Document:

EX-10.4

 Exhibit 10.4 

EXECUTION VERSION 
  

 
  

AMENDED AND RESTATED COLLATERAL AGREEMENT 

made by 
 UNIVERSAL HEALTH
SERVICES, INC. 
 and certain of its Subsidiaries, 

the Authorized Representatives and 

JPMorgan Chase Bank, N.A., 
 as
Collateral Agent 
 Dated as of August 7, 2014 
  

 
  

 TABLE OF CONTENTS 
  

							
	 	 	 	  	Page	 
			
	 SECTION 1.
	 	 DEFINED TERMS
	  	 	2	  
	 1.1
	 	 Definitions
	  	 	2	  
	 1.2
	 	 Other Definitional Provisions
	  	 	9	  
			
	 SECTION 2.
	 	 GRANT OF SECURITY INTEREST
	  	 	9	  
			
	 SECTION 3.
	 	 REPRESENTATIONS AND WARRANTIES
	  	 	11	  
	 3.1
	 	 Title; No Other Liens
	  	 	11	  
	 3.2
	 	 Perfected First Priority Liens
	  	 	11	  
	 3.3
	 	 Jurisdiction of Organization; Chief Executive Office
	  	 	11	  
	 3.4
	 	 [Reserved]
	  	 	11	  
	 3.5
	 	 Farm Products
	  	 	11	  
	 3.6
	 	 Investment Property
	  	 	11	  
	 3.7
	 	 Intellectual Property
	  	 	12	  
	 3.8
	 	 Commercial Tort Claims
	  	 	12	  
			
	 SECTION 4.
	 	 COVENANTS
	  	 	13	  
	 4.1
	 	 Delivery of Instruments, Certificated Securities and Chattel Paper
	  	 	13	  
	 4.2
	 	 Maintenance of Insurance
	  	 	13	  
	 4.3
	 	 Maintenance of Perfected Security Interest; Further Documentation
	  	 	13	  
	 4.4
	 	 Changes in Name, etc.
	  	 	13	  
	 4.5
	 	 Investment Property
	  	 	13	  
	 4.6
	 	 Intellectual Property
	  	 	14	  
	 4.7
	 	 Commercial Tort Claims
	  	 	16	  
			
	 SECTION 5.
	 	 REMEDIAL PROVISIONS
	  	 	16	  
	 5.1
	 	 Certain Matters Relating to Receivables
	  	 	16	  
	 5.2
	 	 Communications with Obligors; Grantors Remain Liable
	  	 	16	  
	 5.3
	 	 Pledged Stock
	  	 	17	  
	 5.4
	 	 Proceeds to be Turned Over To Collateral Agent
	  	 	18	  
	 5.5
	 	 Application of Proceeds
	  	 	18	  
	 5.6
	 	 Code and Other Remedies
	  	 	19	  
	 5.7
	 	 Registration Rights
	  	 	20	  
	 5.8
	 	 Subordination
	  	 	21	  
	 5.9
	 	 Deficiency
	  	 	21	  
			
	 SECTION 6.
	 	 THE COLLATERAL AGENT
	  	 	21	  
	 6.1
	 	 Collateral Agent’s Appointment as Attorney-in-Fact, etc.
	  	 	21	  
	 6.2
	 	 Duty of Collateral Agent
	  	 	22	  
	 6.3
	 	 Execution of Financing Statements
	  	 	22	  
	 6.4
	 	 Authority of Collateral Agent
	  	 	23	  
	 6.5
	 	 Appointment and Authorization
	  	 	23	  
	 6.6
	 	 Collateral Agent and Affiliates
	  	 	23	  
	 6.7
	 	 Action by Collateral Agent
	  	 	24	  

  
 i 

							
	 SECTION 7.
	 	 INTERCREDITOR PROVISIONS
	  	 	25	  
	 7.1
	 	 Actions with Respect to the Common Collateral; Restrictions
	  	 	25	  
			
	 SECTION 8.
	 	 MISCELLANEOUS
	  	 	26	  
	 8.1
	 	 Amendments in Writing
	  	 	26	  
	 8.2
	 	 Notices
	  	 	26	  
	 8.3
	 	 No Waiver by Course of Conduct; Cumulative Remedies
	  	 	27	  
	 8.4
	 	 Successors and Assigns
	  	 	27	  
	 8.5
	 	 Counterparts
	  	 	27	  
	 8.6
	 	 Severability
	  	 	27	  
	 8.7
	 	 Section Headings
	  	 	27	  
	 8.8
	 	 Integration
	  	 	27	  
	 8.9
	 	 GOVERNING LAW
	  	 	27	  
	 8.10
	 	 Submission To Jurisdiction; Waivers
	  	 	27	  
	 8.11
	 	 Acknowledgements
	  	 	28	  
	 8.12
	 	 Additional Grantors
	  	 	28	  
	 8.13
	 	 Releases
	  	 	28	  
	 8.14
	 	 Amendment and Restatement
	  	 	30	  
	 8.15
	 	 WAIVER OF JURY TRIAL
	  	 	30	  
			
	 SECTION 9.
	 	 ADDITIONAL LIEN OBLIGATIONS
	  	 	30	  

 SCHEDULES 
  

			
	Schedule 1	  	Notice Addresses
	Schedule 2	  	Investment Property
	Schedule 3	  	Perfection Matters
	Schedule 4	  	Jurisdictions of Organization and Chief Executive Offices
	Schedule 5	  	Intellectual Property

  
 ii 

 AMENDED AND RESTATED COLLATERAL AGREEMENT 

AMENDED AND RESTATED COLLATERAL AGREEMENT, dated as of August 7, 2014, made by each of the signatories hereto (together with any other
entity that may become a party hereto as provided herein, the “Grantors”), the Authorized Representatives (as defined below) and JPMorgan Chase Bank, N.A., as Collateral Agent (in such capacity, the “Collateral
Agent”). 
 PRELIMINARY STATEMENTS: 

WHEREAS, reference is made to that certain Credit Agreement, dated as of November 15, 2010 (as amended, supplemented or otherwise
modified from time to time, the “Credit Agreement”), among Universal Health Services, Inc. (the “Borrower”), the banks and other financial institutions or entities (the “Lenders”) from time to time
parties thereto, the Administrative Agent and the other agents named therein; 
 WHEREAS, reference is made to the Borrower’s 7.125%
senior notes due 2016 (the “7.125% Senior Notes”) issued pursuant to that certain Indenture dated as of January 20, 2000, as supplemented by the Supplemental Indenture dated as of June 20, 2006 (as further amended,
supplemented or otherwise modified from time to time, the “2006 Indenture”), between the Borrower and The Bank of New York Mellon Trust Company, N.A. (as successor in interest to Bank One Trust Company, N.A.), as trustee (in such
capacity, the “2006 Trustee”); 
 WHEREAS, reference is made to the Borrower’s 3.750% senior secured notes due 2019
(the “2019 Senior Notes”) and the Borrower’s 4.750% senior secured notes due 2022 (the “2022 Senior Notes”) issued pursuant to that certain Indenture dated as of August 7, 2014 (as amended, supplemented or
otherwise modified from time to time, the “2014 Indenture”) among the Borrower, certain other parties and MUFG Union Bank, N.A., as trustee (in such capacity, the “2014 Trustee”); 

WHEREAS, from time to time after the date hereof, the Grantors may, subject to the terms and conditions of the Lien Documents (as defined
below), incur Additional Lien Obligations (as defined below)), which are pari passu in right of payment to the other Obligations (as defined below) and secured equally and ratably with the other Obligations by the Common Collateral (as defined
below); and 
 WHEREAS, the Borrower and the other Grantors are engaged in related businesses, and each Grantor will derive substantial
direct and indirect benefit from the making of the extensions of credit under the Credit Agreement and has derived substantial direct and indirect benefit from the issuance of the Senior Notes; and 

WHEREAS, it is a requirement of the 2006 Indenture that the Grantors shall have executed and delivered this Agreement to the Collateral Agent
for the ratable benefit of the Secured Parties (as defined below); 
 NOW, THEREFORE, in consideration of the premises, each Grantor hereby
agrees with the Collateral Agent, for the ratable benefit of the Secured Parties (as defined below), as follows: 

 SECTION 1. DEFINED TERMS 

1.1 Definitions. (a) Unless otherwise defined herein, terms defined in the Credit Agreement and used herein shall have the
meanings given to them in the Credit Agreement, and the following terms are used herein as defined in the New York UCC: Accounts, Certificated Security, Chattel Paper, Commercial Tort Claims, Deposit Accounts, Documents, Equipment, Farm Products,
General Intangibles, Instruments, Inventory, Letter-of-Credit Rights and Supporting Obligations. 
 (b) The following terms shall have the
following meanings: 
 “Additional Authorized Representative” has the meaning assigned to such term in Section 9.

 “Additional Authorized Representative Joinder Agreement” means a supplement to this Agreement substantially in the form
of Annex 3 hereto. 
 “Additional Lien Documents” means the indentures, loan agreements, guarantees or other agreements
under which Additional Lien Obligations are issued or incurred and all other notes, instruments, agreements and other documents evidencing or governing Additional Lien Obligations or providing any guarantee, lien or other right in respect thereof.

 “Additional Lien Obligations” means all obligations of the Borrower and the other Grantors that shall have been
designated as such pursuant to Section 9. 
 “Additional Lien Secured Parties” means the holders of any Additional
Lien Obligations and any Additional Authorized Representative with respect thereto. 
 “Agreement”: this Amended and
Restated Collateral Agreement, as the same may be further amended, supplemented or otherwise modified from time to time. 

“Applicable Authorized Representative” means, (1) with respect to any Common Collateral, (i) until the earlier of
(x) the Discharge of Borrower Credit Agreement Obligations and (y) the Non-Controlling Authorized Representative Enforcement Date, the Administrative Agent and (ii) from and after the earlier of (x) the Discharge of Borrower
Credit Agreement Obligations and (y) the Non-Controlling Authorized Representative Enforcement Date, the Major Non-Controlling Authorized Representative and (2) with respect to any Collateral, that is not Common Collateral, the Authorized
Representative of the Series of Obligations that is secured by such Collateral. 
 “Authorized Representative” (i) in
the case of the Credit Agreement and Credit Agreement Secured Parties, the Administrative Agent, (ii) in the case of the 7.125% Senior Notes and the holders of the 7.125% Senior Notes, the 2006 Trustee, (iii) in the case of the 2019 Senior
Notes and the holders of the 2019 Senior Notes, the 2014 Trustee, (iv) in the case of the 2022 Senior Notes and the holders of the 2022 Senior Notes, the 2014 Trustee and (v) in the case of any Additional Lien Obligations, the Additional
Lien Secured Parties and the Additional Authorized Representative named in the Additional Authorized Representative Joinder Agreement. 

“Bankruptcy Code” means Title 11 of the United States Code, as amended. 

“Bankruptcy Law” means the Bankruptcy Code and any similar federal, state or foreign law for the relief of debtors. 

  
 2 

 “Borrower Credit Agreement Obligations”: the collective reference to the unpaid
principal of and interest on the Loans and Reimbursement Obligations and all other obligations and liabilities of the Borrower (including, without limitation, interest accruing at the then applicable rate provided in the Credit Agreement after the
maturity of the Loans and Reimbursement Obligations and interest accruing at the then applicable rate provided in the Credit Agreement after the filing of any petition in bankruptcy, or the commencement of any insolvency, reorganization or like
proceeding, relating to the Borrower, whether or not a claim for post-filing or post-petition interest is allowed in such proceeding) to the Administrative Agent (including in its capacity as Collateral Agent) or any Lender (or, in the case of any
Specified Swap Agreement or Specified Cash Management Agreement, any Affiliate of any Lender), whether direct or indirect, absolute or contingent, due or to become due, or now existing or hereafter incurred, which may arise under, out of, or in
connection with, the Credit Agreement, this Agreement, the other Loan Documents, any Letter of Credit, any Specified Swap Agreement, any Specified Cash Management Agreements or any other document made, delivered or given in connection with any of
the foregoing, in each case whether on account of principal, interest, reimbursement obligations, fees, indemnities, costs, expenses or otherwise (including, without limitation, all fees and disbursements of counsel to the Administrative Agent
(including in its capacity as Collateral Agent) or to the Lenders that are required to be paid by the Borrower pursuant to the terms of any of the foregoing agreements). 

“Borrower Notes Obligations”: the due and punctual payment by the Borrower of the principal, any make-whole amount or other
premium and interest on (including, without limitation, interest accruing after the maturity of the Senior Notes and interest accruing after the filing of any petition in bankruptcy, or the commencement of any insolvency, reorganization or like
proceeding, relating to the Borrower, whether or not a claim for post-filing or post-petition interest is allowed in such proceeding) the Senior Notes and all other obligations and liabilities of the Borrower to the Notes Secured Parties, including,
without limitation all “Obligations” as defined in the 2014 Indenture, whether direct or indirect, absolute or contingent, due or to become due, or now existing or hereafter incurred, which may arise under, out of, or in connection with,
the Senior Notes, this Agreement, the Indentures or any other document made, delivered or given in connection with any of the foregoing, in each case, whether on account of principal, interest, fees, indemnities, costs, expenses or otherwise. 

“Collateral”: as defined in Section 2. 

“Collateral Account”: any collateral account established by the Collateral Agent as provided in Section 5.1 or 5.4.

 “Collections”: (a) with respect to any Receivable, all cash collections and other cash proceeds of such
Receivable, including, without limitation, all cash proceeds of Related Security with respect to such Receivable, and all funds deemed to have been received by the applicable Grantor or any other Person with respect thereto, and (b) with
respect to any Participation Interest, all cash collections and other cash proceeds of the Receivable underlying such Participation Interest, including, without limitation, all cash proceeds of Related Security with respect to such Participation
Interest, and all funds deemed to have been received by the Grantor or any other Person with respect thereto. 
 “Common
Collateral”: means, at any time, Collateral in which the holders of two or more Series of Obligations (or their respective Authorized Representatives or the Collateral Agent on behalf of such Authorized Representative) hold a valid security
interest at such time. If more than two Series of Obligations are outstanding at any time and the holders (or their respective Authorized Representatives or the Collateral Agent on behalf of such Authorized Representative) of less than all Series of
Obligations hold a valid security interest in any Collateral at such time then such Collateral shall constitute Common Collateral for those Series of Obligations that hold a valid security interest in such Collateral at such time and shall not
constitute Common Collateral for any Series which does not have a valid security interest in such Collateral at such time. 

  
 3 

 “Contract” means, with respect to any Receivable, any and all instruments,
agreements, invoices or other writings between the applicable Grantor and a Person pursuant to or under which such Person shall be obligated to pay for goods or services provided by such Grantor from time to time. 

“Copyrights”: (i) all copyrights arising under the laws of the United States, any other country or any political
subdivision thereof, whether registered or unregistered and whether published or unpublished (including, without limitation, those listed in Schedule 5), all registrations and recordings thereof, and all applications in connection therewith,
including, without limitation, all registrations, recordings and applications in the United States Copyright Office, and (ii) the right to obtain all renewals thereof. 

“Copyright Licenses”: any written agreement naming any Grantor as licensor or licensee (including, without limitation, those
listed in Schedule 5), granting any right under any Copyright, including, without limitation, the grant of rights to manufacture, distribute, exploit and sell materials derived from any Copyright. 

“Credit Agreement Secured Parties”: the collective reference to the Administrative Agent (including in its capacity as
Collateral Agent), the Lenders and any Affiliate of any Lender to which Borrower Credit Agreement Obligations or Guarantor Obligations, as applicable, are owed. 

“Default”: the reference to any “Default” as such term is defined in the Credit Agreement or the 2014 Indenture
with respect to either the 2019 Senior Notes or the 2022 Senior Notes or Additional Lien Documents or (solely in the case of Section 6.7) any “default” as such term is defined in the 2006 Indenture. 

“Discharge of Borrower Credit Agreement Obligations”: means, with respect to any Common Collateral, the date on which the
Borrower Credit Agreement Obligations are no longer secured by such Common Collateral; provided that the Discharge of Borrower Credit Agreement Obligations shall not be deemed to have occurred in connection with a refinancing of such Borrower Credit
Agreement Obligations with additional Obligations secured by such Common Collateral under an agreement relating to Additional Lien Obligations which has been designated in writing by the administrative agent under such refinancing Borrower Credit
Agreement to the Collateral Agent and each other Authorized Representative as the Borrower Credit Agreement for purposes of this Agreement. 

“Event of Default”: the reference to any “Event of Default” as such term is defined in the Credit Agreement or the
2014 Indenture with respect to either the 2019 Senior Notes or the 2022 Senior Notes or Additional Lien Documents or (solely in the case of Section 6.7) any “Event of Default” as such term is defined in the 2006 Indenture. 

“Foreign Subsidiary”: as defined in the Credit Agreement. 

“Foreign Subsidiary Voting Stock”: the voting Capital Stock of any Foreign Subsidiary. 

“Gift Shop Assets”: all cash and other amount paid or owed to any Grantor for purchases from its gift shops or cafeterias
and all goods held for sale in any such gift shop or cafeteria. 
 “Guarantor Obligations”: with respect to any Guarantor,
all obligations and liabilities of such Guarantor which may arise under or in connection with this Agreement, the Subsidiary Guarantee 

  
 4 

 
Agreements or any other Lien Document, any Specified Swap Agreement or any Specified Cash Management Agreement to which such Guarantor is a party, in each case whether on account of guarantee
obligations, reimbursement obligations, fees, indemnities, costs, expenses or otherwise (including, without limitation, all fees and disbursements of counsel to the Administrative Agent (including in its capacity as Collateral Agent) or to the
Lenders that are required to be paid by such Guarantor pursuant to the terms of this Agreement, the Subsidiary Guarantee Agreements or any other Lien Document). 

“Guarantors”: the collective reference to each Grantor other than the Borrower. 

“Indentures”: the collective reference to the 2006 Indenture and the 2014 Indenture. 

“Insolvency or Liquidation Proceeding” means: 

(i) any case commenced by or against the Borrower or any Guarantor under any Bankruptcy Law for the relief of debtors, any other proceeding
for the reorganization, recapitalization or adjustment or marshalling of the assets or liabilities of the Borrower or any Guarantor, any receivership or assignment for the benefit of creditors relating to the Borrower or any Guarantor or any similar
case or proceeding relative to the Borrower or any Guarantor or its creditors, as such, in each case whether or not voluntary; 
 (ii) any
liquidation, dissolution, marshalling of assets or liabilities or other winding up of or relating to the Borrower or any Guarantor, in each case whether or not voluntary and whether or not involving bankruptcy or insolvency; or 

(iii) any other proceeding of any type or nature in which substantially all claims of creditors of the Borrower or any Guarantor are
determined and any payment or distribution is or may be made on account of such claims. 
 “Intellectual Property”: the
collective reference to all rights, priorities and privileges relating to intellectual property, whether arising under United States, multinational or foreign laws or otherwise, including, without limitation, the Copyrights, the Copyright Licenses,
the Patents, the Patent Licenses, the Trademarks and the Trademark Licenses, and all rights to sue at law or in equity for any infringement or other impairment thereof, including the right to receive all proceeds and damages therefrom. 

“Intercompany Note”: any promissory note evidencing loans made by any Grantor to the Borrower or any of its Subsidiaries.

 “Investment Property”: the collective reference to (i) all “investment property” as such term is defined
in Section 9-102(a)(49) of the New York UCC (other than any Foreign Subsidiary Voting Stock excluded from the definition of “Pledged Stock”) and (ii) whether or not constituting “investment property” as so defined, all
Pledged Notes and all Pledged Stock. 
 “Issuers”: the collective reference to each issuer of any Investment Property.

 “Lien Documents” means the Loan Documents (as defined in the Credit Agreement), the Indentures, the Subsidiary
Guarantee Agreements and the Additional Lien Documents and other documents governing the Obligations. 

  
 5 

 “Major Non-Controlling Authorized Representative” means, with respect to the
Common Collateral, the Authorized Representative of the Series of Obligations that constitutes the largest outstanding principal amount of any then outstanding Series of Obligations, other than (i) the Borrower Credit Agreement Obligations and
(ii) the Borrower Note Obligations under the 7.125% Senior Notes. 
 “New York UCC”: the Uniform Commercial Code as
from time to time in effect in the State of New York. 
 “Non-Controlling Authorized Representative” means, at any time
with respect to any Common Collateral, any Authorized Representative that is not the Applicable Authorized Representative at such time with respect to such Common Collateral. 

“Non-Controlling Authorized Representative Enforcement Date” is the date that is 90 days (throughout which 90-day period the
applicable Non-Controlling Authorized Representative was the Major Non-Controlling Authorized Representative) after the occurrence of both (a) an event of default, as defined in the 2014 Indenture or other applicable agreement for the Series of
Obligations for which such Non-Controlling Authorized Representative is an Authorized Representative, and (b) the Collateral Agent’s and each other Authorized Representative’s receipt of written notice from that Non-Controlling
Authorized Representative certifying that (i) such Non-Controlling Authorized Representative is the Major Non-Controlling Authorized Representative and that an event of default, as defined in the Indenture or other applicable agreement for that
Series of Obligations, has occurred and is continuing and (ii) the Obligations of that Series are currently due and payable in full (whether as a result of acceleration thereof or otherwise) in accordance with the 2014 Indenture or other
applicable agreement for that Series of Obligations; provided that the Non-Controlling Authorized Representative Enforcement Date shall be stayed and shall not occur and shall be deemed not to have occurred with respect to any Common
Collateral (1) at any time the Collateral Agent has commenced and is diligently pursuing any enforcement action with respect to such Common Collateral or (2) at any time any of the Grantors that have granted a security interest in such
Common Collateral is then a debtor under or with respect to (or otherwise subject to) any Insolvency or Liquidation Proceeding. 

“Notes Secured Parties”: at any relevant time the collective reference to the holders of Borrower Notes Obligations at such
time, including without limitation the Trustees, the Collateral Agent, any registrar, paying agent and transfer agent, and the registered holders (including the registered holders of any Additional Notes (as defined in the 2014 Indenture)
subsequently issued under and in compliance with the terms of the 2014 Indenture). 
 “Obligations”: collectively, the
Borrower Credit Obligations, the Borrower Notes Obligations, the Guarantor Obligations and the Additional Lien Obligations, as applicable. 

“Participation Interest”: with respect to any Receivable, a beneficial interest in the applicable Grantor’s right,
title and interest, whether now owned or hereafter arising and wherever located, in, to and under (i) such Receivable, (ii) all Related Security and Collections with respect to such Receivable and (iii) all proceeds of such
Receivable, Related Security and Collections. 
 “Patents”: (i) all letters patent of the United States, any other
country or any political subdivision thereof, all reissues and extensions thereof and all goodwill associated therewith, including, without limitation, any of the foregoing referred to in Schedule 5, (ii) all applications for letters
patent of the United States or any other country and all divisions, continuations and continuations-in-part thereof, including, without limitation, any of the foregoing referred to in Schedule 5, and (iii) all rights to obtain any
reissues or extensions of the foregoing. 

  
 6 

 “Patent License”: all agreements, whether written or oral, providing for the
grant by or to any Grantor of any right to manufacture, use or sell any invention covered in whole or in part by a Patent, including, without limitation, any of the foregoing referred to in Schedule 5. 

“Pledged Notes”: all promissory notes listed on Schedule 2, all Intercompany Notes at any time issued to any Grantor
and all other promissory notes issued to or held by any Grantor (other than promissory notes issued in connection with extensions of trade credit by any Grantor in the ordinary course of business). 

“Pledged Stock”: the shares of Capital Stock listed on Schedule 2, together with any other shares, stock
certificates, options, interests or rights of any nature whatsoever in respect of the Capital Stock of any Person that may be issued or granted to, or held by, any Grantor while this Agreement is in effect; provided that in no event shall
more than 65% of the total outstanding Foreign Subsidiary Voting Stock of any Foreign Subsidiary be required to be pledged hereunder. 

“Proceeds”: all “proceeds” as such term is defined in Section 9-102(a)(64) of the New York UCC and, in any
event, shall include, without limitation, all dividends or other income from the Investment Property, collections thereon or distributions or payments with respect thereto. 

“Receivable”: all indebtedness and other obligations owed to a Grantor (including, without limitation, any indebtedness,
obligation or interest constituting an account, chattel paper, instrument or general intangible) arising in connection with the sale of goods or rendering of services by such Grantor (including any Account) including, without limitation, the
obligation to pay any finance charges or similar amounts with respect thereto. 
 “Records” means, with respect to any
Receivable, all Contracts, and other documents, books, records and other information (including, without limitation, computer programs, tapes, disks, punch cards, data processing software and related property and rights) relating to such Receivable,
any Related Security therefor and the related obligor. 
 “Related Security” means (a) with respect to any
Receivable: 
 (i) all of the Grantor’s interest in the inventory and goods (including returned or repossessed inventory or goods), if
any, the sale, financing or lease of which by the Grantor gave rise to such Receivable, and all insurance contracts with respect thereto, 

(ii) all other security interests or liens and property subject thereto from time to time, if any, purporting to secure payment of such
Receivable, whether pursuant to a contract related to such Receivable or otherwise, together with all financing statements and security agreements describing any collateral securing such Receivable, 

(iii) all guaranties, letters of credit, insurance and other agreements or arrangements of whatever character from time to time supporting or
securing payment of such Receivable whether pursuant to a contract related to such Receivable or otherwise, 
 (iv) all service contracts
and other contracts and agreements associated with such Receivable, 
 (v) all Records related to such Receivable, 

  
 7 

 (vi) all of the Grantor’s right, title and interest (if any) in any deposit or other
account into which such Receivables are paid or deposited, and 
 (vii) all proceeds of any of the foregoing; and 

(b) with respect to any Participation Interest, the rights and assets described in clauses (i)-(vii) above with respect to the
Receivable that is the subject of such Participation Interest. 
 “Secured Parties”: the collective reference to the
Credit Agreement Secured Parties, the Notes Secured Parties and the Additional Lien Secured Parties. 
 “Securities Act”:
the Securities Act of 1933, as amended. 
 “Senior Notes” the collective reference to the 7.125% Senior Notes, the 2019
Senior Notes and the 2022 Senior Notes. 
 “Series” means (a) with respect to the Secured Parties, each of
(i) the Credit Agreement Secured Parties (in their capacities as such), (ii) the Notes Secured Parties (in their capacities as such) under the 7.125% Senior Notes, (iii) the Notes Secured Parties (in their capacities as such) under
the 2019 Senior Notes and 2022 Senior Notes and (iv) the Additional Lien Secured Parties that become subject to this Agreement after the date hereof that are represented by a common Authorized Representative (in its capacity as such for such
Additional Lien Secured Parties) and (b) with respect to any Obligations, each of (i) the Borrower Credit Obligations and the Guarantor Obligations under the Credit Agreement, (ii) the Borrower Notes Obligations under the 7.125%
Senior Notes, (iii) the Borrower Notes Obligations and Guarantor Obligations under the 2019 Senior Notes and 2022 Senior Notes and (iv) Additional Lien Obligations incurred pursuant to any applicable agreement, which, pursuant to any
joinder agreement, are to be represented under this Agreement by a common Authorized Representative (in its capacity as such for such Additional Lien Obligations). 

“Subsidiary Guarantee Agreements” (i) that certain guarantee agreement, dated as of November 15, 2010, by and
among certain affiliates of the Borrower and the Administrative Agent, as such agreement may be amended, refinanced or replaced from time to time and (ii) any guarantees of the Guarantors set forth in the Indentures or annexed to the Senior
Notes and (iii) the guarantees of the Guarantors pursuant to any Additional Lien Documents. 
 “Trademarks”:
(i) all trademarks, trade names, corporate names, company names, business names, fictitious business names, trade styles, service marks, logos and other source or business identifiers, and all goodwill associated therewith, now existing or
hereafter adopted or acquired, all registrations and recordings thereof, and all applications in connection therewith, whether in the United States Patent and Trademark Office or in any similar office or agency of the United States, any State
thereof or any other country or any political subdivision thereof, or otherwise, and all common-law rights related thereto, including, without limitation, any of the foregoing referred to in Schedule 5, and (ii) the right to obtain all
renewals thereof. 
 “Trademark License”: any agreement, whether written or oral, providing for the grant by or to any
Grantor of any right to use any Trademark, including, without limitation, any of the foregoing referred to in Schedule 5. 

“Trustees” means collective reference to the 2006 Trustee and the 2014 Trustee. 

