Document:

Exhibit 10.6

		

			EXECUTION COPY

		

		

			 

		

		
			
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						AMENDMENT NO.5 TO

					
						 

					
						AGREEMENT

					
					
						

				

		
			 
		

		
			THIS AMENDMENT NO.5 TO AGREEMENT (this “Amendment”) is made effective as of December  9,  2013, between IDEXX Operations, Inc., a Delaware corporation whose principal place of business is at 6100 east Shelby Drive, Memphis Tennessee 38141, U.S.A. (“IDEXX”) and Ortho-Clinical Diagnostics, Inc., a New York corporation with offices at 100 Indigo Creek Drive, Rochester, New York, U.S.A. (“OCD”).
		

		
			WHEREAS, OCD and IDEXX have entered into that certain Agreement dated as of October 16, 2003, as amended by Amendment No. 1 thereto effective January 1, 2005, Amendment No. 2 thereto effective October 15, 2006,  Amendment No. 3 thereto effective January 18, 2008 and Amendment No. 4 thereto effective December 28, 2011 (as so amended, the “Agreement”), regarding supply by OCD of dry slides for IDEXX veterinary chemistry analyzers; and    
		

		
			WHEREAS, OCD and IDEXX now desire to amend the Agreement to reflect the foregoing;
		

		
			NOW THEREFORE, the parties hereby agree as follows:
		

		
			 
		

			
	
			
				 1.
			

			
	
			
			Schedule 3 to the Agreement is deleted in its entirety and replaced with the attached Schedule 3.  All future adjustments to Schedule 3 will require the mutual agreement of both parties.

			
	
			
				 2.
			

			
	
			
			Schedule 5 to the Agreement (as amended in Amendment No. 4 to the Agreement)  is supplemented with the attached Schedule 5-A, and references in the Agreement to Schedule 5 shall be deemed to include Schedule 5-A.  For the avoidance of doubt, subject to the terms and conditions of the Agreement, OCD undertakes to manufacture for IDEXX and supply to IDEXX, the consumables listed on the attached  Schedule 5-A.   All future adjustments to Schedule 5-A will require the mutual agreement of both parties.

			
	
			
				 3.
			

			
	
			
			Schedule 6 to the Agreement is deleted in its entirety and replaced with the attached Schedule 6.  All future adjustments to Schedule 6 will require the mutual agreement of both parties.

			
	
			
				 4.
			

			
	
			
			The specifications attached as Exhibit A to this Amendment are the mutually agreed specifications for the relevant products listed therein.  Exhibit A will be comprised of the “Purchase Material Specifications” documents for each test and panel listed in Schedule 5-A and may be changed or added to periodically by the mutual agreement of both parties and these routine changes will not require an amendment to the contract.  The change process will be managed by a change control document and the inclusion of signatures by both IDEXX and OCD on each current individual “Purchase Material Specification”.  Proposed changes should be 
		

		 

		

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			submitted in writing by either IDEXX or OCD and confirmed in writing by the other party, such changes will be finalized by signature on the “Purchase Material Specification”.  Communications to IDEXX should be provided to the General Manager, IDEXX Vetlab and communication to OCD should be provided to the National Account Director, IDEXX.      The parties acknowledge and agree that the items listed in the “Quality Requirements” section of such specifications shall be provided by OCD to IDEXX at no charge to IDEXX.    The items provided at no charge will be capped at the quantities called for in Exhibit A as attached to this amendment, all additional quantities or items required for new products may be charged for by OCD.

			
	
			
				 5.
			

			
	
			
			Except as modified by this Amendment, the Agreement remains in effect.  This Amendment is to be construed as part of the Agreement.  Each reference to “hereof”, “hereunder”, “herein” and “hereby” and each other similar reference and each reference to “this Agreement” and each other similar reference contained in the Agreement shall from and after the date set forth above, refer to the Agreement as amended hereby.

			
	
			
				 6.
			

			
	
			
			This Amendment may be executed in counterparts, each of which shall be deemed to be an original and all of which together shall be deemed to be one and the same instrument.

		
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			IN WITNESS WHEREOF and intending to be legally bound, the parties hereto have caused this Amendment to be duly executed in duplicate by their respective authorized representatives as of the day and year first written above:
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ORTHO-CLINICAL DIAGNOSTICS, INC.

					
					
						 

					
					
						IDEXX OPERATIONS, INC.

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						By:

					
					
						/s/ Thomas O’Neil

					
					
						 

					
					
						By:

					
					
						/s/ Johnny Powers

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Name:

					
					
						Thomas O’Neil

					
					
						 

					
					
						Name:

					
					
						Johnny Powers

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Title:

					
					
						VP Americas & EMEA

					
					
						 

					
					
						Title:

					
					
						Executive Vice President

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Date:

					
					
						12/11/13

					
					
						 

					
					
						Date:

					
					
						12/9/13

				

		
			 
		

		
			Acknowledged and consented to, solely as guarantor pursuant to Section 30 of the Agreement:
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						IDEXX LABORATORIES, INC.

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						By:

					
					
						/s/ Jonathan Ayers

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						Name:

					
					
						Jonathan Ayers

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						Title

					
					
						Chairman, President and CEO

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						Date:

					
					
						12/9/13

				

		
			 
		

		
			 
		

		

		

		 

		

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			EXECUTION COPY

		

		

			 

		

		Schedule 3
		

		
			Panels/Profiles/CLIPs
		

		
			 
		

		
			VetTest “Pre-Anesthetic Panel” (IDEXX part #98-21718-US, OCD cat #8015109), consists of four sets of the following six VETTEST slides:
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN

					
					
						Urea Nitrogen

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT  (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			VetTest “General Health Profile”, (IDEXX part #98-20590-00, OCD cat #1607175), the “Large Animal Profile”(OCD cat # 6800071)  and the “Equine Health Profile” (IDEXX part #98-24021-US, OCD cat #6801956), each consist of two sets of 12 VETTEST slides as follows:
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						General Health Profile

					
					
						 

					
					
						Large Animal Profile

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						ALB

					
					
						Albumin

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						ALKP

					
					
						Alkaline phosphatase

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						AST (SGOT)     

					
					
