Document:

EX-10.2

 Exhibit 10.2 
 EXECUTION VERSION 
 INCREMENTAL AMENDMENT dated as of May 8, 2013 (this
“Amendment”), among ASC ACQUISITIONS LLC, a Delaware limited liability company (“Holdings”), SURGICAL CARE AFFILIATES, LLC, a Delaware limited liability company (the “Borrower”), the INCREMENTAL
LENDERS (as defined below) and JPMORGAN CHASE BANK, N.A., as Administrative Agent under the Credit Agreement referred to below (the “Administrative Agent”), to the AMENDED AND RESTATED CREDIT AGREEMENT dated as of June 29,
2007, as amended and restated as of June 30, 2011 (the “Credit Agreement”), among Holdings, the Borrower, the Lenders party thereto and JPMorgan Chase Bank, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer.

 A. Pursuant to the Credit Agreement, the Lenders have extended credit to the Borrower, and have agreed to extend credit to
the Borrower, in each case pursuant to the terms and subject to the conditions set forth therein. 
 B. Pursuant to
Section 2.14 of the Credit Agreement, the Borrower has requested that the Incremental Lenders provide Incremental Term Loans (such term and each other capitalized term used but not defined herein having the meaning assigned to such terms in the
Credit Agreement (as amended hereby)) to the Borrower under the Credit Agreement in an aggregate principal amount equal to $390,000,000, with $225,000,000 of such amount to be funded on the Class C Incremental Term Effective Date and $165,000,000 of
such amount to be funded on or prior to the Deferred Funding Termination Date. 
 C. The Incremental Lenders are willing to
provide the Incremental Term Loans to the Borrower pursuant to the terms and subject to the conditions set forth herein. 
 D.
J.P. Morgan Securities LLC, Barclays Bank PLC, Goldman Sachs Bank USA and Citigroup Global Markets Inc. will act as exclusive co-lead arrangers and co-bookrunners in respect of the Incremental Term Loans specified herein (in such capacities,
collectively, the “Arrangers”), and TPG Capital BD, LLC will act as an exclusive co-lead arranger in respect of the Incremental Term Loans specified herein. 
 Accordingly, in consideration of the mutual agreements herein contained and other good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, and subject to the
conditions set forth herein, the parties hereto hereby agree as follows: 
 SECTION 1. Defined Terms. As used in this
Amendment, the following terms have the meanings specified below: 
 “Amendment Transaction
Costs” means all fees, costs and expenses incurred or payable by Holdings, the Borrower or any Subsidiary in connection with the Amendment Transactions. 

 “Amendment Transactions” means (a) the execution and
delivery of this Amendment by each Person party hereto, the satisfaction and/or waiver of the conditions to the effectiveness hereof and the consummation of the transactions contemplated hereby (including the borrowing of the Initial Class C
Incremental Term Loans and the Deferred Funding Class C Incremental Term Loans), (b) the Existing Debt Refinancing and (c) the payment of Amendment Transaction Costs. 

“Class C Incremental Term Effective Date” means the date on which all the conditions set forth or
referred to in Section 14 hereof shall have been satisfied (or waived by each of the Incremental Lenders). 

“Class C Incremental Term Commitment” means an Initial Class C Incremental Term Commitment or a Deferred
Funding Class C Incremental Term Commitment. 
 “Class C Incremental Term Loan” means any loan
made by an Incremental Lender pursuant to Section 2 hereof. 
 “Deferred Funding Class C Incremental
Term Commitment” means, with respect to each Incremental Lender, the commitment of such Incremental Lender to make a Deferred Funding Class C Incremental Term Loan hereunder on or prior to the Deferred Funding Termination Date, expressed as
an amount representing the maximum principal amount of the Deferred Funding Class C Incremental Term Loans to be made by such Incremental Lender hereunder, as such commitment may be reduced or increased from time to time pursuant to assignments by
or to such Incremental Lender pursuant to Section 10.07 of the Credit Agreement. The initial amount of each Incremental Lender’s Deferred Funding Class C Incremental Term Commitment is set forth on Schedule 1 hereto or in the Assignment
and Assumption pursuant to which such Incremental Lender shall have assumed its Deferred Funding Class C Incremental Term Commitment. The aggregate principal amount of the Deferred Funding Class C Incremental Term Commitments of all Incremental
Lenders as of the date of this Amendment is $165,000,000. 
 “Deferred Funding Class C Incremental Term
Loan” means a loan made by an Incremental Lender pursuant to Section 2(b) hereof. 

“Deferred Funding Date” has the meaning assigned to such term in Section 3 hereof. 

“Deferred Funding Termination Date” means July 31, 2013. 

“Deferred Funding Ticking Fee” has the meaning assigned to such term in Section 3 hereof.

  
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 “Existing Debt Refinancing” means (a) the prepayment
in full of the outstanding principal amount of the Class A Term Loans and the Class A Incremental Term Loans (together with any accrued but unpaid interest and fees thereon) and (b) the redemption in full of the outstanding principal
amount of the Senior Notes (together with any accrued but unpaid interest and fees thereon). 

“Incremental Lenders” means the Persons listed on Schedule 1 hereto and their respective successors and
assigns as permitted under the Credit Agreement. 
 “Initial Class C Incremental Term
Commitment” means, with respect to each Incremental Lender, the commitment of such Incremental Lender to make an Initial Class C Incremental Term Loan hereunder on the Class C Incremental Term Effective Date, expressed as an amount
representing the maximum principal amount of the Initial Class C Incremental Term Loans to be made by such Incremental Lender hereunder, as set forth on Schedule 1 hereto. The aggregate principal amount of the Initial Class C Incremental Term
Commitments of all Incremental Lenders as of the date of this Amendment is $225,000,000. 
 “Initial
Class C Incremental Term Loan” means a loan made by an Incremental Lender pursuant to Section 2(a) hereof. 

SECTION 2. Commitment; Use of Proceeds. (a) Subject to the terms and conditions set forth herein and in the Credit Agreement
(including Section 2.02 thereof), each Incremental Lender severally agrees to make to the Borrower an Initial Class C Incremental Term Loan in a single loan on the Class C Incremental Term Effective Date in a principal amount not exceeding such
Incremental Lender’s Initial Class C Incremental Term Commitment. Unless previously terminated, the Initial Class C Incremental Term Commitments shall terminate at 5:00 p.m., New York City time, on the date of initial funding of the
Initial Class C Incremental Term Loans. Notwithstanding anything to the contrary contained herein, the funded portion of each Initial Class C Incremental Term Loan (i.e., the amount advanced in cash to the Borrower on the Class C Incremental Term
Effective Date) shall be equal to 99.75% of the principal amount of such Initial Class C Incremental Term Loan (it being agreed that the Borrower shall be obligated to repay 100.00% of the principal amount of each such Initial Class C Incremental
Term Loan, the Initial Class C Incremental Term Loans shall amortize based on 100.00% of the principal amount of each Initial Class C Incremental Term Loan and interest shall accrue on 100.00% of the principal amount of each such Initial Class C
Incremental Term Loan, in each case as provided herein and in the Credit Agreement as amended hereby). 
 (b) Subject to the
terms and conditions set forth herein and in the Credit Agreement (including Section 2.02 thereof), each Incremental Lender severally agrees to make to the Borrower a Deferred Funding Class C Incremental Term Loan in a single loan on or prior
to the Deferred Funding Termination Date in a principal amount not exceeding such Incremental Lender’s Deferred Funding Class C Incremental Term Commitment. Unless previously terminated, the Deferred Funding Class C Incremental

  
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Term Commitments shall terminate at 5:00 p.m., New York City time, on the earlier to occur of (i) the date of the initial funding of the Deferred Funding Class C Incremental Term Loans and
(ii) the Deferred Funding Termination Date. Notwithstanding anything to the contrary contained herein, (a) the funded portion of each Deferred Funding Class C Incremental Term Loan (i.e., the amount advanced in cash to the Borrower on the
Deferred Funding Date) shall be equal to 99.75% of the principal amount of such Deferred Funding Class C Incremental Term Loan (it being agreed that the Borrower shall be obligated to repay 100.00% of the principal amount of each such Deferred
Funding Class C Incremental Term Loan, the Deferred Funding Class C Incremental Term Loans shall amortize based on 100.00% of the principal amount of each Deferred Funding Class C Incremental Term Loan and interest shall accrue on 100.00% of the
principal amount of each such Deferred Funding Class C Incremental Term Loan, in each case as provided herein and in the Credit Agreement as amended hereby) and (b) no assignment by JPMorgan Chase Bank, N.A., in its capacity as an Incremental
Lender in respect of the Deferred Funding Class C Incremental Term Commitments, of any Deferred Funding Class C Incremental Term Commitments shall become effective prior to the initial funding of the Deferred Funding Class C Incremental Term Loans
on the Deferred Funding Date. 
 (c) Notwithstanding anything herein or in the Credit Agreement to the contrary, upon the
funding of the Deferred Funding Class C Incremental Term Loans, (w) all accrued but unpaid interest on the Initial Class C Incremental Term Loans shall be paid in full in accordance with the terms of the Credit Agreement (as amended hereby),
(x) the Deferred Funding Class C Incremental Term Loans shall be allocated ratably to the remaining portion of each Interest Period then applicable to the Initial Class C Incremental Term Loans based on the allocation of the Initial Class C
Incremental Term Loans to such Interest Periods at such time, (y) the Deferred Funding Class C Incremental Term Loans and the Initial Class C Incremental Term Loans shall thereafter be deemed to comprise the same Class of Term Loans and
(z) the Incremental Lenders with respect to the Deferred Funding Class C Incremental Term Loans and the Initial Lenders with respect to the Initial Class C Incremental Term Loans shall thereafter be deemed to comprise the same Class of Lenders.

 (d) Amounts borrowed under this Section 2 and repaid or prepaid may not be reborrowed. Class C Incremental Term Loans
may be Base Rate Loans or LIBOR Loans, as further provided in the Credit Agreement. 
 (e) The Borrower shall use the proceeds
of (i) the Initial Class C Incremental Term Loans to prepay in full, on the Class C Incremental Term Effective Date, the outstanding principal amount of the Class A Term Loans and the Class A Incremental Term Loans (together with any
accrued but unpaid interest and fees thereon) and to pay Amendment Transaction Costs and (ii) the Deferred Funding Class C Incremental Term Loans to redeem in full the outstanding principal amount of the Senior Notes (together with any accrued
but unpaid interest and fees thereon), to pay Amendment Transaction Costs and for use in working capital and general corporate purposes or to finance acquisitions that are permitted under the Credit Agreement. 

  
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 (f) Notwithstanding anything herein (including Sections 2(a) and 2(e) hereof) or in the
Credit Agreement to the contrary, (i) each Incremental Lender holding Class A Term Loans or Class A Incremental Term Loans immediately prior to the Class C Incremental Term Effective Date (each such Incremental Lender, an
“Existing Lender”) shall be deemed to have made to the Borrower an Initial Class C Incremental Term Loan on the Class C Incremental Term Effective Date in an amount (such Existing Lender’s “Cashless Roll
Amount”) equal to the lesser of (A) the aggregate principal amount of the Class A Term Loans and Class A Incremental Term Loans held by such Existing Lender immediately prior to the Class C Incremental Term Effective Date
(such Existing Lender’s “Existing Term Loan Amount”) and (B) such Existing Lender’s Initial Class C Incremental Term Commitment; provided that if such Existing Lender’s Initial Class C Incremental Term
Commitment exceeds such Existing Lender’s Existing Term Loan Amount, then such Existing Lender shall be required to make an Initial Class C Incremental Term Loan to the Borrower on the Class C Incremental Term Effective Date in accordance with
Section 2(a) hereof in an aggregate principal amount equal to such excess, and (ii) the Borrower shall be deemed to have prepaid, on the Class C Incremental Term Effective Date, an amount of the Class A Term Loans and Class A
Incremental Term Loans of each Existing Lender in an aggregate principal amount equal to the lesser of (A) such Existing Lender’s Existing Term Loan Amount and (B) such Existing Lender’s Initial Class C Incremental Term
Commitment; provided that (1) if such Existing Lender’s Existing Term Loan Amount exceeds such Existing Lender’s Initial Class C Incremental Term Commitment, then the Borrower shall be required to prepay in full, on Class C
Incremental Term Effective Date in accordance with Section 2(e) hereof, the outstanding principal amount of the Class A Term Loans and the Class A Incremental Term Loans of such Existing Lender not deemed to be prepaid pursuant to
this clause (ii) and (2) notwithstanding the operation of this clause (ii), the Borrower shall be required to pay to such Existing Lender, on the Class C Incremental Term Effective Date, all accrued but unpaid interest fees on the
outstanding principal amount of the Class A Term Loans and Class A Incremental Term Loans of such Existing Lender immediately prior to the Class C Incremental Term Effective Date. The Borrower shall pay to the Administrative Agent on the
Class C Incremental Term Effective Date, for the account of each Existing Lender, an upfront fee equal to 0.25% of such Existing Lender’s Cashless Roll Amount. 
 SECTION 3. Deferred Funding Ticking Fee. The Borrower hereby agrees to pay to the Administrative Agent for the account of each Incremental Lender having a Deferred Funding Class C Incremental Term
Commitment a ticking fee (the “Deferred Funding Ticking Fee”), which shall accrue at a rate per annum equal to 50% of the Applicable Rate (determined on the Deferred Funding Date, as defined below) in respect of the Deferred Funding
Class C Incremental Term Loans applicable to LIBOR Loans, on the average daily amount of the Deferred Funding Class C Incremental Term Commitments of such Incremental Lender during the period from and including the date that is fourteen days after
the Class C Incremental Term Effective Date to but excluding the date of borrowing of the Deferred Funding Class C Term Loans (such date, the “Deferred Funding Date”). Accrued ticking fees shall be payable in arrears on the Deferred
Funding Date (it being understood that the Deferred Funding Ticking Fee shall not be payable if the Deferred Funding Date does not occur). The Deferred Funding Ticking Fee shall be computed on the basis of a year of 360 days and shall be payable for
the actual number of days elapsed. 

  
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 SECTION 4. Amendments to Section 1.01. (a) Section 1.01 of the Credit
Agreement is hereby amended by adding the following definitions in the appropriate alphabetical order: 

“Class C Incremental Term Amendment” means the Incremental Amendment dated as of May 8, 2013, among
Holdings, the Borrower, the Lenders party thereto and the Administrative Agent. 
 “Class C Incremental
Term Commitment” has the meaning specified in Section 1 of the Class C Incremental Term Amendment. 

“Class C Incremental Term Effective Date” has the meaning specified in Section 1 of the Class C
Incremental Term Amendment. 
 “Class C Incremental Term Lender” means, at any time, each Lender
that has a Class C Incremental Term Commitment or Class C Incremental Term Loan at such time. 
 “Class C
Incremental Term Loan” means a Loan made pursuant to Section 2 of the Class C Incremental Term Amendment. 
 “Deferred Funding Date” has the meaning specified in Section 1 of the Class C Incremental Term Amendment. 
 (b) The definition of the term “Aggregate Commitments” in Section 1.01 of the Credit Agreement is hereby amended by replacing the text “and the total Class A Incremental
Term Commitments” with the text “, the total Class A Incremental Term Commitments and the total Class C Incremental Term Commitments”. 
 (c) The definition of the term “Applicable Rate” in Section 1.01 of the Credit Agreement is hereby amended by (i) deleting the text “and” immediately after clause
(a) of such definition; (ii) replacing the period at the end of clause (b) of such definition with the text “; and”; and (iii) inserting the following new clause (c) in appropriate alphabetical order in such
definition: 
 (c) in the case of Class C Incremental Term Loans, the following percentages per annum, based upon the Total
Leverage Ratio: 
  

											
	 Pricing Level
	  	Total Leverage Ratio	  	LIBOR
Rate	 	 	Base Rate	 
	         1
	  	> 4.25 to 1.0	  	 	3.25	% 	 	 	2.25	% 
	         2
	  	< 4.25 to 1.0	  	 	3.00	% 	 	 	2.00	% 

  
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 Any increase or decrease in the Applicable Rate resulting from a change in the Total
Leverage Ratio shall become effective as of the first Business Day immediately following the date a Compliance Certificate is delivered pursuant to Section 6.02(a); provided that, at the option of the Required Lenders, the highest
pricing level shall apply as of the first Business Day after the date on which a Compliance Certificate was required to have been delivered but was not delivered, and shall continue to so apply to and including the date on which such Compliance
Certificate is so delivered (and thereafter the pricing level otherwise determined in accordance with this definition shall apply). 
 (d) The definition of the term “Base Rate” in Section 1.01 of the Credit Agreement is hereby amended by replacing the proviso in such definition in its entirety with the following
text: 
 provided that (i) in the case of Class A Incremental Term Loans, if at any time the Base Rate is
less than 2.50%, then the Base Rate shall be deemed at such time to be equal to 2.50% and (ii) in the case of Class C Incremental Term Loans, if at any time the Base Rate is less than 2.00%, then the Base Rate shall be deemed at such time to be
equal to 2.00% 
 (e) The definition of the term “Borrowing” in Section 1.01 of the Credit Agreement is
hereby amended by replacing the text “or a Class A Incremental Term Borrowing” with the text “, a Class A Incremental Term Borrowing or a Class C Incremental Term Borrowing”. 

(f) The definition of the term “Class” in Section 1.01 of the Credit Agreement is hereby amended by replacing such
definition in its entirety with the following text: 
 “Class” (a) when used with respect
to Lenders, refers to whether such Lenders are Class A Revolving Credit Lenders, Class B Revolving Credit Lenders, Class A Term Lenders, Class B Term Lenders, Class A Incremental Term Lenders or Class C Incremental Term Lenders,
(b) when used with respect to Commitments, refers to whether such Commitments are Class A Revolving Credit Commitments, Class B Revolving Credit Commitments, Class A Incremental Term Commitments or Class C Incremental Term Commitments
and (c) when used with respect to Loans or a Borrowing, refers to whether such Loans, or the Loans comprising such Borrowing, are Class A Revolving Credit Loans, Class B Revolving Credit Loans, Class A Term Loans, Class B Term Loans,
Class A Incremental Term Loans or Class C Incremental Term Loans. 
 (g) The definition of the term
“Commitment” in Section 1.01 of the Credit Agreement is hereby amended by replacing the text “or a Class A Incremental Term Commitment” in such definition with the text “, a Class A Incremental Term
Commitment or a Class C Incremental Term Commitment”. 

  
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 (h) The definition of the term “Defaulting Lender” in Section 1.01 of
the Credit Agreement is hereby amended by adding the text “Class C Incremental Term Loans,” immediately after the text “Class A Incremental Term Loans,” in such definition. 

(i) The definition of the term “Disqualified Equity Interests” in Section 1.01 of the Credit Agreement is hereby
amended by replacing the text “Class A Incremental Term Loans” in such definition with the text “Class C Incremental Term Loans”. 
 (j) The definition of the term “Facility” in Section 1.01 of the Credit Agreement is hereby amended by replacing the text “and the Class A Incremental Term Loans” in
such definition with the text “, the Class A Incremental Term Loans and the Class C Incremental Term Loans”. 

(k) The definition of the term “LIBOR” in Section 1.01 of the Credit Agreement is hereby amended by replacing the
last sentence of such definition in its entirety with the following text: 
 Notwithstanding the foregoing and solely for
purposes of calculating interest payable in respect of (x) Class A Incremental Term Loans, if at any time LIBOR is less than 1.50%, then LIBOR shall be deemed at such time to be equal to 1.50% and (y) Class C Incremental Term Loans,
if at any time LIBOR is less than 1.00%, then LIBOR shall be deemed at such time to be equal to 1.00%. 
 (l) The definition of
the term “Loan” in Section 1.01 of the Credit Agreement is hereby amended by replacing the text “or a Class A Incremental Term Loan” in such definition with the text “, a Class A Incremental Term Loan
or a Class C Incremental Term Loan”. 
 (m) The definition of the term “Permitted Subordinated Notes” in
Section 1.01 of the Credit Agreement is hereby amended by replacing the text “Class A Incremental Term Loans” in such definition with the text “Class C Incremental Term Loans”. 

(n) The definition of the term “Pro Rata Share” in Section 1.01 of the Credit Agreement is hereby amended by
replacing clause (b) of the second sentence of such definition in its entirety with the following text: 
 (b) in the case
of the Term Loans, the numerator of which is the aggregate principal amount of the Class A Term Loans, Class B Term Loans or Class C Incremental Term Loans held by such Lender at such time, as the case may be, and the denominator of which is
the sum of the aggregate principal amount of all Class A Term Loans outstanding at such time plus the aggregate principal amount of all Class B Term Loans outstanding at such time plus the aggregate principal amount of all Class C
Incremental Term Loans outstanding at such time 

  
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 (o) The definition of the term “Required Lenders” in Section 1.01 of
the Credit Agreement is hereby amended by (i) inserting the text “and unused Class C Incremental Term Commitments” immediately after the text “unused Term Commitments” in clause (b) of such definition and
(ii) inserting the text “, unused Class C Incremental Term Commitments” immediately after the text “unused Term Commitments” in the proviso of such definition. 

(p) The definition of the term “Term Borrowing” in Section 1.01 of the Credit Agreement is hereby amended by
replacing such definition in its entirety with the following text: 
 “Term Borrowing” means a
borrowing consisting of Class A Term Loans, Class B Term Loans or Class C Incremental Term Loans, each of the same Type and, in the case of LIBOR Loans, having the same Interest Period made by each of the Class A Term Lenders or Class B
Term Lenders pursuant to Section 2.01(a) or by the Class C Incremental Term Lenders pursuant to Section 2 of the Class C Incremental Term Amendment, as applicable. 
 (q) The definition of the term “Term Lender” is hereby amended by replacing such definition in its entirety with the following text: 

“Term Lender” means, at any time, any Lender that has a Class A Term Loan, a Class B Term Loan or a
Class C Incremental Term Loan. 
 (r) The definition of the term “Term Loan” in Section 1.01 of the Credit
Agreement is hereby amended by replacing such definition in its entirety with the following text: 

“Term Loan” means the Class A Term Loans, the Class B Term Loans and the Class C Incremental Term
Loans, as the context may require. 
 SECTION 5. Amendments to Section 2.02(a). Section 2.02(a) of the Credit
Agreement is hereby amended by inserting the text “, Class C Incremental Term Loans” immediately after each occurrence of the text “Class A Incremental Term Loans” in such Section. 

SECTION 6. Amendments to Section 2.02(e). Section 2.02(e) of the Credit Agreement is hereby amended by inserting the
text “, Class C Incremental Term Loans” immediately after the text “Class A Incremental Term Loans” in such Section. 
 SECTION 7. Amendments to Section 2.05(a). Section 2.05(a) of the Credit Agreement is hereby amended as follows: 
 (a) by adding the text “, Class C Incremental Term Loans” immediately after the text “Class A Incremental Term Loans” in paragraph (i) of such Section; and 

  
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 (b) by replacing the text “Sections 2.07(a) and (b)” in paragraph (iv) of
such Section with the text “Sections 2.07(a), (b) and (e)”. 
 SECTION 8. Amendments to
Section 2.05(b). Section 2.05(b) of the Credit Agreement is hereby amended by replacing each occurrence of the text “Term Loans and Class A Incremental Term Loans” in such Section with the text “Term Loans”.

 SECTION 9. Amendments to Section 2.05(d). Section 2.05(d) of the Credit Agreement is hereby amended as
follows: 
 (a) by replacing the title of such Section in its entirety with the text “Class C Incremental Facility Call
Protection”; 
 (b) by replacing the lead-in to such Section in its entirety with the text “In the event that on
or prior to the date that is six months after the Class C Incremental Term Effective Date:”; 
 (c) by replacing each
occurrence of the text “Class B Term Loans or Class A Incremental Term Loans” in such Section with the text “Class C Incremental Term Loans”; 
 (d) by replacing the text “or upon satisfaction of any condition could be” in clause (i) of such Section with the text “or, as a result of the applicability of an amended pricing grid,
could be”; 
 (e) by replacing the parenthetical in clause (1)(a)(x) of the last paragraph of such Section with the
text “(which, in the case of the Class C Incremental Term Loans, shall mean 1.00% per annum)”; and 
 (f) by
replacing the text “Class A Incremental Term Loans” in the parenthetical in clause (2) of the last paragraph of such Section with the text “Class C Incremental Term Loans”. 

SECTION 10. Amendment to Section 2.05(e). Section 2.05(e) of the Credit Agreement is hereby amended by replacing such
Section in its entirety with the following text: 
 (e) Sharing of Prepayments. Notwithstanding the
foregoing, (i) all mandatory prepayments of Term Loans shall, subject to clause (vi) of Section 2.05(b), be paid to the Term Lenders for prepayment of their Term Loans in accordance with their respective Pro Rata Shares and
(ii) solely for the purposes of clause (i) of this Section 2.05(e), the Term Lenders’ Pro Rata Shares as of any date shall be determined as if the references in the definition of the term “Pro Rata Share” to Facility
were instead references to the Class A Term Loans, Class B Term Loans, Class A Incremental Term Loans and Class C Incremental Term Loans, which shall be treated as a single Facility for this purpose. 

  
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 SECTION 11. Amendment to Section 2.07. Section 2.07 of the Credit Agreement
is hereby amended by adding the following new paragraph (e) to such Section: 
 (e) Class C Incremental
Term Loans. The Borrower shall repay to the Administrative Agent for the ratable account of the Class C Incremental Term Lenders (i) on the last Business Day of each March, June, September and December, commencing with the last Business Day
of September 2013, an aggregate principal amount equal to 0.25% of the sum of (x) the aggregate principal amount of all Class C Incremental Term Loans outstanding on the Class C Incremental Term Effective Date and (y) the aggregate
principal amount of all Class C Incremental Term Loans, if any, made on the Deferred Funding Date (which payments shall be reduced as a result of the application of prepayments in accordance with the order of priority set forth in Section 2.05)
and (ii) on the Incremental Term Loan Maturity Date, the aggregate principal amount of all Class C Incremental Term Loans outstanding on such date. 
 SECTION 12. Amendment to Section 2.14. Section 2.14 of the Credit Agreement is hereby amended by replacing the text “the Term Loans and the Class A Incremental Term Loans”
in such Section with the text “the Term Loans”. 
 SECTION 13. Amendment to Exhibit E. Exhibit E to the Credit
Agreement is hereby amended and restated to read in its entirety as set forth in Exhibit A hereto. 
 SECTION 14. Conditions
Precedent to Initial Class C Incremental Term Loans. The obligations of the Incremental Lenders to make the Initial Class C Incremental Term Loans hereunder shall not become effective until the date on which each of the following conditions is
satisfied (or waived by each of the Incremental Lenders then having an Initial Class C Incremental Term Commitment): 
 (a) The
Administrative Agent (or, in the case of clause (ii) below, its counsel) shall have received (i) from the Borrower, at or prior to the time required by Section 2.02 of the Credit Agreement, a Committed Loan Notice with respect to the
Borrowing of the Initial Class C Incremental Term Loans pursuant to which the Borrower agrees that the provisions of Section 3.05 of the Credit Agreement shall apply to any failure by the Borrower to borrow the Initial Class C Incremental Term
Loans on the Class C Incremental Term Effective Date and (ii) from each party hereto, either (A) a counterpart of this Amendment signed on behalf of such party or (B) written evidence satisfactory to the Administrative Agent (which
may include facsimile or electronic transmission (including Adobe pdf file) of a signed signature page of this Amendment) that such party has signed a counterpart of this Amendment. 