  
 8 

 1.2 Other Definitional Provisions. (a) The words “hereof,”
“herein,” “hereto” and “hereunder” and words of similar import when used in this Agreement shall refer to this Agreement as a whole and not to any particular provision of this Agreement, and Section and Schedule
references are to this Agreement unless otherwise specified. 
 (b) The meanings given to terms defined herein shall be equally applicable
to both the singular and plural forms of such terms. 
 (c) Where the context requires, terms relating to the Collateral or any part
thereof, when used in relation to a Grantor, shall refer to such Grantor’s Collateral or the relevant part thereof. 
 SECTION 2.
GRANT OF SECURITY INTEREST 
 Each Grantor hereby assigns and transfers to the Collateral Agent, and hereby grants to the Collateral Agent,
for the ratable benefit of the Secured Parties, a security interest in all of the following property 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 “Collateral”), as collateral security for the prompt and complete payment and performance when due (whether at the stated maturity, by acceleration or otherwise) of such Grantor’s
Obligations: 
 (a) all Accounts; 

(b) all Chattel Paper; 
 (c) all
Documents; 
 (d) all Equipment; 

(e) all Fixtures; 
 (f) all
General Intangibles; 
 (g) all Instruments; 

(h) all Intellectual Property; 

(i) all Inventory; 
 (j) all
Investment Property; 
 (k) all Letter-of-Credit Rights; 

(l) all other property not otherwise described above as to which a security interest can be perfected by filing a Uniform Commercial Code
financing statement (except for any property specifically excluded from any defined term used in any clause of this section above); 
 (m)
all books and records pertaining to the Collateral; and 

  
 9 

 (n) to the extent not otherwise included, all Proceeds, Supporting Obligations and products of
any and all of the foregoing and all collateral security and guarantees given by any Person with respect to any of the foregoing; 
 provided,
however, that notwithstanding any of the other provisions set forth in this Section 2, this Agreement shall not constitute a grant of a security interest in (i) any property to the extent that such grant of a security interest is
prohibited by any Requirements of Law of a Governmental Authority, requires a consent not obtained of any Governmental Authority pursuant to such Requirement of Law or is prohibited by, or constitutes a breach or default under or results in the
termination of or requires any consent not obtained under, any contract, license, agreement, instrument or other document evidencing or giving rise to such property (other than Investment Property or Pledged Stock issued by a Subsidiary of the
Borrower or a Specified Receivables Subsidiary) or, in the case of any Investment Property or Pledged Stock issued by a Person that is not a Subsidiary of the Borrower or a Specified Receivables Subsidiary, any applicable shareholder or similar
agreement, except to the extent that such Requirement of Law or the term in such contract, license, agreement, instrument or other document or shareholder or similar agreement providing for such prohibition, breach, default or termination or
requiring such consent is ineffective under applicable law; (ii) Letter-of Credit Rights that do not constitute Supporting Obligations; (iii) any Deposit Accounts; (iv) Intellectual Property to the extent perfection of a security
interest therein requires any filing to be made outside of the United States; (v) Receivables sold, or with respect to which Participation Interests are sold, and all Related Security and Collections with respect to such Receivables pursuant to
any Receivables Financing to the extent that the aggregate outstanding amount of the purchase price or loan from the applicable lenders or investors under all Receivables Financings at any time does not exceed $575,000,000 or, with the consent of
the Administrative Agent and the Required Lenders (as defined in the Credit Agreement), such greater amount equal to 50% of the sum of (x) accounts receivable, net, of the Borrower and its Subsidiaries, as set forth on its most recent balance
sheet as at the time of determination plus (y) the allowance for doubtful accounts with respect to such accounts receivable as set forth in the footnotes to the Borrower’s most recent financial statements; (vi) Gift Shop Assets of any
Grantor which is a party to a Receivables Financing that includes the Gift Shop Assets; and (vii) any Capital Stock and other securities of a Subsidiary to the extent that the pledge of such Capital Stock and other securities to secure the
7.125% Senior Notes results in the Borrower’s being required to file separate financial statements of such Subsidiary with the SEC, but only (a) to the extent that, and for so long as, the 7.125% Senior Notes constitute securities to which
Rule 3-16 of Regulation S-X under the Securities Act applies and (b) to the extent necessary with respect to the 7.125% Senior Notes to not be subject to such requirement and only for so long as such requirement is in existence; provided
that neither the Borrower nor any Subsidiary shall take any action in the form of a reorganization, merger or other restructuring a principal purpose of which is to provide for the release of the Lien on any Capital Stock pursuant to this clause
(vii); provided, further, that in the event that Rule 3-16 of Regulation S-X under the Securities Act is amended, modified or interpreted by the SEC to require (or is replaced with another rule or regulation, or any other law, rule or
regulation is adopted, which would require) the filing with the SEC (or any other governmental agency) of separate financial statements of any Subsidiary of the Borrower due to the fact that such Subsidiary’s Capital Stock secures the 7.125%
Senior Notes, then the Capital Stock of such Subsidiary will automatically be deemed not to be part of the Collateral securing the Obligations but only to the extent necessary with respect to the 7.125% Senior Notes to not be subject to such
requirement and only for so long as required to not be subject to such requirement. 
 Upon an event described in clause (vii) to the
first proviso of the preceding paragraph, this Agreement and any other Security Documents may be amended or modified, without the consent of any Secured Party, to the extent necessary to release the security interests in favor of the Collateral
Agent on the shares of Capital Stock that are so deemed to no longer constitute part of the Collateral for the Obligations. In the event that Rule 3-16 of Regulation S-X under the Securities Act is amended, modified

  
 10 

 
or interpreted by the SEC to permit (or is replaced with another rule or regulation, or any other law, rule or regulation is adopted, which would permit) such Subsidiary’s Capital Stock to
secure the 7.125% Senior Notes in excess of the amount then pledged without the filing with the SEC (or any other governmental agency) of separate financial statements of such Subsidiary, then the Capital Stock of such Subsidiary will automatically
be deemed to be a part of the Collateral for the Obligations. 
 SECTION 3. REPRESENTATIONS AND WARRANTIES 

Each Grantor hereby represents and warrants to the Collateral Agent and each Secured Party that: 

3.1 Title; No Other Liens. Except for the security interest granted to the Collateral Agent for the ratable benefit of the Secured
Parties pursuant to this Agreement and the other Liens permitted to exist on the Collateral pursuant to the terms of the Lien Documents, such Grantor owns each item of the Collateral free and clear of any and all Liens or claims of others. No
financing statement or other public notice with respect to all or any part of the Collateral is on file or of record in any public office, except such as have been filed in favor of the Collateral Agent, for the ratable benefit of the Secured
Parties, pursuant to this Agreement or as are permitted by the Lien Documents. For the avoidance of doubt, it is understood and agreed that any Grantor may, as part of its business, grant licenses to third parties to use Intellectual Property owned
or developed by a Grantor. For purposes of this Agreement and the other Lien Documents, such licensing activity shall not constitute a “Lien” on such Intellectual Property. Each of the Collateral Agent and the other Secured Parties
understands that any such licenses may be exclusive to the applicable licensees, and such exclusivity provisions may limit the ability of the Collateral Agent to utilize, sell, lease or transfer the related Intellectual Property or otherwise realize
value from such Intellectual Property pursuant hereto. 
 3.2 Perfected First Priority Liens. The security interests granted pursuant
to this Agreement (a) upon completion of the filings and other actions specified on Schedule 3 (which, in the case of all filings and other documents referred to on said Schedule, have been delivered to the Collateral Agent in
completed and duly executed form) will constitute valid perfected security interests in all of the Collateral in favor of the Collateral Agent, for the ratable benefit of the Secured Parties, enforceable in accordance with the terms hereof against
all creditors of such Grantor and any Persons purporting to purchase any Collateral from such Grantor and (b) are prior to all other Liens on the Collateral in existence on the date hereof except for Liens permitted pursuant to the terms of the
Lien Documents. 
 3.3 Jurisdiction of Organization; Chief Executive Office. On the date hereof, such Grantor’s name (within the
meaning of Section 9-503 of the New York UCC), jurisdiction of organization, and the location of such Grantor’s chief executive office or sole place of business or principal residence, as the case may be, are specified on
Schedule 4. 
 3.4 [Reserved]. 

3.5 Farm Products. None of the Collateral constitutes, or is the Proceeds of, Farm Products. 

3.6 Investment Property. (a) The shares of Pledged Stock pledged by such Grantor hereunder constitute all the issued and
outstanding shares of all classes of the Capital Stock of each Issuer owned by such Grantor or, in the case of Foreign Subsidiary Voting Stock, if less, 65% of the outstanding Foreign Subsidiary Voting Stock of each relevant Issuer. 

  
 11 

 (b) All the shares of the Pledged Stock have been duly and validly issued and are fully paid and
nonassessable. 
 (c) Each of the Pledged Notes (if any) constitutes the legal, valid and binding obligation of the obligor with respect
thereto, enforceable in accordance with its terms, subject to the effects of bankruptcy, insolvency, fraudulent conveyance, reorganization, moratorium and other similar laws relating to or affecting creditors’ rights generally, general
equitable principles (whether considered in a proceeding in equity or at law) and an implied covenant of good faith and fair dealing. 
 (d)
Such Grantor is the record and beneficial owner of, and has good and marketable title to, the Investment Property pledged by it hereunder, free of any and all Liens or options in favor of, or claims of, any other Person, except the security interest
created by this Agreement. 
 3.7 Intellectual Property. (a) Schedule 5 lists all Intellectual Property applications and
registrations owned by such Grantor in its own name on the date hereof and any other Intellectual Property material to the operations of any Grantor (“Material IP”). 

(b) On the date hereof, (x) all Material IP is valid, subsisting, unexpired and enforceable and has not been abandoned and (y) to
the best of each Grantor’s knowledge, each Grantor’s business does not infringe the Intellectual Property rights of any other Person except, in any such case, as could not reasonably be expected to have a Material Adverse Effect. 

(c) Except as set forth in Schedule 5, on the date hereof, none of the Material IP is the subject of any licensing or franchise
agreement pursuant to which such Grantor is the licensor or franchisor. 
 (d) No holding, decision or judgment has been rendered by any
Governmental Authority which would limit, cancel or question the validity of, or such Grantor’s rights in, any Intellectual Property owned by Grantor in any respect that could reasonably be expected to have a Material Adverse Effect. 

(e) Except as set forth on Schedule 5, no action or proceeding is pending, or, to the knowledge of such Grantor, threatened, on the date
hereof (i) seeking to limit, cancel or question the validity of any Material IP owned by Grantor or such Grantor’s ownership interest therein, or (ii) with respect to any Intellectual Property which, if adversely determined, would
have a Material Adverse Effect. 
 3.8 Commercial Tort Claims 

(a) On the date hereof, except to the extent listed in Section 3.1 above, no Grantor has rights in any Commercial Tort Claim with
potential value in excess of $5,000,000. 
 (b) Upon the filing of a financing statement covering any Commercial Tort Claim referred to in
Section 4.7 hereof against such Grantor in the jurisdiction specified in Schedule 3 hereto, the security interest granted in such Commercial Tort Claim will constitute a valid perfected security interest in favor of the Collateral Agent,
for the ratable benefit of the Secured Parties, as collateral security for such Grantor’s Obligations, enforceable in accordance with the terms hereof against all creditors of such Grantor and any Persons purporting to purchase such Collateral
from Grantor, which security interest shall be prior to all other Liens on such Collateral except for unrecorded liens permitted pursuant to the terms of the Credit Agreement. 

  
 12 

 SECTION 4. COVENANTS 

From the date of this Agreement, and thereafter until this Agreement is terminated, each Grantor agrees that: 

4.1 Delivery of Instruments, Certificated Securities and Chattel Paper. If any amount in excess of $5,000,000 and payable under or in
connection with any of the Collateral shall be or become evidenced by any Instrument, Certificated Security or Chattel Paper, such Instrument, Certificated Security or Chattel Paper shall be immediately delivered to the Collateral Agent, duly
indorsed in a manner satisfactory to the Collateral Agent, to be held as Collateral pursuant to this Agreement. 
 4.2 Maintenance of
Insurance. (a) Such Grantor will maintain, or cause to be maintained, insurance coverage as required by Section 6.5 of the Credit Agreement (which Section is expressly incorporated into this Agreement) and any Additional Lien Document.

 (b) All such insurance shall (i) provide that no cancellation, material reduction in amount or material change in coverage thereof
shall be effective until at least 30 days after receipt by the Collateral Agent of written notice thereof, (ii) name the Collateral Agent as insured party or loss payee (provided that so long as the insurers shall not have received
written notice from the Collateral Agent that an Event of Default has occurred and is continuing, all such proceeds, subject to Section 2.11(b) of the Credit Agreement and any Additional Lien Document, shall be payable to the Borrower) and
(iii) if reasonably requested by the Collateral Agent, include a breach of warranty clause. 
 4.3 Maintenance of Perfected Security
Interest; Further Documentation. (a) Such Grantor shall maintain the security interest created by this Agreement as a perfected security interest having at least the priority described in Section 3.2 and shall defend such security
interest against the claims and demands of all Persons whomsoever, subject to the rights of such Grantor under the Lien Documents to dispose of the Collateral. 

(b) At any time and from time to time, upon the written request of the Collateral Agent, and at the sole expense of such Grantor, such Grantor
will promptly and duly execute and deliver, and have recorded, such further instruments and documents and take such further actions as the Collateral Agent may reasonably request for the purpose of obtaining or preserving the full benefits of this
Agreement and of the rights and powers herein granted, including, without limitation, (i) filing any financing or continuation statements under the Uniform Commercial Code (or other similar laws) in effect in any jurisdiction with respect to
the security interests created hereby and (ii) in the case of Investment Property, Letter-of-Credit Rights and any other relevant Collateral, taking any actions necessary to enable the Collateral Agent to obtain “control” (within the
meaning of the applicable Uniform Commercial Code) with respect thereto. 
 4.4 Changes in Name, etc. Such Grantor will not, except
upon 15 days’ prior written notice to the Collateral Agent and delivery to the Collateral Agent of all documents reasonably requested by the Collateral Agent to maintain the validity, perfection and priority of the security interests provided
for herein, (i) change its jurisdiction of organization or the location of its chief executive office or sole place of business or principal residence from that referred to in Section 3.3 or (ii) change its name. 

4.5 Investment Property. (a) If such Grantor shall become entitled to receive or shall receive any certificate constituting a
“certificated security” within the meaning of Section 8-102 of the New York UCC (including, without limitation, any certificate representing a dividend or a distribution in connection with any reclassification, increase or reduction
of capital or any certificate issued in connection with any reorganization), option or rights in respect of the Capital Stock of any Issuer, whether in addition to, in 

  
 13 

 
substitution of, as a conversion of, or in exchange for, any shares of the Pledged Stock, or otherwise in respect thereof, such Grantor shall accept the same as the agent of the Collateral Agent
and Secured Parties, hold the same in trust for the Collateral Agent and the Secured Parties and deliver the same forthwith to the Collateral Agent in the exact form received, duly indorsed by such Grantor to the Collateral Agent, if required,
together with an undated stock power covering such certificate duly executed in blank by such Grantor, to be held by the Collateral Agent, subject to the terms hereof, as additional collateral security for the Obligations. If an Event of Default
shall have occurred and be continuing, any sums paid upon or in respect of the Investment Property upon the liquidation or dissolution of any Issuer shall be paid over to the Collateral Agent to be held by it hereunder as additional collateral
security for the Obligations, and in case any distribution of capital shall be made on or in respect of the Investment Property or any property shall be distributed upon or with respect to the Investment Property pursuant to the recapitalization or
reclassification of the capital of any Issuer or pursuant to the reorganization thereof, the property so distributed shall, unless otherwise subject to a perfected security interest in favor of the Collateral Agent, be delivered to the Collateral
Agent to be held by it hereunder as additional collateral security for the Obligations. If an Event of Default shall have occurred and be continuing, if any sums of money or property so paid or distributed in respect of the Investment Property shall
be received by such Grantor, such Grantor shall, until such money or property is paid or delivered to the Collateral Agent, hold such money or property in trust for the Collateral Agent and the Secured Parties, segregated from other funds of such
Grantor, as additional collateral security for the Obligations. 
 (b) Without the prior written consent of the Collateral Agent, such
Grantor will not (i) vote to enable, or take any other action to permit, any Issuer to issue any Capital Stock of any nature or to issue any other securities convertible into or granting the right to purchase or exchange for any Capital Stock
of any nature of any Issuer (unless in compliance with this Section 4.5), (ii) sell, assign, transfer, exchange, or otherwise dispose of, or grant any option with respect to, the Investment Property or Proceeds thereof (except pursuant to
a transaction not prohibited by the Lien Documents), (iii) create, incur or permit to exist any Lien or option in favor of, or any claim of any Person with respect to, any of the Investment Property or Proceeds thereof, or any interest therein,
except for the security interests created by this Agreement or (iv) enter into any agreement or undertaking restricting the right or ability of such Grantor or the Collateral Agent to sell, assign or transfer any of the Investment Property or
Proceeds thereof. 
 (c) In the case of each Grantor which is an Issuer, such Issuer agrees that (i) it will be bound by the terms of
this Agreement relating to the Investment Property issued by it and will comply with such terms insofar as such terms are applicable to it, (ii) it will notify the Collateral Agent promptly in writing of the occurrence of any of the events
described in Section 4.5(a) with respect to the Investment Property issued by it and (iii) the terms of Sections 5.3(c) and 5.7 shall apply to it, mutatis mutandis, with respect to all actions that may be required of it
pursuant to Section 5.3(c) or 5.7 with respect to the Investment Property issued by it. 
 4.6 Intellectual Property. (a) Such
Grantor (either itself or through licensees) will (i) continue to use each Trademark material to the operations of the Loan Parties, taken as a whole, on each and every trademark class of goods applicable to its current operations in order to
maintain such Trademark in full force free from any claim of abandonment for non-use, (ii) maintain as in the past the quality of products and services offered under such Trademark, (iii) use commercially reasonable efforts to use such
Trademark with the appropriate notice of registration and all other notices and legends required by applicable Requirements of Law, (iv) not adopt or use any mark which is confusingly similar or a colorable imitation of such Trademark unless
the Collateral Agent, for the ratable benefit of the Secured Parties, shall obtain a perfected security interest in such mark pursuant to this Agreement, and (v) not (and not permit any licensee or sublicensee thereof to) do any act or
knowingly omit to do any act whereby such Trademark may become invalidated or impaired in any way. 

  
 14 

 (b) Such Grantor (either itself or through licensees) will not do any act, or omit to do any act,
whereby any Patent material to the operations of the Loan Parties, taken as a whole, may become forfeited, abandoned or dedicated to the public. 

(c) Such Grantor (either itself or through licensees will not (and will not permit any licensee or sublicensee thereof to) do any act or
knowingly omit to do any act whereby any Copyright material to the operations of the Loan Parties, taken as a whole, may become invalidated or otherwise impaired. Such Grantor will not (either itself or through licensees) do any act whereby any such
Copyright may fall into the public domain. 
 (d) Such Grantor (either itself or through licensees) will not do any act that knowingly uses
any Intellectual Property material to the operations of the Loan Parties, taken as a whole, to infringe the Intellectual Property rights of any other Person. 

(e) Such Grantor will notify the Collateral Agent at the time of providing the annual report referred to in 4.6(f) promptly if it knows that
any application or registration relating to any Intellectual Property material to the operations of the Loan Parties, taken as a whole, may become forfeited, abandoned or dedicated to the public, or of any adverse determination or development
(including, without limitation, the institution of, or any such determination or development in, any proceeding in the United States Patent and Trademark Office, the United States Copyright Office or any court or tribunal in any country) regarding
such Grantor’s ownership of, or the validity of, any such Intellectual Property or such Grantor’s right to register the same or to own and maintain the same. 

(f) Whenever such Grantor, either by itself or through any agent, employee, licensee or designee, shall acquire, become the exclusive licensee
of or file an application for the registration of any Material IP with the United States Patent and Trademark Office, the United States Copyright Office or any similar office or agency in any other country or any political subdivision thereof, such
Grantor shall report such filing to the Collateral Agent concurrently with the delivery of financial statements pursuant to Section 6.1 of the Credit Agreement (and, after the Discharge of Borrower Credit Agreement Obligations, the applicable
section of the Lien Document for the Major Non-Controlling Authorized Representative) for the fiscal year in which such filing occurs. Upon request of the Collateral Agent, such Grantor shall execute and deliver, and have recorded, any and all
agreements, instruments, documents, and papers as the Collateral Agent may request to evidence the Collateral Agent’s and the other Secured Parties’ security interest in any of the foregoing. 

(g) Such Grantor will take all reasonable and necessary steps, including, without limitation, in any proceeding before the United States
Patent and Trademark Office, the United States Copyright Office or any similar office or agency in any other country or any political subdivision thereof, to maintain and pursue each application (and to obtain the relevant registration) and to
maintain each registration of Intellectual Property material to the operations of the Loan Parties, taken as a whole, including, without limitation, filing of applications for renewal, affidavits of use and affidavits of incontestability. 

(h) In the event that any Intellectual Property material to the operations of the Loan Parties, taken as a whole, is infringed,
misappropriated or diluted by a third party, such Grantor shall (i) take such actions as such Grantor shall reasonably deem appropriate under the circumstances to protect such Intellectual Property and (ii) if such Intellectual Property is
of material economic value, promptly notify the Collateral Agent after it learns thereof and sue for infringement, misappropriation or dilution, to seek injunctive relief where appropriate and to recover any and all damages for such infringement,
misappropriation or dilution. 

  
 15 

 4.7 Commercial Tort Claims. If such Grantor shall obtain an interest in any Commercial
Tort Claim with a potential value in excess of $5,000,000, such Grantor shall promptly notify the Collateral Agent, and if requested by the Collateral Agent, within 30 days of obtaining such interest sign and deliver documentation acceptable to the
Collateral Agent granting a security interest under the terms and provisions of this Agreement in and to such Commercial Tort Claim. 

SECTION 5. REMEDIAL PROVISIONS 

5.1 Certain Matters Relating to Receivables. (a) If an Event of Default shall occur and be continuing, the Collateral Agent shall
have the right to make test verifications of the Receivables in any manner and through any medium that it reasonably considers advisable, and each Grantor shall furnish all such assistance and information as the Collateral Agent may require in
connection with such test verifications. 
 (b) The Collateral Agent hereby authorizes each Grantor to collect such Grantor’s
Receivables, subject to the Collateral Agent’s direction and control, and the Collateral Agent may curtail or terminate said authority at any time after the occurrence and during the continuance of an Event of Default. If required by the
Collateral Agent at any time after the occurrence and during the continuance of an Event of Default, any payments of Receivables, when collected by any Grantor, (i) shall be forthwith (and, in any event, within two Business Days) deposited by
such Grantor in the exact form received, duly indorsed by such Grantor to the Collateral Agent if required, in a Collateral Account maintained under the sole dominion and control of the Collateral Agent, subject to withdrawal by the Collateral Agent
for the account of the Secured Parties only as provided in Section 5.5, and (ii) until so turned over, shall be held by such Grantor in trust for the Collateral Agent and the other Secured Parties, segregated from other funds of such
Grantor. Each such deposit of Proceeds of Receivables shall be accompanied by a report identifying in reasonable detail the nature and source of the payments included in the deposit. 

(c) At the Collateral Agent’s reasonable request following the occurrence and during the continuation of an Event of Default, each
Grantor shall deliver to the Collateral Agent all original and other documents evidencing, and relating to, the agreements and transactions which gave rise to the Receivables, including, without limitation, all original orders, invoices and shipping
receipts. 
 (d) It is understood that the provisions of this Section 5.1 apply only to Receivables that constitute Collateral. 

5.2 Communications with Obligors; Grantors Remain Liable. (a) The Collateral Agent in its own name or in the name of others may at any
time after the occurrence and during the continuance of an Event of Default communicate with obligors under the Receivables to verify with them to the Collateral Agent’s satisfaction the existence, amount and terms of any Receivables. 

(b) Upon the request of the Collateral Agent at any time after the occurrence and during the continuance of an Event of Default, each Grantor
shall notify obligors on the Receivables (other than Receivables with respect to which the obligor is a Governmental Authority) that the Receivables have been assigned to the Collateral Agent for the ratable benefit of the Secured Parties and that
payments in respect thereof shall be made directly to the Collateral Agent. 
 (c) Anything herein to the contrary notwithstanding, each
Grantor shall remain liable under each of the Receivables to observe and perform all the conditions and obligations to be observed and performed by it thereunder, all in accordance with the terms of any agreement giving rise thereto. Neither

  
 16 

 
the Collateral Agent nor any other Secured Party shall have any obligation or liability under any Receivable (or any agreement giving rise thereto) by reason of or arising out of this Agreement
or the receipt by the Collateral Agent or any other Secured Party of any payment relating thereto, nor shall the Collateral Agent or any Lender be obligated in any manner to perform any of the obligations of any Grantor under or pursuant to any
Receivable (or any agreement giving rise thereto), to make any payment, to make any inquiry as to the nature or the sufficiency of any payment received by it or as to the sufficiency of any performance by any party thereunder, to present or file any
claim, to take any action to enforce any performance or to collect the payment of any amounts which may have been assigned to it or to which it may be entitled at any time or times. 

(d) It is understood that the provisions of this Section 5.2 apply only to Receivables that constitute Collateral. 

5.3 Pledged Stock. (a) Unless an Event of Default shall have occurred and be continuing and the Collateral Agent shall have given
notice to the relevant Grantor of the Collateral Agent’s intent to exercise its corresponding rights pursuant to Section 5.3(b), each Grantor shall be permitted to receive all cash dividends paid in respect of the Pledged Stock and all
payments made in respect of the Pledged Notes, in each case paid in the normal course of business of the relevant Issuer and consistent with past practice, to the extent not prohibited by the Credit Agreement, the 2014 Indenture and the Additional
Lien Documents, and to exercise all voting and corporate or other organizational rights with respect to the Investment Property; provided, however, that no vote shall be cast or corporate or other organizational right exercised or
other action taken which would result in any violation of any provision of any Lien Document. 
 (b) If an Event of Default shall occur and
be continuing and the Collateral Agent shall give notice of its intent to exercise such rights to the relevant Grantor or Grantors, (i) the Collateral Agent shall have the right to receive any and all cash dividends, payments or other Proceeds
paid in respect of the Investment Property and make application thereof to the Obligations in such order as the Collateral Agent may determine, and (ii) any or all of the Investment Property shall be registered in the name of the Collateral
Agent or its nominee, and the Collateral Agent or its nominee may thereafter exercise (x) all voting, corporate and other rights pertaining to such Investment Property at any meeting of shareholders of the relevant Issuer or Issuers or
otherwise and (y) any and all rights of conversion, exchange and subscription and any other rights, privileges or options pertaining to such Investment Property as if it were the absolute owner thereof (including, without limitation, the right
to exchange at its discretion any and all of the Investment Property upon the merger, consolidation, reorganization, recapitalization or other fundamental change in the corporate or other organizational structure of any Issuer, or upon the exercise
by any Grantor or the Collateral Agent of any right, privilege or option pertaining to such Investment Property, and in connection therewith, the right to deposit and deliver any and all of the Investment Property with any committee, depositary,
transfer agent, registrar or other designated agency upon such terms and conditions as the Collateral Agent may determine), all without liability except to account for property actually received by it, but the Collateral Agent shall have no duty to
any Grantor to exercise any such right, privilege or option and shall not be responsible for any failure to do so or delay in so doing. 

(c) Each Grantor hereby authorizes and instructs each Issuer of any Investment Property pledged by such Grantor hereunder to (i) comply
with any instruction received by it from the Collateral Agent in writing that (x) states that an Event of Default has occurred and is continuing and (y) is otherwise in accordance with the terms of this Agreement, without any other or
further instructions from such Grantor, and each Grantor agrees that each Issuer shall be fully protected in so complying, and (ii) unless otherwise expressly permitted hereby, pay any dividends or other payments with respect to the Investment
Property directly to the Collateral Agent. 

