Document:

EX-10.2

 Exhibit 10.2 

ASSIGNMENT AND ASSUMPTION AGREEMENT 

This ASSIGNMENT AND ASSUMPTION AGREEMENT (this “Agreement”), is entered into this 29th day of March, 2016, by and among OCM
Principal Opportunities Fund IV, L.P., a California limited partnership (“OCM Fund”), MTS Health Investors II, L.P., a Delaware limited partnership (“MTS”), Alliance-Oaktree Co-Investors, LLC, a Delaware limited liability
company (“Co-Investors”), Alliance-MTS Co-Investors I, LLC, a Delaware limited liability company (“Co-Investors I”) and Alliance-MTS Co-Investors II, LLC, a Delaware limited liability company, (“Co-Investors
II”, together with OCM Fund, MTS, Co-Investors and Co-Investors I, the “Stockholders” and each, a “Stockholder”), Fujian Thai Hot Investment Co., Ltd, an entity organized under the laws of the People’s
Republic of China (the “Purchaser”), and Alliance HealthCare Services, Inc., a Delaware corporation (previously named Alliance Imaging, Inc. the “Company”). 

WHEREAS, the Stockholders have certain registration rights with respect to their Common Stock (as defined below) under that certain
Registration Rights Agreement, dated as of November 2, 1999, by and among the Company, Viewer Holdings LLC, a Delaware limited liability company (“Viewer”) and certain other parties thereto (the “Registration Rights
Agreement”) that such Stockholders received pursuant to that certain Assignment, dated April 16, 2007, by and among Viewer, OCM Fund, MTS, Co-Investors, Co-Investors I and Co-Investors II; 

WHEREAS, the Stockholders are party to that certain Stock Purchase Agreement, dated as of September 16, 2015 (the “Stock Purchase
Agreement”), by and among the Stockholders, Larry C. Buckelew (“Buckelew”) and the Purchaser, pursuant to which the Stockholders and Buckelew have agreed to sell, and the Purchaser has agreed to purchase, an aggregate of
5,537,945 shares (the “Shares”) of common stock, par value $0.01 per share (the “Common Stock”), of the Company (the “Share Purchase”), representing 100% of the shares of Common Stock owned
beneficially and of record by the Stockholders; and 
 WHEREAS, in connection with the Share Purchase, each Stockholder has agreed to assign
to the Purchaser its rights relating to the Shares under the Registration Rights Agreement. 
 NOW THEREFORE, in consideration of the mutual
covenants, terms and conditions set forth herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: 

1. Effective as of the date hereof, each Stockholder, severally and not jointly, hereby assigns its rights and future obligations for all
purposes under the Registration Rights Agreement with respect to the Shares to the Purchaser, including without limitation the registration rights in connection with the ownership of the Shares pursuant to Sections 3 and 4 of the Registration Rights
Agreement. Effective as of the date hereof, the Purchaser hereby accepts and assumes the assignment of rights and future obligations made by each Stockholder pursuant to the preceding sentence. 

 2. For the avoidance of doubt, immediately following the effectiveness hereof: 

(a) The Shares shall be deemed to be “Registrable Securities” under the Registration Rights Agreement; and 

(b) The Purchaser shall be deemed to be an “Investor” and “Holder” under the Registration Rights Agreement. 

3. Capitalized terms not defined herein but defined under the Registration Rights Agreement shall have the meanings under the Registration
Rights Agreement. 
 4. This Agreement shall be governed by and construed in accordance with the laws of the State of New York, without
regard to the principles of conflicts of laws. 
 5. This Agreement may be executed in counterparts, each of which shall be deemed an
original, but all of which together shall constitute one and the same instrument. A signed copy of this Agreement delivered by facsimile, email or other means of electronic transmission shall be deemed to have the same legal effect as delivery of an
original signed copy of this Agreement 
 6. This Agreement shall become effective upon the Closing (as defined under the Stock Purchase
Agreement).
 [Signature Pages Follow] 

  
 2 

					
	AGREED TO AND ACCEPTED:
	
	OCM PRINCIPAL OPPORTUNITIES FUND IV, L.P.
		
