral if written notification
of demand therefor is received before distribution of the proceeds is completed, provided, that, if requested by Lender, the holder of a subordinate
security interest shall furnish reasonable proof of its interest, and unless it does so, Lender need not address its claims; and (iv) fourth, to
the payment of any surplus then remaining to Borrower, unless otherwise provided by law or directed by a court of competent jurisdiction, provided that
Borrower shall be liable for any deficiency if such proceeds are insufficient to satisfy the Obligations or any of the other items referred to in this section. 

        9.3    Rights of Lender to Appoint Receiver    

        Without
limiting and in addition to any other rights, options and remedies Lender has under the Loan Documents, the UCC, at law or in equity, upon the occurrence and continuation of an
Event of Default, Lender shall have the right to apply for and have a receiver appointed by a court of competent jurisdiction in any action taken by Lender to enforce its rights and remedies in order
to manage, protect and preserve the Collateral and continue the operation of the business of Borrower and to collect all revenues and profits thereof and apply the same to the payment of all expenses
and other charges of such receivership including the compensation of the receiver and to the payments as aforesaid until a sale or other disposition of such Collateral shall be finally made and
consummated. 

        9.4    Rights and Remedies not Exclusive    

        Lender
shall have the right in its sole discretion to determine which rights, Liens and/or remedies Lender may at any time pursue, relinquish, subordinate or modify, and such
determination will not in any way modify or affect any of Lender's rights, Liens or remedies under any Loan Document, applicable law or equity. The enumeration of any rights and remedies in any Loan
Document is not intended to be exhaustive, and all rights and remedies of Lender described in any Loan Document are cumulative and are not alternative to or exclusive of any other rights or remedies
which Lender otherwise may have. The partial or complete exercise of any right or remedy shall not preclude any other further exercise of such or any other right or remedy. 

X.    WAIVERS AND JUDICIAL PROCEEDINGS  

        10.1    Waivers    

        Except
as expressly provided for herein, Borrower hereby waives setoff, counterclaim, demand, presentment, protest, all defenses with respect to any and all instruments and all notices
and demands of any description, and the pleading of any statute of limitations as a defense to any demand under any Loan Document. Borrower hereby waives any and all defenses and counterclaims it may
have or could interpose in any action or procedure brought by Lender to obtain an order of court recognizing the assignment of, or Lien of Lender in and to, any Collateral, whether or not payable by a
Medicaid/Medicare Account Debtor. With respect to any action hereunder, Lender conclusively may rely upon, and shall incur no liability to Borrower in acting upon, any request or other communication
that Lender reasonably believes to have been given or made by a person authorized on Borrower's behalf, whether or not such person is listed on the incumbency certificate delivered pursuant to
Section 4.1 hereof. In each such case, Borrower hereby waives the right to dispute Lender's action based upon such request or other communication, absent manifest error. 

        10.2    Delay; No Waiver of Defaults    

        No
course of action or dealing, renewal, release or extension of any provision of any Loan Document, or single or partial exercise of any such provision, or delay, failure or omission on
Lender's part in enforcing any such provision shall affect the liability of any Borrower or Guarantor or operate as a waiver of such provision or affect the liability of any Borrower or Guarantor or
preclude any other or further exercise of such provision. No waiver by any party to any Loan Document of any one or more defaults by any other party in the performance of any of the provisions of any
Loan Document shall operate or be construed as a waiver of any future default, whether of a like or different nature, and each such waiver shall be limited solely to the express terms and provisions
of such waiver. Notwithstanding any other provision of any Loan Document, by completing the Closing under this Agreement and/or by making Advances, Lender does not waive any breach of any
representation or warranty under any Loan Document, and all of Lender's claims and rights resulting from any such breach or misrepresentation are specifically reserved. 

        10.3    Jury Waiver    

        EACH
PARTY TO THIS AGREEMENT HEREBY EXPRESSLY WAIVES ANY RIGHT TO TRIAL BY JURY OF ANY CLAIM OR CAUSE OF ACTION ARISING UNDER THE LOAN DOCUMENTS OR IN ANY WAY CONNECTED WITH OR
INCIDENTAL TO THE DEALINGS OF THE PARTIES WITH RESPECT TO THE LOAN DOCUMENTS OR THE TRANSACTIONS CONTEMPLATED THEREBY, WHETHER NOW EXISTING OR HEREAFTER ARISING, AND WHETHER SOUNDING IN CONTRACT, TORT
OR OTHERWISE. EACH PARTY HEREBY AGREES AND CONSENTS THAT ANY SUCH CLAIM OR CAUSE OF ACTION SHALL BE DECIDED BY COURT TRIAL WITHOUT A JURY, AND THAT ANY PARTY TO THIS AGREEMENT MAY FILE AN ORIGINAL
COUNTERPART OR A COPY OF THIS SECTION WITH ANY COURT AS WRITTEN EVIDENCE OF THE CONSENTS OF THE PARTIES TO THE WAIVER OF THEIR RESPECTIVE RIGHTS TO TRIAL BY JURY. 