(b) The Administrative Agent shall have received an opinion from Cleary Gottlieb Steen & Hamilton LLP, New York counsel to the
Loan Parties, substantially in the form of Exhibit B-1, and an opinion from Bradley Arant Boult Cummings LLP substantially in the form of Exhibit B-2. 

  
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 (c) The Administrative Agent shall have received such certificates of resolutions or other
action, incumbency certificates and/or other certificates of Responsible Officers of each Loan Party as the Administrative Agent may reasonably require evidencing the identity, authority and capacity of each Responsible Officer thereof authorized to
act as a Responsible Officer in connection with this Amendment and any other Loan Documents to which such Loan Party is a party or is to be a party to be signed on or after the Class C Incremental Term Effective Date. 

(d) On the Class C Incremental Term Effective Date, immediately after giving effect to the funding of the Initial Class C Incremental
Term Loans and the application of the proceeds therefrom, the Borrower and the Restricted Subsidiaries shall be in compliance with the Senior Secured Leverage Ratio Incurrence Test. 

(e) The representations and warranties of the Borrower and each other Loan Party contained in Article V of the Credit Agreement and the
other Loan Documents shall be true and correct in all material respects on and as of the Class C Incremental Term Effective Date; provided that, to the extent that such representations and warranties specifically refer to an earlier date,
they shall be true and correct in all material respects as of such earlier date; provided, further, that any representation and warranty that is qualified as to “materiality”, “Material Adverse Effect” or similar language
shall be true and correct (after giving effect to any qualification therein) in all respects on such respective dates. 
 (f) No
Default shall exist or would result from the making of the Initial Class C Incremental Term Loans or from the application of the proceeds therefrom. 
 (g) All fees and expenses required to be paid hereunder (or under any other agreement entered into by the Administrative Agent, any Arranger, TPG Capital BD, LLC or any of their respective Affiliates) and
invoiced at least three (3) Business Days prior to the Class C Incremental Term Effective Date shall have been paid in full in cash. 
 (h) The Arrangers shall have received on or prior to the Class C Incremental Term Effective Date all documentation and other information reasonably requested in writing by them at least five Business Days
prior to the Class C Incremental Term Effective Date in order to allow the Arrangers, the Agents and the Incremental Lenders to comply with applicable “know your customer” and anti-money laundering rules and regulations, including the USA
PATRIOT Act. 
 (i) The Administrative Agent shall have received a certificate from a Responsible Officer of the Borrower, in
form and substance reasonably satisfactory to the Administrative Agent, certifying as to the solvency of Holdings, the Borrower and the Subsidiaries on a consolidated basis after giving effect to the Amendment Transactions to occur on the Class C
Incremental Term Effective Date. 

  
 12 

 (j) Each Loan Party shall have entered into a written instrument reasonably satisfactory to
the Administrative Agent pursuant to which it confirms that it consents to this Amendment and that the Collateral Documents to which it is a party will continue to apply in respect of the Credit Agreement, as amended hereby, and the Obligations of
such Loan Party. 
 The Request for Credit Extension under Section 14(a)(i) hereof shall be deemed to be a representation
and warranty that the conditions specified in Sections 14(e) and 14(f) hereof have been satisfied on and as of the Class C Incremental Term Effective Date. 
 SECTION 15. Conditions Precedent to Deferred Funding Class C Incremental Term Loans. The obligations of the Incremental Lenders to make the Deferred Funding Class C Incremental Term Loans hereunder
shall not become effective until the date on which each of the following conditions is satisfied (or waived by each of the Incremental Lenders then having a Deferred Funding Class C Incremental Term Commitment): 

(a) The Class C Incremental Term Effective Date shall have occurred. 

(b) The Administrative Agent shall have received from the Borrower, at or prior to the time required by Section 2.02 of the Credit
Agreement, a Committed Loan Notice with respect to the Borrowing of the Deferred Funding Class C Incremental Term Loans pursuant to which the Borrower agrees that the provisions of Section 3.05 of the Credit Agreement shall apply to any failure
by the Borrower to borrow the Deferred Funding Class C Incremental Term Loans on the Deferred Funding Date. 
 (c) On the
Deferred Funding Date, immediately after the funding of the Deferred Funding Class C Incremental Term Loans and the application of the proceeds therefrom, the Borrower and the Restricted Subsidiaries shall be in compliance with the Senior Secured
Leverage Ratio Incurrence Test. 
 (d) The representations and warranties of the Borrower and each other Loan Party contained in
Article V of the Credit Agreement and the other Loan Documents shall be true and correct in all material respects on and as of the Deferred Funding Date; provided that, to the extent that such representations and warranties specifically refer
to an earlier date, they shall be true and correct in all material respects as of such earlier date; provided, further, that any representation and warranty that is qualified as to “materiality”, “Material Adverse Effect”
or similar language shall be true and correct (after giving effect to any qualification therein) in all respects on such respective dates. 
 (e) No Default shall exist or would result from the making of the Deferred Funding Class C Incremental Term Loans or from the application of the proceeds therefrom. 

(f) The Deferred Funding Ticking Fee shall have been paid in full in cash. 

  
 13 

 (g) The Arrangers shall have received on or prior to the Deferred Funding Date all
documentation and other information reasonably requested in writing by them at least five Business Days prior to the Deferred Funding Date in order to allow the Arrangers, the Agents and the Incremental Lenders to comply with applicable “know
your customer” and anti-money laundering rules and regulations, including the USA PATRIOT Act. 
 (h) The Administrative
Agent shall have received a certificate from a Responsible Officer of the Borrower, in form and substance reasonably satisfactory to the Administrative Agent, certifying as to the solvency of Holdings, the Borrower and the Subsidiaries on a
consolidated basis after giving effect to the Amendment Transactions to occur on the Deferred Funding Date. 
 The Request for
Credit Extension under Section 15(b) hereof shall be deemed to be a representation and warranty that the conditions specified in Sections 15(d) and 15(e) hereof have been satisfied on and as of the Deferred Funding Date. 

SECTION 16. Representations and Warranties. Each of Holdings and the Borrower hereby represents and warrants to the Administrative
Agent and to each of the Lenders (including the Incremental Lenders) that: 
 (a) Each of Holdings and the Borrower has all
corporate or other organizational power and authority to execute, deliver and perform its obligations under this Amendment and to effect the Amendment Transactions. 
 (b) The Amendment Transactions to be entered into by each of Holdings and the Borrower have been duly authorized by all necessary corporate or other organizational action. This Amendment has been duly
executed and delivered by each of Holdings and the Borrower and constitutes a legal, valid and binding obligation of Holdings and the Borrower, enforceable in accordance with its terms, subject to applicable bankruptcy, insolvency, reorganization,
moratorium or other laws affecting creditors’ rights generally and subject to general principles of equity and principles of good faith and fair dealing, regardless of whether considered in a proceeding in equity or at law. 

SECTION 17. Effectiveness; Amendments. This Amendment shall become effective as of the date first above written when the
Administrative Agent shall have received counterparts of this Amendment (including via facsimile or electronic transmission (including Adobe pdf copy)) that, when taken together, bear the signatures of Holdings, the Borrower and the Incremental
Lenders set forth on Schedule 1 hereto. This Amendment may not be amended nor may any provision hereof be waived except pursuant to a writing signed by Holdings, the Borrower, the Administrative Agent and each Incremental Lender. 

SECTION 18. Incremental Lenders. Each Person that is an assignee with respect to a Deferred Funding Class C Incremental Term
Commitment pursuant to Section 10.07 of the Credit Agreement shall automatically become a party to this Amendment and shall be an “Incremental Lender” for all purposes hereof with respect to Deferred Funding Class C Incremental Term
Commitments. 

  
 14 

 SECTION 19. Credit Agreement. Except as expressly set forth herein, this Amendment
shall not by implication or otherwise limit, impair, constitute a waiver of, or otherwise affect the rights and remedies of the Lenders, the Agents, the L/C Issuer, the Borrower or any other Loan Party under the Credit Agreement or any other Loan
Document, and shall not alter, modify, amend or in any way affect any of the terms, conditions, obligations, covenants or agreements contained in the Credit Agreement or any other Loan Document, all of which are ratified and affirmed in all respects
and shall continue in full force and effect. Nothing herein shall be deemed to entitle Holdings or the Borrower to any future consent to, or waiver, amendment, modification or other change of, any of the terms, conditions, obligations, covenants or
agreements contained in the Credit Agreement or any other Loan Document in similar or different circumstances. After the date this Amendment becomes effective, any reference to the Credit Agreement shall mean the Credit Agreement as modified hereby.
This Amendment shall constitute an “Incremental Amendment”, the Class C Incremental Term Effective Date shall constitute an “Incremental Facility Closing Date”, each Class C Incremental Term Loan shall constitute an
“Incremental Term Loan” and each Incremental Lender shall constitute a “Lender”, in each case for all purposes of the Credit Agreement and the other Loan Documents. 

SECTION 20. APPLICABLE LAW. THIS AMENDMENT AND ANY CLAIM, CONTROVERSY, DISPUTE OR CAUSE OF ACTION (WHETHER IN CONTRACT
OR TORT OR OTHERWISE) BASED UPON, ARISING OUT OF OR RELATING TO THIS AMENDMENT AND THE TRANSACTIONS CONTEMPLATED HEREBY SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

SECTION 21. Counterparts. This Amendment may be executed in two or more counterparts, each of which shall constitute an original
but all of which, when taken together, shall constitute but one contract. Delivery of an executed signature page to this Amendment by facsimile or electronic transmission (including Adobe pdf copy) shall be effective as delivery of a manually signed
counterpart of this Amendment. 
 SECTION 22. Expenses. The Borrower agrees to reimburse the Administrative Agent for its
reasonable out-of-pocket expenses in connection with this Amendment. 
 SECTION 23. Headings. The Section headings used
herein are for convenience of reference only, are not part of this Amendment and are not to affect the construction of, or to be taken into consideration in interpreting, this Amendment. 

SECTION 24. Construction. The rules of construction specified in Section 1.02 of the Credit Agreement also apply to this
Amendment. 

  
 15 

 [Signature Pages Follow] 

  
 16 

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

			
	ASC ACQUISITION LLC,
		
	By	 	/s/ Ronald Cami
		 	Name: Ronald Cami
		 	Title:   Vice President and Secretary

  

			
	SURGICAL CARE AFFILIATES, LLC, as Borrower,
		
	By	 	/s/ Rich Sharff
		 	Name: Rich Sharff
		 	 Title:   Executive Vice President,
 General Counsel and Secretary

  
 17 

 
			
	 JPMORGAN CHASE BANK, N.A.,
 Individually and as Administrative Agent,

		
	By	 	/s/ Dawn L. LeeLum
		 	Name: Dawn L. LeeLum
		 	Title:   Executive Director

  
 18 

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

 

			
	Name of Lender:
	
	Pacifica CDO V LTD
	
	 By:   Alcentra NY, LLC, as investment
advisor

 
			
		
	by	 	/s/ Josephine Shin
		 	Name: Josephine Shin
		 	Title:   Senior Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

 

			
	Name of Lender:
	
	Pacifica CDO VI LTD
	
	 By:   Alcentra NY, LLC, as investment advisor

		
	by	 	/s/ Josephine Shin
		 	Name: Josephine Shin
		 	Title:   Senior Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Veritas CLO II, LTD
	
	 By:   Alcentra NY, LLC, as investment advisor

		
	by	 	/s/ Josephine Shin
		 	Name: Josephine Shin
		 	 Title   Senior Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Westwood CDO I LTD
		
	By:	 	Alcentra NY, LLC, as investment advisor
		
	by	 	/s/ Josephine Shin
		 	Name: Josephine Shin
		 	Title:   Senior Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Westwood CDO II LTD
		
	By:	 	Alcentra NY, LLC, as investment advisor
		
	by	 	/s/ Josephine Shin
		 	Name:  Josephine Shin
		 	Title:    Senior Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	ARES ENHANCED LOAN INVESTMENT STRATEGY II, LTD.
	
	By: ARES ENHANCED LOAN MANAGEMENT II, L.P., ITS PORTFOLIO MANAGER
	
	 BY: ARES ENHANCED LOAN II GP, LLC,
 ITS GENERAL PARTNER

		
	by	 	/s/ John Eanes
		 	Name:  John Eanes
		 	Title:    Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	ARES XVI CLO LTD.
	
	By: ARES CLO MANAGEMENT XVI, L.P., ITS ASSET MANAGER
	
	BY: ARES CLO GP XVI, LLC, ITS GENERAL PARTNER
		
	by	 	/s/ John Eanes
		 	Name:  John Eanes
		 	Title:    Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Ares NF CLO XIV Ltd
	
	By: Ares Management, LLC as Collateral Manager
		
	by	 	/s/ John Eanes
		 	Name:  John Eanes
		 	Title:    Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Ares NF CLO XV Ltd
	
	By: Ares Management, LLC, As Collateral Manager
		
	by	 	/s/ John Eanes
		 	Name:  John Eanes
		 	Title:    Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	GLOBAL LOAN OPPORTUNITY FUND B.V
	
	By: ARES MANAGEMENT LIMITED, ITS PORTFOLIO MANAGER
		
	by	 	/s/ John Eanes
		 	Name:  John Eanes
		 	Title:    Vice President

  

			
	 For any Lender requiring a second signature line:

		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	 BABSON CLO LTD. 2005-III
 CLEAR LAKE CLO, LTD.

	By: Babson Capital Management LLC as Collateral Manager
		
	by	 	/s/ Marcus Sowell
		 	Name: Marcus Sowell
		 	Title:   Managing Director

  

			
	 SC PRO LOAN II LIMITED
 SWISS CAPITAL PRO LOAN III PLC

	 By: Babson Capital Management LLC
 as Sub-Manager

		
	by	 	/s/ Marcus Sowell
		 	Name: Marcus Sowell
		 	Title:   Managing Director

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Black Diamond CLO 2006-1 (Cayman) LTD.
	
	 By: Black Diamond CLO 2006-1 Adviser, L.L.C.
 As its Collateral Manager

		
	by	 	/s/ Steve Deckoff
		 	Name:  Steve Deckoff
		 	Title:    Managing Principal

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	BlueMountain CLO Ltd
	
	By: BLUEMOUNTAIN CAPITAL MANAGEMENT, LLC, Its Collateral Manager
		
	by	 	/s/ Benjamin Yang
		 	Name:  Benjamin Yang
		 	Title:    Associate

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	CIFC Funding 2006-I, Ltd.
	
	By: CIFC Asset Management LLC, its Collateral Manager
		
	by	 	/s/ Robert Ranocchia
		 	Name:  Robert Ranocchia
		 	Title:    Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	ColumbusNova CLO Ltd. 2006-I
	
	By: Columbus Nova Credit Investments Management, LLC, its Collateral Manager
		
	by	 	/s/ Robert Ranocchia
		 	Name:  Robert Ranocchia
		 	Title:    Authorized Signatory

  

			
	 For any Lender requiring a second signature line:

		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	ColumbusNova CLO Ltd. 2006-II
	
	By: Columbus Nova Credit Investments Management, LLC, its Collateral Manager
		
	by	 	/s/ Robert Ranocchia
		 	Name:  Robert Ranocchia
		 	Title:     Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	ColumbusNova CLO Ltd. 2007-I
	
	By: Columbus Nova Credit Investments Management, LLC, its Collateral Manager
		
	by	 	/s/ Robert Ranocchia
		 	Name:  Robert Ranocchia
		 	Title:    Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Hewett’s Island CLO II, Ltd.
	
	 By: CypressTree Investment Management, LLC,
 its Collateral Manager

		
	by	 	/s/ Robert Ranocchia
		 	Name:  Robert Ranocchia
		 	Title:    Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Hewett’s Island CLO V, Ltd.
	
	By: CypressTree Investment Management, LLC, its Collateral Manager
		
	by	 	/s/ Robert Ranocchia
		 	Name: Robert Ranocchia
		 	Title:   Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Hewett’s Island CLO VI, Ltd.
	
	By: CypressTree Investment Management, LLC, its Collateral Manager
		
	by	 	/s/ Robert Ranocchia
		 	Name:  Robert Ranocchia
		 	Title:    Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Marquette Park CLO Ltd.
	
	 By: Deerfield Capital Management LLC,
 its Collateral Manager

		
	by	 	/s/ Robert Ranocchia
		 	Name:  Robert Ranocchia
		 	Title:    Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	AUSTRALIANSUPER
	
	By: Credit Suisse Asset Management, LLC, as
sub-advisor to Bentham Asset Management Pty Ltd. in its capacity as agent of and investment manager for AustralianSuper
Pty Ltd. in its capacity as trustee of AustralianSuper
		
	by	 	/s/ Thomas Flannery
		 	Name:  Thomas Flannery
		 	Title:

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	BENTHAM WHOLESALE SYNDICATED LOAN FUND
	
	By: Credit Suisse Asset Management, LLC, as agent (sub-advisor) for Challenger Investment Services Limited, the Responsible Entity for Bentham Wholesale Syndicated Loan
Fund
		
	by	 	/s/ Thomas Flannery
		 	Name:  Thomas Flannery
		 	Title:    Authorized Signatory

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	 MADISON PARK FUNDING VIII, LTD.
  

By: Credit Suisse Asset Management, LLC, as portfolio manager

		
	by	 	/s/ Thomas Flannery
		 	 Name: Thomas Flannery

Title:

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

RAYTHEON MASTER PENSION TRUST
  

By: Credit Suisse Asset Management, LLC, as investment manager

		
	by	 	/s/ Thomas Flannery
		 	 Name: Thomas Flannery

Title:   Authorized Signatory

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

APIDOS CDO IV
  
 By: Its Investment Advisor CVC Credit Partners, LLC

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

ACA CLO 2006-2 LTD
  
 By: Its Investment Advisor CVC Credit Partners, LLC

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

SHASTA CLO I LTD
  
 By: Its Investment Advisor CVC Credit Partners, LLC On behalf of Resource Capital Asset Management (RCAM)

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

SIERRA CLO II LTD
  
 By: Its Investment Advisor CVC Credit Partners, LLC On behalf of Resource Capital Asset Management (RCAM)

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

APIDOS CDO II
  
 By: Its Investment Advisor CVC Credit Partners, LLC

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

APIDOS CLO VIII
  
 By: Its Collateral Manager CVC Credit Partners, LLC

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

APIDOS CLO X
  
 By: Its Collateral Manager CVC Credit Partners, LLC

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

ACA CLO 2006-1 LTD
  
 By: Its Investment Advisor CVC Credit Partners, LLC

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

SAN GABRIEL CLO I LTD
  
 By: Its Investment Advisor CVC Credit Partners, LLC On behalf of Resource Capital Asset Management (RCAM)

		
	by	 	/s/ Jennifer Patrickakos
		 	 Name: Jennifer Patrickakos

Title:   VP

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	N/A
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

First Trust Senior Floating Rate Income Fund II
  

By: First Trust Advisors L.P., its investment manager

		
	by	 	/s/ Scott Fries
		 	 Name: Scott Fries
 Title:
  Vice President

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	 
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

Riverside Park CLO Ltd.
  
 By: GSO / Blackstone Debt Funds Management LLC as Collateral Manager

		
	by	 	/s/ Dan Smith
		 	 Name: Dan Smith
 Title:
  Authorized Signatory

  

			
	
	For any Lender requiring a second signature line:
		
	by	 	 
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

ING Prime Rate Trust

	By:	 	 ING Investment Management Co. LLC,
 as its investment manager

  

			
	ING Senior Income Fund
	By:	 	 ING Investment Management Co. LLC,
 as its investment manager

  

			
	ING Floating Rate Fund
	By:	 	 ING Investment Management Co. LLC,
 as its investment manager

  

			
	ISL Loan Trust
	By:	 	 ING Investment Management Co. LLC,
 as its investment advisor

  

			
	ING (L) Flex - Senior Loans
	By:	 	 ING Investment Management Co. LLC,
 as its investment manager

  

			
	 ING Investment Trust Co. Plan for Employee
 Benefit Investment Funds – Senior Loan Fund

	By:	 	ING Investment Trust Co. as its trustee

  

			
	IBM Personal Pension Plan Trust
	By:	 	 ING Investment Management Co. LLC,
 as its investment manager

  

			
	ING Investment Management CLO III, LTD.
	By:	 	 ING Alternative Asset Management LLC,
 as its investment manager

  

			
	Phoenix CLO I, LTD.
	By:	 	ING Alternative Asset Management LLC, as its investment manager

  

			
	Phoenix CLO II, LTD.
	By:	 	ING Alternative Asset Management LLC, as its investment manager

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Phoenix CLO III, LTD.
	By:	 	ING Alternative Asset Management LLC, as its investment manager
	  
 ING IM CLO 2012-2, LTD.

	By:	 	ING Alternative Asset Management LLC, as its investment manager
		
	by	 	/s/ Stan Zou
		 	 Name: Stan Zou
 Title:
  Vice President

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

CoLTS 2007-1 LTD.

	By:	 	Structured Asset Investors, LLC, as Collateral Manager
	By:	 	Ivy Hill Asset Management, L.P., as Submanager
		
	By:	 	/s/ Ryan Cascade

 
			
	Name:	 	Ryan Cascade
	Title:	 	Duly Authorized Signatory

  

			
	EMPORIA PREFERRED FUNDING II, LTD.
	By:	 	Ivy Hill Asset Management, L.P., as Collateral Manager
		
	By:	 	/s/ Ryan Cascade

 
			
	Name:	 	Ryan Cascade
	Title:	 	Duly Authorized Signatory

  

			
	EMPORIA PREFERRED FUNDING III, LTD.
	By:	 	Ivy Hill Asset Management, L.P., as Collateral Manager
		
	By:	 	/s/ Ryan Cascade

 
			
	Name:	 	Ryan Cascade
	Title:	 	Duly Authorized Signatory

  

			
	KNIGHTSBRIDGE CLO 2007-1 LIMITED
	By:	 	Ivy Hill Asset Management, L.P., as Collateral Manager
		
	By:	 	/s/ Ryan Cascade

 
			
	Name:	 	Ryan Cascade
	Title:	 	Duly Authorized Signatory

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 IVY HILL MIDDLE MARKET CREDIT
 FUND III, LTD.

	By:	 	Ivy Hill Asset Management, L.P., as Asset Manager
		
	By:	 	 /s/ Ryan
Cascade

 
			
	Name:	 	 Ryan Cascade

	 Title:
	 	 Duly Authorized Signatory

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

JPMORGAN CHASE BANK, N.A.

		
	by	 	/s/ Andrew C. Faherty
		 	 Name: Andrew C. Faherty

Title:   Authorized Signatory

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

LCM IV, Ltd.

	By:	 	LCM Asset Management LLC As Collateral Manager
		
	by	 	/s/ Sophie A. Venon
		 	 Name: Sophie A. Venon

Title:   LCM Asset Management LLC

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

LCM V, Ltd.

	By:	 	 LCM Asset Management LLC
 As
Collateral Manager

		
	by	 	/s/ Sophie A. Venon
		 	 Name: Sophie A. Venon

Title:   LCM Asset Management LLC

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:
  

LCM VI, Ltd.

	By:	 	 LCM Asset Management LLC
 As
Collateral Manager

		
	by	 	/s/ Sophie A. Venon
		 	 Name: Sophie A. Venon

Title:   LCM Asset Management LLC

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	 Name:

Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:

	
	LCM VIII Limited Partnership
	 By:   
	 	 LCM Asset Management LLC
 As
Collateral Manager

		
	by	 	/s/ Sophie A. Venon
		 	Name: Sophie A. Venon
		 	Title:   LCM Asset Management LLC

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:

	
	LCM IX Limited Partnership
	 By:   
	 	 LCM Asset Management LLC
 As
Collateral Manager

		
	by	 	/s/ Sophie A. Venon
		 	Name: Sophie A. Venon
		 	Title:   LCM Asset Management LLC

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:

	
	New York Life Insurance Company (Guaranteed Products)
	
	By: MacKay Shields LLC,
as Investment Adviser and not individually

 
			
		
		 	/s/ Dan Roberts
		 	Name: Dan Roberts
		 	Title:   Senior Managing Director

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:

	
	New York Life Insurance Company, GP - Portable Alpha
	
	By: MacKay Shields LLC,
as Investment Adviser and not individually

 
			
		
		 	/s/ Dan Roberts
		 	Name: Dan Roberts
		 	Title:   Senior Managing Director

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Venture V CDO Limited
	
	 By: its investment advisor, MJX Asset
 Management, LLC

		
	by	 	/s/ Martin E. Davey
		 	Name: Martin E. Davey
		 	Title:   Managing Director

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Venture VII CDO Limited
	
	 By: its investment advisor, MJX Asset
 Management, LLC

		
	by	 	/s/ Martin E. Davey
		 	Name: Martin E. Davey
		 	Title:   Managing Director

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Venture IX CDO, Limited
	
	 By: its investment advisor, MJX Asset
 Management LLC

		
	by	 	/s/ Martin E. Davey
		 	Name: Martin E. Davey
		 	Title:   Managing Director

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Venture VIII CDO, Limited
	
	 By: its investment advisor, MJX Asset
 Management, LLC

		
	by	 	/s/ Martin E. Davey
		 	Name: Martin E. Davey
		 	Title:   Managing Director

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:

	
	Muzinich & Co (Ireland) Limited for the account of Muzinich Loan Fund Plus
		
	by	 	/s/ Michael Ludwig
		 	Name: Michael Ludwig
		 	Title:   Director

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	Virtus Senior Floating Rate Fund
		
	by	 	/s/ Kyle Jennings
		 	Name: Kyle Jennings
		 	Title:   Managing Director

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	SILVERADO CLO 2006-II LIMITED
		
	By:	 	 New York Life Investment Management LLC,
 as Portfolio Manager and Attorney-in-Fact

		
	by	 	/s/ Jeanne M. Cruz
		 	Name: Jeanne M. Cruz
		 	Title:   Senior Director

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	Name of Lender:
	
	 JNL/PPM America Floating Rate Income Fund, a series of the JNL Series Trust

 
 PPM America, Inc., as sub-advisor

		
	by	 	/s/ David C. Wagner
		 	Name: David C. Wagner
		 	Title:   Managing Director
		 	

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

			
	 Name of Lender:

	
	Westbrook CLO, Ltd.
		