	By:	 	OCM PRINCIPAL OPPORTUNITIES
		 	FUND IV GP, L.P., its General Partner
	By:	 	OCM PRINCIPAL OPPORTUNITIES
		 	FUND IV GP LTD., its General Partner
	By:	 	OAKTREE CAPITAL MANAGEMENT, L.P.,
		 	its Director
		
	By:	 	 /s/ Michael P. Harmon

		 	Name:	 	Michael P. Harmon
		 	Title:	 	Managing Director
		
	By:	 	 /s/ Amy Rice

		 	Name:	 	Amy Rice
		 	Title:	 	Senior Vice President
	
	ALLIANCE-OAKTREE CO-INVESTORS, LLC
		
	By:	 	OCM PRINCIPAL OPPORTUNITIES
		
		 	FUND IV GP, L.P., its Managing Member
		
	By:	 	OCM PRINCIPAL OPPORTUNITIES
		 	FUND IV GP LTD., its General Partner
	By:	 	OAKTREE CAPITAL MANAGEMENT, L.P.,
		 	its Director
		
	By:	 	 /s/ Michael P. Harmon

		 	Name:	 	Michael P. Harmon
		 	Title:	 	Managing Director
		
	By:	 	 /s/ Amy Rice

		 	Name:	 	Amy Rice
		 	Title:	 	Senior Vice President

 [Signature Page to Agreement] 

					
	MTS HEALTH INVESTORS II, L.P.
		
	By:	 	MTS HEALTH INVESTORS II GP,
		 	LLC, its General Partner
		
	By:	 	MTS HEALTH INVESTORS II GP
		 	HOLDINGS, LLC, the Class A Member
		
	By:	 	 /s/ Curtis S. Lane

		 	Name: 	 	Curtis S. Lane
		 	Title: 	 	Senior Managing Director
	
	ALLIANCE-MTS CO-INVESTORS I, LLC
		
	By:	 	MTS HEALTH INVESTORS II GP, LLC,
		 	its Managing Member
		
	By:	 	MTS HEALTH INVESTORS II GP
		 	HOLDINGS, LLC, the Class A Member
		
	By:	 	 /s/ Curtis S. Lane

		 	Name: 	 	Curtis S. Lane
		 	Title: 	 	Senior Managing Director
	
	ALLIANCE-MTS CO-INVESTORS II, LLC
		
	By:	 	MTS HEALTH INVESTORS II GP, LLC,
		 	its Managing Member
		
	By:	 	MTS HEALTH INVESTORS II GP
		 	HOLDINGS, LLC, the Class A Member
		
	By:	 	 /s/ Curtis S. Lane

		 	Name: 	 	Curtis S. Lane
		 	Title: 	 	Senior Managing Director

  
 4 

					
	FUJIAN THAI HOT INVESTMENT CO., LTD
		
	By:	 	 /s/ Qisen Huang

		 	Name:	 	Qisen Huang
		 	Title:	 	Director
	
	THAIHOT INVESTMENT COMPANY LIMITED
		
	By:	 	 /s/ Qisen Huang

		 	Name:	 	Qisen Huang
		 	Title:	 	Director

  
 5 

					
	ACKNOWLEDGED AND ACCEPTED:
	
	ALLIANCE HEALTHCARE SERVICES, INC.
		
	By:	 	 /s/ Richard W. Johns

		 	Name:	 	Richard W. Johns
		 	Title:	 	Chief Operating Officer and Chief Legal OfficerEX-10.3

 Exhibit 10.3 

AMENDMENT NO. 3 TO CREDIT AGREEMENT 

AMENDMENT NO. 3 TO CREDIT AGREEMENT (this “Amendment”), dated as of March 29, 2016, among ALLIANCE HEALTHCARE SERVICES, INC.,
a Delaware corporation (“Company”), the Subsidiary Guarantors party hereto, the Lenders party hereto, and CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH, as administrative agent for Lenders (in such capacity, the “Administrative
Agent”). Capitalized terms used and not otherwise defined herein shall have the meanings assigned to such terms in the Credit Agreement referred to below. 

W I T N E S S E T H: 

WHEREAS, Company, the Lenders and the Administrative Agent are parties to a Credit Agreement, dated as of June 3, 2013 (as amended, restated,
amended and restated, supplemented and/or otherwise modified to but not including the date hereof, the “Credit Agreement”); 

WHEREAS, the Investors desire to sell all or substantially all of their Voting Stock of Company to THAIHOT Investment Company Limited (the
“Sale”); and 
 WHEREAS, the parties hereto desire to make certain amendments to the Credit Agreement as more fully set
forth herein. 
 NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto agree as follows: 
 SECTION 1. Amendments to Credit Agreement. 