						Aspartate aminotransferase

				
	
					
						AMYL

					
					
						Amylase

					
					
						 

					
					
						Ca2+

					
					
						Calcium

				
	
					
						Ca2+

					
					
						Calcium

					
					
						 

					
					
						CK

					
					
						CK

				
	
					
						CHOL

					
					
						Cholesterol

					
					
						 

					
					
						GGT

					
					
						Gamma GT

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						GLU

					
					
						Glucose

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						PHOS

					
					
						Inorganic phosphate

				
	
					
						PHOS

					
					
						Inorganic phosphate

					
					
						 

					
					
						LDH

					
					
						LDH

				
	
					
						TBIL

					
					
						Total bilirubin

					
					
						 

					
					
						MG

					
					
						Magnesium

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						TP

					
					
						Total Protein

				
	
					
						BUN

					
					
						Urea Nitrogen

					
					
						 

					
					
						BUN

					
					
						Urea Nitrogen

				

		
			 
		

		
			Equine Health Profile
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						AST (SGOT)     

					
					
						Aspartate aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CK

					
					
						CK

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GGT

					
					
						Gamma GT

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						LDH

					
					
						LDH

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN

					
					
						Urea Nitrogen

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TBIL

					
					
						Total Bilirubin

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PROFILES” shall also include the “Urine P:C Ratio” (OCD cat #6802061), consisting of six pairs of Urine Protein and Creatinine VetTest slides. 
		

		

		

		 

		

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			“PANELS” shall also include the “QC Panel” (IDEXX part #98-13952-00, OCD cat #6802213), consisting of four sets of the following six VetTest slides:
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						NH3

					
					
						Ammonia

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Diagnostic Health Profile” (IDEXX part #98-13835-00, OCD cat #6802590), consisting of two sets of the following twelve VetTest slides:
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						AMYL 

					
					
						Amylase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+ 

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GGT 

					
					
						Gamma GT

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						LIPA

					
					
						Lipase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TBIL

					
					
						Total Bilirubin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN/UREA

					
					
						Urea nitrogen

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “NSAID Monitoring Panel” (IDEXX part #98-13834-00, OCD cat #6802589), consisting of four sets of the following five VetTest slides:
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						AST (SGOT)

					
					
						Aspartate aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN/UREA

					
					
						Urea nitrogen

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Avian Health Profile” (IDEXX part #98-12880-US, OCD cat #6802781), consisting of four sets of the following 6 VetTest slides:
		

		
			 
		

			
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						AST (SGOT)

					
					
						Aspartate-aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+ 

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				
	
					
						URIC 

					
					
						Uric acid

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Catalyst Chem. 17 Clip” (IDEXX part #98-11003-02, OCD cat #6802678), consisting of the following fourteen (14) Catalyst slides assembled per the specifications detailed in the Purchase Material Specifications.  
		

			
					
						 

				
	
					
						LIPA

					
					
						Lipase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+ 

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						PHOS 

					
					
						Phosphorus

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN/UREA

					
					
						Urea nitrogen

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TBIL 

					
					
						Total Bilirubin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU 

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA 

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						AMYL 

					
					
						Amylase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CHOL 

					
					
						Cholesterol

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT) 

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GGT

					
					
						Gamma GT

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Catalyst Chem. 15 Clip” (IDEXX part #98-11004-01, OCD cat #6802673), consisting of the following twelve (12) Catalyst slides assembled per the specifications detailed in the Purchase Material Specifications. 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						PHOS

					
					
						Phosphorus

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN/UREA

					
					
						Urea nitrogen

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TBIL

					
					
						Total Bilirubin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CHOL

					
					
						Cholesterol

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GGT

					
					
						Gamma GT

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Catalyst Chem. 10 Clip” (IDEXX part #98-11005-01, OCD cat #6802675), consisting of the following seven (7) Catalyst slides assembled per the specifications detailed in the Purchase Material Specifications.
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN/UREA

					
					
						Urea nitrogen

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Catalyst NSAID 6 Clip” (IDEXX part #98-11007-01, OCD cat #6802676), consisting of the following five (5) Catalyst slides assembled per the specifications detailed in the Purchase Material Specifications. : 
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN/UREA

					
					
						Urea nitrogen

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						AST (SGOT)

					
					
						Aspartate aminotransferase

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Catalyst Equine 15 Clip” (IDEXX part #98-11006-01, OCD cat #6802674), consisting of the following twelve (12) Catalyst slides assembled per the specifications detailed in the Purchase Material Specifications.  
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						LDH

					
					
						Lactate dehydrogenase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GGT

					
					
						Gamma GT

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						BUN/UREA

					
					
						Urea nitrogen

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TBIL

					
					
						Total Bilirubin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				
	
					
						AST (SGOT)

					
					
						Aspartate aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CK

					
					
						Creatine Kinase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CREA

					
					
						Creatinine

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						TP

					
					
						Total protein

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			“PANELS” shall also include the “Catalyst QC  Clip” (IDEXX part #98-13700-00, OCD cat #6802804), consisting of the following six (6) Catalyst slides assembled per the specifications detailed in the Purchase Material Specifications. 
		

		
			 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Ca2+

					
					
						Calcium

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALB

					
					
						Albumin

					
					
						 

					
					
						 

					
					
						 

				
	
					
						NH3

					
					
						Ammonia

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALT (SGPT)

					
					
						Alanine aminotransferase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						ALKP

					
					
						Alkaline phosphatase

					
					
						 

					
					
						 

					
					
						 

				
	
					
						GLU

					
					
						Glucose

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			 
		

		
			Packaging for the PANELS/PROFILES listed above have been previously agreed upon by the parties, and any changes to the slide composition or packaging of the foregoing shall be negotiated in good faith and mutually agreed upon by OCD and IDEXX.  The slide composition and packaging of any additional PANELS/PROFILES shall be mutually agreed upon by OCD and IDEXX.  All purchases by IDEXX or IDEXX BV of IDEXX slides packaged as PANELS/PROFILES shall be included in quantities for price calculations for such slides under this Agreement and the Europe Agreement.
		