	By:	 	 Shenkman Capital Management, Inc.,
 as Investment Manager

		
	by	 	/s/ Richard H. Weinstein
		 	Name: Richard H. Weinstein
		 	 Title:  Chief Operating Officer

 SIGNATURE PAGE TO 
 INCREMENTAL AMENDMENT 
 TO THE SURGICAL CARE AFFILIATES, LLC 

AMENDED AND RESTATED CREDIT AGREEMENT 
 DATED AS OF THE DAY AND YEAR FIRST ABOVE WRITTEN 
  

 

			
	 Name of Lender:

	
	ILLINOIS STATE BOARD OF INVESTMENT
	
	 By: THL Credit Senior Loan Strategies LLC,
 as Investment Manager

		
	by	 	/s/ Kathleen A. Zarn
		 	Name: Kathleen A. Zarn
		 	 Title:  Vice President

  

			
	For any Lender requiring a second signature line:
		
	by	 	 
		 	Name:
		 	Title:

 SCHEDULE 1 
 Incremental Lenders 
 Initial Class C Incremental Term Commitments

  

					
	 Name
	  	Initial Class C
Incremental Term
Commitment	 
	 ARES MANAGEMENT LLC (AS AGT)
	  	$	17,885,035.99	  
	 ING INVESTMENT MANAGEMENT LLC AS AGT
	  	$	19,431,412.21	  
	 GSO CAPITAL PARTNERS LP
	  	$	2,706,799.82	  
	 DEERFIELD CAPITAL MANAGEMENT LLC
	  	$	12,575,986.90	  
	 CREDIT SUISSE ASSET MANAGEMENT LLC AS AGT
	  	$	11,529,500.46	  
	 APIDOS CAPITAL MANAGEMENT LLC
	  	$	10,594,887.41	  
	 BABSON CAPITAL MANAGEMENT LLC AS AGENT
	  	$	4,931,710.52	  
	 BDCM FUND ADVISER LLC
	  	$	4,912,500.00	  
	 ALCENTRA INC
	  	$	6,521,790.35	  
	 MJX ASSET MANAGEMENT LLC
	  	$	3,752,645.48	  
	 JPMORGAN CHASE BANK NATIONAL ASSOCIATION
	  	$	112,568,279.82	  
	 LYON CAPITAL MANAGEMENT
	  	$	4,912,500.00	  
	 FIRST TRUST ADVISORS L P AS AGENT
	  	$	1,965,000.00	  
	 NEW YORK LIFE INVESTMENT MANAGEMENT ASAGENT
	  	$	942,500.00	  
	 BLUEMOUNTAIN CAPITAL MANAGEMENT LLC
	  	$	2,827,500.00	  
	 MCDONNELL INVESTMENT MANAGEMENT LLC ASAGT
	  	$	982,500.00	  
	 PPM AMERICA INCORPORATED AS AGENT
	  	$	491,250.00	  
	 NEWFLEET ASSET MANAGEMENT LLC -AS AGENT
	  	$	1,473,750.00	  
	 SHENKMAN CAPITAL MANAGEMENT INC AS AGENT
	  	$	1,885,000.00	  
	 MUZINICH & CO INC AS AGENT
	  	$	884,201.04	  
	 MACKAY SHIELDS LLC AS AGT
	  	$	1,225,250.00	  
	 Total
	  	$	225,000,000.00	  

 Deferred Funding Class C Incremental Term Commitments 

 

					
	 Name
	  	Deferred Funding
Class C
Incremental
Term
Commitment	 
	 JPMorgan Chase Bank, N.A.
	  	$	165,000,000.00	  
	 Total
	  	$	165,000,000.00	  

 EXHIBIT A 
 Form of Assignment and Assumption 

 EXHIBIT E 
 To the Credit Agreement 
 FORM OF 

ASSIGNMENT AND ASSUMPTION 
 This Assignment and Assumption (this “Assignment and Assumption”) is dated as of the Effective Date set forth below and is entered into by and between the Assignor (as defined below) and
the Assignee (as defined below) pursuant to Section 10.07 of the Credit Agreement dated as of June 29, 2007, as amended and restated as of June 30, 2011, and as amended as of May 8, 2013 (as further amended, supplemented or
otherwise modified from time to time, the “Credit Agreement”), among Surgical Care Affiliates, LLC, ASC Acquisition LLC, JPMorgan Chase Bank, N.A., as administrative agent (in such capacity, the “Administrative
Agent”), Swing Line Lender and L/C Issuer, each lender from time to time party thereto, J.P. Morgan Securities LLC, Barclays Capital, the investment banking division of Barclays Bank PLC, and Goldman Sachs Lending Partners LLC as joint
bookrunners, Barclays Capital, the investment banking division of Barclays Bank PLC as syndication agent, and General Electric Capital Corporation, Goldman Sachs Bank USA, Natixis and The Royal Bank of Scotland PLC as documentation agents, receipt
of a copy of which is hereby acknowledged by the Assignee. Capitalized terms used in this Assignment and Assumption and not otherwise defined herein have the meanings specified in the Credit Agreement. The Standard Terms and Conditions set forth in
Annex I attached hereto are hereby agreed to and incorporated herein by reference and made a part of this Assignment and Assumption as if set forth herein in full. 
 For an agreed consideration, the Assignor hereby irrevocably sells and assigns to the Assignee, and the Assignee hereby irrevocably purchases and assumes from the Assignor, subject to and in accordance
with the Standard Terms and Conditions and the Credit Agreement, as of the Effective Date inserted by the Administrative Agent as contemplated below, (i) all of the Assignor’s rights and obligations in its capacity as a Lender under the
Credit Agreement, any other Loan Documents and any other documents or instruments delivered pursuant to any of the foregoing to the extent related to the amount and percentage interest identified below of all of such outstanding rights and
obligations of the Assignor under the facility identified below (including participations in any Letters of Credit or Swing Line Loans included in such facility) and (ii) to the extent permitted to be assigned under applicable law, all claims,
suits, causes of action and any other right of the Assignor (in its capacity as a Lender) against any Person, whether known or unknown, arising under or in connection with the Credit Agreement, any other Loan Document or any other documents or
instruments delivered pursuant to any of the foregoing or the transactions governed thereby or in any way based on or related to any of the foregoing, including, but not limited to, contract claims, tort claims, malpractice claims, statutory claims
and all other claims at law or in equity related to the rights and obligations sold and assigned pursuant to clause (i) above (the rights and obligations sold and assigned pursuant to clauses (i) and (ii) above being referred to
herein collectively as the “Assigned Interest”). Such sale and assignment is without recourse to the Assignor and, except as expressly provided in this Assignment and Assumption, without representation or warranty by the Assignor.

 1. Assignor (the “Assignor”): 
 2. Assignee (the “Assignee”): 

 Assignee is an Affiliate of: [Name of Lender] 

Assignee is an Approved Fund of: [Name of Lender] 
 3. Borrower: 
 4. Administrative Agent: JPMorgan Chase Bank, N.A. 

5. Assigned Interest: 
  

													
	 Facility
	  	Aggregate Amount 
of
Commitment/Loans of
all Lenders	 	  	Amount of
Commitment/Loans
Assigned	 	  	Percentage
Assigned of
Commitment/
Loans1	 
	 Class A Revolving Credit Facility
	  	$	 	  	  	$	 	  	  	 	%	  
	 Class B Revolving Credit Facility
	  	$	 	  	  	$	 	  	  	 	%	  
	 Class A Term Loans
	  	$	 	  	  	$	 	  	  	 	%	  
	 Class B Term Loans
	  	$	 	  	  	$	 	  	  	 	%	  
	 Class A Incremental Term Loans
	  	$	 	  	  	$	 	  	  	 	%	  
	 Class C Incremental Term Commitments
	  	$	 	  	  	$	 	  	  	 	%	  
	 Class C Incremental Term Loans
	  	$	 	  	  	$	 	  	  	 	%	  

 6. Effective Date (the “Effective Date”): 

If the Assignee is not a Lender, such Assignee agrees to deliver to the Administrative Agent a completed Administrative Questionnaire in
which the Assignee designates one or more credit contacts to whom all syndicate-level information (which may contain material non-public information about the Borrower, the other Loan Parties and their respective Affiliates or their respective
securities) will be made available and who may receive such information in accordance with the Assignee’s compliance procedures and applicable laws, including Federal and state securities laws. 

This Assignment and Assumption is being delivered to the Administrative Agent together with a processing and recordation fee of $3,500;
provided that only one such fee shall be payable in the event of simultaneous assignments from any Lender or its Approved Funds to one or more other Approved Funds. 

 
  

	1 	 Set forth, to at least 8 decimals, as a percentage of the Commitment/Loans of all Lenders thereunder. 

 The terms set forth in this Assignment and Assumption are hereby agreed to: 

 

			
	[NAME OF ASSIGNOR], as Assignor,
		
	By:	 	 
		 	Name:
		 	Title:

  

			
	[NAME OF ASSIGNEE], as Assignee,
		
	By:	 	 
		 	Name:
		 	Title:

 [Consented to and]2 Accepted: 
  

			
	 JPMORGAN CHASE BANK, N.A.,
 as Administrative Agent,

		
	By:	 	 
		 	Name:
		 	Title:

 [Consented to]3: 

[    ], as a Principal L/C Issuer, 
  

			
		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 JPMORGAN CHASE BANK, N.A.,
 as Swing Line Lender4,

		
	By:	 	 
		 	Name:
		 	Title:

  

	2	 No consent of the
Administrative Agent shall be required for an assignment of all or any portion of a Term Loan to another Lender, an Affiliate of a Lender or an Approved Fund. 

	3 	 No consent of the Principal L/C Issuers shall be required for any assignment of a Term Loan or any assignment to an Agent or an Affiliate of an Agent.

	4 	 Only required for any assignment of any of the Revolving Credit Facility. 

			
	SURGICAL CARE AFFILIATES,
LLC5
		
	By:	 	 
		 	Name:
		 	Title:

  

	5 	 No consent of the Borrower shall be required for an assignment to a Lender, an Affiliate of a Lender, an Approved Fund or, if an Event of Default under
Section 8.01(a) or, solely with respect to the Borrower, Section 8.01(f) of the Credit Agreement has occurred and is continuing, any Assignee except that the consent of the Borrower shall be required for assignments of Revolving Credit
Commitments of either Class and Revolving Credit Loans of either Class to a Lender that is not a Class A Revolving Credit Lender or a Class B Revolving Credit Lender; provided that no such consent of the Borrower shall be required if an
insolvency Event of Default or a payment Event of Default has occurred and is continuing. 

 ANNEX I 

CREDIT AGREEMENT1 
 STANDARD TERMS AND CONDITIONS FOR 
 ASSIGNMENT AND ASSUMPTION

 1. Representations and Warranties. 
 1.1 Assignor. The Assignor (a) represents and warrants that (i) it is the legal and beneficial owner of the Assigned Interest, (ii) the Assigned Interest is free and clear of any
lien, encumbrance or other adverse claim and (iii) it has full power and authority, and has taken all action necessary, to execute and deliver this Assignment and Assumption and to consummate the transactions contemplated hereby; and
(b) assumes no responsibility with respect to (i) any statements, warranties or representations made in or in connection with the Loan Documents, (ii) the execution, legality, validity, enforceability, genuineness, sufficiency or value of
the Loan Documents or any Collateral thereunder, (iii) the financial condition of the Borrower or any of its Subsidiaries or Affiliates or any other Person obligated in respect of the Loan Documents or (iv) the performance or observance by
Holdings, the Borrower or any of their Subsidiaries or Affiliates or any other Person of any of their obligations under the Loan Documents. 
 1.2. Assignee. The Assignee (a) represents and warrants that (i) it has full power and authority, and has taken all action necessary, to execute and deliver this Assignment and Assumption
and to consummate the transactions contemplated hereby and to become a Lender under the Credit Agreement, (ii) it satisfies the requirements, if any, specified in the Credit Agreement that are required to be satisfied by it in order to acquire
the Assigned Interest and become a Lender, (iii) from and after the Effective Date, it shall be bound by the provisions of the Credit Agreement as a Lender thereunder and, to the extent of the Assigned Interest, shall have the obligations of a
Lender thereunder, (iv) it has received a copy of the Credit Agreement, together with copies of the most recent financial statements delivered pursuant to Section 6.01 thereof, and such other documents and information as it has deemed
appropriate to make its own credit analysis and decision to enter into this Assignment and Assumption and to purchase the Assigned Interest on the basis of which it has made such analysis and decision independently and without reliance on any Agent
or any other Lender, and (v) if it is a Foreign Lender, attached to 
  

	1 	Capitalized terms used herein and not otherwise defined herein shall have the meanings assigned to such terms in the Credit Agreement dated as of June 29, 2007, as
amended and restated as of June 30, 2011, and as amended as of May 8, 2013 (as further amended, supplemented or otherwise modified from time to time, the “Credit Agreement”), among Surgical Care Affiliates, LLC, ASC Acquisition
LLC, JPMorgan Chase Bank, N.A., as administrative agent (in such capacity, the “Administrative Agent”), Swing Line Lender and L/C Issuer, each lender from time to time party thereto (collectively, the “Lenders” and
individually, a “Lender”), J.P. Morgan Securities LLC, Barclays Capital, the investment banking division of Barclays Bank PLC, and Goldman Sachs Lending Partners LLC as joint lead arrangers and joint bookrunners, Barclays Capital, the
investment banking division of Barclays Bank PLC as syndication agent, and General Electric Capital Corporation, Goldman Sachs Bank USA, Natixis and The Royal Bank of Scotland PLC as documentation agents. 

 
this Assignment and Assumption is any documentation required to be delivered by it pursuant to Section 3.01 of the Credit Agreement, duly completed and executed by the Assignee; and
(b) agrees that (i) it will, independently and without reliance on the Assignor, any Agent or any other Lender, and based on such documents and information as it shall deem appropriate at the time, continue to make its own credit decisions
in taking or not taking action under the Credit Agreement, and (ii) it will perform in accordance with their terms all of the obligations which by the terms of the Credit Agreement are required to be performed by it as a Lender. 

2. Payments. From and after the Effective Date, the Administrative Agent shall make all payments in respect of the Assigned
Interest (including payments of principal, interest, fees and other amounts) to the Assignor for amounts which have accrued to but excluding the Effective Date and to the Assignee for amounts which have accrued from and after the Effective Date.

 3. General Provisions. This Assignment and Assumption shall be binding upon and inure to the benefit of the parties
hereto and their respective successors and assigns. This Assignment and Assumption may be executed in any number of counterparts, which together shall constitute one instrument. Delivery of an executed counterpart of a signature page of this
Assignment and Assumption by facsimile or other electronic transmission shall be as effective as delivery of a manually executed counterpart of this Assignment and Assumption. This Assignment and Assumption shall be construed in accordance with and
governed by the law of the State of New York. 

 EXHIBIT B-1 
 Form of Opinion of Cleary Gottlieb Steen & Hamilton LLP 

 The Administrative Agent and the Lenders party on the date hereof to the Incremental Amendment referred to
below 
 Ladies and Gentlemen: 
 We have acted as special counsel to ASC Acquisition LLC, a Delaware limited liability company (“Holdings”), and Surgical Care Affiliates, LLC, a Delaware limited liability company and
wholly-owned subsidiary of Holdings (the “Borrower”), in connection with that certain Incremental Amendment, dated as of the date hereof (the “Incremental Amendment”), among the Borrower, Holdings, the Incremental
Lenders and JPMorgan Chase Bank, N.A., as Administrative Agent, which, upon satisfaction of the conditions to the effectiveness thereof, amends that certain Amended and Restated Credit Agreement, dated as of June 29, 2007, as amended and
restated as of June 30, 2011 (the “Existing Credit Agreement” and, as amended by the Incremental Amendment, the “Amended Credit Agreement”), among the Borrower, Holdings, the Lenders party thereto and JPMorgan
Chase Bank, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer. Each of the Borrower and Holdings, and each of the subsidiaries of the Borrower listed on Schedule A of the Reaffirmation Agreement (as defined below), are referred to as a
“Loan Party” herein, and they are referred to collectively herein as the “Loan Parties.” Capitalized terms used but not defined herein shall have the meanings ascribed to them in the Incremental Amendment or, if not defined in
the Incremental Amendment, the meanings ascribed to them in the Existing Credit Agreement. This opinion letter is furnished pursuant to Section14(b) of the Incremental Amendment. 

In arriving at the opinions expressed below, we have reviewed the following documents: 

 

	 	(a)	a copy, executed by Holdings and the Borrower, of the Incremental Amendment; 

 

	 	(b)	a copy of the Existing Credit Agreement; 

  

	 	(c)	a copy, executed by Holdings, the Borrower and the subsidiaries of the Borrower listed on Schedule A thereto, of the Reaffirmation Agreement, dated as of the date
hereof (the “Reaffirmation Agreement” and, together with the Incremental Amendment, the “Incremental Credit Documents”), among the Borrower, Holdings, the subsidiaries of the Borrower listed therein and JPMorgan Chase
Bank, N.A., as the Administrative Agent, Swing Line Lender and L/C Issuer; 

  

	 	(d)	copies of the Security Agreement and the Guaranty (together with the Amended Credit Agreement and the Reaffirmation Agreement, the “Credit Documents”)
in the form originally executed; and 

  

	 	(e)	copies of the Senior Notes Indenture and the Senior Subordinated Notes Indenture in the form originally executed. 

 In addition, we have made such investigations of law as we have deemed appropriate as a
basis for the opinions expressed below and have relied on the officer’s certificate of the Borrower attached hereto as Appendix A in connection with the opinion expressed in numbered paragraph 3 below. 

In rendering the opinions expressed below, we have assumed the authenticity of all documents submitted to us as originals and the
conformity to the originals of all documents submitted to us as copies. In addition, we have assumed and have not verified the accuracy as to factual matters of each document we have reviewed (including, without limitation, the accuracy of the
representations and warranties of each Loan Party in the agreements listed above). 
 Based on the foregoing, and subject to the
further assumptions and qualifications set forth below, it is our opinion that: 
 1. Each of the Incremental Credit Documents
has been duly executed and delivered by each Loan Party that is a party thereto under the law of the State of New York. 
 2.
Each of the Credit Documents is a valid, binding and enforceable agreement of each Loan Party that is a party thereto. 
 3. The
execution and delivery of each of the Incremental Credit Documents by each of the Loan Parties that is a party thereto do not, and the performance by each of the Loan Parties of its obligations in any Incremental Credit Document to which it is a
party will not, result in a breach of any of the terms and provisions of, or constitute a default under, the Senior Notes Indenture or the Senior Subordinated Notes Indenture. 
 4. After giving effect to the Incremental Credit Documents, the security interest in the Collateral in favor of the Administrative Agent under Article 9 of the Uniform Commercial Code as in effect on the
date hereof in the State of New York (the “NYUCC”) created pursuant to the Security Agreement will be entitled to the same validity and perfection under Article 9 of the NYUCC to which it was entitled immediately prior to giving
effect to the Incremental Credit Documents. 
 5. After giving effect to the Incremental Credit Documents, the Guaranty
continues to guarantee the payment of Obligations incurred prior to the effectiveness of the Incremental Amendment with the same effect as was the case prior to the effectiveness of the Incremental Amendment and will guarantee the payment of
Obligations incurred under and in connection with the Incremental Credit Documents with the same effect as is applicable to the Obligations incurred immediately prior to giving effect to the Incremental Credit Documents. 

 In rendering the foregoing opinions, (a) we have assumed that such Loan Party and each
other party to such agreement or obligation has satisfied those legal requirements that are applicable to it to the extent necessary to make such agreement or obligation enforceable against it (except that no such assumption is made as to any of the
Loan Parties regarding matters of the federal law of the United States of America or the law of the State of New York that in our experience normally would be applicable to general business entities with respect to such agreement or obligation),
(b) we have assumed that, except as amended by the Incremental Amendment, the Existing Credit Agreement has not been amended or terminated and is in full force and effect as amended and restated as of June 30, 2011, (c) we have
assumed that the Security Agreement, the Guaranty, the Senior Notes Indenture and the Senior Subordinated Notes Indenture have not been amended or terminated and are in full force and effect in the form originally executed and (d) such opinions
are subject to applicable bankruptcy, insolvency and similar laws affecting creditors’ rights generally and to general principles of equity. 
 In addition, (a) certain of the remedial provisions of the Guaranty and the Security Agreement may be further limited or rendered unenforceable by other applicable laws or judicially adopted
principles which, however, in our judgment do not make the remedies provided for therein (taken as a whole) inadequate for the practical realization of the principal benefits purported to be afforded thereby (except for the economic consequences of
procedural or other delay), (b) the waiver of defenses contained in the Guaranty and the Security Agreement may be ineffective to the extent that any such defense involves a matter of public policy under the law of the State of New York,
(c) the enforceability of indemnification provisions may be subject to public policy considerations, (d) the enforceability of certain covenants with respect to the Loan Parties contained in the Credit Documents and rights and remedial
provisions of the Credit Documents may be subject to consents, approvals, authorizations, registrations and filings with appropriate regulatory authorities, (e) we express no opinion with respect to the enforceability of Section 2.01 of
the Guaranty to the effect that the Guarantors are liable as primary rather than as secondary obligors and (f) we express no opinion as to the effect, if any, of ROFR Rights. 

With respect to the first sentence of Section 10.15(b) of the Existing Credit Agreement as amended by the Incremental Amendment,
Section 6.08(a) of the Security Agreement, Section 4.08(a) of the Guaranty and Section 3.07(b) of the Reaffirmation Agreement, we express no opinion as to the subject matter jurisdiction of any United States federal court to
adjudicate any action relating to any Loan Document or transactions related thereto where jurisdiction based on diversity of citizenship under 28 U.S.C. § 1332 does not exist. 

We note that the designation in Section 10.15(b) of the Existing Credit Agreement as amended by the Incremental Amendment,
Section 6.08(a) of the Security Agreement, Section 4.08(a) of the Guaranty and Section 3.07(b) of the Reaffirmation Agreement of the United States federal courts for the Southern District of New York as the venue for actions or
proceedings relating to any Loan Document or transactions related thereto is (notwithstanding the waivers in Section 10.15(c) of the Existing Credit Agreement as amended by the Incremental Amendment, Section 6.08(a) of the Security

 
Agreement, Section 4.08(a) of the Guaranty and Section 3.07(b) of the Reaffirmation Agreement) subject to the power of such courts to transfer actions pursuant to 28 U.S.C.
§ 1404(a) or to dismiss such actions or proceedings on the grounds that such a federal court is an inconvenient forum for such an action or proceeding. 
 We express no opinion with respect to the enforceability of the restrictions on assignment contained in Section 10.07 of the Existing Credit Agreement as amended by the Incremental Amendment,
Section 6.04 of the Security Agreement and Section 4.04 of the Guaranty. 
 The foregoing opinions are limited to the
federal law of the United States of America and the law of the State of New York. 
 We are furnishing this
opinion letter to you solely for your benefit in your capacity as the Administrative Agent or a Lender, as the case may be, in connection with the Credit Documents. This opinion letter is not to be relied on by or furnished to any other person or
used, circulated, quoted or otherwise referred to for any other purpose. Notwithstanding the foregoing, a copy of this opinion letter may be furnished to, and relied upon by, a permitted transferee who becomes a party to the Amended Credit Agreement
as a Lender thereunder on or prior to the 30th day after
the date of this opinion letter. The opinions expressed herein are, however, rendered on and as of the date hereof, and we assume no obligation to advise you or any such transferee or any other person, or to make any investigations, as to any legal
developments or factual matters arising subsequent to the date hereof that might affect the opinions expressed herein. 
  

			
	Very truly yours,
	CLEARY GOTTLIEB STEEN & HAMILTON LLP
		
	By:	 	 
	Laurent Alpert, a Partner

 Form of Opinion of Bradley Arant Boult Cummings LLP 

 To the Administrative Agent and the Lenders party on the date hereof to the Incremental Agreement referred
to below 
 Ladies and Gentlemen: 
 We have acted as special Alabama counsel to ASC Acquisition LLC, a Delaware limited liability company (“Holdings”), Surgical Care Affiliates, LLC, a Delaware limited liability company
(“Borrower”) and the entities named in Schedule I hereto (collectively the “Intermediate Holding Companies”), in connection with that certain Incremental Amendment, dated as of the date hereof (the
“Incremental Amendment”), among Holdings, Borrower, the Incremental Lenders party thereto, and JPMorgan Chase Bank, N.A., as Administrative Agent, which, upon satisfaction of the conditions to the effectiveness thereof, amends that
certain Amended and Restated Credit Agreement dated as of June 29, 2007, as amended and restated as of June 30, 2011 (the “Existing Credit Agreement” and, as amended by the Incremental Amendment, the “Amended
Credit Agreement”), among Holdings, Borrower, the Lenders party thereto and JPMorgan Chase Bank, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer. Capitalized terms used but not defined herein shall have the meanings ascribed
to them in the Incremental Amendment or, if not defined in the Incremental Amendment, the meanings ascribed to them in the Existing Credit Agreement. This opinion letter is furnished pursuant to Section 14(b) of the Incremental Amendment.