        10.4    Cooperation in Discovery and Litigation    

        In
any litigation, arbitration or other dispute resolution proceeding relating to any Loan Document, Borrower waives any and all defenses, objections and counterclaims it may have or
could interpose with respect to (i) any of its directors, officers, employees or agents being deemed to be employees or managing agents of Borrower for purposes of all applicable law or court
rules regarding the production of witnesses by notice for testimony (whether in a deposition, at trial or otherwise), (ii) Lender's counsel examining any such individuals as if under
cross-examination and using any discovery deposition of any of them as if it were an evidence deposition, and/or (iii) using all commercially reasonable efforts to produce in any such dispute
resolution proceeding, at the time and in the manner requested by Lender, all Persons, documents (whether in tangible, electronic or other form) and/or other things under its control and relating to
the dispute. 

XI.   EFFECTIVE DATE AND TERMINATION  

        11.1    Termination and Effective Date Thereof    

        (a)   Subject
to Lender's right to terminate and cease making Advances upon or after any Event of Default, this Agreement shall continue in full force and effect until the
full performance and indefeasible payment in cash of all Obligations, unless terminated sooner as provided in this Section 11.1. Borrower may
terminate this Agreement at any time upon not less than sixty (60) calendar days' prior written notice to Lender and upon full performance and indefeasible payment in full in cash of all
Obligations on or prior to such 60th calendar day after Receipt by Lender of such written notice; provided,
however, that, notwithstanding any other provision of any Loan Document, Borrower shall have no right to terminate this Agreement until after the first anniversary of the
Closing Date. All of the Obligations shall be immediately due and payable upon any such termination on the termination date stated in any notice of termination (the  "Termination Date"); provided that, notwithstanding any other provision of any Loan Document, the
Termination Date shall be effective no earlier than the first Business Day of the month following the expiration of the sixty (60) calendar days' prior written notice period. Notwithstanding
any other provision of any Loan Document, no termination of this Agreement shall affect Lender's rights or any of the Obligations existing as of the effective date of such termination, and the
provisions of the Loan Documents shall continue to be fully operative until the Obligations have been fully performed and indefeasibly paid in cash in full. The Liens granted to Lender under the
Security Documents and the financing statements filed pursuant thereto and the rights and powers of Lender shall continue in full force and effect notwithstanding the fact that Borrower's borrowings
hereunder may from time to time be in a zero or credit position until all of the Obligations have been fully performed and indefeasibly paid in full in cash. 

        (b)   If
(i) Borrower terminates the Revolving Facility under this Section 11.1, (ii) Borrower voluntarily
or involuntarily repays the Obligations (other than reductions to zero of the outstanding balance of the Revolving Facility resulting from the ordinary course operation of the provisions of  Section 2.5), whether by virtue of Lender's exercising its right of set off or otherwise; (iii) the Obligations are accelerated by Lender
(each of the events described in (i), (ii) and (iii) above being hereinafter referred to as, a "Revolver Termination"), then at the
effective date of any such Revolver Termination, Borrower shall pay Lender (in addition to the then outstanding principal, accrued interest and other Obligations relating to the Revolving Facility
pursuant to the terms of this Agreement and any other Loan Document), to compensate Lender for the loss of bargain and not as a penalty, an amount equal to the applicable Minimum Termination Fee. 

        11.2    Survival    

        All
obligations, covenants, agreements, representations, warranties, waivers and indemnities made by Borrower in any Loan Document shall survive the execution and delivery of the Loan
Documents, the Closing, the making of the Advances and any termination of this Agreement until all Obligations are fully performed and indefeasibly paid in full in cash. The obligations and provisions
of Sections 3.4, 3.5, 6.13, 10.1, 10.3, 11.1, 11.2, 12.4, 12.7 and 12.10 shall survive termination of the Loan Documents and any payment, in full or in
part, of the Obligations. 