		
			 
		

		

		

		 

		

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			Schedule 5-A 
		

			
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Products

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						VETTEST SLIDES

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Single Slides

					
						(Box of 25)

					
					
						Catalog Number

					
					
						 

					
					
						Single Slides

					
						(Box of 12)

					
					
						Catalog Number

				
	
					
						Albumin

					
					
						8227134

					
					
						 

					
					
						Albumin

					
					
						6801907

				
	
					
						Alk Phos

					
					
						8315459

					
					
						 

					
					
						Alk Phos

					
					
						6801919

				
	
					
						ALT (SGPT)

					
					
						8083750

					
					
						 

					
					
						ALT (SGPT)

					
					
						6801916

				
	
					
						Ammonia

					
					
						1816842

					
					
						 

					
					
						Ammonia

					
					
						6801908

				
	
					
						Amylase

					
					
						8208191

					
					
						 

					
					
						Amylase

					
					
						6801913

				
	
					
						AST (SGOT)     

					
					
						8113979

					
					
						 

					
					
						AST (SGOT)     

					
					
						6801914

				
	
					
						Calcium

					
					
						8048191

					
					
						 

					
					
						Calcium

					
					
						6801902

				
	
					
						Cholesterol

					
					
						8354888

					
					
						 

					
					
						Cholesterol

					
					
						6801906

				
	
					
						CK

					
					
						8358582

					
					
						 

					
					
						CK

					
					
						6801918

				
	
					
						Creatinine

					
					
						8183477

					
					
						 

					
					
						Creatinine

					
					
						6801911

				
	
					
						ECO2

					
					
						8538670

					
					
						 

					
					
						ECO2

					
					
						6802306

				
	
					
						Gamma GT

					
					
						8261315

					
					
						 

					
					
						Gamma GT

					
					
						6801920

				
	
					
						Glucose

					
					
						8130536

					
					
						 

					
					
						Glucose

					
					
						6801900

				
	
					
						LDH

					
					
						8351082

					
					
						 

					
					
						LDH

					
					
						6801917

				
	
					
						Lipase

					
					
						1966191

					
					
						 

					
					
						Lipase

					
					
						6801915

				
	
					
						Magnesium

					
					
						1080266

					
					
						 

					
					
						Magnesium

					
					
						6801912

				
	
					
						Phosphorus

					
					
						8070856

					
					
						 

					
					
						Phosphorus

					
					
						6801909

				
	
					
						Total Bilirubin

					
					
						8380396

					
					
						 

					
					
						Total Bilirubin

					
					
						6801910

				
	
					
						Total Protein

					
					
						1937093

					
					
						 

					
					
						Total Protein

					
					
						6801904

				
	
					
						Triglycerides

					
					
						1922285

					
					
						 

					
					
						Triglycerides

					
					
						6801905

				
	
					
						Urea Nitrogen

					
					
						1507326

					
					
						 

					
					
						Urea Nitrogen

					
					
						6801901

				
	
					
						Uric Acid

					
					
						1000793

					
					
						 

					
					
						Uric Acid

					
						Lactate 

					
					
						6801903

					
						6802307

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Profile Slides

					
						(Bx 24)

					
						 

					
					
						Catalog Number

					
					
						 

					
					
						Profile Slides

					
						(Bx 12)

					
					
						Catalog Number

				
	
					
						General Health Profile

					
					
						1607175

					
					
						 

					
					
						Urine P:C Ratio (added May 25, 2004)

					
					
						6802061

				
	
					
						Pre-Anesthetic Panel

					
					
						8015109

					
					
						 

					
					
						Phenobarb (added July 1, 2011)

					
					
						6802644

				
	
					
						Large Animal Profile

					
					
						6800071

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Equine Health Panel (added March 4, 2004)

					
					
						6801956

					
					
						 

					
					
						 

					
					
						 

				
	
					
						QC Panel (added as of June 1, 2005)

					
					
						6802213

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Diagnostic Health Profile

					
					
						6802590

					
					
						 

					
					
						 

					
					
						 

				
	
					
						NSAID Monitoring Profile

					
					
						6802589

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Avian Health Panel

					
					
						6802781

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Other

					
					
						Catalog Number

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Vetrol

					
					
						6802212

					
					
						 

					
					
						 

					
					
						 

				
	
					
						UPRO Control

					
					
						6802141

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Black DTSC

					
					
						6800865

					
					
						 

					
					
						 

					
					
						 

				
	
					
						White Ref

					
					
						6800866

					
					
						 

					
					
						 

					
					
						 

				
	
					
						White DTSC

					
					
						6800867

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						CATALYST SLIDES

					
						(added as of October 1, 2008)

					
						 

					
					
						Catalog

					
						Number

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX CHEM 15

					
					
						6802673

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX EQUINE 15

					
					
						6802674

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX CHEM 10

					
					
						6802675

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX NSAID

					
					
						6802676

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX QCP

					
					
						 6802804

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX CHEM 17

					
					
						6802678

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX UPC

					
					
						6802679

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX ALKP

					
					
						6802628

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX ALT

					
					
						6802629

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX AMYL

					
					
						6802630

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX AST

					
					
						6802631

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX BUN

					
					
						6802632

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX CA

					
					
						6802633

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX CHOL

					
					
						6802634

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX CK

					
					
						6802635

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX CREA

					
					
						6802636

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX GGT

					
					
						6802637

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX GLU

					
					
						6802638

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX LAC

					
					
						6802639

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX LDH

					
					
						6802640

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX LIPA

					
					
						6802641

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX MG

					
					
						6802642

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX NH3

					
					
						6802643

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX PHOS

					
					
						6802645

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX TBIL

					
					
						6802646

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX TP

					
					
						6802647

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX TRIG

					
					
						6802648

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX URIC

					
					
						6802649

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX ALB

					
					
						6802627

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX PHBR

					
						(added as of August 1, 2011)

					
					
						6802644

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX ECO2(12 slide) (added as of August 1, 2011)

					
					
						6842954

					
					
						 

					
					
						 

					
					
						 

				
	
					
						IDEXX Catalyst DX ECO2 (6 slide)

					
						(added as of August 1, 2011)

					
					
						6482955

					
					
						 

					
					
						 

					
					
						 

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Other

					
					