 As such counsel, in connection with the opinions expressed below, we have examined and relied on originals or copies of each
of the following documents (the documents listed as items (a) through (d), below, are referred to collectively as the “Reviewed Documents”): 
  

	 	(a)	an execution copy of the Incremental Amendment; 

  

	 	(b)	a copy of the Existing Credit Agreement in the form originally executed; 

  

	 	(c)	an execution copy of the Reaffirmation Agreement, dated as of the date hereof (the “Reaffirmation Agreement” and, together with the Incremental
Amendment, the “Incremental Credit Documents”), among Borrower, Holdings, the subsidiaries of Borrower listed therein and JPMorgan Chase Bank, N.A., as the Administrative Agent, Swing Line Lender and L/C Issuer; and

  

	 	(d)	copies of the Security Agreement and the Guaranty (together with the Amended Credit Agreement and the Reaffirmation Agreement, the “Credit Documents”)
in the form originally executed. 

 We have also examined and relied upon the accuracy of the representations and warranties as
to factual matters contained in and made pursuant to the Reviewed Documents and have examined and relied upon the originals, or copies of such records, documents, certificates and other instruments as in our judgment are necessary or appropriate to
enable us to render the opinions expressed below. As to certain factual matters with respect to our opinion, we have examined, and have relied upon the accuracy of, certificates from officers or other representatives of Holdings, Borrower and the
Intermediate Holding Companies (collectively, the “Officers’ Certificates”), and upon certificates or written or oral statements of public officials. In all such examinations, we have assumed the authenticity of all documents
submitted to us as originals, the genuineness of all signatures on original documents and the conformity to such original documents of all copies submitted to us as certified, conformed, photographic, facsimile, electronic or telecopied copies, the
legal capacity of all natural persons, and as to certificates, facsimile, electronic and oral statements or confirmations given by public officials, we have assumed the same to have been properly given and to be accurate when given and to have
remained accurate through the date hereof. In addition and without limiting the foregoing, we have, with your permission and without any independent investigation, assumed the following in connection with the opinions rendered below: 

(i) that all parties to the Reviewed Documents (other than Holdings, Borrower and the Intermediate Holding Companies) are
duly organized and validly existing and have the power and authority (corporate and otherwise) to execute, deliver and perform their obligations under such documents; 

(ii) that the Reviewed Documents have been duly authorized, executed and delivered by all parties thereto (other than
Holdings, Borrower and the Intermediate Holding Companies), and constitute the legal, valid and binding obligations of all the parties thereto (other than Holdings, Borrower and the Intermediate Holding Companies); 

(iii) that the Reviewed Documents are legal, valid, and enforceable under the laws of all jurisdictions applicable
thereto; and 
 (iv) that the terms and conditions of the Reviewed Documents have not been amended, modified or
supplemented by any other agreement, action or understanding of the parties and there has been no waiver of any of the provisions of any of the Reviewed Documents material to this opinion. 

All statements made in this opinion “to our knowledge,” “to our actual knowledge” or similar statements with respect
to knowledge are made solely to the actual knowledge of the attorneys of this firm who are directly involved in representing Holdings, Borrower and the Intermediate Holding Companies. We have not performed a docket search of any judicial or
administrative body. We have not undertaken any investigation to determine the existence or absence of such facts, and no inference as to our knowledge thereof shall be drawn from the fact of our representation of any party or otherwise. 

  
 Page 2

 Based upon and subject to the foregoing and subject also to the additional assumptions,
qualifications, limitations and exceptions set forth below, we are of the following opinions: 
 1. Based solely
upon the certificates attached as Exhibit A hereto, each of Holdings, Borrower, SCA Surgery Holdings, LLC, SC Affiliates, LLC, ASC Network LLC, eCode Solutions, LLC, Surgery Centers-West Holdings, LLC, National Surgery Centers, LLC, Surgery
Center Holding, LLC, and Surgical Health, LLC (collectively, the “LLCs”) is validly existing as a limited liability company in good standing under the laws of the State of Delaware, and, based solely on the certificates attached
hereto as Exhibit B, each of the LLCs listed on Exhibit B is authorized to transact business as a foreign limited liability company in the state of Alabama. 

2. Based solely upon the certificates attached as Exhibit C hereto, (1) Surgical Holdings, Inc. is validly
existing as a corporation in good standing under the laws of the State of Delaware; and (2) Surgical Center of Tuscaloosa Holdings, Inc. is validly existing as a corporation in good standing under the laws of the State of Alabama. 

3. Each of Holdings, Borrower, and the Intermediate Holding Companies has the limited liability company or corporate
power, as applicable, to own its properties and conduct its business as now conducted. Each of Holdings, Borrower and the Intermediate Holding Companies has the limited liability company or corporate power, as applicable, to enter into the
Incremental Credit Documents and to perform its obligations thereunder. 
 4. The execution and delivery of the
Incremental Credit Documents has been duly authorized by all necessary limited liability company or corporate action, as applicable, of each of Holdings, Borrower and the Intermediate Holding Companies. 

5. The performance by each of Holdings, Borrower and the Intermediate Holding Companies of their respective obligations in
the Incremental Credit Documents will not result in a violation of the Certificates of Formation or Limited Liability Company Agreements of the LLCs, or the Certificate of Incorporation or By-Laws of Surgical Holdings, Inc. or the Articles of
Incorporation or Bylaws of Surgical Center of Tuscaloosa Holdings, Inc., respectively. 
 The opinions expressed herein are
limited to the matters stated herein and no opinion may be implied or inferred beyond the matters expressly stated herein. In no way limiting the generality of the foregoing, no opinions are expressed herein regarding the enforceability of the
Reviewed Documents or any of the provisions thereof. Further, no opinions are expressed herein concerning the title, rights or interests of any Person to any real or personal property (or any interest therein) or collateral or the creation,
validity, enforcement, attachment, perfection or priority of any security interest, lien, mortgage, assignment or pledge, including any granted pursuant to any of the Reviewed Documents. The opinions expressed herein are as of the date hereof, and
we assume no obligation to update or supplement these opinions to reflect any facts or circumstances which may hereafter come to our attention or any changes in the law which may hereafter occur. The opinions expressed herein are further limited in
all respects to the internal laws of the State of Alabama, the Delaware Limited Liability Company Act, and the Delaware General Corporation Law, and no opinion is expressed herein with respect to the federal law of the United States or the laws of
any other jurisdiction or to the local laws, ordinances or rules of any municipality, county or political subdivision of the State of Alabama. 

  
 Page 3

 This opinion is furnished to you for your benefit only, and no other Person shall be
entitled to rely on this opinion without our express written consent in each instance, on the condition and understanding that: (i) this letter speaks only as of the date hereof; (ii) we have no responsibility or obligation to update this
letter, to consider its applicability or correctness to other than its addressees, or to take into account changes in law, facts or any other developments of which we may later become aware; and (iii) any such reliance by a future transferee
must be actual and reasonable under the circumstances existing at the time of transfer, including any changes in law, facts or any other developments known to or reasonably known by the transferee at such time. Subject to the foregoing, this opinion
letter is not to be quoted in whole or in part or otherwise referred to, nor is it to be filed with or disclosed to any governmental agency or other person, without our prior written consent except as required otherwise by applicable law, rule,
regulation or order of any court or regulatory authority. Notwithstanding the foregoing, a copy of this opinion letter may be furnished to, and relied upon by, a permitted transferee who becomes a party to the Amended Credit Agreement as a Lender
thereunder on or prior to the 30th day after the date of this opinion letter. The opinions expressed herein are, however, rendered on and as of the date hereof, and we assume no obligation to advise you or any such transferee or any other person, or
to make any investigations, as to any legal developments or factual matters arising subsequent to the date hereof that might affect the opinions expressed herein 

Yours very truly, 

  
 Page 4

 SCHEDULE I 
 Intermediate Holding Companies 
 SCA Surgery Holdings, LLC 

Surgical Holdings, Inc. 
 SC Affiliates, LLC ASC

 Network, LLC eCODE 
 Solutions, LLC

 Surgery Centers-West Holdings, LLC 

Surgical Center of Tuscaloosa Holdings, Inc. 

National Surgery Centers, LLC 
 Surgery Center
Holding, LLC 
 Surgical Health, LLC 

  
 Page 5

 Exhibit A 

 

			
	 Certificate of Existence:
	  	 Jurisdiction

	ASC Acquisition, LLC	  	DE
		
	Surgical Care Affiliates, LLC	  	DE
		
	SCA Surgery Holdings, LLC	  	DE
		
	SC Affiliates, LLC	  	DE
		
	ASC Network, LLC	  	DE
		
	eCODE Solutions, LLC	  	DE
		
	Surgery Centers-West Holdings, LLC	  	DE
		
	National Surgery Centers, LLC	  	DE
		
	Surgery Center Holding, LLC	  	DE
		
	Surgical Health, LLC	  	DE

  
 Page 6

 Exhibit B 

 

			
	 Certificate of Foreign Qualification:
	  	 Jurisdiction

	ASC Acquisition, LLC	  	AL
		
	Surgical Care Affiliates, LLC	  	AL
		
	SCA Surgery Holdings, LLC	  	AL
		
	SC Affiliates, LLC	  	AL
		
	ASC Network, LLC	  	AL
		
	Surgery Centers-West Holdings, LLC	  	AL
		
	National Surgery Centers, LLC	  	AL
		
	Surgery Center Holding, LLC	  	AL
		
	Surgical Health, LLC	  	AL

  
 Page 7

 EXHIBIT B-2 
 Exhibit C 
  

			
	 Certificate of Existence/Good Standing
	  	 Jxn

	Surgical Center of Tuscaloosa Holdings, Inc.	  	AL
		
	Surgical Holdings, Inc.	  	DEEX-10.3

 Exhibit 10.3 
 EXECUTION COPY 
  

 
  

PLEDGE AND SECURITY AGREEMENT 
 dated as of 
 June 29, 2007 

among 
 SURGERY
CENTERS MERGER SUB LLC, 
 (to be merged with and into Surgical Care Affiliates, LLC) 

as the Borrower 

ASC ACQUISITION LLC 

as Holdings 

CERTAIN SUBSIDIARIES OF 
 SURGICAL CARE AFFILIATES, LLC 
 IDENTIFIED HEREIN 

and 
 JPMORGAN
CHASE BANK, N.A., 
 as Administrative Agent 
  

 
  

							
	 ARTICLE I
 DEFINITIONS
	  			
	 Section 1.01.
	  	Credit Agreement	  	 	1	  
	 Section 1.02.
	  	Other Defined Terms	  	 	1	  
	ARTICLE II	  			
	PLEDGE OF SECURITIES	  			
	 Section 2.01.
	  	Pledge	  	 	6	  
	 Section 2.02.
	  	Delivery of the Pledged Collateral	  	 	6	  
	 Section 2.03.
	  	Representations, Warranties and Covenants	  	 	7	  
	 Section 2.04.
	  	Certification of Limited Liability Company and Limited Partnership Interests	  	 	8	  
	 Section 2.05.
	  	Registration in Nominee Name; Denominations	  	 	8	  
	 Section 2.06.
	  	Voting Rights; Dividends and Interest	  	 	9	  
	ARTICLE III	  			
	SECURITY INTERESTS IN PERSONAL PROPERTY	  			
	 Section 3.01.
	  	Security Interest	  	 	10	  
	 Section 3.02.
	  	Representations and Warranties	  	 	12	  
	 Section 3.03.
	  	Covenants	  	 	13	  
	 Section 3.04.
	  	Other Actions	  	 	16	  
	ARTICLE IV	  			
	REMEDIES	  			
	 Section 4.01.
	  	Remedies upon Default	  	 	17	  
	 Section 4.02.
	  	Application of Proceeds	  	 	18	  
	 Section 4.03.
	  	Grant of License to Use Intellectual Property; Power of Attorney	  	 	19	  
		
	ARTICLE V	  			
	INDEMNITY, SUBROGATION AND SUBORDINATION	  			
	 Section 5.01.
	  	Indemnity	  	 	19	  
	 Section 5.02.
	  	Contribution and Subrogation	  	 	19	  
	 Section 5.03.
	  	Subordination	  	 	20	  
	 ARTICLE VI
 MISCELLANEOUS
	  			
	  			
	 Section 6.01.
	  	Notices	  	 	20	  
	 Section 6.02.
	  	Waivers; Amendment	  	 	20	  
	 Section 6.03.
	  	Administrative Agent’s Fees and Expenses	  	 	20	  

  
 i 

							
	 Section 6.04.
	  	Successors and Assigns	  	 	21	  
	 Section 6.05.
	  	Counterparts; Several Agreement	  	 	21	  
	 Section 6.06.
	  	Severability	  	 	21	  
	 Section 6.07.
	  	Right of Set-Off	  	 	22	  
	 Section 6.08.
	  	Governing Law; Jurisdiction; Venue; Waiver Of Jury Trial; Consent To Service Of Process	  	 	22	  
	 Section 6.09.
	  	Headings	  	 	22	  
	 Section 6.10.
	  	Security Interest Absolute	  	 	22	  
	 Section 6.11.
	  	Termination or Release	  	 	23	  
	 Section 6.12.
	  	Additional Grantors	  	 	23	  
	 Section 6.13.
	  	ROFR Rights	  	 	23	  
	 Section 6.14.
	  	Administrative Agent Appointed Attorney-in-Fact	  	 	24	  
	 Section 6.15.
	  	General Authority of the Administrative Agent	  	 	24	  
	 Section 6.16.
	  	Survival of Representations and Warranties	  	 	25	  

  

			
	 ANNEX A
	  	List of Loan Parties
		
	 SCHEDULE I
	  	Pledged Equity; Pledged Debt
	 SCHEDULE II
	  	Commercial Tort Claims
		
	 Exhibits
	  	
		
	 EXHIBIT I
	  	Form of Security Agreement Supplement
	 EXHIBIT II
	  	Form of Patent Security Agreement
	 EXHIBIT III
	  	Form of Trademark Security Agreement
	 EXHIBIT IV
	  	Form of Copyright Security Agreement

  
 ii 

 PLEDGE AND SECURITY AGREEMENT dated as of June 29, 2007 among ASC ACQUISITION LLC, a
Delaware limited liability company (“Holdings”), SURGERY CENTERS MERGER SUB LLC , a Delaware limited liability company (“Merger Sub”) to be merged with and into SURGICAL CARE AFFILIATES, LLC, a Delaware limited
liability company (“SCA”), certain Subsidiaries of the Borrower (as defined below) from time to time party hereto (collectively, “Subsidiaries” and, individually, “Subsidiary”) and JPMORGAN CHASE
BANK, N.A., as Administrative Agent. 
 Reference is made to the Credit Agreement dated as of June 29, 2007 (as amended,
supplemented or otherwise modified from time to time, the “Credit Agreement”), among the Borrower (as defined below), Holdings, JPMorgan Chase Bank, N.A., as Administrative Agent, Swing Line Lender and L/C Issuer, each lender from
time to time party thereto (collectively, the “Lenders” and individually, a “Lender”), J.P. Morgan Securities Inc. and Goldman Sachs Credit Partners L.P., as joint lead arrangers and joint bookrunners, Goldman Sachs
Credit Partners L.P., as syndication agent, and General Electric Capital Corporation, Natixis and The Royal Bank of Scotland plc, as documentation agents. The Lenders have agreed to extend credit to the Borrower subject to the terms and conditions
set forth in the Credit Agreement. The obligations of the Lenders to extend such credit are conditioned upon, among other things, the execution and delivery of this Agreement. Holdings and the Subsidiaries party hereto each are affiliates of the
Borrower and will derive substantial benefits from the extension of credit to the Borrower pursuant to the Credit Agreement and are willing to execute and deliver this Agreement in order to induce the Lenders to extend such credit. Accordingly, the
parties hereto agree as follows: 
 ARTICLE I 
 Definitions 
 SECTION 1.01. Credit Agreement. (a) Capitalized
terms used in this Agreement and not otherwise defined herein have the meanings specified in the Credit Agreement. All terms defined in the New York UCC (as defined herein) and not defined in this Agreement have the meanings specified therein. The
term “instrument” shall have the meaning defined in Article 9 of the New York UCC. 
 (b) The rules of
construction specified in Article I of the Credit Agreement also apply to this Agreement. 
 SECTION 1.02. Other Defined
Terms. As used in this Agreement, the following terms have the meanings specified below: 
 “Account Debtor”
means any Person who is or who may become obligated to any Grantor under, with respect to or on account of an Account. 

“Accounts” has the meaning specified in Article 9 of the New York UCC. 

“Administrative Agent” means JPMorgan Chase Bank, N.A., in its capacity as administrative agent and collateral agent
under the Loan Documents, or any successor administrative agent and collateral agent. 
 “Agreement” means this
Pledge and Security Agreement. 
 “Article 9 Collateral” has the meaning assigned to such term in
Section 3.01(a). 

  
 1 

 “Borrower” means, prior to the consummation of the Merger, Merger Sub, and
thereafter means SCA. 
 “Claiming Party” has the meaning assigned to such term in Section 5.02.

 “Collateral” means the Article 9 Collateral and the Pledged Collateral. 

“Commercial Tort Claims” has the meaning assigned to such tern in Article 9 of the New York UCC. 

“Copyright License” means any written agreement, now or hereafter in effect, granting any right to any third party under
any Copyright now or hereafter owned by any Grantor or that such Grantor otherwise has the right to license, or granting any right to any Grantor under any Copyright now or hereafter owned by any third party or that such third party otherwise has
the right to license, and all rights of such Grantor under any such agreement. 
 “Copyrights” means, with
respect to any Person, all of the following now owned or hereafter acquired by such Person: (a) all copyright rights in any work subject to the copyright laws of the United States or any other country, whether as author, assignee, transferee or
otherwise, and (b) all registrations and applications for registration of any such copyright in the United States or any other country, including registrations, recordings, supplemental registrations and pending applications for registration in
the USCO or any foreign equivalent office. 
 “Contributing Party” has the meaning assigned to such term in
Section 5.02. 
 “Credit Agreement” has the meaning assigned to such term in the preliminary statement of
this Agreement. 
 “Excluded Assets” means: 

(a) any letter-of-credit rights, except to the extent constituting Supporting Obligations for any of the Collateral; 

(b) any Securitization Assets; 
 (c) any motor vehicles and other assets subject to certificates of title; 
 (d)
any real property that is not Material Real Property; 
 (e) any leasehold interests in real property; 

(f) any Commercial Tort Claims for which no complaint has been filed in a court of competent jurisdiction or which has a claimed value of
$5,000,000 or less; 
 (g) any Intellectual Property whose pledge would result in the forfeiture of the Grantors’ rights in
such property, including any Trademark applications filed in the USPTO on the basis of such Grantor’s “intent-to-use” such Trademark, unless and until acceptable evidence of use of such Trademark has been filed with the USPTO pursuant
to Section 1(c) or Section 1(d) of the Lanham Act (15 U.S.C. 1051, et seq.), to the extent that granting a lien in such Trademark application prior to such filing would adversely affect the enforceability or validity of such Trademark
application; 

  
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 (h) any General Intangible, Investment Property or other rights of a Grantor arising under
any contract, lease, instrument, license or other document or any assets subject thereto if, but only to the extent that and so long as, the grant of a security interest therein would (x) constitute a violation or abandonment of, or render
unenforceable a valid and enforceable restriction in respect of, such General Intangible, Investment Property or other such rights in favor of a third party or under any law, regulation, permit, order or decree of any Governmental Authority (for the
avoidance of doubt, the restrictions described herein shall not include negative pledges or similar undertakings in favor of a lender or other financial counterparty), or (y) expressly give any other party in respect of any such contract,
lease, instrument, license or other document, the right to terminate its obligations thereunder, provided, however, that the limitation set forth in this clause (h) shall not affect, limit, restrict or impair the grant by a
Grantor of a security interest pursuant to this Agreement in any such Collateral to the extent that an otherwise applicable prohibition or restriction on such grant is rendered ineffective pursuant to Section 9-406, 9-407, 9-408 or 9-409 of the
Uniform Commercial Code of any relevant jurisdiction or any other applicable law or principles of equity and provided, further, that, at such time as the condition causing the conditions in subclauses (x) and (y) of this
clause (h) shall be remedied, whether by contract, change of law or otherwise, the contract, lease, instrument, license or other documents shall immediately cease to be an Excluded Asset, and any security interest that would otherwise be
granted herein shall attach immediately to such contract, lease, instrument, license or other document, or to the extent severable, to any portion thereof that does not result in any of the conditions in (x) or (y) above; 

(i) any assets to the extent that the pledge thereof is prohibited by law or by Contractual Obligations that are not rendered ineffective
pursuant to Section 9-406, 9-407, 9-408 or 9-409 of the Uniform Commercial Code of any relevant jurisdiction or any other applicable law or principles of equity; provided that such prohibition is permitted by Section 7.09 of the
Credit Agreement and, at such time as the condition causing such prohibition shall be remedied, whether by contract, change of law or otherwise, the assets shall immediately cease to be Excluded Assets, and any security interest that would otherwise
be granted herein shall attach immediately to such assets, or to the extent severable, to any portion of such assets to which such prohibition does not apply; and provided further that this Agreement does constitute a pledge of and security
interest in, to the maximum extent permitted by such law and such Contractual Obligations, all economic rights incident or appurtenant to any such assets and in the rights to receive all distributions or other payments made or to be made to any
Grantor with respect to, and proceeds, money or other consideration derived or derivable by any Grantor from or in connection with the sale, assignment or transfer of, any such assets; and 

(j) any asset with respect to which the Administrative Agent and the Borrower have reasonably determined in writing that the costs of
providing a security interest in such asset or perfection thereof is excessive in view of the benefits to be obtained by the Lenders; 

provided, however, that Excluded Assets shall not include any Proceeds, substitutions or replacements of any property sold in violation of
the Loan Documents. 
 “Excluded Security” means 

(a) more than 65% of the issued and outstanding voting Equity Interests of any Foreign Subsidiary; 

(b) any Equity Interests of any Subsidiary that are not directly held by a Loan Party; 

(c) any Equity Interests of any Subsidiary acquired pursuant to a Permitted Acquisition that are subject to a Lien permitted by
Section 7.01(v) of the Credit Agreement, which secured Indebtedness is incurred or assumed in connection with such Permitted Acquisition; 

  
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 (d) any shares of stock or debt to the extent that the pledge thereof is prohibited by law
or by Contractual Obligations that are not rendered ineffective pursuant to Section 9-406, 9-407, 9-408 or 9-409 of the Uniform Commercial Code of any relevant jurisdiction or any other applicable law or principles of equity; provided
that such prohibition is permitted by Section 7.09 of the Credit Agreement and, at such time as the condition causing such prohibition shall be remedied, whether by contract, change of law or otherwise, the shares of stock or debt shall
immediately cease to be Excluded Securities, and any security interest that would otherwise be granted herein shall attach immediately to such shares, or to the extent severable, to any portion of such shares to which such prohibition does not
apply; and provided further that this Agreement does constitute a pledge of and security interest in, to the maximum extent permitted by such law and such Contractual Obligations, all economic rights incident or appurtenant to any such stock
or debt and in the rights to receive all distributions or other payments made or to be made to any Grantor with respect to, and proceeds, money or other consideration derived or derivable by any Grantor from or in connection with the sale,
assignment or transfer of, any such stock or debt; and 
 (e) any Equity Interests of any Subsidiary with respect to which the
Administrative Agent and the Borrower have reasonably determined in writing that the costs of providing a pledge of such Equity Interests or perfection thereof is excessive in view of the benefits to be obtained by the Lenders; 

provided, however, that Excluded Securities shall not include any Proceeds, substitutions or replacements of any property sold in violation
of the Loan Documents. Notwithstanding anything in this definition to the contrary, none of the Equity Interests in Intermediate Holding Companies shall constitute Excluded Assets or Excluded Securities. 

“General Intangibles” has the meaning specified in Article 9 of the New York UCC and includes for the avoidance of doubt
corporate or other business records, indemnification claims, contract rights (including rights under leases, whether entered into as lessor or lessee, Swap Contracts and other agreements), Intellectual Property, goodwill, registrations, franchises,
tax refund claims and any letter of credit, guarantee, claim, security interest or other security held by or granted to any Grantor, as the case may be, to secure payment by an Account Debtor of any of the Accounts. 

“Grantor” means each of Holdings, the Borrower, and each Guarantor. 

“Intellectual Property” means, with respect to any Person, all intellectual and similar property of every kind and
nature now owned or hereafter acquired by such Person, including inventions, designs, Patents, Copyrights, Licenses, Trademarks, trade secrets, confidential or proprietary technical and business information, know-how, show-how or other data or
information, intellectual property rights in software and databases and related documentation and all additions, improvements and accessions to, and books and records describing, any of the foregoing. 

“Intellectual Property Security Agreements” means the short-form Patent Security Agreement, short-form Trademark
Security Agreement, and short-form Copyright Security Agreement, each substantially in the form attached hereto as Exhibits II, III and IV, respectively. 
 “Investment Property” has the meaning specified in Article 9 of the New York UCC, but shall not include any Pledged Collateral. 

“License” means any Patent License, Trademark License, Copyright License or other Intellectual Property license or
sublicense agreement to which any Grantor is a party, together with any and all (i) renewals, extensions, supplements and continuations thereof, (ii) income, fees, royalties, damages, claims and payments now and hereafter due and/or
payable thereunder and with respect thereto, including damages and payments for past, present or future infringements or violations thereof, and (iii) rights to sue for past, present and future violations thereof. 

  
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 “Loan Documents” means (a) each Loan Document as defined under the
Credit Agreement, (b) each Secured Hedge Agreement entered into with a Hedge Bank, and (c) each agreement governing Cash Management Services entered into with a Cash Management Bank. 

“New York UCC” means the Uniform Commercial Code as from time to time in effect in the State of New York. 