XII. MISCELLANEOUS  

        12.1    Governing Law; Jurisdiction; Service of Process; Venue    

        The
Loan Documents shall be governed by and construed in accordance with the internal laws of the State of Maryland without giving effect to its choice of law provisions. Any judicial
proceeding against Borrower with respect to the Obligations, any Loan Document or any related agreement may be brought in any federal or state court of competent jurisdiction located in the State of
Maryland. By execution and delivery of each Loan Document to which it is a party, Borrower (i) accepts the non-exclusive jurisdiction of the aforesaid courts and irrevocably agrees
to be bound by any judgment rendered thereby, (ii) waives personal service of process, (iii) agrees that service of process upon it may be made by certified or registered mail, return
receipt requested, pursuant to Section 12.5 hereof, 

(iv) waives
any objection to jurisdiction and venue of any action instituted hereunder and agrees not to assert any defense based on lack of jurisdiction, venue or convenience, and
(v) agrees that this loan was made in Maryland, that Lender has accepted in Maryland Loan Documents executed by Borrower and has disbursed Advances under the Loan Documents in Maryland. Nothing
shall affect the right of Lender to serve process in any manner permitted by law or shall limit the right of Lender to bring proceedings against Borrower in the courts of any other jurisdiction having
jurisdiction. Any judicial proceedings against Lender involving, directly or indirectly, the Obligations, any Loan Document or any related agreement shall be brought only in a federal or state court
located in the State of Maryland. All parties acknowledge that they participated in the negotiation and drafting of this Agreement and that, accordingly, no party shall move or petition a court
construing this Agreement to construe it more stringently against one party than against any other. 

        12.2    Successors and Assigns; Participations; New Lenders    

        The
Loan Documents shall inure to the benefit of Lender, Transferees and all future holders of any Note, the Obligations and/or any of the Collateral, and each of their respective
successors and assigns. Each Loan Document shall be binding upon the Persons' other than Lender that are parties thereto and their respective successors and assigns, and no such Person may assign,
delegate or transfer any Loan Document or any of its rights or obligations thereunder without the prior written consent of Lender. No rights are intended to be created under any Loan Document for the
benefit of any third party donee, creditor or incidental beneficiary of any Borrower or Guarantor. Nothing contained in any Loan Document shall be construed as a delegation to Lender of any other
Person's duty of performance. BORROWER ACKNOWLEDGES AND AGREES THAT LENDER AT ANY TIME AND FROM TIME TO TIME MAY (I) DIVIDE AND RESTATE ANY NOTE, AND/OR (II) SELL, ASSIGN OR GRANT
PARTICIPATING INTERESTS IN OR TRANSFER ALL OR ANY PART OF ITS RIGHTS OR OBLIGATIONS UNDER ANY LOAN DOCUMENT, NOTE, THE OBLIGATIONS AND/OR THE COLLATERAL TO OTHER PERSONS (EACH SUCH TRANSFEREE,
ASSIGNEE OR PURCHASER, A "TRANSFEREE"). Each Transferee shall have all of the rights and benefits with respect to the Obligations, Notes, Collateral
and/or Loan Documents held by it as fully as if the original holder thereof, and either Lender or any Transferee may be designated as the sole agent to manage the transactions and obligations
contemplated therein; provided that, notwithstanding anything to the contrary in any Loan Document, Borrower shall not be obligated to pay under this
Agreement to any Transferee any sum in excess of the sum which Borrower would have been obligated to pay to Lender had such participation not been effected. Notwithstanding any other provision of any
Loan Document, Lender may disclose to any Transferee all information, reports, financial statements, certificates and documents obtained under any provision of any Loan Document. 

        12.3    Application of Payments    

        To
the extent that any payment made or received with respect to the Obligations is subsequently invalidated, determined to be fraudulent or preferential, set aside or required to be
repaid to a trustee, debtor in possession, receiver, custodian or any other Person under any Debtor Relief Law, common law or equitable cause or any other law, then the Obligations intended to be
satisfied by such payment shall be revived and shall continue as if such payment had not been received by Lender. Any payments with respect to the Obligations received shall be credited and applied in
such manner and order as Lender shall decide in its sole discretion. 

        12.4    Indemnity    

        Each
Borrower jointly and severally shall indemnify Lender, its Affiliates and its and their respective managers, members, officers, employees, Affiliates, agents, representatives,
successors, assigns, accountants and attorneys (collectively, the "Indemnified Persons") from and against any and all liabilities, obligations, losses,
damages, penalties, actions, judgments, suits, costs, expenses and disbursements of any kind or nature whatsoever (including, without limitation, reasonable fees and disbursements of counsel and
in-house documentation and diligence fees and legal expenses) which may be imposed on, incurred by or asserted against any Indemnified Person with respect to or arising out of, or in any
litigation, proceeding or investigation instituted or conducted by any Person with 