  
 17 

 5.4 Proceeds to be Turned Over To Collateral Agent. In addition to the rights of the
Collateral Agent specified in Section 5.1 with respect to payments of Receivables, if an Event of Default shall occur and be continuing, all Proceeds, subject to the Liens of this Agreement, received by any Grantor consisting of cash, checks
and other near-cash items shall be held by such Grantor in trust for the Collateral Agent and the other Secured Parties, segregated from other funds of such Grantor, and shall, forthwith upon receipt by such Grantor, be turned over to the Collateral
Agent in the exact form received by such Grantor (duly indorsed by such Grantor to the Collateral Agent, if required). All Proceeds received by the Collateral Agent hereunder shall be held by the Collateral Agent in a Collateral Account maintained
under its sole dominion and control. All Proceeds while held by the Collateral Agent in a Collateral Account (or by such Grantor in trust for the Collateral Agent and the other Secured Parties) shall continue to be held as collateral security for
all the Obligations and shall not constitute payment thereof until applied as provided in Section 5.5. 
 5.5 Application of
Proceeds. If an Event of Default shall have occurred and be continuing, at any time at the Collateral Agent’s election, the Collateral Agent may apply all or any part of Proceeds constituting Common Collateral, whether or not held in any
Collateral Account, in payment of the Obligations in the following order: 
 First, to pay unpaid fees and expenses of
the Collateral Agent under the Lien Documents; 
 Second, to pay unpaid fees and expenses of the Authorized
Representatives, applied pro rata between the Authorized Representatives according to the amounts of such fees and expenses then due and owing and remaining unpaid to the Authorized Representatives; 

Third, to the Collateral Agent, for application by it towards payment of amounts then due and owing and remaining unpaid
in respect of the Obligations, pro rata among the Secured Parties according to the amounts of the Obligations then due and owing and remaining unpaid to the Secured Parties; 

Fourth, any balance remaining after the Obligations shall have been paid in full, no Letters of Credit shall be
outstanding and the Commitments shall have terminated shall be paid over to the Borrower or to whomsoever may be lawfully entitled to receive the same. 

If at any time any moneys collected or received by the Collateral Agent pursuant to this Agreement are distributable pursuant to this
Section 5.5 to the Authorized Representatives or the other Secured Parties, and if an Authorized Representative shall notify the Collateral Agent in writing that no provision is made under the relevant Lien Documents for the application of such
moneys and that the relevant Lien Documents do not effectively provide for the receipt and the holding by such Authorized Representative of such moneys pending the application thereof, then the Collateral Agent, after receipt of such notification,
shall at the direction of such Authorized Representative, invest such amounts in Cash Equivalents maturing within 90 days after they are acquired by the Collateral Agent or, in the absence of such direction, hold such moneys uninvested and shall
hold all such amounts so distributable and all such investments and the net proceeds thereof in trust solely for such Authorized Representative and for no other purpose until such time as the relevant Authorized Representative shall request in
writing the delivery thereof by the Collateral Agent for application pursuant to such Lien Document. The Collateral Agent shall not be responsible for any diminution in funds resulting from any such investment or any liquidation thereof prior to
maturity. 
 In making the determination and allocations required by this Section 5.5, the Collateral Agent may conclusively rely upon
information supplied by the applicable Authorized Representative as to the amounts of unpaid principal and interest and other amounts outstanding with respect to the relevant 

  
 18 

 
Obligations, and the Collateral 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. 
 If, despite the provisions
of this Agreement, any Secured Party shall receive any payment or other recovery in excess of its portion of payments on account of the Obligations to which it is then entitled in accordance with this Agreement, such Secured Party shall hold such
payment or recovery in trust for the benefit of all Secured Parties for distribution in accordance with this Section 5.5. 
 Each of
the Secured Parties hereby agrees not to challenge or question in any proceeding the validity or enforceability of this Agreement (in each case as a whole or any term or provision contained herein) or the validity of any Lien or financing statement
with respect to Common Collateral in favor of the Collateral Agent for the benefit of all the Secured Parties as provided in this Agreement, or the equal and ratable sharing of any such Lien with respect to Common Collateral. 

Notwithstanding anything herein to the contrary, (a) with respect to actions with respect to Collateral that is not Common Collateral,
the Authorized Representative of the Series of Obligations secured by such Collateral shall have the sole right to instruct the Collateral Agent and/or the Applicable Authorized Representative to act or refrain from acting with respect to the
Collateral that is not Common Collateral, (b) the Collateral Agent shall not follow any instructions with respect to such Collateral that is not Common Collateral from any Person (other than such Authorized Representative set forth in clause
(a) above), and (c) no Authorized Representative (other than such Authorized Representative set forth in clause (a) above) will instruct the Collateral Agent to commence any judicial or non-judicial foreclosure proceedings with
respect to, seek to have a trustee, receiver, liquidator or similar official appointed for or over, attempt any action to take possession of, exercise any right, remedy or power with respect to, or otherwise take any action to enforce its interests
in or realize upon, or take any other action available to it in respect of, the Collateral that is not Common Collateral. 
 5.6 Code and
Other Remedies. If an Event of Default shall occur and be continuing, the Collateral Agent, on behalf of the Secured Parties, may, and upon the request of the Applicable Authorized Representative shall, exercise, in addition to all other rights
and remedies granted to them in this Agreement and in any other instrument or agreement securing, evidencing or relating to the Obligations, all rights and remedies of a secured party under the New York UCC or any other applicable law. Without
limiting the generality of the foregoing, the Collateral Agent, without demand of performance or other demand, presentment, protest, advertisement or notice of any kind (except any notice required by law referred to below) to or upon any Grantor or
any other Person (all and each of which demands, defenses, advertisements and notices are hereby waived), may in such circumstances, to the extent permitted by applicable law, forthwith collect, receive, appropriate and realize upon the Collateral,
or any part thereof, and/or may forthwith sell, lease, assign, give option or options to purchase, or otherwise dispose of and deliver the Collateral or any part thereof (or contract to do any of the foregoing), in one or more parcels at public or
private sale or sales, at any exchange, broker’s board or office of the Collateral Agent or any Secured Party or elsewhere upon such terms and conditions as it may deem advisable and at such prices as it may deem best, for cash or on credit or
for future delivery without assumption of any credit risk. The Collateral Agent or any Secured Party shall have the right upon any such public sale or sales, and, to the extent permitted by law, upon any such private sale or sales, to purchase the
whole or any part of the Collateral so sold, free of any right or equity of redemption in any Grantor, which right or equity is hereby waived and released. Each Grantor further agrees, at the Collateral Agent’s request, to assemble the
Collateral and make it available to the Collateral Agent at places which the Collateral Agent shall reasonably select, whether at such Grantor’s premises or elsewhere. The Collateral Agent shall apply the net proceeds of any action taken by it
pursuant to this Section 5.6, after deducting all reasonable costs and expenses of every kind incurred in connection therewith or incidental to the care or safekeeping of any of the Collateral or in any way relating to the

  
 19 

 
Collateral or the rights of the Collateral Agent and the Secured Parties hereunder, including, without limitation, reasonable attorneys’ fees and disbursements, to the payment in whole or in
part of the Obligations, in accordance with Section 5.5, and only after such application and after the payment by the Collateral Agent of any other amount required by any provision of law, including, without limitation, Section 9-615(a)(3)
of the New York UCC, need the Collateral Agent account for the surplus, if any, to any Grantor. To the extent permitted by applicable law, each Grantor waives all claims, damages and demands it may acquire against the Collateral Agent or any Secured
Party arising out of the exercise by them of any rights hereunder. If any notice of a proposed sale or other disposition of Collateral shall be required by law, such notice shall be deemed reasonable and proper if given at least 10 days before such
sale or other disposition. 
 5.7 Registration Rights. (a) If the Collateral Agent shall determine to exercise its right to sell
any or all of the Pledged Stock pursuant to Section 5.6, and if in the opinion of the Collateral Agent it is necessary or advisable to have the Pledged Stock, or that portion thereof to be sold, registered under the provisions of the Securities
Act, the relevant Grantor will cause the Issuer thereof to (i) execute and deliver, and cause the directors and officers of such Issuer to execute and deliver, all such instruments and documents, and do or cause to be done all such other acts
as may be, in the opinion of the Collateral Agent, necessary or advisable to register the Pledged Stock, or that portion thereof to be sold, under the provisions of the Securities Act, (ii) use commercially reasonable efforts to cause the
registration statement relating thereto to become effective and to remain effective for a period of one year from the date of the first public offering of the Pledged Stock, or that portion thereof to be sold, and (iii) make all amendments
thereto and/or to the related prospectus which, in the opinion of the Collateral Agent, are necessary or advisable, all in conformity with the requirements of the Securities Act and the rules and regulations of the Securities and Exchange Commission
applicable thereto. Each Grantor agrees to use commercially reasonable efforts to cause such Issuer to comply with the provisions of the securities or “Blue Sky” laws of any and all jurisdictions which the Collateral Agent shall designate
and to make available to its security holders, as soon as practicable, an earnings statement (which need not be audited) which will satisfy the provisions of Section 11(a) of the Securities Act. 

(b) Each Grantor recognizes that the Collateral Agent may be unable to effect a public sale of any or all the Pledged Stock, by reason of
certain prohibitions contained in the Securities Act and applicable state securities laws or otherwise, and may be compelled to resort to one or more private sales thereof to a restricted group of purchasers which will be obliged to agree, among
other things, to acquire such securities for their own account for investment and not with a view to the distribution or resale thereof. Each Grantor acknowledges and agrees that any such private sale may result in prices and other terms less
favorable than if such sale were a public sale and, notwithstanding such circumstances, agrees that any such private sale shall be deemed to have been made in a commercially reasonable manner. The Collateral Agent shall be under no obligation to
delay a sale of any of the Pledged Stock for the period of time necessary to permit the Issuer thereof to register such securities for public sale under the Securities Act, or under applicable state securities laws, even if such Issuer would agree
to do so. 
 (c) Each Grantor agrees to use commercially reasonable efforts to do or cause to be done all such other acts as may be
necessary to make such sale or sales of all or any portion of the Pledged Stock pursuant to this Section 5.7 valid and binding and in compliance with any and all other applicable Requirements of Law. Each Grantor further agrees that a breach of
any of the covenants contained in this Section 5.7 will cause irreparable injury to the Collateral Agent and the Secured Parties, that the Collateral Agent and the Secured Parties have no adequate remedy at law in respect of such breach and, as
a consequence, that each and every covenant contained in this Section 5.7 shall be specifically enforceable against such Grantor, and such Grantor hereby waives and agrees not to assert any defenses against an action for specific performance of
such covenants except for a defense that no Event of Default has occurred and is continuing under the Lien Documents. 

  
 20 

 5.8 Subordination. 

Each Grantor hereby agrees that, upon the occurrence and during the continuance of an Event of Default, unless otherwise agreed by the
Applicable Authorized Representative, all Indebtedness owing by it to any Subsidiary of the Borrower shall be fully subordinated to the indefeasible payment in full in cash of such Grantor’s Obligations. 

5.9 Deficiency. Each Grantor shall remain liable for any deficiency if the proceeds of any sale or other disposition of the Collateral
are insufficient to pay its Obligations and the fees and disbursements of any attorneys employed by the Collateral Agent or any other Secured Party to collect such deficiency. 

SECTION 6. THE COLLATERAL AGENT 

6.1 Collateral Agent’s Appointment as Attorney-in-Fact, etc. (a) Each Grantor hereby irrevocably constitutes and appoints the
Collateral Agent and any officer or agent thereof, with full power of substitution, as its true and lawful attorney-in-fact with full irrevocable power and authority in the place and stead of such Grantor and in the name of such Grantor or in its
own name, for the purpose of carrying out the terms of this Agreement, to take any and all appropriate action and to execute any and all documents and instruments which may be necessary or desirable to accomplish the purposes of this Agreement, and,
without limiting the generality of the foregoing, each Grantor hereby gives the Collateral Agent the power and right, on behalf of such Grantor, without notice to or assent by such Grantor, to do any or all of the following: 

(i) in the name of such Grantor or its own name, or otherwise, take possession of and indorse and collect any checks, drafts,
notes, acceptances or other instruments for the payment of moneys due under any Receivable constituting Collateral or with respect to any other Collateral and file any claim or take any other action or proceeding in any court of law or equity or
otherwise deemed appropriate by the Collateral Agent for the purpose of collecting any and all such moneys due under any Receivable constituting Collateral or with respect to any other Collateral whenever payable; 

(ii) in the case of any Intellectual Property, execute and deliver, and have recorded, any and all agreements, instruments,
documents and papers as the Collateral Agent may request to evidence the Collateral Agent’s and the other Secured Parties’ security interest in such Intellectual Property and the goodwill and general intangibles of such Grantor relating
thereto or represented thereby; 
 (iii) pay or discharge taxes and Liens levied or placed on or threatened against the
Collateral, effect any repairs or any insurance called for by the terms of this Agreement and pay all or any part of the premiums therefor and the costs thereof; 

(iv) execute, in connection with any sale provided for in Section 5.6 or 5.7, any indorsements, assignments or other
instruments of conveyance or transfer with respect to the Collateral; and 
 (v) (1) direct any party liable for any payment
under any of the Collateral to make payment of any and all moneys due or to become due thereunder directly to the Collateral Agent or as the Collateral Agent shall direct; (2) ask or demand for, collect, and receive payment of and receipt for,
any and all moneys, claims and other amounts due or to become due at any time in respect of or arising out of any Collateral; (3) sign and indorse any invoices, freight or express bills, bills of lading, storage or warehouse receipts, drafts
against debtors, assignments, verifications, notices and other documents in connection with any of the Collateral; (4) commence and prosecute any suits, actions or proceedings at law or in equity in any court of competent jurisdiction to
collect the 

  
 21 

 
Collateral or any portion thereof and to enforce any other right in respect of any Collateral; (5)defend any suit, action or proceeding brought against such Grantor with respect to any
Collateral; (6) settle, compromise or adjust any such suit, action or proceeding and, in connection therewith, give such discharges or releases as the Collateral Agent may deem appropriate; (7) assign any Copyright, Patent or Trademark
(along with the goodwill of the business to which any such Copyright, Patent or Trademark pertains), throughout the world for such term or terms, on such conditions, and in such manner, as the Collateral Agent shall in its sole discretion determine;
and (8) generally, sell, transfer, pledge and make any agreement with respect to or otherwise deal with any of the Collateral as fully and completely as though the Collateral Agent were the absolute owner thereof for all purposes, and do, at
the Collateral Agent’s option and such Grantor’s expense, at any time, or from time to time, all acts and things which the Collateral Agent deems necessary to protect, preserve or realize upon the Collateral and the Collateral Agent’s
and the other Secured Parties’ security interests therein and to effect the intent of this Agreement, all as fully and effectively as such Grantor might do. 

Anything in this Section 6.1(a) to the contrary notwithstanding, the Collateral Agent agrees that it will not exercise any rights under
the power of attorney provided for in this Section 6.1(a) unless an Event of Default shall have occurred and be continuing. 
 (b) If
any Grantor fails to perform or comply with any of its agreements contained herein, the Collateral Agent, at its option, but without any obligation so to do, may perform or comply, or otherwise cause performance or compliance, with such agreement.

 (c) The expenses of the Collateral Agent incurred in connection with actions undertaken as provided in this Section 6.1, together
with interest thereon at a rate per annum equal to the highest rate per annum at which interest would then be payable on any category of past due ABR Loans under the Credit Agreement, from the date of payment by the Collateral Agent to the date
reimbursed by the relevant Grantor, shall be payable by such Grantor to the Collateral Agent on demand. 
 (d) Each Grantor hereby ratifies
all that said attorneys shall lawfully do or cause to be done by virtue hereof. All powers, authorizations and agencies contained in this Agreement are coupled with an interest and are irrevocable until this Agreement is terminated and the security
interests created hereby are released. 
 6.2 Duty of Collateral Agent. The Collateral Agent’s sole duty with respect to the
custody, safekeeping and physical preservation of the Collateral in its possession, under Section 9-207 of the New York UCC or otherwise, shall be to deal with it in the same manner as the Collateral Agent deals with similar property for its
own account. Neither the Collateral Agent, any Secured Party nor any of their respective officers, directors, employees or agents shall be liable for failure to demand, collect or realize upon any of the Collateral or for any delay in doing so or
shall be under any obligation to sell or otherwise dispose of any Collateral upon the request of any Grantor or any other Person or to take any other action whatsoever with regard to the Collateral or any part thereof. The powers conferred on the
Collateral Agent and the Secured Parties hereunder are solely to protect the Collateral Agent’s and the Secured Parties’ interests in the Collateral and shall not impose any duty upon the Collateral Agent or any Secured Party to exercise
any such powers. The Collateral Agent and the Secured Parties shall be accountable only for amounts that they actually receive as a result of the exercise of such powers, and neither they nor any of 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. 

6.3 Execution of Financing Statements. Pursuant to any applicable law, each Grantor authorizes the Collateral Agent to file or record
financing statements and other filing or recording documents or instruments with respect to the Collateral without the signature of such Grantor in such 

  
 22 

 
form and in such offices as the Collateral Agent determines appropriate to perfect the security interests of the Collateral Agent under this Agreement. Each Grantor authorizes the Collateral
Agent to use the collateral description “all personal property” (subject to appropriate exclusions) in any such financing statements. Each Grantor hereby ratifies and authorizes the filing by the Collateral Agent of any financing statement
with respect to the Collateral made prior to the date hereof. 
 6.4 Authority of Collateral Agent. Each Grantor acknowledges that
the rights and responsibilities of the Collateral Agent under this Agreement with respect to any action taken by the Collateral Agent or the exercise or non-exercise by the Collateral Agent of any option, voting right, request, judgment or other
right or remedy provided for herein or resulting or arising out of this Agreement shall, as between the Collateral Agent and the other Secured Parties, be governed by this Agreement and by such other agreements with respect thereto as may exist from
time to time among them, but, as between the Collateral Agent and the Grantors, the Collateral Agent shall be conclusively presumed to be acting as agent for the Secured Parties with full and valid authority so to act or refrain from acting, and no
Grantor shall be under any obligation, or entitlement, to make any inquiry respecting such authority. 
 6.5 Appointment and
Authorization. 
 By accepting the benefits hereof, each of the Secured Parties hereby irrevocably appoints the Collateral Agent as its
agent and authorizes the Collateral Agent to take such actions on its behalf and to exercise such powers as are delegated to the Collateral Agent by the terms hereof, together with such actions and powers as are reasonably incidental thereto, and
the Collateral Agent hereby accepts such appointment. 
 The Collateral Agent may resign as Collateral Agent upon 10 days’ notice to
the Authorized Representatives and the Borrower. If the Collateral Agent shall resign as Collateral Agent under this Agreement and the other Lien Documents, then the Authorized Representatives, other than the 2006 Trustee, shall appoint a successor
agent for the Authorized Representatives, which such successor agent shall (unless an Event of Default with respect to the Borrower shall have occurred and be continuing) be subject to approval by the Borrower (which approval shall not be
unreasonably withheld or delayed), whereupon such successor agent shall succeed to the rights, powers and duties of the Collateral Agent, and the term “Collateral Agent” shall mean such successor agent effective upon such appointment and
approval, and the former Collateral Agent’s rights, powers and duties as Collateral Agent shall be terminated, without any other or further act or deed on the part of such former Collateral Agent or any of the parties to this Agreement. If no
successor agent has accepted appointment as Collateral Agent by the date that is 10 days following a retiring Collateral Agent’s notice of resignation, the retiring Collateral Agent’s resignation shall nevertheless thereupon become
effective, and the Applicable Authorized Representative, subject to a supplemental indenture to amend the provisions of the applicable Indenture to the extent reasonably requested (which supplemental indenture shall be in form and substance
satisfactory to such Applicable Authorized Representative), may assume and perform or appoint a successor agent to assume and perform all of the duties of the Collateral Agent hereunder until such time, if any, as the Authorized Representatives,
other than the 2006 Trustee, appoint a successor agent as provided for above. In the event that the Applicable Authorized Representative does not assume or appoint an agent to assume the duties of the Collateral Agent, the Borrower shall promptly
appoint a Collateral Agent reasonably acceptable to the Authorized Representatives. 
 6.6 Collateral Agent and Affiliates. 

The entity serving as the Collateral Agent hereunder shall have the same rights and powers in its capacity as a Secured Party as any other
Secured Party and may exercise the same as though 

  
 23 

 
it were not the Collateral Agent, and such entity and its Affiliates may accept deposits from, lend money to and generally engage in any kind of business with the Borrower, the Guarantors or any
Subsidiary or other Affiliate of the Borrower or the Guarantors as if it were not the Collateral Agent hereunder. 
 6.7 Action by
Collateral Agent. (a) The Collateral Agent shall not have any duties or obligations except those expressly set forth herein. Without limiting the generality of the foregoing, (a) the Collateral Agent shall not be subject to any fiduciary or
other implied duties, regardless of whether a Default or Event of Default has occurred and is continuing, (b) the Collateral Agent shall not have any duty to take any discretionary action or exercise any discretionary powers, except
discretionary rights and powers expressly contemplated hereby that the Collateral Agent is required to exercise in writing as directed by the Applicable Authorized Representative pursuant to this Agreement, and (c) except as expressly set forth
herein, the Collateral Agent shall not have any duty to disclose, and shall not be liable for the failure to disclose, any information relating to the Borrower or any of its Subsidiaries that is communicated to or obtained by the bank serving as
Collateral Agent or any of its Affiliates in any capacity. The Collateral Agent shall not be liable for any action taken or not taken by it with the consent or at the request of the Applicable Authorized Representative or otherwise. The Collateral
Agent shall be deemed not to have knowledge of any Default or Event of Default unless and until written notice thereof is given to the Collateral Agent by a Secured Party, and the Collateral Agent shall not be responsible for or have any duty to
ascertain or inquire into (i) any statement, warranty or representation made in or in connection with this Agreement or any other Lien Document, (ii) the contents of any certificate, report or other document delivered under or in
connection with this Agreement or any other Lien Document, (iii) the performance or observance of any of the covenants, agreements or other terms or conditions set forth herein or in any other Lien Document, (iv) the validity,
enforceability, effectiveness or genuineness of this Agreement, the other Lien Documents or any other agreement, instrument or document, or (v) the satisfaction of any condition set forth in any other Lien Document, other than to confirm
receipt of items expressly required to be delivered to the Collateral Agent. 
 (b) The obligations of the Collateral Agent to the Notes
Secured Parties under the 7.125% Senior Notes hereunder shall be limited solely to (i) holding the Collateral for the ratable benefit of the Notes Secured Parties under the 7.125% Senior Notes for so long as (A) any Borrower Notes
Obligations under the 7.125% Senior Notes remain outstanding and (B) such Borrower Notes Obligations under the 7.125% Senior Notes are secured by such Common Collateral, (ii) subject to the terms of this Agreement, enforcing the rights of
the Notes Secured Parties under the 7.125% Senior Notes in their capacities as Secured Parties in respect of Common Collateral and (iii) distributing any proceeds received by the Collateral Agent from the sale, collection or realization of the
Common Collateral to the Notes Secured Parties in respect of the Borrower Notes Obligations under the 7.125% Senior Notes in accordance with the terms of this Agreement. No Notes Secured Party under the 7.125% Senior Notes shall be entitled to
exercise (or direct the Collateral Agent to exercise) any rights or remedies hereunder with respect to the Borrower Notes Obligations or the Common Collateral, including, without limitation, the right to enforce actions pursuant to this Agreement,
request any action, institute proceedings, give any instructions or notices, make any election, make collections, sell or otherwise foreclose on any portion of the Common Collateral or receive any payment (except for its right to receive payments in
the manner expressly provided in Section 5.5). This Agreement shall not create any liability of the Collateral Agent or the Credit Agreement Secured Parties or the Notes Secured Parties under the 2019 Senior Notes and 2022 Senior Notes to the
Notes Secured Parties under the 7.125% Senior Notes by reason of actions with respect to the creation, perfection or continuation of the security interests on the Common Collateral, actions with respect to the occurrence of a Default or an Event of
Default, actions with respect to the foreclosure upon, sale, release, or depreciation of, or failure to realize upon, any of the Common Collateral, actions with respect to the collection of any claim for all or any part of the Borrower Notes
Obligations under the 7.125% Senior Notes from any debtor, guarantor or any other party or the valuation, use or protection of the Common Collateral. By acceptance of the benefits under this 

  
 24 

 
Agreement, the Notes Secured Parties under the 7.125% Senior Notes will be deemed to have acknowledged and agreed that the provisions of the preceding sentence are intended to induce the Credit
Agreement Secured Parties and Notes Secured Parties under the 2019 Senior Notes and 2022 Senior Notes to permit such Persons to be Secured Parties under this Agreement and are being relied upon by the Credit Agreement Secured Parties and Notes
Secured Parties under the 2019 Senior Notes and 2022 Senior Notes as consideration therefor. 
 SECTION 7. INTERCREDITOR PROVISIONS 

7.1 Actions with Respect to the Common Collateral; Restrictions 

Notwithstanding anything to the contrary in this Agreement or any Lien Document, only the Collateral Agent shall, and shall have the right
to, exercise, or refrain from exercising, any rights, remedies and powers with respect to the Common Collateral, including any action to enforce its security interest in or realize upon any Common Collateral, and then only on the instruction of the
Applicable Authorized Representative. The Applicable Authorized Representative shall have the sole right to instruct the Collateral Agent to act or refrain from acting with respect to the Common Collateral, the Collateral Agent shall not follow any
instructions with respect to such Common Collateral from any Person (other than the Applicable Authorized Representative), and no Authorized Representative (other than the Applicable Authorized Representative) will instruct the Collateral Agent to
commence any judicial or non-judicial foreclosure proceedings with respect to, seek to have a trustee, receiver, liquidator or similar official appointed for or over, attempt any action to take possession of, exercise any right, remedy or power with
respect to, or otherwise take any action to enforce its interests in or realize upon, or take any other action available to it in respect of, the Common Collateral. The Applicable Authorized Representative will initially be the Administrative Agent,
and no other Authorized Representative will have rights to take any action under this Agreement with respect to the Common Collateral other than as the Applicable Authorized Representative. 

Notwithstanding the equal priority of the Liens, the Collateral Agent, acting on the instructions of the Applicable Authorized
Representative, may deal with the Common Collateral as if such Applicable Authorized Representative had a senior Lien on such Common Collateral. No Authorized Representative of any Series of Obligations (other than the Applicable Authorized
Representative) may contest, protest or object to any foreclosure proceeding or action brought by the Collateral Agent (acting on the instruction of the Applicable Authorized Representative) or the Applicable Authorized Representative with respect
to the Common Collateral. 
 If an Event of Default has occurred and is continuing and the Collateral Agent is taking action to enforce
rights in respect of any of the Common Collateral, or any distribution is made with respect to any Common Collateral in any bankruptcy case of the Borrower or any Guarantor, the proceeds of any sale, collection or other liquidation of any such
Common Collateral by the Collateral Agent or any other Secured Party as applicable, shall be applied as provided in Section 5.5 of this Agreement. 

If, at any time the Collateral Agent or any Applicable Authorized Representative forecloses upon or otherwise exercises remedies against any
Common Collateral resulting in a sale or disposition thereof, then (whether or not any Insolvency or Liquidation Proceeding is pending at the time) the Liens in favor of the Collateral Agent for the benefit of each Series of Secured Parties upon
such Common Collateral will automatically be released and discharged; provided that any proceeds of any Common Collateral realized therefrom shall be applied pursuant to Section 5.5. 

  
 25 

 Notwithstanding the date, time, method, manner or order of grant, attachment or perfection of
any Liens securing any Obligations granted on the Common Collateral and notwithstanding any provision of the UCC of any jurisdiction, or any other applicable law or Lien Documents or any defect or deficiencies in the Liens securing the Obligations
of any Series or any other circumstance whatsoever, each Secured Party hereby agrees that the Liens securing the Obligations on any Common Collateral shall be of equal priority and for the equal and ratable benefit of the Secured Parties. 

SECTION 8. MISCELLANEOUS 

8.1 Amendments in Writing. None of the terms or provisions of this Agreement may be waived, amended, supplemented or otherwise modified
except in accordance with Section 10.1 of the Credit Agreement and Article 9 of the 2014 Indenture and the applicable section of the Additional Lien Documents and to the extent set forth in the second paragraph of Section 2. 