“Patent License” means any written agreement, now or hereafter in effect, granting to any third party any right to make,
use or sell any invention on which a Patent, now or hereafter owned by any Grantor or that any Grantor otherwise has the right to license, is in existence, or granting to any Grantor any right to make, use or sell any invention on which a Patent,
now or hereafter owned by any third party or that such third party otherwise has the right to license, is in existence, and all rights of any Grantor under any such agreement. 
 “Patents” means, with respect to any Person, all of the following now owned or hereafter acquired by such Person: (a) all letters Patent of the United States or the equivalent
thereof in any other country in or to which such Person now or hereafter has any right, title or interest therein, all registrations and recordings thereof, and all applications for letters Patent of the United States or the equivalent thereof in
any other country, including registrations, recordings and pending applications in the USPTO or any similar offices in any other country, and (b) all reissues, continuations, divisions, continuations-in-part, renewals, improvements or
extensions thereof, and the inventions disclosed or claimed therein, including the right to make, use and/or sell the inventions disclosed or claimed therein. 
 “Pledged Collateral” has the meaning assigned to such term in Section 2.01. 
 “Pledged Debt” has the meaning assigned to such term in Section 2.01. 
 “Pledged Equity” has the meaning assigned to such term in Section 2.01. 
 “Pledged Securities” means any promissory notes, stock certificates or other certificated securities now or hereafter included in the Pledged Collateral, including all certificates,
instruments or other documents representing or evidencing any Pledged Collateral. 
 “ROFR Right” means, with
respect to any Equity Interest, a right of first refusal or other right to acquire such Equity Interest or other right with respect to such Equity Interest resulting from (a) the pledge, sale or offer to sell such Equity Interest or (b) a
change of control of the entity which has issued such Equity Interest or any entity holding, directly or indirectly, such Equity Interest. 
 “Security Agreement Supplement” means an instrument in the form of Exhibit I hereto. 
 “Security Interest” has the meaning assigned to such term in Section 3.01(a). 
 “Trademark License” means any written agreement, now or hereafter in effect, granting to any third party any right to use any Trademark now or hereafter owned by any Grantor or that any
Grantor otherwise has the right to license, or granting to any Grantor any right to use any trademark now or hereafter owned by any third party or that such third party otherwise has the right to license, and all rights of any Grantor under any such
agreement. 

  
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 “Trademarks” means, with respect to any Person, all of the following now
owned or hereafter acquired by such Person: (a) all trademarks, service marks, trade names, corporate names, trade dress, logos, designs, fictitious business names other source or business identifiers, now existing or hereafter adopted or
acquired, all registrations and recordings thereof, and all registration and recording applications filed in connection therewith, including registrations and registration applications in the USPTO or any similar offices in any State of the United
States or any other country or any political subdivision thereof, and all extensions or renewals thereof, as well as any unregistered trademarks and service marks used by such Person and (b) all goodwill connected with the use of and symbolized
thereby. 
 “USCO” means the United States Copyright Office. 

“USPTO” means the United States Patent and Trademark Office. 

ARTICLE II 

Pledge of Securities 
 SECTION 2.01. Pledge. As security for the payment in full of the Obligations, including the Guaranty, each Grantor hereby pledges to the Administrative Agent, its successors and assigns, for
the benefit of the Secured Parties, and hereby grants to the Administrative Agent, its successors and assigns, for the benefit of the Secured Parties, a security interest in all of such Grantor’s right, title and interest in, to and under
(a) all Equity Interests held by it and listed on Schedule I, and any other Equity Interests of each Subsidiary and Strategic Joint Venture (as defined in the Credit Agreement but, for purposes of this Section 2.01, without giving effect
to clause (ii) of the definition thereof) obtained in the future by such Grantor and, to the extent certificated, the certificates representing all such Equity Interests (the “Pledged Equity”); provided that the Pledged
Equity shall not include any Excluded Security (to the extent defined therein); (b) the debt securities owned by it, including those listed opposite the name of such Grantor on Schedule I, and any debt securities obtained in the future by such
Grantor and the promissory notes and any other instruments evidencing any debt (the “Pledged Debt”); provided that the Pledged Debt shall not include any Excluded Security; (c) subject to Section 2.06, all payments
of principal or interest, dividends, cash, instruments and other property from time to time received, receivable or otherwise distributed in respect of, in exchange for or upon the conversion of, and all other Proceeds received in respect of, the
Pledged Equity and Pledged Debt; (d) subject to Section 2.06, all rights and privileges of such Grantor with respect to the securities and other property referred to in clauses (a), (b), and (c) above; and (e) all Proceeds of any
of the foregoing (the items referred to in clauses (a) through (d) above being collectively referred to as the “Pledged Collateral”). 
 TO HAVE AND TO HOLD the Pledged Collateral, together with all right, title, interest, powers, privileges and preferences pertaining or incidental thereto, unto the Administrative Agent, its successors and
assigns, for the benefit of the Secured Parties, forever, subject, however, to the terms, covenants and conditions hereinafter set forth. 
 SECTION 2.02. Delivery of the Pledged Collateral. (a) Each Grantor agrees to deliver or cause to be delivered as promptly as practicable to the Administrative Agent, for the benefit of
the Secured Parties, any and all Pledged Securities to the extent such Pledged Securities, in the case of promissory notes or other instruments evidencing Indebtedness, are required to be delivered pursuant to paragraph (b) of this
Section 2.02. 

  
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 (b) Each Grantor will cause (i) any Indebtedness for borrowed money
owed to such Grantor by any Person (other than intercompany Indebtedness referred to in the following clause (ii)) having an aggregate principal amount in excess of $5,000,000, to be evidenced by a duly executed promissory note and (ii) any
intercompany Indebtedness owed to such Grantor by Holdings, the Borrower or any Subsidiary, to be evidenced by (x) a duly executed global promissory note to which Holdings, the Borrower or such Subsidiary, as the case may be, is a signatory, or
(y) at the option of the Grantor, a duly executed promissory note; in each case (i) and (ii) that is delivered to the Administrative Agent, for the benefit of the Secured Parties, pursuant to the terms hereof; provided,
however, that in the case of a global promissory note, the Grantors shall deliver such global note, duly executed, within 60 days of the Closing Date. 
 (c) Upon delivery to the Administrative Agent, (i) any Pledged Securities shall be accompanied by stock or security powers duly executed in blank or other instruments of transfer reasonably
satisfactory to the Administrative Agent and by such other instruments and documents as the Administrative Agent may reasonably request and (ii) all other property comprising part of the Pledged Collateral shall be accompanied by proper
instruments of assignment or transfer duly executed by the applicable Grantor and such other instruments or documents as the Administrative Agent may reasonably request. Each delivery of Pledged Securities shall be accompanied by a schedule
describing the securities, which schedule shall be attached hereto as Schedule I and made a part hereof; provided that failure to attach any such schedule hereto shall not affect the validity of such pledge of such Pledged Securities. Each
schedule so delivered shall supplement any prior schedules so delivered. 
 SECTION 2.03. Representations, Warranties
and Covenants. Holdings and the Borrower jointly and severally represent, warrant and covenant, as to themselves and the other Grantors, to and with the Administrative Agent, for the benefit of the Secured Parties, that: 

(a) Schedule I correctly sets forth the percentage of the issued and outstanding units of each class of the Equity
Interests of the issuer thereof represented by the Pledged Equity and includes all Equity Interests, debt securities and promissory notes required to be pledged hereunder in order to satisfy the Collateral and Guarantee Requirement; 

(b) the Pledged Equity and Pledged Debt (solely with respect to Pledged Debt issued by a Person other than Holdings, the
Borrower or a subsidiary of the Borrower, to the best of Holdings’ and the Borrower’s knowledge) have been duly and validly authorized and issued by the issuers thereof and (i) in the case of Pledged Equity, are fully paid and
nonassessable and (ii) in the case of Pledged Debt (solely with respect to Pledged Debt issued by a Person other than Holdings, the Borrower or a subsidiary of the Borrower, to the best of Holdings’ and the Borrower’s knowledge), are
legal, valid and binding obligations of the issuers thereof; 
 (c) except for the security interests granted
hereunder and except as a result of ROFR Rights, each of the Grantors (i) is and, subject to any transfers made in compliance with the Credit Agreement, will continue to be the direct owner, beneficially and of record, of the Pledged Securities
indicated on Schedule I as owned by such Grantors, (ii) holds the same free and clear of all Liens, other than (A) Liens created by the Collateral Documents and (B) Liens expressly permitted pursuant to Section 7.01(c), (h), (m),
(v), (dd) or (ee) (or (ff) in respect of liens under any of the foregoing) of the Credit Agreement, (iii) will make no assignment, pledge, hypothecation or transfer of, or create or permit to exist any security interest in or other Lien on, the
Pledged Collateral, other than (A) Liens created by the Collateral Documents and (B) as permitted pursuant to Section 7.01(c), (h), (m), (v), (dd) or (ee) (or (ff) in respect of liens under any of the foregoing) of the Credit
Agreement, and (iv) will defend its title or interest thereto or therein against any and all Liens (other than the Liens permitted pursuant to this Section 2.03(c)), however arising, of all Persons whomsoever; 

  
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 (d) except for restrictions and limitations imposed by (x) the Loan
Documents, (y) securities laws generally, or laws, rules and regulations applicable to the disposition of securities, change in control or change of beneficial ownership of a regulated entity, and (z) ROFR Rights, if any, and except as
described in the Perfection Certificate, (i) the Pledged Collateral is and will continue to be freely transferable and assignable, and (ii) none of the Pledged Collateral is or will be subject to any option, right of first refusal,
shareholders agreement, charter or by-law provisions or contractual restriction of any nature that might prohibit, impair, delay or otherwise affect in any manner material and adverse to the Secured Parties the pledge of such Pledged Collateral
hereunder, the sale or disposition thereof pursuant hereto or the exercise by the Administrative Agent of rights and remedies hereunder; 
 (e) each of the Grantors has the power and authority to pledge the Pledged Collateral pledged by it hereunder in the manner hereby done or contemplated; 

(f) no consent or approval of any Governmental Authority, any securities exchange or any other Person was or is necessary
to the validity of the pledge effected hereby (other than such as have been obtained and are in full force and effect); 
 (g) by virtue of the execution and delivery by the Grantors of this Agreement, when any Pledged Securities are delivered to the Administrative Agent in accordance with this Agreement, the Administrative
Agent will obtain a legal, valid and perfected lien upon and security interest in such Pledged Securities as security for the payment of the Obligations, to the extent such perfection is governed by the Uniform Commercial Code; 

(h) the pledge effected hereby is effective to vest in the Administrative Agent, for the benefit of the Secured Parties,
the rights of the Administrative Agent in the Pledged Collateral as set forth herein; and 
 (i) none of the
Grantors will enter into any Contractual Obligation after the Closing Date that limits the ability of any Loan Party to create, incur, assume or otherwise suffer to exist any Lien on the Equity Interests set forth on Schedule I hereto for the
benefit of the Lenders with respect to the Facilities and the Obligations. 
 SECTION 2.04. Certification of Limited
Liability Company and Limited Partnership Interests. To the extent an interest in any limited liability company or limited partnership controlled by any Grantor and pledged under Section 2.01 is certificated or becomes certificated, each
such certificate shall be delivered to the Administrative Agent, pursuant to Section 2.02(a), and such Grantor shall fulfill all other requirements under Section 2.02 applicable in respect thereof. 

SECTION 2.05. Registration in Nominee Name; Denominations. If an Event of Default shall occur and be continuing, (a) the
Administrative Agent, on behalf of the Secured Parties, shall have the right (in its sole and absolute discretion) to hold the Pledged Securities in its own name as pledgee, the name of its nominee (as pledgee or as sub-agent) or the name of the
applicable Grantor, endorsed or assigned in blank or in favor of the Administrative Agent, and each Grantor will promptly give to the Administrative Agent copies of any notices or other communications received by it with respect to Pledged
Securities registered in the name of such Grantor and (b) the Administrative Agent shall have the right to exchange the certificates representing Pledged Securities for certificates of smaller or larger denominations for any purpose consistent
with this Agreement; provided that the Administrative Agent shall give the Borrower prior notice of its intent to exercise such rights. 

  
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 SECTION 2.06. Voting Rights; Dividends and Interest. (a) Unless and until
an Event of Default shall have occurred and be continuing and the Administrative Agent shall have notified the Borrower that the rights of the Grantors under this Section 2.06 are being suspended: 

(i) Each Grantor shall be entitled to exercise any and all voting and/or other consensual rights and powers inuring to an
owner of Pledged Securities or any part thereof for any purpose consistent with the terms of this Agreement, the Credit Agreement and the other Loan Documents; provided that such rights and powers shall not be exercised in any manner that
would reasonably be expected materially and adversely to affect the rights inuring to a holder of any Pledged Securities or the rights and remedies of any of the Administrative Agent or the other Secured Parties under this Agreement, the Credit
Agreement or any other Loan Document or the ability of the Secured Parties to exercise the same. 
 (ii) The
Administrative Agent shall execute and deliver to each Grantor, or cause to be executed and delivered to each Grantor, all such proxies, powers of attorney and other instruments as each Grantor may reasonably request for the purpose of enabling such
Grantor to exercise the voting and/or consensual rights and powers it is entitled to exercise pursuant to subparagraph (i) above. 
 (iii) Each Grantor shall be entitled to receive and retain any and all dividends, interest, principal and other distributions paid on or distributed in respect of the Pledged Securities to the extent and
only to the extent that such dividends, interest, principal and other distributions are permitted by, and otherwise paid or distributed in accordance with, the terms and conditions of the Credit Agreement, the other Loan Documents and applicable
Laws; provided that any non-cash (and non-cash equivalent) dividends, interest, principal or other distributions that would constitute Pledged Equity or Pledged Debt, whether resulting from a subdivision, combination or reclassification of
the outstanding Equity Interests of the issuer of any Pledged Securities or received in exchange for Pledged Securities or any part thereof, or in redemption thereof, or as a result of any merger, consolidation, acquisition or other exchange of
assets to which such issuer may be a party or otherwise, shall be and become part of the Pledged Collateral, and, if received by any Grantor, shall not be commingled by such Grantor with any of its other funds or property but shall be held separate
and apart therefrom, shall be held in trust for the benefit of the Administrative Agent and the Secured Parties and shall be forthwith delivered to the Administrative Agent in the same form as so received (with any necessary endorsement reasonably
requested by the Administrative Agent). 
 (b) Upon the occurrence and during the continuance of an Event of
Default, after the Administrative Agent shall have notified the Borrower of the suspension of the rights of the Grantors under paragraph (a)(iii) of this Section 2.06, then all rights of any Grantor to dividends, interest, principal or other
distributions that such Grantor is authorized to receive pursuant to paragraph (a)(iii) of this Section 2.06 shall cease, and all such rights shall thereupon become vested in the Administrative Agent, which shall have the sole and exclusive
right and authority to receive and retain such dividends, interest, principal or other distributions. All dividends, interest, principal or other distributions received by any Grantor contrary to the provisions of this Section 2.06 shall be
held in trust for the benefit of the Administrative Agent, shall be segregated from other property or funds of such Grantor and shall be forthwith delivered to the Administrative Agent upon demand in the same form as so received (with any necessary
endorsement reasonably requested by the Administrative Agent). Any and all money and other property paid over to or received by the Administrative Agent pursuant to the provisions of this paragraph (b) shall be retained by the Administrative
Agent in an account to be established by the Administrative Agent upon receipt of such money or other property and shall be applied in 

  
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accordance with the provisions of Section 4.02. After all Events of Default have been cured or waived, and the Borrower has delivered to the Administrative Agent a certificate to that
effect, the Administrative Agent shall promptly repay to each Grantor (without interest) all dividends, interest, principal or other distributions that such Grantor would otherwise be permitted to retain pursuant to the terms of paragraph (a)(iii)
of this Section 2.06 and that remain in such account. 
 (c) Upon the occurrence and during the continuance
of an Event of Default, after the Administrative Agent shall have notified the Borrower of the suspension of the rights of the Grantors under paragraph (a)(i) of this Section 2.06, then all rights of any Grantor to exercise the voting and
consensual rights and powers it is entitled to exercise pursuant to paragraph (a)(i) of this Section 2.06, and the obligations of the Administrative Agent under paragraph (a)(ii) of this Section 2.06, shall cease, and all such rights shall
thereupon become vested in the Administrative Agent, which shall have the sole and exclusive right and authority to exercise such voting and consensual rights and powers; provided that, unless otherwise directed by the Required Lenders, the
Administrative Agent shall have the right, from time to time following and during the continuance of an Event of Default, to permit the Grantors to exercise such rights at the discretion of the Administrative Agent. After all Events of Default have
been cured or waived, each Grantor shall have the exclusive right to exercise the voting and/or consensual rights and powers that such Grantor would otherwise be entitled to exercise pursuant to the terms of paragraph (a)(i) of this
Section 2.06, subject to further exercise by the Administrative Agent of its rights under the first sentence of this Section 2.06(c) with respect to any subsequent Event of Default. 

(d) Any notice given by the Administrative Agent to the Borrower suspending the rights of the Grantors under paragraph
(a) of this Section 2.06: (i) shall be given in writing, (ii) may be given with respect to one or more of the Grantors at the same or different times and (iii) may suspend the rights of the Grantors under paragraph (a)(i) or
paragraph (a)(iii) of this Section 2.06 in part without suspending all such rights (as specified by the Administrative Agent in its sole and absolute discretion) and without waiving or otherwise affecting the Administrative Agent’s rights
to give additional notices from time to time suspending other rights so long as an Event of Default has occurred and is continuing. 
 ARTICLE III 
 Security Interests in Personal Property 

SECTION 3.01. Security Interest. (a) As security for the payment in full of the Obligations, including the Guaranty,
each Grantor hereby grants to the Administrative Agent, its successors and assigns, for the benefit of the Secured Parties, a security interest (the “Security Interest”) in all right, title or interest in or to any and all of the
following assets and properties now owned or at any time hereafter acquired by such Grantor or in which such Grantor now has or at any time in the future may acquire any right, title or interest (collectively, the “Article 9
Collateral”): 
 (i) all Accounts; 

(ii) all Chattel Paper; 
 (iii) all Deposit Accounts; 
 (iv) all Commercial Tort Claims with
a value, individually, greater than $5,000,000, and for which a complaint has been filed in a court of competent jurisdiction, as set forth on Schedule II hereto; 

  
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 (v) all Documents; 

(vi) all Equipment; 
 (vii) all Fixtures; 
 (viii) all General Intangibles (excluding
General Intangibles included in Pledged Collateral); 
 (ix) all Goods; 

(x) all Instruments; 
 (xi) all Inventory; 
 (xii) all Investment Property; 

(xiii) all books and records pertaining to the Article 9 Collateral; and 

(xiv) to the extent not otherwise included, all Proceeds and products of any and all of the foregoing and all supporting
obligations, collateral security and guarantees given by any Person with respect to any of the foregoing; 
 provided that
notwithstanding anything to the contrary in this Agreement, this Agreement shall not constitute a grant of a security interest in any Excluded Asset or any Excluded Security (to the extent defined therein). 

(b) Each Grantor hereby irrevocably authorizes the Administrative Agent for the benefit of the Secured Parties at any time
and from time to time to file in any relevant jurisdiction any initial financing statements (including fixture filings) with respect to the Article 9 Collateral or any part thereof and amendments thereto that (i) indicate the Collateral as all
assets of such Grantor or words of similar effect as being of an equal or lesser scope or with greater detail, and (ii) contain the information required by Article 9 of the Uniform Commercial Code or the analogous legislation of each applicable
jurisdiction for the filing of any financing statement or amendment, including (A) whether such Grantor is an organization, the type of organization and, if required, any organizational identification number issued to such Grantor and
(B) in the case of a financing statement filed as a fixture filing, a sufficient description of the real property to which such Article 9 Collateral relates. Each Grantor agrees to provide such information to the Administrative Agent promptly
upon any reasonable request. 
 (c) The Security Interest is granted as security only and shall not subject the
Administrative Agent or any other Secured Party to, or in any way alter or modify, any obligation or liability of any Grantor with respect to or arising out of the Article 9 Collateral. 

(d) The Administrative Agent is authorized to file with the USPTO or the USCO (or any successor office or any similar
office in any other country) such documents as may be necessary or advisable for the purpose of perfecting, confirming, continuing, enforcing or protecting the Security Interest in United States Intellectual Property granted by each Grantor, without
the signature of any Grantor, and naming any Grantor or the Grantor as debtors and the Administrative Agent as secured party. 

  
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 (e) Notwithstanding anything to the contrary in the Loan Documents, none of
the Grantors shall be required to enter into any deposit account control agreement or securities account control agreement with respect to any deposit account or securities account. 

SECTION 3.02. Representations and Warranties. Holdings and the Borrower jointly and severally represent and warrant, as to
themselves and the other Grantors, to the Administrative Agent and the Secured Parties that: 
 (a) Each Grantor
has good and valid rights in and title to the Article 9 Collateral with respect to which it has purported to grant a Security Interest hereunder and has full power and authority to grant to the Administrative Agent the Security Interest in such
Article 9 Collateral pursuant hereto and to execute, deliver and perform its obligations in accordance with the terms of this Agreement, without the consent or approval of any other Person other than any consent or approval that has been obtained.

 (b) The information set forth in the Perfection Certificate, including the legal name of each Grantor, is
correct and complete (other than in respect of the legal name, in all material respects) as of the Closing Date. The Uniform Commercial Code financing statements (including fixture filings, as applicable) or other appropriate filings, recordings or
registrations prepared by the Administrative Agent based upon the information provided to the Administrative Agent in the Perfection Certificate for filing in each governmental, municipal or other office specified in Schedule 6 to the Perfection
Certificate (or specified by notice from the Borrower to the Administrative Agent after the Closing Date in the case of filings, recordings or registrations (other than filings required to be made in the USPTO and the USCO in order to perfect the
Security Interest in Article 9 Collateral consisting of United States Patents, Trademarks and Copyrights) required by Section 6.11 of the Credit Agreement), are all the filings, recordings and registrations that are necessary to establish a
legal, valid and perfected security interest in favor of the Administrative Agent (for the benefit of the Secured Parties) in respect of all Article 9 Collateral in which the Security Interest may be perfected by filing, recording or registration in
the United States (or any political subdivision thereof) and its territories and possessions, and no further or subsequent filing, refiling, recording, rerecording, registration or reregistration is necessary in any such jurisdiction, except as
provided under applicable law with respect to the filing of continuation statements. 
 (c) Each Grantor
represents and warrants that Intellectual Property Security Agreements containing a description of all Article 9 Collateral consisting of United States Patents, United States registered Trademarks (and Trademarks for which United States registration
applications are pending, unless it constitutes an Excluded Asset) and United States registered Copyrights, respectively, have been delivered to the Administrative Agent for recording by the USPTO and the USCO pursuant to 35 U.S.C. § 261,
15 U.S.C. § 1060 or 17 U.S.C. § 205 and the regulations thereunder, as applicable, as may be necessary to establish a valid and perfected security interest in favor of the Administrative Agent (for the benefit of the Secured Parties)
in respect of all Article 9 Collateral consisting of Patents, Trademarks and Copyrights in which a security interest may be perfected by filing, recording or registration in the United States (or any political subdivision thereof) and its
territories and possessions under the federal intellectual property laws, and no further or subsequent filing, refiling, recording, rerecording, registration or reregistration is necessary (other than (i) such filings and actions as are
necessary to perfect the Security Interest with respect to any Article 9 Collateral consisting of Patents, Trademarks and Copyrights (or registration or application for registration thereof) acquired or developed by any Grantor after the date
hereof, (ii) as may be required under the laws of jurisdictions outside the United States with respect to Article 9 Collateral created under such laws, and (iii) the UCC financing and continuation statements contemplated in
Section 3.02(b)). 

  
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 (d) The Security Interest constitutes (i) a legal and valid security
interest in all the Article 9 Collateral securing the payment of the Obligations; (ii) subject to the filings described in Section 3.02(b), a perfected security interest in all Article 9 Collateral in which a security interest may be
perfected by filing, recording or registering a financing statement or analogous document in the United States (or any political subdivision thereof) and its territories and possessions pursuant to the Uniform Commercial Code in the relevant
jurisdiction and (iii) subject to the filings described in Section 3.02(c), a perfected security interest in all Intellectual Property in which a security interest may be perfected upon the receipt and recording of fully executed
short-form Intellectual Property Security Agreements with the USPTO and the USCO, as applicable. The Security Interest is and shall be prior to any other Lien on any of the Article 9 Collateral, other than (1) any nonconsensual Lien that is
expressly permitted pursuant to Section 7.01 of the Credit Agreement and has priority as a matter of law and (2) Liens expressly permitted pursuant to Section 7.01 (other than Section 7.01(ee)) of the Credit Agreement.

 (e) The Article 9 Collateral is owned by the Grantors free and clear of any Lien, except for Liens expressly
permitted pursuant to Section 7.01 of the Credit Agreement. None of the Grantors has filed or consented to the filing of (i) any financing statement or analogous document under the New York UCC or any other applicable laws covering any
Article 9 Collateral, (ii) any assignment in which any Grantor assigns any Article 9 Collateral or any security agreement or similar instrument covering any Article 9 Collateral with the USPTO or the USCO or (iii) any assignment in which
any Grantor assigns any Article 9 Collateral or any security agreement or similar instrument covering any Article 9 Collateral with any foreign governmental, municipal or other office, which financing statement or analogous document, assignment,
security agreement or similar instrument is still in effect, except, in each case, for Liens expressly permitted pursuant to Section 7.01 of the Credit Agreement. 
 SECTION 3.03. Covenants. (a) The Borrower agrees promptly (and in any event within 45 days of such change) to notify the Administrative Agent in writing of any change in (i) legal
name, (ii) the identity or type of organization or corporate structure, (iii) the jurisdiction of organization, (iv) the chief executive office or (v) the Federal Tax Identification Number or organizational identification number
of any Grantor. Each Grantor agrees to promptly provide, upon reasonable request, the Administrative Agent with certified organizational documents reflecting any of the changes described in clause (i), (ii) or (iii) of the first sentence
of this paragraph. 
 (b) Each Grantor shall, at its own expense, take any and all commercially reasonable actions necessary to
defend title to the Article 9 Collateral against all Persons and to defend the Security Interest of the Administrative Agent in the Article 9 Collateral and the priority thereof against any Lien not expressly permitted pursuant to Section 7.01
(other than, as to priority, Section 7.01(ee)) of the Credit Agreement. 
 (c) The Borrower agrees, on its own behalf and
on behalf of each other Grantor, at its own expense, to execute, acknowledge, deliver and cause to be duly filed all such further instruments and documents and take all such actions as the Administrative Agent may from time to time reasonably
request to better assure, preserve, protect and perfect the Security Interest and the rights and remedies created hereby, including the payment of any fees and taxes required in connection with the execution and delivery of this Agreement, the
granting of the Security Interest and the filing of any financing statements (including fixture filings) or other documents in connection herewith or therewith. 