respect
to any aspect of, or any transaction contemplated by or referred to in, or any matter related to, any Loan Document or any agreement, document or transaction contemplated thereby, whether or
not such Indemnified Person is a party thereto, except to the extent that any of the foregoing arises out of the gross negligence or willful misconduct of such Indemnified Person. If any Indemnified
Person uses in-house counsel for any purpose for which any Borrower is responsible to pay or indemnify, each Borrower expressly agrees that its indemnification obligations include
reasonable charges for such work commensurate with the fees that would otherwise be charged by outside legal counsel selected by such Indemnified Person in its sole discretion for the work performed.
Lender agrees to give Borrower reasonable notice of any event of which Lender becomes aware for which indemnification may be required under this  Section 12.4, and Lender may elect (but is not
obligated) to direct the defense thereof, provided that the selection of counsel shall be subject
to Borrower's consent, which consent shall not be unreasonably withheld or delayed. Any Indemnified Person may, in its reasonable discretion, take such actions as it deems necessary and appropriate to
investigate, defend or settle any event or take other remedial or corrective actions with respect thereto as may be necessary for the protection of such Indemnified Person or the Collateral.
Notwithstanding the foregoing, if any insurer agrees to undertake the defense of an event (an "Insured Event"), Lender agrees not to exercise its right
to select counsel to defend the event if that would cause any Borrower's insurer to deny coverage; provided,  however, that Lender reserves the right to
retain counsel to represent any Indemnified Person with respect to an Insured Event at its sole cost and
expense. To the extent that Lender obtains recovery from a third party other than an Indemnified Person of any of the amounts that any Borrower has paid to Lender pursuant to the indemnity set forth
in this Section 12.4, then Lender shall promptly pay to such Borrower the amount of such recovery. 

        12.5    Notice    

        Any
notice or request under any Loan Document shall be given to any party to this Agreement at such party's address set forth beneath its signature on the signature page to this
Agreement, or at such other address as such party may hereafter specify in a notice given in the manner required under this Section 12.5. Any
notice or request hereunder shall be given only by, and shall be deemed to have been received upon (each, a "Receipt"): (i) registered or
certified mail, return receipt requested, on the date on which received as indicated in such return receipt, (ii) delivery by a nationally recognized overnight courier, one (1) Business
Day after deposit with such courier, or (iii) facsimile transmission, in each case upon telephone or further electronic communication from the recipient acknowledging receipt (whether automatic
or manual from recipient), as applicable. 

        12.6    Severability; Captions; Counterparts; Facsimile Signatures    

        If
any provision of any Loan Document is adjudicated to be invalid under applicable laws or regulations, such provision shall be inapplicable to the extent of such invalidity without
affecting the validity or enforceability of the remainder of the Loan Documents which shall be given effect so far as possible. The captions in the Loan Documents are intended for convenience and
reference only and shall not affect the meaning or interpretation of the Loan Documents. The Loan Documents may be executed in one or more counterparts (which taken together, as applicable, shall
constitute one and the same instrument) and by facsimile transmission, which facsimile signatures shall be considered original executed counterparts. Each party to this Agreement agrees that it will
be bound by its own facsimile signature and that it accepts the facsimile signature of each other party. 

        12.7    Expenses    

        Borrower
shall pay, whether or not the Closing occurs, all reasonable costs and expenses incurred by Lender and/or its Affiliates, including, without limitation, documentation and
diligence fees and expenses, all search, audit, appraisal, recording, professional and filing fees and expenses and all other reasonable out-of-pocket charges and expenses
(including, without limitation, UCC and judgment and tax lien searches and UCC filings and fees for post-Closing UCC and judgment and tax lien searches and wire transfer fees and audit
expenses), and reasonable attorneys' fees and expenses, (i) in any effort to enforce, protect or collect payment of any Obligation or to enforce any Loan Document or any related agreement,
document or instrument, (ii) in connection with entering into, negotiating, 

preparing,
reviewing and executing the Loan Documents and/or any related agreements, documents or instruments, (iii) arising in any way out of administration of the Obligations, (iv) in
connection with instituting, maintaining, preserving, enforcing and/or foreclosing on Lender's Liens in any of the Collateral or securities pledged under the Loan Documents, whether through judicial
proceedings or otherwise, (v) in defending or prosecuting any actions, claims or proceedings arising out of or relating to Lender's transactions with Borrower, (vi) in seeking, obtaining
or receiving any advice with respect to its rights and obligations under any Loan Document and any related agreement, document or instrument, and/or (vii) in connection with any modification,
restatement, supplement, amendment, waiver or extension of any Loan Document and/or any related agreement, document or instrument. All of the foregoing shall be charged to Borrower's account and shall
be part of the Obligations. If Lender or any of its Affiliates uses in-house counsel for any purpose under any Loan Document for which Borrower is responsible to pay or indemnify, Borrower
expressly agrees that its Obligations include reasonable charges for such work commensurate with the fees that would otherwise be charged by outside legal counsel selected by Lender or such Affiliate
in its sole discretion for the work performed. Without limiting the foregoing, Borrower shall pay all taxes (other than taxes based upon or measured by Lender's income or revenues or any personal
property tax), if any, in connection with the issuance of any Note and the filing and/or recording of any documents and/or financing statements. 