Effective on (and subject to the occurrence of) the Third Amendment Effective Date (as defined below), the Credit Agreement is hereby amended
in accordance with this Section 1. 
 A. Section 1.1 of the Credit Agreement is hereby amended by adding in the appropriate alphabetical
order the following new definitions: 
 “Third Amendment” means Amendment No. 3 to Credit Agreement, dated as of the Third
Amendment Effective Date, among Company, the Subsidiary Guarantors party thereto, the Lenders party thereto and the Administrative Agent. 

“Third Amendment Effective Date” means March 29, 2016. 

B. The definition of “Investors” in Section 1.1 of the Credit Agreement is hereby replaced in its entirety as follows: 

““Investors” means THAIHOT Investment Company Limited, a company organized under the laws of the Cayman Islands.”

 C. The definition of “Loan Documents” in Section 1.1 of the Credit Agreement is hereby replaced in its entirety as
follows: 
 ““Loan Documents” means this Agreement, the Notes, the Letters of Credit (and any applications for Letters
of Credit), the Guaranties, the Collateral Documents, the First Amendment, the Second Amendment, the Third Amendment, any Incremental Loan Commitment Agreement (including, without limitation, the 

 
2013 Incremental Term Loan Commitment Agreement and the 2015 Incremental Term Loan Commitment Agreement), any Refinancing Amendment or any Extension Amendment.” 

D. Section 2.4B(i)(b) of the Credit Agreement is hereby replaced in its entirety as follows:

“(b) If the Company (x)(I) makes a voluntary prepayment of any Term Loan pursuant to Section 2.4B(i)(a) or (II) prepays, refinances,
substitutes or replaces any Term Loan, in the case of each of clauses (x)(I) and (x)(II), in connection with a Repricing Transaction, or (y) effects any amendment of this Agreement resulting in a Repricing Transaction, in each case (x) and (y) on or
prior to the date that is twelve months after the Third Amendment Effective Date, then the Company shall pay to the Administrative Agent, for the ratable account of each of the Lenders holding Term Loans immediately prior to the consummation of such
Repricing Transaction (including each Lender holding Term Loans immediately prior to the consummation of such Repricing Transaction that withholds its consent to such Repricing Transaction and is replaced as a Terminated Lender under Section 2.10),
(I) in the case of clause (x), a prepayment premium equal to the 1.0% of the aggregate principal amount of the Term Loans so prepaid, refinanced, substituted or replaced and (II) in the case of clause (y), a fee equal to 1.0% of the aggregate
principal amount of the applicable Term Loans outstanding immediately prior to such amendment. Such amounts shall be due and payable on the date of effectiveness of such Repricing Transaction (as applicable, the “Prepayment
Fees”).” 
 SECTION 2. Acknowledgement and Consent. 

Each Subsidiary Guarantor has read this Amendment and consents to the terms hereof and hereby acknowledges and agrees that any Loan Document
to which it is a party shall continue in full force and effect and that all of its obligations thereunder shall be valid and enforceable, subject to applicable bankruptcy, insolvency, reorganization, moratorium or other laws relating to or affecting
creditors’ rights generally and subject to general principles of equity, regardless of whether considered in a proceeding in equity or at law, and shall not be impaired or limited by the execution or effectiveness of this Amendment. As of the
date hereof, each Subsidiary Guarantor hereby acknowledges, confirms and agrees to its obligations under each Loan Document executed by it, all without offset, defense or counterclaim of any kind, nature or description whatsoever. Each of Company
and each Subsidiary Guarantor hereby acknowledges, confirms and agrees that the Administrative Agent, for the benefit of the Secured Parties, has and shall continue to have valid, enforceable and perfected liens upon and security interests in the
Collateral granted to (and perfected by) the Administrative Agent pursuant to the Loan Documents. Each Subsidiary Guarantor represents and warrants that all representations and warranties contained in this Amendment and each Loan Document to which
it is a party and which are applicable to such Subsidiary Guarantor are true and correct in all material respects on and as of the Third Amendment Effective Date to the same extent as though made on and as of that date, except to the extent such
representations and warranties specifically relate to an earlier date, in which case they were true and correct in all material respects on and as of such earlier date; provided, that, if a representation and warranty is qualified as to
materiality, with respect to such representation and warranty the materiality qualifier set forth above shall be disregarded for purposes of this Section 2. 