8.2 Notices. All notices, requests and demands to or upon the respective parties hereto to be effective shall be in writing (including
by telecopy), and, unless otherwise expressly provided herein, shall be deemed to have been duly given or made when delivered, or three Business Days after being deposited in the mail, postage prepaid, or, in the case of telecopy notice, when
received, addressed as follows in the case of the Collateral Agent or Authorized Representatives, and as set forth on Schedule 1 in the case of the Grantors, or to such other address as may be hereafter notified by the respective parties
hereto: 
  

			
	 Collateral Agent
 & Administrative
Agent:
	  	 JPMorgan Chase Bank, N.A.
 383 Madison Avenue,
24th Floor
 New York, NY 10179

		  	Attention: Dawn Lee Lum, Executive Director
		  	Telecopy: (212) 270-3279
		  	Telephone: (212) 270-2472
		
		  	With a copy to:
		
		  	JPMorgan Chase Bank, N.A.
		  	10 South Dearborn Street, Floor 22
		  	Chicago, IL 60603
		  	Attention: Justin P Anderson
		  	Telephone: (312) 732-7538
		
	2006 Trustee:	  	The Bank of New York Mellon Trust Company, N.A.
		  	2 North LaSalle Street, Suite 1020
		  	Chicago, Illinois 60602
		  	Attention: Corporate Trust Administration
		  	Telecopy: (312) 827-8542
		  	Telephone: (312) 827-8689
		
	2014 Trustee:	  	MUFG Union Bank, N.A.
		  	1251 Avenue of the Americas, 19th Floor
		  	New York, NY 10020
		  	Attention: Fernando Moreyra
		  	Telephone: (646) 452-2015
		  	Facsimile: (646) 452-2000

  
 26 

 provided that any notice, request or demand to or upon the Collateral Agent and/or any Authorized
Representatives shall not be effective until received. 
 8.3 No Waiver by Course of Conduct; Cumulative Remedies. Neither the
Collateral Agent nor any other Secured Party shall by any act (except by a written instrument pursuant to Section 8.1), delay, indulgence, omission or otherwise be deemed to have waived any right or remedy hereunder or to have acquiesced in any
Default or Event of Default. No failure to exercise, nor any delay in exercising, on the part of the Collateral Agent or any other Secured Party, any right, power or privilege hereunder shall operate as a waiver thereof. No single or partial
exercise of any right, power or privilege hereunder shall preclude any other or further exercise thereof or the exercise of any other right, power or privilege. A waiver by the Collateral Agent or any other Secured Party of any right or remedy
hereunder on any one occasion shall not be construed as a bar to any right or remedy which the Collateral Agent or such other Secured Party would otherwise have on any future occasion. The rights and remedies herein provided are cumulative, may be
exercised singly or concurrently and are not exclusive of any other rights or remedies provided by law. 
 8.4 Successors and
Assigns. This Agreement shall be binding upon the successors and assigns of each Grantor and shall inure to the benefit of the Collateral Agent and the other Secured Parties and their successors and assigns; provided that no Grantor may
assign, transfer or delegate any of its rights or obligations under this Agreement without the prior written consent of the Collateral Agent. 

8.5 Counterparts. This Agreement may be executed by one or more of the parties to this Agreement on any number of separate counterparts
(including by telecopy), and all of said counterparts taken together shall be deemed to constitute one and the same instrument. 
 8.6
Severability. Any provision of this Agreement which is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining
provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. 

8.7 Section Headings. The Section headings used in this Agreement are for convenience of reference only and are not to affect the
construction hereof or be taken into consideration in the interpretation hereof. 
 8.8 Integration. This Agreement and the other
Lien Documents represent the agreement of the Grantors, the Collateral Agent and the Secured Parties with respect to the subject matter hereof and thereof, and there are no promises, undertakings, representations or warranties by the Collateral
Agent or any Secured Party relative to subject matter hereof and thereof not expressly set forth or referred to herein or in the other Lien Documents. 

8.9 GOVERNING LAW. THIS AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAW OF THE STATE OF
NEW YORK. 
 8.10 Submission To Jurisdiction; Waivers. Each Grantor hereby irrevocably and unconditionally: 

(a) submits for itself and its property in any legal action or proceeding relating to this Agreement and the other Lien Documents to which it
is a party, or for recognition and enforcement of any judgment in respect thereof, to the non-exclusive general jurisdiction of the courts of the State of New York, the courts of the United States of
America for the Southern District of New York, and appellate courts from any thereof; 

  
 27 

 (b) consents that any such action or proceeding may be brought in such courts and waives any
objection that it may now or hereafter have to the venue of any such action or proceeding in any such court or that such action or proceeding was brought in an inconvenient court and agrees not to plead or claim the same; 

(c) agrees that service of process in any such action or proceeding may be effected by mailing a copy thereof by registered or certified mail
(or any substantially similar form of mail), postage prepaid, to such Grantor at its address referred to in Section 8.2 or at such other address of which the Collateral Agent shall have been notified pursuant thereto; 

(d) agrees that nothing herein shall affect the right to effect service of process in any other manner permitted by law or shall limit the
right to sue in any other jurisdiction; and 
 (e) waives, to the maximum extent not prohibited by law, any right it may have to claim or
recover in any legal action or proceeding referred to in this Section any special, exemplary, punitive or consequential damages. 
 8.11
Acknowledgements. Each Grantor hereby acknowledges that: 
 (a) it has been advised by counsel in the negotiation, execution and
delivery of this Agreement and the other Lien Documents to which it is a party; 
 (b) neither the Collateral Agent nor any Secured Party
has any fiduciary relationship with or duty to any Grantor arising out of or in connection with this Agreement or any of the other Lien Documents, and the relationship between the Grantors, on the one hand, and the Collateral Agent and the Secured
Parties, on the other hand, in connection herewith or therewith is solely that of debtor and creditor; and 
 (c) no joint venture is
created hereby or by the other Lien Documents or otherwise exists by virtue of the transactions contemplated hereby among the Secured Parties or among the Grantors and the Secured Parties. 

8.12 Additional Grantors. Each Subsidiary of the Borrower that is required to become a party to this Agreement pursuant to
Section 6.10 of the Credit Agreement, Section 4.11 of the 2014 Indenture and the applicable section of any Additional Lien Documents shall become a Grantor for all purposes of this Agreement upon execution and delivery by such Subsidiary
of an Assumption Agreement in the form of Annex 1 hereto. 
 8.13 Releases. (a) At such time as all Obligations (other than
Obligations in respect of Specified Swap Agreements and the 7.125% Senior Notes) shall have been paid in full, the Commitments have been terminated and no Letters of Credit shall be outstanding, the Collateral shall be released from the Liens
created hereby, and this Agreement and all obligations (other than those expressly stated to survive such termination) of the Collateral Agent and each Grantor hereunder shall terminate, all without delivery of any instrument or performance of any
act by any party, and all rights to the Collateral shall revert to the Grantors. At the request and sole expense of any Grantor following any such termination, 

  
 28 

 
the Collateral Agent shall deliver to such Grantor any Collateral held by the Collateral Agent hereunder, and execute and deliver to such Grantor such documents as such Grantor shall reasonably
request to evidence such termination. 
 (b) If any of the Collateral shall be sold, transferred or otherwise disposed of by any Grantor in
a transaction permitted by the Lien Documents to a person other than a Grantor, then the Collateral Agent, at the request and sole expense of such Grantor, shall execute and deliver to such Grantor all releases or other documents reasonably
necessary or desirable for the release of the Liens created hereby on such Collateral. At the request and sole expense of the Borrower, a Guarantor shall be released from its obligations hereunder in the event that all the Capital Stock of such
Guarantor shall be sold, transferred or otherwise disposed of in a transaction not prohibited by the Lien Documents to a person other than a Guarantor; provided that the Borrower shall have delivered to the Collateral Agent, at least two
Business Days prior to the date of the proposed release, a written request for release identifying the relevant Guarantor and the terms of the sale or other disposition in reasonable detail, including the price thereof and any expenses in connection
therewith, together with a certification by the Borrower stating that such transaction is in compliance with the Lien Documents other than the 2006 Indenture. 

(c) If any Grantor shall enter into a Receivables Financing pursuant to which all or any of such Grantor’s Receivables, participation
interests in such Receivables or Gift Shop Assets are to be sold or pledged as collateral, then the Receivables, Related Security and Gift Shop Assets of such Grantor that are the subject of such Receivables Financing shall immediately and without
further act be released from the Liens created hereby to the extent that the aggregate outstanding amount of the purchase price or loan from the applicable lenders or investors under all Receivables Financings at any time does not exceed
$575,000,000 or, with the consent of the Administrative Agent and the Required Lenders (as defined in the Credit Agreement), such greater amount equal to 50% of the sum of (x) accounts receivable, net, of the Borrower and its Subsidiaries, as
set forth on its most recent balance sheet as at the time of determination plus (y) the allowance for doubtful accounts with respect to such accounts receivable as set forth in the footnotes to the Borrower’s most recent financial
statements. Such Grantor is authorized to file appropriate UCC-3 financing statement amendments in form reasonably satisfactory to the Collateral Agent reflecting any such release. At the request and sole expense of the Borrower in connection with
any such release, the Collateral Agent shall execute and deliver to such Grantor such documents as such Grantor shall reasonably request to evidence such release, including the delivery of a confirmation of such release to any applicable financing
party or trustee. The Borrower notifies the Collateral Agent that, as of the date hereof, the Grantors identified on Annex 2 hereto are parties to the Existing Receivables Facility pursuant to which the Receivables, Related Security, Collections and
Gift Shop Assets of such Grantors are not included in the Collateral pursuant to clauses (v) and (vi) of the final paragraph of Section 2. The Collateral Agent acknowledges that the Receivables and Gift Shop Assets of such Grantors
that are disposed of or subject to a Lien in connection with the Existing Receivables Financing are not subject to the Liens of this Agreement. 

(d) The Capital Stock and other securities of a Subsidiary of any Grantor shall be released from the Lien created hereby to the extent set
forth in clause (vii) to the first proviso of Section 2 and the second paragraph of Section 2. Such Grantor is authorized to file appropriate UCC-3 financing statement amendments in form reasonably satisfactory to the Collateral Agent
reflecting any such release. At the request and sole expense of the Borrower in connection with any such release, the Collateral Agent shall execute and deliver to such Grantor such documents as such Grantor shall reasonably request to evidence such
release, including the delivery of a confirmation of such release to any applicable financing party or trustee. 
 (e) The Administrative
Agent hereby instructs the Collateral Agent to take all actions necessary to terminate and release the Mortgages as contemplated by Section 5 of the Fourth Amendment, dated as of the date hereof, to the Credit Agreement. 

  
 29 

 8.14 Amendment and Restatement 

This Agreement is an amendment and restatement of, and continuation, extension and renewal of, but not an extinguishment of, the obligations
under the Collateral Agreement, dated November 15, 2010, by and among the Grantors and Collateral Agent. 
 8.15 WAIVER OF JURY
TRIAL. EACH GRANTOR HEREBY IRREVOCABLY AND UNCONDITIONALLY WAIVES TRIAL BY JURY IN ANY LEGAL ACTION OR PROCEEDING RELATING TO THIS AGREEMENT OR ANY OTHER LIEN DOCUMENT AND FOR ANY COUNTERCLAIM THEREIN. 

SECTION 9. ADDITIONAL LIEN OBLIGATIONS 

The Borrower may, at any time and from time to time, subject to any limitations contained in the Lien Documents in effect at such time,
designate additional Indebtedness and related obligations that are, or are to be, secured by Liens not prohibited by the Lien Documents on any assets of the Borrower or any other Grantor that would, if such Liens were granted, constitute Common
Collateral as “Additional Lien Obligations” by delivering to the Collateral Agent and each Authorized Representative party hereto at such time an officers’ certificate: 

(a) describing the Indebtedness and other obligations being designated as Additional Lien Obligations, including whether such
Additional Lien Obligations shall be treated for purposes of this Agreement in a manner similar to the Borrower Notes Obligations under the 7.125% Senior Notes; 

(b) setting forth the Additional Lien Documents under which such Additional Lien Obligations are issued or incurred or the
guarantees of such Additional Lien Obligations which are, or are to be, created, and attaching copies of such Additional Lien Documents as each Grantor has executed and delivered to the Person that serves as the administrative agent, trustee or a
similar representative for the holders of such Additional Lien Obligations (such Person being referred to as the “Additional Authorized Representative”) with respect to such Additional Lien Obligations on the closing date of such
Additional Lien Obligations, certified as being true and complete by an Officers’ Certificate; 
 (c) identifying the
Person that serves as the Additional Authorized Representative; 
 (d) certifying that the incurrence of such Additional Lien
Obligations, the creation of the Liens securing such Additional Lien Obligations and the designation of such Additional Lien Obligations as “Additional Lien Obligations” hereunder do not violate or result in a default under any provision
of any Lien Document in effect at such time; 
 (e) certifying that the Additional Lien Documents authorize the Additional
Authorized Representative to become a party hereto by executing and delivering an Additional Authorized Representative Joinder Agreement and provide that upon such execution and delivery, such Additional Lien Obligations and the holders thereof
shall become subject to and bound by the provisions of this Agreement; and 
 (f) attaching a fully completed Authorized
Representative Joinder Agreement executed and delivered by the Additional Authorized Representative. 

  
 30 

 Upon the delivery of such certificate and the related attachments as provided above, the
obligations designated in such notice as “Additional Lien Obligations” shall become Additional Lien Obligations for all purposes of this Agreement. 

[Remainder of Page Intentionally Left Blank] 

  
 31 

 
			
	UNIVERSAL HEALTH SERVICES, INC.
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Senior Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 

	
	 ASCEND HEALTH CORPORATION

	 ASSOCIATED CHILD CARE EDUCATIONAL SERVICES, INC.

	 CCS/LANSING, INC.

	 CHILDREN’S COMPREHENSIVE SERVICES, INC.

	 DEL AMO HOSPITAL, INC.

	 FRONTLINE BEHAVIORAL HEALTH, INC.

	 LANCASTER HOSPITAL CORPORATION

	 MCALLEN MEDICAL CENTER, INC.

	 MERION BUILDING MANAGEMENT, INC.

	 MERRIDELL ACHIEVEMENT CENTER, INC.

	 NORTHWEST TEXAS HEALTHCARE SYSTEM, INC.

	 OAK PLAINS ACADEMY OF TENNESSEE, INC.

	 PARK HEALTHCARE COMPANY

	 PENNSYLVANIA CLINICAL SCHOOLS, INC.

	 PSI SURETY, INC.

	 RIVER OAKS, INC.

	 SOUTHEASTERN HOSPITAL CORPORATION

	 SPARKS FAMILY HOSPITAL, INC.

	 STONINGTON BEHAVIORAL HEALTH, INC.

	 TEMECULA VALLEY HOSPITAL, INC.

	 THE ARBOUR, INC.

	 THE BRIDGEWAY, INC.

	 TWO RIVERS PSYCHIATRIC HOSPITAL, INC.

	 UHS CHILDREN’S SERVICES, INC.

	 UHS HOLDING COMPANY, INC.

	 UHS OF BENTON, INC.

	 UHS OF CORNERSTONE, INC.

	 UHS OF CORNERSTONE HOLDINGS, INC.

	 UHS OF D.C., INC.

	 UHS OF DELAWARE, INC.

	 UHS OF DENVER, INC.

	 UHS OF FAIRMOUNT, INC.

	 UHS OF FULLER, INC.

	 UHS OF GEORGIA, INC.

	 UHS OF GEORGIA HOLDINGS, INC.

			
	 UHS OF HAMPTON, INC.

	 UHS OF HARTGROVE, INC.

	 UHS OF LAKESIDE, LLC

	 UHS OF OKLAHOMA, INC.

	 UHS OF PARKWOOD, INC.

	 UHS OF PENNSYLVANIA, INC.

	 UHS OF PROVO CANYON, INC.

	 UHS OF PUERTO RICO, INC.

	 UHS OF RIVER PARISHES, INC.

	 UHS OF SPRING MOUNTAIN, INC.

	 UHS OF TEXOMA, INC.

	 UHS OF TIMBERLAWN, INC.

	 UHS OF TIMPANOGOS, INC.

	 UHS OF WESTWOOD PEMBROKE, INC.

	 UHS OF WYOMING, INC.

	 UHS SAHARA, INC.

	 UHS-CORONA, INC.

	 UNITED HEALTHCARE OF HARDIN, INC.

	 UNIVERSAL HEALTH SERVICES OF PALMDALE, INC.

	 UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS, INC.

	 VALLEY HOSPITAL MEDICAL CENTER, INC.

	 WELLINGTON REGIONAL MEDICAL CENTER, INCORPORATED

	 WISCONSIN AVENUE PSYCHIATRIC CENTER, INC.

		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

 
 

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 

	
	 ALLIANCE HEALTH CENTER, INC.

	 ALTERNATIVE BEHAVIORAL SERVICES, INC.

	 BENCHMARK BEHAVIORAL HEALTH SYSTEM, INC.

	 BHC ALHAMBRA HOSPITAL, INC.

	 BHC BELMONT PINES HOSPITAL, INC.

	 BHC FAIRFAX HOSPITAL, INC.

	 BHC FOX RUN HOSPITAL, INC.

	 BHC FREMONT HOSPITAL, INC.

	 BHC HEALTH SERVICES OF NEVADA, INC.

	 BHC HERITAGE OAKS HOSPITAL, INC.

	 BHC HOLDINGS, INC.

	 BHC INTERMOUNTAIN HOSPITAL, INC.

	 BHC MONTEVISTA HOSPITAL, INC.

	 BHC PINNACLE POINTE HOSPITAL, INC.

	 BHC SIERRA VISTA HOSPITAL, INC.

	 BHC STREAMWOOD HOSPITAL, INC.

	 BRENTWOOD ACQUISITION, INC.

	 BRENTWOOD ACQUISITION - SHREVEPORT, INC.

	 BRYNN MARR HOSPITAL, INC.

	 CANYON RIDGE HOSPITAL, INC.

	 CEDAR SPRINGS HOSPITAL, INC.

	 FIRST HOSPITAL CORPORATION OF VIRGINIA BEACH

	 FIRST HOSPITAL PAN AMERICANO, INC.

	 GREAT PLAINS HOSPITAL, INC.

	 H. C. CORPORATION

	 HARBOR POINT BEHAVIORAL HEALTH CENTER, INC.

	 HAVENWYCK HOSPITAL INC.

	 HHC AUGUSTA, INC.

	 HHC CONWAY INVESTMENT, INC.

	 HHC DELAWARE, INC.

	 HHC POPLAR SPRINGS, INC.

	 HHC RIVER PARK, INC.

	 HHC ST. SIMONS, INC.

	 HORIZON HEALTH CORPORATION

	 HSA HILL CREST CORPORATION

			
	 KIDS BEHAVIORAL HEALTH OF UTAH, INC.

	 LAUREL OAKS BEHAVIORAL HEALTH CENTER, INC.

	 MICHIGAN PSYCHIATRIC SERVICES, INC.

	 NORTH SPRING BEHAVIORAL HEALTHCARE, INC.

	 PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA, INC.

	 PREMIER BEHAVIORAL SOLUTIONS, INC.

	 PSYCHIATRIC SOLUTIONS, INC.

	 PSYCHIATRIC SOLUTIONS OF VIRGINIA, INC.

	 RAMSAY YOUTH SERVICES OF GEORGIA, INC.

	 RIVEREDGE HOSPITAL HOLDINGS, INC.

	 SPRINGFIELD HOSPITAL, INC.

	 SUMMIT OAKS HOSPITAL, INC.

	 TEXAS HOSPITAL HOLDINGS, INC.

	 WINDMOOR HEALTHCARE INC.

	 WINDMOOR HEALTHCARE OF PINELLAS PARK, INC.

		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

 
 

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	 AIKEN REGIONAL MEDICAL CENTERS, LLC

	 LA AMISTAD RESIDENTIAL TREATMENT CENTER, LLC

	 TENNESSEE CLINICAL SCHOOLS, LLC

	 TURNING POINT CARE CENTER, LLC

	 UHS OF BOWLING GREEN, LLC

	 UHS OF GREENVILLE, LLC

	 UHS OF RIDGE, LLC

	 UHS OF ROCKFORD, LLC

	 UHSD, LLC

		
	By:	 	Universal Health Services, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Senior Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	FORT DUNCAN MEDICAL CENTER, L.P.
		
	By:	 	Fort Duncan Medical Center, Inc.
	Its general partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President
		
	By:	 	UHS of Fairmount, Inc.
	Its limited partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	FRONTLINE HOSPITAL, LLC
	FRONTLINE RESIDENTIAL TREATMENT CENTER, LLC
		
	By:	 	Frontline Behavioral Health, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	KEYS GROUP HOLDINGS LLC
		
	By:	 	UHS Children Services, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	KEYSTONE/CCS PARTNERS LLC
		
	By:	 	Children’s Comprehensive Services, Inc.
	Its Minority Member
			
		 	By:	 	KEYS Group Holdings LLC
		 	Its Managing Member and sole member of the minority member
				
		 		 	By:	 	UHS Children Services, Inc.
		 		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
									
	KEYSTONE CONTINUUM, LLC
	KEYSTONE NPS LLC
	KEYSTONE RICHLAND CENTER, LLC
		
	By:	 	Keystone/CCS Partners LLC
	Its managing member
			
		 	By:	 	Children’s Comprehensive Services, Inc.
		 	Its minority member
				
		 		 	By:	 	KEYS Group Holdings LLC
		 		 	Its managing member and sole member of the minority member
					
		 		 		 	By:	 	UHS Children Services, Inc.
		 		 		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	KEYSTONE EDUCATION AND YOUTH SERVICES, LLC
		
	By:	 	KEYS Group Holdings LLC
	Its sole member
			
		 	By:	 	UHS Children Services, Inc.
		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	KEYSTONE MARION, LLC
	KEYSTONE MEMPHIS, LLC
	KEYSTONE NEWPORT NEWS, LLC
	KEYSTONE WSNC, L.L.C.
		
	By:	 	Keystone Education and Youth Services, LLC
	Its sole member
			
		 	By:	 	KEYS Group Holdings LLC
		 	Its sole member
				
		 		 	By:	 	UHS Children Services, Inc.
		 		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	MANATEE MEMORIAL HOSPITAL, L.P.
		
	By:	 	Wellington Regional Medical Center, Incorporated
	Its general partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President
		
	By:	 	UHS of Pennsylvania, Inc.
	Its limited partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	MCALLEN HOSPITALS, L.P.
		
	By:	 	McAllen Medical Center, Inc.
	Its general partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President
		
	By:	 	UHS of Georgia Holdings, Inc.
	Its limited partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	PENDLETON METHODIST HOSPITAL, L.L.C.
		
	By:	 	UHS of River Parishes, Inc.
	Its managing member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	UHS KENTUCKY HOLDINGS, L.L.C.
		
	By:	 	UHS of Delaware, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	UHS OF ANCHOR, L.P.
	UHS OF LAUREL HEIGHTS, L.P.
	UHS OF PEACHFORD, L.P.
		
	By:	 	UHS of Georgia, Inc.
	Its general partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President
		
	By:	 	UHS of Georgia Holdings, Inc.
	Its limited partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	UHS OF CENTENNIAL PEAKS, L.L.C.
		
	By:	 	UHS of Denver, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	UHS OF DOVER, L.L.C.
		
	By:	 	UHS of Rockford, LLC
	Its sole member
			
		 	By:	 	Universal Health Services, Inc.
		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Senior Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	UHS OF DOYLESTOWN, L.L.C.
		
	By:	 	UHS of Pennsylvania, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	UHS OF SALT LAKE CITY, L.L.C.
		
	By:	 	UHS of Provo Canyon, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	UHS OF SAVANNAH, L.L.C.
		
	By:	 	UHS of Georgia Holdings, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	UHS OKLAHOMA CITY LLC
	UHS OF SPRINGWOODS, L.L.C.
		
	By:	 	UHS of New Orleans, LLC
	Its sole member
			
		 	By:	 	UHS of Delaware, Inc.
		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	UHS OF SUMMITRIDGE, LLC
		
	By:	 	UHS of Peachford, L.P.
	Its managing member
			
		 	By:	 	UHS of Georgia, Inc.
		 	Its general partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	PSYCHIATRIC SOLUTIONS HOSPITALS, LLC
		
	By:	 	Psychiatric Solutions, Inc.
	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	KMI ACQUISITION, LLC
	ROLLING HILLS HOSPITAL, LLC
	PSJ ACQUISITION, LLC
	 SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC

TBD ACQUISITION, LLC

		
	By:	 	Psychiatric Solutions Hospitals, LLC
	Its Sole Member
			
		 	By:	 	Psychiatric Solutions, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	ATLANTIC SHORES HOSPITAL, L.L.C.
	EMERALD COAST BEHAVIORAL HOSPITAL, LLC
	OCALA BEHAVIORAL HEALTH, LLC
	PALMETTO BEHAVIORAL HEALTH HOLDINGS, LLC
		
	By:	 	Premier Behavioral Solutions, Inc.
	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	PALMETTO BEHAVIORAL HEALTH SYSTEM, L.L.C.
		
	By:	 	Palmetto Behavioral Health Holdings, LLC
	Its Sole Member
			
		 	By:	 	Premier Behavioral Solutions, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, L.L.C.
		
	By:	 	Palmetto Behavioral Health System, L.L.C.
	Its Sole Member
			
		 	By:	 	Palmetto Behavioral Health Holdings, LLC
		 	Its Sole Member
				
		 		 	By:	 	Premier Behavioral Solutions, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	RAMSAY MANAGED CARE, LLC
	SAMSON PROPERTIES, LLC
	TBJ BEHAVIORAL CENTER, LLC
	THREE RIVERS HEALTHCARE GROUP, LLC
	ZEUS ENDEAVORS, LLC
	WEKIVA SPRINGS CENTER, LLC
		
	By:	 	Premier Behavioral Solutions, Inc.
	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	SP BEHAVIORAL, LLC
	UNIVERSITY BEHAVIORAL, LLC
		
	By:	 	Ramsay Managed Care, LLC
	Its Sole Member
			
		 	By:	 	Premier Behavioral Solutions, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	THREE RIVERS BEHAVIORAL HEALTH, LLC
		
	By:	 	Three Rivers Healthcare Group, LLC
	Its Sole Member
			
		 	By:	 	Premier Behavioral Solutions, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	THE NATIONAL DEAF ACADEMY, LLC
		
	By:	 	Zeus Endeavors, LLC
	Its Sole Member
			
		 	By:	 	Premier Behavioral Solutions, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	WILLOW SPRINGS, LLC
		
	By:	 	BHC Health Services of Nevada, Inc.
	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	BHC PROPERTIES, LLC
		
	By:	 	Behavioral Healthcare LLC
	Its Sole Member
			
		 	By:	 	BHC Holdings, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	BHC MESILLA VALLEY HOSPITAL, LLC
		
	By:	 	BHC Properties, LLC
	Its Sole Member
			
		 	By:	 	Behavioral Healthcare LLC
		 	Its Sole Member
				
		 		 	By:	 	BHC Holdings, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	BHC NORTHWEST PSYCHIATRIC HOSPITAL, LLC
		
	By:	 	BHC Properties, LLC
	Its Sole Member
			
		 	By:	 	Behavioral Healthcare LLC
		 	Its Sole Member
				
		 		 	By:	 	BHC Holdings, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	HOLLY HILL HOSPITAL, LLC
		
	By:	 	Behavioral Healthcare LLC
	Its Sole Member
			
		 	By:	 	BHC Holdings, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	CUMBERLAND HOSPITAL PARTNERS, LLC
		
	By:	 	BHC Properties, LLC
	Its Sole Member
			
		 	By:	 	Behavioral Healthcare LLC
		 	Its Sole Member
				
		 		 	By:	 	BHC Holdings, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	CUMBERLAND HOSPITAL, LLC
		
	By:	 	Cumberland Hospital Partners, LLC
	Its Managing Member
		
	By:	 	BHC Properties, LLC
	Its Minority Member and Sole Member of the Managing Member
			
		 	By:	 	Behavioral Healthcare LLC
		 	Its Sole Member
				
		 		 	By:	 	BHC Holdings, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	COLUMBUS HOSPITAL PARTNERS, LLC
	 LEBANON HOSPITAL PARTNERS, LLC

NORTHERN INDIANA PARTNERS, LLC

	VALLE VISTA HOSPITAL PARTNERS, LLC
		
	By:	 	Behavioral Healthcare LLC
	Its Sole Member
			
		 	By:	 	BHC Holdings, Inc.
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
									
	VALLE VISTA, LLC
		
	By:	 	BHC of Indiana, General Partnership
	Its Sole Member
			
		 	By:	 	Columbus Hospital Partners, LLC
		 	Its General Partner
			
		 	By:	 	Lebanon Hospital Partners, LLC
		 	Its General Partner
			
		 	By:	 	Northern Indiana Partners, LLC
		 	Its General Partner
			
		 	By:	 	Valle Vista Hospital Partners, LLC
		 	Its General Partner
				
		 		 	By:	 	Behavioral Healthcare LLC
		 		 	The Sole Member of each of the above General Partners
					
		 		 		 	By:	 	BHC Holdings, Inc.
		 		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	WELLSTONE REGIONAL HOSPITAL ACQUISITION, LLC
		
	By:	 	Wellstone Holdings, Inc.
	Its Minority Member
			
		 	By:	 	Behavioral Healthcare LLC
		 	Its Managing Member and Sole Member of the Minority Member
				
		 		 	By:	 	BHC Holdings, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	BEHAVIORAL HEALTHCARE, LLC
		
	By:	 	BHC Holdings, Inc.
	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	HORIZON HEALTH HOSPITAL SERVICES, LLC
	HORIZON MENTAL HEALTH MANAGEMENT, LLC
	SUNSTONE BEHAVIORAL HEALTH, LLC
		
	By:	 	Horizon Health Corporation
	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	KINGWOOD PINES HOSPITAL, LLC
	 HHC PENNSYLVANIA, LLC
 TOLEDO
HOLDING CO., LLC

		
	By:	 	Horizon Health Hospital Services, LLC
	Its Sole Member
			
		 	By:	 	Horizon Health Corporation
		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	HICKORY TRAIL HOSPITAL, L.P.
	NEURO INSTITUTE OF AUSTIN, L.P.
	TEXAS CYPRESS CREEK HOSPITAL, L.P.
	TEXAS LAUREL RIDGE HOSPITAL, L.P.
	TEXAS OAKS PSYCHIATRIC HOSPITAL, L.P.
	TEXAS SAN MARCOS TREATMENT CENTER, L.P.
	TEXAS WEST OAKS HOSPITAL, L.P.
		