        12.8    Entire Agreement    

        This
Agreement and the other Loan Documents to which Borrower is a party constitute the entire agreement between Borrower and Lender with respect to the subject matter hereof and
thereof, and supersede all prior agreements and understandings, if any, relating to the subject matter hereof or thereof. Any promises, representations, warranties or guarantees not herein contained
and hereinafter made shall have no force and effect unless in writing signed by Borrower and Lender. No provision of this Agreement may be changed, modified, amended, restated, waived, supplemented,
discharged, canceled or terminated orally or by any course of dealing or in any other manner other than by an agreement in writing signed by Lender and Borrower. Each party hereto acknowledges that it
has been advised by counsel in connection with the negotiation and execution of this Agreement and is not relying upon oral representations or statements inconsistent with the terms and provisions
hereof. 

        12.9    Lender Approvals    

        Unless
expressly provided herein to the contrary, any approval, consent, waiver or satisfaction of Lender with respect to any matter that is subject of any Loan Document may be granted
or withheld by Lender in its sole and absolute discretion. 

        12.10    Publicity    

        Borrower
hereby agrees that Lender or any Affiliate of Lender may (i) disclose a general description of transactions arising under the Loan Documents for advertising, marketing or
other similar purposes and (ii) use Borrower's or any Guarantor's name, logo or other indicia germane to such party in connection with such advertising, marketing or other similar purposes. 

        12.11    Release of Lender    

        Notwithstanding
any other provision of any Loan Document, Borrower voluntarily, knowingly, unconditionally and irrevocably, with specific and express intent, for and on behalf of itself,
its managers, members, directors, officers, employees, stockholders, Affiliates, agents, representatives, accountants, attorneys, successors and assigns and their respective Affiliates (collectively,
the "Releasing Parties"), hereby fully and completely releases and forever discharges the Indemnified Parties and any other Person or insurer which may
be responsible or liable for the acts or omissions of any of the Indemnified Parties, or who may be liable for the injury or damage resulting therefrom (collectively, with the Indemnified Parties, the  "Released
Parties"), of and from any and all actions, causes of action, damages, claims, obligations, liabilities, costs, expenses and demands of any
kind whatsoever, at law or in equity, matured or unmatured, vested or contingent, that any of the Releasing Parties has against any of the Released Parties as of the date of the Closing. Borrower
acknowledges that the foregoing 

release
is a material inducement to Lender's decision to extend to Borrower the financial accommodations hereunder and has been relied upon by Lender in agreeing to make the Advances. 

        12.12    Agent    

        Lender
and its successors and assigns hereby (i) designate and appoint CapitalSource Finance LLC, a Delaware limited liability company, and its successors and assigns
("CapitalSource"), to act as agent for Lender and its successors and assigns under this Agreement and all other Loan Documents, (ii) irrevocably
authorize CapitalSource to take all actions on its behalf under the provision of this Loan Agreement and all other Loan Documents, and (iii) to exercise all such powers and rights, and to
perform all such duties and obligations hereunder and thereunder. CapitalSource, on behalf of Lender, shall hold all Collateral, payments of principal and interest, fees, charges and collections
received pursuant to this Agreement and all other Loan Documents. Borrower acknowledges that Lender and its successors and assigns transfer and assign to CapitalSource the right to act as Lender's
agent to enforce all rights and perform all obligations of Lender contained herein and in all of the other Loan Documents. Borrower shall within ten (10) Business Days after Lender's reasonable
request, take such further actions, obtain such consents and approvals and duly execute and deliver such further agreements, amendments, assignments, instructions or documents as Lender may request to
evidence the appointment and designation of CapitalSource as agent for Lender and other financial institutions from time to time party hereto and to the other Loan Documents. 

[SIGNATURES APPEAR ON THE FOLLOWING PAGE]

        IN
WITNESS WHEREOF, each of the parties has duly executed this Revolving Credit and Security Agreement as of the date first written above. 

	 	 	UNITED STATES PHARMACEUTICAL GROUP, L.L.C. d/b/a NATIONSHEALTH
	

 	
 	

By:	
 	

 

	 	 	Name:	 	 

	 	 	Its:	 	 

	

 	
 	
Address for Notices:

13650 N.W. 8th Street

Suite 109

Sunrise, FL 33325
	

 	
 	

Attention:	
 	

Tim Fairbanks
	 	 	Telephone:	 	 

	 	 	FAX:	 	 

	

 	
 	
NATIONSHEALTH HOLDINGS, L.L.C.
	