Each Subsidiary Guarantor acknowledges and agrees that (i) notwithstanding the conditions to effectiveness set forth in this Amendment, such
Subsidiary Guarantor is not required by the 

 
terms of the Credit Agreement or any other Loan Document to consent to the amendments to the Credit Agreement effected pursuant to this Amendment and (ii) nothing in the Credit Agreement, this
Amendment or any other Loan Document shall be deemed to require the consent of such Subsidiary Guarantor to any future amendments to the Credit Agreement as amended hereby. 

SECTION 3. Conditions Precedent to Effectiveness. 

A. This Amendment shall become effective on the date (the “Third Amendment Effective Date”) when each of the following
conditions shall have been satisfied:  
 (i) Company, the Subsidiary Guarantors, the Administrative Agent and the
Requisite Lenders shall have signed a counterpart hereof (whether the same or different counterparts) and shall have delivered (including by way of facsimile or other electronic transmission) the same to the Administrative Agent; 

(ii) the Administrative Agent shall have received from Company and each other Loan Party the following:

(a) an officer’s certificate certifying that no amendments, modifications or changes have been made to (x) the Certificate
or Articles of Incorporation or other appropriate organizational documents of such Loan Party and (y) the Bylaws or similar organizational documents of such Loan Party, since such documents were previously delivered to the Administrative Agent,
together with a good standing certificate from the Secretary of State of such Loan Party’s jurisdiction of incorporation or formation each dated a recent date prior to the Third Amendment Effective Date; 

(b) resolutions of the Board of Directors or similar governing body of such Loan Party (or other evidence reasonably
satisfactory to the Administrative Agent) approving and authorizing the execution, delivery and performance of this Amendment and the Amended Credit Agreement (as defined below), certified as of the Third Amendment Effective Date by the corporate
secretary, an assistant secretary or a Responsible Officer of such Loan Party as being in full force and effect without modification or amendment; and 

(c) signature and incumbency certificates of the officers of such Loan Party executing this Amendment;

(iii) the representations and warranties contained in Section 5 of the Credit Agreement and in the other Loan Documents shall
be true and correct in all material respects (or, in the case of any representation or warranty already qualified by materiality, in all respects) on and as of the Third Amendment Effective Date to the same extent as though made on and as of that
date (except to the extent such representations and warranties specifically relate to an earlier date, in which case such representations and warranties shall have been true and correct in all material respects (or, in the case of any representation
or warranty already qualified by materiality, in all respects) on and as of such earlier date) and as if each reference in any such representation or warranty to “this Agreement” or “the Credit Agreement” included reference to
this Amendment and to the Credit Agreement, as amended by this Amendment (the “Amended Credit Agreement”); 

 (iv) the Administrative Agent shall have received from Company an Officer’s
Certificate certifying that the Sale has been consummated or shall be consummated substantially concurrently with this Amendment; 

(v) the Administrative Agent shall have received an opinion of Latham & Watkins LLP, special counsel to the Loan
Parties, with respect to the enforceability of the Amendment and the Amended Credit Agreement and corporate authorization of the Borrower, in form and substance reasonably satisfactory to the Administrative Agent; 

(vi) the Administrative Agent shall have received at least three Business Days prior to the Third Amendment Effective Date all
documentation and other information about the Investors (as defined in the Amended Credit Agreement) required under applicable “know your customer” and anti-money laundering rules and regulations, including the PATRIOT ACT, that has been
requested by the Administrative Agent in writing at least six Business Days prior to the Third Amendment Effective Date; 