						Catalog Number

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Vetrol

					
					
						6802212

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Drop Volume Fluid

					
					
						6802784

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Catalyst Slide Wash

					
					
						6802813

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Drop Volume Slides

					
					
						6802789

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Catalyst Pipette Tips

					
					
						6802779

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Catalyst Sample Cups

					
					
						6802780

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Catalyst PHBR Control

					
					
						6802773

					
					
						 

					
					
						 

					
					
						 

				
	
					
						Catalyst White Optical Slide (Box - 6)

					
					
						6903001

					
					
						 

					
					
						 

					
					
						 

				
	
					
						250 mL Both PHBR Bulk Wash Bottles Part 1 and 2

					
					
						6842914

					
					
						 

					
					
						 

					
					
						 

				
	
					
						250 mL PHBR Bulk Wash Part 1

					
					
						6842923

					
					
						 

					
					
						 

					
					
						 

				
	
					
						250 mL PHBR Bulk Wash Part 2

					
					
						6842924

					
					
						 

					
					
						 

					
					
						 

				
	
					
						500 mL Both PHBR Bulk Wash Bottles Part 1 and 2

					
					
						6842913

					
					
						 

					
					
						 

					
					
						 

				
	
					
						500 mL PHBR Bulk Wash Part 1

					
					
						6842925

					
					
						 

					
					
						 

					
					
						 

				
	
					
						500 mL PHBR Bulk Wash Part 2

					
					
						6842926

					
					
						 

					
					
						 

					
					
						 

				
	
					
						1.0 L Both PHBR Bulk Wash Bottles Part 1 and 2

					
					
						6842915

					
					
						 

					
					
						 

					
					
						 

				
	
					
						1.0 L PHBR Bulk Wash Part 1

					
					
						6842928

					
					
						 

					
					
						 

					
					
						 

				
	
					
						1.0 L PHBR Bulk Wash Part 2

					
					
						6842927

					
					
						 

					
					
						 

					
					
						 

				
	
					
						2.0 L Both PHBR Bulk Wash Bottles Part 1 and 2

					
					
						6842912

					
					
						 

					
					
						 

					
					
						 

				
	
					
						2.0 L PHBR Bulk Wash Part 1

					
					
						6842922

					
					
						 

					
					
						 

					
					
						 

				
	
					
						2.0 L PHBR Bulk Wash Part 2

					
					
						6842929

					
					
						 

					
					
						 

					
						 

					
						 

					
					
						 

				

		
			 
		

			
					
						CONSUMABLES (PRODUCTS NOT INCLUDED UNDER TIERED SLIDE PRICING)

				
	
					
						OCD P/N

					
					
						IDEXX P/N

					
					
						Description 

					
					
						2013 Price*

				
	
					
						6802784

					
					
						44-14602-00

					
					
						DROP VOLUME FLUID

					
					
						[**]

				
	
					
						6802789

					
					
						44-14739-00

					
					
						Drop Volume Slides

					
					
						[**]

				
	
					
						6842923

					
					
						23-27337-00

					
					
						IDEXX PHBR Part 1 Bulk Wash Fluid  250mL

					
					
						[**]

				
	
					
						6842924

					
					
						23-27338-00

					
					
						IDEXX PHBR Part 2 Bulk Wash Fluid  250mL

					
					
						[**]

				
	
					
						6842925

					
					
						23-27339-00

					
					
						IDEXX PHBR Part 1 Bulk Wash Fluid  500mL

					
					
						[**]

				
	
					
						6842926

					
					
						23-27340-00

					
					
						IDEXX PHBR Part 2 Bulk Wash Fluid  500mL

					
					
						[**]

				
	
					
						6842928

					
					
						23-27341-00

					
					
						IDEXX PHBR Part 1 Bulk Wash Fluid  1L

					
					
						[**]

				
	
					
						6842927

					
					
						23-27342-00

					
					
						IDEXX PHBR Part 2 Bulk Wash Fluid  1L

					
					
						[**]

				
	
					
						6842922

					
					
						23-27343-00

					
					
						CATALYST BULK SLIDE WASH PART 1 2.0 L

					
					
						[**]

				
	
					
						6842929

					
					
						23-27344-00

					
					
						CATALYST BULK SLIDE WASH PART 2 2.0 L

					
					
						[**]

				
	
					
						6802212

					
					
						98-11379-00

					
					
						VETTROL CONTROL 4-SET

					
					
						[**]

				
	
					
						6802779

					
					
						98-12125-01

					
					
						CATALYST DX TM PIPETTE TIP

					
					
						[**]

				
	
					
						6802780

					
					
						98-12128-00

					
					
						CATALYST DX SAMPLE CUP

					
					
						[**]

				
	
					
						6802773

					
					
						98-12304-00

					
					
						CATALYST PHBR CTRL (6)

					
					
						[**]

				
	
					
						6802141

					
					
						98-12937-00

					
					
						IDEXX UPRO CONTROL

					
					
						[**]

				
	
					
						6903001

					
					
						98-14931-00

					
					
						CATALYST DX WHITE OPTICAL SLIDE, 6-PACK

					
					
						[**]

				
	
					
						6800865

					
					
						98-20520-00

					
					
						SLIDE, CALIBRATION, BGS (BX25)

					
					
						[**]

				
	
					
						6800866

					
					
						98-20521-00

					
					
						SLIDE, CALIBRATION, WHT (BX25)

					
					
						[**]

				
	
					
						6800867

					
					
						98-20522-00

					
					
						SLIDE, CALIBRATION, WRSC (BX25)

					
					
						[**]

				
	
					
						 

					
					
						 

					
					
						 

					
					
						 

				

		
			 
		

		
			*  OCD may, at its option, increase all prices for such consumables ordered for delivery on or after January 1, 2014 by an amount not to exceed [**]% each year.  
		