  
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 (d) At its option, the Administrative Agent may discharge past due taxes, assessments,
charges, fees, Liens, security interests or other encumbrances at any time levied or placed on the Article 9 Collateral and not permitted pursuant to Section 7.01 of the Credit Agreement, and may pay for the maintenance and preservation of the
Article 9 Collateral to the extent any Grantor fails to do so as required by the Credit Agreement or this Agreement and within a reasonable period of time after the Administrative Agent has requested that it do so, and each Grantor jointly and
severally agrees to reimburse the Administrative Agent within 10 Business Days after demand for any payment made or any reasonable expense incurred by the Administrative Agent pursuant to the foregoing authorization; provided, however,
Grantors shall not be obligated to reimburse the Administrative Agent with respect to any Intellectual Property Collateral that any Grantor has failed to maintain or pursue, or otherwise allowed to lapse, terminate or be put into the public domain,
in accordance with Section 3.03(h)(iv). Nothing in this paragraph shall be interpreted as excusing any Grantor from the performance of, or imposing any obligation on the Administrative Agent or any Secured Party to cure or perform, any
covenants or other promises of any Grantor with respect to taxes, assessments, charges, fees, Liens, security interests or other encumbrances and maintenance as set forth herein, in the other Loan Documents. 

(e) If at any time any Grantor shall take a security interest in any property of an Account Debtor or any other Person, the value of
which is in excess of $5,000,000, to secure payment and performance of an Account, such Grantor shall promptly assign such security interest to the Administrative Agent for the benefit of the Secured Parties. Such assignment need not be filed of
public record unless necessary to continue the perfected status of the security interest against creditors of and transferees from the Account Debtor or other Person granting the security interest. 

(f) Each Grantor (rather than the Administrative Agent or any Secured Party) shall remain liable (as between itself and any relevant
counterparty) to observe and perform all the conditions and obligations to be observed and performed by it under each contract, agreement or instrument relating to the Article 9 Collateral, all in accordance with the terms and conditions thereof,
and each Grantor jointly and severally agrees to indemnify and hold harmless the Administrative Agent and the Secured Parties from and against any and all liability for such performance. 

(g) If any Grantor shall at any time hold or acquire a Commercial Tort Claim with a value in excess of $5,000,000 and for which such
Grantor has filed a complaint in a court of competent jurisdiction, such Grantor shall promptly notify the Administrative Agent in writing signed by such Grantor of the brief details thereof or provide the Administrative Agent with a copy of the
filed complaint, and grant to the Administrative Agent a security interest therein and in the Proceeds thereof, all upon the terms of this Agreement pursuant to a document in form and substance reasonably satisfactory to the Administrative Agent.
Such Grantor shall also update and include any such Commercial Tort Claim in Schedule II. 
 (h) Intellectual Property
Covenants: 
 (i) Except to the extent failure to act would not, as deemed by the Borrower in its reasonable
business judgment, be reasonably expected to have a Material Adverse Effect, with respect to registration or pending application of each item of its Intellectual Property Collateral for which such Grantor has standing to do so, each Grantor agrees
to take, at its expense, all reasonable steps (including in the USPTO, the USCO and any other governmental authority located in the United States and including timely filings of applications for renewal, affidavits of use, affidavits of
incontestability and payment of maintenance fees, and, if consistent with good business judgment, to initiate opposition, interference and cancellation proceedings against third parties) to pursue the registration and maintenance of each Patent,
Trademark, or Copyright registration or application, now or hereafter included in such Intellectual Property Collateral of such Grantor. 

  
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 (ii) Except as would not, as deemed by the Borrower in its reasonable
business judgment, be reasonably expected to have a Material Adverse Effect, no Grantor shall do or permit any act or knowingly omit to do any act whereby any of its Intellectual Property Collateral may lapse, be terminated, or become invalid or
unenforceable or placed in the public domain (or in the case of a trade secret, becomes publicly known). 
 (iii)
Except where failure to do so would not, as deemed by the applicable Grantor in its reasonable business judgment, be reasonably expected to have a Material Adverse Effect, each Grantor shall take all reasonable steps to preserve and protect each
item of its Intellectual Property Collateral, including maintaining the quality of any and all products or services used or provided in connection with any of the Trademarks, consistent with the quality of the products and services as of the date
hereof, and taking all reasonable steps necessary to ensure that all licensed users of any of the Trademarks abide by the applicable license’s terms with respect to standards of quality. 

(iv) Nothing in this Agreement or any other Loan Document prevents any Grantor from disposing of, discontinuing the use or
maintenance of, failing to pursue, or otherwise allowing to lapse, terminate or be put into the public domain, any of its Intellectual Property Collateral to the extent permitted by the Credit Agreement if such Grantor determines in its reasonable
business judgment that such discontinuance is desirable in the conduct of its business. 
 (i) Each Grantor agrees to maintain,
at its own cost and expense, such complete and accurate records with respect to the Article 9 Collateral owned by it as is consistent with its current practices and in accordance with such prudent and standard practices used in industries that
are the same as or similar to those in which such Grantor is engaged. 
 (j) The Administrative Agent and such Persons as the
Administrative Agent may reasonably designate shall have the right, at the Grantors’ own cost and expense once per fiscal year unless an Event of Default shall have occurred and be continuing, to inspect, upon reasonable prior notice and during
regular business hours, the Article 9 Collateral, all records related thereto (and to make extracts and copies from such records) and the premises upon which any of the Article 9 Collateral is located, and to verify under reasonable
procedures, in accordance with Section 5.03 of the Credit Agreement, the validity, amount, quality, quantity, value, condition and status of, or any other matter relating to, the Article 9 Collateral, including, in the case of Accounts or
Article 9 Collateral in the possession of any third person, by contacting Account Debtors or the third person possessing such Article 9 Collateral for the purpose of making such a verification. 

(k) Each Grantor shall maintain, in form and manner reasonably satisfactory to the Administrative Agent and consistent with past
practices, records of its Chattel Paper and its books, records and documents evidencing or pertaining thereto. 
 (l) The
Grantors, at their own expense, shall maintain or cause to be maintained insurance covering physical loss or damage to the Inventory and Equipment in accordance with the requirements set forth in Section 6.07 of the Credit Agreement. In the
event that any Grantor at any time or times shall fail to obtain or maintain any of the policies of insurance required hereby or to pay any premium in whole or part relating thereto, the Administrative Agent may, without waiving or releasing any
obligation or liability of the Grantors hereunder or any Event of Default, in its sole discretion, obtain 

  
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and maintain such policies of insurance and pay such premium and take any other actions with respect thereto as the Administrative Agent deems advisable. All sums disbursed by the Administrative
Agent in connection with this paragraph, including reasonable attorneys’ fees, court costs, expenses and other charges relating thereto, shall be payable, upon demand, by the Grantors to the Administrative Agent and shall be additional
Obligations secured hereby. 
 SECTION 3.04. Other Actions. In order to further insure the attachment, perfection
and priority of, and the ability of the Administrative Agent to enforce, the Security Interest, each Grantor agrees, in each case at such Grantor’s own expense, to take the following actions with respect to the following Article 9 Collateral:

 (a) Instruments. If any Grantor shall at any time hold or acquire any Instruments constituting Article
9 Collateral, excluding checks, and evidencing an amount in excess of $5,000,000, such Grantor shall forthwith endorse, assign and deliver the same to the Administrative Agent for the benefit of the Secured Parties, accompanied by such instruments
of transfer or assignment duly executed in blank as the Administrative Agent may from time to time reasonably request. 
 (b) Investment Property. Except to the extent otherwise provided in Article II, if any Grantor shall at any time hold or acquire any certificated securities, such Grantor shall forthwith, and in
any event within 30 days, endorse, assign and deliver the same to the Administrative Agent for the benefit of the Secured Parties, accompanied by such instruments of transfer or assignment duly executed in blank as the Administrative Agent may from
time to time reasonably request. If any securities now or hereafter acquired by any Grantor are uncertificated and are issued to such Grantor or its nominee directly by the issuer thereof, in the case of any issuer other than the Borrower or its
Subsidiaries, only following the occurrence of an Event of Default (about which such Grantor shall promptly notify the Administrative Agent), and, at the Administrative Agent’s reasonable request, pursuant to an agreement in form and substance
reasonably satisfactory to the Administrative Agent, either (i) cause the issuer to agree to comply with instructions from the Administrative Agent as to such securities, without further consent of any Grantor or such nominee, or
(ii) arrange for the Administrative Agent to become the registered owner of such securities. If any securities, whether certificated or uncertificated, or other investment property are held by any Grantor or its nominee through a securities
intermediary or commodity intermediary, following the occurrence of an Event of Default, such Grantor shall immediately notify the Administrative Agent thereof and at the Administrative Agent’s request and option, pursuant to an agreement in
form and substance reasonably satisfactory to the Administrative Agent shall either (i) cause such securities intermediary or (as the case may be) commodity intermediary to agree to comply with entitlement orders or other instructions from the
Administrative Agent to such securities intermediary as to such security entitlements, or (as the case may be) to apply any value distributed on account of any commodity contract as directed by the Administrative Agent to such commodity
intermediary, in each case without further consent of any Grantor or such nominee, or (ii) in the case of financial assets or other Investment Property held through a securities intermediary, arrange for the Administrative Agent to become the
entitlement holder with respect to such Investment Property, with the Grantor being permitted, only with the consent of the Administrative Agent, to exercise rights to withdraw or otherwise deal with such Investment Property. The Administrative
Agent agrees with each of the Grantors that the Administrative Agent shall not give any such entitlement orders or instructions or directions to any such issuer, securities intermediary or commodity intermediary, and shall not withhold its consent
to the exercise of any withdrawal or dealing rights by any Grantor, unless an Event of Default has occurred and is continuing or would occur after giving effect to any such investment and withdrawal rights. The provisions of this paragraph shall not
apply to (i) Excluded Securities or (ii) any financial assets credited to a securities account for which the Administrative Agent is the securities intermediary. 

  
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 ARTICLE IV 
 Remedies 
 SECTION 4.01. Remedies upon Default. Upon the occurrence
and during the continuance of an Event of Default, it is agreed that the Administrative Agent shall have the right to exercise any and all rights afforded to a secured party with respect to the Obligations under the Uniform Commercial Code or other
applicable law and also may (i) require each Grantor to, and each Grantor agrees that it will at its expense and upon request of the Administrative Agent forthwith, assemble all or part of the Collateral as directed by the Administrative Agent
and make it available to the Administrative Agent at a place and time to be designated by the Administrative Agent that is reasonably convenient to both parties; (ii) occupy any premises owned or, to the extent lawful and permitted, leased by
any of the Grantors where the Collateral or any part thereof is assembled or located for a reasonable period in order to effectuate its rights and remedies hereunder or under law, without obligation to such Grantor in respect of such occupation;
provided that the Administrative Agent shall provide the applicable Grantor with notice thereof prior to or promptly after such occupancy; (iii) declare the entire right, title, and interest of such Grantor in each of the Patents,
Trademarks, domain names and Copyrights vested in the Administrative Agent for the benefit of the Secured Parties (in which event such right, title, and interest shall immediately vest in the Administrative Agent for the benefit of the Secured
Parties, and the Administrative Agent shall be entitled to exercise the power of attorney referred to below in Section 4.03 to execute, cause to be acknowledged and notarized and to record said absolute assignment with the applicable agency);
(iv) exercise any and all rights and remedies of any of the Grantors under or in connection with the Collateral, or otherwise in respect of the Collateral; provided that the Administrative Agent shall provide the applicable Grantor with
notice thereof prior to or promptly after such exercise; and (v) subject to the mandatory requirements of applicable law and the notice requirements described below, sell or otherwise dispose of all or any part of the Collateral securing the
Obligations at a public or private sale or at any broker’s board or on any securities exchange, for cash, upon credit or for future delivery as the Administrative Agent shall deem appropriate. The Administrative Agent shall be authorized at any
such sale of securities (if it deems it advisable to do so) to restrict the prospective bidders or purchasers to Persons who will represent and agree that they are purchasing the Collateral for their own account for investment and not with a view to
the distribution or sale thereof, and upon consummation of any such sale the Administrative Agent shall have the right to assign, transfer and deliver to the purchaser or purchasers thereof the Collateral so sold. Each such purchaser at any sale of
Collateral shall hold the property sold absolutely, free from any claim or right on the part of any Grantor, and each Grantor hereby waives (to the extent permitted by law) all rights of redemption, stay and appraisal which such Grantor now has or
may at any time in the future have under any rule of law or statute now existing or hereafter enacted. 
 The Administrative
Agent shall give the applicable Grantors 10 days’ written notice (which each Grantor agrees is reasonable notice within the meaning of Section 9-611 of the New York UCC or its equivalent in other jurisdictions) of the Administrative
Agent’s intention to make any sale of Collateral. Such notice, in the case of a public sale, shall state the time and place for such sale and, in the case of a sale at a broker’s board or on a securities exchange, shall state the board or
exchange at which such sale is to be made and the day on which the Collateral, or portion thereof, will first be offered for sale at such board or exchange. Any such public sale shall be held at such time or times within ordinary business hours and
at such place or places as the Administrative Agent may fix and state in the notice (if any) of such sale. At any such sale, the Collateral, or portion thereof, to be sold may be sold in one lot as an entirety or in separate parcels, as the
Administrative Agent may (in its sole and absolute discretion) 

  
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determine. The Administrative Agent shall not be obligated to make any sale of any Collateral if it shall determine not to do so, regardless of the fact that notice of sale of such Collateral
shall have been given. The Administrative Agent may, without notice or publication, adjourn any public or private sale or cause the same to be adjourned from time to time by announcement at the time and place fixed for sale, and such sale may,
without further notice, be made at the time and place to which the same was so adjourned. In case any sale of all or any part of the Collateral is made on credit or for future delivery, the Collateral so sold may be retained by the Administrative
Agent until the sale price is paid by the purchaser or purchasers thereof, but the Administrative Agent shall not incur any liability in case any such purchaser or purchasers shall fail to take up and pay for the Collateral so sold and, in case of
any such failure, such Collateral may be sold again upon like notice. At any public (or, to the extent permitted by law, private) sale made pursuant to this Agreement, any Secured Party may bid for or purchase, free (to the extent permitted by law)
from any right of redemption, stay, valuation or appraisal on the part of any Grantor (all said rights being also hereby waived and released to the extent permitted by law), the Collateral or any part thereof offered for sale and may make payment on
account thereof by using any claim then due and payable to such Secured Party from any Grantor as a credit against the purchase price, and such Secured Party may, upon compliance with the terms of sale, hold, retain and dispose of such property
without further accountability to any Grantor therefor. For purposes hereof, a written agreement to purchase the Collateral or any portion thereof shall be treated as a sale thereof; the Administrative Agent shall be free to carry out such sale
pursuant to such agreement and no Grantor shall be entitled to the return of the Collateral or any portion thereof subject thereto, notwithstanding the fact that after the Administrative Agent shall have entered into such an agreement all Events of
Default shall have been remedied and the Obligations paid in full. As an alternative to exercising the power of sale herein conferred upon it, the Administrative Agent may proceed by a suit or suits at law or in equity to foreclose this Agreement
and to sell the Collateral or any portion thereof pursuant to a judgment or decree of a court or courts having competent jurisdiction or pursuant to a proceeding by a court appointed receiver. Any sale pursuant to the provisions of this
Section 4.01 shall be deemed to conform to the commercially reasonable standards as provided in Section 9-610(b) of the New York UCC or its equivalent in other jurisdictions. 

SECTION 4.02. Application of Proceeds. (a) The Administrative Agent shall apply the proceeds of any collection or sale
of Collateral, including any Collateral consisting of cash, in accordance with Section 8.03 of the Credit Agreement. 
 (b) The Administrative Agent shall have absolute discretion as to the time of application of any such proceeds, moneys or balances in accordance with this Agreement and the Credit Agreement. Upon any sale
of Collateral by the Administrative Agent (including pursuant to a power of sale granted by statute or under a judicial proceeding), the receipt of the Administrative Agent or of the officer making the sale shall be a sufficient discharge to the
purchaser or purchasers of the Collateral so sold and such purchaser or purchasers shall not be obligated to see to the application of any part of the purchase money paid over to the Administrative Agent or such officer or be answerable in any way
for the misapplication thereof. 
 (c) In making the determinations and allocations required by this
Section 4.02, the Administrative Agent may conclusively rely upon information supplied by the Administrative Agent (as defined in the Credit Agreement) as to the amounts of unpaid principal and interest and other amounts outstanding with
respect to the Obligations, and the Administrative Agent shall have no liability to any of the Secured Parties for actions taken in reliance on such information, provided that nothing in this sentence shall prevent any Grantor from contesting
any amounts claimed by any Secured Party in any information so supplied. All distributions made by the Administrative Agent pursuant to this Section 4.02 shall be (subject to any decree of any court of competent jurisdiction) final (absent
manifest error), and the Administrative Agent shall have no duty to inquire as to the application by the Administrative Agent (as defined in the Credit Agreement) of any amounts distributed to it. 

  
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 SECTION 4.03. Grant of License to Use Intellectual Property; Power of Attorney.
For the exclusive purpose of enabling the Administrative Agent to exercise rights and remedies under this Agreement at such time as the Administrative Agent shall be lawfully entitled to exercise such rights and remedies, each Grantor hereby grants,
such grant to become automatically effective upon and during the continuance of an Event of Default, to the Administrative Agent a non-exclusive, royalty-free, limited license (until the termination or cure of the Event of Default) to use, license
or sublicense any of the Intellectual Property Collateral now owned or hereafter acquired by such Grantor or that such Grantor otherwise has rights to license, and wherever the same may be located, and including in such license reasonable access to
all media in which any of the licensed items may be recorded or stored and to all computer software and programs used for the compilation or printout thereof; provided, however, that nothing in this Section 4.03 shall require
Grantors to grant any license that is prohibited by any rule of law, statute or regulation, or is prohibited by, or constitutes a breach or default under or results in the termination of, any contract, license, agreement, instrument or other
document evidencing, giving rise to or theretofore granted, to the extent permitted by the Credit Agreement, with respect to such property or otherwise unreasonably prejudices the value thereof to the relevant Grantor; provided,
further, that such licenses to be granted hereunder with respect to Trademarks shall be subject to the maintenance of quality standards with respect to the goods and services on which such Trademarks are used sufficient to preserve the
validity of such Trademarks. For the avoidance of doubt, the use of such license by the Administrative Agent may be exercised, at the option of the Administrative Agent, only during the continuation of an Event of Default. Furthermore, each Grantor
hereby grants to the Administrative Agent an absolute power of attorney to sign, upon the occurrence and during the continuance of any Event of Default, any document which may be required by the USPTO or the USCO in order to effect an absolute
assignment of all right, title and interest in each Patent, Trademark or Copyright, and to record the same. Upon and during the continuance of an Event of Default, each Grantor shall use commercially reasonable efforts to obtain all requisite
consents or approvals by the licensor of each Copyright License, Patent License or Trademark License to effect the assignment of all such Grantor’s right, title and interest thereunder as license to the Administrative Agent or its designee.

 ARTICLE V 
 Indemnity, Subrogation and Subordination 
 SECTION 5.01. Indemnity. In
addition to all such rights of indemnity and subrogation as the Grantors may have under applicable law (but subject to Section 5.03), the Borrower agrees that, in the event any assets of any Grantor (other than Holdings) shall be sold pursuant
to this Agreement or any other Collateral Document to satisfy in whole or in part an Obligation owed to any Secured Party, the Borrower shall indemnify such Grantor in an amount equal to the greater of the book value or the fair market value of the
assets so sold. 
 SECTION 5.02. Contribution and Subrogation. Each Grantor (a “Contributing
Party”) agrees (subject to Section 5.03) that, in the event assets of any other Grantor (other than Holdings) shall be sold pursuant to any Collateral Document to satisfy any Obligation owed to any Secured Party, and such other Grantor
(the “Claiming Party”) shall not have been fully indemnified by the Borrower as provided in Section 5.01, the Contributing Party shall indemnify the Claiming Party in an amount equal to the greater of the book value or the fair
market value of such assets, in each case multiplied by a fraction of which the numerator shall be the net worth of the Contributing Party on the date hereof and the denominator shall be the aggregate net worth of all the Contributing Parties
together with the net worth of the Claiming Party on the date hereof (or, in the case of any Grantor becoming a party hereto pursuant to 

  
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Section 6.12, the date of the Security Agreement Supplement hereto executed and delivered by such Grantor). Any Contributing Party making any payment to a Claiming Party pursuant to this
Section 5.02 shall be subrogated to the rights of such Claiming Party to the extent of such payment. 
 SECTION 5.03.
Subordination. Notwithstanding any provision of this Agreement to the contrary, (a) all rights of the Grantors under Sections Section 5.01 and Section 5.02 and all other rights of indemnity, contribution or subrogation under
applicable law or otherwise and (b) upon the occurrence and during the continuance of an Event of Default, all Indebtedness and other monetary obligations owed by any Grantor to any Subsidiary, in each case shall be fully subordinated to the
indefeasible payment in full in cash of the Obligations. No failure on the part of the Borrower or any Grantor to make the payments required by Sections Section 5.01 and Section 5.02 (or any other payments required under applicable law or
otherwise) shall in any respect limit the obligations and liabilities of any Grantor with respect to its obligations hereunder, and each Grantor shall remain liable for the full amount of the obligations of such Grantor hereunder. 

ARTICLE VI 

Miscellaneous 

SECTION 6.01. Notices. All communications and notices hereunder shall (except as otherwise expressly permitted herein) be in
writing and given as provided in Section 10.02 of the Credit Agreement. All communications and notices hereunder to any Grantor shall be given to it in care of the Borrower as provided in Section 10.02 of the Credit Agreement. 

SECTION 6.02. Waivers; Amendment. (a) No failure by any Lender, L/C Issuer or the Administrative Agent to exercise, and
no delay by any such Person in exercising, any right, remedy, power or privilege hereunder or under any other Loan Document shall operate as a waiver thereof; nor shall any single or partial exercise of any right, remedy, power or privilege
hereunder preclude any other or further exercise thereof or the exercise of any other right, remedy, power or privilege. The rights, remedies, powers and privileges herein provided are cumulative and not exclusive of any rights, remedies, powers and
privileges provided by Law, except to the extent the Loan Parties have (to the extent permitted by applicable law) agreed pursuant to any Loan Document to waive or otherwise limit their rights under law. No waiver of any provision of this Agreement
or consent to any departure by any Grantor therefrom shall in any event be effective unless the same shall be permitted by paragraph (b) of this Section 6.02, and then such waiver or consent shall be effective only in the specific instance
and for the purpose for which given. Without limiting the generality of the foregoing, the making of a Loan or issuance of a Letter of Credit shall not be construed as a waiver of any Default, regardless of whether any Lender, L/C Issuer or the
Administrative Agent may have had notice or knowledge of such Default at the time. No notice or demand on any Grantor in any case shall entitle any Grantor to any other or further notice or demand in similar or other circumstances. 

(b) Neither this Agreement nor any provision hereof may be waived, amended or modified except pursuant to an agreement or
agreements in writing entered into by the Administrative Agent and the Grantor or Grantors with respect to which such waiver, amendment or modification is to apply, subject to any consent required in accordance with Section 10.01 of the Credit
Agreement. 
 SECTION 6.03. Administrative Agent’s Fees and Expenses. (a) The parties hereto agree that
the Administrative Agent shall be entitled to reimbursement of its expenses incurred hereunder as provided in Section 10.04 of the Credit Agreement. 

  
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 (b) Without limitation of its indemnification obligations under the other
Loan Documents, the Borrower agrees to indemnify the Administrative Agent and the other Indemnitees (as defined in Section 10.05 of the Credit Agreement) against, and hold each Indemnitee harmless from, any and all losses, claims, damages,
liabilities and related expenses, including the reasonable fees, charges and disbursements of any counsel for any Indemnitee, incurred by or asserted against any Indemnitee arising out of, in connection with, or as a result of, the execution,
delivery or performance of this Agreement or any claim, litigation, investigation or proceeding relating to any of the foregoing agreements or instruments contemplated hereby, whether or not any Indemnitee is a party thereto; provided that
such indemnity shall not, as to any Indemnitee, be available to the extent that such losses, claims, damages, liabilities or related expenses are determined by a court of competent jurisdiction by final and nonappealable judgment to have resulted
from the gross negligence or willful misconduct of such Indemnitee or of any Affiliate, director, officer, employee, counsel, agent or attorney-in-fact of such Indemnitee. 

(c) Any such amounts payable as provided hereunder shall be additional Obligations secured hereby and by the other
Collateral Documents. The provisions of this Section 6.03 shall remain operative and in full force and effect regardless of the termination of this Agreement or any other Loan Document, the consummation of the transactions contemplated hereby,
the repayment of any of the Obligations, the invalidity or unenforceability of any term or provision of this Agreement or any other Loan Document, or any investigation made by or on behalf of the Administrative Agent or any other Secured Party. All
amounts due under this Section 6.03 shall be payable within 20 Business Days of written demand therefor. 

SECTION 6.04. Successors and Assigns. The provisions of this Agreement shall be binding upon and shall inure to the benefit
of each Grantor, the Administrative Agent and the other Secured Parties and their respective successors and assigns permitted hereby, except that no Grantor shall have the right to assign or transfer its rights or obligations hereunder or any
interest herein (and any such assignment or transfer shall be void) except as expressly contemplated by this Agreement or the other Loan Documents. Whenever in this Agreement any of the parties hereto is referred to, such reference shall be deemed
to include the permitted successors and assigns of such party. 
 SECTION 6.05. Counterparts; Several Agreement.
This Agreement may be executed in one or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one-and-the-same instrument. This Agreement shall become effective as to any Grantor when a counterpart
hereof executed on behalf of such Grantor shall have been delivered to the Administrative Agent and a counterpart hereof shall have been executed on behalf of the Administrative Agent. Delivery by telecopier or electronic transmission of an executed
counterpart of a signature page to this Agreement shall be effective as delivery of an original executed counterpart of this Agreement. The Administrative Agent may also require that any such documents and signatures delivered by telecopier or
electronic transmission be confirmed by a manually signed original thereof; provided that the failure to request or deliver the same shall not limit the effectiveness of any document or signature delivered by telecopier or electronic
transmission. This Agreement shall be construed as a separate agreement with respect to each Grantor and may be amended, modified, supplemented, waived or released with respect to such Grantor without the approval of any other Grantor and without
affecting the obligations of any other Grantor hereunder. 
 SECTION 6.06. Severability. If any provision of this
Agreement is held to be illegal, invalid or unenforceable, the legality, validity and enforceability of the remaining provisions of this Agreement shall not be affected or impaired thereby. The invalidity of a provision in a particular jurisdiction
shall not invalidate or render unenforceable such provision in any other jurisdiction. 