(vii) after giving effect to this Amendment, no Potential Event of Default or Event of Default shall have occurred and be
continuing; and 
 (viii) Company shall have paid (x) to Credit Suisse Securities (USA) LLC all fees set forth in the
Engagement Letter, dated as of November 4, 2015, between Company and Credit Suisse Securities (USA) LLC within the time periods specified therein, (y) to the Administrative Agent, for the ratable account of each Lender that shall have executed this
Amendment on or prior to 12:00 p.m. (New York time) on December 21, 2015, an amendment fee of (1) 5.00% of the sum of the outstanding aggregate principal amount of such Lenders’ Revolving Loan Commitments and (2) 5.00% of the sum of the
aggregate outstanding principal amount of such Lenders’ Term Loans, in each case, as of the Third Amendment Effective Date, and (z) to the Administrative Agent for the account of the Administrative Agent all reasonable fees, expenses and other
amounts payable to the Administrative Agent in connection with this Amendment (including, without limitation, all reasonable legal fees and expenses of White & Case LLP, counsel to the Administrative Agent, to the extent an invoice has been
provided to Company prior to the Third Amendment Effective Date). 
 SECTION 4. Representations and Warranties. In order to
induce the Lenders to enter into this Amendment, Company hereby represents and warrants that: (a) all of the representations and warranties set forth in Section 5 of the Credit Agreement and in each of the other Loan Documents are true and correct
in all material respects (or, in the case of any representation or warranty already qualified by materiality, in all respects) both immediately before and immediately after the Third Amendment Effective Date, with the same effect as though such
representations and warranties had been made on and as of the Third Amendment Effective Date (it being understood that any representation or warranty made as of a specific date shall be true and correct in all material respects (or, in the case of
any representation or warranty already qualified by materiality, in all respects) as of such specific date) and as if each reference in any such representation or warranty to “this Agreement” or “the Credit Agreement” included
reference to this Amendment and to the Amended Credit Agreement, (b) after giving effect to this Amendment, no Potential Event of Default or Event of Default shall have occurred and be continuing, (c) the execution, delivery and performance by
Company of this Amendment and the Amended Credit Agreement do not conflict with material law or its Articles of Incorporation or Bylaws (or equivalent constitutional documents) and (d) the execution, delivery and performance by Company of this
Amendment and the Amended Credit Agreement have been duly authorized by all necessary corporate action required on its part and each of this Amendment and the Amended Credit Agreement is a legal, valid and binding obligation of Company enforceable
against Company in accordance with its terms 

 
except as the enforcement thereof may be subject to (i) the effect of any applicable bankruptcy, insolvency, reorganization, moratorium or similar laws affecting creditors’ rights generally
and (ii) general principles of equity (regardless of whether enforcement is sought in a proceeding in equity or at law). 
 SECTION
5. Waiver of Defenses; and Release. This Amendment shall be limited precisely as written and, except as expressly provided herein, shall not be deemed or construed (i) to be a consent granted pursuant to, or a waiver,
amendment, modification or forbearance of, any term or condition of the Credit Agreement, any other Loan Document or any of the instruments or agreements referred to therein or a waiver of any Potential Event of Default or Event of Default under the
Credit Agreement, whether or not known to the Administrative Agent or any of the Lenders, (ii) to prejudice any right or remedy which the Administrative Agent or any of the Lenders may now have or have in the future under or in connection with the
Credit Agreement, any other Loan Document or any of the instruments or agreements referred to therein, or (iii) as an agreement by the Lenders to make any Loans or otherwise to extend additional credit at any time other than as expressly provided in
and in accordance with the terms of the Credit Agreement, as amended by this Amendment. Except as specifically set forth herein, the Credit Agreement and the other Loan Documents shall remain in full force and effect and are hereby ratified and
confirmed. 
 SECTION 6. References. From and after the Third Amendment Effective Date, all references to the
“Credit Agreement”, “thereunder”, “thereof” or words of like import in the Credit Agreement or any other Loan Document and the other documents and instruments delivered pursuant to or in connection therewith (as they
relate to the Credit Agreement) shall mean and be a reference to the Credit Agreement as modified hereby and as may in the future be amended, restated, supplemented or modified from time to time. 

SECTION 7. Integration. This Amendment represents the entire agreement of the parties hereto with respect to the
subject matter hereof. There are no representations, agreements, arrangements or understandings, oral or written, between the parties hereto, relating to the subject matter of this Amendment, which are not fully expressed herein. 

SECTION 8. Successors and Assigns. The provisions of this Amendment shall be binding upon the parties hereto and
their respective successors and assigns and shall inure to the benefit of the parties hereto and the successors and assigns of the Lenders (subject to Section 10.1 of the Credit Agreement). 