	By:	 	Texas Hospital Holdings, LLC
	Its General Partner
			
		 	By:	 	Psychiatric Solutions Hospitals, LLC
		 	Its Sole Member
				
		 		 	By:	 	Psychiatric Solutions, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President
		
	By:	 	Texas Hospital Holdings, Inc.
	Its Limited Partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	SHC-KPH, LP
		
	By:	 	HHC Kingwood Investment, LLC
	Its General Partner
		
	By:	 	Kingwood Pines Hospital, LLC
	Its Limited partner
			
		 	By:	 	Horizon Health Hospital Services, LLC
		 	The Sole Member of the above Limited and General Partner
				
		 		 	By:	 	Horizon Health Corporation
		 		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	H.C. PARTNERSHIP
		
	By:	 	H.C. Corporation
	Its General Partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President
		
	By:	 	HSA Hill Crest Corporation
	Its General Partner
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
							
	BHC OF INDIANA, GENERAL PARTNERSHIP
		
	By:	 	Columbus Hospital Partners, LLC
	Its General Partner
		
	By:	 	Lebanon Hospital Partners, LLC
	Its General Partner
		
	By:	 	Northern Indiana Partners, LLC
	Its General Partner
		
	By:	 	Valle Vista Hospital Partners, LLC
	Its General Partner
			
		 	By:	 	BHC Healthcare, LLC
		 	The Sole Member of each of the above General Partners
				
		 		 	By:	 	BHC Holdings, Inc.
		 		 	Its Sole Member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	SCHICK SHADEL OF FLORIDA, LLC
		
	By:	 	Horizon Health Hospital Services, LLC
		 	Its sole member
			
		 	By:	 	Horizon Health Corporation
		 	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	UHS OF NEW ORLEANS, LLC
	UHSL, LLC
		
	By:	 	UHS of Delaware, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Senior Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	INDEPENDENCE PHYSICIAN MANAGEMENT, LLC
		
	By:	 	UHS of Fairmount, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	BEHAVIORAL HEALTH MANAGEMENT, LLC
	BEHAVIORAL HEALTH REALTY, LLC
	CAT REALTY, LLC
	CAT SEATTLE, LLC
	PSYCHIATRIC REALTY, LLC
	SALT LAKE BEHAVIORAL HEALTH, LLC
	SALT LAKE PSYCHIATRIC REALTY, LLC
	UBH OF PHOENIX, LLC
	UBH OF PHOENIX REALTY, LLC
	UNIVERSITY BEHAVIORAL HEALTH OF EL PASO
		
	By:	 	Ascend Health Corporation
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
			
	GARFIELD PARK HOSPITAL, LLC
		
	By:	 	UHS of Hartgrove, Inc.
	Its sole member
		
	By:	 	 /s/ Steve Filton

	Name:	 	Steve Filton
	Title:	 	Vice President

  
 Signature Page to the
Amended and Restated Collateral Agreement 

 
					
	JPMORGAN CHASE BANK, N.A., AS
	ADMINISTRATIVE AGENT AND
	AUTHORIZED REPRESENTATIVE OF THE
	CREDIT AGREEMENT SECURED PARTIES
		
	By:	 	 /s/ Dawn Lee Lum

		 	Name:	 	Dawn Lee Lum
		 	Title:	 	Executive Director

  
 [Signature Page to the
Amended and Restated Collateral Agreement] 

 
					
	JPMORGAN CHASE BANK, N.A., AS
	COLLATERAL AGENT
		
	By:	 	 /s/ Dawn Lee Lum

		 	Name:	 	Dawn Lee Lum
		 	Title:	 	Executive Director

  
 [Signature Page to the
Amended and Restated Collateral Agreement] 

 
					
	THE BANK OF NEW YORK MELLON TRUST
	COMPANY, N.A., AS 2006 TRUSTEE AND
	AUTHORIZED REPRESENTATIVE FOR THE
	HOLDERS OF THE 7.125% SENIOR NOTES
		
	By:	 	 /s/ Lawrence Dillard

		 	Name:	 	Lawrence Dillard
		 	Title:	 	Vice President

  
 [Signature Page to the
Amended and Restated Collateral Agreement] 

 
					
	MUFG UNION BANK, N.A., AS 2014 TRUSTEE
	AND AUTHORIZED REPRESENTATIVE FOR
	THE HOLDERS OF THE 2019 SENIOR NOTES
	AND 2022 SENIOR NOTES
		
	By:	 	 /s/ Fernando Moreyra

		 	Name:	 	Fernando Moreyra
		 	Title:	 	Vice President

  
 [Signature Page to the
Amended and Restated Collateral Agreement] 

 Schedule 1 

NOTICE ADDRESSES OF GRANTORS 
 The address for
all Grantors is: 
 367 South Gulph Road 

King of Prussia, Pennsylvania 19406 

Attention: Cheryl K. Ramagano 

 Schedule 2 

DESCRIPTION OF INVESTMENT PROPERTY 
 Pledged
Stock: 
  

											
	 Issuer
	  	 Holder
	  	Stock
No.	 	  	No. of
Shares	 
	 2012 W. University Properties, LLC
	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 2026 W. University Properties, LLC
	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 ASC Property Management, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 ASC of Aiken, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 ASC of Brownsville, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 ASC of Corona, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 ASC of East New Orleans, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 ASC of Las Vegas, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 ASC of Louisiana, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 ASC of Midwest City, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 ASC of Palm Springs, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 ASC of Puerto Rico, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 ASC of Reno, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 ASC of St. George, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 ASC of Wellington, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	Aiken Regional Medical Centers, LLC	  	Borrower	  	 	2	  	  	 	200	  
	 Aiken Regional Receivables, L.L.C.
	  	Aiken Regional Medical Centers, LLC	  	 	N/A	  	  	 	—  	  
	 Alabama Clinical Schools, Inc.
	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	1000	  
	 Alicante School Elk Grove, LLC
	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	 Ambulatory Surgery Center of Temecula Valley, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 Arbour Elder Services, Inc.
	  	UHSL, L.L.C.	  	 	2	  	  	 	200	  
	Ascend Health Corporation	  	Borrower	  	 	1	  	  	 	1000	  
	Associated Child Care Educational Services, Inc.	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	300	  
	 Auburn Regional Medical Center, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 Beach 77 LP
	  	Ascend Health Corporation [99%]	  	 	N/A	  	  	 	—  	  

											
	Behavioral Health Management, LLC	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	Behavioral Health Realty, LLC	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 Braden River Internal Medicine Associates, LLC
	  	Manatee Memorial Hospital, L.P.	  	 	N/A	  	  	 	—  	  
	CAT Realty, LLC	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	CAT Seattle, LLC	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 CCS/Bay County, Inc.
	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	1000	  
	CCS/Lansing, Inc.	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	1000	  
	 CCS/Little Rock, Inc.
	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	1000	  
	 CCS/Meadow Pines, Inc.
	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	1000	  
	 Casa de Lago, L.L.C.
	  	Del Amo Hospital, Inc.	  	 	N/A	  	  	 	—  	  
	 Central Montgomery Medical Center, L.L.C.
	  	UHS of Pennsylvania, Inc.	  	 	N/A	  	  	 	—  	  
	 Chalmette Medical Center, Inc.
	  	UHS of Delaware, Inc.	  	 	1	  	  	 	1000	  
	Children’s Comprehensive Services, Inc.	  	KEYS Group Holdings LLC	  	 	1	  	  	 	7,126,444	  
	 Choate Health Management, Inc.
	  	UHSL, L.L.C.	  	 	2	  	  	 	200,000	  
	 Community Behavioral Health, L.L.C. [SJV]
	  	UHS of Lakeside, L.L.C. [50%]	  	 	N/A	  	  	 	—  	  
	 Comprehensive Occupational and Clinical Health, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 Cornerstone Hospital Management , LLC [SJV]
	  	UHS of Cornerstone, Inc. [50.5%]	  	 	N/A	  	  	 	—  	  
	 Cornerstone Regional Hospital, LP [SJV]
	  	UHS of Cornerstone Holdings, Inc. [50.1%]	  	 	N/A	  	  	 	—  	  
	 Corona Medical Offices, LLC
	  	UHS-Corona, Inc.	  	 	N/A	  	  	 	—  	  
	Del Amo Hospital, Inc.	  	Borrower	  	 	1	  	  	 	200	  
	 Diagnostics of Wellington, LLC
	  	Wellington Regional Medical Center, Incorporated	  	 	N/A	  	  	 	—  	  
	 District Hospital Partners, L.P. [SJV]
	  	UHS of D.C., Inc. [80%]	  	 	N/A	  	  	 	—  	  
	 Doctors’ Hospital of Shreveport, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 Edinburg Ambulatory Surgical Center, Inc.
	  	Borrower	  	 	2	  	  	 	1000	  
	 Edinburg Holdings, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 Edinburg MOB Properties, LLC
	  	McAllen Hospitals, L.P.	  	 	N/A	  	  	 	—  	  
	 Elmira NPS, LLC
	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	 Forest View Psychiatric Hospital, Inc.
	  	Borrower	  	 	1	  	  	 	200	  

											
	 Fort Duncan Medical Center, Inc.
	  	UHS of Delaware, Inc.	  	 	1	  	  	 	1000	  
	Fort Duncan Medical Center, L.P.	  	UHS of Fairmount, Inc. [99% LP]	  	 	N/A	  	  	 	—  	  
	 Fort Duncan Medical Receivables, L.L.C
	  	Fort Duncan Medical Center, L.P.	  	 	N/A	  	  	 	—  	  
	Frontline Behavioral Health, Inc.	  	UHS of Delaware, Inc.	  	 	1	  	  	 	1000	  
	 Frontline Children’s Hospital, L.L.C.
	  	Frontline Behavioral Health, Inc.	  	 	N/A	  	  	 	—  	  
	Frontline Hospital, LLC	  	Frontline Behavioral Health, Inc.	  	 	N/A	  	  	 	—  	  
	Frontline Residential Treatment Center, LLC	  	Frontline Behavioral Health, Inc.	  	 	N/A	  	  	 	—  	  
	Garfield Park Hospital, LLC	  	UHS of Hartgrove, Inc.	  	 	N/A	  	  	 	—  	  
	 Glen Oaks Hospital, Inc.
	  	Borrower	  	 	2	  	  	 	1000	  
	 Gulph Mills Insurance, Ltd.
	  	Borrower	  	 	N/A	  	  	 	—  	  
	 HRI Clinics, Inc.
	  	UHSL, L.L.C.	  	 	1	  	  	 	200	  
	 HRI Hospital, Inc.
	  	UHSL, L.L.C.	  	 	1	  	  	 	200	  
	 Health Care Finance & Construction Corp.
	  	Borrower	  	 	1	  	  	 	200	  
	 Independence Aiken, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Amarillo, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Corona, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Enid, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Denison, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Laredo, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Las Vegas, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Manatee, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence McAllen, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Palmdale, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Sparks, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	 Independence Wellington, LLC
	  	Independence Physician Management, LLC	  	 	N/A	  	  	 	—  	  
	Independence Physician Management, LLC	  	UHS of Fairmount, Inc.	  	 	N/A	  	  	 	—  	  

											
	 Island 77 LLC
	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	KEYS Group Holdings LLC	  	UHS Children Services, Inc.	  	 	N/A	  	  	 	—  	  
	 Keystone Charlotte LLC
	  	Keystone/CCS Partners LLC	  	 	N/A	  	  	 	—  	  
	Keystone Continuum, LLC	  	Keystone/CCS Partners LLC	  	 	N/A	  	  	 	—  	  
	 Keystone DJJ LLC
	  	Keystone/CCS Partners LLC	  	 	N/A	  	  	 	—  	  
	 Keystone Detention LLC
	  	Keystone/CCS Partners LLC	  	 	N/A	  	  	 	—  	  
	 Keystone Education Transportation, LLC
	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	Keystone Education and Youth Services, LLC	  	KEYS Group Holdings LLC	  	 	N/A	  	  	 	—  	  
	 Keystone JJAEP LLC
	  	Keystone/CCS Partners LLC	  	 	N/A	  	  	 	—  	  
	Keystone Marion, LLC	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	Keystone Memphis, LLC	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	Keystone NPS LLC	  	Keystone/CCS Partners LLC	  	 	N/A	  	  	 	—  	  
	Keystone Newport News, LLC	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	Keystone Richland Center LLC	  	Keystone/CCS Partners LLC	  	 	N/A	  	  	 	—  	  
	 Keystone Savannah, LLC
	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	Keystone WSNC, L.L.C.	  	Keystone Education and Youth Services, LLC	  	 	N/A	  	  	 	—  	  
	Keystone/CCS Partners LLC	  	 Children’s Comprehensive Services, Inc. [15%]

KEYS Group Holdings LLC [85%]
	  	 	N/A	  	  	 	—  	  
	La Amistad Residential Treatment Center, LLC	  	Borrower	  	 	N/A	  	  	 	—  	  
	 Lakewood Ranch Medical Group, LLC
	  	Manatee Memorial Hospital, L.P.	  	 	N/A	  	  	 	—  	  
	 Lakewood Ranch Neurology, LLC
	  	Manatee Memorial Hospital, L.P.	  	 	N/A	  	  	 	—  	  
	 Lakewood Ranch Therapy, Inc.
	  	UHS of Delaware, Inc.	  	 	1	  	  	 	1000	  
	Lancaster Hospital Corporation	  	Universal Health Services of Palmdale, Inc.	  	 	2	  	  	 	100	  
	 Lancaster Hospital Receivables, L.L.C
	  	Lancaster Hospital Corporation	  	 	N/A	  	  	 	—  	  
	 Laredo ASC, Inc.
	  	Borrower	  	 	1	  	  	 	1000	  
	 Laredo Holdings, Inc.
	  	Borrower	  	 	1	  	  	 	100	  
	 Laredo Regional, Inc.
	  	Borrower	  	 	1	  	  	 	100	  
	 Laredo Regional Medical Center, L.P. [SJV]
	  	UHS of Hampton, Inc. [79.3913%]	  	 	NA	  	  	 	—  	  
	Manatee Memorial Hospital, L.P.	  	 UHS of Pennsylvania, Inc. [70% LP]

Wellington Regional Medical Center, Incorporated [30% GP]
	  	 	N/A	  	  	 	—  	  

											
	 Manatee Memorial Receivables, L.L.C
	  	Manatee Memorial Hospital, L.P.	  	 	N/A	  	  	 	—  	  
	 Manatee Physician Alliance, LLC
	  	Manatee Memorial Hospital, L.P.	  	 	N/A	  	  	 	—  	  
	 Mayhill Behavioral Health, LLC
	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 Mayhill Behavioral Properties, LLC
	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 McAllen Heart Hospital, L.P.
	  	McAllen Medical Center, Inc. [1% GP]	  	 	N/A	  	  	 	—  	  
	 McAllen Holdings, Inc.
	  	McAllen Medical Center, Inc.	  	 	2	  	  	 	1000	  
	 McAllen Hospitals Receivables, L.L.C
	  	McAllen Hospitals, L.P.	  	 	N/A	  	  	 	—  	  
	 McAllen Hospitals, L.P.
	  	 McAllen Medical Center, Inc. [1%]

UHS of Georgia Holdings, Inc. [99%]
	  	 	N/A	  	  	 	—  	  
	 McAllen Medical Center, Inc.
	  	Borrower	  	 	2	  	  	 	1000	  
	 Merridell Achievement Center, Inc.
	  	Borrower	  	 	1	  	  	 	370	  
	 Merion Building Management, Inc.
	  	Borrower	  	 	1	  	  	 	200	  
	 Northern Nevada Diagnostic Imaging-Spanish Springs, L.L.C
	  	Sparks Family Hospital, Inc.	  	 	N/A	  	  	 	—  	  
	 Northwest Texas Healthcare Receivables, L.L.C
	  	Northwest Texas Healthcare System, Inc.	  	 	N/A	  	  	 	—  	  
	 Northwest Texas Healthcare System, Inc.
	  	Borrower	  	 	1	  	  	 	100	  
	 Northwest Texas Surgical Hospital, L.L.C. [SJV]
	  	Northwest Texas Healthcare System, Inc. [95%]	  	 	N/A	  	  	 	—  	  
	 Oak Plains Academy of Tennessee, Inc.
	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	1000	  
	 Oregon Psychiatric Realty, LLC
	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 Park Healthcare Company
	  	Southeastern Hospital Corporation	  	 	38	  	  	 	728,386	  
	 Pendleton Methodist Hospital, L.L.C.
	  	 UHS of River Parishes, Inc. [90%]

River Oaks, Inc. [10%]
	  	 	N/A	  	  	 	—  	  
	 Pennsylvania Clinical Schools, Inc.
	  	Children’s Comprehensive Services, Inc.	  	 	1	  	  	 	1000	  
	 Professional Probation Services, Inc.
	  	Borrower	  	 	1	  	  	 	500	  
	 Professional Surgery Corporation of Arkansas
	  	UHS of Delaware, Inc.	  	 	1	  	  	 	1000	  
	 Psychiatric Realty, LLC
	  	Ascend Health Corporation	  	 	N/A	  	  	 	—  	  
	 Radiation Oncology Center of Aiken, LLC [SJV]
	  	Aiken Regional Medical Centers, Inc. [95%]	  	 	N/A	  	  	 	—  	  
	 Rancho Springs Receivables, L.L.C
	  	Universal Health Services of Rancho Springs, Inc.	  	 	N/A	  	  	 	—  	  
	 Relational Therapy Clinic, Inc.
	  	UHS of Delaware, Inc.	  	 	1	  	  	 	200	  
	 Ridge Outpatient Counseling, L.L.C.
	  	UHS of Ridge, LLC	  	 	N/A	  	  	 	—  	  

											
	 River Crest Hospital, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 River Oaks, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	1000	  
	 RR Behavioral Realty LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 RR Recovery LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 Salt Lake Behavioral Health, LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 Salt Lake Psychiatric Realty, LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 Southeastern Hospital Corporation
	  	 UHS Kentucky Holdings, L.L.C.
	  	 	17	  	  	 	10,000	  
	 Southside Imaging Center, LLC
	  	 Aiken Regional Medical Centers, Inc.
	  	 	N/A	  	  	 	—  	  
	 Southwest Neuroscience Pain Center, LLP
	  	 Northwest Texas Healthcare System, Inc. [99% GP]

UHS of Delaware, Inc. [1% LP]
	  	 	N/A	  	  	 	—  	  
	 Southwest Outpatient Imaging Center, LLC
	  	Universal Health Services of Rancho Springs, Inc. [80%]	  	 	N/A	  	  	 	—  	  
	 Sparks Family Hospital Receivables, L.L.C
	  	 Sparks Family Hospital, Inc.
	  	 	N/A	  	  	 	—  	  
	 Sparks Family Hospital, Inc.
	  	 Borrower
	  	 	1	  	  	 	1,850	  
	 St. Louis Behavioral Medicine Institute, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	200	  
	 St. Mary’s Physician Associates, L.L.C
	  	 UHS of Oklahoma, Inc.
	  	 	N/A	  	  	 	—  	  
	 Stonington Behavioral Health, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Summerlin Hospital Medical Center, L.P. [SJV]
	  	 UHS Holding Company, Inc. [68.85%]
	  	 	N/A	  	  	 	—  	  
	 Temecula Valley Hospital, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Tennessee Clinical Schools, LLC
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 Texoma Healthcare System Receivables, L.L.C.
	  	 UHS of Texoma, Inc.
	  	 	N/A	  	  	 	—  	  
	 The Arbour, Inc.
	  	 UHSL, L.L.C.
	  	 	2	  	  	 	346	  
	 The Bridgeway, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	300	  
	 Trenton Street Corporation
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Turning Point Care Center, LLC
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 Two Rivers Psychiatric Hospital, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 UBH of Phoenix, LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 UBH of Phoenix Realty, LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 UBH of Oregon, LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 UBH Physicians
	  	 University Behavioral Health of El Paso, LLC
	  	 	N/A	  	  	 	—  	  

											
	 UHS Advisory, Inc.
	  	 UHS Holding Company, Inc.
	  	 	1	  	  	 	200	  
	 UHS Building Solutions, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS Children Services, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS Front Royal, L.L.C.
	  	 UHS Children Services, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS Good Samaritan, L.L.C.
	  	 Frontline Behavioral Health, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS Holding Company, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 UHS International, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS Kentucky Holdings, L.L.C.
	  	 Turning Point Care Center, LLC
	  	 	N/A	  	  	 	—  	  
	 UHS Midwest Center for Youth and Families, LLC
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 UHS Oklahoma City LLC
	  	 UHS of New Orleans, LLC
	  	 	N/A	  	  	 	—  	  
	 UHS Receivables Corp.
	  	 Borrower
	  	 	2	  	  	 	200	  
	 UHS Sahara, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS Surgical Hospital of Texoma, LLC
	  	 UHS of Texoma, Inc,
	  	 	N/A	  	  	 	—  	  
	 UHS of Anchor, L.P.
	  	 UHS of Georgia Holdings, Inc. [99%]

UHS of Georgia, Inc. [1%]
	  	 	N/A	  	  	 	—  	  
	 UHS of Barstow, L.L.C.
	  	 Keystone Education and Youth Services, LLC
	  	 	N/A	  	  	 	—  	  
	 UHS of Benton Day School and Treatment Program, Inc.
	  	 Borrower
	  	 	2	  	  	 	1000	  
	 UHS of Benton, Inc.
	  	 Borrower
	  	 	2	  	  	 	1000	  
	 UHS of Bowling Green, LLC
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 UHS of Centennial Peaks, L.L.C.
	  	 UHS of Denver, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of Colorado, L.L.C.
	  	 UHS of Delaware, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of Cornerstone Holdings, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Cornerstone, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of D.C., Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 UHS of Delaware, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Denver, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Dover, L.L.C.
	  	 UHS of Rockford, LLC
	  	 	N/A	  	  	 	—  	  
	 UHS of Doylestown, L.L.C.
	  	 UHS of Pennsylvania, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of Eagle Pass, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	1000	  
	 UHS of Fairmount, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Fuller, Inc.
	  	 UHSL, L.L.C.
	  	 	2	  	  	 	200	  
	 UHS of Georgia Holdings, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Georgia, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Greenville, LLC
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 UHS of Hampton Learning Center, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	200	  
	 UHS of Hampton, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	200	  
	 UHS of Hartgrove, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	200	  

											
	 UHS of Indiana, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 UHS of Kootenai River, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Lakeside, LLC
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 UHS of Lakewood Ranch, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Laurel Heights, L.P.
	  	 UHS of Georgia Holdings, Inc. [99%]

UHS of Georgia, Inc. [1%]
	  	 	N/A	  	  	 	—  	  
	 UHS of New Orleans, LLC
	  	 UHS of Delaware, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of No. Nevada, LLC
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 UHS of Odessa, Inc.
	  	 Borrower
	  	 	2	  	  	 	200	  
	 UHS of Oklahoma Receivables, L.L.C
	  	 UHS of Oklahoma, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of Oklahoma, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	1000	  
	 UHS of Parkwood, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Peachford, L.P.
	  	 UHS of Georgia Holdings, Inc. [99%]

UHS of Georgia, Inc. [1%]
	  	 	N/A	  	  	 	—  	  
	 UHS of Pennsylvania, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 UHS of Provo Canyon, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Puerto Rico, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	200	  
	 UHS of Ridge, LLC
	  	 UHS of Doylestown, L.L.C.
	  	 	N/A	  	  	 	—  	  
	 UHS of River Parishes, Inc.
	  	 UHS of Delaware, Inc.
	  	 	1	  	  	 	1000	  
	 UHS of Rockford, LLC
	  	 UHS of Ridge, LLC
	  	 	N/A	  	  	 	—  	  
	 UHS of Salt Lake City, L.L.C
	  	 UHS of Provo Canyon, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of Savannah, L.L.C.
	  	 UHS of Georgia Holdings, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of Spring Mountain, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Springwoods, L.L.C.
	  	 UHS of New Orleans, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS of SummitRidge, L.L.C.
	  	 UHS of Georgia Holdings, Inc. [99%]

UHS of Georgia, Inc. [1%]
	  	 	N/A	  	  	 	—  	  
	 UHS of Sutton, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of TRC, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Talbot, L.P.
	  	 UHS of Georgia Holdings, Inc. [99%]

UHS of Georgia, Inc. [1%]
	  	 	N/A	  	  	 	—  	  
	 UHS of Texoma, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Timberlawn, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 UHS of Timpanogos, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Waltham, Inc.
	  	 Borrower
	  	 	1; 2	  	  	 	200; 500	  
	 UHS of Washington, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS of Westwood Pembroke, Inc.
	  	 UHSD, L.L.C.
	  	 	2	  	  	 	1000	  
	 UHS of Wyoming, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 UHS-Corona Receivables, L.L.C
	  	 UHS-Corona, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHS-Corona, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 UHS-Lakeland Medical Center, L.L.C.
	  	 UHS of River Parishes, Inc.
	  	 	N/A	  	  	 	—  	  
	 UHSD, L.L.C
	  	 Borrower
	  	 	N/A	  	  	 	—  	  
	 UHSF, L.L.C
	  	 Borrower
	  	 	N/A	  	  	 	—  	  

											
	 UHSL, L.L.C
	  	 UHS of Delaware, Inc.
	  	 	N/A	  	  	 	—  	  
	 United Healthcare of Hardin, Inc.
	  	 Park Healthcare Company
	  	 	1	  	  	 	1600	  
	 Universal Community Behavioral Health, Inc.
	  	 UHS of Pennsylvania, Inc.
	  	 	1	  	  	 	200	  
	 Universal HMO, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Universal Health Network, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 Universal Health Recovery Centers, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 Universal Health Services of Cedar Hill, Inc.
	  	 Borrower
	  	 	1	  	  	 	100	  
	 Universal Health Services of Palmdale, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Universal Health Services of Rancho Springs, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Universal Treatment Centers, Inc.
	  	 Borrower
	  	 	1	  	  	 	200	  
	 University Behavioral Health of El Paso, LLC
	  	 Ascend Health Corporation
	  	 	N/A	  	  	 	—  	  
	 Valley Health System, LLC [SJV]
	  	 Valley Hospital Medical Center, Inc. [72.5%]
	  	 	N/A	  	  	 	—  	  
	 Valley Hospital Medical Center, Inc.
	  	 UHS Holding Company, Inc.
	  	 	1	  	  	 	200	  
	 Ventures Healthcare of Gainesville, Inc.
	  	 Children’s Comprehensive Services, Inc.
	  	 	1	  	  	 	1000	  
	 Victoria Regional Medical Center, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Vista Diagnostic Center, L.L.C.
	  	 Sparks Family Hospital, Inc.
	  	 	N/A	  	  	 	—  	  
	 Wellington Radiation Oncology Group, LLC
	  	 Wellington Regional Medical Center, Incorporated
	  	 	N/A	  	  	 	—  	  
	 Wellington Regional Diagnostic Center, L.L.C.
	  	 Wellington Regional Medical Center, Incorporated
	  	 	N/A	  	  	 	—  	  
	 Wellington Regional Medical Center, Incorporated
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Wellington Regional Receivables, L.L.C
	  	 Wellington Regional Medical Center, Incorporated
	  	 	N/A	  	  	 	—  	  
	 Wellington Regional Urgent Care Center, L.L.C
	  	 Wellington Regional Medical Center, Incorporated
	  	 	N/A	  	  	 	—  	  
	 Wisconsin Avenue Psychiatric Center, Inc.
	  	 UHS of Delaware, Inc.
	  	 	4	  	  	 	999.9	  
				
	 ABS LINCS DC, LLC
	  	 Alternative Behavioral Services, Inc.
	  	 	N/A	  	  	 	—  	  
	 ABS LINCS KY, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	3	  	  	 	1000	  
	 ABS LINCS NJ, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	1	  	  	 	1000	  
	 ABS LINCS PA, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	2	  	  	 	1000	  
	 ABS LINCS SC, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	5000	  