  
 21 

 SECTION 6.07. Right of Set-Off. In addition to any rights and remedies of the
Lenders provided by Law, upon the occurrence and during the continuance of any Event of Default, each Lender, L/C Issuer and any of their respective Affiliates is authorized at any time and from time to time, without prior notice to any Grantor, any
such notice being waived by the Borrower (on its own behalf and on behalf of each Guarantor and its Subsidiaries), to the fullest extent permitted by applicable Law, to set off and apply any and all deposits (general or special, time or demand,
provisional or final) at any time held by, and other Indebtedness at any time owing by, such Lender, L/C Issuer or any of their respective Affiliates to or for the credit or the account of the respective Loan Parties and their Subsidiaries against
any and all Obligations owing to such Lender, L/C Issuer and their respective Affiliates hereunder or under any other Loan Document, now or hereafter existing, irrespective of whether or not such Lender, L/C Issuer or Affiliate shall have made
demand under this Agreement and although such Obligations may be contingent or unmatured or denominated in a currency different from that of the applicable deposit or Indebtedness. Notwithstanding anything to the contrary contained herein, no
Lender, L/C Issuer or any of their respective Affiliates shall have a right to set off and apply any deposits held by, or other Indebtedness owing by, such Lender, L/C Issuer or any of their respective Affiliates to or for the credit or the account
of any Subsidiary of a Loan Party that is not a “United States person” within the meaning of Section 7701(a)(30) of the Code unless such Subsidiary is not a direct or indirect subsidiary of Holdings. Each Lender and L/C Issuer agrees
promptly to notify the Borrower and the Administrative Agent after any such set off and application made by such Lender or L/C Issuer, as the case may be; provided that the failure to give such notice shall not affect the validity of such
setoff and application. The rights of the Administrative Agent, each Lender and each L/C Issuer under this Section 6.07 are in addition to other rights and remedies (including other rights of setoff) that the Administrative Agent, such Lender
and such L/C Issuer may have. 
 SECTION 6.08. Governing Law; Jurisdiction; Venue; Waiver Of Jury Trial; Consent To
Service Of Process. (a) The terms of Sections 10.15 and 10.16 of the Credit Agreement with respect to governing law, submission to jurisdiction, venue and waiver of trial by jury are incorporated herein by reference, mutatis
mutandis, and the parties hereto agree to such terms. 
 (b) Each party to this Agreement irrevocably consents to service of
process in the manner provided for notices in Section 6.01. Nothing in this Agreement will affect the right of any party to this Agreement to serve process in any other manner permitted by law. 

SECTION 6.09. Headings. Article and Section headings and the Table of Contents used herein are for convenience of reference
only, are not part of this Agreement and are not to affect the construction of, or to be taken into consideration in interpreting, this Agreement. 
 SECTION 6.10. Security Interest Absolute. All rights of the Administrative Agent hereunder, the Security Interest, the grant of a security interest in the Pledged Collateral and all
obligations of each Grantor hereunder shall be absolute and unconditional irrespective of (a) any lack of validity or enforceability of the Credit Agreement, any other Loan Document, any agreement with respect to any of the Obligations or any
other agreement or instrument relating to any of the foregoing, (b) any change in the time, manner or place of payment of, or in any other term of, all or any of the Obligations, or any other amendment or waiver of or any consent to any
departure from the Credit Agreement, any other Loan Document or any other agreement or instrument, (c) any exchange, release or non-perfection of any Lien on other collateral, or any release or amendment or waiver of or consent under or
departure from any guarantee, securing or guaranteeing all or any of the Obligations or (d) any other circumstance that might otherwise constitute a defense available to, or a discharge of, any Grantor in respect of the Obligations or this
Agreement. 

  
 22 

 SECTION 6.11. Termination or Release. (a) This Agreement, the Security
Interest and all other security interests granted hereby shall terminate with respect to all Obligations and any Liens arising therefrom shall be automatically released when all the outstanding Obligations (in each case other than
(x) obligations under Secured Hedge Agreements not yet due and payable, (y) Cash Management Obligations not yet due and payable and (z) contingent indemnification obligations not yet accrued and payable) have been paid in full and the
Lenders have no further commitment to lend under the Credit Agreement, the Outstanding Amount of L/C Obligations have been either reduced to zero or Cash Collateralized and the L/C Issuers have no further obligations to issue Letters of Credit under
the Credit Agreement. 
 (b) A Grantor shall automatically be released from its obligations hereunder as provided
in Section 9.11 of the Credit Agreement; provided that the Lenders shall have consented to such transaction (to the extent required by the Credit Agreement) and the terms of such consent did not provide otherwise. 

(c) Upon any sale or other transfer by any Grantor of any Collateral that is permitted under the Credit Agreement, or upon
the effectiveness of any written consent to the release of the security interest granted hereby in any Collateral pursuant to Section 9.01 of the Credit Agreement, the security interest of such Grantor in such Collateral shall be automatically
released. 
 (d) In connection with any termination or release pursuant to paragraph (a), (b) or (c) of
this Section 6.11, the Administrative Agent shall execute and deliver to any Grantor, at such Grantor’s expense, all documents that such Grantor shall reasonably request to evidence such termination or release, in each case in accordance
with the terms of Section 9.11 of the Credit Agreement. Any execution and delivery of documents pursuant to this Section 6.11 shall be without recourse to or warranty by the Administrative Agent. The Administrative Agent shall have no
liability whatsoever to any Secured Party as a result of any release of any Grantor by it as permitted (or which the Administrative Agent in good faith believes to be permitted) by this Section 6.11. 

(e) Notwithstanding anything to the contrary set forth in this Agreement, each Cash Management Bank and each Hedge Bank by
the acceptance of the benefits under this Agreement hereby acknowledges and agrees that (i) the obligations of the Borrower or any Subsidiary under any Secured Hedge Agreement and the Cash Management Obligations shall be secured pursuant to
this Agreement only to the extent that, and for so long as, the other Obligations are so secured and (ii) any release of Collateral effected in the manner permitted by this Agreement shall not require the consent of any Hedge Bank or Cash
Management Bank. 
 SECTION 6.12. Additional Grantors. Each wholly-owned Domestic Material Subsidiary of the
Borrower that is required to enter in this Agreement as a Grantor pursuant to Section 6.11 of the Credit Agreement shall execute and deliver a Security Agreement Supplement and thereupon such wholly-owned Domestic Material Subsidiary shall
become a Grantor hereunder with the same force and effect as if originally named as a Grantor herein. The execution and delivery of any such instrument shall not require the consent of any other Grantor hereunder. The rights and obligations of each
Grantor hereunder shall remain in full force and effect notwithstanding the addition of any new Grantor as a party to this Agreement. 
 SECTION 6.13. ROFR Rights. Notwithstanding anything in this Agreement to the contrary, the Administrative Agent shall not exercise any rights or remedies hereunder if and to the extent such
exercise shall result in a ROFR Right unless, pursuant to Section 8.02 of the Credit Agreement, the Commitments of each Lender shall have been terminated and the unpaid principal amount of all outstanding Loans shall have been declared, or
shall have automatically become, due and payable. In such event the Administrative Agent shall comply with all ROFR Rights. 

  
 23 

 SECTION 6.14. Administrative Agent Appointed Attorney-in-Fact. Each Grantor
hereby appoints the Administrative Agent the attorney-in-fact of such Grantor for the purpose of carrying out the provisions of this Agreement and taking any action and executing any instrument that the Administrative Agent may deem necessary or
advisable to accomplish the purposes hereof at any time after and during the continuance of an Event of Default, which appointment is irrevocable (until termination of the Credit Agreement) and coupled with an interest. Without limiting the
generality of the foregoing, the Administrative Agent shall have the right, upon the occurrence and during the continuance of an Event of Default and notice by the Administrative Agent to the Borrower of its intent to exercise such rights, with full
power of substitution either in the Administrative Agent’s name or in the name of such Grantor (a) to receive, endorse, assign and/or deliver any and all notes, acceptances, checks, drafts, money orders or other evidences of payment
relating to the Collateral or any part thereof; (b) to demand, collect, receive payment of, give receipt for and give discharges and releases of all or any of the Collateral; (c) to sign the name of any Grantor on any invoice or bill of
lading relating to any of the Collateral; (d) to send verifications of Accounts to any Account Debtor; (e) to commence and prosecute any and all suits, actions or proceedings at law or in equity in any court of competent jurisdiction to
collect or otherwise realize on all or any of the Collateral or to enforce any rights in respect of any Collateral; (f) to settle, compromise, compound, adjust or defend any actions, suits or proceedings relating to all or any of the
Collateral; (g) to notify, or to require any Grantor to notify, Account Debtors to make payment directly to the Administrative Agent; (h) to make, settle and adjust claims in respect of Article 9 Collateral under policies of
insurance, including endorsing the name of any Grantor on any check, draft, instrument or other item of payment for the proceeds of such policies of insurance, making all determinations and decisions with respect thereto and obtaining or maintaining
the policies of insurance required by Section 6.07 of the Credit Agreement or paying any premium in whole or in part relating thereto; and (i) to use, sell, assign, transfer, pledge, make any agreement with respect to or otherwise deal
with all or any of the Collateral, and to do all other acts and things necessary to carry out the purposes of this Agreement, as fully and completely as though the Administrative Agent were the absolute owner of the Collateral for all purposes;
provided that nothing herein contained shall be construed as requiring or obligating the Administrative Agent to make any commitment or to make any inquiry as to the nature or sufficiency of any payment received by the Administrative Agent,
or to present or file any claim or notice, or to take any action with respect to the Collateral or any part thereof or the moneys due or to become due in respect thereof or any property covered thereby. The Administrative Agent and the other Secured
Parties shall be accountable only for amounts actually received as a result of the exercise of the powers granted to them herein, and neither they nor their officers, directors, employees or agents shall be responsible to any Grantor for any act or
failure to act hereunder, except for their own gross negligence or willful misconduct or that of any of their Affiliates, directors, officers, employees, counsel, agents or attorneys-in-fact. All sums disbursed by the Administrative Agent in
connection with this paragraph, including reasonable attorneys’ fees, court costs, expenses and other charges relating thereto, shall be payable, within 10 days of demand, by the Grantors to the Administrative Agent and shall be additional
Obligations secured hereby. 
 SECTION 6.15. General Authority of the Administrative Agent. By acceptance of the
benefits of this Agreement and any other Collateral Documents, each Secured Party (whether or not a signatory hereto) shall be deemed irrevocably (a) to consent to the appointment of the Administrative Agent as its agent hereunder and under
such other Collateral Documents, (b) to confirm that the Administrative Agent shall have the authority to act as the exclusive agent of such Secured Party for the enforcement of any provisions of this Agreement and such other Collateral
Documents against any Grantor, the exercise of remedies hereunder or thereunder and the giving or withholding of any consent or 

  
 24 

 
approval hereunder or thereunder relating to any Collateral or any Grantor’s obligations with respect thereto, (c) to agree that it shall not take any action to enforce any provisions
of this Agreement or any other Collateral Document against any Grantor, to exercise any remedy hereunder or thereunder or to give any consents or approvals hereunder or thereunder except as expressly provided in this Agreement or any other
Collateral Document and (d) to agree to be bound by the terms of this Agreement and any other Collateral Documents. 

SECTION 6.16. Survival of Representations and Warranties. All representations and warranties made hereunder or other document
delivered pursuant hereto or in connection herewith shall survive the execution and delivery hereof, and shall continue in full force and effect as long as any Loan or any other Obligation hereunder shall remain unpaid or unsatisfied or any Letter
of Credit shall remain outstanding. 
 [Signatures on following page] 

  
 25 

 IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day and
year first above written. 
  

			
	 ASC ACQUISITION LLC,
     as Holdings

		
	By:	 	/s/ Clive D. Bode
		 	Name: Clive D. Bode
		 	Title: Vice President and Secretary

  

			
	 SURGERY CENTERS MERGER SUB LLC,
     as the Borrower

		
	By:	 	/s/ Clive D. Bode
		 	Name: Clive D. Bode
		 	Title: Vice President and Secretary

  

			
	 SURGICAL HOLDINGS, INC.,
     as a Loan Party and Grantor

		
	By:	 	/s/ Clive D. Bode
		 	Name: Clive D. Bode
		 	Title: Vice President and Secretary

 Signature Page for 
 Pledge and Security Agreement 

 
			
	 ASC NETWORK, LLC
 ECODESOLUTIONS, INC.
 HEALTHSOUTH SURGICAL CENTER OF

    TUSCALOOSA, INC.

NATIONAL SURGERY CENTERS, LLC
 SC
AFFILIATES, LLC
 SURGERY CENTERS-WEST HOLDINGS, LLC
 SURGERY CENTER HOLDING, LLC
 SURGICAL HEALTH, LLC, 

    each as a Loan Party and Grantor

		
	By:	 	/s/ William J. Wann, Jr.
		 	Name: William J. Wann, Jr.
		 	Title: Authorized Signatory

  

			
	 JPMORGAN CHASE BANK, N.A.,
     as Administrative Agent

		
	By:	 	/s/ Robert Anastasio
		 	Name: Robert Anastasio
		 	Title: Vice President

 Signature Page for 
 Pledge and Security Agreement 

 SCHEDULE I 
 Pledged Equity 
  

					
	 	  	 Pledgor
	  	 Pledged
Interest1

	1.	  	ASC Acquisition, LLC	  	Surgery Care Affiliates LLC
	2.	  	ASC Network, LLC	  	Castro Valley Surgery Center, Inc.
	3.	  	ASC Network, LLC	  	Lattimore Services Organization, LLC
	4.	  	ASC Network, LLC	  	Premier Ambulatory Surgery of Mesquite, Inc.
	5.	  	ASC Network, LLC	  	Medical Surgical Centers of America, Inc.
	6.	  	ASC Network, LLC	  	HealthSouth Surgery Center of Louisville, LP
	7.	  	National Surgery Centers, LLC	  	KPSC, LLC
	8.	  	National Surgery Centers, LLC	  	National Surgery Centers—Bakersfield, Inc.
	9.	  	National Surgery Centers, LLC	  	National Surgery Centers—Santa Monica, LLC
	10.	  	National Surgery Centers, LLC	  	Northern Rockies Surgicenter, Inc.
	11.	  	National Surgery Centers, LLC	  	NSC Atlanta, LLC
	12.	  	National Surgery Centers, LLC	  	NSC Channel Islands, Inc.
	13.	  	National Surgery Centers, LLC	  	NSC Elizabethtown, LLC
	14.	  	National Surgery Centers, LLC	  	NSC Greensboro West, LLC
	15.	  	National Surgery Centers, LLC	  	NSC Jacksonville, Inc.
	16.	  	National Surgery Centers, LLC	  	NSC Lancaster, LLC
	17.	  	National Surgery Centers, LLC	  	NSC Norman, Inc.
	18.	  	National Surgery Centers, LLC	  	NSC Sarasota, Inc.
	19.	  	National Surgery Centers, LLC	  	NSC Seattle, Inc. 
	20.	  	National Surgery Centers, LLC	  	NSC Upland, LLC
	21.	  	National Surgery Centers, LLC	  	Walk-In and Out Surgery Center, LLC
	22.	  	SC Affiliates, LLC	  	Alaska Surgery Center, Inc.
	23.	  	SC Affiliates, LLC	  	Aurora-SC, Inc.
	24.	  	SC Affiliates, LLC	  	Bakersfield-SC, LLC
	25.	  	SC Affiliates, LLC	  	Birmingham Outpatient Surgery Center, LLC
	26.	  	SC Affiliates, LLC	  	Charlotte-SC, LLC
	27.	  	SC Affiliates, LLC	  	Fort Worth-SC, Inc.[4]
	28.	  	SC Affiliates, LLC	  	Gadsden Surgery Center, LLC
	29.	  	SC Affiliates, LLC	  	Glenwood-SC, Inc.
	30.	  	SC Affiliates, LLC	  	Golden-SCA, Inc.
	31.	  	SC Affiliates, LLC	  	Greenville Surgery Center, Inc.
	32.	  	SC Affiliates, LLC	  	HealthSouth Anesthesia Group LLC
	33.	  	SC Affiliates, LLC	  	HealthSouth S.C. of Alhambra, Inc.
	34.	  	SC Affiliates, LLC	  	HealthSouth S.C. of Ellicott City, Inc.
	35.	  	SC Affiliates, LLC	  	Knoxville-SCA Surgery Center, Inc.
	36.	  	SC Affiliates, LLC	  	Lexington-SC, LLC
	37.	  	SC Affiliates, LLC	  	Louisville-SC Properties, Inc. 
	38.	  	SC Affiliates, LLC	  	Pueblo-SCA Surgery Center, LLC
	39.	  	SC Affiliates, LLC	  	SCA Investment LLC
	40.	  	SC Affiliates, LLC	  	SCA-Albuquerque Surgery Properties, Inc.
	41.	  	SC Affiliates, LLC	  	SCA-Albuquerque, Inc.
	42.	  	SC Affiliates, LLC	  	SCA-Arlington Surgery, Inc.
	43.	  	SC Affiliates, LLC	  	SCA-Blue Ridge, LLC
	44.	  	SC Affiliates, LLC	  	SCA-Charleston, LLC
	45.	  	SC Affiliates, LLC	  	SCA-Citrus, Inc.
	46.	  	SC Affiliates, LLC	  	SCA-Colorado Springs, LLC
	47.	  	SC Affiliates, LLC	  	SCA-Conroe, Inc.

 

	1 	Some names of subsidiaries will be changed prior to closing. 

  
 S-1

					
	 	  	 Pledgor
	  	 Pledged
Interest1

	48.	  	SC Affiliates, LLC	  	SCA-Eugene, Inc.
	49.	  	SC Affiliates, LLC	  	SCA-Florence, LLC
	50.	  	SC Affiliates, LLC	  	SCA-Fort Collins, Inc.
	51.	  	SC Affiliates, LLC	  	SCA-Fort Walton, Inc.
	52.	  	SC Affiliates, LLC	  	SCA-Greenville East, LLC
	53.	  	SC Affiliates, LLC	  	SCA-Hamilton Development Corporation
	54.	  	SC Affiliates, LLC	  	SCA-Honolulu, LLC
	55.	  	SC Affiliates, LLC	  	SCA-Mecklenberg Development Corp. 
	56.	  	SC Affiliates, LLC	  	SCA-Mobile Properties, LLC
	57.	  	SC Affiliates, LLC	  	SCA-Mt. Pleasant, LLC
	58.	  	SC Affiliates, LLC	  	SCA-Paoli, LLC
	59.	  	SC Affiliates, LLC	  	SCA-San Jose, Inc.
	60.	  	SC Affiliates, LLC	  	SCA-San Luis Obispo, LLC
	61.	  	SC Affiliates, LLC	  	SCA-Santa Rosa, Inc.
	62.	  	SC Affiliates, LLC	  	SCA-Sarasota, Inc.
	63.	  	SC Affiliates, LLC	  	SCA-St. Petersburg, LLC
	64.	  	SC Affiliates, LLC	  	SCA-Wausau, LLC
	65.	  	SC Affiliates, LLC	  	SC-Wilson, LLC
	66.	  	SC Affiliates, LLC	  	SHC Atlanta, LLC
	67.	  	SC Affiliates, LLC	  	Surgery Center of Colorado Springs, LLC
	68.	  	SC Affiliates, LLC	  	Surgery Center of Easton, LLC
	69.	  	SC Affiliates, LLC	  	Surgery Center of Louisville, LLC (DE)
	70.	  	SC Affiliates, LLC	  	Surgery Center of Louisville, LLC (KY)
	71.	  	SC Affiliates, LLC	  	Surgery Center of Maui, LLC
	72.	  	SC Affiliates, LLC	  	Surgery Center of Muskogee, LLC
	73.	  	SC Affiliates, LLC	  	Surgery Center of Summerlin, LLC
	74.	  	SC Affiliates, LLC	  	Surgical Services of Sarasota, Inc. 
	75.	  	SC Affiliates, LLC	  	Wauwatosa Outpatient Surgery Center, LLC
	76.	  	Surgery Center Holding, LLC	  	Blackstone Valley Surgicare, Inc.
	77.	  	Surgery Center Holding, LLC	  	HealthSouth S.C. of Southern Pines, LLC
	78.	  	Surgery Center Holding, LLC	  	Surgery Center of Des Moines, LLC
	79.	  	Surgery Center Holding, LLC	  	Surgical Centers of Wichita Falls, LLC
	80.	  	Surgery Center Holding, LLC	  	Surgicare of Jackson, LLC
	81.	  	Surgery Center Holding, LLC	  	Surgicare of La Veta, Inc.
	82.	  	Surgery Center Holding, LLC	  	Surgicare of Laguna Hills, LLC
	83.	  	Surgery Center Holding, LLC	  	Surgicare of Minneapolis, LLC
	84.	  	Surgery Center Holding, LLC	  	Surgicare of Oceanside, Inc.
	85.	  	Surgery Center Holding, LLC	  	Surgicare of Salem, LLC
	86.	  	Surgery Center Holding, LLC	  	Surgicenters of Southern California, Inc.
	87.	  	Surgery Center Holding, LLC	  	Waco Outpatient Surgical Center, Inc.
	88.	  	Surgery Center Holding, LLC	  	Wayland Square Surgicare, Inc.
	89.	  	Surgery Center Holding, LLC	  	Woodward Park Surgicenter, LLC
	90.	  	Surgical Care Affiliates, LLC	  	ASC Network, LLC
	91.	  	Surgical Care Affiliates, LLC	  	eCODEsolutions, Inc.
	92.	  	Surgical Care Affiliates, LLC	  	National Surgery Centers, LLC
	93.	  	Surgical Care Affiliates, LLC	  	Surgery Centers-West, LLC
	94.	  	Surgical Care Affiliates, LLC	  	Surgery Center Holding, LLC
	95.	  	Surgical Care Affiliates, LLC	  	SC Affiliates, LLC
	96.	  	Surgical Care Affiliates, LLC	  	Surgical Center of Tuscaloosa, Inc.
	97.	  	Surgical Care Affiliates, LLC	  	Surgical Health, LLC
	98.	  	Surgical Care Affiliates, LLC	  	Surgical Holdings, Inc.

  
 S-2

					
	 	  	 Pledgor
	  	 Pledged
Interest1

	99.	  	Surgical Health, LLC	  	HSC of Boca Raton, Inc.
	100.	  	Surgical Health, LLC	  	HSC of Clarksville, Inc.
	101.	  	Surgical Health, LLC	  	HSC of Houston, Inc.
	102.	  	Surgical Health, LLC	  	HSC Surgical Associates of Houston, LP
	103.	  	Surgical Health, LLC	  	HSC of Vero Beach, Inc.
	104.	  	Surgical Health, LLC	  	Midwest Anesthesia, LLC. 
	105.	  	Surgical Health, LLC	  	SHC Austin, Inc.
	106.	  	Surgical Health, LLC	  	SHC Tri-County, LLC
	107.	  	Surgical Health, LLC	  	South County Outpatient Management, LLC
	108.	  	Surgical Health, LLC	  	The Woodlands Surgery Systems, Inc.

  
 S-3

 Pledged Debt 
 The following represents all Intercompany Debt in excess of $1,000,000 individually: 
  

													
	 	  	Facility #	  	 Maker/Debtor Entity Name
	  	 Holder/Secured Party

Entity Name
	  	Date(s) of
Inter-
company
Indebtedness	  	 Date of Security
Agreement
	  	 Amount Outstanding
@
5/31/07

	1.	  	05-0033	  	HSC Surgical Associates of Houston, L.P.	  	Surgical Care Affiliates, LLC	  	08/31/06	  	No Security Agreement	  	2,880,207.68
	2.	  	05-0049	  	Melbourne Surgery Center, LP	  	Surgical Care Affiliates, LLC	  	12/13/05	  	12/14/05	  	2,183,203.69
	3.	  	05-0057	  	Treasure Valley Hospital, LP	  	Surgical Care Affiliates, LLC	  	07/31/05	  	07/31/05	  	3,539,711.14
	4.	  	05-0070	  	Lexington Surgery Center, Ltd.	  	Surgical Care Affiliates, LLC	  	10/31/05	  	09/30/05	  	2,538,552.32
	5.	  	05-0079	  	Charlotte Surgery Center, Ltd.	  	Surgical Care Affiliates, LLC	  	02/28/05	  	02/28/05	  	1,193,398.66
	6.	  	05-0090	  	Charleston Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/04	  	09/13/05	  	1,904,477.60
	7.	  	05-0091	  	Grandview Surgery Center, Ltd.	  	Surgical Care Affiliates, LLC	  	03/13/06	  	No Security Agreement	  	2,014,326.47
	8.	  	05-0108	  	Nashville Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	02/06/07	  	06/16/06	  	2,295,333.33
	9.	  	05-0110	  	Surgecenter of Wilson, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	06/16/06	  	1,760,380.20
	10.	  	05-0112	  	Knoxville Ambulatory Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	Deed of Trust: 03/15/06	  	1,266,921.52
	11.	  	05-0113	  	Aurora Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	11/30/04	  	11/30/04	  	1,938,423.22
	12.	  	05-0120	  	Blue Ridge Day Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/04	  	06/30/04	  	1,177,242.40
	13.	  	05-0120	  	Blue Ridge Day Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	05/02/07	  	06/30/04	  	2,193,066.00
	14.	  	05-0121	  	Golden Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	No Security Agreement	  	1,427,252.29
	15.	  	05-0123	  	Winter Park Surgery Center, LP	  	Surgical Care Affiliates, LLC	  	09/16/06	  	03/2/06	  	2,514,394.00
	16.	  	05-0126	  	Wausau Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	03/15/06	  	1,391,058.85
	17.	  	05-0132	  	Florence Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	06/16/06	  	1,770,516.91

  
 S-4

													
	 	  	Facility #	  	 Maker/Debtor Entity Name
	  	 Holder/Secured Party

Entity Name
	  	Date(s) of
Inter-
company
Indebtedness	  	 Date of Security
Agreement
	  	 Amount Outstanding
@
5/31/07

	18.	  	05-0134	  	Paoli Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	11/07/05	  	11/7/05	  	3,172,978.11
	19.	  	05-0140	  	Gainesville Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	09/07/06	  	2,374,006.13
	20.	  	05-0152	  	Arthroscopic & Laser Surgery Center of San Diego, L.P.	  	Surgical Care Affiliates, LLC	  	07/31/05	  	09/30/05	  	1,067,958.67
	21.	  	05-0155	  	HealthSouth Community Surgery Center of Springfield, L.P.	  	Surgical Care Affiliates, LLC	  	02/02/04	  	12/19/06	  	1,419,792.19
	22.	  	05-0222	  	Surgery Center of Des Moines, Ltd.	  	Surgical Care Affiliates, LLC	  	01/11/06	  	09/30/05	  	2,196,558.00
	23.	  	05-0223	  	Surgery Centers of Des Moines, Ltd.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	No Security Agreement	  	1,306,868.11
	24.	  	05-0226	  	St. Cloud Outpatient Surgery, Ltd.	  	Surgical Care Affiliates, LLC	  	06/30/03	  	12/7/05	  	1,424,979.01
	25.	  	05-0226	  	St. Cloud Outpatient Surgery, Ltd.	  	Surgical Care Affiliates, LLC	  	12/07/05	  	12/7/05	  	2,817,720.50
	26.	  	05-0239	  	HealthSouth Surgery Center of Waco, LP	  	Surgical Care Affiliates, LLC	  	11/30/06	  	03/2/06	  	1,901,146.84
	27.	  	05-0254	  	Channel Islands Surgicenter, L.P.	  	Surgical Care Affiliates, LLC	  	12/31/05	  	No Security Agreement	  	1,354,433.16
	28.	  	05-0258	  	Surgical Center of Elizabethtown, L.P.	  	Surgical Care Affiliates, LLC	  	02/28/05	  	02/28/05	  	3,424,716.90
	29.	  	05-0260	  	Fayetteville Ambulatory Surgery, L.P.	  	Surgical Care Affiliates, LLC	  	04/19/05	  	08/31/05	  	1,499,326.50
	30.	  	05-0264	  	Greensboro Specialty Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	03/22/04	  	08/29/05	  	1,224,711.12
	31.	  	05-0274	  	Kitsap Peninsula Surgery Center, L.P.	  	Surgical Care Affiliates, LLC	  	12/13/05	  	05/31/05	  	1,195,073.70
	32.	  	55-0096	  	New Mexico Surgery Properties	  	Surgical Care Affiliates, LLC	  	08/29/06	  	No Security Agreement	  	6,626,205.66

 All intercompany debt to be represented by a global intercompany note, to be delivered within 60 days of Closing.