SECTION 9. Severability. In case any provision in or obligation under this Amendment shall be held invalid, illegal
or unenforceable in any jurisdiction, the validity, legality and enforceability of the remaining provisions or obligations, or of such provision or obligation in any other jurisdiction, shall not in any way be affected or impaired thereby. 

SECTION 10. Governing Law. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE
CONSTRUED IN ACCORDANCE WITH AND BE GOVERNED BY THE LAW OF THE STATE OF NEW YORK.  
 SECTION
11. Counterparts. This Amendment may be executed in any number of counterparts and by different parties hereto in separate counterparts, each of which when so executed and delivered shall be deemed an original, but all such
counterparts together shall constitute but one and the same instrument. Delivery of an executed counterpart of a signature page by telecopier or other electronic transmission shall be effective as delivery of a manually executed counterpart. 

 SECTION 12. Headings. Section headings in this Amendment are included for
convenience of reference only and shall not constitute a part of this Amendment for any other purposes or be given any substantive effect.  

SECTION 13. Tax and Treasury Matters. 

A. FATCA. For purposes of determining withholding Taxes imposed under FATCA, from and after the Third Amendment Effective Date, the
Borrower and the Administrative Agent shall treat (and the Lenders hereby authorize the Administrative Agent to treat) the Loans as not qualifying as “grandfathered obligations” within the meaning of Treasury Regulation Section
1.1471-2(b)(2)(i). 
 B. Deemed Exchange. This Amendment may trigger a “deemed exchange” of the Loans within the meaning of
Treasury Regulation Section 1.1001-3. To the extent a “deemed exchange” is triggered, the Borrower will determine the issue price of the Loans, amount of original issue discount, and yield to maturity and make such determinations available
to the Administrative Agent (to be disseminated to the Lenders), within 90 days after the Third Amendment Effective Date. 
 [Signature page
follows] 

 IN WITNESS WHEREOF, Company, the Subsidiary Guarantors, the Administrative Agent and the Lenders
party hereto have caused this Amendment to be duly executed by their respective authorized officers as of the day and year first above written. 
  

					
	ALLIANCE HEALTHCARE SERVICES, INC.
		
	By:	 	 /s/ Richard W. Johns

		 	Name:	 	Richard W. Johns
		 	Title:	 	Chief Operating Officer, Chief Legal Officer and Secretary

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
					
	 ADVANCED IMAGING SERVICES, LLC

	 ALLIANCE IMAGING NC, LLC

	 AROOSTOOK MRI LLC

	 DIAGNOSTIC HEALTH CENTER OF ANCHORAGE, LLC

	 MEDICAL DIAGNOSTICS, LLC

	 MSA MANAGEMENT, LLC

	 MUSC HEALTH CANCER CARE ORGANIZATION, LLC

	 NEOSPINE RADIOSURGERY, LLC

	 RADIOLOGY 24 | 7, LLC

	 REA MANAGEMENT, LLC

	 SMT HEALTH SERVICES, LLC

	 THREE RIVERS HOLDING, LLC

	 U.S. RADIOSURGERY, LLC

	 U.S. RADIOSURGERY OF AUSTIN, LLC

	 U.S. RADIOSURGERY OF CHICAGO, LLC

	 U.S. RADIOSURGERY OF COLUMBUS, LLC

	 U.S. RADIOSURGERY OF ILLINOIS, LLC

	 U.S. RADIOSURGERY OF PHILADELPHIA, LLC

	 U.S. RADIOSURGERY OF RENO, LLC

	 U.S. RADIOSURGERY OF RUSH-CHICAGO, LLC

	 U.S. RADIOSURGERY OF SAN DIEGO, LLC

	 U.S. RADIOSURGERY OF TULSA, LLC

	 USR HOLDINGS, LLC

	 WESTERN MASSACHUSETTS MAGNETIC RESONANCE SERVICES, LLC

	 WOODLAND DIAGNOSTIC IMAGING, LLC

		
	By:	 	 /s/ Richard W. Johns

		 	Name:	 	Richard W. Johns
		 	Title:	 	Secretary
		
	By:	 	 /s/ Rhonda Longmore-Grund

		 	Name:	 	Rhonda Longmore-Grund
		 	Title:	 	Chief Financial Officer

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
							
	 ALLIANCE MEDICAL IMAGING SOLUTIONS, LLC

		
	By:	 	ALLIANCE HEALTHCARE SERVICES, INC.,
		 	its sole member
			
		 	By:	 	 /s/ Rhonda Longmore-Grund

		 		 	Name:	 	Rhonda Longmore-Grund
		 		 	Title:	 	Executive Vice President and
		 		 		 	Chief Financial Officer