											
	 ABS LINCS TN, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	3	  	  	 	1000	  
	 ABS LINCS TX, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	2	  	  	 	1000	  
	 ABS LINCS VA, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	1500	  
	 ABS LINCS, LLC
	  	 Alternative Behavioral Services, Inc.
	  	 	N/A	  	  	 	—  	  
	 ABS-First Step, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	100	  
	 Alliance Crossings, LLC
	  	 Alliance Healthy Center, Inc.
	  	 	N/A	  	  	 	—  	  
	 Alliance Health Center, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	51	  	  	 	100,588	  
	 Alternative Behavioral Services, Inc.
	  	 Psychiatric Solutions, Inc.
	  	 	3	  	  	 	1000	  
	 Arrowhead Behavioral Health, LLC [SJV]
	  	 Toledo Holding Co., LLC [70%]
	  	 	N/A	  	  	 	—  	  
	 Atlantic Shores Hospital, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Behavioral Educational Services, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	3	  	  	 	1000	  
	 Behavioral Healthcare LLC
	  	 BHC Holdings, Inc.
	  	 	N/A	  	  	 	—  	  
	 Benchmark Behavioral Health System, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	5	  	  	 	90	  
	 BHC Alhambra Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Belmont Pines Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Cedar Vista Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Fairfax Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	3	  	  	 	1000	  
	 BHC Fort Lauderdale Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	3	  	  	 	1000	  
	 BHC Fox Run Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Fremont Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Health Services of Nevada, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Heritage Oaks Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Holdings, Inc.
	  	 Psychiatric Solutions, Inc.
	  	 	3	  	  	 	1000	  
	 BHC Intermountain Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Management Services of Louisiana, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  
	 BHC Management Services of Streamwood, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  
	 BHC Mesilla Valley Hospital, LLC
	  	 BHC Properties, LLC
	  	 	N/A	  	  	 	—  	  
	 BHC Montevista Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Northwest Psychiatric Hospital, LLC
	  	 BHC Properties, LLC
	  	 	N/A	  	  	 	—  	  
	 BHC of Indiana, General Partnership
	  	 Columbus Hospital Partners, LLC [19%]

Lebanon Hospital Partners, LLC [13%]
	  	 	N/A	  	  	 	—  	  

											
		  	 Northern Indiana Partners, LLC [5%]

Valle Vista Hospital Partners, LLC [63%]
	  				  	 	—  	  
	 BHC Pinnacle Pointe Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Properties, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  
	 BHC Sierra Vista Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Spirit of St. Louis Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 BHC Streamwood Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	4	  	  	 	1000	  
	 Bloomington Meadows, General Partnership
	  	 BHC of Indiana, General Partnership [99%]

Indiana Psychiatric Institutes, LLC [1%]
	  	 	N/A	  	  	 	—  	  
	 Brentwood Acquisition, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Brentwood Acquisition-Shreveport, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	3	  	  	 	1000	  
	 Brynn Marr Hospital, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	8	  	  	 	2	  
	 By the Sea Physician Practice, LLC
	  	 Horizon Health Hospital Services, LLC
	  	 	N/A	  	  	 	—  	  
	 Calvary Center, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Canyon Ridge Hospital, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Canyon Ridge Real Estate, LLC
	  	 Canyon Ridge Hospital, Inc.
	  	 	N/A	  	  	 	—  	  
	 Cedar Springs Hospital Real Estate, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Cedar Springs Hospital, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Centennial Peaks Hospital, L.L.C.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Children’s Hospital of Vicksburg, L.L.C.
	  	 Brentwood Acquisition, Inc.
	  	 	N/A	  	  	 	—  	  
	 Children’s Treatment Solutions, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Collaborative Care LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Columbus Hospital Partners, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  
	 Columbus Hospital, LLC
	  	 BHC of Indiana, General Partnership
	  	 	N/A	  	  	 	—  	  
	 Crawford First Education, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	3	  	  	 	100	  
	 Cumberland Hospital Partners, LLC
	  	 BHC Properties, LLC
	  	 	N/A	  	  	 	—  	  
	 Cumberland Hospital, LLC
	  	 BHC Properties, LLC[40%]

Cumberland Hospital Partners, LLC [60%]
	  	 	N/A	  	  	 	—  	  
	 Cypress Creek Real Estate, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 Delaware Investment Associates, LLC
	  	 HHC Delaware, Inc.
	  	 	N/A	  	  	 	—  	  

											
	 Diamond Grove Center, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Emerald Coast Behavioral Hospital, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 FHCHS of Puerto Rico, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	15	  
	 First Hospital Corporation of Nashville
	  	 Alternative Behavioral Services, Inc.
	  	 	2	  	  	 	1000	  
	 First Hospital Corporation of Virginia Beach
	  	 Alternative Behavioral Services, Inc.
	  	 	3	  	  	 	100	  
	 First Hospital Panamericano, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	100	  
	 Fort Lauderdale Hospital, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	1	  	  	 	1000	  
	 Friends Behavioral Health System, L.P. [SJV]
	  	 HHC Pennsylvania, LLC [79.92%]
	  	 	N/A	  	  	 	—  	  
	 Friends GP, LLC [SJV]
	  	 HHC Pennsylvania, LLC [80%]
	  	 	4	  	  	 	80	% 
	 Great Plains Hospital, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	7	  	  	 	100	  
	 Gulf Coast Treatment Center, Inc.
	  	 Premier Behavioral Solutions of Florida, Inc.
	  	 	8	  	  	 	9	  
	 H. C. Corporation
	  	 Premier Behavioral Solutions, Inc.
	  	 	5	  	  	 	1000	  
	 H. C. Partnership
	  	 H.C. Corporation [GP]

HAS Hill Crest Corporation [GP]
	  	 	N/A	  	  	 	—  	  
	 Harbor Point Behavioral Health Center, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	100	  
	 Havenwyck Hospital Inc.
	  	 Michigan Psychiatric Services, Inc.
	  	 	9	  	  	 	1000	  
	 HHC Augusta, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHC Berkeley, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHC Conway Investment, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHC Cooper City, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHC Delaware, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHC Indiana, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	3	  	  	 	1000	  
	 HHC Kingwood Investment, LLC
	  	 Horizon Health Hospital Services, LLC
	  	 	N/A	  	  	 	—  	  
	 HHC Oconee, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHC Ohio, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	3	  	  	 	1000	  
	 HHC Pennsylvania, LLC
	  	 Horizon Health Hospital Services, LLC
	  	 	N/A	  	  	 	—  	  
	 HHC Poplar Springs, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	3	  	  	 	1000	  
	 HHC River Park, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	3	  	  	 	1000	  
	 HHC Services, LLC
	  	 Horizon Health Corporation
	  	 	N/A	  	  	 	—  	  
	 HHC South Carolina, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHC St. Simons, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	2	  	  	 	1000	  
	 HHMC Partners, Inc.
	  	 Horizon Mental Health Management, LLC
	  	 	3	  	  	 	1000	  
	 Hickory Trail Hospital, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 High Plains Behavioral Health, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 HMHM of Tennessee, LLC
	  	 Horizon Mental Health Management, LLC
	  	 	N/A	  	  	 	—  	  

											
	 Holly Hill Hospital, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  
	 Holly Hill Real Estate, LLC
	  	 Holly Hill Hospital, LLC
	  	 	N/A	  	  	 	—  	  
	 Horizon Health Austin, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	3	  	  	 	1000	  
	 Horizon Health Corporation
	  	 Psychiatric Solutions, Inc.
	  	 	1A	  	  	 	1	  
	 Horizon Health Hospital Services, LLC
	  	 Horizon Health Corporation
	  	 	N/A	  	  	 	—  	  
	 Horizon Health Physical Rehabilitation Services, LLC
	  	 Horizon Health Corporation
	  	 	N/A	  	  	 	—  	  
	 Horizon Mental Health Management, LLC
	  	 Horizon Health Corporation
	  	 	N/A	  	  	 	—  	  
	 HSA Hill Crest Corporation
	  	 Premier Behavioral Solutions, Inc.
	  	 	6	  	  	 	1000	  
	 HSA of Oklahoma, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	4	  	  	 	500	  
	 Hughes Center, LLC
	  	 Alternative Behavioral Services, Inc.
	  	 	N/A	  	  	 	—  	  
	 Indiana Psychiatric Institutes, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  
	 InfoScriber Corporation
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	6	  	  	 	10000000	  
	 Integrated Healthcare Systems Corp.
	  	 Behavioral Healthcare LLC
	  	 	6	  	  	 	6500	  
	 Kids Behavioral Health of Utah, Inc.
	  	 Horizon Health Hospital Services, LLC
	  	 	4	  	  	 	1000	  
	 Kingwood Pines Hospital, LLC
	  	 Horizon Health Hospital Services, LLC
	  	 	N/A	  	  	 	—  	  
	 KMI Acquisition, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Kolburne School, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Lakeland Behavioral, LLC
	  	 Ramsay Managed Care, LLC
	  	 	N/A	  	  	 	—  	  
	 Laurel Oaks Behavioral Health Center, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	5	  	  	 	1000	  
	 Lebanon Hospital Partners, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  
	 Liberty Point Behavioral Healthcare LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Mental Health Outcomes, LLC
	  	 Horizon Mental Health Management, LLC
	  	 	N/A	  	  	 	—  	  
	 Mesilla Valley Hospital, Inc.
	  	 Behavioral Healthcare LLC
	  	 	18	  	  	 	37397.3	  
	 Mesilla Valley Mental Health Associates, Inc.
	  	 Behavioral Healthcare LLC
	  	 	25	  	  	 	10875	  
	 Michigan Psychiatric Services, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	45	  	  	 	1000	  
	 Millwood Hospital, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 Mission Vista Behavioral Health Services, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	4	  	  	 	1000	  
	 Nashville Rehab, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Neuro Institute of Austin, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 North Spring Behavioral Healthcare, Inc.
	  	 Psychiatric Solutions of Virginia, Inc.
	  	 	3	  	  	 	1000	  
	 Northern Indiana Partners, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  

											
	 Ocala Behavioral Health, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Palmetto Behavioral Health Holdings, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Palmetto Behavioral Health Solutions, LLC
	  	 Palmetto Behavioral Health System, LLC
	  	 	N/A	  	  	 	—  	  
	 Palmetto Behavioral Health System, L.L.C.
	  	 Palmetto Behavioral Health Holdings, LLC
	  	 	N/A	  	  	 	—  	  
	 Palmetto Lowcountry Behavioral Health, L.L.C.
	  	 Palmetto Behavioral Health System, LLC
	  	 	N/A	  	  	 	—  	  
	 Palmetto Pee Dee Behavioral Health, L.L.C.
	  	 Palmetto Behavioral Health System, LLC
	  	 	N/A	  	  	 	—  	  
	 Peak Behavioral Health Services, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Premier Behavioral Solutions of Florida, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	4	  	  	 	1000	  
	 Premier Behavioral Solutions, Inc.
	  	 Psychiatric Solutions, Inc.
	  	 	2	  	  	 	1000	  
	 Pride Institute, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 PSI Surety, Inc.
	  	 Borrower
	  	 	3	  	  	 	1000	  
	 PSJ Acquisition, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Psychiatric Management Resources, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	20	  	  	 	100000	  
	 Psychiatric Solutions, Inc.
	  	 Borrower
	  	 	1	  	  	 	1000	  
	 Psychiatric Solutions Hospitals, LLC
	  	 Psychiatric Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Psychiatric Solutions of Virginia, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	3	  	  	 	1000	  
	 PsychManagement Group, Inc.
	  	 Horizon Mental Health Management, LLC
	  	 	5	  	  	 	1000	  
	 Ramsay Managed Care, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Ramsay Youth Services of Georgia, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	3	  	  	 	100	  
	 Ramsay Youth Services Puerto Rico, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	4	  	  	 	35	  
	 Red Rock Solutions, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Riveredge Hospital Holdings, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	17	  	  	 	1000	  
	 Riveredge Hospital, Inc.
	  	 Riveredge Hospital Holdings, Inc.
	  	 	3	  	  	 	1000	  
	 Riveredge Real Estate, Inc.
	  	 Riveredge Hospital Holdings, Inc.
	  	 	2	  	  	 	1000	  
	 Rockford Acquisition Sub, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Rolling Hills Hospital, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Samson Properties, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Schick Shadel of Florida, LLC
	  	 Horizon Health Hospital Services, LLC
	  	 	N/A	  	  	 	—  	  
	 Servicios Conductuales del Caribe, Inc.
	  	 First Hospital Panamericano, Inc.
	  	 	3	  	  	 	1000	  

											
	 Shadow Mountain Behavioral Health System, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 SHC-KPH, LP
	  	 Kingwood Pines Hospital, LLC [99.9% LP]
	  	 	N/A	  	  	 	—  	  
	 Somerset, Incorporated
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	300	  
	 SP Behavioral, LLC
	  	 Ramsay Managed Care, LLC
	  	 	N/A	  	  	 	—  	  
	 Springfield Hospital, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	1	  	  	 	1000	  
	 Summit Oaks Hospital, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Sunstone Behavioral Health, LLC
	  	 Horizon Health Corporation
	  	 	N/A	  	  	 	—  	  
	 TBD Acquisition, LLC
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 TBJ Behavioral Center, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Texas Cypress Creek Hospital, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 Texas Hospital Holdings, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 Texas Hospital Holdings, LLC
	  	 Texas Hospital Holdings, Inc.
	  	 	N/A	  	  	 	—  	  
	 Texas Laurel Ridge Hospital, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 Texas Oaks Psychiatric Hospital, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 Texas San Marcos Treatment Center, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 Texas West Oaks Hospital, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 The Counseling Center of Middle Tennessee, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	6	  	  	 	100	  
	 The National Deaf Academy, LLC
	  	 Zeus Endeavors, LLC
	  	 	N/A	  	  	 	—  	  
	 The Pines Residential Treatment Center, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	3	  	  	 	100	  
	 Therapeutic School Services, L.L.C.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	N/A	  	  	 	—  	  
	 Three Rivers Behavioral Health, LLC
	  	 Three Rivers Healthcare Group, LLC
	  	 	N/A	  	  	 	—  	  
	 Three Rivers Healthcare Group, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Three Rivers Residential Treatment/Midlands Campus, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	1000	  
	 Three Rivers SPE Holding, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Three Rivers SPE Manager, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	5	  	  	 	100	  
	 Toledo Holding Co., LLC
	  	 Horizon Health Hospital Services, LLC
	  	 	N/A	  	  	 	—  	  
	 Transitional Care Ventures, Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	6	  	  	 	100	  
	 Tucson Health Systems, Inc.
	  	 Psychiatric Solutions Hospitals, LLC
	  	 	2	  	  	 	1000	  
	 University Behavioral, LLC
	  	 Ramsay Managed Care, LLC
	  	 	N/A	  	  	 	—  	  
	 Valle Vista Hospital Partners, LLC
	  	 Behavioral Healthcare LLC
	  	 	N/A	  	  	 	—  	  

											
	 Valle Vista, LLC
	  	 BHC of Indiana, General Partnership
	  	 	N/A	  	  	 	—  	  
	 Virgin Islands Behavioral Services, Inc.
	  	 Alternative Behavioral Services, Inc.
	  	 	4	  	  	 	1000	  
	 Wekiva Springs Center, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  
	 Wellstone Holdings, Inc.
	  	 Behavioral Healthcare LLC
	  	 	1	  	  	 	1000	  
	 Wellstone Regional Hospital Acquisition, LLC
	  	 Behavioral Healthcare LLC [99%]
	  	 	N/A	  	  	 	—  	  
	 West Oaks Real Estate, L.P.
	  	 Texas Hospital Holdings, Inc. [99% LP]
	  	 	N/A	  	  	 	—  	  
	 Willow Springs, LLC
	  	 BHC Health Services of Nevada, Inc.
	  	 	N/A	  	  	 	—  	  
	 Windmoor Healthcare Inc.
	  	 Premier Behavioral Solutions, Inc.
	  	 	3	  	  	 	510	  
	 Windmoor Healthcare of Pinellas Park, Inc.
	  	 Windmoor Healthcare Inc.
	  	 	2	  	  	 	1000	  
	 Zeus Endeavors, LLC
	  	 Premier Behavioral Solutions, Inc.
	  	 	N/A	  	  	 	—  	  

 Pledged Notes: 
  

	 	1.	Subordinated Note dated August 31, 2010, issued by Aiken Regional Receivables, L.L.C. to Aiken Regional Medical Centers, Inc.; 

  

	 	2.	Subordinated Note dated August 31, 2010, issued by Fort Duncan Medical Receivables, L.L.C. to Fort Duncan Medical Center, L.P.; 

 

	 	3.	Subordinated Note dated August 31, 2010, issued by Lancaster Hospital Receivables, L.L.C. to Lancaster Hospital Corporation; 

  

	 	4.	Subordinated Note dated August 31, 2010, issued by Manatee Memorial Receivables, L.L.C. to Manatee Memorial Hospital, L.P.; 

  

	 	5.	Subordinated Note dated August 31, 2010, issued by McAllen Hospitals Receivables, L.L.C. to McAllen Hospitals, L.P; 

  

	 	6.	Subordinated Note dated August 31, 2010, issued by Northwest Texas Healthcare Receivables, L.L.C. to Northwest Texas Healthcare System, Inc.; 

 

	 	7.	Subordinated Note dated August 31, 2010, issued by Sparks Family Hospital Receivables, L.L.C. to Sparks Family Hospital, Inc.; 

  

	 	8.	Subordinated Note dated October 27, 2010, issued by Texoma Healthcare System Receivables, L.L.C. to UHS of Texoma, Inc.; 

  

	 	9.	Subordinated Note dated August 31, 2010, issued by UHS of Oklahoma Receivables, L.L.C. to UHS of Oklahoma, Inc.; 

  

	 	10.	Subordinated Note dated August 31, 2010, issued by UHS-Corona Receivables, L.L.C. to UHS-Corona, Inc.; 

	 	11.	Subordinated Note dated August 31, 2010, issued by Rancho Springs Receivables, L.L.C. to Universal Health Services of Rancho Springs, Inc.; 

 

	 	12.	Subordinated Note dated August 31, 2010, issued by Wellington Regional Receivables, L.L.C. to Wellington Regional Medical Center, Incorporated; and 

 

	 	13.	Subordinated Note dated October 25, 2013, issued by Temecula Valley Hospital Receivables, L.L.C. to Temecula Valley Hospital, Inc. 

The aggregate principal amount of each such Note at any time shall be equal to the difference between (a) the sum of the aggregate
principal amount of such Note on the date of the issuance hereof and each addition to such principal amount pursuant to the terms of Section 1.3 of the applicable Receivable Sale Agreement minus (b) the aggregate amount of all payments
made in respect of the principal amount of such Note. 

 Schedule 3 

FILINGS AND OTHER ACTIONS 

REQUIRED TO PERFECT SECURITY INTERESTS 

Uniform Commercial Code Filings 
  

					
	 	 	 Grantor
	  	 Applicable Filing Office In:

	1.	 	Aiken Regional Medical Centers, LLC	  	South Carolina
	2.	 	Ascend Health Corporation	  	Delaware
	3.	 	Associated Child Care Educational Services Inc.	  	California
	4.	 	Behavioral Health Management, LLC	  	Delaware
	5.	 	Behavioral Health Realty, LLC	  	Delaware
	6.	 	CAT Realty, LLC	  	Delaware
	7.	 	CAT Seattle, LLC	  	Delaware
	8.	 	CCS/Lansing, Inc.	  	Michigan
	9.	 	Children’s Comprehensive Services, Inc.	  	Tennessee
	10.	 	Del Amo Hospital, Inc.	  	California
	11.	 	Fort Duncan Medical Center, L.P.	  	Delaware
	12.	 	Frontline Behavioral Health, Inc.	  	Delaware
	13.	 	Frontline Hospital, LLC	  	Delaware
	14.	 	Frontline Residential Treatment Center, LLC	  	Delaware
	15.	 	Garfield Park Hospital, LLC	  	Illinois
	16.	 	Independence Physician Management, LLC	  	Delaware
	17.	 	KEYS Group Holdings LLC	  	Delaware
	18.	 	Keystone/CCS Partners LLC	  	Delaware
	19.	 	Keystone Continuum, LLC	  	Tennessee
	20.	 	Keystone Education and Youth Services, LLC	  	Tennessee
	21.	 	Keystone Marion, LLC	  	Virginia
	22.	 	Keystone Memphis, LLC	  	Tennessee
	23.	 	Keystone Newport News, LLC	  	Virginia
	24.	 	Keystone NPS LLC	  	California
	25.	 	Keystone Richland Center LLC	  	Ohio
	26.	 	Keystone WSNC, L.L.C.	  	North Carolina
	27.	 	La Amistad Residential Treatment Center, LLC	  	Florida
	28.	 	Lancaster Hospital Corporation	  	California
	29.	 	Manatee Memorial Hospital, L.P.	  	Delaware
	30.	 	McAllen Hospitals, L.P.	  	Delaware
	31.	 	McAllen Medical Center, Inc.	  	Delaware

					
	32.	 	Merion Building Management, Inc.	  	Delaware
	33.	 	Merridell Achievement Center, Inc.	  	Texas
	34.	 	Northwest Texas Healthcare System, Inc.	  	Texas
	35.	 	Oak Plains Academy of Tennessee, Inc.	  	Tennessee
	36.	 	Park Healthcare Company	  	Tennessee
	37.	 	Pendleton Methodist Hospital, L.L.C.	  	Delaware
	38.	 	Pennsylvania Clinical Schools, Inc.	  	Pennsylvania
	39.	 	Psychiatric Realty, LLC	  	Delaware
	40.	 	River Oaks, Inc.	  	Louisiana
	41.	 	Salt Lake Behavioral Health, LLC	  	Delaware
	42.	 	Salt Lake Psychiatric Realty, LLC	  	Delaware
	43.	 	Southeastern Hospital Corporation	  	Tennessee
	44.	 	Sparks Family Hospital, Inc.	  	Nevada
	45.	 	Stonington Behavioral Health, Inc.	  	Delaware
	46.	 	Temecula Valley Hospital, Inc.ß	  	California
	47.	 	Tennessee Clinical Schools, LLC	  	Tennessee
	48.	 	Texas Oaks Psychiatric Hospital, L.P.	  	Texas
	49.	 	The Arbour, Inc.	  	Massachusetts
	50.	 	The Bridgeway, Inc.	  	Arkansas
	51.	 	Turning Point Care Center, LLC	  	Georgia
	52.	 	Two Rivers Psychiatric Hospital, Inc.	  	Delaware
	53.	 	UBH of Phoenix, LLC	  	Delaware
	54.	 	UBH of Phoenix Realty, LLC	  	Delaware
	55.	 	UHS Children Services, Inc.	  	Delaware
	56.	 	UHS Holding Company, Inc.	  	Nevada
	57.	 	UHS Kentucky Holdings, L.L.C.	  	Delaware
	58.	 	UHS of Anchor, L.P.	  	Delaware
	59.	 	UHS of Benton, Inc.	  	Delaware
	60.	 	UHS of Bowling Green, LLC	  	Delaware
	61.	 	UHS of Centennial Peaks, L.L.C.	  	Delaware
	62.	 	UHS of Cornerstone, Inc.	  	Delaware
	63.	 	UHS of Cornerstone Holdings, Inc.	  	Delaware
	64.	 	UHS of D.C., Inc.	  	Delaware
	65.	 	UHS of Delaware, Inc.	  	Delaware
	66.	 	UHS of Denver, Inc.	  	Delaware
	67.	 	UHS of Dover, L.L.C.	  	Delaware
	68.	 	UHS of Doylestown, L.L.C.	  	Delaware
	69.	 	UHS of Fairmount, Inc.	  	Delaware
	70.	 	UHS of Fuller, Inc.	  	Massachusetts
	71.	 	UHS of Georgia, Inc.	  	Delaware
	72.	 	UHS of Georgia Holdings, Inc.	  	Delaware
	73.	 	UHS of Greenville, LLC	  	Delaware
	74.	 	UHS of Hampton, Inc.	  	New Jersey
	75.	 	UHS of Hartgrove, Inc.	  	Illinois

					
	76.	 	UHS of Lakeside, LLC	  	Delaware
	77.	 	UHS of Laurel Heights, L.P.	  	Delaware
	78.	 	UHS of New Orleans, LLC	  	Louisiana
	79.	 	UHS of Oklahoma, Inc.	  	Oklahoma
	80.	 	UHS of Parkwood, Inc.	  	Delaware
	81.	 	UHS of Peachford, L.P.	  	Delaware
	82.	 	UHS of Pennsylvania, Inc.	  	Pennsylvania
	83.	 	UHS of Provo Canyon, Inc.	  	Delaware
	84.	 	UHS of Puerto Rico, Inc.	  	Delaware
	85.	 	UHS of Ridge, LLC	  	Kentucky
	86.	 	UHS of River Parishes, Inc.	  	Louisiana
	87.	 	UHS of Rockford, LLC	  	Delaware
	88.	 	UHS of Salt Lake City, L.L.C	  	Delaware
	89.	 	UHS of Savannah, L.L.C.	  	Delaware
	90.	 	UHS of Spring Mountain, Inc.	  	Delaware
	91.	 	UHS of Springwoods, L.L.C.	  	Delaware
	92.	 	UHS of SummitRidge, L.L.C.	  	Delaware
	93.	 	UHS of Texoma, Inc.	  	Delaware
	94.	 	UHS of Timberlawn, Inc.	  	Texas
	95.	 	UHS of Timpanogos, Inc.	  	Delaware
	96.	 	UHS of Westwood Pembroke, Inc.	  	Massachusetts
	97.	 	UHS of Wyoming, Inc.	  	Delaware
	98.	 	UHS Oklahoma City LLC	  	Oklahoma
	99.	 	UHS Sahara, Inc.	  	Delaware
	100.	 	UHS-Corona, Inc.	  	Delaware
	101.	 	UHSL, L.L.C.	  	Nevada
	102.	 	UHSD, L.L.C.	  	Nevada
	103.	 	United HealthCare of Hardin, Inc.	  	Tennessee
	104.	 	Universal Health Services, Inc.	  	Delaware
	105.	 	Universal Health Services of Palmdale, Inc.	  	Delaware
	106.	 	Universal Health Services of Rancho Springs, Inc.	  	California
	107.	 	University Behavioral Health of El Paso	  	Delaware
	108.	 	Valley Hospital Medical Center, Inc.	  	Nevada
	109.	 	Wellington Regional Medical Center, Incorporated	  	Florida
			
	 	 	 Grantor
	  	 Applicable Filing Office In

	110.	 	Alliance Health Center, Inc.	  	Mississippi
	111.	 	Atlantic Shores Hospital, LLC	  	Delaware
	112.	 	Alternative Behavioral Services, Inc.	  	Virginia
	113.	 	Behavioral Healthcare LLC	  	Delaware
	114.	 	Benchmark Behavioral Health System, Inc.	  	Utah
	115.	 	BHC Alhambra Hospital, Inc.	  	Tennessee
	116.	 	BHC Belmont Pines Hospital, Inc.	  	Tennessee
	117.	 	BHC Fairfax Hospital, Inc.	  	Tennessee

					
	118.	 	BHC Fox Run Hospital, Inc.	  	Tennessee
	119.	 	BHC Fremont Hospital, Inc.	  	Tennessee
	120.	 	BHC Health Services of Nevada, Inc.	  	Nevada
	121.	 	BHC Heritage Oaks Hospital, Inc.	  	Tennessee
	122.	 	BHC Holdings, Inc.	  	Delaware
	123.	 	BHC Intermountain Hospital, Inc.	  	Tennessee
	124.	 	BHC of Indiana, General Partnership	  	Tennessee & Pennsylvania
	125.	 	BHC Mesilla Valley Hospital, LLC	  	Delaware
	126.	 	BHC Montevista Hospital, Inc.	  	Nevada
	127.	 	BHC Northwest Psychiatric Hospital, LLC	  	Delaware
	128.	 	BHC Pinnacle Pointe Hospital, Inc.	  	Tennessee
	129.	 	BHC Properties, LLC	  	Tennessee
	130.	 	BHC Sierra Vista Hospital, Inc.	  	Tennessee
	131.	 	BHC Streamwood Hospital, Inc.	  	Tennessee
	132.	 	Brentwood Acquisition, Inc.	  	Tennessee
	133.	 	Brentwood Acquisition-Shreveport, Inc.	  	Delaware
	134.	 	Brynn Marr Hospital, Inc.	  	North Carolina
	135.	 	Canyon Ridge Hospital, Inc.	  	California
	136.	 	Cedar Springs Hospital, Inc.	  	Delaware
	137.	 	Columbus Hospital Partners, LLC	  	Tennessee
	138.	 	Cumberland Hospital, LLC	  	Virginia
	139.	 	Cumberland Hospital Partners, LLC	  	Delaware
	140.	 	Emerald Coast Behavioral Hospital, LLC	  	Delaware
	141.	 	First Hospital Corporation of Virginia Beach	  	Virginia
	142.	 	First Hospital Panamericano, Inc.	  	Puerto Rico
	143.	 	Great Plains Hospital, Inc.	  	Missouri
	144.	 	H.C. Corporation	  	Alabama
	145.	 	H.C. Partnership	  	Alabama & Pennsylvania
	146.	 	Harbor Point Behavioral Health Center, Inc.	  	Virginia
	147.	 	Havenwyck Hospital Inc.	  	Michigan
	148.	 	HHC Augusta, Inc.	  	Georgia
	149.	 	HHC Conway Investment, Inc.	  	South Carolina
	150.	 	HHC Delaware, Inc.	  	Delaware
	151.	 	HHC Pennsylvania, LLC	  	Delaware
	152.	 	HHC Poplar Springs, Inc.	  	Virginia
	153.	 	HHC River Park, Inc.	  	West Virginia
	154.	 	HHC St. Simons, Inc.	  	Georgia
	155.	 	Hickory Trail Hospital, L.P.	  	Delaware
	156.	 	Holly Hill Hospital, LLC	  	Tennessee
	157.	 	Horizon Health Corporation	  	Delaware
	158.	 	Horizon Health Hospital Services, LLC	  	Delaware
	159.	 	Horizon Mental Health Management, LLC	  	Texas
	160.	 	HSA Hill Crest Corporation	  	Alabama
	161.	 	Kids Behavioral Health of Utah, Inc.	  	Utah