 	
 	

By:	
 	

 

	 	 	Name:	 	 

	 	 	Its:	 	 

	

 	
 	
Address for Notices:

13650 N.W. 8th Street

Suite 109

Sunrise, FL 33325
	

 	
 	

Attention:	
 	

Tim Fairbanks
	 	 	Telephone:	 	 

	 	 	FAX:	 	 

	

 	
 	
CAPITALSOURCE FINANCE LLC
	 	 	By:	 	 

	 	 	Name:	 	 

	 	 	Its:	 	 

	

 	
 	
Address for Notices:

CapitalSource Finance LLC

4445 Willard Avenue, 12th Floor

Chevy Chase, MD 20815

Attention: Healthcare Finance Group, Portfolio Manager

Telephone: (301) 841-2700

FAX: (301) 841-2340

ANNEX I  

FINANCIAL COVENANTS  

1)    Minimum EBITDA  

        At not time shall Borrower permit EBITDA to be less than the amounts set forth across from such month or month(s) for the Test Period most recently ended: 

	Test Period Ending
 
	 	Minimum EBITDA
	 
	April 30, 2004 through July 31, 2004	 	$	(3,100,000	)
	August 31, 2004 through September 30, 2004	 	$	750,000	 
	October 31, 2004 through December 31, 2004	 	$	4,000,000	 
	January 31, 2005 through June 30, 2005	 	$	7,000,000	 
	July 31, 2005 through December 31, 2005	 	$	7,700,000	 
	January 31, 2006 through December 31, 2006	 	$	8,500,000	 
	January 31, 2007 and thereafter	 	$	9,400,000	 

2)    Fixed Charge Coverage Ratio (EBITDA/Fixed Charges)  

        At no time shall Borrower permit Fixed Charge Coverage Ratio to be less than the following as at the end of the following calendar months: 

	Calendar Month Ending
 
	 	Ratio

	April 30, 2004 through July 31, 2004	 	(8.00) to 1.0
	August 31, 2004 through September 30, 2004	 	1.00 to 1.0
	October 31, 2004 through December 31, 2004	 	1.25 to 1.0
	January 31, 2005 and thereafter	 	1.50 to 1.0

3)    Cash Velocity  

        Collections of Borrower's Accounts shall not be less than the amount set forth below for each calendar month during the Term;  provided,
that upon any violation of or failure to comply with this covenant Lender shall have the right, in its sole discretion, to consider for all
purposes under the Agreement as though Borrower actually collected Accounts equal to such minimum required amount. 

	Calendar Month Ending
 
	 	Cash Velocity

	April 30, 2004 through May 31, 2004	 	$	3,800,000
	June 30, 2004 through July 31, 2004	 	$	4,600,000
	August 31, 2004 through September 30, 2004	 	$	7,500,000
	October 31, 2004 through December 31, 2004	 	$	9,000,000
	January 31, 2005 through June 30, 2005	 	$	12,000,000
	July 31, 2005 through December 31, 2005	 	$	14,000,000
	January 31, 2006 through December 31, 2006	 	$	16,000,000
	January 31, 2007 and thereafter	 	$	17,500,000

4)    Minimum Liquidity and Working Capital  

        As of the Closing Date and at all other times Borrower shall have Available Cash on hand which is not less than the following amounts at all times during the
following time periods during the Term: 

	Time Period
 
	 	Amount

	Closing Date through May 31, 2004	 	$	400,000
	June 1, 2004 through July 31, 2004	 	$	600,000
	August 1, 2004 through September 30, 2004	 	$	800,000
	October 31, 2004 and all times thereafter	 	$	1,500,000

        For
purposes of the covenants set forth in this Annex I, the terms listed below shall have the following meanings: 

        "Available Cash" shall mean, for and on any date, the sum without duplication of the following for Borrower: (a) unrestricted cash
on hand on such date, (b) Cash Equivalents held on such date, and (c) the unborrowed Availability on and as of such date. 

        "Cash Equivalents" shall mean (a) securities issued, or directly and fully guaranteed or insured, by the United States or any
agency or instrumentality thereof (provided that the full faith and credit of the United States is pledged in support thereof) having maturities of not more than six months from the date of
acquisition, (b) U.S. dollar denominated time deposits, certificates of deposit and bankers' acceptances of (i) any domestic commercial bank of recognized standing having capital and
surplus in excess of $500,000,000, or (ii) any bank (or the parent company of such bank) whose short-term commercial paper rating from Standard & Poor's Ratings Services
("S&P") is at least A-2 or the equivalent thereof or from Moody's Investors Service, Inc.
("Moody's") is at least P-2 or the equivalent thereof in each case with maturities of not more than six months from the date of acquisition
(any bank meeting the qualifications specified in clauses (b)(i) or (ii), an "Approved Bank"), (c) repurchase obligations with a term of
not more than seven days for underlying securities of the types described in clause (a), above, entered into with any Approved Bank, (d) commercial paper issued by any Approved Bank or
by the parent company of any Approved Bank and commercial paper issued by, or guaranteed by, any industrial or financial company with a short-term commercial paper rating of at least
A-2 or the equivalent thereof by S&P or at least P-2 or the equivalent thereof by Moody's, or guaranteed by any industrial company with a long term unsecured debt rating of at
least A or A2, or
the equivalent of each thereof, from S&P or Moody's, as the case may be, and in each case maturing within six months after the date of acquisition and (e) investments in money market funds
substantially all of whose assets are comprised of securities of the type described in clauses (a) through (d) above. 