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
							
	 ILLINOIS CYBERKNIFE, LLC

		
	 By:
	 	 U.S. RADIOSURGERY OF ILLINOIS, LLC,

		 	 its managing member

			
		 	By:	 	 /s/ Richard W. Johns

		 		 	 Name:
	 	 Richard W. Johns

		 		 	 Title:
	 	 Secretary

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
					
	ALLIANCE ONCOLOGY, LLC
	ALLIANCE RADIOSURGERY, LLC
	MEDICAL OUTSOURCING SERVICES, LLC
	MID-AMERICAN IMAGING INC.
	NEOSPINE BLOCKER CORP.
	NEHE/WSIC II, LLC
	NEW ENGLAND HEALTH ENTERPRISES, INC.
	NEW ENGLAND MOLECULAR IMAGING LLC
	PACIFIC CANCER INSTITUTE, INC.
	PET SCANS OF AMERICA CORP.
	SHARED P.E.T. IMAGING, LLC
	RAMIC DES MOINES, LLC
	WEST COAST PETCT, LLC
		
	By:	 	 /s/ Richard W. Johns

		 	Name:	 	Richard W. Johns
		 	Title:	 	Secretary

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
							
	NEHE - MRI, LLC
		
	By:	 	NEW ENGLAND HEALTH ENTERPRISES,
		 	INC.,
		 	its sole member and manager
			
		 	By:	 	 /s/ Richard W. Johns

		 		 	Name:	 	Richard W. Johns
		 		 	Title:	 	Secretary

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
					
	 NEW ENGLAND HEALTH ENTERPRISES BUSINESS TRUST

		
	By:	 	 /s/ Percy C. Tomlinson, Jr.

		 	Name:	 	Percy C. Tomlinson, Jr.
		 	Title:	 	Trustee
		
	By:	 	 /s/ Richard W. Johns

		 	Name:	 	Richard W. Johns
		 	Title:	 	Trustee

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
									
	 NEW ENGLAND HEALTH IMAGING- HOULTON, LLC

		
	By:	 	NEHE - MRI, LLC,
		 	its sole member
			
		 	By:	 	NEW ENGLAND HEALTH
		 		 	ENTERPRISES, INC.,
		 		 	its sole member and manager
				
		 		 	By:	 	 /s/ Richard W. Johns

		 		 		 	Name:	 	Richard W. Johns
		 		 		 	Title:	 	Secretary

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 
					
	CREDIT SUISSE AG, CAYMAN ISLANDS
	BRANCH,
	as Administrative Agent
		
	By:	 	 /s/ Robert Hetu

		 	Name:	 	Robert Hetu
		 	Title:	 	Authorized Signatory
		
	By:	 	 /s/ Lingzi Huang

		 	Name:	 	Lingzi Huang
		 	Title:	 	Authorized Signatory

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement 

 SIGNATURE PAGE TO AMENDMENT NO. 3 (the “Third Amendment”), DATED AS OF THE DATE FIRST WRITTEN
ABOVE, TO THE CREDIT AGREEMENT (as previously amended, the “Credit Agreement”), DATED AS OF JUNE 3, 2013, AMONG ALLIANCE HEALTHCARE SERVICES, INC., CREDIT SUISSE AG, CAYMAN ISLANDS BRANCH, AS ADMINISTRATIVE AGENT, AND VARIOUS
LENDERS PARTY THERETO 
 By executing this signature page as an existing Lender (a “Consenting Lender”), the undersigned institution agrees
to the terms of the Third Amendment and the Credit Agreement (as amended by the Third Amendment). 
  

					
	 NAME OF LENDER:
	 	
 

							
	
	 Executing as a CONSENTING LENDER: 

				
		 	 By:
	 		 	  

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

				
		 	 By:
	 		 	  

		 	 Name:
	 		 	
		 	 Title:
	 		 	

  
 - Signature Page –

 Amendment No. 3 to Credit Agreement

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