					
	162.	 	Kingwood Pines Hospital, LLC	  	Texas
	163.	 	KMI Acquisition, LLC	  	Delaware
	164.	 	Laurel Oaks Behavioral Health Center, Inc.	  	Delaware
	165.	 	Lebanon Hospital Partners, LLC	  	Tennessee
	166.	 	Michigan Psychiatric Services, Inc.	  	Michigan
	167.	 	Neuro Institute of Austin, L.P.	  	Texas
	168.	 	North Spring Behavioral Healthcare, Inc.	  	Tennessee
	169.	 	Northern Indiana Partners, LLC	  	Tennessee
	170.	 	Ocala Behavioral Health, LLC	  	Delaware
	171.	 	Palmetto Behavioral Health Holdings, LLC	  	Delaware
	172.	 	Palmetto Behavioral Health System, L.L.C.	  	South Carolina
	173.	 	Palmetto Lowcountry Behavioral Health, LLC	  	South Carolina
	174.	 	Premier Behavioral Solutions, Inc.	  	Delaware
	175.	 	Premier Behavioral Solutions of Florida, Inc.	  	Delaware
	176.	 	PSI Surety, Inc.	  	South Carolina
	177.	 	PSJ Acquisition, LLC	  	North Dakota
	178.	 	Psychiatric Solutions, Inc.	  	Delaware
	179.	 	Psychiatric Solutions Hospitals, LLC	  	Delaware
	180.	 	Psychiatric Solutions of Virginia, Inc.	  	Tennessee
	181.	 	Ramsay Managed Care, LLC	  	Delaware
	182.	 	Ramsay Youth Services of Georgia, Inc.	  	Delaware
	183.	 	Riveredge Hospital Holdings, Inc.	  	Delaware
	184.	 	Rolling Hills Hospital, LLC	  	Tennessee
	185.	 	Samson Properties, LLC	  	Florida
	186.	 	Schick Shadel of Florida, LLC	  	Florida
	187.	 	Shadow Mountain Behavioral Health System, LLC	  	Delaware
	188.	 	SHC-KPH, LP	  	Texas
	189.	 	SP Behavioral, LLC	  	Florida
	190.	 	Springfield Hospital, Inc.	  	Delaware
	191.	 	Summit Oaks Hospital, Inc.	  	New Jersey
	192.	 	Sunstone Behavioral Health, LLC	  	Tennessee
	193.	 	TBD Acquisition, LLC	  	Delaware
	194.	 	TBJ Behavioral Center, LLC	  	Delaware
	195.	 	Texas Cypress Creek Hospital, L.P.	  	Texas
	196.	 	Texas Hospital Holdings, Inc.	  	Delaware
	197.	 	Texas Laurel Ridge Hospital, L.P.	  	Texas
	198.	 	Texas San Marcos Treatment Center, L.P.	  	Texas
	199.	 	Texas West Oaks Hospital, L.P.	  	Texas
	200.	 	The National Deaf Academy, LLC	  	Florida
	201.	 	Three Rivers Behavioral Health, LLC	  	South Carolina
	202.	 	Three Rivers Healthcare Group, LLC	  	South Carolina
	203.	 	Toledo Holding Co., LLC	  	Delaware
	204.	 	University Behavioral, LLC	  	Florida
	205.	 	Valle Vista, LLC	  	Delaware

					
	206.	 	Valle Vista Hospital Partners, LLC	  	Tennessee
	207.	 	Wekiva Springs Center, LLC	  	Delaware
	208.	 	Wellstone Regional Hospital Acquisition, LLC	  	Indiana
	209.	 	Willow Springs, LLC	  	Delaware
	210.	 	Windmoor Healthcare Inc.	  	Florida
	211.	 	Windmoor Healthcare of Pinellas Park, Inc.	  	Delaware
	212.	 	Wisconsin Avenue Psychiatric Center, Inc.	  	Delaware
	213.	 	Zeus Endeavors, LLC	  	Florida

 OTHER ACTIONS 

Copyright and Trademark Filings 

Filings in the United States Copyright Office with respect to the United States copyright registrations and applications on Schedule 6 

Filings in the United States Patent and Trademark Office with respect to the united States trademarks applications and registrations on
Schedule 6 
 Actions with respect to Pledge Stock 

Any certificates representing the pledged stock is to be held by Collateral Agent 

 Schedule 4 

LOCATION OF JURISDICTION OF ORGANIZATION AND CHIEF EXECUTIVE OFFICE* 
  

					
	 	 	 Grantor
	  	 Jurisdiction of Organization:

	1.	 	Aiken Regional Medical Centers, LLC	  	South Carolina
	2.	 	Ascend Health Corporation	  	Delaware
	3.	 	Associated Child Care Educational Services Inc.	  	California
	4.	 	Behavioral Health Management, LLC	  	Delaware
	5.	 	Behavioral Health Realty, LLC	  	Delaware
	6.	 	CAT Realty, LLC	  	Delaware
	7.	 	CAT Seattle, LLC	  	Delaware
	8.	 	CCS/Lansing, Inc.	  	Michigan
	9.	 	Children’s Comprehensive Services, Inc.	  	Tennessee
	10.	 	Del Amo Hospital, Inc.	  	California
	11.	 	Fort Duncan Medical Center, L.P.	  	Delaware
	12.	 	Frontline Behavioral Health, Inc.	  	Delaware
	13.	 	Frontline Hospital, LLC	  	Delaware
	14.	 	Frontline Residential Treatment Center, LLC	  	Delaware
	15.	 	Garfield Park Hospital, LLC	  	Illinois
	16.	 	Independence Physician Management, LLC	  	Delaware
	17.	 	KEYS Group Holdings LLC	  	Delaware
	18.	 	Keystone/CCS Partners LLC	  	Delaware
	19.	 	Keystone Continuum, LLC	  	Tennessee
	20.	 	Keystone Education and Youth Services, LLC	  	Tennessee
	21.	 	Keystone Marion, LLC	  	Virginia
	22.	 	Keystone Memphis, LLC	  	Tennessee
	23.	 	Keystone Newport News, LLC	  	Virginia
	24.	 	Keystone NPS LLC	  	California
	25.	 	Keystone Richland Center LLC	  	Ohio
	26.	 	Keystone WSNC, L.L.C.	  	North Carolina
	27.	 	La Amistad Residential Treatment Center, LLC	  	Florida
	28.	 	Lancaster Hospital Corporation	  	California
	29.	 	Manatee Memorial Hospital, L.P.	  	Delaware
	30.	 	McAllen Hospitals, L.P.	  	Delaware
	31.	 	McAllen Medical Center, Inc.	  	Delaware
	32.	 	Merion Building Management, Inc.	  	Delaware
	33.	 	Merridell Achievement Center, Inc.	  	Texas
	34.	 	Northwest Texas Healthcare System, Inc.	  	Texas
	35.	 	Oak Plains Academy of Tennessee, Inc.	  	Tennessee
	36.	 	Park Healthcare Company	  	Tennessee

  

	*	Chief Executive Office for Grantor is located at 367 S. Gulph Road, King of Prussia, PA 19406 

					
	37.	 	Pendleton Methodist Hospital, L.L.C.	  	Delaware
	38.	 	Pennsylvania Clinical Schools, Inc.	  	Pennsylvania
	39.	 	Psychiatric Realty, LLC	  	Delaware
	40.	 	River Oaks, Inc.	  	Louisiana
	41.	 	Salt Lake Behavioral Health, LLC	  	Delaware
	42.	 	Salt Lake Psychiatric Realty, LLC	  	Delaware
	43.	 	Southeastern Hospital Corporation	  	Tennessee
	44.	 	Sparks Family Hospital, Inc.	  	Nevada
	45.	 	Stonington Behavioral Health, Inc.	  	Delaware
	46.	 	Temecula Valley Hospital, Inc.ß	  	California
	47.	 	Tennessee Clinical Schools, LLC	  	Tennessee
	48.	 	Texas Oaks Psychiatric Hospital, L.P.	  	Texas
	49.	 	The Arbour, Inc.	  	Massachusetts
	50.	 	The Bridgeway, Inc.	  	Arkansas
	51.	 	Turning Point Care Center, LLC	  	Georgia
	52.	 	Two Rivers Psychiatric Hospital, Inc.	  	Delaware
	53.	 	UBH of Phoenix, LLC	  	Delaware
	54.	 	UBH of Phoenix Realty, LLC	  	Delaware
	55.	 	UHS Children Services, Inc.	  	Delaware
	56.	 	UHS Holding Company, Inc.	  	Nevada
	57.	 	UHS Kentucky Holdings, L.L.C.	  	Delaware
	58.	 	UHS of Anchor, L.P.	  	Delaware
	59.	 	UHS of Benton, Inc.	  	Delaware
	60.	 	UHS of Bowling Green, LLC	  	Delaware
	61.	 	UHS of Centennial Peaks, L.L.C.	  	Delaware
	62.	 	UHS of Cornerstone, Inc.	  	Delaware
	63.	 	UHS of Cornerstone Holdings, Inc.	  	Delaware
	64.	 	UHS of D.C., Inc.	  	Delaware
	65.	 	UHS of Delaware, Inc.	  	Delaware
	66.	 	UHS of Denver, Inc.	  	Delaware
	67.	 	UHS of Dover, L.L.C.	  	Delaware
	68.	 	UHS of Doylestown, L.L.C.	  	Delaware
	69.	 	UHS of Fairmount, Inc.	  	Delaware
	70.	 	UHS of Fuller, Inc.	  	Massachusetts
	71.	 	UHS of Georgia, Inc.	  	Delaware
	72.	 	UHS of Georgia Holdings, Inc.	  	Delaware
	73.	 	UHS of Greenville, LLC	  	Delaware
	74.	 	UHS of Hampton, Inc.	  	New Jersey
	75.	 	UHS of Hartgrove, Inc.	  	Illinois
	76.	 	UHS of Lakeside, LLC	  	Delaware
	77.	 	UHS of Laurel Heights, L.P.	  	Delaware
	78.	 	UHS of New Orleans, LLC	  	Louisiana
	79.	 	UHS of Oklahoma, Inc.	  	Oklahoma
	80.	 	UHS of Parkwood, Inc.	  	Delaware

					
	81.	 	UHS of Peachford, L.P.	  	Delaware
	82.	 	UHS of Pennsylvania, Inc.	  	Pennsylvania
	83.	 	UHS of Provo Canyon, Inc.	  	Delaware
	84.	 	UHS of Puerto Rico, Inc.	  	Delaware
	85.	 	UHS of Ridge, LLC	  	Kentucky
	86.	 	UHS of River Parishes, Inc.	  	Louisiana
	87.	 	UHS of Rockford, LLC	  	Delaware
	88.	 	UHS of Salt Lake City, L.L.C	  	Delaware
	89.	 	UHS of Savannah, L.L.C.	  	Delaware
	90.	 	UHS of Spring Mountain, Inc.	  	Delaware
	91.	 	UHS of Springwoods, L.L.C.	  	Delaware
	92.	 	UHS of SummitRidge, L.L.C.	  	Delaware
	93.	 	UHS of Texoma, Inc.	  	Delaware
	94.	 	UHS of Timberlawn, Inc.	  	Texas
	95.	 	UHS of Timpanogos, Inc.	  	Delaware
	96.	 	UHS of Westwood Pembroke, Inc.	  	Massachusetts
	97.	 	UHS of Wyoming, Inc.	  	Delaware
	98.	 	UHS Oklahoma City LLC	  	Oklahoma
	99.	 	UHS Sahara, Inc.	  	Delaware
	100.	 	UHS-Corona, Inc.	  	Delaware
	101.	 	UHSL, L.L.C.	  	Nevada
	102.	 	UHSD, L.L.C.	  	Nevada
	103.	 	United HealthCare of Hardin, Inc.	  	Tennessee
	104.	 	Universal Health Services, Inc.	  	Delaware
	105.	 	Universal Health Services of Palmdale, Inc.	  	Delaware
	106.	 	Universal Health Services of Rancho Springs, Inc.	  	California
	107.	 	University Behavioral Health of El Paso	  	Delaware
	108.	 	Valley Hospital Medical Center, Inc.	  	Nevada
	109.	 	Wellington Regional Medical Center, Incorporated	  	Florida
			
	 	 	 Grantor
	  	 Jurisdiction of Organization:

	110.	 	Alliance Health Center, Inc.	  	Mississippi
	111.	 	Atlantic Shores Hospital, LLC	  	Delaware
	112.	 	Alternative Behavioral Services, Inc.	  	Virginia
	113.	 	Behavioral Healthcare LLC	  	Delaware
	114.	 	Benchmark Behavioral Health System, Inc.	  	Utah
	115.	 	BHC Alhambra Hospital, Inc.	  	Tennessee
	116.	 	BHC Belmont Pines Hospital, Inc.	  	Tennessee
	117.	 	BHC Fairfax Hospital, Inc.	  	Tennessee
	118.	 	BHC Fox Run Hospital, Inc.	  	Tennessee
	119.	 	BHC Fremont Hospital, Inc.	  	Tennessee
	120.	 	BHC Health Services of Nevada, Inc.	  	Nevada
	121.	 	BHC Heritage Oaks Hospital, Inc.	  	Tennessee
	122.	 	BHC Holdings, Inc.	  	Delaware

					
	123.	 	BHC Intermountain Hospital, Inc.	  	Tennessee
	124.	 	BHC of Indiana, General Partnership	  	Tennessee
	125.	 	BHC Mesilla Valley Hospital, LLC	  	Delaware
	126.	 	BHC Montevista Hospital, Inc.	  	Nevada
	127.	 	BHC Northwest Psychiatric Hospital, LLC	  	Delaware
	128.	 	BHC Pinnacle Pointe Hospital, Inc.	  	Tennessee
	129.	 	BHC Properties, LLC	  	Tennessee
	130.	 	BHC Sierra Vista Hospital, Inc.	  	Tennessee
	131.	 	BHC Streamwood Hospital, Inc.	  	Tennessee
	132.	 	Brentwood Acquisition, Inc.	  	Tennessee
	133.	 	Brentwood Acquisition-Shreveport, Inc.	  	Delaware
	134.	 	Brynn Marr Hospital, Inc.	  	North Carolina
	135.	 	Canyon Ridge Hospital, Inc.	  	California
	136.	 	Cedar Springs Hospital, Inc.	  	Delaware
	137.	 	Columbus Hospital Partners, LLC	  	Tennessee
	138.	 	Cumberland Hospital, LLC	  	Virginia
	139.	 	Cumberland Hospital Partners, LLC	  	Delaware
	140.	 	Emerald Coast Behavioral Hospital, LLC	  	Delaware
	141.	 	First Hospital Corporation of Virginia Beach	  	Virginia
	142.	 	First Hospital Panamericano, Inc.	  	Puerto Rico
	143.	 	Great Plains Hospital, Inc.	  	Missouri
	144.	 	H.C. Corporation	  	Alabama
	145.	 	H.C. Partnership	  	Alabama
	146.	 	Harbor Point Behavioral Health Center, Inc.	  	Virginia
	147.	 	Havenwyck Hospital Inc.	  	Michigan
	148.	 	HHC Augusta, Inc.	  	Georgia
	149.	 	HHC Conway Investment, Inc.	  	South Carolina
	150.	 	HHC Delaware, Inc.	  	Delaware
	151.	 	HHC Pennsylvania, LLC	  	Delaware
	152.	 	HHC Poplar Springs, Inc.	  	Virginia
	153.	 	HHC River Park, Inc.	  	West Virginia
	154.	 	HHC St. Simons, Inc.	  	Georgia
	155.	 	Hickory Trail Hospital, L.P.	  	Delaware
	156.	 	Holly Hill Hospital, LLC	  	Tennessee
	157.	 	Horizon Health Corporation	  	Delaware
	158.	 	Horizon Health Hospital Services, LLC	  	Delaware
	159.	 	Horizon Mental Health Management, LLC	  	Texas
	160.	 	HSA Hill Crest Corporation	  	Alabama
	161.	 	Kids Behavioral Health of Utah, Inc.	  	Utah
	162.	 	Kingwood Pines Hospital, LLC	  	Texas
	163.	 	KMI Acquisition, LLC	  	Delaware
	164.	 	Laurel Oaks Behavioral Health Center, Inc.	  	Delaware
	165.	 	Lebanon Hospital Partners, LLC	  	Tennessee
	166.	 	Michigan Psychiatric Services, Inc.	  	Michigan

					
	167.	 	Neuro Institute of Austin, L.P.	  	Texas
	168.	 	North Spring Behavioral Healthcare, Inc.	  	Tennessee
	169.	 	Northern Indiana Partners, LLC	  	Tennessee
	170.	 	Ocala Behavioral Health, LLC	  	Delaware
	171.	 	Palmetto Behavioral Health Holdings, LLC	  	Delaware
	172.	 	Palmetto Behavioral Health System, L.L.C.	  	South Carolina
	173.	 	Palmetto Lowcountry Behavioral Health, LLC	  	South Carolina
	174.	 	Premier Behavioral Solutions, Inc.	  	Delaware
	175.	 	Premier Behavioral Solutions of Florida, Inc.	  	Delaware
	176.	 	PSI Surety, Inc.	  	South Carolina
	177.	 	PSJ Acquisition, LLC	  	North Dakota
	178.	 	Psychiatric Solutions, Inc.	  	Delaware
	179.	 	Psychiatric Solutions Hospitals, LLC	  	Delaware
	180.	 	Psychiatric Solutions of Virginia, Inc.	  	Tennessee
	181.	 	Ramsay Managed Care, LLC	  	Delaware
	182.	 	Ramsay Youth Services of Georgia, Inc.	  	Delaware
	183.	 	Riveredge Hospital Holdings, Inc.	  	Delaware
	184.	 	Rolling Hills Hospital, LLC	  	Tennessee
	185.	 	Samson Properties, LLC	  	Florida
	186.	 	Schick Shadel of Florida, LLC	  	Florida
	187.	 	Shadow Mountain Behavioral Health System, LLC	  	Delaware
	188.	 	SHC-KPH, LP	  	Texas
	189.	 	SP Behavioral, LLC	  	Florida
	190.	 	Springfield Hospital, Inc.	  	Delaware
	191.	 	Summit Oaks Hospital, Inc.	  	New Jersey
	192.	 	Sunstone Behavioral Health, LLC	  	Tennessee
	193.	 	TBD Acquisition, LLC	  	Delaware
	194.	 	TBJ Behavioral Center, LLC	  	Delaware
	195.	 	Texas Cypress Creek Hospital, L.P.	  	Texas
	196.	 	Texas Hospital Holdings, Inc.	  	Delaware
	197.	 	Texas Laurel Ridge Hospital, L.P.	  	Texas
	198.	 	Texas San Marcos Treatment Center, L.P.	  	Texas
	199.	 	Texas West Oaks Hospital, L.P.	  	Texas
	200.	 	The National Deaf Academy, LLC	  	Florida
	201.	 	Three Rivers Behavioral Health, LLC	  	South Carolina
	202.	 	Three Rivers Healthcare Group, LLC	  	South Carolina
	203.	 	Toledo Holding Co., LLC	  	Delaware
	204.	 	University Behavioral, LLC	  	Florida
	205.	 	Valle Vista, LLC	  	Delaware
	206.	 	Valle Vista Hospital Partners, LLC	  	Tennessee
	207.	 	Wekiva Springs Center, LLC	  	Delaware
	208.	 	Wellstone Regional Hospital Acquisition, LLC	  	Indiana
	209.	 	Willow Springs, LLC	  	Delaware
	210.	 	Windmoor Healthcare Inc.	  	Florida

					
	211.	 	Windmoor Healthcare of Pinellas Park, Inc.	  	Delaware
	212.	 	Wisconsin Avenue Psychiatric Center, Inc.	  	Delaware
	213.	 	Zeus Endeavors, LLC	  	Florida

 Schedule 5 

COPYRIGHTS AND COPYRIGHT LICENSES 

[Provided in PDF Form] 
 PATENTS
AND PATENT LICENSES 
 None 

TRADEMARKS AND TRADEMARK LICENSES 

[Provided in PDF Form] 

 Annex 1 to 

Amended and Restated Collateral Agreement 

ASSUMPTION AGREEMENT, dated as of                 ,
20    , made by
                                         (the
“Additional Grantor”), in favor of JPMorgan Chase Bank, N.A., as collateral agent (in such capacity, the “Collateral Agent”) for the Secured Parties. All capitalized terms not defined herein shall have the meaning
ascribed to them in the Collateral Agreement referred to below. 
 W I T N E S S E
T H : 
 WHEREAS, in connection with the Lien Documents, the Borrower and certain of its Affiliates (other than the Additional
Grantor), have entered into the Amended and Restated Collateral Agreement, dated as of August 7, 2014 (as amended, supplemented or otherwise modified from time to time, the “Collateral Agreement”), in favor of the Collateral
Agent for the ratable benefit of the Secured Parties; 
 WHEREAS, the Lien Documents (other than the 2006 Indenture) require the Additional
Grantor to become a party to the Collateral Agreement; and 
 WHEREAS, the Additional Grantor has agreed to execute and deliver this
Assumption Agreement in order to become a party to the Collateral Agreement; 
 NOW, THEREFORE, IT IS AGREED: 

1. Collateral Agreement. By executing and delivering this Assumption Agreement, the Additional Grantor, as provided in
Section 8.12 of the Collateral Agreement, hereby becomes a party to the Collateral Agreement as a Grantor thereunder with the same force and effect as if originally named therein as a Grantor and, without limiting the generality of the
foregoing, hereby expressly assumes all obligations and liabilities of a Grantor thereunder. The information set forth in Annex 1-A hereto is hereby added to the information set forth in the Schedules to the Collateral Agreement. The Additional
Grantor hereby represents and warrants that each of the representations and warranties contained in Section 3 of the Collateral Agreement is true and correct on and as the date hereof (after giving effect to this Assumption Agreement) as if
made on and as of such date. 
 2. Governing Law. THIS ASSUMPTION AGREEMENT SHALL BE GOVERNED BY, AND CONSTRUED AND INTERPRETED IN
ACCORDANCE WITH, THE LAW OF THE STATE OF NEW YORK. 

 IN WITNESS WHEREOF, the undersigned has caused this Assumption Agreement to be duly executed and
delivered as of the date first above written. 
  

			
	[ADDITIONAL GRANTOR]
		
	By:	 	  

		 	Name:
		 	Title:

 Annex 1-A to 

Assumption Agreement 

Supplement to Schedule 1 

Supplement to Schedule 2 

Supplement to Schedule 3 

Supplement to Schedule 4 

Supplement to Schedule 5 

 Annex 2 to 

Amended and Restated Collateral Agreement 
  

			
	 Legal Entity
	  	 State of Formation

	Aiken Regional Medical Centers, Inc.	  	South Carolina
	Temecula Valley Hospital, Inc.	  	California
	District Hospital Partners, L.P.	  	District of Columbia
	Fort Duncan Medical Center, L.P.	  	Delaware
	Lancaster Hospital Corporation	  	California
	Laredo Regional Medical Center, L.P.	  	Delaware
	Manatee Memorial Hospital, L.P.	  	Delaware
	McAllen Hospitals, L.P.	  	Delaware
	Northwest Texas Healthcare System, Inc.	  	Texas
	Sparks Family Hospital, Inc.	  	Nevada
	Summerlin Hospital Medical Center LLC	  	Delaware
	UHS of Oklahoma, Inc.	  	Oklahoma
	UHS of Texoma, Inc.	  	Delaware
	UHS-Corona, Inc.	  	Delaware
	Universal Health Services of Rancho Springs, Inc.	  	California
	Valley Health System LLC	  	Delaware
	Wellington Regional Medical Center, Incorporated	  	Florida

 Annex 3 to 

Amended and Restated Collateral Agreement 

ADDITIONAL AUTHORIZED REPRESENTATIVE JOINDER AGREEMENT, dated as of
                , 20     (this “Joinder Agreement”), among the Additional Authorized Representative (as defined below), Universal
Health Services, Inc. (the “Borrower”) the other Grantors party hereto, and JPMorgan Chase Bank, N.A., as Collateral Agent (in such capacity, the “Collateral Agent”), as collateral agent for the Secured Parties.

 Capitalized terms used herein but not otherwise defined herein shall have the meanings assigned to such terms in the Amended and Restated
Collateral Agreement, dated as of August 7, 2014, by and among the Borrower, the other Grantors party thereto, the Authorized Representatives and Collateral Agent (as amended, restated, modified, and/or supplemented from time to time, the
“Collateral Agreement”). 
 The Companies and the other Grantors propose to issue or incur “Additional Lien
Obligations” designated by the Borrower as such in accordance with Section 9 of the Collateral Agreement in an officers’ certificate delivered concurrently herewith to the Collateral Agent and the Authorized Representatives (the
“Additional Lien Obligations”). The Person identified in the signature pages hereto as the “Additional Authorized Representative” (the “Additional Authorized Representative”) will serve as the
administrative agent, trustee or a similar representative for the holders of the Additional Lien Obligations (the “Additional Lien Secured Parties”). 

The Additional Authorized Representative wishes, in accordance with the provisions of the Collateral Agreement, to become a party to the
Collateral Agreement and to acquire and undertake, for itself and on behalf of the Additional Lien Secured Parties, the rights and obligations of an “Additional Authorized Representative” and “Secured Parties” thereunder. 

Accordingly, the Additional Authorized Representative, for itself and on behalf of its Additional Lien Secured Parties, the Borrower and the
other Grantors agree as follows, for the benefit of the Collateral Agent, the existing Authorized Representatives and the existing Secured Parties: 

SECTION 1.01. Accession to the Collateral Agreement. The Additional Authorized Representative hereby (a) accedes and becomes a
party to the Collateral Agreement as an “Additional Authorized Representative,” (b) agrees, for itself and on behalf of the Additional Lien Secured Parties, to all the terms and provisions of the Collateral Agreement and
(c) acknowledges and agrees that (i) the Additional Lien Obligations and Liens on any Common Collateral securing the same shall be subject to the provisions of the Collateral Agreement and (ii) the Additional Authorized Representative
and the Additional Lien Secured Parties shall have the rights and obligations specified under the Collateral Agreement with respect to an “Authorized Representative” or a “Secured Party,” and shall be subject to and bound by the
provisions of the Collateral Agreement. 
 SECTION 1.02. Representations and Warranties of the Additional Authorized Representative.
The Additional Authorized Representative represents and warrants to the Collateral Agent, the existing Authorized Representatives and the existing Secured Parties that (a) it has full power and authority to enter into this Joinder Agreement, in
its capacity as the Additional Authorized Representative, (b) this Joinder Agreement 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, and (c) the Additional Lien Documents relating to the Additional Lien Obligations provide that, upon the 

 
Additional Authorized Representative’s execution and delivery of this Joinder Agreement, (i) the Additional Lien Obligations and liens on any Common Collateral securing the same shall
be subject to the provisions of the Collateral Agreement and (ii) the Additional Authorized Representative and the Additional Lien Secured Parties shall have the rights and obligations specified therefor under, and shall be subject to and bound
by the provisions of, the Collateral Agreement. 
 SECTION 1.03. Parties in Interest. This Joinder Agreement shall be binding upon
and inure to the benefit of the parties hereto and their respective successors and assigns, as well as the other Secured Parties, all of whom are intended to be bound by, and to be third-party beneficiaries of, this Agreement. 