        "EBITDA" shall mean, for any Test Period, the sum, without duplication, of the following for Borrower, on a consolidated basis: Net Income
determined in accordance with GAAP, plus, (a) Interest Expense, (b) taxes on income, whether paid, payable or accrued,
(c) depreciation expense, (d) amortization expense, (e) all other non-cash, non-recurring charges and expenses, excluding accruals for cash expenses made
in the ordinary course of business, and (f) loss from any sale of assets, other than sales in the ordinary course of business, all of the foregoing determined in accordance with GAAP, minus
(a) gains from any sale of assets, other than sales in the ordinary course of business and (b) other extraordinary or non-recurring gains. 

        "Fixed Charge Coverage Ratio" shall mean, for Borrower collectively on a consolidated basis, the ratio of (a) EBITDA for the Test
Period, to (b) Fixed Charges for the Test Period. 

        "Fixed Charges" shall mean, the sum of the following: (a) Total Debt Service, (b) Capital Expenditures, (c) income
taxes paid in cash or accrued, and (d) dividends paid or accrued or declared. 

        "Interest Expense" shall mean, for any Test Period, total interest expense (including attributable to Capital Leases in accordance with
GAAP) fees with respect to all outstanding Indebtedness including capitalized interest but excluding commissions, discounts and other fees owed with respect to letters of credit and bankers'
acceptance financing and net costs under Interest Rate Agreements. 

        "Interest Rate Agreement" shall mean any interest rate swap, cap or collar agreement or other similar agreement or arrangement designed to
hedge the position with respect to interest rates. 

        "Net Income" shall mean, the net income (or loss) determined in conformity with GAAP, provided that there shall be excluded (i) the
income (or loss) of any Person in which any other Person (other than any Borrower) has a joint interest, except to the extent of the amount of dividends or other distributions actually paid to a
Borrower by such Person, (ii) the income (or loss) of any Person accrued prior to the date it becomes a Borrower or is merged into or consolidated with a Borrower or that Person's assets are
acquired by a Borrower, (iii) the income of any Subsidiary of Borrower to the extent that the declaration or payment of dividends or similar distributions of that income by that Subsidiary is
not at the time permitted by operation of the terms of the charter or any agreement, 

instrument,
judgment, decree, order, statute, rule or governmental regulation applicable to that Subsidiary, (iv) compensation expense resulting from the issuance of capital stock, stock
options or stock appreciation rights issued to former or current employees, including officers, of a Borrower, or the exercise of such options or rights, in each case to the extent the obligation (if
any) associated therewith is not expected to be settled by the payment of cash by a Borrower or any affiliate thereof, and (v) compensation expense resulting from the repurchase of capital
stock, options and rights described in clause (iv) of this definition of Net Income. 

        "Test Period" shall mean the three most recent calendar months then ended (taken as one accounting period), or such other period as
specified in the Agreement or any Annex thereto. 

        "Total Debt Service" shall mean the sum of (i) scheduled or other required payments of principal on Indebtedness, and
(ii) Interest Expense, in each case for such period. 

QuickLinks

REVOLVING CREDIT AND SECURITY AGREEMENTExhibit 4.1  

Attached
hereto as Exhibit 4.1 is the Employment Agreement, by and between ARCADIS NV and Harrie L.J. Noy, Chairman of the Executive Board, dated January 27, 1994, as amended on
June 19, 2000. Pursuant to the terms of the original Employment Agreement, Mr. Noy was appointed to the Executive Board. The Employment Agreement contains no termination date. 

The
Employment Agreement sets forth Mr. Noy's fixed salary, variable salary, pension, compensation and other fringe benefits, as more fully described in this annual report on
Form 20-F. The Employment Agreement also provides that the collective labor agreement that applies to ARCADIS' other employees also applies to Mr. Noy. 

Pursuant
to the Amendment to the Employment Agreement dated June 19, 2000, Mr. Noy was appointed Chairman of the Executive Board. Additionally, Mr. Noy's fixed salary was
increased. The other terms of the Employment Agreement remained unchanged. 