		
			

		

		

		

		 

		

			6

		

		

			 

		

		

			

		

 

		

			EXECUTION COPY

		

		

			 

		

		
		

		
			Schedule 6 – Minimum Prices for New Chemistries
		

		
			 
		

		
			Urine Protein (added May 25, 2004 as part of the Urine P:C Ratio):
		

			
	
			
				 ·
			

			
	
			
			Prices for 2005 and thereafter shall be determined based on volume tiers pursuant to Section 7.02(b), subject to a minimum price for this New Chemistry of $[**] per slide

		
			 
		

		
			Lactate (added as of July 1, 2005):
		

			
	
			
				 ·
			

			
	
			
			Prices for 2005 and thereafter shall be determined based on volume tiers pursuant to Section 7.02(b), subject to a minimum price for this New Chemistry of $[**] per slide

		
			 
		

		
			ECO2 (added as of August 1, 2011):
		

			
	
			
				 ·
			

			
	
			
			Prices for 2005 and thereafter shall be determined based on volume tiers pursuant to Section 7.02(b), subject to a minimum price for this New Chemistry of $[**] per slide

		
			 
		

		
			Phenobarb (added as of August 1, 2011):
		

			
	
			
				 ·
			

			
	
			
			Prices for 2005 and thereafter shall be determined based on volume tiers pursuant to Section 7.02(b), subject to a minimum price for this New Chemistry of $[**] per slide

		

		

		 

		

			7

		

		

			 

		

		

			

		

 

		

			EXECUTION COPY

		

		

			 

		

		
		

		
			Exhibit A – Specifications
		

		
			[see attached]
		

		
			 
		

		
			Confidential Materials omitted and filed separately with the Securities and Exchange Commission. A total of 117 pages were omitted. [**]
		

		 

		

			8NHI-12/31/2013-10K EX 10_4

EXHIBIT 10.4

AMENDED AND RESTATEDAMENDMENT NO. 6 TO MASTER AGREEMENT TO LEASE

This Amended and Restated Amendment No. 6 to Master Agreement to Lease is entered into as of December 26, 2012 to reflect a change in the date on which National Health Investors, Inc. is conveying the Sale Facilities as defined below to their respective Grantees and shall replace the original Amendment No. 6 to Master Agreement to Lease.

This Amendment No. 6 (hereinafter “6th Amendment”) is made to that certain Master Agreement To Lease between NATIONAL HEALTH INVESTORS, INC. (“Landlord” or “NHI”) and NATIONAL HEALTHCARE CORPORATION (“Tenant” or “NHC”) dated October 17, 1991 (hereinafter, as amended, the “Master Lease”) and is entered into as of the 26th day of December 2012.
PRELIMINARY STATEMENTS

A.WHEREAS, pursuant to the terms of the Master Lease, NHC has leased certain licensed nursing centers, assisted living or retirement facilities in forty-one (41) geographical locations (hereinafter “Leased Properties” or “Leased Property”) as identified on Exhibit A to said Master Lease; and

B.WHEREAS, the Master Lease has been previously amended by amendments, including Amendment No. 5 To Master Agreement To Lease dated December 27, 2005 (the “5th Amendment”); and

C.WHEREAS, the 5th Amendment extended the term of the Master Lease through December 31, 2021 and grants to NHC the right to elect to further extend the term of the Master Lease for three (3) successive five (5) year renewal terms referred to respectively as the Third Renewal Term, the Fourth Renewal Term and the Fifth Renewal Term; and

D.WHEREAS, NHI and NHC have agreed that NHI shall sell to NHC and NHC or its designated affiliate shall purchase from NHI the centers identified as:
	
			
	(i)
	 
	NHC HealthCare, Columbia

	 
	 
	101 Walnut Lane

	 
	 
	Columbia, Tennessee 38401

	 
	 
	 

	(ii)
	 
	NHC HealthCare, Hillview

	 
	 
	2710 Trotwood Avenue

	 
	 
	Columbia, Tennessee 38401

	 
	 
	 

	(iii)
	 
	NHC HealthCare, Knoxville

	 
	 
	809 Emerald Avenue, N.E.

	 
	 
	Knoxville, Tennessee 37917

	 
	 
	 

	(iv)
	 
	NHC HealthCare, Springfield

	 
	 
	608 Eighth Avenue East

	 
	 
	Springfield, Tennessee 37172

	
			
	(v)
	 
	NHC HealthCare, Madisonville

	 
	 
	419 N. Seminary Street

	 
	 
	Madisonville, Kentucky 42431

	 
	 
	 

	(vi)
	 
	NHC HealthCare, Rossville

	 
	 
	1425 McFarland Avenue

	 
	 
	Rossville, Georgia 30741

(The above six (6) facilities are referred to collectively as the “Sale Facilities”); and have entered into a Purchase and Sale Agreement dated December 26, 2012 to set forth the terms of such purchase and sale; and

E.Landlord and Tenant desire to extend the Term of the Lease and modify the rent provisions of the Master Lease effective upon the closing of the sale of all of the Sale Facilities (but not less than all of the Sale Facilities) to NHC or its affiliates; and

F.Landlord and Tenant desire to make other modifications to the Master Lease as set forth in this 6th Amendment.

NOW, THEREFORE, IN CONSIDERATION OF THE PREMISES, the parties do hereby amend the Master Lease as follows:

1.Effective Date of Certain Provisions. This 6th Amendment becomes a part of the Master Lease as of December 26, 2012. The modifications to the Master Lease made in Sections 2, 4, 5, and 6 below shall take effect on the date (herein the “Effective Date”) which is the date on which NHC through its designated affiliates closes the purchase of the Sale Facilities.

2.Modification of "Leased Property". As of the date the sale of the Sale Facilities closes, the phrase “Leased Property,” as found and used in the Master Lease, shall no longer include any of the Sale Facilities, except as expressly provided in this 6th Amendment. Exhibit A to the Master Lease and Schedule A-1 to the 5th Amendment shall be replaced with a revised list of the remaining Leased Property to be attached hereto as Schedule A-1. As of the Effective Date, each Short Form Operating Lease between Landlord and Tenant for any of the Sale Facilities shall terminate. As of the Effective Date, the defined terms “Land,” “Improvements,” “Appurtenances,” and “Fixtures” shall not include any property interests which is a part of any of the Sale Facilities. Upon the conveyance of the Sale Facilities to Tenant, Landlord shall have no continuing obligations to Tenant under the Master Lease with respect to any of the Sale Facilities.