SECTION 1.04. Counterparts. This Joinder Agreement may be executed in counterparts, each of which shall constitute an original but all
of which when taken together shall constitute a single contract. Delivery of an executed signature page to this Joinder Agreement by facsimile or other electronic transmission shall be as effective as delivery of a manually signed counterpart of
this Joinder Agreement. 
 SECTION 1.05. Governing Law. This Joinder Agreement shall be construed in accordance with and governed by
the law of the State of New York. 
 SECTION 1.06. Notices. All communications and notices hereunder shall be in writing and given as
provided in Section 8.2 of the Collateral Agreement. All communications and notices hereunder to the Additional Authorized Representative shall be given to it at the address set forth under its signature hereto, which information supplements
Section 8.2 to the Collateral Agreement. 
 SECTION 1.07. Expenses. The Borrower and the other Grantors, jointly and severally,
agree to reimburse the Collateral Agent and each of the Authorized Representatives for its reasonable out-of-pocket expenses in connection with this Joinder Agreement, including the reasonable fees, other charges and disbursements of counsel for the
Collateral Agent and any of the Authorized Representatives. 
 [remainder of page intentionally blank] 

 IN WITNESS WHEREOF, the Additional Authorized Representative, the Borrower and the other Grantors
have duly executed this Joinder Agreement to the Collateral Agreement as of the day and year first above written. 
  

					
	[    ], AS ADDITIONAL AUTHORIZED REPRESENTATIVE,
			
		 	by	 	  

		 		 	Name:
		 		 	Title:
	
	Address for notices:
	
	  

	
	  

	
	 attention of:

	
	 Facsimile:

	
	UNIVERSAL HEALTH SERVICES, INC.
		
	By:	 	  

		 	Title:
	
	[NAME OF OTHER GRANTORS]
		
	By:	 	  

		 	Title:6.30.14 Exhibit 10.1

EXHIBIT 10.1
AMENDMENT NUMBER TWO TO CREDIT AGREEMENT
This Amendment Number Two to Credit Agreement (this “Amendment”) is entered into as of August 11, 2014, by and among, on the one hand, the lenders identified on the signature pages hereof (such lenders, together with their respective successors and permitted assigns, are referred to hereinafter each individually as a “Lender” and collectively as the “Lenders”), and WELLS FARGO BANK, NATIONAL ASSOCIATION, a national banking association, as administrative agent for each member of the Lender Group and the Bank Product Providers (in such capacity, together with its successors and assigns in such capacity, “Agent”) and Q2 Holdings, Inc., a Delaware corporation (“Parent”) and Q2 Software, Inc., a Delaware corporation (“Borrower”), on the other hand, in light of the following:
A.    Parent, Borrower, Agent and Lenders are parties to that certain Credit Agreement, dated as of April 11, 2013 (as amended and modified, from time to time, the “Agreement”).
C.    Borrower, Agent and Lenders desire to amend the Agreement as provided for and on the conditions herein.
NOW, THEREFORE, the parties hereby amend and supplement the Agreement as follows:
1.DEFINITIONS.  All initially capitalized terms used in this Amendment shall have the meanings given to them in the Agreement unless specifically defined herein.
2.    AMENDMENTS.
2.1    Section 2.6(d)(D) of the Agreement is hereby deleted in its entirety and replaced by the following:
(D) on the first day of each month, the Unused Line Fee accrued during the prior month pursuant to Section 2.10(b),
2.2    Section 2.10(b) of the Agreement is hereby deleted in its entirety and replaced by the following:
(b)    Unused Line Fee.  Borrower shall pay to Agent, for the ratable account of the Revolving Lenders, an unused line fee (the “Unused Line Fee”) in an amount equal to the Applicable Unused Line Fee Percentage per annum times the result of (i) the aggregate amount of the Revolver Commitments, less (ii) the average amount of the Revolver Usage during the immediately preceding month (or portion thereof), which Unused Line Fee shall be due and payable on the first day of each month from and after the Closing Date up to the first day of the month prior to the date on which the Obligations are paid in full and on the date on which the Obligations are paid in full.
2.3    Section 2.10(c) of the Agreement is hereby deleted in its entirety.
2.4    The following new Section 2.14 is hereby added to the Agreement:
2.14    Accordion.
(a)    At any time during the period from and after the Closing Date through October 11, 2016, at the option of Borrower (but subject to the conditions set forth in clause (b) below), the Revolver Commitments and the Maximum Revolver Amount may be increased by an amount in the aggregate for all such increases of the Revolver Commitments and the Maximum Revolver Amount not to exceed the Available Increase Amount (each such increase, an “Increase”); provided, that in no event shall the Revolver Commitments and the Maximum Revolver Amount be increased by an amount in excess of the Available Revolver Increase Amount.  Agent shall invite each Lender to increase its Revolver Commitments (it being understood that no Lender shall be obligated to increase its Revolver Commitments) in connection with a proposed Increase at the interest margin proposed by Borrower, and if sufficient Lenders do not agree to increase their Revolver Commitments in connection with such proposed Increase, then Agent or Borrower may invite any prospective lender who is reasonably satisfactory to Agent and Borrower to become a Lender in connection with a proposed Increase.  Any 

Increase shall be in an amount of at least $5,000,000 and integral multiples of $1,000,000 in excess thereof.  In no event may the Revolver Commitments and the Maximum Revolver Amount be increased pursuant to this Section 2.14 on more than 5 occasions in the aggregate for all such Increases.  Additionally, for the avoidance of doubt, it is understood and agreed that in no event shall the aggregate amount of the Increases to the Revolver Commitments exceed $25,000,000.
(b)    Each of the following shall be conditions precedent to any Increase of the Revolver Commitments and the Maximum Revolver Amount:
(i)    Agent or Borrower have obtained the commitment of one or more Lenders (or other prospective lenders) reasonably satisfactory to Agent and Borrower to provide the applicable Increase and any such Lenders (or prospective lenders), Borrower, and Agent have signed a joinder agreement to this Agreement (an “Increase Joinder”), in form and substance reasonably satisfactory to Agent, to which such Lenders (or prospective lenders), Borrower, and Agent are party, 
(ii)    each of the conditions precedent set forth in Section 3.2 is satisfied, 
(iii)    Borrower has delivered to Agent updated pro forma Projections (after giving effect to the applicable Increase) for Parent and its Subsidiaries evidencing compliance on a pro forma basis with Section 7 for the 4 fiscal quarters (on a quarter-by-quarter basis) immediately following the proposed date of the applicable Increase, and
(iv)    Borrower shall have reached agreement with the Lenders (or prospective lenders) agreeing to the increased Revolver Commitments with respect to the interest margins applicable to Revolving Loans to be made pursuant to the increased Revolver Commitments (which interest margins may be higher than or equal to the interest margins applicable to Revolving Loans set forth in this Agreement immediately prior to the date of the increased Revolver Commitments (the date of the effectiveness of the increased Revolver Commitments and the Maximum Revolver Amount, the “Increase Date”)) and shall have communicated the amount of such interest margins to Agent.  Any Increase Joinder may, with the consent of Agent, Borrower and the Lenders or prospective lenders agreeing to the proposed Increase, effect such amendments to this Agreement and the other Loan Documents as may be necessary or appropriate to effectuate the provisions of this Section 2.14 (including any amendment necessary to effectuate the interest margins for the Revolving Loans to be made pursuant to the increased Revolver Commitments).  Anything to the contrary contained herein notwithstanding, if the interest margin that is to be applicable to the Revolving Loans to be made pursuant to the increased Revolver Commitments is higher than the interest margin applicable to the Revolving Loans immediately prior to the applicable Increase Date (the amount by which the interest margin is higher, the “Excess”), then the interest margin applicable to the Revolving Loans immediately prior to the Increase Date shall be increased by the amount of the Excess, effective on the applicable Increase Date, and without the necessity of any action by any party hereto.
(c)    Unless otherwise specifically provided herein, all references in this Agreement and any other Loan Document to Revolving Loans shall be deemed, unless the context otherwise requires, to include Revolving Loans made pursuant to the increased Revolver Commitments and Maximum Revolver Amount pursuant to this Section 2.14.
(d)    Each of the Lenders having a Revolver Commitment prior to the Increase Date (the “Pre-Increase Revolver Lenders”) shall assign to any Lender which is acquiring a new or additional Revolver Commitment on the Increase Date (the “Post-Increase Revolver Lenders”), and such Post-Increase Revolver Lenders shall purchase from each Pre-Increase Revolver Lender, at the principal amount thereof, such interests in the Revolving Loans and participation interests in Letters of Credit on such Increase Date as shall be necessary in order that, after giving effect to all such assignments and purchases, such Revolving Loans and participation interests in Letters of Credit will be held by Pre-Increase Revolver Lenders and Post-Increase Revolver Lenders ratably in accordance with their Pro Rata Share after giving effect to such increased Revolver Commitments.
(e)    The Revolving Loans, Revolver Commitments, and Maximum Revolver Amount established pursuant to this Section 2.14 shall constitute Revolving Loans, Revolver Commitments, and Maximum Revolver Amount under, and shall be entitled to all the benefits afforded 

by, this Agreement and the other Loan Documents, and shall, without limiting the foregoing, benefit equally and ratably from any guarantees and the security interests created by the Loan Documents.  Borrower shall take any actions reasonably required by Agent to ensure and demonstrate that the Liens and security interests granted by the Loan Documents continue to be perfected under the Code or otherwise after giving effect to the establishment of any such new Revolver Commitments and Maximum Revolver Amount.
2.5    Section 5.14 of the Agreement is hereby deleted in its entirety and replaced by the following:
5.14  Bank Products.  The Loan Parties shall maintain their primary depository and treasury management relationships with Wells Fargo or one or more of its Affiliates at all times during the term of the Agreement.  The Loan Parties shall have at least $25,000,000 maintained on deposit at Wells Fargo or one or more of its Affiliates at all times during the term of the Agreement.
2.6    Section 5.16 of the Agreement is hereby deleted in its entirety.
2.7    Sections 7(a) and 7(b) of the Agreement are hereby deleted in their entirety and replaced by the following:
(a)    Minimum TTM EBITDA.  Achieve TTM EBITDA, measured on a quarter-end basis, of at least the applicable amount set forth in the following table for the applicable date set forth opposite thereto:
	
		
	Quarter Ending
	TTM EBITDA

	September 30, 2014
	($15,300,000)

	December 31, 2014
	($15,300,000)

	March 31, 2015
	($19,800,000)

	June 30, 2015
	($17,000,000)

	September 30, 2015
	($17,600,000)

	December 31, 2015
	($16,900,000)

	March 31, 2016
	($15,600,000)

	June 30, 2016
	($14,600,000)

	September 30, 2016
	($13,400,000)

	December 31, 2016
	($15,300,000)

(b)    Minimum Liquidity.  At all times, achieve (i) Liquidity of at least $17,500,000, of which at least $5,000,000 shall consist of Qualified Cash.
2.8    Sections 7(c) and 7(d) of the Agreement are hereby deleted in their entirety.
2.9    Schedule 1.1 to the Agreement is hereby amended by deleting the following definitions therefrom:
“Average Liquidity Calculation”
“FCCR Covenant Period”
“Fixed Charge Coverage Ratio”
“Leverage Ratio”
“Leverage Ratio Covenant Period”
“Minimum Interest Fee”
“Outside Accounts”

2.10    The definition of “Permitted Acquisition’ in Schedule 1.1 to the Agreement is hereby amended by deleting clause (e) thereto and replacing it with the following
“(e) [reserved]”
2.11    The definition of “Permitted Acquisition” in Schedule 1.1 to the Agreement is hereby amended by deleting clause (k) thereto and replacing it with the following:
“(k) the purchase consideration payable in respect of all Permitted Acquisitions (including the proposed Acquisition and including deferred payment obligations) shall not exceed $40,000,000 in the aggregate; provided, that the purchase consideration payable in respect of any single Acquisition or series of related Acquisitions shall not exceed $20,000,000 in the aggregate.”
2.12    Schedule 1.1 to the Agreement is hereby amended by amending each of the following definitions therein to read as follows:
“Applicable Margin” means (a) in the case of a Base Rate Loan, 2.00 percentage points (the “Base Rate Margin”) and (b) in the case of a LIBOR Rate Loan, 3.00 percentage points (the “LIBOR Rate Margin”).
“LIBOR Rate” means the rate per annum as reported on Reuters Screen LIBOR01 page (or any successor page) 2 Business Days prior to the commencement of the requested Interest Period, for a term, and in an amount, comparable to the Interest Period and the amount of the LIBOR Rate Loan requested (whether as an initial LIBOR Rate Loan or as a continuation of a LIBOR Rate Loan or as a conversion of a Base Rate Loan to a LIBOR Rate Loan) by Borrower in accordance with the Agreement (and, if any such rate is below zero, the LIBOR Rate shall be deemed to be zero), which determination shall be made by Agent and shall be conclusive in the absence of manifest error.
2.13    Schedule 1.1 to the Agreement is hereby amended by adding the following new definitions in the appropriate alphabetical order:
“Applicable Unused Line Fee Percentage” means, as of any date of determination, the applicable percentage set forth in the following table that corresponds to the Average Revolver Usage of Borrower for the most recently completed month as determined by Agent in its Permitted Discretion; provided, that any time an Event of Default has occurred and is continuing, the Applicable Unused Line Fee Percentage shall be set at the margin in the row styled “Level II”:
	
			
	Level
	Average Revolver Usage
	Applicable Unused Line Fee Percentage

	I
	> 50% of the Maximum Revolver Amount then in effect.
	0.20 percentage points

	II
	< 50% of the Maximum Revolver Amount then in effect.
	0.30 percentage points

The Applicable Unused Line Fee Percentage shall be re-determined on the first date of each month by Agent.
“Available Increase Amount” means, as of any date of determination, an amount equal to the result of (a) $25,000,000 minus (b) the aggregate principal amount of Increases to the Revolver Commitments or Term Loan Amount previously made pursuant to Section 2.14 of the Agreement.
“Available Revolver Increase Amount” means, as of any date of determination, an amount equal to the result of (a) $25,000,000 minus (b) the aggregate principal amount of Increases to the Revolver Commitments previously made pursuant to Section 2.14 of the Agreement.
“Enhanced Reporting Period” means the period commencing on any day that either (i) the Average Revolver Usage for the prior calendar month is greater than 50% of the Maximum Revolver 

Amount or (ii) an Event of Default has occurred and is continuing, and ending on the date that there is no Event of Default and the Average Revolver Usage for the prior calendar month is less than 50% of the Maximum Revolver Amount.
“Excess” has the meaning specified therefor in Section 2.14 of the Agreement.
“Increase” has the meaning specified therefor in Section 2.14.
“Increase Date” has the meaning specified therefor in Section 2.14.
“Increase Joinder” has the meaning specified therefor in Section 2.14.
“Post-Increase Revolver Lenders” has the meaning specified therefor in Section 2.14 of the Agreement.
“Pre-Increase Revolver Lenders” has the meaning specified therefor in Section 2.14 of the Agreement.
“Second Amendment Effective Date” means August 11, 2014.
2.14    Schedule 5.1 to the Agreement is hereby deleted and replaced by Schedule 5.1 attached to this Amendment.
2.15    Schedule 5.2 to the Agreement is hereby deleted and replaced by Schedule 5.2 attached to this Amendment.
2.16    Schedule 5.14 to the Agreement is hereby deleted in its entirety.
3.    REPRESENTATIONS AND WARRANTIES.  Parent and Borrower hereby affirm to Agent, for the benefit of the Lender Group, that, giving effect to this Amendment, all of their representations and warranties set forth in the Agreement are true, complete and accurate in all material respects as of the date hereof (except those which specifically relate to an earlier date).
4.    RELEASE.  
4.1    In consideration of the agreements of Agent and Lenders contained herein and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, each of Parent and Borrower, on behalf of itself, and its successors, assigns and other legal representatives (Parent and Borrower and all such other persons being hereinafter referred to collectively as “Releasors” and individually as a “Releasor”), hereby absolutely, unconditionally and irrevocably releases, remises and forever discharges Agent, each Lender, and its successors and assigns, and its present and former shareholders, affiliates, subsidiaries, divisions, predecessors, directors, officers, attorneys, employees, agents and other representatives (Agent, each Lender and all such other persons being hereinafter referred to collectively as “Releasees” and individually as a “Releasee”), of and from all demands, actions, causes of action, suits, covenants, contracts, controversies, agreements, promises, sums of money, accounts, bills, reckonings, damages and any and all other claims, counterclaims, defenses, rights of set off, demands and liabilities whatsoever (individually, an “Indemnified Claim” and collectively, “Indemnified Claims”) of every name and nature, known or unknown, suspected or unsuspected, both at law and in equity, which Releasors may now or hereafter own, hold, have or claim to have against Releasees or any of them for, upon, or by reason of any circumstance, action, cause or thing whatsoever which arises at any time on or prior to the day and date of this Amendment, for or on account of, or in relation to, or in any way in connection with any of the Agreement or any of the other Loan Documents or transactions thereunder or related thereto.
4.2    It is the intention of Parent and Borrower that this Amendment and the release set forth above shall constitute a full and final accord and satisfaction of all claims that may have or hereafter be deemed to have against Releasees as set forth herein.  In furtherance of this intention, each of Parent and Borrower, on behalf of itself and each other Releasor, expressly waives any statutory or common law provision that would otherwise prevent the release set forth above from extending to claims that are not currently known or suspected to exist in any Releasor’s favor at the time of executing this Amendment and which, if known by Releasors, might have materially affected the agreement as provided for hereunder.  Each of Parent and Borrower, on behalf of itself and each other Releasor, acknowledges that it is familiar with Section 1542 of California Civil Code:
A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT 

KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM OR HER MUST HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR.
Each of Parent and Borrower, on behalf of itself and each other Releasor, waives and releases any rights or benefits that they may have under Section 1542 to the full extent that they may lawfully waive such rights and benefits, and each of Parent and Borrower, on behalf of itself and each other Releasor, acknowledges that it understands the significance and consequences of the waiver of the provisions of Section 1542 and that it has been advised by counsel as to the significance and consequences of this waiver. 
4.3    Parent and Borrower understand, acknowledge and agree that the release set forth above may be pleaded as a full and complete defense and may be used as a basis for an injunction against any action, suit or other proceeding which may be instituted, prosecuted or attempted in breach of the provisions of such release. 
4.4    Parent and Borrower agree that no fact, event, circumstance, evidence or transaction which could now be asserted or which may hereafter be discovered shall affect in any manner the final, absolute and unconditional nature of the release set forth above.
5.    COVENANT NOT TO SUE.  Each of Parent and Borrower, on behalf of itself and its successors, assigns and other legal representatives, hereby absolutely, unconditionally and irrevocably, covenants and agrees with and in favor of each Releasee that it will not sue (at law, in equity, in any regulatory proceeding or otherwise) any Releasee on the basis of any claim released, remised and discharged by Parent and Borrower pursuant to Section 4 above.  If either Parent or Borrower or any of their successors, assigns or other legal representations violates the foregoing covenant, each of Parent and Borrower, for itself and each other Releasor, agrees to pay, in addition to such other damages as any Releasee may sustain as a result of such violation, all attorneys’ fees and costs incurred by any Releasee as a result of such violation.
6.    NO DEFAULTS.  Parent and Borrower hereby affirm to the Lender Group that, giving effect to this Amendment, no Event of Default has occurred and is continuing as of the date hereof.
7.    CONDITIONS PRECEDENT.  The effectiveness of this Amendment is expressly conditioned on (a) receipt by Agent of a copy of this Amendment duly executed by Parent, Borrower, Lenders and Agent, and (b) receipt by Agent of a closing fee in the amount of $12,500, which fee shall be fully earned, due and payable on the date hereof.
8.    COSTS AND EXPENSES.  Borrower shall pay to Agent all of Agent’s documented out-of-pocket costs and expenses (including, without limitation, the reasonable fees and expenses of their counsel, which counsel may include any local counsel deemed necessary, search fees, filing and recording fees, documentation fees, appraisal fees, travel expenses, and other reasonable fees) arising in connection with the preparation, execution, and delivery of this Amendment and all related documents, which costs and expenses Agent agrees will not exceed the sum of $8,000.
9.    COUNTERPARTS; EFFECTIVENESS.  This Amendment may be executed in any number of counterparts and by different parties on separate counterparts, each of which when so executed and delivered shall be deemed to be an original.  All such counterparts, taken together, shall constitute but one and the same Amendment.  This Amendment shall become effective upon the execution of a counterpart of this Amendment by each of the parties hereto and satisfaction of the conditions set forth in Section 7 hereof.  Delivery of an executed counterpart of this Amendment by telefacsimile or electronic mail shall be equally as effective as delivery of an original executed counterpart of this Amendment.  Any party delivering an executed counterpart of this Amendment by telefacsimile or electronic mail also shall deliver an original executed counterpart of this Amendment, but the failure to deliver an original executed counterpart shall not affect the validity, enforceability, and binding effect of this Amendment.
10.    FURTHER ASSURANCES.  Parent and Borrower shall execute and deliver all agreements, documents and instruments, in form and substance reasonably satisfactory to Agent, and take all actions as Agent may reasonably request from time to time to perfect and maintain the perfection and priority of the security interests of Agent in the Collateral and to consummate fully the transactions contemplated under this Amendment and the other Loan Documents.
11.    EFFECT ON LOAN DOCUMENTS.
11.1    The Agreement, as amended hereby, and each of the other Loan Documents, as amended as of the date hereof, shall be and remain in full force and effect in accordance with their respective terms and hereby are ratified and confirmed in all respects.  The execution, delivery, and performance of this Amendment shall not operate, except as expressly set forth herein, as a waiver of, consent to, or a modification or amendment of, any right, power, or remedy of Agent or any Lender under the Agreement or any other Loan Document.  Except for the amendments to the Agreement expressly set forth herein, the Agreement 

and the other Loan Documents shall remain unchanged and in full force and effect.  The consents, waivers and modifications set forth herein are limited to the specifics hereof, shall not apply with respect to any facts or occurrences other than those on which the same are based, shall neither excuse future non-compliance with the Loan Documents nor operate as a waiver of any Default or Event of Default, shall not operate as a consent to any further or other matter under the Loan Documents and shall not be construed as an indication that any future waiver of covenants or any other provision of the Agreement will be agreed to, it being understood that the granting or denying of any waiver which may hereafter be requested by any Loan Party remains in the sole and absolute discretion of the Agent and the Lenders.
11.2    Upon and after the effectiveness of this Amendment, each reference in the Agreement to “this Agreement”, “hereunder”, “herein”, “hereof” or words of like import referring to the Agreement, and each reference in the other Loan Documents to “the Agreement”, “thereunder”, “therein”, “thereof” or words of like import referring to the Agreement, shall mean and be a reference to the Agreement as modified and amended hereby.
11.3    To the extent that any of the terms and conditions in any of the Loan Documents shall contradict or be in conflict with any of the terms or conditions of the Agreement, after giving effect to this Amendment, such terms and conditions are hereby deemed modified or amended accordingly to reflect the terms and conditions of the Agreement as modified or amended hereby.
11.4    This Amendment is a Loan Document.
11.5    Headings and numbers have been set forth herein for convenience only.  Unless the contrary is compelled by the context, everything contained in each Section applies equally to this entire Amendment.
11.6    Neither this Amendment nor any uncertainty or ambiguity herein shall be construed against Agent, any member of the Lender Group, the Bank Product Providers or any Loan Party, whether under any rule of construction or otherwise.  This Amendment has been reviewed by all parties and shall be construed and interpreted according to the ordinary meaning of the words used so as to accomplish fairly the purposes and intentions of all parties hereto.
11.7    The pronouns used herein shall include, when appropriate, either gender and both singular and plural, and the grammatical construction of sentences shall conform thereto.
11.8    Unless the context of this Amendment clearly requires otherwise, references to the plural include the singular, references to the singular include the plural, the terms “includes” and  “including” are not limiting, and the term “or” has, except where otherwise indicated, the inclusive meaning represented by the phrase “and/or”.  The words “hereof”, “herein”, “hereby”, “hereunder”, and similar terms in this Amendment refer to this Amendment as a whole and not to any particular provision of this Amendment.  Section, subsection, clause, schedule, and exhibit references herein are to this Amendment unless otherwise specified.  Any reference in this Amendment to any agreement, instrument, or document shall include all alterations, amendments, changes, extensions, modifications, renewals, replacements, substitutions, joinders, and supplements, thereto and thereof, as applicable (subject to any restrictions on such alterations, amendments, changes, extensions, modifications, renewals, replacements, substitutions, joinders, and supplements set forth herein).  The words “asset” and “property” shall be construed to have the same meaning and effect and to refer to any and all tangible and intangible assets and properties, including cash, securities, accounts, and contract rights.  Any reference herein or in any other Loan Document to the satisfaction or repayment in full of the Obligations shall mean the repayment in full in cash or immediately available funds (or, in the case of Letters of Credit or Bank Products, providing Letter of Credit Collateralization or Bank Product Collateralization, as applicable) of all Obligations other than unasserted contingent indemnification Obligations and other than any Bank Product Obligations that, at such time, are allowed by the applicable Bank Product Provider to remain outstanding and that are not required by the provisions of this Agreement to be repaid or cash collateralized.  Any reference herein to any Person shall be construed to include such Person’s successors and assigns.  Any requirement of a writing contained herein shall be satisfied by the transmission of a Record.
11.9    All of the annexes, schedules and exhibits attached to this Amendment shall be deemed incorporated herein by reference.
12.    ENTIRE AGREEMENT.  This Amendment, and the terms and provisions hereof, the Agreement and the other Loan Documents constitute the entire understanding and agreement between the parties hereto with respect to the subject matter hereof and supersede any and all prior or contemporaneous amendments or understandings with respect to the subject matter hereof, whether express or implied, oral or written.
13.    REAFFIRMATION OF OBLIGATIONS.  Each of Parent and Borrower hereby (a) acknowledges and reaffirms its obligations owing to Agent, the Bank Product Providers, and each other member of the Lender Group under each 

Loan Document to which it is a party, and (b) agrees that each of the Loan Documents to which it is a party is and shall remain in full force and effect.  Each of Parent and Borrower hereby (i) further ratifies and reaffirms the validity and enforceability of all of the Liens and security interests heretofore granted, pursuant to and in connection with the Guaranty and Security Agreement or any other Loan Document, to Agent, on behalf and for the benefit of the Lender Group and the Bank Product Providers, as collateral security for the obligations under the Loan Documents in accordance with their respective terms, and (ii) acknowledges that all of such Liens and security interests, and all Collateral heretofore pledged as security for such obligations, continue to be and remain collateral for such obligations from and after the date hereof (including, without limitation, from after giving effect to this Amendment).  Each Guarantor hereby reaffirms, acknowledges, agrees and confirms that it has granted a perfected security interest in the Collateral pursuant to and in connection with the Guaranty and Security Agreement to Agent in order to secure all of its present and future Guarantied Obligations (as defined in the Guaranty and Security Agreement).
14.    RATIFICATION.  Each of Parent and Borrower hereby restates, ratifies and reaffirms each and every term and condition set forth in the Agreement and the Loan Documents effective as of the date hereof and as amended hereby.  All Obligations (including the Guarantied Obligations, as applicable) owing by each of Parent and Borrower are unconditionally owing by Parent and Borrower, as applicable,  to Agent and the Lenders, without offset, defense, withholding, counterclaim or deduction of any kind, nature or description whatsoever.
15.    SEVERABILITY.  In case any provision in this Amendment shall be invalid, illegal or unenforceable, such provision shall be severable from the remainder of this Amendment and the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby.
16.    GUARANTORS.  Each Guarantor hereby consents to the amendment of the Agreement as set forth in this Amendment and any waivers granted herein.  Although each Guarantor has been informed of the matters set forth herein and has agreed to the same, such Guarantor understands that none of Agent or any Lender has any obligation to inform it of such matters in the future or to seek its acknowledgment or agreement to future amendments, and nothing herein shall create such a duty.
[The remainder of this page left blank intentionally, signatures to follow]

IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the date first set forth above.
	
		
	PARENT:
	Q2 HOLDINGS, INC.,
a Delaware corporation

By:  /s/ Jennifer Harris      
Name:  Jennifer Harris
Title:  Chief Financial Officer

	
		
	BORROWER:
	Q2 SOFTWARE, INC.,
a Delaware corporation

By:  /s/ Jennifer Harris      
Name:  Jennifer Harris
Title:  Chief Financial Officer

	
		
	 
	WELLS FARGO BANK, 
NATIONAL ASSOCIATION,
as Agent and a Lender

By:  /s/ Nichol Shuart      
Name:  Nichol Shuart
Title:  Director

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00234-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00234-of-00352.parquet"}]]