Heidemij LOGO  

	RAAD VAN COMMISSARISSEN

De heer ir H.L.J. Noy

Traverse 26

5361 TE GRAVE	 	Heidemij NV

Lovinklann 1

Postbus 33

6800 LE Arnhem

Telefoon 085-778911

Telefax 085-422259

Arnhem,
27 januari 1994

RcV/AA94/A039/dr 

Betreft: Benoeming tot lid Raad van Bestuur; arbeidsvoorwaarden/kostenvergoedingen

Geachte
heer Noy, 

De
Raad van Commissarissen heeft op 12 januari 1994 besloten u met ingang van 1 maart 1994 te benoemen tot lid de Raad van Bestuur van Heidemij NV. Graag wensen wij u veel succes bij de vervulling van
uw functie. 

Salaris  

Het
totaal bruto-salaris bedraagt ƒ 287.862,—per jaar, inclusief een functietoeslag van ƒ 57.572,—. Dit salaris is exclusief
vakantietoeslag en decemberuitkering. 

Functietoeslag  

De
functietoeslag is verbonden aan uw functie van lid van de Raad van Bestuur. Bij beëindiging van deze functie en voortzetting van het dienstverband wordt de functietoeslag afgebouwd: 

	•
	gedurende
het eerste jaar na de beëindigingsdatum ontvangt u nog tweederde deel van de functietoeslag, en

	•
	gedurende
het tweede jaar na de beëindigingsdatum nog eenderde deel van de functietoeslag. 

De
functietoeslag vormt een deel van uw salaris en telt derhalve normaal mee bij de vastelling van premies en toeslagen. 

Ziektekostenverzekering  

U
blijft deelnemen aan de particuliere ziektekostenverzekering "Onderlinge Ziektekostenverzekeringsmaatschappij Zuid en Noord" te Goes, met de daarbij behorende werkgeversbijdrage. 

Pensioen  

U
blijft deelnemer van de Stichting Heidemij Pensioenfonds. 

Het
pensioenrecht is volgens het D-reglement gebaseerd op het salaris inclusief de functietoeslag, waaraan nog is toe te voegen: 

	•
	in
de tweejarige afbouwfase, na beëindiging van de Raad van Bestuur-functie, wordt de functietoeslag niet meegeteld voor de opbouw van het pensioen;

	•
	bij
beëindiging van de directiefunctie ontstaat een premievrij recht over dat deel van het opgebouwde pensioenrecht dat samenhangt met de functietoeslag. 

Tantième  

Voor
deze functie geldt een door de Raad van Commissarissen vast te stellen tantième. Het uit te keren bedrag wordt jaarlijks bepaald na vaststelling van de jaarrekening, gebaseerd op
de resultaten van 

 

Heidemij
NV. Het tantièmebedrag bedraagt maximaal vier maanden salaris. Bij beëindiging van deze functie vervalt de tantième. 

Representatievergoeding  

De
representatievergoeding bedraagt ƒ 10.200,—per jaar, gedurende de vervulling van uw functie in de Raad van Bestuur. 

Telefoonkostenvergoeding  

Voor
de uitoefening van uw functie is een privé-telefoonaansluiting noodzakelijk, met een vergoeding van kosten volgens de regeling telefoonkostenvergoeding. 

Standplaats  

Uw
standplaats is Arnhem. 

CAO-bepalingen  

Overigens
zijn de CAO Heidemij-bepalingen op u van toepassing. 

Autoregeling  

U
krijgt een lease auto ter beschikking volgens de vigerende regeling voor de Raad van Bestuur. 

Wij
verzoeken u bijgaande kopie van dit schrijven door u voor akkoord getekend terug te zenden aan het secretariaat RvB. 

Hoogachtend,

HEIDEMIJ NV 

/s/
D. Luteijn

ir D. Luteijn

voorzitter Raad van Commissarissen 

Voor akkoord: 

/s/
H.L.J. Noy

ir H.L.J. Noy 

2

 

	

 	

 

[ARCADIS LETTERHEAD] 

De
heer ir. H.L.J. Noy

Van Borsselenweg 10

6862 BJ OOSTERBEEK 

Onderwerp

Benoeming tot voorzitter 

Arnhem,

19 juni 2000 

Geachte
heer Noy, 

Het
is mij een genoegen u met deze brief te mogen bevestigen dat u per 1 juli 2000 bent benoemd tot voorzitter van de Raad van Bestuur. 

Uw
salaris zal per 1 juli 2000 worden verhoogd tot NLG 49.684,- per maand (NLG 596.213,- per jaar), dit is exclusief 2% decemberuitkering en 8% vakantietoeslag. 

Voor
het overige zijn er geen wijzigingen in uw arbeidsvoorwaarden. 

Wij
wensen u veel succes toe in de uitoefening van uw nieuwe functie en rekenen op een vruchtbare samenwerking. 

Hoogachtend,

ARCADIS NV 

/s/D.
Luteijn

Ir. D. Luteijn

Voorzitter Raad van Commissarissen 

3

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