3.Term. Section 1.03 of the Master Lease is hereby amended to acknowledge that Tenant hereby, and as of the date of this 6th Amendment, elects to extend the Term through the Third Renewal Term (as allowed by the 5th Amendment) at the same Base Rent as determined under the provisions of Paragraph 4 below. The Third Renewal Term extends the Term of the Master Lease through December 31, 2026. As provided in the 5th Amendment, Tenant may  elect hereafter to further extend the Term of the Master Lease for the Fourth Renewal Term and 

The Fifth Renewal Term. The election to extend the Term of the Master Lease through the Third Renewal Term may not be rescinded hereafter by Tenant for any reason other than Landlord’s default in failing to convey the Sales Facilities. If due to Landlord’s default in failing to convey the Sales Facilities, the election to extend the Master Lease is rescinded, Tenant shall have the option to extend the term of the Master Lease for the Third Renewal Term as provided in the Fifth Amendment.

4.Base Rent. Section 2.01.01 of the Master Lease is hereby amended to acknowledge that, as provided in the 5th Amendment, Base Rent due under the Master Lease is currently in the annual amount of Thirty-Three Million Seven Hundred Thousand and No/100 Dollars ($33,700,000.00). Upon the sale of all of the Sale Facilities to Tenant and not less than all of the Sale Facilities, and effective on the Effective Date, Base Rent shall be reduced to equal Thirty Million Seven Hundred Fifty Thousand and No/100 Dollars ($30,750,000.00) per year through the Lease Year ending December 31, 3026. Base Rent shall be paid in equal monthly installments. Base Rent for the Fourth Renewal Term and the Fifth Renewal Term, if applicable, shall be the fair market value base rent as negotiated in the future by Landlord and Tenant. If the Effective Date is later than January 1, 2014, annual Base Rent for the 2014 Lease Year shall remain at $33,700,000.00 through the day preceding the Effective Date, and shall be paid monthly in advance and prorated for any period shorter than a full calendar month. The Base Rent after the sale of the Sale Facilities shall be allocated as set out on Schedule A-2 attached hereto.

5.Percentage Rent. In addition to Base Rent, Tenant shall continue to pay Percentage Rent under Section 2.06 of the Master Lease as amended by the 5th Amendment and as further amended hereby. 

(a)With respect to the Sale Facilities only, Percentage Rent for the 2013 Lease Year shall be due and calculated based upon the Gross Revenue of each of the Sale Facilities for the eight (8) month period beginning January 1, 2013 and ending August 31, 2013. For each of the Sales Facilities that Gross Revenue amount shall be compared to 8/12 of the 2007 Gross Revenue for the respective Sale Facility set forth on Schedule A-3. Tenant shall pay to Landlord on or before September 30, 2013, any Percentage Rent due for 2013 on the Sales Facilities, after Landlord’s giving credit for any estimated 2013 payments received by Landlord. For the other Lease Property, Percentage Rent for the 2013 Lease Year shall be paid as required by the Master Lease. Percentage Rent due with respect to the Lease Year ending December 31, 2013 shall be paid in estimated monthly installments during 2013 as provided in Section 2.06.03 of the Master Lease with all Gross Revenues (for both the Sale Facilities and for the remaining Leased Property) to be certified by Tenant and payment adjustment made, if required, in accordance with Sections 2.06.02 and 2.06.03 of the Master Lease.

(b)With respect to Percentage Rent to be paid for the full Lease Year commencing January 1, 2014 and all subsequent Lease Years, the calculation of Gross Revenues shall not include, for both the year in question and the January 1, 2007 through December 31, 2007 base year, any revenues of the Sale Facilities. The Gross Revenue for each Leased Property for the Lease Year ending December 31, 2007 is set out on Schedule A-3, attached hereto.

6.Continuing Master Lease Provisions and the Sale Facilities

(a)Notwithstanding the fact that the Sale Facilities are not included within the meaning of the term “Leased Property” after the date of conveyance of the Sale Facilities, Tenant shall remain liable for performing and meeting all obligations under the Master Lease with respect to the Sale Facilities accruing for any period prior to August 29, 2013. Tenant hereby agrees to defend, indemnify and to hold Landlord harmless from and against any loss, liability, claim, damages (including consequential damages), and cost and expense (including attorney’s fees) arising from Tenant’s not having observed or performed any provision of the Master Lease with respect to any of the Sale Facilities.

(b)All indemnity provisions contained in the Master Lease in favor of Landlord, including, but not limited to, the indemnity provisions of Sections 5.01 and 7.02 thereof, shall continue in effect and shall protect Landlord from any matter relating to any of the Sale Facilities, regardless of the time such matter or claim was first asserted against Landlord or became known to Tenant.

(c)Until all applicable statute of limitation periods have passed, Tenant shall continue to include Landlord as an insured with respect to all insurance coverage for any of the Sale Facilities in accordance with the provisions of Section 4.02 of the Master Lease if such insurance coverage is provided on a claims made basis.

7.Non-Compete Provisions. Tenant acknowledges that if Tenant does not elect to exercise its options to extend the Term of the Master Lease for the Fourth Renewal Term or the Fifth Renewal Term, Landlord will need to sell the Leased Properties or find a new operator to lease the Leased Properties. The then market value of the Leased Properties may be influenced by the existence of competing senior housing facilities, as defined herein, located in the proximity of the Leased Facilities. In consideration of Landlord’s lease of the Leased Properties to Tenant, Tenant agrees to the following non-compete provisions:

(a)Except as specifically permitted below, Tenant agrees that during the last five (5) years of the Term of the Master Lease, neither Tenant nor any subsidiary or other affiliated entity of Tenant or any company under common ownership, management or control with Tenant, shall own, acquire, build, construct, lease, manage or operate a Competing Facility, as defined herein, located within the same county as any of the Leased Properties. This non-compete provision shall not apply if either (i) the Competing Facility was in operation or under actual construction by December 31, 2021 or any later date which is five (5) years and one day prior to the end of the Term if the Term has been extended beyond December 31, 2026 (such date is referred to as the “Allowed Pre-existing Facility Determination Date”); or (ii) any Competing Facility located in a county in which as of the Allowed Pre-existing Facility Determination Date, Tenant owns a nursing home, assisted living or senior living center in addition to the center operated by Tenant on the Leased Property in such county; or (iii) regarding an intended project, one for which on the Allowed Pre-existing Facility Determination Date a Certificate of Need has been issued, if required, for such intended project.