  
 S-5

 SCHEDULE II 
 Commercial Tort Claims 
 NONE. 

  
 S-6

 EXHIBIT I 
 SUPPLEMENT NO.              dated as of [            ], to the Pledge
and Security Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified from time to time, the “Security Agreement”), among ASC ACQUISITION LLC (“Holdings”), SURGICAL CARE AFFILIATES,
LLC (the “Borrower”), certain Subsidiaries of the Borrower from time to time party thereto and JPMORGAN CHASE BANK, N.A., as Administrative Agent for the Secured Parties (as defined below). 

A. Reference is made to the Credit Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified from time to
time, the “Credit Agreement”), among the Borrower, Holdings, JPMorgan Chase Bank, N.A., as Administrative Agent, Swing Line Lender, and L/C Issuer, each lender from time to time party thereto (collectively, the
“Lenders” and individually, a “Lender”), J.P. Morgan Securities Inc. and Goldman Sachs Credit Partners L.P., as joint lead arrangers and joint bookrunners, Goldman Sachs Credit Partners L.P., as syndication agent,
and General Electric Capital Corporation, Natixis and The Royal Bank of Scotland plc, as documentation agents. 
 B. Capitalized
terms used herein and not otherwise defined herein shall have the meanings assigned to such terms in the Credit Agreement and the Security Agreement referred to therein. 
 C. The Grantors have entered into the Security Agreement in order to induce (i) the Lenders to make Loans and the L/C Issuers to issue Letters of Credit, (ii) the Hedge Banks to enter into
and/or maintain Secured Hedge Agreements and (iii) the Cash Management Banks to provide Cash Management Services. Section 6.12 of the Security Agreement provides that additional Restricted Subsidiaries of the Borrower may become Grantors
under the Security Agreement by execution and delivery of an instrument in the form of this Supplement. The undersigned Restricted Subsidiary (the “New Subsidiary”) is executing this Supplement in accordance with the requirements of
the Credit Agreement to become a Grantor under the Security Agreement in order to induce (A) the Lenders to make additional Loans and the L/C Issuers to issue additional Letters of Credit, (B) the Hedge Banks to enter into and/or maintain
Secured Hedge Agreements and (C) the Cash Management Banks to provide Cash Management Services and as consideration for (x) Loans previously made and Letters of Credit previously issued, (y) Secured Hedge Agreements previously entered
into and/or maintained and (z) Cash Management Services previously provided. 
 Accordingly, the Administrative Agent and
the New Subsidiary agree as follows: 
 SECTION 1. In accordance with Section 6.12 of the Security Agreement, the New
Subsidiary by its signature below becomes a Grantor under the Security Agreement with the same force and effect as if originally named therein as a Grantor and the New Subsidiary hereby (a) agrees to all the terms and provisions of the Security
Agreement applicable to it as a Grantor thereunder and (b) represents and warrants that the representations and warranties made by it as a Grantor thereunder are true and correct on and as of the date hereof. In furtherance of the foregoing,
the New Subsidiary, as security for the payment in full of the Obligations does hereby create and grant to the Administrative Agent, its successors and assigns, for the benefit of the Secured Parties, their successors and assigns, a security
interest in and lien on all of the New Subsidiary’s right, title and interest in and to the Collateral (as defined in the Security Agreement) of the New Subsidiary. Each reference to a “Grantor” in the Security Agreement shall
be deemed to include the New Subsidiary. The Security Agreement is hereby incorporated herein by reference. 
 SECTION 2. The
New Subsidiary represents and warrants to the Administrative Agent and the other Secured Parties that this Supplement has been duly authorized, executed and delivered by it and constitutes its legal, valid and binding obligation, enforceable against
it in accordance with its terms, except as such enforceability may be limited by Debtor Relief Laws and by general principles of equity. 

  
 EXH-1

 SECTION 3. This Supplement may be executed in counterparts (and by different parties hereto
on different counterparts), each of which shall constitute an original, but all of which when taken together shall constitute a single contract. This Supplement shall become effective when the Administrative Agent shall have received a counterpart
of this Supplement that bears the signature of the New Subsidiary, and the Administrative Agent has executed a counterpart hereof. Delivery of an executed signature page to this Supplement by facsimile transmission or other electronic communication
shall be as effective as delivery of a manually signed counterpart of this Supplement. 
 SECTION 4. The New Subsidiary hereby
represents and warrants that (a) set forth on Schedule I attached hereto is a true and correct schedule of the location of any and all Collateral of the New Subsidiary and (b) set forth under its signature hereto is the true and correct
legal name of the New Subsidiary, its jurisdiction of formation, the location of its chief executive office and its organizational identification number. Schedule I shall be incorporated into, and after the date hereof be deemed part of, the
Perfection Certificate. 
 SECTION 5. Except as expressly supplemented hereby, the Security Agreement shall remain in full force
and effect. 
 SECTION 6. THIS SUPPLEMENT SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF
NEW YORK. 
 SECTION 7. If any provision of this Supplement is held to be illegal, invalid or unenforceable, the legality,
validity and enforceability of the remaining provisions of this Supplement shall not be affected or impaired thereby. The invalidity of a provision in a particular jurisdiction shall not invalidate or render unenforceable such provision in any other
jurisdiction. 
 SECTION 8. All communications and notices hereunder shall be in writing and given as provided in
Section 6.01 of the Security Agreement. 
 SECTION 9. The New Subsidiary agrees to reimburse the Administrative Agent for
its reasonable out-of-pocket expenses in connection with this Supplement, including the reasonable fees, other charges and disbursements of counsel for the Administrative Agent. 

[Signatures on following page] 

  
 EXH-2

 IN WITNESS WHEREOF, the New Subsidiary and the Administrative Agent have duly executed this
Supplement to the Security Agreement as of the day and year first above written. 
  

			
	[NAME OF NEW SUBSIDIARY]
		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 Jurisdiction of Formation:
 Organizational Identification Number:
 Address Of Chief Executive Office:

	  
 JPMORGAN CHASE BANK, N.A.,

    as Administrative Agent

		
	By:	 	 
		 	Name:
		 	Title:

  
 EXH-3

 LOCATION OF COLLATERAL 

 

					
	Description	  	Location	  	 

 EQUITY INTERESTS 

 

									
	 Issuer
	  	 Number of
Certificate
	  	 Registered
Owner
	  	 Number and
Class
of
Equity Interests
	  	 Percentage of

Equity Interests

 DEBT SECURITIES 
  

							
	 Issuer
	  	 Principal Amount
	  	 Date of Note
	  	 Maturity Date

 

  
 EXH-4

 Exhibit II 
 FORM OF 
 PATENT SECURITY AGREEMENT 

(SHORT-FORM) 

PATENT SECURITY AGREEMENT, dated as of [    ], 2007, among ASC ACQUISITION LLC (“Holdings”),
SURGICAL CARE AFFILIATES, LLC (the “Borrower”), certain Subsidiaries of the Borrower from time to time party hereto and JPMORGAN CHASE BANK, N.A., as Administrative Agent for the Secured Parties (as defined below). 

Reference is made to the Pledge and Security Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified
from time to time, the “Security Agreement”), among Holdings, the Borrower, certain Subsidiaries of the Borrower from time to time party thereto and the Administrative Agent. The Secured Parties’ agreements in respect of
extensions of credit to the Borrower are set forth in the Credit Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified from time to time, the “Credit Agreement”), among the Borrower, Holdings,
JPMorgan Chase Bank, N.A., as Administrative Agent, Swing Line Lender, and L/C Issuer, each lender from time to time party thereto (collectively, the “Lenders” and individually, a “Lender”), J.P. Morgan Securities
Inc. and Goldman Sachs Credit Partners L.P., as joint lead arrangers and joint bookrunners, Goldman Sachs Credit Partners L.P., as syndication agent, and General Electric Capital Corporation, Natixis and The Royal Bank of Scotland plc, as
documentation agents. Each of Holdings and the Subsidiaries party hereto is an affiliate of the Borrower and will derive substantial benefits from the extension of credit to the Borrower pursuant to the Credit Agreement and is willing to execute and
deliver this Agreement in order to induce the Lenders to extend such credit. Accordingly, the parties hereto agree as follows: 

Section 1. Terms. Capitalized terms used in this Agreement and not otherwise defined herein have the meanings specified in the
Security Agreement. The rules of construction specified in Article I of the Credit Agreement also apply to this Agreement. 

Section 2. Grant of Security Interest. As security for the payment in full of the Obligations, each Grantor, pursuant to and
in accordance with the Security Agreement, did and hereby does grant to the Administrative Agent, its successors and assigns, for the benefit of the Secured Parties, a security interest in, all right, title and interest in or to any and all of the
following assets and properties now owned or at any time hereafter acquired by such Grantor or in which such Grantor now has or at any time in the future may acquire any right, title or interest (collectively, the “Patent
Collateral”): 
 All letters Patent of the United States or the equivalent thereof in any other country, all
registrations and recordings thereof, and all applications for letters Patent of the United States or the equivalent thereof in any other country in or to which any Grantor now or hereafter has any right, title or interest therein, including
registrations, recordings and pending applications in the USPTO or any similar offices in any other country, and all reissues, continuations, divisions, continuations-in-part, renewals, improvements or extensions thereof. 

Section 3. Termination. This Agreement is made to secure the satisfactory payment of the Obligations. This Patent Security
Agreement and the security interest granted hereby shall terminate with respect to all of a Grantor’s Obligations and any Lien arising therefrom shall be automatically released upon termination of the Security Agreement or release of such
Grantor’s obligations thereunder. 

  
 EXH-5

 
The Administrative Agent shall, in connection with any termination or release herein or under the Security Agreement, execute and deliver to any Grantor as such Grantor may reasonably request, at
the cost and expense of such Grantor, an instrument in writing releasing the security interest in the Patent Collateral acquired under this Agreement. Additionally, upon such satisfactory payment, the Administrative Agent shall, at such
Grantor’s cost and expense, reasonably cooperate with any efforts made by a Grantor to make of record or otherwise confirm such satisfaction, including the release and/or termination of this Agreement and any security interest in, to or under
the Patent Collateral. 
 Section 4. Supplement to the Security Agreement. The security interests granted to the
Administrative Agent herein are granted in furtherance, and not in limitation of, the security interests granted to the Administrative Agent pursuant to the Security Agreement. Each Grantor hereby acknowledges and affirms that the rights and
remedies of the Administrative Agent with respect to the Patent Collateral are more fully set forth in the Security Agreement, the terms and provisions of which are hereby incorporated herein by reference as if fully set forth herein. In the event
of any conflict between the terms of this Agreement and the Security Agreement, the terms of the Security Agreement shall govern. 
 Section 5. Representations and Warranties. Holdings and the Borrower jointly and severally represent and warrant, as to themselves and the other Grantors, to the Administrative Agent and the
Secured Parties, that a true and correct list of all of the existing material Patent Collateral consisting of U.S. Patent registrations or applications owned by the Grantor, in whole or in part, is set forth in Schedule I. 

Section 6. Miscellaneous. The provisions of Article VI of the Security Agreement are hereby incorporated by reference.

 [Signatures on following page] 

  
 EXH-6

 IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day and
year first above written. 
  

			
	 ASC ACQUISITION, LLC,
     as Holdings

		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 SURGICAL CARE AFFILIATES, LLC.,
     as the Borrower,

		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 SURGICAL HOLDINGS, INC., 
     as a Loan Party and Grantor

		
	By:	 	 
		 	Name:
		 	Title: Authorized Signatory

  

			
	 ASC NETWORK LLC
 ECODESOLUTIONS, INC.
 NATIONAL SURGERY CENTERS, LLC

SC AFFILIATES, LLC
 SURGERY
CENTERS-WEST HOLDINGS, LLC
 SURGERY CENTER HOLDING LLC
 SURGICAL CENTER OF TUSCALOOSA LLC
 SURGICAL HEALTH, LLC,

    each as a Loan Party and Grantor

		
	By:	 	 
		 	Name:
		 	Title: Authorized Signatory

  
 EXH-7

 
			
	 JPMORGAN CHASE BANK, N.A.,
     as Administrative Agent

		
	By:	 	 
		 	Name:
		 	Title:

  
 EXH-8

 Schedule I 
 Short Particulars of U.S. Patent Collateral 

  
 EXH-9

 Exhibit III 
 FORM OF 
 TRADEMARK SECURITY AGREEMENT 

(SHORT-FORM) 

TRADEMARK SECURITY AGREEMENT, dated as of [    ], 2007, among ASC ACQUISITION LLC (“Holdings”),
SURGICAL CARE AFFILIATES, LLC (the “Borrower”), certain Subsidiaries of the Borrower from time to time party hereto and JPMORGAN CHASE BANK, N.A., as Administrative Agent for the Secured Parties (as defined below). 

Reference is made to the Pledge and Security Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified
from time to time, the “Security Agreement”), among Holdings, the Borrower, certain Subsidiaries of the Borrower from time to time party thereto and the Administrative Agent. The Secured Parties’ agreements in respect of
extensions of credit to the Borrower are set forth in the Credit Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified from time to time, the “Credit Agreement”), among the Borrower, Holdings,
JPMorgan Chase Bank, N.A., as Administrative Agent, Swing Line Lender, and L/C Issuer, each lender from time to time party thereto (collectively, the “Lenders” and individually, a “Lender”), J.P. Morgan Securities
Inc. and Goldman Sachs Credit Partners L.P., as joint lead arrangers and joint bookrunners, Goldman Sachs Credit Partners L.P., as syndication agent, and General Electric Capital Corporation, Natixis and The Royal Bank of Scotland plc, as
documentation agents. Each of Holdings and the Subsidiaries party hereto is an affiliate of the Borrower and will derive substantial benefits from the extension of credit to the Borrower pursuant to the Credit Agreement and is willing to execute and
deliver this Agreement in order to induce the Lenders to extend such credit. Accordingly, the parties hereto agree as follows: 

Section 1. Terms. Capitalized terms used in this Agreement and not otherwise defined herein have the meanings specified in the
Security Agreement. The rules of construction specified in Article I of the Credit Agreement also apply to this Agreement. 

Section 2. Grant of Security Interest. As security for the payment in full of the Obligations, each Grantor, pursuant to and
in accordance with the Security Agreement, did and hereby does grant to the Administrative Agent, its successors and assigns, for the benefit of the Secured Parties, a security interest in, all right, title and interest in or to any and all of the
following assets and properties now owned or at any time hereafter acquired by such Grantor or in which such Grantor now has or at any time in the future may acquire any right, title or interest (collectively, the “Trademark
Collateral”): 
 (a) all trademarks, service marks, trade names, corporate names, trade dress, logos, designs,
fictitious business names, other source or business identifiers, now existing or hereafter adopted or acquired, all registrations and recordings thereof, and all registration and recording applications filed in connection therewith, including
registrations and registration applications in the USPTO or any similar offices in any State of the United States or any other country or any political subdivision thereof, and all extensions or renewals thereof, as well as any unregistered
trademarks and service marks used by a Grantor, and (b) all goodwill connected with the use of and symbolized thereby. 

Section 3. Termination. This Agreement is made to secure the satisfactory payment of the Obligations. This Trademark Security
Agreement and the security interest granted hereby shall terminate with respect to all of a Grantor’s Obligations and any Lien arising therefrom shall be automatically released upon termination of the Security Agreement or release of such
Grantor’s 

  
 EXH-10

 
obligations thereunder. The Administrative Agent shall, in connection with any termination or release herein or under the Security Agreement, execute and deliver to any Grantor as such Grantor
may reasonably request, at the cost and expense of such Grantor, an instrument in writing releasing the security interest in the Trademark Collateral acquired under this Agreement. Additionally, upon such satisfactory payment, the Administrative
Agent shall, at such Grantor’s cost and expense, reasonably cooperate with any efforts made by a Grantor to make of record or otherwise confirm such satisfaction, including the release and/or termination of this Agreement and any security
interest in, to or under the Trademark Collateral. 
 Section 4. Supplement to the Security Agreement. The security
interests granted to the Administrative Agent herein are granted in furtherance, and not in limitation of, the security interests granted to the Administrative Agent pursuant to the Security Agreement. Each Grantor hereby acknowledges and affirms
that the rights and remedies of the Administrative Agent with respect to the Trademark Collateral are more fully set forth in the Security Agreement, the terms and provisions of which are hereby incorporated herein by reference as if fully set forth
herein. In the event of any conflict between the terms of this Agreement and the Security Agreement, the terms of the Security Agreement shall govern. 
 Section 5. Representations and Warranties. Holdings and the Borrower jointly and severally represent and warrant, as to themselves and the other Grantors, to the Administrative Agent and the
Secured Parties, that a true and correct list of all of the existing material Trademark Collateral consisting of U.S. Trademark registrations or applications owned by the Grantor, in whole or in part, is set forth in Schedule I. 

Section 6. Miscellaneous. The provisions of Article VI of the Security Agreement are hereby incorporated by reference.

 [Signatures on following page] 

  
 EXH-11

 IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day and
year first above written. 
  

			
	 ASC ACQUISITION, LLC,
     as Holdings

		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 SURGICAL CARE AFFILIATES, LLC.,
     as the Borrower,

		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 SURGICAL HOLDINGS, INC., 
     as a Loan Party and Grantor

		
	By:	 	 
		 	Name:
		 	Title: Authorized Signatory

  

			
	 ASC NETWORK LLC
 ECODESOLUTIONS, INC.
 NATIONAL SURGERY CENTERS, LLC

SC AFFILIATES, LLC
 SURGERY
CENTERS-WEST HOLDINGS, LLC
 SURGERY CENTER HOLDING LLC
 SURGICAL CENTER OF TUSCALOOSA LLC
 SURGICAL HEALTH, LLC,

    each as a Loan Party and Grantor

		
	By:	 	 
		 	Name:
		 	Title: Authorized Signatory

  
 EXH-12

 
			
	 JPMORGAN CHASE BANK, N.A.,
     as Administrative Agent

		
	By:	 	 
		 	Name:
		 	Title:

  
 EXH-13

 Schedule I to 
 Trademark Security Agreement Supplement 
 United States Trademarks,
Service Marks and Trademark Applications 
  

							
	 Grantor
	  	 Trademark or Service

Mark
	  	 Date Granted
	  	 Registration No. and

Jurisdiction

		  		  		  	

  

							
	 Grantor
	 	 Trademark or Service

Mark Application
	 	 Date Filed
	  	 Application No. and

Jurisdiction

		 		 		  	

  
 EXH-14

 Exhibit IV 
 FORM OF 
 COPYRIGHT SECURITY AGREEMENT 

(SHORT-FORM) 

COPYRIGHT SECURITY AGREEMENT, dated as of [    ], 2007, among ASC ACQUISITION LLC (“Holdings”),
SURGICAL CARE AFFILIATES, LLC (the “Borrower”), certain Subsidiaries of the Borrower from time to time party hereto and JPMORGAN CHASE BANK, N.A., as Administrative Agent for the Secured Parties (as defined below). 

Reference is made to the Pledge and Security Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified
from time to time, the “Security Agreement”), among Holdings, the Borrower, certain Subsidiaries of the Borrower from time to time party thereto and the Administrative Agent. The Secured Parties’ agreements in respect of
extensions of credit to the Borrower are set forth in the Credit Agreement dated as of June 29, 2007 (as amended, supplemented or otherwise modified from time to time, the “Credit Agreement”), among the Borrower, Holdings,
JPMorgan Chase Bank, N.A., as Administrative Agent, Swing Line Lender, and L/C Issuer, each lender from time to time party thereto (collectively, the “Lenders” and individually, a “Lender”), J.P. Morgan Securities
Inc. and Goldman Sachs Credit Partners L.P., as joint lead arrangers and joint bookrunners, Goldman Sachs Credit Partners L.P., as syndication agent, and General Electric Capital Corporation, Natixis and The Royal Bank of Scotland plc, as
documentation agents. Each of Holdings and the Subsidiaries party hereto is an affiliate of the Borrower and will derive substantial benefits from the extension of credit to the Borrower pursuant to the Credit Agreement and is willing to execute and
deliver this Agreement in order to induce the Lenders to extend such credit. Accordingly, the parties hereto agree as follows: 

Section 7. Terms. Capitalized terms used in this Agreement and not otherwise defined herein have the meanings specified in the
Security Agreement. The rules of construction specified in Article I of the Credit Agreement also apply to this Agreement. 

Section 8. Grant of Security Interest. As security for the payment in full of the Obligations, each Grantor, pursuant to and
in accordance with the Security Agreement, did and hereby does grant to the Administrative Agent, its successors and assigns, for the benefit of the Secured Parties, a security interest in, all right, title and interest in or to any and all of the
following assets and properties now owned or at any time hereafter acquired by such Grantor or in which such Grantor now has or at any time in the future may acquire any right, title or interest (collectively, the “Copyright
Collateral”): 
 (a) all copyright rights in any work subject to the copyright laws of the United States or any other
country, whether as author, assignee, transferee or otherwise, and (b) all registrations and applications for registration of any such copyright in the United States or any other country, including registrations, recordings, supplemental
registrations and pending applications for registration in the USCO. 
 Section 9. Termination. This Agreement is
made to secure the satisfactory payment of the Obligations. This Copyright Security Agreement and the security interest granted hereby shall terminate with respect to all of a Grantor’s Obligations and any Lien arising therefrom shall be
automatically released upon termination of the Security Agreement or release of such Grantor’s obligations thereunder. The Administrative Agent shall, in connection with any termination or release herein or under the Security Agreement, execute
and deliver to any Grantor as such Grantor may reasonably request, at the cost and expense of such Grantor, an instrument in writing releasing the 

  
 EXH-15

 
security interest in the Copyright Collateral acquired under this Agreement. Additionally, upon such satisfactory payment, the Administrative Agent shall, at such Grantor’s cost and expense,
reasonably cooperate with any efforts made by a Grantor to make of record or otherwise confirm such satisfaction, including the release and/or termination of this Agreement and any security interest in, to or under the Copyright Collateral.

 Section 10. Supplement to the Security Agreement. The security interests granted to the Administrative Agent
herein are granted in furtherance, and not in limitation of, the security interests granted to the Administrative Agent pursuant to the Security Agreement. Each Grantor hereby acknowledges and affirms that the rights and remedies of the
Administrative Agent with respect to the Copyright Collateral are more fully set forth in the Security Agreement, the terms and provisions of which are hereby incorporated herein by reference as if fully set forth herein. In the event of any
conflict between the terms of this Agreement and the Security Agreement, the terms of the Security Agreement shall govern. 

Section 11. Representations and Warranties. Holdings and the Borrower jointly and severally represent and warrant, as to
themselves and the other Grantors, to the Administrative Agent and the Secured Parties, that a true and correct list of all of the existing material Copyright Collateral consisting of U.S. Copyright registrations or applications owned by the
Grantor, in whole or in part, is set forth in Schedule I. 
 Section 12. Miscellaneous. The provisions of
Article VI of the Security Agreement are hereby incorporated by reference. 
 [Signatures on following page] 

  
 EXH-16

 IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day and
year first above written. 
  

			
	 ASC ACQUISITION, LLC,
     as Holdings

		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 SURGICAL CARE AFFILIATES, LLC.,
     as the Borrower,

		
	By:	 	 
		 	Name:
		 	Title:

  

			
	 SURGICAL HOLDINGS, INC., 
     as a Loan Party and Grantor

		
	By:	 	 
		 	Name:
		 	Title: Authorized Signatory

  

			
	 ASC NETWORK LLC
 ECODESOLUTIONS, INC.
 NATIONAL SURGERY CENTERS, LLC

SC AFFILIATES, LLC
 SURGERY
CENTERS-WEST HOLDINGS, LLC
 SURGERY CENTER HOLDING LLC
 SURGICAL CENTER OF TUSCALOOSA LLC
 SURGICAL HEALTH, LLC,

    each as a Loan Party and Grantor

		
	By:	 	 
		 	Name:
		 	Title: Authorized Signatory

  
 EXH-17

 
			
	 JPMORGAN CHASE BANK, N.A.,
     as Administrative Agent

		
	By:	 	 
		 	Name:
		 	Title:

  
 EXH-18

 Schedule I 
 Short Particulars of U.S. Copyright Collateral 

  
 EXH-19

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