(b)As used herein, Competing Facility means any licensed skilled nursing center or licensed skilled and licensed intermediate care nursing center.

(c)In the event Tenant should breach these non-compete provisions, Tenant may be permanently enjoined from doing so. In the event of any suit to enforce the non-compete provisions, if Landlord is granted any relief against Tenant, Tenant shall be liable to Landlord for all of Landlord’s court costs, expenses and legal fees incurred in seeking to enforce the provisions of this non-compete provision.

8.Section 18.01 of the Master Lease as previously amended by the 5th Amendment is hereby modified to reflect the address of Landlord as:

222 Robert Rose Drive
Murfreesboro, Tennessee 37129

9.Sections 2, 4, and 5 of this 6th Amendment shall be of no effect if Tenant should fail or refuse to purchase all of the Sale Facilities in accordance with the terms and provisions of the Purchase and Sale Agreement of even date herewith.

IN WITNESS WHEREOF, the parties have executed this 6th Amendment on the date shown below.

THE REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK.
SIGNATURE PAGE FOLLOWS

SIGNATURE PAGE TO AMENDED AND RESTATEDAMENDMENT NO. 6 TO MASTER AGREEMENT TO LEASE

	
		
	 
	 

	 
	TENANT:

	 
	 

	 
	NATIONAL HEALTHCARE CORPORATION, a Delaware corporation

	 
	By: /s/ Stephen F. Flatt

	 
	Stephen F. Flatt, President

	 
	Date: August 27, 2013

	 
	 

	 
	 

	 
	LANDLORD:

	 
	NATIONAL HEALTH INVESTORS, INC., a Maryland corporation

	 
	By: /s/ J. Justin Hutchens

	 
	J. Justin Hutchens, President

	 
	 

	 
	Date: August 27, 2013

SCHEDULE A-1

LEASED PROPERTIES

Tennessee: 
Athens Health Care Center
P.O. Box 766
1204 Frye Street
Athens, TN 37303

Colonial Hill Health Care Center 
P.O. Box 3218 CRS 
3209 Bristol Highway 
Johnson city, TN 37602

Franklin Health Care Center
P.O. Box 683
216 Fairground Street 
Franklin, TN 37064

Green Valley Health Care Center P.O. Box 585
812 Charlotte Street 
Dickson, TN 37055

Lawrenceburg Health Care Center 
P.O. Box 767
324 Kennedy Street 
Lawrenceburg, TN 38464

McMinnville Health Care Center 
P.O. Box 528
Old Smithville Highway 
McMinnville, TN 37110

Merihil Health Care Center 
P.O. Box 2307
1653 Mooresville Highway 
Lewisburg, TN 37091

NHC of Hendersonville
370 Old Shackle Island Road 
Hendersonville, TN 37075

Oakwood Health Care Center 
P.O. Box 1667
244 Oakwood Drive
Lewisburg, TN 37091

Sch A1-1

Parkwood Health Care Center 
2700 Parkwood Avenue 
Chattanooga, TN 37404

Pulaski Health Care Center
P.O. Box 638
993 E. College S. 
Pulaski, TN 38478

Ridgewood Health Care Center 
P.O. Box A
Dogwood Lane
Milan, TN 38358

Sequatchie Health Care Center 
P.O. Box 685
Dell Trail
Dunlap, TN 37327

Somerville Health Care Center 
P.O. Box 229
308 Lake Drive
Somerville, TN 38068

Sparta Health Care Center
P.O. Box 298
108 Gracey Street 
Sparta, TN 38583

Sunny Point Health Care Center 
P.O. Box 549
825 College Heights 
Smithville, TN 37166

Missouri: 
Desloge Health Care Center
P.O. Box AA
801 Brim Street
Desloge, MO 63601

Joplin Health Care Center 
2700 East 34th street
P.O. Box 2877
Joplin, MO 64803

Kennett Health Care Center 
P.O. Box 696
Route 1, South Bypass 
Kennett, MO 63857

Sch A1-2

NHC of Maryland Heights 
P.O. Box 2244
2920 Fee Fee Road
Maryland Heights, MO 63043

St. Charles Health Care Center 
P.O. Box 1230
35 Sugar Maple Lane 
St. Charles, MO 63302

Florida:
NHC of Hudson
P.O. Box 5487
7210 Beacon Woods Drive
Hudson, FL 34667

NHC of Merritt Island 
500 Crockett Road
Merritt Island, FL 32953

NHC of Stuart
800 S.E. Central Parkway 
Stuart, FL 34994

Plant City Health Care Center 
701 North Wilder Road
P.O. Box 2568
Plant City, FL 33566

Kentucky: 
Homewood Health Care Center 
P.O. Box 297
Homewood Boulevard 
Glasgow, KY 42142

South Carolina:
Anderson Health Care Center
P.O. Box 1327
1501 East Greenville
Anderson, SC 29622

Greenwood Health Care Center 
P.O. Box 3109
437 East Cambridge Avenue 
Greenwood, SC 29646

Laurens Health Care Center 
P.O. Box 1197
301 Pinehaven St. Extension 
Laurens, SC 29360

Sch A1-3

Alabama: 
Golden Springs Health Care Center
P.O. Box 1790
Coleman Road
Anniston, AL 36201

Moulton Health Care Center
P.O. Box 336
300 Hospital Street 
Moulton, AL 35650

Virginia: 
Bristol Health Care Center
P.O. Box 1166
245 North Street
Bristol, VA 24201

Retirement Centers: 
Parkwood Retirement center 
2700 Parkwood Avenue 
Chattanooga, TN 37404-1747

Colonial Hill Retirement Center 
P.O. Box 467 CRS
Johnson City, TN 37602

Lake St. Charles Retirement Center 
45 Honey Locust Lane
St. Charles, MO 63303-5711

Sch A1-0

SCHEDULE A-2
	
					
	ALLOCATION OF BASE RENT

	 
	Rent By Facility

	Anderson
	 
	$
	3,349,719.74
	

	 
	 
	 

	Anniston
	 
	1,152,192.65
	

	 
	 
	 

	Athens
	 
	284,407.98
	

	 
	 
	 

	Bristol
	 
	635,019.65
	

	 
	 
	 

	Chattanooga
	 
	815,050.09
	

	 
	 
	 

	Desloge
	 
	179,760.94
	

	 
	 
	 

	Dickson
	 
	3,270,528.43
	

	 
	 
	 

	Franklin
	 
	1,046,726.88
	

	 
	 
	 

	Glasgow
	 
	1,180,434.81
	

	 
	 
	 

	Greenwood
	 
	899,691.97
	

	 
	 
	 

	Hendersonville
	 
	1,057,860.06
	

	 
	 
	 

	Johnson City
	 
	708,580.13
	

	 
	 
	 

	Joplin
	 
	635,617.43
	

	 
	 
	 

	Kennett
	 
	367,561.80
	

	 
	 
	 

	Laurens
	 
	1,545,509.57
	

	 
	 
	 

	Lewisburg
	 
	874,051.62
	

	 
	 
	 

	Maryland Heights
	 
	251,289.76
	

	 
	 
	 

	McMinnville
	 
	1,044,503.59
	

	 
	 
	 

	Milan
	 
	881,207.66
	

	 
	 
	 

	Moulton
	 
	890,546.86
	

	 
	 
	 

	Oakwood
	 
	436,469.35
	

	 
	 
	 

	Pulaski
	 
	915,841.10
	

	 
	 
	 

	Scott
	 
	608,339.08
	

	 
	 
	 

	Sequatchie
	 
	242,468.21
	

	
					
	Smithville
	 
	577,233.22
	

	 
	 
	 

	Somerville
	 
	678,087.76
	

	 
	 
	 

	Sparta
	 
	102,094.55
	

	 
	 
	 

	St. Charles
	 
	100,000.00
	

	 
	 
	 

	Colonial Hill Ret.
	 
	410,208.65
	

	 
	 
	 

	Lake St. Charles
	 
	848,018.77
	

	 
	 
	 

	Parkwood Ret.
	 
	8,977.69
	

	 
	 
	 

	Bayonet Point
	 
	1,325,000.00
	

	 
	 
	 

	Merritt Island
	 
	1,500,000.00
	

	 
	 
	 

	Parkway
	 
	1,300,000.00
	

	 
	 
	 

	Plant City
	 
	627,000.00
	

	 
	 
	 

	Total NHI Rent
	 
	$
	30,750,000
	

Sch A3 - 0

SCHEDULE A-3
GROSS REVENUE FOR 2007 LEASE YEAR
	
					
	Base Year Revenue
	 
	 

	 
	 
	 

	Post Sale of 6 Buildings
	 
	2007 Base Year Revenue
	

	 
	 
	 

	NHC Healthcare, Anderson
	 
	$
	22,776,366.28
	

	NHC HealthCare, Anniston
	 
	11,071,802.58
	

	NHC Healthcare, Athens
	 
	5,817,454.80
	

	NHC HealthCare, Bristol
	 
	7,377,574.66
	

	NHC Healthcare, Chattanooga
	 
	13,534,991.10
	

	NHC Healthcare, Desloge
	 
	4,371,586.50
	

	NHC HealthCare, Dickson
	 
	15,415,625.04
	

	NHC HealthCare, Franklin
	 
	6,496,021.07
	

	NHC Healthcare, Glasgow
	 
	11,491,923.29
	

	NHC Healthcare, Greenwood
	 
	9,448,370.41
	

	NHC Healthcare, Hendersonville
	 
	9,930,983.82
	

	NHC Healthcare, Johnson City
	 
	10,324,429.96
	

	NHC Healthcare, Joplin
	 
	7,092,815.60
	

	NHC Healthcare, Kennett
	 
	7,187,714.90
	

	NHC HealthCare, Laurens
	 
	12,361,571.91
	

	NHC Healthcare, Lewisburg
	 
	7,157,903.98
	

	NHC Healthcare, Maryland Heights
	 
	11,217,904.44
	

	NHC HealthCare, McMinnville
	 
	9,019,944.18
	

	NHC HealthCare, Milan
	 
	7,982,545.27
	

	NHC HealthCare, Moulton
	 
	8,638,529.94
	

	NHC Healthcare, Oakwood
	 
	4,205,190.27
	

	NHC HealthCare, Pulaski
	 
	8,224,185.72
	

	NHC Healthcare, Scott
	 
	5,534,074.24
	

	NHC HealthCare, Sequatchie
	 
	6,637,547.45
	

	NHC HealthCare, Smithville
	 
	7,180,243.41
	

	NHC Healthcare, Somerville
	 
	5,191,475.41
	

	NHC Healthcare, Sparta
	 
	7,495,864.95
	

	NHC Healthcare, St. Charles
	 
	6,796,719.77
	

	Colonial Hill Retirement Center
	 
	1,655,498.30
	

	Lake St. Charles Retirement Center
	 
	3,837,860.40
	

	Parkwood Retirement Center
	 
	413,028.51
	

	Bayonet Point (Hudson)
	 
	15,195,687.61
	

	Merritt Island
	 
	14,704,644.29
	

	Parkway HCC (Stuart)
	 
	14,673,645.99
	

	 
	 
	 

	Plant City
	 
	12,932,961.28
	

	 
	 
	 

	Revised Base Year Revenue
	 
	$
	313,394,687.26
	

	 
	 
	 

	Sale of 6 Buildings:
	 
	 

	NHC HealthCare, Columbia
	 
	$
	6,799,737.53
	

	NHC Healthcare, Hillview
	 
	6,469,995.60
	

	NHC Healthcare, Knoxville
	 
	8,353,316.24
	

	NHC HealthCare, Springfield (TN)
	 
	7,391,856.03
	

	NHC Healthcare, Madisonville
	 
	5,514,677.37
	

	NHC HealthCare, Rossville
	 
	6,701,908.30
	

	 
	 
	$
	41,231,491.06
	

	Current Total:
	 
	$
	354,626,178.31
	

Sch A3 - 0

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